REQUIREMENTS:

• 2 years of medical accounts receivable experience required
• 1 year of resolving payor denials required
• Understanding of medical claims processing
• Experience with insurance systems
• Knowledge of insurance including State and Federal rules and regulations as they relate to billing and collections
• Ability to read an Explanation of Benefits
• Knowledge of medical terminology

ABOUT US:

Physical Rehabilitation Network (PRN) supports 200+ PT clinics across 16 states, focusing on operational support to allow therapists to provide the best patient care.

ABOUT THE ROLE:

Join a fast-growing PT clinic network, supporting billing and collections from home. As a detail-oriented Medical Collector, you’ll manage claims, address inquiries, resolve account issues, and follow up on denials.

JOB DUTIES:

• Timely follow up and resolution on claims with all Payors for unpaid, underpaid, or denied claims
• Resolve denials and submit appeals
• Respond promptly to billing inquiries from patients and insurance companies
• Work open Credits on the A/R
• Work with clinics to identify and resolve issues regarding outstanding account balances
• Utilizes the most efficient resources to secure timely payment of open claims
• Research assigned correspondence and takes necessary action to resolve requests
• Ensures daily accomplishments contribute toward company goals for A/R