Job description
Rethink Behavioral Health is the leading global provider of online research-based resources to support individuals with developmental disabilities. Our behavioral health platform (http://RethinkBH.com) provides clinical, staff training and practice management tools for private ABA service providers. Due to autism insurance mandates sweeping the nation, our behavioral health division is experiencing unprecedented growth. Therefore, we are looking for the right person to join our billing service team.
Our Billing Services Division specializes in Revenue Cycle Management and Enrollment and Credentialing services. We are growing and are looking for new team members that will offer our clients best in class billing services. We support mission-oriented companies that impact the lives of thousands of individuals with autism and their families. We are excited to offer the opportunity for professional and collaborative individuals to grow and be part of something exciting.
The Reconciliation Specialist is responsible for supporting our billing teams by working with our billing services team and insurance companies to ensure efficient and prompt reimbursement reconciliation for therapy sessions for our customers and actively posting payments in customers billing systems for accurate accounts receivable monitoring.
Main Responsibilities:
Ensure strict HIPAA-compliant confidentiality with all client-related data
Reconcile payments posted electronically from the clearinghouse
Post manual payments in all billing platforms (Rethink, Tebra, Azalea)
Review and interpret EOBs and ERAs
Post payments from insurance portals
Enroll in ERAs when applicable to reduce volume of manual posting & monitor/track progress of enrollment requests
Communicate trends identified when posting to Customer Billing Advocate (CBA) / AR team for client
Identify underpayments/overpayments & ensure proper communication across POD members (CBA & AR Team) for resolution
Measure and monitor key metrics related to work performance
Review & interpret payor contracts when applicable
Foster a positive work environment for colleagues
Special projects as needed
Requirements:
HS Diploma or Equivalent
Minimum 1-2 years payment posting experience
ABA experience
Experience using insurance company websites/portals
Willing to learn, positive attitude and loves a good challenge
Professional phone skills
This role requires exceptional attention to detail, critical thinking and excellent communication with internal teams and insurance companies
Preferred Qualifications:
Speech, OT and Mental Health experience
Minimum 1-year experience working in an office setting
Minimum 1 year experience in billing both major commercial insurance companies as well as state Medicaid programs
Experience using Billing Software (Azalea, Kareo), EMR (Rethink) and Clearinghouse systems (Waystar, Trizetto, Availity)
Proficient using Microsoft Suite (Outlook, Excel, Word) and Google Docs/Sheets
Education:
- HS Diploma or Equivalent required
Benefits:
PTO and Vacation Days after a 90-day introductory period
Paid Holidays
Generous Health, Denial & Vision benefits package
401k + Matching
Job Type: Full-time, Monday-Friday (8-5 PM)
Hourly
Remote opportunities are available only in the following states: AL, AR, AZ, CA, CO, FL, GA, ID, IL, IN, IA, MO, NC, NE, NY, OH, PA, SC, TN, TX, UT, VA
Our commitment to an inclusive workplace
RethinkFirst is an equal opportunity employer and is committed to providing a workplace free from harassment and discrimination. We celebrate the unique differences of our employees because that is what drives curiosity, innovation, and the success of our business. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.
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