Position Summary
Integrated ENT Allergy & Immunology is seeking an experienced and detail-oriented
Medical Biller to join our growing Revenue Cycle team. The Medical Biller is responsible for
accurately preparing, submitting, and following up on medical claims to ensure timely
reimbursement while maintaining compliance with payer guidelines and healthcare
regulations. The ideal candidate possesses strong analytical skills, a thorough
understanding of medical billing processes, and the ability to effectively communicate
with insurance carriers, patients, and internal staff.
Key Responsibilities
• Review patient accounts for billing accuracy, completeness, and required
documentation prior to claim submission.
• Prepare, review, and submit electronic and paper insurance claims in a timely
manner.
• Verify insurance eligibility and benefits when necessary.
• Monitor claims throughout the revenue cycle and follow up on unpaid, delayed, or
rejected claims.
• Review insurance payments to ensure reimbursement complies with contracted
payer agreements.
• Investigate payment discrepancies and communicate with insurance carriers to
resolve claim issues.
• Identify, submit, and bill for secondary and tertiary insurance claims as appropriate.
• Research, prepare, and submit appeals for denied or underpaid claims.
• Review patient accounts for outstanding balances and coordinate appropriate
follow-up.
• Respond professionally to patient and insurance inquiries regarding billing, claims,
and account balances.
• Establish payment arrangements with patients when appropriate.• Maintain accurate documentation of all billing activities within the practice
management system.
• Update billing software, fee schedules, and payer information as directed.
• Prepare collection reports and reconcile payment information.
• Collaborate with providers, clinical staff, and the Revenue Cycle team to resolve
billing issues efficiently.
• Ensure compliance with HIPAA, Medicare, Medicaid, commercial payer regulations,
and company policies.
• Maintain confidentiality of all patient and financial information.
• Perform additional revenue cycle duties as assigned.
Required Qualifications
• Certification in Medical Billing, Medical Administration, or related healthcare field
preferred.
• Associate degree in Business Administration, Accounting, Healthcare
Administration, or related field preferred.
• Minimum of one (1) to three (3) years of medical billing experience in a physician
practice or healthcare setting.
• Working knowledge of medical billing procedures, insurance claim processing, and
accounts for receivable management.
• Proficiency with electronic medical record (EMR) systems and medical billing
software.
• Strong computer skills, including Microsoft Office applications.
• Knowledge of CPT, ICD-10-CM, and HCPCS coding principles.
• Familiarity with Medicare, Medicaid, HMO, PPO, and commercial insurance
guidelines.
Knowledge, Skills & Competencies
• Strong analytical and problem-solving abilities.
• Excellent attention to detail and organizational skills.
• Ability to manage multiple priorities while meeting deadlines.
• Strong written and verbal communication skills.
• Excellent customer service skills when interacting with patients and insurance
representatives.• Ability to research and resolve claim denials, payment discrepancies, and
reimbursement issues.
• Knowledge of accounting and bookkeeping principles related to healthcare revenue
cycle operations.
• Ability to work independently and collaboratively within a team environment.
• Commitment to maintaining patient confidentiality and HIPAA compliance.
• Ability to exercise sound judgment and professionalism in all interactions.
Benefits
• 401(k)
• Health Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• Paid Time Off (PTO)
• Paid Sick Leave
• Paid Training
• Professional Development Opportunities
Work Location
This position is full-time and on-site at our Woodbury, New York office.
Equal Employment Opportunity
Integrated ENT Allergy & Immunology is an Equal Opportunity Employer and is committed
to fostering a diverse and inclusive workplace. Employment decisions are made without
regard to race, color, religion, sex, gender identity or expression, sexual orientation,
national origin, age, disability, veteran status, or any other status protected by applicable
federal, state, or local law