Physical Therapy AR Billing

TOC- The Orthopaedic Center•Huntsville, AL

1d•Onsite

About The Position

This position is responsible for verifying insurance for assigned physical therapy clinics, entering charges, processing primary and secondary insurance claims, and maintaining daily audit trails. The role involves answering billing calls from patients, assisting with account resolution, processing claims, referrals, crossovers, and authorizations, and working AR work lists for outpatient therapy locations. The individual will also be responsible for printing records for claims processing, mastering the EPM/EHR computer system, and utilizing software applications for claims and account research. A significant part of the role involves extensive phone communication with insurance companies and patients, updating patient insurance coverage, and rescheduling appointments as needed. The position requires a highly motivated individual with a positive, teamwork attitude, capable of working under pressure and meeting deadlines.

Requirements

Ability to master our EPM/EHR computer system
Ability to utilize software applications to process claims, research statements, and research accounts
Answer all incoming calls
Ability to communicate professionally, both oral and written for clear, legible messages
Pleasant, friendly demeanor with the ability to communicate effectively with patients and all incoming callers and insurance representatives
Schedule appointments as needed
Highly motivated with the ability to work under pressure
Positive, teamwork attitude
Ability to work under pressure and meet deadlines
Outstanding organizational, verbal and writing skills
Independent and highly motivated
Initiative and self-discipline
Proven positive, "teamwork" attitude in work history

Nice To Haves

Knowledge of data entry and excel a plus

Responsibilities

Verify insurance for assigned physical therapy clinics at TOC
Enter charges for assigned providers/clinics
Process primary and secondary insurance claims (including pulling of EOBs for secondary claims)
Maintain and evaluate daily audit trails and rejections
Answer billing calls from patients and assist with account resolution
Process claims, referrals, crossovers and authorizations
Work AR work lists as assigned for outpatient therapy locations
Print records requested for proper claims processing
Update patient’s insurance coverage
Call patients to reschedule appointments if needed
Spend extensive amounts of time on the phone with insurance companies
Work directly with insurance companies
Assist with any other task assigned