MEDICAL BILLER / ACCTS RECEIVABLE SPECIALIST / WORKERS COMP & NO FAULT

Established for over 21 years, our medical billing company in Commack, NY provides full-service medical billing and accounts receivable (A/R) management for physicians and medical practices. We are seeking an experienced Medical Biller / A/R Specialist to join our team as an Account Manager.

We are looking for a Medical Biller / A/R Specialist with at least 2 years of medical billing experience who can independently manage provider accounts. This role focuses on Workers’ Compensation, No-Fault, Medicare, Medicaid, and commercial insurance billing, including appealing denied claims, A/R follow-up, and denial management.

Minimum Requirements (Must Meet All)

Applicants must meet all of the following criteria to be considered:

• Work Setting: On-site – Commack, NY We are looking for someone local to ensure easy commute.
• 2+ years of recent medical billing experience (medical billing company, physician practice, or healthcare revenue cycle role)
• Hands-on experience with Workers’ Compensation medical billing
• Hands-on experience with No-Fault insurance medical billing
• Proven experience appealing denied claims with insurance payers
• Strong insurance A/R follow-up and denial management experience
• Working knowledge of Medicare, Medicaid, and commercial insurance billing rules
• Proficient using insurance payer websites/portals (eligibility, claim status, EOBs, appeals)
• Ability to manage provider accounts independently and communicate clearly with clients and patients
• Basic to intermediate Excel or spreadsheet skills for reports and tracking

Preferred Qualifications

• Experience with pre-certification / prior authorization
• Familiarity with EHR / practice management / medical billing software
• Bilingual (English/Spanish or other) a plus, but not required

Key Responsibilities

• Act as Account Manager for assigned providers, serving as the main billing and A/R contact
• Perform heavy insurance A/R follow-up for Workers’ Comp, No-Fault, Medicare, Medicaid, and commercial insurance
• Handle denial management and appeals, including correcting claims and submitting appeals with supporting documentation
• Submit, track, and follow up on Workers’ Compensation and No-Fault claims
• Complete charge entry, verify benefits, and assist with pre-certification/prior authorization as needed
• Communicate daily with clients, physicians, and office staff regarding claim status and billing issues
• Use insurance websites and portals to verify eligibility, obtain EOBs, and resolve claim issues
• Prepare and maintain spreadsheets and A/R reports, including aging and denial trend reports
• Assist patients with billing questions and basic account inquiries

Ensure HIPAA compliance and protect patient confidentiality at all times

Job Type: Full-time

Pay: $25.00 - $30.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Paid time off
• Retirement plan

Application Question(s):

• This is an on-site position at our Commack, NY location. Are you able to work on-site for all shifts? Flexible scheduling available.

Experience:

• Accounts Receivable: 2 years (Required)
• Medical Billing: 2 years (Required)

Ability to Commute:

• Commack, NY 11725 (Required)

Ability to Relocate:

• Commack, NY 11725: Relocate before starting work (Preferred)

Work Location: In person