Billing Specialist

·        Basic understanding of the Facility Secretary’s role, including but not limited to:

o  Entering patient demographics, setting up accounts, and understanding how this data is used for billing purposes

·        Develop an understanding of physical, occupational, and speech therapy charges to include modifiers and appropriate use of them

·        Become proficient with practice management software to maximize productivity in the billing department, including but not limited to: running reports, data entry, payment posting, and navigating system

·        Perform all aspects of medical billing in a physical therapy setting to include:

o  Billing out claims from practice management software both electronically and paper

o  Ability to recognize who to bill for balance after primary insurance pays, to include secondary / tertiary / patient

o  Ensure all claims are submitted with a goal of zero errors

o  Utilize monthly aging account receivable reports to follow up on unpaid claims over 30 days old

o  Timely follow up on insurance claims and denials of claims

·        Payment posting in a physical therapy setting to include:

o  Accurately post all insurance and patient payments by line item

o  Understanding the contract reimbursement rates that exist between ApexNetwork Physical Therapy and the insurance company

o  The ability to read and interpret an insurance explanation of benefits

·        Respond in a timely and professional manner to requests from insurance companies, patients and providers, including but not limited to:

o  Patient records, appeals, general questions on patient’s account related to billing, etc.

·        Regularly meet with Billing Manager to discuss reimbursement issues or billing obstacles.

·        Perform additional duties as requested by the management team.