Hybrid Billing and Authorization Specialist chez Atlanta Autism Center Inc

Scope:

 The Billing & Authorizations Specialist supports billing processes, authorization workflows, and credentialing activities across multiple locations. This role ensures accurate claims submission, timely authorization entry, and adherence to payer requirements, contributing to operational consistency and compliance across locations.

Essential Duties and Responsibilities: 

Conduct eligibility & Benefits checks across all areas (Last Friday & 1st of each month)

Manage ABA Commercial payment plans

Train Intake team on SLP & OT Authorizations

Process lab Authorizations & Billing

Handle medical billing, claim submission, and denial resolution

Support credentialing processes for all providers

 Requirements: 

Maintain accuracy and timeliness in billing and authorization entries

Ensure compliance with payer guidelines and internal policies

Collaborate effectively with intake, clinical, and administrative teams

Familiarity and experience with CentralReach

Ability to interpret an EOB and knowledge of computerized billing systems

Ability to communicate with patients in a courteous yet stern manner to collect on delinquent accounts

Ability to use individual judgement to solve problems and make decisions

Non-Discrimination Statement The Atlanta Autism Center (AAC) is an equal opportunity employer. We are committed to building a diverse and inclusive workplace and do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by applicable federal, state, or local laws. AAC complies with applicable laws regarding accommodations for qualified individuals with disabilities. We encourage individuals of all backgrounds to apply.

Education and/or Experience:

Requires 2 years minimum experience in a medical business office setting.

Qualifications & Skills:

Excellent organizational and time management skills

Familiarity with CentralReach, and/or Medical, ABA, SLP or OT billing

Strong understanding of medical terminology, and payer requirements

Computer skills including Google Workspace, Microsoft Office (including Excel), and relevant Medical/ABA software systems including ECW and Central Reach.

Certificates, Licenses, Registration: Billing/Coding certification a plus

Requirements :  

Candidate must be available to work on-site, as this is not a remote position