Medical Billing Assistant - Compliance Audit- ZR_30443_JOB

This is a remote position.

Job Highlights:

• Contract type: Independent Contractor
• Night Shift Schedule:Monday to Thursday - 8:45am to 5pm New York Time (8:45pm - 5am Manila Time)
• Friday - 8:45am to 3:45pm New York Time (8:45pm - 3:45am Manila Time)

Description:

Will assist the Compliance team members to meet their responsibilities to maintain the most current laws, procedures, and guidelines for all 50 states local, federal, and Medicaid autism-related ABA regulations. Assist the team member in completing audits, coding, and drafting documents in a timely and professional manner.

Responsibilities:

Review Medicaid regulations related to ABA for all 50 states

Review State Autism Insurance Mandates for all 50 states

Review state practice laws related to ABA

Review payer policies and guidelines followed by summarizing findings

Review payer contracts

Audit medical records to ensure services billed are supported by documentation

Drafting appeal letters to payers in response to medical records audits

Coding of OT, PT, and SLP

Coding of Psychological testing and Developmental testing

Knowledge/skills/abilities:​

Detail orientated with above-average organizational skills

Able to plan and prioritize to meet deadlines

Excellent verbal and written communication

Communicates clearly and effectively

Excellent reading comprehension

Excellent computer skills, including Microsoft programs such as Excel, Word

Thorough understanding of navigating the internet

Core Values:We hire/fire/promote based on these core values + job-specific performance.1. Respectful of our unique cultural environment2. Absolute confidentiality3. Embracing teamwork4. Loyal behavior and positive attitude5. Accountability6. Pro activeness7. Thoroughness8. Focused on results9. Inspired to learn and grow constantly10. Devoted to providing top-tier services to our clients through the company's "Unique Service Oriented Philosophies"

Requirements

• 2-year college degree
• 2-year experience in US-based medical billing practice or 2-year experience in a medical practice dealing with billing including but not limited to, provider credentialing, auth, reimbursement, etc. preferably in Behavioral Health to some degree
• Must have backup power supply (extra laptop/power bank/generator/UPS/reside near a coworking space)
• Detail orientated with above-average organizational skill
• Able to plan and prioritize to meet deadlines
• Excellent verbal and written communication
• Communicates clearly and effectively
• Excellent reading comprehension
• Excellent computer skills, including Microsoft programs such as Excel, Word
• Thorough understanding of navigating the internet

Benefits

Independent Contractor Perks

• Permanent work from home
• Immediate hiring
• Steady freelance job
• Profit sharing incentive
• Paid time off
• Holiday pay
• Annual Performance and Raise Evaluation
• Quarterly Perfect Attendance Incentive
• HMO​
• BruntWork Loan Assistance

Please note that since this is a permanent work-from-home position and an “Independent Contractor” arrangement, the candidates must have their own computer and internet connection. They will handle their own benefits and taxes. The professional fees are on hourly rates and the rate depends on your performance in the application process.

ZR_18512_JOB

Originally posted on Himalayas