AR Specialist

Job Summary:

The AR Specialist – ABA & General Medical Billing is responsible for managing accounts

receivable activities, including claim follow-up, denial management, payment posting, and

collections for both Applied Behaviour Analysis (ABA) and general medical services. The

role ensures timely reimbursement from insurance payers and minimizes outstanding

accounts through proactive follow-up and resolution

Key Responsibilities:

1. Accounts Receivable Management

· Monitor and manage outstanding insurance and patient balances.

· Follow up on unpaid or denied claims with insurance companies through calls,

portals, or emails.

· Identify trends in denials and coordinate with the billing and coding teams for

resolution.

· Process insurance and patient payments accurately and in a timely manner.

· Maintain aging reports and ensure AR days are within target limits.

2. Denial Management & Resolution · Review Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) to

identify payment discrepancies.

· Correct and resubmit denied or rejected claims as needed.

· Escalate complex denials or underpayments to the Billing Manager for review.

· Maintain detailed documentation of all AR activities and payer communications.

3. ABA & General Medical Billing Specifics

· Work with ABA CPT codes (97151–97158, 0362T, 0373T) and standard medical

codes.

· Verify authorizations and ensure sessions are billed within approved limits.

· Stay updated with payer-specific rules and requirements for ABA and medical

billing.

4. Reporting & Communication

· Generate and review daily, weekly, and monthly AR and denial reports.

· Communicate recurring issues or payer policy changes to the billing leadership

team.

· Collaborate with billing, coding, and front-oƯ ice teams to ensure clean claims

submission and timely reimbursements.

Qualifications:

Education:

· Bachelor’s degree in Commerce, Healthcare Administration, or a related field

(preferred).

Experience:

· 2–4 years of experience in medical billing and AR follow-up, with specific exposure

to ABA billing and general medical billing.

· Strong understanding of EOBs, ERAs, denials, and AR aging.

· Familiarity with payer portals and billing software (e.g., CentralReach, Kareo,

AdvancedMD, Athenahealth). Skills:

· Excellent analytical and follow-up skills.

· Strong attention to detail and accuracy.

· Good communication and negotiation skills with insurance representatives.

· Proficient in Excel and report tracking.

Performance Metrics (KPIs):

· Reduction in AR aging (especially >90 days)

· Denial rate and resolution turnaround time

· Collection eƯ iciency (cash vs. target)

· Accuracy in payment posting and reconciliation

· Productivity (claims worked per day)

Thanks & Regards

Irfaan Basha A

Executive - Human Resources

Axximum.Inc

Ph.no: +91 9442800761
+919843342426

Email: hr@axximum.in

Job Type: Full-time

Work Location: In person