Title: Hospital Care Investigator | Medical Biller
Location: New York, NY 10037
Duration: 3+ months with very high possibility of extension
Shift Time: 9:00 AM–5:00 PM | 8.00 Hours/Day | 40.00 Hours/Week
Pay: $28/hr. -$30/hr. on w2
Schedule Notes

• Experience in medical billing, billing edits, denials, and claims follow-up required.
• Hands-on experience with EPIC and insurance billing processes required.
• 1 year of experience with a bachelor’s degree or associate/GED with a minimum of 4 years of relevant experience.
• Interviews will be conducted onsite.

Duties & Responsibilities

• Review accounts, correct claim edits, prepare and complete claims for submission to payers.
• Post all types of payments and update patient accounting systems.
• Complete both paper and electronic claims in a timely manner.
• Effectively use computer systems.
• Document patient information clearly and completely in systems.
• Interact with other departments to complete billing on accounts.
• Process rejections, denials, and other correspondence in a timely manner.
• Process pre-authorizations, document responses in the system, and follow up as needed.
• Audit patient accounts for accuracy.
• Apply adjustments as needed.
• Provide billing customer service and ensure conversations are documented accurately.
• Process statements and enter information into the database.
• Review past due bills and follow up on past due accounts.
• Generate Patient Balance Aging reports and Insurance Aging reports and follow up with patients and insurance companies accordingly.
• Arrange payment schedules with patients.
• Refer accounts requiring escalation to the Supervisor in a timely manner.
• Attend all necessary training sessions to effectively perform day-to-day functions.
• Perform all other duties assigned by the Manager or Supervisor.

Education

• Baccalaureate Degree from an accredited college or university; or
• High School diploma (or equivalent) approved by the State Department of Education or a recognized accrediting organization, and four (4) years of full-time experience in interviewing, investigation, or a related field such as credit and collection follow-up or bookkeeping; or
• Education and/or experience equivalent to the above.
• College education may be substituted for experience on the basis that thirty (30) semester credits are equivalent to one (1) year of experience.
• All candidates must have at least a High School diploma or its educational equivalent.

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