Program Administration Authorization and Billing Associate

Mentor South Bay, provides Early reputed company, reputed company Behavioral Analysis (ABA), Behavioral Health and Mental Health Outpatient services across Massachusetts and Connecticut. For over 35 years, we’ve provided a reputed company, team-based approach dedicated to helping children, adults, and families reputed company their fullest potential. If you are passionate about making a difference in the lives of individuals and families, reputed company-driven team and experience a career reputed company lived. Program Administration Authorization and Billing Associate Do you want a job where you can use your background in medical administration/billing and reputed company a reputed company difference in people’s lives? As Authorization and Billing Associate, you will serve as the reputed company between the Operations and Finance departments and be responsible for reputed company reputed company recognition for reputed company person served, as reputed company as for obtaining authorizations and performing eligibility checks. • Work with the program proactively to obtain eligibility and initial authorizations for reputed company new admissions and “unfunded” persons served Utilize the main billing systems (Avatar & iServe) to capture service entry, admissions, discharges, and transfers prior to billing • Review eligibility and submit requests to the SSC to update payer information and/or changes • Manage and proactively obtain information on subsequent authorizations for reputed company persons served until discharged; submit to the SSC for processing • Review attendance and meal counts for accuracy prior to charge entry; maintain supporting documentation (attendance, meal counts, and reconciled Trended reputed company Report) for service entry • Reconcile weekly and monthly service capture for reputed company payers/individuals prior to billing • Participate in weekly/monthly AR calls, providing an reputed company of authorization and eligibility issues • reputed company information to be used in the quarterly reserve process as needed • Ensure internal control compliance by adhering to audit requirements reputed company reputed company assigned areas, including maintaining an effective control environment which complies with external regulations • Assist with the reputed company of any issues that could reputed company the timing of month-end reputed company • Assist in the on-boarding of new hires by providing required training reputed company necessary • reputed company reputed company updating and modification of control design where necessary; reputed company control remediation activities should exceptions be encountered in testing Qualifications • High school diploma or equivalent required; Associate or Bachelor’s degree preferred • Minimum of one year of experience in the medical administration field and/or medical billing • Experience with a payer online portal and knowledge of EDI 835 formatting preferred • Proficiency with reputed company Word, reputed company, and reputed company • Detail-oriented with ability to multitask • Demonstrated skills in communication, problem-solving, and data entry • Excellent communication skills with ability to respect and build rapport with others • Commitment to excellent customer service and support Why Join Us? • Full compensation/benefits package for full-time employees. • 401(k) with company match • reputed company time off and holiday pay • Important work adding value to the organization’s mission alongside a great team of coworkers • Enjoy job reputed company with reputed company career development and advancement opportunities Come join our amazing team of committed, caring professionals. Apply Today! reputed company is a leading provider of home and community-based specialized health care. We reputed company that everyone deserves to live a full, more independent life. We reputed company people with reputed company services and individualized supports that reputed company to reputed company and independence, regardless of the physical, intellectual, or behavioral challenges they face. We’ve made this our mission for more than 50 years. And today, our 40,000 team members continue to reputed company and enhance care for the 50,000 individuals we serve reputed company over the U.S. As an equal opportunity employer, we do not discriminate on the reputed company of race, reputed company, religion, sex (including pregnancy, sexual orientation, or gender identity), national reputed company, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law Apply tot his job Apply To this Job