What are the responsibilities and job description for the ABA Billing Specialist position at Atlanta Autism Center?
Description:
The ABA Billing Specialist will be responsible for credentialing, shared billing tasks, and overseeing authorizations. The Billing Specialist is responsible for all claims submissions, collections, and payment postings in a timely manner. Responsible for follow-up with third-party payers and clients. Also responsible for keeping A/R to a minimum as set forth in established goals. Additional tasks in full job description.
Essential Duties And Responsibilities:
The ABA Billing Specialist will be responsible for credentialing, shared billing tasks, and overseeing authorizations. The Billing Specialist is responsible for all claims submissions, collections, and payment postings in a timely manner. Responsible for follow-up with third-party payers and clients. Also responsible for keeping A/R to a minimum as set forth in established goals. Additional tasks in full job description.
Essential Duties And Responsibilities:
- Perform job tasks on-site
- Develops and implements billing processes, policies and procedures in collaboration with VPO and Leadership Team
- Documents and creates SOPs for all Billing processes for training
- Collects and verifies all patient insurance information needed to complete the billing process on a monthly basis
- Completes all necessary insurance forms, schedules peer reviews, and other tasks needed to process claims in a timely manner as required by all third-party payers
- Daily reconciliation of sessions to ensure all sessions have been converted and authorizations correctly linked
- Works with Practice Managers to ensure notes are converted, billing entries are accurate and completed in a timely manner for submission
- Transmits daily all electronic claims to third-party payers. Researches and resolves any electronic claim delays within 24 hours
- Proactively follows up on pending claims within a few days of submitting
- Submits any paper claims and supporting documentation as required by payers
- Resolves patient complaints and requests regarding insurance billing in a courteous manner, initiates accurate account adjustment/ pmt arrangements
- Follows all billing problems to conclusion
- Submits secondary and tertiary insurances
- Follows up on denials and resubmits insurance claims as required
- Maintains confidentiality in regard to patient account status and the financial affairs of the clinic as required by HIPAA and signed confidentiality agreement
- Communicates effectively to payers and/or claims clearinghouse to ensure accurate and timely electronically filed claims as per department guidelines
- Responsible for monthly billing cycle/ patient statements
- Reconciles with administration for month end
- Follows all guidelines as set forth by HIPAA
- Credentialing and Authorizations as needed
- Trains and supervises billing staff
- Organizes and maintains order and cleanliness of Billing
- Record retention as required by law
- Generates reports and delivers to VPO as requested
- ABA Billing experience
- Familiarity and experience with CentralReach
- Knowledge of office procedures
- Ability to speak clearly and concisely. Ability to read, understand, and follow oral and written instruction
- Basic medical terminology
- Ability to interpret an EOB and knowledge of computerized billing systems
- Ability to develop goals, prioritize, organize and make most efficient use of time
- Ability to communicate with patients in a courteous yet stern manner to collect on delinquent accounts
- Ability to use individual judgement to solve problems and make decisions
- Requires 2 years minimum experience in an ABA or 5 years in a medical business office setting
- Familiarity with CentralReach, and/or ABA, SLP or OT billing
- Billing/Coding certification a plus
- Candidates must be available to work on-site, as this is not a remote position
