Billing Specialist

Talentify; Flemington (NJ); On-site; USD 45,000 - 65,000; Full time

Job summary

Talentify is seeking a billing professional to ensure accurate hospital claim processing and timely reimbursement from non-governmental insurers. The role emphasizes proficient use of billing tools, software, and reports to manage denials, adjustments, and follow-up.

The candidate will handle payment reviews and exhibit strong customer service in daily interactions, with additional duties as required. A high school diploma is required; an associate degree in business administration is preferred,

Qualifications

• Knowledge/skills: Computer skills and customer service abilities required.
• Minimum education: High School Education or equivalent (required).
• Preferred: Associate degree in Business Administration; two years hospital/physician billing experience; familiarity with Medicare rules and DRG/APC methodologies.
• Credentials: CRCS-I/CRCS-P preferred through AAHAM; certifications encouraged.

Responsibilities

• Utilize tools, software and reports provided for billing tasks.
• Process billing, claim adjustment, and account follow-up activities.
• Complete payment review and Compass Exception Reports.
• Process denials in a timely manner.
• Provide professional customer service in daily interactions.
• Perform other duties as warranted.

Skills

Customer service

Computer skills

Education

High School diploma or equivalent

Associates degree in Business Administration

Job description

Position Summary

Works hospital claims to assure timely billing and appropriate reimbursement from Non-Govermental Insurance Companies.

Primary Position Responsibilities

1. Utilize tools, software and reports provided.
2. Perform all activities for billing, claim adjustment, account follow-up processes.
3. Complete payment review, working Compass Exception Reports.
4. Process denials timely.
5. Exhibit strong professional customer service in daily interactions.
6. Other duties as warranted.

Qualifications

Minimum Education:

Required:

High School Education or equivalent

Preferred:

Associates Degree in Business Administration

Minimum Years of Experience (Amount, Type and Variation):

Required:

None

Preferred:

Two years experience in a hospital or physician billing environment, two years experience working on a Windows based software package and prior experience working in a customer service environment. Experience with Medicare Rules, DRG/APC payment methodology.

License, Registry or Certification:

Required:

None

Preferred:

Certificate and/or Advanced Specialied or technical training, IE: Certified Revenue Cycle Specialist - Institutional (CRCS-I) or Certified Revenue Cycle Specialist - Professional (CRCS-P) through AAHAM.

Knowledge, Skills and/or Abilities:

Required:

Computer Skills, Customer Service Skills

Preferred:

Detail oriented, bookkeeping skills, Team player

Hunterdon Health is committed to providing a competitive benefit package to our employees. Benefit offerings vary based on status and may include but not be limited to medical, dental, vision, family forming, paid time off, tuition reimbursement, and retirement savings.

The hiring range listed is the potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement. When determining an applicant’s hourly rate and/or base salary, several factors may be considered as applicable (e.g., years of relevant experience, education, internal equity, and specialty).