Revenue Cycle Specialist

Description

Join Our Team and Make a Life-Changing Impact!

Autism Care Partners provides individualized therapy for children diagnosed with autism spectrum disorder. The Revenue Cycle Associate supports the Revenue Cycle Team by submitting accurate claims, following up with payors, appealing denials, and maintaining timely billing activity. This role requires strong attention to detail, clear communication, and consistent follow-up to support accurate reimbursement and patient account resolution.

Here’s how you’ll make an impact at Autism Care Partners:

• •Contacting Insurance Companies: Contact insurance companies to inquire about claim status, follow up on denials, resolve payment delays, and resubmit claims as needed.
• •Reviewing and Analyzing Claims: Review and analyze Explanation of Benefits (EOB) documents to identify coverage details, unpaid balances, denial reasons, and next steps for account resolution.
• •Patient Communication: Communicate with patients to explain outstanding balances, answer billing questions, and set up payment arrangements when appropriate.
• •Appealing Denied Claims: Prepare and submit appeals for denied claims to insurance companies, including gathering required documentation and following payer-specific appeal requirements.
• •Maintaining Accurate Records: Update patient accounts, track outstanding balances, and document all communication and actions taken.
• •Posting Insurance Payments: Post insurance payments received through Electronic Remittance Advice (ERA) and manually post Explanation of Benefits (EOB) payments as needed, ensuring payments, adjustments, denials, and patient responsibility amounts are recorded accurately in the patient account.
• •Submitting New and Corrected Claims: Prepare and submit new and corrected claims accurately and timely, ensuring required patient, provider, authorization, coding, and billing information is complete before submission. Review claim edits or payer rejections, make necessary corrections, resubmit claims as appropriate, and document actions taken in the patient account to support timely reimbursement.

A few more things that are required for your success:

• •No prior criminal history
• •Ability to utilize technology
• •Must be at least 18 years of age
• •Minimum High School Diploma or equivalent required
• •Two years of clerical, office support, medical billing, or collections experience preferred.
• •Highly organized, detail-oriented, and able to follow up consistently on outstanding accounts and assigned tasks.
• •Maintains a high degree of confidentiality when handling patient, billing, and account information.
• •Excellent written and verbal communication skills.
• •Excellent time management and organizational skills.
• •Proficient with Microsoft Office Suite, specifically Excel.
• •Demonstrates excellent customer service when communicating with patients, payors, and internal team members.
• •Strong phone etiquette.
• •Ability to identify billing issues, research account discrepancies, and problem-solve independently when appropriate.

Physical Demands

• •Prolonged periods of sitting at a desk and working on a computer.
• •Must be able to lift up to 20 pounds at times.

Compensation is based on experience, qualifications, and relevant expertise.

Who are we?

At Autism Care Partners (ACP), our mission is to empower families to reach their potential through early diagnosis and exceptional, innovative, interdisciplinary care. Our collaborative teams provide comprehensive care throughout all stages of a child’s development by offering these services: Applied Behavior Analysis, Speech Therapy, Occupational Therapy, Social Work, and Diagnostic Evaluations (service availability varies by location).

OUR MISSION

Empowering families to reach their potential through early diagnosis and exceptional, innovative, interdisciplinary care.

OUR VISION

Transforming lives as a leader in innovative, integrated, and person-centered care.

OUR VALUES

Clinical Excellence : Our services are evidence based, outcome driven, effective, and high quality.

Collaborative : Our interdisciplinary teams work together to provide the best care. We create a relationship-driven, inclusive community where everyone’s ideas are welcome.

Optimism and Hope : We maintain a positive attitude and bring our clients hope.

Inclusive: We value diversity and seek equity. We serve all communities, including many that are often underserved and under resourced.

Ethical : We act with integrity and transparency.

Disclaimer:

By submitting your application to Autism Care Partners, you are opting into receiving communications from Autism Care Partners.

The preceding job description has been designed to indicate the general nature and level of work necessary to adequately execute the job responsibilities. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job. It is the policy of Autism Care Partners to provide equal employment opportunity to all individuals. Autism Care Partners values all employees’ talents and supports an environment that is inclusive and respectful. All recruiting, hiring, training, promotion, compensation, and other employment-related programs are provided fairly to all persons on an equal opportunity basis. All information is subject to change without notice.

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