Trabajos medical biller en Passaic, New JerseyCrear alertas

Job DescriptionBenefits: • Company parties, • Competitive salary, • Employee discounts, • Flexible schedule Benefits/Perks • Competitive Compensation, • Great Work Environment, • Career Advancement OpportunitiesJob Summary We are seeking a Medical Biller with experience in Optometry field to join our team! As a Medical Biller, you will be working processing all forms needed for insurance billing purposes, and collecting necessary documentation. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone. Responsibilities • Assist processing insurance claims through both private insurance and Medicaid/Medicare, • Note and process all necessary forms from the insurance, • Assist patients in navigating the billing and insurance landscape, including collecting all necessary forms and signatures, • Work with doctor’s obtain charge information and billing details, • Enter all billing and payment information into the system properly and without errors, • Maintains the highest level of confidentialityQualifications, • Previous experience with medical coding and billing portals such as Versant, Eyemed, Trizetto, Availity, Eyesynergy and others, • Strong organization skills, • Excellent attention to detail

Job DescriptionBenefits: • Dental insurance, • Health insurance, • Paid time off, • Vision insurance About the Role We are seeking a highly organized and detail-oriented RCM Coordinator to join our Revenue Cycle Management team. This role serves as an operational hub between coding, billing, clinical staff, and payers — coordinating daily RCM workflows, monitoring claim status, resolving front-line issues, and keeping communication flowing so the revenue cycle runs smoothly from patient encounter to payment posting. This is a full-time, on-site role located in our Somerset, NJ office. Key Responsibilities Daily Coordination & Communication • Monitor and manage the shared RCM/billing mailbox daily — triage payer correspondence, denial notices, patient billing inquiries, and internal requests, routing each to the right team member and responding within SLA., • Serve as the first point of contact for coding, billing, and collections questions from internal clinical and administrative staff., • Coordinate communication between coders, billers, physicians, nurse practitioners, and payers to resolve documentation gaps or claim holds., • Maintain and update trackers/logs (claims in process, denials, pending documentation, escalations) and share status updates with the RCM Manager., • Make outbound calls to patients to verify insurance coverage and update account information as needed. Claims & Billing Workflow Support • Track claims through the full billing cycle — submission, clearinghouse acceptance, payer adjudication, denial/appeal, and payment posting., • Review claim edits, rejections, and clearinghouse reports; route corrections to the appropriate coder or biller and follow up to closure., • Support timely charge entry and claims submission by confirming encounters, documentation, and coding are complete and ready for billing., • Assist with insurance verification, eligibility checks, and prior authorization tracking as needed., • Help prepare and distribute daily/weekly RCM reports (claims submitted, denials, AR aging, first-pass acceptance rate). Denial & AR Follow-Up • Log and categorize denials, identify trends, and escalate recurring issues to coding, billing, or payer contacts., • Support timely appeals by gathering documentation, correcting claims, and coordinating resubmission with the billing team., • Follow up on aged accounts receivable and outstanding payer balances, documenting all activity in the practice management/EHR system. Compliance & Process Improvement • Ensure all coordination activities comply with HIPAA, CMS, and payer-specific telehealth billing guidelines., • Identify workflow bottlenecks and recommend process improvements to reduce denials and improve first-pass acceptance rate (FPAR)., • Maintain accurate, organized documentation and audit trails to support pre-billing and compliance reviews., • Stay current on payer policy changes, telehealth regulations, and RCM industry best practices. Required Qualifications • High school diploma or equivalent required; Associate's degree in healthcare administration, business, or related field preferred., • 4–6 years of experience in medical billing, revenue cycle, or healthcare administrative coordination (telehealth or outpatient setting a plus)., • Working knowledge of ICD-10, CPT, and HCPCS coding concepts, and payer billing requirements (Medicare, Medicaid, Commercial, CCM, RPM)., • Proficiency with EMR/EHR and practice management/billing software, plus strong Microsoft Office/Outlook skills., • Excellent written and verbal communication skills; comfortable managing high email and phone volume and cross-team follow-up., • Strong organizational skills and attention to detail in a deadline-driven RCM environment., • Ability to multitask, prioritize, and track multiple open items to resolution. Preferred Skills • Coding or billing certification (CPC, CBCS, CMAA, or similar) a plus, though not required for this coordinator-level role., • Experience with denial management, AR follow-up, or pre-billing audit workflows., • Familiarity with telehealth-specific billing models (CCM, RPM, virtual visits)., • Strong analytical and problem-solving skills; comfortable working independently and collaboratively.

