Medical Billing Expert

4 weeks ago


New Hyde Park, New York, United States Onet-Systems Full time

We are seeking a highly skilled Revenue Cycle Specialist to join our team at Onet-Systems. As a key member of our medical billing team, you will be responsible for reviewing submitted claims for accuracy, investigating and resolving claim denials and rejections, and working closely with providers and administrative staff to ensure accurate documentation and billing processes.

Key Responsibilities:
  • Claim Review and Resolution: Review submitted claims for accuracy and investigate and resolve claim denials and rejections by analyzing coding and documentation.
  • Appeals and Correspondence: Work on insurance appeals and corrected claims correspondence, creating and submitting appeals and corrected claims packets as necessary.
  • Collaboration and Communication: Work closely with providers and administrative staff to ensure accurate documentation and billing processes, and utilize all available portals for claim information.
  • Regulatory Compliance: Ensure all billing practices adhere to legal and regulatory requirements.
Qualifications and Skills:
  • Education: High School diploma or equivalent.
  • Experience: Minimum of 3 years of medical billing experience, with out-of-network billing experience strongly preferred.
  • Skills: Excellent communication and interpersonal skills, excellent analytical and problem-solving skills, and a keen attention to detail.
Benefits:
  • Comprehensive Benefits: Comprehensive health benefits, including medical, dental, and vision coverage.
  • Aflac Insurance Plans: Aflac insurance plans for added protection.
  • Profit Sharing Plan: A profit-sharing plan to help you grow your savings.
  • Paid Time Off: Paid time off and holidays to help you recharge.


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