Job Title: Medical Billing Specialist (Epic)
Location: Anyone local (Buffalo, NY) will be required to complete training in the office Monday through Friday. After the training period, they will have the flexibility to work from home 4 days per week. Those located out of state will be fully remote.
Salary: $20.50-$30.00/hour depending on experience+ $5K Retention Bonus over 3 years
Hours: 7-3:30, 7:30-4, 8-4:30 (3 positions)
AP Executive Staffing is hiring Medical Billers with experience using Epic (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
2+ years in medical billing and third-party billing processes and claims review
6 months+ experience utilizing Epic HIS technology
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