Reporting to the Senior Director of Practice Management, the Medical Biller Specialist I processes claims for assigned providers and facilities. This role reviews medical documentation to properly bill services and treatment provided, then submits claims to payers following ICD-10, CPT coding, and insurance guidelines.
The position is primarily remote, with monthly onsite duties in the Bronx, NY for team meetings and training. Employees must reside locally to the NYC market and be available to come onsite upon request for training, meetings, and events.
Schedule: Monday through Friday, 8:00 a.m. to 5:00 p.m.
Minimum qualifications
- High school diploma or GED required
- Medical Billing Certification required
- Certified Professional Coder preferred
- Knowledge of ICD-10, CPT codes, and medical terminology required
- Proficiency with Microsoft Word, Excel, and PowerPoint required
- Knowledge of electronic health records required; eClinicalWorks is a strong plus
- 1-2 years of direct experience in medical billing required, which may include internship experience
Key duties
- Review provider medical notes in eCW to ensure documentation supports the service and treatment provided
- Verify selected diagnosis and CPT codes for accuracy following coding guidelines
- Assign and validate ICD-10, CPT, and applicable modifier codes
- Communicate with providers daily when additional information is needed to process claims
- Identify and correct coding and billing errors
- Submit billing data to the appropriate insurance payers
- Correct denials related to coding errors
- Fully funded health insurance for employee
- 73.5% funded health insurance for family
- Dental insurance
- $50,000 term life insurance
- 401(k) retirement savings plan with annual UHP contribution
- Comprehensive time off, including paid vacation, personal time, sick time, paid holidays, and birthday leave
Location
New York, US
Employment Type
Full-time
Experience Level
Entry Level
Salary Range
$45,560 - $45,560
Remote work allowed
Yes
Posted
2 weeks ago