Professional Physical Therapy
Claims Processing & Billing Specialist
Melville, New York, United States · Full-time
Sponsorship not specifiedDetected 1 day ago
RESTComplianceHIPAAEHR/EMRProblem SolvingClaims Management
> stay_score
odds of building a lasting career here
16Unrated
Cap-exempt (no lottery)0
Sponsors this role0
Entry-level history0
PERM / green-card track0
Lottery odds40
Fits your clock70
No strong sponsorship signal in the public record yet. In the full product we resolve the exact legal entity and show its filing history with a confidence score — treat as unverified until then.
Lottery odds assume a STEM candidate.
Personalize to your clock →> community_outcomes
No reports yet — be the first to help the next applicant.
About the role
- Verify patient eligibility and resolve coverage or demographic discrepancies prior to claim submission.
Responsibilities
- Navigate the Raintree EMR system to resolve claim issues and document account activity.
- Perform other duties and special projects as assigned.
- Proven ability to manage multiple priorities, work independently, and consistently meet productivity goals.
Requirements
- Experience with commercial and government insurance payers.
- Proficiency with the Raintree EMR system.
Nice to have
- Claims Processing & Billing Specialist Full-Time |
- Submit accurate institutional (UB-04) and professional (CMS-1500) claims to commercial and government payers.
- Review and resolve claim edits, billing errors, clearinghouse exceptions, and rejections.
- Submit corrected claims and ensure successful claim transmission to payers.
- Communicate with insurance carriers, patients, providers, and internal teams to resolve billing issues.
- Complete billing reviews, post splint charges, and enter charges into the DOL and Claim Connect portals.
- Monitor claims processing inboxes and follow up on outstanding clearinghouse responses.
- Meet departmental productivity and quality standards while maintaining compliance with HIPAA and other applicable regulations.
Benefits
- 2 weeks PTO; Sick time in accordance with state and local requirements; plus 6 major holidays.
- Pre-tax transit and parking benefits through WageWorks (for eligible in-office employees).
- MetLife Pet Insurance with flexible plans, up to 90% reimbursement on eligible expenses, and 24/7 telehealth support.
- What You'll Bring 3+ years of Revenue Cycle or medical billing experience.
Equal opportunity
- Employer, including Disabled/Veterans.
- Equal Opportunity Employer, including Disabled/Veterans.
Apply directly at Professional Physical Therapy →Create a free account for alerts like thisView Professional Physical Therapy immigration profile
This listing is sourced directly from Professional Physical Therapy's careers page and normalized into a canonical job model.