Accounts Receivable Specialist

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Lumary

WebsiteLinkedInAll Job Openings

51 - 200 employees

💰 $17M Series A on 2021-03

Lumary is Australia's leading healthcare software provider and technology partner for the disability and aged care industries. Powered by the world’s number 1 SaaS cloud platform in Salesforce, Lumary’s end-to-end care and workflow management application system brings together NDIS and HCP stakeholder management and business workflow in a single commercial integration model. The enterprise-grade platform automates complex business processes, establishing a single client record at the centre of the solution with a managed integration of key applications across finance, HR and workflow management. To ensure organisations maximise the benefits of their software solution, Lumary is committed to developing and supporting long-term partnerships. With Lumary, service providers and the people they serve are empowered to be progressive in their approach to care management. Lumary enables consumer choice and control, supporting individuals to be in charge of their health decisions and goals for a quality life. The platform facilitates enhanced client, family and caregiver collaboration, while assisting service providers to maximise the effectiveness of funding programs, enabling better outcomes for more people. Creating software solutions and products that benefit the community is at the heart of what Lumary does best.Lumary’s headquarters are located in Adelaide, with offices in Sydney, Brisbane, and San Francisco.Better Wellbeing Through Technology

📋 Description

• 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 step 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 when 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 Lumary, including provider communications.

🎯 Requirements

• 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. You dig into the details, ask the right questions, and don't stop until you've found why a claim isn't paying and resolved it. • 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. • Experience in ABA or behavioral health billing is a plus. • Detail-oriented with a high level of accountability and a solutions-first mindset, collaborating with senior team members to find resolutions.

🏖️ 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 connection and company alignment • Monthly dedicated Social Connection days • Quarterly employee engagement surveys (currently at 82% engagement and trending upwards) • Internationally growing company working towards a purposeful vision: Empowering sustainable healthcare