Billing Associate, Temp-to-Hire

FlexStaffVillage of New Hyde Park, NY
Onsite

About The Position

FlexStaff is seeking a Billing Associate with experience with collections to work on a temp-to-hire assignment for their Client, a Prosthetics and Orthotics Lab. The role involves preparing, posting, verifying, and recording customer payments and transactions related to accounts receivable. Responsibilities include investigating and resolving denied claims, managing commercial and Medicaid claims, downloading and reviewing EOBs, identifying and pursuing collection of delinquent accounts, coordinating medical record requests for appeals, communicating patient and billing information to insurance carriers, preparing weekly reports for management, and adjusting accounts according to contracted rates. The position requires demonstrated computer proficiency with Microsoft Office and adherence to HIPAA guidelines.

Requirements

  • Experience working with medical insurance, billing guidelines, and compliance.
  • Knowledge of NY Medicaid and CT Medicaid portals.
  • Experience working with billing/AR claims including NY Medicaid.
  • Demonstrated computer proficiency with knowledge of Microsoft Office.

Nice To Haves

  • Knowledge of the ePaces portal is highly preferred.

Responsibilities

  • Prepares, posts, verifies, and records customer payments and transactions related to accounts receivable.
  • Investigates and resolves denied claims in a timely manner.
  • Work and manage commercial and Medicaid claims from all aging buckets including posting, appeals, and ADRs.
  • Download and review electronic and paper EOBs for denied claims and line-item denials.
  • Identifies and reviews delinquent accounts and pursues collection as needed.
  • Responsible for all follow-through efforts performed and documented in a timely manner within compliance.
  • Coordinates medical record requests with the main office for appeal purposes.
  • Communicate accurate patient and billing information to the Insurance carrier.
  • Prepare weekly reports to review with management with updated status and communication.
  • Reviews explanation of benefits and adjusts accounts according to contracted rates for accurate AR.
  • Maintains the strictest confidentiality and adheres to all HIPAA guidelines/regulations.
  • Performs other related duties as assigned.
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