Insurance Claims Follow Up for PT (KHS)
Medical Practice Solutions Medical Practice Solutions Birmingham, AL Birmingham, AL Full-time Full-time $17 - $20 an hour $17 - $20 an hour 2 days ago 2 days ago 2 days ago Job Summary The Physical Therapy (PT) Insurance Follow Up Representative will be responsible for all insurance follow-up from all payers, to be responded to in a courteous, timely manner.
Representatives will process patient accounts to all parties involved and resolve accounts to a zero balance.
Expertise in billing and payment posting is required.
The account representative is required to have good writing skills, and ensure proper account documentation.
Verbal communication required for relaying issues/concerns with problem accounts to supervisor and mangers.
Job Functions Responsible for the resubmission of primary, secondary, and tertiary claims per respective regulations and policies.
Communicate with representatives as necessary to complete claims processing and /or resolve problem claims.
Follow-up daily on post processing activity including but not limited to, rejected billings, adjustments, and rebilling, and denied claims for accounts that are greater than 30 days old.
Maintain accounts receivable detail by use of on-line system documentation.
Reports productivity results daily to the AR team lead/supervisor.
Maintains standards per payer for percentage accounts >90 days.
Works minimum standard number of accounts per payer per day.
Meets or exceeds collection goals by payer each month.
Works all assigned accounts at least once every 15 or 30 days, depending on balance.
Payment Posting Expertise in Physical Therapy (PT) Coding.
Participates in educational activities and attends monthly department staff meetings.
Maintains confidentiality:
adheres to all HIPAA guidelines/regulations.
Other duties as assigned from time to time.
Minimum Qualifications Education HS diploma or General Education Degree Experience Three to Five years' experience in medical office billing preferred.
Knowledge of ICD-10 /HCPCS/CPT Coding.
Basic Knowledge of third party insurance plans.
Familiarity with medical terminology helpful.
Epic Experience Skills Must be able to communicate effectively when in contact with insurance carriers, third party payers and patients.
Must be able to learn and understand patient accounting policies and procedures and how the Accounts Receivable computer system works.
Must be able to use a computer, calculator, fax machine.
Copier and other office tools efficiently to meet performance goals.
Intermediate knowledge of Microsoft Word and Excel:
and the ability to learn new programs and systems.
Dependable in both production and attendance.
Supervision Received General Supervision, functioning independently, referring unusual problems to supervisor.
Working Conditions and Physical Requirements Physical Demand Category:
Sedentary- Occasional lifting/pushing/pulling/carrying up to 5 pounds within 10 pounds' maximum This Job Will Require:
Standing- Occasional Walking- Occasional Sitting- Continuous Bending- Occasional Squatting- Occasional Climbing-Occasional Twisting- Occasional Reaching- Occasional Finger Dexterity- Continuous Repetitive Motion- Continuous Working Environment Type:
Business /General Office with cubicles Work Environment and Exposures:
Confined Space -Regular cubicles Cold- Rare Audio-Visual and other demands:
Hearing Vision This job description in no way states or implies that these are the only duties to be performed by the employee occupying this position.
Employees are required to follow any supervisory instructions and to perform duties as requested by the supervisor and /or other management personnel from time to time.
This job description is intended to describe the nature and level of work being performed by people assigned to this position.
It is not to be construed as an exhaustive list of all responsibilities and duties required of the job incumbents.
Upon review of the job description and requirements, I can perform the essential functions of the job with or without accommodation.
Job Type:
Full-time Pay:
$17.
00 - $20.
00 per hour
Benefits:
401(k) 401(k) matching Dental insurance Flexible schedule Flexible spending account Health insurance Life insurance Paid time off Retirement plan Vision insurance Physical setting:
Office Schedule:
8 hour shift Day shift Monday to Friday No weekends Supplemental pay types:
Bonus pay Ability to commute/relocate:
Birmingham, AL 35205:
Reliably commute or willing to relocate with an employer-provided relocation package (Required)
Experience:
Microsoft Office:
5 years (Preferred) Epic:
3 years (Required) Payment Posting:
3 years (Preferred) Physical Therapy Coding:
3 years (Required) Work Location:
In person.
