Medical Billing Specialist

Tender Touch Therapy, LLC.; Mount Pleasant (WI); On-site; USD 42,000 - 62,000; Part time

Job summary

Tender Touch Therapy, LLC. in Mount Pleasant, WI, is seeking an experienced Medical Billing Specialist to join our pediatric therapy practice.

The role covers the revenue and claim cycle with emphasis on accurate billing and AR management, using EMR/Practice Management software to support reimbursement. Responsibilities include tracking claims, minimizing denials, explaining billing questions to patients, coordinating with clinical and accounting teams, and ensuring compliance with payer

Qualifications

• Minimum 1 to 2 years of medical billing experience is required.
• Ensure accurate and timely billing.
• Claim follow up and maintain AR reports; identify root cause of insurance denials, follow appeal processes and minimize lost revenue.
• Maintain accounts receivable, revenue cycle and claims processes and meet set benchmarks.
• Coordinate weekly claim and audit status between clinical and accounting departments.
• Assist patients with billing and EOB questions.
• Assist with collecting patient liabilities that occur due to deductibles and co-insurances and set up payment plans as needed.
• Collaborate with providers, patient families, and insurance representatives to resolve outstanding obligations in a fair and timely manner.
• Utilize the EMR/Practice Management system appropriately to perform work plan duties.
• Respond to patient and staff billing questions timely, effectively and appropriately.
• Work with department manager to troubleshoot billing-related issues within directed timeframes.
• Understand insurance payer guidelines and policies for private and government insurances.
• Demonstrate the ability to work well individually and in a team with minimal supervision.
• Recognize patterns of insurance denials/underpayments and communicate with administrator immediately.
• Investigate billing problems and formulate solutions. Recommend policy and procedure changes to management as needed.

Responsibilities

• Process and issue accurate medical bills to patients and insurers.
• Follow up on outstanding claims and reduce days in AR.
• Identify and address insurance denials and appeal where appropriate.
• Reconcile payments with EMR and practice management system.
• Respond to patient billing questions and provide clear explanations of statements.
• Coordinate with clinical and accounting teams to resolve issues within set timeframes.
• Assist with patient collection of balances and set up payment plans as needed.

Job description

Description

We looking for an experienced Medical Billing Specialist to join our busy pediatric therapy practice. The billing specialist will be responsible for a variety of tasks within the revenue and claim cycle to improve the revenue of the practice. Applicant must have experience utilizing Electronic Medical Records/Practice Management software.

Who are we: Tender Touch Therapy is a woman-owned and therapist owned company that provides high quality pediatric physical, occupational, and speech language therapy services. As a comprehensive team, we implement creative and effective treatment strategies in order to maximize functional independence and achieve patient-specific goals. We will advocate on behalf of each child and their family to enhance well-being and improve lifelong wellness.

Purpose: Empowering children to change their world one ability at a time.

Location: Mount Pleasant, WI

Status: Part time to Full Time

Hours: Flexible; Monday-Friday, 7:30am-6pm.

Essential Duties and Responsibilities

• Minimum 1 to 2 years of medical billing experience is required
• Ensure accurate and timely billing
• Claim follow up and maintain AR reports; identify root cause of insurance denials, follow appeal processes and minimize lost revenue.
• Maintain accounts receivable, revenue cycle and claims processes and meet set benchmarks
• Coordinate weekly claim and audit status between clinical and accounting departments
• Assist patients with billing and EOB questions
• Assist with collecting patient liabilities that occur due to deductibles and co-insurances and set up payment plans as needed.
• Collaborate with providers, patient families, and insurance representatives to resolve outstanding obligations in a fair and timely manner.
• Utilize the EMR/Practice Management system appropriately to perform work plan duties.
• Respond to patient and staff billing questions timely, effectively and appropriately
• Work with department manager to troubleshoot billing-related issues within directed timeframes.
• Understand insurance payer guidelines and policies for private and government insurances.
• Demonstrate the ability to work well individually and in a team with minimal supervision.
• Recognize patterns of insurance denials/underpayments and communicate with administrator immediately.
• Investigate billing problems and formulate solutions. Recommend policy and procedure changes to management as needed.