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Patient Responsibility, VOB & Authorization Specialist at CentralReach
Holmdel, NJFull-timeCR BillMaxPosted about 1 month ago
Apply with PipelineAbout the Role
<div class="content-intro"><p>CentralReach is a leading provider of autism and IDD care software for Applied Behavior Analysis (ABA), multidisciplinary therapy, and special education. Trusted by more than 200,000 users, we enable therapy providers, educators, and employers to scale the way they deliver ABA and related therapies with innovative technology, market-leading industry expertise, and world-class customer satisfaction. </p></div><p><em><span data-contrast="none">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.</span></em><span data-ccp-props="{}"> </span></p>
<p><em><span data-contrast="none">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.</span></em><span data-ccp-props="{}"> </span></p>
<p><strong><span data-contrast="none">Key Accountabilities:</span></strong><span data-ccp-props="{}"> </span></p>
<ul>
<li data-leveltext="" data-font="Symbol" data-listid="13" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1"><span data-contrast="none">Patient Billing & Invoicing:</span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559737":0,"335559738":0,"335559739":0,"335559740":360}"> </span></li>
</ul>
<ul>
<li data-leveltext="o" data-font="Symbol" data-listid="13" data-list-defn-props="{"335552541":1,"335559685":1440,"335559991":360,"469769226":"Symbol","469769242":[9675],"469777803":"left","469777804":"o","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="2"><span data-contrast="none">Generate and send patient invoices for copays, deductibles, and coinsurance.</span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559737":0,"335559738":0,"335559739":0,"335559740":360}"> </span></li>
</ul>
<ul>
<li data-leveltext="o" data-font="Symbol" data-listid="13" data-list-defn-props="{"335552541":1,"335559685":1440,"335559991":360,"469769226":"Symbol","469769242":[9675],"469777803":"left","469777804":"o","469777815":"hybridMultilevel"}" data-aria-posinset="2" data-aria-level="2"><span data-contrast="none">Process patient payments and assist with payment plans when necessary.</span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559737":0,"335559738":0,"335559739":0,"335559740":360}"> </span></li>
</ul>
<ul>
<li data-leveltext="o" data-font="Symbol" data-listid="13" data-list-defn-props="{"335552541":1,"335559685":1440,"335559991":360,"469769226":"Symbol","469769242":[9675],"469777803":"left","469777804":"o","469777815":"hybridMultilevel"}" data-aria-posinset="3" data-aria-level="2"><span data-contrast="none">Address patient billing inquiries and resolve discrepancies.</span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559737":0,"335559738":0,"335559739":0,"335559740":360}"> </span></li>
</ul>
<ul>
<li data-leveltext="" data-font="Symbol" data-listid="13" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="2" data-aria-level="1"><span data-contrast="none">Communication & Compliance:</span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559737":0,"335559738":0,"335559739":0,"335559740":360}"> </span></li>
</ul>
<ul>
<li data-leveltext="o" data-font="Symbol" data-listid="13" data-list-defn-props="{"335552541":1,"335559685":1440,"335559991":360,"469769226":"Symbol","469769242":[9675],"469777803":"left","469777804":"o","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="2"><span data-contrast="none">Engage with clients via phone, email, and virtual meetings.</span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559737":0,"335559738":0,"335559739":0,"335559740":360}"> </span></li>
</ul>
<ul>
<li data-leveltext="o" data-font="Symbol" data-listid="13" data-list-defn-props="{"335552541":1,"335559685":1440,"335559991":360,"469769226":"Symbol","469769242":[9675],"469777803":"left","469777804":"o","469777815":"hybridMultilevel"}" data-aria-posinset="2" data-aria-level="2"><span data-contrast="none">Maintain up-to-date knowledge of insurance portals, payer policies, and CentralReach workflows.</span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559737":0,"335559738":0,"335559739":0,"335559740":360}"> </span></li>
