Remote Senior ABA Revenue Cycle & AR Specialist

OpsArmy

Bogotá

Remote

COP 253,141,000 - 348,068,000

Full time

9 days ago

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Job summary

OpsArmy is seeking a Senior ABA Revenue Cycle / AR Specialist to lead high-volume RCM operations, claims management, and denial resolution in a remote role with US hours. The ideal candidate will bring hands-on expertise in ABA billing, payer follow-ups, and AR collection, independently driving process improvements while maintaining accuracy and compliance across payer policies.

You will own end-to-end billing cycles, document claim activities, and work with the RCM team to reduce denials and

Qualifications

  • Substantial healthcare RCM and AR experience.
  • Proven medical billing, claims handling, denial management, and payer follow-ups.
  • Direct ABA billing experience highly preferred.
  • Strong knowledge of denials, corrected claims, resubmissions, collections.
  • Familiarity with ABA billing rules and concurrent supervision restrictions.
  • Ability to manage high-volume AR independently.
  • Strong analytical, organizational, and communication skills.
  • Self-motivated with minimal supervision.

Responsibilities

  • Manage day-to-day RCM and high-volume AR operations.
  • Monitor denied, outstanding, and aging claims.
  • Investigate claim statuses through payer portals and billing systems.
  • Conduct payer follow-ups, collections, and escalations.
  • Prioritize claims based on aging, urgency, financial impact, and deadlines.
  • Maintain accurate documentation of claim activities and resolutions.
  • Investigate denied and rejected claims and identify root causes.
  • Correct billing errors and submit corrected or resubmitted claims.
  • Follow up with insurance companies regarding payment issues and discrepancies.
  • Identify recurring denial patterns and implement corrective actions.
  • Reduce preventable denials and outstanding AR balances.
  • Understand ABA-specific billing requirements and payer policies.
  • Navigate concurrent billing restrictions involving supervision services and direct RBT care.
  • Identify billing conflicts involving service dates, times, provider documentation, and billing combinations.
  • Ensure compliance with payer-specific reimbursement and billing requirements.
  • Identify recurring denials, billing discrepancies, and workflow bottlenecks.
  • Recommend solutions to prevent repeated billing issues.
  • Improve billing workflows, internal controls, and operational processes.
  • Identify opportunities for automation and improved RCM efficiency.
  • Coordinate with the existing RCM team and distribute workloads effectively.
  • Manage responsibilities independently with minimal supervision.
  • Communicate claim issues, findings, and progress proactively.
  • Take ownership of substantial billing and AR workloads while maintaining accuracy and productivity.

Skills

RCM expertise
Denial resolution
ABA billing
Analytical thinking
Independent work
Communication skills

Tools

Excel
Billing systems
Payer portals
Workflow automation
RCM software
Slack
Claims management tools

Job description

OpsArmy is seeking a Senior ABA Revenue Cycle / AR Specialist to lead high-volume RCM operations, claims management, and denial resolution in a remote role with US hours. The ideal candidate will bring hands-on expertise in ABA billing, payer follow-ups, and AR collection, independently driving process improvements while maintaining accuracy and compliance across payer policies.

You will own end-to-end billing cycles, document claim activities, and work with the RCM team to reduce denials and

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