Billing Specialist
Performance Optimal Health
Performance Optimal Health Billing Specialist
Since 2002, Performance Optimal Health has redefined what outpatient care looks like-bridging clinical expertise with a whole-person, proactive approach to health. Grounded in our signature Four Pillars: Exercise, Nutrition, Recovery, and Stress Management. At Performance, we take a holistic approach to health and recovery, empowering clients to live better lives. Each client undergoes a personalized Optimal Health Assessment, allowing us to tailor their care plan using a variety of our services. These services are built around the Four Pillars of Optimal Health: exercise, nutrition, recovery, and stress management. Our highly trained professionals across all four pillars make each client's journey their top priority.
Join a technology-advanced Physical Therapy and Wellness organization where you can be a part of a billing team using innovative tools to streamline processes, improve accuracy, and support exceptional patient care. This role offers the opportunity to enhance revenue cycle performance within a modern, collaborative, and growth-focused environment.
What You'll Do
- Review and process patient claims and invoices accurately and in a timely manner.
- Verify insurance eligibility and benefits; obtain and track authorizations/pre-certifications as required by payers.
- Resolve billing issues, denials, and underpayments by following up with insurance companies, patients, and internal staff.
- Prepare and send appeals when claims are denied or underpaid.
- Maintain complete and accurate patient records, including demographic, insurance, and authorization information.
- Post payments and adjustments; monitor accounts receivable and ensure balances are collected efficiently.
- Communicate coverage details, patient responsibilities, and financial agreements clearly with patients.
- Protect patient confidentiality and comply with HIPAA regulations.
- Collaborate with the billing, clinical, and front desk teams to ensure seamless revenue cycle operations.
- Attend training sessions, webinars, and team meetings as required.
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