Job DescriptionDescription: The Medical Biller is responsible for preparing and submitting accurate medical claims to insurance companies and other payers. This role ensures the timely and correct reimbursement of healthcare services by verifying billing data, resolving billing discrepancies, and following up on unpaid claims. The Medical Biller plays a vital role in the financial health of the medical practice or facility. • Posts daily office visit and surgery charges, • Charge corrections and adjustments when necessary, • Work accounts receivable and denial reports, • Analyze patient accounts for balances owed and credit balances, • Coordinate collection of outstanding monies not received during patient visits, • Communicate regularly with Practice Administrator regarding the status of authorizations and denials, • Other duties related to the position as assigned by Practice Administrator Schedule Approx. 30 hours per week needed for claims scrubbing and submission, claims review, patient billing and collections. Location In office, no remote. Requirements: • Computer knowledge a must, • Billing experience preferred

Job DescriptionDescription: Full time position for medical office manager and medical biller and coder Should be able to manage vaccines, inventory, staff schedules, processing claims, office work flow etc.. Manage office meetings, RCM meetings Requirements: Experience in Medical office management and medical billing and coding is required. Having worked in a pediatric office setting is a plus. Should be able to multi-task and be a team player. Should be proficient in computer skills.

Job Description Responsibilities: Performs billing functions to review and take necessary actions to resolve billing errors ensuring clean claim submission.Work directly with third party payers, internal and external customers, and other contract clients toward effective and efficient collection results on accounts assigned by management in accordance with department policy and procedures.Maintains a thorough knowledge of third party billing and collection requirements for payers assigned for handling.Utilizes all resources available, including electronic inquiries to verity eligibility, benefits and claim status.Exercises good judgment towards account resolution and documents all activity on account in a clear, accurate and consistent manner utilizing appropriate online system.Work correspondence, explanation of benefits and remittance advice daily ensuring a 72-hour turnaround period is met.Demonstrates excellent customer service skills when responding to incoming or outgoing calls in a most courteous manner providing clear and appropriate information as needed. Demonstrates the ability to reconcile payments and contracts when reviewing accounts in order to ensure the accuracy of the account balance.Advise team lead and/or supervisor of any billing errors, payer trends in claims processing, denials or payment fluctuations, to ensure proper handling and escalation as necessary.Meet departmental productivity and quality assurance standards in accordance with departmental policies.Adhere to all hospital regulations associated with Compliance (to include HIPAA, etc.) Education/Experience: High school or equivalent with some billing experience Medical Biller knowledge

Job DescriptionAbout the Role:Pain and Disability Institute PC is looking for a detail-oriented Medical Biller to join our growing team in Jersey City, NJ. This is a great opportunity to play a vital role in keeping our practice running smoothly while supporting patients who depend on our specialized care. If you thrive in a fast-paced medical environment and have a passion for accuracy, we want to hear from you! Responsibilities: • Prepare and submit accurate medical claims to insurance carriers, Medicare, and Medicaid, • Review and process Explanation of Benefits (EOBs) and post payments to patient accounts, • Follow up on unpaid or denied claims and manage accounts receivable (AR), • Verify patient insurance eligibility and benefits prior to billing, • Identify and resolve billing discrepancies, coding errors, and claim rejections, • Communicate with insurance companies, patients, and clinical staff regarding billing inquiries, • Ensure compliance with HIPAA regulations and payer-specific billing guidelinesRequirements:, • 1+ years of medical billing experience, preferably in pain management or specialty care, • Proficiency in ICD-10, CPT, and HCPCS coding, • Experience with medical billing software and electronic health records (EHR), • Strong knowledge of insurance claim submission and denial management processes, • Familiarity with Medicare, Medicaid, and commercial insurance billing requirements, • Excellent attention to detail and strong organizational skills, • Effective written and verbal communication skillsAbout Us:Pain and Disability Institute PC is a dedicated specialty practice in Jersey City, NJ, committed to improving the quality of life for patients living with chronic pain and disability. Our patients trust us for our compassionate, comprehensive approach to care, and our team is proud to support that mission every day. We foster a collaborative and supportive work environment where every team member plays an important role in our patients' well-being.

Job Description SportsMed Physical Therapy is seeking a Medical Biller to join our team. This position will begin training on site full-time in either Glen Rock, NJ and will transition to Hybrid-Remote after 1-2 months SportsMed is one of New Jersey’s leading providers of physical rehabilitation services. We can offer you a fast paced and challenging career opportunity. If you are passionate about healthcare, motivated and want to make a difference, SportsMed is the place for you. Responsibilities • Review new patient records in billing software and initiate billing process, • Work with clinic staff to resolve patient authorization issues, • Review existing claims in billing software and follow up on outstanding issues, • Review outdated claims in billing software to research and resolve as necessary, • Review outdated claims in billing software and prepare for collection as necessary, • Work with insurance companies to resolve billing issues, • Work with patients to resolve billing and collection issues, • Ensure all billing changes, charge offs, escalations, interactions etc. are correctly documented in billing and/or HRM software in a timely manner, • Properly escalate billing issues where necessary, • Follow company processes and procedures carefully, • Prepare and update summary documentation as required, • Other duties as assigned by managementQualifications, • Minimum 3 years’ experience with medical billing required (1 year with 2-year college degree or greater), • Solid understanding of medical billing software and procedures preferred (Kareo, WebPT, Navinet, CMD, etc.), • Experience with HRM software such as WebPT preferred, • Ability to multitask and manage time effectively with minimum supervision, • Excellent written and verbal communication skills, • Basic Excel skills, • Outstanding problem-solving and organizational abilities, • Keen attention to detail with strong analytical skills, • A professional, courteous, enthusiastic, and conscientious attitude, willing to fulfill group goals and work requirements, • Ability to deal positively with coworkers and supervisors, and support management decisions, • Ability to function as a contributing team member while meeting deadlines and productivity standards, • In-network billing experience, commercial insurances and MedicareBenefits, • Competitive pay based on experience, • Medical benefits, life and disability insurance, • 401k match, • Paid Time Off, • Paid Sick Time, • Paid Holidays, • Excellent career growth opportunities, • Pay Rate $20.00 - $24.00 per hour #IND3

Job DescriptionBenefits: • 401(k) matching, • Bonus based on performance, • Company parties, • Competitive salary, • Employee discounts, • Free food & snacks, • Health insurance, • Opportunity for advancement, • Paid time off Benefits/Perks • Competitive Compensation, • Great Work Environment, • Career Advancement OpportunitiesJob Summary We are a warm, "family-feel" Pediatric Office in Hackensack looking for a kind, detail-oriented Manager with a strong understanding of Medical Coding and Billing processes. The ideal candidate has excellent attention to detail, strong organizational and customer service skills. Experience with Pediatric Billing would be a big plus! Offering PTO, Bonus Pay, and Benefits. We would love to welcome you to our practice! Responsibilities • ON-SITE Management of a small group of friendly staff, • Processing insurance claims to private insurance companies, • Review and analyze medical records and documentation to ensure accurate coding and billing, • Assign appropriate diagnosis and procedure codes using ICD-10 and DRG coding systems, • Verify patient insurance coverage and process claims for reimbursement, • Enter all billing and payment information into the EHR/EMR system properly, • Follow up on unpaid claims and resolve billing discrepanciesQualifications, • Proven experience as a Medical Biller / Certified Coder, • Strong knowledge of coding systems and billing procedures, • Proficient in using medical billing software and electronic health record (EHR) systems, • Strong customer service skills, • Strong organization skills, • Excellent attention to detail, • High level of integrity and commitment to patient privacy, • Maintains the highest level of professionalism