</ul>
<ul>
<li data-leveltext="o" data-font="Symbol" data-listid="13" data-list-defn-props="{"335552541":1,"335559685":1440,"335559991":360,"469769226":"Symbol","469769242":[9675],"469777803":"left","469777804":"o","469777815":"hybridMultilevel"}" data-aria-posinset="3" data-aria-level="2"><span data-contrast="none">Follow standardized workflows to support billing and revenue cycle processes.</span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559737":0,"335559738":0,"335559739":0,"335559740":360}"> </span></li>
</ul>
<ul>
<li data-leveltext="o" data-font="Symbol" data-listid="13" data-list-defn-props="{"335552541":1,"335559685":1440,"335559991":360,"469769226":"Symbol","469769242":[9675],"469777803":"left","469777804":"o","469777815":"hybridMultilevel"}" data-aria-posinset="4" data-aria-level="2"><span data-contrast="none">Perform other related duties as assigned.</span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559737":0,"335559738":0,"335559739":0,"335559740":360}"> </span></li>
</ul>
<ul>
<li data-leveltext="" data-font="Symbol" data-listid="13" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="3" data-aria-level="1"><span data-contrast="none">Insurance Verification & Benefits Coordination:</span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559737":0,"335559738":0,"335559739":0,"335559740":360}"> </span></li>
</ul>
<ul>
<li data-leveltext="o" data-font="Symbol" data-listid="13" data-list-defn-props="{"335552541":1,"335559685":1440,"335559991":360,"469769226":"Symbol","469769242":[9675],"469777803":"left","469777804":"o","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="2"><span data-contrast="none">Verify insurance benefits and coverage for ABA therapy and ancillary services.</span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559737":0,"335559738":0,"335559739":0,"335559740":360}"> </span></li>
</ul>
<ul>
<li data-leveltext="o" data-font="Symbol" data-listid="13" data-list-defn-props="{"335552541":1,"335559685":1440,"335559991":360,"469769226":"Symbol","469769242":[9675],"469777803":"left","469777804":"o","469777815":"hybridMultilevel"}" data-aria-posinset="2" data-aria-level="2"><span data-contrast="none">Accurately document all verification details, including copays, deductibles, and coinsurance amounts.</span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559737":0,"335559738":0,"335559739":0,"335559740":360}"> </span></li>
</ul>
<ul>
<li data-leveltext="o" data-font="Symbol" data-listid="13" data-list-defn-props="{"335552541":1,"335559685":1440,"335559991":360,"469769226":"Symbol","469769242":[9675],"469777803":"left","469777804":"o","469777815":"hybridMultilevel"}" data-aria-posinset="3" data-aria-level="2"><span data-contrast="none">Communicate coverage details and authorization requirements to providers.</span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559737":0,"335559738":0,"335559739":0,"335559740":360}"> </span></li>
</ul>
<ul>
<li data-leveltext="" data-font="Symbol" data-listid="13" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="4" data-aria-level="1"><span data-contrast="none">Prior Authorizations:</span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559737":0,"335559738":0,"335559739":0,"335559740":360}"> </span></li>
</ul>
<ul>
<li data-leveltext="o" data-font="Symbol" data-listid="13" data-list-defn-props="{"335552541":1,"335559685":1440,"335559991":360,"469769226":"Symbol","469769242":[9675],"469777803":"left","469777804":"o","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="2"><span data-contrast="none">Obtain and track prior authorizations for ABA and ancillary services.</span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559737":0,"335559738":0,"335559739":0,"335559740":360}"> </span></li>
</ul>
<ul>
<li data-leveltext="o" data-font="Symbol" data-listid="13" data-list-defn-props="{"335552541":1,"335559685":1440,"335559991":360,"469769226":"Symbol","469769242":[9675],"469777803":"left","469777804":"o","469777815":"hybridMultilevel"}" data-aria-posinset="2" data-aria-level="2"><span data-contrast="none">Follow up with insurance companies to expedite delays and resolve authorization issues.</span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559737":0,"335559738":0,"335559739":0,"335559740":360}"> </span></li>
