Senior Medical Billing Specialist Account Manager (Ot/Pt/Slp Biller)

Our fast-growing sister organization (pediatric therapy Medical Billing agency) is excited to announce that we are accepting applications for a full-time W2 employee - An experienced Medical Biller with extensive Medical Billing experience including claim submission, denial management, payment posting, and more. Our ideal candidate brings over 10 years of experience. This role is a fully remote role. We are currently accepting candidates for this remote role who reside in the following states: Florida, Texas, Maryland, based on our setup.

This role is a W2 full-time employee role but does not have any benefits, PTO, etc. Please don't apply if you are seeking a role with benefits. . Our ideal candidates have AAPC certification.

IMPORTANT: DO NOT CALL ABOUT THIS ROLE. WE ARE USING AN OUTSIDE ORGANIZATION FOR SCREENING ALL APPLICATIONS SO PHONE CALLS WILL NOT BE ACCEPTED AT THIS TIME. Best Way To Be Considered Or Learn More Is By Completing The Application Process.

This ROLE is designed for someone who has a very strong background in full revenue-cycle management as a medical biller and is looking to excel in their career on the next level part of an innovative Medical Billing agency.

Please only apply if you have five years of direct Medical Billing experience in a lead billing role for private practices or within a billing agency, plus prior experience working with OT/PT/SLP private practice Medical Billing experience. Hospital billing or working for an insurance company or healthcare system is not accounted for in the experience we are seeking for this role.

**Please Be Advised: We Are Only Reviewing Candidates Who Complete The Indeed Application Process Inclusive Of Answering All Questions Inclusive Of Employer Questions. If Questions Are Left Blank, Application Will Be Considered Incomplete.**

The Medical Billing Specialistwill be responsible all revenue cycle management functions connected to our partner pediatric therapy private practices. Please be advised that this role is connected to a pediatric therapy Medical Billing agency therefore only W2 employees who are locally able to work out of our office will be considered. This position will perform duties, and oversee all functions related to revenue cycle management inclusive but not limited to coding, billing, payment collections, payment posting, and strategy to maximize the productivity and minimize the errors of the revenue cycle process. This position will be responsible and accountable for providing vision and leadership in the development, design, and implementation of effective and sustainable processes within the billing functions for the organization. This role requires a candidate with expertise in optimizing accounts receivables, interpreting and optimizing EOBs, processing ERAs, denial management, and implementing successful strategies as it relates to interpretation of claims being processing incorrectly and medical coding requirements.

Job Requirements:

• Must have 5+ years in the Medical Billing industry
• Must have strong billing experience for outpatient therapy (OT, PT, SLP)
• Must have strong expertise with Medicaid & Commercial Insurance billing and contract negotiation
• Experience with Fusion Web Clinic Pediatric Therapy EMR System
• Possess strong written and verbal skills
• Be tech savvy and comfortable working in a live setting with various software
• Highly motivated to work in an extremely fast paced environment where you will need to work outside normal workings hours at times
• Prepared to grow very quickly into your role and take on greater responsibilities as the team and customer base grows
• Be comfortable owning your own workload

SKILLS AND KNOWLEDGE REQUIREMENTS:

• Strong verbal and written communication skills
• Creating a safe, welcoming, and efficient environment
• Experience with electronic medical records
• Leadership skills with focus on empowering and motivating
• Basic Computer knowledge
• Revenue cycle processes
• Excellent Customer Services skills
• Phone etiquette
• Medical teamwork
• Attention to detail
• Organization and Scheduling
• Friendly Bedside manner
• Supply management
• Predict and Anticipate patient and provider needs
• Critical thinking and extensive problem-solving skills

Essential Job Functions:

· Assess methods and processes from the revenue cycle to recommend ways to improve efficiency, effectiveness, and maximize payment recovery.

· Develop department objectives, establish staffing patterns, and organize work of the department.

· Oversees the operations of the billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, collections, and reimbursement management.

· Analyze billing and claims for accuracy and completeness. Submit claims to proper insurance entities and follow up on any issues.

· Prepares and analyzes accounts receivable reports, weekly and monthly financial reports, and insurance contracts. Collects and compiles accurate statistical reports.

· Track metrics related to the patient engagement cycle including record coding error rates and billing turnaround times to develop sound revenue cycle analysis and reporting.

· Work in conjunction with the Clinic Manager to promote patient satisfaction, clinic efficiency, accurate documentation for reimbursement purposes and employee engagement.

· Recruits, interviews, and selects high quality candidates and trains new staff members within the billing department. Responsible for evaluating, counseling, creating performance improvement plans and disciplining billing staff according to clinic policies and procedures.

· Ensuring adequate coverage of managed areas for the billing department through scheduling of shifts, compliance with policies and procedures, promote excellent customer service to staff and ensuring all duties within the area are completed timely.

· Coordination of day-to-day operations of the front office area, in collaboration with Office Manager.

· Ensures patient satisfaction, including troubleshooting when there is a billing complaint and developing process improvements to prevent recurrences.

· Ensure billing and coding for all current and new medical service lines are accurate, consistent, and maximize revenue opportunities.

· Oversight of all credentialing for clinical team

· Manage relationships with payers and providers to generate high reimbursement rates and a low level of denials. Oversee denial management, including reporting, accountability, and resolution.

· Able to integrate the financial, clinical, and billing processes to ensure compliance and maximize reimbursements.

· Protects confidentiality within the parameters of federal guidelines and established policy and process as well as compliance with payer and provider contracts.

· Able to carry out the essential functions of this job (with or without reasonable accommodation) without posing specific, current risk of substantial harm to health and safety of self and others.

NOTE: The essential functions are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Specific tasks or responsibilities may be assigned as needed by the Chief Medical Billing Officer & the Chief Operations Officer.

We are looking for a game changer that wants to help our pediatric therapy Medical Billing group grow! There is great earning potential for someone that has a "50 hour a week mindset" with type A personality, purpose driven, and looking to be part of an incredible Medical Billing team!

Job Type: Full-time

Pay: $18.00 - $28.00 per hour

Expected hours: 40 per week

Benefits:

• Employee discount
• Professional development assistance

Schedule:

• Monday to Friday

Work setting:

• Remote

Application Question(s):

• Why are you currently seeking new employment? (REQUIRED AUTHENTICITY IS KEY - If Blank, application is automatically rejected)
• What is your desired compensation based on your experience and expertise? Please note that the higher range of compensation is reserved for candidates with over 10 years of leadership in a Pediatric Therapy organization as an RCM officer (REQUIRED AUTHENTICITY IS KEY - If Blank, the application is automatically rejected)
• If you have had more than 2 jobs since 2018 or any employment gaps, please explain what contributed and your responsibility in work retention. (REQUIRED AUTHENTICITY IS KEY - If Blank, application is automatically rejected)
• Please provide details on your Medical Billing experience related to Pediatric Occupational Therapy, Physical Therapy, and Speech Therapy.
• What EMRs are you an expert in? (We are specifically looking for candidates with strong expertise in Fusion Web Clinic, Raintree,Kareo, and Advanced MD. Don't put they are all the same because they are not. We will test your knowledge in anything you write down.)
• Do you reside in one of the following states of Florida, Maryland, or Texas? (Per our job description - we require all employees to be in one of these states.)

Experience:

• Full RCM experience - billing, payment posting, etc.: 5 years (Required)
• Pediatric Specialty In OT/PT/SLPMedical Billing: 2 years (Required)

Work Location: Remote