Patient Billing & Payer Follow-Up Specialist

Med-Metrix; Red Bank (NJ); On-site; USD 42,000 - 62,000; Full time

Job summary

Med-Metrix is seeking a Patient Account Representative in Red Bank, NJ to manage collections, account follow-up, and posting of billing allowances for assigned accounts. You will engage with payers to resolve claims and ensure accurate patient data and timely billing.

The role requires 2–3 years in insurance collections, knowledge of healthcare claims (ICD-9/10, CPT, HCPC, UB-04), and proficiency with Excel and hospital billing systems. HIPAA compliance and professionalism are essential.

Qualifications

• High school diploma or equivalent is required.
• Medical billing/coding certification is preferred but not required.
• Experience in hospital/facility and physician billing is required.
• 2–3 years in insurance collections and claims follow-up.
• Knowledge of ICD-9/10, CPT, HCPCS, UB-04 codes.

Responsibilities

• Follow up with payers to resolve outstanding claims by phone, email, fax, or websites.
• Review and update patient and financial information accurately.
• Verify responsible payer and monitor billing for errors.
• Bill hospital services to primary insurer or patient within timeframes.
• Explain hospital payment methods and HIPAA regulations to stakeholders.

Skills

Interpersonal communication

Phone and email correspondence

Insurance collections

HMIS/PHI handling

Excel proficiency

Problem solving

Attention to detail

Microsoft Office Suite

HIPAA compliance

Education

High School Diploma or equivalent

Medical Billing and Coding certification (preferred)

Tools

STAR

SMS

EAGLE

EPIC

Job description

Med-Metrix is seeking a Patient Account Representative in Red Bank, NJ to manage collections, account follow-up, and posting of billing allowances for assigned accounts. You will engage with payers to resolve claims and ensure accurate patient data and timely billing.

The role requires 2–3 years in insurance collections, knowledge of healthcare claims (ICD-9/10, CPT, HCPC, UB-04), and proficiency with Excel and hospital billing systems. HIPAA compliance and professionalism are essential.