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About the Role
This position supports the operations and overall financial health of the company by identifying, quantifying, and resolving outstanding payer issues, trends, and overdue receivables. You will work alongside other teams within our revenue cycle management department.
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.
- Investigate and resolve claims that have been submitted for payment and create detailed follow-up notes that provide a 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 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.
- Provide high-quality customer service to clients, including discussing insurance coverage, coordination of benefits, and lapses in coverage.
- Comply with and maintain integrity of confidential information, security policies, procedures, and PHI.
Requirements
- High School Diploma required.
- In-depth knowledge of medical and insurance terminology and guidelines.
- Experience working in CentralReach practice management system preferred.
- Experience working in Applied Behavioral Analysis preferred.
- Ability to work independently with minimal supervision and manage multiple priorities in a remote work environment.
- Experience working both in and out of network environments is a plus.
- 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.
- Ability to work within multiple systems to locate information needed to support claims research and resolution.
Skills
- Third party billing/revenue cycle management
- Working knowledge of In and Out of Network reimbursement processes/methodologies
- Excel; from basic formulas up to compiling ad-hoc reports for global claims projects
Location
- Austin, TX
- Remote
Work Type
- Full-Time
- On-site
- Remote
Experience Level
- Minimum of 3+ years of experience working in various medical specialties
- 2+ years of experience managing medical receivables with a track record of success
Education Level
- Bachelor’s degree in business/management or related area (or equivalent experience in revenue cycle management) preferred.
Salary/Compensations
- Starting at $55,000 per year based on experience
Benefits
- 10 Days of PTO, 10 Paid Holidays, 2 Flex Days + More with Tenure
- Student Loan Repayment Employer Contributions
- Maternity/Paternity Award of up to $3,000 & FSA Options for Childcare
- Door Dash Pass, Team Happy Hours, and Regional Night of Honors
- Up to $600 Student Loan Repayment Options & Tuition Discounts
- Quarterly Team outings and events
- Professional development
- Leadership opportunities
- 401K Retirement Plans with company matching
About the Company
- Our story began in 2017 in Austin, TX. We started with humble roots but big aspirations. From 1 center in North Austin, our movement has inspired thousands of clinicians and operators. Today, the ABC community is 10,000+ strong, serving thousands of children with ASD. Growth with intentionality: We have an intentional focus on our core values. Each center is purpose-built, and each community of teammates is nurtured.
Equal Opportunity
- ABC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity or expression, national origin, ancestry, disability, marital status, genetic information, veteran status, or any other status protected by applicable federal, state, or local laws, including the Pennsylvania Human Relations Act (PHRA). We are committed to creating an inclusive environment for all employees.