What are the responsibilities and job description for the Medical Biller position at NOVALAB CORP NJ Functional Medical Diagnostic Laboratory?
Experienced Medical Billing & Collections Specialist
NovaLab Corp | Wayne, NJ
About NovaLab
NovaLab Corp is a growing CLIA-certified, COLA-accredited clinical reference laboratory committed to providing high-quality diagnostic testing. We are seeking an experienced Medical Billing & Collections Specialist to join our team.
Responsibilities
- Submit and manage medical insurance claims accurately and efficiently.
- Process commercial, Medicare, and Medicaid claims.
- Follow up on unpaid claims and manage outstanding accounts receivable.
- Contact insurance companies to resolve claim issues and obtain payment.
- Manage denied claims, submit appeals, and resolve billing discrepancies.
- Post ERAs, EFTs, and insurance payments.
- Reconcile payments, identify underpayments, and maximize collections.
- Verify patient insurance eligibility and benefits.
- Work with CPT, ICD-10, HCPCS, and applicable billing guidelines.
- Ensure compliance with payer policies and billing regulations.
- Collaborate with management and operations to improve billing efficiency and collections.
Qualifications
- Minimum 3 years of medical billing experience required.
- Collections experience is mandatory. Candidates must have hands-on experience following up on unpaid claims and collecting outstanding balances.
- Laboratory or reference laboratory billing experience is strongly preferred.
- Knowledge of CPT coding, Modifier 90, and payer billing requirements is a plus.
- Experience with denial management, appeals, and accounts receivable follow-up.
- Familiarity with commercial insurances.
- Strong communication, analytical, and problem-solving skills.
- High attention to detail and ability to work independently in a fast-paced environment.
Preferred Experience
- Clinical or reference laboratory billing.
- Out-of-network laboratory billing.
- Experience with Horizon BCBS, Aetna, Cigna, UnitedHealthcare, Medicare, and Medicaid.
- Electronic claim submission and ERA/EFT reconciliation.
- Experience with laboratory information systems and billing software.
- Proficiency in Microsoft Excel.
Apply Today
We are looking for a dependable, detail-oriented billing professional with strong medical billing and collections experience. Laboratory billing experience is a plus, but candidates must have a solid background in medical billing and proven experience collecting outstanding claims and managing accounts receivable.