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Billing Coordinator

4 months ago

Dublin, United States Total Care Therapy Full time
Job DescriptionJob Description

About us:

TCT is a growing therapist-owned and operated company providing Physical Therapy, Occupational Therapy, and Speech Therapy in the home and assisted living settings. We have a close-knit culture with competitive pay, flexible schedules, rewarding work, comprehensive benefits, paid time off, on-the-job training, and opportunities for upward mobility. We are engaging, and supportive and our goal is to restore independence through compassionate and quality care.

The T’s and C’s (TCT): Tailored, Transformative, Transparent, Compassion, Care, and Community.

Benefits include: paid time off, paid birthday off, paid holidays off, flexible scheduling, an employee reward/recognition program, and a comprehensive benefits package (medical/dental/vision/life).

 

Job Description:

TCT is an outpatient therapy office providing physical therapy, occupational therapy, and speech therapy services to clients in their homes. This is an ON-SITE position (non-remote).

We are looking for a full-time Medical Credentialing/Medical Biller in the Columbus area who would be responsible for:

  • Process initial and re-credentialing applications from providers, ensuring compliance with departmental requirements.

  • Accurately enter application data, conduct reviews for errors before submitting provider files for quality review, and meeting departmental requirements.

  • Process a minimum number of provider applications each month, adhering to departmental requirements.

  • Perform follow-up for provider files on "watch" status, as required by departmental guidelines.

  • Ensure timely follow-up for ongoing state license action monitoring reports.

  • Ensure timely follow-up for ongoing Medicare/Medicaid sanctions monitoring reports.

  • Prepare and distribute re-credentialing groups, meeting departmental requirements.

  • Complete 1st, 2nd, and 3rd requests for re-credentialing packets, as per departmental requirements.

  • Generate reports for various state plans/departments to identify providers who have not returned their re-credentialing applications or are past due for credentialing, adhering to departmental requirements.

  • · Accurate logging of payments received from insurance companies and patients while maintaining current records and balances of all receivables

  • · Maintain current records including billing addresses and numbers for contacting patients as needed

  • · Follow up on delinquent payments and resubmit billing as needed

  • · Follow up on $0 pays

  • · Perform posting charges and completion of claims to payers

  • · Submit billing data to the appropriate insurance providers

  • · Process claims

  • · Resolve denial instances and filing appeals

  • · Assisting with faxing, answering phones, emails and text messages

  • · Assisting with credentialing new providers under insurances

  • · Running initial insurance verifications and benefits checks for new clients

  • · Bi-monthly re-verification of benefits

Candidates must be competent with:

· Google Suite

· Microsoft Excel

· Microsoft Word

· CMS 1500

· Availity

Compensation: competitive/negotiable/experience based.