Alteva RCM

Healthcare Accounts Receivable Senior Associate

Accounts Payable/ReceivableConfirmed live in the last 24 hours

Full-timeQueens, NY, USAIn-person

About the Job

Requirements

Three to five years of experience in a billing position or related position.
Proficiency in Current Procedural Terminology (CPT) and International Classification of Diseases, Tenth Revision (ICD-10) coding.
In-depth knowledge of Centers for Medicare & Medicaid Services (CMS), Local Coverage Determination (LCD), and National Drug Code (NDC) billing requirements.
Familiarity with CMS-1500 and UB-04 billing formats.
Ability to independently identify and resolve billing and coding issues.
Experience with commercial insurance payers.
Prior surgical billing experience.
Strong attention to detail and analytical and organizational skills.
Strong communication skills and ability to work cross-functionally.

Responsibilities

Serve as a liaison with clients and front office staff to gather missing information and minimize billing delays.
Ensure clients provide accurate and complete data for timely and compliant claims submission.
Collaborate with the coding team to resolve claims on hold due to incomplete or missing information.
Accurately review and process patient encounters in compliance with coding and billing regulations.
Demonstrate understanding of various surgical specialties and their specific billing requirements.
Identify gaps or deficiencies in clinical documentation and work with physicians to clarify and improve records.
Maintain up-to-date knowledge of CMS guidelines and NDC and LCD payer-specific regulations.
Participate in internal billing audits and implement process improvements based on audit findings.
Work proficiently within electronic medical record (EMR) systems.
Perform additional billing-related tasks and responsibilities as assigned.

Desired Qualifications

Familiarity with the Epic electronic medical record (EMR) system.

About Us

At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professionals who want to make a meaningful impact, grow their careers, and be part of a collaborative team committed to excellence.

Job Description

We are seeking an experienced and detail-oriented Senior Medical Biller to join our dynamic billing department. The ideal candidate will possess deep knowledge of the full claims lifecycle, surgical billing, and current coding guidelines, including CMS CPT, ICD-10, NDC, and LCD regulations. Strong communication skills and the ability to work cross functionally are essential for success in this role.

Primary Responsibilities

Serve as a liaison with clients and front office staff to gather missing information and minimize billing delays.
Ensure clients provide accurate and complete data for timely and compliant claims
submission.
Collaborate with the coding team to resolve claims on hold due to incomplete or
missing information.
Accurately review and process patient encounters in compliance with coding and
billing regulations.
Demonstrate understanding of various surgical specialties and their specific billing
requirements.
Identify gaps or deficiencies in clinical documentation, work with physicians to
clarify and improve records.
Maintain up-to-date knowledge of CMS guidelines, as well as NDC and LCD payer specific regulations.
Participate in internal billing audits and implement process improvements based on
audit findings.
Work proficiently within Electronic Medical Records (EMR) systems.
Perform additional billing-related tasks and responsibilities as assigned.

Qualifications

Proficient in CPT and ICD-10 coding.
3-5 year's experience in a billing position or related position
In-depth knowledge of CMS, LCD, and NDC billing requirements.
Familiar with both CMS-1500 and UB-04 billing formats.
Proven ability to independently identify and resolve billing and coding issues.
Strong attention to detail with excellent analytical and organizational skills.
Experience with commercial insurance payers.
Prior experience with surgical billing required.
Familiarity with Epic EMR system is preferred.

Salary

This position offers a salary range of $70,000 to $95,000 annually, commensurate with experience.

Pay Range

$70,000—$95,000 USD

Benefits

Alteva RCM offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program.

Pay Range 70000 - 95000 USD

About the Company

Alteva RCM

Company size: Not listed
Company stage: Not listed
Total funding: Not listed
Headquarters: Not listed
Founded: Not listed

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