Medical Billing Specialist

Job Summary

POSITION: Billing Specialist

SUPERVISOR: Director of Clinical Operations

JOB SUMMARY:

Physical Therapy Consultants is seeking a Billing Specialist to work in the billing department of our Bethel location. This is a full time position.

At Physical Therapy Consultants we strive to provide our employees with a fun and positive atmosphere. We encourage all of our employees to grow as professionals and as individuals. We work as a team and support all of our locations working together. Physical Therapy Consultants provides competitive wages, benefits, and great PTO. We truly care about our employee’s happiness and success.

BASIC FUNCTION:

To perform all functions as it relates to the billing and collections of accounts receivables. Confirm reimbursement received is based on current payer contracts.

ESSENTIAL FUNCTIONS:

Perform all daily functions as it relates to accounts receivable management. Essential tasks include but are not limited to:

  • Insurance verifications- Enter accurate information from insurance verification in practice management system
  • Prior authorization requests
  • Workers’ Compensation and Auto Verification
  • Contact the appropriate insurance company to verify claim number and DOI are correct
  • Verify if claims are to be faxed or mailed to insurance company
  • Ask for job descriptions to be faxed to us for physical therapy treatment.
  • Electronic billing of claims
  • Working rejected claims and refiling, manual and electronic posting of payments
  • Ensuring that payments posted balance with funds deposited. Insurance follow-up on unprocessed or denied claims
  • Appeals completed for services not processed appropriately or denied
  • Perform collection duties on aging patient balances
  • Primary contact for all incoming phone calls related to billing
  • Setting up payment plans with patients who may be experiencing a financial hardship
  • Visit counts-counting visit to ensure visit limit is not exceeded
  • Send authorization requests to appropriate insurance company if patient requires additional visits than what was originally approved
  • Enter current visit counts on spreadsheet
  • Any and all other duties as assigned

QUALIFICATIONS:

  • H.S. Diploma or equivalent required, Associates Degree preferred
  • 2+ years experience in the medical billing field with Medicare, Medicaid and commercial payers
  • Medical Billing and Coding Certification preferred
  • Working knowledge of CPT and ICD-10 codes
  • Experience working with Macpractice software a plus
  • Knowledge of medical insurance and coverage
  • Excellent customer service skills and phone etiquette
  • Attention to detail and good at multitasking is a must

ESSENTIAL PHYSICAL REQUIREMENTS:

  • Able to move about inside of an office
  • Constantly able to operate a computer and other office equipment
  • Must be able to travel to other clinic locations
  • Must be able to effectively communicate with insurance companies

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