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About the Role
We are a growing physical therapy practice committed to providing exceptional patient care. We are seeking an experienced Medical Collections Specialist to join our team and help manage insurance collections, claim follow-up, and revenue recovery from a variety of commercial insurance carriers, including BCBS and other out-of-network payers.
Responsibilities
- Follow up on outstanding insurance claims and accounts receivable balances.
- Communicate with insurance carriers regarding claim status, denials, underpayments, and appeals.
- Investigate and resolve reimbursement discrepancies.
- Submit corrected claims, reconsiderations, and appeals as needed.
- Work with out-of-network insurance plans to maximize reimbursement.
- Document all collection activities and maintain accurate account records.
Requirements
- Minimum 1-2 years of medical collections, insurance follow-up, or medical billing experience.
- Experience working with commercial insurance carriers, including BCBS and other major payers.
- Strong understanding of EOBs, claim adjudication, denials, appeals, and insurance reimbursement processes.
- Knowledge of physical therapy insurance/billing preferred.
- Familiarity with EMR and medical billing software.
Skills
- Medical collections
- Insurance follow-up
- Medical billing
- Commercial insurance carriers
- BCBS
- EOBs
- Claim adjudication
- Denials
- Appeals
- Insurance reimbursement processes
- Physical therapy insurance/billing
- EMR
- Medical billing software
Location
- NYC
Work Type
- Full-Time
- On-site
Experience Level
- 1-2 years
Salary/Compensations
- $28-$32 per hour
Benefits
- Health Insurance
- Dental Insurance
- PTO 2 weeks per year
About the Company
- We are a growing physical therapy practice committed to providing exceptional patient care.