Medical Billing Verification and Authorization Specialist

Our esteemed client in Passaic County, New Jersey is seeking a detail-oriented and motivated Medical Billing Specialist with strong experience in Insurance Verification and Accounts Receivable (A / R). This is an excellent opportunity to join a dynamic and growing healthcare organization offering competitive compensation and room for career advancement.

Responsibilities :

As a Medical Biller / Insurance Verification Specialist, your primary responsibilities will include :

Accurately identify and document patient accounts based on insurance type (PPO, HMO, Medicare Advantage, Medicaid, Workers' Compensation, etc.)

Conduct timely and precise insurance verifications for patients scheduled for treatment or services.

Maintain confidentiality and comply with HIPAA regulations when handling protected health information (PHI).

Input and update patient demographics, insurance coverage, and benefit information into the billing system.

Verify pre-authorization requirements and submit supporting documentation when required.

Record and communicate insurance benefits, co-pays, deductibles, and any patient self-pay responsibilities.

Review and track reports to ensure accuracy and timely completion of insurance verification tasks.

Contact patients directly when additional demographic or insurance details are needed to complete billing processes.

Collaborate with internal departments to ensure smooth billing workflows and proper claims submission.

Qualifications :

High school diploma or GED required.

Minimum 2+ years of experience in medical billing and insurance verification preferred.

Strong proficiency in Microsoft Word and Excel.

Solid understanding of In-Network vs. Out-of-Network billing practices.

Strong attention to detail and the ability to perform basic mathematical calculations.

Excellent communication skills and the ability to work in a fast-paced team environment.

Experience working with managed care organizations, Medicare / Medicaid plans, and Workers' Compensation is a plus.

Ascendo is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability

Ascendo is a certified minority owned staffing firm, and we welcome and celebrate diversity. Ascendo is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, parental status, military service or any other characteristic protected by federal, state or local law.

Contact information

Nicholas Umbro