Rehab Billing Associate
US-KY-Louisville
Trilogy Health Services
Req #: 175554
Type: Full-Time
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Overview: Careers close to home and your heart Since our founding in 1997, we've been making long-term care better for our residents and more rewarding for our team members. We're a Fortune Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work. If you're looking for a place that embraces you for who you are, helps you achieve your full potential, and makes working hard feel less like hard work, then look no further than Trilogy. Responsibilities: Are you compassionately committed to customer service? If so, we would like to hear from you! Synchrony Pharmacy, a subsidiary of Trilogy Health Services LLC, is seeking a Rehab Billing Associate. We invite you to learn more about our unique culture and the exciting opportunities that exist within our organization. Qualifications: JOB SUMMARY: Seeking a fast learning, skilled individual in the field of Medical Billing and Account Resolution. The ideal candidate will be responsible for accurately and efficiently reviewing claims related to rehabilitation services. This position requires a strong attention to detail, the ability to accurately read and understand an explanation of benefits received from insurance, Investigate and resolve denied/problematic medical billing claims, ensuring accurate and timely payment from insurance, experience with Medicare, and Medicare Advantage plans, along with Commercial and Medicaid plans. The ability to work independently, and with a team, at a fast pace. ROLES AND RESPONSIBILITIES: * Utilize EMR, Clearinghouses, and other billing software to verify patient information, file claims, review EOB's, investigate denied claims, and submit reconsideration requests. * Process billing transactions for rehabilitation services, including but not limited to physical therapy, occupational therapy, and speech therapy. * Generate and submit insurance claims accurately and in a timely manner. * Monitor claim status, investigate and resolve unpaid/denied claims. * Resolve billing discrepancies and address issues with rejected claims. * Investigating Claims, identifying errors, appealing denials, and communicating with various parties to achieve resolution. * Collaborate with other departments and insurance companies to ensure accurate, timely billing reimbursement. * Maintain confidentiality of patient information and adhere to HIPAA guidelines. * Stay up-to-date on changes in healthcare billing regulations and coding guidelines. * Ability to answer phones, and assist patients with billing related questions and concerns. * The ability to quickly adapt to changes in tasks, and special projects. QUALIFICATIONS: Education: High School/GED Experience: 1-3 years in Medical Billing and Denial Management Physical Requirements Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus. #pharmacy #pharmacy
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