Job DescriptionOverviewJob Title: ABA Accounts Receivable (AR) SpecialistLocation: India (Remote)Compensation: Market ValueThe ABA Accounts Receivable (AR) Specialist will work under the direction of the President/Clinical Director and RCM Manager and will play a critical role in the financial health and scalability of Know Boundaries. This position is responsible for managing the full ABA claims lifecycle after submission , with a strong focus on aging, denials, follow-up, and collections across commercial and government payers.This role requires exceptional organization, analytical thinking, and persistence, as well as a strong understanding of ABA billing rules, authorizations, and payer requirements . The AR Specialist will collaborate closely with clinical, scheduling, and authorization teams to ensure timely and accurate reimbursement for services rendered.RequirementsPreferred experience in ABA billing and Accounts ReceivableDemonstrated experience working directly with Medicaid and commercial insurance payersStrong understanding of the claims lifecycle, EOBs, denials, and appealsExceptional attention to detail , critical thinking, and problem-solving skillsExcellent written and verbal communication with internal teams and insurance representativesAbility to work during U.S. business hoursExperience using CentralReach billing platform (preferred)Ability to independently manage aging AR and meet productivity benchmarksKey ResponsibilitiesAccounts Receivable & Claims Follow-Up – Maintain strict HIPAA-compliant confidentiality of all client and payer dataMonitor and manage accounts receivable aging , with a primary focus on unpaid and underpaid claimsFollow up on rejected, denied, and outstanding claims in accordance with internal timelinesAnalyze EOBs and remittance advice to identify root causes of denials and payment discrepanciesSubmit corrected claims and reconsiderations as neededPrepare and submit formal appeals with appropriate clinical and billing documentationPost insurance and patient payments accurately and timelyABA Billing & Payer ComplianceReview and interpret ABA payer contracts, authorization requirements, and billing rulesEnsure claims are submitted in compliance with ABA-specific coding, modifiers, units, and authorization limitsResearch payer-specific billing requirements and maintain an internal payer knowledge databaseCollaborate with authorization and clinical documentation teams to resolve billing issues proactivelyPatient Billing & CommunicationGenerate and send patient statements and bill patient responsibility on a weekly basisRespond to billing-related emails and inquiries within 24 hoursEvaluate and resolve customer billing concerns professionally and efficientlyReporting, Quality Assurance & MetricsMaintain accurate AR notes and documentation within the billing systemTrack, measure, and report on key AR and collections metrics , including aging trends and denial patternsPerform quality assurance audits to ensure billing and follow-up timelines are consistently metAchieve and maintain a 95–100% monthly collection rate within 60 days of month-endPrepare summaries on outstanding revenue, payer issues, and billing trends as requestedTeam Collaboration & GrowthAssist with training, mentoring, and supporting new billing team membersCross-train and assist with credentialing, authorizations, and other RCM functions as neededFoster a positive, collaborative work environment and contribute to continuous process improvementWhy This Role MattersThis position is essential to ensuring Know Boundaries can continue delivering high-quality ABA services while maintaining financial sustainability. The ABA AR Specialist is expected to take ownership of assigned payers and accounts and drive results through consistent follow-up, accuracy, and accountability.#J-18808-Ljbffr