At M3 Physical Therapy our patients’ whole body health is our whole purpose. This is why we exist as a company.
At M3 Physical Therapy our patients are our number #1 priority, truly, and we strive to continuously provide a caring environment and plans that are individualized to each patient's needs. We collaborate and communicate with a supportive group of referring physicians to get the best outcomes for our mutual patients. Our highly skilled team consists of PTs, PT aids, and front office staff who are all passionate about helping people achieve their goal of feeling and moving better.
We adhere to our Core Values and expect everyone’s actions to reflect them:
- Work as a team - make each other's lives easier
- Embrace change to achieve a better....
- Be honest and transparent
- Make everyone you interact with feel significant
- Deliver your best in every situation
- Strive for a healthy body and a peaceful Mind
Provide the Owner and the Director of Operations with monthly updates on:
· Fee schedule/covered services changes from payors/regulators
· Internal and/or external changes in verification, processing and collection procedures
· Routine and special assignment status
· Contractual & billing guideline adjustments statistics
· Collection statistics
· Roadblock summary
ESSENTIAL JOB FUNCTION:
· Establish payor source--initiate within 1 working day of referral
· Verify insurance eligibility & benefits or self pay status
· Secure authorizations as required
· Confirm completion of financial authorization/consent
· Make or relate payor confirmation for entry in the Referral Log
· Advise Patient Care Coordinator (PCC) of payor status for appointment confirmation
· Establish and maintain accurate payor files on all patients
· Process charges and payments to patients accounts—daily
· Verify daily totals
· Cross check charge slips with patient visits
· Cross check payments received with payments posted
· Assist with or complete deposit slip—daily
· Verify checks received with amount posted on deposit slip
· Verify cash received (cash & cash receipt slip) with amount posted
· Verify total payments posted with deposit slip total
· Process Claims and/or statements – biweekly
· Compile accounts to be processed
· Identify outstanding/required documentation
· Initiate request for documentation (chart records) duplication by aides
· Process claims
· Hard copy
· On Line
· Coordinate hard copy claims and documentation mailing
· Verify receipt of on-line claims—next working day (24 hours)
· Reprocess on-line claims per directives
· Process and mail patient or other payor payment due statements
· Audit and Reconcile Third Party Payments – weekly
· Review all payment documents (Remittance Advices(RA) and/or Explanation of Benefits (EOB)
· Cross reference claim total and payment received
· Make contractual or collection guidelines adjustments
· Pursue and document each step of the payment/claim reconciliation process per collection guidelines
· Re-file claims or statements as indicated
· Refer delinquent accounts to Director of Operations – monthly
· Develop and maintain monitoring or flagging procedures—as indicated
· In-Service staff regarding screens, edits, etc.
· Example: reporting codes, billing changes, etc
· Create alert systems for management of special procedures or edited CPT codes
· Review and flag contractual changes or non compliance
· Revise fee schedules and update clinicians and PCC
· Review task messages and complete them as necessary
· i.e. calling insurances or patients for denied DOS
· Assist the PCC’s with routine tasks—as indicated by work load
· Answering phones and helping patients or taking an message for the correct person they are trying to reach
· Scheduling Patients – follow ups and evals
· Collecting in clinic or phone payments
· Communicate with billing company on any patient related issues or claims not processed – weekly or as needed
· Use revflow to communicate with billing company and locate patient claims / payment summary / amount owes
· Comply with the Facility’s Comprehensive Compliance Plan (CCP) which includes but is not limited to: Business & Clinical Operations, Environmental Health & Safety, HIPAA, Human Resources and Code of Conduct as well as all facility policies and procedures and educational requirements associated the CCP
· Comply with all local, state and federal regulations training and instruction requirements as well as any other standards that govern healthcare services provision
· Perform other duties as requested per competency confirmation
POSITION REQUIREMENTS:
· Attention to detail--mathematical and data processing
· Data processing proficiency—Billing & practice management systems and Excel
· Communication skills—written, verbal and general interactive
· Organizational skills—priority setting, file maintenance & report generation
EDUCATION:
· High school or equivalent skills & aptitude; prefer business school graduate
· Basic computer courses or equivalent preparation
EXPERIENCE:
· Medical A/R management
· Insurance industry claims processing/management
· Training will be provided on all new tasks unfamiliar with
If you’re liking this position so far, we’ve got a few questions for you on our pre-interview questionnaire. Please fill out this form: https://forms.gle/vJVngQ9vDBNrGgx69
Make sure to send us your resume after completing the questionnaire. Please address it to Amanda at Careers@ m3pt.com (REMOVE SPACE AFTER @)--- In the subject line please enter your last name, first name – job title Opening.
We’d appreciate you including the date you submitted your questionnaire and a good time to call you in your email, as the next step in our process is a 5-10 minute phone call where we get to know you a little more. And we’d like to know when it works for you.
Thank you!
We look forward to getting to know more about you.
Job Type: Part-time
Pay: From $18.00 per hour
Experience:
- ICD-10: 1 year (Required)
- CPT Coding: 1 year (Required)
- Medical Billing: 1 year (Required)
Work Location: In person
