insurance billing clerk

Aculabs, Inc.

<div>Job Summary: Aculabs is currently looking for individuals who are excited about billing and coding to join our team in East Brunswick, New Jersey. The Medical Billing Clerk will be responsible for collecting and verifying patient billing information on a daily basis. Posting insurance payments, investigating denials and follows up with insurance companies for non-payment.

About the Company:

Aculabs is a leading healthcare company specializing in medical diagnostics and laboratory services. We are dedicated to providing high-quality patient care and improving healthcare outcomes. Our billing department offers a great schedule and full training - prior experience or degree not required!

Responsibilities:
<ul>
<li>Review and verify medical billing codes</li>
<li>Creates or updates patient profiles based on personal data sheets provided by the client</li>
<li>Submit claims to insurance companies</li>
<li>Follow up on outstanding accounts</li>
<li>Assist with billing inquiries</li>
<li>Verifies eligibility on insurance websites such as Navinet, Change Health Care, NJMMIS, etc.</li>
</ul>
Requirements:
<ul>
<li>Ability to sit for long periods of time</li>
<li>Previous experience in medical billing (Preferred)
</li><li>Strong attention to detail</li>
<li>Ability to work independently and as part of a team</li>
</ul>
Benefits:
<ul>
<li>Health insurance</li>
<li>Paid time off</li>
<li>Health insurance and retirement benefits</li>
</ul>
<div>Aculabs is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.</div></div>

Medical Billing Clerk

Puzzle Box Academy

<div>Overview 
We are seeking a dynamic and detail-oriented Billing Claims Specialist to join our healthcare administration team. In this vital role, you will be responsible for managing the end-to-end process of medical billing and claims submission, ensuring accuracy and timeliness. 
Your expertise will help facilitate smooth reimbursement workflows, support patient accounts, and uphold compliance with industry standards. If you thrive in a fast-paced environment and are passionate about optimizing revenue cycle processes, this opportunity is perfect for you! 
Responsibilities:
<ul>
<li>Prepare, review, and submit accurate insurance claims for services rendered in a timely manner.</li>
<li>Verify client insurance coverage, eligibility, and authorization requirements prior to claim submission.</li>
<li>Monitor and manage accounts receivable (A/R), ensuring timely follow-up on unpaid or denied claims.</li>
<li>Investigate and resolve claim denials, rejections, and payment discrepancies.</li>
<li>Submit corrected claims and appeals with appropriate supporting documentation.</li>
<li>Ensure all billing practices comply with payor guidelines, Medicaid requirements, and company policies.</li>
<li>Maintain detailed and accurate records of billing activity, communications, and claim status updates.</li>
<li>Collaborate with clinical and administrative staff to ensure accurate service documentation and coding.</li>
<li>Review documentation for completeness and compliance prior to billing submission.</li>
<li>Post payments, adjustments, and reconcile accounts as needed.</li>
<li>Identify trends in denials or billing issues and escalate concerns to leadership.</li>
<li>Maintain confidentiality of all clients&rsquo; financial and health information in accordance with HIPAA regulations.</li>
<li>Assist with internal and external audits as required.</li>
<li>Stay current on changes to billing regulations, payer policies, and coding requirements.</li>
<li>Maintain documentation on account management, including but not limited to updating status on claims, meetings and/or correspondence with customers regarding balances, and complete actions by customers on payments.</li>
<li>Escalate issues to management on customer inquiries or requests and follow through to conclusion with both management and customers.</li>
<li>Perform other duties and responsibilities as assigned.</li></ul> 


Requirements
<ul>
<li>Proven experience in medical billing, claims processing, or related healthcare administrative roles.</li>
<li>Strong knowledge of medical terminology, medical records management, and coding systems such as CPT codes, ICD-10 codes, and insurance billing procedures.</li>
<li>Familiarity with EMR/EHR systems used for billing and documentation purposes.</li>
<li>Excellent understanding of insurance processes including pre-authorizations, claim adjudication, denials management, and appeals.</li>
<li>Ability to interpret complex medical records accurately for proper coding and billing procedures.</li>
<li>Exceptional organizational skills with keen attention to detail to ensure error-free submissions.</li>
<li>Effective communication skills for liaising with insurance companies, healthcare providers, and patients.</li></ul> 


Join us as a Billing Claims Specialist to make a meaningful impact on our healthcare delivery by ensuring accurate billing practices that support our mission of providing exceptional patient care! 
Benefits:
<ul>
<li>Dental insurance</li>
<li>Health insurance</li>
<li>Life insurance</li>
<li>Paid time off</li>
<li>Tuition reimbursement</li>
<li>Vision insurance</li></ul> 


