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Medical Billing Specialist

ID Care LLC
Hillsborough, NJ Full Time
POSTED ON 1/17/2025
AVAILABLE BEFORE 3/16/2025

ID Care is seeking a Medical Billing Specialist. This eventually can become a hybrid position where the candidate must first work 90 days in the office and then a hybrid remote schedule would be discussed with the supervisor. If interested, read the job description below and apply.

General Summary: This is a nonexempt position responsible for charge entry, coding, electronic claim billing, medical record request, collecting data from various sources, entering data into a health information system, familiarity with CPT codes and guidelines, acquire authorization for specified insurances prior to claim submission.

Immediate Supervisor: Billing Specialist Supervisor

Job Supervisory Responsibilities: None

Essential Job Responsibilities:

Processes facility and hospital charge entry, wound care charge entry, hyperbaric charge entry, and IV infusion charge entry.

Print and/or gather charges from pMD software.

Submits electronic claim billing during designated daily timeline.

Enter patient demographics from remote sites, pMD software, and/or call to obtain information.

Print or call to request medical records and/or retrieve authorization numbers

Correct and reprocess clearinghouse rejected claims

Responsible for daily check of claim batches (AM/PM Scrubbing)

Review patient insurance information to verify validity. If insurance isn’t valid, research to find updated insurance information.

Other duties as assigned.

Equipment Operated: Standard office equipment including computers, fax machines, copiers, printers, telephone, scanner, calculator, etc.

Work Environment: Position is in a well-lighted office environment with windows allowing the temperature to fluctuate during each season. Occasional evening and weekend work.

Requirements

Education and Experience:

  • High School Diploma or equivalent. Completed medical billing and coding course preferred.
  • Minimum of 2 years of billing experience in a healthcare organization preferred.

Performance Requirements:

Knowledge:

  • Knowledge of procedural and diagnosis coding guidelines.
  • Knowledge of billing practices, clinic policies, and procedures.
  • Knowledge of medical terminology.

Skills:

  • Proficient skills in computer programs.
  • Skill in time management and organization.
  • Skill in verbal and written communication.
  • Skill in using a calculator

Abilities:

  • Ability to exam documents for accuracy and completeness.
  • Ability to independently meet tight deadlines.
  • Ability to initiate and complete tasks related to job duties without direct request of supervisor.
  • Ability to work well with others and be willing to help when needed.

Mental/Physical Requirements: Involves sitting approximately 90 percent of the day, walking, or standing the remainder.

Other Requirements:

  • Influenza: All employees of ID Care shall be provided the influence vaccine. Employees will be required to obtain the influenza vaccine by December 1 of each calendar year.
  • Covid: 1. Effective 2/1/2024,
  • Anyone who received the covid vaccination after September 11, 2023, meets requirements with 1 dose of covid vaccine.
  • Anyone who received the covid vaccination prior to September 11, 2023, will require 2 doses of covid vaccine.

ID Care is an Equal Opportunity Employer who does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.

Job Type: Full-time

Salary: $17.00 - $22.00 per hour

Benefits:

  • 401(k)
  • Dental insurance
  • Disability insurance
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Tuition reimbursement
  • Vision insurance

Schedule:

  • Monday to Friday

Work Location: One location

Job Type: Full-time

Pay: $17.00 - $22.00 per hour

Benefits:

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

Schedule:

  • Monday to Friday

Work Location: In person

Salary : $17 - $22

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