Medical Biller (On-site Brooklyn)

About us:

At POD Health, we enhance patient outcomes by integrating technology and personalized care. Our services—Telehealth, Remote Patient Monitoring (RPM), Chronic Care Management (CCM), and Community Health Initiatives (CHI)—ensure patients receive the care they need, wherever they are.

Through our Telehealth and RPM services, we ensure that patients have real-time access to healthcare, empowering them to manage their health proactively and avoid unnecessary hospital visits. Our Chronic Care Management programs create tailored care plans for patients with chronic conditions, ensuring ongoing support between office visits. Additionally, our Community Health Initiatives focus on addressing health disparities, making care more accessible to underserved populations.

At POD Health, we strive to make healthcare personal, proactive, and accessible for all.

Schedule: Monday - Friday 9am-5pm

Location: On-site in Brooklyn, NY 11218

Job Summary: We are seeking an experienced Medical Biller to join our team. The ideal candidate has strong knowledge of Primary care Practice billing, CPT/HCPCS codes, ICD-10 coding, and payer-specific billing guidelines. This role is responsible for accurate claim submission, payment posting, resolving denials, and ensuring timely reimbursement for medical services.

Key Responsibilities:

• Prepare and submit medical claims to Medicare, Medicaid, and commercial payers.
• Verify accuracy of CPT/HCPCS, ICD-10, and modifiers prior to claim submission.
• Review documentation for billing compliance.
• Work rejections and denials; correct and resubmit claims as needed.
• Follow up on unpaid or underpaid claims to ensure timely reimbursement.
• Post payments, adjustments, and reconcile accounts.
• Communicate insurance companies regarding claim issues.
• Maintain knowledge of payer policies, NCCI edits, LCD/NCD rules, and coverage criteria.
• Ensure compliance with HIPAA and all billing regulations.
• Generate and review reports to identify trends, issues, or missing charges.

Required Qualifications:

• High school diploma or equivalent required; degree in business administration, accounting, or a related field a plus.
• Experience with EHR/EMR and billing software (specify if needed).
• CPC (Certified Professional Coder) certification a plus
• Knowledge of claim lifecycle, EOBs, ERA, and electronic claim submission.
• Excellent attention to detail and problem-solving skills.
• Strong communication and organizational abilities.
• Ability to work independently and meet deadlines.

Benefits:

• Health, dental, and vision insurance
• 401(k) with company match
• Paid Vacation, Company Holidays, Sick Leave, and Floating Holidays
  
• Professional development opportunities
• Mission-driven work in an innovative healthcare space