Medical Billing Specialist

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.