Enrollment & Billing Representative jobs in Paramus, NJ

Medloop a large multi-specialty medical billing company servicing many clients across the US mostly in NY/NJ is looking for a talented and highly motivated Medical Billing Representative to resolve billing issues and work directly with clients to identify and manage efficient billing processes for optimal A/R outcomes. They also manage a broad array of projects in relation to claims resolution, payer tracking, website access, claims status inquiries, and direct carrier contact.

RESPONSIBILITIES:

·         Serve as a liaison between patient, insurer, and practice

·         Follow-up on patient accounts to assure claims for patient charges submitted to insurance companies are paid in a timely fashion

·         Initiates prior authorization for all procedures requested by staff, providers, and or insurers.

·         Prioritize and organizes all prior authorization activities

·         Documents all prior authorization activities and record activity

·         Excellent communication and organizational skills with a customer service focus

·         Ability to read and understand EOB’s and ERA files

·         Processing appeals

·         Analyze and research denials

·         Knowledge of CPT and ICD10 coding requirements

·         Previous experience in a medical industry Is required

·         Understanding of refunds/take-backs

·         Knowledge of medical terminology

·         Must have the ability to maintain confidential information

·         Must have the ability to multitask and take initiative

·         Must be able to identify and communicate billing inconsistencies

REQUIRED MINIMUM QUALIFICATIONS:

·         High school diploma, or equivalent

·         2 years of medical billing experience, or medical billing training, or other experience in a healthcare setting

PREFERRED ADDITIONAL QUALIFICATIONS (not required):

·         Working knowledge of Medicare, Medicaid, and Commercial payor claims and appeals processing requirements

·         Familiar with writing appeals with successful outcomes

·         General knowledge of ICD-10, CPT-4, and HCPC coding and CCI edits

·         Ability to prioritize effectively and handle shifting priorities

·         Self-starter with the ability to organize work for maximum efficiency and attention to quality

At Medloop we offer great opportunities with the potential for growth. 

Benefits: 

• Health Insurance
• 401K
• Great PTO Package

Job Type: Full-time (In the office - Not Remote)

Pay: $22-$25 per hour