Insurance Billing/Collections Assistant II (Pre-Arrival Team/Remote) - Program in Physical Therapy

Scheduled Hours

40

Position Summary

This position works to complete insurance verification, examination and tracking of insurance authorizations, and validation of referral record accuracy. Enters demographic and insurance/referral information into necessary portions of the patient medical record. Performs varied professional services to ensure therapy services are reviewed and completed in an efficient manner. Ensures maximum reimbursement with all payers by securing necessary authorizations, completes insurance verifications, and updates Epic EMR database. Performs specialized duties with minimal supervision. Copying and faxing medical records as required.

Job Description

Primary Duties & Responsibilities

• Contacts necessary insurance companies for benefit verification and pre-certification of therapy procedures; notifies coding staff for missing, or inaccurate coded services. 
• Works with referring physician offices to provide updated orders.
• Verifies ICD-10 diagnosis application with review of Epic database for follow-up visits. 
• Collects data for internal/external requests.
• Stays abreast of coding changes. 
• Attends applicable meetings and report results.
• Obtains insurance information from patients and reviews medical record for accuracy. 
• Supplies all documentation required during pre-certification process to insurance companies.
• Maintains open communication with providers and referring physicians.
• Maintains written log of all pre-certifications in process. 
• Documents and notifies necessary parties of pre-certification when received. 
• Reviews, follow-ups, and reconciliation of pre-arrival, patient, and financial work queues as transpired.
• Provides support to patient/office and pre-arrival processes when required.
• Performs other duties as assigned.

Preferred Qualifications

• Working knowledge of clinical practice. Coding and insurance experience. Experience interacting with managed care plans, insurance companies, and third party payers. Experience in ICD-10 and CPT codes. Knowledge of medical terminology.
• Ability to work independently with strong attention to detail. 
• Possess good organizational and critical thinking skills with the ability to solve simple and complex problems and handle stressful situations. 
• Ability to prioritize multiple tasks, handle busy phones, and be capable of working in a fast-paced environment.  
• Excellent and professional verbal, written, and interpersonal communication skills with the ability to work well with all personnel. 
• Proficient computer skills to include working knowledge of Microsoft Office Suite, Internet, Epic HER, and E-mail. 
• Ability to handle patient medical record, billing information, and all confidential matters and information discretely.

Required Qualifications

• High school diploma or equivalent high school certification.
• Two to three years of related experience in bookkeeping/accounting and/or medical collection setting.

Grade

C06-H

Salary Range

$17.34 - $25.40 / Hourly

The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates …