We are looking for 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. The company provides incredible benefits with health insurance premiums as low as $1 per paycheck and generous paid time off.

In this role you will be ensuring timely and accurate claims processing, managing denials, and assisting with billing-related reporting and audits.

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

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.

*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g. location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity).