<p><span data-contrast="auto">Kind Behavioral Health is a leading provider of Applied Behavior Analysis services in North Carolina and Georgia, dedicated to improving the lives of children with autism spectrum disorder (“ASD”). We provide life-changing treatment to children with ASD, providing outstanding quality care, and delivering exceptional clinical outcomes, in an environment in which all are encouraged to</span><span data-contrast="auto"> </span><span data-contrast="auto">THINK BIG, HAVE FUN, DO GOOD, and BE KIND. We deliver treatment through individualized care plans, and target socially significant behaviors, enabling the clients we serve to lead more independent, fulfilling lives.</span><span data-contrast="none"> </span><span data-ccp-props="{" 201341983":0,"335559739":0,"335559740":240}"=""> </span></p> <p> </p> <p> </p> <p></p><p><br></p><b>Position Overview</b><div> <div> </div> <div> <p><span data-contrast="auto">We are seeking a compassionate and detail-oriented Billing Specialist to join our team, focusing on patient responsibility collections while maintaining KBH's commitment to supporting families throughout their ABA journey. This role combines insurance patient responsibility collections expertise with strong family advocacy, helping connect families with resources to cover treatment costs while ensuring strong billing processes. The ideal candidate is empathetic, organized, and skilled at building positive relationships with families during sensitive financial conversations. The Billing Specialist will serve as a bridge between our billing operations and the families we serve, always prioritizing the continued care and support of our clients, while ensuring complete and timely collections performance.</span><span data-ccp-props="{" 201341983":0,"335559739":0,"335559740":240}"=""> </span></p> </div> </div><p><br></p><b>Required Experience & Essential Skills </b><div> <div> <div> <ul> <li><span data-contrast="auto">1-3 years of experience in healthcare billing/collections, health insurance interactions, or patient financial services</span></li> <li><span data-contrast="auto">Experience with insurance verification, claims processing, and accounts receivable </span> </li> <li><span data-contrast="auto">Knowledge of healthcare billing regulations and HIPAA compliance requirements</span> </li> <li><span data-contrast="auto">Strong customer service background with experience in sensitive financial conversations</span> </li> <li><span data-contrast="auto">Excellent communication skills, both written and verbal</span> </li> <li><span data-contrast="auto">Ability to resolve complex roadblocks independently and maintain diligent follow-up processes</span> </li> <li><span data-contrast="auto">Willingness to go above and beyond to connect families with resources and help them navigate payment for services</span> </li> <li><span data-contrast="auto">Familiarity with ABA Services preferred (CPT Codes 97151-97158) and Medicaid eligibility </span> </li> <li><span data-contrast="auto">Familiarity with EHR systems (CentralReach preferred), and Microsoft Office Suite (Excel, Word, Outlook)</span> </li> <li><span data-contrast="auto">Detail-oriented with strong organizational and time management skills</span> </li> <li><span data-contrast="auto">Ability to work independently and manage multiple priorities in a fast-paced environment</span> </li> <li><span data-contrast="auto">Familiarity working with both commercial insurance and government-funded (i.e., Medicaid and TRICARE) healthcare payors</span> </li> <li><span data-contrast="auto">Demonstrated experience driving payor accountability – comfortable pushing on payors and advocating for insurance coverage and timely claims payment on behalf of clients</span> </li> <li><span data-contrast="auto">Experience working with families or in pediatric, third-party reimbursed healthcare settings preferred</span><span data-ccp-props="{" 201341983":0,"335559739":0,"335559740":240}"=""> </span></li> </ul> </div> </div> </div><p><br></p><div> <div> <div><span style="text-decoration: underline;"><strong><span data-contrast="auto">Patient Responsibility Collections<span data-ccp-props="{" 201341983":0,"335559739":0,"335559740":240}"=""> </span> </span></strong></span></div> <ul> <li><span data-contrast="auto">Manage patient responsibility accounts with kindness and professionalism</span></li> <li><span data-contrast="auto">Develop and maintain flexible payment plans tailored to each family's unique financial circumstances, while ensuring ongoing adherence to agreed upon plans</span></li> <li><span data-contrast="auto">Maintain detailed records of all collection activities, payment arrangements, and family communications</span></li> <li><span data-contrast="auto">Monitor A/R aging reports to prioritize collection efforts </span></li> <li><span data-contrast="auto">Process patient payments and apply them accurately to appropriate accounts and services</span><span data-ccp-props="{" 201341983":0,"335559739":0,"335559740":240}"=""> </span></li> </ul> <div><span style="text-decoration: underline;"><strong><span data-ccp-props="{" 201341983":0,"335559739":0,"335559740":240}"=""><span data-contrast="auto">Family Resources & Support</span>  </span></strong></span></div> <div> <div> <ul> <li><span data-contrast="auto">Research and identify financial