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Accounts Receivable Out of Network Specialist
$50k-68k (estimate)
Full Time | Ambulatory Healthcare Services 1 Month Ago
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Action Behavior Centers is Hiring an Accounts Receivable Out of Network Specialist Near Austin, TX

Job Title: Accounts Receivable Out of Network Specialist
Location: Austin, TX (Remote Work Available)
Position Type: Full-Time, Remote
Salary: Starting at $55,000 per year based on experience
Job Description: We are seeking a skilled and experienced Accounts Receivable Out of Network Specialist to join our team in Austin, TX. This role is open to remote work, providing an opportunity for talented professionals from across the country to contribute to our team. The ideal candidate will have 5-7 years of experience in a medical practice setting, with a strong background in maximizing reimbursement from Out of Network plans through effective negotiation strategies.
Responsibilities:
  • Manage accounts receivable processes for Out of Network claims, including billing, payment posting, and follow-up.
  • Utilize Central Reach, Sales Force, Excel, and the Google suite of products to track and manage Out of Network claims and reimbursement.
  • Analyze payment discrepancies and denials to identify opportunities for improved reimbursement rates.
  • Negotiate with Out of Network plans to maximize reimbursement for services rendered.
  • Collaborate with internal billing and coding teams to ensure accurate and timely submission of claims.
  • Maintain accurate records of payment agreements, correspondence, and reimbursement rates.
  • Monitor and report on key performance indicators related to Out of Network reimbursement rates and collections.
Requirements:
  • Bachelor's degree in finance, accounting, healthcare administration, or related field preferred.
  • 5-7 years of experience in a medical practice setting, with a focus on accounts receivable and reimbursement.
  • 2-3 years of experience negotiating with Out of Network plans to maximize reimbursement.
  • Proficiency in Central Reach, Sales Force, Excel, and the Google suite of products.
  • Strong analytical skills with the ability to identify trends and opportunities for improvement.
  • Excellent communication and negotiation skills, with the ability to build rapport with payers and providers.
  • Detail-oriented with a commitment to accuracy in billing and reimbursement processes.
  • Ability to work independently and manage multiple priorities in a remote work environment.
Benefits:
  • Competitive salary based on experience, starting at $55,000 per year.
  • Remote work opportunities with flexible scheduling options.
  • Health, dental, and vision insurance options.
  • Retirement savings plan with employer matching.
  • Paid time off and holiday pay.
  • Professional development and training opportunities.
  • A collaborative and supportive work environment with opportunities for growth and advancement.
If you meet the qualifications and are interested in joining our team as an Accounts Receivable Out of Network Specialist, please submit your resume and cover letter detailing your relevant experience. We look forward to reviewing your application!

Job Summary

JOB TYPE

Full Time

INDUSTRY

Ambulatory Healthcare Services

SALARY

$50k-68k (estimate)

POST DATE

03/15/2024

EXPIRATION DATE

05/13/2024

WEBSITE

actionbehavior.com

HEADQUARTERS

AUSTIN, TX

SIZE

25 - 50

TYPE

Private

CEO

RYAN N LAMBERT

REVENUE

<$5M

INDUSTRY

Ambulatory Healthcare Services

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