Medical Billing Specialist

Candidate MUST reside in Boise or surrounding areas- This position is 100% remote.

No out of state candiates will be considered. In addition, candiate must have either Applied Behavior Analysis billing experience and/or Central Reach experience. `

-Must have at least 3 years of Medical Billing Experience.

· Assignments and tasks are completed on or before the deadline

· Medical billing inclusive of active collections

· Insurance Audits

.Credentialing

Basic Considerations
· On time for scheduled meetings, and other work-related appointments; notify in advance when planning to be late; follows Sunderlin’s cancellation policy

· Attire is appropriate for the assigned work and adheres to Sunderlin’s dress code policy

· Able to establish positive rapport with our clients, their families, fellow Sunderlin staff, and other personnel

· Adheres to Sunderlin’s policies for requests for time off

· Maintains professional boundaries
Communication
· Participates in team meetings (e.g., sharing impressions, review and/or comment on data, recommendations)

· Assertive and effective communication with families/clients/funding sources, admin team, etc.

· Follows up with client families regarding any billing questions, etc.

· Able to articulate Sunderlin policies, offerings, etc. clearly

· Ability to assess problematic situations by maintaining a neutral/unbiased approach

· Checks and responds to calls, texts and emails every 24 hours

· Resolving issues at the lowest level possible and according to the correct point of contact

· Expressive needs in clear and respectful manner

· Continues to attend to and assume responsibility for an issue until it is successfully resolved

· Maintains a good working relationship with parents, other members of the treatment team, other companies/callers

· Real-time reporting of billing status to Clinical Director and/or Director of Operations

Flexibility
· Copes with the stress of job responsibilities in adaptive and productive ways

· Able to adapt to changes in policies, procedures, intervention methods, and other performance expectations

Knowledge Base and Technical Skills
· Demonstrates effective knowledge of billing

· Seeks out additional training provided by Sunderlin or outside trainings that are required to promote your professional development

· Maintain documents and information with accuracy and confidentiality

· Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing

· Calling insurance companies regarding any discrepancy in payments if necessary

· Researching and appealing denied claims.

· Answering patient or insurance telephone inquiries pertaining to assigned accounts
Organization and Preparation
· Files and documents organized

Job Types: Full-time, Part-time

Pay: $20.00 - $24.00 per hour

Benefits:

• Flexible schedule
• Paid time off

Schedule:

• Monday to Friday

Work setting:

• Hybrid work

Application Question(s):

• Do you have credentialing experience?
• Do you have experience with collections?
• Do you have experience with ABA Billing?

Experience:

• ICD-10: 1 year (Required)
• Medical Billing: 2 years (Required)
• Central Reach: 1 year (Preferred)

Work Location: Hybrid remote in Boise, ID 83705