Billing Coordinator

Tri-County Therapy, LLC (“TCT”) is a pediatric therapy company that provides therapy services for children from birth to 18 years old. TCT’s mission is to provide quality therapy to children while building a diverse community of talent where each team member feels empowered to bring their unique differences to work and achieve their full innovative potential.

TCT offers a multi-disciplinary approach with speech, occupational, aquatic, and physical therapy services. TCT has clinics located in the following South Carolina cities: Charleston, Ladson, Mount Pleasant, Greenville and Anderson. We also provide therapy in the natural environment, including homes, the community and preschools.

We are currently hiring a full-time Billing Coordinator at our Ladson clinic to support TCT's billing procedures, communication with insurance companies and parents, and reporting. 

Full-time benefits are offered including PTO, medical, dental, and vision care insurance, as well as optional life/AD&D insurance, short-term disability, and 401k (with company match).

Core Responsibilities:

• Process billing for various insurance providers, specifically assigned to, by generating invoices for services rendered to patients including verifying correct charges, ensuring correct codes (CPT, ICD-10, etc.) are used to prepare clean claim submission via EDI
• Reviews Electronic Remittance Advice (ERAs) from insurance company explaining payments that may need to be logged or denials of claims.
• Process denials to include reviewing the reason for denial, correcting any errors (e.g., incorrect coding, missing information), and resubmitting claims, calling insurance carrier or appealing the denials to ensure payment is correctly received.
• Secondary billing once primary insurance claim is processed. This involves submitting the primary claim to the secondary insurer for the balance that remains after primary insurer has paid.
• Generate outstanding reports to track unpaid claims or outstanding payments, enabling identification of accounts requiring follow-up action, including reviewing overdue claims or payments, and taking steps to resolve them.
• Process patient copayments for assigned commercial and private insurance plans, as well as apply credits from overpayments. Additionally, manage the collection of fees for missed appointments and late cancellations.
• Respond to telephone calls and emails from patients and insurance companies regarding account inquiries, providing requested information while maintaining professional telephonic etiquette.
• Verification of all new incoming insurance policies to ensure information is accurate and coverage details for policy limits, pre-auth requirements, effective dates, etc.
• Verification of Medicaid eligibility at the beginning of each month to ensure that active coverage is maintained and that monthly services can continue without interruption.
• Data entry for authorizations, referrals, and/or billing department
• Maintains full compliance with HIPAA guidelines.
• General clerical duties, including answering telephone calls, providing customer support, directing customers to appropriate departments, stapling documents, and scanning documents to patient files
• Records/documentation management, including entering, transcribing, recording, storing, or maintaining information in written or electronic form. Ensure accuracy of patient records.

 Knowledge, Experience, and Education Required:

• Requires a high school diploma, GED, or equivalent, bachelor’s degree preferred
• Minimum of 1 year experience in medical billing, office, or an administrative position
• Demonstrates initiative and independent judgment in performing job responsibilities
• Exceptional communication and customer service skills
• Strong computer and keyboarding skills
• High attention to detail
• Able to respond to difficult situations with self-control and a positive attitude
  
  

Hours: Monday-Friday 9:00am -5:30pm (with 30 min lunches)

No Weekends or Holidays!

Our offices close the week between Christmas & New Years with optional unpaid or use of PTO to allow all employees an extra week off to spend with their families

We would love to hear about you and your goals. The services we provide reflects directly on our employees and who we place in specific positions. Please submit your resume, and our management team will contact you to schedule an interview.