Practice Biller

Located in:

Manasquan, New Jersey 08736

Under the general supervision of the Practice Manager/Supervisor, the Medical Biller is primarily responsible for checking eligibility and benefits, obtaining pre-authorizations, preparing and transmitting claims, posting payments, and following up on any unpaid claims or denials.

Duties and Responsibilities

The duties include, but are not limited to:

• Checking eligibility and benefits verification for treatments and procedures

• Obtaining pre-authorizations and referrals as required

• Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing

• Ensuring the timely billing of claims as to remain compliant with CMG policies and payor guidelines

• Reviewing patient bills for accuracy, completeness and obtain any missing information

• Identifying and billing secondary or tertiary insurances

• Address and correct claim issues that are assigned for practice resolution

• Update patient accounts to reflect accurate demographic and insurance information

• Answering all patient or insurance telephone inquiries pertaining to assigned accounts

• Setting up patient payment plans

• Work with MSO to accurately report accounts to the collections agency

• Performs miscellaneous job-related duties as assigned

Qualifications or Education, Training and Experience

• HS Diploma or GED required

• Minimum of 3-5 years of experience working as a medical biller, preferably in a patient practice setting

• Experience with variety of insurances

• EMR experience required, Athena preferred

Knowledge and Skills/Expected Competencies

• • Knowledge of CPT & ICD-10 coding

• • Must have working knowledge of medical terminology

• • Ability to use independent judgment and to manage and impart confidential information.

• • Ability to analyze and solve problems; requires details, data and facts that must be analyzed and challenged prior to making decisions

• • Strong communication and interpersonal skills.

•  •  Ability to clearly communicate medical information to professional practitioners and/or the general public.

• Ability to maintain confidential information

• Excellent organization, prioritization, follow up, analytical and time management skills with ability to handle multiple priorities and deadlines.

• Ability to face multiple deadlines that must be met on time.

• Ability to deal with multiple interruptions on a continual basis that must be met with a friendly exchange with others.

•  Helpful and constructive view of working with others to achieve positive outcomes.

Featured Benefits:

• Health, dental, and vision insurance.

• 401K with automatic employer contribution.

• PTO and Paid Holidays.

• Company paid Life Insurance.

• Access to voluntary short and long-term disability insurance.

• Access to additional life insurance.

• Access to a variety of Wellness programs. 

The compensation range for this position is $20.00/hour– $26.00/hour. Compensation is based on the level and requirements of the role. 

Salary within our ranges may also be determined by your education, experience, knowledge, skills, abilities, and location, as required by the role, as well as internal equity and alignment with market data