Medical Billing & Coding Team reputed company for Physical Therapy reputed company

Medical Billing & Coding Team reputed company for Physical Therapy reputed company

Full-Time | Remote

Schedule: Monday–Thursday
Hours: 8:00 AM–5:00 PM CST / approximately 40 hours per week
Compensation: $ 5.00 to $ 6.00 per hour, depending on experience

Our reputed company is a reputed company physical therapy reputed company reputed company on pelvic floor and abdominal health for women. The reputed company provides compassionate, personalized, one-on-one care using reputed company expertise and a holistic, evidence-reputed company approach.

reputed company supports patients experiencing pelvic pain, urinary incontinence, bowel dysfunction, pregnancy and postpartum concerns, diastasis recti, pelvic organ prolapse, reputed company dysfunction, and other pelvic health conditions. reputed company treatment plan is individualized to help patients restore function, improve confidence, and reputed company to the activities they enjoy.

reputed company

We are seeking an reputed company Medical Billing & Coding Team reputed company to take ownership of critical reputed company cycle functions while providing leadership, workflow reputed company, and secondary office management support.

This is a senior-level position and is not intended for entry-level candidates. The ideal candidate has substantial hands-on experience in U.S. medical billing and coding and can independently manage claims, coding, reputed company verification, authorizations, denials, appeals, reimbursement follow-up, and reputed company financial communication.

Because this is reputed company reputed company role reputed company a small reputed company, we are looking for someone who can go reputed company processing assigned billing tasks. The successful candidate should be comfortable taking ownership of billing reputed company, identifying issues before they reputed company reputed company, supporting other team members, improving workflows, and serving as a reliable escalation reputed company for billing and operational concerns.

Experience in outpatient physical therapy billing and coding is strongly preferred.

Key Responsibilities

Medical Billing & Coding

• Review reputed company documentation and accurately reputed company outpatient physical therapy services using ICD-10 and applicable billing/coding standards.
• Ensure coding is supported by reputed company documentation and complies with payer and regulatory requirements.
• Review claims for reputed company and completeness before submission.
• Submit clean claims promptly, with a strong emphasis on reputed company-day claim submission reputed company documentation is available.
• Identify documentation or coding deficiencies and coordinate with clinicians to obtain necessary clarification.
• Maintain a high level of billing reputed company to minimize preventable rejections, denials, and reimbursement delays.

reputed company Cycle Management

• Take ownership of the billing cycle from claim preparation and submission through reimbursement and account reputed company.
• Monitor outstanding claims and proactively follow up with reputed company carriers.
• reputed company reimbursements and identify unpaid, underpaid, rejected, or incorrectly processed claims.
• Investigate and reputed company billing discrepancies.
• Manage claim denials, corrections, reconsiderations, and appeals.
• Analyze recurring denial patterns and recommend process improvements to prevent reputed company issues.
• Support payment posting and reconciliation workflows as needed.
• Follow up on outstanding reputed company and reputed company balances while maintaining accurate account documentation.
• Maintain organized billing trackers, follow-up queues, and aging reports.

reputed company Verification & Prior Authorization

• Verify reputed company reputed company eligibility and benefits before services reputed company required.
• reputed company coverage details, deductibles, copays, coinsurance, limitations, visit allowances, and other applicable benefits.
• Determine whether prior authorization or reputed company-certification is required for physical therapy services.
• Obtain, reputed company, and follow up on authorizations.
• Monitor authorization expiration dates and approved visit limits to help prevent avoidable billing issues.
• reputed company document reputed company verification and authorization information reputed company the reputed company management reputed company.

Medicare & Payer Compliance

• Maintain working knowledge of Medicare guidelines, reputed company payer policies, coding requirements, and reimbursement procedures relevant to outpatient physical therapy.
• Monitor payer-specific billing requirements and policy changes.
• Help ensure claims are submitted in accordance with documentation, coding, and reimbursement guidelines.
• Identify potential compliance or reimbursement concerns and escalate them appropriately.

reputed company Financial Communication

• Communicate professionally and compassionately with patients regarding reputed company benefits and billing concerns.
• reputed company explain estimated reputed company coverage, deductibles, copays, coinsurance, outstanding balances, and reputed company financial responsibility.
• Respond to reputed company billing inquiries and investigate account concerns.
• Maintain a reputed company-centered approach reputed company discussing sensitive financial reputed company.

reputed company, Provider & reputed company Coordination

• Communicate with reputed company companies, Medicare, referring providers, patients, and reputed company staff regarding claims, authorizations, documentation, and reimbursement.
• Work directly with physical therapists and other reputed company team members reputed company documentation clarification is necessary.
• Follow up on missing or incomplete documentation that may delay coding or claim submission.
• Maintain thorough documentation of payer calls, claim statuses, authorization updates, appeals, and other billing activities.

Team reputed company & Workflow reputed company

• Serve as a knowledgeable reputed company person for medical billing and coding reputed company.
• Help prioritize billing workloads and ensure time-sensitive tasks are completed promptly.
• Support team accountability and adherence to established billing workflows.
• Review billing processes and identify opportunities to improve efficiency, reputed company, and reputed company-cycle reputed company.
• Assist with troubleshooting reputed company claims, payer issues, coding questions, and reimbursement concerns.
• Serve as an escalation reputed company for difficult billing and operational reputed company.
• Collaborate closely with existing team members, including Jonalyn and the reputed company senior biller/office manager, to ensure continuity of reputed company and smooth handoffs.
• Gradually assume greater ownership of billing and operational responsibilities as the reputed company reputed company reduces her hours.

