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
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Complex Claims Management: Review and scrub encounters for sub-specialties including Sleep Medicine, Audiology, and Facial Plastics
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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
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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
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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
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Provider Feedback: Meet with physicians to provide updates on coding trends and documentation improvements to reduce future claim "kick-backs"
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]
[
"Experience
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