Billing Account Manager

1 month ago


Fernandina Beach, Florida, United States RethinkFirst Full time
Job Summary

RethinkFirst is seeking a highly skilled Billing Account Manager to join our team. As a key member of our billing services division, you will be responsible for overseeing customer accounts, working with customers and insurance companies to ensure accurate billing for therapy sessions, and driving successful claim generation and reimbursement.

Key Responsibilities
  • Ensure strict HIPAA-compliant confidentiality with all client-related data
  • Review and interpret payor contracts for customers
  • Manage full Revenue Cycle Management (RCM) for assigned client accounts
  • Evaluate, troubleshoot, and follow-up on customer concerns
  • Review customer account reports and follow up to ensure any flags/concerns are notated proactively
  • Facilitate regular customer meetings
  • Research specific payor billing rules as needed and update/maintain internal payor database
  • Review client billing documentation to ensure claims are submitted based on payor requirements
  • Create claims and patient statements
  • Submit claims electronically for primary and secondary payors
  • Collect payments for services using billing software
  • Follow up on rejections, denials, and any outstanding claims
  • Submit corrected claims as needed
  • Post payments and maintain Accounts Receivable (A/R)
  • File appeals to insurance and to insurance commissioner as needed
  • Stay informed about Payor and Industry Billing rules
  • Assist Billing Manager to train, direct, develop, and evaluate new staff
  • Develop and perform quality assurance audits to ensure timelines for billing are being met
  • Measure and monitor key metrics related to work performance
  • Foster a positive work environment for colleagues
Requirements
  • Bachelor's degree in a related field
  • 2-3 years of experience in billing for ABA, speech therapy, occupational therapy, and physical therapy
  • 1-2 years of account management experience
  • Experience working directly with both major commercial insurance companies and state Medicaid programs
  • Exceptional attention to detail, critical thinking, and excellent communication with clients and insurance companies
  • Experience using Kareo Billing software
Preferred Experience and Skills
  • CPB or other professional billing designation is strongly preferred
  • Proficient using and fluent in Microsoft Suite (Outlook, Excel, Word)
Benefits
  • PTO after a 90-day introductory period
  • Paid Holidays with an additional (1) Floating Holiday
  • Generous Health, Dental, and Vision benefits package
  • 401k + Matching

RethinkFirst is an equal opportunity employer and is committed to providing a workplace free from harassment and discrimination. We celebrate the unique differences of our employees because that is what drives curiosity, innovation, and the success of our business. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.



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