Medical Billing Specialist

Job Summary

Lakeshore Primary Care Associates is seeking a Medical Billing Specialist with hands-on experience in healthcare billing and insurance follow-up to support our busy primary care practice. This position requires a detail-driven professional with comprehensive knowledge of medical revenue cycle, insurance claims, denials, and patient billing.

Duties

• Prepare, review, and submit clean claims to various insurance carriers electronically and via paper.
• Identify, troubleshoot, and appeal denied or underpaid claims; identify billing trends to prevent future revenue leakage.
• Continuous learning of ICD-10, CPT, and HCPCS coding and updates.
• Manage payor requirements and local Medicaid/Medicare nuances.
• Assist the Billing Manager by performing end-to-end medical billing and accounts receivable functions, including but not limited to posting payments, adjustments, and refunds and managing patient balances and insurance payments.
• Follow up on unpaid, denied, or underpaid claims with government and third-party payors
• Research and resolve billing discrepancies and insurance rejections
• Prepare and submit appeals with supporting documentation
• Respond to billing inquiries from patients, insurance companies, providers and internal staff
• Document all billing-related communications accurately in the patient account
• Maintain professional phone etiquette with internal staff and external entities and ensure timely return of billing-related calls
• Maintain patient confidentiality and comply with all HIPAA regulations
• Informs Billing Manager of any problem accounts or identified issues
• Participate in ongoing education, training, and departmental meetings
• Assist with additional billing-related tasks to support department workflow
• Stay current with industry regulations, updates in medical coding standards, and payer policies to ensure compliance and optimize revenue cycle management.

Requirements

• A minimum of two years of comprehensive medical billing experience
• Strong familiarity with ICD-9, ICD-10, CPT coding systems.
• Current working knowledge of medical insurance claims, denials, and payment posting
• Certified Coder and/or Certified Medical Biller, preferred
• Ability to work independently and as part of a team
• Excellent multi-tasking and problem-solving skills
• Proficiency with Medent and MS365
• Effective communication skills for coordinating with providers, insurance companies, and patients.

Pay: $19.00 - $24.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off

License/Certification:

• Medical Billing Certification (Preferred)

Ability to Commute:

• Depew, NY 14043 (Preferred)

Work Location: In person

Salary : $19 - $24