Job Description

A Physicians Office located in Morris County, New Jersey is searching for a Medical Billing Associate who will have the following responsibilities:
  
  • Bill and post revenue payments/charges to patient’s accounts and insurance payors
  • Review and audit patient bills for accuracy and completeness and obtain any incomplete or missing billing information
  • Obtain authorizations as appropriate.
  • Ensure verification of eligibility and payor benefits
  • Prepare, review, and transmit claims using automated systems and manual paper claim process
  • Knowledge of insurance guidelines, including HMO, PPO, Medicare, and state Medicaid
  • Follow up on unpaid claims within specified billing cycle timeframe
  • Validate insurance payment for accuracy and compliance based on contractual terms
  • Evaluate and investigate payor matters for any discrepancy in payments as necessary
  • Identify and bill secondary payors
  • Follow-up on all accounts with payor or patient
  • Follow-up on payor specific appeals and denial of claims.
  • Respond to all patient or insurance telephone inquiries to ensure timely reimbursement.
  • Update cash spreadsheet, generate collection reports and ensure compliant collection efforts interpreting the explanation for benefits (EOB)
  • Other duties as assigned
  
Qualified candidates for the Medical Billing Associate role should possess:
  
  • An Associate Degree in Business a plus
  • Experience in CPT and ICD-9 coding a plus
  • 3+ years of experience
  • Experience with Microsoft Word and Excel
  • Energetic, willing to learn and capable of being a team player
  
The total compensation range for this opportunity is $35,000 to $45,000 with excellent benefits.  If you are interested in this excellent opportunity (and/or others similar to it) please forward your resume to careers@nauticusgroup.com and/or call us at (973) 921-9777. Ref.  #11325102. Visit our website at www.nauticusgroup.com to learn more about Nauticus Group and to view more job postings.

Application Instructions

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