Physical Therapy Billing Specialist
Orthopedic Physical Therapy Institute is seeking an experienced medical biller for our outpatient therapy clinic. We specialize in physical and occupational therapy
The ideal candidate will have a strong background in therapy billing, with the skills necessary to improve our current billing procedures and reduce A/R days. Candidates must have knowledge in all aspects of AR/billing on an EMR system to include electronic filing, appealing insurance denials, understanding Explanation of Benefits, navigating insurance websites, printing paper claims for Worker's Compensation and Auto carriers, aging of accounts, printing patient statements and posting payments from insurance companies via paper and electronic methods. The successful applicant will work on a number of tasks as part of the revenue cycle process, requiring data analysis, in-depth evaluation, and exercising judgment within the appropriate scope of practice.
Summary/Objective
The Physical Therapy Billing Specialist is responsible for entering therapy charges into the billing software and obtaining reimbursement from insurance companies and government healthcare programs, such as Medicare. Submits claims to insurance, collect, posts and manage patient account payments and any payor reimbursements received via manual check. Has an understanding of ICD-10 and CPT coding. Has an understanding of different payor systems, including Level 1 HCPCS and Level 2 HCPCS and can navigate insurance websites and portals and investigate denials and issue appeals. Maintains open communication with therapy staff and maintains strict confidentiality.
General Accountabilities
Enter and verify therapy charges
Complete all billing in a timely manner while meeting all filing guidelines
Follow-up on all claims and rejections
Complete account audits
Identify unbilled visits and contact Providers to obtain documents
Communicate with leadership team on status of billing including problems, delays, or concerns
Able to read and understand EOB and communicate information to providers and patients
Weekly A/R including printing statements
Communicates financial information with accounting
Performs collections such as contacting patients and submitting and correcting claims
Ensure HIPAA regulations are being followed
Identifies account errors and works with team to correct any issues
Performs other functions as assigned by management
Minimum Qualifications:
High school diploma or equivalent required.
Medical Terminology required.
Certificate or associate's degree in medical coding or a related field preferred
Efficient in the use of standard office equipment, data entry, typing, 10-key skills, and alpha/numerical filing.
Essential Functions:
Regular and predictable attendance is an essential job function.
Majority of the shift is spent sitting.
Frequent reaching, stooping and twisting when filing, accessing records and answering telephone
Ability to lift up to 25 pounds.
Read a variety of printed and handwritten materials, computerized reports, manuals, and correspondence.
Communicates with patients, physicians, families and co-workers in person and on the telephone.
Work Environment:
Orthopedic Surgery & Sports Medicine operates in a professional office environment. Days and hours of work are conducted Monday thru Friday 8:00 am to 5:00 pm. Occasional evening and weekend work may be required as job duties demand.
This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Orthopedic Surgery & Sports Medicine has multiple locations and travel may be required.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Summary/Objective
The Coding Specialist II is responsible for coding office and therapy visits according to ICD-10 and CPT4 principles and conventions in order to obtain reimbursement from insurance companies and government healthcare programs, such as Medicare. Submits claims to insurance, collect, posts and manage patient account payments and any payor reimbursements received via manual check. Has an understanding of different payor systems, including Level 1 HCPCS and Level 2 HCPCS and can navigate insurance websites and portals and investigate denials and issue appeals. Maintains open communication with medical staff and maintains strict confidentiality. Performs other related duties as assigned.
Minimum Qualifications:
High school diploma or equivalent required.
Medical Terminology required.
Certificate or associate's degree in medical coding or a related field
Efficient in the use of standard office equipment, data entry, typing, 10-key skills, and alpha/numerical filing.
Essential Functions:
Regular and predictable attendance is an essential job function.
Majority of the shift is spent sitting.
Frequent reaching, stooping and twisting when filing, accessing records and answering telephone
Ability to lift up to 25 pounds.
Read a variety of printed and handwritten materials, computerized reports, manuals, and correspondence.
Communicates with patients, physicians, families and co-workers in person and on the telephone.
Work Environment:
Orthopedic Surgery & Sports Medicine operates in a professional office environment. Days and hours of work are conducted Monday thru Friday 8:00 am to 5:00 pm. Occasional evening and weekend work may be required as job duties demand.
This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Orthopedic Surgery & Sports Medicine has multiple locations and travel may be required.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.