Patient Responsibility, VOB & Authorization Specialist

Join our amazing CR BillMax team, where we provide managed billing services to CentralReach customers, helping them optimize and expand their billing and collections for all the services they offer. 

CR BillMax is looking for an experienced ABA Insurance & Billing Specialist who will be responsible for verifying insurance benefits and securing prior authorizations for organizations delivering ABA therapy and related services through the CentralReach platform. The ideal candidate possesses a deep understanding of insurance policies, strong communication skills, and experience in medical billing and authorizations. 

Key Accountabilities: 

• Patient Billing & Invoicing: 

• Generate and send patient invoices for copays, deductibles, and coinsurance. 

• Process patient payments and assist with payment plans when necessary. 

• Address patient billing inquiries and resolve discrepancies. 

• Communication & Compliance: 

• Engage with clients via phone, email, and virtual meetings. 

• Maintain up-to-date knowledge of insurance portals, payer policies, and CentralReach workflows. 

• Follow standardized workflows to support billing and revenue cycle processes. 

• Perform other related duties as assigned. 

• Insurance Verification & Benefits Coordination: 

• Verify insurance benefits and coverage for ABA therapy and ancillary services. 

• Accurately document all verification details, including copays, deductibles, and coinsurance amounts. 

• Communicate coverage details and authorization requirements to providers. 

• Prior Authorizations: 

• Obtain and track prior authorizations for ABA and ancillary services. 

• Follow up with insurance companies to expedite delays and resolve authorization issues. 

Desired Skills and Experience: 

• 2+ years of experience in insurance verification and authorization (ABA, Speech, OT, PT experience a plus). 

• Strong understanding of insurance processes and revenue cycle management. 

• Well-organized and able to manage multiple tasks efficiently. 

• Confident and professional communicator, both written and verbal. 

• Self-motivated with a customer-focused mindset. 

• Adaptable and able to work in a fast-paced environment. 

• Experience with ABA billing and revenue cycle management is a plus. 

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