AR Specialist

🕒 June 10

🏈 Alabama, Arizona, +17 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌾 Nebraska – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote

⏰ Full Time

🟢 Junior

💰 Accounts Receivable

🚫👨‍🎓 No degree required

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RethinkFirst

WebsiteLinkedInAll Job Openings

51 - 200 employees

⚕️ Healthcare Insurance

🤖 Artificial Intelligence

📚 Education

Healthcare Insurance • Artificial Intelligence • Education

RethinkFirst is a company dedicated to transforming behavioral health through clinical expertise, data science, and technology. By leveraging these strengths, RethinkFirst aims to empower its customers and drive improved outcomes, thereby positively impacting the lives of millions worldwide. The company provides solutions for various sectors, including schools and businesses, by supporting students and employees alike with mental health resources and tools. With substantial contributions in education, such as working with eight of the largest school districts and supporting over 3 million students, and in corporate wellness, such as reducing absenteeism for companies like Volvo, RethinkFirst utilizes AI and big data to predict patient progress and enhance clinical outcomes. Its services extend across 225 countries, significantly influencing 11 million lives globally.

📋 Description

• Ensure strict HIPAA-compliant confidentiality with all client-related data • Review customer account reports and follow up to ensure any flags/concerns are notated proactively and communicated to the Customer Billing Advocate (CBA) • Review A/R Aging Reports and follow up with insurance companies regarding expected reimbursement for outstanding claims • Notate & document all follow up work on aging claims within A/R Aging Reports as required and documented in standard SOPs • Meet expectations on deadlines for completion of A/R Aging Reports for each customer supported within POD • Follow up on denials immediately and communicate any trends to CBA • Follow up on any open A/R tickets in Salesforce as assigned by CBA • Meet deadlines assigned for A/R work as assigned by CBA • Utilize denial management platforms for submission of appeals, reconsideration requests, etc. • Research specific payor billing rules as needed • Follow up on claims submitted electronically for primary and secondary payors • Submit corrected claims when needed • Attend POD meetings and contribute to agenda items as designated by CBA • Post payments or submit missing payments to posting team and maintain A/R as assigned • File appeals to insurance and to insurance commissioner as needed • Stay informed about Payor and Industry Billing rules • Review & interpret payor contracts when applicable • Measure and monitor key metrics related to work performance • Attend customer meetings as needed with CBA • Work to meet POD goals collectively as cohesive team • Foster a positive work environment for colleagues

🎯 Requirements

• HS Diploma or Equivalent • ABA billing experience • Min. 1-year experience in billing; major commercial insurance companies and state Medicaid programs • Experience using insurance company websites/portals • Proficient in using Microsoft Suite (Outlook, Excel, Word) • Willing to learn, positive attitude and love a good challenge • Professional writing & phone skills • This role requires exceptional attention to detail, critical thinking and excellent communication with internal teams and insurance companies • Bachelor’s degree (preferred) • Speech, OT and Mental Health billing experience (preferred) • Minimum 1-year experience working in an office setting (preferred) • Minimum 1-year experience in billing company setting (preferred) • Experience using Billing Software, EMR and Clearinghouse systems (Rethink, Azalea, Tebra, Central Reach, Waystar, Trizetto, Availity) (preferred) • Experience using denial management platform (DocVocate) (preferred)

🏖️ Benefits

• PTO and Vacation Days after a 90-day introductory period • Paid Holidays • Generous Health, Denial & Vision benefits package • 401k + Matching