Accounts Receivable Specialist at Athena Care

Nashville, Tennessee, United States -

Full Time

Start Date

Immediate

Expiry Date

19 Jun, 26

Salary

0.0

Posted On

21 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Claims Resolution, Appeals Submission, EOB Interpretation, Payer Portals, Medical Billing, Denial Management, Claim Reprocessing, Coding Coordination, Analytical Skills, Patient Advocacy, eClinicalWorks, Microsoft Word, Microsoft Excel, Multitasking, Independent Work, Empathetic Communication

Industry

Hospitals and Health Care

Description

Description Full-Time | Medical Billing | Nashville, TN About Athena Care: We are on a mission to expand access to quality mental health services. Every Athenian plays a meaningful role in delivering on that mission, and the Accounts Receivable Specialist is no exception. Are you a detail-oriented billing professional who takes ownership, leads with integrity, and thrives on solving complex insurance challenges? We're looking for an Accounts Receivable Specialist who shares our commitment to doing right by our patients and our team — someone who brings both analytical sharpness and a compassionate touch to every interaction. In this role, you'll be the driving force behind resolving outstanding insurance claims — navigating payer portals, submitting appeals, coordinating with coding teams, and communicating directly with insurers to ensure every balance is pursued accurately, persistently, and ethically. Your work directly supports our patients' access to care, and we take that responsibility seriously. What You'll Do: Proactively review and manage outstanding insurance claims to determine appropriate next steps and drive resolution — holding yourself accountable to timely, thorough follow-through Identify claim denials and execute the proper course of action, including appeals, reconsiderations, reprocessing requests, and corrected claim submissions Partner analytically with coding staff to communicate claim correction needs and ensure accurate, timely resubmission Conduct frequent, professional outreach to insurance payers via phone and portal, advocating with integrity on behalf of our patients Research and interpret Explanations of Benefits (EOBs) to validate payments and identify discrepancies Serve as a knowledgeable, empathetic resource for patients and staff with questions about balances and claims status — always leading with compassion Collaborate across departments as a true team player, supporting a seamless billing workflow and helping teammates succeed Remain nimble and adaptable as processes evolve, contributing to a culture of continuous improvement Perform additional duties as assigned to support the broader billing team Schedule: This is a full-time, 8-hour shift position. Shifts are scheduled between 7:30 AM and 5:00 PM Central Time, Monday through Friday. Why Join the Athena Care Team: At Athena Care, you won't just process claims — you'll be part of a team that nurtures patient relationships, holds itself to the highest standard of integrity, and works together to make mental health care more accessible. Be part of a mission-driven organization where your work has real, tangible impact on patient care Join a team that lives its values of Accountable, Team, Helpful, Empathetic, Nurture, Integrity, Analytical, Nimble in everything we do. Work with a talented and dynamic team of clinicians and support/administrative professionals who are working toward our shared goal of delivering the highest standard of mental health care. Athena Care is an equal opportunity employer. We are committed to building an inclusive environment where every Athenian can thrive. Ready to join us? Requirements What We're Looking For: Education & Experience High school diploma or GED required; associate's or bachelor's degree preferred 3+ years of accounts receivable experience in a medical practice billing office strongly preferred Prior experience in a customer-facing role required Experience working with eClinicalWorks (eCW) strongly preferred Knowledge, Skills & Abilities Solid working knowledge of insurance processes, payer requirements, and benefit structures Ability to read, interpret, and clearly explain EOBs from a variety of insurance carriers Skilled at identifying denial root causes and determining the most effective resolution path Proficient with Microsoft Word, Excel, and internet-based payer portals Strong multitasking ability with the capacity to work independently and manage competing priorities An empathetic communicator — assertive and effective with insurers, while remaining patient-centered and compassionate in every interaction A collaborative spirit and genuine investment in the success of teammates and the patients we serve

Responsibilities

The specialist will proactively manage outstanding insurance claims, driving resolution by navigating payer portals, submitting appeals, and coordinating with coding teams. Key duties include identifying claim denials, executing corrective actions like reprocessing or appeals, and researching Explanations of Benefits (EOBs) to validate payments.