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Medical Billing Specialist

2 months ago

New York, United States PROMESA R.H.C.F. Full time
Job Title: Biller

PROMESA R.H.C.F. is seeking a skilled Biller to join our team. As a Biller, you will be responsible for timely billing and account receivable functions, ensuring accurate and efficient processing of claims and payments.

Key Responsibilities:
  • Third-party insurance billing and review of payments
  • Review of trial balances and adjustment of accounts after payment
  • Assistance with loading encounters as needed
  • Maintenance of accurate records of billing claim submission
  • Updating patient demographics and generating billing reports
  • Verification of patient payments
  • Review of Explanation of Benefits (EOBs)
  • Claim denial reconciliation
Requirements:
  • High school diploma or equivalent
  • Minimum of 2 years' experience in medical billing
  • Demonstrated knowledge of medical billing principles and practices
  • Understanding of insurance benefits
  • Knowledge of OASAS Article 32, Article 28 & 31 billing rules & compliance
  • Excellent computer skills; Microsoft Word, Excel, PowerPoint
  • Demonstrated use of Nextgen, Epaces, and various managed care web portals
  • Team-oriented with a positive attitude and willingness to be flexible and helpful
  • Ability to multitask with strong organizational skills
  • Excellent interpersonal skills and ability to communicate verbally and in writing
  • Commitment to cultural diversity and sensitivity
  • Ability to maintain a professional demeanor under pressure and operate with a keen sense of urgency and commitment to quality