Biller- Clarkston Physical Therapy

McLaren Health Care•Clarkston, MI

32d

About The Position

The Medical Biller is responsible for the accurate and timely submission of insurance claims and follow-up for physical therapy services. This role ensures proper coding, billing, and reimbursement for therapy services while maintaining compliance with payer requirements and healthcare regulations. The Medical Biller works closely with therapists, front office staff, and insurance companies to resolve billing issues and ensure efficient revenue cycle operations.

Requirements

High school diploma or equivalent required; associate degree in healthcare administration, medical billing, or related field preferred.
Minimum 1–2 years of medical billing experience, preferably in physical therapy or rehabilitation services.
Knowledge of CPT, ICD-10, and HCPCS coding related to therapy services.
Experience working with Medicare, Medicaid, and commercial insurance plans.
Familiarity with electronic health records (EHR) and medical billing software.
Strong attention to detail and organizational skills.
Excellent communication and problem-solving abilities.

Responsibilities

Prepare, review, and submit insurance claims for physical therapy services to commercial payers, Medicare, Medicaid, and other insurers.
Verify patient insurance benefits and eligibility when necessary.
Ensure accurate CPT, ICD-10, and modifier usage specific to therapy services.
Monitor and follow up on unpaid or denied claims in a timely manner.
Investigate and resolve billing discrepancies, denials, and rejected claims.
Post payments, adjustments, and patient payments accurately in the billing system.
Communicate with insurance companies regarding claim status and reimbursement issues.
Work with front office and clinical staff to obtain necessary documentation for billing.
Maintain compliance with federal and state healthcare billing regulations, including HIPAA.
Assist with patient billing inquiries and explain statements when needed.
Maintain organized billing records and documentation.