Billing Operations Specialist

2 weeks ago


Peachtree Corners, Georgia, United States Atlanta Autism Center Inc Full time
Job Summary

We are seeking a highly skilled Billing Specialist to join our team at Atlanta Autism Center Inc. The successful candidate will be responsible for managing the billing process, ensuring timely and accurate claims submissions, and maintaining excellent relationships with third-party payers and clients.

Key Responsibilities
  • Develop and implement billing processes, policies, and procedures in collaboration with the VPO and Leadership Team.
  • Collect and verify patient insurance information, complete insurance forms, and schedule peer reviews to process claims in a timely manner.
  • Reconcile sessions daily to ensure all sessions have been converted and authorizations correctly linked.
  • Work with Practice Managers to ensure notes are converted, billing entries are accurate, and completed in a timely manner for submission.
  • Transmit daily electronic claims to third-party payers, research and resolve any electronic claim delays within 24 hours.
  • Proactively follow up on pending claims within a few days of submitting.
  • Resolve patient complaints and requests regarding insurance billing in a courteous manner, initiate accurate account adjustments/pmt arrangements.
  • Maintain confidentiality in regard to patient account status and the financial affairs of the clinic as required by HIPAA and signed confidentiality agreement.
  • Communicate effectively to payers and/or claims clearinghouse to ensure accurate and timely electronically filed claims as per department guidelines.
  • Responsible for monthly billing cycle/patient statements, reconcile with administration for month end, and follow all guidelines as set forth by HIPAA.
  • Credentialing and Authorizations as needed, train and supervise billing staff, organize and maintain order and cleanliness of Billing, and record retention as required by law.
Requirements
  • Requires 2 years minimum experience in an ABA or 5 years in a medical business office setting.
  • Familiarity with CentralReach, and/or ABA, SLP or OT billing.
  • Billing/Coding certification a plus.


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