United States only👋 Meet knownwell, weight-inclusive healthcare for all. Join a dynamic company that is changing the way care is delivered for patients with obesity. knownwell is a weight-inclusive healthcare company offering metabolic health services, primary care, nutrition counseling and health coaching services for anyone of any size. Our hybrid model allows for both in-clinic and virtual care to bring support to patients where and when they need it. To learn more about our recent Series B funding, led by Andreessen Horowitz and CVS Ventures, please check out this article.
The Senior Payer Accounts Receivable Specialist will play a critical role in driving payer reimbursement performance and ensuring timely, accurate claim resolution. This individual will oversee the payer accounts receivable process across multiple states and specialties, working closely with both internal stakeholders and outsourced billing partners who manage claim follow-up and charge entry.
This position requires deep knowledge of healthcare payer operations, denial management, and reimbursement trends, as well as strong analytical and communication skills to manage payer relationships and support team efficiency.
Hours of Operation: 8:30am - 5pm EST
Schedule: Monday-Friday
🎯 You Will:
- Monitor overall payer A/R performance, including aging trends, denial rates, and collection metrics.
- Serve as the primary liaison between internal leadership and outsourced billing partners for payer-related workflows.
- Review and escalate unresolved or systemic claim issues (e.g., underpayments, incorrect denials, recurring rejection codes).
- Identify and prioritize high-value or at-risk accounts for targeted resolution.
- Process and reconcile payments, EOBs, and ERAs, accurately posting to patient accounts and the A/R system.
- Review payer denials and correspondence to identify patterns and recommend process improvements.
- Work with coding, charge entry, and credentialing teams to resolve root causes of denials or payment delays.
- Track payer policy updates and reimbursement changes that impact claim outcomes.
- Coordinate corrected claims, appeals, and retroactive adjustments as needed.
- Process and reconcile payments, EOBs, and ERAs, accurately posting to patient accounts and the A/R system.
🌟 You Have:
- 4+ years of experience in healthcare payer A/R or medical billing, preferably in an outpatient or multi-state environment.
- Strong understanding of EOBs, CARC/RARC codes, denial management, and payer reimbursement methodologies.
- Prior experience collaborating with or managing outsourced billing teams strongly preferred.
- Athenahealth experience is a plus.
- Associate’s or Bachelor’s degree preferred; equivalent RCM experience considered.
- Technical skills: Proficiency in using electronic health record software (Athena preferred) and other relevant computer applications.
- Professionalism: Commitment to providing exceptional customer service and representing the company in a professional manner.
Pay & Perks:
💻 Fully remote opportunity
🩺 Medical, dental, and vision insurance
📈 401K retirement plan with company match
🏝️ Up to 20 days of PTO per year + company holidays
👶 Up to 14 weeks of parental leave (12 for non-birthing parents)
🏡 Annual work from home stipend for remote employees
knownwell, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Based on current size of the clinic and HIPAA regulation, providers cannot receive care in clinic and provider’s household members cannot receive primary care in the clinic.
