SummaryThis person will assist the Billing Manager and support the management of billing and collections processes for ouroutpatient pediatric therapy practice. The role requires strong leadership skills, a comprehensive understanding ofmedical billing and coding, and a commitment to ensuring accurate and timely claim submissions as well aseffective revenue cycle management. Essential Duties and Responsibilities The Billing Team Lead ensures the completion of delegated billing and collections tasks efficiently and accurately,including: Team Leadership: Supervise and manage team tasks to maintain efficient workflow. Provide training, support, and mentorship for team members. Monitor team performance to identify and address areas for improvement.Eligibility, Billing, and Coding: Conduct insurance eligibility verifications for clients before services are rendered. Ensure accurate and timely coding of medical services using CPT, ICD-10, and HCPCS codes. Explanation of Benefits (EOB) Posting into EHR systemo Input Manual checkso Download and post manual checkso Review all postings to ensure accurate allocations Research denied claims and partial payments Claim submissions Making outbound calls to insurance companies, patients and physician offices Stay current on billing and coding regulations and guidelines. Identify and resolve coding and billing errors.Claims Submission and Follow-up: Ensure the timely submission of clean claims to insurance payers. Monitor claim statuses and initiate follow-up on denials or rejections. Accurately record Explanation of Benefits (EOB) details in the electronic healthcare record (EHR) system. Appeal denied claims as necessary to maximize reimbursement. Collaborate with insurance payers to resolve billing issues.Revenue Cycle Management: Report on assigned key performance indicators (KPIs) to identify trends and opportunities for improvement. Collaborate with internal operations (front desk and clinical staff) to ensure accurate and complete patientinformation. Develop and maintain strong relationships with insurance payers.Compliance and Regulatory: Ensure compliance with HIPAA regulations and other relevant healthcare laws. Stay informed of healthcare regulations changes and implement necessary updates. Maintain accurate and organized records. Coordinates and follows up with clinical and office staff to assist in billing matters Accurately documents and maintains client files in company EHR and payer online systems Any other tasks delegated by the Billing Manager after provided with the proper training Skills and Qualifications Education: High school diploma or equivalent. Experience: Minimum of 5 years in medical billing and coding. Knowledge of NC Medicaid and Managed Care: Familiarity with NC Medicaid, Medicaid Managed Care, andTailored Health plans, including reimbursement guidelines. Strong leadership, organizational, and analytical skills. Effective communication, interpersonal, and problem-solving skills. Proficient in medical billing software and electronic health records (EHR) systems. High attention to detail and accuracy with the ability to prioritize tasks. Ability to work independently and as part of a team. High degree of professionalism, accountability, and ownership. Possess a willingness to learn, develop new skills, and the adaptability to adjust to change. Goal-driven with a strong focus on reaching targets. Creativity and relationship-building abilities. Reliable attendance and punctuality. Ability to thrive in a fast-paced, team-oriented environment. A passion for working with the pediatric population and their families.

Billing Lead

&nbsp;Emerge Pediatric Therapy is looking for a local Remote Full Time Prior Authorization Representative to add to their growing team! This person would act as a secondary Authorization Representative across our three clinics, while also providing additional task support to the billing team.&nbsp;&nbsp;ResponsibilitiesThe Prior Authorization Representative's purpose is to manage all submissions for authorization of therapy services. This includes timeline management, submission oversight and follow up and detailed record keeping to ensure that clients do not have gaps in benefit coverage. This may be accomplished in the following ways: <ul><li>Verifying eligibility of patients insurance</li><li>Submitting initial and concurrent authorizations to Medicaid, Medicaids Managed Care Organizations (MCOs), Medicaid's Tailored HealthPlans, Tricare and/or any commercial insurance payer as required.&nbsp;</li><li>Completing necessary documentation and submissions for clients to obtain out-of-network coverage agreements</li><li>Any other tasks delegated by the Billing Manager after provided with the proper training: Monthly insurance eligibility verification checks, medical documentation requests, etc.</li><li>Making outbound calls to insurance companies, patients and physician offices as needed</li><li>&nbsp;Coordinates and follows up with clinical and office staff to ensure completion of required documentation.</li><li>Accurately inputs prior authorizations and maintains client files in company EHR system</li><li>Submitting additional medical record requests for claims, appeals or pre/post payment reviews.&nbsp;&nbsp;</li></ul>Skills and Qualifications<ul><li>Knowledge of NC Medicaid, NC Medicaid Managed Care and Tailored Health Organizations payers as it relates to documentation and reimbursement requirements</li><li>Experience with Occupational, Speech, or Physical Therapy authorizations is preferred</li><li>Proficient in Microsoft and computer literacy</li><li>Highly Organized with a strong attention to detail</li><li>Ability to communicate well via electronic means (email, company chat, phone calls, zoom trainings)</li><li>Strong initiative to complete incoming tasks correctly</li><li>Flexible with the ability to adapt quickly to changes</li><li>Exhibits responsibility and professionalism</li><li>Driven to reach goals/targets</li><li>Positive outlook on life</li><li>Ability to start and foster relationships with our insurance providers and clinical staff members</li><li>Effective and efficient problem solver</li><li>Excellent attendance record and punctuality</li><li>Likes to work in a fast paced environment with others</li><li>Enjoys the pediatric population and their families&nbsp;</li><li>Desire to learn and advance skill set</li></ul>

