What are the responsibilities and job description for the Outpatient Billing Specialist position at Trinity Rehab?
The Outpatient Billing Specialist will be responsible for all
outpatient prior authorizations and reauthorizations for Trinity Rehab, LLC. The Outpatient Billing Specialist reports to
the President and VP of Finance and works integrally with the Outpatient Clinic
Managers and the Outpatient Accounts Receivable Manager to provide additional support. The Outpatient Billing Specialist also works
with Clinicians, Area Directors, Clinical Specialists and the VP of Finance to
ensure compliance with all Trinity Rehab, LLC billing practices and standards.
Outpatient
Billing Specialist
- Responsible for obtaining
all prior authorizations and reauthorizations for each outpatient clinic assigned. Attaching the initial and
reauthorizations to case manager and enter authorization details in
patient record.
- Responsible for creating all
primary insurance claims and transmitting all batched primary insurance
billing to the electronic clearinghouse at least monthly.
- Responsible for
verification of benefits by checking primary, secondary and tertiary benefits
for new and existing patients; insurance re-verification completed at the
beginning of every month for all existing commercial patients.
- Responsible for sending
monthly FRP (Financial Responsible Party) statements and following up on FRP
balances. This may include communicating
copay, co-insurance and deductible amounts as well as initiating payment
plans and taking payments.
- Responsible for
presenting private pay options to FRP as needed and making sure the Insurance
Opt-out form is signed.
- Other duties as
assigned.
The
duties of the Outpatient Billing Specialist as listed above are not all
inclusive and are not limited to the duties and responsibilities as stated
above.
