Lumary - Accounts Receivable Specialist
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Requirements
• 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. • ## Lumary’s Core Values • Skills can be taught, but values are lived. At Lumary, our core values aren't just posted on our website and covered once at induction, they guide every decision we make and every interaction we have. We look for team members who naturally resonate with these principles, not just a list of qualifications or experience. If these values speak to you, you’ll likely find that you thrive in our environment. • We ‘Lead with an open heart’ - meaning we cultivate trust even when there is no trust, assume good intentions and have the courage to be vulnerable. • We ‘Start with the end in mind’ - meaning we focus on the long-term impact of our actions, making decisions with purpose and sustainability in mind. • We ‘Take action in uncertainty’ - meaning we are proactive in taking the next best step in uncertainty and complexity, exercise autonomy and we learn by doing. • We ‘Enable others for our collective good’ - meaning we are kind and act in service of others. When we take care of ourselves and each other we take care of the community.
Responsibilities
• 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.
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 • We are proud of the work we are doing and the team we have built so far. • At Lumary, we value diversity and believe in a culture of inclusivity, regardless of race, religion, age, gender identity, sexual orientation, physical or mental ability, or ethnicity. We are committed to building a welcoming workplace where everyone feels safe, valued and respected. • The successful candidate will be required to undergo employment screening checks relevant to the healthcare industries we serve. • This is a full-time, permanent employment position. We are currently only accepting applications from candidates who are located in the United States and are authorized to work for any employer without sponsorship.
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