AR Insurance Specialist

Job Overview As a member of the Insurance AR Team, you will focus on closing the loop for unpaid or incorrectly processed claims by following the money and ensuring we collect every dollar earned. You apply payer‑specific tactics to turn aged receivables into resolved payments with skill, consistency, and tenacity. Your work enables families to continue receiving care and provides critical insight into payer trends to strengthen payer accountability. Job Type Full‑time, Non‑Exempt Key Responsibilities Work daily aging reports, focusing 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. 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; 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 through computer, electronic devices, and paper. Must be able to maintain prolonged periods of working on a computer while sitting at a desk and attending virtual meetings. Pay & Benefits Competitive pay based on qualifications. Full‑time employees receive benefits including paid time off, 401k, health, dental, vision, and short and long‑term disability insurance. Company Information Bierman Autism Centers was established in 2006 to provide excellent therapy for children with autism. Our culture emphasizes learning, respect, growth, and impact. EEO Statement Bierman Autism Centers values diversity and is an equal‑opportunity employer. We provide equal opportunity for employment and promotion to all qualified employees on the basis of experience, training, education, and ability to do the work without regard to race, religion, color, age, sex, sexual orientation, national origin, gender identity, disability, marital status, veteran status, or any other protected status. Qualified individuals with disabilities are encouraged to request accommodations. We are committed to a workplace free of discrimination and harassment. #J-18808-Ljbffr