A Medical Billing and Denials Specialist manages the billing process, submits claims to insurance companies, follows up on unpaid or denied claims, and helps ensure timely reimbursement for healthcare services. This role supports revenue cycle operations by identifying denial trends and taking corrective action.
Responsibilities
- Submit and track insurance claims; resolve denials and billing edits; process remittances and adjustments; ensure accurate account resolution in line with payer requirements.
- Review denied or underpaid claims, prepare appeal letters, gather supporting documentation, and collaborate across departments to improve claim outcomes.
- Respond to patient inquiries, verify insurance eligibility and authorizations, and maintain thorough documentation while communicating across Revenue Cycle teams.
- Maintain HIPAA confidentiality, meet productivity benchmarks, stay current with billing policies, and manage workload with strong organization and time management.
Requirements & Qualifications
High school diploma or equivalent.
Preferred:
- Bachelor's degree in healthcare or business administration.
- Minimum 1 year of experience in medical billing and denials, customer service, or related finance experience in a healthcare organization.
- Certification in medical billing.
Location
New York, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
6 days ago