SportsMed Physical Therapy

Title: Patient Account Representative Location: Glen Rock, NJ Full-Time / Hybrid Department: Billing Job Description: SportsMed Physical Therapy is seeking a Patient Account Representative to join our team in Glen Rock NJ. This position will begin training on site in Glen Rock, NJ and transition to Hybrid-Remote after 1-2 months Responsibilities - Respond to high volume of inbound calls to resolve billing and collection issues with patients - Ensure all billing changes, charge offs, escalations, interactions etc. are correctly documented in billing and/or HRM software in a timely manner - Properly escalate billing issues where necessary - Review new patient records in billing software and initiate billing process - Work with clinic staff to resolve patient authorization issues - Review existing claims in billing software and follow up on outstanding issues - Review outdated claims in billing software to research and resolve as necessary - Review outdated claims in billing software and prepare for collection as necessary - Follow company processes and procedures carefully - Prepare and update summary documentation as required - Other duties as assigned by management - Ability to meet deadlines and expected collection goals - Ability to work independently, and be self-motivated - Strong critical thinking and investigative skills. Qualifications - HS Diploma required, two years post-secondary education preferred - Minimum 2 years’ experience with medical billing required (1 year with 2-year college degree or greater) - Solid understanding of medical billing software and procedures preferred (Kareo, WebPT, Navinet, CMD, etc.) - Experience with HRM software such as WebPT preferred - Ability to multitask and manage time effectively with minimum supervision - Excellent written and verbal communication skills - Strong Excel skills - Outstanding problem-solving and organizational abilities - Keen attention to detail with strong analytical skills - A professional, courteous, enthusiastic, and conscientious attitude, willing to fulfill group goals and work requirements - Ability to deal positively with coworkers and supervisors, and support management decisions - Ability to function as a contributing team member while meeting deadlines and productivity standards - Bilingual-Spanish highly preferred - Both in-network and out-of-network billing experience - Bilingual Spanish What we offer - Competitive pay - Excellent career growth opportunity - Medical, Dental, Vision, Life and Disability insurance - PTO, sick time, paid holidays, 401k - Pay Range: $20.00 - $23.00 per hour $20 - $23 an hour These job responsibilities listed are not designed to cover or be a comprehensive listing of all the responsibilities of the position and required for this job. The responsibilities may change at any time with or without notice.

Title: Medical Biller & Credentialing Specialist Location: Glen Rock, NJ Department: Billing Job Description: SportsMed Physical Therapy is seeking a Medical Biller/Credentialing Specialist to join our team. This position will begin training on site full-time in either Glen Rock, NJ or Franklin Lakes, NJ and will transition to Hybrid-Remote after 2-3 months at the discretion of the billing manager. Candidates for this role must be local to the New Jersey area. This is a dual-role that combines medical billing/AR with oversight of the provider credentialing process SportsMed is one of New Jersey’s leading providers of physical rehabilitation services. We can offer you a fast paced and challenging career opportunity. If you are passionate about healthcare, motivated and want to make a difference, SportsMed is the place for you. Responsibilities Credentialing Responsibilities - Oversee the credentialing and recredentialing process for providers and ensure completion in a timely manner - Maintain provider credentialing database - Communicate with providers to collect documentation and complete necessary credentialing steps - Communicate with insurance networks to coordinate provider enrollment - Monitor credentialing timelines and keep track of necessary recredentialing steps - Stay informed of industry regulations and credentialing requirements - Must have knowledge of Pecos, NPPES, and CAQH Billing Responsibilities - Review new patient records in billing software and initiate billing process - Work with clinic staff to resolve patient authorization issues - Review existing claims in billing software and follow up on outstanding issues - Review outdated claims in billing software to research and resolve as necessary - Review outdated claims in billing software and prepare for collection as necessary - Work with insurance companies to resolve billing issues - Work with patients to resolve billing and collection issues - Ensure all billing changes, charge offs, escalations, interactions etc. are correctly documented in billing and/or HRM software in a timely manner - Properly escalate billing issues where necessary - Follow company processes and procedures carefully - Prepare and update summary documentation as required - Other duties as assigned by management Qualifications - Minimum 4 years’ experience with medical billing required and minimum 2 years' experience with provider credentialing process required - Solid understanding of medical billing software and procedures preferred (Kareo, WebPT, Navinet, CMD, etc.) - Knowledge and understanding of Pecos, NPPES, and CAQH - Ability to multitask and manage time effectively with minimum supervision - Excellent written and verbal communication skills - Strong basic Excel skills - Outstanding problem-solving and organizational abilities - Keen attention to detail with strong analytical skills - A professional, courteous, enthusiastic, and conscientious attitude, willing to fulfill group goals and work requirements - Ability to deal positively with coworkers and supervisors, and support management decisions - Ability to function as a contributing team member while meeting deadlines and productivity standards - Out-of-network and in-network billing experience Benefits - Competitive pay based on experience - Medical, Dental, Vision insurance options - Life and disability insurance options - PTO, sick time, paid holidays. 401k - Excellent career growth opportunities - Pay Rate $22.00 - $26.00 per hour $22 - $26 an hour