Medical Billing Specialist: Claims, Denials & Invoices

Advocare LLC; Millville (NJ); On-site; USD 42,000 - 60,000; Full time

Job summary

Advocare LLC is seeking an experienced Medical Billing Specialist in Millville, NJ to translate patient information into accurate insurance claims and bill patients for balances. This in-office role requires meticulous data entry and adherence to billing codes.

You'll submit claims to insurers, follow up on denials, post payments, and maintain patient account records. Knowledge of HIPAA, strong math skills, and proficiency with EHR systems like Epic or eClinicalWorks are essential.

Qualifications

• Basic understanding of ICD-10, CPT, HCPCS coding.
• Experience with reading medical records for claims.
• Familiarity with EHR and billing software.

Responsibilities

• Create Claims: Turn medical information into insurance claims using correct billing codes.
• Submit to Insurance: Send claims to insurance companies electronically or by mail.
• Bill Patients: Send invoices to patients for copays, deductibles, or leftover balances.
• Fix Denied Claims: Investigate and appeal claims that insurance companies reject.
• Track Payments: Post incoming payments and update patient account records.
• Check patient insurance coverage before appointments.
• Talk with insurance agents to check on claim progress.
• Set up payment plans for patients.
• Keep all patient data private under HIPAA rules.
• Reporting for office/update monthly for outstanding bills/payments

Skills

Medical Coding Knowledge

Software Proficiency

Financial Literacy

HIPAA Compliance

Communication

Education

High school diploma or equivalent

Billing/Coder certification or degree

Tools

Epic

eClinicalWorks

Azalea

Job description

Advocare LLC is seeking an experienced Medical Billing Specialist in Millville, NJ to translate patient information into accurate insurance claims and bill patients for balances. This in-office role requires meticulous data entry and adherence to billing codes.

You'll submit claims to insurers, follow up on denials, post payments, and maintain patient account records. Knowledge of HIPAA, strong math skills, and proficiency with EHR systems like Epic or eClinicalWorks are essential.