Welcome to the new standard of healthcare! Premise Health is the world’s leading healthcare access provider. We deliver purpose-driven career experiences in a culture-centric work environment—ensuring that employees at the nation's best companies get, stay, and be well. In a changing healthcare environment, we know there's a better way for organizations to help their people live healthier lives by delivering the right care at the right time, right where they work. Partnered with visionary organizations around the globe, we offer a broad range of healthcare services and deliver an effortless patient experience that raises the bar, lowers costs, and redefines the meaning of quality care. By shifting the conversation from cost to return and from treatment to prevention, we are committed to help people, their families, and the organizations they work for be at their best. We are looking for a Accounts Receivable Specialist to work at our Corporate office in Brentwood, TN ! If you possess a “whatever it takes attitude” keep reading. The Accounts Receivable Specialist is responsible for managing client AR and is responsible for appropriate and timely resolution to assigned accounts and projects. Responsible for contacting insurance companies regarding claims follow-up, updating account information in appropriate systems, and completing other administrative tasks on accounts. The Accounts Receivable Specialist reviews support tickets and task queues; triages issues and resolves or reassigns to the appropriate team. Requires the ability to read and understand complex custom network or contract terms and the ability to communicate and/or resolve the deficiencies with both internal and external customers. What You’ll Do for Us: Follow-up on unpaid/underpaid/denied claims. Actively follow up and collect on all paper and electronic claims, including resolution of any billing errors. Respond to correspondence from insurance carriers. Work independently from assigned work queues, lists, and/or reports. Review outstanding AR and credits to identify trends and perform root cause analysis; responsible for communicating findings to the appropriate teammates, as well as suggesting steps to resolve current issues and prevent future issues with the appropriate teams through re-education, coaching, and/or workflow changes. Prepare documentation for AR resolution to include but not limited to; appeals, payer forms for claim reconsideration and submission. Work closely with payer or internal client representative to resolve account or payer issues. Identify root cause for reimbursement discrepancy; identify if underpayment or overpayment issue is related to payor, incorrect insurance plan loaded or billing error. Prepare communication to Account Manager regarding state of AR for specified clients/payers Work with Implementation and Set-up teams in effort to update fee schedules or contract rate loading issues to ensure the correct expected reimbursement is reflected. Escalation of payer issues to Account Manager as appropriate. Perform any other tasks assigned by management. Education: High School Graduate minimum education requirement. Experience: Minimum 1-2 years Revenue Cycle experience Minimum of 1 year experience analyzing third party billing revenue cycle data/trends and enhancement of cash performance, preferred Knowledge and Skills: Knowledge of patient accounting processes from scheduling through final account disposition Demonstrated successful revenue cycle billing and collections experience Possess strong analytical, problem solving, and decision making skills Effectively utilize Microsoft Office tools (Excel, Word, and PowerPoint) Highly developed written and verbal communication skills. Must be able to work independently in a manner to achieve goals, objectives and productivity requirements. Strong background working in practice management system(s) and billing applications. Must demonstrate strong organizational and critical thinking skills. Possesses excellent comprehension and retention skills Requires the ability to read and understand complex custom network or contract terms and the ability to communicate and/or resolve the deficiencies with both internal and external customers. Experience working in a fast-paced environment where multiple duties are performed to meet client expectations and deadlines Strong ability to work cross functionally between department to build relationships and analyze reports or data and presenting it in a way that is comprehensive to all relevant parties Ability to arrive to work on time and work a minimum of 40 hours in the office What We’ll Do for You: At Premise Health, you’re not an employee – you’re a team member. We have health centers, pharmacies, fitness centers and offices scattered across the country, but we’re all working together to deliver exemplary and delightful service to our clients, their employees and family members. We’re proud of the culture we’ve built, and we aim to assist our team members in living their best life – in and out of the workplace. That’s why you’ll find us taking a yoga class together or starting a book club. We know that we can only help people get, stay, and be well if we do the same for ourselves. We’re also not afraid to share what we’re up to – check out some of our smiling faces. As an employer, we want to compensate you for the work you do with more than a paycheck (although you’ll get one of those too). Premise Health offers competitive benefits packages including medical, dental, vision, life insurance, 401(k), paid holidays and vacation time, and a company-sponsored wellness program. We are an equal opportunity employer of nice people and value inclusion at our company. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.