Physical Therapy Medical Billing Manager
Total Recovery Physical Therapy P.C. in Little Falls, NJ is seeking a skilled Physical Therapy Medical Billing Manager to join our dedicated team. Our clinic is known for its commitment to providing top-notch care, and we are looking for a detail-oriented individual to handle billing responsibilities. The successful candidate will play a crucial role in ensuring accurate billing procedures, maintaining financial records, and supporting our mission to help patients their goals. As a valued member of our team, you will have the opportunity to work in a supportive environment that values your contributions and offers a competitive salary range of $50,000 - $70,000 annually. Join us in making a difference in the lives of our patients and contributing to the success of Total Recovery Physical Therapy P.C. Responsibilities: Supervision & Leadership – Manage the Billing Assistant’s workflow, provide training, oversee productivity, and ensure timely task completion.Claims Preparation & Submission – Review and approve insurance claims for accuracy, ensure timely submission, and track pending or denied claims.Insurance Verification & Authorization – Oversee patient insurance verification, confirm benefits, and ensure pre-authorization is secured before treatment.Coding Accuracy & Compliance – Ensure correct CPT, ICD-10, and HCPCS coding, conduct periodic audits, and provide coding training to minimize errors.Payment Posting & Reconciliation – Oversee accurate posting of insurance and patient payments, reconcile EOBs, and resolve discrepancies.Denial Management & Appeals – Monitor claim denials, guide the Billing Assistant in appeals, and implement corrective actions to reduce future denials.Patient Billing & Financial Communication – Manage patient statements, oversee collections, and train staff on handling billing inquiries and payment plans.Compliance & Documentation Review – Ensure billing aligns with HIPAA, payer guidelines, and internal policies, conducting audits to maintain regulatory compliance. Qualifications: • Strong Leadership & Management Skills – Ability to oversee, train, and guide the Billing Assistant , ensuring efficiency, accountability, and adherence to best practices in revenue cycle management. • Technologically experienced – Proficient in Excel, billing software, and EHR systems to streamline workflow, improve efficiency, and track financial performance. Experience with data analysis, reporting, and automation tools is a plus. • Proficiency in Physical Therapy Billing & Coding – Strong knowledge of CPT, ICD-10, and HCPCS codes specific to physical therapy services, with expertise in navigating billing software and EHR systems. • Understanding of Insurance & Reimbursement Processes – In-depth knowledge of insurance verification, claims processing, denial management, and payer-specific guidelines for Medicare, Medicaid, and private insurers. • Strong Analytical & Problem-Solving Skills – Ability to identify billing discrepancies, analyze claim denials, and implement solutions that maximize revenue and minimize rejections. • Attention to Detail & Accuracy – High-level accuracy in data entry, coding, and financial transactions to maintain compliance with regulatory standards and reduce billing errors. • Effective Communication & Customer Service – Strong written and verbal communication skills for interacting with insurance companies, clinical staff, and patients , ensuring clear and professional billing resolutions. • Adaptability & Commitment to Continuous Learning – Ability to stay updated on billing regulations, payer policies, and healthcare technologies , with a proactive approach to professional development and certification (e.g., Certified Professional Biller (CPB), Certified Medical Reimbursement Specialist (CMRS) ). Compensation: $50,000 - $70,000 yearly
• Supervision & Leadership – Manage the Billing Assistant’s workflow, provide training, oversee productivity, and ensure timely task completion.Claims Preparation & Submission – Review and approve insurance claims for accuracy, ensure timely submission, and track pending or denied claims.Insurance Verification & Authorization – Oversee patient insurance verification, confirm benefits, and ensure pre-authorization is secured before treatment.Coding Accuracy & Compliance – Ensure correct CPT, ICD-10, and HCPCS coding, conduct periodic audits, and provide coding training to minimize errors.Payment Posting & Reconciliation – Oversee accurate posting of insurance and patient payments, reconcile EOBs, and resolve discrepancies.Denial Management & Appeals – Monitor claim denials, guide the Billing Assistant in appeals, and implement corrective actions to reduce future denials.Patient Billing & Financial Communication – Manage patient statements, oversee collections, and train staff on handling billing inquiries and payment plans.Compliance & Documentation Review – Ensure billing aligns with HIPAA, payer guidelines, and internal policies, conducting audits to maintain regulatory compliance.