Medical Staff Credentialing Specialist, Sr. jobs in Poughkeepsie, NY

Job Summary:
We are a fast-growing Internal Medicine, Hematology and Oncology private practice seeking a skilled and detail-oriented Medical Biller to join our team. The Medical Biller will be responsible for accurately coding and billing medical procedures, ensuring timely reimbursement, and maintaining patient records. The ideal candidate will have a strong understanding of medical coding systems with specific experience and knowledge of oncology/hematology billing and coding, excellent attention to detail, and the ability to work in a fast-paced medical office environment.

Duties:
- Review and analyze medical documentation to assign appropriate codes using DRG, ICD-9, ICD-10, and other coding systems
- Ensure accurate and timely submission of claims to insurance companies
- Follow up on unpaid claims and denials, and resolve any billing discrepancies
- Process payments from insurance companies and patients, and post them to patient accounts
- Maintain patient records, including demographic information, insurance details, and billing history
- Collaborate with healthcare providers to obtain necessary documentation for accurate coding and billing
- Stay updated on changes in coding regulations and requirements
- Assist with medical collections as needed - Physician credentialing and accreditations (hospital, insurances, etc.) - Stay updated with, and timely submission of, CMS quality Reporting and Value-Based Programs and Initiatives and other Quality-Based Measurements and Incentives - Stay updated and comply with HIPAA regulations in collaboration with the physicians and medical and office staff

Requirements:
- Certification in medical billing or coding; College graduate preferred
- Proven experience as a Medical Biller and Credentialing Specialist
- Strong knowledge of medical terminology, coding systems (DRG, ICD-9, ICD-10), and medical office procedures
- Proficient in using electronic medical record (EMR) systems and billing software
- Excellent attention to detail and accuracy in coding and billing processes
- Strong analytical and problem-solving skills
- Ability to work independently and as part of a team in a fast-paced environment

We offer competitive pay based on experience.

If you are a dedicated Medical Biller with a passion for accuracy and efficiency in healthcare billing, we would love to hear from you. Please submit your resume for consideration.

Job Type: Full-time

Pay: From $67,000.00 per hour

Expected hours: 40 per week

Schedule:

• No weekends

Work setting:

• Office
• Private practice

Education:

• Associate (Required)

Experience:

• Oncology/Hematology Billing: 2 years (Required)

Ability to Relocate:

• New Windsor, NY 12553: Relocate before starting work (Required)

Work Location: In person