Employment Opportunities

What Can You Expect Working with Empower Tomorrow Therapy?
Benefits of Employment Include:
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Competitive Wages reflecting level of professional degree and years of experience to start, with annual raises on anniversary of employment to reward loyalty to the company and increased professional experience. Pay is not docked for mid-day cancellations.
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Paid Personal Time Off: 2 hours earned for every 40 hours worked (about 100 hours a year for full-time employees).
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Paid Sick Leave: 2 hours earned for every 40 hours worked (about 100 hours a year for full-time employees).
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Paid Holidays: ETTS is closed on New Year’s Day, Memorial Day, 4th of July, Labor Day, Thanksgiving, the day after Thanksgiving, Christmas Eve, and Christmas. On the days listed above, employees will be paid for their scheduled day of work at their full rate. Employees also receive an extra paid holiday day to be used for any day during their birthday month!
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Employer often adds paid holiday days (e.g. Halloween afternoon, around Christmas) in addition to the ones listed above, at their discretion.
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Continuing Education: Each employee is entitled to $300 in continuing education credit per calendar year, to use as they choose to.
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Retirement Planning: All employees are eligible to enroll in a SIMPLE IRA plan, with up to 3% employee match per paycheck.
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Insurance: Full time employees working over 30 hours per week are entitled to opting into health and dental insurance plans. 50% of monthly premium is covered by employer.
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Meeting time is built into the weekly schedule for mentorship and staff collaboration between co-working therapists.
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Days are scheduled at an 80% client time at a maximum, sometimes less depending on work demands and need for documentation time. This does not include time gained throughout the day from client cancellations or no-shows. An employee who works a 10-hour day and who has no other admin duties will be scheduled to see 8 patients and will have 2 hours of built-in paid documentation time.
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Pre-planned monthly rotation of seasonal activities (including recipes in the kitchen) available, with all supplies provided.
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Refrigerator in the kitchen will be stocked with your favorite drink upon start of employment!
Working in healthcare is hard enough. One of my highest goals as a business owner is creating a practice that I would happy to work for. I recognize that supporting thriving staff in all roles and minimizing employee turn-over is part of what makes my practice great. I'm looking for people who share in my passion of being the best that they can be in whatever role they are in. The list of employment benefits is always evolving and expanding, as our shared success yields more flexibility for profit-sharing.


Now Seeking: Medical Billing Specialist
Employer Introduction
Empower Tomorrow Therapy Services is an occupational therapy practice based in Puyallup, dedicated to helping older children, teens, and young adults build confidence, independence, and practical life skills.
Unlike many traditional pediatric therapy clinics that focus primarily on younger children, Empower Tomorrow Therapy Services has created a unique niche supporting clients ages 8 through young adulthood. Most of the clients served are neurodivergent, and autism, ADHD, anxiety, dyslexia, and sensory processing difficulties are the most common diagnoses served.
At the heart of the practice is a strong commitment to neurodiversity-affirming, client-centered care. The practice emphasizes strengths-based support that empowers clients to develop the skills needed for success at home, in school, in the workplace, and within their communities. Therapy services are designed to be practical, meaningful, and developmentally appropriate, with a focus on real-world independence, self-advocacy, social participation, vocational readiness, and emotional wellness.
Empower Tomorrow Therapy Services has also established a strong reputation within the local community, supported by consistently positive client feedback and a growing presence in the South Sound region. In addition to in-person services in Puyallup, the practice offers teletherapy services throughout Washington State, expanding access to care for families who may not otherwise have specialized support available.
Job Overview
We are seeking a detail-oriented and proactive Medical Billing Specialist to join our team. In this vital role, your primary role will be to manage the entire billing process, ensuring accurate and timely submission of claims to insurance companies and patients, and follow-up if needed. Your expertise will help optimize revenue cycles, improve cash flow, and support the financial health of our practice. Secondary roles include support for current office manager, providing some light scheduling supports when needed. This is an excellent opportunity to make a meaningful impact in patient care through efficient administrative support.
Primary Responsibilities
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Review and verify medical records, documentation, and coding accuracy to ensure proper billing using CPT (Current Procedural Terminology), ICD-9, and ICD-10 codes.
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Obtain authorization prior to treatment when required.
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Verify OT-related benefits initially, and verify active coverage on a monthly basis.
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Prepare and submit insurance claims electronically via our integrated EMR billing system (Ensora/Fusion) to various payers, including government programs and private insurers.
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Follow up on unpaid or denied claims through appeals or resubmissions to maximize reimbursement.
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Maintain detailed records of billing activities, payments received, adjustments, and outstanding balances within Fusion.
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Collaborate with healthcare providers to clarify diagnoses or procedures that require precise coding for accurate billing.
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Ensure compliance with healthcare regulations and other coding standards.
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Assist patients with billing inquiries, payment plans, and collection efforts related to outstanding balances.
Qualifications
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Proven experience in medical billing, coding, or related administrative roles within a healthcare setting.
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Strong knowledge of medical terminology, medical records management, and billing procedures.
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Familiarity with medical coding systems such as CPT codes, ICD-9/ICD-10 codes, and DRG classifications.
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Experience working with EMR/EHR systems for documentation and billing purposes.
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Ability to accurately interpret medical records and translate them into appropriate billing codes.
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Excellent attention to detail and organizational skills to handle multiple claims efficiently and to prevent errors in procedure or records
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Excellent relational skills, with co-workers, clients, and families. We value that everyone on our team is able to represent us well. We're a small practice who cares- and people like that!
