Description

We looking for an experienced Billing & Insurance Authorization 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: Temporary position, Full Time and/or Part Time

Hours: Flexible; Monday-Friday, 7:30am-6pm.

SUB-PRODUCTS:

Run Daily eligibility checks for all patients
Insurance verifications for all new and existing patients with changes in insurance
Patient finances and insurance coverages are communicated and planned for accordingly
Deductible program plan is planned and well communicated with families
Adding patient flags to patient accounts to reflect payment needs
Appropriate notes are kept in the communication logs as well as upcoming appointments in regards to family communications.
Communicate patient services needs to the rehab director
Complete insurance authorizations and record appropriately in EMR
Providing insurance information and being a resource for families with regard to their benefits or insurance plan.
Discuss insurance benefits with families and educate them accordingly about payment plans and co-pays
Discuss cash based programming with families as needed
Keep therapists updated on insurance changes, authorization changes and authorization needs
Submit authorization requests in a timely manner
PA tracking and communication with therapists as needed
Bi-weekly auth report disseminated to departments
Pending auth report reviewed and processed weekly
Routing authorization approval forms to FD and treating therapist
Evaluation tracking by week for purposes of insurance authorization needs and follow up for scheduling
Maximize authorization utilization
Run and upload weekly cancel report
Run and upload Last Seen report to department leads
Contact therapists regarding insurance/scheduling questions
Notify treating therapists and billing about a change in insurance
Run End of Day report and distribute to staff

STATISTICS:

New patients which are informed of insurance benefits and sign the “patient responsibility disclaimer”
Percentage of authorization utilization for each child/discipline
Cancellation and Show rate of full clinic (considering the procedures of the FD as well as clinic procedures)
Scheduled evaluations that show versus NS their appointment
Scheduled and attend evaluations for the clinic
Hold versus active patients?
Visits seen per month
Percent of arrival

SUB-STATISTICS:

Monthly dropouts as a result of insurance coverage
Advanced scheduling of visits
Percent of Arrival
Friends and family referral
Internal referrals
Progress in the GDP (Growth Development Plan)
Weekly advanced scheduling
Positive parent questionnaire
Call back referrals

Tender Touch Therapy, LLC

Latest Jobs

Billing & Insurance Authorization Specialist