Medical Billing Representative

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

Job summary

An established industry player is seeking a detail-oriented Medical Billing Representative to oversee the billing processes in a dynamic healthcare environment. This role involves verifying insurance coverage, processing claims, and managing denial resolutions, ensuring smooth operations across departments. Ideal candidates will have strong medical billing experience, excellent problem-solving skills, and the ability to work efficiently in a fast-paced setting. Join a team dedicated to making a difference in the lives of children and young adults struggling with autism, while enjoying a supportive and inclusive workplace that values your contributions.

Benefits

Medical/Dental/Vision Benefits

ABA training program

Access to RBT certification

Opportunity for career advancement

Travel reimbursement

Qualifications

• Must have previous experience in medical billing or healthcare.
• Strong attention to detail and excellent communication skills are required.

Responsibilities

• Manage entire billing process, ensuring timely and accurate claims processing.
• Verify insurance coverage and communicate with clients and insurance providers.

Skills

Medical billing experience

Attention to detail

Problem-solving skills

Communication skills

Claims processing

Familiarity with insurance policies

Tech-savvy

Team collaboration

Tools

Dragon

Excel

EMR systems

Millin/SEEK

Job description

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:

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

Job Requirements:

1. Previous experience in medical billing or healthcare is a MUST.
2. Strong attention to detail, excellent problem solving and communication skills, and the ability to work efficiently in a fast-paced environment.
3. Proficiency in medical billing software and claims processing.
4. Familiarity with insurance policies, healthcare billing regulations, and denial management procedures.
5. Tech-savvy, with proficiency in tools such as Excel and EMR systems.
6. 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/Vision Benefits
• ABA training program
• Access to pursue an RBT certification (Registered Behavior Technician).
• Opportunity for career advancement.
• Travel reimbursement

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.