Revenue Cycle Specialist

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.

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 toward people with other interests who think outside the box and push the status quo.

Responsibilities

• Submit claims, process follow-up on payer appeals, and 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.
• Contact insurance carriers as needed to get maximum payment on accounts and identify issues or changes to achieve profitability.
• Perform secondary billing and patient invoicing along with follow-up.
• Process online adjustments to insurance claims.
• Comply with audit requests by insurance carriers in a timely fashion.
• When necessary, review medical records and resubmit claims with appropriate documentation to expedite claims processing (adhering to confidentiality requirements).
• Accurately process corrections on accounts and/or active claims by error correcting or voiding transactions.
• Post appropriate adjustments as needed.
• Thoroughly research credit balances and process 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 participate in departmental and/or organizational process improvement initiatives.
• Assist 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.
• Work on special projects related to A/R clean up as requested by the manager.
• Perform other tasks as requested.

Requirements

• 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—familiarity with Central Reach is 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.
• Candidates must reside in California, Arizona, Texas, Washington, or Colorado.

Benefits

• 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 a 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.