Accounts Receivable Specialist
Core
Manage the billing and reimbursement process for physical therapy services, from claim submission through payment resolution.
Role type
Accounts Receivable Specialist (Healthcare Revenue Cycle)
Builds
Insurance claims, payment postings, and reimbursement reports for a physical therapy practice
Domain
Healthcare / Physical Therapy / Medical Billing
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Medical billing and coding (CPT, ICD-10), insurance claim submission, denial management, payment posting, eligibility verification, accounts receivable aging analysis, compliance with HIPAA and payer guidelines
Preferred skills
Experience with commercial insurance, Medicare, Medicaid, workers' compensation, medical terminology, Waystar or Japari systems
Technologies
Waystar, Japari, Microsoft Office
Responsibilities
Submit accurate insurance claims for physical therapy services, review and resolve claim edits and denials, follow up with insurance carriers for reimbursement, verify insurance eligibility and benefits, post payments and reconcile discrepancies, process patient account adjustments and refunds, research and resolve billing inquiries, maintain patient account documentation, monitor accounts receivable aging, ensure compliance with billing regulations
Seniority
Entry-level to Junior, hands-on IC
