01Overview
Overview
Im 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. Im 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, Id 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: 12 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 youve worked with
- Example of a common denial issue youve handled
- Your hourly rate
- Availability for an initial consultation
Apply To this Job
Company : Upwork
Salary : Work from home .
