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Medical Billing

Medical Biller and Claims Specialist Needed in Clifton, NJ

  • Aug 11

Medical Biller and Claims Specialist

Clifton, NJ 07013

$19 - $24 an hour

Part-time

Full job description

Job Summary: We are seeking a skilled and detail-oriented Medical Biller to join our team. As a Medical Biller, you will be responsible for accurately coding and billing medical claims, ensuring timely reimbursement from insurance companies. Your expertise in medical terminology, coding systems, and medical records will be crucial in this role.

Duties:

- Review and analyze medical records to accurately assign appropriate codes for diagnoses, procedures, and services rendered

- Ensure compliance with coding guidelines and regulations, such as ICD-9, ICD-10, and DRG

- Prepare and submit claims to insurance companies electronically or by paper

- Follow up on unpaid or denied claims, identifying and resolving any issues or discrepancies

- Communicate with insurance companies to verify coverage, obtain pre-authorizations, and resolve billing inquiries

- Collaborate with healthcare providers to ensure accurate documentation of services rendered

- Maintain patient confidentiality and adhere to HIPAA regulations

- Stay updated on changes in coding regulations and guidelines

Experience:

- Proven experience as a Medical Biller or in a similar role

- Proficiency in medical terminology, coding systems (ICD-9, ICD-10), and medical billing software- Knowledge of medical collection processes and insurance claim procedures

- Familiarity with electronic health records (EHR) systems

- Strong attention to detail and accuracy in coding and billing processes

- Excellent communication skills to interact with healthcare providers, insurance companies, and patients

Note: All positions must be paid including internship positions.

Benefits:

  • Paid time off

Work Location: In person

Patient Service Representative Needed in Union City, NJ

  • Aug 5

Patient Service Representative

3196 A J F Kennedy Boulevard, Union City, NJ 07087

$17 - $20 an hour - Full-time


Full job description

Job Description:

Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, we are Leading Radiology Forward. With dynamic cross-training and advancement opportunities in a team-focused environment, the core of our success is its people with the commitment to a better healthcare experience. When you join us as a Patient Service Representative, you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators to achieve the best clinical outcomes.


You Will:

  • Greet and register patients in a friendly and service-oriented manner.

  • Obtain or verify proper insurance and patient information, collect signatures and ensure accuracy and completion of necessary documentation.

  • Collect and log all co-pays and fees

  • Answer/transfer incoming phone calls.

  • Schedule, reschedule or cancel new or current patients, confirm appointments and notify staff of changes when necessary.

  • Give patients appropriate orientation for preparatory and safety protocols, and provide directions to facilities if needed.

  • Coordinate with the back-office staff for timely and effective care of patients

  • Demonstrates competency regarding the need to safeguard patient property and Patient Health Information.

  • Safeguards any on site medications in accordance with Company policies, procedures and any legal requirements.

  • Demonstrates respect for company property, including any cash and patient financial information on site or on patient portals.

  • Is responsive to the needs of others by exhibiting and maintaining professional behavior toward patients and coworkers.

  • Demonstrates respect for patient boundaries and cultural sensitivities during all interactions.

  • Demonstrates ability to interact diplomatically and sympathetically with patients, their families, and the public in a clinical setting.

  • Demonstrates ability to establish, nurture, and maintain cooperative working relationships.

You Are:

  • Genuinely passionate about customer service and exercise sound judgement and an ability to remain professional in all situations

  • Able to demonstrate effective and professional communication, interpersonal skills and respect with patients, guests & colleagues

  • Able to thrive in a fast-paced environment, have a knack for prioritizing work with a structured approach, and enjoy providing world-class customer service

To Ensure Success In This Role, You Must Have:

  • High School Diploma or GED

  • Intermediate to advanced computer skills

  • Strong multitasking and communication skills

  • Experience providing exceptional customer service

  • Medical terminology knowledge and recent medical/radiology office experience is preferred.


We Offer:

  • Comprehensive Medical, Dental and Vision coverages.

  • Health Savings Accounts with employer funding.

  • Wellness dollars

  • 401(k) Employer Match

  • Free services at any of our imaging centers for you and your immediate family.

Pay Range: $17.00 - $20.00 per hour

Pay Range: USD $17.00 - USD $20.00 /per hour Shift: Mornings Shift Variations: Monday - Friday: 7:30am - 4:00pm; One Saturday per month: 8:00am - 2:00pm as business demands

Medical Billing/AR Specialist - Remote Needed in Clifton, NJ

  • Aug 5

Medical Billing/AR Specialist - Remote

Sutherland

Contract Type:

Permanent WAH

Location:

Clifton - NJ

Date Published:

08-04-2026

Job ID:

REF42772C

Company Description:

At Sutherland, named a  Great Place to Work,  we care for our customers’ customers and help to strengthen their brands. We do this by improving how they work with their customers to deliver an extraordinary customer experience. In other words, behind every screen, click or command are the people of Sutherland. In business for over 35 years, we are now nearly 40,000 employees strong and work with h undreds of companies in over 100 countries around the globe.

Job Description:

In this position, you will be responsible for handling a variety of tasks to ensure payment collection activity is resolved, disputed or sent to Legal. This will include:

  • Conducting collection activity on appealed claims by contacting government agencies, third party payers via phone, email, or online

  • Providing ongoing appropriate collection activity on appeals

  • Requesting additional information from Patients, Medical Records, and others as needed

  • Communicating with insurance plans and researching health plans for benefits and types of coverage

  • Reviewing contracts and identifying billing or coding issues and requesting re-bills, secondary billing, or corrected bills as needed.

  • Handling other duties as assigned

Qualifications:

  • Thorough understanding of the revenue cycle process, from patient access (authorization, admissions) through Patient Financial Services (billing, collections) procedures and policies

  • Full understanding of Managed Care collections

  • Familiarity with terms such as MMC, HMO, PPO, IPA and Capitation and how these payers process claims

  • Knowledge of Managed Care contracts, Contract Language and Federal and State requirements

  • Intermediate understanding of Hospital billing form requirements (UB04) and HCFA 1500

  • Medical claims and/or hospital collections experience

  • Minimum high school education, technical training, and/or other related experience

We will supply equipment, but to work from home, you must have:

  • Excellent Internet connectivity:

    • Internet access speeds of at least 5 Mbps upload and 30 Mbps download – the faster the better!

    • In-house network, and a hard-wired Internet connection capable of continuously supporting outstanding call quality and high-speed response rates. (wireless and/or satellite Internet Service Providers are not compatible with our systems)

  • A quiet and distraction-free, secure place to work.

 

Additional Information:

IMPORTANT NOTE:   This job is open only to residents of the United States, and you must be authorized to work in the US in order to be considered for employment.

EEOC and Veteran DocumentationDuring employment, employees are treated without regard to race, color, religion, sex, national origin, age, marital or veteran status, medical condition or handicap, or any other legally protected status.At times, government agencies require periodic reports from employers on the sex, ethnicity, handicap, veteran and other protected status of employees. The purpose of this Administrative EEO Record is for statistical analysis only and is used to comply with government record keeping, reporting, and other legal requirements. Periodic reports are made to the government on the following information. The completion of the Administrative EEO record is optional. If you choose to volunteer the requested information, please note that all Administrative EEO Records are kept in a Confidential File and are not part of your Application for Employment or Personnel file.Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.

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