What are the responsibilities and job description for the Billing Specialist position at Blue Stone Therapy?
Blue Stone Therapy is certified as a Great Place to Work!
Blue Stone Therapy was founded in 2009 and provides contract physical therapy, occupational therapy, and speech-language pathology to communities in Iowa, Minnesota, Missouri, Nebraska, North Dakota, and South Dakota. Our focus is to deliver optimal, individualized rehabilitation by highly skilled professional therapists while developing long-term partnerships between our staff and the communities they serve.
We are seeking a highly motivated and detail-oriented Billing Specialist to join our team. The Billing Specialist is responsible for the claims process, including accurate and timely claim creation and insurance correspondence.
Essential Key Job Responsibilities:
- Maintain ongoing que of denied claims review and responses. Research pending 30/45/60-day insurance claims daily. Researches and resolves 90 day insurance claims.
- Coordinate all financial clearance activities by navigating all referral, precertification, and authorization requirements as outlined in payer-specific guidelines and regulations.
- Responsible for a variety of payment processes including, transferring payments across transaction, accounts, and data bases, overseeing balancing of payments posted to the accounts receivable system, entering and tracking returned checks, and processing payments.
- Maintaining current knowledge of all Federal, State, and compliance regulatory requirements related to billing and insurance.
- Actively pursues inconsistencies and/or inaccuracies in coding and/or billing and appropriately brings to the attention of leadership.
- Other duties as assigned.
Education and Experience:
- Minimum of three (3) years of experience in a medical billing or revenue cycle role.
Knowledge, Skills, and Abilities:
- Intermediate or stronger skill level with technology and software to include Microsoft and database systems.
- Strong communication and collaboration skills.
- Knowledge of medical terminology, CPT and ICD-10 coding
- Knowledge of Medicare, OIG, HIPAA, State & Federal statutes, and regulations.
- Proven ability to exercise professional judgment with initiative in analyzing and executing multi-faceted problem solving.
- Experience with NetHealth preferred.
Blue Stone Therapy is an Equal Opportunity Employer
