Billing Representative

SB CLINICAL PRACTICE MANAGEMENT PLAN INC; Setauket (NY); Hybrid; USD 31,684 - 39,592; Full time

Job summary

A healthcare management company in Setauket is seeking a Billing Representative to provide crucial administrative support to ensure accurate billing and payer reimbursements. The role requires a high school diploma and two years of medical billing experience in a physician's office. Strong communication and organizational skills, along with proficiency in Microsoft Office, are essential. This full-time position may offer remote work options for New York State residents.

Qualifications

• Minimum of two years medical billing related experience in a physician’s office.
• Excellent expressive and written communication skills.
• Highly organized and proficient in Microsoft Office applications.

Responsibilities

• Prepare reconsideration to payers.
• Process payer rejections.
• Review payer payments.
• Prepare billing error corrections, refunds, and itemized bills.
• Interact with third-party payers for verification of reimbursement benefits.

Skills

Communication skills

Organizational skills

Microsoft Office (Word, Excel)

Education

High School Diploma or GED

Medical billing program completion

Job description

Billing Representative – Stony Brook CPMP Patient Accounts

Location: East Setauket, NY. At the manager’s discretion, this role may be eligible for remote work; this position is only available to New York State Residents.

Schedule: Full time. Days/Hours: Monday – Friday; 8:30 AM – 5:00 PM.

Pay: $23.00 – $28.74 per hour. Our compensation philosophy aims to provide marketable compensation programs and to compensate employees based on relevant experience and education. Individual compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries vary depending on experience, education and current market for the position. Human Resources determines the external and internal equitable salary for each employee. The above salary range (or hiring range) represents Stony Brook CPMP’s good faith and reasonable estimate of the range of possible compensation at the time of posting.

Summary

This position requires the incumbent to provide administrative support to CPMP. This role is essential to ensure billing and payer reimbursements are processed accurately.

Job Duties & Essential Functions

• Prepare reconsideration to payers.
• Process payer rejections.
• Review payer payments.
• Complete special department/physician projects.
• Prepare billing error corrections, refunds and itemized bills for patients and attorneys.
• Interact with third‑party payers for verification of reimbursement benefits and claim status.
• Perform all other duties as assigned by management.

Required Education & Qualifications

• High School Diploma or GED.
• Minimum of two years medical billing related experience in a physician’s office or a graduation from a medical billing program.
• Excellent expressive and written communication skills.
• Highly organized.
• Proficient in Microsoft Office Word and Excel.

Preferred Education & Qualifications

• Computer literate with knowledge of medical insurance policies, reimbursement and medical terminology.
• Experience with insurance websites.
• Proficient in Microsoft Office Word and Excel.

Physical Demands

This position is largely sedentary and requires the employee to remain stationary for a majority of the day. The employee must be able to communicate with patients, staff, and medical providers. Any additional physical demands will be provided by management.

The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of CPMP.

CPMP provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, gender identity or expression, or any other legally protected status. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall and transfer, leaves of absence, compensation and training.

CPMP expressly prohibits any form of workplace harassment based on race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, gender identity, or any other legally protected status. Improper interference with the ability of CPMP’s employees to perform their job duties may result in discipline up to and including discharge.