Accounts Receivable Specialist

Join UNIFI Autism Care as an Accounts Receivable Specialist and become a crucial part of our mission to support individuals with autism! We're seeking a detail-oriented billing expert to ensure seamless financial operations. Your expertise in ABA billing and coding will directly impact our ability to provide top-notch care. If you're passionate about making a difference, have a keen eye for accuracy, and thrive in a dynamic healthcare environment, this role is perfect for you. Help us transform lives by keeping our financial engine running smoothly. 

About UNIFI 

The mission of UNIFI is to create an autism care system through innovative and integrated behavioral healthcare, via collaboration among all the patient’s treatment providers in a shared pursuit to obtain meaningful outcomes. We recognize the importance of a unified approach to autism care and are partnering with healthcare systems to better serve our patients.  

UNIFI is committed to living and breathing our values of Compassion, Acceptance, Reliability, and Effectiveness (C.A.R.E.) -- with our patients, their families, and our staff. 

Essential Duties and Responsibilities  

• Possesses and applies a thorough knowledge of the practice management billing systems and the ability to apply the knowledge to all aspects of the patient account including insurance, billing and collection 

• Possesses and applies knowledge of CPT and ICD9 coding usage. 

• Obtains all necessary information for completing the billing process, including charge information from the physician.   

•  Actively works through any denied claims and actively gathers any needed information to take the proper action to ensure the claim is paid.  Facilitates any appeals need to by correcting the claims or facilitating an appeal.   

• Proactively researches and understand payer issues to troubleshoot the front end processes that cause the denied claims.  

• Identifies coding errors and insures that charges are properly bundled or unbundled.  Understands the coding requirements for the governmental and commercial payers. 

• Proactively identifies any changes in billing requirements to any governmental and commercial payors.  Keeps the practices and billing office staff up to date with these changes.   

• Monitors the accounts for registration/front end errors, makes the supervisor and practice informed of repetitious ones, and assists with training the practice to reduce these errors. 

• Actively works claims that show no response back from the insurance by running reports and following the necessary steps to    ensure that the claim gets processed. 

• Promptly answers inquiries from patients, co-workers, and supervisors regarding patient accounts in a kind and courteous manner.  

• Identifies credit balances caused by posting errors and or insurance / patient overpayments.  

• Assists in providing quality training and orientation for assigned employees.   

• Posts and balances all payments, adjustments and denials received on EOBs or ERAs in an accurate and timely manner.  Reports any unidentified payments to the audit control coordinator. 

• Promotes and maintains harmonious and effective relationships while communicating within the department and between the department and other areas   

• Performs other duties as assigned or requested. 

Knowledge, Skills, and Abilities 

• Outstanding organization, accuracy, and attention to detail  

• Strong communication skills, both written and verbal  

• Ability to work remotely and manage time effectively  

• Strong interpersonal skills to effectively work with patients’ families, payors, and team members  

• Knowledge of Microsoft office and medical billing terminology  

Travel 

• The Accounts Receivable Specialist will occasionally travel to UNIFI clinics for training sessions and meetings. There will also be occasional travel for conferences and professional development training. Travel expenses will be paid for by UNIFI and mileage can be expensed. 

Requirements

Experience and Education 

• Minimum of two years of experience in billing 

• Familiarity with ABA billing procedures and requirements is a significant advantage  

• Proficiency in using the Rethink practice management system is highly desirable  

• High school diploma or equivalent  

• Associate degree or certificate in medical coding and billing preferred 

Physical Requirements 

• The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential duties of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform essential duties.  
• While performing the duties of the position, the Accounts Receivable Specialist must be able to operate standard office equipment and keyboards and talk and hear (both in-person and by telephone). The employee may occasionally lift and carry marketing materials and booth displays up to 20 pounds.   

Benefits

• Highly competitive pay  

• Fully remote  

• Generous paid time off and paid holidays  

• Medical, dental and vision insurance   

• 401k with company match  

• Opportunity for career advancement  

• We genuinely care about our team members

This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required by the employee. Duties, responsibilities, and activities may change or new ones may be assigned at any time with or without notice.  

UNIFI is an equal opportunity employer, and we value diversity. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital or partnership status, military status, or disability status, or any other characteristic protected by law.