Schedule: Monday-Friday, 8:00 AM-4:30 PM or 8:30 AM-5:00 PM
We are seeking a detail-oriented Medical Billing & Claims Specialist to support medical billing, claims processing, collections, and insurance follow-up. The ideal candidate will have hands-on experience with NJ Medicaid billing and a strong understanding of insurance claims, EOBs, CPT and ICD-10 coding, and UB-04 claim forms.
Responsibilities
- Export, import, and submit claims between billing systems
- Perform medical billing collections and insurance follow-up
- Review medical claims for accuracy and completeness
- Research and resolve insurance denials and underpayments
- Identify and resolve outstanding issues preventing claims from being paid
- Review EOBs and insurance information
- Complete accurate documentation and data entry
- Meet established productivity and quality goals
- Perform additional duties as assigned
Schedule
- Monday-Friday
- 8:00 AM-4:30 PM or 8:30 AM-5:00 PM
Ideal Candidate
The ideal candidate is a detail-oriented medical billing professional with NJ Medicaid experience who is comfortable researching claims, resolving denials and underpayments, communicating with insurance companies, and working across multiple billing and EMR systems.
Required Qualifications
- NJ Medicaid billing experience required
- Minimum of 6 months of medical billing experience
- Working knowledge of EOBs and insurance processes
- Understanding of CPT, ICD-10, and UB-04 claim forms
- Experience working with an EMR system
- Strong written and verbal communication skills
- Excellent attention to detail and organizational skills
- Strong problem-solving, research, and analytical abilities
- Ability to meet productivity goals in a fast-paced environment
- Proficiency with Microsoft Outlook, Word, and Excel
- High school diploma or GED required
Preferred Qualifications
- Experience with Navinet, PEAR, Availity, and/or EPIC
- Additional experience with Medicaid claims, denials, payment discrepancies, and insurance follow-up
Location
New Jersey, US
Employment Type
Contractor
Experience Level
Entry Level
Remote work allowed
No
Posted
1 week ago