Program Administration and Billing Associate

Sevita

17h • $19 - $20 • Remote

About The Position

INSERT ENTITY, a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person has the right to live well, and everyone deserves to have a fulfilling career. You’ll join a mission-driven team and create relationships that motivate us all every day. Join us today, and experience a career well lived.
Program Administration Authorization and Billing Associate
Location: Remote, USA (Arizona)
Compensation: $19-$20/hour

Do you want a job where you can use your background in medical administration/billing and make a positive difference in people’s lives? As Authorization and Billing Associate, you will serve as the liaison between the Operations and Finance departments and be responsible for all revenue recognition for each person served, as well as for obtaining authorizations and performing eligibility checks.

Requirements

• High school diploma or equivalent required; Associate or Bachelor’s degree preferred
• Experience with AZ-State Specific Insurance required
• Knowledge with Autism and behavioral health services
• Minimum of one year of experience in the medical administration field and/or medical billing
• Proficiency with Microsoft Word, Excel, and Outlook
• Detail-oriented with ability to multitask
• Demonstrated skills in communication, problem-solving, and data entry
• Excellent communication skills with ability to respect and build rapport with others
• Commitment to excellent customer service and support

Nice To Haves

• Experience with a payer online portal and knowledge of EDI 835 formatting preferred

Responsibilities

• Work with the program proactively to obtain eligibility and initial authorizations for all new admissions and “unfunded” persons served
• Utilize the main billing systems (Avatar & iServe) to capture service entry, admissions, discharges, and transfers prior to billing
• Review eligibility and submit requests to the SSC to update payer information and/or changes
• Manage and proactively obtain information on subsequent authorizations for all persons served until discharged; submit to the SSC for processing
• Review attendance and meal counts for accuracy prior to charge entry; maintain supporting documentation (attendance, meal counts, and reconciled Trended Units Report) for service entry
• Reconcile weekly and monthly service capture for all payers/individuals prior to billing
• Participate in weekly/monthly AR calls, providing an overview of authorization and eligibility issues
• Provide information to be used in the quarterly reserve process as needed
• Ensure internal control compliance by adhering to audit requirements within all assigned areas, including maintaining an effective control environment which complies with external regulations
• Assist with the resolution of any issues that could impact the timing of month-end close
• Assist in the on-boarding of new hires by providing required training when necessary
• Perform timely updating and modification of control design where necessary; oversee control remediation activities should exceptions be encountered in testing

Benefits

• Full compensation/benefits package for employees working 30+ hours/week
• 401(k) with company match
• Paid time off and holiday pay
• Important work adding value to the organization’s mission alongside a great team of coworkers
• Enjoy job security with nationwide career development and advancement opportunities

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees