11 medical billing specialist jobs found in Syracuse, NY

A medical management firm located in Syracuse seeks a Billing Specialist. The role includes charge posting, submission of insurance forms, maintaining records, and answering patient inquiries. Candidates should have a high school diploma and 2 years of clerical experience in medical billing. Strong interpersonal skills and competency with related software are essential. This position operates Monday to Friday, 8 AM to 4:30 PM, and is entry-level. Competitive full-time employment opportunities available. #J-18808-Ljbffr

Overview Job Summary: Responsible for developing, improving and continuing the process billing of medical claims for specialty pharmacy facilities. Needs to communicate financial and clinical information to appropriate stakeholders (internal and external) to ensure payment for services. Travel : Limited travel may be required. Travel to healthcare providers and to various business and management conferences required. Travel to Facilities for periodic training and review. Scope of Responsibilities: Works under minimal supervision.  Follows standard procedures to accomplish assigned tasks.  Establish, manage, and communicate the process of billing medical claims for specialty facilities. Responsibilities Job Duties: Manages the existing process of medical billing in the specialty pharmacy space to ensure prompt submission and reconciliation of claims from specialty facilities. Collaborate with leadership to enhance and grow the medical billing process...

Overview Job Summary: Responsible for developing, improving and continuing the process billing of medical claims for specialty pharmacy facilities. Needs to communicate financial and clinical information to appropriate stakeholders (internal and external) to ensure payment for services. Travel : Limited travel may be required. Travel to healthcare providers and to various business and management conferences required. Travel to facilities for periodic training and review. Responsibilities Manages the existing process of medical billing in the specialty pharmacy space to ensure prompt submission and reconciliation of claims from specialty facilities. Collaborate with leadership to enhance and grow the medical billing process for all facilities. Provide timely reporting, feedback, and information to support the business operation and medical billing functions as necessary. Provide insights regarding trends in medical billing to operations team. Follow, create and improve the...

A risk management solutions provider is seeking a Professional Review Specialist to analyze medical services and ensure billing accuracy. This remote role requires strong knowledge of medical billing, excellent analytical skills, and the ability to work independently. Candidates should possess an Associate's degree and CPC or CPC-A certification. The pay range is $18.80 – $30.34 per hour, with a comprehensive benefits package for full-time employees. #J-18808-Ljbffr

Annual Salary: $60k-$85k (varies depending on years of experience) Key Responsibilities Manage end-to-end medical billing and accounts receivable for orthopedic and spine surgical cases. Submit and track out-of-network claims to commercial payers. Handle the Independent Dispute Resolution (IDR) process including documentation preparation, submissions, and follow-up. Review, correct, and resubmit denied or underpaid claims in a timely manner. Post payments, reconcile explanations of benefits (EOBs), and identify discrepancies. Follow up aggressively on unpaid or delayed claims to ensure maximum reimbursement. Communicate with insurance carriers regarding claim status, appeals, and payment disputes. Work closely with the clinical and administrative teams to resolve coding and documentation issues. Maintain strict compliance with HIPAA and billing regulations. Generate A / R aging reports and participate in revenue cycle performance discussions. Maintain accurate patient account...

Scheduled Hours 40 Position Summary Reviews medical record documentation to determine appropriate billing codes and necessary documentation. Job Description Primary Duties & Responsibilities: Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment. Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-10 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Assists coders and IBC staff with medical terminology and policy interpretation as required Assists with efforts to increase physician awareness of documentation requirements. Prepares case reports and initiates follow-up for billing process. Performs other duties as assigned. Working Conditions: Job Location/Working Conditions...

Certified Medical Coder (Professional Review Specialist I) Job Category : Bill Review Requisition Number : CERTI010662 Posted : December 10, 2025 Full-Time Locations Showing 1 location Description The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned KNOWLEDGE & SKILLS: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical...

A leading national risk management provider is seeking a Certified Medical Coder (Professional Review Specialist I) who can analyze medical billing for accuracy and necessity. This remote role requires an Associate’s degree and certifications, assessing various claim types and utilizing technical skills to ensure compliance with medical billing standards. Join a stable organization with an excellent benefits package and a culture based on values like Accountability and Integrity. #J-18808-Ljbffr

Join to apply for the Compliance Auditor Analyst role at Upstate Medical University 5 months ago Be among the first 25 applicants Join to apply for the Compliance Auditor Analyst role at Upstate Medical University Get AI-powered advice on this job and more exclusive features. Job Summary Position Summary: Under the direction of the Compliance Officer the main duties for this position include: analysis of professional coding and billing data, review of applicable regulations or guidelines and professional coding and billing audits. Duties/Responsibilities Analysis of coding and billing data, identification of trends and aberrations. Performance of routine and investigatory audits evaluating compliance with applicable laws, regulations, coding, and billing guidelines. Interpretation of coding, billing, and regulatory standards. Preparation and completion of audit reports including recommendations, education and corrective action. Knowledge, Skills and Abilities: Strong...

US Healthcare Medical Biller for Athena - WFH/Remote Job Location: Remote (Philippines-based) Employment Type: Full-time, Mid-level Are you an experienced Medical Biller with a strong command of the Athena platform? Do you thrive in a remote work environment and are looking for a role where your expertise directly impacts healthcare revenue cycles? Neolytix is looking for a dedicated Athena Medical Biller to join our growing team! At Neolytix, we specialize in comprehensive revenue cycle management, helping healthcare providers maximize reimbursements and maintain compliance. We pride ourselves on our commitment to efficiency, accuracy, and client satisfaction. If you're passionate about medical billing and ready to contribute to a dynamic, diverse team, we want to hear from you! What You'll Do: As an Athena Medical Biller, you will be a crucial part of our operations, ensuring seamless financial processes for our US healthcare clients. Your responsibilities will include:...

Physician Compliance Auditor Grady Health System offers many career paths for experienced professionals. Whether you have many years of experience or are in the early stages of your career, you can find a rewarding career at Grady! Location: Atlanta, GA Job Type: FTE Shift/Schedule: Days This is a remote role, but the ideal candidate will be required to come into the office occasionally to meet with the providers. The Physician Compliance Auditor is responsible for conducting compliance audits, reporting results, researching/investigating issues, and establishing compliance monitoring processes. The Compliance Auditor is responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding accuracy, medical necessity, the appropriateness of treatment setting, HIPAA matters, and other compliance issues as directed by the Physician Coding Director, Compliance Director. This position requires effective communication with internal...