Billing Representative -Full-Time

Location: Hackensack, NJ, United States A Brief Overview Responsible for accurately preparing, submitting, and following up on claims to ensure timely and correct reimbursement while complying with regulatory and payer requirements. What you will do Review patient accounts for accuracy and completeness of charge, insurance, UB and DRG information. Verify billing data, charges, and required claim information. Submit claims via the appropriate mode of submission. Maintain compliance with Medicare, Medicaid, and commercial payer regulations. Document billing actions and updates in the billing system. Monitor the status of all outstanding claims within account assignments and follow up as needed. Resolve claim rejections and denials through follow-up and corrections. Receive and answer correspondence and phone inquiries from patients, insurance companies, Medicare and other parties regarding claims, charges or billing discrepancies. Calculate charge prorations, payer discounts, allowances and adjustments to be posted to accounts. Demonstrate effective communication skills with patients, insurance companies, internal and external departments. Maintain strict confidentiality of patient health information in accordance with HIPAA regulations. Perform related duties as assigned. Education Qualifications High School Diploma or equivalent required. Trade/Vocational School Accredited college/trade school for medical billing & coding preferred. Experience Qualifications Less than 1 year of experience. This is an entry‑level position; previous experience in a related role is preferred. Knowledge, Skills, and Abilities Basic understanding of medical billing and insurance processes is a plus. Basic computer and data entry skills. Ability to work independently and as part of a team. Willingness to learn and be trained. Must speak, write and read English; bilingual abilities are a plus. Strong math skills and familiarity with medical terminology. Benefits Full‑time and part‑time employees have access to a comprehensive benefits package, including low‑cost medical coverage with generous employer contributions, dental and vision plans, discounted prescriptions, on‑site child care, 401(k) matching, tuition reimbursement, paid time off, flexible spending accounts, legal and voluntary coverage options, life insurance, and free on‑site parking. Pay Range: $20.00/hour - $25.00/hour. Final base compensation will be determined based on employment status (Full/Part‑Time or Per Diem), skills, education, and/or experience. Pay equity considerations will be applied. Holy Name is an Equal Opportunity Employer. #J-18808-Ljbffr Holy Name Hospital