Medical Billing Specialist

We are seeking an experienced Medical Biller to join our growing billing team. We are specifically looking for candidates with recent medical billing experience in either:
Ear, Nose & Throat (ENT) OBGYN / Women's Health Other Complex Specialties. The ideal candidate will have a strong understanding of insurance follow-up, denial management, appeals, and accounts receivable management. This position plays a key role in maximizing reimbursement and ensuring accurate, timely claim resolution for our clients.

• Work insurance aging reports and denied claims to obtain payment.
• Research and resolve claim denials, rejections, and payment discrepancies.
• Submit appeals and supporting documentation as needed.
• Review payer-specific requirements and ensure compliance with billing guidelines.
• Follow up with insurance carriers regarding outstanding claims.
• Accurately post and reconcile payments when applicable.
• Maintain detailed documentation of all account activity.
• Collaborate with internal teams to resolve billing issues and improve claim outcomes.
• Provide excellent customer service when communicating with clients, insurance carriers, and patients.
• Meet productivity and quality standards while managing assigned accounts.

• Minimum of 3 years of medical billing experience.
• Experience billing and following up on claims.
• Strong understanding of commercial insurance, Medicare, Medicaid, and managed care plans.
• Experience working claim denials and appeals.
• Excellent problem-solving and analytical skills.
• Strong attention to detail and organizational skills.
• Proficiency with Microsoft Office applications.
• Ability to work independently in a remote environment.

• Medent experience a plus.
• CMBS certification.
• Experience with multiple physician specialties.
• Knowledge of New York State Workers' Compensation and No-Fault billing.

Position can be on-site, hybrid or fully remote.

Full-time

$20.00 - $25.00 per hour

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

High school or equivalent (Required)

Multi-Insurance, Professional Billing: 3 years (Required)

3 years (Required)

In person.