RANDSTAD USA Senior Medical Biller in Levittown, NY

pin
pin
We are seeking a high-level Senior Medical Biller to oversee the full-scope Revenue Cycle Management (RCM) for our client's Levittown, NY location. This role is designed for a subject matter expert who excels at resolving complex insurance discrepancies, optimizing cash flow, and ensuring high-integrity claim submission. The ideal candidate acts as a financial advocate for the practice, identifying trends in denials and implementing systemic solutions. Thi
[ "

    \n\t
  • \n\t

    Complex Claims Management: Review and scrub encounters for sub-specialties including Sleep Medicine, Audiology, and Facial Plastics

    \n\t
  • \n\t
  • \n\t

    Surgical Billing: Expertly code and bill for in-office and hospital-based surgical procedures, ensuring all modifiers (e.g., -50, -51, -59) are applied correctly to maximize reimbursement

    \n\t
  • \n\t
  • \n\t

    Denial Advocacy: Investigate and appeal complex clinical denials. You won’t just "resubmit"—you will build cases using medical necessity documentation to overturn insurance rejections

    \n\t
  • \n\t
  • Account Reconciliations: Utilize NextGen EMR and Waystar (Clearinghouse) to track EDI files, work rejections immediately, and resolve unapplied credits
  • \n\t
  • \n\t

    Patient Financial Counseling: Act as the "expert voice" for patients in Levittown, explaining high-deductible plans, co-insurance, and pre-certification requirements for specialized allergy treatments

    \n\t
  • \n\t
  • \n\t

    Provider Feedback: Meet with physicians to provide updates on coding trends and documentation improvements to reduce future claim "kick-backs"

    \n\t
  • \n
\n

" ]
[ "Experience
  • Experienced
  • 5 years
Education
  • No Degree Required
  • " ]
    We are seeking a high-level Senior Medical Biller to oversee the full-scope Revenue Cycle Management (RCM) for our client's Levittown, NY location. This role is designed for a subject matter expert who excels at resolving complex insurance discrepancies, optimizing cash flow, and ensuring high-integrity claim submission. The ideal candidate acts as a financial advocate for the practice, identifying trends in denials and implementing systemic solutions. Thi[ "\n\t\n\t. Complex Claims Management: Review and scrub encounters for sub-specialties including Sleep Medicine, Audiology, and Facial Plastics\n\t\n\t\n\t. Surgical Billing: Expertly code and bill for in-office and hospital-based surgical procedures, ensuring all modifiers (e.g., -50, -51, -59) are applied correctly to maximize reimbursement\n\t\n\t\n\t. Denial Advocacy: Investigate and appeal complex clinical denials. You won't just "resubmit" - you will build cases using medical necessity documentation to overturn insurance rejections\n\t\n\t. Account Reconciliations: Utilize NextGen EMR and Waystar (Clearinghouse) to track EDI files, work rejections immediately, and resolve unapplied credits\n\t\n\t. Patient Financial Counseling: Act as the "expert voice" for patients in Levittown, explaining high-deductible plans, co-insurance, and pre-certification requirements for specialized allergy treatments\n\t\n\t\n\t. Provider Feedback: Meet with physicians to provide updates on coding trends and documentation improvements to reduce future claim "kick-backs"\n\t\n\n" ][ "Experience. Experienced 5 years. Education. No Degree Required" ]
    search terms: Medical Biller+Biller
    pin
    pin
    Local Job Bulletin is an independent Job Search Engine. Local Job Bulletin is not endorsed, sponsored or affiliated with the actual employer of the job. All trademarks, service marks, logos, domain names, and job descriptions are the property of their respective holder.
    Upload your Resume - Let Employers find you!
    pin
    pin
     
     
    Local Job Bulletin is an independent Job Search Engine. Local Job Bulletin is not an agent or representative and is not endorsed, sponsored or affiliated with any employer. Local Job Bulletin uses proprietary technology to keep the availability and accuracy of its job listings and their details. All trademarks, service marks, logos, domain names, job descriptions and other company descriptions / details are the property of their respective holder. Local Job Bulletin does not have its users apply for a job on the LocalJobBulletin.com website. Additionally, Local Job Bulletin may provide a list of third-party job listings that may not be affiliated with any employer. Please make sure you understand and agree to the website's Terms & Conditions and Privacy Policies you are applying on as they may differ from ours and are not in our control.;
    pin
    pin