Role Description

The Accounts Receivable Specialist supports PT Solutions by playing a key role in the revenue cycle process, by collecting debts from patients or insurance companies.

• Work aged receivables utilizing A/R reports
• Review and assess adjudicated claims for timely and proper payment of outstanding balances
• Research, correct, and resubmit or reprocess unpaid claims as necessary
• Verify validity of account balance by researching, reviewing and ensuring accuracy of payment and adjustment posting
• Identify liability with guarantor and transfer balances timely and appropriately
• Review and interpret Explanation of Benefits (EOB) for denials and underpayment of codes
• Research and resolve denials and underpayments with insurance carriers
• Submit carrier appeals and reconsideration requests in a timely manner
• Process insurance refund requests as necessary and according to policy and procedure
• Meet productivity goals/benchmarks as set and communicated by Billing Manager
• Serve as primary customer service representative for payer inquiries/calls and secondary for patient inquiries/calls
• Maintain confidentiality of patient information
• Work collaboratively with other Coding, Billing, Front desk and departments as needed

Qualifications

• Ability to type 60 words per minute preferred
• Great customer service skills
• Strong interpersonal, oral (includes telephone skills) and written communication skills
• Good organizational skills and an ability to prioritize to meet deadlines
• Complete understanding of medical reimbursement and terminology
• Working knowledge of all standard office equipment

Requirements

• Compensation: $18-23 per hour (Any posted pay range considers a wide range of compensation factors, including candidate background, experience, and work location, while also allowing for salary growth within the position)

Benefits

• Industry-leading professional development opportunities
• Ongoing evidence-based clinical education
• Dedicated mentorship opportunities
• APTA-accredited Orthopaedic Residency Program

Company Description

At PT Solutions, we’re more than colleagues; we’re a tight-knit community united in our mission to expand access to quality care. As we aim to be the go-to rehabilitation provider, we seek committed professionals eager to join us in that mission. A career with PT Solutions is an opportunity to shape the industry and make a lasting impact.

Let’s go further together and transform care. Join the #PTSLife today!

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