What are the responsibilities and job description for the Medical Biller position at ReqCareer Solutions?
Job Title: Claims Coordinator (Medical Biller)
Location: Millington, NJ, (Hybrid – 2 days/week onsite)
Work Hours: 9:00 AM – 5:00 PM
Duration: Temp to Perm (6 months)
The Claims Coordinator (Medical Biller) is responsible for managing insurance carrier adjudication and processing medical claims for one or more doctor practices. This role supports the full billing cycle, ensures timely submission and follow-up of claims, and works closely with carriers and the practice to optimize collections.
Key Responsibilities
- Review and submit medical claims through the practice’s EHR system and clearinghouse.
- Monitor rejected claim reports, make necessary corrections, and resubmit claims.
- Download and review Explanation of Payments (EOPs) to post payments and denials in the EHR.
- Analyze denied claims to determine correction or resubmission requirements.
- Review aging reports and resolve open or unpaid claim balances within filing limits.
- Use insurance carrier websites and contact carriers to investigate denials and claim status.
- Collaborate with the clearinghouse to distribute patient billing statements and post payments.
- Initiate overpayment refunds to patients and repayments to carriers as needed.
- Serve as the primary point of contact for all medical and vision claims for the practice.
- Support the manager in improving and maximizing claims collection rates.
Basic Qualifications
- High school diploma or equivalent.
- 3 years of medical billing or claims experience.
- Strong knowledge of medical billing and coding processes.
- Excellent prioritization, organizational, and multitasking skills.
- Effective verbal and written communication abilities.
Preferred Qualifications
- Experience supporting multi-doctor practices.
- Familiarity with multiple insurance carriers and their claim requirements.
- Strong problem-solving skills and ability to identify and resolve billing issues
Pay: $20.00 - $21.00 per hour
Expected hours: 40 per week
Work Location: In person
Salary : $20 - $21