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Billing & Insurance Specialist

3 months ago

Ramsey, United States Normann Staffing Services Full time

A dynamic and growing pathology company located in Ramsey, NJ is looking for new team member for their Revenue Cycle Management Department.


The position is temporary to permanent and a great opportunity to grow your career


Job Summary:

Responsible for ensuring claims are accurately submitted, resolving discrepancies and following up with insurance companies and patients to ensure timely payment of medical claims.


Position is Temporary to Permanent - client is

Duties/Responsibilities:

  • Navigate claim submission and payee websites/portals to resolve filing issues and research status of payments.
  • Speak with insurance companies to research denials and/or improper reimbursement.
  • Apply payer requirements for submission of reconsiderations, appeals, medical records, etc.
  • Communicate with patients and clients to facilitate claim adjudication and payment.
  • Maintain knowledge of coverage policies and medical necessity requirements of insurance carriers.
  • Research and resolve billing issues raised by patients.
  • Prepare, review and send patient statements.
  • Process patient credit card payments.
  • Perform patient collection actions via email, mail, and phone in adherence to legal and regulatory requirements.
  • Process financial assistance applications.
  • Establish installment agreements within the billing system.
  • Troubleshoot and resolve issues within the billing applications.
  • Monitor and report status of delinquent accounts.
  • Work closely with co-workers and management to analyze data and identify issues or trends.
  • Prepare cases to be sent for outside collections efforts.
  • Conduct business in a responsible manner that complies with all state and federal regulations applicable to laboratory services and medical billing.
  • Other duties as assigned.


Required Skills/Abilities:

  • Knowledge of payer applications (e.g., CMS and commercial payers)
  • Knowledge of CMS and commercial payer coverage policies
  • Knowledge of Microsoft Office Suite
  • Excellent written and verbal communication skills.
  • Excellent organizational and time management skills.


Education and Experience:

  • High school diploma or equivalent required.
  • 3 years or more in a similar role required
  • Laboratory experience preferred
  • Laboratory billing experience preferred; knowledge of TELCOR a plus
  • TELCOR experience preferred