Job Title: Medical Biller

Worksite Arrangement: 100% Onsite

Location: Englewood, NJ 07631

Compensation: $20-$26 Hourly

Job Description:

• Generate and electronically submit claims and statements at designated intervals ensuring they are processed in a timely manner; correct any errors for complete and accurate transmission of data.

• Monitor the status of submitted claims, follow up with insurance companies to resolve any

discrepancies or denials, and resubmit claims as needed.

• Record payments received from insurance companies, patients, or other sources and apply them to the appropriate accounts while maintaining balance sheets.

• Generate bills and invoices for patients and insurance companies based on the services provided.

• Answer patient inquiries regarding billing and insurance, explain charges, and provide assistance in resolving billing disputes.

• Stay up to date with changes in healthcare regulations, insurance policies, and coding guidelines to ensure compliance with legal requirements.

• Maintain accurate and organized records of all billing and claims-related activities.

• Generate reports to track billing and collections performance, including accounts receivable aging reports.

• Research and process refund requests and overpayments.

• Prepares correspondence and/or collection letters.

• Prepares letters of appeal to insurance companies if the company refuses to pay contracted claims and/or denies a claim; submits documentation necessary to support claim; resubmits claims with corrections if needed for payment for all insurance payers.

• Performs additional duties including but not limited to copying checks received and recording payment, faxing information as required, generating retroactive authorization requests, and verifying medical eligibility.

• Performs other related duties as assigned by management.

QUALIFICATIONS:

• High school diploma or equivalent; prefer a degree or certification in medical billing or related field.

• Familiar with medical terminology, anatomy, and coding systems (ICD-10, CPT).

• Proficiency in medical billing software and electronic health record (EHR) systems.

• Strong attention to detail and accuracy.

• Excellent communication and interpersonal skills for interacting with patients, healthcare

providers, paralegals, and insurance companies.

• Knowledge of healthcare billing regulations and compliance standards.

• Problem-solving skills to resolve billing discrepancies and denials.

• Proven ability to handle multiple projects and meet deadlines.

GENERAL EXPECTATIONS:

• Behave in a professional manner and consistently demonstrate and promote the values of

respect, honesty, and dignity for the patient, families, and all members of team.

• Committed to the constant pursuit of excellence and teamwork in improving the care of the

patients.

• Be punctual with scheduled work and use time appropriately.

• Perform duties in a conscientious, cooperative manner.

• Perform required amount of work in a timely fashion with a minimum of errors.

• Maintain confidentiality and protect the Practice by abiding by laws and principles related to

confidentiality; keeps information concerning Practice Operations, patients, and employees

confidential.

PHYSICAL DEMANDS AND WORK ENVIRONMENT:

Requires sitting and standing are associated with a normal office environment. Manual dexterity is needed for using a calculator and computer keyboard. This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, skills and working conditions may change as needs evolve.

Job Type: Full-time

Pay: $20.00 - $26.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Ability to Relocate:

• Englewood, NJ 07631: Relocate before starting work (Required)

Work Location: In person