Lumary logo
Lumary

Better Wellbeing Through Technology

Accounts Receivable Specialist

Accounts ReceivableAccounts ReceivableFull TimeRemoteSeniorTeam 51-200H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

3 hours ago

Salary

0

Seniority

Senior

High SchoolEnglish

Job Description

Accounts Receivable Specialist

Lumary

• Own and work the aged accounts receivable, prioritizing the highest-value and oldest outstanding claims to maximize collection. • Investigate unpaid, underpaid, and denied claims, determining root cause and pursuing resolution directly with payers. • Manage the full denials and appeals process, ensuring denials are addressed promptly and appeals are pursued through to outcome. • Conduct payer follow-up by phone and portal, escalating and documenting each step until claims are resolved. • Identify and report developing claim issues, denial trends, and payer patterns, escalating to leadership with recommendations. • Review and manage overpayments, initiate recoupment processes when necessary, and ensure payers post reconciliations appropriately. • Audit each month in the quarter for missed billing, unacknowledged claims, and aging that requires action. • Coordinate with providers to write off uncollectable claims only after a thorough appeals and collection effort. • Provide support with primary and secondary claim submission and payment posting as needed. • Monitor and address assigned tasks in Lumary, including provider communications.

Job Requirements

  • Collections or accounts receivable experience is required. You have a track record of working aged AR, denials, and appeals - ideally in a medical billing or healthcare RCM setting.
  • Strong investigative ability. You dig into the details, ask the right questions, and don't stop until you've found why a claim isn't paying and resolved it.
  • Strong understanding of the medical claim lifecycle, denials management, and payer reimbursement processes.
  • Confident and persistent in payer follow-up and appeals, with excellent documentation and follow-through.
  • Familiarity with ERA/EOB processing and electronic claim submissions.
  • Prior experience in Medicaid billing.
  • Experience in ABA or behavioral health billing is a plus.
  • Detail-oriented with a high level of accountability and a solutions-first mindset, collaborating with senior team members to find resolutions.

Benefits

  • Flexibility to work from home and the office - hybrid working environment if based at an office location in Denver, alternatively fully remote if not based near Denver
  • Flexible start and finish times - have a routine but on the days you need to book an appointment or finish early, go for it
  • Monthly town halls for connection and company alignment
  • Monthly dedicated Social Connection days
  • Quarterly employee engagement surveys (currently at 82% engagement and trending upwards)
  • Internationally growing company working towards a purposeful vision: Empowering sustainable healthcare

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