Medical Biller

Job Title: Medical Biller (Accounts Receivable and Denials Specialist)

Location: White Plains, NY

Job Description:

We are seeking a skilled and experienced Medical Biller to join our team in White Plains, NY, specializing in aging accounts receivable and denials management. As a Medical Biller focused on accounts receivable and denials, you will play a critical role in maximizing revenue by effectively resolving outstanding claims and addressing denied claims in a timely manner.

Responsibilities:

- Review and analyze aging accounts receivable reports to identify outstanding claims.
- Investigate and resolve outstanding claims by communicating with insurance companies, patients, and healthcare providers.
- Identify and address common reasons for claim denials, such as coding errors, missing information, or eligibility issues.
- Appeal denied claims through appropriate channels, ensuring all necessary documentation is provided.
- Monitor and track the status of appealed claims, following up as needed until resolution is achieved.
- Collaborate with billing team members and other departments to address systemic issues contributing to denials.
- Develop and implement strategies to reduce aging accounts receivable and minimize claim denials.
- Maintain accurate records of all billing and collection activities, including notes on communication with payers and patients.
- Stay updated on changes in billing regulations, coding guidelines, and insurance policies.
- Provide support and guidance to colleagues on billing and denial resolution processes.

Requirements:

- High school diploma or equivalent; associate degree or certification in medical billing preferred.
- Minimum of 2 years of experience in medical billing, with a focus on accounts receivable management and denials.
- Proficiency in medical billing software and MS Office applications.
- Strong understanding of medical terminology, CPT, ICD-10, and HCPCS coding.
- Excellent communication and negotiation skills, with the ability to effectively interact with insurance companies and patients.
- Detail-oriented with strong analytical and problem-solving abilities.
- Ability to work independently and prioritize tasks effectively.
- Familiarity with insurance billing procedures and regulations.
- Experience with electronic health records (EHR) systems preferred.
- Adaptability to evolving healthcare industry trends and changes.

Hours: 8am - 5pm, Monday - Friday

Location: Fully Onsite in White Plains, NY

Pay: Starting at $20/hr (with room for negotiation based on experience)

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