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Medical Billing Specialist
- Access Dubuque (Dubuque, IA)
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Medical Billing Specialist
Unified Therapy Services
1 Positions
ID: 66604
Posted On 04/24/2025
Job Overview
Unified Therapy Services is hiring a Billing Specialist!
This is a full-time position that will be responsible for invoicing, billing, collection of patient accounts and prior authorizations.
ESSENTIAL DUTIES AND RESPONSIBILITIES
+ Submit prior authorizations into commercial insurance companies electronically or via paper and ensure that therapists have substantial amount of time to submit prior authorizations to the billing department with communication and knowledge of what is going on in all departments.
+ Spends most of the time focused on handling follow-ups and denials, utilizing denial management to optimize resolution.
+ Researches changes in patient insurance, corrects billing errors, and adjusts ledgers accordingly to ensure accurate billing records (X payor)
+ Update and correspond with therapists regarding treatment plans for each patient and discipline.
+ Contact insurance companies concerning billing questions, denials, preauthorization’s, or any related topics.
+ Set up new insurance details such as: Name, payor ID, address, etc. in the Insurance Tables in the Software Program.
+ Work with Patient Account Specialist on patient ledgers regarding monthly patient responsible statements.
+ Educates appropriate staff and supervisor with any new updates or changes to the IA Administrative code, and all other insurance companies. (i.e. emails, newsletters, websites, etc.) and ensure that our facility is abiding by all state mandated codes for Rehab Agencies. (both HOD and BS)
+ When needed, send or ensure all commercial and Medicaid insurance primary and secondary claims via paper using HCFA or UB04 forms.
+ Review and analyze reports and compare them to last month and to review the end of the year reports compared to where we were last year.
+ Discussing game plan and which patients we are having problems with and where we are at with follow-up on each over 90 days and older claims.
+ Reviews Discharge Audits at PCC request.
+ Schedule and attend formal meetings as requested to review billing issues.
+ Assists with orientation and training of new staff and students.
+ Maintain positive relationships with the health care team, patients, and family.
+ Notify appropriate staff in a professional manner if any problems occur with the collection of end of day charges.
+ Assists in creating policies/procedure related to changes in the area of billing /insurance and the requirement set forth by governing agencies.
+ Attends annual Medicaid trainings and occasionally webinars.
+ Occasionally present billing updates during PCC meetings
+ Other duties may be assigned
QUALIFICATIONS
+ High school diploma/GED
+ 1-2 years of medical billing experience preferred
+ Prior experience with prior authorizations and collections preferred
+ Proficient in Microsoft Office
Apply today! Send resume to [email protected]
Primary Contact
1662060958850
Tiffany Schmitt
Human Resource Specialist, Human Resources
563-583-4003
Phone
Phone
Phone
5635834003 ext 132
Fax
Email
True
True
True
Job Details
Categories
Clerical/Office Administration
Health Care
Location
Dubuque, IA
Shift
First Shift
Job Type
Employee
Full/Part
Full Time
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Retirement Plan
Paid Vacation
Paid Sick Leave
PTO (Paid Time Off)
Paid Holidays
Qualifications
Education
High School/GED
Experience
1-2 Years
Company ID
1306
Job REQ #
\# Positions
1
Start Date
20250424
End Date
20250523
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Unified Therapy Services
About the Company
Unified Therapy Services strives to provide the highest quality of comprehensive care to individuals of all ages. At our four clinic locations, we believe in a collaborative approach to facilitate the exceptional standards for rehabilitative care. Our team consists of occupational and physical therapists and speech-language pathologists. Our therapists pride themselves on their skill sets and ongoing certifications and training. We address each patient’s individual needs with private treatment rooms and a large gym. We have an abundance of swings, pediatric equipment, and unique lighting designed for our children with special needs. Between private treatment rooms and large gym space, we can assess and treat everyone that walks through our doors. We love giving back to our community through free community screenings, charitable donations, and participating in special community events. Unified Therapy Services is therapist owned and operated since our establishment in 2006; we are a growing company with opportunities for advancement.
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