Job Description
At TMC, we believe the foundation for success starts with our employees. We approach each day at TMC with enthusiasm, dedication, and creativity. Our team members take pride in representing the “Committed to Service Excellence” philosophy every day. TMC is dedicated to providing stability, job satisfaction as well as opportunities for career and professional advancement. We offer our employees competitive compensation, a diverse benefit package, and so much more!
We currently have an opportunity for a highly motivated professional to join our team. We are looking for an energetic, results-driven individual who pays close attention to detail and who is also able to work well independently. This individual will be an integral part of our rapidly growing Therapy at Home company, with room for growth opportunities.
Duties And Responsibilities
- Weekly Billing of Therapy claims to carriers, Medicare, Secondaries, etc.
- Researching and resolving issues with payers presented from billing
- Posting of weekly payments into Net Health.
- Collection of deductibles, coinsurance and copays from patients as needed.
- Handling statement questions as presented.
- Assist with credentialing of therapist as needed.
- Communicate any customer service issues or customer service recovery needed to the program Director immediately.
- Work collaboratively with team members for positive outcomes
- Verify insurance from patient referrals
- Ensure patient is within eligibility requirements (i.e. contracted with insurance network, home health, etc.).
- Maintains patient confidentiality with regard to medical records per company policies and procedures and assures compliance with all HIPAA guidelines.
- Perform intake procedures by supplying therapists with necessary paperwork for patient to complete.
- Obtain authorizations needed for evals and treatment of patients.
- Review for accuracy and completion of onboarding paperwork, obtain copy of ID and insurance cards for patient chart, payment source in place.
- Ensuring physician signatures are obtained. (Plan of care, Recertifications, scripts etc)
- Ensures all documentation is completed in timely manner.
- Processing of monthly close and reporting.
- Other duties as assigned.
Qualifications
- High school diploma or equivalent.
- Knowledgeable and skilled in Microsoft Word and Excel.
- Customer service skills.
- 2 + years of medical billing insurance experience.
- Excellent organization and time management skills.
- Knowledge of billing and insurance terminology.
- Ability to prioritize and meet deadlines.
- Compliance focused and detail oriented.
- Ability to establish and maintain effective working relationships with team and customers.
Schedule
- Monday to Friday 40 hours week