ABA RCM Specialist Job at Sunrise ABA

Sunrise ABA Concord, CA

SunRise ABA uses the science of Applied Behavior Analysis(ABA) to help understand the behaviors of individuals with an autism diagnosis. We then take that data and develop individual plans that enhance the abilities, teach skills, build coping strategies and offer help to prevent behavior concerns, and reinforce a more accepting approach to autism care. At SunRise ABA we identify triggers in the learner's environment and promote self-advocacy behaviors. It’s time to start listening and strengthening their voices like a unique ray of sunshine that deserves to be heard.

Our Revenue Cycle Management (RCM) Specialist helps our families by assuring the submission of insurance claims to payors, posting payments, and subsequent follow-ups to ensure claims are processed in a timely and accurate manner.

Why Shine with SunRise

  • Be an influential part of supporting in a growing department
  • Training and mentorship from a best in class billing and credentialing expert
  • Professional growth opportunities
  • Unlimited employee referral bonuses
  • Small mom and pop feel
  • Industry-leading technology support
  • Leaders that keep your self-care in mind
  • Ability to work independently and collaborate as a team
  • Work remotely

Responsibilities:

  • Perform Verification and Re-Verification of benefits
  • Obtain Authorization for services
  • Submit accurate claims in a timely and accurate manner
  • Research, resolve and resubmit any rejected claims in a timely manner
  • Research and resolve insurance denials
  • File appeals on denied or underpaid claims
  • Check claim status on appropriate payor systems and contact insurances as needed
  • Accurately post payments received from clients and payors
  • Send Medical Records as requested

Qualifications:

  • 2-3 years of experience in ABA billing and collections
  • Knowledge of Current Procedural Terminology, and International Classification of Disease, Ninth Revision (including modifiers)
  • Experience with Central Reach preferred

Interview Process

  • First interview with a dedicated Talent Advisor
  • Second and a final video interview with our VP of Strategic Initiatives
  • Win/Win: If this is not the right fit for you we will give you honest feedback on how to improve your candidacy for the future.
  • The overall timeline from application to offer could be less than two weeks depending on availability and location!
Sunrise ABA is committed to fair and equitable compensation practices.

The pay range for this role is $50,000-$60,000.This salary rate range represents the low and high end for this position. Actual pay rates are based on several factors that are unique to each candidate, including but not limited to skill set, depth of experience, certifications, and specific work location. This may be different in other locations due to differences in insurance reimbursement and cost of labor.

Equal Employment Opportunity
Diversity, Equity, and Inclusion matter!

It is Sunrise ABA’s practice not to discriminate against any employee or applicant because of sex, race, color, age, national origin, religion, gender, identity or expression, sexual orientation or sexual preference, pregnancy or maternity, genetic information, marital status, physical or mental disability, medical condition, military or veteran status or any other basis protected by the applicable federal, state or local law.

If you would like any reasonable accommodations please inform your Talent Advisor so we can meet to discuss appropriate alternatives available.



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