ABA Billing Specialist - Part time

Job Description: ABA Billing Specialist

Join the Possibilities Northeast Team! We’re looking for an ABA Billing Specialist, part time, 25-28 hours per week.

The ABA Billing Specialist will be responsible for credentialing, shared billing tasks, overseeing authorizations, claims submissions, collections, and payment postings in a timely manner, The Billing Specialist will also follow up with third-party payers and clients, and manage A/R based on the established goals.

Essential Duties and Responsibilities:

• Perform job tasks on-site in a clinic setting
• Collect and verify client insurance information needed to complete the billing process on a monthly basis
• Complete all necessary insurance forms, schedules, and other tasks needed to process claims in a timely manner as required by all third-party payers
• Reconcile sessions daily to ensure all have been converted and authorizations are correctly linked
• Collaborate with clinical team to ensure notes are converted, and billing entries are accurate and completed in a timely manner for submission
• Transmit claims daily to third-party payers
• Research and resolve claim delays within 24 hours
• Proactively follow up on pending claims within a few days of submitting
• Resolve client concerns and requests regarding insurance billing in a courteous manner, and initiate accurate adjustments and payment terms
• Manage billing conflicts and follow them through to resolution
• Submit secondary and tertiary insurances as needed
• Follow up on denials and resubmit claims as needed
• Maintain confidentiality in regard to patient account status and the financial affairs of the clinic following HIPAA and company policy
• Communicate effectively to payers and/or claims clearinghouse to ensure accurate and timely filed claims per department guidelines
• Responsible for monthly billing cycle/patient statements
• Process Credentialing and Authorizations as directed
• Retain records as required by law and company policy
• Generate online reports and deliver as directed

Skill & Physical Requirements:

• Possess basic medical terminology
• Familiar with computerized billing systems and EOBs
• Organized and efficient
• Able to communicate with co-workers, billers, supervisors and clients in a courteous and effective manner
• Discernment for effective problem-solving and decision-making
• Manual dexterity for processing claims
• Able to speak clearly and concisely
• Able to read, understand, and follow oral and written instruction
• Able to lift 35 pounds
• Able to sit and stand for long periods of time, go up and down stairs multiple times per day
• Able to be physically present in clinic

Education and Experience:

• High school diploma and at least two years’ experience in an ABA or medical business setting

Pay: $22.00 - $25.00 per hour

Benefits:

• 401(k) matching
• Paid time off

Ability to Commute:

• Fort Wayne, IN 46808 (Required)

Work Location: In person

Salary : $22 - $25