Insurance Verification Specialists

Results Physiotherapy is a manual-therapy based outpatient orthopedic physical therapy organization committed to world-class physical therapy treatments. It is our patient-centered atmosphere, team-oriented environment, and clinical excellence that has promoted our rapid growth of over 100 clinics throughout the Southeast United States.

To ensure correct processing of all insurance claims both Agilitas and franchise clinics. Able to interpret & implement specified insurance billing guidelines. Coordinates all facets for insurance billing, credits and collection of A/R. This role ensures duties are completed accurately and timely while acting as a team player for optimum office flow and excellent patient account care.

* Work minimal 55-60 accounts on a daily basis * Responsible daily for the correction of primary/secondary rejected claims, the resubmission of rejected claims in RMT and Zirmed along with resolution of all delinquent insurance claim on patient accounts, per guidelines, in order to secure payment * Review & apply the over the counter payments to patient accounts when working account if needed * Process all mail correspondence within 48 hrs * Identify and Report Payer denial, payment & recoupment trends and/or out of network problems with carriers to designated insurance specialist and Billing Manager * Research & audit accounts for insurance overpayments and/or double discount credits – Ensuring financial class is in correct payer group * Work electronic remittance advices (ERA) rejections/denial reports daily as received from posters * Utilize patient accounting system, adjunct software and other tools proficiently in order to review, retrieve and update information as needed * Document appropriate follow up notes on accounts and upkeep of any daily spreadsheets required by supervisor * Responsible for the accurate timely submissions of insurance claims and the collections of designated portion of the accounts receivable * Submit appeals to insurance as needed * Assist patient’s and clinics with insurance questions – Serve as a resource & liaison between internal advocate departments, insurance carriers and external vendors. * Performs other duties/special projects and tasks as assigned by management * Remain continuously on task for several hours while standing, sitting, moving, lifting and/or bending. * Lifting and moving in excess of 15 lbs or less

* Strong organization, multi-tasking, and customer service skills * Experience with MS Word, Excel and ability to learning new computer programs * Strong interpersonal skills that include the ability to effectively communicate verbally * Shows initiative and enjoys working as a team in a fast paced environment with strong attention to details. * Experience in insurance required, background in typing ,data entry and Zirmed System is a plus.