Medical Biller / Receptionist

Job Overview
We are seeking a dynamic and detail-oriented Medical Biller / Receptionist to join our healthcare team! This vital role combines front desk responsibilities with medical billing expertise, ensuring smooth patient interactions and accurate financial processes. As a key member of our practice, you will manage patient check-ins, handle insurance claims, and maintain precise medical records, all while fostering a welcoming environment for patients and staff alike. Your energy and professionalism will help us deliver exceptional care and efficient administrative support every day!

Duties

• Greet patients warmly, verify their information, and assist with check-in procedures using Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems
• Submit insurance claims electronically and follow up on unpaid or denied claims to maximize collections
• Maintain detailed medical records, ensuring all documentation complies with privacy regulations and is properly organized
• Communicate effectively with insurance companies regarding claim status and resolve billing discrepancies promptly
• Assist in managing accounts receivable by performing medical collections when necessary and updating billing information regularly
• Manage patients accounts receivable for an internal medicine practice; podiatry experience a plus.
• Contact patients regarding outstanding balances; explain statements and payment options; set up payment arrangements when appropriate.
• Investigate and resolve patient insurance issues, including coordination of benefits (COB) updates and eligibility verification.
• Work denials, rejections, and appeals: research claim issues, prepare and submit appeals, and follow up with payers until resolution.
• Place calls to insurance companies for claim follow-up, status updates, and prior authorization/referral verification.
• Post patient and insurance payments accurately and reconcile daily payment batches.
• Use EMR (eClinicalWorks preferred) to document account activity, post payments, and update patient records.
• Use clearinghouses and payment portals (Zelis, Payspan, Optum) to process and reconcile payments and electronic remittances.
• Maintain accurate records of patient communications and account actions.
• Assist front desk with coverage check in / check out when needed.
• Assist with incoming office phone calls and triage billing-related inquiries.
• Run reports when needed.
• Collaborate with clinical and administrative staff to resolve billing and patient account issues.

Experience

• Prior experience in medical billing, coding, or medical office administration is highly preferred
• Knowledge of medical terminology, medical records management, and coding standards is essential
• Experience working with EMR/EHR systems to document patient visits and billing details accurately
• Strong understanding of medical office procedures, including appointment scheduling and patient communication
• Ability to interpret complex insurance policies and coding guidelines to ensure compliance and accuracy
• Minimum 3 + years of direct accounts receivable experience in an internal medicine practice.
• Strong knowledge of medical billing, coding basics, and payer rules.
• Demonstrated experience with denials, rejections, and appeals processes.
• Proven ability to contact and negotiate with patients regarding balances.
• Experience posting payments and reconciling accounts.
• Proficiency with EMR systems; eClinicalWorks preferred.
• Proficiency with UnitedHealthcare referrals/portal, Avility portal, clearinghouses, and payment portals (Zelis, Payspan, Optum).
• Excellent verbal and written communication skills; bilingual a plus.
• Strong organizational skills and attention to detail.
• Ability to work in-office in Bayonne, NJ on the schedule listed.

Join us in making a difference by providing outstanding administrative support while ensuring our patients receive the highest quality care! Your expertise in medical billing combined with excellent reception skills will be instrumental in streamlining our operations and enhancing patient satisfaction.

Pay: $22.00 - $26.00 per hour

Benefits:

• 401(k)
• Health insurance
• Health savings account
• Paid time off

Education:

• High school or equivalent (Required)

Experience:

• Medical Billing : 3 years (Required)

Language:

• Spanish (Preferred)

License/Certification:

• Certified Professional Coder (Preferred)

Work Location: In person