Offer summary

Qualifications:

2-year college degree required., 2 years of experience in US-based medical billing or related medical practice., Excellent verbal and written communication skills are essential., Proficient in Microsoft Excel and Word, with strong organizational skills..

Key responsibilities:

Assist the Compliance team in maintaining current laws and guidelines for ABA regulations.

Review Medicaid regulations and state autism insurance mandates for all 50 states.

Audit medical records to ensure billing is supported by documentation.

Draft appeal letters to payers and perform coding for various services.

Job description

This is a remote position.

Job Highlights:

Contract type: Independent Contractor
Night Shift Schedule: Monday to Thursday - 8:45am to 5pm New York Time (8:45pm - 5am Manila Time)
Friday - 8:45am to 3:45pm New York Time (8:45pm - 3:45am Manila Time)

Description:

Will assist the Compliance team members to meet their responsibilities to maintain the most current laws, procedures, and guidelines for all 50 states local, federal, and Medicaid autism-related ABA regulations. Assist the team member in completing audits, coding, and drafting documents in a timely and professional manner.

Responsibilities:

Review Medicaid regulations related to ABA for all 50 states
Review State Autism Insurance Mandates for all 50 states
Review state practice laws related to ABA
Review payer policies and guidelines followed by summarizing findings
Review payer contracts
Audit medical records to ensure services billed are supported by documentation
Drafting appeal letters to payers in response to medical records audits
Coding of OT, PT, and SLP
Coding of Psychological testing and Developmental testing

Knowledge/skills/abilities:

Detail orientated with above-average organizational skills
Able to plan and prioritize to meet deadlines
Excellent verbal and written communication
Communicates clearly and effectively
Excellent reading comprehension
Excellent computer skills, including Microsoft programs such as Excel, Word
Thorough understanding of navigating the internet

Core Values:

We hire/fire/promote based on these core values + job-specific performance.

1. Respectful of our unique cultural environment

2. Absolute confidentiality

3. Embracing teamwork

4. Loyal behavior and positive attitude

5. Accountability

6. Pro activeness

7. Thoroughness

8. Focused on results

9. Inspired to learn and grow constantly

10. Devoted to providing top-tier services to our clients through the company's "Unique Service Oriented Philosophies"

Requirements

2-year college degree
2-year experience in US-based medical billing practice or 2-year experience in a medical practice dealing with billing including but not limited to, provider credentialing, auth, reimbursement, etc. preferably in Behavioral Health to some degree
Must have backup power supply (extra laptop/power bank/generator/UPS/reside near a coworking space)
Detail orientated with above-average organizational skill
Able to plan and prioritize to meet deadlines
Excellent verbal and written communication
Communicates clearly and effectively
Excellent reading comprehension
Excellent computer skills, including Microsoft programs such as Excel, Word
Thorough understanding of navigating the internet

Benefits

Independent Contractor Perks

Permanent work from home
Immediate hiring
Steady freelance job
Profit sharing incentive
Paid time off
Holiday pay
Annual Performance and Raise Evaluation
Quarterly Perfect Attendance Incentive
HMO
BruntWork Loan Assistance

Please note that since this is a permanent work-from-home position and an “Independent Contractor” arrangement, the candidates must have their own computer and internet connection. They will handle their own benefits and taxes. The professional fees are on hourly rates and the rate depends on your performance in the application process.

ZR_18512_JOB

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