Claims Success Associate @ Luna Physical Therapy

INACTIVE

Full-Time

Claims Success Associate

Posted on 5/3/2024

Luna Physical Therapy

501-1,000 employees

In-home physical therapy with insurance coverage

Junior

Rocklin, CA, USA

Requirements

At least 1 year of experience with medical accounts receivable, preferably in outpatient therapy
Proven experience in healthcare billing
Demonstrated training ability

Responsibilities

Post charges daily
Submit claims electronically daily and monthly as defined by processes
Monitor claim status and denials to identify and address rejected claims
Investigate reasons for rejected claims, make necessary corrections, and resubmit claims as required
Learn/understand the basics of insurance billing: PPOs, HMOs, Medicare, Workers Comp to support the team and other teams as necessary
Maintains industry level working knowledge of medical billing occurring in Luna
Support Admin functions
Queue based work for their sole job function (authorizations, insurance payment posting, etc.)
Achieved goals set by management
Generally starts to function more so in one of the departments: Patient Payments, Insurance Payments, Claims or AR while supporting all departments as needed
Achieving daily, weekly, monthly and quarterly goals to ensure claims, payments and supporting documentation is completed
Performs Ad Hoc tasks at managers discretion

Revenue Cycle Associate (Accounts Receivable)

The Claims Success Team ensures that all aspects of medical billing and coding from the patient verification through the insurance processing and patient collections is compliant and timely. The team ensures quality by monitoring queues and alerts, as well as obtaining prior authorizations and following compliance and billing rules for each payer to send out clean claims to the insurance for timely payments. The Revenue Cycle Team follows up on denied claims and claims with no response to drive down accounts receivable and accurately collect patient responsibility. The team is responsible for all patient support on their billing account including, but not limited to, taking payments, answering questions on the billing account, assisting patients with insurance questions and rebilling as needed!

What you will do:

Post charges daily

Submit claims electronically daily and monthly as defined by processes

Monitor claim status and denials to identify and address rejected claims

Investigate reasons for rejected claims, make necessary corrections, and resubmit claims as required.

Learn/understand the basics of insurance billing: PPOs, HMOs, Medicare, Workers Comp to support the team and other teams as necessary.

Maintains industry level working knowledge of medical billing occurring in Luna

Support Admin functions.

Queue based work for their sole job function (authorizations, insurance payment posting, etc.)

Achieved goals set by management.

Generally starts to function more so in one of the departments: Patient Payments, Insurance Payments, Claims or AR while supporting all departments as needed.

Achieving daily, weekly, monthly and quarterly goals to ensure claims, payments and supporting documentation is completed.

Performs Ad Hoc tasks at managers discretion.

You will be a good fit if you are:

Organized with the ability to identify and track progress against priorities.

At least 1 year of experience with medical accounts receivable, preferably in outpatient therapy

Proven experience in healthcare billing

Demonstrated training ability

Luna Physical Therapy

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Website

View Company Profile

Luna Physical Therapy offers a harmonious blend of technology and healthcare by providing in-home physical therapy services through a user-friendly app. Their model not only enhances patient convenience by making licensed therapists available seven days a week but also integrates continued care through personalized in-app exercises. This approach in the healthcare sector not only fosters a supportive work environment but also positions the company at the forefront of patient-centered care.

Company Stage

Series B

Total Funding

$59M

Headquarters

Nashville, Tennessee

Founded

2018

Growth & Insights

Headcount

6 month growth

↑ 13%

1 year growth

↑ 36%

2 year growth

↑ 125%

INACTIVE