Medicare biller jobs in Jersey City, New JerseyCreate job alerts

Job Description JOB SUMMARY The Clinical and Billing Auditor is responsible for the oversight and management of auditing and monitoring activities across the organization. Using a unique combination of clinical expertise and billing knowledge, this role monitors and improves the quality of clinical and financial documentation related to patient services. The auditor compares clinical and financial records to ensure that provided documentation supports the charges listed, helping to mitigate errors, prevent fraud, and optimize appropriate reimbursement. ESSENTIAL JOB FUNCTIONS: List all essential job duties. (To perform this job successfully, an individual must be able to perform each essential duty listed satisfactorily with or without a reasonable accommodation. Reasonable accommodations may be made to enable qualified individuals with a disability to perform the essential duties unless this causes undue hardship to the agency.) • Reviewing Documentation: Audit clinical documentation, treatment plans, and progress notes as well as utilization reviews to ensure accuracy, completeness, and compliance with billing requirements, regulatory & quality standards, and diagnostic criteria for ICL outpatient programs., • Monitoring Program Effectiveness: Evaluate the effectiveness of mental health and intellectual disabilities programs in achieving desired outcomes, such as symptom reduction, functional improvement, and enhanced quality of life for individuals served. Identify opportunities for program enhancement based on audit findings and performance metrics., • Assessing Clinical Quality: Evaluate the quality and appropriateness of clinical care provided to individuals with mental health conditions. including assessment, diagnosis, treatment planning, and therapeutic interventions. Ensure adherence to evidence-based practices and ethical standards., • Identifying Training Needs: Identify training needs and provide education and support to clinicians, staff, and providers on topics related to billing compliance, documentation standards, diagnostic criteria, treatment modalities, and best practices in ICL outpatient programs., • Collaborating with Multidisciplinary Teams: Participation in managing clinical risks in the agency by participating in Incident Review Committee Meetings, High Risk Meeting, and Sentinel Reviews, Psychiatric Medical At-Risk Case conference. Work collaboratively with clinical teams, including psychiatrists, psychologists, social workers, therapists, and case managers, to ensure coordinated and integrated care for the clients with ICL outpatient programs and intellectual disabilities. Participation in managing clinical risks in the agency by participating., • Risk Management & Compliance Oversight: Identify high risk areas for fraud, waste and abuse. Escalate significant compliance concerns. Support organizational readiness for external audits, payer investigations., • Rate & Billing Accuracy Validation: Ensure correct application of fee schedules and rate codes. CPT/HCPCS codes (where applicable. Cross-check billed services against Program type, staff credentials, service duration, and monitor adherence to payer-specific billing requirements., • Regulatory Recovery and Risk Mitigation: Consult with division administrators to develop and execute quality improvement plans, including plans of corrective action (POCAs) for certification visits and internal agency audit reports., • Operational Integration: Participate in program planning projects and meetings to provide inputs on development of quality control and program evaluation elements; and conduct or participate in management meetings with service-delivery staff to establish, delineate, and review program organizational policies, to coordinate functions and operations between departments , and establish responsibilities and procedures for attaining objectives and assist with the implementation of new programs., • Staying Informed: Stay updated on changes in healthcare regulations, billing requirements, reimbursement policies, and quality assurance standards relevant to mental health and intellectual disabilities services. Maintain knowledge of emerging trends, research findings, and best practices in the field., • Perform other related duties as assigned. ESSENTIAL KNOWLEDGE, SKILLS AND ABILITIES: • Committed to the active promotion of ICL values and goals., • Demonstrated mastery of ICD-10-CM, CPT, and HCPCS codes., • Proficiency in Electronic Health Records (EHR) systems and advanced Microsoft Excel skills for data analysis., • A solid understanding of HIPAA, Medicaid/Medicare billing rules, and documentation standards., • Knowledge of relevant industry regulations and compliance standards to ensure adherence to legal and ethical guidelines., • Ability to collaborate effectively with individuals at all levels of the organization., • Ability to educate staff on compliance issues and quality improvement continuous measures., • Strong organizational skills to manage multiple audits, prioritize tasks, and meet deadlines., • Excellent verbal and written communication skills., • Ability to identify risks related to client safety, compliance, and quality of care., • Ability to analyze information objectively and form a reasoned judgment., • A keen eye for detail for identifying inconsistencies, errors, and areas of non-compliance., • Ability to make sound judgments and decisions based on evidence and analysis., • Ability to adapt and willing to learn new techniques and technologies. QUALIFICATIONS AND EXPERIENCE: Master’s degree in social work, or Psychology, or related field plus 2 years’ experience in a clinical or human services environment conducting assessments or evaluations, performing quality assurance work, or managing programs. Certification: CPMA (Certified Professional Medical Auditor) or CHC (Certified in Healthcare Compliance) or CPB (Certified Professional Biller) designation strongly preferred. #ICLOTHER

