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Phoenix House of New York

A/R Biller

Entry-Level JobVerifiedNo experience needed

Career Insights for Medical Claims Processor / Representative

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What they do

A Medical Claims Processor or Representative reviews and processes medical insurance claims and determines whether an insurance policy will cover a medical procedure. Gathers information from policy holders and organizes insurance files; may process checks with payments to policy holders when a medical claim is approved.

$48,582 / year median in New York

-4% projected decline

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Job Description

A/R Biller Phoenix House of New York - 3.0 Long Island City, NY Job Details Full-time $23.51 - $35.29 an hour 15 hours ago Benefits Paid holidays Health insurance Dental insurance Tuition reimbursement Vision insurance 403(b) Pet insurance Qualifications High school diploma or GED Clinical information systems Full Job Description SUMMARY Are you ready to join a dynamic team of dedicated values-based leaders and professionals who are committed to creating a healthy, addiction-free world? As a A/R Biller at Phoenix House , you will be responsible for the billing of Outpatient and inpatient and follow up of claims. If this sounds like you, we invite you to apply. Be part of something bigger — help us build a healthier, addiction-free future together. •Phoenix House of NY is proudly offering 100% employer-paid medical insurance for all eligible employees and their dependents!•About Us Phoenix House of New York | Long Island is a nonprofit organization dedicated to helping individuals and families overcome substance use disorders and achieve lasting recovery. We provide treatment, housing, and support services for our clients and their families. Our core values— Integrity, Compassion, Appreciation, Respect, Excellence, and Forward Thinking —guide our approach, ensuring each person receives evidence-based care that promotes dignity and wellness. By upholding these values, we empower people to rebuild their lives with hope, accountability, and support. What We Offer At Phoenix House, we recognize that in today's economic climate, stability and support matter more than ever. That's why we offer a comprehensive benefits package designed to care for you as a whole person—supporting your health, financial well-being, and work-life balance. Here are some of our perks: (10) Paid Holidays Paid vacation, sick time, personal and wellness time Medical, dental, and vision insurance for those who are scheduled to work at least 30 hours per week Pet insurance, legal support, and other supplemental insurance A generous tuition reimbursement program 403(b) retirement plan Competitive wages and more... You will have responsibilities including but not limited to: Resolve cash generating accounts expeditiously to bring in revenue for the company. Able to work an average of 40-50 accounts per day 100% of time Able to work accounts with 5% or less error ratio Follow-up on Managed Medicaid, Commercial and Essential claims by phone calls to the insurance companies, websites, if available, or any online resources. Understanding of medical terminology, diagnosis codes, denial codes, and calculating fee schedules. Experience in filing appeals on denied claims when appropriate while working each account/claim. Strong understanding of UBs, 1500s, Electronic Remittance Advice (ERAs). Ability to read and understand EOBs (Explanation of Benefits). Able to read and understand the 820 billing regulations and applying them when following up on Claims.
REQUIRED EDUCATION
High school diploma or equivalent required. Associates degree or vocational school training preferred.
LICENSE/CERTIFICATIONS N/A EXPERIENCE
Excellent written and verbal communication skills, on Program specifics processes. Excellent organizational, time management and problem-solving skills. Able to use the appropriate reason and status codes in the EMR system for each account Able to request the correct information from the appropriate entity when attempting to resolve the account. Able to ask the appropriate questions when calling insurance companies or state programs, or patient. Proficient in Microsoft Office Suite or similar software.
COMPETENCIES
(KSAs) Leadership Initiative Ethical Practices Judgment Relationship Management Emotional Intelligence Professional Boundaries Global and Cultural Awareness Critical Evaluation Problem Solving Decision Making Communication Teamwork Crisis Management Technical Capacity
WORK ENVIRONMENT
This job operates in an indoor office environment. This role routinely uses standard office equipment such as computers, phones and photocopiers.
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential duties and responsibilities of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties and responsibilities. Regularly required to sit, use hands to type, handle or feel objects, tools or controls; reach with hands and arms, and talk or hear. Frequently required to stand, walk, stoop, kneel or crouch and lift and/or move up to 30 pounds