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Flexwave physical therapy

Medical Coder and Biller

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Based on Michigan data

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What they do

A Medical Biller handles payments and financial transactions between health care providers and patients. Manages systems for mailing bills and collecting and recording payments. Works in healthcare facilities and hospitals.

$42,590 / year median in Michigan

-8% projected decline

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Job Description

Position Summary We are seeking an inperson detail-oriented and organized Medical Biller/Coder to join our Physical Therapy practice. The Medical Biller/Coder is responsible for accurately coding patient services, submitting insurance claims (focusing on auto and workers comp claims), following up on outstanding balances, and ensuring compliance with all billing and coding regulations. The ideal candidate will have experience with physical therapy billing, workers' compensation claims, and insurance verification. Essential Duties and Responsibilities Review and accurately code physical therapy services using appropriate CPT, ICD-10, and HCPCS codes. Prepare, submit, and track insurance claims to commercial, Medicare, Medicaid, and Workers' Compensation carriers. Verify patient insurance eligibility and benefits. Review documentation to ensure coding accuracy and compliance with payer requirements. Follow up on denied, rejected, or unpaid claims and initiate appeals when necessary. Post insurance and patient payments accurately and reconcile accounts. Communicate with insurance companies regarding claim status, authorizations, and payment issues. Maintain patient billing records and ensure confidentiality in accordance with HIPAA regulations. Assist patients with billing inquiries and payment arrangements. Monitor accounts receivable and work to reduce outstanding balances. Stay current with changes in medical billing regulations, coding updates, and payer policies. Collaborate with providers and administrative staff to resolve billing and documentation issues. Qualifications High school diploma or equivalent required; Associate's degree preferred. Minimum of 1-2 years of medical billing and coding experience, preferably in a physical therapy or rehabilitation setting. Knowledge of CPT, ICD-10, HCPCS, Medicare, commercial insurance, and Workers' Compensation billing. Familiarity with electronic medical records (EMR) and practice management software. Strong attention to detail and accuracy. Excellent organizational, communication, and problem-solving skills. Ability to manage multiple tasks and meet deadlines. Certified Professional Coder (CPC) or equivalent certification preferred but not required.
Work Location:
In person