PDN Rehab Billing/AR Specialist

Every child deserves the brightest future and Centria Autism Services is on a mission to help children with Autism Spectrum Disorder (ASD) have the best developmental experience possible while acquiring the skills to succeed in the world on their own terms. Too many children with ASD are untreated or undertreated and Centria is committed to reaching every child in need and their families with interventions based on the principles of Applied Behavior Analysis that meet – and exceed -- best practices. Our Optimal Outcomes Model(TM) looks at the whole-child, engages families in aspirational treatment planning and leverages team-based care to allow BCBA’s to focus on clinical issues and support Centria’s dedication to quality, family satisfaction and developmental outcomes. Founded in 2009, Centria now operates in 13 states and is working hard to develop approaches to sustain quality while reaching tens of thousands of children across the country; we use data-driven analytics and sophisticated software platforms to constantly evaluate our quality and performance, and develop new approaches to supporting our clients and their families on their journey.

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Centria Healthcare was founded in 2009 and grew two business lines to lead the state of Michigan. In 2014 we took on Autism and have since grown to be the largest provider in the nation. We blended an entrepreneurial spirit with a proven and effective care delivery system to create an unmatched client experience. We look for dedicated, hard-working, sharp individuals with a desire to go above and beyond.

Thank you for showing interest in Centria Autism Services. Our mission as a company is "to help every child living with autism to develop, pursue, and achieve their goals and dreams through high quality ABA therapy and support".

Position Summary:

The PDN/Rehab Billing/AR Specialist focuses on expedient billing, reducing outstanding accounts receivable, and ensuring accurate collection of funds.

Success measures include adherence to Centria policies and meeting or exceeding personal qualitative and quantitative key performance indicator (KPI) metrics.

Duties and Responsibilities:

The below reflects the essential functions considered necessary for this role and shall not be construed as a detailed description of all work requirements inherent in the job or assigned by supervisory personnel. This job description is used as a guide only and not inclusive of all responsibilities and job duties.

1. Process PDN and Rehabilitation billing for commercial, Medicaid, Workers Comp, Auto and all other payors.


2. Establish strong relationships with payors.


3. Review data for accuracy and ensure billing is correctly vetted before submission to payors.


4. Ensure that all outstanding billing is handled in a timely and accurate manner.


5. Research and resolve billing questions and issues in conjunction with Revenue Cycle and Operations Teams.


6. Research, assemble, and provide the necessary documentation to support claims.


7. Work in close collaboration with Healthcare Payroll, payors, and Operations to ensure collection of funds billed.


8. Support Operations and provide detailed reports of missing documentation.


9. Communicate often and professionally with payor sources, seeking to resolve any outstanding claims.


10. Adhere to HIPAA guidelines ensuring personal health information is secure, accurate, and accessible for billing purposes.


11. Compliance with Centria’s Code of Conduct, policies and procedures, and Federal and State laws.


12. Responsibility to report violations of Company policies or the Code of Conduct.

$18.00 - $22.00

Qualifications

Work Experience

• Minimum of 1 year of accounts receivable or billing experience in healthcare or medical claims at a payer


• Experience working with a clearinghouse


• Strong 10-key data entry experience with 7,500 KPH (keystrokes per hour) with 95% accuracy on a 10-key test

Equipment and Technology Requirements

• Basic Computer skills


• Working knowledge of laptop/desktop PC


• Intermediate proficiency in Microsoft Suite, specifically Excel


• Proficiency in G Suite (Gmail, Drive, Sheets, Google Meet)

Other Competency Requirements

• Ability to follow written instructions


• Ability to use computers and computer/software programs


• Ability to communicate expressively and receptively

Knowledge and Skills

• Proficiency in PC software, especially spreadsheet programs such a Excel;


• Superb customer service skills;


• Knowledge of billing and AR practices;


• Ability to work independently and with a team in a fast-paced and high-volume environment with an emphasis on a timeliness and accuracy;


• Demonstrated positivity and proven success in a fast-paced, quality-driven environment;


• Effective communication skills, both written and verbal, with internal and external stakeholders.

Working Conditions

• Centria's office hours are Monday through Friday from 8:30 AM - 6:00 PM


• Additional time or occasional shifts in schedule may be required to complete the above work or meet company objectives

Physical Demands

While performing the duties of this job, physical requirements such as bending, reaching, lifting, pushing, or pulling up to 30 pounds may be required. This role will require sitting most of the day as well as walking and standing periodically. This role may require close visual acuity on computer screens or monitors and the ability to analyze data and figures on a screen.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, Veteran status, or disability status. This job description is not intended to be an exhaustive list of qualifications, skills, efforts, duties, responsibilities, or working conditions associated with the position. Centria reserves the right to amend this job description at any time, with or without written notice.