Customer Billing Advocate

Remote

Full Time

RCM

Mid Level

Rethink Behavioral Health is the leading global provider of online research-based resources to support individuals with developmental disabilities. Our behavioral health platform (http://RethinkBH.com) provides clinical, staff training and practice management tools for private ABA service providers. Due to autism insurance mandates sweeping the nation, our behavioral health division is experiencing unprecedented growth. Therefore, we are looking for the right person to join our billing service team.

Our Billing Services Division specializes in Revenue Cycle Management and Enrollment and Credentialing services. We are growing and are looking for new team members that will offer our clients best in class billing services. We support mission-oriented companies that impact the lives of thousands of individuals with autism and their families. We are excited to offer the opportunity for professional and collaborative individuals to grow and be part of something exciting.

The Customer Billing Advocate is responsible for supporting our billing teams by working with insurance companies to ensure efficient and prompt reimbursement for therapy sessions for our customers and actively pursuing all outstanding A/R for customers supported within the RCM division. This is a client facing position that requires a willingness to be a “hands on” as needed while managing multiple accounts.

Main Responsibilities:

Ensure strict HIPAA-compliant confidentiality with all client-related data.
Serve as a point of contact for all customers within assigned POD structure
Prepare and Lead customer meetings to review open AR and mitigation plans for denials.
Be the expert on assigned accounts and act as lead for communication between billing, posting and enrollment & credentialing teams.
Work closely with Customer Success Team to align on customer needs, priorities & retention strategies.
Review customer account reports, requests for information from clients and track progress to ensure any concerns and requests for information are being resolved in a timely manner
Own all incoming account specific tickets in SalesForce. Work with Customer Success Team, Billing and Posting teams to obtain correct information and resolve outstanding items
Monitor and analyze customer account health compared to industry benchmarks and identify actions needed to resolve outstanding issues and/or projects
Delegate out work to assigned POD AR Reps to support collections, issues, trends identified by teams during POD huddles
Coordinate POD huddles across functional teams to address shared accounts in POD
Work closely with the internal Compliance team on accounts identified above benchmarks or at risk
Address customer at-risk plans and ensure proper actions are delegated & resolved by members within the POD
Review A/R Aging Reports and follow up on rejections and denials as needed to support POD goals and projects
File appeals to insurance and to insurance commissioner as needed
Submit corrected claims when needed
Research specific payor billing rules as needed
Review & interpret payor contracts when applicable
Stay informed about Payor and Industry Billing rules
Measure and monitor key metrics related to work performance
Foster a positive work environment for colleagues

Requirements:

HS Diploma or Equivalent
ABA billing experience
Minimum 2-5-years experience in billing both major commercial insurance companies as well as state Medicaid programs
Minimum 2-7 years account management experience
Experience using insurance company websites/portals
Proficient in using Microsoft Suite (Outlook, Excel, Word)
Willing to learn, positive attitude and love a good challenge
Strong verbal and interpersonal skills
Experience working with global employees
This role requires exceptional attention to detail, critical thinking and excellent communication with internal teams and insurance companies

Preferred Qualifications:

Speech, OT and Mental Health billing experience
Minimum 3-5-years’ experience working in an office setting
Experience using Billing Software, EMR and Clearinghouse systems (Rethink, Azalea, Tebra, Waystar, Trizetto, Availity)

Benefits:

PTO and Vacation Days after a 90-day introductory period

Paid Holidays

Generous Health, Denial & Vision benefits package

401k + Matching

Job Type: Full-time, Monday-Friday (8-5 PM) Hourly

Remote opportunities are available only in the following states: AL, AR, AZ, CA, CO, FL, GA, ID, IL, IN, IA, MO, NC, NE, NY, OH, PA, SC, TN, TX, UT, VA

Our commitment to an inclusive workplace

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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Customer Billing Advocate

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