Billing and Insurance Specialist
Billing and Insurance Specialist
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Job Description
Who We Are
CI Pediatric Therapy Centers is a comprehensive pediatric therapy center with multiple clinic locations in the Madison Wisconsin area. CIs interdisciplinary therapy team focuses on the unique needs of each child. Our state-of-the-art facility dedicated team members and supportive environment allow our patients to reach their maximum potential. CI is a fast-paced company with opportunities for growth and professional development.
CIs 18 year reputation in the community is second to none. As the largest pediatric therapy providers in Wisconsin we provide access to the most relevant research and programs in the country. Our community clinic model allows for a collaborative supportive and FUN work environment. We are proud to be identified as one of Madisons Top Workplaces three years in a row and we continue to improve our employee experience year after year!
We take pride in forward thinking going the extra mile for our patients and providing an innovative and accepting environment. We are seeking a positive hard-working self-starter to join our growing Billing team!
What Youll Do
- Coordinate claims operations and modifications with other areas of the organization
- Monitors workflow to achieve established goals and objectives
- Responsible for abiding by all guidelines procedures and policies
- Learning and applying knowledge of medical claim/bill payment processing and medical regulations
- Utilize knowledge of organizational policies and procedures to ensure adherence to contractual agreements and non-contracted pricing arrangements along with compliance with government regulations
- Processing and submitting claims to insurance carriers
- Accounts receivable to include following up on outstanding balances posting payments and determining related to copays coinsurance and deductibles
- Research denials and adjusting/resubmitting as necessary
- Taking and returning patient calls; answer client phone billing calls professionally and respond to client inquiries and complaints
- Maintain HIPAA compliance; review and confirm that all client information is complete and up to date
- Identify the needs of customers resolve issues and provide solutions; identify escalate priority issues and report to senior management
- Communicate assertively and respectfully with therapists on a consistent basis to provide excellent customer service
- Researches inquiries appeals and denials on claims that are past 30 days old; assures timeliness and appropriateness of claim denials and follow up
- Communicates directly with families and providers to request more information and provide updates and resolution
- Requests obtains and documents detailed invoices as needed to assist with research
- Assists in the coordination of problem solving for interdepartmental issues in an efficient and timely manner
- Engages in clinic and discipline/department activities such as clinic or team meetings discipline meetings and staff training days as applicable
- Uphold CI Missions and values and follows CI policies & procedures as outlined in the employee handbook processes manuals and other internal documents/forms of communication
- Maintain a clean and functional work space(s)
- Other duties as assigned
What Youll Need To Be Successful
- Working knowledge of the following:
- Procedure and diagnosis coding
- Medical terminology
- Reimbursement practices
- Experience in billing third party payer
- Ability to efficiently use medical billing software
- The ability to recognize individual and system problems and to communicate such information to the supervisor
- Commitment to consumer and medical center confidentiality
- Required Skills:
- Excellent time management
- Strong professional and adaptable communication skills
- Collaborative when appropriate yet able to independently complete responsibilities
- Flexible in a fast-paced environment
- Solution focused mindset
- Demonstrate continued dedication to CI position expectations and team members
- Maintain an up to date CPR certification.
Working Conditions
- Clinic/office setting
- 40 hours within time frame of Monday-Friday 8am-6pm
- Job Type: Full-time
Benefits Offered
- Employer sponsored medical dental vision short-term disability and life Insurance
- Siesta Program! Take a vacation at 3 6 and 10 years of full-time employment paid by CI!
- 401(k) with generous employer match
- Flexible spending benefits
- Paid Time Off paid holidays and bereavement
- Employee Assistance Program
- Social gatherings and team opportunities (CI tailgate trivia summer party etc)
- Growth and mentorship opportunities
- Paid parental leave
- No weekends or night shifts!
- Full new hire training program at our training center to fully support train and welcome new hires to the team!
Madison Wisconsin
New to the area Be prepared to fall in love with Madison. As one of Americas best college towns Madison earned top honors as Livabilitys Most livable city. Situated between two lakes and with over 200 miles of bike trails you can go from the beauty of our rural green space to the bustle of our city within minutes. Check out more information about Madison WI here!
Required Experience:
Senior IC
Employment Type
Full-Time
