Medical Billing Specialist

Medical Billing Specialist

Position Overview:

We are seeking a detail-oriented Medical Biller to accurately process medical claims, post payments, and follow up on outstanding accounts. This role requires strong organizational and problem-solving skills. The ideal candidate will be proactive in identifying and correcting claim issues, communicating effectively with internal teams, and ensuring timely reimbursement.

Key Responsibilities:

• Submit claims for services through billing software and clearinghouses
• Apply PPS billing rules, including modifiers, value codes, and occurrence codes
• Investigate denials by reviewing remittance advice and identifying root causes
• Correct and resubmit claims efficiently
• Communicate recurring issues or system errors with supervisors for resolution
• Follow up on outstanding claims via payer portals or phone
• Draft professional appeals for denied claims, especially authorization-related issues
• Escalate missing or invalid authorization concerns as needed
• Review and reconcile assigned aging reports monthly
• Utilize Excel, PDFs, and standard computer applications proficiently
• Troubleshoot claim issues independently while collaborating with team leads

Requirements:

• Strong attention to detail and organizational skills
• Ability to problem-solve and manage billing issues effectively
• Proficiency with Excel, billing software, and clearinghouse systems
• Prior healthcare or leadership experience

Join a supportive team where your attention to detail and problem-solving skills will directly contribute to efficient operations and timely reimbursements.

For more details or to apply reach out to henny@hiresolutionsny.com or call 845-422-8098 Ext. 108