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Job DescriptionMedicaid Billing & Customer Service Specialist Reports to: CEO Location: In-Person, Westfield, NJ Department: Operations/Finance Organization: 40 Dreams Catering Role Overview The Medicaid Billing & Customer Service Specialist is responsible for managing all aspects of Medicaid medical billing, claims resolution, and customer service for 40 Dreams Catering. This mid-level role ensures accurate, timely billing, reduces claim denials, resolves back claims, and establishes efficient billing workflows. The Specialist will serve as the primary liaison between 40 Dreams Catering, Medicaid, insurance providers, and clients, delivering excellent service while upholding 40 Dreams’ Excellence in Action values. This role is critical to ensuring the financial health of 40 Dreams Catering and supporting our mission to improve lives by delivering fresh, healthy meals to seniors. Key Responsibilities Billing & Claims Management ● Submit Medicaid claims accurately and in compliance with state/federal requirements.● Track, monitor, and reconcile outstanding claims; ensure timely payment posting.● Research, resolve, and resubmit denied or delayed claims.● Maintain detailed billing records and prepare reports for leadership review. Workflow & Process Development ● Establish efficient billing workflows and SOPs to minimize errors and improve turnaround times.● Continuously identify and implement process improvements to reduce denials and maximize reimbursement.● Partner with the CEO to refine billing KPIs and reporting cadence. Customer & Partner Interface ● Serve as primary contact for client billing inquiries, explaining Medicaid benefits and resolving concerns with patience and professionalism.● Communicate directly with Medicaid offices, insurance companies, and other payers to resolve discrepancies or questions.● Collaborate with internal teams (Operations, Kitchen, Drivers) to ensure accurate service records align with billing. Compliance & Quality Assurance ● Stay current with Medicaid regulations, billing codes, and reimbursement policies.● Ensure all billing practices comply with HIPAA and Medicaid requirements.● Conduct periodic audits of claims to identify gaps or risks.Collaboration & Reporting ● Work closely with the CEO to provide weekly updates on billing status, collections, and outstanding claims.● Collaborate with Operations and Finance to align billing outcomes with company goals.● Track and present billing KPIs (see below). Key Performance Indicators (KPIs) ● Claim Submission Accuracy: 98% or higher first-pass acceptance rate.● Denial Rate: Less than 5% of claims denied or delayed.● Back Claim Resolution: Clear backlog of outstanding claims within 90 days of hire; maintain <30 days average outstanding claims thereafter.● Payment Cycle Time: Average Medicaid reimbursement received within 30 days.● Customer Satisfaction: ≥90% resolution satisfaction rate from clients regarding billing inquiries.● Workflow Efficiency: Implement and document standard billing workflows within 60 days. Qualifications & Skills ● Education/Experience:o Minimum 3 years of Medicaid/medical billing experience (preferred in food/nutrition, home health, or healthcare services).o Experience working directly with Medicaid systems and resolving denied claims.● Technical Skills:o Proficiency in Medicaid billing systems, EHRs, Availity, EZ Claims, or equivalent billing platforms.o Strong Excel, Google Sheets, and reporting skills.o Proficiency with Microsoft Office and Asana● Core Competencies:o Detail-oriented with strong organizational skills.o Effective communicator—able to explain billing clearly to seniors, families, and payers.o Problem-solver with ability to manage competing priorities.o Bilingual English/Spanish preferred ● Values Alignment: Must embody 40 Dreams Catering’s Excellence in Action values: Respect, Excellence Through Care, Teamwork, Kindness, and Growth. ● Other Requirements: Ability to work in-person at the Westfield, NJ office; current driver license, must pass a background check, and maintain HIPAA compliance. Bilingual English/Spanish Why Join 40 Dreams Catering? At 40 Dreams Catering, we believe food has the power to ignite healthy, thriving lives. You’ll join a mission-driven organization dedicated to improving the lives of seniors through fresh, healthy meals and exceptional service. As a key member of our team, you’ll have a direct impact on both our financial health and the well-being of the clients we serve.

