AR Processor Medical Biller

RISE, Inc., provides services for people with disabilities including residential settings, day programs, employment assistance, managed care, and home and community based services. RISE also provides services for children and families through foster care and professional parenting, adoption, kinship care, after school and summer programs, behavior supports and mental health services.

RISE Services is seeking a detail-oriented Accounts Receivable Processor to join our Revenue Cycle team. This role is responsible for medical billing, payment posting, accounts receivable follow-up, denial management, collections, and claim resolution across multiple programs and funding sources.

The ideal candidate has experience working with Medicaid and commercial payers, strong analytical and problem-solving skills, and a commitment to accuracy, timeliness, and exceptional customer service.

• Submit and manage medical claims for multiple funding sources.
• Post payments, adjustments, refunds, and other billing transactions.
• Follow up on outstanding, denied, rejected, or underpaid claims.
• Research and resolve billing discrepancies and payment issues.
• Reconcile payments and maintain accurate billing records.
• Communicate with payers, funding sources, and internal departments to resolve account issues.
• Support collection efforts to ensure timely reimbursement.
• Identify billing trends and recommend process improvements.
• Ensure compliance with HIPAA and organizational policies.
• Assist with special projects and other duties as assigned.

• High school diploma or equivalent.
• Two or more years of medical billing, accounts receivable, or revenue cycle experience.
• Experience with claim submission, payment posting, denial management, and collections.
• Experience working with Electronic Health Record (EHR) systems and billing software.
• Experience billing and following up on claims with AHCCCS, Medicaid, managed care organizations, and commercial payers.
• Intermediate Microsoft Excel skills.
• Strong organizational, communication, and problem-solving skills.
• Ability to manage multiple priorities while maintaining accuracy and meeting deadlines.

• Three or more years of medical billing and accounts receivable experience.
• Full-cycle accounts receivable experience.
• Experience with state-funded programs, government contracts, or multiple funding sources.
• Experience with enterprise accounting systems, including Dynamics 365 or similar platforms.
• Advanced Excel skills, including Pivot Tables, VLOOKUP/XLOOKUP, and data analysis.

• Medical, dental, & vision insurance offered. Company paid group term life insurance and employee assistance program.
• 401k retirement plan with employer match.
• Generous paid time off benefits (vacation, holiday and sick). Two weeks of vacation earned in year one, increasing one week each year until reaching a maximum of five weeks in year four. Fourteen paid holidays per year including your birthday.
• Typically two accounting department outings per year.

RISE Inc. & Opportunity Management Group, LLC are Equal Opportunity Employers.

RISE is an Equal Employment Opportunity (EEO) employer. We embrace diversity in all its form. We provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

If you require reasonable accommodation for any part of the application process or hiring process, please submit your request through one of the following methods listed below:
DISABILITY ACCOMMODATION REQUESTS ONLY
(a) Dedicated fax
(b) Dedicated email hrdept
(c) US mail
(d) Dedicated phone : DISABILITY ACCOMMODATION REQUESTS ONLY