应收账款助理
Accounts Receivable Assistant
职位概述
Mamaya Health 正在寻找一位经验丰富的应收款助理加入我们的收入周期管理团队。该职位通过准确的索赔管理、保险跟进、拒付处理、付款研究以及未结应收款的维护，支持组织的财务健康。
理想的候选人具备心理健康和/或行为健康账单的实际经验，并了解完整的保险索赔生命周期。该人员应能够独立研究复杂的索赔问题，与保险公司沟通，识别拒付或少付款的根本原因，并采取适当措施解决索赔。
应收款专员将与收入周期经理及其他 Mamaya Health 团队成员紧密合作，确保索赔得到准确高效地处理，同时为客户提供专业且富有同理心的支持。
理想候选人
- 具有心理健康和/或行为健康医疗账单的先前经验。
- 熟悉商业保险、EAP 和医疗补助保险计划。
- 对主要和次要保险账单有深入了解，包括利益协调（COB）、索赔排序和次要索赔提交。
- 有研究和解决保险拒付、拒绝、少付款、多付款及要求补充信息的经验。
- 了解资格、福利、自付额、免赔额、共付比例和患者责任。
- 能够直接与保险公司沟通索赔状态和解决情况。
- 可靠、有条理、注重细节、适应性强，能够处理优先级冲突。
- 具备良好的书面和口头沟通能力，有判断力、主动性、批判性思维和解决问题的能力。
- 能够独立工作，同时能识别何时需要上报问题。
- 期望资格
- 有行为或心理健康账单经验者优先。
- 有商业保险、EAP 和医疗补助账单要求的实操知识。
- 有保险应收款（AR）工作经验。
- 有索赔提交、更正索赔、重新考虑、申诉和拒付管理经验。
- 熟悉支付方门户和电子索赔系统。
- 有 AdvancedMD 经验者优先。
- 熟练使用 Google Workspace。
- 注重细节，具备研究复杂问题的能力。
查看英文原文
POSITION OVERVIEW
Mamaya Health is seeking an experienced Accounts Receivable Assistant to join our Revenue Cycle Management team. This role supports the financial health of the organization through accurate claims management, insurance follow-up, denial resolution, payment research, and maintenance of outstanding accounts receivable.
The ideal candidate has hands-on experience with mental and/or behavioral health billing and understands the full insurance claim lifecycle. This individual should be comfortable independently researching complex claim issues, communicating with insurance carriers, identifying the root cause of denials or underpayments, and taking appropriate action to bring claims to resolution.
The Accounts Receivable Specialist will work closely with the revenue cycle manager and other members of the Mamaya Health team to ensure claims are processed accurately and efficiently while providing professional, compassionate support to clients and staff.
IDEAL CANDIDATE
- Previous experience in mental and/or behavioral health medical billing.
- Working knowledge of Commercial, EAP, and Medicaid insurance plans.
- Strong understanding of primary and secondary insurance billing, including coordination of benefits (COB), claim sequencing, and secondary claim submission.
- Experience researching and resolving insurance denials, rejections, underpayments, overpayments, and requests for additional information.
- Knowledge of eligibility, benefits, copays, deductibles, coinsurance, and patient responsibility.
- Comfort communicating directly with insurance carriers regarding claim status and resolution.
- Dependable, organized, detail-oriented, adaptable, and able to manage competing priorities.
- Strong written and verbal communication skills, sound judgment, initiative, critical thinking, and problem-solving ability.
- Ability to work independently while recognizing when an issue should be escalated.
DESIRED QUALIFICATIONS
- Behavioral or mental health billing experience is strongly preferred.
- Demonstrated knowledge of Commercial, EAP, and Medicaid billing requirements.
- Experience working insurance Accounts Receivable (AR).
- Experience with claim submission, corrected claims, reconsiderations, appeals, and denial management.
- Familiarity with payer portals and electronic claim systems.
• Experience with AdvancedMD preferred.
• Proficiency with Google Workspace.
- Strong attention to detail and the ability to research complex billing issues through resolution.
JOB DUTIES & RESPONSIBILITIES
- Work assigned insurance AR queues and maintain accounts within aging expectations established by Revenue Cycle leadership.
- Investigate claim denials, rejections, edits, underpayments, overpayments, requests for information, and other payer correspondence.
- Identify root causes of claim issues and take appropriate corrective action.
- Review claims for billing accuracy and correct errors prior to resubmission.
- Submit corrected claims, reconsiderations, and appeals when appropriate.
- Follow up directly with insurance carriers and payer representatives regarding outstanding or incorrectly processed claims.
- Appropriately process claims involving primary and secondary insurance, including coordination of benefits and claim submission order.
- Submit or facilitate secondary claims after primary insurance adjudication.
- Obtain necessary documentation or information from clients, providers, or internal team members to resolve outstanding claims.
- Assist with obtaining or correcting insurance information when necessary.
- Document all claim follow-up activity and payer communications clearly and accurately.
- Generate and maintain reports necessary to ensure assigned AR is actively worked.
- Identify recurring denial trends or payer issues and communicate findings to Revenue Cycle leadership.
- Escalate complex or high-risk accounts appropriately and support other Revenue Cycle functions as needed.
- Perform other related duties as assigned.
HOURS & LOCATION
- Part-time position with the potential to transition to full-time based on organizational needs.
- Monday through Friday; hours to be discussed during interview process
- This is a remote, work-from-home position.
SUPPORT & EMPOWERMENT
The Accounts Receivable Specialist will work closely with and receive support from Mamaya Health's Revenue Cycle leadership team. We believe strong revenue cycle performance requires collaboration, accountability, clear communication, and giving team members the resources and autonomy necessary to resolve issues effectively.
ABOUT MAMAYA HEALTH
Mamaya Health is committed to creating an environment centered on compassionate, accessible mental healthcare. Our team values collaboration, inclusivity, authenticity, continuous improvement, and providing an exceptional experience for both our clients and our staff.
We are looking for someone who understands the technical side of Revenue Cycle Management and recognizes that every claim represents a client receiving care.
Salary: $24Originally posted on Himalayas