Job DescriptionWe are seeking a detail-oriented and organized Dental Billing Assistant to join our dental office team. The ideal candidate will be responsible for handling billing and insurance claims, processing patient payments, verifying insurance benefits, and supporting front office operations. This role is essential to ensuring accurate and timely financial transactions and maintaining excellent patient communication regarding billing matters. Key Responsibilities: • Submit and follow up on dental insurance claims in a timely manner., • Verify patients’ insurance coverage and benefits prior to appointments., • Process payments from insurance companies and patients., • Prepare and send billing statements to patients., • Resolve billing discrepancies and answer patient inquiries regarding their accounts., • Maintain accurate patient financial records using dental practice software., • Assist with accounts receivable collections and payment plans., • Coordinate with dental providers and front desk staff for proper documentation and coding., • Stay up to date with dental billing codes and insurance regulations., • Perform administrative tasks as needed to support office operations. Qualifications: • High school diploma or equivalent required; associate degree or dental billing certification preferred., • Previous experience in dental billing is REQUIRED, • Knowledge of dental terminology, CDT codes, and insurance processes., • Proficiency in dental practice management software (Open Dental)., • Excellent attention to detail and organizational skills., • Strong communication and customer service abilities., • Ability to handle confidential information with integrity. Work Environment: • Dental office setting with interactions involving patients, insurance companies, and clinical staff., • Full-time or part-time schedule

Job DescriptionDescription: Join our respected medical practice as our Billing & Collections Representative, where your exceptional attention to detail and revenue cycle expertise will ensure our financial health while providing patients with clear financial guidance. We're seeking an experienced professional who can masterfully navigate insurance claims, patient accounts, and collection processes while maintaining the highest standards of accuracy and compliance. If you thrive in a collaborative healthcare environment and take pride in resolving complex billing challenges with both efficiency and empathy, we offer competitive compensation, professional growth, and the satisfaction of being an essential member of our patient-centered team. Charge Entry • Reprocesses all paper and electronic claims for assigned carriers when required — verifies completeness of insurance claim information before sending, • Reviews edit reports from clearinghouse daily and resolves issues so claims can be processed, • Using data from the monthly aged accounts receivable report, calls payors or looks up claims status online to inquire about unpaid insurance claims that are 45 days old; records response or activity in the computer system "notes", • Makes necessary arrangements for medical records requests, completion of additional paperwork, etc., if payors request this information prior to payment of claims, • Responds to written and telephone inquiries from patients and insurance companies; manages relationships with personnel from assigned carriers, • Meets with Billing Manager regularly to discuss and solve reimbursement and insurance follow up problems, • Calls carriers to appeal payments that do not match contractual agreement; notifies Billing Manager of payors for which this is a consistent problem; works with Billing Manager and physicians to obtain appeal language for denials and/or unacceptable payment, • Processes requests for insurance refunds, and submits to Billing Manager for approval, • Establishes payment plans within approved guidelines—obtains approval from the Billing Manager when necessary, • Resubmits insurance claims on behalf of patients, if necessary, • Recommends to Billing Manager those accounts needing to go to an outside collection agency and sends out collection letters, • Prints and mails itemized statements to those patients who request them, or transmits claims to outside mailing house for processing, • Processes requests for patient refunds, and submits to Billing Manager for approval, • Posts adjustments, withholds, as part of this process, and transfers deductibles and coinsurance to patient responsibility; batches them according to protocol, • Alerts Billing Manager when payments do not match contractual amounts; looks for underpayments and silent PPOs, • Submits balanced payment batches to the Billing Manager daily, • Ensure all medical information for patient is accurate, updating when necessary, • Check patient eligibility and benefit verification; update account if discrepancies, • Ensures that all faxes are cleared off the machine (or routed in the system) and distributed throughout the day, • Sorts incoming reports and directs to appropriate person if not addressed properly, • Maintains detailed knowledge of practice management and other computer software as it relates to job functions, • Maintains and respect the confidentiality of patient information in accordance with company policy & procedure, and HIPAA & compliance guidelines, • Attends regular staff meetings and continuing education sessions as requested, • Presents professional image in manner, appearance, motivation and work habits, • Regular attendance is required, • Academic/Technical Qualifications, • Minimum of 18 months experience in a physician group practice billing department, • Familiar with CPT and ICD-10-CM coding for orthopedic, podiatry & pain management surgery procedures, • Good analytical skills and an affinity for detail, • Knowledge of HIPPA & OSHA guidelines, • Working knowledge of medical practice management systems and electronic medical records, • Excellent verbal, written, and interpersonal skills, • Ability to work well with physicians, employees, patients, and others, • A committed and result-driven attitude to work as a high ethical and professional standard, • Unquestionable commitment to confidentiality, quality customer service and professionalism OrthoNJ, LLC is required by New Jersey law to include the salary range for this role. The hourly hiring range for this role is $18-$29. The range for this role is typically determined by several factors, including the geography in which the selected candidate will be working, and alignment with qualifications and experience. Certain roles may also be eligible for additional compensation (bonus, etc) and/or benefits. In addition, full-time employees are eligible for standard benefits package including paid time off, medical, dental, vison and retirement plan.

