Job description

We are seeking a Certified Medical Billing Specialist with a minimum of three years billing experience to become an integral part of our Billing/Collections team. Primary duties include but are not limited to consistent follow up on unpaid claims utilizing monthly aging reports. Secondary duties include but are not limited to data entry of all patient demographic, guarantor, and insurance information, posting procedures and insurance/patient payments, balance to daily deposits.

REQUIRED SKILLS

· Computer experience is essential, including, but not limited to practice management software, word processing and spreadsheet applications.

· Experience in CPT and ICD-10 coding; familiarity with medical terminology.

· Excellent customer service skills.

· Strong written and verbal communication skills.

· Ability to manage relationships with various Insurance payers.

· Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement.

· Responsible use of confidential information.

· Perform to company standards of compliance with policies and procedures.

· Ability to multi-task and work courteously and respectfully with fellow employees, clients, and patients.

DETAILED WORK ACTIVITIES

· Ensure all claims are submitted with a goal of zero errors.

· Verifies completeness and accuracy of all claims prior to submission.

· Accurately Post all insurance payments by line item.

· Timely follow up on insurance claim denials, exceptions, or exclusions.

· Meet deadlines.

· Reading and interpreting insurance explanation of benefits.

· Utilize monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days.

· Make necessary arrangements for medical records requests, completion of additional information requests, etc. as requested by insurance companies.

· Respond to inquiries from insurance companies, patients, and providers.

· Perform additional duties as requested by Supervisory or Management team.

LICENSES/CERTIFICATION:

· Medical Billing Certification

· Preferred - Certified Professional Coder (CPC) / Certified Coding Specialist (CCS) / Certified Coding Specialist (CCSP)

EEOC statement: "All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran."

Job Type: Full-time

Pay: $45,000.00 - $50,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Flexible spending account
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Ability to commute/relocate:

• Melville, NY: Reliably commute or planning to relocate before starting work (Required)

Education:

• High school or equivalent (Required)

Experience:

• ICD-10: 2 years (Required)
• Medical billing: 3 years (Required)

License/Certification:

• Medical Billing Certification (Required)

Shift availability:

• Day Shift (Required)

Work Location: One location

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