Healthcare Accounts Receivable Senior Associate at SMT INC

New York, New York, United States -

Full Time

Start Date

Immediate

Expiry Date

01 Sep, 26

Salary

95000.0

Posted On

03 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

CPT Coding, ICD-10 Coding, Surgical Billing, CMS Guidelines, LCD Regulations, NDC Regulations, CMS-1500, UB-04, Epic EMR, Revenue Cycle Management, Claims Lifecycle Management, Clinical Documentation Review, Analytical Skills, Organizational Skills, Commercial Insurance Billing

Industry

Hospitals and Health Care

Description

About Us At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professionals who want to make a meaningful impact, grow their careers, and be part of a collaborative team committed to excellence. Job Description We are seeking an experienced and detail-oriented Senior Medical Biller to join our dynamic billing department. The ideal candidate will possess deep knowledge of the full claims lifecycle, surgical billing, and current coding guidelines, including CMS CPT, ICD-10, NDC, and LCD regulations. Strong communication skills and the ability to work cross functionally are essential for success in this role. Primary Responsibilities Serve as a liaison with clients and front office staff to gather missing information and minimize billing delays. Ensure clients provide accurate and complete data for timely and compliant claims submission. Collaborate with the coding team to resolve claims on hold due to incomplete or missing information. Accurately review and process patient encounters in compliance with coding and billing regulations. Demonstrate understanding of various surgical specialties and their specific billing requirements. Identify gaps or deficiencies in clinical documentation, work with physicians to clarify and improve records. Maintain up-to-date knowledge of CMS guidelines, as well as NDC and LCD payer specific regulations. Participate in internal billing audits and implement process improvements based on audit findings. Work proficiently within Electronic Medical Records (EMR) systems. Perform additional billing-related tasks and responsibilities as assigned. Qualifications Proficient in CPT and ICD-10 coding. 3-5 year's experience in a billing position or related position In-depth knowledge of CMS, LCD, and NDC billing requirements. Familiar with both CMS-1500 and UB-04 billing formats. Proven ability to independently identify and resolve billing and coding issues. Strong attention to detail with excellent analytical and organizational skills. Experience with commercial insurance payers. Prior experience with surgical billing required. Familiarity with Epic EMR system is preferred. Salary This position offers a salary range of $70,000 to $95,000 annually, commensurate with experience. Pay Range $70,000—$95,000 USD Benefits Alteva RCM offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program.

Responsibilities

The role involves managing the full claims lifecycle, specifically focusing on surgical billing and compliance with CMS, NDC, and LCD regulations. The associate acts as a liaison between clients and coding teams to resolve billing delays and improve clinical documentation.