Billing Specialist - Texas

Pediatrics-Plus; Prosper (TX); On-site; USD 36,000 - 39,000; Full time

Benefits offered by this job

Competitive Pay

Paid Time Off

State of the Art Facilities & Tech

Job summary

Pediatrics Plus in Prosper, TX is seeking a Billing Specialist to manage all insurance billing activities, including Medicaid and private pay. You will provide outstanding customer service to families over the phone and coordinate with insurance companies to obtain and maintain pre-certifications.

The ideal candidate has 2+ years of medical billing experience, a High School Diploma or equivalent, and strong organizational skills.

Qualifications

• 2+ years of medical billing experience required.
• Experience with Medicaid and insurance billing.
• Ability to communicate professionally with families.
• HIPAA confidentiality and privacy knowledge.

Responsibilities

• Process and bill insurance claims.
• Handle medical record requests from insurers.
• Reconcile payments with posted entries.
• Provide excellent customer service by phone to families.
• Explain insurance billing scenarios to families.
• Call insurers for pre-certification.
• Enter and update data in deTASO.
• Maintain confidentiality per HIPAA.
• Support team in a collaborative environment.

Skills

Medical billing

Communication

Attention to detail

Team player

HIPAA privacy

Education

High School Diploma

High School Diploma or equivalent

Tools

deTASO

Job description

Are you passionate about helping children succeed? Do you want to join a team of dedicated professionals committed to creating an environment where children thrive? At Pediatrics Plus, we work to empower children to conquer their world. Pediatrics Plus is a specialized pediatric healthcare provider. We are committed to helping children succeed in all stages of life through evidence-based therapy and education, diagnostic services, state-of-the-art facilities, specialized equipment, family support, and community investment. We are looking for aBilling Specialist to join our team of highly qualified professionals that share our vision of Empowering Children to Conquer their World! This role p rovides customer service and is responsible for all billing aspects associated with Pediatrics Plus insurance billing including Medicaid billing, insurance billing, private pay billing, and insurance accounts receivable

What we offer:

• Competitive Pay
• Paid Time Off
• State of the Art Facilities & Technology

What you will do:

• Processes and bills insurance claims.
• Handles medical record requests from insurance companies .
• Reconciles payments received to payments posted in system.
• Provide excellent customer service over the phone to families and team members .
• Explain s insurance billing scenarios to families and team members.
• Problem solve s any inconsistencies with insurance billing .
• Work s well in a team environment .
• Process es and reconcile s insurance paper checks weekly .
• Call s insurance companies to obtain/ maintain pre - certification for patient therap ies.
• Enter s and update s data within deTASO .
• Participates in one-on-one meetings with leader .
• Responds positively to feedback concerning job performance.
• Communicates any needs or concerns with leadership .
• Maintains confidentiality and patient privacy to HIPAA standards.
• Upholds and incorporates the core values, mission , and philosophy of Pediatrics Plus into all job responsibilities.
• Displays an understanding of the leadership style of Pediatrics Plus.
• M ay perform other related and non-related duties, as assigned .

Education/ Certification:

• H igh School Diploma or equivalent .
• 2+ years of experience in medical billing, preferably in a healthcare or medical office setting , required .

Skills/ Abilities:

• Ability to communicate effectively and professionally with a wide variety of people.
• Strong organizational skills with attention to detail and accuracy.
• C omputer skills which include a working knowledge of keyboarding, database, word processing, spreadsheet, and Internet software.
• Ability to handle multiple tasks in a very busy environment.
• Ability to read and interpret documents such as safety rules, policies, and other company documents.
• Ability to author routine reports and correspondence.
• Ability to speak effectively before groups of families or team members of the company.
• Ability to add, subtract, multiply, divide, in all units of measure using whole numbers, common fractions, and decimals.
• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
• Reports for work dressed appropriately and complies with company policies regarding the dress code.
• Ability to maintain regular and punctual attendance.
• Ability to complete tasks in a timely manner .

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Physical Demands:

While performing the duties of this job, the team member is frequently required to accurately communicate information and ideas so others will understand through sight and hearing. The team member is regularly required to move including walking, running, jumping, and sitting. The team member is regularly required to us e hands and fingers to handle, lift, reach, and feel. The team member is frequently required to stand and stoop, twist, bend, kneel, crouch , or crawl. The team member must frequently lift and/or move up to 50 pounds. Specific vision abilities required by this job include near and distance vision, color vision, peripheral vision, depth perception , and ability to adjust focus . I f the team member is working at a Farm location, they must be comfortable around standard farm animals, including minimal allergies to touching , smelling , feeding , and engaging with animals.

We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Full Time

Compensation starts at: $18 per hour