Medical Billing Specialist

As a Medical Billing Specialist youll play a key role in ensuring the financial health of our practice by managing the billing and reimbursement process from claim submission through payment resolution. The ideal candidate is detail-oriented organized and committed to providing excellent service to both patients and insurance partners.

• Submit accurate and timely insurance claims for physical therapy services.
• Review and resolve claim edits denials rejections and unpaid balances.
• Follow up with insurance carriers to ensure prompt reimbursement and appeal denied claims when appropriate.
• Verify insurance eligibility benefits and authorization requirements.
• Post insurance and patient payments accurately and reconcile payment discrepancies.
• Process patient account adjustments refunds and payment arrangements as needed.
• Research and resolve billing inquiries from patients providers and insurance companies.
• Maintain accurate patient account documentation within the practice management system.
• Monitor accounts receivable aging and proactively work outstanding balances.
• Ensure compliance with payer guidelines HIPAA regulations and billing best practices.
• Collaborate with front office staff and clinical teams to improve billing accuracy and reimbursement efficiency.
• Stay current on insurance regulations payer policies and medical billing and coding requirements to ensure compliance.

Qualifications :

• High school diploma or equivalent required; Associates degree preferred.
• 1-2 years of medical billing accounts receivable or healthcare revenue cycle experience preferred.
• Experience working with commercial insurance Medicare Medicaid and workers compensation claims.
• Knowledge of CPT ICD-10 medical terminology and insurance reimbursement processes.
• Experience with insurance verification claim submission payment posting and denial management.
• Strong attention to detail and ability to work independently
• Excellent communication and customer service skills
• Proficiency with Microsoft Office and medical billing software (Waystar Japari or similar systems preferred).

Additional Information :

The ideal candidate is someone who:

• Enjoys solving problems and investigating complex billing issues.
• Takes pride in accuracy and attention to detail.
• Communicates professionally and compassionately with patients and insurance representatives.
• Is self-motivated and able to manage priorities independently.
• Thrives in a collaborative team environment.
• Is committed to continuous learning and process improvement.

If youre looking for a career where your work truly makes a difference in peoples lives every day wed love to hear from you. Join LOPT and become part of a team dedicated to helping our patients move better feel better and live better.

Remote Work :

No

Employment Type :

Full-time