We are seeking a dedicated Medical Billing AR Specialist with a strong background in managing accounts receivable billing and collection of payments for all designated payors and locations in order to meet and maintain our goal to join our dynamic team.
You will be responsible for transferring patient and insurance information and initiating payment processes and procedures. The ideal candidate will be well-versed in billing software, medical insurance regulations, and an expert at responding to patient and insurance inquiries. You will also be responsible for maintaining patient confidentiality, handling personal information, and accurately inputting patient data into the system.
Responsibilities:
- Identifies and resolves billing inquiries/problems
- Codes services provided utilizing CPT and ICD-10 coding
- Experience with Medicare, Commercial, Worker's Comp and No-Fault claims follow up
- Knowledge of Medical Terminology, ICD-10, CPT codes and the correct use of modifiers
- Working rejections from the clearinghouse to correct errors for resubmissions
- Generates and submits electronic claims and statements at designated intervals; corrects any errors for complete and accurate transmission of data
- Able to handle patient inquiries regarding billing issues, out of network issues, and explaining insurance guidelines to patients
- Read and analyze patient records to determine correct codes for billing to insurance provider
- Prepares letters of appeal to insurance companies if the company refuses to pay contracted claims and/or denies a claim; submits documentation necessary to support claim; resubmits claims with corrections if needed for payment for all insurance payers
- Researches and processes refund requests and overpayments
- Prepares correspondence and/or collection letters
- Performs other related duties as assigned by senior management
Requirements:
- Proficiency in medical terminology and ICD-9 / ICD-10 coding
- Experience with insurance verification and prior authorizations
- Strong attention to detail and data entry accuracy
- Excellent communication and organizational skills
Benefits:
- 401(k) matching
- Dental insurance
- Disability insurance
- Health insurance
- Company paid Life insurance and optional voluntary insurance
- Paid time off
- Vision insurance
Work Location: In person: Relocate before starting work (Required)
Our company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, genetics, sexual orientation, gender identity, or gender expression in terms of all conditions of employment. Our diversity is one of our greatest strengths, and as an Equal Opportunity Employer, we are proud to promote a work environment where all differences are respected.
Job Type: Full-time
Pay: $25.00 - $28.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Health insurance
- Health savings account
- Paid time off
- Parental leave
- Vision insurance
Experience:
- Medical billing: 1 year (Preferred)
Ability to Commute:
- Syosset, NY 11791 (Required)
Work Location: In person