What are the responsibilities and job description for the Billing Coordinator position at Playabilities For Sensational Kids, LLC?
ABOUT US:
Playabilities is a multidisciplinary pediatric occupational, physical, and speech therapy clinic with clinics located in the Kansas City area. We provide personalized, intensive, and client-centered therapy services for children with various neurodevelopmental disabilities including developmental delays, autism, and sensory processing disorder. We provide a relaxed, yet professional work environment consisting of a collection of highly motivated, self-driven therapists and administrative team members who feed from each other’s love for their job and compassion for helping our families. The culture of our clinic is service-oriented, and our highest objective is providing the best possible treatment and care for our clients, every step of the way.
Playabilities takes great pride in having culture of belonging and excellence. Each employee embodies Playabilities’ Core Values.
Passionate about making a difference
- We are energized through serving others.
Learn and innovate
- We strive for personal and professional growth to continuously better serve our company and community.
Do the right thing
- We prioritize relationships and make all decisions, but especially people decisions, with integrity.
We build a village
- We provide connection and build relationships as a foundation of our services. We build skills and resilience after this foundation is built.
Share joy and have fun
- We approach our interactions with our families with the intention of helping them achieve and maintain “joie de vivre” or joy of life!
JOB DESCRIPTION:
Under the general direction of the Revenue Cycle Manager (RCM), the Billing Coordinator is responsible for ensuring the medical billing system operates efficiently and that claims are actively managed for accurate and timely payment resolution. This role will focus on addressing insurance claim status, managing payment issues, and providing excellent external customer service for the billing department. The Billing Coordinator will also support the billing team with general tasks and assist with manual patient payment posting.
Claim Submission and Denial Management
- Provide support to the RCM with claim denials, reconsideration, or appeal projects, as needed.
- Monitor and address insurance claims with past-due statuses using Waystar.
- Accurate and timely posting and managing all patient payments into the EMR system.
- Proactively follow up with insurance providers to resolve claim payment issues.
- Delegation from the RCM may include a review of claims, research, and denials resolution.
Billing Team Support
- Executes policies and procedures put in place by the RCM to optimize revenue cycle performance.
- Assist other billing department team members with delegated tasks and responsibilities.
- Accurately post manual patient payments into the billing system.
- Support the team in identifying and implementing process improvements.
Family Payment Support
- Communicate with families regarding failed credit card payments and arrange resolutions.
- Provide itemized statements, receipts, and other requested documentation to families.
- Assist families with payment-related inquiries and issues.
- Provide medical records to families upon request to assist them in obtaining payment directly from the insurance company.
Collections Management
- Under the direction of the RCM, identify overdue accounts and prepare them for submission to external collections agency.
- Maintain accurate records of all collection activities and communications.
- Follow up on collection accounts as needed.
Customer Service Lead
- Train to oversee all external customer service inquiries for the billing department via phone and email within nine months of starting the position.
- Ensure timely and professional communication with families and other stakeholders.
Other duties as assigned.