Medical Coding & Billing Specialist
Samaritan Daytop VillageAbout the role
Overview
Medical Coding & Billing Specialist
Non-profit staff can work anywhere….The BEST work with US!
Work Schedule: Monday-Friday 9:00am to 5:00pm
Salary: $55,000 to $60,000
A nationally recognized comprehensive Health and Human Services Agency, with over 60 programs across New York City and greater New York Area.
Samaritan Daytop Village serves over 33,000 New Yorkers annually within your neighborhoods and communities, so our success depends on those we employ.
The Role
We are seeking a highly experienced Medical Coding and Billing Specialist to join our medical billing team. The ideal candidate will have a strong understanding of medical billing processes procedure and diagnosis codes, medical terminology, eligibility experience in follow-up for Out-Of-Network providers, ensuring accurate and timely follow-up on billed claims.
This work is carried out in support of the mission and goals of Samaritan Daytop Village.
Responsibilities
What You Will Do
- Responsible for claims review and follow -up, from claim submission until final payment.
- Communicate with insurance companies regarding claim denials or underpayments.
- Use of Clearinghouses, Payer Online Portals, and Government sites for claims status and eligibility verification.
- Send Medical Records to payers, filing reconsiderations and appeals.
- Utilize EHR to obtain Medical Records.
- Reading and understanding various payers EOB/EOPs.
- Posting payments, writing off balances when necessary.
- Communicating with 3rd party payers regarding OON claim negotiations.
- Follow up on Pre-negotiated Agreements, Single Case Agreements and Authorizations.
- Review and verify accuracy of billing data.
Qualifications
Who You Will Be
- High School Diploma or Equivalent.
- Must have a minimum of 3 years’ experience in collections.
- Knowledge in multi-Specialty coding – CPT, HCPCS, and ICD-10 diagnosis, codes for different specialties.
- Experience working with medical billing software, NextGen Enterprise preferred.
- Familiar with prior authorizations process.
- Familiar with OON Provider Registration Process with various payers.
- Strong attention to detail and persuasive telephone skills.
- Excellent communication and interpersonal skills.
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