Billing Specialist

Posted 67ds ago

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Job Description

Billing Specialist managing claim processing and ensuring accurate billing for ABA service providers. Collaborating with clients and internal teams to mitigate denials and improve processes.

Responsibilities:

  • Pull billing exports for all accounts assigned following the guidelines set by the RCM team
  • Scrub billing according to payor rules
  • Make sure that you are looking at the payor rules in SharePoint
  • Update payer rules as needed in the RCM share drive
  • Upload / Enter charges
  • Run summary reports and save to client files as required
  • Submit claims in a timely manner
  • Generate unverified appointments and upload them into the client’s folder for their review
  • Notify the client when billing is complete
  • Fix/Manage all rejections
  • Correct claims that had errors
  • Communicate issues or opportunities to improve billing processes to your manager
  • Submit secondary claims as needed

Requirements:

  • HS Diploma or Equivalent
  • ABA billing experience
  • Minimum 2-5 years’ experience in billing both major commercial insurance companies as well as state Medicaid programs
  • Experience using Billing Software, EMR and Clearinghouse systems (Azalea, Tebra, Waystar, Trizetto, Availity, Stedi)
  • Experience using insurance company websites/portals
  • Proficient in using Microsoft Suite (Outlook, Excel, Word)
  • Willing to learn and must have a positive attitude even when working under pressure
  • Strong verbal and interpersonal skills
  • Must be able to multi-task and manage your time
  • Exceptional attention to detail, critical thinking, and excellent communication with internal teams and insurance companies

Benefits:

  • PTO and Vacation Days after a 90-day introductory period
  • Paid Holidays
  • Generous Health, Denial & Vision benefits package
  • 401k + Matching