Job Description

Company Description

Welcome to PhysioFit Rehab & Balance Center, LLC, a outpatient physical therapy practice located in Richmond, TX. We provide orthopedic and neuromuscular rehabilitation services, addressing acute and chronic pain, balance and gait training, pre- and post-surgical rehabilitation, CVA/stroke, sport injury and prevention, and vertigo.

Role Description

This is a full-time on-site role for a Medical Receptionist at PhysioFit Rehab & Balance Center. The Medical Receptionist will be responsible for appointment scheduling, phone etiquette, receptionist duties, and maintaining a smooth flow of operations at the front desk.

Administrative tasks:

One of the primary responsibilities of a physical therapy medical receptionist is to manage administrative tasks such as scheduling appointments, verifying insurance coverage, and maintaining patient records. By efficiently handling these tasks, client care specialists ensure that patients receive timely and appropriate care. For example, a client care specialist may schedule follow-up appointments for a patient after their initial evaluation, ensuring continuity of care and progress in their rehabilitation.

Patient communication:

Serve as the main point of contact for patients, addressing their inquiries, providing information about treatment plans, and offering support throughout the rehabilitation process. Effective communication is essential in building trust and rapport with patients, which can positively impact their overall experience and outcomes.

Verification and Authorization:

• Verifying patient insurance coverage and obtaining any necessary authorizations for physical therapy services.

Documentation Review:

• Ensuring all documentation related to patient care (such as treatment plans, progress notes, and diagnostic test results) supports the services billed.

Communication:

• Interacting with healthcare providers, patients, and insurance companies to clarify billing information, resolve billing disputes, and answer inquiries related to claims.

Data Entry and Management:

• Accurately entering patient and billing information into electronic health records (EHR) or billing software systems.

Claims Follow-Up:

• Following up on unpaid or rejected claims to identify reasons for non-payment and taking necessary actions to ensure claims are processed correctly.

Qualifications

Education and Training:

• High School Diploma or Equivalent: Often the minimum requirement.
• Certification: While not always mandatory, certification from accredited programs such as Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) can enhance job prospects.

Knowledge and Skills:

• Medical Terminology: Understanding medical terms, procedures, and anatomy is crucial for accurate coding and billing.
• ICD-10 and CPT Coding: Proficiency in assigning appropriate codes according to the International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) manuals.
• Healthcare Regulations: Knowledge of HIPAA regulations, insurance guidelines (e.g., Medicare, Medicaid), and reimbursement policies.
• Electronic Health Records (EHR): Familiarity with electronic systems for medical records and billing.
• Attention to Detail: Precision in coding and billing processes to ensure accuracy and compliance.
• Analytical Skills: Ability to interpret medical records, diagnoses, and procedures to apply correct codes.
• Communication Skills: Clear communication with healthcare providers, patients, and insurance companies regarding billing inquiries and claims.
• Problem-Solving: Ability to resolve billing discrepancies and denials efficiently.

Experience:

• Practical Experience: Previous experience in medical billing and coding, ideally in a healthcare setting or through internships.
• Software Proficiency: Familiarity with billing software and EHR systems used in medical practices.

Certification:

• While certification is not always mandatory, it is highly valued by employers and can demonstrate proficiency and commitment to the field. Certifications like CPC (Certified Professional Coder), CCS (Certified Coding Specialist), or others offered by AAPC (American Academy of Professional Coders) and AHIMA (American Health Information Management Association) are widely recognized.

Continuing Education:

• Given the evolving nature of healthcare regulations and coding standards, staying current with industry updates through continuing education and professional development is important.

Ethics and Professionalism:

• Upholding ethical standards in handling confidential patient information and maintaining professionalism in all interactions with patients and colleagues

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