Billing and Collections Specialist

Company: TheraTree Pediatric Services, LLC
Location: Owensboro
Posted on: May 24, 2023

Job Description:

Who we are:TheraTree is a pediatric therapy practice in Western Kentucky who is committed to growing minds, bodies, and spirits through Occupational Therapy, Speech Therapy, Physical Therapy, Behavioral Therapy, and Mental Health Therapy. We're out to create thriving children who's voices are heard, bodies that move, they are independent experiencing a life they love, and are in turn an inspiration for what is possible in life.As a Billing & Collections Specialist at TheraTree you can be a remarkable contribution to parents by keeping their balances low so their childs healthcare services can continue to progress.Responsibilities of a Billing & Collections SpecialistPrior Authorizations and DenialsMedical BillingCollections on Accounts ReceivableReconcile PaymentsGeneral Job Duties & Responsibilities of Billing & Collections SpecialistAttends Finance meetings and presents on managed products, sub-products, statistics, and sub-statistics.Solves Accounts Receivable problems through investigation using data.Meets deadlines for programs, projects, and tasks.Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating inSets weekly, monthly, and annual Finance targets to ensure annual goals are met.Responsible for maintaining expected finance statistics of post.Billings & Collections PurposeCreate approved therapy services through identifying, submitting, tracking, communicating on, and acting on all related insurance benefits so that no service is provided without insurance verification, active prior authorization, over a maximum, or a current physician order. Responsible for:All patient prior authorizations.Tracks prior authorization period dates and visit numbers for clients.Tracks hard maximums.Tracks authorization denialsTracks when prior authorization can be submitted.Follows up with therapy providers on due dates for submitting paperwork.Proof reads all paperwork for prior authorizations.Submits correct paperwork for prior authorizations within deadlines set by clinic and insurance companies.Appeals process for denialsDenials become approved authorization.Billing's Purpose: To ensure that all medical/healthcare services are verified against charges and billed accurately on time to allow our company to generate revenue so that we may continue to treat our patients and allow them to grow through their minds, bodies, and spirits. Responsible for:All medical claims and invoices billed out.Proofreads and submits all healthcare claims and invoices.Requests additional medical information from clinicians.Corrects rejected healthcare claims.Appeals denied medical claims.Collection's Purpose: To collect a steady flow of income for the maximum amount of all services billed to all sources so that funds can be distributed healthily throughout the organization and the company can continue to grow minds, bodies, and spirits through therapeutic services. Responsible for:All services provided being collected on in a timely manner.Client Payment Accounts Receivable (co-payments, deductibles, private payments) are being collected at the time of service.Accounts Receivable for outpatient healthcare billing is timely.Accounts Receivable payments for primary insurance & secondary insurance are being collected in a timely manner.All services not paid within 30 days are claims tracked.All invoices to contract agencies are paid within 30 days of notice.Reconcile Payment's Purpose: Ensures all payments are reconciled, entered, and accounted for timely and accurately so that accurate account information is obtainable and is used to make finance decisions so that the company can continue to grow minds, bodies, and spirits through therapeutic services. Responsible for:Payments accounted for and accurately reconciled into EMR in a timely manner.Finance reports to be submitted on time.Relocation assistance resources are available upon request.What you'll love about our BENEFITS:Our Investment in You learn moreMotivating Pay PackageBonus Pay opportunitiesHealth BenefitsRetirement PlansPaid Time OffSeven Paid HolidaysPaid Continued EducationReferral BonusesWe Grow Your Skill Set learn morePaid TrainingOngoing training reimbursementMentorships AvailableCompany culture that values empowerment, responsibility, leadership and integrity.Additional BenefitsMedicalRetirement SavingsPTOPaid Continuing EducationPaid Holidays

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