Facilitex
New York, NY
Medical Biller – Revenue Cycle Management (RCM)
Position Summary
The Medical Biller is responsible for the complete revenue cycle management (RCM) process, ensuring claims are accurately billed, followed through to payment, and resolved in a timely manner. This role requires strong knowledge of insurance billing, payment posting, accounts receivable management, and payer guidelines while maintaining high productivity and accuracy.
Key Responsibilities
Review, scrub, and submit professional and facility claims accurately and timely.
Process electronic and paper claims through clearinghouses and insurance carriers.
Post insurance and patient payments accurately from ERAs, EOBs, EFTs, and manual payments.
Manage Accounts Receivable (A/R) by following up on unpaid, underpaid, and denied claims.
Research and resolve claim rejections, denials, and payment discrepancies.
Prepare and submit corrected claims, reconsiderations, and appeals as needed.
Work aging reports and claim work...