Medical Biller Specialist I

Job Description

Job ID#:

4579

Job Category:

Finance

Position Type:

Employee (Full Time)

Position Summary:

Reporting to the Senior Director of Practice Management, the Medical Biller Specialist I will process claims for their assigned providers and facilities. The Billing Specialist will review medical documentation to property bill services and treatment provided and submit claims to the payers following ICD-10, CPT coding and insurance guidelines. 

The Medical Biller Specialist will join a dedicated team of professionals within our Finance's Practice Management Division. This position is remote, requiring monthly onsite duties based in the Bronx, NY for team meetings and training. Although remote- incumbents must reside locally to the NYC market and are required upon request to come onsite for training, meetings, and events. 

Monday-Friday 8:00 a.m. to 5:00 p.m.

Minimum Qualifications:

• High School Diploma or GED is required.
• Medical Billing Certification is required.
• Certified Professional Coder preferred.
• Knowledge of ICD-10, CPT Codes, and Medical Terminology is required.
• Proficiency with Microsoft Word, Excel, and PowerPoint is required. 
• Knowledge of Electronic Health Records (eClinicalworks a huge plus!)
• Bare minimum of 1-2 years of direct experience in medical billing is required (may include internship experience).

Key Duties:

• Review the provider's medical notes in eCW to assure that the documentation supports the service and treatment provided
• Verifies for accuracy the selected diagnosis and CPT codes following coding guidelines
• Accurately assign and validate ICD-10, CPT, and applicable modifier codes
• Communicates with the provider on a daily basis when information is needed to process the claim
• Identify and correct coding and billing errors, applying a deep understanding of CPT and ICD-10 coding
• Submit billing data to the appropriate insurances.
• Correct any denials due to coding errors

About Urban Health Plan:

At Urban Health Plan (UHP) our mission is to continuously improve the health of communities and the quality of life of the people we serve by providing affordable, comprehensive, quality, primary and specialty health care and by assuring the performance and advancement of innovative best practices. At UHP, our commitment to provide patient-centered, holistic, quality health care, is part of a tradition started by our founder, Dr. Richard Izquierdo, more than 50 years ago. That tradition continues today by promoting excellence in everything that we do. 

Compensation: $45,560/annum based on 40 hours per week

Benefits Include:

• Fully funded Health Insurance for yourself
• 73.5% funded Health Insurance for your family
• Dental Insurance
• $50,000 term life Insurance
• 401(k) Retirement Savings (including annual UHP Contribution)
• Comprehensive time off including paid vacation, personal time, sick time, and paid holidays (including your birthday!).

UHP is an equal opportunity employer. M/F/D/V. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex, sexual orientation, gender identity, gender expression, national origin/ancestry, citizenship status, disability, age, marital or family status, and military or veteran status.

Job Requirements

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