Accounts Receivable Specialist

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 is an opportunity to help build a critical function from the ground up. As the company scales following commercialization of its cardiac care technology, we are seeking a resourceful, hands-on professional who thrives in fast-paced, high-growth environments and enjoys solving complex problems.

In this role, 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. You will collaborate with internal teams and external partners to ensure timely claim resolution, optimize reimbursement outcomes, and contribute to 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 claim 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 point of contact for billing inquiries, insurance coverage questions, and payment processing.
• Review and process 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 and provide feedback to improve documentation quality.
• Refine billing software workflows to increase efficiency and reduce days in AR.

Qualifications

• 3–5+ years of medical billing and RCM experience within the DME or HME industry.
• Familiarity with monthly rental billing, capped rentals, and equipment return workflows.
• Strong understanding of HCPCS codes, ICD-10 coding, CMNs, and prior authorizations.
• Comfort working in ambiguous, fast-paced startup environments.
• Exceptional phone etiquette and ability to explain complex insurance concepts clearly.
• Proficiency in billing systems (Niko Health or BrightTree preferred), CRM, 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
• Paid holidays
• FSA (Flexible Spending Accounts)
• HSA (Health Savings Account)
• Employee Assistance Program through PEO

In compliance with federal law, all persons hired must verify identity and eligibility to work in the United States. Employment visa sponsorship is not available. Relocation assistance is not offered.