Billing Specialist: Level Two

Reliant Healthcare Group is a leader in the Outpatient Therapy, Private Duty Nursing, and ABA services located in the Katy Area, and we are seeking a qualified medical billing specialist to join our growing team

Job Responsibilities include:

• Knowledgeable of insurance benefits verification with both commercial insurances and Medicaid MCO’s.

• Experience with working AR’s through Clearing Houses and other third party health software

• Responsible for providing timely and accurate billing and collections of all outstanding accounts (greater than 30 days old) for the assigned facilities or departments

• Performs monthly review of accounts receivable and aging account balances for all Clinics or Patients.

• Responsible for timely account collections, payment postings, account reconciliations and Patient account resolutions.

• Ability to work with various insurance company to obtain authorization to treatments.

• Must be able to assess accuracy of claims and perform corrections (if needed) to ensure timely payments

• Accurate documentation and timely filing/follow up to maximize reimbursement. 

• Ability to interpret payers contract terms as they relate to billing exceptions.

Benefits for the Level II Biller include:

• Life Insurance

• Health, Dental, and Vision

• Paid Vacation

Requirements for Level II Biller include:
• Minimum 3 years of applicable experience in a health care billing and collections environment (Pediatrics is a plus)

• Knowledge of ABA and Pediatric HomeHealth/Rehab/Therapy service functions, including billing and collections, UB04/HCFA 1500 claims in a pediatric setting, preferred

• Advanced computer skills and knowledge of Raintree, Kantime, Central Reach EMR software are a plus

• Ability to manage high volume workload environment