Medical Biller

Pride Health; New York (NY); On-site; USD 45,000 - 60,000; Full time

Job summary

A healthcare services provider is seeking a Medical Billing Specialist for their New York office. The role involves verifying billing form accuracy, managing billing inquiries, and ensuring compliance with regulations. The ideal candidate will have 2–3 years of medical billing experience and an Associate's Degree. Strong organizational and communication skills are essential. This position offers a chance to contribute to patient account management.

Qualifications

• 2–3 years of medical billing experience, including Medicare and Medicaid.
• Strong organizational skills and ability to maintain confidentiality.
• Effective communication with patients and staff.

Responsibilities

• Verify billing form accuracy and enter data for reimbursement processing.
• Investigate billing inquiries and ensure documentation completeness.
• Prepare documentation for account inquiries.

Skills

Medical billing experience

Organizational skills

Communication skills

Knowledge of medical terminology

Education

Associate's Degree

Bachelor's Degree in Finance or Accounting

Job description

The Medical Billing Specialist is responsible for verifying the accuracy of billing forms, entering data into appropriate databases, and ensuring timely reimbursement. This role investigates billing inquiries, reviews supporting documentation, and prepares records for resolution. The specialist also communicates with patients and other parties to address account discrepancies, denials, and payment arrangements while ensuring compliance and confidentiality.

Key Responsibilities

• Verify billing form accuracy and enter data into databases for reimbursement processing.
• Investigate billing inquiries, ensuring documentation completeness (CPT, ICD-9 coding, physician data, insurance coverage, TOA, etc.).
• Prepare documentation for account inquiry and resolution.
• Maintain an account inquiry database and generate reports/summaries as needed.
• Investigate denial causes and apply protocols for resolution.
• Communicate with patients and relevant parties regarding open accounts, incorrect information, and payment arrangements.

Required Skills & Experience

• 2–3 years of medical billing experience (Medicare, Medicaid, 3rd party reimbursement, ICD-9 & CPT coding).
• Strong organizational skills with the ability to maintain confidentiality.
• Effective communication skills to interact with patients, staff, and physicians.
• Ability to manage multiple priorities and remain professional under stress.
• Thorough knowledge of medical terminology.
• Accuracy in recording financial information.

Preferred Skills & Experience

• Accounting and/or financial reporting experience.
• Prior supervisory experience.

Education

• Associate’s Degree (required).
• Bachelor’s Degree in Finance or Accounting (preferred).

If Interested, you can reach me on my number (917)-444-3132 or email me at [e-mail]