Reimbursement Specialist

PT Solutions Physical Therapy

1d•$18 - $22

About The Position

The Reimbursement Specialist will facilitate reimbursement and accounts receivables reduction and coordinate customer service through appropriate daily interaction in person, writing, computer communication, and phone skills. Serve as intermediary between patient care personnel, business partners, insurance companies, and financially obligated parties. Provide support with the daily activities of a physical therapy clinics including telephone coverage, registration, and patient referrals, while ensuring compliance with relevant laws, regulations, established company policies and compliance programs. Employee will share the vision and mission of PT Solutions.

Requirements

Ability to type 60 words per minute preferred.
Strong interpersonal, oral (includes telephone skills) and written communication skills.
Good organizational skills and an ability to prioritize to meet deadlines.
Complete understanding of medical reimbursement and terminology.
Knowledge of basic bookkeeping and accounts receivable principles including basic math skills.
Knowledge of state collection laws where applicable.
Working knowledge of all standard office equipment.
Strong customer service skills.
Required to be proficient in Windows based technologies (ex. Word, Excel).
High School Diploma with courses in bookkeeping and accounting OR an equivalent amount of work experience in a healthcare or related setting
One to two years of medical billing and administrative experience.
Possess strong attention to detail and high level of familiarity with claims reimbursement process
Ability to maintain excellent communications with payors and customers alike.

Responsibilities

Review, analyze, and follow-up on patient accounts daily.
Verify patients’ insurance benefits, and document details in patient accounts.
Communicate and cooperate with clinic personnel.
Consult with patients regarding billing inquiries and concerns.
Upon completion of electronic claims submission, make corrections to rejection reports and audit trail.
Work and correct Work Queue reports, including billing and registration errors.
Report any disputed credit balances to immediate supervisor.
Work closely with superiors and business partners to reconcile accounts and coordinate efficient billing and insurance processing.
Answer and direct telephone calls.
Act as “backup” to clinic front desk, as necessary.
Obtain patient, billing, and insurance information to maintain current and accurate information in patient files and billing system.
Coordinate with clinic personnel to ensure their understanding of patients’ insurance benefits and to secure appropriate reimbursement for services rendered.
Coordinate communications with payors to ensure accurate billing practices.
Provide counseling to patients advising them of their financial responsibility
Perform various clerical tasks, which include but are not limited to scanning, copying, mailing, and sorting mail.
Assist with training of new Patient Services personnel.
Perform other duties or special projects as assigned.