Responsible for accurately preparing, submitting, and following up on claims to ensure timely and correct reimbursement while complying with regulatory and payer requirements.
Reviews patient accounts for accuracy and completeness of charge, insurance, UB, and DRG information. Verifies billing data and required claim information, submits claims through the appropriate channels, and maintains compliance with Medicare, Medicaid, and commercial payer regulations.
Documents billing activity, monitors outstanding claims, resolves rejections and denials, responds to correspondence and phone inquiries, and calculates charge prorations, payer discounts, allowances, and adjustments. Maintains HIPAA confidentiality and performs related duties as assigned.
High school diploma or equivalent required.
Trade/vocational school or accredited college/trade school coursework in medical billing and coding preferred.
Less than 1 year of experience required; this is an entry-level position and previous experience in a related role is preferred.
Basic understanding of medical billing and insurance processes. Basic computer and data entry skills. Ability to work independently and as part of a team. Willingness to learn and be trained. Strong math skills and familiarity with medical terminology. Must speak, write, and read English; bilingual ability is a plus.
Low-cost medical coverage with generous employer contributions. Dental and vision plans. Discounted prescriptions. On-site child care. 401(k) matching. Tuition reimbursement. Paid time off. Flexible spending accounts. Legal and voluntary coverage options. Life insurance. Free on-site parking.
Location
New Jersey, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
1 week ago