Medical Billing Specialist

Job Description

Job Description

New Jersey Pediatric Neuroscience Institute (NJPNI) Billers and Coding / Collection Staff members are expected to maintain all licenses and credentials required by state and federal law.

Participation in educational opportunities as possible is encouraged. Maintaining competency and understanding of all relevant laws and policies is required.

Our growing neurosurgical and neurological practice is seeking bright, energetic and organized individuals to join our team! Medical Billing Specialists will be responsible for performing all necessary functions for medical and surgical billing and collections.

Friendly, compassionate, and eager to learn candidates will excel in this position. You will be working closely with patient families, physicians, staff, and third-party vendors.

Excellent multi-tasking and communication skills are essential.

Responsibilities :

Maintains competency and performs all necessary functions for medical and surgical billing and collections

Maintains and updates billing and collection data daily

Resolves billing and collection conflicts for patients and their families, office staff and insurance carriers

Establishes payment arrangements with patient per company policy

Performs insurance claim follow-ups for insurance denials and appeals

Monitors accounts to identify overdue payment

Keeps close contact with collections agency to monitor patient accounts

Works collectively with all NJPNI office staff

Documents and records all communications with patients, families and insurance carriers

Assists manager with production and presentation of monthly, quarterly and annual reports

Examines and reviews Explanation of Benefits (EOB’s) with patients and their families

Understands and utilizes GE Centricity reporting and operating capabilities

Participates in professional development activities and maintains professional affiliations with area of expertise

Knowledge of how to submit electronic claims and appropriate medical documentation

Maintains current knowledge of, and complies with established policies and procedures including patient confidentiality / patient rights, government, insurance and third-party payer regulations

Identifies and implements methods to automate and streamline revenue cycle processes through use of the electronic medical record / GE system

Completes and maintains credentialing of clinical staff with insurance carriers and hospitals as needed

Performs other duties as assigned

Basic Qualifications :

Minimum of 2 years experience in medical billing, coding and collections

Excellent organization and documentation skills

Excellent patient and family communication skills

Understanding of and adherence to all CMS rules and regulations

Maintenance of American Academy of Professional Coders (AAPC) certification in billing or coding is preferred.

Company Description

At New Jersey Pediatric Neuroscience Institute (NJPNI), we believe that every patient should receive exceptional and individualized treatment.

Our mission is to provide the best possible healthcare in the areas of childhood developmental disorders and pediatric neurological and neurosurgical diseases.

We seek to improve your child’s health and quality of life by delivering expeditious and accurate diagnoses along with a comprehensive array of surgical and nonsurgical therapeutic options.

Our team of physicians, nurse practitioners, and specialists provide care throughout New Jersey and New York and we currently have several office locations throughout New Jersey.

Company Description

At New Jersey Pediatric Neuroscience Institute (NJPNI), we believe that every patient should receive exceptional and individualized treatment.

Our mission is to provide the best possible healthcare in the areas of childhood developmental disorders and pediatric neurological and neurosurgical diseases.

We seek to improve your child’s health and quality of life by delivering expeditious and accurate diagnoses along with a comprehensive array of surgical and nonsurgical therapeutic options.

Our team of physicians, nurse practitioners, and specialists provide care throughout New Jersey and New York and we currently have several office locations throughout New Jersey.