Description We looking for an experienced Medical Billing Specialist to join our busy pediatric therapy practice. The billing specialist will be responsible for a variety of tasks within the revenue and claim cycle to improve the revenue of the practice. Applicant must have experience utilizing Electronic Medical Records/Practice Management software.

Who are we:

Tender Touch Therapy is a woman-owned and therapist owned company that provides high quality pediatric physical, occupational, and speech language therapy services. As a comprehensive team, we implement creative and effective treatment strategies in order to maximize functional independence and achieve patient-specific goals. We will advocate on behalf of each child and their family to enhance well-being and improve lifelong wellness.

Purpose:

Empowering children to change their world one ability at a time.

Location:

Mount Pleasant, WI Status:

Part time to

Full Time Hours:

Flexible; Monday-Friday, 7:30am-6pm. Essential Duties and Responsibilities Minimum 1 to 2 years of medical billing experience is required Ensure accurate and timely billing Claim follow up and maintain AR reports; identify root cause of insurance denials, follow appeal processes and minimize lost revenue. Maintain accounts receivable, revenue cycle and claims processes and meet set benchmarks Coordinate weekly claim and audit status between clinical and accounting departments Assist patients with billing and EOB questions Assist with collecting patient liabilities that occur due to deductibles and co-insurances and set up payment plans as needed. Collaborate with providers, patient families, and insurance representatives to resolve outstanding obligations in a fair and timely manner. Utilize the EMR/Practice Management system appropriately to perform work plan duties. Respond to patient and staff billing questions timely, effectively and appropriately Work with department manager to troubleshoot billing-related issues within directed timeframes. Understand insurance payer guidelines and policies for private and government insurances. Demonstrate the ability to work well individually and in a team with minimal supervision. Recognize patterns of insurance denials/underpayments and communicate with administrator immediately. Investigate billing problems and formulate solutions. Recommend policy and procedure changes to management as needed.