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 doctors 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

Job Description Benefits/Perks • Competitive Compensation, • Great Work Environment, • Career Advancement OpportunitiesJob SummaryWe are seeking a Medical Biller to join our team! As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information. 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 clients with 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 offices and hospitals to obtain charge information and billing details, • Enter all billing and payment information into the system properly and without errors, • Follow up with clients and payments, as needed, • Answer phones, assist clients with questions, take messages, and screen calls, • Maintains the highest level of confidentialityQualifications, • Strong customer service skills, • Previous experience with medical coding or billing desired, • Strong organization skills, • Excellent attention to detail

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 doctors 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 Description We are seeking an experienced, detail-oriented, and motivated Medical Biller with leadership experience to join our growing behavioral health organization. The ideal candidate is a team player with strong knowledge of mental health billing, revenue cycle management, Medicaid/Medicare, and commercial insurance claims. Responsibilities include overseeing billing operations, claim submission and follow-up, denial management, ensuring billing accuracy and compliance, and supporting team workflow and operational efficiency. Candidates should possess excellent organizational, communication, and problem-solving skills, with the ability to thrive in a fast-paced, collaborative environment. Experience within mental health or behavioral health billing is strongly preferred. Requirements • Minimum of 1 - 3 years of medical billing experience, preferably within mental health, behavioral health, psychiatry, or healthcare, • Leadership or supervisory experience strongly preferred, • Strong understanding of:, • Medicaid, • Medicare, • Commercial insurance billing, • Behavioral health CPT coding and claims processes, • Experience with EMR/EHR and billing software systems, • Excellent organizational skills and attention to detail, • Strong analytical, problem-solving, and follow-through abilities, • Ability to prioritize tasks and manage multiple responsibilities effectively, • Team-oriented mindset with strong interpersonal and communication skills, • Self-motivated, dependable, and proactive, • Manage and oversee daily behavioral health billing operations, • Submit and follow up on claims for mental health and psychiatric services, • Review claims for accuracy, completeness, and compliance prior to submission, • Monitor accounts receivable, denials, rejections, and unpaid claims, • Work collaboratively with providers, credentialing, and administrative departments, • Identify billing trends, workflow inefficiencies, and opportunities for process improvement, • Assist in supervising and supporting billing staff and team workflows, • Ensure compliance with payer guidelines, Medicaid/Medicare regulations, and behavioral health billing standards, • Maintain accurate documentation and reporting within EMR and billing systems, • Communicate professionally and effectively with insurance carriers and internal teams, • Support operational growth initiatives and revenue cycle optimization Benefits • Competitive compensation, • Supportive and collaborative team environment, • Opportunities for professional growth and leadership development, • Positive workplace culture focused on teamwork and communication, • Flexible and growth-oriented atmosphere, • Meaningful work within the behavioral health field, • Paid time off and holidays, • Health benefits, • Ongoing operational and team support We believe that workplace atmosphere, energy, and support play a vital role in both team success and quality patient care.

Job Description Benefits/Perks • Competitive Compensation, • Great Work Environment, • Career Advancement OpportunitiesJob SummaryWe are seeking a Medical Biller to join our team! As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information. 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 clients with 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 offices and hospitals to obtain charge information and billing details, • Enter all billing and payment information into the system properly and without errors, • Follow up with clients and payments, as needed, • Answer phones, assist clients with questions, take messages, and screen calls, • Maintains the highest level of confidentialityQualifications, • Strong customer service skills, • Previous experience with medical coding or billing desired, • Strong organization skills, • Excellent attention to detail

Job Description About Us At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professionals who want to make a meaningful impact, grow their careers, and be part of a collaborative team committed to excellence. We are currently seeking a skilled Medical Biller to join our Client Implementation team, ensuring a smooth onboarding process for new physician accounts. This is a full time, in-person role located in Queens, New York. Primary Responsibilities • Ensure that all onboarding intake information is obtained for new physician enrollment, contracting, and other related purposes, • Coordinate provider set up with Sharefile, Billing Software and Clearing House, • Complete ERA/EFT enrollments for new and existing providers, • Communicate via phone and email with physician and administrative office staff to ensure a successful account implementation, • Guide new clients through the onboarding process, and answer any questions that arise, • Manage the early stages of new provider accounts until assigned to an account manager Qualifications • 2 years of experience in Medical Billing, • Familiarity with various portals (Navinet, Optum, Availity, CAQH, Medicare), • Experience with EFT and ERA enrollment, • Excellent communication skills (written and verbal), • Ability to work both independently and collaboratively within a team environment, • Attention to detail and strong time management skills Benefits M&D Capital offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program. Salary Range This position offers a salary of $55,000-$65,000 per year, commensurate with experience. Job Type: Full-time Experience: • Medical billing: 2 years (Preferred) Ability to Commute: • Richmond Hill, NY 11418 (Required) Pay Range$26—$31 USD Benefits Alteva RCM offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program.

