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Key Responsibilities: Review and process patient billing data accurately and in a timely manner. Submit claims to Medicare, Medicaid, and private insurance companies. Follow up on unpaid claims and conduct necessary resubmissions for denied claims. Handle appeals for rejected claims and ensure timely resolution. Communicate effectively with insurance companies, patients, and healthcare providers to resolve billing issues. Maintain up-to-date knowledge of billing regulations and homecare policies. Process and verify medical codes for patient services, ensuring compliance with state and federal regulations. Work closely with the clinical team to ensure accurate billing for services rendered. Maintain organized and accurate billing records. Qualifications: 3+ years of medical billing experience, preferably in homecare or healthcare settings. Experience with resubmissions and appeals processes. Proficiency in billing software and working knowledge of medical terminology and coding. Strong knowledge of Medicare, Medicaid, and private insurance billing and reimbursement policies. Excellent attention to detail and organizational skills. Strong communication skills to interact with insurance companies, patients, and internal teams. Ability to work independently and manage multiple tasks efficiently.
Company Description NYC IVF is a fertility clinic located in Midtown NYC. We offer the newest technologies in fertility and a holistic service menu to accommodate all types of patients. Our team of experienced professionals is dedicated to providing personalized care and support to help our patients achieve their dreams of parenthood. Role Description This is a full-time on-site role. The Practice Manager will be responsible for overseeing the day-to-day operations of the clinic, managing staff, ensuring compliance with regulatory requirements, and maintaining a high level of patient satisfaction. Our team is about 10 employees total, all of which would be your direct reports. You will be working directly under the CEO and doctor of the clinic. Responsibilities Recruit and onboard new hires Manage various projects spanning from expansion of the clinic to event planning Oversee a team of 10 employees day-to-day with the goal of optimizing productivity Maintain inventory/communicate with vendors Work with our finance personnel to ensure all insurance billing is in order Accounts payable/receivable functions Create and maintain Excel sheets for various financial needs Communicate with third parties (outside labs, engineers, etc) to maintain optimal functions Explain patients forms and financial responsibilities Manage intra-departmental issues as they arise Qualifications Experience in healthcare management, preferably in a fertility clinic or related field Strong leadership, management, and communication skills Knowledge of regulatory requirements & compliance, and insurance billing Ability to work in a fast-paced environment and manage multiple priorities Bachelor's degree in healthcare administration, business administration, or related field Authorized to work in the US An ideal candidate is a fast learner, highly organized, able to execute operations with little guidance, and very agile /comfortable using Microsoft office/basic computer applications Compensation and Benefits Salary range $80-90k depending on experience ***Max salary only considered for candidates with experience in IVF. Salary is non negotiable. Please do not apply if this does not meet your needs.*** Bonus pay Paid time off Health insurance Additional incentive awards apply Complementary services at our clinic* Tuition assistance* Profit sharing* Opportunities for career advancement with our company *Additional eligibility applies