Work Location: In person</div>

Billing Claims Specialist

Kaleidoscope Interventions

Overview We are seeking a dynamic and detail-oriented Billing Claims Specialist to join our healthcare administration team. In this vital role, you will be responsible for managing the end-to-end process of medical billing and claims submission, ensuring accuracy and timeliness.Your expertise will help facilitate smooth reimbursement workflows, support patient accounts, and uphold compliance with industry standards. If you thrive in a fast-paced environment and are passionate about optimizing revenue cycle processes, this opportunity is perfect for you!Responsibilities:<ul><li>Prepare, review, and submit accurate insurance claimsfor services rendered in a timely manner.</li><li>Verify client insurance coverage, eligibility, and authorization requirements prior to claim submission.</li><li>Monitor and manage accounts receivable (A/R), ensuring timely follow-up on unpaid or denied claims.</li><li>Investigate and resolve claim denials, rejections, and payment discrepancies.</li><li>Submit corrected claims and appeals with appropriate supporting documentation.</li><li>Ensure all billing practices comply with payor guidelines, Medicaid requirements, and company policies.</li><li>Maintain detailed and accurate records of billing activity, communications, and claim status updates.</li><li>Collaborate with clinical and administrative staff to ensure accurate service documentation and coding.</li><li>Review documentation for completeness and compliance prior to billing submission.</li><li>Post payments, adjustments, and reconcile accounts as needed.</li><li>Identify trends in denials or billing issues and escalate concerns to leadership.</li><li>Maintain confidentiality of all clients&rsquo; financial and health information in accordance with HIPAA regulations.</li><li>Assist with internal and external audits as required.</li><li>Stay current on changes to billing regulations, payer policies, and coding requirements.</li><li>Maintain documentation on account management, including but not limited to updating status on claims, meetings and/or correspondence with customers regarding balances, and complete actions by customers on payments.</li><li>Escalate issues to management on customer inquiries or requests and follow through to conclusion with both management and customers.</li><li>Perform other duties and responsibilities as assigned.</li></ul>Requirements<ul><li>Proven experience in medical billing, claims processing, or related healthcare administrative roles.</li><li>Strong knowledge of medical terminology, medical records management, and coding systems such as CPT codes, ICD-10 codes, and insurance billing procedures.</li><li>Familiarity with EMR/EHR systems used for billing and documentation purposes.</li><li>Excellent understanding of insurance processes including pre-authorizations, claim adjudication, denials management, and appeals.</li><li>Ability to interpret complex medical records accurately for proper coding and billing procedures.</li><li>Exceptional organizational skills with keen attention to detail to ensure error-free submissions.</li><li>Effective communication skills for liaising with insurance companies, healthcare providers, and patients.</li></ul>Join us as a Billing Claims Specialist to make a meaningful impact on our healthcare delivery by ensuring accurate billing practices that support our mission of providing exceptional patient care!Pay: $20.00 - $25.00 per hourBenefits:<ul><li>Dental insurance</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Tuition reimbursement</li><li>Vision insurance</li></ul>Work Location: In person

Coastal Surgical Center, LLC

Join Our People-First Healthcare Team &ndash; On-Site Opportunity!Are you looking for a career where your skills are valued, your work makes a real impact, and your contributions are truly appreciated? Our close-knit healthcare team is growing, and we&rsquo;re looking for a Patient Accounts &amp; Insurance Billing Specialist to thrive in a fast-paced, collaborative, and supportive environment&mdash;fully on-site.This is more than a billing role&mdash;it&rsquo;s a chance to be a key part of a team that delivers exceptional patient experiences while keeping operations running smoothly. If you&rsquo;re detail-oriented, organized, and enjoy problem-solving in a dynamic setting, you&rsquo;ll feel right at home here.What You&rsquo;ll Love About This Role:<ul><li>Be at the heart of patient experience, helping patients navigate their billing with clarity and care</li></ul><ul><li>Collaborate closely with an engaged, people-first team that values your ideas and expertise</li></ul><ul><li>Work in a fully paperless, modern workflow environment that emphasizes efficiency without losing the human touch</li></ul><ul><li>Take ownership of meaningful projects and see the tangible results of your work every day</li></ul><ul><li>Opportunities for professional growth and skill development within a supportive workplace</li></ul>What You&rsquo;ll Do:<ul><li>Prepare, review, and submit insurance claims (CMS-1500, UB-04) with accuracy and efficiency</li></ul><ul><li>Post insurance payments, manage accounts receivable, and follow up on underpaid or denied claims</li></ul><ul><li>Communicate with patients about their balances and help create payment solutions with empathy and professionalism</li></ul><ul><li>Collaborate with clinical staff, schedulers, and leadership to resolve billing issues quickly</li></ul><ul><li>Ensure compliance with HIPAA and all relevant regulations while keeping accurate records</li></ul>Why You&rsquo;ll Thrive With Us:<ul><li>Competitive pay: $20&ndash;$24/hour</li></ul><ul><li>Full benefits package, including health, dental, vision, life and disability insurance, 401(k), and paid time off</li></ul><ul><li>Monday&ndash;Friday schedule (7:00 AM &ndash; 5:00 PM) with no nights or weekends</li></ul><ul><li>Fun, supportive, and professional workplace culture where teamwork and respect come first</li></ul>This is an in-person role &ndash; no remote work available.If you want to be part of a team where your work matters, your voice is heard, and every day is an opportunity to grow, apply today!Work Location: In personJob Type: Full-timePay: $20.00 - $24.00 per hourBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Disability insurance</li><li>Flexible schedule</li><li>Health insurance</li><li>Life insurance</li><li>Paid sick time</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