Job Description New Jersey’s largest Vascular Surgery group dedicated solely to the diagnosis and management of diseases of the arteries and veins. The Group has been delivering care throughout New Jersey since 1963 and is home to some of the best Vascular Surgeons in the country. Consistently recognized by their peers and patients as the top group in the region, The Cardiovascular Care Group provides the highest quality care using the newest technologies in the setting of years of experience with outstanding results. Medical Biller Position Summary Reporting to the Revenue Cycle Manager, the Medical Biller will be responsible for the accurate and timely posting of insurance and patient payments, reconciliation of remittances, and aggressive follow-up of outstanding insurance balances. The ideal candidate will possess extensive experience with Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) posting, insurance denial management, and payer-specific reimbursement methodologies. Location is on-site five days a week in the office. This position requires a strong working knowledge of UnitedHealthcare, Aetna, Horizon Blue Cross Blue Shield, Medicare, and other commercial payers, with demonstrated success in filing reconsiderations, appeals, and overturning claim denials. Prior experience in a surgical practice environment is required, with vascular surgery experience strongly preferred. Medical Claims, Posting and AR Specialist Essential Responsibilities Insurance Payment Posting & Reconciliation • Accurately post insurance and patient payments from EOBs, ERAs, EFTs, lockbox files, credit cards, cash, and paper checks., • Review and reconcile remittance advice to ensure payments, adjustments, contractual allowances, deductibles, coinsurance, and patient responsibilities are correctly applied., • Identify and research underpayments, overpayments, payment variances, and reimbursement discrepancies., • Balance daily payment posting batches and ensure all deposits reconcile to bank deposits and practice management system records., • Maintain complete and accurate documentation of all payment transactions and supporting remittance records. Insurance Accounts Receivable Management • Manage assigned insurance A/R work queues to ensure timely follow-up and resolution of outstanding claims., • Analyze unpaid, partially paid, and denied claims to determine root cause and appropriate corrective action., • Conduct payer follow-up via payer portals, telephone, and written correspondence., • Monitor aging reports and prioritize accounts to maximize collections and reduce days in A/R., • Escalate complex reimbursement issues and payer trends to Billing Management. Denials, Reconsiderations & Appeals • Review denial codes, payer policies, medical necessity determinations, bundling edits, authorization issues, and coding-related denials., • Prepare and submit reconsiderations, corrected claims, and formal appeals with supporting documentation., • Demonstrate strong knowledge of UnitedHealthcare, Aetna, Horizon BCBS, Medicare, and other commercial payer reimbursement policies and appeal processes., • Work collaboratively with providers, coding staff, and management to obtain documentation necessary to support successful appeal outcomes., • Track appeal status and ensure timely follow-up through final resolution. Surgical Billing Support • Understand surgical billing concepts including global surgical periods, modifiers, operative reports, authorizations, and payer-specific reimbursement guidelines., • Review surgical claims for completeness and identify issues impacting reimbursement., • Collaborate with coding and billing teams to ensure accurate claim submission and payment resolution., • Support vascular laboratory, vascular surgery, and related specialty billing functions as needed.

Job DescriptionBenefits: • 401(k) matching, • Bonus based on performance, • Competitive salary, • Employee discounts, • Opportunity for advancement, • Paid time off, • Profit sharing, • Signing bonus, • Training & development, • Vision insurance Seeking experienced medical coder and biller for chain of optical stores performing medical optometry. We are looking for someone that has worked specifically or has experience in Optical coding / billing to join our team in a fast paced working environment. We offer career development and substantial opportunity for growth within the company. Lens Lab has been serving New York for over forty years and has a deep history of promoting from within which is exactly what we plan on doing for this role. Responsibilities • Assist processing insurance claims through both private insurance and Medicaid/Medicare, • Note and process all necessary forms from the insurance, • Assist patients in navigating the billing and insurance landscape, including collecting all necessary forms and signatures, • Work with doctor’s obtain charge information and billing details, • Enter all billing and payment information into the system properly and without errors, • Maintains the highest level of confidentialityDesired Qualifications, • Previous experience with medical coding and billing portals such as Versant, Eyemed, Trizetto, Availity, Eyesynergy and others, • Strong organization skills, • Excellent attention to detail

This role ensures the timely and correct reimbursement of healthcare services by verifying billing data, resolving billing discrepancies, and following up on unpaid claims.

A healthcare organization is seeking a highly experienced Medical Biller with a strong background in addiction treatment and substance use disorder billing.This individual will be responsible for handling medical billing processes, ensuring accurate claim submissions, resolving billing discrepancies