Billing Specialist

MetroEHS Pediatric Therapy is expanding our exceptional team of professionals! We are looking for a passionate and dedicated Billing Specialist to join our growing team and help us Reveal the Super in Every Child! 

Billing specialists maintain accurate financial records and payment procedures. They create claims billings and work closely with payor providers to resolve discrepancies for successful reprocessing.  This role is a good fit for those with a high school diploma or higher education, at least 2+ years direct healthcare revenue cycle experience, as well as a high knowledge of CPT/ICD-10 medical coding.  Prior experience with Raintree Systems EMR software is also highly preferred but not required. Prior experience with Community Mental Health (CMH) billing is highly preferred.

About MetroEHS Pediatric Therapy 

For over 20 years, MetroEHS Pediatric Therapy has been a leader in providing integrated pediatric therapy services throughout Southeast Michigan. Our mission is to deliver evidence-based, intensive, multidisciplinary, and collaborative pediatric therapy that empowers children and their families to achieve their fullest potential. Our neighborhood therapy centers make it easy for families to access a comprehensive approach to therapy, offering Speech Therapy, Occupational Therapy, Physical Therapy, ABA Therapy, and Feeding/Swallowing Therapy in one center. 

Through play, acceptance, and joy, we embrace the complexities of each child, striving to create functional outcomes that enhance their quality of life. 

Your Impact 

As a Billing Specialist at MetroEHS Pediatric Therapy, you will:

• Perform CMH billing, commercial insurance electronic billing, and cash posting for multiple payers.
• Work with all providers to rectify billing discrepancies and billing overlaps.
• Review EMR info such as medical records and notes to ensure billing accuracy.
• Research denials and correct claims as needed for successful reprocessing.
• Handle incoming phone calls related to patient accounts/balances.
• Assist with providing support info for billing audits as needed.
• Help with additional accounts receivable clean-up as directed by management.
• Assist with insurance verifications

Qualifications

In addition to an eye for small details, billing specialists need a background in medical coding/payment posting, along with strong problem-solving skills and the ability to multi-task. Experience in the following areas is crucial to be successful as a Billing Specialist with MetroEHS Pediatric Therapy Centers.

• 2+ yrs billing experience in a healthcare setting (using CPT/ICD-10 coding)
• Strong data entry skills (both speed and accuracy)
• Highly organized and excellent at time management
• Effective Communicator both externally with providers and with internal team
• Competency with Microsoft Office Software Suite of programs (Word, Excel, Outlook)
• Comfortable with navigating electronic medical records (Raintree Experience highly preferred)
• Collaborative team player with the ability to also work independently frequently and stay on task
• Positive, professional attitude
• General problem-solving skills
• Understands the importance of HIPAA compliance

Location

• Administrative Headquarters in Plymouth, MI

Status

• Full-time

Schedule

• Monday - Friday, 9am-5pm.

Full-Time Benefits 

• 401(k) with 4% match (fully vested after 90 days)
• Medical, dental, and vision benefits 
• 100% employer-paid group life and long-term disability insurance
• 3 weeks PTO (120 hours) in your first year
• 11 paid holidays annually
• Employee Assistance Program (EAP)
• 529 college savings plan