Patient Accounts & Billing Specialist — Medical Office

Lawall-Prosthetics-; Wilmington (DE); On-site; USD 25,000 - 39,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Paid time off

Holidays

Retirement plan

Team environment

Job summary

Lawall Prosthetic and Orthotic Services in Wilmington, Delaware, is seeking a detail-oriented Patient Account Representative (Back-End Processing) to join our Prosthetics & Orthotics medical-office team.

You will verify documentation, process insurance authorizations, prepare billing materials, and maintain HIPAA-compliant electronic records. The ideal candidate has 1–2 years in medical office administration and a solid understanding of Medicare, Medicaid, and private payer guidelines.

Qualifications

• High school diploma required.
• 1–2 years of medical office administration, medical billing, insurance verification, or patient accounts preferred.
• Experience with prosthetics/orthotics, DME, or healthcare reimbursement desirable.
• Knowledge of Medicare, Medicaid, and commercial insurance guidelines is a plus.
• Strong attention to detail and organizational skills; HIPAA compliance.

Responsibilities

• Review patient files for completeness and accuracy before claim submission.
• Verify and obtain required documentation, including physician orders and LMNs.
• Process insurance authorizations and ensure payer-specific requirements are met.
• Prepare and organize documentation for billing and reimbursement.
• Follow up with physicians' offices, patients, and insurance companies to obtain missing information.
• Monitor outstanding documentation and resolve deficiencies promptly.
• Maintain electronic patient records in HIPAA compliance.
• Work with clinicians, front office staff, and billing personnel for timely processing.
• Assist with claim corrections, denials, and appeals by gathering supporting documentation.
• Perform other administrative duties as assigned.

Skills

Attention to detail

Organizational skills

Written and verbal communication

Prioritization

HIPAA compliance

Education

High school diploma

Tools

EMR systems

Microsoft Office

Job description

Lawall Prosthetic and Orthotic Services in Wilmington, Delaware, is seeking a detail-oriented Patient Account Representative (Back-End Processing) to join our Prosthetics & Orthotics medical-office team.

You will verify documentation, process insurance authorizations, prepare billing materials, and maintain HIPAA-compliant electronic records. The ideal candidate has 1–2 years in medical office administration and a solid understanding of Medicare, Medicaid, and private payer guidelines.