The Recovery Village, dedicated to treating addiction, substance abuse, and mental health issues, is hiring a Remote AR Collections Specialist. In this role, you will manage the full accounts receivable lifecycle for a behavioral health provider, from claim creation and submission to follow-up and resolution, ensuring the highest quality of care is supported by sound financial processes.
What You'll Do
- Work remotely in a distraction-free environment, adhering to a set schedule.
- Audit active and non-active client accounts daily to ensure proper program, authorization, diagnosis, and revenue details are captured.
- Communicate with department and hospital staff to resolve issues related to billing, charge capture, insurance, and authorizations.
- Address all rejected claims by merging, editing, and filing them correctly per billing rules.
- Keep all management-assigned worklists current and compliant in both productivity and accuracy.
- Update the EMR and patient accounts as needed and open IT tickets for billing delays.
- Follow up on submitted third-party billing to ensure claims are on file and set to pay.
- Resolve claims issues by filing corrective claims, appeals, providing additional information, or escalating to UR appeal/Management.
- Document all actions throughout the claim life cycle within Avatar, Waystar, and BB Tech (Tool Kit).
- Identify trends in claim rejections and denials and report them to management.
- Attend AR meetings as required.
- Apply standard improvement processes like PDCA (Plan, Do, Check, Action).
- Maintain strict confidentiality, adhering to Part2 regulations, HIPAA guidelines, state regulations, and all company policies.
What We're Looking For
- Must reside in the Eastern (ET) or Central Time (CT) Zone.
- High School diploma or GED.
- Minimum of 3 years of experience in medical business matters at an Acute Hospital Organization, Physician practice, Behavioral Health Facility, or Medical Billing Company.
- Ability to use a personal computer meeting company software and security standards (Windows 11 with latest updates, up-to-date antivirus).
- Stable internet connection, a distraction-free workspace, and a functional webcam for video calls.
- Knowledge of State & Federal Statutes Regarding Patient Confidentiality laws; Drug-Free Workplace Policies; Workplace Violence; Corporate Integrity & Compliance Program.
- Knowledge of Customer and Personal Service; Mathematics; Education and Training; Clerical; Computers and Electronics; Reporting.
- Skills in Active Listening, Speaking, Coordination, Social Perceptiveness, Critical Thinking, Judgment and Decision Making, Monitoring, and Reading Comprehension.
- Skills in Deductive Reasoning, Inductive Reasoning, Written and Oral Expression, Problem Sensitivity, Written and Oral Comprehension, Speech Clarity and Recognition.
- Ability to work as part of a multidisciplinary team with excellent interpersonal and telephone skills.
- Ability to communicate accurately and concisely, both written and oral.
- Effective financial assistance in charge, billing capture, and collection efforts.
Nice to Have
- Associates Degree.
- Lean Six Sigma, Kaizen, or other Lean Process Management experience.
- CPC, CPAT, or CPAM certification.
Technical Stack
- Avatar, Waystar, BB Tech (Tool Kit), EMR systems
Team & Environment
This is a fully remote position with periodic contact with management via phone or Microsoft Teams. You will report directly to the management team.
Benefits & Compensation
- Hourly Compensation: $21 to $23/hour
- Health, Vision, Dental insurance
- Employer-Matched 401(k)
- STD, LTD, and Employer-Paid Term Life Policy
- Employer Matched HSA – up to $1500 a year company contribution
- Employee Wellness Program – reduce employee premiums $40/mo
- Free MDLive telehealth benefit
- Paid Time Off - Vacation /Personal /Holiday/Sick
- Employee Referral Bonus
- Reimbursement for remote office equipment
Work Mode
This is a fully remote position. Candidates must reside in the Eastern (ET) or Central Time (CT) Zone to be eligible.
The Recovery Village is an equal opportunity employer dedicated to helping individuals live healthy, happy lives free from substance abuse and mental illness.
