Claims Processing Associate

1 week ago


Mason, Michigan, United States Origami Rehabilitation Full time
Job Overview

Salary:
Origami Rehabilitation is a nonprofit organization dedicated to providing comprehensive rehabilitation services for individuals with various neurological, developmental, mental health, and orthopedic challenges. Our mission is to create transformative opportunities for our clients through compassionate and innovative care.

At Origami Rehabilitation, we believe in making a significant impact in our community by working collaboratively within a close-knit interdisciplinary team. Our collective aim is to exceed client expectations through a positive growth mindset, knowledge sharing, and a commitment to personal and professional development.

Our core values include:

  • Celebrate the Individual
  • Inspire Excellence
  • Serve with Integrity
  • Lead with Passion

If these values resonate with you, we encourage you to explore the opportunity to join our team.

Position Summary:

As a Billing Coordinator, you will be instrumental in facilitating effective communication with our funding sources. Reporting to the Billing Supervisor and collaborating with the Business Office Manager, admissions, and care coordinator teams, you will serve as a key liaison between funding sources and the Origami team. Your role will involve processing initial appeals and redeterminations, ensuring timely and accurate filing of utilization review procedures, and securing funding authorizations for our services.

In this position, you will adeptly manage the processing of both paper and electronic clean claims and funding pre-authorizations. This role presents an exciting opportunity to make a meaningful impact in a dynamic and collaborative environment.

Benefits:

  • Health, Dental, Vision Insurance
  • Retirement Plan
  • Generous Paid Time Off (144 hours annually)
  • Paid Holidays (64 hours annually)
  • New Parent and Grandparent Leave
  • 100% Employer-Paid Short-Term Disability
  • 100% Employer-Paid Life Insurance
  • Access to Long-Term Disability Insurance
  • Paid On-the-Job Training
  • Join a Diverse and Caring Team
  • No Weekend or Holiday Scheduling
  • Public Service Loan Forgiveness
  • Wellness Program
  • Employee Assistance Program

Essential Duties:

  • Exhibit positive behavior and maintain a therapeutic environment.
  • Ensure confidentiality of program participants.
  • Proactively address issues and facilitate communication.
  • Understand and implement organizational policies and procedures.

Responsibilities:

  • Assist clients with billing and account inquiries.
  • Maintain knowledge of CPT, HCPCS, ICD-10, and CARF standards.
  • Identify and resolve non-payment issues.
  • Process initial appeals and redeterminations, including documentation preparation.
  • Communicate opportunities for improving billing efficiency and team performance.
  • Stay informed on industry standards through ongoing education.
  • Prepare business reports as required by management.
  • Standardize workflow methods to enhance efficiency.
  • Review records to determine payable diagnosis codes for new admissions.
  • Process authorization requests for referrals, admissions, and additional services.
  • Maintain accurate records of claims communication.
  • Provide billing records to the business team as needed.
  • Serve as a billing and coding resource for the clinical team.
  • Communicate account activity and concerns with the billing team.
  • Process credit card payments for accounts receivable.

Requirements:

  • High School Diploma or Equivalent
  • Experience in Accounts Receivable within the medical field
  • Proficiency in Microsoft Office Applications
  • Prior experience in medical office or billing
  • Embody Origami's core values:
    • Celebrate the Individual
    • Inspire Excellence
    • Serve with Integrity
    • Lead with Passion

Preferences:

  • Certification or advanced training in medical billing

Physical Requirements:

This position requires regular communication and may involve standing, walking, sitting, and using hands for various tasks. Accommodations are available to meet essential job functions. The role may require lifting and/or moving up to 40 lbs.


An Equal Opportunity Employer.


Origami is an At-Will Employer. By submitting an application, you grant Origami Rehabilitation permission to verify the information provided within this application.



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