Account Specialist

🔥 0 minutes ago

🗽 New York – Remote

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💵 $24 - $27 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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Logo of Professional Physical Therapy

Professional Physical Therapy

1001 - 5000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare • Healthcare Insurance • Wellness

Professional Physical Therapy is a leading provider of physical, occupational, and hand therapy in the Northeast, with over 200 offices and 630 therapists. They offer a wide range of services including orthopedic and sports physical therapy, women's physical therapy, and specialty therapies such as blood flow restriction and pelvic floor therapy. Their clinics focus on treating various conditions like chronic pain and sports injuries, utilizing advanced clinical training and evidence-based care. Professional Physical Therapy also emphasizes a patient-centered approach, prioritizing safety and personalized rehabilitation plans. They offer telehealth services and are committed to clinical excellence and continuous professional development.

📋 Description

• Obtain required patient authorizations through payer portals and by phone • Respond to clinic inquiries via phone, email, and internal tasking systems • Communicate authorization approvals, denials, and status updates to providers • Partner with clinic staff to resolve authorization-related issues • Follow up with insurance carriers on authorizations and claim payments, escalating issues as needed • Manage daily work queues to meet established productivity standards • Identify denial, underpayment, and overpayment trends and escalate as appropriate • Follow up on and resolve unpaid or outstanding accounts with payers • Maintain knowledge of HIPAA, OSHA, Risk Management, and compliance requirements • Attend required staff meetings and training

🎯 Requirements

• 2+ years of experience in medical billing, accounts receivable, and denial management • Knowledge of clinic operations, including patient registration, referrals, authorizations, and cash collections • Understanding of insurance reimbursement, authorization and collection practices, and practice management systems • Strong attention to detail and ability to manage multiple priorities while maintaining accuracy • Strong interpersonal, written, and verbal communication skills • Ability to maintain confidentiality and handle sensitive patient information appropriately • Demonstrated leadership skills and ability to work collaboratively with clinic teams

🏖️ Benefits

• 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 • MetLife Pet Insurance with flexible plans and 24/7 telehealth support • Exclusive discounts through PlumBenefits and LifeMart

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