Insurance Billing Coordinator

2 weeks ago


Ramsey, New Jersey, United States Normann Staffing Services Full time

A reputable and expanding pathology organization is seeking a dedicated professional for their Revenue Cycle Management Division.

This role offers a temporary to permanent opportunity, providing a pathway for career advancement.

Position Overview:

The individual will be responsible for the accurate submission of claims, addressing discrepancies, and engaging with insurance providers and patients to ensure prompt payment of medical claims.

Key Responsibilities:

  • Utilize claim submission and payment portals to troubleshoot filing issues and verify payment statuses.
  • Engage with insurance representatives to investigate denials and incorrect reimbursements.
  • Adhere to payer guidelines for submitting reconsiderations, appeals, and medical documentation.
  • Facilitate communication with patients and clients to support claim processing and payment.
  • Maintain an understanding of insurance coverage policies and medical necessity criteria.
  • Investigate and resolve billing inquiries from patients.
  • Prepare, review, and distribute patient billing statements.
  • Process patient credit card transactions.
  • Conduct patient collection activities via electronic and traditional communication methods, ensuring compliance with legal and regulatory standards.
  • Assist with financial aid applications.
  • Set up payment plans within the billing system.
  • Troubleshoot and resolve issues within billing software.
  • Monitor and report on overdue accounts.
  • Collaborate with colleagues and management to analyze data and identify trends or issues.
  • Prepare accounts for external collection efforts.
  • Conduct business in accordance with all applicable state and federal regulations related to laboratory services and medical billing.
  • Perform additional duties as required.

Required Qualifications:

  • Familiarity with payer systems (e.g., CMS and commercial payers).
  • Understanding of CMS and commercial payer coverage policies.
  • Proficiency in Microsoft Office Suite.
  • Strong written and verbal communication skills.
  • Exceptional organizational and time management abilities.

Education and Experience:

  • High school diploma or equivalent is mandatory.
  • A minimum of 3 years in a comparable position is required.
  • Experience in a laboratory setting is preferred.
  • Laboratory billing experience is advantageous; familiarity with TELCOR is a plus.
  • Experience with TELCOR is preferred.


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