Billing Specialist - TBG | The Bachrach Group : Job Details

📍Melville | 💼 Permanent | 💰 $24-26/hour

Are you a detail-oriented professional with strong analytical and mathematical skills? We're looking for a Billing Specialist to join our team! This role focuses on ensuring accurate and timely follow-up on billed accounts, verifying payments align with contracted rates, and maintaining high-quality account management. Hands-on training provided!

What You'll Do:

✔ Follow up on third-party balance due accounts for timely payments

✔ Contact payers via web portals, phone, and correspondence for claim status

✔ Verify insurance coverage and manage billed insurance claims

✔ Analyze insurance EOBs/remittances to confirm payments align with contracted rates

✔ Process denial appeals, claim corrections, and voids as needed

✔ Handle credit balances and issue refunds for self-pay and insurance accounts

✔ Submit primary and secondary claims via the Epic system

✔ Document follow-up actions with clear and concise account notes

✔ Work efficiently through 30-40 accounts daily

✔ Communicate professionally with clinical sites and account guarantors

What We're Looking For:

✅ Experience in hospital or professional billing

✅ Strong math, analytical, and attention-to-detail skills

✅ Clear and professional communication skills

✅ Knowledge of Medicare, Medicaid, and third-party insurance billing

✅ Proficiency in claims processing, insurance follow-ups, and denial management

✅ Ability to work independently while following company policies

✅ Computer proficiency (35+ WPM) and HIPAA compliance knowledge

Preferred Qualifications:

➕ Certified Medical Coder or relevant billing certification

➕ 1-2 years of healthcare billing experience

➕ College degree in a related field