Outbound Claims Specialist

Join to apply for the Outbound Claims Specialist role at Westside Children's Therapy

The Outbound Claims Specialist is responsible for coding and scrubbing claims for errors, adding modifiers, and submitting claims to insurance.

This position is on-site with a schedule of Monday - Friday 7:30 am - 4:00 pm.

• Bill out claims to insurance providers in a timely manner.
• Review provider coding on notes/appointments to ensure compliance with insurance guidelines and to ensure accurate and timely reimbursement.
• Ensure client records are up-to-date and accurate.
• Initiate internal communication with therapists ensuring accuracy and completion of notes.
• Serve as a liaison between clients and clinics to ensure timely, appropriate transfer of information and response to billing inquiries.
• Attend relevant seminars to remain abreast of current issues regarding therapy and ABA billing practices, compliance with CMS guidelines and industry best practice.
• Meet or exceed department goals set by team lead or billing manager on a regular basis.
• Adhere to all practice policies related to HIPAA.

• High school diploma or equivalent
• One year of billing experience in a medical office or healthcare setting

• Excellent interpersonal and communication skills
• Able to work effectively with all levels of the organization and in a diverse work group.
• Proactive and independent with the ability to take initiative.
• Excellent time management skills with a proven ability to meet deadlines.
• Comfortable with technology, with the ability to learn multiple systems and software.
  
  Proficient with Google Workspace
• Must maintain discretion and client confidentiality.

• Interpersonal skills with strong verbal and written communication skills
• Process oriented with strong attention to detail and accuracy
• Accountability
• Integrity
• Problem Solving
• Initiative

• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift up to 15 pounds at times.

• Not applicable

This is a full-time position. Full-time employees are eligible for a comprehensive range of benefits, including Medical, Dental, Vision, and Life Insurance; a 401(k) retirement plan with company match;
Paid Time Off;
Sick Time; and a robust Employee Assistance Program.