ABA Billing Specialist

About the role

The Atlanta Autism Center is hiring an ABA Billing Specialist to join our team. This position is currently open at multiple centers including Lawrenceville, Norcross, Flowery Branch, Alpharetta, Loganville, and Covington.

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
• Collections 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
• Sends 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 adjustments/pmt arrangements
• Follows all billing problems to conclusion
• Sets up secondary and tertiary insurances
• Resolves 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
• Generates reports and delivers to VPO as requested

Requirements

• ABA Billing experience
• eClinical, EMR and ECWFamiliarity 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

Qualifications

• Requires 2 years minimum experience in an ABA or 5 years in a medical business office setting
• Billing/Coding certification a plus