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Rethink Behavioral Health is seeking an A/R Specialist to join their billing service team, responsible for ensuring timely reimbursement from insurance companies for therapy sessions related to autism services. The A/R Specialist is responsible for supporting our billing teams by working with insurance companies to ensure efficient and prompt reimbursement for therapy sessions for our customers and actively pursuing all outstanding A/R for customers supported within the RCM division.
Job Responsibility:
Review A/R Aging Reports and follow up on rejections and denials
File appeals to insurance and to insurance commissioner as needed
Submit corrected claims when needed
Be the expert on assigned accounts and act as lead for communication between Customer Success Team and billing and posting teams
Review customer account reports, requests for information from clients and track progress to ensure any flags, concerns and requests for information are being resolved in a timely manner
Own all incoming account specific tickets in SalesForce
Work with Customer Success Team, Billing and Posting teams to obtain correct information and resolve outstanding items
Monitor and analyze customer account health compared to industry benchmarks and identify actions needed to resolve outstanding issues and/or projects
Work closely with the internal Compliance team on accounts identified above benchmarks or at risk
Research specific payor billing rules as needed
Ensure strict HIPAA-compliant confidentiality with all client-related data
Review & interpret payor contracts when applicable
Stay informed about Payor and Industry Billing rules
Measure and monitor key metrics related to work performance
Foster a positive work environment for colleagues
Requirements:
HS Diploma or Equivalent
Willing to learn
Positive attitude and loves a good challenge
Professional phone skills
Exceptional attention to detail
Critical thinking
Excellent communication with internal teams and insurance companies
Nice to have:
Previous ABA billing experience
Speech, OT and Mental Health experience
Minimum 1-year experience working in an office setting
Minimum 1-year experience in billing both major commercial insurance companies as well as state Medicaid programs
Experience using Billing Software, EMR and Clearinghouse systems (Azalea, Kareo, Waystar, Trizetto)
Experience using insurance company websites/portals
Proficient using Microsoft Suite (Outlook, Excel, Word)
Bachelor’s degree
What we offer:
PTO and Vacation Days after a 90-day introductory period