Medical Billing Specialist
1 month ago
OBJECTIVE: Assist in Revenue Cycle Management at PT Plus to ensure fiscal health and compliant process
while upholding the values of our company. Ensure insurance coverage and authorization for rehab services.
Improve the patient experience and ease of access to care at PT Plus clinics.
RESPONSIBILITIES:
1. Monitor, track, and respond to claim denials
2. Report weekly to the Billing and Collections Manager on denial reasons and payor issues
3. Respond to patient inquiries and collaborate with patients, third party institutions and other team
members to resolve billing inconsistencies and errors
4. Respond daily to denial issues identified by billing services
5. Coordinate with Billing and Collections Manager for AR management
6. Coordinate with the Therapy team for claim denials when additional documentation is needed
7. Manage incoming patient record requests and respond in timely manner
8. Train with billing team to learn roles for backup support; including but not limited to:
a. Prepare bank deposits; Post and reconcile insurance, patient, and retail payments
b. Daily credit card charges for authorized patient payments
c. Monthly patient ledgers
d. Maintain contracting and credentialing requirements with payers
9. Other dues as assigned
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