Biller

Advocare LLC; Millville (NJ); On-site; USD 42,000 - 60,000; Full time

Job summary

Advocare LLC is seeking an experienced Medical Billing Specialist in Millville, NJ to translate patient information into accurate insurance claims and bill patients for balances. This in-office role requires meticulous data entry and adherence to billing codes.

You'll submit claims to insurers, follow up on denials, post payments, and maintain patient account records. Knowledge of HIPAA, strong math skills, and proficiency with EHR systems like Epic or eClinicalWorks are essential.

Qualifications

• Basic understanding of ICD-10, CPT, HCPCS coding.
• Experience with reading medical records for claims.
• Familiarity with EHR and billing software.

Responsibilities

• Create Claims: Turn medical information into insurance claims using correct billing codes.
• Submit to Insurance: Send claims to insurance companies electronically or by mail.
• Bill Patients: Send invoices to patients for copays, deductibles, or leftover balances.
• Fix Denied Claims: Investigate and appeal claims that insurance companies reject.
• Track Payments: Post incoming payments and update patient account records.
• Check patient insurance coverage before appointments.
• Talk with insurance agents to check on claim progress.
• Set up payment plans for patients.
• Keep all patient data private under HIPAA rules.
• Reporting for office/update monthly for outstanding bills/payments

Skills

Medical Coding Knowledge

Software Proficiency

Financial Literacy

HIPAA Compliance

Communication

Education

High school diploma or equivalent

Billing/Coder certification or degree

Tools

Epic

eClinicalWorks

Azalea

Job description

Description

Core Responsibilities

• Create Claims: Turn medical information into insurance claims using correct billing codes.
• Submit to Insurance: Send claims to insurance companies electronically or by mail.
• Bill Patients: Send invoices to patients for copays, deductibles, or leftover balances.
• Fix Denied Claims: Investigate and appeal claims that insurance companies reject.
• Track Payments: Post incoming payments and update patient account records.

Daily Tasks

• Check patient insurance coverage before appointments.
• Talk with insurance agents to check on claim progress.
• Set up payment plans for patients.
• Keep all patient data private under HIPAA rules.
• Reporting for office/update monthly for outstanding bills/payments

This is an in office position Mon-Friday 8a-430p, Saturday PRN 8a-12p. This is not a remote position.

Requirements

Education & Experience

• High school diploma or equivalent is the minimum requirement for entry-level roles.
• 1 to 2 years of experience in a medical office, clerical role, or customer service setting is highly valued.
• Billing/Coder certification or degree

Professional Certifications

While not always legally required, having a certification significantly increases your job prospects and earning potential. The most recognized credentials include:

• Certified Professional Biller (CPB) – Offered by the AAPC.
• Certified Medical Reimbursement Specialist (CMRS) – Offered by the AMBA.
• Certified Medical Billing Specialist (CMBS) – Offered by the MAB.

Key Skills & Qualifications

• Medical Coding Knowledge: Basic understanding of ICD-10, CPT, and HCPCS codes to read medical records and submit accurate claims.
• Software Proficiency: Familiarity with Electronic Health Records (EHR) and medical billing software (such as Epic, eClinicalWorks, or Azalea).
• Financial Literacy: Strong math skills for processing payments, calculating copays, and balancing accounts.
• HIPAA Compliance: Deep understanding of medical privacy laws to keep patient data secure.
• Communication: Clear communication skills to explain complex bills to patients and negotiate with insurance adjusters.