Job Scope:

The Billing Assistant performs a variety of accounts receivable and billing administration activities on behalf of the organization. This position will assist the Billing Coordinator in Billing to Insurance companies and claim denials resolution.

Key Responsibilities:

• Prepare and submit claims to insurance companies, government agencies, and other payers every day.
• Prepare and update daily billing reports.
• Coordinate with clinicians and administrative staff to ensure that all services rendered are appropriately billed.
• Track and follow up on unpaid claims and denied claims.
• Identify and resolve billing discrepancies.
• Ensure compliance with all insurance and billing regulations and requirements.
• Perform other duties as assigned.

Daily Tasks

• Message PS & BCBA regarding open sessions
• Check emails & google chats in order to assist providers with any inquiries
• Before billing check CCHP and make sure codes are the correct after-hours ones and place of service
• Check PHC sessions and make sure it has the correct codes, place of service, and add units for transmission codes
• Do the billing and once again double check all insurances have the correct codes.
• Save the claims to the correct folder & with the correct information.
• Mail any paper claims if needed
• Print billing reports fill out the following spreadsheets:
• “Billing projection Monthly”
• Follow up with claim denials/unpaid claims- Via Emails or Phone calls
• Submit Disputes in order to recover payment, if needed

Bi-Weekly Task

• Make sure all hourly employees have converted sessions for the pay period.
• Check mileage 1 by 1 to ensure BTs are getting the correct mileage or remove unnecessary mileage.
• Create Catalight invoices and bill Catalight at the end of each pay period

Monthly Task

• Make sure all employees have converted their sessions.
• All saved documents from the insurances throw them out and just keep the ones from 6 months.

Other Miscellaneous Task

• Apply payments for all insurances
• Meet with new PS, ACS, or BCBA and go over the codes and how to bill.
• Connect/disconnect employees from the codes.
• Open the mail received and work on it.

Update the following spreadsheets when needed.

• Checks Report”
• “Client Auth Expiration”
• “Conciliation Checks”
• “Service Codes”

Qualifications/ Requirements:

• Bachelor's degree in business administration, healthcare administration, or related field preferred.
• Minimum of 2 years of experience in medical billing or healthcare billing.
• Knowledge of insurance and billing regulations and requirements.
• Strong organizational skills and attention to detail.
• Excellent communication skills, both written and verbal.
• Ability to work independently and as part of a team.
• Proficiency in Microsoft Office, particularly Excel.
• Experience with electronic medical records and billing software preferred.

Licenses, Certifications

• Driver's License (Required)
• Fingerprint clearance (both DOJ and FBI)