Medical Billing & Coding Specialist Job at Tandym Group, Queens, NY

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  • Tandym Group
  • Queens, NY

Job Description

A health services agency in New York City is currently seeking a new Medical Billing & Coding Specialist to join their growing Outpatient team in Queens.

About the Opportunity:

  • Start Date: ASAP
  • Schedule: Monday to Friday
  • Hours: 9am to 5pm
  • Setting: Office

Responsibilities:

  • Review claims and follow-up accordingly, from claim submission until final payment
  • Communicate with insurance companies regarding claim denials or underpayments
  • Utilize the Payer Online Portals for claims status and eligibility verification
  • Send medical records to payers, filing reconsiderations and appeals
  • Post payments and write off balances, when necessary
  • Follow up on Pre-negotiated Agreements, Single Case Agreements and Authorizations
  • Review and verify accuracy of billing data
  • Ensure compliance with all relevant coding and billing regulations
  • Effectively resolve complex issues, including payment research, payment recoupments.
  • Perform other duties, as needed

Qualifications:

  • 3+ years of experience in Collections and/or a related role
  • High School Diploma / GED
  • Experience in Billing and/or a related field
  • Knowledge of FQHC, OASAS Article 32, Article 28 & 31 billing rules and compliance
  • Experience working with Medical Billing software
  • Microsoft Office proficient
  • Solid problem solving and time management skills
  • Great interpersonal skills
  • Excellent communication skills (written and verbal)
  • Strong attention to detail
  • Highly organized

Desired Skills:

  • Associate's and/or Bachelor's Degree
  • Working knowledge of NextGen Enterprise

Job Tags

Immediate start, Monday to Friday,

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