AR Specialist

Company Overview
RethinkFirst 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 2000 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 Overview
Our 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 data 

• Review 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 claims 

• Notate & document all follow up work on aging claims within A/R Aging Reports as required and documented in standard SOPs 

• Meet expectations on deadlines for completion of A/R Aging Reports for each customer supported within POD 

• Follow up on denials immediately and communicate any trends to CBA 

• Follow up on any open A/R tickets in Salesforce as assigned by CBA 

• Meet deadlines assigned for A/R work as assigned by CBA 

• Utilize denial management platforms for submission of appeals reconsideration requests etc. 

• Research specific payor billing rules as needed 

• Follow up on claims submitted electronically for primary and secondary payors 

• Submit corrected claims when needed 

• Attend POD meetings and contribute to agenda items as designated by CBA 

• Post payments or submit missing payments to posting team and maintain A/R as assigned 

• File appeals to insurance and to insurance commissioner as needed 

• Stay informed about Payor and Industry Billing rules 

• Review & interpret payor contracts when applicable 

• Measure and monitor key metrics related to work performance 

• Attend customer meetings as needed with CBA 

• Work to meet POD goals collectively as cohesive team 

• Foster a positive work environment for colleagues 

• HS Diploma or Equivalent 

• ABA billing experience 

• Min. 1-year experience in billing; major commercial insurance companies and state Medicaid programs 

• Experience using insurance company websites/portals 

• Proficient in using Microsoft Suite (Outlook Excel Word) 

• Willing to learn positive attitude and love a good challenge 

• Professional writing & phone skills 

• This role requires exceptional attention to detail critical thinking and excellent communication with internal teams and insurance companies 

• Bachelor’s degree 

• Speech OT and Mental Health billing experience 

• Minimum 1-year experience working in an office setting 

• Minimum 1-year experience in billing company setting 

• Experience using Billing Software EMR and Clearinghouse systems (Rethink Azalea Tebra Central Reach Waystar Trizetto Availity) 

• Experience using denial management platform (DocVocate) 

• Bachelor’s degree preferred/ HS Diploma or Equivalent required. 

• PTO and Vacation Days after a 90-day introductory period 

• Paid Holidays 

• Generous Health Denial & Vision benefits package 

• 401k + Matching 

Job 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 VA

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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What We Do

Rethink aims to provide families educators and behavior healthcare providers affordable best practice treatment solutions for children with special needs. Rethink is unique in our foot-print offering clinical support best-practice tools and research-based content via technology to all market segments reaching more children with special needs than any other solution. Our platform supports curriculum planning professional development parent training and tracking of student progress. Through video and online tools we bring to life best practice teaching treatment and intervention strategies that help educators parents and clinicians personalize instruction for every child. The Rethink program is currently being used by employers the US Department of Defense Managed Care Medicaid federal state and social service agencies public school districts and families nation- and worldwide.

Why Work With Us

Together we’re a team of passionate talented and motivated people working every day to help others live healthier happier and more productive lives. Individually we’re an incredibly diverse group of people who respect each other celebrate our differences and unique talents and enjoy meeting new friends and colleagues along the way.

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