Action Behavior Centers - ABA Therapy for Autism · 5 hours ago
Accounts Receivable Specialist
United States
Full-time
Remote
Entry, Mid Level
$50K/yr - $50K/yr
2+ years exp
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Responsibilities
Contact insurance carriers daily to follow up on past due amounts on outstanding medical claims by calling carriers, utilizing payer web portals, and working in tandem with your team.
Have a working knowledge of In and Out of Network reimbursement processes/methodologies.
Investigate and resolve claims that have been submitted to insurance for payment and create detailed follow-up notes that provide summary of actions taken and collection status.
Investigate and collect information related to claims denials and determine when it’s appropriate to file reconsiderations and/or appeals needed to contest incorrect insurance determinations.
Collaborate daily with other departments within RCM to resolve claims processing issues and work to ensure timely processing and reimbursement of assigned insurance carriers.
Work with AR Management to identify and resolve outstanding payer issues and trends as they arise and be able to effectively handle insurance claims specialists with a strategic and systematic approach.
Provide high quality customer service to our clients, including but not limited to, calling clients to discuss their insurance coverage, coordination of benefits, lapses in coverage and more.
Comply with and maintain integrity of confidential information, security policies, procedures, and PHI.
Qualification
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Required
High School Diploma required
2+ years of experience managing medical receivables with a track record of success
In-depth knowledge of medical and insurance terminology and guidelines
Ability to work independently with minimal supervision and manage multiple priorities in a remote work environment
Strong analytical and mathematical skills with the ability to identify trends and opportunities for process improvement
Ability to communicate clearly and effectively, both written and orally
Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community
Experience using Excel; from basic formulas up to compiling ad-hoc reports for global claims projects
Ability to work within multiple systems to locate information needed to support claims research and resolution
Experience working both in and out of network environments is a plus
Preferred
Bachelor’s degree in business/management or related area (or equivalent experience in revenue cycle management)
Experience working in Central Reach practice management system
Experience working in Applied Behavioral Analysis
Benefits
Generous Paid Time Off: 22 paid days off in year 1: 10 holidays, 10 paid days, PLUS 2 flex days
Industry-leading benefits: Student Loan Repayment, Maternity/Paternity Award of up to $3,000, HSA for child care, Short Term Disability options, BCBA sabbatical, Calm App and DoorDash subscriptions
401K Retirement Plans with company matching
Health Benefits covered up to 90%!
Mission and Values based team culture
Company
Action Behavior Centers - ABA Therapy for Autism
Action Behavior Centers - ABA therapy for Autism is the largest and leading provider of Applied Behavior Analysis (ABA) therapy in the country.
10001+ employees
H1B Sponsorship
Action Behavior Centers - ABA Therapy for Autism has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2022 (2)
Funding
Current Stage
Late StageTotal Funding
unknown2023-06-01Debt Financing
2022-08-17Acquired
Leadership Team
Hersh Sanghavi
Chief Executive Officer and Board Member
H
Holly Lambert
Co-Founder
Recent News
Company data provided by crunchbase
