Medical Billing Specialist

Protouch Staffing; Freehold Township (NJ); On-site; USD 32,000 - 34,000; Full time

Job summary

Protouch Staffing in Freehold, NJ seeks a Medical Billing & Collections Specialist to manage the full revenue cycle, from claims submission to reimbursement. This on-site role emphasizes commercial insurance billing, AR follow-up, denials, appeals, and HIPAA compliance.

Ideal candidates bring 3-5 years in medical billing, strong Excel and payer portal skills, and a detail-oriented, independent work style. Pay ranges from $23.00 to $25.00 per hour, with opportunities to optimize reimbursement.

Qualifications

• 3-5 years of medical billing and insurance collections experience preferred.
• Knowledge of CPT/ICD-10 and reimbursement guidelines.
• Experience with commercial insurance billing and payer portals.

Responsibilities

• Manage medical insurance claims from submission to final reimbursement.
• Perform consistent insurance accounts receivable follow-up.
• Investigate and resolve denied, rejected, delayed, and underpaid claims.
• Prepare and submit corrected claims, reconsiderations, and insurance appeals.
• Review EOBs and ERAs for payment accuracy.
• Identify reimbursement discrepancies and pursue payment recovery.
• Communicate with insurance carriers, claims representatives, and healthcare providers.

Skills

Medical billing

Accounts receivable

Denial resolution

Communication skills

Analytical

Independent work

HIPAA compliance

Tools

Medical billing software

Payer portals

Excel

Job description

Medical Billing & Collections SpecialistWe are seeking a highly motivated, detail-oriented, and experienced Medical Billing & Collections Specialist to join our growing team in Freehold, New Jersey. We are looking for a knowledgeable professional with a strong background in medical insurance billing, accounts receivable management, insurance collections, and reimbursement recovery. The ideal candidate will have extensive hands-on experience working with commercial insurance carriers, resolving complex claim denials, managing outstanding receivables, and maximizing reimbursement for healthcare providers. Experience with both in-network and out-of-network insurance claims is highly desirable. This position requires an individual who is organized, dependable, analytical, and capable of independently investigating and resolving complicated insurance billing issues.

Key Responsibilities

• Manage medical insurance claims throughout the complete revenue cycle, from submission through final reimbursement.
• Perform consistent and thorough insurance accounts receivable follow-up.
• Investigate and resolve denied, rejected, delayed, and underpaid claims.
• Prepare and submit corrected claims, reconsiderations, and formal insurance appeals.
• Review Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs) for payment accuracy.
• Identify reimbursement discrepancies and pursue appropriate payment recovery.
• Communicate effectively with insurance carriers, claims representatives, and healthcare providers.
• Research insurance policies, billing guidelines, reimbursement methodologies, and payer requirements.
• Handle in-network and out-of-network claims, including complex reimbursement issues.
• Maintain accurate and detailed documentation of claim activity, appeals, and collection efforts.
• Monitor aging reports, prioritize outstanding balances, and support timely reimbursement.
• Maintain compliance with HIPAA and applicable healthcare billing regulations.

Required Qualifications

• 3-5 years of medical billing and insurance collections experience preferred.
• Strong knowledge of commercial insurance billing and revenue cycle management.
• Demonstrated experience in insurance A/R follow-up, denial resolution, and collections.
• Ability to interpret EOBs, ERAs, CPT codes, ICD-10 codes, and reimbursement information.
• Experience with medical billing software, insurance payer portals, and Microsoft Excel.
• Excellent verbal and written communication skills.
• Strong analytical, organizational, and problem-solving abilities.
• Ability to work independently, manage priorities, and maintain accuracy in a fast-paced environment.
• Experience with out-of-network insurance claims and reimbursement recovery.
• Knowledge of self-funded insurance plans and ERISA-related claim processes.
• Experience preparing detailed insurance appeals and reconsiderations.
• Physical therapy and chiropractic billing experience.
• Experience working for a third-party medical billing or revenue cycle management company.
• Familiarity with insurance payment negotiations and underpayment resolution.

Pay: $23.00 - $25.00 per hour