Job details
Salary $17 - $20 an hour job type full-time number of hires for this role 1
Qualifications
Aba billing: 1 year (required)
High school or equivalent (preferred)
Full job description
Job opening: aba billing specialist
Full-time aba biller
Monday-friday 9am-5pm
Salary is between $17.50-$19 based on education, experience and certification
Insurance billing
Creating and analyzing billing reports for accurate and efficient billing
Preform secondary scrubbing of claims prior to billing daily to ensure proper compliance and mitigate potential claim issues
Effectively bill on a daily basis
Generating insurance claims via practice management software (rethink, accupoint, theralytics, central reach and others)
Analyze and interpret explanation of benefits statements and electronic remittance advice
Collections
Follow-up on all underpaid/unpaid insurance claims
Manage all aspects of large recovery projects including:
Initial review of flagged claims
Timely assemblance and execution of recovery plan
Preparation of progress reporting presented at weekly billing meeting with doi&p
Maintain careful records of all recovery efforts and provide status reporting on a monthly basis during standing recovery meetings
Manage all escalation requests with insurance partners
Manage preparation, facilitation and follow-up on all partner collections meetings
Create appeals and escalation efforts when necessary
Provide monthly collections report of status of all outstanding claims and accounts
Ensure company has access to up to date financial information
Complete weekly follow-up on all underpaid/unpaid patient cost-share.
Facilitate ongoing financial counseling to families with outstanding balances
Maintain careful records of all recovery efforts and provide status reporting during semi-monthly recovery meetings
Review/resubmit outstanding claims 30 days after first submission
Present red flags at weekly revenue cycle management meetings monthly with cfo and ceo
Audit payments for consistent issues to present to insurance representative(s) to prevent large receivables projects
Credentialing
Complete all necessary steps to credential staff
Regularly audit all staff members to say ahead of any potential credentialing issues or lapse in expiring documents
Research and document the everchanging requirements for each insurance carrier to mitigate potential issues before they arise
Effectively communicate with the appropriate party on notifications of upcoming lapses, due dates, etc
Expediently submit all necessary documents to insurance carriers to get onboarding employees in network as quickly as possible, ensuring there is no errors in the application prior to submittal
Quote of benefits
· providing prospective families, a quote of benefits through their insurance carrier, outlining their patient responsibility for services
· notating any irregularities with their insurance plan or aba specific requirements such as prior authorizations required, age or service limits, etc
· verifying all necessary information is completed on their 1500 form submitted and signed
Additional qualifications
Must be a detailed orientated person! get in the weeds!
Must have at least one-year of experience managing all aspects of insurance billing and collections, experience with aba billing strongly preferred.
Must have basic familiarity with the components of a cms 1500 claim form.
Must have basic familiarity with insurance coding (e.g., use of place of service, use of modifiers, etc.).
Must be proficient in microsoft excel, and aba practice management platforms
Must be extremely comfortable with use of various technology
Extreme attention to detail, must excel at researching, administrative tasking and self motivation
This position is 100% remote.
You must be comfortable working remotely and meeting regularly via zoom with clients.
Job type: full-time
Pay: $17.00 - $20.00 per hour
Schedule:
Monday to friday
Education:
High school or equivalent (preferred)
Experience:
Cms 1500 claim form: 1 year (required)
Aba billing: 1 year (required)
Work location:
Fully remote
Typical start time:
8am
Typical end time:
5pm
This job is ideal for someone who is:
Dependable -- more reliable than spontaneous
People-oriented -- enjoys interacting with people and working on group projects
Detail-oriented -- would rather focus on the details of work than the bigger picture
Achievement-oriented -- enjoys taking on challenges, even if they might fail
Innovative -- prefers working in unconventional ways or on tasks that require creativity
Covid-19 precaution(s):
Remote interview process
Virtual meetings
