Primary Care Partners an affiliate of Atlantic Health System, seeks a Part-time, Billing Specialists for our Family Medicine Care Center in Denville, NJ. Responsible for ensuring timely and accurate submission / processing of claims and reimbursement in a manner that is consistent with industry best practices.

Job Responsibilities

• Verify & Update accounts, as needed, with new patient demographics and insurance information.
• Reviews practice work queues for proper coding; releases charges to billing company.
• Reviews discrepancies found with practice /provider for claims corrections.
• Generates practice Self Pay reports (other reports as needed) for direct account and balance follow up with patient/guarantor.
• Responsible for working Accounts Receivable 30-60 days through and including 120days.
• Assists practice with research of claims not paid within industry standard; prompt payment regulations.
• Responsible for posting patient payments, as needed.
• Responsible to investigate, analyze and follow up on past due balances.
• Initiates and responds to telephone inquiries from patients or others.
• Responsible for review of collection reports and communicates directly with practice manager / managing partner for approval.
• Reviews Request For Information (RFI) portal and makes necessary edits for claims refiling.
• Other duties as deemed necessary.

Education

• Bachelors Degree preferred, minimum of a HS Diploma or GED equivalent required.
• Medical Coding Certificate and experience in risk/value-based coding preferred.

Experience

• Minimum of three to five years billing experience.
• Knowledge of Medicare, Medicaid, Managed Care Plans and Commercial plans
• Knowledge of medical terminology, ICD-10 and CPT-4 coding

Compensation is based on experience.

About Us

Primary Care Partners, LLC, is a physician-owned and physician-governed group with strategic alliances with Atlantic Health System: Morristown Medical Center, Overlook Medical Center, Newton Medical Center, Chilton Medical Center, Hackettstown Medical Center, and Goryeb Children's Hospital. These medical centers serve as a valuable partner with Primary Care Partners and set high standards as a quality hospital system for patient care, with state-of-the-art facilities and a full range of medical specialties and services.

Primary Care Partners, LLC is an Equal Opportunity Employer. We provide employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to any characteristic protected under federal, state, or local laws.

Job Type: Part-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Ability to Relocate:

• Denville, NJ 07834: Relocate before starting work (Required)

Work Location: In person