Full job description

JOB SUMMARY:

Responsible for billing/coding, pre-authorizations, and collection of all participant service fees and other programs as directed under the direct supervision of the Director of Behavior Support Services.

DUTIES AND RESPONSIBILITIES:

· Review and analyze medical documentation to ensure accurate and timely billing.

· Assign appropriate medical codes to diagnoses and procedures.

· Submit claims to insurance companies and follow up on outstanding payments.

· Verify patient insurance coverage and obtain necessary authorizations.

· Maintain patient records and confidentiality of sensitive information.

· Collaborate with healthcare providers and insurance companies to resolve billing discrepancies.

· Stay updated on industry changes and regulations related to medical billing.

· Greets and assists all parents, callers and visitors in a positive and professional manner, and relays information appropriately.

· Maintains accurate and orderly filing system for participants records.

· Prepares files for incoming participants. Establishes participant status within ABA platform

· Respects and preserves the dignity, personal safety and confidentiality of all persons served by or employed by ESWG.

· Performs all other duties as assigned by the Director of Behavior Support Services.

WORKING EXPECTATIONS:

· Staff will always exercise professionalism in the presence of participants, visitors, and other staff. Staff will ensure that all activities and conversations are always geared toward what is appropriate.

· To ensure quality of services provided, staff are expected to receive a rating of 20 (meets expectation) or higher on all performance reviews.

· Scoring under 20 will result in the staff member being placed on a 1–3-month probation until the level of quality is improved or termination may result.

QUALIFICATIONS:

· High school diploma or equivalent; certification in medical billing preferred.

· At least two years of experience in healthcare billing.

· ABA Therapy experience is a plus but not required.

· Proficient in medical terminology, coding systems, and billing software.

· Knowledge of insurance guidelines, claim submission processes, and reimbursement procedures.

· Strong attention to detail and accuracy in data entry and documentation.

· Excellent communication skills, both written and verbal.

· Ability to work independently and prioritize tasks effectively.

· Familiarity with medical collections is a plus.

· Working hours are determined by program need.

Job Type: Full-time

Benefits:

• 401(k)

• Dental insurance

• Health insurance

• Life insurance

• Paid time off

• Vision insurance

Schedule:

• 8 hour shift

• Monday to Friday

Ability to Commute:

• Columbus, GA 31909 (Required)

Ability to Relocate:

• Columbus, GA 31909: Relocate before starting work (Required)

Work Location: In person