Medical Billing Assistant - Compliance Audit

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.

Background Check: Please be advised that a background check is required as part of the onboarding process for all successful candidates.

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