Medical Billing & Collections Specialist Out-of-Network (OON)Location: Clifton, NJ
Pay: $28$30/hour, based on experience
Schedule: MondayFriday ( Option of 8AM4PM, 8:30AM-4:30PM, or 9AM-5PM)
HumanHire is partnering with an established orthopedic and spine practice in Clifton, NJ to hire an experienced Medical Billing & Collections Specialist.
We are looking for someone with a strong background in commercial insurance and out-of-network (OON) billing and collections. This is a great opportunity for an experienced billing professional who enjoys working through complex claims, resolving insurance denials, and negotiating with insurance carriers to maximize reimbursement.
Responsibilities- Manage commercial insurance and out-of-network billing and collections.
- Follow up on unpaid and underpaid surgical claims.
- Handle high-dollar claims related to spine, orthopedic, and specialty procedures.
- Research and submit appeals for denied or underpaid claims.
- Communicate and negotiate with insurance carriers to resolve reimbursement disputes.
- Review EOBs, reconcile payments, and identify billing discrepancies.
- Assist patients with billing questions and payment arrangements.
- Track accounts receivable, denials, and collection activity.
Qualifications- Strong commercial insurance and out-of-network (OON) experience required.
- Experience with insurance denials, appeals, and payer disputes.
- Knowledge of CPT, ICD-10, and HCPCS coding.
- Proficiency in Microsoft Excel.
Spine, orthopedic, podiatry, or other specialty surgical billing experience is preferred.
Compensation & Benefits- $28$30/hour, depending on experience.
- 80% employer-paid medical insurance.
- 100% employer-paid dental and vision.
- Fully funded pension plan.
- 50% 401(k) match.
- 3 weeks PTO.
- Occasional overtime opportunities.
Apply today! A HumanHire recruiter will connect with you within 48 hours to discuss next steps.
Our Healthcare team is comprised of experts in the healthcare space, partnering with organizations ranging from large hospital systems to local specialty practices, leveraging over 50 years of combined industry experience to connect high-quality candidates with exciting, career-building opportunities.
We are actively connecting with both clinical and non-clinical professionals, including:
- Licensed Practical Nurses
- Certified Professional Coders and Medical Billers
- Medical Assistants
- Patient Services Professionals
- Medical Receptionists and Front Desk Professionals
- Radiologic Technologists and other imaging modalities (MRI, CT, Ultrasound, Mammography)
- Healthcare IT Professionals (HIT, EHR/EMR Analysts, Systems Specialists)
- Healthcare Leadership and Director-Level Professionals (Operations, Revenue Cycle, Clinical Department Directors, and Administrative Leadership)
If you're ready to take the next step in your healthcare career, apply now and let our team help you find the right fit.