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HEALTHCARE BILLING INVESTIGATOR - NYCSOCW

NavitsPartners
New York, NY Full Time
POSTED ON 4/14/2025
AVAILABLE BEFORE 5/12/2025

Job Title : Healthcare Billing Investigator

Duties :

  • Review and process patient accounts, ensuring claims are accurately completed for timely submission.
  • Resolve billing edits, denials, and rejections by collaborating with payers and internal departments.
  • Post payments, adjustments, and refunds to patient accounts and maintain detailed documentation.
  • Handle pre-authorizations and follow up on outstanding claims or balances.
  • Generate aging reports for patient and insurance balances, addressing overdue accounts appropriately.
  • Provide excellent customer service to patients, including arranging payment schedules.
  • Refer escalated cases to supervisors as necessary and participate in relevant training sessions.

Skills Required :

  • Proficient in paper and electronic claim processing, database systems, and patient account audits.
  • Strong communication and problem-solving skills.
  • Education :

  • Bachelor's Degree preferred or equivalent combination of education and experience (minimum High School diploma with 4 years of related experience).
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