Collections / Billing / Remote] - Anywhere in U.Competitive pay - As an Accounts Receivable Specialist at Ovation Healthcare, you will: Manage and reconcile customer accounts to ensure timely and accurate payments; Provide exceptional customer service by responding to inquiries and resolving billing

Billing / Collections / Remote] - Anywhere in U.Up to $28 per hour / Medical, dental & vision / 401k / PTO - As an Accounts Receivable Specialist at Prompt Therapy Solutions, you will: Prepare and submit claims to various insurance companies, adhering closely to specific payer guidelines and contrac

Billing / Remote] - Anywhere in U.K per year + benefits - As an Accounts Receivable Specialist at Tucows, you will: Manage and maintain the accounts receivable process by accurately recording and tracking all incoming payments and customer transactions; Follow up with customers regarding outstanding

Job Description ABA Provider Services is looking to employ enthusiastic individuals as home based behavior technicians to: · Implement strategies of Applied Behavioral Analysis to successfully meet the child’s goals and objectives written on their treatment plans. · Measure progress of objectives and goals by utilizing data tracking systems. · Work closely with BCBAs and assist in collaborating on activities to individualize the needs of the child. · Work closely with family members and outside providers to enhance maintenance and generalization of skills. · Participate in trainings to strengthen and continue professional growth. · Document session notes and submits billing in a timely manner. · Maintain clear lines of communication with the BCBA, program manager, family, and support staff. · Comply with the policies and procedures set by TheraCare’s ABA Provider Services. · Are passionate for working with individuals diagnosed with Autism. ABA Provider Services offers our Behavior Technician (RBT): · Competitive pay including paid sick time and medical benefits for full time Behavior Technicians (RBT) · Semi-monthly payroll cycle · Work/life balance including flexible schedule and support · Caseload clustered in geographic area of your choice · Clinical support and training in the principles of Applied Behavior Analysis · Professional development opportunities · Unique networking opportunities and employee engagement events ABA Provider Services is seeking dynamic Behavior Technician (RBT) for a comprehensive and rewarding experience to provide in home. The Behavior Technician (RBT) will provide individual therapy utilizing the principles of Applied Behavior Analysis (ABA) to children on the Autism Spectrum under the supervision of a BCBA within the individual’s home and community settings. Caseload clustered in the geographic area of your choice in New Jersey. Cases are available in Essex, Hudson, Middlesex, Morris, Passaic, or Union County. At least ONE of the following: Experience with children with disabilities or developmental delays in the settings of ABA Behavioral Therapist, Behavioral Therapist, Registered Behavior Technician (RBT) Developmental Interventionist, Child Development Specialist, Assistant Teaching, Teaching Assistant, Teachers Aide, Paraprofessional, Autism Services, Childcare, Educational paraprofessional, Current School Paraprofessionals (afterschool hours- part time). Job Type: Part-time Salary: $20.00 - $26.00 per hour Benefits: • 401(k), • 401(k) matching, • Flexible schedule, • Monday to Friday ABA Provider Services (TheraCare) is an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

BillingSpecialist #Security #NewJerseyJobs #Hiring #NowHiring #ElizabethNJ #Billing. Confires seeking a highly skilled and detail-oriented Senior Billing Specialist to join our Billing team. Maintain billing schedules and ensure updates are reflected accurately in the ERP or billing system.

Our client is seeking a Construction Billing and Accounts Receivable Specialist to handle all the financial tasks related to invoicing, payments, and tracking money owed. Prepare and send invoices — Create and issue billing for projects (often using AIA or progress billing formats). HAVE CONSTRUCT

Our client in Newark, NJ is looking for a Billing Specialist for a full time direct hire position. Successful candidate will be editing proformas, assisting with the various tasks associated with eBilling, following up on Client's Receivables, and assisting with revenue adjustments. Accounts Receiva

As part of the Billing team, the Billing Specialist will analyze billing and EDI metrics, trends and anomalies in billing rates and volumes, disputes, EDI discrepancies, and other ad-hoc analysis as required. This Billing Specialist position will work with TRAC's in-house chassis tracking system at

The Operations Analyst supports Retail Billing Operations by ensuring accurate, timely customer transactions, account maintenance, and monthly billing.

