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Medical Billing/AR Specialist

Opportunity Criteria

Employment TypeFull Time
Salary Range $19.00 to $22.00 / Hour
Job Summary:

The Billing/AR Specialist at Applied Behavior Center for Autism is responsible for managing the organization's accounts receivable processes, ensuring accurate and timely collection of payments from clients, insurance companies, and other stakeholders. This role involves working closely with the billing and insurance team as well as the providers to ensure that payments are received in a timely manner. The ideal candidate will have a strong understanding of health insurance, experience in healthcare or medical billing, and a passion for contributing to the growth and success of a center dedicated to helping children with autism.

Key Responsibilities:

1. Payment Collection:

o Follow up with clients, insurance companies, and other payers to ensure timely payment of outstanding invoices.

o Follow up on denied or rejected claims and ensure timely resolution

o Assist in resolving discrepancies related to payments, ensuring they are documented and addressed promptly.

2. Customer Service & Communication:

o Provide excellent customer service to clients, addressing questions or concerns related to billing, payments, or insurance coverage.

o Work closely with the clinical and administrative teams to gather necessary documentation for billing and claims.

3. Reporting:

o Prepare and submit regular reports on accounts receivable status, aging reports, and collections efforts to the finance team.

o Track and report on outstanding invoices and overdue accounts to ensure effective collection efforts.

o Identify trends in receivables and denials in order to updated processes

4. Other items as needed:

o Review and assist with the billing of claims

o Assist with insurance verification and pre-authorizations to ensure services are covered before treatment begins

o Ensure compliance with applicable regulations, including HIPAA, regarding sensitive financial and personal data.

o Maintain up-to-date knowledge of insurance policies, billing practices, and coding to stay compliant with industry standards.

Qualifications:

• Education: High School Diploma or GED required; Associate's or Bachelor's degree preferred.

• Experience: Minimum of 2 years experience in a healthcare or medical billing environment required. Experience working with ABA billing preferred.

• Skills:

o Experience in a medical billing software

o Strong organizational and time-management skills, with the ability to handle multiple tasks simultaneously.

o Excellent written and verbal communication skills.

o Detail-oriented with strong problem-solving skills.

o Ability to work independently and as part of a team in a fast-paced environment.

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer.

• Occasional lifting of office supplies and equipment (up to 15 pounds).

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