Accounts Receivable Specialist

Accounts Receivable Specialist Element Science - 4.5 San Antonio, TX Job Details 18 hours ago Benefits Stock options Health savings account Paid holidays Health insurance Dental insurance 401(k) Flexible spending account Paid time off Employee assistance program Vision insurance Life insurance Qualifications Availity Appeals Managing customer accounts Accounts receivable optimization Patient question and concern management Overseeing health insurance pre-certification Medicare Accounts receivable management Phone communication Payment processing Standard Operating Procedures (SOPs) implementation Overseeing healthcare denial management Health insurance customer support Process design Mid-level 3 years Patient financial aid assistance

ICD-10 HCPCS

Policy & process development Case appeal in utilization management Medical denial root cause analysis (RCA) Payment posting in medical billing systems Document review Medical claims submission Filing patient billing claims Medicaid CRM system proficiency Billing issue inquiries Cross-functional collaboration Full Job Description Element Science, Inc. is a medical device and digital health company redefining how patients with heart disease are monitored and treated as they transition from the hospital to the home. Our mission is to improve outcomes for patients at risk of life-threatening cardiac events through innovative solutions at the intersection of clinical-grade wearables, advanced algorithms, and therapy delivery. We are entering an exciting phase of growth as we move from development into early commercialization. Our approach combines hardware, software, and services to deliver a more personalized and seamless patient experience—designed with both patients and clinicians in mind. Our product, a wearable patch defibrillator, is designed for patients with a temporary elevated risk of sudden cardiac arrest, addressing a significant and underserved population of over 500,000 patients in the U.S. By focusing on comfort, usability, and clinical effectiveness, we aim to transform the standard of care during this critical period. Headquartered in the San Francisco Bay Area, Element Science is backed by leading healthcare and technology investors, including Third Rock Ventures, GV (Google Ventures), Deerfield Healthcare, Qiming Venture Partners USA, Cormorant Asset Management, and Invus Opportunities.

SUMMARY OF ROLE

Element Science is seeking an Accounts Receivable Specialist to join our growing Revenue Cycle Management team. This is a fully remote position , with a preference for candidates located in the Central Time Zone to support cross-functional collaboration and operational coverage. This is more than a billing role, it's an opportunity to help build a critical function from the ground up. As Element Science continues to scale following commercialization of our innovative cardiac care technology, we're looking for a resourceful, hands-on professional who thrives in fast-paced, high-growth environments and enjoys solving complex problems. In this role, you'll own the full lifecycle of claims management while helping design the processes, systems, and infrastructure that will support a world-class reimbursement and billing operation. You'll work closely with internal teams and external partners to ensure timely claim resolution, optimize reimbursement outcomes, and contribute to the development of scalable best practices. If you're energized by the opportunity to wear multiple hats, influence strategy, improve patient access to life-saving therapy, and leave a lasting mark on a growing organization, we'd love to connect with you.

RESPONSIBILITIES

Full-Cycle Insurance Billing & AR Management Claims Submission:

Prepare and submit clean electronic and paper claims to various payers (Medicare, Medicaid, and Private Insurance).

AR Follow-up:

Monitor and aggressively pursue unpaid claims.

Denials & Appeals:

Investigate claim denials, gather necessary medical documentation, and draft persuasive appeals to secure reimbursement.

Payment Posting:

Accurately post insurance payments (ERAs/EOBs), patient payments, and contractual adjustments.

Patient Account Management & Advocacy Statement Generation:

Oversee the monthly patient billing cycle and ensure statements are accurate and easy to understand.

Patient Support:

Act as the primary point of contact for inbound calls regarding billing inquiries, insurance coverage, and payment processing.

Financial Assistance:

Review and process patient financial assistance applications, ensuring compliance with company policy and compassionate communication with those in need.

Process Building & Strategic Insight SOP Development:

Help create and document standard operating procedures (SOPs) for the billing department.

Key Learnings:

Identify trends in denials or payer behavior and provide feedback to the clinical and sales teams to improve documentation quality at the source.

System Optimization:

Assist in refining our billing software workflows to increase efficiency and reduce "days in AR."

QUALIFICATIONS

Experience:

3-5+ years of experience in medical billing and RCM, specifically within the Durable Medical Equipment (DME) or HME industry.

Rental Knowledge:

Familiarity with the unique complexities of monthly rental billing, capped rentals, and equipment return workflows.

Payer Expertise:

Strong understanding of HCPCS codes, ICD-10 coding, CMNs (Certificates of Medical Necessity), and Prior Authorizations. The "Startup"

Mindset:

You are comfortable with ambiguity. You don't just wait for a manual; you help write it.

Communication:

Exceptional phone etiquette and the ability to explain complex insurance concepts to patients with empathy and clarity.

Tech Savvy:

Proficiency in Billing Systems (Niko Health or BrightTree a plus), CRM, and Payer Portals such as Availity

BENEFITS

Element Science offers a very competitive salary and benefits package including, but not limited to: Stock Options 90% employer-paid medical, dental, and vision insurance Company-paid Basic Life Insurance 401(k) retirement plan (Traditional and Roth) Competitive Paid Time Off Paid Holidays FSA (Flexible Spending Accounts) HSA (Health Savings Account) Employee Assistance Program through PEO The anticipated salary for this exempt position will be commensurate with experience, qualifications, and market factors and will be aligned with the established compensation range for the role. Element Science is an Equal Opportunity Employer. All candidates will be evaluated on the basis of their qualifications for the job in question. We do not base our employment decision on an employee's or applicant's race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, or other non-merit-based factors prohibited by local, state, or federal law. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. We are not able to sponsor individuals for employment visas for this job. At this time, we are unable to offer relocation assistance at Element Science.