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Billing and Credentialing Specialist
2 months ago
About Us:
At Reach Therapy Services LLC, we are dedicated to providing exceptional pediatric occupational therapy, physical therapy, speech therapy, and ABA services to families in our community.
We are seeking a highly skilled Billing and Credentialing Specialist to join our team. This role offers a competitive salary, comprehensive benefits package, and a supportive work environment.
Key Responsibilities:
- Research and analyze funding options for families to ensure accurate and timely reimbursement.
- Assist families with the application process for funding, providing guidance and support throughout the process.
- Complete provider credentialing and ensure compliance with regulatory requirements.
- Manage patient account balances, ensuring accurate and timely payment processing.
- Utilize billing software to post payments and resolve any discrepancies.
- Follow up on non-payment/partial payment notices, communicating with families and payers as needed.
- Resolve payment issues with funding sources, working closely with families and internal teams to find solutions.
- Stay up-to-date on payer guidelines and regulatory changes, ensuring compliance and accuracy in billing and credentialing processes.
- Work on past due claims, prioritizing and resolving issues in a timely manner.
- Assist patients with billing inquiries, providing clear and concise information and support.
Requirements:
- Strong time management and organizational skills, with the ability to prioritize multiple tasks and deadlines.
- Attention to detail, with a focus on accuracy and precision in billing and credentialing processes.
- Effective communication and interpersonal skills, with the ability to work closely with families, payers, and internal teams.
- Knowledge of third-party payers and regulatory requirements, with the ability to stay up-to-date on changes and updates.
- Proficiency in EMR systems and strong computer skills, with the ability to learn and adapt to new software and systems.
- Excellent interpersonal skills, with the ability to build strong relationships with families, payers, and internal teams.
Education and Experience:
- High School Diploma or equivalent required.
- Experience with EMR systems, computer use, and billing knowledge preferred.
Work Environment:
This is a full-time position with a flexible schedule from Monday to Friday.