Billing Specialist

RethinkFirst•Indianapolis, IN

6d•Remote

About The Position

The RCM Billing 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 through timely and clean claim submission. Our Billing Services Division specializes in Revenue Cycle Management, Enrollment and Credentialing, and Benefit Authorization Management 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.

Requirements

1-2 years of billing experience in speech, occupational, and ABA therapy.
Strong knowledge of CPT coding and billing rules for major health insurance companies
Experience working directly with large insurance companies such as Blue Cross Blue Shield, Cigna, Magellan, etc.
Proficiently using Billing Software and Clearinghouse systems (Azalea, Kareo, Waystar, TriZetto, Azalea, Central Reach).
Proficient using Microsoft Suite (Outlook, Excel, Word).

Nice To Haves

Previous ABA, Speech, OT, and Mental Health billing experience.
Minimum 1-2 years’ 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 insurance company websites/portals
Proficient using Microsoft Suite (Outlook, Excel, Word)

Responsibilities

Ensure strict HIPAA-compliant confidentiality with all client data and claims
Manage and operate in multiple different billing platforms dependent on client needs which could include Azalea, Tebra, Central Reach and/or Rethink Integrated Billing Module
Manage assigned client accounts billing scrubs for primary and secondary claims
Submit claims electronically for primary and secondary payors
Solve clearinghouse rejections
Submit corrected claims for billing errors, rebill projects (new plans/new year, new information on payor policies)
Maintain account spreadsheets, billing cheat sheets, provider, and billing information including provider roster and payer policy billing rules
Contribute to updates and communicate to Customer Billing Advocate and other members of POD
Provide internal reporting to team of status and issues for clients within POD
Meet internal benchmarks for clean claims / first pass rate, unbilled claims, clearinghouse rejections, secondary claims, and denials for billing errors
Research specific payor billing rules as needed
Review client billing documentation to ensure claims are submitted based on payor requirements
Stay informed about Payor and Industry Billing rules
Foster a positive work environment for team members