What are the responsibilities and job description for the Medical Billing Operations and Compliance Analyst position at EDGE Physical Therapy?
Job description
We are a growing Physical Therapy, Chiropractic, and Acupuncture Practice with 4 locations looking for a full or part-time biller to work out of our Headquarters location. Medical Biller must understand out-of-network billing, appeals and arbitration process in NJ and be able to manage the revenue cycle management.
Looking for candidate who is self-motivated, highly organized and detail oriented to help improve our current processes.
Responsibilities include the following:
- Ensure front and back end operations of revenue cycle are met without delay.
- Submit timely reports on coding, billing metrics to manager.
- Negotiate OON physical therapy, chiropractic, acupuncture claims. Must have experience with ZELIS, Multiplan.
- Posting of claims
- Appeal and work on all denials and rejected claims
- Complete A/R on a timely basis.
- Prepare and submit billing data and medical claims to insurance companies through our EMR
- Ensure the patient’s medical information is accurate and up to date.
- Prepare bills and invoices, and document amounts due to medical procedures and services.
- Collect and review referrals and pre-authorizations.
- Monitor and record late payments.
- Follow-up on missed payments and resolve financial discrepancies.
- Examine patient bills for accuracy and request any missing information.
- Investigate and appeal denied claims.
- Help patients through insurance navigation.
- Improve and optimize the RCM process in EMR and for the providers by educating them on best practices and creating cheat sheets/resources
- Conduct chart & coding reviews with providers
* BONUS POTENTIAL BASED on COLLECTIONS AND PERFORMANCE
Job Types: Full-time, Part-time
Pay: $16.00 - $22.00 per hour
Expected hours: 20 – 40 per week
Benefits:
- Health insurance
- Paid time off
Schedule:
- Choose your own hours
- Monday to Friday
Ability to Commute:
- Paramus, NJ 07652 (Required)
Ability to Relocate:
- Paramus, NJ 07652: Relocate before starting work (Required)
Work Location: Hybrid remote in Paramus, NJ 07652
Salary : $16 - $22
