Little Angels PPEC and One World Pediatrics is seeking a detail-oriented and experienced Remote Medical Billing Specialist to manage billing, credentialing, and prior authorization processes for our multi-location pediatric therapy and care services. This position starts as part-time, with the potential to transition into full-time based on performance and business needs. The ideal candidate will ensure accurate insurance claims processing, maximize revenue collection, and maintain compliance with industry regulations.
Key Responsibilities
Medical Billing & Collections
• Submit and track insurance claims for PPEC, physical therapy, occupational therapy, and speech therapy services.
• Review and reconcile insurance payments, denials, and appeals to optimize collections.
• Monitor accounts receivable and follow up on outstanding claims to reduce denials and improve cash flow.
• Ensure compliance with HIPAA, Medicaid, Medicare, and private insurance regulations.
Credentialing & Prior Authorizations
• Manage provider credentialing and re-credentialing with various insurance payers.
• Maintain up-to-date provider enrollment and contracts with Medicaid and commercial insurance plans.
• Obtain prior authorizations for all therapy and medical services, ensuring timely approvals.
• Communicate with insurance representatives, providers, and patients regarding coverage and authorization issues.
Revenue Cycle Management & Reporting
• Analyze reimbursement trends and suggest strategies for improving revenue collection.
• Generate financial reports detailing collections, denials, and revenue trends.
• Collaborate with the administrative team to implement billing policies and procedures that enhance efficiency.
How to Apply:
• Interested candidates should submit a resume and a brief cover letter outlining their relevant experience and qualifications.
• This is a great opportunity for an experienced medical billing professional looking for flexibility and growth in a remote role with a performance-based compensation structure.
• Experience: Minimum 2 years in medical billing, preferably in PPEC or therapy-related services.
• Knowledge: Strong understanding of Medicaid, Medicare, and commercial insurance billing and credentialing.
• Software Proficiency: Experience with medical billing software and electronic health record (EHR) systems.
• Detail-Oriented: Ability to process claims accurately and efficiently to minimize denials.
• Communication: Strong verbal and written communication skills for interacting with insurance companies and providers.
• Problem-Solving: Ability to resolve claim denials and credentialing issues effectively.
• Salary is performance-based at 1.5% of total insurance collections, estimated at $3M+ in annual revenue.
• Growth potential as collections increase.
Work Schedule & Flexibility:
• Part-time to full-time remote position with flexible hours.
• Must be available for periodic meetings and follow-ups during business hours.
Our client, a leading player in the creative industry, is seeking an Art Director III to join their team. As an Art Director III, you will be part of the creative department supporting various marketing initiatives. The ideal candidate will have excellent communication...
As a Retail Sales Advisor, you will be a dynamic part of our retail team, providing exceptional customer service and contributing to the overall sales goals of our store. You will engage with customers, understand their needs, and provide expert advice on our products to...
...Join our team as a Restaurant General Manager in a dynamic airport restaurant environment!~$84,000 / year ~ Opportunity for quarterly bonus and year-end super bonus ~ Comprehensive Benefits Package ~ Career Progression Opportunities ~ Full-Service Restaurant...
...ServiceNowWorkdayWorkatoConcurNetSuite Okta Identity EngineGoogle IAMABAC ...
...We are hiringfor a Culinary Intern position to start in July. Location :5800 Airline Drive, Metairie, LA 70003. Note: online applications accepted only . Schedule : To be discussed further upon interview. Pay Rate : $18 per hour. Free meals...