Billing Specialist - Remote

Remote Jobs; United States; Remote; USD 50,000 - 70,000; Full time

Job summary

Join a leading company transforming autism care as a Billing Specialist. This remote position involves submitting claims, managing patient invoices, and ensuring regulatory compliance while supporting a growing network of clinics dedicated to enhancing the lives of children with autism. We offer a competitive compensation package and growth opportunities in a collaborative team environment.

Benefits

Comprehensive benefits package

401(k) with match after a year of service

15 days PTO

Professional development opportunities

Qualifications

• Minimum 2-4 years of healthcare claims experience.
• Experience in ABA, speech therapy and occupational therapy billing preferred.
• Expert knowledge of healthcare regulations and billing requirements.

Responsibilities

• Scrub and submit claims electronically for primary and secondary payors.
• Create and send patient invoices accurately and timely.
• Troubleshoot claims rejections to ensure payment.

Skills

Healthcare compliance

Interpersonal skills

Attention to detail

Critical thinking

Communication

Education

Bachelor's degree or equivalent work experience

Tools

CentralReach

Office Ally

Job description

About Soar: Soar Autism Center is an innovative healthcare provider at the frontlines of the autism care landscape, a market with substantial unmet need. Soar is building a network of clinics where children with autism and their families receive life-shaping services that support them to thrive. We are building a differentiated service offering for families, advancing the standard of care in a rapidly growing market.

Specifically, we provide integrated and comprehensive services to children 6 and under with autism. Our care model is focused on a hyper-specialized form of autism therapy called the Early Start Denver Model, or ESDM, one of the most research-tested approaches in ASD care yet one of the hardest modalities to find, in an integrated care team format. We craft individual therapy plans in deep coordination with families, setting goals that are ambitious and focusing on building skills that enable children to grow into their fullest selves. We provide care in a state of the art, autistic-friendly facility, with the goal that a child's time at the center mirrors an early childhood learning experience. We prioritize early intervention, comprehensive supportive services, and positive, developmentally-appropriate learning that meets the needs of each unique child and family.

We have opened 17 clinics in our 4-year history across Colorado and Arizona, all of which have quickly reached capacity and typically run with waitlists. We are now focused on scaling our platform across more areas and are looking to hire a leader for our Revenue Cycle function to support our growth over the next several years. Join us as we strive to advance the standard of care in autism therapy today!

More information available at http://soarautismcenter.com/.

About the Job: The Billing Specialist will be joining a team of billing specialists who are responsible for scrubbing, generating and submitting clean and accurate claims to payors through the clearinghouse. Additionally they will be responsible for troubleshooting any claims that fail to make it through the clearinghouse.

The ideal candidate is highly skilled at understanding detailed revenue cycle processes, understanding CentralReach, optimizing collections, and structuring teams and workflows for sustained RCM excellence.

Key Areas of Oversight and Responsibility:

Billing:

• Scrub and submit claims electronically for primary and secondary payors
• Review & interpret payor contracts/rules to ensure accurate coding on all claims
• Evaluate, troubleshoot, and follow-up on rejections from the clearinghouse
• Work cross-functionally with team members to resolve any discrepancies preventing claims being sent related to appointments, insurance, authorizations, etc.
• Stay up to date and research specific payor billing rule changes and update internal resources accordingly
• Understand and monitor key metrics related to work performance
• Team mentality. Foster a positive work environment for colleagues
• Ensure strict HIPAA-compliant confidentiality with all client-related data

Patient Invoices

• Ensure the accurate and timely creation and sending of patient invoices
• Liaise with team members and clients to explain patient benefits and charges

Qualifications:

Education:

• Bachelor's degree required (or equivalent work experience)

Experience:

• Minimum 2-4 years of healthcare claims experience, with direct experience in ABA, speech therapy, occupational therapy and psychology billing preferred
• Experience working directly with both commercial insurance companies as well as state Medicaid programs
• Demonstrated success working with others in a high-growth environment
• Expert-level knowledge of healthcare industry regulations, ABA billing requirements, and revenue cycle best practices
• Experience working with Office Ally as a clearinghouse

Skills:

• Proficient in healthcare revenue management platforms (CentralReach preferred) and clearinghouses
• Strong interpersonal skills, capable of effectively collaborating with cross-functional teams and external payors
• Understands core principles of healthcare compliance and how they are applied in an autism care setting
• Exceptional attention to detail, critical thinking, and excellent communication with clients and insurance companies

Compensation and Benefits:

• Total compensation: $50,000.00 - $70,000.00/year annually, inclusive of base salary and bonus compensation
• Benefits: Comprehensive package including medical, dental, vision, 401(k) with match after a year of service, 15 days PTO, and professional development opportunities
• Travel: Remote-based role with occasional travel as needed to clinics or team meetings

Join Soar Autism Center in transforming autism care and enhancing the lives of children and families nationwide!

Soar Autism Center is committed to diversity and inclusion at all levels. As an equal opportunity employer, we strictly prohibit discrimination or harassment and welcome applicants of all backgrounds, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability, or other protected characteristics.

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