assistance programs, grants, and community resources offering financial support for families receiving autism services</span></li> <li><span data-contrast="auto">Proactively connect families with autism-specific funding organizations and state assistance programs, and nonprofit resources</span></li> <li><span data-contrast="auto">Maintain a comprehensive database of local and national resources for easy family referrals</span><span data-ccp-props="{" 201341983":0,"335559739":0,"335559740":240}"=""> </span></li> <li><span data-contrast="auto">Create educational tools and step-by-step guides for families to independently and easily access available financial assistance programs</span></li> <li><span data-contrast="auto">Advocate for families during financial hardship by exploring all available support options</span><span data-ccp-props="{" 201341983":0,"335559739":0,"335559740":240}"=""> </span></li> </ul> <div><span data-ccp-props="{" 201341983":0,"335559739":0,"335559740":240}"=""><span style="text-decoration: underline;"><strong><span data-contrast="auto">Benefits & Eligibility Checks</span> </strong></span> </span></div> <div> <div> <div> <ul> <li><span data-contrast="auto">Primary point of contact, managing relationship with third-party automated insurance verification partner.</span></li> <li><span data-contrast="auto">Manage our automated insurance verification process using our third-party benefits verification platform for all new intake clients and ongoing verification for existing clients</span></li> <li><span data-contrast="auto">Review monthly eligibility checks to ensure continuous coverage and proactively identify policy changes</span></li> <li><span data-contrast="auto">Determine and communicate to families applicable ABA coverage limits and exclusions, deductibles, copayments, and authorization requirements</span></li> <li><span data-contrast="auto">Provide clear, understandable explanations to families about their insurance benefits, coverage details, and anticipated out-of-pocket costs based on verification results</span></li> <li><span data-contrast="auto">Maintain accurate and up-to-date insurance information in patient records and promptly update any changes identified</span></li> <li><span data-contrast="auto">When insurance changes occur, coordinate seamlessly across authorizations, scheduling, credentialing, and billing teams to ensure uninterrupted continuation of care</span></li> <li><span data-contrast="auto">Identify potential coverage gaps through platform reporting and work with families to secure alternative funding sources before service interruption</span></li> <li><span data-contrast="auto">Troubleshoot any platform issues and escalate complex verification cases to vendor support when needed</span><span data-ccp-props="{" 201341983":0,"335559739":0,"335559740":240}"=""> </span></li> </ul> <div><span style="text-decoration: underline;"><strong><span data-ccp-props="{" 201341983":0,"335559739":0,"335559740":240}"=""><span data-contrast="auto">Claims Reprocessing & Appeals</span>  </span></strong></span></div> <div> <div> <ul> <li><span data-contrast="auto">Reprocess insurance claims when patient financial obligations have been incorrectly calculated or applied by insurance carriers</span></li> <li><span data-contrast="auto">Prepare and file formal appeals for incorrectly denied claims, including compilation and submission of supporting clinical documentation</span></li> <li><span data-contrast="auto">Track appeal outcomes and follow up on pending decisions within established timeframes</span></li> <li><span data-contrast="auto">Maintain detailed logs of all reprocessing activities and communicate outcomes to relevant stakeholders</span><span data-ccp-props="{" 201341983":0,"335559739":0,"335559740":240}"=""> </span></li> </ul> <div><span style="text-decoration: underline;"><strong><span data-ccp-props="{" 201341983":0,"335559739":0,"335559740":240}"=""><span data-contrast="auto">Payor Claims Enrollment (EFT & ERA enrollments)</span>  </span></strong></span></div> <div> <div> <div> <ul> <li><span data-contrast="auto">Complete Electronic Funds Transfer (EFT) enrollment applications for new insurance payors</span> </li> <li><span data-contrast="auto">Set up Electronic Remittance Advice (ERA) enrollments to streamline payment processing and reconciliation</span> </li> <li><span data-contrast="auto">Maintain current enrollment status for all active insurance contracts and renew as needed</span> </li> <li><span data-contrast="auto">Proactively troubleshoot EFT and ERA processing issues and coordinate resolution with payor representatives</span> </li> <li><span data-contrast="auto">Update banking and contact information for electronic payment systems as organizational changes occur</span><span data-ccp-props="{" 201341983":0,"335559739":0,"335559740":240}"=""> </span></li> </ul> </div> </div> </div> <div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div><p><br></p><p></p> <p> </p><p>KBH is committed to creating a diverse environment and we are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Diversity is more than a commitment at KBH- it is the foundation of what we do, adhering to the highest professional standards while creating an environment in which exceptional people (like you!) can think big, have fun, and do good. </p> <p> </p> <p></p>