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ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.  Other duties may be assigned.

Collect daily billing sheets from therapies and enter them into the Software Program.

 Send out and follow up on monthly patient responsible statements.

 Post payments from insurance companies and patients.

Making sure that Unified Therapy Services if providing Platinum Customer Services when verifying: insurance coverage for new, current, and potential patients; speaking with patients and/or parents regarding insurance coverage; and handle any concerning billing questions, and/or grant/alternative funding options.

Submit prior authorizations into 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.

 Update and correspond with therapists regarding treatment plans for each patient and discipline.

Contact insurance companies concerning billing questions, denials, preauthorizations, or any related topics.

 Set up new patient insurance information in accounts in the Software Program.

 Assists in the development of new programs to promote maximizing reimbursement of services provided and to research reimbursement for potential codes or to suggest other coding options that may be appropriate for services rendered based on said research.

Print, review, and analyze reports and compare them to last month and to review the end of the year reports compared to where we were at 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.

Complete PPO contracts and credentialing of new therapists.

Schedule and attend formal meetings as requested to review billing issues.

Maintain positive relationships with the health care team, patients and family.

Assists in creating policies/procedure related to changes in the area of billing /insurance and the requirement set forth by governing agencies.


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Job Details

Req Num --
ID 282155
Dubuque, IA
Positions 1
Pay --
Health Care
First Shift

Preferred Candidates

Years of Experience 1-2 Years
Education High School/GED

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