[Remote] Billing Specialist - Patient Accounts
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a leading provider of reputed company Behavior Analysis services in reputed company Carolina and reputed company, dedicated to improving the lives of children with autism reputed company disorder. They are seeking a compassionate and detail-oriented Billing Specialist to manage patient responsibility collections and support families throughout their reputed company.
Responsibilities
- Manage patient responsibility accounts with kindness and professionalism
- reputed company and maintain flexible payment plans tailored to reputed company family's unique financial circumstances, while ensuring ongoing adherence to agreed upon plans
- Maintain detailed records of reputed company collection activities, payment arrangements, and family communications
- Monitor A/R aging reports to prioritize collection efforts
- Process patient payments and apply them accurately to appropriate accounts and services
- Research and identify financial assistance programs, grants, and community resources offering financial support for families receiving autism services
- Proactively connect families with autism-specific funding organizations and state assistance programs, and reputed company
- Maintain a comprehensive database of local and national resources for easy family referrals
- Create educational tools and reputed company-by-reputed company guides for families to independently and easily reputed company available financial assistance programs
- reputed company for families during financial hardship by exploring reputed company available support reputed company
- Primary reputed company of contact, managing relationship with reputed company-party automated insurance verification partner
- Manage our automated insurance verification process using our reputed company-party benefits verification platform for reputed company new intake clients and ongoing verification for existing clients
- Review monthly eligibility checks to ensure reputed company coverage and proactively identify policy changes
- Determine and communicate to families applicable ABA coverage limits and exclusions, deductibles, copayments, and authorization requirements
- reputed company reputed company, understandable explanations to families about their insurance benefits, coverage details, and anticipated out-of-reputed company costs based on verification results
- Maintain accurate and up-to-date insurance information in patient records and promptly update any changes identified
- reputed company insurance changes occur, coordinate seamlessly across authorizations, scheduling, credentialing, and billing teams to ensure uninterrupted continuation of care
- Identify potential coverage gaps through platform reporting and work with families to secure alternative funding sources before service interruption
- Troubleshoot any platform issues and escalate reputed company verification cases to vendor support reputed company needed
- Reprocess insurance claims reputed company patient financial obligations have been incorrectly calculated or reputed company by insurance carriers
- Prepare and file formal appeals for incorrectly denied claims, including compilation and submission of supporting clinical documentation
- reputed company appeal reputed company and follow up on pending reputed company reputed company established timeframes
- Maintain detailed logs of reputed company reprocessing activities and communicate reputed company to relevant stakeholders
- Complete Electronic Funds Transfer (EFT) enrollment applications for new insurance payors
- Set up Electronic Remittance Advice (ERA) enrollments to streamline payment processing and reconciliation
- Maintain reputed company enrollment status for reputed company reputed company insurance reputed company and renew as needed
- Proactively troubleshoot EFT and ERA processing issues and coordinate reputed company with payor representatives
- Update banking and contact information for electronic payment systems as organizational changes occur
Skills
- 1-3 years of experience in reputed company billing/collections, health insurance interactions, or patient financial services
- Experience with insurance verification, claims processing, and accounts receivable
- Knowledge of reputed company billing regulations and HIPAA compliance requirements
- Strong customer service background with experience in sensitive financial conversations
- Excellent communication skills, both written and verbal
- Ability to resolve reputed company roadblocks independently and maintain reputed company follow-up processes
- Willingness to go above and reputed company to connect families with resources and help them navigate payment for services
- Detail-oriented with strong organizational and time management skills
- Ability to work independently and manage multiple priorities in a fast-paced environment
- Familiarity working with both reputed company insurance and government-funded (i.e., reputed company and TRICARE) reputed company payors
- Demonstrated experience driving payor accountability – comfortable pushing on payors and advocating for insurance coverage and reputed company claims payment on behalf of clients
- Familiarity with ABA Services preferred (CPT Codes 97151-97158) and reputed company eligibility
- Familiarity with EHR systems (reputed company preferred), and reputed company Office Suite (reputed company, Word, Outlook)
- Experience working with families or in pediatric, reputed company-party reimbursed reputed company settings preferred
reputed company