Billing Specialist

MetroEHS Pediatric Therapy•Plymouth Charter Township, MI

3h•Onsite

About The Position

MetroEHS Pediatric Therapy is expanding our exceptional team of professionals! We are looking for a passionate and dedicated Billing Specialist to join our growing team and help us Reveal the Super in Every Child! Billing specialists maintain accurate financial records and payment procedures. They create claims billings and work closely with payor providers to resolve discrepancies for successful reprocessing. This role is a good fit for those with a high school diploma or higher education, at least 2+ years direct healthcare revenue cycle experience, as well as a high knowledge of CPT/ICD-10 medical coding. Prior experience with Raintree Systems EMR software is also highly preferred but not required. Prior experience with Community Mental Health (CMH) billing is highly preferred. About MetroEHS Pediatric Therapy For over 20 years, MetroEHS Pediatric Therapy has been a leader in providing integrated pediatric therapy services throughout Southeast Michigan. Our mission is to deliver evidence-based, intensive, multidisciplinary, and collaborative pediatric therapy that empowers children and their families to achieve their fullest potential. Our neighborhood therapy centers make it easy for families to access a comprehensive approach to therapy, offering Speech Therapy, Occupational Therapy, Physical Therapy, ABA Therapy, and Feeding/Swallowing Therapy in one center. Through play, acceptance, and joy, we embrace the complexities of each child, striving to create functional outcomes that enhance their quality of life. Your Impact As a Billing Specialist at MetroEHS Pediatric Therapy, you will: Perform CMH billing, commercial insurance electronic billing, and cash posting for multiple payers. Work with all providers to rectify billing discrepancies and billing overlaps. Review EMR info such as medical records and notes to ensure billing accuracy. Research denials and correct claims as needed for successful reprocessing. Handle incoming phone calls related to patient accounts/balances. Assist with providing support info for billing audits as needed. Help with additional accounts receivable clean-up as directed by management. Assist with insurance verifications

Requirements

2+ yrs billing experience in a healthcare setting (using CPT/ICD-10 coding)
Strong data entry skills (both speed and accuracy)
Highly organized and excellent at time management
Effective Communicator both externally with providers and with internal team
Competency with Microsoft Office Software Suite of programs (Word, Excel, Outlook)
Comfortable with navigating electronic medical records (Raintree Experience highly preferred)
Collaborative team player with the ability to also work independently frequently and stay on task
Positive, professional attitude
General problem-solving skills
Understands the importance of HIPAA compliance

Nice To Haves

Prior experience with Raintree Systems EMR software is also highly preferred but not required.
Prior experience with Community Mental Health (CMH) billing is highly preferred.

Responsibilities

Perform CMH billing, commercial insurance electronic billing, and cash posting for multiple payers.
Work with all providers to rectify billing discrepancies and billing overlaps.
Review EMR info such as medical records and notes to ensure billing accuracy.
Research denials and correct claims as needed for successful reprocessing.
Handle incoming phone calls related to patient accounts/balances.
Assist with providing support info for billing audits as needed.
Help with additional accounts receivable clean-up as directed by management.
Assist with insurance verifications