Billing Specialist

Billing Specialist
Hawthorne, NY
Full-time

Ascend Autism is a family-centric, tech-enabled, Applied Behavior Analysis (ABA) therapy company serving children and families across the Northeast. Through a natural and accessible approach to ABA, Ascend Autism is elevating the outcomes of children diagnosed with autism spectrum disorder (ASD).

Ascend is seeking a full-time Billing Specialist to help us in managing our end-to-end revenue and collections cycle with third-party payors and patients.

Roles & Responsibilities:

• Submit initial claims on a weekly basis
• Follow-up, and re-submit claims, as necessary. Review all outstanding claims on a weekly basis
• Monitor and report on aging of accounts receivable and reason codes for claim denials, escalating systemic issues internally and externally until fully resolved
• Posting of collections to billing management software and processing of remittances from payors
• Inform clinical team members and human resources team members of any identified billing issues that affect specific client families
• Engage with client families on topics relating to billing/payment of open balances; address questions/concerns on bills/invoices and ensure all questions are answered in a timely and professional manner
• Develop and implement step by step billing and RCM processes for each individual insurance payor
• Recommend and implement process improvements in the areas of revenue cycle management, billing, and compliance
• Regularly audit medical record documentation to verify the accuracy and completeness
• Maintain positive relationships with insurance payors, clients, staff, fellow and third-party partners

Essential Skills:

• Highly organized, structured thinker with high attention to detail
• Ability to handle complex challenges and quantitative analysis with ease
• Data-based decision maker, driving recommendations through methodical analysis
• Proactive and entrepreneurial self-starter, with ability to multi-task across multiple projects in parallel
• Resolute focus on customer service, delivering an exceptional experience to both clients and clinicians
• Clear written and verbal communication and strong interpersonal skills
• Comfortable with calling / demanding escalation from third party payors
• Ability to work independently and in a fast-paced environment with a solution-oriented mindset
• Strong proficiency with Microsoft Office (Microsoft Excel, PowerPoint, Word and Outlook)

Required Experience:

• Bachelor’s degree preferred
• Required experience in healthcare billing / RCM
• Required experience working with clients and third-party healthcare payors
• Required experience of using ICD and/or CPT coding systems and medical compliance regulations
• Certified Revenue Cycle Specialist (CRCS) or Certified Revenue Cycle Representative (CRCR) certification preferred
• Familiarity with ABA and/or NY Early Intervention services preferred

Employee Benefits:

• Competitive pay
• Hybrid work schedule (combination of in-person and remote)
• Healthcare benefits
• PTO
• 401(k)

Apply today to hear more about this exciting opportunity!
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Ascend is an Equal Opportunity Employer. It is our policy to make all personnel decisions without discriminating based on race, color, creed, religion, sex, physical disability, mental disability, age, marital status, sexual orientation, citizenship status, national or ethnic origin, and any other protected status.