Medical Biller-Physical Therapy at The Greysmith Companies

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. 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.