Billing and Insurance Verification Specialist

TMC•Homosassa Springs, FL

1d•Onsite

About The Position

TMC is a national therapy provider offering physical, occupational, and speech therapy services to Senior Living communities across the country. We bring expert care directly to long-term care providers and are seeking a qualified Billing Specialist to join our team. Scope: We currently have an opportunity for a highly motivated biller to join our team. We are looking for an energetic, result-driven individual who pays close attention to detail and who is also able to work well independently. This individual will be an integral part of a rapidly growing company, with room for growth opportunities.

Requirements

High school diploma
Knowledgeable and skilled in Microsoft Word and Excel.
Ability to establish effective working relationships with teams and customers
1 year of experience in healthcare, working knowledge of insurances
Excellent organization and time management skills.
Knowledge of billing and insurance terminology.
Self-starter, attention to detail, and organized.
Ability to prioritize and meet deadlines.
Compliance focused and detail oriented.

Responsibilities

Ensure accuracy, timeliness of assigned monthly customer invoices
Verify insurance from patient referrals
Ensure patient is within eligibility requirements (i.e. contracted with insurance network, home health, etc.).
Process/obtain authorizations as needed to treat patients (evals and treatments)
Obtain approvals to continue treatment of patient.
Research and resolve issues with payers presented
Responsible for interaction with therapy team and customers; promote a positive work environment
Develop professional working relationships with facility team members and our other customers
Troubleshoot invoice issues and resolve
Communicate relevant facility, patient and/or issues to Controller in a timely fashion.
Follow-up on outstanding receivables as needed
Other duties as assigned.