Billing Specialist: Fast Claims & Denial Management

Socket.dev; Brick Township (NJ); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Medical, Dental, Vision Insurance

401(k) Salary Deferral and Match

Paid Time Off

Paid Holidays

Employee Assistance Program

Employee Discounts

Employee Referral Program

CME

Job summary

Socket.dev seeks a Billing Specialist to ensure timely, accurate claim submissions and follow-up on reimbursements. You will review documentation for accuracy, manage denials, and collaborate with the CQI team to refine billing workflows.

Applicants should have CPC certification and 1–2 years in healthcare billing, plus proficiency with EMR systems and Microsoft Office 365. Bilingual English/Spanish is a plus and on-site NJ work is expected.

Qualifications

• Requires CPC credential; thorough understanding of billing processes and payer requirements.
• Experience in medical billing in a healthcare setting is preferred.
• Bi-lingual English/Spanish is a plus.

Responsibilities

• Submit claims timely to payers and ensure alignment with OHI/MCO requirements.
• Review coder documentation for accuracy and escalate discrepancies.
• Monitor denials and resubmit corrected claims promptly.
• Post payments and manage patient refunds as needed.
• Educate providers on documentation to align with guidelines.
• Participate in CQI initiatives to improve billing processes.

Skills

Billing processes

Payer requirements

CQI committee

EMR systems

Billing platform

Denials management

Customer service

KPI tracking

Claims scrubbers

Documentation education

Education

High School diploma or equivalent

CPC Certification

Medical Billing Certification

Tools

Microsoft Office 365

EMR systems

Billing Platform

Job description

Socket.dev seeks a Billing Specialist to ensure timely, accurate claim submissions and follow-up on reimbursements. You will review documentation for accuracy, manage denials, and collaborate with the CQI team to refine billing workflows.

Applicants should have CPC certification and 1–2 years in healthcare billing, plus proficiency with EMR systems and Microsoft Office 365. Bilingual English/Spanish is a plus and on-site NJ work is expected.