Medical Billing Account Manager

Established for over 22 years, our medical billing and consulting company provides full-service medical billing and accounts receivable (A/R) management for physicians and medical practices. We are seeking an experienced and seasoned Medical Biller / A/R Specialist to join our team as an Account Manager.

We are looking for a Medical Biller / A/R Specialist with at least 2 years of medical billing experience who can independently manage provider accounts. This role focuses on Medicare, Medicaid, Commercial insurance, Workers Comp and No Fault billing. Must have experience appealing denied claims, A/R follow-up, and denial management.

Minimum Requirements (Must Meet All)

Applicants must meet all of the following criteria to be considered:

• Work Setting: Hybrid, Suffolk NY We are looking for someone local to ensure easy commute.
• 2+ years of recent medical billing experience (medical billing company, physician practice, or healthcare revenue cycle role)
• Hands-on experience with Workers’ Compensation medical billing
• Hands-on experience with No-Fault insurance medical billing
• Proven experience appealing denied claims with insurance payers
• Strong insurance A/R follow-up and denial management experience
• Working knowledge of Medicare, Medicaid, and commercial insurance billing rules
• Proficient using insurance payer websites/portals (eligibility, claim status, EOBs, appeals)
• Ability to manage provider accounts independently and communicate clearly with clients and patients
• Basic to intermediate Excel or spreadsheet skills for reports and tracking

Preferred Qualifications

• Experience with pre-certification / prior authorization
• Familiarity with EHR / practice management / medical billing software
• Bilingual (English/Spanish or other) a plus, but not required

Key Responsibilities

• Act as Account Manager for assigned providers, serving as the main billing and A/R contact
• Perform heavy insurance A/R follow-up for Workers’ Comp, No-Fault, Medicare, Medicaid, and commercial insurance
• Handle denial management and appeals, including correcting claims and submitting appeals with supporting documentation
• Submit, track, and follow up on Workers’ Compensation and No-Fault claims
• Complete charge entry, verify benefits, and assist with pre-certification/prior authorization as needed
• Communicate daily with clients, physicians, and office staff regarding claim status and billing issues
• Use insurance websites and portals to verify eligibility, obtain EOBs, and resolve claim issues
• Prepare and maintain spreadsheets and A/R reports, including aging and denial trend reports
• Assist patients with billing questions and basic account inquiries

Ensure HIPAA compliance and protect patient confidentiality at all times

Job Type: Full-time

Pay: $24.00 - $28.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Health insurance
• Paid time off
• Retirement plan

Experience:

• Medical Billing: 2 years (Required)

Ability to Commute:

• Commack, NY 11725 (Required)

Work Location: In person