Benefits:- Paid time off
- Competitive salary
- Health insurance
Benefits/Perks
- Competitive Compensation
- Paid Time Off
- Career Growth Opportunities
- Supportive Team Environment
- Ongoing Professional Development
Job Summary
Concept Therapy is seeking a highly organized and detail-oriented
Billing Coordinator to join our growing therapy practice. The ideal candidate will have a minimum of
two (2) years of administrative and/or medical billing experience within a rehabilitation therapy, outpatient therapy, home health, or healthcare practice setting.
This position plays a critical role in managing the revenue cycle process from insurance verification and authorization through claim submission and payment posting. The Billing Coordinator will ensure accurate billing practices, maintain compliance with payer requirements, monitor insurance certifications and authorizations, track patient financial responsibilities, and support timely reimbursement for therapy services.
The successful candidate will possess excellent communication skills, strong analytical abilities, and a proven track record of managing insurance certifications, claims processing, denial resolution, patient co-pay tracking, and payer follow-up.
Essential Responsibilities
Insurance & Authorization Management
- Verify patient insurance benefits and eligibility prior to the initiation of services.
- Obtain, manage, and track insurance authorizations, certifications, and treatment approvals.
- Monitor authorization utilization and notify clinical teams of upcoming expirations or limitations.
- Maintain accurate records of insurance requirements and payer-specific guidelines.
Billing & Claims Processing
- Prepare, review, and submit clean claims for therapy services in a timely manner.
- Monitor claim status and resolve billing edits, rejections, and denials.
- Investigate and appeal denied or underpaid claims as appropriate.
- Ensure accurate coding and billing practices in accordance with payer requirements and company policies.
- Follow up with insurance carriers on outstanding claims and reimbursement delays.
Patient Account Management
- Calculate, collect, and track patient co-pays, deductibles, co-insurance, and outstanding balances.
- Maintain accurate patient account records and payment histories.
- Communicate professionally with patients regarding billing inquiries and account concerns.
- Process patient payments and assist with payment arrangements when applicable.
Revenue Cycle Support
- Post insurance and patient payments accurately and timely.
- Reconcile billing records and identify discrepancies.
- Generate aging reports and assist with accounts receivable management.
- Track key billing metrics and support management reporting.
- Work collaboratively with therapists, intake staff, and office personnel to ensure accurate documentation supporting claims.
Administrative Responsibilities
- Maintain organized electronic and paper files.
- Answer incoming calls related to billing inquiries and direct calls appropriately.
- Assist with correspondence, reports, and documentation requests.
- Support office operations and special projects as assigned.
- Maintain confidentiality and compliance with HIPAA regulations.
Qualifications
Required
- High School Diploma or GED.
- Minimum of 2 years of billing, revenue cycle, medical office, or administrative experience within a therapy practice, rehabilitation setting, outpatient clinic, home health agency, or similar healthcare environment.
- Demonstrated experience managing insurance certifications, authorizations, and claim submission processes.
- Experience tracking patient co-pays, deductibles, and insurance payments.
- Knowledge of commercial insurance, Medicare, Medicaid, and managed care billing practices.
- Strong understanding of medical billing workflows and accounts receivable management.
- Proficiency in Microsoft Office Suite, including Outlook, Word, and Excel.
- Excellent organizational, time management, and problem-solving skills.
- Strong written and verbal communication abilities.
- Ability to handle multiple priorities while maintaining accuracy and attention to detail.
Preferred
- Associate degree in Healthcare Administration, Business Administration, Accounting, or related field.
- Experience with therapy EMR systems and billing software.
- Knowledge of rehabilitation therapy billing regulations and payer requirements.
- Certified Medical Billing credential or related certification.
Key Competencies
- Attention to Detail
- Insurance Verification & Authorization Management
- Claims Submission & Follow-Up
- Accounts Receivable Management
- Customer Service Excellence
- Problem Solving
- Time Management
- Professional Communication
- Revenue Cycle Management
- HIPAA Compliance
Concept Therapy is an equal opportunity employer and is committed to fostering a positive, inclusive, and professional work environment focused on delivering exceptional patient care and service.