Remote AR Specialist

Company OverviewRethinkFirst 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 OverviewOur 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: The Accounts Receivable (AR) Specialist is responsible for supporting 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 dataReview 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 claimsNotate & document all follow up work on aging claims within A/R Aging Reports as required and documented in standard SOPsMeet expectations on deadlines for completion of A/R Aging Reports for each customer supported within PODFollow up on denials immediately and communicate any trends to CBAFollow up on any open A/R tickets in Salesforce as assigned by CBAMeet deadlines assigned for A/R work as assigned by CBAUtilize denial management platforms for submission of appeals, reconsideration requests, etc.Research specific payor billing rules as neededFollow up on claims submitted electronically for primary and secondary payorsSubmit corrected claims when neededAttend POD meetings and contribute to agenda items as designated by CBAPost payments or submit missing payments to posting team and maintain A/R as assignedFile appeals to insurance and to insurance commissioner as neededStay informed about Payor and Industry Billing rulesReview & interpret payor contracts when applicableMeasure and monitor key metrics related to work performanceAttend customer meetings as needed with CBAWork to meet POD goals collectively as cohesive teamFoster a positive work environment for colleaguesRequirements:HS Diploma or EquivalentABA billing experienceMin. 1-year experience in billing; major commercial insurance companies and state Medicaid programsExperience using insurance company websites/portalsProficient in using Microsoft Suite (Outlook, Excel, Word)Willing to learn, positive attitude and love a good challengeProfessional writing & phone skillsThis role requires exceptional attention to detail, critical thinking and excellent communication with internal teams and insurance companiesPreferred Qualifications:Bachelor's degreeSpeech, OT and Mental Health billing experienceMinimum 1-year experience working in an office settingMinimum 1-year experience in billing company settingExperience 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 periodPaid HolidaysGenerous Health, Denial & Vision benefits package401k + MatchingJob 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, VAOur commitment to an inclusive workplaceRethinkFirst 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.JazzHR Privacy PolicyJazzHR Terms of UseCalifornia Privacy Notice#rb#BI-Remote