Key Facts

Remote From:

Full time

English

Hard Skills

Adjudication Reimbursement Regulations Accounts Receivable Account Reconciliation Payment Processing Accounts Receivable Appeals Payer Marketing Insurance Follow-Up Office Equipment +4 more

Other Skills

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Typing
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Non-Verbal Communication
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Time Management
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Teamwork
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Telephone Skills
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Customer Service
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Organizational Skills
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Prioritization
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Social Skills

Roles & Responsibilities

Typing speed of 60 words per minute (preferred).
Excellent customer service, strong interpersonal, oral (including telephone) and written communication skills.
Strong organizational skills with the ability to prioritize to meet deadlines.
Comprehensive understanding of medical reimbursement and terminology; working knowledge of standard office equipment.

Requirements:

Manage aged receivables by reviewing A/R reports and processing adjudicated claims for timely payment; research, correct, and resubmit unpaid claims as needed.
Verify account balances and posting accuracy; identify liability with guarantors and transfer balances promptly.
Review Explanation of Benefits (EOBs) for denials and underpayments; research and resolve with insurers and submit carrier appeals when appropriate.
Meet productivity goals, serve as primary payer inquiries contact (secondary for patient inquiries) and collaborate with Coding, Billing, Front Desk, and other departments while maintaining patient confidentiality.

PT Solutions Physical Therapy

About PT Solutions Physical Therapy

PT Solutions starts with a true love of therapy and fuses that passion with science and training to create an unmatched standard of care for patients. We love our work, and that enthusiasm is evident in all we do, both in the clinic and in the community. With acute care, inpatient rehab, and outpatient clinics across the country, we work in partnership with our patients and are committed to keeping them in motion throughout all phases of injury and healing. That dedication creates authentic connections with patients and makes PT Solutions the best place to redefine recovery. We believe that grounding treatment methodologies in evidence-based research results in the most effective, progressive care for patients. We put science first and use our research to innovate and lead the healthcare industry. Because teaching is in our DNA, we bring that research into the classroom, producing the best practitioners in the business through our top-notch residency and continuing education program. We believe physical, occupational, and speech therapy has a significant place in healthcare, and we want to lead its significance by elevating patient treatment standards and therapist training programs. Patients know the treatment they receive in any PT Solutions location nationwide will meet the absolute highest standard of care. Our dedication to working with the best tools and the best attitude to achieve the best results unites therapists and patients in a shared goal: pain-free living.

Company type: Large

Founded: 2018

Company size: 1001 - 5000

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Job description

Job Overview & Responsibilities:

The Accounts Receivable Specialist supports PT Solutions by playing a key role in the revenue cycle process, by collecting debts from patients or insurance companies.

ESSENTIAL FUNCTIONS:

Work aged receivables utilizing A/R reports
Review and assess adjudicated claims for timely and proper payment of outstanding balances.
Research, correct, and resubmit or reprocess unpaid claims as necessary
Verify validity of account balance by researching, reviewing and ensuring accuracy of payment and adjustment posting
Identify liability with guarantor and transfer balances timely and appropriately
Review and interpret Explanation of Benefits (EOB) for denials and underpayment of codes
Research and resolve denials and underpayments with insurance carriers
Submit carrier appeals and reconsideration requests in a timely manner
Process insurance refund requests as necessary and according to policy and procedure
Meet productivity goals/benchmarks as set and communicated by Billing Manager
Serve as primary customer service representative for payer inquiries/calls and secondary for patient inquiries/calls
Maintain confidentiality of patient information
Work collaboratively with other Coding, Billing, Front desk and departments as needed

Qualifications & Pay Range:

REQUIREMENTS:

Ability to type 60 words per minute preferred.
Great customer service skills.
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.
Working knowledge of all standard office equipment.

COMPENSATION:

$18-23 hourly (Any posted pay range considers a wide range of compensation factors, including candidate background, experience, and work location, while also allowing for salary growth within the position)

Company Overview:

Expanding Access to Quality Care

At PT Solutions, we’re more than colleagues; we’re a tight-knit community united in our mission to expand access to quality care. Our commitment to you is evident in our industry-leading professional development opportunities. From ongoing evidence-based clinical education to dedicated mentorship opportunities and an APTA-accredited Orthopaedic Residency Program, we propel our clinicians toward excellence in physical therapy, occupational therapy, speech-language pathology, and athletic training.

As we aim to be the go-to rehabilitation provider, we seek committed professionals eager to join us in that mission. A career with PT Solutions is an opportunity to shape the industry and make a lasting impact.

Let’s go further together and transform care. Join the #PTSLife today!

To see what #PTSLife is like, visit Instagram, Facebook, and LinkedIn.