Medical Billing and Accounts Specialist

Full Time
Annandale, VA
$22 - $26 an hour
Posted
Job description
JOB TITLE: Billing and Accounts Specialist (In office)
STATUS: Full Time
HOURLY RATE: $22-$26/hr depending on experience
SCHEDULE: M-F 8:30-5:30
REPORTS TO: Business Officer
Premier Pediatric Therapy Source (PPTS) is a growing therapist-owned practice with big dreams and a strong passion to serve children with diverse abilities and their families throughout the DC metro area. We provide Occupational, Physical, Speech and Nutrition services to children birth to 18 years and are centrally located between Northern Virginia, Washington DC and the Capital Region of Maryland. Our mission is to provide every child with opportunities to develop skills that will support success within their current environments and throughout their lives.
JOB SUMMARY:
As the Billing Specialist, you will play an integral role in creating an exceptional experience for our families and safeguarding the practice’s revenue and cash flow through timely and accurate claims submissions, minimizing accounts receivable and swift resolution of billing inquiries.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
  • 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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