Prior Authorization Representative

<h3>Why Emerge Pediatric Therapy?</h3><ul><li>Holistic Approach: Emerge prioritizes wraparound care, ensuring children and their families are supported through education and home programming.</li><li>Focus on Quality Care: The company is committed to providing high-quality care in speech, occupational, and physical therapy, ensuring each client is treated with respect and dignity.</li><li>Supportive Environment: The clinic offers a fun, collaborative, and creative atmosphere, which fosters personal and professional growth for its therapists.</li></ul><h3>Key Responsibilities:</h3><ul><li>Evaluations &amp; Therapy: Conduct thorough and timely evaluations, with an expectation of billing a minimum of 23 hours a week of direct therapy service within a 40-hour workweek.</li><li>Documentation &amp; Billing: Maintain accurate and timely documentation and billing according to Emerges procedural guidelines.</li><li>Client &amp; Family Interaction: Develop strong relationships with clients and their families, educate them on therapy plans to ensure consistency and success, and promote carryover of treatment goals at home.</li><li>Collaboration &amp; Community Engagement: Build rapport with community partners and contribute positively to the companys reputation within the local community.</li><li>Outcome-Oriented: Set and achieve measurable, timely goals for client progress and complete discharge summaries as needed.</li></ul><h3>Ideal Candidate Qualifications:</h3><ul><li>Experience &amp; Licensure: NC therapy licensure in good standing, with at least two years of outpatient pediatric therapy experience.</li><li>Additional Qualifications: Continuing education units (CEUs) and advanced courses in pediatric therapy are preferred.</li><li>Key Skills:</li><li class="ql-indent-1">Positive attitude</li><li class="ql-indent-1">Flexibility and adaptability</li><li class="ql-indent-1">Strong organizational and time management skills</li><li class="ql-indent-1">Excellent communication and rapport-building abilities</li><li class="ql-indent-1">Creativity in treatment strategies</li><li class="ql-indent-1">Goal-oriented and driven</li><li class="ql-indent-1">Punctuality and responsibility</li></ul><h3>Special Considerations:</h3><ul><li>Multilingual Pay Differential: Emerge offers an increased pay rate for employees who are proficient in a language other than English and who may need to use that language in their position.</li></ul><h3>Why This Role Might Be a Good Fit:</h3>If you thrive in an environment that balances high-quality care with a fun, dynamic, and team-based atmosphere, this could be an ideal position. The focus on community involvement, creativity in therapy, and a supportive culture reflects an organization that values both professional development and personal satisfaction.<h3> </h3><h3>Next Steps:</h3>If you're preparing to apply for this role, be sure to emphasize:<ul><li>Your pediatric therapy experience and any continuing education you've pursued.</li><li>Specific examples of your creative, goal-oriented approach to therapy.</li><li>How you foster strong relationships with both children and their families to support long-term progress.</li></ul>

