Customer Billing Advocate jobs in United States
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RethinkFirst · 1 month ago

Customer Billing Advocate

RethinkFirst is a leading global provider of online resources for individuals with developmental disabilities. The Customer Billing Advocate will support billing teams by working with insurance companies to ensure prompt reimbursement for therapy sessions and managing outstanding accounts receivable.

Clinical TrialsHealth CareHealth Diagnostics

Responsibilities

Ensure strict HIPAA-compliant confidentiality with all client-related data
Serve as a point of contact for all customers within assigned POD structure
Prepare and Lead customer meetings to review open AR and mitigation plans for denials
Be the expert on assigned accounts and act as lead for communication between billing, posting and enrollment & credentialing teams
Work closely with Customer Success Team to align on customer needs, priorities & retention strategies
Review customer account reports, requests for information from clients and track progress to ensure any concerns and requests for information are being resolved in a timely manner
Own all incoming account specific tickets in SalesForce. Work with Customer Success Team, Billing and Posting teams to obtain correct information and resolve outstanding items
Monitor and analyze customer account health compared to industry benchmarks and identify actions needed to resolve outstanding issues and/or projects
Delegate out work to assigned POD AR Reps to support collections, issues, trends identified by teams during POD huddles
Coordinate POD huddles across functional teams to address shared accounts in POD
Work closely with the internal Compliance team on accounts identified above benchmarks or at risk
Address customer at-risk plans and ensure proper actions are delegated & resolved by members within the POD
Review A/R Aging Reports and follow up on rejections and denials as needed to support POD goals and projects
File appeals to insurance and to insurance commissioner as needed
Submit corrected claims when needed
Research specific payor billing rules as needed
Review & interpret payor contracts when applicable
Stay informed about Payor and Industry Billing rules
Measure and monitor key metrics related to work performance
Foster a positive work environment for colleagues

Qualification

ABA billing experienceInsurance billing experienceAccount management experienceMicrosoft Suite proficiencyBilling software experienceVerbal skillsInterpersonal skillsAttention to detailCritical thinkingCommunication

Required

HS Diploma or Equivalent
ABA billing experience
Minimum 2-5-years experience in billing both major commercial insurance companies as well as state Medicaid programs
Minimum 2-7 years account management experience
Experience using insurance company websites/portals
Proficient in using Microsoft Suite (Outlook, Excel, Word)
Willing to learn, positive attitude and love a good challenge
Strong verbal and interpersonal skills
Experience working with global employees
This role requires exceptional attention to detail, critical thinking and excellent communication with internal teams and insurance companies

Preferred

Speech, OT and Mental Health billing experience
Minimum 3-5-years' experience working in an office setting
Experience using Billing Software, EMR and Clearinghouse systems (Rethink, Azalea, Tebra, Waystar, Trizetto, Availity)

Benefits

PTO and Vacation Days after a 90-day introductory period
Paid Holidays
Generous Health, Denial & Vision benefits package
401k + Matching

Company

RethinkFirst

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RethinkFirst is a provider of Analysis-based treatment tools for the growing population affected by autism spectrum disorders.

Funding

Current Stage
Growth Stage
Total Funding
$12.41M
2020-08-11Private Equity
2014-08-18Series C· $10M
2011-04-01Series B

Leadership Team

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Ben Semmes
Chief Executive Officer
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Eric Larsson
Chief Financial Officer
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Company data provided by crunchbase