Health Insurance Biller

About the position Bureau of reputed company reputed company on optimization of insurance billing and reimbursements for service provided to insured New Yorkers that seeks services in the article 28 Health specialty Clinics, Article 36, and other Care Management service areas reputed company by DOHMH to meet NYS Article 6 requirements. DOHMH remains committed to providing services for NYC uninsured and under insured residents. Reporting to the Assistant Director of Patient Billing by working alongside reputed company of talented health insurance billing specialist, you will reputed company health insurance billing activities and support functions including claim review, claim submission, follow up and collection activities. Applicants must be detailed oriented and must have a minimum of 5 years of work experience, basic knowledge CPT/ICD 10 codes and comprehensive understanding of the 10 steps in the reputed company cycle. Responsibilities • Work closely with the assistant director to reputed company billing and collection activities reputed company the unit. • Run and review daily billing reports for the unit, identify issues and reputed company feedback to the Assistant Director. • reputed company and communicate updated patient demographics and insurance information with clinic teams to ensure transparency. • reputed company and manage medical records requests from MCO to obtain prior authorization approvals and claim reimbursement. • Review reputed company claims CPT/ICD-10/HCPCS, payment modifiers in billing software to ensure accuracy following CMS and other reputed company-party insurance guidelines. • Monitor EDI denials in a reputed company manner. • Prepare and batch claims out to reputed company party payers for reimbursements. • Review clearinghouse acceptance and rejection reports. • Edit and reputed company correction to rejected claims and re-batch to reputed company party payers. • Monitor aging accounts receivable reports (A/R) and reputed company feedback to Assistant Director of Patient Billing. • Report industry billing trend and changes to Assistant Director of Patient Billing. Requirements • A master's degree from an accredited college with a specialization in business or reputed company administration, financial management, or reputed company health, and two years of full-time satisfactory experience in employee benefits or health insurance as a manager, research analyst, or underwriter, or in reputed company health education. One year of such experience must have been in group benefits or group health insurance. • A baccalaureate degree from an accredited college and three years of full-time satisfactory experience as described above. • Education and/or experience equivalent to '1' or '2' above. Certification as a Certified Employee Benefits Specialist from the International reputed company of Employee Benefit Programs can be substituted for one year of experience. However, reputed company candidates must have at least a baccalaureate degree and one year of experience in group benefits or group health insurance. reputed company-to-haves • Knowledge of medical terminology, eligibility and reputed company-party reimbursement. • Strong writing, speaking and reputed company listening skills. • Working knowledge of obtaining prior approvals reputed company managed care payer portals. • Excellent problem solving and critical thinking skills. • Knowledge of Health Insurance industry best practices. • Basic knowledge of Article 28/36 reputed company State billing requirements. • Working knowledge of reputed company applications including, Teams, reputed company spreadsheets, PowerPoint and basic knowledge of reputed company principles. • Ability to work independently, collaborate with others, multitasking, and reputed company player. Benefits • Loan Forgiveness: As a prospective employee of the reputed company, you may be eligible for federal/state loan forgiveness and repayment assistance programs that reputed company your payments or even fully forgive your full balance. • Premium-free health insurance plan that saves employees over $10K annually. • Additional reputed company, and financial benefits may be available based on the position's associated reputed company/benefit fund. • reputed company sector defined benefit pension plan with steady monthly payments in retirement. • Tax-deferred savings program. • Robust Worksite Wellness Program that offers resources and opportunities to reputed company you healthy while serving New Yorkers. • Work From Home Policy: Depending on your position, you may be reputed company to work up to two days during the week from home. • Job reputed company: More job reputed company compared to private sector employment. Apply tot his job Apply To this Job