Key Responsibilities Review medical documentation and assign accurate CPT, ICD-10, and HCPCS codes Prepare, submit, and track electronic and paper insurance claims Monitor and follow up on outstanding claims, denials, and appeals to ensure timely reimbursement Identify and resolve billing discrepancies in collaboration with providers and internal teams Verify patient insurance eligibility and obtain authorizations when required Manage daily billing operations for assigned PT clinic accounts, ensuring accuracy and completeness Oversee claim processing workflows including rejections, denials, payment posting, and patient statements Perform quality assurance checks on billing outputs and correct errors as needed Communicate regularly with clinic clients to address concerns and maintain high satisfaction Act as a liaison between clients and internal billing teams to resolve issues efficiently Partner with onboarding teams to ensure seamless client setup and uninterrupted cash flow Analyze billing reports to identify trends, inefficiencies, and opportunities for improvement Develop and maintain internal SOPs, workflows, and training materials Train and support team members on billing best practices and client communication Stay current on industry regulations, payer requirements, and coding updates Provide feedback and recommendations to leadership and product teams for process improvements Qualifications Minimum 2+ years of medical billing experience (35 years preferred, especially in Physical Therapy) Experience working within a billing service or multi-client environment strongly preferred Proficiency in CPT, ICD-10, and HCPCS coding systems Strong understanding of insurance guidelines, reimbursement processes, and denial management Hands-on experience with EHR systems and billing software Proven ability to manage rejections, denials, and aging accounts Experience communicating directly with healthcare providers or clinic clients Strong analytical, problem-solving, and organizational skills High attention to detail with a commitment to accuracy Ability to work both independently and collaboratively in a remote environment Certified Professional Coder (CPC) or equivalent certification is a plus Education High School Diploma or equivalent required Certification in Medical Billing and Coding preferred What You Bring to the Team A proactive, solutions-oriented mindset Strong communication and client relationship skills Ability to manage multiple priorities in a fast-paced environment Commitment to delivering high-quality, accurate work A team-first attitude with a focus on continuous improvement Equal Opportunity EmployerHENO is an equal opportunity employer and welcomes applicants from all backgrounds.
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