Business Services Officer jobs in Edmond, OK

Privately owned, fast paced Physical Therapy Billing Company is seeking a dynamic team player with critical thinking skills for Account Control Officer (ACO) position. Outpatient Physical Therapy Billing and Insurance KNOWLEDGE AND EXPERIENCE REQUIRED! MUST have an outgoing personality mixed with professionalism and organization. This position is a Work from Home environment, available to all 50 states in the United States.

ACO is responsible for monitoring the client’s patient accounts, including, but not limited to: insurance follow up, working denials, writing appeals, working the aging, billing and collecting from patients. Submits monthly reports to Clinic Owners and identifies trends for them to discuss at monthly meetings. We are seeking an individual who is personable and naturally friendly, bright and inquisitive and an excellent communicator.

PLEASE DO NOT APPLY IF YOU ARE NOT WILLING TO COMPLETE THE PRE-INTERVIEW QUESTIONS.

This is a remote telecommute work from home position.

• Salary range: $16-$18/hour depending on experience

Requirements:

• Strong A/R follow up required

• Follow-up with claims requiring additional payment request or denials

• 3 years of experience in outpatient PT billing with a strong focus on insurance and patient follow up

• Strong Critical Thinking Skills

• Experience in the following EMR systems: WEBPT, Prompt, A2C Clinic Controller, TheraOffice

• Must be willing to work closely as a team leader as part of a multi person team

• MUST have a quiet HIPAA compliant work environment to handle PHI

Experience working with Medicare and various commercial insurance carriers (Aetna, CareFirst BCBS, CIGNA etc.) and must know the differences between plans (ex., HMO versus PPO).

• Working knowledge of CPT and ICD-10 coding from a reimbursement perspective
• Initiates collection procedures as necessary
• Maintains accurate financial files, records, and systems refund requests for insurance and patient over-payments
• Completes accurate data entry in the billing process
• Monitors documentation to assure proper pay and billing relationship
• Acts as a resource on reimbursement policy and procedure for the agency
• Determines appropriate payer, tracks authorizations, monitors claims and reconcile totals posted to batched amounts
• Contacts insurance carriers when explanation of benefits lacks information necessary for posting
• Completes accurate bills according to payer specification
• Cooperates with routine audits and required inspections
• Responsible for filing and maintaining confidentiality of sensitive information concerning patients, physicians, employees, clients, vendors, and the company
• Complies with all State, Federal, professional regulations as well as department rules, policies, and procedural manuals.
• Perform other duties as assigned
• Proficient computer and typing skills and software knowledge
• Demonstrated excellent customer service skills with formal training
• Must be reliable and responsible to work independently with minimum supervision. Looking for superior organizational skills and good communication in order to work proficiently with co-workers and clients.

COVID-19 Precaution(s):

• Remote interview process

Job Type: Full-time

Salary: $16.00 - $18.00 per hour

Benefits:

• Dental insurance

• Health insurance

• Paid time off- vacation

• Vision insurance

• Work from home

• Simple IRA Matching program

• Paid holidays off

Schedule:

• Monday to Friday

Experience:

• A/R Follow up: 1 year (Required)

• Outpatient Physical Therapy Billing: 3 years (Required)