Medical Billing & Accounts Receivable Specialist Job at Agility Billing Services, Ronkonkoma, NY

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  • Agility Billing Services
  • Ronkonkoma, NY

Job Description

About Us:
At Agility Billing Services, we are dedicated to providing exceptional care and service in the orthopedic/pain management field. We are looking for a skilled and motivated Medical Billing Specialist to join our team. The ideal candidate will have significant experience with medical billing and a deep understanding of various insurance types and companies.

Position Overview:
We are seeking a Medical Billing & Accounts Receivable Specialist to join our team and support billing and collections for a busy surgical practice. The ideal candidate will have experience in medical claims follow-up, with a strong understanding of commercial insurance plans. Prior experience in out-of-network billing, orthopedic, spine, or pain management services is highly preferred. Candidates with solid billing skills and a willingness to learn out-of-network workflows are encouraged to apply. Key Responsibilities:
  • Submit and follow up on medical claims to commercial payers, focusing on specialty and surgical services.
  • Track outstanding accounts, follow up on unpaid or underpaid claims, and resolve any issues to ensure timely reimbursement.
  • Review and appeal claim denials and discrepancies in payment, using payer communication tools and documentation.
  • Maintain up-to-date knowledge of payer policies, billing regulations, and coding guidelines.
  • Collaborate with clinical and administrative staff to ensure accurate documentation and billing practices.
  • Keep thorough and organized records of claims activity, account status, and insurance correspondence.
Qualifications:
  • Experience in billing for orthopedic, spine, or pain management services is preferred but not required.
  • Familiarity with out-of-network billing processes and understanding of the IDR process and appeals is a plus.
  • Working knowledge of Workers' Compensation, No-Fault, and commercial insurance plans.
  • Proficient in ICD-10, CPT, and modifier use.
  • Strong problem-solving and organizational skills.
  • Excellent communication skills, especially when working with insurance reps and internal teams.
  • Self-motivated with the ability to work independently and meet deadlines.
Education and Experience:
  • High school diploma or equivalent required.
  • Associate’s Degree in Health Information Technology or a related field preferred.
  • Certificate in medical billing or coding is a plus.
Benefits:
  • Competitive compensation with consideration for experience, skills, and growth potential
  • Opportunities for professional development and advancement in a specialty billing role.
  • Supportive and team-oriented work environment.

Job Tags

Full time,

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