Job Description

Medical Billing Specialist

Location: Flatbush, NY

Position Type: Full-Time

About the Role

We are seeking a detail-oriented and proactive Medical Billing Specialist to process medical claims, post payments, and follow up on outstanding accounts. The ideal candidate has strong organizational and problem-solving skills, communicates effectively, and ensures accurate, timely reimbursement.

Key Responsibilities

• Submit claims through billing software and clearinghouses
• Apply PPS billing rules, including modifiers, value codes, and occurrence codes
• Investigate denials by reviewing remittance advice and identifying root causes
• Correct and resubmit claims promptly
• Communicate recurring issues or system errors to supervisors
• Follow up on outstanding claims via payer portals or phone
• Draft professional appeals for denied claims, especially authorization-related issues
• Escalate missing or invalid authorization concerns
• Review and reconcile assigned aging reports monthly
• Use Excel, PDFs, and standard computer applications proficiently
• Troubleshoot claim issues independently while collaborating with team leads

Requirements

• Strong attention to detail and excellent organizational skills
• Ability to problem-solve and manage billing issues effectively
• Proficiency with Excel, billing software, and clearinghouse systems
• Prior healthcare or leadership experience preferred

Join Our Team

Become part of a supportive environment where your accuracy and problem-solving skills directly contribute to smooth operations and timely reimbursements.