Billing Coordinator

LLA Therapy•Fairlawn, OH

About The Position

About our Company With over 30 years of pediatric therapy experience, LLA Therapy’s motto is: Helping Kids Shine Their Brightest! In order to accomplish our goal we pride ourselves on effective and streamlined communication, ongoing mentoring and support, collaboration between our core therapeutic disciplines (assistive tech, intervention specialists, speech, ABA, and PT), and providing our professionals with the materials and tools they need to succeed. We have structured back office support through our HR, Billing, and scheduling departments. Position Summary We are seeking a detail-oriented and proactive Billing Coordinator to join our team. This position is responsible for managing insurance claim denials and overseeing accounts receivable (A/R) functions to ensure the timely and accurate reimbursement of therapy services. The ideal candidate will play a key role in maintaining the financial health of the practice while supporting our clinical team and client families through efficient and compassionate service.

Requirements

Experience in medical billing or a related healthcare role.
Knowledge of insurance verification, prior authorizations, and the claims appeal process.
Familiarity with CPT codes and medical billing software.
Strong organizational skills and high attention to detail.
Excellent customer service and communication skills.
Self-motivated, team-oriented, and a creative problem solver.
Ability to work independently and collaboratively in a fast-paced environment.
Must be proficient in English-Reading, comprehending, and understanding the English language.

Responsibilities

Analyze and resolve claim denials by initiating corrections, appeals, or resubmissions as appropriate.
Communicate with insurance payers to investigate and resolve unpaid or incorrectly paid claims.
Review and interpret Explanation of Benefits (EOBs) and Remittance Advice (RAs) to determine next steps.
Coordinate with therapists and support staff to obtain necessary documentation and clarification for denied claims.
Maintain accurate records of denial reasons, appeal outcomes, and follow-up activities.
Process and submit credentialing applications for therapists, ensuring accuracy and completeness.
Maintain organized credentialing records and update them regularly to ensure all necessary information is current.
Follow up on credentialing applications with insurance companies or relevant authorities to ensure timely processing.
Monitor and manage aged receivables, ensuring timely follow-up on outstanding balances.
Maintain a thorough understanding of payer-specific guidelines, coverage policies, and pre-authorization requirements.
Support month-end reporting and reconciliation processes in collaboration with the billing team.
Collaborate with client intake and insurance verification teams to ensure a smooth onboarding and billing process.
Assist with internal audits and quality control checks to ensure billing accuracy and compliance.
Communicate professionally and empathetically with families regarding insurance and billing-related inquiries.
Contribute to process improvements to streamline the revenue cycle and reduce denials.
Stay informed on updates to Medicaid, Medicare, commercial insurance, and industry regulations impacting reimbursement.