Medical Biller

PacificPro Physical Therapy & Sports Medicine is a growing private practice specializing in outpatient, orthopedic physical therapy. We are looking for a positive, knowledgeable, and experienced Billing & Accounts Receivable Specialist to add to our team. They will be responsible for interacting with insurance companies and patients in an effort to collect monies for services rendered.

Candidates must be detail oriented and organized, able to multi-task, and have the ability to analyze, identify and resolve issues causing payer payment delays. Candidates must have excellent customer service skills, as well as communication skills, and always carry a friendly and professional attitude.

REQUIRED SKILLS

• Computer experience is essential, including, but not limited to: practice management software, word processing and spreadsheet applications.
• Experience in CPT and ICD-10 coding; familiarity with medical terminology.
• Must be comfortable in sending a high volume of claims daily.
• Understanding of claim forms (CMS-1500)
• Reading and interpreting insurance explanation of benefits.
• Experienced in identifying billing errors and sending corrected claims
• Ability to manage relationships with various Insurance payers and patients.
• Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement.
• Responsible use of confidential information.
• Perform to company standards of compliance with policies and procedures.
• Ability to multi-task and work courteously and respectfully with fellow employees, clients and patients.
• Strong attention to detail and accuracy in coding and billing processes
• Must possess good time management skills.
• Must actively seek to accomplish tasks and be able to use a variety of methods and ideas to solve problems whilst, when needed, seeking advice and/or guidance from fellow employees.

DETAILED WORK ACTIVITIES

• Verify patient information and insurance coverage for billing purposes
• Prepare and submit claims to insurance companies
• Communicates effectively with carriers to submit what is necessary for payment. Timely follow up on insurance claim denials, exceptions or exclusions.
• Assists in accounts receivables and billing for the company to ensure timely processing of all A/R transactions.
• Utilize monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days.
• Makes calls to carriers and patients regarding the status of claims and payment if necessary.
• Responsible for collections of Accounts Receivable and tracking of A/R Aging.
• Resolves issues related to incorrect billings and any disputes raised by the customer.
• Reviews status of delinquent accounts and initiate collection activity.
• Researches and resolve disputed delinquent account balances.
• Manages and maintains positive relations with customers.
• Works closely with other departments and groups to resolve issues and exceed client service expectations.
• Responsible for documenting all correspondence with insurance, client, and/or insurance to record.
• Prepares and sends Medical Record to insurance.
• Meet deadlines.
• Make necessary arrangements for medical records requests, completion of additional information requests, etc. as requested by insurance companies.
• Respond to inquiries from insurance companies, patients and providers.
• Regularly meet with Account Manager to discuss and resolve reimbursement issues or billing obstacles.
• Regularly attend monthly staff meetings and continuing educational sessions as requested.
• Perform additional duties as requested by Supervisory or Management team.

If you have these skills and can fulfill the described work activities, please send us your resume.

Job Types: Full-time, Part-time

Pay: From $23.50 per hour

Benefits:

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

Work Location: In person

Salary : $24