MEDICAL BILLING ANALYST​

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Kids Thrive Therapy is looking for a proactive and detail-oriented Medical Billing Analyst to support our pediatric occupational therapy team. This role is essential in ensuring the accuracy and efficiency of insurance and billing operations and authorizations. The ideal candidate will have strong communication skills, a willingness to learn, and the ability to manage multiple administrative and billing-related tasks.

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Key Responsibilities:

• Insurance & Benefits Verification:

  • Verify new patient insurance coverage and benefits and identify accepted CPT codes for each client by contacting insurance companies directly and through various platforms

  • Update and maintain specialized reports (ex. master insurance list, max out-of-pocket (OOP) list, deductible updates, etc.)

  • Input patient insurance details into EMR

• Authorizations:

  • Manage, request, and follow up on insurance authorizations for therapy services

• Billing Management & EOBs:

  • Oversee accuracy and timeliness of billing, ensuring correct recording and submittal to insurance

  • Review therapist HCIF to ensure appropriate billing prior to submitting

  • Manage accounts receivable (AR) follow-up, resolving billing issues with insurance companies

  • Analyze billing trends and discrepancies, providing data to management

  • Enter Explanation of Benefits (EOBs) into the EMR

• Support & Communication:

  • Interface with therapists for questions related to billing, insurance, CPT codes, ICD-10 codes, and visit limits

  • Collaborate with front desk and billing team to ensure smooth workflow and optimal patient care support

Qualifications:

• High school diploma or equivalent required; associate’s degree or coursework in medical billing/coding, finance, accounting, or related field preferred

• Preferred 2+ years of experience in medical billing accounts receivable

• Knowledge of CareFirst, insurance processes, CPT/ICD-10 coding, and EOB interpretation

• Proficiency with electronic medical records (EMR), especially Ensora/Fusion, is highly desirable

• Strong communication and organizational skills with attention to detail

• Willingness to learn and adapt in a fast-paced, patient-centered environment

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Schedule & Compensation:

• 40 hours 

• $23-26/hour pending experience

• Benefits include 

  • A collaborative and team-focused work environment

  • Competitive salary

  • 100% employer paid coverage for medical, dental, short and long-term disability, and life insurance 

  • 401(k) plan with an employer match

  • PTO (Paid Time Off) bank of hours