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.