ICL Biller in Brooklyn, New York

Overview:

Bills insurance companies and other payers (Medicaid, Medicare, self-payers) for all billable services provided. Pursues collection of all claims until payment is made. Responsible for Medicaid medical insurance billing and follow-ups.


Responsibilities:
  • Prepares and submits initial Medicare and Medicaid bills either electronically or by hard copy submission
  • Reviews and confirms that appropriate billing documentation has been obtained, including authorizations and Certificates of Medical Necessity (CMNs) as required.
  • Secures medical documentation required by payors.
  • Runs assigned daily billing reports to determine account needs and updates files with current billing information.
  • Maintains knowledge of Medicaid and Medicare guidelines and applies that knowledge to billing as required by individual contracts.
  • Understands Medicaid, Medicare and Insurance billing, including coordination of benefits.
  • Works collaboratively with clinical staff and other staff to ensure that correct diagnosis/procedures are reported to Medicaid, Medicare and third party insurance carriers.
  • Processes rejections by either making accounts private or generating a letter of rejection to patient or correct any billing error and resubmitting claims to third party insurance carriers.
  • Works with physician or medical record staff to ensure that correct diagnosis/procedures are reported to third party insurance carriers.
  • Monitors electronic transmission of claims to avoid delay in processing. Check and balance all claims were loaded and file was received.
  • Identifies monitors and corrects rejected electronic and paper claims and follows up until claim is paid.
  • Works with Supervisor to maintain accuracy of reference materials and implementation of new billing codes and fee schedules.
  • Multi-tasks in various computer applications to gather billing and collection information.
  • Verifies data entry to ensure accuracy of imported/keyed data.
  • Works unbilled revenue reports to verify pending claims and bring them closure.
  • Reconciles open accounts to clearly establish client responsibility.
  • Performs related duties as required or as assigned by Supervisor.

Other responsibilities as assigned.

Qualifications:
  • High School Diploma or equivalent, preferably including coursework in bookkeeping and business. Post-high school courses in Medicare/Medicaid billing, data processing, medical terminology or accounting highly desirable
  • AA Degree preferred but not required
  • One year of Medical Billing/Collections experience or other insurance billing
  • Knowledge of Medicare, Medicaid and Managed Care guidelines
  • Good analytical skills and a high degree of accuracy
  • Proficiency in Windows environment, with emphasis on Word and Excel
  • Ability to become proficient with EHR software
  • Effective written and verbal communication skills
  • Familiarity with ICD-10 codes (diagnosis codes) and CPT codes (billing codes)
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Position Number: AP551501

Department: PROS

Job Locations: US-NY-BrooklynUS-NY-Brooklyn

Type: Regular Full-Time

FLSA Status: Non-Exempt

Maximum Salary: USD $14.90/Hr.