Behavioral Health & Physical Therapy Billing Virtual Assistant | Claims, Denials, AR & Payment Posting
Medical Billing Virtual Assistant specializing in Behavioral Health and Physical Therapy billing, with 3 years managing the full revenue cycle for therapy practices — charge entry, claims submission, payment posting, denial management, appeals, and AR follow-up. I understand the specific billing challenges PT/OT and behavioral health providers face: unit-based CPT coding (97110, 97112, 97530), medical necessity documentation tied to LCD guidelines, session-limit and authorization tracking, and payer-specific quirks across Medicare, Medicare Advantage, and commercial plans.
Clients bring me in when therapy claims are getting denied for coding or documentation issues, AR is aging out, or payment posting is falling behind. I trace denials back to root cause (CARC/RARC codes, LCD non-compliance, authorization gaps), get appeals filed correctly the first time, and clean up the backlog so revenue keeps moving.
What I Can Help You With:
PT/OT & Behavioral Health Claims Submission (CMS-1500)
CPT Coding Accuracy for Therapy Services (97110, 97112, 97530, and related codes)
Denial Management & Appeals (Medicare, Medicare Advantage, LCD-related denials)
Payment Posting & ERA/Remittance Reconciliation
Accounts Receivable (AR) Follow-Up & Aging Cleanup
Prior Authorization & Session-Limit Tracking
Eligibility Verification & Provider/Payer Outreach
Revenue Trend Analysis & Reporting
HIPAA Compliance & Confidential Data Handling
EHR / PM Systems: Stride, Healthie, Prava PMS, SimplePractice, Tebra
(Healthie and SimplePractice experience especially relevant for behavioral health and therapy practices)
Clearinghouses & Payer Portals:
Claim.MD, Availity, Blue e, AshLink, Noridian, Palmetto GBA
Tools: Microsoft Excel, Word, Outlook
If you run a physical therapy, occupational therapy, or behavioral health practice and denials or AR backlog are eating into your revenue — message me. I can walk you through exactly where the leaks are and how to fix them.
