Billing Specialist

Job Title: Billing Specialist

Company: Peak Performance Physical Therapy

Supervisory Responsibilities: Accounting Manager

Position Type: Full-time, hourly

Position Summary: 

This role is responsible for ensuring accuracy in patient accounts, including securing pre-authorizations within allotted time restraints. The ideal candidate will thrive in a collaborative environment and demonstrate strong communication, organizational, and problem-solving skills. 

Key Responsibilities: 

Billing & Claims Management: 

• Process virtual credit card payments and assist with patient payment posting. 

• Log insurance and patient payments received in the mail. 

• Collaborate with external billing company to address outstanding accounts receivable and billing discrepancies. 

• Work closely with external billing company to resolve billing issues. 

Authorizations: 

• Oversee and ensure timely insurance authorizations for physical therapy and occupational therapy services. 

• Address and follow up on any insurance authorization denials to avoid treatment interruptions or delays in reimbursement. 

Patient Communication & Support: 

• Respond to patient billing inquiries via phone and email professionally and empathetically. 

• Educate patients on balances, payment options, and financial policies. 

• Monitor and respond to internal staff questions related to patient accounts. 

Reporting & Meetings: 

• Attend bi-weekly billing meetings to review AR, billing issues, adjustments, and productivity reports. 

• Assist with end-of-year deductible resets, insurance verification, and benefit updates. 

Qualifications: 

• High school diploma or equivalent required; associate or bachelor’s degree in healthcare administration or business preferred. 

• 2+ years of experience in medical billing, preferably in physical therapy or outpatient setting. 

• Strong understanding of insurance billing, CPT/ICD-10 coding, and EOB interpretation. 

• Experience with EMR and billing software systems.  Experience specifically with Raintree Software is a plus. 

• Excellent organizational skills with attention to detail and accuracy. 

• Strong verbal and written communication skills. 

• Ability to multitask and prioritize effectively in a fast-paced environment. 

• Team-oriented with a high level of professionalism and discretion. 

Work Environment: 

• Office-based role within a clinical setting. 

• Monday–Friday, full-time hours. 

• Professional, collaborative team environment. 

Physical Requirements

• Work includes sedentary office tasks including walking, standing, and carrying materials.
• Ability to sit, stand in place, walk, twist (knees/waist/neck), climb, push/pull and lift objects of various weights of up to 25 pounds
• Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of this position in accordance with applicable law.

Equal Opportunity Employment

Peak Performance Physical Therapy is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, veteran status, or any other characteristic protected by applicable federal, state, or local law.

 Job Description Statement

This job description is intended to describe the general nature and level of work performed by the employee in this position. It is not intended to be an exhaustive list of all duties, responsibilities, qualifications, or working conditions. Duties, responsibilities, and assignments may be changed, added, or modified by Peak Performance Physical Therapy at any time, with or without notice, consistent with applicable law.

The employee must be able to perform the essential functions of the position, with or without reasonable accommodation. Employees who require a reasonable accommodation should contact the appropriate Company representative.

This job description does not create a contract of employment or alter the at-will employment relationship. Employment with Peak Performance Physical Therapy is at will, meaning either the employee or the Company may terminate the employment relationship at any time, with or without cause or notice, subject to applicable law and any written agreement signed by an authorized Company representative.