Medical Biller

Bedford Stuyvesant Family Health Center•Brooklyn, NY

4d•Onsite

About The Position

The Medical Biller is responsible for accurate and timely billing, claims submission, payment posting, and follow-up for services provided by a Federally Qualified Health Center (FQHC). This role requires strong knowledge of FQHC billing rules, Medicare, Medicaid, Managed Care Plans, and NYS specific regulations to ensure maximum reimbursement and compliance with federal, state, and payer requirements.

Requirements

High school diploma or equivalent
Minimum 3-5 years of medical code billing and administrative experience
Knowledge of medical terminology
Proficiency with EHR and practice management systems
Ability to meet deadlines and manage multiple tasks
Team oriented with the ability to work independently
Strong written and verbal communication skills
Strong Knowledge with Medicaid, Medicare, and Managed Care plan billing and with insurance provider portals, clearinghouses, and claims tracking tools

Nice To Haves

Associate degree in healthcare administration or related field
Certification such as CPB, CPC
eClinical Works preferred
Medical Billing/Coding certified a plus
Prior experience in an FQHC or community health center strongly preferred

Responsibilities

Prepare, review, and submit claims to Medicaid, Medicare, commercial insurance, and other third-party payers in accordance with FQHC billing guidelines
Apply correct CPT, HCPCS, ICD-10, and revenue codes, including FQHC-specific PPS and wrap-around billing requirements
Verify patient insurance eligibility and benefits prior to billing
Post payments, adjustments, and denials accurately in the practice management system
Research and resolve claim rejections, denials, and underpayments in a timely manner
Process patient statements and respond to billing inquiries with professionalism and confidentiality
Maintain compliance with HRSA, CMS, Medicaid, and payer regulations
Coordinate with clinical staff, front desk, and coding team to resolve documentation or billing discrepancies
Maintain accurate billing records and documentation for audits and reporting
Assist with month-end closing and revenue reporting as needed