Patient Account Specialist

Professional Physical Therapy

Patient Account Specialist managing Medicare professional and institutional billing for accurate reimbursement. Resolving claims, denials, appeals, underpayments, and payer-related account issues in Melville.

Posted 8/5/2026full-timeMelville • New York • 🇺🇸 United StatesJuniorMid-Level💰 $23 - $26 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in claims processing, denial management, and healthcare billing, with a strong focus on accuracy and compliance with payer guidelines. Proficient in utilizing billing systems and analyzing reimbursement issues to ensure timely and accurate claim submissions.

Highest-signal resume keywords

Claims ProcessingDenial ManagementHealthcare BillingCPT, HCPCS, ICD-10 CodingBilling Systems Experience

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claims ProcessingDenial ManagementHealthcare BillingCPT CodingHCPCS CodingICD-10 CodingPayer Reimbursement GuidelinesAccounts ReceivableAppealsNCCI Edits

Soft Skills

Analytical SkillsOrganizational SkillsProblem-Solving SkillsAttention to DetailCommunication SkillsCustomer Service Skills

Tools & Technologies

Billing SystemsClearinghouse PlatformsPayer PortalsRaintreeWaystarInovalonWellpoint FederalEPacesMicrosoft Office

Industry Keywords

Patient AccountsInsurance Follow-UpRevenue Cycle OperationsPayer PoliciesReimbursement Guidelines

About the role

Key responsibilities & impact

Review professional and institutional claims for accuracy, completeness, coding consistency, authorization status, and payer requirements
Validate patient, provider, insurance, coding, and billing information for clean claim submission and accurate reimbursement
Research and resolve claim edits, clearinghouse rejections, denials, underpayments, unpaid claims, billing discrepancies, and reimbursement issues
Prepare and submit corrected, replacement, voided, and appealed claims according to payer guidelines and timely filing requirements
Follow up on outstanding insurance and patient balances through final account resolution
Research payer policies, reimbursement guidelines, and claim requirements using payer portals and available resources
Review remittance advice, claim history, account documentation, and billing records to identify root causes and resolve payment issues
Identify recurring denial trends and reimbursement issues, escalating process-improvement opportunities to leadership
Maintain accurate and timely documentation of account activity within the billing system
Comply with organizational policies and regulatory requirements and perform other assigned duties
Work under the supervision of the Manager of Patient Accounts

Requirements

What you’ll need

2–5 years of experience in patient accounts, insurance follow-up, denial management, healthcare billing, or revenue cycle operations
Experience with Medicare and/or Medicaid professional and institutional billing preferred
Strong knowledge of claims processing, accounts receivable, appeals, denial management, payer reimbursement guidelines, and outpatient reimbursement methodologies
Working knowledge of CPT, HCPCS, ICD-10 coding, NCCI edits, medical necessity, and authorization requirements
Experience using billing systems, clearinghouse platforms, and payer portals
Experience with Raintree, Waystar, Inovalon, Wellpoint Federal, and ePaces preferred
Strong analytical, organizational, and problem-solving skills with exceptional attention to detail
Ability to interpret remittance advice, claim status responses, and payer correspondence
Proficiency in Microsoft Office
Excellent communication and customer service skills
Ability to build positive relationships with patients, payers, and colleagues
Ability to prioritize competing deadlines while maintaining accuracy and meeting timely filing requirements

Benefits

Comp & perks

2 weeks PTO
Sick time in accordance with state and local requirements
6 major holidays
Company-matched 401(k) available once eligibility requirements are met
Pre-tax transit and parking benefits through WageWorks
MetLife Pet Insurance with flexible plans and 24/7 telehealth support
Exclusive discounts through PlumBenefits and LifeMart