Pediatric Speech-Language Pathologist

Why Emerge Pediatric Therapy?Holistic Approach: Emerge prioritizes wraparound care, ensuring children and their families are supported through education and home programming.Focus on Quality Care: The company is committed to providing high-quality care in speech, occupational, and physical therapy, ensuring each client is treated with respect and dignity.Supportive Environment: The clinic offers a fun, collaborative, and creative atmosphere, which fosters personal and professional growth for its therapists. Key Responsibilities:Evaluations &amp; Therapy: Conduct thorough and timely evaluations, with an expectation of billing a minimum of 23 hours a week of direct therapy service within a 40-hour workweek.Documentation &amp; Billing: Maintain accurate and timely documentation and billing according to Emerges procedural guidelines.Client &amp; Family Interaction: Develop strong relationships with clients and their families, educate them on therapy plans to ensure consistency and success, and promote carryover of treatment goals at home.Collaboration &amp; Community Engagement: Build rapport with community partners and contribute positively to the companys reputation within the local community.Outcome-Oriented: Set and achieve measurable, timely goals for client progress and complete discharge summaries as needed. Ideal Candidate Qualifications:Experience &amp; Licensure: NC therapy licensure in good standing, with at least two years of outpatient pediatric therapy experience. Additional Qualifications: Continuing education units (CEUs) and advanced courses in pediatric therapy are preferred. Key Skills:Positive attitudeFlexibility and adaptabilityStrong organizational and time management skillsExcellent communication and rapport-building abilitiesCreativity in treatment strategiesGoal-oriented and drivenPunctuality and responsibility Special Considerations:Multilingual Pay Differential: Emerge offers an increased pay rate for employees who are proficient in a language other than English and who may need to use that language in their position. Why This Role Might Be a Good Fit:If you thrive in an environment that balances high-quality care with a fun, dynamic, and team-based atmosphere, this could be an ideal position. The focus on community involvement, creativity in therapy, and a supportive culture reflects an organization that values both professional development and personal satisfaction. Next Steps:If you're preparing to apply for this role, be sure to emphasize:Your pediatric therapy experience and any continuing education you've pursued.Specific examples of your creative, goal-oriented approach to therapy.How you foster strong relationships with both children and their families to support long-term progress.

SummaryEmerge Pediatric Therapy is looking for a full time Pediatric Physical&nbsp;Therapist to add to their Carrboro team! If you are Physical Therapist who has a passion for working with children and families in a supportive, collaborative, and fun environment then this position is for you.&nbsp; Why Emerge Pediatric Therapy?Our mission is to enhance the lives of the children we serve and the families who love them by providing a fun, nurturing, and supportive therapeutic environment.&nbsp; ResponsibilitiesOur therapists purpose is to enhance the lives of those we serve and the families who love them through improving the clients functional level. We do this by carrying out the following responsibilities:<ul><li>Thorough and timely evaluations/ documentation</li><li>Upholding the reputation of the company by carrying out highly beneficial treatment sessions&nbsp;</li><li>Educating clients/families on the plan of care so that carryover and consistency are achieved&nbsp;</li><li>Therapy completed in a fun, creative way that adheres to guidelines of best practice</li><li>Accurate charges submitted in a timely manner</li><li>Achievable goals that are met in a timely manner</li><li>Completing discharge summaries at the conclusion of care</li><li>Seeking parent recommendation(s) and/or review(s)</li><li>Genuine promotion of the the company in the community&nbsp;</li></ul>Skills and Qualifications<ul><li>NC therapy licensure in good standing&nbsp;</li><li>Positive outlook on life</li><li>Flexible with the ability to adapt quickly to changes</li><li>Organized</li><li>Exhibits responsibility and professionalism</li><li>Good communication skills</li><li>Likes to work with children and their families</li><li>Desire to learn and advance skill set</li><li>Driven to reach goals/targets</li><li>Creative</li><li>Attention to detail</li><li>Ability to start and foster relationships</li><li>Effective and efficient problem solver</li><li>Excellent attendance record and punctuality</li><li>Likes to work in a fast paced environment with others</li><li>Enjoys the pediatric population and their families&nbsp;</li></ul> PreferredTwo year of pediatric experience is preferred.&nbsp; Multilingual Employee Pay Differential EligibilityEmerge employees who are customer-facing (including but not limited to therapists and administrative staff) or who otherwise may need to use a language other than English in their position may be eligible for an increased pay rate based on their proficiency in the language and the need for the language to be used at Emerge.&nbsp;

