Job Description
Applied Behavior Consultants, Inc. ( www.abcreal.com ) is looking for a Full Time Insurance Billing Assistant. SUMMARY: Initiates, coordinates, and executes administrative and other duties within the insurance department. DUTIES AND RESPONSIBILITIES The following reflects management’s definition of essential functions for this job but does not restrict the tasks that may be assigned. Management may assign or reassign duties and responsibilities for this job at any time for reasonable accommodation or other reasons. INSURANCE BILLING: Review 1500 required documents for accuracy Request and follow up with 1500 Required Documents packets Verify monthly Eligibility and benefits check Run audits for missing parental verification forms Generate manual claim as needed Review another Insurance Processor’s billing for accuracy/completion Update client’s contact and member responsibility information Track member responsibility and out of pocket max on Parent copay tracking Create, print and mail member responsibility invoices INSURANCE BILLING RESEARCH: Reconcile Explanations of Benefits from Transactions not posted list Check responses and review rejections weekly Resubmit corrected claims as needed Complete and Upload appeals for denied claims Maintain End of month report with current account status GENERAL CLERICAL/ADMINISTRATIVE DUTIES: o Check Email/Voicemail and respond and respond within 24-48 hours SPECIAL PROJECTS: Manage/complete all special projects assigned Job Type: Full Time Salary Range: $20.57 - $26.00 per hour The salary range is the range ABC, Inc., in good faith, believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law. Job Type: Full-time Benefits Dental insurance Health insurance Paid time off Vision insurance Schedule: 8 hour shift Monday to Friday Education: High school or equivalent (Required) Experience: Microsoft Office: 1 year (Preferred) Medical coding: 1 year (Required) Work Location: In person Pay: $20.57 - $26.00 per hour Benefits Dental insurance Employee discount Health insurance Life insurance Paid time off Vision insurance Work Location: In person