What is your mission? 

You will provide the best service to our partner brands by performing these tasks:

Phone-Based Insurance Support:

• Serve as the primary source of support for contacting insurance companies via phone, handling inquiries regarding ABA therapy benefits, authorizations, and claim follow-ups.
• Work with insurance companies as the administrative team needs to secure authorizations for ABA therapy services and ensure timely processing of claims.
• Assist administration team with resolving insurance-related issues such as denied or delayed claims by contacting insurance representatives and gathering necessary documentation.

Claims & Authorization Assistance:

• Help the administration team manage claim statuses by regularly following up with insurance companies on pending, outstanding, or denied claims.
• Assist in obtaining pre-authorization and re-authorizations for ongoing ABA therapy services as support.
• Support the Insurance Administration team by troubleshooting and resolving discrepancies between billed services and insurance payments.

Administrative Support:

• Maintain detailed records of phone conversations with insurance companies, including claim statuses, authorizations, and follow-up actions.
• Assist the head billing administrator by preparing and submitting insurance-related forms, ensuring accuracy and compliance with requirements.
• Provide general administrative assistance to the Insurance Administration team as needed.

Collaboration and Team Communication:

• Clear and concise communication updates from insurance companies to the billing team and other relevant staff to ensure proper follow-through on claims and authorizations.
• Assist administration team by providing information about insurance benefits, authorizations, and claims status as directed by the team.

Who are we looking for?

• 2-3 years of experience in customer service in medical billing, insurance, patient service prior authorization or patient services
• High school diploma or equivalent; experience in medical billing, administration, or insurance preferred.
• Previous experience in a phone-based administrative or insurance support role, ideally within ABA services or behavioral healthcare.
• Strong verbal communication skills, with fluency in English and the ability to clearly and professionally convey information.
• Persistence and problem-solving skills, especially when dealing with insurance representatives.
• Basic proficiency with Microsoft Office Suite, Google Suite and familiarity with billing or insurance-related software systems.
• Knowledge of HIPAA regulations and commitment to maintaining confidentiality of patient information.