Role Description
The ABA RCM Coordinator will be focused on working accounts receivable, posting payments, performing quotes of benefits, and credentialing. This person will use excellent problem-solving skills to resolve billing issues and ensure timely recovery of underpaid/unpaid insurance claims.
• Insurance Billing
• Billing secondary claims through CentralReach
• Follow-up on all underpaid/unpaid insurance claims
• Timely assemblance and execution of recovery plan
• Preparation of progress reporting presented at weekly check-in with RCM Director
• Manage all escalation requests with insurance partners
• Create appeals and escalation efforts when necessary
• Credentialing
• Complete all necessary steps to credential staff in timely manner
• Regularly audit all staff members to stay 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.
• 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.
Qualifications
• High school diploma or GED
• Experience communicating with insurance providers, preferably in healthcare
• Familiarity with HIPAA compliance and healthcare industry standards
• Extreme attention to detail, must excel at researching, administrative tasking and self-motivation
• Creative problem-solving
• Professional written & verbal communication
• Ability to manage multiple tasks and ensure a high level of service
• Preferred: 2+ years of ABA experience, any ABA experience will be considered
• Familiarity with Microsoft products
• 1+ year of experience managing all aspects of insurance billing and collections, experience with ABA billing strongly preferred
• Familiarity with the components of a CMS 1500 claim form
• Familiarity with insurance coding (e.g., use of place of service, use of modifiers, etc.)
• Experience with CentralReach and Monday.com
Requirements
• Full-Time | 100% Remote | Monday-Friday 8:00am-5:00pm
• Hourly $20-23/hr
• A background check will be required for this position
• Must be a U.S. authorized employer
• Unfortunately, we cannot sponsor individuals with a work visa now
Benefits
• Medical/Dental/Vision insurance
• Paid time off
• Health savings account
• 401(k) matching
• Discounts on Education with partnered Universities
• Parental leave
• Employer Provided Technology Package
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