Job Details

Job Details

Job Location
Knoxville, TN

Position Type
Full Time

Description

About Functional Pathways
Functional Pathways is a therapist-owned organization with 30+ years of experience serving Skilled Nursing Facilities, Senior Living communities, hospitals, and residents in their homes. We understand the value of sustained focus on our patients, clients, team members, and the ever-changing healthcare environment.

Job Summary

The A/R Billing Specialist is responsible for the timely completion of billing for contract therapy. This includes invoicing, report files creation, submitting to our contract clients, and assisting with errors that arise.

Key Responsibilities

• Utilize software to audit patient accounts for required documentation prior to claims submission
• Generate invoices and billing files for submission to clients
• Process claims and patient statements monthly for pass through billing client
• Identify and follow up on outstanding claims monthly
• Document billing and follow up within patient account
• Recommend accounts for collections to Billing Manager and/or Director of Revenue
• Review remittance and EOBs for payment inconsistencies and errors
• Work with payor plans to resolve any inconsistencies and errors
• Assist patients with questions concerning their account
• Other duties as assigned

• High School Diploma or equivalent
• Excellent communication skills
• Must be proficient in Excel, Word, and Microsoft Office
• Great customer service skills
• Ability to problem solve and critical thinking skills
• Ability to work independently, manage time, and set priorities
• Previous experience with medical billing and collections required
• Must have knowledge of billing regulations and compliance
• Must be willing to work some overtime.

• Commit to understanding and fully engaging in our Functional Fundamentals Program.
• Integrate our Functional Fundamentals into your role daily.
• Engage in our Functional Fundamental of the Week by discussing and incorporating into your week ahead.