HMO Biller
HMO Biller (Nursing Home Experience Preferred Long Island, NY Full-Time | In-Office $60,000 – $80,000 Position Overview We are seeking an experienced HMO / A/R Biller to manage billing, collections, and payment posting for multiple facilities. This role requires strong follow-up, organization, and attention to detail to ensure accurate billing and timely collections. Key Responsibilities Billing & Collections Handle monthly billing and collections for multiple insurance payors Track and follow up on outstanding claims to ensure timely payment Maintain detailed notes and updates within internal billing systems Monitor aging reports and provide regular updates to management Ensure all required authorizations are in place prior to billing Manage Medicare co-insurance billing and follow-up Track and report denied claims, including reasons such as missing authorizations Provide weekly updates on account status, issues, or delays Cash Posting Post and reconcile insurance payments (EFT, credit card, and deposits) Maintain proper documentation and backup for all transactions Ensure accuracy of daily and ongoing payment records Reporting & Administrative Prepare and send monthly reports, including census and aging summaries Maintain organized billing trackers and ensure all data is up to date Assist with audits and additional projects as assigned Requirements Experience in medical billing and collections (HMO required) Strong understanding of claims, denials, and insurance follow-up Experience in nursing home or long-term care preferred Detail-oriented with strong organizational skills Ability to manage multiple accounts and deadlines
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