Accounts Receivable (AR) Specialist

About the role

We're building 'the' Teaching Hospital for pediatric therapy - a category of one by driving excellence in outcomes, developing clinicians, building payer trust, and embedding systems across what we do.

About the role

As a member of the Insurance AR Team, you become laser-focused on closing the loop from unpaid or incorrectly processed claims by following the money and ensuring we collect every dollar that the organization has earned. You understand the nuance and payer-specific tactics needed to turn aged receivables into resolved payments, and you do it with skill, consistency, and tenacity.

Your efforts allow families to continue receiving care for the recommended amount of time by ensuring that correct and timely payer payments are received and applied. You also provide critical insight into payer trends, helping the organization identify errors and strengthen payer accountability, protecting both the families we serve and the financial health of the company.

Key Responsibilities

• Work daily aging reports with a focus on insurance balances greater than 30 days; prioritize claims based on payer, age, and dollar amount.
• Conduct thorough follow-up with payers via phone, portals, and written correspondence to resolve outstanding claims.
• Investigate claim denials and underpayments by reviewing EOBs/ERAs, payer policies, and contract terms.
• Submit appeals and corrected claims within payer deadlines, ensuring compliance with payer-specific requirements.
• Document all actions taken in the AR system accurately, including notes from payer calls, resubmissions, and escalation steps.
• Escalate recurring payer issues, delays, or system-wide denial patterns to the AR Manager for strategic resolution.
• Collaborate with Contracting, Credentialing, Billing, Authorization, and Eligibility teams to resolve front-end claim issues that impact reimbursement.
• Identify payer trends related to denials, payment delays, or processing errors, and provide feedback to the Quality Assurance Manager for tracking and process improvement.
• Ensure secondary and tertiary claims are billed promptly and payments are applied correctly.
• Maintain compliance with HIPAA and organizational policies when handling PHI during payer communications.
• Consistently meet productivity and quality standards for claims worked, appeals submitted, and resolutions achieved.

Desired Qualifications and Experience

• Minimum 2-3 years of experience in healthcare services, with familiarity working with providers and third-party payors.
• Experience with EHR software and knowledge of ABA therapy highly preferred.
• Strong organizational skills with a structured, detail-oriented approach; thrives in managing complex information.
• Analytical mindset with the ability to make data-driven decisions.
• Demonstrated ability to handle complex challenges with persistence and resilience until resolution.
• Comfortable multitasking and managing multiple projects simultaneously in a fast-paced environment.
• Clear and professional verbal and written communication skills; confident interacting with payors, including cold calling when necessary.
• Proven problem-solving abilities with excellent time management and a track record of meeting deadlines.
• Strong collaboration and teamwork skills while maintaining the ability to work independently.
• Proficiency with Microsoft Office Suite.

Basic & Essential Functions

• Must have manual dexterity to perform specific computer and electronic device functions
• Must have visual acuity to read and comprehend written communication though computer, electronic devices, and paper means.
• Must be able to maintain prolonged periods of working on a computer while sitting at a desk and attending virtual meetings

Pay and benefits

Pay is competitive and based on candidate qualifications and experience. Full-time employees will be offered our comprehensive benefits including Paid Time Off, 401k, insurance (health, dental, and vision), and the option of Short and Long-Term disability insurance.

Pay Range $23 - $28 USD

In 2006, Bierman Autism Centers began with a simple dream: to empower children with autism to thrive. We believed in the power of letting kids be kids and initially offered in-home care to foster a comforting and familiar environment.

We were driven by three core beliefs: achieving remarkable progress with children, creating a great team that enjoys working together, and building a workplace that fosters internal career paths and growth for our team members.

Our dedication to progress led us to a pivotal moment. Recognizing the potential of center-based care, we opened our first center in Indiana in 2010. This wasn't just about location; it shifted our philosophy. Centers allowed us to create consistent, nurturing environments tailored to each child's needs.

This shift became the cornerstone of our success. Today, Bierman Autism Centers are beacons of innovative care across Arizona, Indiana, Massachusetts, New Jersey, North Carolina, Ohio, and Rhode Island. We offer ABA therapy, Speech Therapy, Occupational Therapy and Diagnostic Services within center-based settings designed for the comprehensive development of our children.