Medical Billing Specialist

Job Summary

POSITION: Billing Specialist

SUPERVISOR: Director of Clinical Operations


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.


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


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


  • 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


  • 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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