Intake Referral Specialist

Overview
Starting Hourly: $17.00 - $17.50 per hour depending on experience
Two Trees Physical Therapy & Wellness, a member of Therapy Partners Group, has been the premier provider for outpatient orthopedics serving Ventura County and surrounding communities for 10 years. We are known for providing the highest quality individualized care for our patients and our team of highly skilled physical therapists who are passionate about helping patients achieve their goals.
Currently, we are looking for a full time Intake Referral Specialist for our 2895 Loma Vista Ave location in Ventura.
Responsibilities
The Intake Referral Specialist is an intermediate level position primarily responsible for the collection and processing of new patient referrals from various referral sources. These responsibilities include but are not limited to distributing referrals to appropriate person researching and rectifying insurance denials, process liens, prepare re-bills, analyze accounts that require adjustments and determine which accounts need to be sent to the third-party collection agency. This position will work with front desk PCC's, other billing staff, and requires flexibility, resolution mindset, and the acceptance of varying tasks as assigned by the Billing / Finance Department as needed.
POSITION DUTIES

• Prepares and submits insurance claims to insurance carriers either electronically or by hard copy billing.
• Secures needed documentation required or requested by insurances.
• Follows up with third-party insurance carriers on unpaid claims till claims are paid or only self-pay balance remains.
• Processes rejections by either making accounts private and generating a letter of rejection to patient or correcting any billing error and resubmitting claims to third-party insurance carriers.
• Works with physician or medical record staff to ensure that correct diagnosis/procedures are reported to third party insurance carriers.
• Notify patients when claims have not been paid after time frames in established accounts receivable policy.
• Keeps updated on all billing and benefit changes for third-party insurance carriers.
• Posts third-party insurance remittance vouchers.
• Monitors claims for missing information and authorization/control numbers.
• Maintains confidentiality of all information.
• Completes work within authorized time to assure compliance with departmental standards.
• Keeps updated on all third-party billing requirements and changes for insurance types within the area of responsibility.
• Demonstrates knowledge of, and supports, TPG mission, vision, core values, standards, policies and procedures, operating instructions, confidentiality standards, and the code of ethical behavior.
• Maintains third-party billing logs.

Performs other duties as required.
Qualifications
Knowledge, Skills and Abilities

• Thorough knowledge of Microsoft Office, Internet, and Gmail
• Must be able to learn billing software in a timely manner
• Ability to maintain confidentiality in all areas of assigned work
• Strong Customer Service Skills
• Ability to support clinic and administration staff members as needed to ensure accurate processes.
• Must be organized and able to manage multiple priorities
• Ability to communicate complex information in a well thought-out easily understood manner, both orally and in writing in a variety of settings and styles
• Ability to communicate in an honest, direct and professional manner, relating well to others to build rapport and effective relationships
• Ability to demonstrate active listening by asking clarifying questions, identify and share relevant information and solicit feedback from others and give and receives feedback objectively
• Ability to identify and problem solve
• Strong team player able to shift tasks as needed
• Type 55+ wpm

Education and Experience
Education: Highschool graduate, AA Degree (preferred).
Experience:

• 1+ years medical billing experience including self-pay and private insurance
• Experience in benefit verification processes
• Experience with Claim Processing (creation, appeals, etc.)
• Proficient in Microsoft Excel, Microsoft Word, Internet, GMail
• Experience with CPT/ICD-10 coding

Physical Requirements and Working Conditions
Requires prolonged sitting, some walking, bending, stooping and stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, mouse, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare and present reports.
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