Healthcare Billing Specialist

1 week ago


New York, New York, United States NYC Health Hospitals Full time
Job Title: Healthcare Billing Specialist

We are seeking a detail-oriented and experienced healthcare billing specialist to join our team at NYC Health + Hospitals/Gouverneur. As a key member of our revenue cycle team, you will be responsible for accurately processing managed care, Medicare, and Medicaid claims submissions and cash posting.

Key Responsibilities:
  • Verify patient insurance coverage, eligibility, and benefits to determine patient responsibility and billing requirements.
  • Prepare and submit insurance claims electronically or by mail, ensuring compliance with payer requirements and timely submission deadlines.
  • Follow up on outstanding claims, denials, and rejections, resolving billing discrepancies and resubmitting claims as necessary.
  • Submit appeals to insurance companies and navigate provider portals for claims review and appeal submission.
  • Collaborate with healthcare providers and clinical staff to ensure accurate documentation and coding practices to support claim submission.
  • Provide support and guidance to patients regarding billing inquiries, payment options, and financial assistance programs.
  • Responsible for private collection and coordinates with the Case Management Team for missing and continuing authorizations.
  • Review aging reports, attend the monthly aging meeting, and provide updates on open accounts.
  • Post daily cash receipts, including insurance, private, NAMI, and other miscellaneous cash, and reconcile the bank statements.
  • Assist in other responsibilities assigned by the manager.
  • Maintain confidentiality of patient information and adhere to HIPAA guidelines and regulations.
Requirements:
  • An associate degree from an accredited college or university, or a high school graduate or a high school equivalency diploma; and four (4) years of experience in medical billing.
  • Proficiency in Microsoft Excel, Word, and Outlook.
  • Demonstrates commitment and accountability to be culturally sensitive to internal and external customers.
  • Knowledge of e-paces and insurance portals is a plus.
What We Offer:
  • Comprehensive health benefits for employees hired to work 20+ hours per week.
  • Retirement savings and pension plans.
  • Loan forgiveness programs for eligible employees.
  • Paid holidays and vacation in accordance with employees' collectively bargained contracts.
  • College tuition discounts and professional development opportunities.
  • Multiple employee discounts programs.


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