BILLING COORDINATOR

Discoverynj; Marlboro Township (NJ); On-site; USD 50,000 - 70,000; Full time

Job summary

Discoverynj in Marlboro Township, New Jersey, is seeking a detail-oriented professional for healthcare billing responsibilities. The role includes verifying insurance eligibility, reconciling billing discrepancies, and maintaining compliance with billing regulations.

Candidates should possess strong problem-solving skills, the ability to work independently, and experience in healthcare billing processes. This full-time position offers an opportunity to contribute to essential billing operations.

Qualifications

• Experience with healthcare insurance verification and billing processes.
• Familiarity with Medicaid regulations and reimbursement procedures.
• Ability to analyze data and resolve discrepancies.

Responsibilities

• Reconcile billing discrepancies and maintain accuracy in records.
• Conduct eligibility verifications and communicate with staff.
• Prepare and submit Medicaid claims and manage authorizations.

Skills

Healthcare insurance verification

Medicaid billing regulations

Billing data analysis

Problem-solving skills

Team collaboration

Job description

Responsibilities

• Reconcile bed utilization charts with billing spreadsheets to ensure accuracy and consistency.
• Run eligibility verifications (EMEVS) for potential outpatient admissions and communicate funding information to admissions staff.
• Verify insurance eligibility and update client insurance information within KIPU as needed.
• Conduct monthly eligibility checks for all outpatient clients and update records accordingly.
• Identify and communicate changes in client funding sources.
• Maintain and update outpatient billing spreadsheets on a weekly basis using attendance records.
• Track outpatient authorizations and notify counselors of upcoming authorization expirations.
• Add Vivitrol services to appropriate Fee-for-Service authorizations.
• Prepare and submit outpatient Medicaid and Fee-for-Service claims.
• Reconcile Medicaid and Fee-for-Service payments and correct billing discrepancies.
• Post Medicaid remittance payments to utilization tracking spreadsheets.
• Assist with back-billing of Medicaid claims as needed.
• Process and track state-funded Uber transportation reimbursements.
• Generate and send client deductible and co-payment invoices.
• Provide billing coverage for Detox and Residential Billing Specialists during absences.
• Maintain confidentiality and compliance with all HIPAA, state, federal, and organizational requirements.
• Perform other duties as assigned.

Knowledge, Skills, and Abilities

• Understanding of healthcare insurance verification and authorization processes.
• Knowledge of Medicaid billing regulations and reimbursement procedures.
• Ability to analyze billing data and resolve discrepancies.
• Strong problem-solving and critical‑thinking skills.
• Ability to work independently and collaboratively within a team environment.