Medical Billing Specialist - Massapequa, NY

Billing & Invoicing Specialist

Billing & Invoicing work is focused on designing and ensuring compliance with billing and invoicing processes including :

Information verification (e.g., ensure accuracy of billing information, negotiated terms and compliance with current legislation)

Monitoring customer accounts (e.g., ensure payments made on time, report on overdue accounts, etc.)

Resolving billing discrepancies (e.g., investigate and resolve billing & invoicing errors, recommend process improvements to avoid future errors, etc.)

May include collections activities

Key Responsibilities :

• Responsible for claim review and submission to Medicare, Medicaid, commercial and private insurance payers. Verifies accuracy and completeness of all required information prior to submission.
• Follows up with insurance companies on unpaid or rejected claims. Resolves issues and resubmits claims.
• Reads and interprets insurance explanation of benefits. Maintains specialized knowledge in insurance processes and guidelines, including authorizations and limitations.
• Investigates insurance claim denials, exceptions, or exclusions. Takes necessary action to resolve claim and payer issues in an effort to recover proper reimbursement.
• Provides customer service relating to all billing inquiries and complaints. Able to explain insurance processes, benefits, and exclusions. Follows HIPAA guidelines in handling customer information.
• Performs other billing duties as requested by the Billing Supervisor, Billing Manager, or Director of Billing.

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