AVALA · 1 month ago
Billing/Collections Specialist - Full-Time - APN- Physical Therapy - RO22
Covington, LA
Full-time
Onsite
Entry, Mid Level
2+ years expAVALA is a company specializing in outpatient therapy services, and they are seeking a Billing/Collections Specialist to manage billing processes and resolve insurance claims. The role involves verifying patient billing information, submitting claims, and ensuring compliance with billing guidelines.
Health CareHospitalMedical
Responsibilities
Verifies patient billing information is correct prior to every claim submission
Works to resolve all identified insurance requirement edits through the electronic billing system; ensures submitted claims meet payer’s guidelines
Balances daily receipts list to cash, checks, and credit card payments received at the end of each day
Communicates issues to Director of Outpatient Therapy and Business Manager regarding problems with patient access and facility departments
Monitors daily transmissions of all electronic claims to the clearing house and submits claims monthly
Works on electronic insurance rejects in order to retransmit with correct insurance information
Works on rebill request from collection team
Verifies that all electronic acknowledgements were received by the insurance carriers
Submits required paper billing to insurance carriers with required documentation, including secondary claims
Attaches I-bills to paper billing when required
Reviews late charges based on specific insurance payer requirements. Submits adjustments as required
Enters notes in the patient accounting system on action taken
Adheres to state and federal billing guidelines and applies regulations in day-to-day billing practice
Adheres to HIPAA and PHI guidelines
Assists with all aspects of the Therapy Office including, registration, billing, collections, and cash posting
Assists with AR reviews on a weekly basis to identify problems/issues specific to payers and offer direction and resolution avenues to resolve reasons for non-payment or payment delays
Works with Patient Access Reps for all Therapy Offices ensuring that all patients with third party insurance coverage are verified, notified of any insurance limits, required deductibles, co-insurance amounts and their overall patient responsibility and monitors this is being done correctly
Interacts with HIM department as needed to ensure coding is completed timely
Notifies Director of Outpatient Therapy and/or Business Manager of any patient complaints in a timely manner
Assists with other duties as assigned by the Director of Outpatient Therapy or Business Manager
Assist with working insurance denials and refiles denied claims as necessary
Courteous to visitors, patients, and physicians’ offices
Responsible for discussing patient accounts/bills over the telephone if a patient calls regarding their statements
Qualification
Required
High school diploma
Medical Billing and Coding Degree
Two (2) or more years' experience with Medical Coding and Billing required
Ability to communicate effectively in English, both verbally and in writing
Basic computer knowledge
Preferred
Two (2) or more years' experience with Inpatient and Outpatient Therapy Billing
Company
AVALA
Avala is a healthcare center that provides pain management, neurosurgery, orthopedic, robotics, reconstructive surgery and imaging services.
201-500 employees
Funding
Current Stage
Growth StageRecent News
New Orleans CityBusiness
2025-11-05
2023-06-29
Company data provided by crunchbase