Patient Accounts & Insurance Billing Specialist

Straightset Orthodontics

Straight Set Orthodontics is a premier provider of orthodontic services in the New York Metropolitan Area. We always seek to &quot;Go The Extra Smile&quot; for our patients, and we are seeking a skilled Insurance Billing Specialist to join our growing regional team!Role Overview: This is a specialized, back-office position based in our central office. You will not be responsible for direct patient collections or front-desk duties. Instead, you will act as a technical expert and internal liaison, focusing on the &quot;behind-the-scenes&quot; integrity of our insurance lifecycle. You will resolve complex payer denials, maintain healthy accounts receivable, and act as a primary resource for our office teams to ensure our billing workflows remain standardized and efficient.Key Responsibilities:<ul><li>Claim Lifecycle Management: Monitor automated claim submissions and ensure accurate payment posting from all major payers (Medicaid/PPO).</li><li>Investigative A/R Resolution: Proactively research, appeal, and resolve outstanding insurance balances and &quot;stuck&quot; claims in the aging report.</li><li>Internal Office Liaison: Provide timely support to clinical office teams via internal chat (MS Teams) regarding account setup and coordination of benefits.</li><li>Partner Coordination: Collaborate with external billing vendors to ensure payer-specific requirements (such as clinical documentation and photo attachments) are being met.</li><li>Data Integrity: Audit patient ledgers and account configurations to ensure they meet documentation standards.</li></ul>Who You Are:<ul><li>The Investigator: You enjoy the &quot;hunt&quot; of resolving a denied claim and finding the root cause of billing errors.</li><li>A Clear Communicator: You can explain complex insurance rules to office staff clearly and professionally via digital chat.</li><li>Systems Focused: You are comfortable working in a modernization environment where automation handles the manual labor, leaving you to handle the high-level troubleshooting.</li></ul>Qualifications:<ul><li>3+ years of healthcare insurance billing experience (Dental/Ortho preferred).</li><li>Strong understanding of EOBs, claim rejection codes, and NYS insurance regulations.</li><li>Proven ability to manage insurance aging reports independently.</li></ul>Pay: $23.00 - $28.00 per hourBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li></ul>Work Location: In person

Insurance Billing Specialist (Orthodontics)

New England Orthopedic Surgeons

<div><h3 class="jobSectionHeader">Patient Billing Specialist</h3>
Company: New England Orthopedic Surgeons (NEOS), a division of Northeast Orthopaedic Alliance (NOA) 
Location: 300 Birnie Ave, Springfield MA 
Position Type: Full-Time 
Schedule: Monday&ndash;Friday, 7:30 AM - 4:00 PM or 8:00 AM - 4:30 PM 
Department: Billing 
FLSA Status: Non-Exempt<h3 class="jobSectionHeader">
Summary</h3>
The Patient Billing Specialist is responsible for managing patient billing and accounts receivable activities using the Athena EHR (athenahealth) system. This role ensures accurate and timely claim submission, payment posting, and follow-up to support efficient revenue cycle operations. The position works closely with internal teams, insurance carriers, and patients to resolve billing issues while maintaining compliance with payer guidelines and organizational standards.<h3 class="jobSectionHeader">
Essential Duties &amp; Responsibilities</h3><ul><li>
Manage assigned payer accounts receivable, ensuring claims over 120 days do not exceed 10% of total A/R</li><li>
Submit, monitor, and follow up on insurance claims to resolve unpaid, underpaid, or denied claims</li><li>
Verify patient demographics, insurance eligibility, and benefits</li><li>
Process claims, payments, adjustments, and post payments from patients and insurance carriers, including EOBs and ERAs</li><li>
Identify, research, and resolve billing discrepancies, denials, and underpayments</li><li>
Manage Workers&rsquo; Compensation accounts when applicable, including payment posting, denial resolution, and communication with claims adjusters</li><li>
Communicate professionally with insurance carriers, claims adjusters, and patients to resolve billing inquiries, including billing-related phone calls</li><li>
Accurately document all billing activity within Athena EHR</li><li>
Collaborate with front desk, clinical, and coding staff to ensure complete and accurate billing</li><li>
Maintain compliance with HIPAA, payer requirements, and organizational policies</li><li>
Meet established productivity, accuracy, and timeliness standards</li><li>
Perform other billing-related duties as assigned</li></ul><h3 class="jobSectionHeader">
Qualifications</h3><ul><li>
Strong understanding of medical billing terminology, including CPT, ICD-10, and HCPCS</li><li>
Working knowledge of Medicare, Medicaid, and commercial insurance plans</li><li>
High attention to detail with strong organizational and multitasking skills</li><li>
Ability to analyze billing issues and resolve discrepancies effectively</li><li>
Experience with Workers&rsquo; Compensation billing preferred</li><li>
Prior experience with Athena EHR (athenahealth) billing modules preferred</li><li>
Knowledge of HIPAA and healthcare compliance regulations required</li></ul><h3 class="jobSectionHeader">
Physical Requirements</h3><ul><li>
Ability to perform sedentary office work, including prolonged sitting</li><li>
Frequent use of a computer, keyboard, and mouse</li><li>
Ability to view computer screens for extended periods</li><li>
Occasional lifting of files or office materials up to 10&ndash;15 pounds</li></ul><h3 class="jobSectionHeader">
Work Environment</h3><ul><li>
Office-based, fast-paced healthcare environment</li><li>
Frequent interaction with patients, insurance companies, and healthcare staff via phone and electronic communication</li><li>
Standard business hours with occasional overtime as needed to meet workload demands</li></ul></div>

