Billing Associate

Billing Associate

Fully Remote
• Work From Home - LOUISVILLE, KY 40299

Position Type Full Time

The Billing Associate will transfer patient and insurance information and initiate payment processes and procedures. The ideal candidate will be well-versed in billing software, medical insurance regulations, an expert at responding to insurance inquiries, and the privacy and confidentiality of non-public health records. Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Submissions and follow-up on all authorizations required by the insurance companies.
• Filing all insurance claims per the insurance company policies electronically or by fax.
• Apply all insurance and paper payments accurately.
• Assist Director with patient statements.
• Maintain all agency billing processes.
• Oversee the submission of claims into the agency billing software.
• Handle resubmissions and follow up for denied or delayed claims.
• Strong experience with KY Medicaid and MCO billing and regulations.
• Applied Behavioral Analysis or Mental Health claims billing experience preferred.
• All salaried staff members are expected to volunteer annually for at least one fundraising event benefiting BCA.

Supervisory Responsibilities This job has no supervisory responsibilities.

Competencies To perform the job successfully, an individual should demonstrate the following competencies:

• Problem Solving
  - Identifies and resolves problems promptly; gathers and analyzes information skillfully; develops alternative solutions; works well in group problem-solving situations; uses reason even when dealing with emotional topics.
• Communications
  - Expresses ideas and thoughts verbally; expresses ideas and thoughts in written form; exhibits good listening and comprehension; keeps others adequately informed; selects and uses appropriate communication methods.
• Dependability
  - Follows instructions, responds to management direction; takes responsibility for own actions; keeps commitments; commits to long hours of work when necessary to reach goals.; completes tasks on time or notifies the appropriate person with an alternate plan.
• Planning/Organizing
  - Prioritizes and plans work activities; uses time efficiently; plans for additional resources; sets goals and objectives; organizes or schedules other people and their tasks; develops realistic action plans.
• Quality
  - Demonstrates accuracy and thoroughness; looks for ways to improve and promote quality; applies feedback to improve performance; monitors own work to ensure quality. Judgment
  - Displays willingness to make decisions; exhibits sound and accurate judgment; supports and explains reasoning for decisions; includes appropriate people in the decision-making process; makes timely decisions.

Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements below represent the required knowledge, skill, and/or ability. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

• At least three years of billing experience from a medical provider's office or hospital.
• Minimum of 2 years of KY Medicaid billing experience.
• Full-time hours required
• High school diploma or equivalent. College Degree or some college preferred
• Must have strong time management and organizational skills, with the ability to multi-task and prioritize in a fast-paced environment.
• Must exhibit strong attention to detail, accuracy, and confidentiality
• Must be able to work independently with little supervision in a home environment with privacy.
• Knowledge of Excel and Central Reach system (EMR) experience preferred.
• Michelle P Waiver experience preferred
• Remote work is required.

La…