Medical Billing Specialist: Claims & Resolution Expert

SportsMed Physical Therapy; Glen Rock (NJ); On-site; USD 45,000 - 60,000; Full time

Job summary

Jobtailor in Glen Rock, NJ is seeking an experienced Medical Billing Specialist to manage billing and collections, review claims, and coordinate with clinics, patients, and insurers. The role emphasizes accuracy, documentation, and timely issue resolution.

You will work with billing software, HRM systems, and coordinate with staff to ensure compliant processes and milestones are met. Strong Excel and communication skills are essential.

Qualifications

• Minimum 3 years’ experience with medical billing required
• Solid understanding of medical billing software and procedures (Kareo, WebPT, Navinet, CMD)
• Experience with HRM software such as WebPT preferred
• Ability to multitask and manage time effectively with minimum supervision
• Excellent written and verbal communication skills
• Basic Excel skills
• Outstanding problem-solving and organizational abilities
• Professional, courteous, enthusiastic attitude, team player
• Ability to work with coworkers and supervisors and support management decisions
• Ability to meet deadlines and productivity standards
• In-network billing experience, commercial insurances and Medicare

Responsibilities

• Review new patient records in billing software and initiate billing process
• Work with clinic staff to resolve patient authorization issues
• Review existing claims in billing software and follow up on outstanding issues
• Review outdated claims in billing software to research and resolve as necessary
• Review outdated claims in billing software and prepare for collection as necessary
• Work with insurance companies to resolve billing issues
• Work with patients to resolve billing and collection issues
• Ensure all billing changes, charge offs, escalations, interactions etc. are correctly documented in billing and/or HRM software in a timely manner
• Properly elevate billing issues where necessary
• Follow company processes and procedures carefully
• Prepare and update summary documentation as required
• Other duties as assigned by management

Skills

Medical Billing

Billing Software Proficiency

Claims Review

Charge Offs Management

Documentation Skills

Excel Skills

Authorization Issue Resolution

Collection Preparation

Insurance Issue Resolution

Multitasking

Education

2-year college degree or greater

Tools

Kareo

WebPT

Navinet

CMD

HRM Software

Job description

Jobtailor in Glen Rock, NJ is seeking an experienced Medical Billing Specialist to manage billing and collections, review claims, and coordinate with clinics, patients, and insurers. The role emphasizes accuracy, documentation, and timely issue resolution.

You will work with billing software, HRM systems, and coordinate with staff to ensure compliant processes and milestones are met. Strong Excel and communication skills are essential.