Accounts Receivable Specialist
5 days ago
Job Title: Accounts Receivable Specialist
About the Role:
We are seeking a highly skilled and experienced Accounts Receivable Specialist to join our team at Sanctuary Recovery Centers. As an AR Specialist, you will be responsible for managing accounts receivable, including denied and underpaid claims for behavioral health services.
Salary: The estimated salary for this role is $60,000 - $80,000 per year, depending on experience.
Key Responsibilities:
- Review outstanding AR to determine necessary action.
- Investigate and resolve denied or unpaid claims by communicating with insurance companies, patients, and internal team.
- Utilize payer portals to maximize reimbursement.
- Prepare and submit denied claims as targeted project files to payers when necessary.
- Identify problematic claim trends and contract violations, report findings to the RCM Manager.
- Contact payers regarding recoupment payments, overpaid accounts, and missing checks; initiate dispute process as needed and report all findings to the RCM Manager.
- Review underpayments and overpayments, summarize findings and report to the RCM Manager.
- Update insurance information in patients accounts as necessary.
- Work in conjunction with other billing staff to ensure timely filing.
- Attend departmental meetings/conference calls.
- Provide feedback to management as needed.
Qualifications:
- High school diploma or equivalent.
- 5+ years of medical billing experience.
- Strong understanding of Arizona healthcare billing, particularly behavioral health services.
- Strong problem-solving skills to handle denied claims efficiently.
- Knowledge of HCPCS, CPT, ICD-10 coding, and medical terminology.
- Working knowledge of Kipu EMR Software and ADS Medics Premier (preferred).
- Advanced proficiency in Microsoft Excel and Word.
- Detailed oriented, reliable, and able to multi-task in a fast-paced, high-volume work environment.
- Ability to maintain a high level of confidentiality by adhering to the HIPAA guidelines and regulations.
- Must have excellent written and verbal communication.
- Must have a valid driver license and be 18 years of age or older.
- Must be able to pass a background check.
- Must be able to pass substance abuse testing.
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