Billing Specialist

Conduit Health•New York, NY

11d•Hybrid

About The Position

Support the day-to-day medical billing operations for a multi-state, multi-entity healthcare organization specializing in Durable Medical Equipment (DME) and Telehealth services. Working closely with our outsourced billing partner and internal teams, you'll help ensure claims are processed accurately and efficiently. Reporting to the Billing Operations Manager, this is a hands-on role where you'll learn the full billing lifecycle while contributing to clean claims submission, denial resolution, and accounts receivable follow-up. This position is ideal for someone with foundational billing experience who wants to grow their expertise in a fast-paced healthcare environment.

Requirements

Foundational Billing Experience: You have 1-2 years of hands-on medical billing experience and understand the basics of claims processing, insurance verification, and revenue cycle workflows. You're ready to deepen your expertise in a fast-paced healthcare environment and take on more responsibility.
Exposure to Denials & A/R: You've worked with denied claims or accounts receivable follow-up and understand why timely resolution matters. You're eager to learn root-cause analysis and develop skills in preventing issues before they become problems.
Detail-Oriented & Organized: You catch errors before they turn into denials. You can manage multiple tasks, follow up consistently, and track work without letting things slip through the cracks. You're starting to see patterns and think about how processes could be improved.
Billing Knowledge & Learning Mindset: You understand basic medical billing concepts—CPT/HCPCS codes, EOBs, payer requirements—and can read remittance advice. DME or Telehealth experience is a plus, but you're excited to learn the specifics. You ask good questions and aren't afraid to dig into regulations or payer guidelines to figure things out.
Collaborative Communicator: You work well with others and can explain billing issues clearly to people outside the billing team. You're comfortable making calls to payers, following up with vendors, and escalating issues when needed.
Growth-Oriented: You're looking for more than just a billing job—you want to build a career in revenue cycle management. You're motivated to learn, take on new challenges, and eventually grow into roles with greater responsibility.

Nice To Haves

DME or Telehealth experience is a plus

Responsibilities

Support the Billing Lifecycle: Process claims from submission through payment posting, working closely with our billing team and external partners. You'll verify patient information, check for documentation completeness, and help ensure claims are ready for submission.
Help Monitor Accounts Receivable: Track outstanding claims and aging reports, identifying claims that need follow-up. Work with the team to resolve payor edits, rejections, and straightforward denials to keep revenue moving.
Assist with EDI and Payor Enrollment: Support the setup and maintenance of electronic data interchange connections. Help track enrollment status and flag issues that need escalation to leadership or payor development teams.
Work Denials and Appeals: Process denied claims by gathering additional documentation, making corrections, and resubmitting. Track denial patterns and report trends to your manager so the team can address root causes together.
Communicate with Billing Partners: Serve as a day-to-day contact point for our outsourced billing vendors, sharing claim status updates, flagging issues, and helping coordinate resolution. Escalate performance concerns or delays to the Billing Operations Manager.
Contribute to Process Improvement: As you learn our workflows, share observations and suggestions for making billing operations more efficient. Help document procedures and payer-specific requirements to support the team.