The Role
The Billing and Insurance Verification Specialist is responsible for ensuring the accuracy of invoices, verifying patient insurance eligibility, processing authorizations, resolving billing issues, and following up on outstanding receivables.
Summary Generated by Built In
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
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
About
We specialize in delivering innovative solutions and exceptional services to meet the diverse needs of our clients. With a strong commitment to quality and customer satisfaction, we strive to exceed expectations and drive success in every project we undertake.
Skills Required
- High school diploma
- 1 year of experience in healthcare
- Knowledge of billing and insurance terminology
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The Company
What We Do
TMC is a privately-owned, nationwide contract therapy provider founded in 1995, specializing in physical, occupational, and speech therapy services across the United States. They partner with healthcare organizations in skilled nursing facilities, hospitals, and other settings to deliver these specialized services.
