✓Ensure strict HIPAA-compliant confidentiality with all client-related data
✓Review customer account reports and follow up to ensure any flags/concerns are notated proactively and communicated to the Customer Billing Advocate (CBA)
✓Review A/R Aging Reports and follow up with insurance companies regarding expected reimbursement for outstanding claims
✓Notate & document all follow up work on aging claims within A/R Aging Reports as required and documented in standard SOPs
✓Meet expectations on deadlines for completion of A/R Aging Reports for each customer supported within POD
✓Follow up on denials immediately and communicate any trends to CBA
✓Follow up on any open A/R tickets in Salesforce as assigned by CBA
✓Meet deadlines assigned for A/R work as assigned by CBA
✓Utilize denial management platforms for submission of appeals, reconsideration requests, etc.
✓Research specific payor billing rules as needed
✓Follow up on claims submitted electronically for primary and secondary payors
✓Submit corrected claims when needed
✓Attend POD meetings and contribute to agenda items as designated by CBA
✓Post payments or submit missing payments to posting team and maintain A/R as assigned
✓File appeals to insurance and to insurance commissioner as needed
✓Stay informed about Payor and Industry Billing rules
✓Review & interpret payor contracts when applicable
✓Measure and monitor key metrics related to work performance
✓Attend customer meetings as needed with CBA
✓Work to meet POD goals collectively as cohesive team
✓Foster a positive work environment for colleagues
✓HS Diploma or Equivalent
✓ABA billing experience
✓Min. 1-year experience in billing; major commercial insurance companies and state Medicaid programs
✓Experience using insurance company websites/portals
✓Proficient in using Microsoft Suite (Outlook, Excel, Word)
✓Willing to learn, positive attitude and love a good challenge
✓Professional writing & phone skills
✓This role requires exceptional attention to detail, critical thinking and excellent communication with internal teams and insurance companies
✓Bachelor’s degree
✓Speech, OT and Mental Health billing experience
✓Minimum 1-year experience working in an office setting
✓Minimum 1-year experience in billing company setting
✓Experience using Billing Software, EMR and Clearinghouse systems (Rethink, Azalea, Tebra, Central Reach, Waystar, Trizetto, Availity)
✓Experience using denial management platform (DocVocate)
✓Bachelor’s degree preferred/ HS Diploma or Equivalent required.
✓PTO and Vacation Days after a 90-day introductory period
✓Paid Holidays
✓Generous Health, Denial & Vision benefits package
✓401k + Matching