Job Description:
ENT and Allergy Associates, LLP and Hümi is seeking a self-motivated, people-friendly full time EMC Biller for our Corporate office location.
$21/hr - fully onsite
Summary
Review, correct, and bill encounters for submission to the clearinghouse, ensuring compliance with timely filing deadlines using RCx Rules, Waystar, and the NextGen reporting system
Essential responsibilities Include but are not limited to the following:
RCx Rules, Waystar and/or the NextGen systems are used to review all encounters that need updating and corrections entered with accurate information
Run edits against all charges from previous day
Run pre-bill reports and verify charges entered for billing/coding specifics
Verify doctor participation for all insurances and active location billing
Address errors and questions to the office via email and NextGen tasking system
After automated billing and EDI file creation by NextGen address any claim production status errors and task situations
Submit all EDI files to clearinghouse, Waystar
Primary, Secondary, Sleep Study, Hearing Aid, any additional files
Secondary claim files updated with primary EOB information through NG Secondary Portal and Waystar
EDI files are reviewed daily by 9 m.
Verify EDI files have been received for processing at clearinghouse
Work rejections immediately upon receipt as received through clearinghouse
Updating Provider Master File in file maintenance with all referring physician requests from offices within 48 hour period
Billing corrects Data Integrity Non-History reports
Create clean claims, void and correct charges manually as per requested internally from collections
Work tasks sent to us by all offices within Nextgen system
Personal Attributes
Ability to focus and work efficiently
Excellent attention to detail
Ability to organize and prioritize work and manage multiple priorities
Qualifications
Experience with medical billing systems
Familiarity with Insurance and Billing Procedures
Familiarity with Electronic Data Interchange (EDI)
Schedule:
Monday-Friday: 8:30am-5:00pm
The ENT & Allergy Associates Network:
ENT & Allergy Associates (ENTA) is the largest ENT, Allergy, and Audiology practice in the country, with over 475 clinicians who practice in over 80 clinical locations throughout New York, New Jersey, Pennsylvania, and Texas. Each ENTA clinical office is comprised of world-class physicians who are specialists and sub-specialists in their respective fields, providing the highest level of expertise and care. With a wide range of services including Adult and Pediatric ENT and Allergy, Voice and Swallowing, Advanced Sinus and Skull Base Surgery, Facial Plastics and Reconstructive Surgery, Treatment of Disorders of the Inner Ear and Dizziness, Asthma-related services, Diagnostic Audiology, Hearing Aid Dispensing, Sleep and CT Services, ENTA Is able to meet the needs of patients of all ages. ENTA is also affiliated with some of the most prestigious medical institutions in the world. Each year ENTA physicians are voted ‘Top Doctor’ by Castle Connolly, a true testament to the exceptional care and service they provide to their patients.
HÜMI:
Backed by over 25 years of experience, Hümi (formerly Quality Medical Management Services USA, LLC, or QMMS USA) specializes in healthcare management and consultancy across practice operations and management, technology, revenue cycle, compliance, HR management, and business applications. With a seasoned team and a commitment to excellence, Hümi delivers cutting-edge healthcare business management solutions. By implementing best practices at every step, Hümi ensures measurable success for its clients. At its core, Hümi represents the human side of healthcare, where operational excellence meets a people-first philosophy.
ENT and Allergy Associates is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.