Pediatric Revenue Cycle Specialist

LLA Therapy; Fairlawn (OH); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Medical

Dental

Vision

Life Insurance

Short and Long Term Disability

401(K) with a competitive match

PTO

7 paid holidays

Employee Assistance Program

Job summary

LLA Therapy is seeking a Revenue Cycle Coordinator to join our pediatric therapy team. You will verify patient benefits, obtain authorizations, and manage claim denials and appeals to ensure timely reimbursement.

The ideal candidate will have experience in medical billing, insurance verification, and knowledge of CPT codes, with strong communication and problem-solving skills. This on-site role offers opportunities for collaboration across departments and ongoing professional growth.

Qualifications

• High school diploma or GED required.
• Experience in medical billing, insurance verification, prior authorizations, denial management, or healthcare administration.
• Knowledge of CPT codes, medical terminology, insurance terminology, and healthcare billing processes.
• Experience working with insurance company websites and payer portals.
• Strong written and verbal communication skills.
• Excellent problem-solving and critical-thinking skills.

Responsibilities

• Verify patient benefits - deductibles, co-pays, co-insurance, visit limits, authorization requirements, and other limitations before services begin and throughout treatment.
• Obtain initial prior authorizations for therapy services and monitor expiration dates.
• Review denied and rejected claims and determine the reason for non-payment; prepare appeals with supporting docs.
• Research payer policies and claim history to identify root causes of denials and discrepancies.
• Collaborate with billing, scheduling, and clinical teams to prevent issues and ensure smooth reimbursement.

Skills

Attention to detail

Communication skills

Problem solving

Multi-tasking

Education

High school diploma or GED

Job description

LLA Therapy is seeking a Revenue Cycle Coordinator to join our pediatric therapy team. You will verify patient benefits, obtain authorizations, and manage claim denials and appeals to ensure timely reimbursement.

The ideal candidate will have experience in medical billing, insurance verification, and knowledge of CPT codes, with strong communication and problem-solving skills. This on-site role offers opportunities for collaboration across departments and ongoing professional growth.