What are the responsibilities and job description for the Billing Assistant position at Holding Hands OpCo LLC?
Description
The Billing Assistant is responsible for ensuring accurate and timely billing of patient claims. This position works within the Billing and Admissions department and understands the downstream affect on company revenue and profitability.
Key Responsibilities
- Adhere to all company policies and procedures.
- Meet all deadlines and goals as assigned.
- Adhere to strict legal and ethical billing procedures.
- Ensure timely and accurate collection, preparation, and verification of billing information submitted in the EMR billing system.
- Review billing collection and denial reports and recommend changes for corrected claims.
- Serve as a liaison to payors and patients for questions, data requests, and other inquiries.
- Review charge entries for complete CPT code, ICD-10 code, and other required billing information daily.
- Compare coding to notes/documentation and communicate with providers to clarify errors, correct coding and prepare appeals and reconsideration requests. Appeal complex denials through review of payer policies, coding, contracts, and medical records. Utilize subject matter experts as needed.
- Analyze/audit notes and ensure the appropriate codes are charged in order to maintain billing compliance and prevent denials.
- Identify denial trends and train practice staff to avoid denials in the future, emphasizing accurate charge capture, appropriate authorization review, etc.
Skills, Knowledge & Expertise
- College level courses with a minimum of 3-5 years of relevant work experience or equivalent combination or training and relevant work experience, required.
- Proven experience in commercial and Medicaid billing or coding, in a healthcare setting.
- Working knowledge of medical terminology, required.
- Ability to multitask and prioritize.
- Must have communication, interpersonal, and computer skills.
- Ability to develop and maintain effective working relationships with staff and patients.
- Detail-oriented with high level of accuracy for reviewing charge batch submissions, analyzing and correcting coding denials, preparing, and presenting analyses.
- Remain up to date with industry requirements.
- Efficient in Microsoft office, required.
Required Travel: 100% office based position
Job Benefits
- 401(k) with a company match
- Sick/mental wellness time off & Paid Time Off
- Paid Trainings & continued education allowance
- Medical, dental, and vision insurance
- Paid Holidays
- Unlimited Referral Bonus
- Annual Performance Reviews with an opportunity for pay increases
- Flexible and supportive company culture
- Team-building social events throughout the year
About Holding Hands OpCo LLC
Holding Hands was founded in 2003. We currently have 5 clinics based throughout LA County (Burbank, Calabasas, Los Angeles, Whittier, & Rosemead), plus we are opening at least 4 additional clinics this year! We serve over 1,500 neurodiverse individuals in the home, school, clinic, and community per week. We serve children, teens, and adults with various neurodiverse diagnoses such as Autism Spectrum Disorder, Down Syndrome, ADHD, Cerebral Palsy, Epilepsy, Anxiety, OCD, and related developmental and mental health needs.
What differentiates us is our interdisciplinary and person-centered approach. With multiple modalities accessible, we can better support our clients and families’ individual needs and provide training opportunities in different modalities. We provide ABA, Social Skills Groups, Modified Cognitive Behavior Therapy, Counseling and DIR®/ Floortime™ We take a person-centered approach and focuses on the child's strengths and individual differences, while developing an intervention plan that addresses his or her unique profile.
“We practice what we preach” as diversity, equity, and inclusion is continuously embraced throughout Holding Hands. We serve a diverse population in a variety of SES areas and advocate for those who are underserved or may have barriers to access care. We are all learning and growing together and our company's culture promotes this space.
Holding Hands is an equal opportunity employer. We will not discriminate and will take affirmative action measures to ensure against discrimination in employment, recruitment, advertisements for employment, compensation, termination, upgrading, promotions, and other conditions of employment against any employee or job applicant on the bases of race, color, gender, national origin, age, religion, creed, disability, veteran's status, sexual orientation, gender identity or gender expression. Holding Hands Inc. does not and shall not discriminate based on race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities/operations. These activities include staffing on cases, hiring and firing of staff, selection of volunteers and vendors, and provision of services. We are committed to providing an inclusive and welcoming environment for all members of our staff, clients, families, and our vendors.
Holding Hands will consider qualified applicants with a criminal history pursuant to the California Fair Chance Act. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if Holding Hands is concerned about conviction that is directly related to the job, you will be given the chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report. Find out more about the Fair Chance Act by visiting the Civil Right’s Department Fair Chance Act webpage.