Title: Medical Billing/ Accounts Receivable Expert
Area: Long Island, NY
Market: Health Care
Occupational Classification: Health Care Financing and Operations
Hours: Full-time
Description: Our customer, a multi-specialty center situated of the Upper East Side of Manhattan is aiming to bring aboard a Medical Billing/Accounts Receivable Professional. The customer serves an extremely varied payor mix and the Medical Billing/Accounts Receivable Professional will be anticipated to have considerable experience managing business and non-commercial payors in addition to self-pay and institutional payors.
Duties:
- Examine and deal with rejected claims in a prompt way
- Work and handle Industrial and Medicaid declares from any age pails consisting of publishing, appeals, ADRs
- Download and evaluate electronic and paper EOB s for rejected claims and line product rejections
- Identify and evaluation overdue accounts and pursues collection as required
- Carry out all follow-through efforts and record them in a prompt way within compliance
- Coordinate medical record demands with primary workplace for appeal functions
- Interact precise client and billing info to Insurance coverage provider
- Prepare weekly reports to examine with management with upgraded status and interaction
- Evaluation description of advantages and changes accounts according to contracted rates for precise AR
- Maintain strictest privacy and follow all HIPAA guidelines/regulations
Requirements:
- Understanding of medical terms with experience in orthotics and prosthetics chosen
- Practice management software application experience extremely chosen- Waystar, OPIE, and Medflex experience a plus
- Understanding of how to browse NY Medicaid and CT Medicaid websites
- Understanding of ePaces portal extremely chosen
- Strong understanding in medical insurance coverage, billing standards and compliance
- Experience dealing with billing/AR claims consisting of NY Medicaid
TAL Health care.
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