Billing Specialist jobs in Middlesex, NJ

Who We Are:

TouchCare is a health tech startup headquartered in New York City and with offices in Shrewsbury, NJ. The Company provides a personal on-demand, white-glove healthcare concierge service that helps its members find the highest quality, most convenient, lowest out-of-pocket care; available via web, phone, and mobile app. The Company’s customers include large self-insured companies and small to medium-size businesses who provide TouchCare to their employees as a benefit.

We are a dynamic team, building an exciting company from the ground up. We are hardworking andeager to assist with building any area of the company where we can add value. We are looking forsimilar minded people who can continue on a path of growth and excellence.

Who You Are:

A Billing Specialist at TouchCare is a dedicated service professional who understands benefit plans and wants to help educate members.

What You'll Do:

• A successful candidate will work on the members’ behalf to understand claims adjudication guidelines and resolve medical billing issues for our membership.
• It’s a rewarding position that encompasses investigation and communication skills
• If you have previous health experience, this role may be a good fit for applying your current claims knowledge to truly help members
• Essential Job Functions: Handle some escalated and complex cases in a timely manner to identify opportunities to resolve the issue by working with plan documents, carriers, providers, and members
• Research plan information and identify where there may be conflicting information
• Research billing issues to determine the possible cause of the error, and assisting with claims resubmission when needed to correct the issue
• Serve as a resource of help to other claims specialists who need assistance and have questions on their cases
• Working with these resources to analyze and resolve billing issues:

○   Plan documents and plan benefits

○   Interpretation of benefits

○   Medical, dental, vision, behavioral health billing and claims adjudication

○   FSA, HRA and HSA plans

What You Bring:

• Bachelor’s degree and/or 2-5 years claims experience
• Previous medical office experience a plus
• Strong research and analytical skills
• Ability to work independently and escalate for assistance as needed
• Strong communication and ability to work with various internal and external parties to resolve member issues
• Excellent organizational, time management, and customer service skills
• Ability to proactively identify payer and provider trends, and to communicate this to management
• Excellent listening skills and ability to empathize with members
• Excellent computer skills and experience in Microsoft Office Suite
• You are a service-focused, highly personable individual who loves dealing with people, solving their problems, and providing them with a great customer experience

What We Offer:

We are a dynamic team, building a company that makes a deep impact in the lives of our clients and members. We are hardworking and eager to assist with building any area of the company where we can add value. We are looking for similar minded people who can continue on a path of growth and excellence.

Why work at TouchCare:

• Flexible working environment
• First-class insurance (health, dental, vision, life, and disability)
• Generous paid vacation

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