A/R Reimbursement Specialist

Job Description

Job Description

Rethink Behavioral Health is the leading global provider of online research-based resources to support individuals with developmental disabilities.

Our behavioral health platform (http : / / RethinkBH.com) provides clinical, staff training and practice management tools for private ABA service providers.

Due to autism insurance mandates sweeping the nation, our behavioral health division is experiencing unprecedented growth.

Therefore, we are looking for the right person to join our billing service team.

Our Billing Services Division specializes in Revenue Cycle Management and Enrollment and Credentialing 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.

The A / R Reimbursement 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.

Main Responsibilities :

• Ensure strict HIPAA-compliant confidentiality with all client-related data
• Review & interpret payor contracts when applicable
• Review customer account reports and follow up to ensure any flags / concerns are notated pro-actively and communicated to the billing rep
• Review A / R Aging Reports and follow up with insurance companies regarding expected reimbursement for outstanding claims
• Follow up on rejections and denials
• Research specific payor billing rules as needed
• Follow up on claims submitted electronically for primary and secondary payors
• Submit corrected claims when needed
• Post payments and maintain A / R as assigned
• File appeals to insurance and to insurance commissioner as needed
• Stay informed about Payor and Industry Billing rules
• Measure and monitor key metrics related to work performance
• Foster a positive work environment for colleagues

Requirements :

• HS Diploma or Equivalent
• Willing to learn
• Positive attitude and loves a good challenge
• Professional phone skills
• This role requires exceptional attention to detail, critical thinking and excellent communication with internal teams and insurance companies

Preferred Qualifications :

• Previous ABA billing experience. Speech, OT and Mental Health would be a plus.
• Minimum 1-year experience working in an office setting
• Minimum 1 year experience in billing both major commercial insurance companies as well as state Medicaid programs
• Experience using Billing Software, EMR and Clearinghouse systems (Azalea, Kareo, Waystar, Trizetto).
• Experience using insurance company websites / portals
• Proficient using Microsoft Suite (Outlook, Excel, Word)

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, Monday-Friday (8-5 PM)

Hourly

Location : Remote in the following states : CA, CO, FL, GA, IL, IN, MO, NE, NC, PA & TX

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.

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