Accounts Receivable Specialist

Job Description Overview Job Title: ABA Accounts Receivable (AR) Specialist Location: India (Remote) Compensation: Market Value The ABA Accounts Receivable (AR) Specialist will work under the direction of the President/Clinical Director and RCM Manager and will play a critical role in the financial health and scalability of Know Boundaries. This position is responsible for managing the full ABA claims lifecycle after submission , with a strong focus on aging, denials, follow-up, and collections across commercial and government payers. This role requires exceptional organization, analytical thinking, and persistence, as well as a strong understanding of ABA billing rules, authorizations, and payer requirements . The AR Specialist will collaborate closely with clinical, scheduling, and authorization teams to ensure timely and accurate reimbursement for services rendered. Requirements Preferred experience in ABA billing and Accounts Receivable Demonstrated experience working directly with Medicaid and commercial insurance payers Strong understanding of the claims lifecycle, EOBs, denials, and appeals Exceptional attention to detail , critical thinking, and problem-solving skills Excellent written and verbal communication with internal teams and insurance representatives Ability to work during U.S. business hours Experience using CentralReach billing platform (preferred) Ability to independently manage aging AR and meet productivity benchmarks Key Responsibilities Accounts Receivable & Claims Follow-Up – Maintain strict HIPAA-compliant confidentiality of all client and payer data Monitor and manage accounts receivable aging , with a primary focus on unpaid and underpaid claims Follow up on rejected, denied, and outstanding claims in accordance with internal timelines Analyze EOBs and remittance advice to identify root causes of denials and payment discrepancies Submit corrected claims and reconsiderations as needed Prepare and submit formal appeals with appropriate clinical and billing documentation Post insurance and patient payments accurately and timely ABA Billing & Payer Compliance Review and interpret ABA payer contracts, authorization requirements, and billing rules Ensure claims are submitted in compliance with ABA-specific coding, modifiers, units, and authorization limits Research payer-specific billing requirements and maintain an internal payer knowledge database Collaborate with authorization and clinical documentation teams to resolve billing issues proactively Patient Billing & Communication Generate and send patient statements and bill patient responsibility on a weekly basis Respond to billing-related emails and inquiries within 24 hours Evaluate and resolve customer billing concerns professionally and efficiently Reporting, Quality Assurance & Metrics Maintain accurate AR notes and documentation within the billing system Track, measure, and report on key AR and collections metrics , including aging trends and denial patterns Perform quality assurance audits to ensure billing and follow-up timelines are consistently met Achieve and maintain a 95–100% monthly collection rate within 60 days of month-end Prepare summaries on outstanding revenue, payer issues, and billing trends as requested Team Collaboration & Growth Assist with training, mentoring, and supporting new billing team members Cross-train and assist with credentialing, authorizations, and other RCM functions as needed Foster a positive, collaborative work environment and contribute to continuous process improvement Why This Role Matters This position is essential to ensuring Know Boundaries can continue delivering high-quality ABA services while maintaining financial sustainability. The ABA AR Specialist is expected to take ownership of assigned payers and accounts and drive results through consistent follow-up, accuracy, and accountability. #J-18808-Ljbffr