Medix is hiring a Medical Billing and Denials Specialist for a hospital system in White Plains, NY! This is a full time, Monday - Friday role with hybrid working options after the first year of employment.

The Medical Billing and Denials Specialist is responsible for review of unbilled claims and bills, assure timely billing and claim resolution. This individual will also process all accounts in order to minimize billing time and maximize cash flow. Additionally, complete the processing of claims either on paper or electronically to third party carriers and follow-up on aged accounts as directed.

Responsibilities:

• Insure adherence to federal and state billing regulations
• Completes accurate billing to all third-party insurance carriers
• Completes review of third-party trial balance reports within the current month
• Researches and initiates refunds to patients or insurance carriers as needed
• Sends inquiries to patients regarding inaccurate or incomplete information
• Completes charge adjustments and allowances entries on accounts as needed
• Processes rejections on third party accounts
• Review on-line billing edits for errors, corrections, or missing information. Enter necessary corrections into heath information system.
• Ability to speak with payor representative to discuss any denial issues, whether erroneously denied or
  determining needed updates on the claim
• Reporting trends and claim issues to leadership in order to stop issues identified based on review
• Understanding of codes, billing rules and regulations
• Responsible for the submission of appeals to third party payers in recover additional revenue
• Ability to navigate EMR, facilitating necessary actions internally to assure claim moving through system
  accordingly
• Other duties as assigned

Qualifications:

• 1+ years of medical billing experience
• Previous experience in a hospital setting relating to billing, follow up and denials experience, preferred.
• Medical terminology knowledge
• Familiarity with electronic medical record systems, EPIC preferred.
• Must be detail oriented, able to problem solve, multi-task and perform various duties on demand.

Schedule:

Monday - Friday

9am - 5pm

Note: after 1 year of employment, hybrid work is available

Interviews are taking place now - Apply today!

Medix is acting as an Employment Agency in relation to this vacancy.