Billing Clerk

Hudson Regional Health; Clifton (NJ); On-site; USD 42,000 - 60,000; Full time

Job summary

Hudson Regional Hospital in Secaucus, NJ is seeking a Medical Billing Clerk to handle electronic and paper bill submissions, process workers' compensation and third-party claims, and ensure clean claim submissions.

You will verify eligibility and benefits, resolve billing errors, monitor denials and payment fluctuations, and maintain accurate documentation while upholding HIPAA and hospital policies.

Qualifications

• High School Diploma required.
• 3 years of experience in a related billing field.

Responsibilities

• Prepare electronic and 1500 paper bills and invoices for medical services.
• Manage billing for workers' compensation and motor vehicle claims and all other third party payers.
• Perform electronic billing reviews to resolve errors and ensure clean claim submissions.
• Resolve clearinghouse rejections and verify eligibility, benefits and claim status.
• Maintain claims tracking for workers' compensation and motor vehicle billing.
• Provide support for the department and assist with special projects.

Skills

Customer service

Attention to detail

Communication skills

Education

High School Diploma

Tools

Billing software

HIPAA compliance

Job description

Hudson Regional Hospital, nestled in Secaucus, New Jersey, is a distinguished healthcare institution committed to building a healthier community through exceptional care, advanced technology, and knowledgeable physicians. We take pride in being the #1 choice for surgery, boasting the Institute for Robotic Surgery, equipped with the latest surgical robots and six SRC Center of Excellence designations. This places us at the forefront of robotic and minimally invasive surgery, with the unique distinction of being the world's first hospital to receive the SRC Center of Excellence designation in Robotic Spine Surgery.

Medical Billing Clerk Responsibilities And Duties

• Prepare electronic and 1500 paper bills and invoices for medical services and treatments received
• Manage the billing for workers compensation and motor vehicle claims and all other third party payers.
• Perform electronic billing functions to review and take necessary actions to resolve billing errors ensuring clean claim submissions
• Resolve clearinghouse rejections
• Utilize all resources available, including electronic inquiries to verify eligibility, benefits and claim status
• Exercise good judgement toward account resolution and documents all activity on an account in a clear, accurate and consistent manner utilizing appropriate online system
• Maintain claims tracking for the worker’s compensation and motor vehicle billing program
• Provide support for the department and assist with special projects, as assigned
• Demonstrate excellent customer service skills when responding to incoming or outgoing calls in a most courteous manner providing clear and appropriate information as needed
• Advise team lead and/or supervisor of any billing errors, payer trends in claims processing, denials or payment fluctuations, to ensure proper handling and escalation as necessary
• Adhere to all Hospital Regulations associated with Compliance (to include HIPAA, etc)
• Is knowledgeable of and adheres to all hospital policies
• Performs other duties as assigned.

Education + Experience Requirements

• High School Diploma
• 3 years of Experience in a related field