CentralReach AR Billing Representative

Full Time
3
Revenue Cycle Management
Remote -
US
Job Description

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).

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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  
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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  
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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  
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Work Environment

  • Remote or Hybrid
  • Fast-paced healthcare; behavioral health setting  
  • Collaborative team environment  

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