Reimbursement Specialist

Reimbursement Specialist at PT Solutions Physical Therapy

The Reimbursement Specialist will facilitate reimbursement and accounts receivables reduction and coordinate customer service through appropriate daily interaction in person, writing, computer communication, and phone skills. This role serves as an intermediary between patient care personnel, business partners, insurance companies, and financially obligated parties. You will also provide support with the daily activities of physical therapy clinics, including telephone coverage, registration, and patient referrals, while ensuring compliance with relevant laws, regulations, established company policies, and compliance programs. The ideal employee will share the vision and mission of PT Solutions.

Primary Duties And Responsibilities

• Review, analyze, and follow-up on patient accounts daily.
• Verify patients’ insurance benefits and document details in patient accounts.
• Communicate and cooperate with clinic personnel.
• Consult with patients regarding billing inquiries and concerns.
• Upon completion of electronic claims submission, make corrections to rejection reports and audit trail.
• Work and correct Work Queue reports, including billing and registration errors.
• Report any disputed credit balances to immediate supervisor.
• Work closely with superiors and business partners to reconcile accounts and coordinate efficient billing and insurance processing.
• Answer and direct telephone calls.
• Act as “backup” to clinic front desk, as necessary.
• Obtain patient, billing, and insurance information to maintain current and accurate information in patient files and billing system.
• Coordinate with clinic personnel to ensure their understanding of patients’ insurance benefits and to secure appropriate reimbursement for services rendered.
• Coordinate communications with payors to ensure accurate billing practices.
• Provide counseling to patients advising them of their financial responsibility.
• Perform various clerical tasks, which include but are not limited to scanning, copying, mailing, and sorting mail.
• Assist with training of new Patient Services personnel.
• Perform other duties or special projects as assigned.

What You'll Bring

• Ability to type 60 words per minute preferred.
• 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.
• Knowledge of basic bookkeeping and accounts receivable principles including basic math skills.
• Knowledge of state collection laws where applicable.
• Working knowledge of all standard office equipment.
• Strong customer service skills.
• Required to be proficient in Windows based technologies (ex. Word, Excel).

Credentials

• High School Diploma with courses in bookkeeping and accounting OR an equivalent amount of work experience in a healthcare or related setting.
• One to two years of medical billing and administrative experience.
• Possess strong attention to detail and high level of familiarity with claims reimbursement process.
• Ability to maintain excellent communications with payors and customers alike.

Compensation

The compensation for this role is $18-22 per hour. This range considers a wide array of compensation factors, including candidate background, experience, and work location, while also allowing for salary growth within the position.

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.

Key skills/competency

• Medical Reimbursement
• Accounts Receivable
• Insurance Verification
• Patient Billing
• Customer Service
• Claims Processing
• Compliance & Regulations
• Data Entry & Auditing
• Medical Terminology
• Office Administration