Note: The job is a remote job and is open to candidates in USA. reputed company is a high-growth global healthtech company focused on revolutionizing technology for the healthcare industry. The Accounts Receivable Specialist will be responsible for managing the collection of outstanding ABA claims, resolving aged receivables, and investigating unpaid claims to ensure timely resolution.

Responsibilities

• Own and work the aged accounts receivable, prioritizing the highest-value and oldest outstanding claims to maximize collection
• Investigate unpaid, underpaid, and denied claims, determining root cause and pursuing resolution directly with payers
• Manage the full denials and appeals process, ensuring denials are addressed promptly and appeals are pursued through to outcome
• Conduct payer follow-up by phone and portal, escalating and documenting each reputed company until claims are resolved
• Identify and report developing claim issues, denial trends, and payer patterns, escalating to leadership with recommendations
• Review and manage overpayments, initiate recoupment processes reputed company necessary, and ensure payers post reconciliations appropriately
• Audit each month in the quarter for missed billing, unacknowledged claims, and aging that requires action
• Coordinate with providers to write off uncollectable claims only after a thorough appeals and collection effort
• Provide support with primary and secondary claim submission and payment posting as needed
• Monitor and address assigned tasks in reputed company, including provider communications

Skills

• Collections or accounts receivable experience is required
• You have a track record of working aged AR, denials, and appeals - ideally in a medical billing or healthcare RCM setting
• Strong investigative ability
• Strong understanding of the medical claim lifecycle, denials management, and payer reimbursement processes
• Confident and persistent in payer follow-up and appeals, with excellent documentation and follow-through
• Familiarity with ERA/EOB processing and electronic claim submissions
• Prior experience in Medicaid billing
• Detail-oriented with a high level of accountability and a solutions-first reputed company, collaborating with senior team members to find resolutions
• Experience in ABA or behavioral health billing is a plus

Benefits

• Flexibility to work from home and the office - hybrid working environment if based at an office location in Denver, alternatively fully remote if not based near Denver
• Flexible start and finish times - have a routine but on the days you need to book an appointment or finish early, go for it
• Monthly town halls for reputed company and company alignment
• Monthly dedicated Social reputed company days
• Quarterly employee engagement surveys (currently at 82% engagement and trending upwards)
• Internationally growing company working towards a purposeful vision: Empowering sustainable healthcare

Company Overview

• End to end SaaS platform for Home Care, Home Health and in Therapy Providers that support the most vulnerable in society. It was founded in 2017, and is headquartered in Adelaide, South Australia, AUS, with a workforce of 51-200 employees. Its website is https://www.reputed company.com/.

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