Medical Biller

NOVALAB CORP NJ Functional Medical Diagnostic Laboratory; Wayne (NJ); On-site; USD 60,000 - 80,000; Full time

Job summary

NovaLab Corp in Wayne, NJ, is a growing CLIA-certified, COLA-accredited clinical reference laboratory seeking an experienced Medical Billing & Collections Specialist. The role focuses on submitting and managing medical insurance claims, follow-ups on unpaid balances, and ensuring accurate billing in alignment with CPT/ICD-10 guidelines.

The ideal candidate has at least 3 years of medical billing experience with mandatory collections exposure and strong attention to detail in a fast-paced

Qualifications

• Minimum 3 years of medical billing experience required.
• Collections experience mandatory with follow-up on unpaid claims.
• Laboratory billing experience strongly preferred.
• Familiarity with CPT coding, modifiers, and payer requirements.
• Proficient in Excel and healthcare billing software.

Responsibilities

• Submit and manage medical insurance claims accurately.
• Process commercial, Medicare, and Medicaid claims.
• Follow up on unpaid claims and accounts receivable.
• Contact insurers to resolve claim issues and obtain payment.
• Manage denied claims, submit appeals, and resolve discrepancies.
• Post ERAs, EFTs, and insurance payments.
• Reconcile payments and maximize collections.
• Verify patient insurance eligibility and benefits.
• Work with CPT, ICD-10, HCPCS, and billing guidelines.
• Ensure compliance with payer policies and regulations.
• Collaborate with management to improve billing efficiency.

Skills

Medical billing

Collections

CPT coding

Denial management

Communication

Excel

Tools

Billing software

Laboratory information systems

ERA/EFT tools

Job description

Experienced Medical Billing & Collections Specialist

NovaLab Corp | Wayne, NJ

About NovaLab

NovaLab Corp is a growing CLIA-certified, COLA-accredited clinical reference laboratory committed to providing high-quality diagnostic testing. We are seeking an experienced Medical Billing & Collections Specialist to join our team.

Responsibilities

• Submit and manage medical insurance claims accurately and efficiently.
• Process commercial, Medicare, and Medicaid claims.
• Follow up on unpaid claims and manage outstanding accounts receivable.
• Contact insurance companies to resolve claim issues and obtain payment.
• Manage denied claims, submit appeals, and resolve billing discrepancies.
• Post ERAs, EFTs, and insurance payments.
• Reconcile payments, identify underpayments, and maximize collections.
• Verify patient insurance eligibility and benefits.
• Work with CPT, ICD-10, HCPCS, and applicable billing guidelines.
• Ensure compliance with payer policies and billing regulations.
• Collaborate with management and operations to improve billing efficiency and collections.

Qualifications

• Minimum 3 years of medical billing experience required.
• Collections experience is mandatory. Candidates must have hands-on experience following up on unpaid claims and collecting outstanding balances.
• Laboratory or reference laboratory billing experience is strongly preferred.
• Knowledge of CPT coding, Modifier 90, and payer billing requirements is a plus.
• Experience with denial management, appeals, and accounts receivable follow-up.
• Familiarity with commercial insurances.
• Strong communication, analytical, and problem-solving skills.
• High attention to detail and ability to work independently in a fast-paced environment.

Preferred Experience

• Clinical or reference laboratory billing.
• Out-of-network laboratory billing.
• Experience with Horizon BCBS, Aetna, Cigna, UnitedHealthcare, Medicare, and Medicaid.
• Electronic claim submission and ERA/EFT reconciliation.
• Experience with laboratory information systems and billing software.
• Proficiency in Microsoft Excel.

We are looking for a dependable, detail-oriented billing professional with strong medical billing and collections experience. Laboratory billing experience is a plus, but candidates must have a solid background in medical billing and proven experience collecting outstanding claims and managing accounts receivable.