Therapy/Billing Clerk

Easterseals West Kentucy•Paducah, KY

24d•$18•Onsite

About The Position

The basic function of the Therapy/Billing Clerk is a combination of Therapy Coordinator and Billing Coordinator duties. To ensure timely follow up of preauthorization and reauthorization requests and ensure billing for services is completed timely and appropriately.

Requirements

Education: Required: High School; computer literate
Experience: A minimum of 2 years experience in billing.
Skill, Knowledge and Abilities: Possess excellent computer skills, strong interpersonal skills, speed and accuracy in typing skills, above average organizational skills and time management skills, and the ability to maintain confidentiality.
Physical: 80% sitting required, participate in communicating effectively with employees, consumers, and public.
Mental: Possess good reading, writing and spelling ability to communicate clearly and effectively in the English language.
Working Conditions: Office site, with minimal travel involved.

Nice To Haves

Preferred: Two-year technical college degree

Responsibilities

Adhere to and maintain all quality control standards and operations as set forth by the Manager of Billing Services, in compliance with all applicable laws and regulations.
Submit billing information for Therapy Services, Adult Services & PPEC to appropriate agencies for reimbursement.
Process retroactive requests and complete appeals.
Follow up with therapy prior authorization and reauthorization requests, retroactive requests, and appeals.
Daily electronic filing/checking of therapy notes and weekly filing of adult services billing sheets.
Weekly, check therapy billing sheet against notes filed. Request missing notes from appropriate therapy provider.
Weekly completion of adult services attendance to prepare for billing.
Ensure a safe work environment.
Support and enforce all company policies and procedures.
Maintain open communication with the Manager of Billing Services, Therapy Coordinator, and Billing Coordinator.
Interact with insurance companies, therapy providers and clients, as necessary to ensure continuation of services.
Submit required documentation to insurance companies to obtain prior authorization.
Participate in trainings and webinars to ensure all procedures are up-to-date and efficient. Report any inefficiencies to the Manager of Billing Services.
Compare therapists’ daily notes on clients served to billing invoices.
Communicate effectively with therapy providers.
Work with management to ensure company policy is followed.
Complete any other duties assigned by the Manager of Billing Services satisfactorily.