Remote AR Specialist - Medical Billing

Crossroads Treatment Centers is an equal‑opportunity employer and celebrates diversity and inclusion for all employees.

• Perform all duties and responsibilities in accordance with local, state, and federal regulations and company policies.
• Utilize industry knowledge to resolve both new and aged accounts receivable, including professional claims, governmental/non‑governmental claims, denied claims, aged accounts, high‑priority accounts, high‑dollar accounts, reimbursements, and credits.
• Leverage internal and external resources, such as internal systems and payer portals, to analyze patient accounting information and take appropriate actions for payment resolutions, documenting all activity as required.
• Communicate professionally via websites, payer portals, e‑mail, telephone, and customer service departments with payer resources.
• Maintain quality and productivity results that meet departmental standards, measured by daily/weekly/monthly averages.
• Review claims data and supporting documentation to identify coding and billing concerns.
• Interpret payer contracts and identify contract variances affecting reimbursement.
• Apply knowledge of the cash posting process to resolve misapplied payments.
• Demonstrate proficiency in third‑party billing requirements for federal, state, and commercial/managed care payers.
• Interpret claim scrubber edits or rejections and take appropriate action to resolve issues.
• Seek resolution to problematic accounts and payment discrepancies.
• Prepare appeal letters for technical denials by accessing specific payer appeal forms, submitting appropriate medical documentation, and tracking appeal resolution.
• Analyze accounts with critical thinking, considering payer contracts and billing guidelines to ensure one‑touch resolution.
• Review insurance credit balances to determine root causes and take steps necessary to resolve the account.
• Identify denial trends, root causes, and A/R impact.
• Serve as a resource to other team members and assist Team Leads with identifying A/R and denial trends.
• Perform other duties as assigned.

• At least two (2) years of accounts receivable experience in a physician office setting.
• General knowledge of HCPCS, CPT‑4 and ICD‑10 coding and/or medical terminology.
• Familiarity with multiple payer requirements and regulations for claims processing.
• High School Diploma or GED required.

• Daily impact on many lives.
• Excellent training for new entrants to the field.
• Mileage reimbursement (if applicable) at the current IRS rate.
• Community events promoting belonging and education (e.g., cook‑outs, fairs, outreach, parades, school awareness, holiday events).
• Medical, Dental, and Vision insurance.
• PTO.
• Variety of 401(k) options with a match program and no vesting period.
• Annual continuing education allowance in the related field.
• Life insurance.
• Short‑ and long‑term disability.
• Paid maternity/paternity leave.
• Mental health day.
• Calm subscription for all employees.