Blue Stone Therapy is certified as a Great Place to Work!

Blue Stone Therapy was founded in 2009 and provides contract physical therapy, occupational therapy, and speech-language pathology to communities in Iowa, Minnesota, Nebraska, North Dakota, and South Dakota. Our focus is to deliver optimal, individualized rehabilitation by highly skilled professional therapists while developing long-term partnerships between our staff and the communities they serve.

Due to expansion, we are currently seeking a Billing Specialist to join our team at the home office in Urbandale, IA.

The Billing Specialist is responsible for the claims process, including accurate and timely claim creation and insurance correspondence. The position assists with clarification and development of process improvements and assures payments related to service provided are recorded and reconciled timely to maximize revenue.

Essential Functions and Responsibilities:

• Verify insurance to determine eligibility and active benefits are present.
• Maintain ongoing que of denied claims review and responses. Follow through on responses to resolve denials.
• Research pending 30/45/60-day insurance claims daily. Researches and resolves 90+ day insurance claims monthly.
• Provide various operations reports, monthly, quarterly and on an as needed basis.
• Responsible for a variety of payment processes including, transferring payments across transaction, accounts and data bases, overseeing balancing of payments posted to the accounts receivable system, entering and tracking returned checks, and processing credit card payments.
• Electronically or manually posts all payments and denials received from any third-party payor and payments received by patients.
• Review and process all credits balances through either recoupment or manual checks.
• Perform scanning of EOB and other documents to patients account for record keeping and retrieval.
• Maintain a current working knowledge of medical coding and terminology. Serve as a resource for assigned clinics in billing.
• Maintain awareness of applicable laws and/or regulations affecting area of responsibility and make recommendations for changes to ensure compliance. Actively pursues inconsistencies and/or inaccuracies in coding and/or billing and appropriately brings to the attention of the Billing Manager.
• Serve as backup support for payroll, reception, and office administration team members.
• Perform other job-related duties and special projects as required, including but not limited to miscellaneous reporting, accounts processing and general office support.

Education and Experience

• Minimum of two (2) years in medical billing or revenue cycle role.
• Medical/Health Billing experience required.
• Proficiency in Excel, Word, and Outlook required.
• Net Health/Optima experience preferred.
• Knowledge of Accounting, financial analysis, and compliance software beneficial.

Other Qualifications

• Must have strong organization and communication skills, with high attention to detail.
• Must work effectively in a team environment, exercise good judgment, and maintain confidentiality.