AR Specialist, Behavioral Health
Work aged AR and denials for behavioral health clients. You are measured on cash recovered and aging cleared, and you must know the metrics.
The role
What this job actually is
Mastery of the RCM metric set is mandatory: net collection rate, gross collection rate, days in AR, AR over 90 days, denial rate, first-pass resolution rate, clean claim rate, cost to collect, charge lag and DNFB. You must be able to read them, explain what moves them, and act on them.
You work the accounts receivable and denial inventory for behavioral health clients: calling and portal-checking payers, diagnosing why a claim did not pay, and getting it resolved. The highest-value work gets worked first, and you are accountable for aging movement and cash recovered on your assigned book.
Ownership
What you will own
Aged AR reduction
Work your assigned inventory with priority on high-value and time-sensitive claims.
Denial resolution
Read the CARC and RARC, diagnose the real cause, and take the correct action rather than blind rebilling.
Appeals
Prepare and submit appeals with the documentation that actually supports overturn.
Timely filing protection
Track filing and appeal clocks so nothing dies on the calendar.
Root cause feedback
Report recurring denial causes upstream so they get prevented, not just reworked.
Accurate notes
Document every action so the next person can pick it up cleanly.
Ramp
Your first 90 days
First 30 days
Learn client payers, portals and rules. Work your inventory under review.
By day 60
Working independently at volume with measurable aging movement.
By day 90
Consistently hitting recovery targets and contributing root cause insight.
Requirements
What we look for
- MANDATORY: working command of RCM metrics, net collection rate, days in AR, AR over 90, denial rate, first-pass resolution rate, clean claim rate and cost to collect
- Two or more years in US healthcare AR follow-up and denial management
- Confident reading an EOB or 835 and interpreting CARC and RARC codes
- Experience with US payer portals and payer phone follow-up
- Behavioral health or ABA billing exposure
Bonus
Strong plus, not required
- Medicaid and managed care experience
- Appeals writing experience
- Familiarity with clearinghouse rejection handling
Accountability
How this role is measured
| Measure | What it means |
|---|---|
| Cash recovered | Against target on your book. |
| AR over 90 reduction | Aged inventory movement. |
| Denial overturn rate | Appeals won. |
| Touch quality | Actions that resolve versus actions that defer. |
| Timely filing misses | Target is zero. |
| Notes quality | Auditable and complete. |
Why ASP-RCM
Why this seat is different
We are senior-led by design. A senior partner is named on accounts and shows up in the work, which is why clients renew and why this role carries real authority rather than a title. Our AI suite is in production, not in a roadmap deck, and our compliance posture is independently audited: SOC 2 Type II with HITRUST, ISO 27001 and HIPAA.
We pay for certifications and run upskilling cohorts, because coding and revenue cycle are crafts that need investment. You will work across Dallas HQ, six US states and Chennai, India, with colleagues who have run these functions at scale.