Medical Billing Specialist

Job Description

Job Description

We are looking for a skilled Medical Billing Specialist to join our team on a long-term contract basis in New York, New York. In this role, you will play a key part in managing and resolving medical claim denials, ensuring accuracy and compliance with Medicaid billing standards. This is an excellent opportunity for detail-oriented professionals with experience in medical billing and coding.

Responsibilities :

• Analyze and review medical claim denials to identify errors or discrepancies.
• Resubmit claims under Medicaid guidelines to ensure compliance and accuracy.
• Utilize medical billing software, including eClinicalWorks, to process claims efficiently.
• Maintain detailed and organized records of rebilled claims for tracking and auditing purposes.
• Collaborate with healthcare providers and insurance representatives to resolve claim issues.
• Perform coding tasks using ICD-10 and CPT standards to ensure proper billing.
• Ensure confidentiality and security of patient information in all billing activities.
• Provide timely updates and reports on claim statuses and resolutions.
• Adapt quickly to new processes and systems to support the team’s goals.
• Proven experience in medical billing and coding, specifically with Medicaid claims.
• Strong knowledge of ICD-10 and CPT coding standards.
• Proficiency in using medical billing software such as eClinicalWorks.
• Exceptional attention to detail and accuracy in reviewing and submitting claims.
• Ability to analyze claim denials and implement effective solutions.
• Familiarity with healthcare regulations and billing compliance.
• Excellent organizational and time management skills.
• Ability to learn quickly and adapt to evolving processes.