Patient Billing & Collections Specialist

Northwell Health; New York (NY); On-site; USD 42,000 - 64,000; Full time

Job summary

Northwell Health is seeking a Billing Specialist to perform billing, collections, third party reimbursements, and data entry, assisting in posting charges to accounts. The role requires careful entry and interaction with insurers and patients.

Responsibilities include reviewing coding accuracy, notifying physicians of discrepancies, handling denials, preparing appeal packets, and maintaining organized files. The position emphasizes professional communication and compliance with ADA guidelines.

Qualifications

• High school diploma or equivalent required.
• 0-1 year of relevant experience preferred.

Responsibilities

• Performs charge and payment entry; ensures correct coding for physician specialties.
• Aids review of physician coding and flags potential rule conflicts.
• Notifies physician when discrepancies are identified for correction.
• Coordinates incoming mail with open queue charges to maintain status.
• Reads insurance explanations of benefits and responds to payer edits and denials.
• Creates detailed letters to insurances and patients.
• Assembles appeal packages for insurers.
• Communicates professionally with insurers and patients.
• Maintains organized files of incoming and completed work.
• Performs related duties as required under ADA and related definitions.

Skills

0-1 years of relevant experience

Education

High School Diploma or equivalent

Job description

Northwell Health is seeking a Billing Specialist to perform billing, collections, third party reimbursements, and data entry, assisting in posting charges to accounts. The role requires careful entry and interaction with insurers and patients.

Responsibilities include reviewing coding accuracy, notifying physicians of discrepancies, handling denials, preparing appeal packets, and maintaining organized files. The position emphasizes professional communication and compliance with ADA guidelines.