Medical Biller

USPI • Sewell, NJ

9h • $29 - $35 • Onsite

About The Position

Select Surgical Center at Kennedy is hiring a full-time Medical Biller to oversee the billing process for patient accounts. The role includes submitting bills to insurance on time, working with the coding specialist to ensure cases are coded correctly, leading monthly coding audits, and driving insurance collections. The position is onsite and is not remote.

The Medical Biller processes patient and payer payments, works rejected and denied claims, follows up with insurance companies on outstanding payments, monitors accounts receivable aging, and identifies underpayments and overpayments. The role also includes issuing credit balance information to insurance carriers or patients and interpreting managed care contracts and claims involving Medicare, Medicaid, and Workers’ Compensation.

Select Surgical Center at Kennedy provides ambulatory surgical services to local communities and is accredited by the Accreditation Association for Ambulatory Health Care. USPI describes its culture as inclusive and committed to supporting the contributions of each individual.

Requirements

• High school diploma or equivalent.
• At least 3 years of medical billing experience.
• Extensive knowledge of claims reimbursement and collection efforts for managed care, Medicare, Medicaid, Workers’ Compensation, and commercial plans.
• Extensive knowledge of billing, collections, and claims reimbursement processing.
• Fluency in medical terminology and CPT codes.
• Knowledge of how to interpret managed care contracts and Medicare, Medicaid, and Workers’ Compensation claims.
• Ability to work independently.
• Strong organization, time-management, and task-prioritization abilities.
• Ability to protect patient information and maintain discretion.
• Excellent verbal and written communication, negotiation, and interpersonal skills.
• Excellent customer service skills and a professional demeanor and appearance.
• Comfort using critical thinking skills.
• Proficiency with Microsoft Office products.
• Understanding of healthcare-specific policies, including HIPAA regulations.
• Must be able to work onsite; the position is not remote.
• Ability to work effectively in stressful situations that require patience.

Responsibilities

• Electronically submit patient procedure bills to third-party payers.
• Post payments from third-party payers and patients accurately and promptly.
• Process rejected and denied claims submitted to third-party payers accurately and promptly.
• Contact insurance companies to collect outstanding payments.
• Monitor and collect accounts receivable aging.
• Interpret managed care contracts and handle Medicare, Medicaid, and Workers’ Compensation claims.
• Identify accounts that have been underpaid or overpaid.
• Issue credit balance information to insurance carriers or patients.
• Work with the coding specialist to help ensure cases are coded correctly and lead monthly coding audits.
• Work independently and collaboratively with other business office staff.
• Maintain professionalism and patience in stressful situations.

Benefits

• Medical, dental, vision, disability, and life insurance, subject to employment status.
• Paid time off for vacation and sick leave; starting PTO accrual is 15 days per year.
• 401(k) retirement plan.
• Paid holidays.
• Health savings accounts and healthcare and dependent flexible spending accounts.
• Employee Assistance Program.
• Employee discount program.
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder and childcare benefits, AD&D, and auto and home insurance.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED