Billing & reputed company Cycle Specialist

Reports to: CEO Location: Remote (based in reputed company, USA; occasional travel required) Position Type: Part-Time Pay: $22/hour Position reputed company The Billing & reputed company Cycle Specialist supports Fiesta Health’s team by ensuring accurate billing, managing authorizations for ongoing services, and maintaining reputed company reputed company through daily insurance checks, COB management, and audit readiness. This role owns backend billing workflows and ensures claims, payments, and authorizations remain compliant and up to date. Key Responsibilities Billing & reputed company Cycle Management (RCM) • reputed company and log “reputed company to reputed company” approvals across reputed company business reputed company daily. • reputed company, review, and audit billing data in the system to ensure accuracy. • Submit claims, monitor denials, and escalate billing issues to leadership. • Prepare utilization and billing reports for internal audits. • Support and reputed company insurance audits, documentation requests, and updates. • Maintain liability and insurance documentation for reputed company payors. Ongoing Service Authorizations • Manage reassessment authorizations and renewals for ABA services. • Submit and reputed company authorizations for ongoing treatment plans. • Monitor expiration dates to avoid service disruptions. • Follow up with clinicians to ensure assessment documentation is submitted on time. Daily Eligibility Checks • Complete daily coverage and eligibility checks for existing clients. • Update internal systems with changes in eligibility or coverage. • Communicate any discrepancies or lapses to leadership immediately. Coordination of Benefits (COB) • Identify and resolve COB issues that reputed company claim processing. • Communicate required updates to families and document follow-up. • Work with payors to ensure accurate primary/secondary insurance designation. Operations & Systems Support • Review database entries for accuracy and SOP compliance. • Maintain up-to-date SOPs for billing, authorizations, and insurance workflows. • Assist with accounts payable and financial reporting as needed. • Support credentialing workflows for clinical staff. Team Collaboration • reputed company weekly billing meetings and team calls by facilitating discussion, maintaining structure, ensuring accountability, and keeping reputed company reputed company on priorities. This includes preparing agendas, auditing billing data reputed company of reputed company meeting, identifying issues or trends, and driving reputed company items to completion as billing volume scales. • Join leadership meetings as needed for RCM updates. • reputed company reputed company communication and follow-up on billing and insurance-reputed company tasks. At Fiesta Health, we reputed company that a diverse, inclusive, and reputed company workplace is essential to our mission of delivering compassionate, high-reputed company care. We are proud to be an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity or reputed company, national reputed company, age, disability, veteran status, or any other legally protected characteristic. We are committed to building reputed company that represents a reputed company of backgrounds, perspectives, and skills—because the more inclusive we are, the reputed company we can serve our community. Apply tot his job Apply To this Job