Medical A/R Specialist

We are hiring for two Medical Billing Accounts Receivable (A/R) Representative positions to join our dynamic team! We are seeking dedicated, detail-oriented professionals with a strong background in medical billing, accounts receivable management, and payment collections for multiple payors and locations. One position requires specific Medicare medical billing experience, including knowledge of Medicare billing guidelines, claims processing, payment posting, denial resolution, and A/R follow-up. The second position is open to candidates with strong medical billing A/R experience across other insurance payors. The ideal candidates will be well-versed in billing software, medical insurance regulations, and an expert at responding to patient and insurance inquiries. You will also be responsible for maintaining patient confidentiality, handling personal information, and accurately inputting patient data into the system. Responsibilities: Identifies and resolves billing inquiries/problems Codes services provided utilizing CPT and ICD-10 coding Experience with Medicare, Commercial, Worker's Comp and No-Fault claims follow up Knowledge of Medical Terminology, ICD-10, CPT codes and the correct use of modifiers Working rejections from the clearinghouse to correct errors for resubmissions Generates and submits electronic claims and statements at designated intervals; corrects any errors for complete and accurate transmission of data Able to handle patient inquiries regarding billing issues, out of network issues, and explaining insurance guidelines to patients Read and analyze patient records to determine correct codes for billing to insurance provider Prepares letters of appeal to insurance companies if the company refuses to pay contracted claims and/or denies a claim; submits documentation necessary to support claim; resubmits claims with corrections if needed for payment for all insurance payers Researches and processes refund requests and overpayments Prepares correspondence and/or collection letters Performs other related duties as assigned by senior management Requirements: Minimum of 2 years of medical billing and accounts receivable experience preferred. Experience working with Medicare, commercial insurance plans, Workers' Compensation, and No-Fault claims. Strong understanding of medical terminology, ICD-10, CPT coding, and modifiers. Experience preparing insurance appeals and resolving denied claims. Familiarity with electronic claim submission and clearinghouse edits. Excellent organizational skills with strong attention to detail. Ability to prioritize multiple tasks and meet deadlines in a fast-paced environment. Strong written and verbal communication skills and a commitment to exceptional customer service. Benefits: 401(k) with matching Dental insurance Disability insurance Health insurance Company paid Life insurance and optional voluntary insurance Paid time off Vision insurance Work Location: In person ON-SITE IN SYOSSET NY Relocate before starting work (Required) Our company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, genetics, sexual orientation, gender identity, or gender expression in terms of all conditions of employment. Our diversity is one of our greatest strengths, and as an Equal Opportunity Employer, we are proud to promote a work environment where all differences are respected. Job Type: Full-time Pay: $25.00 - $28.00 per hour Benefits: 401(k) Dental insurance Health insurance Paid time off Parental leave Vision insurance Experience: Medical billing: 2 years (Preferred) Medical coding: 1 year (Preferred) Accounts receivable: 1 year (Preferred) Location: Syosset, NY 11791 (Preferred) Ability to Commute: Syosset, NY 11791 (Preferred) Work Location: In person