Scheduled Hours

40

Position Summary

Position supports all clinical practice sites with a variety of billing and pre-arrival duties to include accurate and timely processing of billing charges, completing a thorough review and follow-up of billing and collections, insurance verifications, insurance authorizations, and validation of referral record accuracy. Enters demographic and insurance/referral information into necessary portions of the patient electronic medical record. Performs specialized duties with minimal supervision. Electronic faxing of required information for preparation of patient visits.

This is a remote position that may require periodic travel to on-site locations for trainings and collaborative meetings.

Job Description

• Verifies accuracy and completeness of daily billing charges, monitors and finalizes outstanding issues held up in financial work queue, contacts necessary insurance companies and patients for benefit verification and pre-certification of therapy procedures. Performs and assists with billing and pre-arrival duties to include input, tracking, and verification of accurate and completed physical therapy transactions.
• Responds to questions and requests from insurance companies and other entities as required. Obtains insurance information from patients and reviews medical record for accuracy. Supplies documentation required during pre-certification process to insurance companies.
• Maintains open communication with providers and referring physicians. Documents and notifies necessary parties of pre-certification when received. Review, follow-up, and reconciliation of pre-arrival, billing, patient, and financial work queues as required. Answers billing and insurance questions.
• Maintains required skills/competencies and participates in in-services, staff programs, continuing education and cross training programs according to established standards. Attends staff meetings, clinic meetings, and training sessions as they relate to the position.

• Complies with OSHA, State and Federal regulatory sources/standards.
• Participates in quality improvement activities to ensure appropriate clinical outcomes.
• Serves as support to all clinical staff during peak times, vacations, and illnesses.
• Other duties as assigned to include, but not limited to, filing, faxing, copying, and correspondence.

Working Conditions:
Job Location/Working Conditions:

• Normal office environment.

Physical Effort:

• Typically sitting at a desk or table.

Equipment:

• Office equipment.

The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.

Required Qualifications

Education:

High school diploma or equivalent high school certification or combination of education and/or experience.

Certifications/Professional Licenses:

No specific certification/professional license is required for this position.

Work Experience:

Bookkeeping/Accounting And/Or Medical Collection Setting (2 Years)

Skills:

Not Applicable

Driver's License:

A driver's license is not required for this position.

More About This Job

Preferred Qualifications:

• Proficient in Microsoft Office Suite.

Preferred Qualifications

Education:

No additional education unless stated elsewhere in the job posting.

Certifications/Professional Licenses:

No additional certification/professional licenses unless stated elsewhere in the job posting.

Work Experience:

No additional work experience unless stated elsewhere in the job posting.

Skills:

Accounts Receivable (AR), Claims Resolution, Collections Strategies, Computer Literacy, Confidential Data Handling, Critical Thinking, Detail-Oriented, Epic EHR, Health Insurance Billing, Health Insurance Portability & Accountability Act (HIPAA), ICD-10 Procedure Coding System, Insurance Follow Up, Interpersonal Communication, Managed Care, Medical Billing and Coding, Medical Terminology, Medicare Plans, Microsoft Office, M