Billing Specialist

St Gerard House; Patton Park (NC); Presencial; USD 28.000 - 30.000; Jornada completa

Descripción de la vacante

St Gerard Center for Autism in North Carolina is seeking a Billing Specialist to process and submit client insurance billing using Central Reach and OfficeAlly. This full-time hourly role reports to the Revenue Cycle Manager.

You will handle claim submissions, follow up on denials, gather documentation, and assist with authorizations for ABA services, while maintaining HIPAA compliance. Strong MS Office and Google Workspace skills are required; experience with Central Reach is a plus.

Formación

• High school diploma or higher.
• Proficiency with Microsoft Office Suite (Excel, Word, PowerPoint, Publisher, Access) and Google Workspace.
• Experience with Central Reach or similar database software is a plus.

Responsabilidades

• Prepare, review and bill claims via Central Reach/OfficeAlly, NCTracks Portal.
• Check claim status on appropriate payors systems and contact insurance as needed.
• Resolve denials for unpaid and rejected claims, follow up on outstanding claims and adjust accordingly.
• Post payments in billing software and perform weekly billing audit.
• Collaborate to ensure timely enrollment for authorizations and accurate documentation.

Conocimientos

Microsoft Office

Google Workspace

Educación

High school diploma or higher

Herramientas

Central Reach

Descripción del empleo

Job Overview

Process and submit client insurance billing

Reports To

Revenue Cycle Manager

Work Schedule

Monday – Friday, 8:00 AM – 4:00 PM

Employee Classification

Hourly, Full-time

Qualifications

High school diploma or higher. Proficiency with Microsoft Office Suite (Excel, Word, PowerPoint, Publisher, Access), Google Business Suite. Experience with database software such as Central Reach is a plus.

Essential Responsibilities

• Prepare, review and bill claims via Central Reach/OfficeAlly, NCTracks Portal
• Check claim status on appropriate payors systems and contact insurance as needed
• Resolve denials for unpaid and rejected claims, follow up on outstanding claims and adjust accordingly
• Send medical records and other documentation to payors, as requested
• Review timesheets and billing entries in Central Reach to ensure accurate information
• Post payments (electronic and manual) in billing software
• Collaborate as needed to ensure all requirements are obtained for timely enrollment of clients and submission for authorizations

Authorizations

• Collaborate to ensure timely and accurate verification of client’s ABA benefits eligibility through primary and secondary payers
• Gather and submit required documentation to gain authorization for ABA services, following up within the agency as necessary
• Send requested information to insurance carriers, as needed
• Foster relationships with payor partners, follow-up on submitted authorization requests
• Monitor and report on the status of authorization requests and issues
• Work with the leadership to ensure timely completion of documentation

Practice Management Software

• Manage client accounts, upload documentation required for billing, add payers, connect clients to providers and service codes, fee schedules, etc.
• Perform weekly billing audit, screen for non-billable time, code overlaps, schedule inconsistencies, code requirements and MUEs
• Document insurance billing related correspondence in the appropriate location, for example: calls and relevant/important information
• Scan documents such as authorization letters, EOB's, correspondence from payers and upload into practice management software
• Assist leadership with updating billing software with rate changes
• Contact Central Reach to resolve any issues

Other

• Track and report back any missing materials for insurance onboarding to appropriate departments
• Attend webinars and report back to relevant parties as directed
• Follow HIPAA regulations when handling all patient information

Pay Range: $20 - $22 per hour

St Gerard Center for Autism does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor. We believe a diverse workplace is the ideal and encourage everyone interested in applying.