Accounts Receivable Specialist

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.

Summary of Role

This is more than a billing role, it's an opportunity to help build a critical function from the ground up. As the organization scales following commercialization of its cardiac care technology, the role requires a resourceful, hands-on professional who thrives in fast-paced, high-growth environments and enjoys solving complex problems.

You will own the full lifecycle of claims management while helping design the processes, systems, and infrastructure that support a world-class reimbursement and billing operation. The position partners with internal teams and external stakeholders to ensure timely claim resolution, optimize reimbursement outcomes, and develop scalable best practices.

Responsibilities

Full-Cycle Insurance Billing & AR Management

• Prepare and submit clean electronic and paper claims to Medicare, Medicaid, and private insurance payers.
• Monitor and aggressively pursue unpaid claims.
• Investigate denials, gather medical documentation, and draft appeals to secure reimbursement.
• Accurately post insurance payments (ERAs/EOBs), patient payments, and contractual adjustments.

Patient Account Management & Advocacy

• Oversee the monthly patient billing cycle and ensure statements are accurate and understandable.
• Serve as the primary contact for billing inquiries, insurance coverage questions, and payment processing.
• Review and process patient financial assistance applications in compliance with company policy.

Process Building & Strategic Insight

• Create and document standard operating procedures (SOPs) for the billing department.
• Identify denial trends and payer behavior patterns to improve documentation quality.
• Refine billing software workflows to increase efficiency and reduce days in AR.

Qualifications

• 3–5+ years of experience in medical billing and RCM within the DME or HME industry.
• Familiarity with monthly rental billing, capped rentals, and equipment return workflows.
• Strong knowledge of HCPCS codes, ICD-10 coding, CMNs, and prior authorizations.
• Comfort working in ambiguous, fast-paced environments.
• Excellent phone communication skills with the ability to explain complex insurance concepts clearly.
• Proficiency in billing systems (Niko Health or BrightTree preferred), CRM platforms, and payer portals such as Availity.

Benefits

• 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 and paid holidays
• FSA and HSA options
• Employee Assistance Program through PEO

The anticipated salary for this exempt position will be commensurate with experience, qualifications, and market factors and aligned with the established compensation range for the role.

All candidates will be evaluated on the basis of their qualifications for the job in question. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States upon hire. Visa sponsorship and relocation assistance are not available for this position.