[Hiring] ABA RCM Coordinator @Willow ABA Services
Role Description The ABA RCM Coordinator will be focused on working accounts receivable, posting payments, performing quotes of benefits, and credentialing. This person will use excellent problem-solving skills to resolve billing issues and ensure timely recovery of underpaid/unpaid insurance claims.
- Insurance Billing
- Billing secondary claims through CentralReach
- Follow-up on all underpaid/unpaid insurance claims
- Timely assemblance and execution of recovery plan
- Preparation of progress reporting presented at weekly check-in with RCM Director
- Manage all escalation requests with insurance partners
- Create appeals and escalation efforts when necessary
- Credentialing
- Complete all necessary steps to credential staff in timely manner
- Regularly audit all staff members to stay ahead of any potential credentialing issues or lapse in expiring documents
- Research and document the everchanging requirements for each insurance carrier to mitigate potential issues before they arise
- Effectively communicate with the appropriate party on notifications of upcoming lapses, due dates, etc.
- Quote of Benefits
- Providing prospective families a quote of benefits through their insurance carrier, outlining their patient responsibility for services
- Notating any irregularities with their insurance plan or ABA specific requirements such as prior authorizations required, age or service limits, etc.
Qualifications
- High school diploma or GED
- Experience communicating with insurance providers, preferably in healthcare
- Familiarity with HIPAA compliance and healthcare industry standards
- Extreme attention to detail, must excel at researching, administrative tasking and self-motivation
- Creative problem-solving
- Professional written & verbal communication
- Ability to manage multiple tasks and ensure a high level of service
- Preferred: 2+ years of ABA experience, any ABA experience will be considered
- Familiarity with Microsoft products
- 1+ year of experience managing all aspects of insurance billing and collections, experience with ABA billing strongly preferred
- Familiarity with the components of a CMS 1500 claim form
- Familiarity with insurance coding (e.g., use of place of service, use of modifiers, etc.)
- Experience with CentralReach and Monday.com
Requirements
- Full-Time | 100% Remote | Monday-Friday 8:00am-5:00pm
- Hourly $20-23/hr
- A background check will be required for this position
- Must be a U.S. authorized employer
- Unfortunately, we cannot sponsor individuals with a work visa now
Benefits
- Medical/Dental/Vision insurance
- Paid time off
- Health savings account
- 401(k) matching
- Discounts on Education with partnered Universities
- Parental leave
- Employer Provided Technology Package
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