Medical Billing Specialist (Consultation – Therapy/Manual Services Insurance Questions)

Remote Full-time
Overview

I’m exploring a healthcare-related platform and would like to consult with an experienced U.S. medical billing specialist to better understand insurance reimbursement for therapy-related services (e.g., manual therapy, physical therapy, chiropractic, or massage therapy).

This is an exploratory, hourly consultation. I’m looking to ask structured questions about CPT/ICD alignment, documentation requirements, and common denial issues before building out workflows.

The goal is to understand feasibility and compliance considerations.

What I Need Help With

During the consultation, I’d like guidance on:

- Common CPT codes used for therapy/manual services (e.g., 97124, 97140)

- Typical ICD-10 diagnoses that support reimbursement

- Documentation requirements for medical necessity

- Common denial reasons for these services

- Credentialing considerations for providers

- General reimbursement patterns (in-network vs out-of-network)

- Practical insight into how scalable insurance-based therapy billing is

- I may also ask for feedback on how to structure patient intake questions to support compliant billing.

Ideal Background

- Experience in U.S. medical billing

- Familiar with commercial insurance claims

- Experience with therapy-related billing (PT, chiropractic, manual therapy, massage) preferred

- Comfortable explaining billing logic clearly and practically

- California experience is helpful but not required.

Engagement Details

- Hourly consultation

- Initial session: 1–2 hours

- Potential follow-up sessions depending on fit

- Remote

- I plan to speak with multiple billing specialists to cross-check insights and learn.

To Apply

Please share:

- Your experience with therapy-related billing

- Types of providers you’ve worked with

- Example of a common denial issue you’ve handled

- Your hourly rate

- Availability for an initial consultation

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