Responsible for managing the billing process, submitting claims to insurance companies, following up on unpaid or denied claims, and ensuring timely reimbursement for healthcare services. This role plays a key part in revenue cycle management by identifying denial trends and taking corrective actions.
Key Responsibilities
- Manage medical billing activities across inpatient, outpatient, critical access, and rural health claims.
- Submit and follow up on insurance claims, resolve denials and rejections, and prepare appeal letters with appropriate supporting documentation.
- Retrieve and update patient account statuses, process remittances, manage accounts receivable, and support accurate charge entry.
- Answer patient and payer inquiries, verify insurance eligibility and authorizations, and maintain HIPAA-compliant documentation.
- Use EMR systems, meet productivity benchmarks, and work effectively in a fast-paced administrative healthcare setting.
Requirements & Qualifications
- Bachelor's degree in healthcare or business administration preferred.
- Experience in medical billing and denials management preferred.
- Customer service and healthcare finance experience are a plus.
- Certification in medical billing preferred.
- Knowledge of medical terminology, physician fee schedules, DRGs, reimbursement procedures, and claims processing.
- Strong organizational, multitasking, and communication skills.
- Ability to work with EMR systems and meet productivity standards.
Location
New York, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 week ago