The Senior Payer Accounts Receivable Specialist drives payer reimbursement performance and ensures timely, accurate claim resolution. This individual will oversee the payer accounts receivable process across multiple states. This role requires knowledge of healthcare payer operations, denial management, and reimbursement trends.
Maintain comprehensive billing records, monitor and report key performance indicators related to claims submission, denial resolution, and payment posting.
Serve as the primary point of contact for internal teams and external payers.
Apollo Behavior is the premier provider of ABA therapy in metro Atlanta, and the largest ABA provider based in Georgia.
The Insurance Reimbursement Specialist maximizes reimbursement by collecting outstanding balances from insurance companies. The Specialist follows up on unresolved claims and escalates claims for reconsiderations. The Specialist works with CareDx Payer Dispute Resolution/Market Access teams ensuring proper reimbursement from payers.
CareDx, Inc. is focused on the discovery, development, and commercialization of clinically differentiated, high-value healthcare solutions for transplant patients.
Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services. Maintain adequate documentation on the client software to send the necessary documentation to insurance companies. Comply with all reimbursement and billing procedures for regulatory, third party, and insurance compliance norms.
You’ll help connect providers, patients and communities with innovative solutions that create real value by supporting both the financial and clinical sides.
Lead and manage a team of Accounts Receivable professionals, assigning tasks and tracking productivity against performance standards
Oversee investigation and resolution of unpaid insurance claims to prevent aging beyond established thresholds
Analyze AR reports and department trends to recommend process improvements and optimize collections
Jobgether is a platform where job seekers can find and apply for jobs. They use an AI-powered matching process to ensure applications are reviewed quickly, objectively, and fairly against the role's core requirements.
Perform detailed analysis of remittances, explanations of benefits (EOBs),payer correspondence, and account detail to identify underpayments or incorrect claim adjudications.
Prepare and submit detailed appeals with appropriate documentation and contract references to secure accurate reimbursement.
Identify and document systemic payer issues and trends affecting reimbursement.
TREND Health Partners is a tech-enabled payment integrity company. They facilitate collaboration between payers and providers for mutual benefit and waste reduction, ultimately improving access to healthcare. Joining TREND Health Partners means becoming part of a dynamic, growing organization that promotes a collaborative and innovative work environment.
Responsible for collections and appeals from various Federal, State, & Third Party (HMO, PPO, IPA, TPA Indemnity) payers.
Optimize payment reimbursements by reviewing accounts for billing accuracy and health plan coverage.
Process an appeal, resubmit/rebill, or forward claims for adjudication as necessary.
BillionToOne is a next-generation molecular diagnostics company on a mission to make powerful, accurate diagnostic tests accessible to everyone. Forbes recently named them one of America's Best Startup Employers for 2025, and they were awarded Great Place to Work certification in 2024.