Healthcare Accounts Receivable Senior Associate

Job Description

We are seeking an experienced and detail-oriented Senior Medical Biller to join our dynamic billing department. The ideal candidate will possess deep knowledge of the full claims lifecycle, surgical billing, and current coding guidelines, including CMS CPT, ICD-10, NDC, and LCD regulations. Strong communication skills and the ability to work cross functionally are essential for success in this role.

Primary Responsibilities

• Serve as a liaison with clients and front office staff to gather missing information and minimize billing delays.
• Ensure clients provide accurate and complete data for timely and compliant claims
• submission.
• Collaborate with the coding team to resolve claims on hold due to incomplete or
• missing information.
• Accurately review and process patient encounters in compliance with coding and
• billing regulations.
• Demonstrate understanding of various surgical specialties and their specific billing
• requirements.
• Identify gaps or deficiencies in clinical documentation, work with physicians to
• clarify and improve records.
• Maintain up-to-date knowledge of CMS guidelines, as well as NDC and LCD payer specific regulations.
• Participate in internal billing audits and implement process improvements based on
• audit findings.
• Work proficiently within Electronic Medical Records (EMR) systems.
• Perform additional billing-related tasks and responsibilities as assigned.

Qualifications

• Proficient in CPT and ICD-10 coding.
• 3-5 year's experience in a billing position or related position
• In-depth knowledge of CMS, LCD, and NDC billing requirements.
• Familiar with both CMS-1500 and UB-04 billing formats.
• Proven ability to independently identify and resolve billing and coding issues.
• Strong attention to detail with excellent analytical and organizational skills.
• Experience with commercial insurance payers.
• Prior experience with surgical billing required.
• Familiarity with Epic EMR system is preferred.

Salary 

This position offers a salary range of $70,000 to $95,000 annually, commensurate with experience.