Position Summary
The Medical Coding and Billing Associate is responsible for accurately translating clinical services, diagnoses, and procedures into standardized medical codes and ensuring timely, compliant submission of insurance claims. This role supports the financial health of the pediatric neuroscience practice by maximizing reimbursement, minimizing denials, and maintaining strict adherence to federal, state, and payer regulations. The billing associate works closely with providers, clinical staff, and administrative teams to ensure complete documentation, proper billing practices, and exceptional revenue cycle performance while upholding the highest standards of patient confidentiality and compliance.
Key Responsibilities
- Maintains competency and performs all necessary functions for medical and surgical billing and collections
- Maintains and updates billing and collection data daily
- Resolves billing and collection conflicts for patients and their families, office staff and insurance carriers
- Establishes payment arrangements with patient per company policy
- Performs insurance claim follow-ups for insurance denials and appeals
- Monitors accounts to identify overdue payment
- Keeps close contact with collections agency to monitor patient accounts
- Works collectively with all NJPNI office staff
- Documents and records all communications with patients, families and insurance carriers
- Assists manager with production and presentation of monthly, quarterly and annual reports
- Examines and reviews “Explanation of Benefits” (EOB’s) with patients and their families
- Participates in professional development activities and maintains professional affiliations with area of expertise
- Maintains current knowledge of, and complies with established policies and procedures including patient confidentiality/patient rights, government, insurance and third-party payer regulations
- Identifies and implements methods to automate and streamline revenue cycle processes through use of the electronic medical record / GE system
- Completes and maintains credentialing of clinical staff with insurance carriers and hospitals as needed
- Perform other administrative duties as assigned.
Skills & Competencies
- Strong Interpersonal and Communication Skills
- Customer Service Excellence
- Problem Solving and Attention to Detail
- Multitasking and Time Management
- Proficiency with Scheduling Software and EMR Systems
- Ability to Perform Well in a Fast-Paced, Team-Oriented Environment
Qualifications
- Knowledge of medical terminology and healthcare scheduling workflows preferred.
- High school diploma or equivalent required, associate or bachelor’s degree in healthcare administration or related field preferred.
- Medical billing/coding 1 year experience (preferred)
- Demonstrated professionalism, reliability, and commitment to patient-centered care.
Work Environment & Physical Requirements
- Standard office environment within a medical practice.
- Frequent use of computers and telephones.
- Occasional lifting of files, office supplies, or equipment (up to 20 lbs).
About New Jersey Pediatric Neuroscience Institute
At New Jersey Pediatric Neuroscience Institute (NJPNI), we believe that every patient should receive exceptional and individualized treatment.
Our mission is to provide the best possible healthcare in the areas of childhood developmental disorders and pediatric neurological and neurosurgical diseases. We seek to improve a child’s health and quality of life by delivering expeditious and accurate diagnoses along with a comprehensive array of surgical and nonsurgical therapeutic options.
Family involvement, support, and education are critical to a child’s understanding of their illness, treatment of and recovery from that illness. We understand that the entire family is affected by childhood illness and that the needs of each family, like each child, are unique.
We believe that by working together, with patients and their families, our neurosurgeons, neurologists, ancillary healthcare providers, therapists, and orthotists deliver the best care in the world. We treat every child, and every family, as our own and our patients’ lives have become an important part of our lives.
Careers at NJPNI
Are you passionate about pediatric neuroscience?
Do you want to be part of a collaborative team that’s transforming the future of neurological care? At NJPNI, we’re committed to advancing the field and improving lives. We invite you to explore exciting career opportunities with us and be part of a team that’s making a real impact.