Outbound Claims Specialist

2 days ago—Be among the first 25 applicants

Position Summary

The Outbound Claims Specialist is responsible for coding and scrubbing claims for errors, adding modifiers, and submitting claims to insurance.

Work Schedule

This position is on-site with a schedule of Monday - Friday 7 : 30 am - 4 : 00 pm

Essential Functions

• Bill out claims to insurance providers in a timely manner.
• Review provider coding on notes / appointments to ensure compliance with insurance guidelines and to ensure accurate and timely reimbursement.
• Ensure client records are up-to-date and accurate.
• Initiate internal communication with therapists ensuring accuracy and completion of notes.
• Serve as a liaison between clients and clinics to ensure timely, appropriate transfer of information and response to billing inquiries.
• Attend relevant seminars to remain abreast of current issues regarding therapy and ABA billing practices, compliance with CMS guidelines and industry best practice.
• Meet or exceed department goals set by team lead or billing manager on a regular basis.
• Adhere to all practice policies related to HIPAA.

Required Education, Experience And Credentials

Knowledge, Skills And Abilities

Personal Attributes

Work Environment & Physical Demands

Travel Requirements

Benefits

Full-time employees are eligible for a comprehensive range of benefits, including Medical, Dental, Vision, and Life Insurance; a 401(k) retirement plan with company match; Paid Time Off; Sick Time; and a robust Employee Assistance Program.

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