Accounts Receivable Project Specialist

Job Title: Accounts Receivable Project Specialist

Location: Austin, TX (Remote Work Available)

Position Type: Full-Time, Remote

Salary: Starting at $60,000 per year based on experience.

Job Description: We are seeking highly organized and experienced Accounts Receivable Specialists to join our growing team in a hybrid role dedicated primarily to managing and working through projects identified through payment reconciliation, while also providing support through strategic receivables follow up. This position reports directly to the Accounts Receivable Director and will collaborate closely with our Finance Department to quantify and resolve insurance projects varying in size and complexity. This position will support the operations and overall financial health of the company, while working alongside other teams within our revenue cycle department to identify, quantify, and resolve outstanding insurance issues, payer trends, and overdue receivables. The ideal candidate will have a minimum of 5+ years of accounts receivable experience, working directly with insurance companies to resolve and collect aged receivables. The ideal candidate will be highly inquisitive and detailed with a strong sense of team and a willingness to collaborate both internally and externally. A background in third party billing or full circle revenue cycle management preferred, but not required.

Duties and 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 the team.
• 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, contract discrepancies, and aged receivables and determine when it’s appropriate to file reconsiderations, appeals, and/or payer projects as needed to contest and overturn incorrect insurance determinations.
• Work with AR Team 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.
• Coordinate with AR and Finance to identify payers with higher-than-normal aged revenue for targeted follow-up to maximize collections, reduce bad-debt, and maintain key performance indicators.
  
  
  

Knowledge, Skills and Abilities Required:

• Ability to work independently with minimal supervision and manage multiple priorities in a remote work environment.
• 5+ years of experience managing medical insurance receivables with a track record of success.
• Must have at least 2+ years of experience working and following up on both In-Network and Out-of-Network claim environments, including negotiating with third party administrators to maximize claim reimbursement.
• Strong analytical and mathematical skills with the ability to identify trends and coordinate resolution in a team environment.
• Experience using Excel; from basic formulas such as SUM, AVERAGE, MIN, MAX, COUNT, and IF up to compiling ad-hoc reports for global claims projects using more advanced formulas such as VLOOKUP, PIVOT TABLES, SUMIFS, XLOOKUP etc.
• Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.
• Ability to work within multiple systems to locate required information to support claims research and resolution through clear and efficient communication, both written and orally.
  
  
  

Minimum Job Requirements:

• High School Diploma required, bachelor’s degree in business/management or related area (or equivalent experience in revenue cycle management) preferred.
• In-depth knowledge of medical and insurance terminology and guidelines.
• 5+ years of accounts receivable experience in the medical industry.
• 2+ years of experience working on out of network collections.
• Austin, TX candidates preferred but will consider remote work for applicants with the right background.
• Experience working in Central Reach practice management system preferred.
• Experience working in Applied Behavioral Analysis preferred.
  
  
  

Why choose ABC?

• 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
  
  
  

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