Program Administration Authorization and Billing Associate

Overview

A healthcare organization providing Early Intervention, Applied Behavioral Analysis (ABA), Behavioral Health, and Mental Health Outpatient services across Massachusetts and Connecticut is seeking a Program Administration Authorization and Billing Associate. This remote position, preferably in the Eastern Standard Time zone, offers an hourly wage of $19-$20.

Responsibilities

• Serve as a liaison between Operations and Finance departments to manage revenue recognition for each individual served.
• Obtain eligibility and initial authorizations for all new admissions and unfunded individuals.
• Utilize billing systems (Avatar & iServe) to capture service entry, admissions, discharges, and transfers prior to billing.
• Review eligibility and submit requests to update payer information or changes.
• Manage and proactively obtain subsequent authorizations until discharge; submit to the SSC for processing.
• Review attendance and meal counts for accuracy before charge entry; maintain supporting documentation.
• Reconcile weekly and monthly service capture for all payers and individuals prior to billing.
• Participate in weekly/monthly accounts receivable calls, providing updates on authorization and eligibility issues.
• Provide information for the quarterly reserve process as needed.
• Ensure compliance with internal controls and audit requirements.
• Assist with resolving issues impacting month-end close timing.
• Support onboarding of new hires by providing necessary training.
• Update and modify control designs timely; oversee remediation activities if exceptions occur during testing.

Requirements

• High school diploma or equivalent required; Associate or Bachelor’s degree preferred.
• Experience with Massachusetts state-specific insurance required.
• Knowledge of Autism and behavioral health services.
• Minimum of one year experience in medical administration and/or medical billing.
• Experience with payer online portals and knowledge of EDI 835 formatting preferred.
• Proficiency in Microsoft Word, Excel, and Outlook.
• Detail-oriented with strong multitasking abilities.
• Excellent communication, problem-solving, and data entry skills.
• Ability to build rapport and provide excellent customer service.

Compensation & Benefits

• $19-$20 per hour.
• Full compensation and benefits package for employees working 30+ hours per week.
• 401(k) plan with company match.
• Paid time off and holiday pay.
• Opportunities for career development and advancement.

Location

• Remote position within the USA.
• Preference for candidates in the Eastern Standard Time (EST) zone.