Accounts Receivable Representative

2 weeks ago


Austin, United States Action Behavior Centers Full time
Summary: Reporting to the Accounts Manager, this role supports the operations of the Action Behavior Centers, LLC (ABC) Revenue Cycle Management (RCM) team related to the follow up and resolution of outstanding insurance claims. Goal of the position is to follow up on, investigate and resolve claims that have been submitted to insurance for payment and to create detailed notes that provide insight into the current status of the individual claims. Duties and Responsibilities: Contact insurance carriers on a daily basis to follow up on/collect past due amounts on outstanding medical claims. Maintain an accurate, up to date aging of assigned accounts including AR analysis and follow up. Keep educated on billing and medical policies for all payers. Have a working knowledge of In and Out of Network reimbursement processes/methodologies. Review all denials/tasks assigned by the payment posting team and resolve accordingly. Create and follow up on appeals needed to protest denials or incorrect payments. Work across all RCM departments to get issues related to claims payment resolved. Work with AR Manager to review/resolve open accounts as assigned. Knowledge, Skills and Abilities Required: Ability to manage high volumes of work and organize/maintain a schedule independently. 2+ years’ experience managing Accounts Receivable and performing direct follow up with payers  Experience working Out of Network accounts and managing payment negotiations a plus Behavioral Health experience and/or prior use of Central Reach a huge plus Ability to communicate effectively, both orally and in writing Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community. Minimum Job Requirements: High School Diploma required, Bachelor’s Degree in Business/Management or related area (or current enrollment in a similar program) preferred. Knowledge of medical and insurance terminology. Austin, TX candidates preferred but will consider remote work for applicants with the right background.


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