The Billing Services Representative works in the Business Office supporting accurate account maintenance, clean claim submission, denial management, and timely resolution of billing issues. This role reviews charges, modifiers, coding, payments, credit balances, and account activity to ensure billing accuracy and compliance with hospital and payer requirements.
Key responsibilities include reviewing daily claims, monitoring account activity through reports and billing systems, making adjustments and notes, coordinating patient balance transfers and medical record requests, and working with management and other departments to resolve account issues. The position also supports appeals for administrative and clinical denials, corrects accounts related to charges, authorizations, and insurance issues, and ensures adherence to HIPAA, federal guidelines, and payer-specific billing rules.
Qualifications
- 1+ years of experience as a Medical Insurance Biller or in related hospital billing responsibilities preferred
- Strong knowledge of collections, A/R follow-up, and billing
- Knowledge of third-party payers, state and federal agencies, and patient accounting
- Proficiency in Microsoft Word and Microsoft Excel
- Strong interpersonal skills and the ability to work effectively with patient accounts staff and outside agencies
- Ability to meet deadlines and maintain high attention to detail
Additional knowledge preferred
- Medicare and Medicaid billing knowledge
- Understanding of payer contracts, revenue codes, and payer-specific requirements
Benefits
- Medical, dental, and vision insurance
- Savings accounts and voluntary benefits
- Wellness programs and employee discounts
- Paid life insurance
- Generous 401(k) match
- Adoption assistance
- Back-up daycare
- Free onsite parking
- Recognition rewards
- Fully paid tuition program or tuition assistance program
Location
New Jersey, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
2 weeks ago