Medical Billing Specialist

Position Overview The Revenue Cycle Management Specialist will report to the Director of Revenue Cycle Management and will be responsible for entering charges, posting payments, managing patient accounts, following up on outstanding accounts receivable, investigating and resolving payment discrepancies with payers, timely submission of claims both electronically and on paper, and handling A/R and follow-up within the company's centralized billing and reimbursement group. Essential Job Functions Enter charges accurately and expeditiously to ensure proper records handling and fast payment responses. Process and follow up on payer denials, consulting with the patient and/or an authorized family member as needed. Follow up on submitted out-of-network claims, monitor unpaid claims, and resubmit as necessary. Follow up on Clearinghouse claims activity. Research and appeal denied claims; submit requested documentation as needed. Identify and bill secondary or tertiary insurance. Research and resolve patient inquiries and complaints regarding billing issues via telephone or in writing. Maintain a record of patient inquiries and resolutions in the patient chart. Prepare and recommend accounts to the Manager for submission to an outside collection agency. Post payments and denials in a timely manner and/or prepare batches to upload to the Revenue Cycle Management system. Call insurance companies regarding any discrepancy in payments as necessary. Review patient statements for accuracy and completeness and obtain any missing information. Prepare daily deposit, including scanning checks into the bank, downloading ERA’s from payors, uploading ERA’s into EHR systems, and maintaining documentation, filing and record‑keeping accordingly. Perform various clerical operations in support of the billing department duties and responsibilities, such as processing mail, faxes, sorting, filing and scanning correspondence, printing, and mailing patient statements. Ensure strict confidentiality of financial records in accordance with HIPAA guidelines. Required Qualifications, Education, and Experience Excellent customer service skills and phone manner. Ability to work well in a team environment, triage priorities, delegate tasks if needed and handle conflict in a reasonable fashion. A minimum of three to five years of experience in a medical office setting. Prior EMR/Practice Management Software experience strongly desired, particularly Central Reach or AdvancedMD. Medical billing: 3 years (Required). High school diploma or equivalent (Required). Certification as a Medical Billing Specialist or a Professional Coder through an accredited organization, preferred. Required Knowledge, Skills, and Abilities Knowledge of medical billing/coding, preferably in Applied Behavior Analysis services. Knowledge of insurance guidelines including Medicaid and Commercial Plans. Knowledge of out‑of‑network billing and insurance appeals. About Us NeurAbilities Healthcare is a distinguished specialty healthcare provider with a team that constantly seeks new and innovative ways to provide the best possible care for patients. Founded by a neurologist who put his vision of compassionate, high‑quality patient care into practice, we remain on a mission to transform the lives of individuals with autism and other neurodevelopmental disabilities in New Jersey, Pennsylvania, and beyond. Each of our dedicated team members shares the same mission of providing top‑notch medical and psychological care and integrated behavior services to over 10,000 patients annually. EEO Statement NeurAbilities Healthcare Inc is an EEO Employer: All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, sex, religious creed, disability, or any other category protected under law. #J-18808-Ljbffr