Medical Biller: Revenue Cycle & Denials Champion

Facilitex; New York (NY); Vor Ort; USD 45.000 - 60.000; Vollzeit

Zusammenfassung

Facilitex is seeking a Medical Biller to manage end-to-end Revenue Cycle Management in our New York office. You will ensure accurate claims submission, timely payment posting, and diligent A/R follow-up, working with Medicaid, Medicare, and commercial carriers.

The role requires familiarity with payer guidelines, HIPAA compliance, and EMR/Practice Management systems, with a collaborative approach to resolve denials and optimize reimbursement. 1+ year of billing experience preferred.

Qualifikationen

• 1+ year of medical billing experience.
• Strong knowledge of Revenue Cycle Management (RCM).
• Experience with payment posting, insurance follow-up, and accounts receivable.
• Familiarity with Medicare, Medicaid, and commercial insurance carriers.
• Experience using an Electronic Medical Record (EMR) and Practice Management system.
• Strong analytical, organizational, and problem-solving skills.
• Ability to manage multiple priorities while maintaining accuracy and productivity.
• Excellent communication and teamwork skills.

Aufgaben

• Review, scrub, and submit professional and facility claims accurately and timely.
• Process electronic and paper claims through clearinghouses and insurance carriers.
• Post insurance and patient payments accurately from ERAs, EOBs, EFTs, and manual payments.
• Manage Accounts Receivable (A/R) by following up on unpaid, underpaid, and denied claims.
• Research and resolve claim rejections, denials, and payment discrepancies.
• Prepare and submit corrected claims, reconsiderations, and appeals as needed.
• Work aging reports and claim work queues to ensure accounts are touched regularly and resolved promptly.
• Maintain familiarity with Medicare, Medicaid, Managed Medicaid, Commercial insurance, Workers' Compensation, and other payer requirements.
• Understand payer-specific billing rules, authorization requirements, timely filing limits, and reimbursement policies.
• Verify insurance eligibility and benefits when necessary.
• Review patient balances and ensure accurate patient billing.
• Identify billing trends and escalate recurring payer or workflow issues.
• Collaborate with coding, front desk, providers, and management to resolve billing issues affecting reimbursement.
• Ensure documentation supports claim submission and reimbursement requirements.
• Maintain accurate account notes and documentation for all billing activity.
• Meet departmental productivity, quality, and collection goals.
• Stay current on insurance regulations, billing requirements, and coding updates affecting reimbursement.
• Maintain HIPAA compliance and protect patient confidentiality at all times.
• Assist with special billing projects and other Revenue Cycle Management initiatives as assigned.

Kenntnisse

Medical billing experience

Revenue Cycle Management

Payment posting

A/R follow-up

HIPAA compliance

Analytical skills

Multi-priority management

Communication & teamwork

Jobbeschreibung

Facilitex is seeking a Medical Biller to manage end-to-end Revenue Cycle Management in our New York office. You will ensure accurate claims submission, timely payment posting, and diligent A/R follow-up, working with Medicaid, Medicare, and commercial carriers.

The role requires familiarity with payer guidelines, HIPAA compliance, and EMR/Practice Management systems, with a collaborative approach to resolve denials and optimize reimbursement. 1+ year of billing experience preferred.