- Review clinical documentation and accurately code outpatient physical therapy services using ICD-10 standards.
- Submit clean claims promptly and monitor outstanding claims to ensure timely reimbursement.
- Verify patient insurance eligibility, benefits, and prior authorization requirements before services.
- Manage the full denial, appeal, and correction process to resolve reimbursement discrepancies.
- Communicate professionally with patients, insurance carriers, and clinical staff regarding billing and account status.
- Serve as a team lead to prioritize billing workloads, support team accountability, and optimize revenue cycle workflows.
- Provide secondary office management support and assist with operational problem-solving.
EHR