Job Description

Are you detail-oriented and experienced in medical billing? Do you thrive in a collaborative environment where your expertise directly supports a nonprofit’s mission? If you’re ready to make a measurable impact in your next role and make a career at a wonderful organization, this is the opportunity for you!

OUR CLIENT:
The Children’s TherAplay Foundation, Inc. is a mission-driven organization dedicated to improving the lives of children through innovative therapies. Their passionate team works enthusiastically and collaboratively to create meaningful change—and now, they’re looking for someone like you to join them.

As the Medical Billing Coordinator, you’ll play a critical role in ensuring accurate and timely payment of claims and collections. Your responsibilities will include:

• Managing multiple components of the billing process
• Securing payor prior authorizations
• Processing patient and insurance payments
• Investigating and correcting denied claims

Your proficiency in these processes will help sustain the organization’s ability to deliver exceptional care to children who need it most.

BENEFITS: 

• Compensation starting at $45,000
• Health, Dental, Vision, and Disability insurance
• Flexible scheduling with 1 day work from home
• Paid time off and Paid holidays
• Health savings account
• 401(k) matching
• Employee assistance program

KEY RESPONSIBILITIES:

• Complete and submit all prior authorization requests to payors. 
• Post insurance reimbursements to patient accounts in our medical software program. 
• Ensure proper collection of new insurance information from existing clients and maintain current and accurate billing records. 
• Manage Daily Reconciliation Report, Office Day at a Glance, and Revenue Report for Billing Manager. 
• Continue to document and improve current accounts receivable and collections processes.
• Achieve maximum reimbursement for patient services provided.
• Maintain overall responsibility of patient and insurance billing, including resolving billing issues and discrepancies, and follow up on delinquent payments.
• Manage the “over 90-day” Unpaid Report.
• Oversee the January Project to obtain accurate patient demographic and billing information. Update all annually collected information into the billing software program. 
• Protect patient rights by maintaining confidentiality of personal and financial information.
• Attend community outreach functions and fundraising events as a representative of the facility. 

WHAT IT TAKES TO SUCCEED:

• Experience in medical claims and experience with electronic medical records. 
• Ability to communicate both internally and externally in a professional manner by giving full attention to what other people are saying, taking time to understand the points being made, and asking questions as appropriate. 
• Experience in billing and reconciliation, working with healthcare providers and insurance claims, handling appeals and denials. 
• Ability to adjust to situations involving repetitive, short-cycle operations carried out according to established standards and procedures. 
• Understand HIPPA regulations for healthcare.

REQUIRED EXPERIENCE:

• 2+ years of medical claims and billing experience required. 
• High School Graduate. Associate degree preferred. 

 
Children’s TherAplay is committed to creating a diverse environment and is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sex, disability, age, or veteran status, and other protected status as required by applicable law.

Many of our clients utilize E-Verify as part of their employment process. E-Verify is an internet-based system operated by the Department of Homeland Security (DHS) in partnership with the Social Security Administration (SSA) that allows participating employers to electronically verify the employment eligibility of their newly hired employees in the United States

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Job Tags

Full time, Work at office, Work from home, Flexible hours,

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