Billing Specialist

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Full Time Amherst, NY, Amherst, NY, US

Salary Range: $17.00 To $22.00 Hourly

Dent Neurologic Institute is committed to excellence in all we do. Our culture is built on 4 key pillars: respect, quality, productivity, and well-being. By remaining dedicated to these values and the overall mission, we are dedicated to making a difference for both patients and colleagues. When you join the Dent team, you can take advantage of a variety of benefits:

• Life Insurance
• 401(k) Retirement Plan
• Critical Illness, Accident, & Legal Plans
• Wellness Program
• Paid Time Off
• Paid Holidays
• Free Onsite Parking at All Locations

Full-time, Monday - Friday, 8:30 am to 5:00 pm

Join our growing team! Under direct supervision, the Medical Billing A/R Specialist plays a key role in driving the success of our revenue cycle by initiating and coordinating all functions related to collecting on medical claims. This is a great opportunity for a motivated, detail-oriented individual looking to build or grow a career in healthcare administration. We are willing to train the right candidate, and prior experience in medical billing, accounts receivable, or healthcare revenue cycle is a plus.

• Perform follow-up and manage denied claims by working assigned insurance denial buckets and follow-up queues.
• Research and follow up on outstanding receivables via telephone, written correspondence and electronic portals; document all activity including claim status, appeal progress, call reference numbers, and insurance representative details
• Utilize computer systems and payer websites to access claim status, send inquiries and appeals, insurance procedures, and treatment policies
• Use all available resources to resolve claims, including documentation, medical records, authorizations, coding manuals, and reference materials
• Understand payer-specific appeal processes, including when to escape to formal appeals
• Analyze denial reasons, prepare and submit effective appeal letters, and ensure proper supporting documentation is included
• Meet timely filing deadlines for all claims and ensure timely resolutions
• Manage accounts receivable across aging buckets (45, 90, 120+ days)
• Resolve negative balance claims and process refunds as needed
• Manage insurance correspondence sent in via mail
• Ensure strict adherence to organizational billing, refund, and accounts receivable policies
• Answer patient calls regarding billing questions in a professional and helpful manner
• Maintain professional, respectful communication with patients, team members, and other departments
• Maintain strict confidentiality of patient information in accordance with HIPAA regulations
• Complete duties efficiently as directed by leadership and report errors or issues promptly
• Perform additional duties as assigned by Billing Manager, Team Lead, Sr. Revenue Cycle Manager, or CFO
• Posts all charges, including inpatient and outpatient services in accordance with current ICD-9 and CPT coding.
• Verifies all pending encounters have been addressed and entered accordingly.
• Registers patients in billing system when necessary (i.e. in-patient).
• Ensures insurance and claim accuracy.
• Posts all charges, including inpatient and outpatient services in accordance with current ICD-9 and CPT coding.
• Verifies all pending encounters have been addressed and entered accordingly.
• Registers patients in billing system when necessary (i.e. in-patient).
• Ensures insurance and claim accuracy.

• Basic understanding of insurance plans, contracts, and policies preferred; willing to train the right candidate
• Familiarity with interpreting EOBs, including copays, coinsurance, deductibles, and retractions is a plus
• Knowledge of billing processes such as claims management, charge entry and payment posting preferred but not required
• Exposure to insurance verification processes, referrals, and authorization requirements is a plus
• Familiarity with medical terminology is a plus
• Strong sense of urgency and ability to meet deadlines
• Ability to prioritize and manage multiple tasks in a fast paced environment
• Strong customer service, organizational, and problem-solving skills
• General office skills, including typing and data entry
• Working knowledge of Microsoft Office (Excel, Word)
• Familiarity with general office equipment (multi-line phone, copier, fax, etc.)
• Effective communication and interpersonal skills
• Willingness to learn and be trained in medical billing and accounts receivable processes

• High school diploma with a minimum of 2 years of Medical Billing experience

• Associates Degree in Medical Billing and Reimbursement with a minimum of 1 years of Medical Billing experience

• Normal working environment, typical of most office settings
• Minimal physical effort, requires some lifting of files, usually not in…