Medical Biller Job – NY, Commack

city: Commack
  • Verify all relevant information; tests, lab results, operative reports, procedures, etc are included.

  • Verify the concluding diagnosis is correctly indicated for the care and treatment delivered. Assign and input the correct diagnostic code to insure maximum and timely reimbursement.

  • Process all insurance claims and procedures for office visits, procedures and medications.

  • Process all patient statements; cycle billing

  • Answer all billing questions from patients and insurance carriers.

  • Follow-up on all denied or down coded services with insurance companies.

  • Follow-up all patient balance past due accounts.

  • Arrange payment plans when needed.

  • Print and monitor aged accounts receivable reports.

  • Alert management when account should be sent to collections.

  • Alert management regarding any problems with particular carriers.

  • Inform and update management regarding HMO and Managed Care billing regulations.

  • Handle any attorney correspondence.

  • Process disability, no-fault and compensation claims.

  • Process and follow-up on Managed Care plans, Medicare and Medicaid claims.

  • Post all mail and office payments from patients and insurance carriers.

  • Enter withholdings, when applicable.

  • Alert management of claim denial and down-coding situations.

  • Process secondary insurance claims.

  • Prepare and balance daily reports for monies collected.

  • Ensure HIPAA guidelines are followed at all times.

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