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Administrative
Medical Biller
Melville, NY
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On-site Position Summary . This on-site position is responsible for insurance collections, account follow-up, claims resolution, billing accuracy, and payment posting activities. The ideal candidate will have experience in healthcare revenue cycle management, strong analytical skills, and a commitment to delivering excellent customer service while maintaining compliance with HIPAA and organizational policies. Key Responsibilities Follow up with insurance payers via phone, email, fax, and payer websites to ensure timely resolution of outstanding claims. Review and update patient demographic, insurance, and financial information to ensure accuracy. Verify insurance coverage and determine financial responsibility for services rendered. Monitor and review billing activity to identify and correct claim errors. Ensure Medicaid and other government program claims are submitted within required timeframes. Submit hospital and facility claims accurately and promptly to insurance carriers and patients. Follow up on assigned accounts to secure payment and resolve outstanding balances. Maintain a working knowledge of insurance regulations, payer requirements, and contractual agreements. Identify, analyze, and report denial trends, underpayments, and reimbursement issues. Investigate and resolve payment delays; prepare and submit appeals when necessary. Utilize Excel spreadsheets and reporting tools to analyze account activity and communicate findings. Meet or exceed departmental productivity and quality standards. Maintain professional, courteous, and cooperative relationships with patients, clients, payers, management, and coworkers. Protect patient confidentiality and comply with all HIPAA and information security requirements. Perform additional duties as assigned. Qualifications Required High school diploma or equivalent. Minimum of 2-3 years of experience in insurance collections and healthcare claims follow-up. Experience with hospital or facility billing. Knowledge of healthcare claims processing, including ICD-10, CPT, HCPCS, and UB-04 billing requirements. Understanding of Medicare, Medicaid, and commercial insurance reimbursement processes. Proficiency in Microsoft Office Suite, including Excel and Word. Strong mathematical, data entry, and typing skills. Excellent written, verbal, and interpersonal communication skills. Strong problem-solving abilities with attention to detail and accuracy. Ability to manage multiple priorities in a fast-paced environment while meeting deadlines. Preferred Medical Billing and Coding certification. Experience with healthcare systems such as EPIC, STAR, SMS, EAGLE, or similar revenue cycle platforms. Success Factors High level of integrity, professionalism, and accountability. Strong analytical and organizational skills. Results-oriented mindset with a sense of urgency. Commitment to providing exceptional customer service. Ability to work independently and collaboratively within a team environment. Compliance Requirements Use, protect, and disclose Protected Health Information (PHI) only as permitted under HIPAA regulations. Adhere to all organizational information security and privacy policies. Access PHI only as necessary to perform assigned job duties. Please submit your resume for immediate consideration!
