Note: The job is a remote job and is open to candidates in USA. The Stepping Stones Group, LLC provides therapeutic and behavioral health services for children, families, and communities nationwide. The Billing & Accounts Receivable Representative supports cash collections by submitting and correcting insurance claims, managing clearinghouse and payer denials, monitoring accounts receivable, and communicating billing trends to internal teams.
Responsibilities
- Review and scrub billing records for insurance clients, ensuring that payer guidelines are met prior to generating a claim for submission
- Generate claims for claim submission, ensuring that claims are generated in adherence with payer guidelines
- Correct all claim errors that are flagged by the practice management system and release claims to the clearinghouse in a timely manner
- Review and correct all claims that reject by the clearinghouse or the payer, ensuring that feedback is looped back to prevent repeat rejections from occurring if there are trends identified
- Work all denials in the clearinghouse that are tied to your billing submissions, ensuring that trends are communicated to appropriate teams and denials aren’t aging out past 90 days
- Review total AR for assigned offices to ensure that payers who aren’t processed via the clearinghouse are being actioned on in a timely manner
- Other duties as assigned
Skills
- Behavioral health claims billing and denial management experience
- Experience billing within a practice management system
- Experience working within insurance payer guidelines
- Experience working within a clearinghouse
- Experience working in a fast paced, target-driven environment
- Experience aggregating data to report and communicate trends
- Experience calling out to payers to obtain information on billing submissions or denials
- Experience navigating payer portals
- Experience partnering internally, with both clinical and non-clinical teams
- Experience with Microsoft Office products
- Ability to multitask and maintain a strong work ethic
- Self-motivated, proactive, independent, and detail-oriented
- ABA-specific billing experience highly preferred
- Central Reach experience preferred
- Waystar/Zirmed experience preferred
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