Patient Account Representative

As a Patient Account Representative, you'll play a key role in ensuring the financial health of our practice by managing the billing and reimbursement process from claim submission through payment resolution. The ideal candidate is detail-oriented, organized, and committed to providing excellent service to both patients and insurance partners.

• Submit accurate and timely insurance claims for physical therapy services.
• Review and resolve claim edits, denials, rejections, and unpaid balances.
• Follow up with insurance carriers to ensure prompt reimbursement and appeal denied claims when appropriate.
• Verify insurance eligibility, benefits, and authorization requirements.
• Post insurance and patient payments accurately and reconcile payment discrepancies.
• Process patient account adjustments, refunds, and payment arrangements as needed.
• Research and resolve billing inquiries from patients, providers, and insurance companies.
• Maintain accurate patient account documentation within the practice management system.
• Monitor accounts receivable aging and proactively work outstanding balances.
• Ensure compliance with payer guidelines, HIPAA regulations, and billing best practices.
• Collaborate with front office staff and clinical teams to improve billing accuracy and reimbursement efficiency.
• Stay current on insurance regulations, payer policies, and medical billing and coding requirements to ensure compliance.
• High school diploma or equivalent required; Associate's degree preferred.
• 1-2 years of medical billing, accounts receivable, or healthcare revenue cycle experience preferred.
• Experience working with commercial insurance, Medicare, Medicaid, and workers' compensation claims.
• Knowledge of CPT, ICD-10, medical terminology, and insurance reimbursement processes.
• Experience with insurance verification, claim submission, payment posting, and denial management.
• Strong attention to detail and ability to work independently
• Excellent communication and customer service skills
• Proficiency with Microsoft Office and medical billing software (Waystar, Japari, or similar systems preferred).

The ideal candidate is someone who

• Enjoys solving problems and investigating complex billing issues.
• Takes pride in accuracy and attention to detail.
• Communicates professionally and compassionately with patients and insurance representatives.
• Is self-motivated and able to manage priorities independently.
• Thrives in a collaborative team environment.
• Is committed to continuous learning and process improvement.

If you're looking for a career where your work truly makes a difference in people's lives every day, we'd love to hear from you. Join LOPT and become part of a team dedicated to helping our patients move better, feel better, and live better.