Medical Billing Specialist Position Overview: We are seeking a detail-oriented Medical Biller to accurately process medical claims, post payments, and follow up on outstanding accounts. This role requires strong organizational and problem-solving skills. The ideal candidate will be proactive in identifying and correcting claim issues, communicating effectively with internal teams, and ensuring timely reimbursement. Key Responsibilities: Submit claims for services 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 efficiently Communicate recurring issues or system errors with supervisors for resolution 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 as needed Review and reconcile assigned aging reports monthly Utilize Excel, PDFs, and standard computer applications proficiently Troubleshoot claim issues independently while collaborating with team leads Requirements: Strong attention to detail and organizational skills Ability to problem-solve and manage billing issues effectively Proficiency with Excel, billing software, and clearinghouse systems Prior healthcare or leadership experience Join a supportive team where your attention to detail and problem-solving skills will directly contribute to efficient operations and timely reimbursements. For more details or to apply reach out to henny@hiresolutionsny.com or call 845-422-8098 Ext. 108