Accounts Receivable Specialist I

Jobtailor; New Jersey; On-site; USD 42,000 - 56,000; Full time

Job summary

Jobtailor is seeking a Physician Billing Specialist in New Jersey. The role focuses on follow-up of unpaid accounts, appeals of denials, and coordination with patients, guarantors, and insurers.

Experience with Epic and payer adjudication processes is preferred. The position requires strong customer service, medical terminology knowledge, and the ability to research denial causes while maintaining accurate account data.

Qualifications

• High school graduate or GED certificate is required.
• Minimum of 6 months’ experience in a physician billing or third party payor environment.
• Strong customer service and patient-focused orientation.
• Ability to understand and communicate insurance benefits explanations, exclusions, denials, and the payer adjudication process.
• Experience in Epic and/or other electronic billing systems is preferred.
• Knowledge of medical terminology, diagnosis and procedure coding is preferred.
• Previous experience in an academic healthcare setting is preferred.
• Candidates must reside in the Tri-State area.

Responsibilities

• Follow up to collect on all open and unpaid accounts with insurance companies and third parties.
• Inquire about unpaid claims.
• Appeal denied claims with insurance companies.
• Contact patients or account guarantors.
• Research the root issue of denials.
• Pursue the proper course of appeal or follow up to obtain payment.
• Review account history for continuous follow-up.
• Address incoming correspondence.
• Prepare correspondence to insurance companies, patients, and/or guarantors.
• Contact insurance companies, patients, and guarantors to obtain claim and appeal status.
• Document claim issues for review.
• Escalate issues and problems to the Supervisor as appropriate.
• Perform charge corrections.
• Update account demographics and insurance coverage and bill new insurance as appropriate.
• Perform other required job duties

Skills

Physician billing experience

Insurance claims management

Epic electronic billing system

Medical terminology knowledge

Customer service orientation

Education

High school diploma

GED certificate

Tools

Epic

Electronic billing systems

Job description

• Follow up to collect on all open and unpaid accounts with insurance companies and third parties
• Inquire about unpaid claims
• Appeal denied claims with insurance companies
• Contact patients or account guarantors
• Research the root issue of denials
• Pursue the proper course of appeal or follow up to obtain payment
• Review account history for continuous follow-up
• Address incoming correspondence
• Prepare correspondence to insurance companies, patients, and/or guarantors
• Contact insurance companies, patients, and guarantors to obtain claim and appeal status
• Document claim issues for review
• Escalate issues and problems to the Supervisor as appropriate
• Perform charge corrections
• Update account demographics and insurance coverage and bill new insurance as appropriate
• Perform other required job duties

Requirements

• High school graduate or GED certificate is required
• Minimum of 6 months’ experience in a physician billing or third party payor environment
• Strong customer service and patient-focused orientation
• Ability to understand and communicate insurance benefits explanations, exclusions, denials, and the payer adjudication process
• Experience in Epic and/or other electronic billing systems is preferred
• Knowledge of medical terminology, diagnosis and procedure coding is preferred
• Previous experience in an academic healthcare setting is preferred
• Candidates must reside in the Tri-State area

Core Competencies

Demonstrates expertise in managing unpaid accounts and claims within a healthcare billing environment, with a strong focus on customer service and effective communication regarding insurance processes and medical terminology.

Highest-signal resume keywords

• Physician Billing Experience
• Insurance Claims Management
• Epic Electronic Billing System
• Medical Terminology Knowledge
• Customer Service Orientation

Hard Skills

• Claims Appeal Process
• Charge Corrections
• Account Demographics Update
• Denial Research
• Insurance Coverage Billing

Soft Skills

• Patient-Focused Orientation
• Effective Communication
• Problem-Solving

Certifications & Qualifications

• High School Graduate
• GED Certificate

Industry Keywords

• Third Party Payer
• Healthcare Billing
• Academic Healthcare Setting
• Payer Adjudication Process
• Medical Diagnosis Coding

Tools & Technologies

• Epic
• Electronic Billing Systems