About this opportunity
Tender Touch Therapy, LLC lists this Billing & Insurance Authorization Specialist opportunity in sturtevant, Wisconsin. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Billing & Insurance Authorization SpecialistWe are 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.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.Empowering children to change their world one ability at a time.Location: Mount Pleasant, WIStatus: Temporary position, Full Time and/or Part TimeHours: Flexible; Monday-Friday, 7:30am-6pm.Responsibilities:Run daily eligibility checks for all patientsInsurance verifications for all new and existing patients with changes in insurancePatient finances and insurance coverages are communicated and planned for accordinglyDeductible program plan is planned and well communicated with familiesAdding patient flags to patient accounts to reflect payment needsAppropriate notes are kept in the communication logs as well as upcoming appointments in regards to family communications.Communicate patient services needs to the rehab directorComplete insurance authorizations and record appropriately in EMRProviding 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-paysDiscuss cash based programming with families as neededKeep therapists updated on insurance changes, authorization changes and authorization needsSubmit authorization requests in a timely mannerPA tracking and communication with therapists as neededBi-weekly auth report disseminated to departmentsPending auth report reviewed and processed weeklyRouting authorization approval forms to FD and treating therapistEvaluation tracking by week for purposes of insurance authorization needs and follow up for schedulingMaximize authorization utilizationRun and upload weekly cancel reportRun and upload Last Seen report to department leadsContact therapists regarding insurance/scheduling questionsNotify treating therapists and billing about a change in insuranceRun End of Day report and distribute to staffStatistics:New patients which are informed of insurance benefits and sign the "patient responsibility disclaimer"Percentage of authorization utilization for each child/disciplineCancellation and Show rate of full clinic (considering the procedures of the FD as well as clinic procedures)Scheduled evaluations that show versus NS their appointmentScheduled and attend evaluations for the clinicHold versus active patients?Visits seen per monthPercent of arrivalSub-statistics:Monthly dropouts as a result of insurance coverageAdvanced scheduling of visitsPercent of ArrivalFriends and family referralInternal referralsProgress in the GDP (Growth Development Plan)Weekly advanced schedulingPositive parent questionnaireCall back referrals
Worksite address
sturtevant, WI, 53177, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.