I will do medical billing, mental health billing and credentialing

I handle insurance verification, claims submission, AR management, and ensure accurate coding for physical therapy services.

I verify patient insurance eligibility by contacting the insurance companies or using online tools within EMR systems to check coverage for physical therapy services. I confirm the details such as co-pays, deductibles, and the number of authorized visits for the patient’s physical therapy treatments

For physical therapy billing, I use CPT codes to identify specific services rendered, ICD-10 codes for diagnoses, and HCPCS codes when applicable. These codes are critical to ensure accurate and compliant billing.

When a claim is denied, I carefully review the EOB to understand the reason for the denial. I then work on correcting any errors in coding or documentation, and I submit an appeal to the insurance provider with the necessary information to resolve the issue and ensure the claim is paid.

I ensure accuracy by staying updated with the latest coding guidelines, verifying insurance benefits before services are provided, and using EMR software to capture all necessary information.I verify insurance eligibility, use correct coding, and review all information before submitting claims.

I am highly proficient in various EMR systems such as ECW, Advanced MD, Office Ally, Kareo, TheraNest, Simple Practice, Therapy Notes, NextGen, and others. These systems allow me to manage patient information, submit claims, track AR, and generate financial reports effectively.

I manage AR by regularly reviewing outstanding claims, following up on unpaid or denied claims, and ensuring timely submission of secondary claims. I prepare daily, monthly, and annual AR reports to track the financial health of the practice and help resolve any discrepancies efficiently.

I handle patient billing inquiries by providing clear, concise information regarding their bills, explaining charges, insurance payments, and any outstanding balances. I ensure prompt resolution of issues and maintain transparent communication to keep patients informed and satisfied.

To stay current, I regularly review updates from Medicare, Medicaid, and other insurance providers. I also participate in webinars, read industry publications, and take continuing education courses on coding and billing practices to ensure compliance with the latest regulations and standards.

I adhere to strict confidentiality guidelines, including HIPAA regulations, when handling sensitive patient and insurance information. I maintain professionalism by ensuring accurate documentation, effective communication with patients and insurance companies, and consistent follow-through.