Overview
An Amazing Opportunity for an AmaZing! Billing Specialist!
Advanced Physical Therapy, is a member of the Confluent Health family of physical and occupational therapy companies that are transforming healthcare by strengthening private practices and developing highly effective clinicians all across the country. We are looking for an AmaZing! Billing Specialist to join our team!
At Advanced Physical Therapy, you'll find an AmaZing! culture because we want our employees to love coming to work and do what they love - helping our patients get back to their everyday lives. We provide you with a fun, family-like environment, support, unlimited career growth opportunities and unmatched resources to do AmaZing! work. Come where you can flourish !
Our Full-Time Employees Enjoy these AmaZing! Benefits:
- Great organizational culture from the top, down!
- Student Loan Repayment Program - we pay your lender monthly (clinicians only)
- Paid board certification trainings & residencies in industry-coveted specialties through Evidence In Motion (clinicians only)
- 401(k) Matching
- Generous Paid Time Off
- Medical, dental, vision, LTD, STD insurances
- Free life and STD insurances
- Financial assistance for catastrophic life events
- New Parent Perks!
Responsibilities Billing Specialist Essential Duties and Responsibilities:
Work Insurance Ageing
Contact insurance companies on outstanding claims
Look on websites to see if insurance has received claim
Claim review process
Working appeals and claim adjudication
Send Medical Records if requested
Communication with Front Desk team if denied for pre-cert or insurance incorrectly entered
Review denials and rebill if changes need to be made.
Review denials and communicate with therapists if changes are needed
Review insurance refund requests
Monitoring patient accounts
Payment posting through patient calls and mail
Work patient ageing
Review accounts for collection process
Start the refund process for patients that have overpaid their accounts
Print HCFA and notes for all work comp claims
Maintains strict confidentiality and abide by all HIPAA guidelines/regulations
Knowledge of medical billing/collection practices
Exemplary customer service skills
Identifies and resolves patient billing complaint
Billing Specialist Competencies:
To perform the job successfully, an individual should demonstrate the following competencies:
- Problem Solving -Identifies a nd resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.
- Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
- Planning/Organizing- Prioritizes and plans work activities; Uses time efficiently; Plans for additional resources; Sets goals and objectives;
- Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
- Quality - Applies feedback to improve performance; Monitors own work to ensure quality.
- Quantity - Meets productivity standards; Completes work in timely manner; Strives to be accurate; Works quickly and efficiently.
- Safety and Security - Observes safety and security procedures; Determines appropriate action beyond guidelines; Reports potentially unsafe conditions.
- Attendance/Punctuality - Is consistently at work and on time; Ensures work responsibilities are covered when absent; Arrives at meetings on time.
- Dependability - Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Completes tasks on time or notifies appropriate person with an alternate plan.
Qualifications Billing Specialist Qualifications:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Language Skills - Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence.
- Mathematical Skills - Ability to add, subtracts, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
- Computer Skills - To perform this job successfully, an individual should have knowledge of the computer functions, email, Microsoft office products. On the job training will be provided for billing software and documentation system.
eQuest
