• Authorization/Receivables Coordinator

    Job Locations US-WI-Green Bay
    Hire Type
    Regular Full-Time
    Category
    Billing
    # of Openings
    1
    Job ID
    2018-5617
  • Overview

    Join our growing team!  Help us meet our mission of Changing Lives of children on the autism spectrum.  In this position, you will provide billing and authorization services to clients and prospective clients.  The Authorization/Receivables Coordinator position will be an integral part of our Billing Team, and is responsible for the timely, thorough, and accurate coordination of client Third Party Payer verification, authorizations, billing and collections.

     

    The successful candidate will be a team player, flexible, and possess strong attention to detail with the ability to work in a fast-paced office environment.  Previous medical office billing experience is required.  This is a full-time opportunity that offers competitive pay, a generous benefits package, and a great team-oriented working environment. 

     

     

     

    Responsibilities

    Authorizations

    1. Manages the authorization process to include timely receipt of authorizations from Third Party Payers.
    2. Ensures authorization status is appropriately communicated.
    3. Coordinates intake Third Party Payer information and enters into the system.
    4. Maintains practice management system(s) with authorized hours information.
    5. Gathers complete billing information for each client for all pay sources by working closely with Intake Coordinator.
    6. Verifies benefits with insurance companies.
    7. Updates documentation on authorization policies and procedures and communicates to Billing Manager.
    8. Understands principles of ICD-10 and CPT coding for initial evaluations, treatment plans and ABA Therapy for authorizations to maximize revenue.  
    9. Maintains billing information in the practice management systems.

     

    Billing

    1. Reviews denials and implements timely appeal solutions as requested by Billing Specialists.
    2. Provides oversight of medical records release requests, maintains patient charts for completeness and correct order, and keeps authorizations for release of medical records current in the file.
    3. Submits treatment plans as completed to appropriate Third Party Payers and maintains system to follow up on due dates of treatment plans.
    4. Maintains information on billing procedures by client.
    5. Prepares and submits clean claims to Third Party Payers.
    6. Follows and reports on status of delinquent accounts; has plan for collection and aggressively pursues.
    7. Audits patient accounts in practice management system and update as necessary, process refunds as needed.
    8. Researches and resolves client billing issues with Third Party Payers.
    9. Performs various collection actions including contacting insurance companies and resubmitting claims to the Third-Party Payers.
    10. Consistent and regular attendance is a requirement of the position.

     

    Non-Essential Functions/Other Duties:

    • Performs other tasks as assigned by Management.

     

    Supervisory Responsibility: Not applicable.

     

    Travel Required: Minimal.

     

    Physical Demands:

    This is largely a sedentary role, with frequent sitting and computer keyboarding required. Some lifting (up to 35 pounds), stooping and bending are required.

     

    Qualifications

    Education:

    • High school diploma or equivalent, with coursework in medical insurance and/or billing preferred.

     

     

    Experience:

    • At least two years of previous medical insurance, billing, or claims processing related experience.
    • Experience working with the developmentally disabled or autistic spectrum clients is a plus.

     

     

    Skills and Competencies:

    • Strong keyboarding and computer skills to include MS Office (Word and Excel) experience at an intermediate level.
    • Knowledge of medical billing and ICD-10, and CPT coding, as well as knowledge of financial concepts.
    • Knowledge of HIPPA privacy and security rules and regulations.
    • Excellent interpersonal skills, with the ability to communicate effectively with others.
    • Strong organizational skills, with the ability to multi-task and meet deadlines.
    • Demonstrates initiative, with the ability to manage self and workload.
    • Strong analytical and problem solving abilities.
    • Exemplary customer service focus, for both internal and external clients.
    • Strong team player.
    • Displays professionalism and represents organization in a professional manner.
    • Ability to abide by ethical guidelines and policies, including strict adherence to confidentiality and HIPPA guidelines.

     

     

    Other:   

    • Must be 18 years old or older.
    • Must be able to pass a thorough Background Check.   

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