Hospital Account Receivable Specialist

Professional Physical Therapy

. Review professional and institutional claims for accuracy, completeness, coding consistency, authorization status, and payer requirements .

Posted 9/17/2026full-timeMelville • New York • United StatesJuniorMid-Level💰 $23 - $26 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in healthcare billing, claims processing, and denial management, with a strong focus on accuracy and compliance with payer guidelines. Proficient in analyzing claims data and resolving reimbursement issues while maintaining effective communication with patients and payers.

Highest-signal resume keywords

Claims ProcessingDenial ManagementCPT CodingHealthcare BillingPayer Reimbursement Guidelines

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

ICD-10 CodingHCPCS CodingAccounts ReceivableAppeals ManagementAnalytical Skills

Soft Skills

Attention to DetailProblem-Solving SkillsCommunication SkillsCustomer Service SkillsOrganizational Skills

Tools & Technologies

Billing SystemsClearinghouse PlatformsPayer PortalsMicrosoft OfficeRaintree

Industry Keywords

Medicare BillingMedicaid BillingRevenue Cycle OperationsPayer PoliciesTimely Filing Requirements

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 determine root causes and resolve payment issues
Identify recurring denial trends and reimbursement issues, escalating process improvement opportunities to leadership
Maintain accurate, timely documentation of account activity within the billing system
Comply with organizational policies and regulatory requirements; perform other duties as assigned

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 with the 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