Medical Biller (On-site Brooklyn)
About The Position
At POD Health, we enhance patient outcomes by integrating technology and personalized care. Our services—Telehealth, Remote Patient Monitoring (RPM), Chronic Care Management (CCM), and Community Health Initiatives (CHI)—ensure patients receive the care they need, wherever they are. Through our Telehealth and RPM services, we ensure that patients have real-time access to healthcare, empowering them to manage their health proactively and avoid unnecessary hospital visits. Our Chronic Care Management programs create tailored care plans for patients with chronic conditions, ensuring ongoing support between office visits. Additionally, our Community Health Initiatives focus on addressing health disparities, making care more accessible to underserved populations. At POD Health, we strive to make healthcare personal, proactive, and accessible for all.
Requirements
- High school diploma or equivalent required.
- Experience with EHR/EMR and billing software.
- Knowledge of claim lifecycle, EOBs, ERA, and electronic claim submission.
- Excellent attention to detail and problem-solving skills.
- Strong communication and organizational abilities.
- Ability to work independently and meet deadlines.
Nice To Haves
- Degree in business administration, accounting, or a related field a plus.
- CPC (Certified Professional Coder) certification a plus
Responsibilities
- Prepare and submit medical claims to Medicare, Medicaid, and commercial payers.
- Verify accuracy of CPT/HCPCS, ICD-10, and modifiers prior to claim submission.
- Review documentation for billing compliance.
- Work rejections and denials; correct and resubmit claims as needed.
- Follow up on unpaid or underpaid claims to ensure timely reimbursement.
- Post payments, adjustments, and reconcile accounts.
- Communicate with insurance companies regarding claim issues.
- Maintain knowledge of payer policies, NCCI edits, LCD/NCD rules, and coverage criteria.
- Ensure compliance with HIPAA and all billing regulations.
- Generate and review reports to identify trends, issues, or missing charges.
Benefits
- Health, dental, and vision insurance
- 401(k) with company match
- Paid Vacation, Company Holidays, Sick Leave, and Floating Holidays
- Professional development opportunities
- Mission-driven work in an innovative healthcare space
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
