Job description
- Conducts insurance verifications to determine eligibility, benefit coverage and family cost shares
- Obtains and maintains authorizations
- Reviews claims to ensure payer and CCI edit requirements are met prior to submission to the Practice’s clearinghouse
- Addresses claim denials and resolves family billing inquiries and delinquent accounts
- Processes A/R invoices
- Posts insurance and client payments into the practice electronic medical record and reconciles account ledgers
- Provides coverage at the front desk as needed, answering calls and scheduling appointments
- Runs weekly and monthly reports, analyze data and develops action plans to improve revenue and cash flow
- Assists with special projects
- All other duties as assigned
REQUIRED QUALIFICATIONS:
- AA Degree or higher. Equivalent experience will be considered in lieu of formal education.
- Minimum 3 years of experience with medical billing
- Must be able to read and understand online eligibility/benefit information and EOBs/Remittance Advice
- Excellent analytical, interpersonal and oral/written communication skills with strong conflict resolution abilities
- Strong time management and organizational skills; ability to handle multiple concurrent assignments, with a high degree of efficiency and accuracy
- Decisiveness with a strong ability to independently problem solve
- Knowledge and adherence to the laws and ethics of health insurance billing and HIPAA
- Proficient in modern office technology and computer programs including Electronic Medical Records, Outlook, Excel, Word, etc.)
- Must have reliable transportation
- Successful completion of an FBI Background Check
- Negative TB test
- Proof of full vaccinations against COVID-19
DESIRED QUALIFICATIONS:
- Bilingual English/Spanish
- Rehab/Habilitative therapy billing experience
BENEFITS:
- Medical
- Dental
- Vision
- Long and Short Term Disability Insurance
- Life Insurance
- 17 days PTO
To learn more about our practice, please visit our website at www.premierpedstherapy.com/careers
About Premier Pediatric Therapy Source:
We are a fast growing multi-disciplinary Pediatric Therapy Practice with the sole mission to provide high quality therapy solutions based on the individual needs of children and families. We provide Occupational, Physical, Speech Therapy and Nutrition Counseling services to children birth to 18 years of age in the home, community, Telehealth and clinic-based settings.
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