Healthcare Accounts Receivable Senior Associate

M&D Capital Premier Billing•New York, NY

3d•Onsite

About The Position

M&D Capital is a leading third-party Medical Billing and Revenue Cycle Management company serving clients across the United States. We operate offices across multiple states, along with a growing international team. We specialize in out-of-network surgical claims, and partner directly with our clients to ensure the maximum reimbursement for their services. We are currently seeking a Chief Data Officer to join our rapidly growing team. This is a full-time, in person position located in Queens, New York. We are seeking an experienced and detail-oriented Senior Medical Biller to join our dynamic billing department. The ideal candidate will possess deep knowledge of the full claims lifecycle, surgical billing, and current coding guidelines, including CMS CPT, ICD-10, NDC, and LCD regulations. Strong communication skills and the ability to work cross functionally are essential for success in this role.

Requirements

Proficient in CPT and ICD-10 coding.
3-5 year's experience in a billing position or related position
In-depth knowledge of CMS, LCD, and NDC billing requirements.
Familiar with both CMS-1500 and UB-04 billing formats.
Proven ability to independently identify and resolve billing and coding issues.
Strong attention to detail with excellent analytical and organizational skills.
Experience with commercial insurance payers.
Prior experience with surgical billing required.

Nice To Haves

Familiarity with Epic EMR system is preferred.

Responsibilities

Serve as a liaison with clients and front office staff to gather missing information and minimize billing delays.
Ensure clients provide accurate and complete data for timely and compliant claims submission.
Collaborate with the coding team to resolve claims on hold due to incomplete or missing information.
Accurately review and process patient encounters in compliance with coding and billing regulations.
Demonstrate understanding of various surgical specialties and their specific billing requirements.
Identify gaps or deficiencies in clinical documentation, work with physicians to clarify and improve records.
Maintain up-to-date knowledge of CMS guidelines, as well as NDC and LCD payer specific regulations.
Participate in internal billing audits and implement process improvements based on audit findings.
Work proficiently within Electronic Medical Records (EMR) systems.
Perform additional billing-related tasks and responsibilities as assigned.