Billing Assistant at MOCEAN Wellness Corp – New York, New York

The Billing Liaison Assistant supports the Billing Liaison in ensuring efficient and timely insurance claims and payment processes for MOCEAN. This role is crucial to maintaining the Company’s cash flow and ensuring smooth communication between MOCEAN and its external billing team.

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Core Responsibilities

The Billing Assistant will have the responsibilities listed below but understand the list is subject to change at the discretion of the Billing Liaison as it impacts the Company’s operation and needs:

• Assist as the intermediary between the external billing team and MOCEAN, ensuring effective communication and prompt resolution of billing matters
• Support insurance-related tasks, including:
• Verifying insurance benefits.
• Checking clients' remaining deductible and out-of-pocket amounts.
• Tracking allowed visit counts for clients.
• Assist in submitting authorization requests for clients requiring expedited claims processing or authorization prior to visiting MOCEAN.
• Participate in regular payment posting activities:
• Track and record reimbursement amounts for each appointment.
• Monitor reimbursement trends and assist in identifying any anomalies.
• Help develop solutions to address any decreases in reimbursement amounts.
• Support the reconciliation of bulk payments received through direct deposit, allocating payments correctly to corresponding appointments.
• Assist in processing claim reimbursements made through virtual cards.
• Respond to client inquiries related to insurance claims, under the billing team's shared email account (billing@moceanpt.com).
• Help conduct weekly medical notes reviews to ensure that notes are finalized correctly with proper diagnostic codes.
• Assist in reviewing insurance and billing-related mail and check processes.
• Participate in regular reviews of patient deductible balances and monitor insurance reimbursement variability.

Qualifications:

• Strong organizational and analytical skills
• Excellent attention to detail and accuracy
• Clear communication skills, both written and verbal
• Ability to maintain confidentiality regarding sensitive financial and patient information
• Strong willingness to learn and take initiative
• Basic understanding of health insurance terms and processes preferred (training will be provided)
• Experience with data entry, reconciliation, or administrative work is a plus