Patient Services Specialist

Every child deserves the brightest future and Centria Autism Services is on a mission to help children with Autism Spectrum Disorder (ASD) have the best developmental experience possible while acquiring the skills to succeed in the world on their own terms.  Too many children with ASD are untreated or under treated and Centria is committed to reaching every child in need and their families with interventions based on the principles of Applied Behavior Analysis that meet – and exceed -- best practices.  Our Optimal Outcomes Model(TM) looks at the whole-child, engages families in aspirational treatment planning and leverages team-based care to allow BCBA’s to focus on clinical issues and support Centria’s dedication to quality, family satisfaction and developmental outcomes.  Founded in 2009, Centria now operates in 13 states and is working hard to develop approaches to sustain quality while reaching tens of thousands of children across the country; we use data-driven analytics and sophisticated software platforms to constantly evaluate our quality and performance, and develop new approaches to supporting our clients and their families on their journey.

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  Centria Healthcare was founded in 2009 and grew two business lines to lead the state of Michigan. In 2014 we took on Autism and have since grown to be the largest provider in the nation. We blended an entrepreneurial spirit with a proven and effective care delivery system to create an unmatched client experience. We look for dedicated, hard-working, sharp individuals with a desire to go above and beyond. Thank you for showing interest in Centria Autism Services. Our mission as a company is "to help every child living with autism to develop, pursue, and achieve their goals and dreams through high quality ABA therapy and support"

Position Summary:

This role is responsible for both billing and collections functions. The Patient Services Specialist will ensure client invoices are submitted accurately and timely and facilitate adjudication and payment within cash collection standards. Strong customer service skills are necessary as this position will serve as a point of contact for both clients and payors to assist with related inquiries.

Success Measures

Success measures include adherence to Centria policies, flawless execution of tasks, and meeting or exceeding personal qualitative and/or quantitative key performance indicator (KPI) metrics such as customer satisfaction, meeting standards for outbound/inbound call volumes, and accurate and timely follow up of outstanding payments.

Responsibilities:

The below reflects the essential functions considered necessary for a Patient Services Specialist and shall not be construed as a detailed description of all work requirements inherent in the job or assigned by supervisory personnel. This job description is used as a guide only and not inclusive of all responsibilities and job duties.

• Process accurate medical billing for clients and prepare invoices.
• Perform collection efforts from respective clients.
• Receive payments and record where payments should be posted.
• Maintain accurate records of aged collections.
• Identify and provide solutions to obtain proper reimbursement of services.

Required Qualifications, Skills, and Knowledge:

These guidelines can be used to make a list of qualifications required (or preferred) to perform the job successfully.

• Associate or bachelor’s degree
• Minimum of 1 (one) year administrative or customer service experience in a related field
• Minimum of 1 (one) year data entry experience, preferred
• Minimum of 1 (one) year of medical collections, account receivable, or third-party payors, preferred
• Basic computer skills
• Working knowledge of laptop/desktop PC
• Proficiency in Microsoft Suite
• Proficiency in G Suite
• Proficiency in PC software, especially spreadsheet programs;
• Comprehensive knowledge of billing processes;
• Ability to identify reimbursement issues and troubleshoot denied claims from payors;
• Ability to build rapport with peers, team members, managers, and clients, explain complicated information in an approachable and easily understood manner, effectively handle challenging phone conversations, and represent the Centria brand;
• Ability to organize, prioritize, and handle multiple tasks, adhere to established deadlines, and produce work that consistently meets or exceeds team benchmarks;
• Effective communication skills, both written and verbal, with internal and external stakeholders;
• Aptitude for applying critical thinking and problem-solving skills;
• Proven adaptability with a willingness to work both collaboratively and indi