Senior Medical Biller, Full-Time, 100% On-Site

1 week ago


New York, NY, United States Northwell Health Full time
Senior Medical Biller (CPC or CPA Certification), Full-Time, On-Site

Northwell Health is seeking a seasoned Senior Medical Biller with extensive experience and strong technical knowledge of medical billing and insurance reimbursement processes to work for our external client, a world leading neurological medical center, located in Manhattan, NY.

This is a full-time, permanent job. Monday Friday, 9:00am-5:00pm, working from the office.

Base pay range: $60,000.00/yr - $90,000.00/yr

Requirements
  • 5+ years of experience in medical billing and claims processing, and insurance follow-up.
  • Certification in medical billing and coding preferred (e.g., CPC, CPA, or equivalent).
  • In-depth knowledge of CPT, ICD-10, and HCPCS coding systems.
Responsibilities
  • Timely and accurately submit claims to both private and public insurance carriers, including Medicare, Medicaid, and commercial plans.
  • Investigate and resolve denied or unpaid claims, handling appeals, resubmissions, and necessary corrections.
  • Analyze denial trends and offer feedback and suggestions for process improvement.
  • Review and verify billing codes (CPT, ICD-10, and HCPCS) to ensure compliance with federal and state regulations.
  • Stay informed on payer policies and reimbursement procedures to maintain accuracy.
  • Ensure the accuracy and completeness of all patient accounts and billing information.
  • Assist with internal and external audits as needed.
  • Uphold the confidentiality of patient and company information in line with HIPAA regulations.
  • Perform additional administrative and billing tasks as required.

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