Medical Billing & Collections Specialist — Denials

Stress Care of New Jersey, LLC; Matawan, Northern (NJ, KY); Hybride; USD 26 000 - 34 000; Plein temps

Avantages offerts par ce poste

Medical insurance

Dental insurance

401(k) matching

Résumé du poste

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.

Responsabilités

• 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.

Connaissances

Medical billing

Insurance follow-up

Accounts receivable

HIPAA compliance

Excel

Communication

Outils

CareLogic

Description du poste

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.