Brief Description

Inside Sales Representative (Single Case Agreement (SCA) Specialist) Exact Billing Solutions

Lauderdale Lakes, FL

About Exact Billing Solutions

Exact Billing Solutions is a unique team of medical billing professionals specializing in the substance use disorder, mental health, and autism fields of healthcare services.

We have extensive industry knowledge, a deep understanding of the specific challenges of these markets, and a reputation for innovation.

Growth Opportunity

If you have experience in healthcare admissions or even inside sales, and you are looking for a new opportunity at a stable, growing company that supports and values its team members, we want to talk to you!

Reporting to the Single-Case Agreement (SCA) Manager, the Single-Case Agreement (SCA) Specialist will help families in our autism care program navigate the SCA process.

The Single-Case Agreement (SCA) Specialist will serve as a utilization-review advocate for families regarding authorizations from health insurance providers.

In this role, you will assist in educating potential clients on our philosophy and treatment plans and motivate qualified clients to engage in the SCA process.

The primary job focuses on data entry, follow-up calls, and negotiations. The successful candidate will be sales-oriented with a keen sense of empathy.

What You Will Do

• Serve as the primary point of contact for families and insurance companies throughout the SCA process
• Communicate effectively with families to gather necessary information and provide guidance on the admissions process
• Use inside-sales techniques to identify and engage potential clients, promote our ABA services, and explain the benefits of single-case agreements
• Collaborate with clinical teams to develop individualized treatment plans and gather supporting documentation to present to insurance companies
• Advocate for clients' needs by negotiating with insurance companies to secure SCAs for ABA services
• Maintain detailed records of all communications with families, insurance providers, and internal stakeholders
• Monitor the progress of SCAs and maintain regular communication with families to provide updates and address concerns
• Stay current on industry regulations, trends, and best practices to ensure compliance and effective advocacy for our clients
• Participate in ongoing professional development and training opportunities to enhance expertise in the ABA and ASD fields

Requirements

Education / Experience and Other Requirements

• 2 years of experience in admissions or inside sales, preferably in the ABA or ASD service industry
• Strong understanding of the Single-Case Agreement process and insurance regulations
• Proven track record in negotiation and advocacy on behalf of clients
• Willingness to submit to drug and background screenings
• Proficiency in Microsoft Office Suite and CRM systems

Expertise Needed

• Ability to build rapport with families, insurance providers, and internal stakeholders
• Proven sales aptitude
• Proper telephone etiquette
• Detail-oriented, with strong organizational and time management skills
• Ability to work independently and as part of a team in a fast-paced environment
• Attention to detail and critical thinking skills
• Familiarity with ABA therapy principles and practices is a plus
• Ability to work independently and with a team
• Professional or personal experience with ASD and / or ABA therapy

Summary

Benefits

• 15 days of PTO (increases with tenure by company policy)
• Medical, dental, vision, long-term disability, and life insurance
• Flexible Spending Account (FSA) and Health Savings Account (HSA) options
• 401(k) program with generous employer match up to 6%

Exact Billing Solutions Culture

Integrity. Dependability. Attention to detail. All our team members exhibit these qualities when it comes to doing business.

And when it comes to the business of supporting a team, as a company, we offer no less to our team members. We’re a fast-paced, growing company delivering services that allow our clients to spend more time helping people.

At the end of the day, it's people, not numbers, that drive our success.

Recruiter ID :

Last updated : 2024-05-16