Billing & A/R Support Assistant
About the Role
Autism, Advocacy, and Intervention is seeking a part-time Billing & A/R Support Assistant to support our billing team with private payer invoice submission, insurance follow-up, accounts receivable tasks, patient-responsibility invoicing, CentralReach updates, CAQH/payer portal updates, and basic administrative support.
This is a strong opportunity for someone who is interested in growing in the healthcare billing space and already has some formal experience with billing, payer follow-up, accounts receivable, insurance, medical office administration, healthcare documentation, or payer portals.
This role is intentionally designed to start with specific, assigned tasks and grow over time. We are looking for the right person — someone dependable, accurate, curious, professional, and motivated to learn. For the right fit, AAI is highly interested in shaping this position into a larger role with more hours, more responsibility, additional billing training, and possible pay growth over time.
AAI uses third-party billing support for the majority of claims. This position is not expected to take over full billing ownership at the start.
Primary Responsibilities
The initial focus of this role will include:
- Submitting invoices to assigned private payers or basic funding sources.
- Calling insurance companies to follow up on unpaid, delayed, or unresolved claims.
- Checking payer portals for claim status, payment status, denials, and next steps.
- Learning how to work A/R and ARO by tracking unpaid claims and helping move them toward payment, correction, rebilling, or escalation.
- Documenting payer conversations clearly, including claim status, reason for delay, payer response, and next action needed.
- Supporting revenue collection by following up on assigned claims, balances, and payer issues.
- Sending and tracking patient-responsibility invoices as assigned.
- Updating CentralReach client and employee profiles as assigned.
- Adding, removing, or deactivating clients and employees in CentralReach as directed.
- Updating labels, references, payer details, and other CentralReach administrative information.
- Updating CAQH and other payer/credentialing portals as assigned.
- Helping maintain basic provider, payer, client, and billing-related administrative records.
- Helping keep billing-related task lists, trackers, and follow-up notes organized.
- Completing other basic administrative tasks connected to billing, A/R, payer follow-up, or CentralReach cleanup.
- Escalating unclear, high-dollar, aging, denied, or complex billing issues to the Controller or billing lead.
Growth Opportunity
This position is designed to grow for the right person.
AAI is not just looking to fill a temporary task list. We are looking for someone who can come into the billing space, learn our systems, demonstrate strong work habits, and gradually grow into a bigger role over time.
The starting scope is intentionally focused so the employee can learn the company, build confidence, and avoid being overwhelmed too quickly.
If the employee demonstrates accuracy, dependability, good judgment, strong documentation, professionalism, and the ability to learn billing workflows, AAI may consider expanding the position into more formal billing responsibilities.
Possible future growth may include:
- Increased hours.
- Possible movement toward full-time status.
- Additional billing training.
- Expanded payer follow-up.
- More advanced A/R projects.
- Limited claim review.
- Small-scale claim scrubbing for selected private payers or basic funding sources.
- Additional private payer billing support.
- CentralReach billing setup support.
- Additional payer portal or credentialing support.
- Additional billing support tasks.
- Possible pay rate changes tied to expanded responsibilities.
The target point for evaluating growth in the role is approximately six months.
Any increase in duties, hours, title, pay, or full-time status will depend on performance, business need, financial capacity, and leadership approval.
What This Role Is Not at the Start
This role is not expected to begin as:
- A full billing owner.
- A billing manager.
- The primary claim scrubber.
- The primary authorization specialist.
- The primary credentialing specialist.
- A replacement for AAI’s third-party billing support.
Additional billing responsibilities may be added gradually with training and oversight.
Required Qualifications
- Some formal experience in healthcare billing, insurance follow-up, collections, accounts receivable, payer portals, medical office administration, or related healthcare administrative work.
- Comfort calling insurance companies and asking claim-status questions.
- Strong attention to detail.
- Ability to document work clearly and accurately.
- Ability to follow written instructions and task lists.
- Comfort using spreadsheets, email, payer portals, and billing-related systems.
- Willingness to ask questions when unsure.
- Professional communication skills.
- Ability to handle confidential client, employee, payer, and company information appropriately.
Preferred Qualifications
- Experience with ABA, behavioral health, therapy, Medicaid, commercial insurance, or private payer billing.
- Experience with CentralReach, BillMax, CAQH, or payer portals.
- Experience following up on unpaid claims, denials, missing payments, or payer delays.
- Experience submitting invoices to private payers or basic funding sources.
- Experience sending or tracking patient-responsibility invoices.
- Some experience reviewing claims for basic errors.
Ideal Candidate
The ideal candidate is dependable, organized, detail-oriented, and interested in growing in the billing field.
This person should be comfortable calling insurance companies, asking about unpaid claims, documenting payer responses, submitting assigned payer invoices, updating billing-related records, and learning how to work A/R and ARO in a structured way.
AAI is especially interested in someone with the right personality and work style: steady, honest, curious, organized, teachable, and able to follow through.
The ideal candidate does not need to be a fully independent biller at the start, but they should have enough formal experience and motivation to grow into more responsibility over time.
Compensation and Schedule
This is intended to begin as a part-time hourly position.
Expected starting range: $21.00 to $24.00 per hour, depending on experience, accuracy, healthcare billing knowledge, payer follow-up experience, CentralReach or billing-system experience, and ability to work independently.
Around the six-month mark, AAI intends to evaluate whether the employee is ready for expanded responsibilities, increased hours, possible movement toward full-time status, additional billing training, and potential pay rate changes.
Summary
This role is a good fit for someone who wants to grow in healthcare billing without being thrown into full billing ownership immediately.
The initial stage is focused on private payer invoice submission, payer follow-up, insurance calls, A/R and ARO support, patient-responsibility invoicing, CentralReach updates, payer portal updates, documentation, and basic billing support.
AAI is looking for someone who sees this as an opportunity to build a stronger future in the billing space and grow into a larger role over time.
Pay: $21.00 - $24.00 per hour
Application Question(s):
- This role starts with assigned billing and A/R tasks, but the goal is to grow into more responsibility over time. What would you do in the first six months to prove you are ready for that growth?
- Tell me about a time you were responsible for following up on something that was unpaid, unresolved, or delayed. How did you keep track of it, what did you do when it stalled, and what was the outcome?
Experience:
- Medical billing: 1 year (Preferred)
- Project leadership: 1 year (Preferred)
Work Location: Remote
