Accounts Receivable Specialist

Overview

This role supports the financial health of a healthcare organization specializing in services for children with Autism Spectrum Disorder (ASD). The organization has grown significantly since 2017, now comprising over 10,000 clinicians and operators serving thousands of children. The Accounts Receivable Specialist will manage medical receivables and resolve payer issues to ensure timely and accurate insurance claim processing.

Responsibilities

• Follow up daily on past due medical claims via phone and online portals, utilizing knowledge of in-network and out-of-network reimbursement processes.
• Investigate and resolve insurance claim denials with detailed documentation; determine when to file formal reconsiderations or technical appeals.
• Collaborate with revenue cycle departments to address claim processing obstacles and assist management in identifying payer issues and trends.
• Communicate directly with families and clients regarding insurance coverage, financial responsibilities, and benefits.
• Handle sensitive and confidential information in compliance with internal security policies and Protected Health Information (PHI) regulations.

Requirements

• Minimum 2 years of experience managing medical receivables; familiarity with both in-network and out-of-network insurance preferred.
• Strong knowledge of medical and insurance terminology, billing guidelines, and coding structures; experience with Applied Behavioral Analysis (ABA) therapy billing preferred.
• Proficient in navigating multiple systems for claims research; advanced Microsoft Excel skills required.
• Experience with Central Reach practice management system is highly preferred.
• Strong analytical skills, effective written and verbal communication, ability to work independently and manage multiple priorities remotely.
• Preference for candidates based in Austin, TX; remote candidates with suitable backgrounds will be considered.
• High school diploma required; Bachelor’s degree or equivalent revenue cycle management experience preferred.

Compensation & Benefits

• Starting base salary of $55,000 per year, adjusted based on experience.
• Paid Time Off: 10 days PTO, 10 paid holidays, 2 personal flex days, with additional accrual based on tenure.
• Financial and family support including up to $600 employer contribution toward student loan repayment, tuition discounts, maternity/paternity awards up to $3,000, and FSA options for childcare.
• 401K retirement plan with company matching.
• Lifestyle perks such as DoorDash Pass membership, corporate happy hours, quarterly team outings, and regional employee recognition events.
• Opportunities for professional development and technical leadership growth within a growing healthcare network.

Location

Preference for candidates located in Austin, TX; remote work arrangements considered for qualified applicants.