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 Program 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 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 training Therapy Techs on benefits verification and authorizations, when applicable.
· Responsible for reviewing and 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.
· 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.
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