Therapy and Beyond - ABA Therapy ยท 1 hour ago
Revenue Cycle Specialist
Flower Mound, TX
Full-time
Onsite
Entry, Mid Level
2+ years expTherapy & Beyond is one of the largest BCBA-owned ABA organizations, founded and led by Dr. Regina Crone, BCBA-D, since 2006. The Revenue Cycle Specialist is responsible for daily billing, submissions of claims, monitoring rejections, and reviewing payments, while ensuring clear communication and long-term customer relationships.
Child CareHealth CareTherapeuticsWellness
Responsibilities
Validate all pertinent treatment information in order to submit accurate claims
Ensure all patient demographics and payer information are accurate
Submit all claims to clearing house and work rejections, as needed
Communicates directly with the payor, resubmits denied claims, underpaid claims and claims that are inaccurately processed. Receives the denied claims and researches appropriate steps
Run reconciliation to ensure completion of open tasks
Prepares, posts, verifies, and records customer payments and transactions
Identifies delinquent accounts by reviewing files and reports delinquent account holders
Review posted payments for reimbursement according to contract and accuracy
Provide effective communication to patient/family, team members, and other health care professionals and maintain confidentiality
Review payer contracts to ensure billing and reimbursement compliance and accuracy
Ensure that all patient accounts are properly and completely documented
Assists the Accounting Department in reconciling revenue accounts
Collaborates with necessary departments in order to drive process improvement
Relays changes of information to appropriate employees and leaders
Investigate and resolve customer queries
Qualification
Required
Education: Associate's or Bachelor's degree in Accounting preferred
Experience: A minimum of 2 years in revenue cycle, claims, or medical billing preferred
Excellent communication, organization, attention to detail, and problem solving skills
Proficient in Google Workspace as well as other accounting software programs
Detailed understanding of healthcare insurance processes, including resolving non-paid, denied, underpaid, and rejected claims
Ability to work independently and in a fast-paced environment
Ability to anticipate work needs and interact professionally with employees and leaders
Excellent organizational skills and attention to detail
Demonstrate excellent problem-solving and negotiating skills
Ability to sustain prolonged sitting and extended computer use. Requires hand-eye coordination and manual dexterity
Preferred
Education: Associate's or Bachelor's degree in Accounting preferred
Experience: A minimum of 2 years in revenue cycle, claims, or medical billing preferred
Company
Therapy and Beyond - ABA Therapy
Therapy and Beyond provides individualized ABA, Speech and Occupational Therapy for individuals with autism and other developmental disabilities in Texas and Oklahoma.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Dr. Regina Crone
Founder and President
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