Position Description:
The Specialist is responsible for overseeing all insurance authorization process for ABA therapy, including but not limited to: as initial benefit verification, pre-authorization, claims submission, denials, and appeals.
Coordinate with clinical director to check benefits, when needed.
Coordinate with clinical director to achieve pre-authorizations for all therapy codes. This includes: gathering information, submitting using proper method, and following up as needed.
Check eligibility and benefits verification for Medicaid patients monthly
Verify authorizations and follow-up on pending authorizations as needed
Maintain client confidentiality per HIPAA Privacy Rule Regulations
Communicate issues, info and support needs to Clinical Director and CEO
Prepare various reports as needed for CEO
Reconcile all issues with online platform and clearinghouse, then submit claims.
Follow up on claims and denials, as needed.
Coordinate with Clinical Director to submit appeals, and follow up on appeals.
Other duties as assigned, requested, and/or necessary
Qualifications:
This person must be comfortable with computers, general office tasks, and excel at both verbal and written communication
Experience with billing software preferred
A positive team player and energetic professional
Strong organizational habits with attention to detail and accuracy
Good time management skills along with the ability to manage multiple tasks
Ability to analyze/solve problems and work in a fast-paced environment
Strong communication skills, specifically able to communicate via phone with insurance providers to receive needed information.
Competitive Pay & Benefits
Pay range, $18-$21, depending on experience
12 PTO days & 10 Paid Holidays per year
Health, Dental, Vision, Life, & Voluntary Life Insurance Coverage
Supportive & Collaborative Teamwork
Job Type: Full-time
Salary: $18.00- $21.00 per hour
Schedule:
Monday to Friday, 8am-430pm (with 30 minute lunch break) or similar
Education:
High school or equivalent (Required)
Experience:
Authorization & Billing: 1 year or more preferred
Work Location: Marion, IN office, with travel to Wabash, IN as needed.
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