ABA Billing Speciailist - School-Based Behavior Consultation

SBBC Billing Specialist

Job Description

ORGANIZATION

“Helping students reach new heights.” School-Based Behavior Consultation focuses on skill development amp; challenging behavior reduction for student success! SBBC provides ABA therapy amp; behavior support interventions in center, school, community, amp; home to improve social skills, academics, vocational skills, functional skills, amp; communication. This is accomplished through the use of Applied Behavior Analysis (ABA) amp; in collaboration with other specialists, school staff, the students we serve, amp; caregivers.

SBBC is student-oriented. Through the use of behavior-analytic methods, we place highest priority on equipping amp; empowering students to reach new heights in each setting they encounter!

Mission: We are a team of behaviorists amp; RBTs who partner with amp; equip students, caregivers, amp; school staff to gain the skills needed to reach their full potential.

Vision: We envision schools throughout East Central Indiana having the qualified staff amp; training needed to provide specialized behavior support services so ALL students can succeed.

POSITION OVERVIEW

SBBC’s Revenue Cycle Specialist is responsible for assisting with day to day revenue cycle duties. The ideal candidate has experience with ABA billing and authorization submission, claim denial recoupment, secondary billing, credentialing, and data entry. Additionally, to be successful in this role, the candidate will need to be a team player, communicate well, seek guidance when needed, take initiative, work efficiently and timely, and be detail oriented and thorough.

COMPENSATION

• Commensurate with experience

• Position starts a $25 - $30 per hour or $48,000 - $57,000 salary with additional PTO benefits

• Part time benefits:

• PTO - 5 hours for every 150 hours worked

• Retirement - 100% match on the first 3% of compensation + 50% match on the next 2% of compensation

• Life insurance

• 5 Paid Holidays (4 hours)

• Full time hourly benefits:

• Major medical, vision, and dental, supplemental insurance, unemployment insurance, workman’s compensation, and social security and medicare taxes

• PTO - 5 hours for every 150 hours worked

• Retirement - 100% match on the first 3% of compensation the next

• Life insurance

• 5 Paid Holidays

• Full time salary benefits

• Major medical, vision, and dental, supplemental insurance, unemployment insurance, workman’s compensation, and social security and medicare taxes

• PTO - 25 work days per year / 5 weeks

• Retirement - 100% match on the first 3% of compensation

• Life insurance

• 5 holidays bonuses

ESSENTIAL JOB FUNCTIONS

The Revenue Cycle Specialist position will perform the following duties:

• Verify client eligibility for all new clients and monthly for ongoing clients.

• Obtain initial authorizations for assessment for ABA and other multispecialty services.

• Obtain ongoing authorizations of treatment for ABA and other multispecialty services.

• Manage authorization timelines and due dates for all new client authorizations, communicating those dates to relevant clinical staff.

• Reconciling accounts receivable with payments from payers.

• Credentialing clinical staff with payers.

• Establishing ERAs with appropriate clearinghouses and facilitating EFTs being established with CEO/CFO.

• Submit monthly invoices to schools contracted with SBBC for ABA services, Indiana vocational rehabilitation, and families.

• Troubleshoot, communicate, and seek to resolve problems related to client insurance benefits, changes in coverage, and service authorizations.

• Coordinate with the clinical team regarding client intake, authorization changes, authorization expirations, authorization over-utilization, and insurance changes.

• Assist with appeals, medical record review, and other tasks related to insurance communication.

• Seek continuous learning relating to new regions, new payors, and new policies.

• Address and resolve escalated calls/issues, as is feasible.

• Seek guidance when needed for solving complex, difficult, unpredictable situations and/or important problems.

• Set priorities and organize work within general guidelines.

• Complete work within a timely manner.

• Follow up on rejected or denied claims, as advised by the supervisor.

• Update provider maintenance information, as appropriate.

• Conduct general administration tasks, such as but not limited to email correspondence, data entry, and filing of documents.

• Provide ongoing communication to relevant SBBC staff on status of client authorization, billing recoupment, secondary billing, data entry, and/or other tasks assigned.

• Participate in weekly meetings to review SBBC authorizations and billing status.

• Prepare and share a weekly report/maintain documentation in Salesforce/AlohaABA regarding revenue cycle.

• Assist with standard documentation.

• Maintain up to date on all pertinent information relating to SBBC authorization and billing.

• Maintain client confidentiality and adhere to HIPAA standards.

• Complete additional tasks assigned at the discretion of SBBC.

JOB REQUIREMENTS

• Excellent interpersonal skills and professional, yet friendly phone and email demeanor

• Superior verbal, written and telephone skills

• Excellent computer and technology skills

• Excellent problem-solving and conflict resolution skills

• Attention to detail and willingness to handle various responsibilities both large/small

• Ability to prioritize and respond to important tasks quickly

• Must be a team player, have a cooperative attitude, and always possess a calm demeanor

• Working knowledge of Google applications (e.g Gmail, Sheets, Slide, Meet, etc)

• Must be energetic, quick learner, self-directed, attentive to details, reliable, professional, and maintain confidentiality

• Self-directed initiative to learn new information to effectively execute duties

• Comfortable working in an environment with children

• Willing to submit to a background check, drug testing, and sign a confidentiality agreement.

EXPERIENCE

• Preferred 2+ years in ABA revenue/billing department

• Experience with ABA authorization submission and knowledge of ABA billing

• Experience with invoicing and accounts receivable

• Bachelor's degree, preferred
  
  

DIRECT SUPERVISOR

The Revenue Cycle Specialist reports directly to CFO/CEO

PHYSICAL REQUIREMENTS

While performing duties of this job, the employee is regularly required to:

• Stand for periods of time, move around the work site, move from one work site to another, sit at a desk.

• Stoop, kneel or crouch to assist students.

• Occasionally lift and/or move materials up to fifty pounds.

• Communicate with internal and external stakeholders by talking and listening.

• Operate a computer and other technology devices.

• Read and analyze data (close visual acuity).