Associated Medical Professionals of NY, PLLC

Billing Specialist

• Ensure final resolution of insurance- and guarantor-owed balances
• Follow up and resubmit claims not on file
• File appeals for claims denied in error
• Collect guarantor balances according to written policy
• Communicate electronically and by telephone with payers
• Process refunds
• Maintain day-to-day operations of team lead direct reports
• Troubleshoot billing problems for the Revenue Cycle department
• Communicate incorrect filing issues resulting in denied claims to office staff and the Revenue Cycle Director
• Develop relationships with payer representatives to resolve claims payment, denials, policies, and problems
• Monitor aged insurance and guarantor account balances and ensure compliance with MGMA-aligned corporate benchmarks
• Ensure daily production and quality standards meet written policies and procedures
• Report daily progress and problems to the Revenue Cycle Director
• Ensure documentation supports write-offs, collection-agency transfers, and account adjustments
• Conduct random audits of all positions for policy and procedure compliance
• Maintain working relationships with Supervisors/Team Leaders for communication, cross-training, and problem resolution
• Adhere to the Corporate Confidentiality Policy
• Perform other duties as assigned

AR Billing Specialist