Medical Biller

Medical Biller

Stress Care of NJ is an outpatient mental health and substance abuse treatment center licensed with the NJ Dept of Human Services and JCAHO accredited for individual and group work to help clients primarily in from Monmouth, Ocean, and Middlesex counties.

Billing staff will be responsible to ensure that all billing and collections is accurately done in a timely manner and that collection on all unpaid claims is up to date.

Responsibilities include:

• Post payments/denials/co-pays and deductibles to patient accounts
• Review and follow up on remittance advice for payment errors and denials
• Accurately interpret EOB and collections report
• Identify and resolve any claim delay issues that impact billing and collections
• Initiate charge entries and appeals when necessary
• Follow up on all claims from billing through final resolution
• Prepare/submit medical claims electronically (and when applicable by paper) to government, private pay and commercial insurance carriers
• Resolve credit balances and account issues
• Confirm patient insurance verification and eligibility
• Review files, records and other documents to obtain information to respond to requests
• Resolve COB discrepancies
• Communicate with clients/supports/staff and other individuals to disseminate or explain information regarding unpaid and outstanding balances
• Maintain confidentiality at all times

Requirements:

• Experience with Medicare/third party payers, ICD-9/10, CPT, HCPCS, and medical billing terminology
• Working knowledge of word processing, billing, filing and records management systems
• 2+ year of medical billing/collections, mental health field a plus
• Willing to work full-time in person

Monday-Friday, 8:30am - 5:00pm