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Billing Specialist

Keller

Job Description Job Description In this Medical Billing Clerk role, you will be able to enhance your career under the guidance of helpful, supportive leadership. You will always have the tools you need to be successful.

If you are ready to be part of an energetic atmosphere where you can achieve success and career satisfaction, apply for Physical Rehabilitation Network's Medical Billing Clerk job opening today!

Benefits:

Health insurance

Paid time off

Dental insurance

401(k)

Vision insurance

Life insurance

Disability insurance

Employee discount

Flexible schedule

Flexible spending account

Employee assistance program

Health savings account

Other

ESSENTIAL JOB FUNCTIONS:

Ensures all claims are submitted with a goal of zero errors.

Verifies completeness and accuracy of all claims prior to submission.

Regularly meets with Data Integrity Manager to discuss and resolve billing obstacles.

Regularly attend monthly staff meetings and continuing education educational sessions as requested.

Checks to make certain ICD codes match billing records.

Bill Secondary claims with primary EOB attachment.

Sends out paper claims with all appropriate attachments (authorizations, Medical Records, Fee tickets, etc.).

Obtains medical records via Therapy Source and Power Flow for claims attachments.

Performs data entry corrections when claim errors are identified.

Audits all paper claims for appropriate billing.

Dependability is essential: You must be able to work consistently and on time while following instructions, responding to management direction, and soliciting feedback to improve performance.

Identifies and corrects billing errors and resubmits claims.

Adheres to HIPAA guidelines and Federal Privacy Law.

Provides feedback to management regarding possible problems and areas of improvement.

Responsible for all daily productivity reporting requirements.

Maintains and exceeds department standards for productivity and quality.

Ensures compliance with state and federal laws and regulations for Commercial, Medicare, Medicaid, Managed Care, and other payers.

Functions effectively within a team and participates and contributes constructively to produce results in a cooperative effort.

Knowledge and Abilities:

High School Diploma or equivalent certification.

Prior Physical/Occupational Therapy claims knowledge is preferred.

Ability to work independently with minimal supervision as well as ability to work in a team environment.

Skilled at managing multiple projects and grasping new concepts.

Knowledge of healthcare industry with emphasis on Medical billing.

Medicare, Medicaid, Commercial, and Workman’s Comp Insurance Knowledge.

Computer skills and experience with Microsoft Applications.

Accurately complete assignments while meeting deadlines.

Excellent organization skills.

Excellent internal and external customer service skills.

Must possess good oral and written communication skills and recognize importance of teamwork.

Proficiency in Microsoft Office with Excel skills.

Working knowledge of the NextGen System.

Knowledge of CPT, ICD-9/ICD-10 codes.

Knowledge of medical terminology.

About Us:

For over 30 years, Physical Rehabilitation Network (PRN) has specialized in delivering quality physical therapy care and workplace ergonomics solutions, complemented by its respected comprehensive practice management solutions, which provide non-clinical administrative support services to physical therapists. We are known for our leading, value-driven practice management services and innovative, outcomes-driven physical therapy care models which support our growing network of 16 states across the western and central portions of the U.S.

We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law

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