Physical Therapist

SummaryEmerge Pediatric Therapy is looking for a full time Pediatric Physical&nbsp;Therapists to add to their team! If you are Physical Therapist who has a passion for working with children and families in a supportive, collaborative, and fun environment then this position is for you.&nbsp; Why Emerge Pediatric Therapy?Our mission is to enhance the lives of the children we serve and the families who love them by providing a fun, nurturing, and supportive therapeutic environment.&nbsp; ResponsibilitiesOur therapists purpose is to enhance the lives of those we serve and the families who love them through improving the clients functional level. We do this by carrying out the following responsibilities:<ul><li>Thorough and timely evaluations/ documentation</li><li>Upholding the reputation of the company by carrying out highly beneficial treatment sessions&nbsp;</li><li>Educating clients/families on the plan of care so that carryover and consistency are achieved&nbsp;</li><li>Therapy completed in a fun, creative way that adheres to guidelines of best practice</li><li>Accurate charges submitted in a timely manner</li><li>Achievable goals that are met in a timely manner</li><li>Completing discharge summaries at the conclusion of care</li><li>Seeking parent recommendation(s) and/or review(s)</li><li>Genuine promotion of the the company in the community&nbsp;</li></ul>Skills and Qualifications<ul><li>Positive outlook on life</li><li>Flexible with the ability to adapt quickly to changes</li><li>Organized</li><li>Exhibits responsibility and professionalism</li><li>Good communication skills</li><li>Likes to work with children and their families</li><li>Desire to learn and advance skill set</li><li>Driven to reach goals/targets</li><li>Creative</li><li>Attention to detail</li><li>Ability to start and foster relationships</li><li>Effective and efficient problem solver</li><li>Excellent attendance record and punctuality</li><li>Likes to work in a fast paced environment with others</li><li>Enjoys the pediatric population and their families&nbsp;</li><li>NC therapy licensure in good standing&nbsp;</li></ul>PreferredTwo year of pediatric experience is preferred.&nbsp; Multilingual Employee Pay Differential EligibilityEmerge employees who are customer-facing (including but not limited to therapists and administrative staff) or who otherwise may need to use a language other than English in their position may be eligible for an increased pay rate based on their proficiency in the language and the need for the language to be used at Emerge.&nbsp;

Emerge Pediatric Therapy is looking for a full time Occupational Therapist to add to their Carrboro Clinic therapy team! If you have a passion for working with children and families in a supportive, collaborative, and fun environment then this position is for you. Why Emerge Pediatric Therapy?Emerge Pediatric Therapy is dedicated to raising the standards of care by providing quality occupational, speech, and physical therapy paired with wraparound care. This includes caregiver education and home programming so that each child and family is treated as a whole, with care and respect. Our mission is to enhance the lives of the children we serve and the families who love them through improving the clients functional level. Job Duties<ul><li>Throughout and timely evaluations&nbsp;and session documentation</li><li>Maintaining complete and timely documentation</li><li>Hosting recurring treatment sessions with our clients and building rapport with their schools</li><li>Upholding the reputation of the company by carrying out highly beneficial treatment sessions&nbsp;</li><li>Educating clients/families on the plan of care so that carryover and consistency are achieved&nbsp;</li><li>Accurate billing charges submitted in a timely manner</li><li>Therapy completed in a fun, creative way that adheres to guidelines of best practice</li><li>Achievable goals that are met in a timely manner</li><li>Completing discharge summaries at the conclusion of care</li><li>Seeking parent recommendation(s) and/or review(s)</li><li>Genuine promotion of the the company in the community&nbsp;</li></ul> We look for team members with the following skills:<ul><li>Positive outlook on life</li><li>Flexible with the ability to adapt quickly to changes</li><li>Organized</li><li>Exhibits responsibility and professionalism</li><li>Good communication skills</li><li>Likes to work with children and their families</li><li>Desire to learn and advance skill set</li><li>Driven to reach goals/targets</li><li>Creative</li><li>Attention to detail</li><li>Ability to start and foster relationships</li><li>Effective and efficient problem solver</li><li>Excellent attendance record and punctuality</li></ul>Multilingual Employee Pay Differential EligibilityEmerge employees who are customer-facing (including but not limited to therapists and administrative staff) or who otherwise may need to use a language other than English in their position may be eligible for an increased pay rate based on their proficiency in the language and the need for the language to be used at Emerge.&nbsp;