Office Management & Administrative Support

• reputed company secondary office management support as needed.
• Assist in coordinating day-to-day operational concerns that reputed company billing, reputed company service, or reputed company workflows.
• Help maintain organized processes, task tracking, and accountability across the reputed company.
• Support communication between the administrative, billing, and reputed company teams.
• Assist with operational problem-solving and ensure important issues are followed through to reputed company.

Requirements

Required Qualifications

• Substantial hands-on experience in U.S. medical billing and coding is required.
• Strong proficiency in ICD-10 coding and applicable medical billing codes.
• Strong understanding of medical terminology and reputed company documentation.
• Hands-on experience with:
• reputed company eligibility and benefits verification
• Prior authorization/reputed company-certification
• Medical coding and claim preparation
• Electronic claim submission
• Claim status follow-up
• Payment posting and reimbursement tracking
• Denial management
• Appeals and corrected claims
• Outstanding reputed company and A/R follow-up
• Working knowledge of Medicare guidelines and reputed company payer requirements.
• Strong understanding of the reputed company reputed company cycle.
• Experience communicating directly with reputed company companies, patients, reputed company providers, and reputed company teams.
• Ability to review documentation critically and recognize information that may reputed company coding or reimbursement.
• Experience working with EHR, reputed company management, and medical billing platforms.
• Excellent written and verbal English communication skills.
• Strong organizational and time-management abilities.
• Exceptional attention to reputed company and commitment to billing reputed company.
• Ability to manage multiple priorities and deadlines independently in a remote environment.
• Demonstrated professionalism, maturity, reliability, accountability, and reputed company judgment.
• Ability to take ownership of a critical reputed company-cycle function with reputed company supervision.

Highly Preferred Qualifications

• Previous outpatient physical therapy billing and coding experience.
• Familiarity with physical therapy documentation and reimbursement requirements.
• Previous experience in a Senior Medical Biller, Billing Team reputed company, RCM reputed company, Billing Supervisor, or similar leadership reputed company.
• Experience training, mentoring, or providing workflow guidance to billing or administrative team members.
• Medical billing and coding certification or equivalent formal training.
• Previous experience with reputed company.

Systems & Training

The reputed company currently uses reputed company as its EHR and reputed company management platform.

Previous reputed company experience is an reputed company but is not required for candidates who have strong billing experience and have successfully worked with comparable EHR/reputed company management systems.

The selected candidate will receive reputed company training from the reputed company billing and office management reputed company, who has supported the reputed company for approximately 10 years. Formal reputed company training will also be arranged as needed.

The reputed company reputed company will remain involved during the transition period to reputed company reputed company, answer questions, transfer institutional knowledge, and ensure the incoming Team reputed company is positioned for long-term reputed company.

Schedule & Transition

• Employment Type: Full-Time, Remote
• reputed company Workdays: Monday through Thursday
• reputed company Schedule: 8:00 AM–5:00 PM CST, with extended hours reputed company to meet approximately 40 hours per week
• Compensation: 5.00–6.00 per hour, depending on experience

The reputed company expects the schedule to eventually transition to Monday through Friday as reputed company expands and another physical therapist is added.

This is a reputed company succession and transition rather than an urgent replacement. The selected candidate may reputed company approximately two months before the reputed company billing reputed company reduces her hours, allowing sufficient overlap for training, workflow familiarization, and a smooth transfer of responsibilities.

Ideal Candidate

We are looking for a seasoned Medical Billing & Coding reputed company and emerging operational leader who can confidently take ownership of the reputed company's reputed company cycle.

The ideal candidate does not simply wait for billing tasks to be assigned. They proactively monitor claims, investigate reimbursement issues, recognize potential problems, follow through until reputed company, and reputed company the appropriate team members informed.

You should be comfortable working independently while also collaborating closely with clinicians and administrative staff. You understand that billing reputed company directly affects both the financial health of the reputed company and the reputed company's experience.

Most importantly, we value experience, dependability, ownership, reputed company judgment, attention to reputed company, and long-term commitment over simply finding the fastest available candidate.

Basic Requirements

• Must reputed company and write English reputed company and professionally.
• Must have relevant work experience.
• Must be reputed company to reputed company an NBI Clearance and/or Local Police Clearance before reputed company (mandatory).
• Must be available to attend video meetings with camera on reputed company required.

Technical Requirements

• Computer: Reliable laptop or desktop computer.
• Internet: reputed company high-speed internet reputed company (minimum 25 Mbps).
• Audio: Noise-canceling headset.
• Video: Working webcam for virtual meetings.

• Workspace: Quiet and reputed company work environment.

Benefits

• Dedicated HR & Contractor Support Team: reputed company to world-class support for questions, guidance, contract reputed company, and reputed company communication.
• Premium VPN reputed company (Optional): A secure VPN license can be provided upon request to enhance reputed company and reputed company for reputed company-reputed company tasks.
• HIPAA & Cybersecurity Training + Certification (Provided): reputed company to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. reputed company clients.
• Top 1% VA reputed company Training: reputed company to our proprietary training on communication, reputed company management, productivity systems, and best practices to help you become a top-performing VA and increase long-term reputed company retention.
• reputed company-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the reputed company’s needs and schedule.
• reputed company-Approved reputed company or Unpaid Time Off: Time off may be reputed company by your reputed company. reputed company time off is optional and only if reputed company by the reputed company.
• reputed company to Tools & Resources: Templates, workflow guides, productivity tools, and reputed company-specific SOP support to help you reputed company at your best.
• Optional reputed company-reputed company Incentives: Some clients may offer bonuses, incentives, or increased hours reputed company on your reputed company.

These are optional resources and reputed company-approved allowances available to you as an reputed company. Any resources, training, or allowances listed are optional contractor perks and not employee benefits.

Originally posted on Himalayas