Billing Specialist

  • Full-time

Company Description

At Children’s Therapy Center, we are on a mission to maximize the potential of children with special needs. We provide individualized, family-centered therapy including early intervention services, early childhood special education, physical, occupational and speech therapy. In partnership with parents and caregivers, we celebrate where each child is today and work toward who they can become.

Founded in 1979, Children’s Therapy Center has grown from a dream shared by a handful of visionary pediatric therapists to the largest and most comprehensive independent nonprofit pediatric therapy program in Washington State. Growth like ours does not happen by chance. It takes a commitment to quality services, collaboration, innovation and a focus on excellence in all areas.

Job Description

Children’s Therapy Center is seeking a full-time Billing Specialist to join our Billing Team!  Based out of our Kent campus, our Billing Specialist is a seasoned biller with subject matter expertise and responsibility for multiple areas of the billing cycle, including provider credentialing, benefit authorization, and insurance collections.  

Primary Responsibilities

  • Own and manage all credentialing processes for new and existing licensed providers in compliance with law, regulation, mandatory timelines and guidance.
  • Communicate regularly with providers and other relevant parties regarding credentialing needs, requirements and strategies to make our processes more efficient and effective.
  • Maintain appropriate records and information in Raintree (EMR)
  • Obtain insurance authorization as required for services; keep patient-charts updated for service.
  • Communicate insurance changes to all necessary individuals.
  • Record benefit information and post authorization information in Raintree (EMR)
  • Determine and communicate to service provider’s requirements imposed by insurance. 
  • Appropriately communicate unique situations/concerns regarding patient's insurance benefits.
  • Assist with insurance eligibility checks and payer changes.
  • Notify and communicate to client families, therapists, and physicians on eligibility status.
  • Identify outstanding insurance balances over 60 days old from suspense/insurance reports.
  • Run suspense report for outstanding self-insured and research balances over 30 days old.
  • Research accounts over 60 days old to determine facts and develop collection strategy.
  • Communicate with patients, insurance companies and other responsible parties to facilitate collection of outstanding debt.  Communication includes both verbal and written notices. 
  • Maintain monthly insurance category and aging statistics.  Report findings and submit report to Billing Office Manager.
  • Communicates with patients, CTC personnel, and other pertinent parties effectively. 
  • Interacts in a friendly, courteous, concise and professional manner in both written and verbal communications.
  • Maintains patient confidentiality.
  • Contribute to a positive, enjoyable, cooperative and smooth-functioning work environment. 
  • Follow company/department policies and procedures including Safety and Compliance Programs. 
  • Participates in clinic/company meetings.  Attends company-sponsored functions and community events as available
  • Additional duties as assigned.

Qualifications

Demonstrable experience and other qualifications:

  • 6+ years of previous related experience required
  • Proficient with Medical Practice Management Software (Raintree preferred), Excel and other Microsoft applications
  • Ability to prioritize, meet deadlines and multitask in a fast paced environment
  • Strong written and verbal communication skills.
  • Organized and detail oriented with strong analytical, and problem-solving skills

Additional Information

Children’s Therapy Center offers equitable and competitive pay commensurate with experience.  Our comprehensive benefits package includes generous paid time off, medical, dental, vision, life-insurance, and continuing education benefits.  Supplemental/premium insurance options are also available.  Eligible employees can enroll in our retirement plan with their first paycheck and will be eligible for company contributions after their first year of employment.

Children’s Therapy Center is an equal opportunity employer.  We seek to hire candidates that reflect diverse backgrounds, beliefs and cultural histories.  We continually seek to understand, acknowledge and appreciate our differences, engaging with an attitude of respectful curiosity, and a growth-mindset.  We believe everyone has the right to be respected and valued.  Consistent with applicable federal, state and local laws, and our values, Children’s Therapy Center provides all employees and applicants with equal opportunity in all aspects of the employment relationship.