Billing Coordinator (ON SITE/NON REMOTE)
About the position
The Billing Coordinator position at Total Care Therapy involves managing the medical credentialing and billing processes for an outpatient therapy office. This role is essential for ensuring compliance with departmental requirements and maintaining accurate records for provider applications and billing. The position is on-site in Dublin, OH, and offers a supportive work environment with opportunities for professional growth.
Responsibilities
ā¢ Process initial and re-credentialing applications from providers, ensuring compliance with departmental requirements.
,
ā¢ Accurately enter application data and conduct reviews for errors before submitting provider files for quality review.
,
ā¢ Process a minimum number of provider applications each month, adhering to departmental requirements.
,
ā¢ Perform follow-up for provider files on 'watch' status, as required by departmental guidelines.
,
ā¢ Ensure timely follow-up for ongoing state license action monitoring reports.
,
ā¢ Ensure timely follow-up for ongoing Medicare/Medicaid sanctions monitoring reports.
,
ā¢ Prepare and distribute re-credentialing groups, meeting departmental requirements.
,
ā¢ Complete 1st, 2nd, and 3rd requests for re-credentialing packets, as per departmental requirements.
,
ā¢ Generate reports for various state plans/departments to identify providers who have not returned their re-credentialing applications or are past due for credentialing.
,
ā¢ Accurate logging of payments received from insurance companies and patients while maintaining current records and balances of all receivables.
,
ā¢ Maintain current records including billing addresses and numbers for contacting patients as needed.
,
ā¢ Follow up on delinquent payments and resubmit billing as needed.
,
ā¢ Follow up on $0 pays.
,
ā¢ Perform posting charges and completion of claims to payers.
,
ā¢ Submit billing data to the appropriate insurance providers.
,
ā¢ Process claims and resolve denial instances, filing appeals as necessary.
,
ā¢ Assist with faxing, answering phones, emails, and text messages.
,
ā¢ Assist with credentialing new providers under insurances.
,
ā¢ Run initial insurance verifications and benefits checks for new clients.
,
ā¢ Conduct bi-monthly re-verification of benefits.
Requirements
ā¢ Experience with Google Suite, Microsoft Excel, and Microsoft Word.
,
ā¢ Familiarity with CMS 1500 and Availity.
Nice-to-haves
ā¢ Experience in medical billing and credentialing processes.
,
ā¢ Strong attention to detail and organizational skills.
Benefits
ā¢ Dental insurance
,
ā¢ Flexible schedule
,
ā¢ Health insurance
,
ā¢ On-the-job training
,
ā¢ Paid holidays
,
ā¢ Paid time off
,
ā¢ Vision insurance
Apply Now
The Billing Coordinator position at Total Care Therapy involves managing the medical credentialing and billing processes for an outpatient therapy office. This role is essential for ensuring compliance with departmental requirements and maintaining accurate records for provider applications and billing. The position is on-site in Dublin, OH, and offers a supportive work environment with opportunities for professional growth.
Responsibilities
ā¢ Process initial and re-credentialing applications from providers, ensuring compliance with departmental requirements.
,
ā¢ Accurately enter application data and conduct reviews for errors before submitting provider files for quality review.
,
ā¢ Process a minimum number of provider applications each month, adhering to departmental requirements.
,
ā¢ Perform follow-up for provider files on 'watch' status, as required by departmental guidelines.
,
ā¢ Ensure timely follow-up for ongoing state license action monitoring reports.
,
ā¢ Ensure timely follow-up for ongoing Medicare/Medicaid sanctions monitoring reports.
,
ā¢ Prepare and distribute re-credentialing groups, meeting departmental requirements.
,
ā¢ Complete 1st, 2nd, and 3rd requests for re-credentialing packets, as per departmental requirements.
,
ā¢ Generate reports for various state plans/departments to identify providers who have not returned their re-credentialing applications or are past due for credentialing.
,
ā¢ Accurate logging of payments received from insurance companies and patients while maintaining current records and balances of all receivables.
,
ā¢ Maintain current records including billing addresses and numbers for contacting patients as needed.
,
ā¢ Follow up on delinquent payments and resubmit billing as needed.
,
ā¢ Follow up on $0 pays.
,
ā¢ Perform posting charges and completion of claims to payers.
,
ā¢ Submit billing data to the appropriate insurance providers.
,
ā¢ Process claims and resolve denial instances, filing appeals as necessary.
,
ā¢ Assist with faxing, answering phones, emails, and text messages.
,
ā¢ Assist with credentialing new providers under insurances.
,
ā¢ Run initial insurance verifications and benefits checks for new clients.
,
ā¢ Conduct bi-monthly re-verification of benefits.
Requirements
ā¢ Experience with Google Suite, Microsoft Excel, and Microsoft Word.
,
ā¢ Familiarity with CMS 1500 and Availity.
Nice-to-haves
ā¢ Experience in medical billing and credentialing processes.
,
ā¢ Strong attention to detail and organizational skills.
Benefits
ā¢ Dental insurance
,
ā¢ Flexible schedule
,
ā¢ Health insurance
,
ā¢ On-the-job training
,
ā¢ Paid holidays
,
ā¢ Paid time off
,
ā¢ Vision insurance
Apply Now