Billing Specialist

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 Billing Specialist is responsible for working with our clients to ensure the timely and accurate processing of their claims while mitigating denials due to missing data.

Main Responsibilities:

Pull billing exports for all accounts assigned following the guidelines set by the RCM team.
Scrub billing according to payor rules. Make sure that you are looking at the payor rules in SharePoint
Update payer rules as needed in the RCM share drive
Upload / Enter charges
Run summary reports and save to client files as required
Submit claims in a timely manner
Generate unverified appointments and upload them into the client’s folder for their eview
Notify the client when billing is complete
Fix/Manage all rejections
Correct Claims that had errors
Communicate issues or opportunities to improve billing processes to your manager
Submit secondary claims as needed

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. This includes knowing commercial insurance guidelines, procedures, rules and regulations.
Experience using Billing Software, EMR and Clearinghouse systems (Azalea, Tebra, Waystar, Trizetto, Availity, Stedi)
Experience using insurance company websites/portals
Proficient in using Microsoft Suite (Outlook, Excel, Word)
Willing to learn and must positive attitude even when working under pressure.
Strong verbal and interpersonal skills
Must be able to multi-task and manage your time.
This role requires exceptional attention to detail, critical thinking and excellent communication with internal teams and insurance companies

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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Billing Specialist

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