Medical Biller

Network Solutions IPA (NSIPA) is a leading New York–based Independent Practice Association with a diverse, multi-specialty provider network. The organization has grown to more than 600 physician members , serving over 100,000 patients across New York City, Nassau, Suffolk, and Westchester counties. We are committed to helping independent providers succeed in the transition to value-based care. Through strategic partnerships, operational support, and robust payer relationships, NSIPA delivers the tools, resources, and expertise that allow practices to grow, perform, and succeed in today’s complex healthcare landscape without sacrificing independence. We achieve this by collaborating with payers to deliver Quality Incentive Programs, Shared Savings arrangements, and Risk-Based Contracts. Contracted with over 21+ Payers for over 600+ Providers. NSIPA provides a comprehensive suite of services, including credentialing and network operations, provider engagement, and contracting; care coordination and member outreach; and provider-and patient centered programs. As part of New York State’s 1115 Medicaid Waiver, NSIPA plays a key role in identifying, screening, and addressing health-related social needs by connecting Medicaid members to community-based resources and care supports. These services are designed to strengthen provider efficiency, address health related social care needs, and advance value‑based care and population health opportunities. Recognized as one of New York’s fastest‑growing IPAs, NSIPA supports improved clinical outcomes, enhanced provider performance, and cost savings for payers through its robust infrastructure and operational expertise. Position Overview We are seeking a detail-oriented Medical Biller to join our team. This role is ideal for someone early in their career with some exposure to medical billing, especially handling claim denials and follow‑ups. You will play a key role in ensuring accurate billing and timely reimbursement. Submit and process medical claims to insurance companies Review and correct billing errors prior to claim submission Follow up on unpaid or denied claims and work toward resolution Analyze Explanation of Benefits (EOBs) and denial reasons Resubmit corrected or appealed claims as needed Verify patient insurance information and eligibility Post payments and reconcile accounts Maintain accurate and organized billing records Communicate with insurance companies regarding claim status Collaborate with internal team to resolve billing issues High school diploma required; certification or coursework in medical billing/coding is a plus Some experience or familiarity with medical billing processes preferred Basic understanding of insurance claims, EOBs, and denials Strong attention to detail and organizational skills Good communication and problem‑solving abilities Ability to work independently and manage multiple tasks Proficiency in billing software and/or EMR system s Knowledge of CPT, ICD-10, and HCPCS codes Required Qualifications Entry‑level candidate with internship, training, or 1+ year of experience Comfortable working with insurance companies and claim follow‑ups Persistent and detail‑oriented, especially with denials Eager to learn and grow within medical billing and revenue cycle management Why Join NSIPA? High-impact leadership role with direct influence on organizational strategy. Opportunity to shape the future of value‑based care across diverse populations. Collaborative, mission‑driven environment focused on improving patient outcomes. Visibility, growth, and the ability to build and scale performance programs. Physical Demands The physical demands described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable qualified individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to stand; walk; sit for extended periods of time; use hands to finger, handle, or feel; make precisely coordinated movements of the fingers of one or both hands to grasp, manipulate, or utilize computer equipment; reach with hands and arms; and talk or hear. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision, ability to adjust focus and ability to match or detect differences between colors, including shades of color and brightness. EEO Statement NSIPA is an equal opportunity employer committed to diversity and inclusion. We encourage applications from all qualified individuals regardless of race, color, religion, gender, sexual orientation, age, national origin, disability, or veteran status. #J-18808-Ljbffr Network Solutions IPA