Medical Billing Accounts Receivable (AR) Representative

We are seeking a dedicated Medical Billing AR Representative with a strong background in managing accounts receivable billing and collection of payments for all designated payors and locations in order to meet and maintain our goal to join our dynamic team.

You will be responsible for transferring patient and insurance information and initiating payment processes and procedures.

The ideal candidate will be well-versed in billing software, medical insurance regulations, and an expert at responding to patient and insurance inquiries. You will also be responsible for maintaining patient confidentiality, handling personal information, and accurately inputting patient data into the system.

Responsibilities:
Identifies and resolves billing inquiries/problems
Codes services provided utilizing CPT and ICD-10 coding
Experience with Medicare, Commercial, Worker's Comp and No-Fault claims follow up
Knowledge of Medical Terminology, ICD-10, CPT codes and the correct use of modifiers
Working rejections from the clearinghouse to correct errors for resubmissions
Generates and submits electronic claims and statements at designated intervals; corrects any errors for complete and accurate transmission of data
Able to handle patient inquiries regarding billing issues, out of network issues, and explaining insurance guidelines to patients
Read and analyze patient records to determine correct codes for billing to insurance provider
Prepares letters of appeal to insurance companies if the company refuses to pay contracted claims and/or denies a claim; submits documentation necessary to support claim; resubmits claims with corrections if needed for payment for all insurance payers
Researches and processes refund requests and overpayments
Prepares correspondence and/or collection letters
Performs other related duties as assigned by senior management
Requirements:
Minimum of 2 years of medical billing and accounts receivable experience preferred.

Experience working with Medicare, commercial insurance plans, Workers' Compensation, and No-Fault claims.

Strong understanding of medical terminology, ICD-10, CPT coding, and modifiers.

Experience preparing insurance appeals and resolving denied claims.

Familiarity with electronic claim submission and clearinghouse edits.

Excellent organizational skills with strong attention to detail.

Ability to prioritize multiple tasks and meet deadlines in a fast-paced environment.

Strong written and verbal communication skills and a commitment to exceptional customer service.

Benefits:
401(k) matching
Dental insurance
Disability insurance
Health insurance
Company paid Life insurance and optional voluntary insurance
Paid time off
Vision insurance
Work Location: In person: Relocate before starting work (Required)
Our company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, genetics, sexual orientation, gender identity, or gender expression in terms of all conditions of employment. Our diversity is one of our greatest strengths, and as an Equal Opportunity Employer, we are proud to promote a work environment where all differences are respected.

Job Type: Full-time
Pay: $25.00 - $28.00 per hour
Benefits:
401(k)
401(k) matching
Dental insurance
Employee assistance program
Health insurance
Health savings account
Paid time off
Parental leave
Vision insurance
Application Question(s):
Are you able to work in-office, not remote, in Syosset NY?

Experience:
Medical billing: 1 year (Preferred)
Ability to Commute:
Syosset, NY 11791 (Required)
Work Location: In person