The Senior Billing Specialist answers billing questions and researches billing related issues, prepares and distributes billing proformas, invoices, and billing related reports. Successfully manages the billing operations of the Firm's largest and most complex client relationships, involving very in

Competitive salary / Comprehensive benefits / Training provided - As a Billing Rep you'll: Answer heavy call volume in a remote call center environment; Answer patient questions and address concerns in a friendly and empathetic manner; Forward calls as necessary to alternate billing departments; Det

Provide high quality support to assigned Billing Partners and act as a trusted advisor in all aspects of the billing cycle (Billing & Collections). Billing Coordinator performs full-cycle billing operations. Experience with e-billing hub and e-billing platforms, such as; Collaborati, Legal X, Tymetr

Our team is expanding, and we're looking for an experienced Project Billing Specialist to join us in Warren, NJ. The Project Billing Specialist is responsible for preparing, reviewing, and finalizing project invoices in accordance with client contracts, company policies, and deadlines. This role wor

The Billing Analyst will work within the Billing Operations team and will be responsible for handling client month end billing tasks and will also serve as a key liaison between Product Management, Engineering, and the Billing Operations team. In addition to ensuring the successful monthly billing o

The Billing Analyst works closely with the Billing Team, clients, attorneys, and their secretaries in the preparation of client billing, and is responsible for primary billing relationships with billing attorneys and clients. The Billing Analyst must have a solid billing background with the ability

This individual will research billing anomalies, perform data entry and billing quality control checks. The ideal candidate will serve as a leader within the billing team by providing guidance, training, and support to the team while collaborating across departments to streamline processes and resol

Ajilon - JobID: 733DAF5D-9C02-4891-8668-0966C3144B51 [Collections / Billing] As an Accounts Receivable Specialist at Ajilon, you'll: Manage the day to day billing and accounts receivable process; Audit monthly to ensure payments are received in a timely manner; Process accounts and payments followin

Accountemps - JobID: 02710-0013312191-usen [ Accountemps' industry expertise will help you find positions well-matched to your unique skill set and requirements.Above all, we want to help you find a job that makes you happy and allows you to thrive while ensuring you top pay, great benefits and free

Office Management Billing Specialist. Thriving Center of Psychology is looking for an efficient Billing Specialist to help grow our team. The successful candidate will demonstrate past success in a billing related administrative role with the ability to effectively multitask while maintaining high

Up to $28 per hour / Medical, dental & vision / 401k / PTO - As an Accounts Receivable Specialist at Prompt Therapy Solutions, you will: Prepare and submit claims to various insurance companies, adhering closely to specific payer guidelines and contractual requirements, both electronically and via p

Lead, mentor, and develop a team of billing specialists. Konica Minolta is seeking a customer-focused Manager of Billing Services to lead our billing operations and drive excellence in customer experience and retention. Analyze billing-related customer feedback and trends to proactively address pain

Accountemps - JobID: 02720-0013314211-usen [ Accountemps' industry expertise will help you find positions well-matched to your unique skill set and requirements.Above all, we want to help you find a job that makes you happy and allows you to thrive while ensuring you top pay, great benefits and free

Five years of legal billing/receivables experience and in-depth knowledge of accounting principles and billing software; Advanced experience in e-billing. CGS is seeking a Senior Billing Specialist to join our team supporting our mission. Ensures accurate observance of e-billing requirements and pro

Accountemps - JobID: 02670-9504232282-usen [ Accountemps' industry expertise will help you find positions well-matched to your unique skill set and requirements.Above all, we want to help you find a job that makes you happy and allows you to thrive while ensuring you top pay, great benefits and free

Competitive pay + bonuses / Flexible work schedules / Health, dental & vision / 401k match / PTO - As an Accounts Receivable Specialist at Quick Med Claims, you will: Manage and maintain accurate accounts receivable records; Process incoming payments and reconcile variances; Communicate with clients

Interact with clients to address billing inquiries, provide billing information, and ensure client satisfaction with the billing process. As a Billing Associate, the person will be responsible for ensuring accurate and timely billing utilizing the firm's accounting platform, NetSuite. Strong underst

