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Billing Operations Specialist

1 month ago

Fairlawn, Ohio, United States LLA Therapy Full time

{"h1": "Billing Coordinator Job Description", "p": "At LLA Therapy, we are seeking a highly organized and detail-oriented Billing Coordinator to join our team. As a key member of our billing department, you will be responsible for managing the billing process, including denial management, accounts receivable, and credentialing.

Responsibilities:

* Monitor daily denials and submit corrected claims or appeals as necessary.
* Review and identify changes in insurance company policies to ensure compliance in billing processes.
* Analyze and track denial trends by insurance companies, providing insights to management on potential issues.
* Collaborate with families, ensuring clear communication regarding billing issues and resolution efforts.
* Work on the Accounts Receivable (A/R) bi-weekly, following up on any outstanding or unpaid claims.
* Research and resolve billing discrepancies and delays in payments.
* Maintain records of all follow-ups and communications related to outstanding claims.
* Process and submit credentialing applications for therapists, ensuring accuracy and completeness.
* Maintain organized credentialing records and update them regularly to ensure all necessary information is current.
* Follow up on credentialing applications with insurance companies or relevant authorities to ensure timely processing.

Requirements:

* High school graduate/equivalent or higher
* Prior experience in medical billing, denial management, accounts receivable, and credentialing preferred.
* Strong understanding of insurance policies, billing guidelines, and credentialing procedures.
* Must be proficient in English-Reading, comprehending, and understanding the English language.
* Excellent problem-solving and communication skills.
* Ability to work independently and manage multiple tasks with competing deadlines.
* Proficiency in billing software, Google and Microsoft Office Suite.

Benefits:

* Medical
* Dental
* Vision
* Life Insurance
* Short and Long Term Disability Insurance
* 401(K) with a competitive safe harbor match
* PTO
* 7 paid holidays
* Employee Assistance Program
"}