One of Long Islands most prestigious Medical organizations with an outrageous benefitspackage seeks several Medical Biller.
- In-depth knowledge of Medicare/Medicaid Governmental Benefits & Regulations
- Strong understanding of medical insurance coverage policies
- High School Diploma or GED required
- Minimum of 3 years of prior experience in Physician Billing, including carrier follow-up
- Familiarity with HIPAA regulations
- Proficient in both written and oral communication
- Strong computer literacy, including the ability to work with relevant billing software
- Ability to prioritize tasks, multi-task, and maintain strong organizational and analytical skills
- Capable of working independently while also accepting direction when necessary
- Active participation in educational activities, including seminars and webinars
- Excellent communication, documentation, follow-up, and analytical skills
Responsibilities:
- Claims Follow-up: Ensure timely and accurate follow-up on outstanding claims, responding to inquiries and correspondence for assigned accounts according to established procedures
- Physician Billing: Handle billing for physicians, including the submission and follow-up of primary and secondary insurance claims
- Insurance Verification: Verify the accuracy of patient insurance and demographic information
- Account Management: Perform follow-up on all outstanding accounts as per company policies and procedures
- Outbound Communication: Place outbound calls to insurance companies to obtain the status of outstanding claims
- Remittance Analysis: Review remittance notices and explanations of benefits, submitting appeals for denials or underpayments as needed
- Patient Responsibility: Determine patient financial responsibility and verify insurance coverage
- Guarantor Contact: Communicate with guarantors regarding any insurance discrepancies
Let me know if you'd like further adjustments!
Nesco Resource offers a comprehensive benefits package for our associates, which includes a MEC (Minimum Essential Coverage) plan that encompasses Medical, Vision, Dental, 401K, and EAP (Employee Assistance Program) services.
Nesco Resource provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
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