Medical Billing & Coding Team Lead – Physical Therapy

🔥 0 minutes ago

🇵🇭 Philippines – Remote

💵 $5 - $6 / hour

⏰ Full Time

🟠 Senior

🏥 Medical Billing and Coding

👻 Ghost score 11%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Winning Assistants LLC

WebsiteLinkedInAll Job Openings

51 - 200 employees

💼 Consulting

📣 Marketing

📦 Logistics

Consulting • Marketing • Logistics

Winning Assistants LLC is a staffing and recruiting company that provides virtual assistants from the top 1% of the global talent pool. They specialize in helping doctors, healthcare professionals, and business owners save time, reduce costs, and scale operations with highly skilled, HIPAA-compliant virtual assistants. Their services include admin support, medical office management, marketing, and customer service, allowing clients to focus on growth.

📋 Description

• Review clinical documentation and accurately code outpatient physical therapy services using ICD-10 and applicable billing/coding standards • Ensure coding is supported by documentation and complies with payer and regulatory requirements • Review claims for accuracy and completeness before submission • Submit clean claims promptly, emphasizing same-day submission when documentation is available • Identify documentation or coding deficiencies and coordinate with clinicians for clarification • Own the billing cycle from claim preparation and submission through reimbursement and account resolution • Monitor outstanding claims and follow up with insurance carriers • Track reimbursements and identify unpaid, underpaid, rejected, or incorrectly processed claims • Investigate and resolve billing discrepancies • Manage claim denials, corrections, reconsiderations, and appeals • Analyze denial patterns and recommend process improvements • Support payment posting and reconciliation workflows • Follow up on outstanding patient and insurance balances and maintain accurate account documentation • Maintain billing trackers, follow-up queues, and aging reports • Verify insurance eligibility, benefits, coverage details, and authorization requirements • Obtain, track, and follow up on prior authorizations • Monitor authorization expiration dates and approved visit limits • Maintain knowledge of Medicare and commercial payer requirements • Communicate with patients regarding benefits, billing concerns, balances, and financial responsibility • Coordinate with insurance companies, Medicare, referring providers, patients, physical therapists, and clinical staff • Document payer calls, claim statuses, authorization updates, appeals, and billing activities • Serve as point person for billing and coding operations • Prioritize billing workloads and ensure time-sensitive tasks are completed • Support team accountability and established workflows • Troubleshoot complex claims, payer issues, coding questions, and reimbursement concerns • Serve as escalation point for difficult billing and operational matters • Collaborate with Jonalyn and the current senior biller/office manager during transition • Gradually assume greater billing and operational ownership as the current lead reduces hours • Provide secondary office management and administrative support • Coordinate operational concerns affecting billing, patient service, or clinical workflows • Support communication between administrative, billing, and clinical teams • Assist with operational problem-solving through resolution • Participate in structured transition training and workflow familiarization

🎯 Requirements

• Substantial hands-on experience in U.S. medical billing and coding is required • Strong proficiency in ICD-10 coding and applicable medical billing codes • Strong understanding of medical terminology and clinical documentation • Hands-on experience with insurance eligibility and benefits verification • Hands-on experience with prior authorization/pre-certification • Hands-on experience with medical coding and claim preparation • Hands-on experience with electronic claim submission • Hands-on experience with claim status follow-up • Hands-on experience with payment posting and reimbursement tracking • Hands-on experience with denial management • Hands-on experience with appeals and corrected claims • Hands-on experience with outstanding balance and A/R follow-up • Working knowledge of Medicare guidelines and commercial payer requirements • Strong understanding of the healthcare revenue cycle • Experience communicating directly with insurance companies, patients, healthcare providers, and clinical teams • Ability to review documentation critically and recognize information affecting coding or reimbursement • Experience working with EHR, practice management, and medical billing platforms • Excellent written and verbal English communication skills • Strong organizational and time-management abilities • Exceptional attention to detail and commitment to billing accuracy • Ability to manage multiple priorities and deadlines independently in a remote environment • Demonstrated professionalism, maturity, reliability, accountability, and sound judgment • Ability to take ownership of a critical revenue-cycle function with minimal supervision • Must speak and write English clearly and professionally • Must have relevant work experience • Must provide an NBI Clearance and/or Local Police Clearance before onboarding • Must attend video meetings with camera on when required • Reliable laptop or desktop computer • Stable high-speed internet connection of at least 25 Mbps • Noise-canceling headset • Working webcam • Quiet and professional work environment

🏖️ Benefits

• Dedicated HR & Contractor Support Team • Premium VPN Access (Optional) • HIPAA & Cybersecurity Training + Certification (Provided) • Top 1% VA Performance Training • Client-Approved U.S. Holidays • Client-Approved Paid or Unpaid Time Off (paid time off optional and client-dependent) • Access to Tools & Resources, including templates, workflow guides, productivity tools, and client-specific SOP support • Optional Performance-Based Incentives, bonuses, or increased hours based on performance