The Accounts Receivable Specialist supports PT Solutions by playing a key role in the revenue cycle process, by collecting debts from patients or insurance companies.

ESSENTIAL FUNCTIONS:

• Work aged receivables utilizing A/R reports
• Review and assess adjudicated claims for timely and proper payment of outstanding balances.
• Research, correct, and resubmit or reprocess unpaid claims as necessary
• Verify validity of account balance by researching, reviewing and ensuring accuracy of payment and adjustment posting
• Identify liability with guarantor and transfer balances timely and appropriately
• Review and interpret Explanation of Benefits (EOB) for denials and underpayment of codes
• Research and resolve denials and underpayments with insurance carriers
• Submit carrier appeals and reconsideration requests in a timely manner
• Process insurance refund requests as necessary and according to policy and procedure
• Meet productivity goals/benchmarks as set and communicated by Billing Manager
• Serve as primary customer service representative for payer inquiries/calls and secondary for patient inquiries/calls
• Maintain confidentiality of patient information
• Work collaboratively with other Coding, Billing, Front desk and departments as needed

MUST HAVES:

• Ability to type 60 words per minute preferred.
• Great customer service skills.
• Strong interpersonal, oral (includes telephone skills) and written communication skills.
• Good organizational skills and an ability to prioritize to meet deadlines.
• Complete understanding of medical reimbursement and terminology.
• Working knowledge of all standard office equipment.

Expanding Access to Quality Care

At PT Solutions, we’re more than colleagues; we’re a tight-knit community united in our mission to expand access to quality care. Our commitment to you is evident in our industry-leading professional development opportunities. From ongoing evidence-based clinical education to dedicated mentorship opportunities and an APTA-accredited Orthopaedic Residency Program, we propel our clinicians toward excellence in physical therapy, occupational therapy, speech-language pathology, and athletic training.

As we aim to be the go-to rehabilitation provider, we seek committed professionals eager to join us in that mission. A career with PT Solutions is an opportunity to shape the industry and make a lasting impact. 

Let’s go further together and transform care.Join the #PTSLife today! 

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