Job Description

SUMMARY: 
Responsible for the accuracy of the financial billings for Patterns Behavioral Services. Activities must follow federal, state, and county requirements as well as company policies. 

• Maintain billing system, Central Reach software and ensure all claims are billed in a timely manner.
• Be the primary point of contact for all client billing inquiries.
• Maintain a positive business relationship with and be the point of contact for all funding sources’ claim departments. 
• Prepare claims weekly and submit them electronically.
• Complete weekly exceptions reports. 
• Working independently, Problem Solving
• Diligently follow up with insurance companies when claim denials are received. 
• Work closely with the Eligibility and Benefits Coordinator to ensure correct billings of services and copays based on the client’s plan. 
• Work closely with the Authorizations Coordinator to track and maintain current contracts and correct client information. 

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

EDUCATION and/or EXPERIENCE

At least three-five years’ medical Billing experience, High school diploma or general education degree (GED)

LANGUAGE SKILLS

In the English language, the ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, co-workers, and the general public. 

 

Computer Skills

Intermediate use of Microsoft Excel as well as Google Workspace. Central Reach experience HIGHLY preferred.

WORK ENVIRONMENT

The work environment for this position is a typical office environment, dress & conduct should reflect professionalism.

Benefits

Patterns Perks:

● Access to National University with 15% discounted rates towards coursework

● Employee Assistance Program (EAP) (available to all employees)

● Health/vision/dental Insurance (eligible employees)

● 401K plan (both part-time and full-time eligible)

● Earn PTO (full-time employees)

● Generous Employee Referral Program

About Patterns:

We are creating a nationwide community of compassionate individuals united by a single mission: to selflessly serve others. Children and adults with behavioral needs deserve empathetic, effective ABA support from committed professionals. Patterns offers center-based, in-home, and school-based behavioral services for families with children diagnosed with ASD and other developmental disabilities. We’re currently expanding and seeking career-driven, experienced ABA Superheroes to join our team. At Patterns, you’ll find a professional, ethical, structured, respectful, caring, and enjoyable work environment that empowers you to achieve your career aspirations! Together, we are Patterns—a team like no other.

We aim to be different. Service and Integrity of our clients are our utmost concern and priority. We maintain a culture of relentless optimism as we do what we've been called to do.

Patterns Behavioral Services provided the following inclusive hiring information:

We are an equal opportunity employer and consider all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.

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