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Location

Dublin, OH | United States

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Job description

About us: TCT is a growing therapist-owned and operated company providing Physical Therapy, Occupational Therapy, and Speech Therapy in the home and assisted living settings. We have a close-knit culture with competitive pay, flexible schedules, rewarding work, comprehensive benefits, paid time off, on-the-job training, and opportunities for upward mobility. We are engaging, and supportive and our goal is to restore independence through compassionate and quality care. The T’s and C’s (TCT): Tailored, Transformative, Transparent, Compassion, Care, and Community. Benefits include: paid time off, paid birthday off, paid holidays off, flexible scheduling, an employee reward/recognition program, and a comprehensive benefits package (medical/dental/vision/life). Job Description: *** ON-SITE, NON REMOTE POSITION*** TCT is an outpatient therapy office providing physical therapy, occupational therapy, and speech therapy services to clients in their homes. This is an ON-SITE position (non-remote). We are looking for a full-time Medical Credentialing/Medical Biller in the Columbus area who would be responsible for:

• Process initial and re-credentialing applications from providers, ensuring compliance with departmental requirements.
• Accurately enter application data, conduct reviews for errors before submitting provider files for quality review, and meeting departmental requirements.
• Process a minimum number of provider applications each month, adhering to departmental requirements.
• Perform follow-up for provider files on "watch" status, as required by departmental guidelines.
• Ensure timely follow-up for ongoing state license action monitoring reports.
• Ensure timely follow-up for ongoing Medicare/Medicaid sanctions monitoring reports.
• Prepare and distribute re-credentialing groups, meeting departmental requirements.
• Complete 1st, 2nd, and 3rd requests for re-credentialing packets, as per departmental requirements.
• Generate reports for various state plans/departments to identify providers who have not returned their re-credentialing applications or are past due for credentialing, adhering to departmental requirements.
• · Accurate logging of payments received from insurance companies and patients while maintaining current records and balances of all receivables
• · Maintain current records including billing addresses and numbers for contacting patients as needed
• · Follow up on delinquent payments and resubmit billing as needed
• · Follow up on $0 pays
• · Perform posting charges and completion of claims to payers
• · Submit billing data to the appropriate insurance providers
• · Process claims
• · Resolve denial instances and filing appeals
• · Assisting with faxing, answering phones, emails and text messages
• · Assisting with credentialing new providers under insurances
• · Running initial insurance verifications and benefits checks for new clients
• · Bi-monthly re-verification of benefits

Candidates must be competent with:

• Google Suite
• Microsoft Excel
• Microsoft Word

· CMS 1500

· Availity Compensation: competitive/negotiable/experience based.

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Job tags

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Salary