Job Description

Job Title: Medical Billing Specialist (Epic) This position is located in Buffalo, NY and is hybrid.

Salary: $20.50-$30.00/hour + $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

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