We are seeking a detail-oriented and highly organized Accounts Receivable Medical Biller to join our healthcare finance team. This role focuses on insurance follow-up, denial resolution, appeals, and collection of outstanding ASC claims. Candidates should have strong knowledge of payer guidelines, reimbursement processes, and medical billing systems.
This role offers an opportunity to contribute to the financial health of a dynamic healthcare organization by accurately processing billing information, resolving discrepancies, and maintaining compliance with industry standards.
Responsibilities include maintaining up-to-date knowledge of industry changes related to medical coding, billing procedures, and reimbursement policies to optimize revenue recovery. Submit and manage ASC/facility claims, review and correct billing edits and claim denials, follow up on unpaid and underpaid claims, process insurance payments, adjustments, and appeals, verify insurance eligibility and benefits, work with CPT, ICD-10, and HCPCS coding, communicate with insurance companies regarding claim status, maintain accurate patient billing records, and perform AR follow-up with Medicare, Medicaid, and commercial payers to ensure timely and accurate reimbursement.
Proven experience in medical billing with a focus on accounts receivable management within a healthcare setting.
2+ years of medical accounts receivable or AR follow-up experience required.
ASC or outpatient surgery billing a plus.
Strong knowledge of insurance claim follow-up and denial management.
Experience with CPT, ICD-10, and HCPCS codes.
Knowledge of Medicare, Medicaid, and commercial payer guidelines and reimbursement processes.
Ability to analyze EOBs and payer correspondence.
Strong organizational and communication skills.
Experience with EMR/EHR and billing software systems.
Experience with high-volume AR work queues (preferred).
Knowledge of surgical billing and ASC reimbursement methodologies (preferred).
Excellent organizational skills with attention to detail.
Effective communication skills for collaborating with healthcare providers, insurance companies, and patients.
401(k), 401(k) matching, Dental insurance, Flexible spending account, Health insurance, Life insurance, Paid time off, Vision insurance.
Location
New York, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
3 weeks ago