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).
Numbers & Facts
Location
Hazlet, NJ
Job Type
Full-time
Skills
Administrative Skillsunmatched
Billingunmatched
Billing Recordsunmatched
Clinical Medicineunmatched
Communication Skillsunmatched
Corporate Policiesunmatched
Credit and Collectionsunmatched
Customer Support/Serviceunmatched
Data Collectionunmatched
Dental Insuranceunmatched
Detail Orientedunmatched
Electronic Medical Recordsunmatched
Federal Laws and Regulationsunmatched
Governmentunmatched
Health Insuranceunmatched
Healthcareunmatched
Healthcare Administrationunmatched
Healthcare Reimbursementunmatched
High School Diplomaunmatched
Hospitalunmatched
Identify Issuesunmatched
Insuranceunmatched
Insurance Claimsunmatched
Insurance Documentationunmatched
Interpersonal Skillsunmatched
Life Insuranceunmatched
Maintain Complianceunmatched
Medical Billingunmatched
Medical Codingunmatched
Medical Record Systemunmatched
Medical Terminologyunmatched
Medical Treatmentunmatched
Multitaskingunmatched
Neuroscienceunmatched
Past Due Accountsunmatched
Patient Confidentialityunmatched
Patient Rightsunmatched
Pediatricsunmatched
Policy Developmentunmatched
Problem Solving Skillsunmatched
Procedure Developmentunmatched
Quality of Careunmatched
Regulationsunmatched
State Laws and Regulationsunmatched
Team Playerunmatched
Third-Party Payerunmatched
Time Managementunmatched
Translation Servicesunmatched
Vision Planunmatched
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