ABA RCM Coordinator

Willow ABA Services; Littleton (CO); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare organization is seeking an experienced ABA RCM Coordinator to work remotely. Responsibilities include managing insurance billing, resolving claims, and credentialing staff, as well as providing compassionate support to families. The role requires strong communication skills and attention to detail, along with experience in healthcare insurance processes.

Benefits

Paid time off (80 hours in your first year)

401(k) retirement plan

Health insurance

Dental insurance

Vision insurance

Short- and Long-Term Disability

Parental Leave

Company laptop

Qualifications

• Experience communicating with insurance providers, preferably in healthcare.
• Familiarity with HIPAA compliance and healthcare industry standards.
• Ability to manage multiple tasks and ensure a high level of service.

Responsibilities

• Billing secondary claims through CentralReach.
• Follow-up on underpaid/unpaid insurance claims.
• Complete all necessary steps to credential staff in a timely manner.

Skills

Attention to detail

Administrative tasking

Creative problem-solving

Professional communication

Compassionate client interaction

Self-motivation

Education

High school diploma or GED

Tools

CentralReach

Microsoft products

Job description

Overview

Willow ABA is seeking an experienced ABA RCM Coordinator to join and support our team. This position is 100% remote. Our Administrative Support team members play a key role in achieving our mission to make a difference in the lives of children with autism spectrum disorder and their families.

WHY JOIN THE WILLOW ABA TEAM?

As a Willow employee, you will be supported throughout the learning process. We recognize that not all people learn the same way, so much of your training will be individualized to ensure you understand your job prior to being expected to be independent.

Just as we teach our clients to accept differences, we also encourage our staff to embrace theirs. Your differences are not only welcomed, but they are needed!

We don\'t want this to be just an 8-5 job for you. We want you to continue to grow, learn, and find your passion. When you become a part of the Willow family, you will be cross trained to capitalize on your individual skills and interests by designing new roles and interests that fit your passions.

Position 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.

Primary Responsibilities

• Insurance Billing: Billing secondary claims through CentralReach
• Collections: 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

• Required
  • 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
  • Ability to convey information with compassion & warmth to clients
  • 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

Benefits

• Paid time off (80 hours in your first year)
• 401(k) retirement plan
• Significant collaboration
• Performance incentives
• Health insurance
• Dental insurance
• Vision insurance
• Short- and Long-Term Disability
• Parental Leave
• Company laptop

Schedule: Monday-Friday 8-5pm, one-hour lunch provided

Job Type: Full-time

Compensation: Hourly $20-23/hr

At Willow ABA, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people.

Willow ABA applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation.

A background check will be required for this position. Must be a U.S. authorized employer. We cannot sponsor individuals with a work visa now.