Medical Billing & Audit Specialist (Concord)


National Sleep Therapy is looking for a Medical Billing and Audit Specialist to assist us at our Concord, NH location. 

Responsibilities include, but are not limited to:

• Identifying contractual discrepancies and rectification.
• Reviewing and properly submitting denied claims for redeterminations and resolutions.
• Assuring correct and accurate medical reimbursement is calculated.
• Submitting written formal appeals based on account analysis and contract review.

Skills and experience required:

• 2 + years experience working in medical billing setting.
• Experience in both commercial (insurance) and government (Medicare and Medicaid).
• Working knowledge of CMS rules and regulations related to billing and compliance.
• Experience utilizing electronic billing system.
• Understanding of insurance terms, contract language including HMO, PPO and percentage of charges and fee schedules.
• Thorough knowledge of auditing claims and applying knowledge.
• Strong knowledge of appeal guidelines specific to individual insurances.
• Understanding of pricing and replacement of supplies and devices.
• Knowledge of Brightree and/or Remit Data a plus.
• Strong analytical and research skills.
• Excellent verbal and written communication skills.
• Superior multi-tasking and time management skills in a fast-paced environment.
• Reliable transportation.

Compensation: Based on experience level

Interested candidates should email careers@nstherapy.com with their resume (with MC in subject) and references.

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