Billings and Collections Specialist TheraTree is a pediatric therapy practice in Western Kentucky who is committed to growing minds, bodies, and spirits through Occupational Therapy, Speech Therapy, Physical Therapy, Behavioral Therapy, and Mental Health Therapy. We're out to create thriving children whose voices are heard, bodies that move, they are independent experiencing a life they love, and are in turn an inspiration for what is possible in life. As a Billing & Collections Specialist at TheraTree you can be a remarkable contribution to parents by keeping their balances low so their child's healthcare services can continue to progress. Responsibilities of a Billing & Collections Specialist: Prior Authorizations and Denials Medical Billing Collections on Accounts Receivable Reconcile Payments General Job Duties & Responsibilities of Billing & Collections Specialist: Attends Finance meetings and presents on managed products, sub-products, statistics, and sub-statistics. Solves Accounts Receivable problems through investigation using data. Meets deadlines for programs, projects, and tasks. Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in Sets weekly, monthly, and annual Finance targets to ensure annual goals are met. Responsible for maintaining expected finance statistics of post. Billings & Collections Purpose: Create approved therapy services through identifying, submitting, tracking, communicating on, and acting on all related insurance benefits so that no service is provided without insurance verification, active prior authorization, over a maximum, or a current physician order. Responsible for: All patient prior authorizations. Tracks prior authorization period dates and visit numbers for clients. Tracks hard maximums. Tracks authorization denials Tracks when prior authorization can be submitted. Follows up with therapy providers on due dates for submitting paperwork. Proof reads all paperwork for prior authorizations. Submits correct paperwork for prior authorizations within deadlines set by clinic and insurance companies. Appeals process for denials Denials become approved authorization. Billing's Purpose: To ensure that all medical/healthcare services are verified against charges and billed accurately on time to allow our company to generate revenue so that we may continue to treat our patients and allow them to grow through their minds, bodies, and spirits. Responsible for: All medical claims and invoices billed out. Proofreads and submits all healthcare claims and invoices. Requests additional medical information from clinicians. Corrects rejected healthcare claims. Appeals denied medical claims. Collection's Purpose: To collect a steady flow of income for the maximum amount of all services billed to all sources so that funds can be distributed healthily throughout the organization and the company can continue to grow minds, bodies, and spirits through therapeutic services. Responsible for: All services provided being collected on in a timely manner. Client Payment Accounts Receivable (co-payments, deductibles, private payments) are being collected at the time of service. Accounts Receivable for outpatient healthcare billing is timely. Accounts Receivable payments for primary insurance & secondary insurance are being collected in a timely manner. All services not paid within 30 days are claims tracked. All invoices to contract agencies are paid within 30 days of notice. Reconcile Payment's Purpose: Ensures all payments are reconciled, entered, and accounted for timely and accurately so that accurate account information is obtainable and is used to make finance decisions so that the company can continue to grow minds, bodies, and spirits through therapeutic services. Responsible for: Payments accounted for and accurately reconciled into EMR in a timely manner. Finance reports to be submitted on time. Relocation assistance resources are available upon request. What you'll love about us.... Our Investment in You: Bonus Pay for more kids helped Stable Base pay We help you plan, track, and achieve bonuses Health Benefits Retirement Plans Paid Time Off Seven Paid Holidays Paid Continued Education 72% of our revenue is spent on payroll We Grow Your Skill Set: Paid Management Training Mentorships Available Educational Data based Great team that works together Company culture that values empowerment, responsibility, leadership and integrity. 5% of our revenue is spent on education Opportunities To Shine: Promotion & Director Opportunities Leadership Bonuses reward your investment in others Opportunities to mentor and educate others and be rewarded Give back with us through community engagement Live Your Purpose: Be a remarkable contribution to a child's life. Support the whole child with our complimentary multidisciplinary team approach. Celebrate patient success such that they are an inspiration for others! Be rewarded for your patient's success in a variety of ways! Our Management team cares and supports you to help your team. Live a life you love knowing you were the difference. Staff Share Success... "I Love our bonus program! It gives a ton of motivation to staff!" - Arrielle, RBT "I love growing minds, bodies, and spirits at TheraTree Pediatric Services! What a wonderful and inspiring job! I love being able to see kids have fun while meeting goals to build many different developmental skills they need for everyday life. I have seen many successes with many different children even in my short time of being at Theratree Pediatrics. Whether it be attending to a given task for 10 minutes or transitioning without caregiver for the first timeWe love to see such BIG successes that might seem so small to others. Even SMALL STEPS MAKE FOR GREAT ACCOMPLISHMENTS AND MILESTONES! I love to see children and their families leaving therapy happy and knowing they have accomplished something great! They always say find a job that you enjoy, and you will never have to work a day in your life. That is exactly what I have found in working for this company and with the many children here! I love my job and the rewarding nature of helping grow minds, bodies and spirits!" - Ms. Faith, MS, OTR/L "There is a sweet client that has been working on feeding at our clinic. Today we completed a telehealth session during breakfast time. He had picked out all his food for his plate and was ready when he joined. He picked out peaches, blueberries, banana, pancakes, and eggs. He took at least 4 bites of everything! Mom even shared that he ate a whole hamburger yesterday. This is so big and we are excited that he is taking steps toward being able to eat food with his family and friends." - Kaitlin, MS, OTR/L "My son started at TheraTree almost 2 years ago. At the time he was missing milestones and I could tell he had some sensory issues. TheraTree has helped Andy in so many ways. He has overcome challenges in his everyday life and has overcome some sensory issues. Cole has helped him at first to brush his teeth correctly and overcome sensory issues such as hair cutting, using a toothbrush and food textures. Cole has also been helping my son with being able to stay on task and stay focused when he is overstimulated. Cole has taught Andy to take turns and to be able to share with others. Since Andy has been going to TheraTree he is more focused, and is right on track. Andy has developed new