Patient Billing Specialist

Medix™

<div>
 
 
 
 *** This is an onsite role. Must be located in the Houston Texas area***
 
 
 
 
 
 
 
 
 Location:
 
 Katy, Texas &ndash; On-site
 
 
 
 Compensation:
 
 $19.00 &ndash; $22.00 / hour (Based on Experience)
 
 
 
 Schedule:
 
 Monday &ndash; Friday | 8:00 AM &ndash; 5:00 PM
 
 
 
 
 
 
 Position Overview
 
 
 
 We are seeking an experienced
 
 Medical Billing Specialist
 
 to support our medical, dental, and behavioral health billing operations. In this role, you will be the backbone of our revenue cycle, ensuring accuracy in claims submission, payment posting, and denial resolution.
 
 
 The ideal candidate thrives in a fast-paced environment, excels at navigating complex Medicaid/Medicare regulations, and takes pride in maintaining a clean AR aging report.
 
 
 
 
 
 
 Key Responsibilities
 
 
 <ul>
 <li>
 
 Claims Management:
 
 Prepare and submit accurate medical, dental, and behavioral health claims; appeal and resubmit denied/rejected claims.
 </li>
 <li>
 
 Financial Integrity:
 
 Post insurance and patient payments, process adjustments/refunds, and maintain precise accounts receivable records.
 </li>
 <li>
 
 AR Oversight:
 
 Proactively monitor AR aging reports and follow up on outstanding balances.
 </li>
 <li>
 
 Compliance:
 
 Maintain strict adherence to Medicaid, Medicare, CHIP, and HIPAA regulations.
 </li>
 <li>
 
 Reporting:
 
 Generate billing reports and identify systemic issues impacting reimbursement to share with management.
 </li>
 </ul>
 
 
 
 
 
 Required Qualifications
 
 
 <ul>
 <li>
 
 Experience:
 
 Minimum 3 years of hands-on medical billing experience.
 </li>
 <li>
 
 Education:
 
 High school diploma or equivalent.
 </li>
 <li>
 
 Technical Knowledge:
 
 Proficient in
 
 ICD, CPT, CDT, and HCPCS
 
 coding.
 </li>
 <li>
 
 Payer Expertise:
 
 Direct experience with claims submission for Medicaid, Medicare, and managed care.
 </li>
 <li>
 
 Software:
 
 Proficiency in Microsoft Office and practice management systems.
 </li>
 </ul>
 
 
 
 
 
 Preferred Qualifications
 
 
 <ul>
 <li>
 Experience within an
 
 FQHC
 
 environment.
 </li>
 <li>
 Direct experience using
 
 eClinicalWorks (eCW)
 
 .
 </li>
 <li>
 History of managing high-volume claim environments.
 </li>
 </ul>
 
 
 
 
 
 Soft Skills for Success
 
 
 <ul>
 <li>
 
 Detail-Oriented:
 
 You catch the coding errors that others miss.
 </li>
 <li>
 
 Persistent:
 
 You proactively work an account until it reaches full resolution.
 </li>
 <li>
 
 Organized:
 
 You can pivot between multiple priorities in a metric-driven environment.
 </li>
 </ul>
 
 
</div>

Medical Billing Clerk - 251091

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Medical Billing Clerk - 251091