We are seeking a detail-oriented Medical Biller to join a healthcare team supporting billing operations for an OBGYN and pediatrics setting. This role is responsible for preparing, submitting, and following up on insurance claims, ensuring billing accuracy, and supporting revenue cycle processes.
The position requires strong knowledge of medical terminology, coding systems, billing procedures, and payer requirements. The selected candidate will work closely with providers and other departments to resolve discrepancies, manage collections, and maintain compliance with confidentiality and HIPAA standards.
Requirements & Qualifications
Responsibilities
- Review and process patient information and medical records for accurate billing.
- Prepare and submit clean claims to insurance companies electronically and by paper.
- Follow up on outstanding payments and unpaid claims within standard billing cycle timeframes.
- Conduct medical collections while maintaining professionalism and compliance.
- Collaborate with healthcare providers to resolve billing discrepancies and clarify medical record issues.
- Post payments and adjustments to patient accounts.
- Generate patient statements and respond to billing inquiries.
- Work with insurance companies to resolve coverage and reimbursement issues.
- Correct and resubmit rejected claims as necessary.
- Maintain strict patient confidentiality and comply with HIPAA regulations.
- Stay current on billing regulations, insurance requirements, and best practices.
Qualifications
- High school diploma or equivalent.
- Minimum 2 years of medical billing experience in a Pediatrics/OBGYN healthcare setting.
- Knowledge of medical terminology, CPT, ICD-10, and HCPCS codes.
- Understanding of insurance guidelines, including Medicare, Medicaid, and commercial payers.
- Strong attention to detail and excellent organizational skills.
- Ability to work independently and as part of a team.
Preferred
- Certified Professional Biller (CPB) or Certified Medical Reimbursement Specialist (CMRS).
- Experience with Pediatrics and OB/GYN billing.
- Familiarity with electronic medical records (EMR) systems.
Benefits & Perks
- Full-time employment
- 401(k)
- Paid time off
Location
New York, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago
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