</ul>
<p><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559737":0,"335559738":0,"335559739":0,"335559740":360}"> </span></p>
<p><strong><span data-contrast="none">Desired Skills and Experience:</span></strong><span data-ccp-props="{}"> </span></p>
<ul>
<li data-leveltext="" data-font="Symbol" data-listid="2" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1"><span data-contrast="none">2+ years of experience in insurance verification and authorization (ABA, Speech, OT, PT experience a plus).</span><span data-ccp-props="{}"> </span></li>
</ul>
<ul>
<li data-leveltext="" data-font="Symbol" data-listid="2" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="2" data-aria-level="1"><span data-contrast="none">Strong understanding of insurance processes and revenue cycle management.</span><span data-ccp-props="{}"> </span></li>
</ul>
<ul>
<li data-leveltext="" data-font="Symbol" data-listid="2" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="3" data-aria-level="1"><span data-contrast="none">Well-organized and able to manage multiple tasks efficiently.</span><span data-ccp-props="{}"> </span></li>
</ul>
<ul>
<li data-leveltext="" data-font="Symbol" data-listid="2" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="4" data-aria-level="1"><span data-contrast="none">Confident and professional communicator, both written and verbal.</span><span data-ccp-props="{}"> </span></li>
</ul>
<ul>
<li data-leveltext="" data-font="Symbol" data-listid="2" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="5" data-aria-level="1"><span data-contrast="none">Self-motivated with a customer-focused mindset.</span><span data-ccp-props="{}"> </span></li>
</ul>
<ul>
<li data-leveltext="" data-font="Symbol" data-listid="2" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="6" data-aria-level="1"><span data-contrast="none">Adaptable and able to work in a fast-paced environment.</span><span data-ccp-props="{}"> </span></li>
</ul>
<ul>
<li data-leveltext="" data-font="Symbol" data-listid="2" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="7" data-aria-level="1"><span data-contrast="none">Experience with ABA billing and revenue cycle management is a plus.</span><span data-ccp-props="{}"> </span></li>
</ul>
<p><span data-ccp-props="{}"> #LI-HYBRID</span></p><div class="content-pay-transparency"><div class="pay-input"><div class="title">Base Salary Range</div><div class="pay-range"><span>$44,000</span><span class="divider">—</span><span>$50,000 USD</span></div></div></div><div class="content-conclusion"><p id="isPasted">Backed by Roper Technologies, Inc. (Nasdaq: ROP), and led by award-winning CEO Chris Sullens, CentralReach is entering an exciting phase of growth, innovation, and scale. </p>
<p>Recognized as one of the best places to work over 10 times by organizations such as Inc, Built In, and NJBIZ, our culture is centered around impact, inclusion, and flexibility. As a hybrid company with collaborative offices in Ft. Lauderdale, FL; Holmdel, NJ; and Verona, Italy, we foster a workplace where top talent can thrive and make a real difference in the lives of those we serve.<br><br>We offer competitive compensation, comprehensive health benefits, generous PTO, 401(k) matching, and paid parental leave to our full-time employees. Our team members also enjoy hybrid work schedules, career development support, wellness programs, and opportunities to give back through CR Cares™, our community engagement initiative.</p>
<p>Be part of a market leader driving the future of care. Explore opportunities at <a href="https://nam12.safelinks.protection.outlook.com/?url=https%3A%2F%2Fcentralreach.com%2Fcareers%2F&data=05%7C02%7Cjamie.madarasz%40centralreach.com%7Cb7b1c0d4e2354127669a08dda36f3df3%7C515bdea7d91847b3b73f5700d21635ec%7C0%7C0%7C638846420463140236%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=WNerHqhY5w8%2Fh6TrRUbAh6uyPQJS8ymWAWaKuyJfaHo%3D&reserved=0" target="_blank">centralreach.com/careers</a>. </p></div>
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