Patient Billing & Claims Specialist

Med-Metrix; Melville (NY); On-site; USD 42,000 - 62,000; Full time

Job summary

Med-Metrix is seeking a Patient Account Representative in Melville, NY to manage billing follow-up and collections for assigned accounts. You will verify patient and insurance information, monitor submissions, and ensure timely payment from primary and secondary payers.

The role requires familiarity with hospital billing, ICD-9/10, CPT/HCPCS, and HIPAA practices. Strong Excel skills and professional communication are essential.

Qualifications

• High school diploma or equivalent required.
• 2–3 years of insurance collections experience.
• Experience with hospital/facility billing.
• Knowledge of ICD-9/10, CPT, HCPCS.
• Proficient in Excel and HIPAA regulations.

Responsibilities

• Follow-up with payers to resolve outstanding claims.
• Verify patient and insurance information for accuracy.
• Monitor billing for accuracy and update errors.
• Explain payment methods and HIPAA requirements.
• Identify underpayments and denial trends.
• Maintain confidentiality and handle PHI securely.
• Meet daily productivity and quality standards.

Skills

Payer follow-up

Insurance collections

Microsoft Excel

HIPAA compliance

Data accuracy

Team collaboration

Phone communication

Education

High School Diploma

Medical Billing Certification (preferred)

Tools

STAR

SMS

EAGLE

EPIC

Excel

Job description

Med-Metrix is seeking a Patient Account Representative in Melville, NY to manage billing follow-up and collections for assigned accounts. You will verify patient and insurance information, monitor submissions, and ensure timely payment from primary and secondary payers.

The role requires familiarity with hospital billing, ICD-9/10, CPT/HCPCS, and HIPAA practices. Strong Excel skills and professional communication are essential.