Medical Biller

Central Physical Therapy & Rehabilitation; Reading (Berks County); On-site; USD 25,000 - 39,000; Part time

Job summary

Central Physical Therapy & Rehabilitation in Reading, PA is hiring a part-time Medical Biller to work in-person for about 30 hours weekly. The role focuses on accurate HIPAA-compliant billing, claims submission, and payer communications.

Strong computer skills including Excel and Word are desired; Spanish-speaking candidates are preferred. Responsibilities include verifying insurance, ensuring correct CPT and ICD-10 coding, and coordinating with therapists to submit authorizations and appeals.

Qualifications

• Detail-oriented, independent, and organized.
• Familiar with medical terminology, health insurance, EMR, CPT and ICD-10 codes.
• In-person, 30 hours per week.
• Spanish-speaking preferred.

Responsibilities

• Maintain a clean and organized workspace.
• Manage the billing process as part of a team.
• Communicate with payers, patients, and staff by phone and email.
• Verify insurance eligibility and benefits.
• Verify patient information for accurate billing.
• Ensure correct CPT and ICD-10 codes are used.
• Consult with therapists on diagnosis and procedure codes for authorization or appeals.
• Prepare and submit electronic and paper claims and correct errors.
• File secondary claims in a timely manner.
• Track payments, denials, and rejections; follow up with insurers.
• Call insurers regarding payment discrepancies.
• Follow up on unpaid claims.
• Inform staff about coverage, appeals, status.
• Review auto-posted activity and manually enter payments.
• Prepare invoices for outstanding balances.

Skills

Medical terminology

Health insurance

EMR

CPT codes

ICD-10 codes

Spanish

Tools

Excel

Word

Job description

Job Description

We are looking to fill the position for a Medical Biller in our clinic to work between 30 hours weekly, to fill ASAP. The position is in-person only. The ideal candidate will be detail-oriented, independent, and organized. Adhere to all practice policies related to HIPAA and Medicare Compliance. Additionally, collaborate and communicate efficiently with our staff and patients. Prior knowledge in medical terminology, health insurance, electronic medical records, CPT, and ICD-10 codes is recommended. Should possess strong computer skills, for example: excel, word, and similar programs. Spanish-speaking preferred.

Responsibilities:

• Maintain a clean and organized work space.
• Work as part of a team to manage the billing process.
• Communicate respectfully with healthcare payers, patients, and staff via phone and email.
• Verify patient’s insurance eligibility and benefits (status, co-pay, co-insurance, and authorization).
• Verify patient’s information to ensure accurate and timely billing.
• Ensure appropriate CPT and ICD-10 codes are used for billing.
• Confer with physical therapists on diagnosis and procedure codes to submit authorization or appeal requests. Keep track and follow-up with request status.
• Prepare and submit appropriate electronic and paper claims, correct any errors on claims and re-transmit.
• File secondary claims as necessary, in a timely manner.
• Keep records, file, and track payment status, claim rejections, and claim denials. Follow-up with insurance companies when necessary.
• Call insurance companies regarding any discrepancies in payments as needed.
• Conduct timely follow ups/calls on unpaid claims.
• Inform staff about insurance coverage, appeals, authorization, and claim status.
• Review and adjust auto-posted activity to ensure accuracy. Manually enter certain payments.
• Prepare invoices for outstanding balances owed by patients or other parties.

Company Description

We are a family-owned business focusing on our clients to insure stronger customer connections. We are a Physical Therapy and Rehabilitation center serving Berks County, PA since 2019. We successfully treat a wide range of diagnoses, from pediatrics to geriatrics. Our patients experience very dramatic improvements, and our practice has grown through word of mouth and patient referrals.