Revenue Cycle Specialist

Job description

MeBe Family is a provider of evidence-based therapies for children with autism and other special needs. Our mission is to empower families, professionals, and communities by educating and training them on evidence-based approaches. Our secret sauce? Play-filled, research-based care across multi-disciplines including ABA, Speech and OT. At MeBe, you’ll be offered more than a job. You’ll receive training and support to develop a career in Applied Behavior Analysis and grow as an individual. You’ll work with extraordinary team members who share a common goal, to help children with autism be their best selves. Your days will be filled with meaning and purpose. MeBe is seeking a Revenue Cycle Specialist specializing in ABA - Applied Behavioral Analysis, Speech Therapy and Occupational Therapy. We are looking for an experienced individual who has a solid understanding of all aspects of the revenue cycle process from knowledge of insurance verification to ensure the accuracy and timely processing of claims, maximize revenue, and minimize financial risks to the organization. The candidate should have the essential skills to exercise good judgment and demonstrate professionalism. Candidates must reside in California, Arizona, Texas, Washington, or Colorado. About You: - You take pride in your work, pay attention to the small details and have a reputation for doing high quality work. - You value transparency and operate with candor and compassion. You inspire others to be their best selves. - You love to weave fun and laughter into whatever you do. Making a positive impact is what drives you - You value individuality and find yourself gravitating towards people with other interests who think outside the box, and push the status quo. About What You’ll Work On: - Submit claims, processes follow-up on payer appeals, and will communicate with manager on status of claims - Ensure claims are coded correctly according to the current CPT, ICD-10, and HCPCS guidelines. - Follow up on accounts receivable. Contacting insurance carriers as needed to get maximum payment on accounts and identify issues or changes to achieve profitability - Performs secondary billing & patient invoicing along with follow up. - Process on-line adjustments to insurance claims. - Complies with audit requests by insurance carriers in a timely fashion. - When necessary, reviews medical records and resubmits claims with appropriate documentation to expedite claims processing (adhering to confidentiality requirements). - Accurately processes corrections on accounts and/or active claims by error correcting or voiding transactions. Posts appropriate adjustments as needed. - Thoroughly researches credit balances and processes insurance refunds or adjustments as needed. - Responsible for keeping up to date with current insurance billing requirements and stays current on new billing guidelines. - Actively participates in departmental and/or organizational process improvement initiatives. - Assists providers and staff in other departments with insurance and billing inquiries in a friendly and professional manner while on the phone or corresponding through email. - Works on special projects related to A/R clean up as requested by the manager. - Performs other tasks as requested. Qualifications: - Minimum of 3+ years of billing experience, required. - Associate and/or Medical Billing Certification preferred. (AHIMA, AAPC) - Knowledge of Behavioral Health and ABA medical billing, medical codes & practices, required. - Familiar with most Medical Insurance Payors (Medicare, Medi-Cal, HMO, FFS, TPAs, PPO and IPAs), required. - Knowledge of Occupational Therapy, and Speech-Language Therapy billing codes & practices, preferred. - Computer experience is essential, including, but not limited to practice management software - familiar with Central Reach a HUGE plus. - Reliable internet, required. - High degree of accuracy and attention to detail. - Strong oral / written communication skills. - Ability to multitask in a fast-paced environment while dealing with frequent interruptions. - Possess a strong sense of urgency, organized and energetic team player who can work in both a team environment and independently. - Punctual, dependable, adaptable and responsible; able to pick up and learn tasks quickly. Self-starter. - Excellent customer service skills. - Strong desire to meet the needs of families. Benefits Include: - Industry Benchmarked, competitive pay based on location and experience - $23– $27 per hour - Paid days off - Medical, Vision, Dental- Anthem Insurance; 80% Employee, 50% Dependents - Life, AD&D, Accident, Hospital Indemnity, Short Term Disability, and Critical Illness Insurance - Invest in your mental health with access to free mental health sessions - Protect your pet with discounted pet insurance - Secure your future with our 401k program - Tuition discounts available to all employees through our University Partnerships - Expansive treatment spaces - Options for positions in variety of settings: clinic; in-home - Scheduling department handles reschedules, cancellations and permanent changes to schedules - Work tools provided - Company sponsored, fun events for everyone We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.