Practice Management
New York, NY
Position Summary
The Medical Biller is responsible for accurate billing, aggressive accounts receivable (A/R) follow-up, and revenue optimization for a Federally Qualified Health Center (FQHC). This role requires hands-on experience across the full revenue cycle, with a strong emphasis on payer follow-up, denial resolution, and compliance with FQHC billing regulations. The Medical Biller works closely with internal teams and external payers to ensure timely and accurate reimbursement.
Key Responsibilities
Billing & Revenue Cycle Functions
Perform end-to-end medical billing functions including charge entry, claim submission, payment posting, adjustments, and account resolution
Submit clean claims to Medicare, Medicaid, Managed Care Organizations (MCOs), and commercial payers in compliance with FQHC guidelines
Apply correct CPT, HCPCS, ICD-10 codes and FQHC encounter logic (PPS/APM, same-day visits, wrap payments where applicable)
Ensure accurate application of sliding fee scale...