What are the responsibilities and job description for the Workers Comp, No Fault, Medical Biller position at Total Orthopedics and Sports Medicine?
Total Orthopedics and Sports Medicine is a leader in Long Island orthopedic care, dedicated to 'Getting You Back to You' by providing exceptional orthopedic-specific services. Our state-of-the-art facilities offer immediate care for orthopedic injuries, ensuring patients receive timely treatment from highly awarded specialists.
We are seeking a detail-oriented and experienced Workers Compensation (WC) and No-Fault (NF) Medical Biller/Accounts Receivable (AR) Representative to join our healthcare billing team. The ideal candidate will be responsible for accurately billing and following up on WC/NF claims, ensuring timely reimbursement from insurance carriers and proper resolution of outstanding accounts.
Key Responsibilities
Billing & Claims Submission
Prepare, review, and submit WC/NF medical claims to insurance carriers in compliance with state and federal regulations.
Ensure all claims are coded correctly using appropriate ICD-10, CPT, and modifier codes.
Verify claim requirements based on jurisdictional and carrier-specific guidelines.
Accounts Receivable Management
Monitor aging reports and follow up on unpaid or denied claims in a timely manner.
Identify and resolve billing issues or payment discrepancies.
Resubmit or appeal denied/rejected claims as needed with proper documentation.
Patient & Provider Communication
Communicate with physicians, office staff, patients, and insurance companies regarding billing inquiries and claim statuses.
Provide updates and reporting to internal departments regarding claim progress and collections.
Documentation & Compliance
Maintain accurate and complete records of billing activity and correspondence.
Ensure compliance with HIPAA regulations and insurance guidelines.
Stay up to date on changes in WC/NF billing rules and regulations.
Qualifications
High school diploma or equivalent; associate degree or medical billing certification preferred.
2 years of experience in medical billing, with a strong focus on Workers' Compensation and No-Fault claims.
Knowledge of medical terminology, CPT/ICD-10 coding, and EOB interpretation.
Experience with EMR/EHR systems and billing software (e.g., eClinicalWorks, Kareo, AdvancedMD, etc.).
Strong understanding of WC/NF insurance processes, including claim timelines and legal documentation.
Excellent communication, problem-solving, and organizational skills.
Ability to work independently and collaboratively in a fast-paced environment.
Preferred Skills
Familiarity with state-specific WC/NF regulations (e.g., New York, New Jersey).
Experience in medical collections and appeals.
Knowledge of lien-based billing practices (if applicable).
Job Type: Full-time
Pay: $24.22 - $28.00 per hour
Expected hours: 40 per week
Benefits
401(k)
401(k) matching
Dental insurance
Flexible schedule
Health insurance
Life insurance
Paid time off
Vision insurance
Ability To Commute
Syosset, NY 11791 (Required)
We are seeking a detail-oriented and experienced Workers Compensation (WC) and No-Fault (NF) Medical Biller/Accounts Receivable (AR) Representative to join our healthcare billing team. The ideal candidate will be responsible for accurately billing and following up on WC/NF claims, ensuring timely reimbursement from insurance carriers and proper resolution of outstanding accounts.
Key Responsibilities
Billing & Claims Submission
Prepare, review, and submit WC/NF medical claims to insurance carriers in compliance with state and federal regulations.
Ensure all claims are coded correctly using appropriate ICD-10, CPT, and modifier codes.
Verify claim requirements based on jurisdictional and carrier-specific guidelines.
Accounts Receivable Management
Monitor aging reports and follow up on unpaid or denied claims in a timely manner.
Identify and resolve billing issues or payment discrepancies.
Resubmit or appeal denied/rejected claims as needed with proper documentation.
Patient & Provider Communication
Communicate with physicians, office staff, patients, and insurance companies regarding billing inquiries and claim statuses.
Provide updates and reporting to internal departments regarding claim progress and collections.
Documentation & Compliance
Maintain accurate and complete records of billing activity and correspondence.
Ensure compliance with HIPAA regulations and insurance guidelines.
Stay up to date on changes in WC/NF billing rules and regulations.
Qualifications
High school diploma or equivalent; associate degree or medical billing certification preferred.
2 years of experience in medical billing, with a strong focus on Workers' Compensation and No-Fault claims.
Knowledge of medical terminology, CPT/ICD-10 coding, and EOB interpretation.
Experience with EMR/EHR systems and billing software (e.g., eClinicalWorks, Kareo, AdvancedMD, etc.).
Strong understanding of WC/NF insurance processes, including claim timelines and legal documentation.
Excellent communication, problem-solving, and organizational skills.
Ability to work independently and collaboratively in a fast-paced environment.
Preferred Skills
Familiarity with state-specific WC/NF regulations (e.g., New York, New Jersey).
Experience in medical collections and appeals.
Knowledge of lien-based billing practices (if applicable).
Job Type: Full-time
Pay: $24.22 - $28.00 per hour
Expected hours: 40 per week
Benefits
401(k)
401(k) matching
Dental insurance
Flexible schedule
Health insurance
Life insurance
Paid time off
Vision insurance
Ability To Commute
Syosset, NY 11791 (Required)
Salary : $24 - $28