Medical Billing Specialist - Entry Level Claims

Holy Name; Hackensack (NJ); On-site; USD 28,000 - 34,000; Full time

Benefits offered by this job

Healthcare coverage

Dental and vision plans

On-site child care

401(k) matching

Tuition reimbursement

Paid time off

Flexible spending accounts

Life insurance

Free on-site parking

Job summary

Holy Name Medical Center in Hackensack, NJ seeks a Billing Representative to accurately prepare, submit, and follow up on claims to ensure timely and correct reimbursement while complying with Medicare, Medicaid, and commercial payer requirements.

You will review patient accounts for accuracy, verify charge and insurance data, document actions in the billing system, and respond to inquiries from patients and payers with professionalism and HIPAA-compliant confidentiality.

Qualifications

• High School Diploma or equivalent required.
• Billing & coding education (trade/vocational or college) preferred.
• Less than 1 year experience; entry-level role.
• English proficiency required; bilingual a plus.
• Strong math, basic computer and data entry skills.

Responsibilities

• Reviews patient accounts for accuracy and completeness of charge, insurance, UB and DRG information.
• Verifies billing data, charges, and required claim information.
• Submits claims via the appropriate mode of submission.
• Maintains compliance with Medicare, Medicaid, and commercial payer regulations.
• Documents billing actions and updates in the billing system.
• Monitors the status of all outstanding claims within account assignments and follows up as needed.
• Resolves claim rejections and denials through follow-up and corrections.
• Receives and answers correspondence and phone inquiries from patient, insurance companies, Medicare and other parties regarding claims, charges or billing discrepancies.
• Calculates charge prorations, payer discounts, allowances and adjustments to be posted to accounts.
• Demonstrates effective communication skills with patients, insurance companies, internal department, and external departments.
• Maintains strict confidentiality of patient health information in accordance with HIPAA regulations.
• Performs related duties as assigned.

Skills

Medical billing

Data entry

Team player

Willing to learn

English proficiency

Math skills

Education

High School Diploma

Billing & coding education

Job description

Holy Name Medical Center in Hackensack, NJ seeks a Billing Representative to accurately prepare, submit, and follow up on claims to ensure timely and correct reimbursement while complying with Medicare, Medicaid, and commercial payer requirements.

You will review patient accounts for accuracy, verify charge and insurance data, document actions in the billing system, and respond to inquiries from patients and payers with professionalism and HIPAA-compliant confidentiality.