Billing Associate

Job Details Job Location: Work From Home - LOUISVILLE, KY 40299, Position Type: Full Time, The Billing Associate will transfer patient and insurance information and initiate payment processes and procedures. The ideal candidate will be well-versed in billing software, medical insurance regulations, an expert at responding to insurance inquiries, and the privacy and confidentiality of non-public health records. Essential Duties and Responsibilities Submissions and follow-up on all authorizations required by the insurance companies. Filing all insurance claims per the insurance company policies electronically or by fax. Apply all insurance and paper payments accurately Assist Director with patient statements. Maintain all agency billing processes. Oversee the submission of claims into the agency billing software. Handle resubmissions and follow up for denied or delayed claims. Strong experience with KY Medicaid and MCO billing and regulations. Applied Behavioral Analysis or Mental Health claims billing experience preferred. All salaried staff members are expected to volunteer annually for at least one fundraising event benefiting BCA. Supervisory Responsibilities This job has no supervisory responsibilities. Competencies Problem Solving - Identifies and resolves problems promptly; gathers and analyzes information skillfully; develops alternative solutions; works well in group problem-solving situations; uses reason even when dealing with emotional topics. Communications - Expresses ideas and thoughts verbally; expresses ideas and thoughts in written form; exhibits good listening and comprehension; keeps others adequately informed; selects and uses appropriate communication methods. Dependability - Follows instructions, responds to management direction; takes responsibility for own actions; keeps commitments; commits to long hours of work when necessary to reach goals.; completes tasks on time or notifies the appropriate person with an alternate plan. Planning/Organizing - Prioritizes and plans work activities; uses time efficiently; plans for additional resources; sets goals and objectives; organizes or schedules other people and their tasks; develops realistic action plans. Quality - Demonstrates accuracy and thoroughness; looks for ways to improve and promote quality; applies feedback to improve performance; monitors own work to ensure quality. Judgment - Displays willingness to make decisions; exhibits sound and accurate judgment; supports and explains reasoning for decisions; includes appropriate people in the decision-making process; makes timely decisions. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements below represent the required knowledge, skill, and/or ability. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Education and/or Experience At least three years of billing experience from a medical provider's office or hospital. Minimum of 2 years of KY Medicaid billing experience. Full-time hours required High school diploma or equivalent. College Degree or some college preferred Must have strong time management and organizational skills, with the ability to multi-task and prioritize in a fast-paced environment. Must exhibit strong attention to detail, accuracy, and confidentiality Must be able to work independently with little supervision in a home environment with privacy. Knowledge of Excel and Central Reach system (EMR) experience preferred. Michelle P Waiver experience preferred Remote work is required. Language Skills Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Reasoning Ability Ability to solve practical problems and deal with concrete variables in situations where only limited standardization exists. Ability to interpret multiple instructions furnished in written, oral, diagram, or schedule form. Computer Skills To perform successfully in this role, an individual should be able to log in to data/billing applications & input necessary information. Should be proficient with MS Office Suite. Physical Demands The physical demands described here represent those that an employee must meet to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. While performing the duties of this Job, the employee is frequently required to stand; use hands regularly; reach with hands and arms; stoop, kneel, crouch, or crawl and talk or hear. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. The employee must occasionally lift and move up to 25 pounds. Work Environment The work environment characteristics described here represent those employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. The noise level in the work environment is usually moderate to high. The work environment is highly structured but requires flexibility due to unforeseen changes in client demands. Team Members Benefits Group Insurance Bluegrass Center for Autism offers eligible Full-time team members health insurance and welfare benefits designed to fit the needs of their immediate families, including registered domestic partners. These voluntary benefits include medical, dental, vision, and supplemental insurance policies. All insurance benefits are only available to Full-Time team members on the first day of the month after 60 days of employment. As an additional benefit for eligible team members enrolled in medical coverage, Bluegrass Center for Autism will pay a percentage towards your premium; for each year of service reached, the percentage that BCA will pay towards your premium will increase, and the team members' portion will lower. 401K Bluegrass Center for Autism offers all eligible team members to participate in our 401K plan. Participant requirements are a minimum age of 21 and must have worked full-time for 12 consecutive months and 1,000 hours of service. Paid Time Off Bluegrass Center for Autism team members receives time off when the learners are not in session. Hourly team members are not paid during the day students are not in session. Full- time team members are eligible to receive paid time off (PTO) after completing their 90-day orientation period to use at their discretion with supervisory approval. January 1, all eligible team members receive Ten days (or 80 hours) of PTO each calendar year. If a team member becomes eligible after January 1, their PTO amount will be prorated based on their 90-day eligibility date. Hourly team members are not paid during the days students are not in session. PTO hours do not roll over into the next calendar year but may be cashed in at the end of the calendar year. Bluegrass Center for Autism offers a Bonus PTO for hourly-only team members to earn additional quarterly PTO hours based on attendance that may be used on dates BCA is closed. These earned quarterly attendance PTO hours may not be used during dates that BCA is in session. Life Insurance Bluegrass Center for Autism offers a $20K employer-provided life insurance policy for Full- time eligible team members. Work anniversary bonuses: BCA offers all staff members a work anniversary bonus; you will receive $100 for every year of service to our organization on your annual work anniversary. Hours of Operation Bluegrass Center for Autism's hours of operation is Monday through Friday, 8 am to 4 pm. Instructors will be assigned to early care one day a week from 7:30 am to 3:30 pm on that day. Equal Employment Opportunity Policy Bluegrass Center for Autism provides equal employment opportunities to all employees and applicants for employment. It prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. #J-18808-Ljbffr Bluegrass Center for Autism