Medical Billing Specialist

Practicefirst Medical Management Solutions, Amherst NY; New York (NY); On-site; USD 28,000 - 34,000; Full time

Benefits offered by this job

401(k)

401(k) matching

Dental insurance

Employee assistance program

Flexible spending account

Health insurance

Life insurance

Paid time off

Vision insurance

Job summary

AAPC in New York, NY is seeking an experienced Medical Biller to join the billing team. The ideal candidate has 3+ years in medical billing, with strong experience in denial management, appeals, and AR. The role supports ENT, OBGYN, and other specialties and emphasizes accurate, timely claim resolution for clients.

Position may be on-site, hybrid or fully remote. Salary is hourly with benefits including 401(k), health insurance, and PTO.

Qualifications

• Minimum 3 years of medical billing experience.
• Experience billing and following up on claims.
• Strong understanding of commercial insurance, Medicare, Medicaid, and managed care plans.
• Experience working claim denials and appeals.
• Excellent problem-solving and analytical skills.
• Strong attention to detail and organizational skills.
• Proficiency with Microsoft Office applications.
• Ability to work independently in a remote environment.

Responsibilities

• Work insurance aging reports and denied claims to obtain payment.
• Research and resolve claim denials, rejections, and payment discrepancies.
• Submit appeals and supporting documentation as needed.
• Review payer-specific requirements and ensure compliance with billing guidelines.
• Follow up with insurance carriers regarding outstanding claims.
• Accurately post and reconcile payments when applicable.
• Maintain detailed documentation of all account activity.
• Collaborate with internal teams to resolve billing issues and improve claim outcomes.
• Provide excellent customer service when communicating with clients, insurance carriers, and patients.
• Meet productivity and quality standards while managing assigned accounts.

Skills

Medical billing

Claim follow-up

Denials & appeals

Insurance knowledge

MS Office

Remote work capability

Education

High school diploma

Tools

Medent

Job description

Job Summary

We are seeking an experienced Medical Biller to join our growing billing team. We are specifically looking for candidates with recent medical billing experience in either: Ear, Nose & Throat (ENT) OBGYN / Women's Health Other Complex Specialties. The ideal candidate will have a strong understanding of insurance follow-up, denial management, appeals, and accounts receivable management. This position plays a key role in maximizing reimbursement and ensuring accurate, timely claim resolution for our clients.

Responsibilities

• Work insurance aging reports and denied claims to obtain payment.
• Research and resolve claim denials, rejections, and payment discrepancies.
• Submit appeals and supporting documentation as needed.
• Review payer-specific requirements and ensure compliance with billing guidelines.
• Follow up with insurance carriers regarding outstanding claims.
• Accurately post and reconcile payments when applicable.
• Maintain detailed documentation of all account activity.
• Collaborate with internal teams to resolve billing issues and improve claim outcomes.
• Provide excellent customer service when communicating with clients, insurance carriers, and patients.
• Meet productivity and quality standards while managing assigned accounts.

QualificationsRequired

• Minimum of 3 years of medical billing experience.
• Experience billing and following up on claims.
• Strong understanding of commercial insurance, Medicare, Medicaid, and managed care plans.
• Experience working claim denials and appeals.
• Excellent problem-solving and analytical skills.
• Strong attention to detail and organizational skills.
• Proficiency with Microsoft Office applications.
• Ability to work independently in a remote environment.

Preferred

• Medent experience a plus.
• CMBS certification.
• Experience with multiple physician specialties.
• Knowledge of New York State Workers' Compensation and No-Fault billing.

Position can be on-site, hybrid or fully remote.

Job Type

Full-time

Pay

$20.00 - $25.00 per hour

Benefits

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Education

High school or equivalent (Required)

Experience

Multi-Insurance, Professional Billing: 3 years (Required)

Professional Billing A/R Follow-Up

3 years (Required)

Work Location

In person.