Medical Biller / Workers Comp

SportsMed Physical Therapy is seeking a Medical Biller with workers compensation experience. Training for this position will take place on site at our Franklin Lakes location until transitioning Remote at the discretion of the Manager.

Responsibilities and Duties

• Review new patient records in billing software and initiate billing process
• Work with clinic staff to resolve patient authorization issues
• Review existing claims in billing software and follow up on outstanding issues
• Review outdated claims in billing software to research and resolve as necessary
• Work with insurance companies to resolve billing issues
• Work with patients to resolve billing and collection issues
• Ensure all billing changes, charge offs, escalations, interactions etc. are correctly documented in billing and/or HRM software in a timely manner
• Properly escalate billing issues where necessary
• Follow company processes and procedures carefully
• Prepare and update summary documentation as required
• Work closely and communicate regularly with adjusters, attorneys and employers.
• Research and investigate accounts to ensure proper claims processing and payments.

Qualifications and Skills

• Experience with medical billing and workers compensation required

• Solid understanding of medical billing software and procedures preferred (Kareo, WebPT, Navinet, CMD, etc.)
• Prior workers compensation experience required.
• Ability to obtain facts that ensure claims information is complete and accurate.
• Knowledge of NY and NJ workers compensation regulations
• Knowledge of MG-2 and C-4 authorization forms
• Strong critical thinking and investigative skills.
• Strong basic Excel skills
• Outstanding problem-solving and organizational abilities
• Keen attention to detail with strong analytical skills
• A professional, courteous, enthusiastic, and conscientious attitude, willing to fulfill group goals and work requirements
• Ability to deal positively with coworkers and supervisors, and support management decisions
• Ability to function as a contributing team member while meeting deadlines and productivity standards

Job Type: Full-time

Pay: $18.00 - $22.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Education:

• Associate (Preferred)

Experience:

• Workers Compensation: 1 year (Required)

Work Location:

• One location

Company's website:

• https://spineandsportsmed.com

Work Remotely:

• Yes

COVID-19 Precaution(s):

• Personal protective equipment provided or required
• Temperature screenings
• Social distancing guidelines in place
• Sanitizing, disinfecting, or cleaning procedures in place