Overview
We are seeking an experienced and detail-oriented Medical Billing & Collections Specialist to join our team. This role is responsible for managing the full revenue cycle, including insurance verification, claim submission, collections, and follow-up. The ideal candidate has hands-on experience working with commercial payers and understands the importance of accuracy, timeliness, and persistence in maximizing reimbursement.
Key Responsibilities
- Verify patient insurance benefits and eligibility prior to services
- Submit accurate and timely insurance claims (electronic and paper)
- Perform aggressive claim follow-up and collections with insurance carriers to resolve denials and delays
- Review and interpret EOBs and ERAs
- Identify and resolve billing discrepancies, underpayments and denials
- Communicate with insurance companies regarding claim status and appeals
- Maintain accurate documentation within EMR and billing systems
- Collaborate with clinical and administrative staff to ensure proper coding and documentation
- Assist with appeals and reconsiderations as needed
Qualifications
- Minimum 2+ years of medical billing and collections experience (required)
- Must reside on Long Island - this is a fully in-office position (no remote)
- Strong experience with insurance benefit verification & eligibility
- Strong experience with claims submission and follow-up
- Knowledge of CPT, ICD-10 and medical terminolgy
- Experience working with commercial insurance (Aetna, BCBS, etc)
- Familiarity with EMR and billing platforms (e.g. Nextech, Trizetto preferred)
- Strong attention to detail and organization skills
- Ability to work independently and manage multiple tasks
Preferred Qualifications
- **BIG PLUS** Experience in plastic surgery, surgical or specialty billing
- Experience with out-of-network billing
- Knowledge of denial management and appeals process
What We're Looking For
- Proactive and solution-oriented individual
- Strong follow-through on claims and collections
- Ability to identify issues and take ownership resolution
- Comfortable working in a fast-paced, high-volume environment
How to Apply
Please submit your resume along with a brief summary of your medical billing and collections experience.
We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin or disability status.
Pay: $24.00 - $28.00 per hour
Work Location: In person
