PRIDE Health
New York, NY
Overview
The Medical Billing Specialist is responsible for verifying the accuracy of billing forms, entering data into appropriate databases, and ensuring timely reimbursement. This role investigates billing inquiries, reviews supporting documentation, and prepares records for resolution. The specialist also communicates with patients and other parties to address account discrepancies, denials, and payment arrangements while ensuring compliance and confidentiality.
Base pay range
$20.00/hr - $21.00/hr
Key Responsibilities
Verify billing form accuracy and enter data into databases for reimbursement processing.
Investigate billing inquiries, ensuring documentation completeness (CPT, ICD-9 coding, physician data, insurance coverage, TOA, etc.).
Prepare documentation for account inquiry and resolution.
Maintain an account inquiry database and generate reports/summaries as needed.
Investigate denial causes and apply protocols for resolution.
Communicate with patients and...