Job description

Are you able to demonstrate a high level of accuracy and efficiency? Are you proficient in their knowledge of billing regulations, claim form requirements and appeal processes for government or commercial payer sources? We are partnered with a local organization that is seeking to bring in an additional medical biller to the team! This is a direct permanent hire, working fully in office Monday-Friday.

• Handling prior Authorizations, A/R follow-up/collections, appeal writing, root cause analysis and billing.
• Expedite clean claim & re-bill submissions and aggressive follow up efforts to secure payer reimbursement for our patients claims
• Ability to communicate with patients, insurance companies, MD offices, and internal departments in a professional manner.
• Manage benefit investigations, eligibility checks, pre-authorizations / pre-certifications, rejections, denials, appeals and identify escalations that could lead to addressing systemic payer issues.
• Prepare underpayment reports
• Denial management – reviewing insurance vouchers to determine resolution of denials. Informing the Director of any patterns in denials.
• Process refunds & support month end balancing activities

Job Type: Full-time

Pay: $20.00 - $23.00 per hour

Benefits:

• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Ability to commute/relocate:

• Syracuse, NY: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

• Are you comfortable and willing to work fully in office Monday - Friday 8am-5pm?

Education:

• Associate (Preferred)

Experience:

• Processing claims/payments from Medicaid and Medicare: 4 years (Preferred)
• Medical Billing: 4 years (Preferred)
• Accounts receivable: 3 years (Preferred)

Work Location: In person

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