Medical Billing & Collections Specialist

Stress Care of New Jersey, LLC; Matawan, Northern (NJ, KY); Hybrid; USD 26,000 - 34,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

401(k) matching

Job summary

Stress Care of New Jersey, LLC is seeking a Medical Billing & Collections Specialist in Matawan, NJ to follow up on unpaid insurance claims, resolve denials, and collect patient balances. The role emphasizes ownership of accounts and adherence to HIPAA regulations.

The ideal candidate has 2+ years of medical billing experience, knowledge of Medicare/Medicaid, strong communication skills, and proficiency with EHRs and payer portals.

Qualifications

• At least 2 years of medical billing, insurance follow-up, or healthcare accounts receivable experience.
• Experience resolving denied claims and collecting unpaid balances.
• Working knowledge of Medicare, Medicaid, and commercial payer requirements.
• Strong communication, organization, and ability to manage follow-up workload independently.
• Proficiency with electronic health records, billing software, payer portals, and Microsoft Excel.
• Behavioral health billing experience preferred; familiarity with outpatient, IOP, and partial care claims is a plus.
• CareLogic experience preferred.

Responsibilities

• Follow up on insurance and patient accounts receivable, prioritizing overdue balances and claims over 90 days old.
• Follow up with Medicare, Medicaid, and commercial insurers through calls and payer portals to secure payment.
• Investigate denials, rejections, and underpayments; submit corrected claims and appeals within payer deadlines.
• Review explanations of benefits (EOBs), ERAs, and payer contracts to identify payment discrepancies.
• Contact patients about outstanding balances, explain charges, and arrange payment plans under company policies.
• Coordinate with billing, front desk, and clinical staff to resolve eligibility, authorization, demographic, and documentation issues.
• Document collection activity, payer reference numbers, next steps, and follow-up dates in the billing system.
• Report collection results, aging trends, recurring denials, and unresolved barriers to management.
• Maintain HIPAA compliance during all billing and collection activities.

Skills

Medical billing

Insurance follow-up

Accounts receivable

HIPAA compliance

Excel

Communication

Tools

CareLogic

Job description

Medical Billing & Collections Specialist

Full time Matawan, NJ, Matawan, NJ, US

30+ days ago Requisition ID: 1135

Salary Range: $19.00 To $25.00 Hourly

Medical Biller

Stress Care of New Jersey is seeking an experienced Medical Billing & Collections Specialist to follow up on unpaid insurance claims, resolve denials, and collect outstanding patient balances. Our behavioral healthcare organization provides psychiatric and therapy services. This role requires someone who takes ownership of accounts and follows them through to resolution, helping reduce aging receivables and improve collections.

Key Responsibilities:

• Work insurance and patient accounts receivable, prioritizing overdue balances and claims over 90 days old.
• Follow up with Medicare, Medicaid, and commercial insurers through calls and payer portals to secure accurate, timely payment.
• Investigate denials, rejections, and underpayments; submit corrected claims and appeals within payer deadlines.
• Review explanations of benefits (EOBs), electronic remittance advice (ERAs), and payer contracts to identify payment discrepancies.
• Contact patients professionally about outstanding balances, explain charges, and arrange payment plans under company policies.
• Coordinate with billing, front desk, and clinical staff to resolve eligibility, authorization, demographic, and documentation issues.
• Document collection activity, payer reference numbers, next steps, and follow-up dates in the billing system.
• Report collection results, aging trends, recurring denials, and unresolved barriers to management.
• Protect patient information and maintain HIPAA compliance during all billing and collection activities.

Qualifications:

• At least 2 years of medical billing, insurance follow-up, or healthcare accounts receivable and collections experience.
• Hands-on experience resolving denied claims and collecting unpaid insurance and patient balances.
• Working knowledge of Medicare, Medicaid, commercial payer requirements, and medical billing terminology.
• Strong communication, organization, attention to detail, and ability to manage a follow-up workload independently.
• Comfort using electronic health records, billing software, payer portals, and Microsoft Excel.
• Behavioral health billing experience preferred; familiarity with outpatient, IOP, and partial care claims is a plus.
• CareLogic experience preferred.

Pay range $19 - 25.

Benefits: Medical and dental insurance, plus a 401(k) plan with employer matching.