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Billing and Credentialing Specialist
2 months ago
Benefits:
Dental insurance
Flexible schedule
Health insurance
Paid time off
Vision insurance
Training & development
We have immediate openings for a billing and credentialing specialist to join our team at REACH Therapy Services.
Reach Therapy Services has locations in Conway, Searcy, and Hot Springs where we provide pediatric occupational therapy, physical therapy, speech therapy, and ABA services. We pride ourselves on being a very supportive and collaborative clinic. You’ll find very strong teamwork and communication between our clinic directors, providers, referral coordinators, and billing specialists.
We offer competitive pay rates, benefits, and an enjoyable work environment.
Key responsibilities include:
Learn and understand various funding options available for families
Educate families and assist with applying for these funding options
Understand and complete credentialing process for providers
Manage patient account balances
Post payments electronically as payments are received using billings software or manually when needed
Post adjustments in our billing software per EOBs and transfers balance to other payers as necessary (as EOBs are received)
Monitor EOB/notices from funding sources of non-payment/partial payment and resubmit with corrected/requested information
Work with funding sources to resolve problems with payments in a timely manner
Notify appropriate staff of funding problems
Stay current on payer updates and recommend billing software updates that are needed due to upcoming changes by funding sources
Follow-up on past due claims
Research claim as necessary to ensure funds are collected in a timely manner
Assist patients with billing questions and/or balance inquiries and provide patient estimates
The ideal candidate will display strong skills in:
Time management, organization, and prioritization
Attention to detail & accuracy
Verbal and written communication skills
Teamwork and relationship building
Flexibility to work well both independently and as a member of a team
Results-oriented, self-motivated
Working knowledge of third-party payers such as Medicaid and Medicare
Working knowledge of ERAs and EOBs
Working knowledge of payer specific guidelines
Understanding of health plan benefits (deductibles, copays, coinsurance) and eligibility verification
Understanding of CMS billing rules/NCCI, HIPAA and RMH policies and procedures, billing edits and payer requirements for Professional Billing
Working knowledge of EMR systems
Strong computer and keyboard skills which includes MS Word, Excel, and Outlook
Excellent interpersonal and communication skills (both written and oral) when working with patients or co-workers
Excellent customer services skills to interact with patients in a positive, cooperative, and courteous manner
Experience:
EMR/EHR system (required)
Computer use (required)
Billing knowledge (required)
Job Type: Full-Time
Schedule:
Monday to Friday, hours flexible
Education:
High School Diploma, GED