2 biller coder jobs found

POSITION SUMMARY: The Medical Accounts Receivable Billing Specialist, reporting directly to the Revenue Cycle Manager, is responsible for managing and resolving insurance and patient accounts receivable, and ensuring accurate and timely billing, reimbursement, and collections. This role supports WACBD's financial health by monitoring outstanding balances, communicating with patients and payers, and maintaining meticulous documentation in accordance with organizational policies and healthcare regulations. This position requires strong analytical skills, attention to detail, and a commitment to delivering exceptional service to patients with chronic and complex medical needs. KEY RESPONSIBILITIES: Review and monitor accounts receivable aging reports to identify outstanding balances and prioritize follow-up activities. Work complex denials (coding, medical necessity, eligibility, prior auth, duplicate, bundling, coordination of benefits) and submit appeals to secure...

At Managed Care Network, Inc., we’re a dynamic and growing managed care company committed to delivering exceptional service in the Workers’ Compensation and Auto Insurance industries. With a team of over 100 dedicated professionals, we’re expanding—and we want you to be part of our journey. Position Overview: The Fee Schedule Specialist is responsible for the review, analysis, and processing of medical bills for New York State Workers’ Compensation and Auto/No-Fault claims. This role ensures accurate reimbursement determination through the application of state fee schedules, Medicare methodologies, PPO contracts, and client-specific guidelines. The ideal candidate will possess strong analytical skills, attention to detail, and a working knowledge of medical coding, billing practices, and payer-side bill review operations. Candidates with CPC-A or CPB certification are strongly encouraged to apply. Key Responsibilities: •    Review and analyze medical bills, records, and...