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June 17, 2026
Accounts Receivable Specialist
Mid • Remote
Austin, TX
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 looking for 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 will 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
- Claims Submission: Prepare and submit clean electronic and paper claims to Medicare, Medicaid, and private insurance payers.
- AR Follow-up: Monitor and aggressively pursue unpaid claims.
- Denials & Appeals: Investigate claim denials, gather required medical documentation, and draft 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 statement accuracy and clarity.
- Patient Support: Serve as the primary contact for billing inquiries, insurance coverage questions, and payment processing.
- Financial Assistance: Review and process financial assistance applications in compliance with company policy.
Process Building & Strategic Insight
- SOP Development: Create and document standard operating procedures for the billing department.
- Key Learnings: Identify denial trends and payer behavior patterns to improve documentation quality.
- System Optimization: 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 knowledge of HCPCS codes, ICD-10 coding, CMNs, and Prior Authorizations.
- Comfort working in ambiguous, startup-style environments.
- Excellent phone communication skills and ability to explain complex insurance concepts clearly.
- Proficiency with 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
- 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 aligned with the established compensation range for the role.
All candidates will be evaluated based on qualifications. Employment is contingent upon verification of identity and eligibility to work in the United States. Visa sponsorship and relocation assistance are not available for this position.
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