Transmit electronic billing ("eBilling"), assess electronic billing processes and procedures and implement system changes as necessary. As a Senior Billing Administrator, you will be responsible for coordinating billing requirements for various partners, secretaries, and their clients. Experience wi

Accountemps - JobID: 02760-0013315658-usen [ Accountemps' industry expertise will help you find positions well-matched to your unique skill set and requirements.Above all, we want to help you find a job that makes you happy and allows you to thrive while ensuring you top pay, great benefits and free

Billing / Remote] - Anywhere in U. Competitive pay - As a Collections and Payments Specialist at Nira Medical, you will: Interact with third party payors and patients for the purpose of collecting past due health insurance claims; Achieve daily accomplishments that produce progress towards monthly,

The Senior Billing Specialist position supports complex and advanced billing activities for a specific Practice Group(s) and the Billing Partners within that group(s). Experience with BillBlast, eBilling Hub and E-Billing vendor sites preferred. The Senior Billing Specialist should understand the le

Competitive pay - As an Accounts Receivable Specialist at Ovation Healthcare, you will: Manage and reconcile customer accounts to ensure timely and accurate payments; Provide exceptional customer service by responding to inquiries and resolving billing discrepancies; Process and post payments to cus

Competitive pay - As an Accounts Receivable Specialist at PT Solutions, you will: Work aged receivables utilizing A/R reports; Review and assess adjudicated claims for timely and proper payment of outstanding balances; Research, correct, and resubmit or reprocess unpaid claims as necessary; Verify v

We are seeking a meticulous and detail-oriented Billing Specialist experienced in pharmacy billing, with knowledge of Durable Medical Equipment (DME) claims processing under Medicare Part B for residents in assisted living facilities. Proficiency with medical billing software and Electronic Health R

K per year + benefits - As an Accounts Receivable Specialist at Tucows, you will: Manage and maintain the accounts receivable process by accurately recording and tracking all incoming payments and customer transactions; Follow up with customers regarding outstanding balances and ensure timely paymen

Up to $55K per year - As an Accounting Specialist at Hawaiian Bros Island Grill, you will: Manage the accounts payable process to facilitate seamless communication and document handling; Reconcile vendor statements; Prepare and issue annual 1099 forms; Collaborate with and support internal and exter

Review daily electronic billing reports, paper claim submissions, and third-party confirmation reports for errors. Make necessary corrections in the billing system to ensure accurate claims. Proficient in billing systems and software.

Provide cross-coverage with Research Billing compliance specialists. As a Research Billing Specialist, you will manage invoices and track payments from clinical trial sponsors for patient visits and other study-related costs as outlined in clinical trial budgets and contracts. Troubleshoot internal

K+ per year / Medical, dental & vision / 401k match / PTO - As an Accounts Payable Specialist at The Voleon Group, you will: Manage and process invoices accurately and efficiently; Maintain vendor records and resolve any discrepancies; Communicate with vendors and internal teams to resolve payment i

Billing Specialist/Billing Analyst (Legal). Responsibilities for Billing Specialist/Billing Analyst (Legal):. Qualifications for Billing Specialist/Billing Analyst (Legal):.

Accountemps - JobID: 02760-0013319714-usen [ Accountemps' industry expertise will help you find positions well-matched to your unique skill set and requirements.Above all, we want to help you find a job that makes you happy and allows you to thrive while ensuring you top pay, great benefits and free

Qualifications for Senior Client Account Billing Specialist (Global Law Firm):. Senior Client Account Billing Specialist (Global Law Firm). Responsibilities for Senior Client Billing Specialist (Global Law Firm):.

Billing & Accounting Analyst will play a critical role in Peacock's end-to-end revenue share process. This role within the Controllership team requires a combination of accounting, reporting, and billing expertise, and provides the opportunity for cross-functional collaboration with the NBCUniversal

The Client Billing Specialist position supports billing activities for a specific Practice Group(s) and the Billing Partners within that group(s). The Billing Specialist should have a basic understanding of the legal services provided within their practice group(s) and how they translate into the re

Meets billing operational standards by contributing billing information to strategic plans and reviews; implementing production, productivity, quality, and customer-service standards; resolving problems; identifying billing system improvements. Billing Supervisor Job Duties:

Collections / Remote] - Anywhere in U.Competitive pay / Medical, dental & vision / 401k match / PTO - As an Accounts Receivable Associate at IMS Legal Strategies, you will: Maintain regular contact with clients to foster professional, courteous relationships and ensure timely payment; Investigate an