Medical Billing Specialist

Job Functions, Duties, Responsibilities and Position Qualifications :

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The Medical Billing Specialist plays a crucial role by ensuring providers are properly reimbursed for the services they provide to patients. Responsible for accurately and efficiently processing healthcare claims, coding medical procedures, accurately inputting information into the billing system, and submitting claims to insurance companies

LOCATION : White Plains NY

FULL TIME : Benefits Eligible

HOURLY RATE : $28-30 / hr.

Key Requirements :

Out of Network Billing Experience : 1Year (required)

Experience in Laboratory / Medical Billing

DUTIES AND RESPONSIBILITIES :

Generate and electronically submit claims and statements at designated intervals ensuring they are processed in a timely manner; corrects errors for complete and accurate transmission of data

Monitor the status of submitted claims, follow up with insurance companies to resolve any discrepancies or denials, and resubmit claims as needed

Record payments received from insurance companies, patients, or other sources and apply them to the appropriate accounts.

Research and process refund request and overpayments

Performs additional duties including but not limited to copying checks received and recording payments, faxing information as required, and verifying insurance eligibility.

Qualifications :

High school diploma or equivalent; prefer a degree or certification in medical billing or related.

Familiar with medical terminology, and coding (ICD-10, CPT)

Proficient in medical billing software and electronic health records (EHR). Experience with TELCOR is a plus

Excellent communication and interpersonal skills for interacting with patients, providers, etc.

Strong attention to detail

Knowledge of healthcare billing regulations and compliance standards.

Problem -solving skills to resolve billing discrepancies and denials.

Ability to handle multiple projects and meet deadlines.

Scheduled Weekly Hours :

40

Work Shift : Job Category :

Accounts Receivable

Company :

ProPath Services, LLC

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.