- Ensure strict HIPPAA-compliant confidentiality with all client-related data
- Review & interpret payor contracts for customers
- Manage full RCM for assigned client accounts
- Evaluate, troubleshoot, and follow-up on customer concerns
- Review customer account reports and follow up to ensure any flags/concerns are notated pro-actively
- Facilitate regular customer meetings
- Research specific payor billing rules as needed and update/maintain internal payor database
- Review client billing documentation to ensure claims are submitted based on payor requirements
- Create claims and patient statements
- Submit claims electronically for primary and secondary payors
- Collecting for services using billing software
- Follow up on rejections, denials, and any outstanding claims
- Submit corrected claims as needed
- Post payments and maintain A/R
- File appeals to insurance and to insurance commissioner as needed
- Stay informed about Payor and Industry Billing rules
- Assist Billing Manager to train, direct, develop and evaluate new staff
- Develop and perform quality assurance audits to ensure timelines for billing are being met.
- Measure and monitor key metrics related to work performance
- Foster a positive work environment for colleagues
- Bachelor's degree in related field
- 2-3 years of experience in billing for ABA, speech therapy, occupational therapy and physical therapy
- 1-2 years of account management experience
- Experience working directly with both major commercial insurance companies as well as state Medicaid programs
- This role also requires EXCEPTIONAL attention to detail, critical thinking, and excellent communication with clients and insurance companies.
- Experience using Kareo Billing software
- CPB or other professional billing designation is strongly preferred
- Proficient using and fluent in Microsoft Suite (Outlook, Excel, Word)
- PTO after a 90-day introductory period
- Paid Holidays with an additional (1) Floating Holiday
- Generous Health, Dental & Vision benefits package
- 401k + Matching
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Billing Account Manager - Fernandina Beach, United States - RethinkFirst
Description
Job Description
Job DescriptionRethink Behavioral Health is the leading global provider of online research-based resources to support individuals with developmental disabilities. Our behavioral health platform ) provides clinical, staff training and practice management tools for private ABA service providers. Due to autism insurance mandates sweeping the nation, our behavioral health division is experiencing unprecedented growth. Therefore, we are looking for the right person to join our billing service team.
Our Billing Services Division specializes in Revenue Recycle Management and Enrollment and Credentialing services. We are growing and are looking for new team members that will offer our clients best in class billing services. We support mission-oriented companies that impact the lives of thousands of individuals with autism and their families. We are excited to offer the opportunity for professional and collaborative individuals to grow and be part of something exciting.
The Billing Account Manager is responsible for overseeing customer accounts working with customers and insurance companies to ensure accurate billing for therapy sessions that will result in successful claim generation and reimbursement.
Location: Remote opportunities are available only in the following states: CA, CO, FL, GA, IL, IN, MO, NE, NC, PA & TX
Main Responsibilities:
Requirements:
Other Preferred Experience and Skills:
Benefits:
Our commitment to an inclusive workplace
RethinkFirst is an equal opportunity employer and is committed to providing a workplace free from harassment and discrimination. We celebrate the unique differences of our employees because that is what drives curiosity, innovation, and the success of our business. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.
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Recruiting Fraud Alert: Job applicants should be aware that there are external parties posing as RethinkFirst recruiters and/or making offers of employment with RethinkFirst. These scams may include fraudulent communications via social media platforms (such as Linkedin), phone interviews, fake offer letters, or requests to fill out fabricated employment applications or make monetary payments. Note that any recruiting related communication you receive from RethinkFirst would come from an e-mail address, email address (via our talent acquisition system), '' email address, and/or be found on the website. Please also note that at no point during our recruitment process will we request any form of monetary payment. If you believe that you have been a victim of job recruiting fraud, you should file a report with your local law enforcement.
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