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Medical Billing Specialist

0-3 years
Not Disclosed
10 Oct. 24, 2024
Job Description
Job Type: Full Time Remote Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Job Functions, Duties, Responsibilities, and Position Qualifications:

Quality is in our DNA—Is it in yours?

You put the pro in medical laboratory professional. You’ve got problem-solving instincts, a passion for patient care, and the technical training to deliver quality results. You’re also looking for great benefits, the support of an all-star team, and an opportunity to grow your career.

Join our front line of #HealthcareHeroes! Our mission is to advance the health and well-being of our communities as a leader in clinical laboratory solutions.

Location: 250 Miller Place, Hicksville, NY 11801
Hours: Flexible Daytime Hours
Full Time: Benefits eligible
Hybrid On-Site: Position requires in-office attendance at least 1-3 days per week, not fully remote.

In this role, you will:

  • Research and reconcile denied and unpaid medical claims, including no-fault and workers’ compensation claims.
  • Collect reimbursements for services rendered by reviewing insurance carriers' reject reports, EOBs, and correspondence.
  • Use established protocols to contact providers and clients to resolve discrepancies in processed, partially paid, and unpaid claims with timely follow-up actions.
  • Handle other tasks assigned by your supervisor, including customer service support and answering patient calls.
  • Review claims for possible refunds to insurance and/or patients.
  • Research claims rejected by the clearinghouse.
  • Perform all other tasks necessary to collect on unpaid claims.

All you need is:

  • High School Diploma or GED.
  • Medical Billing Certification (preferred).
  • Coding Certification (a plus).
  • Laboratory experience (a plus).
  • Strong computer skills with proficiency in Microsoft Excel and Word.
  • At least two years of experience in denials or accounts receivable (preferred).

Salary Range

$18.00 - $22.00 per hour. Pay is commensurate with experience; geographic differentials may apply. Sonic Healthcare USA reserves the right to pay more or less than the posted range based on factors other than race, color, religion, sex (including pregnancy), or national origin.

Additional Information

This role will have routine access to Protected Health Information (PHI). Employees will be trained on reasonable safeguards and are expected to maintain strict confidentiality, as well as abide by all applicable privacy and security standards. Employees are expected to access PHI only when required to fulfill job duties.

Scheduled Weekly Hours: 40
Work Shift: 1st Shift (United States of America)
Job Category: Accounts Receivable
Company: Sunrise Medical Laboratories, Inc.

Our Mission

Highest quality laboratory testing.

Our Passion

Helping people live better, healthier lives.

When you join Sunrise Medical Labs, you are well-supported by everyone—from colleagues to management. We have a warm, welcoming culture that is laid back but professional. Our management staff is attentive and helpful, and coworkers enjoy working together. Here, you are not a number; you are a vital part of our workplace community. If you’re motivated to stand out, we’ll give you every opportunity to succeed and grow.

We’ll give you:

  • Appreciation for your work
  • Lots of flexibility
  • A feeling of satisfaction that you’ve helped people
  • Friendly coworkers
  • Opportunity to grow in your profession
  • Management that you will admire
  • A free ride to and from the train station
  • Fun events throughout the year
  • Fitness Friday & on-site gym
  • A day off on your birthday
  • Free lab services for you and your dependents
  • A sense of belonging—we’re a community!

Locations

New York | Maryland | New Jersey | Virginia | Washington DC | West Virginia

Join us! We offer Medical, Vision, and Dental Insurance; Short Term and Long-Term Disability; Voluntary Term Life; 401-K plus match; Paid Time Off; Paid Holidays.

Sonic Healthcare USA is an equal opportunity employer that celebrates diversity and is committed to an inclusive workplace for all employees. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, age, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.