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SalaryAbout us:
TCT is a growing therapist-owned and operated company providing Physical Therapy, Occupational Therapy, and Speech Therapy in the home and assisted living settings. We have a close-knit culture with competitive pay, flexible schedules, rewarding work, comprehensive benefits, paid time off, on-the-job training, and opportunities for upward mobility. We are engaging, and supportive and our goal is to restore independence through compassionate and quality care.
The T’s and C’s (TCT): Tailored, Transformative, Transparent, Compassion, Care, and Community.
Benefits include: paid time off, paid birthday off, paid holidays off, flexible scheduling, an employee reward/recognition program, and a comprehensive benefits package (medical/dental/vision/life).
Job Description: *** ON-SITE, NON REMOTE POSITION***
TCT is an outpatient therapy office providing physical therapy, occupational therapy, and speech therapy services to clients in their homes. This is an ON-SITE position (non-remote).
We are looking for a full-time Medical Credentialing/Medical Biller in the Columbus area who would be responsible for:
Process initial and re-credentialing applications from providers, ensuring compliance with departmental requirements.
Accurately enter application data, conduct reviews for errors before submitting provider files for quality review, and meeting departmental requirements.
Process a minimum number of provider applications each month, adhering to departmental requirements.
Perform follow-up for provider files on "watch" status, as required by departmental guidelines.
Ensure timely follow-up for ongoing state license action monitoring reports.
Ensure timely follow-up for ongoing Medicare/Medicaid sanctions monitoring reports.
Prepare and distribute re-credentialing groups, meeting departmental requirements.
Complete 1st, 2nd, and 3rd requests for re-credentialing packets, as per departmental requirements.
Generate reports for various state plans/departments to identify providers who have not returned their re-credentialing applications or are past due for credentialing, adhering to departmental requirements.
- Accurate logging of payments received from insurance companies and patients while maintaining current records and balances of all receivables
- Maintain current records including billing addresses and numbers for contacting patients as needed
- Follow up on delinquent payments and resubmit billing as needed
- Follow up on $0 pays
- Perform posting charges and completion of claims to payers
- Submit billing data to the appropriate insurance providers
- Process claims
- Resolve denial instances and filing appeals
- Assisting with faxing, answering phones, emails and text messages
- Assisting with credentialing new providers under insurances
- Running initial insurance verifications and benefits checks for new clients
- Bi-monthly re-verification of benefits
Candidates must be competent with:
- Google Suite
- Microsoft Excel
- Microsoft Word
- CMS 1500
- Availity
Compensation: competitive/negotiable/experience based.
