LHH is seeking a Medical Biller in Suffern, NY. This is an excellent direct hire opportunity with an upbeat, high energy team!

Pay: $45k-$50K

Position Summary:

The Billing Specialist will be responsible for obtaining missing information via set protocols in a timely and professional manner. In addition, providing billing customer service support to clients and patients via phone and emails. Strong communication skills, the ability to multi-task, and impeccable attention to detail is a must for this position.

Job Responsibilities:

• An understanding of elements needed for successful medical claim submission to insurance payers
• The ability to interpret Explanation of Benefits
• Billing customer service - patient, client, and insurance carrier support
• Works billing missing information worklist in an electronic format by utilizing the system tools for resolution or phone calls to the customer for needed billing information and update accordingly
• Identifies trends and ways to help prevent billing exceptions and notifies management
• Sorting and distribution rejected items from the lockbox
• Payment research and posting of cases generated from a sunset billing system
• Assists on special projects and/or assignments
• Adheres to HIPAA regulations, company and departmental policies
• Other job-related duties as assigned

Education and Experience:

• High School Diploma (college degree a plus)
• Two years of experience in medical billing with a healthcare facility or billing company
• Medical Coding and Billing Certification desired but not required

Skills, Knowledge and Abilities:

• Knowledge of medical terminology, CPT, ICD-10, and procedural modifiers
• Proficient with Microsoft Word, Excel and Outlook
• Experience following-up with insurance companies and patients for complete claims processing and maximum payment
• Familiarity with commercial insurances, Medicare, Medicaid, PPO, and HMO plans, and their guidelines
• Work effectively in a team environment
• Strong ability to identify, analyze and solve problems
• Requires the ability to recognize operational challenges and suggest recommendations to management
• Self-motivated and approach tasks with a positive, proactive demeanor
• Organized and detail oriented
• Ability to communicate effectively in writing, over the telephone, and in-person while always remaining HIPAA compliant