Medical Billing & Coding Team Lead for Physical Therapy Practice

Medical Billing & Coding Team Lead for Physical Therapy Practice
Full-Time | Remote

Schedule: Monday–Thursday
Hours: 8:00 AM–5:00 PM CST / approximately 40 hours per week
Compensation: $ 5.00 to $ 6.00 per hour, depending on experience

Our client is a specialized physical therapy practice focused on pelvic floor and abdominal health for women . The practice provides compassionate, personalized, one-on-one care using advanced clinical expertise and a holistic, evidence-based approach.

The team supports patients experiencing pelvic pain, urinary incontinence, bowel dysfunction, pregnancy and postpartum concerns, diastasis recti, pelvic organ prolapse, core dysfunction, and other pelvic health conditions. Each treatment plan is individualized to help patients restore function, improve confidence, and return to the activities they enjoy.
Role Overview

We are seeking an experienced Medical Billing & Coding Team Lead to take ownership of critical revenue cycle functions while providing leadership, workflow oversight, and secondary office management support.

This is a senior-level position and is not intended for entry-level candidates. The ideal candidate has substantial hands-on experience in U.S. medical billing and coding and can independently manage claims, coding, insurance verification, authorizations, denials, appeals, reimbursement follow-up, and patient financial communication.

Because this is a Team Lead role within a small practice, we are looking for someone who can go beyond processing assigned billing tasks. The successful candidate should be comfortable taking ownership of billing operations, identifying issues before they affect revenue, supporting other team members, improving workflows, and serving as a reliable escalation point for billing and operational concerns.

Experience in outpatient physical therapy billing and coding is strongly preferred.
Key Responsibilities
Medical Billing & Coding

- Review clinical documentation and accurately code outpatient physical therapy services using ICD-10 and applicable billing/coding standards.

- Ensure coding is supported by clinical documentation and complies with payer and regulatory requirements.

- Review claims for accuracy and completeness before submission.

- Submit clean claims promptly, with a strong emphasis on same-day claim submission when documentation is available.

- Identify documentation or coding deficiencies and coordinate with clinicians to obtain necessary clarification.

- Maintain a high level of billing accuracy to minimize preventable rejections, denials, and reimbursement delays.

Revenue Cycle Management

- Take ownership of the billing cycle from claim preparation and submission through reimbursement and account resolution.

- Monitor outstanding claims and proactively 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 recurring denial patterns and recommend process improvements to prevent future issues.

- Support payment posting and reconciliation workflows as needed.

- Follow up on outstanding patient and insurance balances while maintaining accurate account documentation.

- Maintain organized billing trackers, follow-up queues, and aging reports.

Insurance Verification & Prior Authorization

- Verify patient insurance eligibility and benefits before services when required.

- Confirm coverage details, deductibles, copays, coinsurance, limitations, visit allowances, and other applicable benefits.

- Determine whether prior authorization or pre-certification is required for physical therapy services.

- Obtain, track, and follow up on authorizations.

- Monitor authorization expiration dates and approved visit limits to help prevent avoidable billing issues.

- Clearly document insurance verification and authorizat