Job Title: Medical Billing Specialist
Location: Onsite –Clifton Park, NY 12065
Compensation: $20.00–$27.00 per hour, Full-Time

Position Overview
Seeking a full-time Medical Billing Specialist to join its dedicated team.
The Medical Billing Specialist plays a vital role in ensuring that all medical services are accurately documented and billed for timely reimbursement. This position requires strong knowledge of medical coding, billing procedures, insurance policies, and healthcare regulations.

Minimum Qualifications
(please be sure you have the following experience reflected on your resume to be considered)

• Experience with Workers’ Compensation and No-Fault billing
• Proven experience as a medical billing clerk or similar healthcare administrative role.
• Proficiency in ICD and CPT coding systems and billing software.
• Strong understanding of healthcare billing processes, insurance policies, and reimbursement procedures.
• Excellent attention to detail, accuracy, and organizational skills.
• Strong communication and interpersonal abilities.
• Ability to work independently and collaboratively in a fast-paced environment.
• Familiarity with EHR systems and medical terminology.
• Knowledge of HIPAA and healthcare compliance standards.
• High school diploma or equivalent required; associate degree or certification in medical billing


Key Responsibilities
• Assign accurate ICD and CPT codes to diagnoses, procedures, and services.
• Prepare and submit electronic or paper claims to insurance companies and government agencies.
• Verify patient insurance coverage, eligibility, and benefits; obtain pre-authorizations and referrals as needed.
• Generate and send patient invoices; follow up on unpaid claims and resolve billing discrepancies.
• Post payments from insurance companies and patients into the billing system.
• Reconcile payments with billed amounts and identify discrepancies.
• Respond to patient inquiries regarding billing, insurance claims, and payment options.
• Provide explanations of benefits (EOBs) and assist patients in understanding financial responsibilities.
• Maintain accurate billing and payment records.
• Ensure compliance with HIPAA and all data protection regulations.
• Reconcile billing records with accounts receivable and financial reports.
• Prepare reports on billing activities, claim statuses, and revenue performance.
• Stay current on changes in billing regulations, coding guidelines, and insurance policies.
• Participate in training sessions and workshops to maintain proficiency.


Benefits
Dental insurance
Health insurance
Paid time off
Retirement plan


Equal Opportunity Employer / Disabled / Protected Veterans

The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf

The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf

For temporary assignments lasting 13 weeks or longer, AppleOne is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf

We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.