EDI Representative

U.S. Physical Therapy, Inc.; Houston (TX); On-site; USD 38,000 - 60,000; Full time

Benefits offered by this job

Monthly incentive based on metrics

Health and dental benefits

401k and paid time off

Employee discounts

Employee Assistance Program

Job summary

U.S. Physical Therapy, Inc. is hiring a Patient Account Representative in Houston to support our billing and claims team. You will facilitate data elements, verify insurance, obtain authorizations, and manage collections for patient portions and prior balances.

The role emphasizes accuracy, timely communication with patients and insurers, and maintaining up-to-date account information. Join a growing outpatient care network with strong benefits.

Qualifications

• High school diploma or equivalent required; higher degree preferred.
• 1–2 years of medical billing and collections experience.
• Knowledge of medical billing, coding, insurance regulations, and healthcare reimbursement policies.
• Strong attention to detail and ability to work independently.
• Excellent communication and customer service skills.

Responsibilities

• Work closely with patients to resolve billing and payment issues.
• Research and resolve discrepancies in patient accounts.
• Process payments and refunds.
• Review and update patient insurance information.
• Communicate with insurance companies to obtain prior authorizations and verify coverage.
• Follow up on unpaid claims and denials.
• Maintain accurate patient account information.
• Provide excellent customer service to patients and providers.
• Collaborate with other departments to improve reimbursement processes.

Skills

Attention to detail

Communication skills

Customer service

Independence

Education

High school diploma or equivalent

Associate's or Bachelor's degree preferred

Tools

Microsoft Office

Waystar

Japari

Job description

Company Description

U.S. Physical Therapy, Inc. ("USPh"), founded in 1990, is a publicly held company that operates 700+ outpatient physical and/or occupational therapy clinics in 44 states. As one of the largest publicly traded, pure-play operators of outpatient physical and occupational therapy clinics, we are currently experiencing an exhilarating period of growth. Our clinics provide pre-and post-operative care for various orthopedic-related disorders and sports-related injuries, rehabilitation of injured workers, and preventative care.

Job Description

It is an exhilarating time of growth for USPh, and we are hiring a Patient Account Representative with strong technical ability and business acumen to join our expanding Houston team. Your role will be critical in our billing and claims department, and you will be asked to facilitate procedural requirements, including data elements, insurance verification, authorization for services, and collections for all patient portions, including prior balances

Responsibilities

• Work closely with patients to resolve billing and payment issues.


• Research and resolve discrepancies in patient accounts.


• Process payments and refunds.


• Review and update patient insurance information.


• Communicate with insurance companies to obtain prior authorizations and verify coverage.


• Follow up on unpaid claims and denials.


• Maintain accurate and up-to-date patient account information.


• Provide excellent customer service to patients and healthcare providers.


• Collaborate with other departments to improve processes and ensure timely reimbursement.


• Maintain knowledge of current insurance regulations and coding requirements.

Qualifications

• High school diploma or equivalent required; Associate's or Bachelor's degree preferred


• 1-2 years of experience in medical billing and collections


• Knowledge of medical billing and coding, insurance regulations, and healthcare reimbursement policies


• Strong attention to detail and ability to work independently


• Excellent communication and customer service skills


• Proficient in Microsoft Office, Waystar, Japari and other computer programs

Additional Information

• Competitive compensation


• Front Office Monthly Incentive based on meeting metrics


• Excellent benefits package including 401k, health, dental, and generous paid time off


• Multiple opportunities for professional development, specialization, and leadership


• Employee discount plans


• Employee Assistance Program (EAP)


• Investment from a company that wants you to succeed and thrive.