Medical Billing

AP Executive Staffing is hiring Medical Billers with experience using Epic billing software (required), who seek a collaborative, supportive team culture for our customer, one of Buffalo’s top healthcare employers!

This role plays a key part in ensuring that client reimbursements are processed accurately and efficiently. The ideal candidate will possess excellent organizational and communication skills, as well as a solid understanding of medical billing processes and third-party insurance procedures.

Key responsibilities include:

• Insurance Verification & Billing Accuracy: Verify patient insurance details through various platforms (Hnet, ePaces, Connex, insurance portals) to ensure accuracy
• Claims Review & Follow-up: Review claims for accuracy, identify and resolve billing errors, and promptly address any denials or partial payments and follow up on unpaid or denied claims within the payer’s guidelines
• Electronic & Paper Submissions: Correct and resubmit denied claims, ensuring the necessary corrections are made, and manage the resubmission of both electronic and paper claims to appropriate insurance carriers.
• EOB Analysis: Review and interpret Explanation of Benefits (EOB) to resolve issues related to denials or partial payments, utilizing communication tools such as phone calls, emails, and portals to resolve account issues.
• Documentation & Correspondence: Document all actions taken on patient accounts in the system, ensuring a comprehensive and up-to-date record. Perform timely follow up on daily correspondence
• Staying Updated: Keep current with industry trends, payer requirements, and billing changes by reviewing payer newsletters and related publications to ensure compliance.

Education & Experience Requirements:

• High School Diploma required
• A minimum of 2 years of experience in medical billing and third-party billing processes and claims review
• A minimum of 1 year experience utilizing Epic HIS technology
• A minimum of 2 years of intermediate MS Word and Excel

Education & Experience Preferences:

• Certification in Medical Billing or a related Medical Billing Program is preferred
• Excellent written and oral communication skills
• Strong organizational skills and attention to detail
• Ability to work well independently and collaboratively with team members
• Dependable attendance and strong work ethic
• Self-motivated with the ability to manage multiple tasks effectively
• Exceptional attention to detail in reviewing claims and resolving issues
• Strong problem-solving abilities and ability to work under pressure
• Knowledge of healthcare insurance policies and regulations

Salary: $20.46-$30.70
Hours: 1st shift 8 hour shift between 7-5pm (flexible start time)