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- Hicksville, NY
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Medical Billing Specialist - Payment Posting/Denials
Sunrise Medical Laboratories • Hicksville, NY
Posted 24 days ago
In business for over 40 years, Sunrise Medical Laboratories is a full service clinical laboratory servicing the New York City metropolitan area and its surrounding communities. Our service area covers Long Island, the five boroughs of New York City, Westchester, Rockland, Orange and Putnam Counties, and New Jersey.
We are currently seeking a full time Medical Billing Specialist in Payment Posting/Denials to work
Under the general supervision of the Billing Supervisor, the Medical Billing Specialist in Payment Posting/Denials will be responsible for posting all insurance and patient payments and reprocessing denied claims. They will also appeal claims that were denied by the insurance carriers as well as receive and research denied insurance claims and resolve discrepancies by contacting providers and clients. This person will also review and process all paid and unpaid claims as well as review EOB’s. They will use established protocols for following up on unpaid claims and ensure that everything gets paid.Responsibilities:
- Reviews medical record documentation to identify all services provided by physicians
- Analyzes and resolves physician claim rejects and denials from the billing system or insurance carriers related to coding issues.
- Demonstrates successful appeal and audit responses to third-party payers
- Reviews patient accounts for both paid and unpaid claims
- Reviews all processed claims to ensure payment
- Appeals claims that are denied, to resolve payment issues
- Processes payments over the phone from customers/patients
- Negotiates payment arrangements with customers
- Understands and applies the importance of providing Quality Service
- Posts all insurance and patient payments
- Posts denials and contractual/other adjustments to patient accounts
- Balances posted payments
- Participates in mandatory OT the last week and Saturday in every month and as needed based on department needs
- HS Diploma
- Medical Billing Certification
- Payment Posting and Denials experience
- ICD9/10 experience required
All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of race, color, religion, sex, sexual orientation, national origin, age, disability, or protected veteran status. Sunrise Medical Laboratories takes affirmative action in support of its policy to advance in employment individuals who are minorities, women, protected veterans, and individuals with disabilities.