Coding Compliance Specialist jobs in Newark, NJ

Newark Community Health Centers, Inc., FQHC, is a multi-cultural community health and social services organization dedicated to meeting the health care needs of the medically underserved in the greater Newark area. Join us as we expand our services.

We are currently recruiting for: MEDICAL BILLING and CODING SPECIALIST

The Medical Billing and Coding Specialist is responsible for collecting, posting and managing account payments, submitting claims and following up with insurance companies.

Responsibilities

• Prepares insurance assignment form with data such as names of insurance company and policyholder, policy number, and physician diagnosis.
• Position requires processing of 150-200 claims per day.
• Contacts insurance company to verify patient coverage and obtain information concerning extent of benefits
• Computes total bill showing amounts to be paid by insurance company and by patient
• Telephones or writes companies with unpaid insurance claims to obtain settlement of claim
• Post payments and denials from Explanation of Benefits (EOBs)
• Provides denials to the assigned biller for resolutions
• Researches and resubmits denied claims
• Reviews entire patient account and resubmit claims or writes off any untimely claims
• Answering phones, responding to patient requests or transferring to the necessary department
• Processing medical bills by sending them to patients and insurance providers as necessary
• Accurate logging of payments received from providers and patients while maintaining current records and balances
• Maintain current records including billing addresses, contacting patients as needed
• Collecting co-payments or other fees upon admittance
• Help patients understand billing and charges for which they are responsible
• Follow up on delinquent payments and resubmit billing as needed

Education and Experience:

• High school diploma or general education degree (GED)- Certification in Medical Billing and Coding a plus
• Knowledge of medical billing/collection practices.
• Knowledge of computer programs.
• Knowledge of basic medical coding and third-party operating procedures and practices.
• Ability to operate a computer and basic office equipment.
• Skill in answering a telephone in a pleasant and helpful manner.
• Ability to read, understand and follow oral and written instructions.
• Ability to establish and maintain effective working relationships with patients, employees and the public.
• Must be well organized and detail-oriented.
• Highly organized with great time-management skills
• Strong customer service skills
• Works efficiently in a fast-paced environment

NCHC, Inc. is an Equal Opportunity Employer M/F/D/V.

Work Remotely

• No

Job Type: Full-time

Pay: $25.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday
• Weekends as needed

Work setting:

• Community health center
• Medical office
• Office

Application Question(s):

• On average, how many claims have you billed per day?

Education:

• High school or equivalent (Required)

Experience:

• Medical billing: 1 year (Required)

License/Certification:

• Medical Billing and Coding Certification (Required)

Work Location: In person