| Location | Hendersonville, NC |
Billing Specialist Job Description
Job Overview: Process and submit client insurance billing
Work Schedule: Monday – Friday, 8:00 AM – 4:00 PM
Employee Classification: Hourly, Full-time
Qualifications: High school diploma or higher. Proficiency with Microsoft Office Suite (Excel, Word, PowerPoint, Publisher, Access), Google Business Suite. Experience with database software such as Central Reach is a plus.
Essential Responsibilities: The primary duties of the position include:
Billing
Prepare, review and bill claims via Central Reach/OfficeAlly, NCTracks Portal
Check claim status on appropriate payors systems and contact insurance as needed
Resolve denials for unpaid and rejected claims, follow up on outstanding claims and adjust accordingly
Send medical records and other documentation to payors, as requested
Review timesheets and billing entries in Central Reach to ensure accurate information
Post payments (electronic and manual) in billing software
Collaborate as needed to ensure all requirements are obtained for timely enrollment of clients and submission for authorizations
Authorizations:
Collaborate to ensure timely and accurate verification of client’s ABA benefits eligibility through primary and secondary payers
Gather and submit required documentation to gain authorization for ABA services, following up within the agency as necessary
Send requested information to insurance carriers, as needed
Foster relationships with payor partners, follow-up on submitted authorization requests
Monitor and report on the status of authorization requests and issues
Work with the leadership to ensure timely completion of documentation
Practice Management Software:
Manage client accounts, upload documentation required for billing, add payers, connect clients to providers and service codes, fee schedules, etc.
Perform weekly billing audit, screen for non-billable time, code overlaps, schedule inconsistencies, code requirements and MUEs
Document insurance billing related correspondence in the appropriate location, for example: calls and relevant/important information
Scan documents such as authorization letters, EOB's, correspondence from payers and upload into practice management software
Assist leadership with updating billing software with rate changes
Contact Central Reach to resolve any issues
Other:
Track and report back any missing materials for insurance onboarding to appropriate departments
Attend webinars and report back to relevant parties as directed
Follow HIPAA regulations when handling all patient information