Medical Billing Representative

Triumph Behavior Support; New York (NY); On-site; Full time

Job summary

A leading ABA therapy provider is seeking a detail-oriented Medical Billing Representative to manage billing processes and verify insurance coverage. The ideal candidate will have previous billing experience and proficiency in medical billing software, contributing to efficient operations and timely payments.

Benefits

Medical/Dental Benefits

Opportunity for career advancement

Qualifications

• Experience with billing processes and claims management.
• Proficiency in medical billing software and tools.
• Familiarity with healthcare billing regulations.

Responsibilities

• Manage the entire billing process from start to finish.
• Verify insurance coverage and process claims.
• Monitor accounts receivable and manage denials.

Skills

Attention to Detail

Problem Solving

Communication

Education

Previous experience in medical billing

Tools

Medical billing software

Excel

Job description

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About Triumph

Triumph is a Tri-state based ABA therapy provider serving children and young adults struggling with autism. Harnessing the efficacy of clinically proven ABA techniques, our team maps out a custom-tailored regimen to reveal the potential within each child. These scientifically backed methods are enhanced by our internal network of BCBA’s, BT’s and clinicians who work cohesively for the benefit of our children.

About Triumph

Triumph is a Tri-state based ABA therapy provider serving children and young adults struggling with autism. Harnessing the efficacy of clinically proven ABA techniques, our team maps out a custom-tailored regimen to reveal the potential within each child. These scientifically backed methods are enhanced by our internal network of BCBA’s, BT’s and clinicians who work cohesively for the benefit of our children.

About The Role

We are seeking a highly motivated and detail-oriented Medical Billing Representative to manage the billing processes for our healthcare facility. The ideal candidate will play a key role in verifying insurance coverage, processing claims, ensuring timely payments, and managing denial resolutions. The representative will work closely with our billing team, insurance providers, and other departments to ensure smooth operations and accurate billing processes.

Role Responsibilities

• Manage the entire billing process from start to finish, ensuring all claims are processed in a timely and accurate manner.
• Verify insurance coverage for clients and ensure that all necessary information is captured.
• Process claims accurately and submit them to insurance companies within the required timeframe.
• Monitor accounts receivable, following up on outstanding balances and ensuring timely payments.
• Maintain detailed records of billing activities and generate periodic reports as required.
• Communicate effectively with insurance providers, clients, and team members to resolve any billing issues.
• Focus on denial management, reviewing denied claims, investigating reasons for denials, and taking appropriate action to secure payment.
• Perform monthly eligibility checks with Millin/Seek, collaborating closely with billing coordinators and intake teams.
• Utilize various billing tools and software, including Dragon, to pull sessions that need to be billed, scrub data, and submit claims to insurance.
• Oversee the approval process, ensuring all claims are approved by insurance companies and payments are received.
  
  

Job Requirements

• Previous experience in medical billing or healthcare is a MUST.
• Strong attention to detail, excellent problem solving and communication skills, and the ability to work efficiently in a fast-paced environment.
• Proficiency in medical billing software and claims processing.
• Familiarity with insurance policies, healthcare billing regulations, and denial management procedures.
• Tech-savvy, with proficiency in tools such as Excel and EMR systems.
• Team-oriented with the ability to collaborate with billing coordinators and intake staff.
  
  

Other Job Information

• Preferred experience with Millin/SEEK for eligibility checks and billing systems.
  
  

Benefits At Triumph

• Medical/Dental Benefits
• Opportunity for career advancement.
  
  

Compensation Package

New York Pay Range: $23 - $30/hr

Triumph ABA is committed to Equal Employment Opportunities (EEO) for all applicants and employees, providing a diverse, equitable, and inclusive workforce. At Triumph ABA, we will not discriminate against an applicant or employee based on race, color, creed, religion, sex, national origin, age, disability, genetics, sexual orientation, gender identity, gender expression, veteran or military status, marital status, or any other legally recognized protected basis under federal, state, or local law. If accommodation is required as part of the interview process due to a disability, please let your recruiter know.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Accounting/Auditing and Finance

• Industries

  Individual and Family Services

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