Program Administration Authorization and Billing Associate Location: Remote, USA Compensation: $19-$20/hourDo you want a job where you can use your background in medical administration/billing and make a positive difference in people’s lives? As Authorization and Billing Associate, you will serve as the liaison between the Operations and Finance departments and be responsible for all revenue recognition for each person served, as well as for obtaining authorizations and performing eligibility checks. Work with the program proactively to obtain eligibility and initial authorizations for all new admissions and “unfunded” persons served Utilize the main billing systems (Avatar & iServe) to capture service entry, admissions, discharges, and transfers prior to billing Review eligibility and submit requests to the SSC to update payer information and/or changes Manage and proactively obtain information on subsequent authorizations for all persons served until discharged; submit to the SSC for processing Review attendance and meal counts for accuracy prior to charge entry; maintain supporting documentation (attendance, meal counts, and reconciled Trended Units Report) for service entry Reconcile weekly and monthly service capture for all payers/individuals prior to billing Participate in weekly/monthly AR calls, providing an overview of authorization and eligibility issues Provide information to be used in the quarterly reserve process as needed Ensure internal control compliance by adhering to audit requirements within all assigned areas, including maintaining an effective control environment which complies with external regulations Assist with the resolution of any issues that could impact the timing of month-end close Assist in the on-boarding of new hires by providing required training when necessary Perform timely updating and modification of control design where necessary; oversee control remediation activities should exceptions be encountered in testing Qualifications: High school diploma or equivalent required; Associate or Bachelor’s degree preferred
Experience with AZ-State Specific Insurance required
Knowledge with Autism and behavioral health services
Minimum of one year of experience in the medical administration field and/or medical billing
Experience with a payer online portal and knowledge of EDI 835 formatting preferred
Proficiency with Microsoft Word, Excel, and Outlook
Detail-oriented with ability to multitask
Demonstrated skills in communication, problem-solving, and data entry
Excellent communication skills with ability to respect and build rapport with others
Commitment to excellent customer service and support Why Join Us? Full compensation/benefits package for employees working 30+ hours/week
401(k) with company match
Paid time off and holiday pay
Important work adding value to the organization’s mission alongside a great team of coworkers
Enjoy job security with nationwide career development and advancement opportunities Come join our amazing team of committed, caring professionals. Apply Today! AMERICANS WITH DISABILITIES ACT STATEMENT External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job functions either unaided or with assistance of a reasonable accommodation to be determined on a case by case basis via the interactive process.