Total Recovery Physical Therapy P.C. in Little Falls, NJ is seeking a skilled Physical Therapy Billing assistant to join our dedicated team. Our clinic is known for its commitment to providing top-notch care, and we are looking for a detail-oriented individual to handle medical billing responsibilities. The successful candidate will play a crucial role in ensuring accurate billing procedures, maintaining financial records, and supporting our mission to help patients reach their goals. As a valued member of our team, you will have the opportunity to work in a supportive environment that values your contributions and offers a competitive compensation of $21-25/hour. Join us in making a difference in the lives of our patients and contributing to the success of Total Recovery Physical Therapy P.C. Responsibilities: • Claims Preparation and Submission: Accurately prepare, review, and submit insurance claims (both electronic and paper) for physical therapy services, ensuring all coding and documentation meet payer requirements • Insurance Verification: Verify patients' insurance coverage, benefits, and authorization requirements before services are rendered to ensure proper billing procedures • Coding Accuracy: Apply correct CPT, ICD-10, and HCPCS codes based on physical therapy documentation to maximize reimbursement and minimize claim denials • Payment Posting: Post payments from insurance companies and patients, reconciling Explanation of Benefits (EOBs) to patient accounts accurately • Denial Management and Appeals: Identify, investigate, and resolve denied or rejected claims by communicating with insurance providers, submitting appeals when necessary, and correcting billing errors. • Patient Billing and Communication: Generate patient statements, manage outstanding balances, and communicate with patients regarding billing inquiries, payment plans, and insurance coverage issues. • Compliance and Documentation Review: Ensure billing practices comply with HIPAA, payer guidelines, and regulatory standards, regularly reviewing documentation for completeness and accuracy. Qualifications: • Proficiency in Medical Billing and Coding: Strong knowledge of CPT, ICD-10, and HCPCS codes specific to physical therapy services, along with familiarity with billing software and electronic health record (EHR) systems. • Understanding of Insurance and Reimbursement Processes: In-depth knowledge of insurance verification, claims processing, denial management, and payer-specific guidelines, including Medicare, Medicaid, and private insurers. • Strong Analytical and Problem-Solving Skills: Ability to identify billing discrepancies, analyze claim denials, and implement effective solutions to maximize revenue and reduce rejections. • Attention to Detail and Accuracy: High level of accuracy in data entry, coding, and financial transactions to ensure compliance with regulatory standards and minimize billing errors. • Effective Communication and Customer Service Skills: Strong written and verbal communication skills for interacting with insurance companies, physical therapy staff, and patients regarding billing issues and account resolutions. • Adaptability and Commitment to Continuous Learning: Ability to adapt to changes in billing regulations, payer policies, and healthcare technologies, with a proactive approach to ongoing professional development and certification (e.g., Certified Professional Biller - CPB or Certified Medical Reimbursement Specialist - CMRS). Compensation: $21 - $25 hourly

• Claims Preparation and Submission: Accurately prepare, review, and submit insurance claims (both electronic and paper) for physical therapy services, ensuring all coding and documentation meet payer requirements • Insurance Verification: Verify patients' insurance coverage, benefits, and authorization requirements before services are rendered to ensure proper billing procedures • Coding Accuracy: Apply correct CPT, ICD-10, and HCPCS codes based on physical therapy documentation to maximize reimbursement and minimize claim denials • Payment Posting: Post payments from insurance companies and patients, reconciling Explanation of Benefits (EOBs) to patient accounts accurately • Denial Management and Appeals: Identify, investigate, and resolve denied or rejected claims by communicating with insurance providers, submitting appeals when necessary, and correcting billing errors. • Patient Billing and Communication: Generate patient statements, manage outstanding balances, and communicate with patients regarding billing inquiries, payment plans, and insurance coverage issues. • Compliance and Documentation Review: Ensure billing practices comply with HIPAA, payer guidelines, and regulatory standards, regularly reviewing documentation for completeness and accuracy.