Billing Coordinator

Miracle Kids Success Academy (MKSA)Kids Unlimited Learning Academy (KULA) is an early intervention day treatment clinic for children with special needs. Once children are referred to MKSA/KULA by their primary care physicians, they must receive a developmental screening. Then, they may be scheduled for therapy evaluations at MKSA/KULA or bring recent therapy evaluation reports done elsewhere. To receive Early Intervention Day Treatment habilitation services, a child must have a documented developmental disability or delay, as shown on the results of an annual comprehensive developmental evaluation and qualify for at least one therapy service. Those services include (but are not limited to) fine motor delays, sensory disorders, gross motor delays, speech-language delays, hearing disorders, feeding disorders, developmental delays, cognitive delays and medical needs.

The Billing Coordinator is responsible for: understanding the organization's systems and billing procedures. Preparing and maintaining audit documents to ensure accuracy with the billing process while providing the highest level of customer services possible to our leadership team. Excellent communication skills are needed in order to interface with operating locations, internal functional departments and staff.

ESSENTIAL FUNCTIONS

• Reviews daily billing records upon receipt and enters them into the Billing System.
• Compiles weekly billing information and submits to appropriate staff.
• Files and maintains billing records.
• Communicates all changes pertaining to patient's Medicaid to appropriate staff and patient's parent/guardian.
• Assists Director with Retrospective Therapy Audits as needed.
• Maintains all clinic forms related to billing.
• Follow up and secure prior authorizations of service being performed.
• Track and obtain prior authorizations from insurance carriers within time frame allotted for therapy and ABA services.
• Communicate any insurance changes to billing coordinators, therapists, directors, and CFO.

SKILLS AND ABILITIES

• Good written and verbal communication skills
• Ability to work with minimum supervision
• Excellent customer service skills
• Ability to prioritize, handle multiple take, and meet tight timelines
• Computer literate with general knowledge of software to include Microsoft Office

QUALIFICATIONS

• H.S. diploma/GED required One year of experience in a similar role is preferred.

Miracle Kids Success Academy/Kids Unlimited Learning Academy provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.