Athletico Physical Therapy- Westmont, IL

Mission Statement and Core Values

Athletico’s sole purpose is to provide exceptional, progressive, and cost-effective fitness, performance and rehabilitative services through personalized care that emphasizes education and prevention of future injury.

This is accomplished through building on our core values of patient/client satisfaction, accountability, teamwork and continuous improvement which are the foundation for our unique culture.

Position Summary

The position provides billing/collection support to all departments within the Billing Center.

The role accurately and timely contributes to the execution of all Billing processes.

This position communicates with internal departments, patients and external vendors in order to accomplish optimum outcomes.

Essential Duties and Responsibilities

Provide customer service both internally and externally

Capture accurate clinician demographic and clinic information in a timely manner

Retrieve, match and submit appropriate clinical documents in order to achieve optimum collections

Troubleshoot unmet protocols in order to capture all Industrial Rehabilitation (IR) and Auto charges daily

Update applicable databases and websites

Communicate with clinicians, patients and external customers in order to comply with billing, credentialing, government and refunding protocols

Research overpaid account activity in order to problem solve and execute

Refile claims when inappropriate payment and denials are received

Collect, sort and log daily batches on spreadsheets
Research quality assurance reports in order to prevent delinquencies

Submit legal documents to legal counsel and third party administrators timely

Audit accounts in order to resolve line item credits and incorrect adjustments on a daily basis

Ensure accounts are balanced properly

Refile correct insurance which entails backing out
previous contractual, posting and filing correct insurance for each date of service

Process coordination of benefits recalculations

Open and close batching in order to clear up deductibles, reverse write offs, and clear balances to patients

Maintain Billing spreadsheets

Audit, correct and communicate clinician billing errors

Analyze and audit the appropriateness of adjustments taken by Cash Posters and Account Receivable
Representatives daily

Audit the integrity of manual payment posting and electronic payment posting daily
Communicate account inconsistencies to the Cash
Application Managers and Account Receivable (AR) Managers

Troubleshoot co-pay posting errors at the request of the Account Receivable Representative or clinics

Provide internal customer service to company clinics and Billing Center staff

Troubleshoot and correct inaccurate patient demographic data

Update referring physician and insurance company databases

Verify charges in order to ensure accuracy of billed units and capture billed charges

Ensure timely processing of denials and patient balance through processing zero payment Explanation of Benefits (EOB) in the billing system

Retrieve and attach primary EOB from billing system and submit to secondary carrier in order to achieve optimum collections

Rebill secondary claims

Perform account maintenance on defined fields in billing system

Administer and resubmit industrial rehabilitation

Electronic Remittance Advice (ERA) denials received via third party database

Match and mail hard copy claims and notes to insurance companies

Perform quality checks on timeliness of waivers of liability via report

Monitor the clinic compliance of pre authorization guidelines

Ensure clinics handle required billing documentation

Scan documents into document management system

Additional Duties and Responsibilities

Attend department , Billing and Collection staff meetings

Perform other duties as required

Job Requirements/Specifications

Education and Experience: The requirements listed below are representative of the knowledge, skill, and/or ability required.

High school diploma required

Associate’s degree or equivalent work experience is preferred

Knowledge of Microsoft Office, including proficiency with
Excel, MS Word and Outlook

Prior experience in data entry preferred

Knowledge of healthcare billing systems preferred

Essential Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactory.

The requirements listed below are representative of the knowledge, skill, and/or ability required.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Demonstrated ability to work effectively with both internal and external customers

Demonstrated ability to make a clear agreement to get something done and take responsibility to achieve that commitment

Demonstrated ability to develop personally and professionally

Demonstrated ability to anticipates the needs of coworkers and proactively assists them to meet a common goal

Demonstrated ability to analyze account activity in order to accurately refund patients and vendors for overpayments made

Demonstrate the ability to actively work reports in order to prevent a delay in claims and statement processing

Proven ability to clearly organize and effectively convey information

Proven skill to work independently in a fast-paced environment

Proven ability to be detail-oriented and ability to look for potential challenges while executing daily processes

Demonstrated ability to understand and determine priorities, effectively manage time and develop work plans in order to accomplish tasks and/or projects

Language Skills

Ability to read, write and speak English proficiently

Physical Demands:
The physical demands describe here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.

Specific vision requirements include the ability to see at close range, distance vision, peripheral vision, depth perception, and the ability to adjust focus

While performing the duties of this job, the employee is regularly required to talk and hear

Possess the ability to fulfill any office activities normally expected in an office setting, to include, but not limited to: remaining seated for periods of time to perform computer based work, participating in filing activity, lifting and carrying office supplies (paper reams, mail, etc.)

Frequently required to stand, walk, sit, use hands to feel, and reach with hand and arms

Occasionally lift and/or move up to 20-25 pounds

Fine hand manipulation (keyboarding)

Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Internal office
The noise level in the work environment is usually low

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