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Medical Billing Specialist

Posted: June 10, 2024
Salary:US$18 - US$25 per hour
Location:King of Prussia
Job type: Contract
Discipline:Revenue Cycle
Work Location:On-site

Job description

Our Billing Specialist directly contributes to our mission of making autism services personal by timely and accurately billing the services we provide, collecting revenue, and working with families to make sure they feel supported throughout the billing process.

Schedule: Monday-Friday 8am-4:30pm

Location: King of Prussia, Pennsylvania 19406 (on site)


  • Submit and follow up on Commercial and Medicaid, primary and secondary insurances.
  • Track and verify clients' Medicaid status.
  • Develop relationships with PA Medicaid payors to ensure successful processing and payment of claims.
  • Work and manage claims from all aging buckets including posting and appeals, including resubmission of claims and appropriate adjustments.
  • Input & Review billing data for accuracy, including data entry.
  • Ensure that billing and collections adhere to all compliance policies and procedures.
  • Work with Billing Manager and local clinic team members to ensure accurate billing.
  • Follows up on claim resolution from initial billing through final resolution including identifying and correcting billing errors/rejections and denials (denial management investigations & appeals).
  • Manage claims submission and AR for assigned clinics.
  • Process remittance advices/EOB's to achieve finalized clean claims for payment including researching and correcting denials (Pull EFT back-ups).
  • Post and reconcile payments received using system and deposit reports.
  • Assist the intake team in completing required Medicaid documents for new clients and clients in need of reassessment.
  • Serve as the point of contact for Medicaid audits.

Day to Day:

  • Follow up phone calls.
  • Do research on denied claims.
  • Submitting claims.
  • Resubmit claims once corrected.
  • Insurance follow up.
  • 40 accounts per day.
  • Maintain waystar ques at minimum.
Skills and Competencies:
  • ABA billing experience with Central Reach experience required for remote work.
  • Associate Degree in Accounting/Finance Management is plus, but not required.
  • Central reach, practice management software is preferred.
  • Strong communication and presentation skills.
  • Previous patient admission or verification experience required.
  • Experience working with all insurances.
  • Communication skills for fielding calls on behalf of the agency and its representatives.
  • Excellent written communication skills for professional emails and various reporting methods.

Apply now!