Job description

Blue Stone Therapy is certified as a Great Place to Work!
Blue Stone Therapy was founded in 2009 and provides contract physical therapy, occupational therapy, and speech-language pathology to communities in Iowa, Minnesota, Nebraska, North Dakota, and South Dakota. Our focus is to deliver optimal, individualized rehabilitation by highly skilled professional therapists while developing long-term partnerships between our staff and the communities they serve.
Due to expansion, we are currently seeking a Billing Specialist to join our team at the home office in Urbandale, IA.
The Billing Specialist is responsible for the claims process, including accurate and timely claim creation and insurance correspondence. The position assists with clarification and development of process improvements and assures payments related to service provided are recorded and reconciled timely to maximize revenue.
Essential Functions and Responsibilities:

• Verify insurance to determine eligibility and active benefits are present.
• Maintain ongoing que of denied claims review and responses. Research pending 30/45/60-day insurance claims daily. Researches and resolves 90+ day insurance claims monthly.
• Coordinate all financial clearance activities by navigating all referral, precertification, and authorization requirements as outlined in payer-specific guidelines and regulations.
• Responsible for a variety of payment processes including, transferring payments across transaction, accounts, and data bases, overseeing balancing of payments posted to the accounts receivable system, entering and tracking returned checks, and processing payments.
• Maintaining current knowledge of all Federal, State, and compliance regulatory requirements related to billing and insurance.
• Actively pursues inconsistencies and/or inaccuracies in coding and/or billing and appropriately brings to the attention of leadership.
• Perform other job-related duties and special projects as required, including but not limited to miscellaneous reporting, accounts processing and general office support.

Education and Experience

• Minimum of three (3) years in medical billing or revenue cycle role.
• Knowledge of insurance claims processing, third-party reimbursement principles, and concepts.
• Knowledge of CPT, ICD-9/ICD-10, HCPCS coding, billing & medical terminology.
• Knowledge of Medicare, OIG, HIPAA, State & Federal statutes, and regulations.
• Proficiency in Excel, Word, and Outlook
• Knowledge of accounting, financial analysis and compliance software

Other Qualifications

• Must have strong organization and communication skills, with high attention to detail.
• Must work effectively in a team environment, exercise good judgment, and maintain confidentiality.

Job Type: Full-time

Work Location: In person

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