United States onlyRethink Behavioral Health is the leading global provider of online research-based resources to support individuals with developmental disabilities. Our behavioral health platform (http://RethinkBH.com) provides clinical, staff training and practice management tools for private ABA service providers. Due to autism insurance mandates sweeping the nation, our behavioral health division is experiencing unprecedented growth. Therefore, we are looking for the right person to join our billing service team.
Our Billing Services Division specializes in Revenue Cycle Management and Enrollment and Credentialing services. We are growing and are looking for new team members that will offer our clients best in class billing services. We support mission-oriented companies that impact the lives of thousands of individuals with autism and their families. We are excited to offer the opportunity for professional and collaborative individuals to grow and be part of something exciting.
The A/R Specialist is responsible for supporting our billing teams by working with insurance companies to ensure efficient and prompt reimbursement for therapy sessions for our customers and actively pursuing all outstanding A/R for customers supported within the RCM division.
Main Responsibilities:
Review A/R Aging Reports and follow up on rejections and denials
File appeals to insurance and to insurance commissioner as needed
Submit corrected claims when needed
Be the expert on assigned accounts and act as lead for communication between Customer Success Team and billing and posting teams.
Review customer account reports, requests for information from clients and track progress to ensure any flags, concerns and requests for information are being resolved in a timely manner
Own all incoming account specific tickets in SalesForce. Work with Customer Success Team, Billing and Posting teams to obtain correct information and resolve outstanding items
Monitor and analyze customer account health compared to industry benchmarks and identify actions needed to resolve outstanding issues and/or projects
Work closely with the internal Compliance team on accounts identified above benchmarks or at risk
Research specific payor billing rules as needed
Ensure strict HIPAA-compliant confidentiality with all client-related data
Review & interpret payor contracts when applicable
Stay informed about Payor and Industry Billing rules
Measure and monitor key metrics related to work performance
Foster a positive work environment for colleagues
Requirements:
HS Diploma or Equivalent
Willing to learn
Positive attitude and loves a good challenge
Professional phone skills
This role requires exceptional attention to detail, critical thinking and excellent communication with internal teams and insurance companies
Preferred Qualifications:
Previous ABA billing experience. Speech, OT and Mental Health would be a plus.
Minimum 1-year experience working in an office setting
Minimum 1-year experience in billing both major commercial insurance companies as well as state Medicaid programs
Experience using Billing Software, EMR and Clearinghouse systems (Azalea, Kareo, Waystar, Trizetto).
Experience using insurance company websites/portals
Proficient using Microsoft Suite (Outlook, Excel, Word)
Education:
Bachelor’s degree preferred/ HS Diploma or Equivalent required.
Benefits:
PTO and Vacation Days after a 90-day introductory period
Paid Holidays
Generous Health, Denial & Vision benefits package
401k + Matching
Job Type: Full-time, Monday-Friday (8-5 PM) Hourly
Remote opportunities are available only in the following states:AL, AR, AZ, CA, CO, FL, GA, ID, IL, IN, IA, MO, NC, NE, NY, OH, PA, SC, TN, TX, UT, VA
Our commitment to an inclusive workplace
RethinkFirst is an equal opportunity employer and is committed to providing a workplace free from harassment and discrimination. We celebrate the unique differences of our employees because that is what drives curiosity, innovation, and the success of our business. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.
