Overview
This role supports the financial health of a healthcare and behavioral services organization specializing in care for children with Autism Spectrum Disorder (ASD). The organization has grown since 2017 to a community of over 10,000 clinicians and operators, serving thousands of children through purpose-built centers.
The Accounts Receivable Specialist will manage medical receivables and resolve payer issues to ensure timely and accurate insurance claim processing, directly impacting cash flow and operational efficiency.
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; analyze denials to determine when to file reconsiderations or appeals.
- Collaborate with revenue cycle departments to resolve claim processing issues and assist management in identifying payer trends and anomalies.
- 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, preferably with familiarity in both in-network and out-of-network insurance environments.
- Strong knowledge of medical and insurance terminology, billing guidelines, and coding structures; experience with Applied Behavioral Analysis (ABA) therapy billing preferred.
- Proficiency in Microsoft Excel for data analysis and financial reporting; experience with Central Reach practice management system 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 professional background will be considered.
- High school diploma required; Bachelor’s degree or equivalent revenue cycle management experience preferred.
Compensation & Benefits
Compensation:
- Starting base salary of $55,000 per year, adjusted based on experience.
Benefits & Perks:
- 10 Days PTO, 10 Paid Holidays, 2 Personal Flex Days, with additional accrual based on tenure.
- Up to $600 employer contribution toward student loan repayment and institutional tuition discounts.
- Maternity/Paternity financial awards up to $3,000 and Flexible Spending Account (FSA) options for childcare.
- 401K retirement plan with company matching.
- Lifestyle perks including DoorDash Pass membership, corporate happy hours, quarterly team outings, and regional employee recognition events.
- Opportunities for professional development and technical leadership growth within a scaling healthcare network.
Location
Preference for candidates located in Austin, TX; remote work arrangements considered for qualified applicants.
Equal Opportunity
The employer is an equal opportunity organization committed to diversity and inclusion. All qualified applicants will be considered without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.