Patient Billing & Collections Specialist

Clear Destination Inc.; Red Bank (NJ); Remote; USD 42,000 - 62,000; Full time

Job summary

Clear Destination Inc. is seeking a Patient Account Representative to manage billing follow-up and collections for assigned accounts. The role requires collaboration with payers, accurate data maintenance, and knowledge of insurance regulations to ensure timely payments.

Applicants should have hospital/physician billing experience and strong Excel/EPIC skills. A High School Diploma is required, with Medical Billing coding certification preferred, and 2-3 years in insurance collections.

Qualifications

• Experience in Hospital/Facility and/or physician billing.
• 2-3 years’ experience in insurance collections, including submitting and following up on claims.
• Basic knowledge of healthcare claims processing including ICD-9/10, CPT and HCPC codes, UB-04.

Responsibilities

• Follow-up with payers to ensure timely resolution of all outstanding claims.
• Review and update patient and financial information accurately.
• Monitor billings for accuracy and correct errors.
• Explain hospital payment methods and insurance contracts to patients.
• Identify and report underpayments and denial trends.
• Analyze and resolve issues causing payer payment delays; initiate appeals when necessary.

Skills

Interpersonal skills

Communication skills

Problem solving

Attention to detail

Education

High School Diploma or equivalent

Medical Billing and Coding certification

Tools

STAR

SMS

EPIC

EAGLE

Microsoft Excel

Microsoft Word

Job description

Clear Destination Inc. is seeking a Patient Account Representative to manage billing follow-up and collections for assigned accounts. The role requires collaboration with payers, accurate data maintenance, and knowledge of insurance regulations to ensure timely payments.

Applicants should have hospital/physician billing experience and strong Excel/EPIC skills. A High School Diploma is required, with Medical Billing coding certification preferred, and 2-3 years in insurance collections.