Billing Representative
Location: Hackensack, NJ, United States
Pay Range: $20.00/hour - $25.00/hour
Welcome to Holy Name, a medical center where innovation is not just a goal — it's a commitment. Here, medical excellence thrives, allowing hope to reign supreme and leaving no room for fear. At our hospital, every patient is cared for with undivided attention — because healing every soul is our sole focus. Holy Name is New Jersey's only independent Catholic health system, comprising a 361-bed acute care hospital, a renowned cancer center, a state-of-the-art fitness center, a residential hospice, a prestigious nursing school, and an extensive physician network. Healing at Holy Name goes beyond medicine and technology – it is infused with faith, conviction, compassion, and a commitment to educating the next generation of healthcare professionals through a variety of residency and educational programs. Our mission to provide care for the body, mind, and soul spans education, prevention, diagnosis, treatment, rehabilitation, and overall wellness. This is at the core of who we are and what we do, and we've done it this way across generations, every single day, for nearly 100 years. Every innovation, medical breakthrough, and groundbreaking treatment is powered by some of the best minds in medicine, ensuring nothing is left on the table or the road to recovery.
Responsible for accurately preparing, submitting, and following up on claims to ensure timely and correct reimbursement while complying with regulatory and payer requirements
Reviews patient accounts for accuracy and completeness of charge, insurance, UB and DRG information.
Verifies billing data, charges, and required claim information.
Submits claims via the appropriate mode of submission.
Maintains compliance with Medicare, Medicaid, and commercial payer regulations.
Documents billing actions and updates in the billing system.
Monitors the status of all outstanding claims within account assignments and follows up as needed.
Resolves claim rejections and denials through follow-up and corrections.
Receives and answers correspondence and phone inquiries from patient, insurance companies, Medicare and other parties regarding claims, charges or billing discrepancies.
Calculates charge prorations, payer discounts, allowances and adjustments to be posted to accounts.
Demonstrates effective communication skills with patients, insurance companies, internal department, and external departments.
Maintains strict confidentiality of patient health information in accordance with HIPAA regulations.
Performs related duties as assigned.
Experience Qualifications
Knowledge, Skills, and Abilities
Basic understanding of medical billing and insurance processes are a plus
Basic computer and data entry skills
Ability to work independently and as part of a team
Ability and willingness to learn and be trained
Must speak, write and read English; Bilingual abilities are a plus
Must have strong math skills and familiarity with medical terminology.
At Holy Name, we believe in rewarding every team member with more than a paycheck—we invest in your future and well-being. Full-time and part-time employees have access to a comprehensive benefits package designed to support your health, financial security, and quality of life. We offer low-cost medical coverage with generous employer contributions, dental and vision plans, discounted prescriptions, and access to on-site child care. Additional benefits include 401(k) matching, tuition reimbursement, paid time off, flexible spending accounts, legal and voluntary coverage options, life insurance, and free on-site parking. If you are hired at Holy Name, your final base compensation will be determined based on factors such as employment status (Full/Part-Time or Per Diem) skills, education, and/or experience. In addition to those factors – we believe in the importance of pay equity and consider any internal equity of our current team members as a part of any final offer. Holy Name is a mission-driven facility whose quality standards and philosophy are rooted in the principles of its founders, the Sisters of St. Joseph of Peace. Those principles are exercised daily by the Medical Center's dedicated and talented staff members. Holy Name is an Equal Opportunity Employer.
