Health Insurance Biller, Bureau of Revenue
Core
Perform health insurance billing activities including claim review, submission, follow-up, and collection for service-providing clinics in NYC.
Role type
Health Insurance Biller
Builds
Insurance claims and reimbursements for insured New Yorkers
Domain
Public Health / Health Insurance Billing
Required skills
Medical terminology, third-party reimbursement processes, prior authorization portals, CMS guidelines, CPT/ICD-10/HCPCS coding, aging accounts receivable management, Microsoft Excel
Preferred skills
Knowledge of Article 28/36 NY State billing requirements, accounting principles, problem-solving, multitasking
Technologies
Microsoft Teams, Excel, PowerPoint, billing software
Responsibilities
Review and edit claims for accuracy; monitor EDI denials and clearing house reports; track patient demographics and insurance info; manage medical records requests for prior authorization; run daily billing reports; monitor aging accounts receivable.
Seniority
Individual Contributor