Estimated Salary: $20 to $28 per hour based on qualifications.
Representatives will process patient accounts to all parties involved and resolve accounts to a zero balance.
Expertise in billing and payment posting is required.
The account representative is required to have good writing skills, and ensure proper account documentation.
Verbal communication required for relaying issues/concerns with problem accounts to supervisor and mangers.
Job Functions Responsible for the resubmission of primary, secondary, and tertiary claims per respective regulations and policies.
Communicate with representatives as necessary to complete claims processing and /or resolve problem claims.
Follow-up daily on post processing activity including but not limited to, rejected billings, adjustments, and rebilling, and denied claims for accounts that are greater than 30 days old.
Maintain accounts receivable detail by use of on-line system documentation.
Reports productivity results daily to the AR team lead/supervisor.
Maintains standards per payer for percentage accounts >90 days.
Works minimum standard number of accounts per payer per day.
Meets or exceeds collection goals by payer each month.
Works all assigned accounts at least once every 15 or 30 days, depending on balance.
Payment Posting Expertise in Physical Therapy (PT) Coding.
Participates in educational activities and attends monthly department staff meetings.
Maintains confidentiality:
adheres to all HIPAA guidelines/regulations.
Other duties as assigned from time to time.
Minimum Qualifications Education HS diploma or General Education Degree Experience Three to Five years' experience in medical office billing preferred.
Knowledge of ICD-10 /HCPCS/CPT Coding.
Basic Knowledge of third party insurance plans.
Familiarity with medical terminology helpful.
Epic Experience Skills Must be able to communicate effectively when in contact with insurance carriers, third party payers and patients.
Must be able to learn and understand patient accounting policies and procedures and how the Accounts Receivable computer system works.
Must be able to use a computer, calculator, fax machine.
Copier and other office tools efficiently to meet performance goals.
Intermediate knowledge of Microsoft Word and Excel:
and the ability to learn new programs and systems.
Dependable in both production and attendance.
Supervision Received General Supervision, functioning independently, referring unusual problems to supervisor.
Working Conditions and Physical Requirements Physical Demand Category:
Sedentary- Occasional lifting/pushing/pulling/carrying up to 5 pounds within 10 pounds' maximum This Job Will Require:
Standing- Occasional Walking- Occasional Sitting- Continuous Bending- Occasional Squatting- Occasional Climbing-Occasional Twisting- Occasional Reaching- Occasional Finger Dexterity- Continuous Repetitive Motion- Continuous Working Environment Type:
Business /General Office with cubicles Work Environment and Exposures:
Confined Space -Regular cubicles Cold- Rare Audio-Visual and other demands:
Hearing Vision This job description in no way states or implies that these are the only duties to be performed by the employee occupying this position.
Employees are required to follow any supervisory instructions and to perform duties as requested by the supervisor and /or other management personnel from time to time.
This job description is intended to describe the nature and level of work being performed by people assigned to this position.
It is not to be construed as an exhaustive list of all responsibilities and duties required of the job incumbents.
Upon review of the job description and requirements, I can perform the essential functions of the job with or without accommodation.
Job Type:
Full-time Pay:
$17.
00 - $20.
00 per hour
Benefits:
401(k) 401(k) matching Dental insurance Flexible schedule Flexible spending account Health insurance Life insurance Paid time off Retirement plan Vision insurance Physical setting:
Office Schedule:
8 hour shift Day shift Monday to Friday No weekends Supplemental pay types:
Bonus pay Ability to commute/relocate:
Birmingham, AL 35205:
Reliably commute or willing to relocate with an employer-provided relocation package (Required)
Experience:
Microsoft Office:
5 years (Preferred) Epic:
3 years (Required) Payment Posting:
3 years (Preferred) Physical Therapy Coding:
3 years (Required) Work Location:
In person.
Estimated Salary: $20 to $28 per hour based on qualifications.
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