Clinical Billing Specialist

3 days ago


Garden City, Michigan, United States Northwell Health Full time

At Northwell Health, we are seeking a skilled Clinical Billing Specialist to perform various administrative tasks. As a key member of our team, you will be responsible for maintaining accurate and up-to-date patient records, ensuring timely and efficient billing processes, and communicating effectively with insurance providers and patients.

Key Responsibilities:
  • Perform charge and payment entry, coding, and review physician's coding for accuracy.
  • Audit and identify discrepancies in billing rules and notify physicians for correction.
  • Coordinate incoming mail with open queue charges to maintain queue status.
  • Read and interpret insurance explanation of benefits and respond to insurance payer edits, rejections, and denials.
  • Create detailed letters and effective appeal packages to submit to insurances.
  • Communicate professionally with insurances and patients.
  • Maintain organized files of incoming and completed work.

We offer a competitive salary range of $42,500 - $62,000 per year, based on location, experience, and internal equity.


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