Medical Billing Specialist

Optimal Health Chiropractic & Physical TherapyEgg Harbor Township, NJ
Hybrid

About The Position

Optimal Health Chiropractic & Physical Therapy is seeking an experienced, detail-oriented Revenue Cycle Coordinator to help manage the financial health of our growing multi-location chiropractic and physical therapy practice. This position is ideal for an experienced medical biller who enjoys solving problems, tracking down outstanding claims, improving collections, and helping a healthcare team operate efficiently. The Revenue Cycle Coordinator will be responsible for managing and improving all aspects of the revenue cycle, including claim submission oversight, denial management, insurance verification, authorizations, accounts receivable, and reporting. This role will work closely with clinic leadership, providers, front desk staff, and our EMR system to ensure accurate billing and timely reimbursement.

Requirements

  • 3+ years of chiropractic, physical therapy, or outpatient rehabilitation billing experience
  • Strong understanding of CPT, ICD-10, modifiers, and insurance billing processes
  • Experience with Medicare, commercial insurance, and workers’ compensation
  • Experience managing denials and appeals
  • Knowledge of accounts receivable management
  • Strong organizational and problem-solving skills
  • Excellent communication skills

Nice To Haves

  • Chiropractic billing experience
  • Physical therapy billing experience
  • Multi-provider practice experience
  • Revenue cycle management experience
  • EMR and practice management software experience

Responsibilities

  • Review and monitor claim submission processes
  • Track and resolve denied or rejected claims
  • Follow up on unpaid insurance claims
  • Manage accounts receivable aging reports
  • Monitor claims over 30, 60, and 90 days
  • Ensure timely payment posting and reconciliation
  • Verify patient benefits and eligibility
  • Obtain and track insurance authorizations
  • Monitor authorization expirations
  • Assist with payer communication and problem resolution
  • Generate weekly and monthly billing reports
  • Monitor collection trends and KPIs
  • Track denial rates and identify recurring issues
  • Report findings and recommendations to leadership
  • Review documentation for billing compliance
  • Identify coding or documentation deficiencies
  • Work with providers to improve claim accuracy
  • Stay current with insurance and payer requirements
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