Billing​/Collections Specialist APN- Physical Therapy - RO

Billing/Collections Specialist - Full-Time - APN
- Physical Therapy - RO22

4 days ago Be among the first 25 applicants

Under the direct supervision of the Director of Outpatient Therapy, the Billing/Collections Specialist is responsible for a broad range of billing processes related to managing the unbilled revenue. Processes claims electronically in addition to hard copy as required by insurance carrier. Works to resolve all billing edits and communicates issues to appropriate department personnel in a timely manner. Reviews late charges and submits adjustments as required.

Communicates and works closely with the Business Manager of APN for all patient accounting and financial concerns regarding therapy billing in all therapy offices.

• Verifies patient billing information is correct prior to every claim submission.
• Works to resolve all identified insurance requirement edits through the electronic billing system; ensures submitted claims meet payer’s guidelines.
• Balances daily receipts list to cash, checks, and credit card payments received at the end of each day.
• Communicates issues to Director of Outpatient Therapy and Business Manager regarding problems with patient access and facility departments.
• Monitors daily transmissions of all electronic claims to the clearing house and submits claims monthly.
• Works on electronic insurance rejects in order to retransmit with correct insurance information.
• Works on rebill request from collection team.
• Verifies that all electronic acknowledgements were received by the insurance carriers.
• Submits required paper billing to insurance carriers with required documentation, including secondary claims.
• Attaches I-bills to paper billing when required.
• Reviews late charges based on specific insurance payer requirements. Submits adjustments as required.
• Enters notes in the patient accounting system on action taken.
• Adheres to state and federal billing guidelines and applies regulations in day-to-day billing practice.
• Adheres to HIPAA and PHI guidelines.
• Assists with all aspects of the Therapy Office including registration, billing, collections, and cash posting.
• Assists with AR reviews on a weekly basis to identify problems/issues specific to payers and offer direction and resolution avenues to resolve reasons for non-payment or payment delays.
• Works with Patient Access Reps for all Therapy Offices ensuring that all patients with third party insurance coverage are verified, notified of any insurance limits, required deductibles, co-insurance amounts and their overall patient responsibility and monitors this is being done correctly.
• Interacts with HIM department as needed to ensure coding is completed timely.
• Notifies Director of Outpatient Therapy and/or Business Manager of any patient complaints in a timely manner.
• Assists with other duties as assigned by the Director of Outpatient Therapy or Business Manager.

• Assist with working insurance denials and refiles denied claims as necessary.

• Courteous to visitors, patients, and physicians’ offices.
• Responsible for discussing patient accounts/bills over the telephone if a patient calls regarding their statements.

• Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions.
• Communications - Communicates well both verbally and in writing. Effectively conveys and shares information.
• Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems.
• Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions.
• Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction.
• Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence.
• Leadership - Motivates, empowers, inspires, collaborates with, and encourages others.
• Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results.

• Me…