Job Description

Billing and Insurance Verification Specialist

Department: Quality Care Rehab

Employment Type: Full Time

Location: Home Office

TMC is a national therapy provider offering physical, occupational, and speech therapy services to Senior Living communities across the country. We bring expert care directly to long-term care providers and are seeking a qualified Billing Specialist to join our team.


Scope: We currently have an opportunity for a highly motivated biller to join our team. We are looking for an energetic, result-driven individual who pays close attention to detail and who is also able to work well independently. This individual will be an integral part of a rapidly growing company, with room for growth opportunities.

Schedule:
Monday to Friday 40 hours/week – In Office

Key Responsibilities

Duties and Responsibilities:

• Ensure accuracy, timeliness of assigned monthly customer invoices
• Verify insurance from patient referrals
• Ensure patient is within eligibility requirements (i.e. contracted with insurance network, home health, etc.).
• Process/obtain authorizations as needed to treat patients (evals and treatments)
• Obtain approvals to continue treatment of patient.
• Research and resolve issues with payers presented
• Responsible for interaction with therapy team and customers; promote a positive work environment
• Develop professional working relationships with facility team members and our other customers
• Troubleshoot invoice issues and resolve
• Communicate relevant facility, patient and/or issues to Controller in a timely fashion.
• Follow-up on outstanding receivables as needed
• Other duties as assigned.

Skills, Knowledge and Expertise

Qualifications:

• High school diploma
• Knowledgeable and skilled in Microsoft Word and Excel.
• Ability to establish effective working relationships with teams and customers
• 1 year of experience in healthcare, working knowledge of insurances
• Excellent organization and time management skills.
• Knowledge of billing and insurance terminology.
• Self-starter, attention to detail, and organized.
• Ability to prioritize and meet deadlines.
• Compliance focused and detail oriented.

Benefits

PTO, Medical, Dental, Life