Physician Billing |Billing & Claims Specialist | Onsite

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profile Job Location:

Melville, NY - USA

profile Monthly Salary: Not Disclosed
Posted on: 30+ days ago
Vacancies: 1 Vacancy

Job Summary

The Opportunity: We are representing a premier healthcare system in New York looking for a Revenue Recovery Specialist. This is a critical role within the Physician Billing department where your expertise in navigating the complexities of the revenue cycle directly impacts the organizations financial health. If you are a claims detective who loves resolving denials and securing payments this is the career move for you.

What Youll Be Doing:

  • Claims Resolution: Perform rigorous follow-up on all outstanding physician billing accounts according to established policies.

    Denial Management: Analyze Remittance/EOBs and submit strategic appeals for denials or underpayments.

  • Payer Navigation: Place outbound calls to insurance carriers to verify coverage and resolve claim status discrepancies.

  • System Optimization: Utilize the Epic System to accurately update patient accounts and initiate billing


Qualifications :

What Were Looking For:

  • Experience: 12 years of prior Physician Billing experience specifically in carrier follow-up.
  • Technical Knowledge: Strong understanding of Medicare/Medicaid regulations and medical insurance coverages.
  • Software: Epic experience is highly preferred.
  • Compliance: Thorough knowledge of HIPAA regulations.

Additional Information :

Why Join This Team

  • Stable Industry: Secure a role within an essential healthcare infrastructure.

    Professional Growth: Work independently while receiving clear direction in a high-performing billing environment.

  • Note: This is a full-time position located in New York. Candidates must have a High School Diploma or GED.

For immediate consideration apply directly or text/call 407.436.9060 to schedule an interview. 


Remote Work :

No


Employment Type :

Full-time

The Opportunity: We are representing a premier healthcare system in New York looking for a Revenue Recovery Specialist. This is a critical role within the Physician Billing department where your expertise in navigating the complexities of the revenue cycle directly impacts the organizations financia...
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About Company

CRD Careers brings over 20 years of expertise in leadership, mentoring, and talent acquisition to this passion-driven mission. Our goal is not only to break down gender and racial barriers but to empower organizations of all sizes with a Creative, Resourceful, and Diverse approach.At ... View more

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