Medical Biller

The Medical Biller will be responsible for accurate and timely posting of insurance and patient payments, reconciliation of remittances, and aggressive follow-up of outstanding insurance balances.

What You Will Do

Accurately post insurance and patient payments, review and reconcile remittance advice, identify and research underpayments, overpayments, and reimbursement discrepancies, and manage assigned insurance A/R work queues.

Why It Might Be a Fit

The ideal candidate will possess extensive experience with Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) posting, insurance denial management, and payer-specific reimbursement methodologies.

Requirements

• Minimum 3 years of medical billing experience with a primary focus on insurance accounts receivable and payment posting.
• Minimum 3 years of surgical practice billing experience required; vascular surgery experience strongly preferred.
• Extensive experience posting EOBs, ERAs, EFTs, and manual payments.
• Proven success resolving insurance denials, underpayments, and aging accounts receivable.
• Strong working knowledge of UnitedHealthcare, Aetna, Horizon BCBS, Medicare, and commercial payer reimbursement methodologies.
• Experience preparing and submitting reconsiderations, corrected claims, and formal appeals.
• Thorough understanding of medical terminology, insurance billing practices, CPT, ICD-10, modifiers, and claim adjudication processes.
• Proficiency with electronic health record (EHR) and practice management systems.
• Strong analytical, organizational, and problem-solving skills.
• Exceptional attention to detail and commitment to accuracy.
• Ability to prioritize multiple responsibilities and meet established deadlines.
• Excellent written and verbal communication skills.

Benefits

• Excellent work/life balance
• Medical (100% paid by the group for Employee Only coverage with the Cigna Bronze plan).
• Dental – three plans to choose from Delta Dental and Cigna.
• Vision – two plans to choose from Delta VSP.
• Health Savings Account and Flexible Spending Accounts (Healthcare, Dependent Care, Transit and Parking) through Upswing.
• Life Insurance – $25,000 Paid by the group with the option to enroll in additional Voluntary Life Insurance coverage.
• Short-Term Disability and Long-Term Disability through New York Life with the option to enroll in additional voluntary coverage.
• Ancillary optional benefits – Accident, Critical Illness and Hospital Indemnity through New York Life.
• Paid Time Off
• Holiday Pay
• Paid Jury Duty – 1 day of full pay.
• Employee Assistance Programs through RWJBH and Cigna.
• 401k Employer Contributions – upon eligibility, group contributes 3%
• Working Advantage and Life Mart Employee Discounts.
• Holiday Party, Employee Appreciation Days, Ice Cream Socials, various Fundraisers and Contests (receive prizes!) – Lots of employee engagement.