A healthcare billing company is seeking an experienced CAH Biller to support full-cycle billing for Critical Access Hospitals. The role requires strong expertise in Epic billing workflows and Medicare reimbursement.

This is a full-time, on-site role located in New York, NY, for a Medical Office Receptionist/Medical Biller.

Constrafor is a SaaS and fintech platform purpose-built for construction.We are setting new standards of productivity and cost-efficiency for the way General Contractors and Subcontractors manage procurement & financial transactions.With over $30 million of VC financing, we are forging the path for

Physical Therapy Billing And Collections Specialist.Do you have a passion for making a difference in the lives of others? Do you want to join a team with that same passion? Are you someone who sets and achieves goals? Do you want to work for a dynamic, patient care organization that is committed to

Work with Medicare, Medicaid, and private insurance.

Performs a variety of collection activities including collection calls, correspondence, negotiating payment plans, and maintaining records of all communication.Provides customer service regarding collections issues and resolves client discrepancies.This is an in office position located at 110 E 42nd

We are seeking a detail-oriented and proactive Collections Specialist to support one of our clients in Brooklyn, NY.This role will begin on a temporary basis with the possibility to become permanent for the right individual.The preferred candidate can manage a high-volume of accounts receivable and

Strong working knowledge of UnitedHealthcare, Aetna, Horizon BCBS, Medicare, and commercial payer reimbursement methodologies. Knowledge of Medicare Local Coverage Determinations (LCDs), National Coverage Determinations (NCDs), and commercial payer medical policies. Reporting to the Revenue Cycle Ma

Pharmacy/Durable Medical Equipment (DME) company is looking for a biller to conduct data entry, billing and collections.

Perform billing and invoicing tasks twice a week.Review line items and ensure accuracy.Submit billing data to insurance providers.Proficiency in Excel is a must.Duration: Temporary to permanent.Monday to Friday, 8:30 am to 5:00 pm with a 30-minute lunch break.Hybrid work arrangement, one day in offi

Accounts Receivable / Billing Specialist.At Honeycomb, we're reshaping the future of insurance.In 2025, Honeycomb was recognized by Dun & Bradstreet as "Top 10 Best Start Up Companies to Work For" in Israel and named by LinkedIn as "Top 10 Startups in Chicago".Honeycomb is a rapidly growing global s

As a Dental and Medical Biller, you will be the financial backbone of multiple healthcare practices, managing insurance claims, patient billing, eligibility verification, and appointment coordination.

Seeking a detail-oriented and reliable Billing Specialist with an accounting background to support accurate and timely customer billing, sales data entry, inventory coordination, and accounts receivable activities.This role is responsible for preparing customer invoices, entering and maintaining sal

A powerhouse firm with the heart of a boutique, is seeking a Billing Specialist.This position will be responsible for managing the entire billing process for 10 or more partners on a monthly basis.The Billing Specialist will work on complex bills while adhering to client billing guidelines.Manage th

Fairstead is a purpose-driven real estate firm dedicated to building affordable communities across the country.Headquartered in New York, with offices in Colorado, Florida, and Washington DC, Fairstead owns and manages a portfolio of more than 30,000 apartments, including pipeline, across 28 states.

Sourgum is transforming the $100B+ waste and recycling industry through cutting-edge technology that makes waste removal simpler, smarter, and more cost-effective.Our innovative haulsourcing platform powers high-quality waste and recycling services for businesses at significantly lower costssaving o

Good Apple is looking for an ambitious self-starter, with great attention to detail to join the team.This position is responsible for the compilation, review, and recording of financial transactions and assisting in the completion of month-end processing.This hands-on billing role reports directly t

Seeking a detail-oriented and reliable Billing Specialist with an accounting background to support accurate and timely customer billing, sales data entry, inventory coordination, and accounts receivable activities.This role is responsible for preparing customer invoices, entering and maintaining sal

At Lyft, our purpose is to serve and connect.We aim to achieve this by cultivating a work environment where all team members belong and have the opportunity to thrive.The Senior Billing Specialist will be responsible for managing and executing end-to-end billing processes within Lyft's AR Operations

