We are seeking a detail-oriented and experienced Central Reach PM System Biller & AR Collector to join our team. This role is responsible for managing the full-cycle billing process within the Central Reach practice management system, with a strong focus on insurance claims submission, payment posting, denial management, and accounts receivable follow-up. The ideal candidate has a deep understanding of insurance payer requirements, revenue cycle management, and behavioral health billing workflows (ABA experience preferred).
Key Responsibilities
Billing & Claims Management
Prepare, review, and submit accurate insurance claims using the Central Reach PM system
Ensure claims are compliant with payer-specific guidelines and authorization requirements
Monitor claim status and resolve submission errors or rejections promptly
Accounts Receivable (AR) Management
Manage and maintain AR aging reports, prioritizing timely follow-up on outstanding balances
Conduct consistent follow-up with insurance payers via phone portals or online systems
Investigate and resolve unpaid or underpaid claims
Denials & Appeals
Analyze denial reasons and implement corrective actions
Prepare and submit appeals with appropriate documentation
Track trends in denials and recommend process improvements
Payment Posting & Reconciliation
Accurately post insurance payments, adjustments, and patient payments
Reconcile payments with Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs)
Identify discrepancies and escalate when necessary
Authorization & Eligibility Oversight
Verify patient insurance eligibility and benefits
Track authorizations and ensure services are billed within approved limits
Collaboration & Compliance
Work closely with clinical, intake, and administrative teams to resolve billing issues
Maintain compliance with HIPAA and payer regulations
Qualifications
Required:
3+ years of medical billing and AR experience (behavioral health or ABA Behavioral Health)
Hands-on experience with Central Reach PM system
Strong knowledge of insurance billing processes, including commercial and Medicaid payers
Experience with claim denials, appeals, and AR follow-up
Proficiency in EOB/ERA interpretation and payment posting
Skills & Competencies
Strong attention to detail and accuracy
Excellent problem-solving and analytical skills
Ability to manage multiple priorities and meet deadlines
Proficiency in Microsoft Excel and reporting tools