Senior ABA Billing Representative
Steps
- Pikesville, MD
- $65,000-80,000 per year
- Permanent
- Full-time
- Verify patients' insurance coverage and eligibility for services.
- Scrub billing claims before submission to catch errors and ensure they meet insurance guidelines and are eligible for payment.
- Prepare and submit accurate and timely medical claims to insurance companies, government agencies, and other payers.
- Follow up on unpaid or denied claims, researching, and resolving billing discrepancies and claim rejections.
- Collaborate with healthcare providers and clinical staff to ensure proper documentation and coding practices for maximum reimbursement.
- Stay updated on changes in medical billing regulations, coding guidelines, and insurance policies to ensure compliance and mitigate risks.
- Conduct regular audits and quality assurance checks to monitor billing accuracy and identify areas for improvement.
- Train and mentor entry level billing staff, providing guidance on coding protocols, billing procedures, and industry best practices.
- Generate reports and metrics to track key performance indicators (KPIs) related to billing efficiency, revenue collection, and accounts receivable management.
- Serve as a resource for internal stakeholders, answering questions and providing guidance on billing-related matters.
- Participate in meetings and cross-functional teams to support organizational goals and initiatives related to revenue cycle management and financial performance.
- Certification: Certified Professional Biller (CPB) or Certified Professional Coder (CPC) credentials preferred.
- Technical Skills: Proficiency in medical billing software and electronic health records (EHR/EMR) systems, as well as familiarity with Microsoft Office Suite. Prefer experience with Tebra.
- Knowledge: In-depth understanding of medical billing terminology and healthcare reimbursement methodologies.
- Analytical Skills: Strong analytical and problem-solving skills to interpret complex billing guidelines and resolve billing discrepancies.
- Communication: Excellent communication skills, both written and verbal, to interact effectively with administrative and clinical staff, insurance companies, and clients.
- Attention to Detail: Meticulous attention to detail to ensure accuracy in coding, billing, and documentation.
- Teamwork: Ability to collaborate with cross-functional teams including administrative and clinical staff and other billing professionals.
- Adaptability: Flexibility to adapt to changing regulations, technology updates, and organizational priorities in the industry.
- Ethical Conduct: Commitment to upholding ethical standards and maintaining patient confidentiality in all aspects of billing operations.