No Fault Billing Specialist

American Orthopedic Partn•Garden City, NY

51d

About The Position

As a Billing Specialist, you will be responsible for ensuring accurate and timely submission of claims and coordinating with insurance companies and patients. Your expertise will ensure that our revenue cycle remains efficient, compliant, and up-to-date with current coding regulations.

Requirements

High school diploma or equivalent required; associate’s degree or certification in medical billing and coding preferred.
Minimum of 2-3 years of experience in No Fault medical billing, preferably in a high-volume clinic or hospital setting.
Certified Professional Biller (CPB) or Certified Professional Coder (CPC) preferred.
In-depth knowledge of medical billing practices, including CPT, ICD-10, and HCPCS coding.
Proficiency with EHR systems and practice management software.
Ability to work independently and make decisions regarding billing and coding processes.
Strong analytical skills to identify discrepancies and resolve billing issues.
Excellent organizational skills and attention to detail.
Ability to communicate effectively with patients, insurance representatives, and internal staff.
Ability to multitask and meet deadlines in a fast-paced environment.
Familiarity with managed care and various payer-specific billing requirements.

Responsibilities

Review and submit insurance claims for patient services. Resubmit bills as needed.
Verify accuracy of patient information, insurance details, and billing codes.
Communicate with insurance companies, patients, attorneys, and staff regarding billing inquiries, denials, and claim statuses.
Ensure compliance with all relevant regulations, including HIPAA and payer-specific guidelines.
Maintain up-to-date knowledge of coding standards, including CPT, ICD-10, and HCPCS.
Collaborate with the practice management team to improve billing processes and ensure efficient workflows.
Ensure accurate documentation and filing of all billing and coding records.
Stay current with practice management software and other technology tools relevant to the role.