Medical Billing & Revenue Cycle Specialist-Physical Therapy Advanced Physical Therapy Fresno, CA Job Details Part-time $23
- $28 an hour 6 hours ago Benefits Flexible schedule Qualifications Appeals Medicare Accounts receivable management Medical Coding Certification Medical billing compliance checks Research Mid-level Overseeing health insurance pre-authorization Workers' compensation insurance knowledge
ICD-10 HCPCS
Medical billing and coding communication with insurance companies Medical denial root cause analysis (RCA) Medical insurance appeals management Organizational skills Medical explanation of benefits reviews Medical claims submission Medical billing account reconciliation Insurance claims appeal handling Medical terminology Communication skills Medical claim status updates Under 1 year Full Job Description Medical Billing & Revenue Cycle Specialist
- Physical Therapy Advanced Physical Therapy
- Fresno, California Part-Time | Approximately 20-25 Hours per Week $23
- 28 per hour, depending on experience Advanced Physical Therapy is a locally owned outpatient physical therapy practice seeking an experienced Medical Billing & Revenue Cycle Specialist to manage day-to-day insurance billing and accounts receivable functions.
We are looking for someone who understands the complete revenue cycle and takes ownership of claims from submission through payment. This includes reviewing claims for accuracy, submitting claims, posting payments, monitoring accounts receivable, resolving denials, and coordinating with front-office staff regarding authorizations and payer requirements. This is not primarily a medical coding position. The successful candidate will be someone who is organized, detail-oriented, able to learn payer-specific requirements quickly, and proactive about identifying problems before they result in lost or delayed reimbursement. Responsibilities Prepare, review, and submit insurance claims accurately and timely. Review claims before submission for billing, demographic, payer, authorization, modifier, and other potential errors. Manage electronic and paper claim submission workflows as required. Post insurance payments, EOBs/ERAs, adjustments, and patient responsibility accurately. Monitor accounts receivable and proactively follow up on unpaid, rejected, delayed, or denied claims. Research denials, communicate with insurance carriers, correct billing issues, and resubmit or appeal claims when appropriate. Track payer-specific billing requirements and changes affecting reimbursement. Coordinate with front-office staff regarding eligibility, authorizations, visit limits, authorization dates, and other requirements affecting claim payment. Monitor authorization requirements and communicate with front-office staff before authorization issues become billing problems. Ensure newly received authorizations and extensions are appropriately reflected in the billing workflow. Work with Medicare, Medicare Advantage, commercial insurance, workers' compensation, and other contracted payers. Monitor A/R aging and prioritize accounts requiring follow-up. Identify recurring denial or reimbursement patterns and communicate systemic issues to management. Maintain clear documentation of payer contacts, claim corrections, appeals, and follow-up activity. Assist with reconciliation and other revenue-cycle responsibilities as needed. Qualifications Prior medical billing experience required. Outpatient physical therapy, rehabilitation, or similar specialty billing experience strongly preferred, but not required. Experience with Medicare, Medicare Advantage, and commercial insurance billing preferred. Experience managing denials, rejected claims, corrections, appeals, and A/R follow-up. Experience posting insurance payments and interpreting EOBs/ERAs. Experience working with insurance authorizations, visit limits, or authorization-driven services preferred. Working knowledge of CPT, ICD-10, HCPCS, modifiers, and medical terminology sufficient to identify potential billing problems. Comfortable learning practice-management and EMR systems. Strong attention to detail and organizational skills. Ability to manage priorities independently and follow outstanding claims through resolution. Strong written and verbal communication skills. Ability to communicate effectively with clinical and front-office staff. Reliable and able to maintain patient confidentiality. Billing or coding certification is welcome but not required . Demonstrated experience successfully managing medical billing and accounts receivable is more important to us than certification alone. What Success Looks Like The right person does not need to know every payer rule on the first day. We are looking for someone who can learn payer-specific requirements quickly, incorporate those requirements into a reliable workflow, and recognize when something does not look right. This position requires forward thinking. If an authorization is approaching its visit or date limit, a claim is aging unexpectedly, or a payer begins denying claims for a recurring reason, we expect our billing specialist to recognize the issue, investigate it, communicate with the appropriate staff, and help resolve it rather than simply allowing the account to remain outstanding. Position Structure This is initially a part-time position of approximately 20-25 hours per week , with the potential for additional hours as practice volume grows. The successful candidate will receive training regarding Advanced Physical Therapy's specific systems, workflows, and payer requirements and will progressively assume responsibility for the routine billing cycle.
Pay:
$23
- 28 per hour, depending on relevant experience
Schedule:
Part-time, approximately 20-25 hours per week
Work Location:
Fresno, California pany
Overview Pay:
$23.00
- $28.00 per hour Expected hours: 20.0
- 25.
0 per week
Benefits:
Flexible schedule
Work Location:
In person
