Medical Billing Specialist

Job Overview

Unified Therapy Services is hiring a Billing Specialist!

This is a full-time position that will be responsible for invoicing, billing, collection of patient accounts and prior authorizations.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Submit prior authorizations into commercial insurance companies electronically or via paper and ensure that therapists have substantial amount of time to submit prior authorizations to the billing department with communication and knowledge of what is going on in all departments.
• Spends most of the time focused on handling follow-ups and denials, utilizing denial management to optimize resolution.
• Researches changes in patient insurance, corrects billing errors, and adjusts ledgers accordingly to ensure accurate billing records (X payor)
• Update and correspond with therapists regarding treatment plans for each patient and discipline.
• Contact insurance companies concerning billing questions, denials, preauthorization’s, or any related topics.
• Set up new insurance details such as: Name, payor ID, address, etc. in the Insurance Tables in the Software Program.
• Work with Patient Account Specialist on patient ledgers regarding monthly patient responsible statements.
• Educates appropriate staff and supervisor with any new updates or changes to the IA Administrative code, and all other insurance companies. (i.e. emails, newsletters, websites, etc.) and ensure that our facility is abiding by all state mandated codes for Rehab Agencies. (both HOD and BS)
• When needed, send or ensure all commercial and Medicaid insurance primary and secondary claims via paper using HCFA or UB04 forms.
• Review and analyze reports and compare them to last month and to review the end of the year reports compared to where we were last year.
• Discussing game plan and which patients we are having problems with and where we are at with follow-up on each over 90 days and older claims.
• Reviews Discharge Audits at PCC request.
• Schedule and attend formal meetings as requested to review billing issues.
• Assists with orientation and training of new staff and students.
• Maintain positive relationships with the health care team, patients, and family.
• Notify appropriate staff in a professional manner if any problems occur with the collection of end of day charges.
• Assists in creating policies/procedure related to changes in the area of billing /insurance and the requirement set forth by governing agencies.
• Attends annual Medicaid trainings and occasionally webinars.
• Occasionally present billing updates during PCC meetings
• Other duties may be assigned

QUALIFICATIONS

• High school diploma/GED
• 1-2 years of medical billing experience preferred
• Prior experience with prior authorizations and collections preferred
• Proficient in Microsoft Office

Apply today! Send resume to careers@unifiedtherapy.com