Medical Billing and Coding Associate

A medical services company in New York City is currently seeking a new Medical Billing and Coding Associate for a promising opportunity with their growing team. Responsibilities: The Medical Billing and Coding Associate will: Partner with Operations to resolve issues surrounding unbilled claims, authorizations, Physician Certification Statements (PCSs), Patient Care Reports (PCRs), and insurance, and demographic capture issues Contact payers to verify claim status via phone or web and follow up on unpaid claims Process appeals on aged insurance claimsdenials Identify and resolve claim edits through understanding of billing guidelines and payer requirements Reconcile commercial and government accounts, ensuring CPT and diagnostic codes are accurate Interpret terms for Managed Care, Commercial, Medicare, Medicaid and Workers' Compensation and No Fault when applicable Review all EOBs for correct payment, deductible, adjustments, and denials Reconcile account balances, and verify payments are applied correctly Maintain well aged accounts, promptly resolve, and resubmit denied unpaid claims in a timely and efficient manner Follow up on appealscorrected submitted claims Review and correct billing errors, which require a strong knowledge of CPT and ICD-10 coding Review and audit customer service account inquiries Receive inboundoutbound customer service call Review and correct all rejections in clearing house Perform all other related duties as assigned Qualifications: Must have 2-3 years of Medical Billing experience Extensive Medicare and Medicaid experience and understanding medical necessity in ambulance transportation Proficient in CPT and ICD-10 coding Excellent organizational skills and the ability to multitask in a fast-paced environment Desired Skills: Ambulance billing experience Ambulancemedical billing certification or diploma Certified Ambulance Coder (CAC) or Certified Professional Coder (CPC)

Created: 2025-02-17