AR Medical Billing Specialist

TMC: Therapy Management Corporation; Homosassa Springs (FL); On-site; USD 42,000 - 66,000; Full time

Job summary

TMC Therapy Management Corporation is seeking a detail-oriented Billing Specialist to manage weekly Medicare and secondary payer billing, and to resolve payer issues. The role requires accuracy with Net Health and strong communication with patients and clinicians.

In this on-site position in Homosassa Springs, FL, you will handle insurance verification, patient billing questions, and monthly reporting while collaborating with the Billing team to ensure timely reimbursements and excellent service.

Qualifications

• High school diploma or equivalent required.
• 2+ years Medicare billing experience.
• Proficient in Word and Excel; Net Health a plus.
• Strong organizational and time management skills.
• Knowledge of billing and insurance terminology.
• Ability to prioritize and meet deadlines.
• Compliance-focused and detail oriented.
• Ability to establish and maintain effective working relationships with team and customers.

Responsibilities

• Bill therapy claims weekly to Medicare and secondary payers.
• Research and resolve payer issues.
• Post weekly payments in Net Health.
• Collect deductibles, coinsurance and copays from patients.
• Handle statements questions as presented.
• Assist with credentialing of therapists as needed.
• Communicate customer service issues to the program Director.
• Work collaboratively with team members for positive outcomes.
• Verify insurance from patient referrals.
• Backup and support for Intake Coordinator when necessary.
• Obtain authorizations for evals and treatment.
• Review onboarding paperwork and file copies of ID and insurance.
• Process monthly close and reporting.
• Other duties as assigned.

Skills

Microsoft Word

Excel

Customer service

Medicare billing

Organizational skills

Time management

Billing terminology

Prioritization

Compliance

Team collaboration

Education

High school diploma or equivalent

Tools

Net Health

Job description

Overview

THIS IS NOT A REMOTE POSITION - REPORTS IN OUR HOME OFFICE IN HOMOSASSA FL DAILY

TMC Therapy Management Corporation is an industry leader in therapy services operating in multiple states.

At TMC, we believe the foundation for success starts with our employees. We approach each day at TMC with enthusiasm, dedication, and creativity. Our team members take pride in representing the \"Committed to Service Excellence\" philosophy every day. TMC is dedicated to providing stability, job satisfaction as well as opportunities for career and professional advancement. We offer our employees competitive compensation, a diverse benefit package, and so much more!

We currently have an opportunity for a highly motivated professional to join our team. We are looking for an energetic, results-driven individual who pays close attention to detail and who is also able to work well independently. This individual will be an integral part of our rapidly growing Therapy at Home company, with room for growth opportunities.

Duties And Responsibilities

• Weekly Billing of Therapy claims to carriers, Medicare, Secondaries, etc.


• Researching and resolving issues with payers presented from billing


• Posting of weekly payments into Net Health.


• Collection of deductibles, coinsurance and copays from patients as needed.


• Handling statement questions as presented.


• Assist with credentialing of therapist as needed.


• Communicate any customer service issues or customer service recovery needed to the program Director immediately.


• Work collaboratively with team members for positive outcomes


• Verify insurance from patient referrals


• Backup and support for Intake Coordinator when necessary


• Obtain authorizations needed for evals and treatment of patients.


• Review for accuracy and completion of onboarding paperwork, obtain copy of ID and insurance cards for patient chart, payment source in place.


• Processing of monthly close and reporting.


• Other duties as assigned.

Qualifications

• High school diploma or equivalent.


• Knowledgeable and skilled in Microsoft Word and Excel.


• Customer service skills.


• Net Health software experience a plus


• 2 + years of medicare billing insurance experience.


• Excellent organization and time management skills.


• Knowledge of billing and insurance terminology.


• Ability to prioritize and meet deadlines.


• Compliance focused and detail oriented.


• Ability to establish and maintain effective working relationships with team and customers.

Schedule

Monday to Friday 40 hours week