Medical Billing Revenue Cycle Management Specialist Position Available In Queens, New York

Medical Billing Revenue Cycle Management Specialist Confidential Richmond Hill, NY 11418 Job description We are seeking a highly experienced Medical Billing- Revenue Cycle Management specialist to join our medical billing team. The ideal candidate will have a strong understanding of medical billing processes and terminology, experience in follow-up for Out-Of-Network providers, ensuring accurate and timely follow-up on billed claims.

Roles & Responsibilities:

Responsible for claims follow -up, Professional and Facility, from claim submission until final payment Communicate with insurance companies regarding claim denials or underpayments Utilize Payer Online Portals such as Availity, Cignaforhcp, UHC, Navinet, Emblem for claims status and eligibility verification Send Medical Records to payers, filing reconsiderations and appeals Utilize providers EMR’s to obtain Medical Records Reading and understanding various payers EOB’s Posting payments, writing off balances and sending statements to patients, when necessary Communicating with 3 rd party payers such as Multiplan, MARS and Zelis regarding OON claim negotiations. Follow up on Pre-negotiated Agreements a/k/a Single Case Agreements Review and verify accuracy of billing data utilizing Optum EncoderPro Utilize medical collection systems to track and collect payments Ensure compliance with all relevant coding and billing regulations Effectively resolve complex issues, including payment research, payment recoupments Effectively communicate issues to management, including payer, system or escalated account issues as well as develop solutions

Experience & Requirements:

Knowledge in Multi-Specialty coding – CPT and ICD codes for many different specialties Experience working with medical billing software like Imagine and ADS Familiar with Gap (Network Deficiency) exception and prior authorizations process Familiar with Federal IDR arbitrations process Familiar with OON Provider Registration Process with various Payers Knowledge of medical terminology (Hicfa, UB04, Tax ID, NPI) Strong attention to detail and persuasive telephone skills Excellent communication and interpersonal skills Solid skill with Microsoft Office applications: Word, Excel, Teams, Power BI reporting, Zendesk High School Diploma or equivalent Must have a minimum of 3 years’ experience in collections Experience with Epic a huge plus

Benefits:

401(k) 401(k) matching Dental insurance Employee assistance program Employee discount Health insurance Life insurance Paid time off Vision insurance

Work Location:

In person

Job Type:

Full-time Pay:

$22.00 – $25.00 per hour Expected hours: 40 per week

Schedule:

8 hour shift

Benefits:

401(k) 401(k) Match Dental insurance Health insurance Life insurance Paid time off Vision insurance

Job Type:

Full-time Pay:

$22.00 – $25.00 per hour Expected hours: 40 per week

Benefits:

401(k) Dental insurance Health insurance Life insurance Paid time off Vision insurance

Schedule:

8 hour shift

Experience:

ICD-10: 3 years (Preferred) Ability to

Relocate:

Richmond Hill, NY 11418: Relocate before starting work (Required)

Work Location:

In person