Physical Therapy insurance authorization position available. 2-year experience required, Apply Today, scheduling interviews now!

Initial Part time with possibility of full time position with growth. *additional tasks below may be options to add but currently authorization is primary.

Description

Benefits:

Flexible schedule; Onsite and remote work

Qualifications

Required qualifications include a minimum of one (2) years of experience in medical billing and account follow up.

Must have excellent organizational and customer service skills, the ability to maintain spreadsheets and familiarity with CPT and ICD-10 coding required (certification not required)

**EXPERIENCE WITH EMR SYSTEMS Webpt/therabill helpful, not required**

High school diploma

Working knowledge of medical billing and managed care

Strong verbal communication skills

Microsoft Office and Windows based computer applications experience

Responsibilities:

Responsible for patient customer service, insurance and patient payment posting, account receivable review, resolution of unpaid and denial claims from insurance carriers, patient account collection including pre-collect and working with outside collection vendors

Address insurance denials and determine next steps

Follow up on unpaid claims prior to filing or auth deadlines

Coordinate with Claims Specialist on denials due to payer changes

Identifying errors made at front office level for training purposes

Re-bill or submit corrected claims

Communicate/Meet with Payer representatives on claims issues

Address Help Desk tickets related to claims issues

Perform completion of claims to payers

Conduct duties in a professional and timely fashion

Submit billing data to the appropriate insurance providers

Resolve denial instances

Achieve maximum reimbursement for services provided

Complete medical records requests

Assist incoming calls from PT staff to the billing department in a prompt and courteous manner; researching account balances for payment resolution

Accurately add payer information into patient chart

Identify all payments and rejections that weren't processed correctly or according to contract for further department action

Print and forward all EOB's to appropriate insurance collector identified as not paid per contract or require additional information and research

Work with insurance companies to identify payments that were received without explanation of benefits or not identifiable

Identify, track, and resolve overdue insurance balances using Therabill tasking system

Communicate with payers to appeal payments that do not match contractual agreements

Prepare and submit professional appeal letters to insurance payers on claims rejected or paid incorrectly

Resubmit insurance claims as necessary with all supporting documentation

Respond to written and telephone inquiries from insurance carriers

Manage relationships with staff from assigned insurance carriers

Provide support on patient account calls in a prompt and courteous manner

Research accounts balances and correct errors as necessary

Meet with Ops-Manager regularly to discuss reimbursement and insurance follow up problems, patient account status

Maintain patient confidentiality; comply with HIPAA and compliance guidelines established by the practice

Performs other duties or functions as assigned

*Some of the above list is include if position expanded to any billing/front desk duties

Job Type: Part-time

Pay: $17.00 - $19.00 per hour

Expected hours: 2 – 8 per week

Benefits:

• Flexible schedule

Weekly day range:

• Monday to Friday

Experience:

• Insurance verification: 2 years (Required)

Work Location: Hybrid remote in Pittsburgh, PA 15235