Medical Billing Specialist - Medicaid & Claims Expert

Paths, Llc; Pennsauken Township (NJ); On-site; USD 23,000 - 28,000; Full time

Benefits offered by this job

Paid Time Off

Paid Holidays

Medical

Dental

Life Insurance

Short-Term Disability (STD)

Long-Term Disability (LTD)

401(k) Plan with company match

Job summary

PATHS, LLC is seeking a Medical Billing professional to support patient access to healthcare services by ensuring accurate documentation, HIPAA compliance, and timely revenue recovery for provider clients across multiple states. The role involves claims processing, denials follow-up, and data entry within an office environment.

Responsibilities include exporting/importing claims, following up on payments, reviewing claims for accuracy, and addressing issues to optimize revenue.

Qualifications

• High school diploma or GED required.
• Minimum 6 months of medical billing experience.
• Experience working with an EMR system required.
• Navinet, PEAR, Availity and/or EPIC experience preferred.

Responsibilities

• Exporting, importing and submitting claims between systems.
• Medical billing collections and follow up.
• Resolving insurance denials and underpayments.
• Review of medical claims.
• Identify and resolve outstanding issues delaying claim resolution.
• Documentation and data entry.
• Other duties as assigned.

Skills

Medicaid knowledge

EOB & insurance understanding

CPT/ICD-10/UB-04 knowledge

Interpersonal skills

MS Office (Outlook/Word/Excel)

Detail-oriented

Productivity goals

Education

High school diploma or GED

Tools

Navinet

PEAR

Availity

EPIC

Job description

PATHS, LLC is seeking a Medical Billing professional to support patient access to healthcare services by ensuring accurate documentation, HIPAA compliance, and timely revenue recovery for provider clients across multiple states. The role involves claims processing, denials follow-up, and data entry within an office environment.

Responsibilities include exporting/importing claims, following up on payments, reviewing claims for accuracy, and addressing issues to optimize revenue.