Accounts Receivable Specialist

Summary of Role

Element Science is seeking an Accounts Receivable Specialist to join the Revenue Cycle Management team in a fully remote capacity, with preference for candidates in the Central Time Zone.

This role offers the opportunity to build a critical billing function from the ground up in a fast-growing commercialization-stage environment. You will own the full lifecycle of claims management while helping design processes and systems that support a scalable, high-performing reimbursement operation.

Responsibilities

• Claims Submission: Prepare and submit clean electronic and paper claims to Medicare, Medicaid, and private insurance payers.
• AR Follow-up: Monitor and pursue unpaid claims to ensure timely reimbursement.
• Denials & Appeals: Investigate denials, gather documentation, and draft appeals to secure payment.
• Payment Posting: Post ERAs/EOBs, patient payments, and contractual adjustments accurately.
• Statement Generation: Manage the monthly patient billing cycle and ensure clarity and accuracy of statements.
• Patient Support: Handle inbound billing inquiries, insurance coverage questions, and payment processing.
• Financial Assistance: Review and process financial assistance applications in compliance with company policies.
• SOP Development: Create and document billing department standard operating procedures.
• Key Learnings: Identify denial trends and provide feedback to improve documentation and reimbursement outcomes.
• System Optimization: Refine billing software workflows to increase efficiency and reduce days in AR.

Qualifications

• 3–5+ years of experience in medical billing and Revenue Cycle Management within DME or HME.
• 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 and building processes.
• Exceptional phone communication skills with ability to explain complex insurance topics 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
• 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 must verify identity and eligibility to work in the United States upon hire. Employment visa sponsorship and relocation assistance are not available for this position.