Healthcare AR Specialist: Payer Billing & Denials

Bierman Autism Centers

Indianapolis (IN)

On-site

USD 32,000 - 39,000

Full time

5 days ago
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Benefits offered by this job

Paid Time Off
401k
Health, dental, and vision insurance
Short and Long-Term disability

Job summary

Bierman Autism Centers is seeking an Insurance AR Specialist to close the loop on unpaid claims and maximize payer payments. You will follow aging reports, contact payers, and resolve denials, ensuring families receive timely care and the organization maintains financial health.

You’ll collaborate with Billing, Credentialing, and Eligibility teams, document actions in the AR system, and escalate recurring issues for strategic improvements while maintaining HIPAA compliance.

Qualifications

  • 2–3 years of healthcare services experience with familiarity working with providers and third-party payors.
  • Experience with EHR software and ABA therapy knowledge highly preferred.
  • Strong organizational skills and ability to manage complex information.
  • Analytical mindset with the ability to make data-driven decisions.
  • Excellent verbal and written communication with payors.

Responsibilities

  • Work daily aging reports with a focus on insurance balances greater than 30 days; prioritize claims based on payer, age, and dollar amount.
  • Conduct thorough follow-up with payers via phone, portals, and written correspondence to resolve outstanding claims.
  • Investigate claim denials and underpayments by reviewing EOBs/ERAs, payer policies, and contract terms.
  • Submit appeals and corrected claims within payer deadlines, ensuring compliance with payer-specific requirements.
  • Document all actions taken in the AR system accurately, including notes from payer calls, resubmissions, and escalation steps.
  • Escalate recurring payer issues, delays, or system-wide denial patterns to the AR Manager for strategic resolution.
  • Collaborate with Contracting, Credentialing, Billing, Authorization, and Eligibility teams to resolve front-end claim issues that impact reimbursement.
  • Identify payer trends related to denials, payment delays, or processing errors, and provide feedback to the Quality Assurance Manager for tracking and process improvement.
  • Ensure secondary and tertiary claims are billed promptly and payments are applied correctly.
  • Maintain compliance with HIPAA and organizational policies when handling PHI during payer communications.
  • Consistently meet productivity and quality standards for claims worked, appeals submitted, and resolutions achieved.

Skills

Healthcare experience
AR processes
Communication skills
Data-driven decisions

Tools

EHR software

Job description

Bierman Autism Centers is seeking an Insurance AR Specialist to close the loop on unpaid claims and maximize payer payments. You will follow aging reports, contact payers, and resolve denials, ensuring families receive timely care and the organization maintains financial health.

You’ll collaborate with Billing, Credentialing, and Eligibility teams, document actions in the AR system, and escalate recurring issues for strategic improvements while maintaining HIPAA compliance.

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