Billing Specialist Ii

3 days ago

King of Prussia, United States Helping Hands Family Full time

Overview:
**TITLE**:Billing Specialist II - denial follow up

**LOCATION**: Company’s Support Center

**RELATIONSHIP**:This position reports to the Billing Manager

Our Billing Specialist directly contributes to our mission of making autism services personal by timely and accurately billing the services we provide, collecting revenue, and working with families to make sure they feel supported throughout the billing process.

**SPECIFIC RESPONSIBILITIES**:

- Denial response and accounts receivable follow up via Waystar and insurance portals
- Commercial and Medicaid, primary and secondary claims submission
- Work and manage claims from all aging buckets from initial billing through final resolution including identifying and correcting billing errors/rejections and denials
- Denial management investigations & appeals
- Input & Review billing data for accuracy, including data entry.
- Ensure that billing and collections adhere to all compliance policies and procedures.
- Work with Billing Manager and local clinic team members to ensure accurate billing.
- Follows up on claim resolution from initial billing through final
- Track and verify clients’ Medicaid status
- Develop relationships with PA Medicaid payors to ensure successful processing and payment of claims
- Assist the intake team in completing required Medicaid documents for new clients and clients in need of reassessment
- Serve as the point of contact for Medicaid audits
- Other responsibilities as assigned by the billing manager and director

**Skills and Competencies**:

- 5+ years billing experience required.
- Central Reach, ABA, and/or previous remote experience required for remote work.
- Associate Degree in Accounting/Finance Management is plus, but not required.
- Strong communication and presentation skills.
- Previous patient admission or verification experience required.
- Confident communication skills for fielding calls on behalf of the agency and its representatives.
- Salary: $22.00 - $26.00 per hour

**Personality**: A successful Team Member will be
- Detail-oriented & highly organized
- Communicative & collaborative
- Committed to purposeful care
- Ambition to grow with the company

**About Helping Hands Family**:
Helping Hands Family (“HHF”) is an organization that provides Applied Behavior Analysis (ABA) services for individuals with Autism Spectrum Disorder (ASD). Our supportive, inclusive culture helps every individual reach their highest potential.

Helping Hands Family is dedicated to a supportive, inclusive culture. From growing our team to the client treatment plans, we have committed to celebrating differences and helping everyone reach their highest potential. HHF is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military status.

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