Accounts Receivable Specialist

Job not on LinkedIn

🔥 0 minutes ago

🎸 Tennessee – Remote

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⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Accounts Receivable

👻 Ghost score 12%

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Logo of Athena Care

Athena Care

51 - 200 employees

Founded 2001

🏥 Healthcare

👥 B2C

Healthcare • B2C

Athena Care is a Tennessee-based mental and behavioral health provider operating outpatient clinics and telehealth services across multiple cities (Nashville, Franklin, Murfreesboro, Hendersonville, Clarksville, Memphis, Knoxville). For over 20 years they have offered diagnostic assessments, medication management, psychotherapy, autism testing, intensive outpatient programs, and interventional psychiatry treatments such as Spravato (esketamine), ketamine therapy, and transcranial magnetic stimulation (TMS). Athena Care provides a range of therapy modalities (CBT, DBT, EMDR, ACT, psychodynamic, interpersonal, CBT-I), is in-network with most major insurers, and emphasizes improving access to quality mental health care in Tennessee.

📋 Description

• Review and analyze rejected or denied claims to identify root causes of payment issues • Resolve claim discrepancies and resubmit claims accurately and promptly • Collaborate with providers, payers, and internal teams to correct errors and ensure proper reimbursement • Prepare and submit appeals for denied claims according to payer-specific guidelines • Make claim adjustments to correct billing errors, apply codes, and resolve underpayment or overpayment issues • Review and manage payer aging reports • Prioritize and resolve aged receivables by contacting payers and coordinating with internal departments • Monitor claim status and follow up with payers to ensure prompt payment processing • Identify and report recurring denial trends and payer issues • Escalate persistent payer issues to billing and management teams • Develop and implement strategies to address payer-specific challenges and improve reimbursement processes • Maintain comprehensive records of claims, appeals, adjustments, and payer communications for auditing and compliance • Update internal databases and systems to track claim progress and support accurate reporting • Ensure compliance with healthcare billing regulations, payer requirements, and internal policies • Maintain current information on payer policies and procedures

🎯 Requirements

• High school diploma or GED required • Associate’s degree or certification in healthcare billing, accounting, or a related field preferred • Proven experience in accounts receivable, medical billing, or revenue cycle management, preferably in a healthcare setting required • Minimum of 3 years of experience • Experience with payer aging reports, appeals, adjustments, and claims follow-up • Experience working with eClinicalWorks (eCW) strongly preferred • Knowledge of insurance billing processes, claim rejection and denial codes, and payer policies • Strong understanding of CPT, ICD-10, and HCPCS codes and their relevance to billing and claim processing • Proficiency in billing software, accounts receivable systems, and Microsoft Office, including Excel and Word • Excellent problem-solving skills • Attention to detail and organization; ability to manage multiple priorities • Strong and empathetic communication skills with insurers and patients • Collaborative approach

🏖️ Benefits

• Mission-driven organization where work has tangible impact on patient care • Inclusive environment where every Athenian can thrive • Collaboration with a talented and dynamic team of clinicians and support/administrative professionals • Full-time, 8-hour shift schedule, Monday through Friday • Equal opportunity employer

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