AR Specialist

RethinkFirst; United States; Remote; USD 25,000 - 39,000; Full time

Benefits offered by this job

PTO after 90 days

Paid holidays

Health benefits

Job summary

RethinkFirst is seeking an Accounts Receivable Specialist to support billing teams by coordinating with insurance companies for therapy session reimbursements and pursuing outstanding accounts receivable within the RCM division. You will ensure HIPAA-compliant handling of client data and maintain accurate follow-up notes in the AR system.

The role requires 1+ year of ABA/billing experience, proficiency with insurer portals and Microsoft Office, and strong communication skills.

Qualifications

• HS diploma or equivalent required.
• Minimum 1 year of billing experience with major commercial insurers and Medicaid.
• Experience using insurer portals/websites.
• Proficient in Microsoft Office (Outlook, Excel, Word).
• Strong written and verbal communication; detail-oriented.

Responsibilities

• Maintain HIPAA-compliant confidentiality for all client data.
• Follow up aging AR and request reimbursements from insurers.
• Document all follow-ups in A/R Aging Reports per SOPs.
• Meet deadlines for AR aging reports per POD.
• Research payer billing rules as needed; submit electronic claims.
• Post payments and resolve denials; communicate trends to CBA.

Skills

Billing experience

ABA billing

Microsoft Excel

Communication skills

Attention to detail

Education

HS Diploma or Equivalent

Bachelor’s degree

Tools

Billing Software

EMR

Clearinghouse systems

Rethink

Azalea

Tebra

Central Reach

Waystar

Trizetto

Availity

DocVocate

Job description

Company Overview

RethinkFirst was founded in 2007 with a mission to provide scalable, evidence-based autism treatment training tools and caregiver supports to an underserved population. In 2010, Rethink launched its first solution, a suite of special needs and behavior management offerings, to support K-12 education. Over time, we expanded our offerings to support the entire behavioral health community by adding solutions in the employer (RethinkCare), provider (RethinkBH), and payor (RethinkFutures) industries, and to drive whole child wellness and success in education (RethinkEd).

Today, we’re proud to have almost 500 team members working to support over 2,000 customers worldwide as we work together to support our communities and help every individual reach their potential. Over the past fifteen years, RethinkFirst’s mission has evolved to transform the behavioral health landscape by inspiring and empowering all individuals with behavioral health challenges and those who support them. We continue to focus on the future of transforming behavioral health through data science, analytics, and enabling value-based care. With patent-pending solutions and the largest published ASD dataset, RethinkFirst can focus on improving outcomes and having a positive impact on the millions of lives it supports.

Rethink Billing Overview

Our Billing Services Division specializes in Revenue Cycle Management, Enrollment and Credentialing, and Benefit Authorization Management services. We are growing and are looking for new team members that will offer our clients best-in-class billing services. We support mission-oriented companies that impact the lives of thousands of individuals with autism and their families. We are excited to offer the opportunity for professional and collaborative individuals to grow and be part of something exciting.

Job Summary

TheAccounts Receivable (AR)Specialistis responsible forsupporting our billing teams by working with insurance companies to ensure efficient and prompt reimbursement for therapy sessions for our customers and actively pursuing all outstanding A/R for customers supported within the RCM division.

Job Duties

• Ensure strict HIPAA-compliant confidentiality with all client-related data
• Review customer account reports and follow up to ensure any flags/concerns are notatedproactivelyand communicated to theCustomer Billing Advocate(CBA)
• Review A/R Aging Reports and follow up with insurance companiesregardingexpected reimbursement for outstanding claims
• Notate & document all follow up work on aging claims within A/R Aging Reports asrequiredand documented in standard SOPs
• Meet expectations on deadlines for completion of A/R Aging Reports for each customer supported within POD
• Follow up on denialsimmediatelyand communicate any trends to CBA
• Follow up on any open A/R tickets in Salesforce as assigned by CBAMeet deadlines assigned for A/R work as assigned by CBA
• Utilize denial managementplatformsfor submission of appeals, reconsideration requests, etc.
• Research specific payor billing rules as needed
• Follow up on claimssubmittedelectronically for primary and secondary payors
• Submit corrected claims when needed
• Attend POD meetings and contribute to agenda items asdesignatedby CBA
• Post paymentsorsubmitmissing payments to posting teamandmaintainA/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 andmonitorkey 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 inusing Microsoft Suite (Outlook, Excel, Word)
• Willing to learn, positive attitude andlovea good challenge
• Professionalwriting &phone skills
• This role requires exceptional attention to detail, critical thinking and excellent communication with internal teams and insurance companies

Preferred Qualifications

• Bachelor’s degree
• Speech,OTand Mental Healthbilling experience
• Minimum 1-year experience working in an office setting
• Minimum 1-year experience inbilling company setting
• Experience using Billing Software, EMR and Clearinghouse systems (Rethink,Azalea,Tebra, Central Reach,Waystar,Trizetto, Availity)
• Experience using denial management platform (DocVocate)

Education

• Bachelor’s degree preferred/ HS Diploma or Equivalent required.

Benefits

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

Job Type: Full-time, Hourly, Monday-Friday (8-5 PM)

Remote opportunities are available only in the following states: AL, AR, AZ, CA, CO, FL, GA, ID, IL, IN, IA, MO, NC, NE, NY, OH, PA, SC, TN, TX, UT, VA

Our commitment to an inclusive workplace

RethinkFirst is an equal opportunity employer and is committed to providing a workplace free from harassment and discrimination. We celebrate the unique differences of our employees because that is what drives curiosity, innovation, and the success of our business. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.