New York Edge is seeking a highly organized, knowledgeable, and focused individual to fill the role of Billing Specialist.In this full-time role, you will be responsible for ensuring that New York Edge timely and accurately bills for a portfolio of government contracts.The Billing Specialist ensures

Locations: Washington, DC; New York, NY; Austin, TX.We are a growing organization innovating our revenue cycle operations and this role is at the center of it all.The Billing Specialist is an execution-focused role that directly supports the full scope of our revenue operations.This individual will

A leading healthcare advocacy organization is looking for a Contracting, Credentialing & Billing Specialist.This role involves managing provider contracting processes and ensuring accurate billing.Candidates should have 2-5 years of experience in healthcare contracting, strong organizational skills,

Corgan is actively recruiting an experienced Billing Specialist to join the firm as part of our accounting team.Tackle these responsibilities alongside a team of creative, highly motivated individuals who are passionate about their work and ready to collaborate to achieve outstanding results.Our ide

Billing Specialist/Billing Analyst (Legal).Position: Billing Specialist/Billing Analyst (Legal).Company: AM 100 Law Firm Location: New York, NY.Comp Package: Base up to $90K, Paid Overtime, Tuition Reimbursement, Full Benefits, Bonus, 401K+, etc.Summary: The Billing Specialist/Analyst is required to

Midtown law firm is seeking a legal billing specialist to help a growing team.Responsible for producing prebills and ad-hoc reports both on-demand and periodically (monthly, quarterly or on-completion).Oversee the process of editing and finalizing draft bills based on attorney instruction and client

The position is responsible for assisting with all Eastern Funding LLC delinquent customer accounts.Principal Duties and Responsibilities.Monitor and clear check and automatic debit bounces.Notify loan officers and management team of action steps taken by collections representative.Be proficient in

Rilla Billing And Ar Specialist.Rilla's the leading virtual ridealong software for outside sales.Think home improvement, home builders, property managers, and other sales people who talk to customers face to face.Sales reps talk, our mobile app records their conversations, and our AI automatically t

Government Contracts Billing Specialist.Anthos|Home is seeking a detail-oriented Government Contracts Billing Specialist to support invoicing, payment tracking, and revenue reconciliation across a portfolio of government-funded programs.This role is ideal for an accounting clerk, billing specialist,

Gibson Dunn is a leading global law firm, advising clients on significant transactions and disputes.Our exceptional teams craft and deploy creative legal strategies that are meticulously tailored to every matter, however complex or high-stakes.The firm's work is distinguished by a unique combination

We are conducting a search for an experienced Senior Billing Specialist with a related bachelor's degree and at least five years of hands-on experience in billing, collections, or account management.This role calls for someone with law firm experience and complex accounting analysis.The ideal candid

Salary/year Position Type Full Time Job Shift Day Education Level Bachelors Degree Travel Percentage Up to 25%.Birch Family Services is a leading provider of education, employment, and community support services for individuals with autism and developmental disabilities and their families in New Yor

Med A/Rx is hiring an Insurance Specialist to ensure accurate and timely payments while resolving billing issues in a remote environment.This position requires previous experience in medical billing and claims management.The ideal candidate will handle claims processing tasks and provide excellent c

Job Description The Financial Specialist is responsible for billing and collection activities, which may include verification of insurance, pre‑certifications, deposits and reconciliation of co‑pays and self‑pays, updating financial information in appropriate software applications and providin

Customer Svc & Collections Mgr.Actual compensation within the pay range will be determined based on factors including, but not limited to, skills, prior relevant experience, and specific work location.The position is responsible for assisting the with all Eastern Funding LLC delinquent customer acco

A busy No-Fault law firm specializing in medical provider recovery seeks a Collections Specialist experienced in New York No-Fault (PIP) billing and collections.This position involves managing claims from initial submission through payment, negotiation, and, where necessary, arbitration or litigatio

Parker's mission is simple but ambitious: to increase the number of financially independent people.We believe the best way to achieve this is by giving independent business owners the financial tools they need to scale profitably.Our core product combines a virtual corporate card with dynamic spendi

Hazen and Sawyer is looking for a Collections Specialist for our Corporate New York City office to assist the Accounts Receivable Team in managing and recovering outstanding debts owed to the company.Hybrid (3 days in office; 2 days remote).Proactively monitor A/R accounts and communicate with A/R M

At the direction of the Accounts Receivable & Collections Director, and Manager, this individual will be responsible for:.Reviewing status of assigned client accounts, following up and monitoring aging receivables.Collaborating with assigned partners within the Practice Team to review their matters