We are GROWING and adding to our TEAM!

100% in office – no remote or hybrid options.

Physicians Rehab Solution ("PRS") is a national organization seeking a qualified individual to join their expanding team in the role of Physical & Occupational Therapy Biller.

This individual is a highly skilled individual, who is knowledgeable in outpatient physical and occupational therapy insurance procedures.

The Physical & Occupational Therapy Biller will be responsible for billing, collecting, and follow-up on all accounts to obtain reimbursement on all therapy charges from patient treatment(s). This position will assist patients by gathering and verifying patient demographics, financial data, and insurance coverage. They will also strategically manage and ensure insurance authorization and verifications are correctly acquired.

NO PHONE CALLS PLEASE.

Non-negotiables of this position:

• Must be kind, positive, professional, and self-aware.
• 80-95% of the workday is on the phone with insurance providers.
• 100% in the office environment
• Must be willing to share office space with teammates.
• This team member will be open to training, input, and daily mentorship/collaboration from the PRS operational team and leadership.
• 12 complete months of Medical Billing and Collections experience.
• High school diploma

This is a full-time, non-exempt, benefit-eligible position.

Benefits:

• GREAT Health, Vision, and Dental plans - NO WAITING PERIOD
• Day 1 PTO accrual plan holidays - NO WAITING PERIOD
• Great work/life balance
• Employer-paid LTD & Life Insurance
• 401K & Roth options are available

Minimum Qualifications:

• Process all therapy patient accounts from initial visit to discharge and until the patient balance is zero.
• Responsible for reporting, tracking, and communicating of the progress of patient accounts to both supervisor and revenue cycle team.
• Proactively communicate with supervisor and leadership regarding problems and/or issues.
• Actively research and investigate denials to the point of resolution, as permissible by contract and law.
• Review provider contracts to ensure proper reimbursement and patient coverage.
• Uphold the highest level of integrity, honesty, and confidentiality.
• Knowledge and compliance with regulations related to Medicare, Medicaid, and commercial insurance.
• Exhibit a positive and professional demeanor when communicating with patients, referral sources, insurance providers, payors, and team members.
• Initiate phone calls to insurance providers to research and investigate denials and unpaid claims.
• Knowledge and understanding of commercial and federal insurance
• Knowledge and understanding of authorizations/verifications
• Understands the importance of upfront collections
• Understand the importance of an effective and highly efficient workflow ensuring authorizations and claims are obtained, tracked, and processed properly.
• Experience with various healthcare EMRs
• Minimum 1-2-year(s) experience with Physical & Occupational Therapy Billing preferred
• Knowledge of specific therapy modifiers and billing methodologies
• Understanding of CPT codes and ICD 10 coding
• Knowledge of the principles and practices of physical & occupational therapy billing, out-of-network benefits, etc.

Additional Qualifications/Skills:

• Perform the daily activities of outpatient therapy biller for one or multiple locations.
• Effective communication skills
• Ability to identify problems and recommend solutions
• Attention to detail with strong organization, prioritizing, and analytical skills.
• Knowledge of Microsoft Office Word, Excel, and Outlook
• Ability to learn, utilize, and maintain multiple EMR systems
• Identify and report trends and prior authorization issues relating to insurance verification and authorizations.
• Follow written and verbal communications.
• Strong Customer service skills
• Must have the ability to be mentored and receptive to management training processes.
• Create and maintain an environment that is consistent with the company’s values and objectives.
• Conveys a professional image and attitude.
• Ability to identify and implement components of the physical therapy and occupational therapy process.
• Ability to communicate and collaborate with a variety of teams and individuals.
• Working knowledge and ability to apply professional standards of practice in job situations.
• Ability to make independent decisions when circumstances warrant.
• Ability to self-reflect and become self-aware.

Req #2347

Job Type: Full-time

Pay: $16.00 - $25.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Day shift
• Monday to Friday

Application Question(s):

• What is your desired hourly rate of pay?

Work Location: In person