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Job Description
Key Responsibilities and Duties:
- ABA billing experience.
Billing Support:
- Billing Documentation: Assist in preparing and processing billing documentation, ensuring that all necessary client information is accurately captured and updated in the billing system.
- Insurance Verification: Support the verification of insurance coverage and eligibility, ensuring that all information is saved properly and updated in relevant systems (e.g., Monday.com, Central Reach).
- Account Receivables: Help track outstanding invoices and assist with follow-ups on overdue accounts. Work with the Billing Admin Manager to resolve discrepancies and ensure timely payments.
- Billing Cycle Coordination: Help ensure that all billing cycles are completed on time, including supporting the submission of invoices and tracking their status.
- Billing Communication: Act as a liaison between the billing department and other internal teams (e.g., compliance, client services) to ensure all billing-related information is accurate and up to date.
Client and Authorization Support:
- Client Onboarding & Offboarding: Assist in gathering necessary client documents and information for billing purposes during the onboarding and offboarding processes.
- Authorization Management: Support the tracking of authorization deadlines, including submitting and monitoring new authorizations and re-authorizations for ongoing services.
- Documentation and Reporting: Assist with maintaining and updating client records on systems such as Monday.com and Central Reach, ensuring that all billing-related documents are properly saved and accessible.
- Follow-up: Assist in following up with clients or internal teams to ensure that billing information and authorizations are completed before deadlines.
Audit & Compliance Support:
- Audit Preparation: Support the Billing Admin Manager with audits by preparing and organizing billing records and related documentation.
- Compliance Documentation: Help ensure that all billing activities comply with internal and external regulations by tracking relevant policies and guidelines.
General Administrative Support:
- Task Organization: Help with organizing and prioritizing billing-related tasks, ensuring that deadlines are met and processes are streamlined.
- Client and Internal Communication: Assist with communication regarding billing questions, issues, and updates, providing timely responses to clients and internal teams as needed.
- Team Collaboration: Support the Billing Admin Manager in managing workflows and assist in coordinating with other departments to ensure billing processes are aligned with overall company goals.
Other Duties as Assigned:
- Provide general administrative support to the Billing Admin Manager and other team members as needed.
Qualifications and Skills:
- Education:
- High school diploma or equivalent required; Associates or Bachelors degree in Business Administration, Accounting, Healthcare Administration, or a related field preferred.
- Experience:
- 3+ years of experience in billing, accounts receivable, or administrative support in a healthcare, medical, or client services environment. Experience with insurance verification and authorization management is highly preferred.
- Experience working with billing software (e.g., Billmax, Central Reach) and project management tools (e.g., Monday.com).
- Demonstrated experience in managing accounts receivable, invoice processing, and payment follow-ups.
- Knowledge of insurance billing practices, including experience in verifying insurance coverage, claims submission, and authorization management.
Skills:
- Strong organizational skills and attention to detail, especially in managing large volumes of billing documentation and client records.
- Proficiency in Microsoft Office Suite (Excel, Word), and experience with billing software and databases.
- Excellent written and verbal communication skills, with the ability to interact professionally with clients, internal teams, and external stakeholders.
- Advanced knowledge of insurance processes, including eligibility verification, claims submission, reauthorizations, and compliance requirements.
- Strong problem-solving abilities, particularly when addressing billing discrepancies, outstanding invoices, and insurance claims issues.
- Ability to handle sensitive and confidential information with discretion and in compliance with industry standards.
- Ability to work independently, prioritize tasks, and manage time efficiently to meet deadlines.
- Experience working in a regulated environment with a solid understanding of healthcare billing standards, compliance requirements, and audit processes.
Skills
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