Medical Billing Specialist - Denials

3M HEALTHCARE; Hicksville (NY); Hybrid; USD 24,796 - 33,062; Full time

Benefits offered by this job

Medical, Vision and Dental Insurance

Disability insurance (Short/Long-term)

Voluntary term life

401(k) with match

Paid Time Off

Paid holidays

Free train ride to/from station

Fitness Friday & on-site gym

Birthday day off

Free lab services for you and depend*

Community culture

Job summary

Sunrise Medical Laboratories, Inc. in Hicksville, NY is seeking a medical billing specialist to manage front-end errors, payer rejections, and reimbursements for services rendered. You will review EOBs and carrier reports, contact providers for discrepancies, and ensure timely follow-up.

The role requires 1–2 years in billing and insurance knowledge, ICD-10/CPT/HCPCS familiarity, and Excel proficiency. This full-time position offers benefits, with possible remote work after six months in the

Qualifications

• High school diploma or medical billing certification required.
• 1-2 years of billing and insurance knowledge.
• Knowledge of ICD-10, CPT and HCPCS codes.
• Medical terminology.
• 1-2 years of A/R follow up and denials.
• Knowledge of Excel.
• Basic understanding of medical billing compliance.

Responsibilities

• Work and resolve front-end errors and payer rejections in the Clearinghouse.
• Collect reimbursements for services rendered by reviewing insurance carriers' reject reports, EOBs and/or correspondence.
• Use established protocols to contact providers and clients to resolve discrepancies in processed, partially paid and unpaid claims with timely follow-up action.
• Review and adjust claims as needed and process refund and medical record requests from mail received by the insurance companies.

Skills

Billing and insurance knowledge

ICD-10 CPT HCPCS codes

Medical terminology

A/R follow up and denials

Excel

Medical billing compliance

Education

High school diploma or medical billing certification

Tools

Excel

Job description

Responsibilities

• Work and resolve front-end errors and payer rejections in the Clearinghouse.
• Collect reimbursements for services rendered by reviewing insurance carriers' reject reports, EOBs and/or correspondence.
• Use established protocols to contact providers and clients to resolve discrepancies in processed, partially paid and unpaid claims with timely appropriate follow-up action.
• Review and adjust claims as needed and process refund and medical record requests from mail received by the insurance companies.

Qualifications

• High school diploma or medical billing certification from an accredited school.
• 1-2 years of billing and insurance knowledge.
• Knowledge of ICD-10, CPT and HCPCS codes.
• Medical terminology.
• 1-2 years of A/R follow up and denials.
• Knowledge of Excel.
• Basic understanding of medical billing compliance.

Location & Hours

Location: 250 Miller Place, Hicksville, NY 11801

Hours: Monday to Friday; Flexible Hours. Possible remote work after 6 months in office, weekly office work required if remote.

Full Time: Benefits Eligible.

Compensation

Hourly rate: $18.00 - $24.00 per hour.

Other Details

Scheduled weekly hours: 40

Work shift: 1st Shift (United States of America).

Company: Sunrise Medical Laboratories, Inc.

Benefits

• Medical, Vision and Dental Insurance
• Short-Term and Long-Term disability
• Voluntary term life
• 401(k) plus match
• Paid Time Off
• Paid holidays
• Free ride to and from the train station
• Fitness Friday & on-site gym
• A day off on your birthday
• Free lab services for you and your dependents
• A sense of belonging - we are a community!

Company Mission & Culture

Our mission: Highest quality laboratory testing. Our passion: Helping people live better, healthier lives.

At Sunrise Medical Labs, we are well supported by everyone - from colleagues and management alike. We have a warm, welcoming culture that is laid back but professional. Our management staff is attentive and helpful, and coworkers enjoy working together.

EEO Statement

Sonic Healthcare USA is an equal opportunity employer that celebrates diversity and is committed to an inclusive workplace for all employees. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, age, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.