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Job Title: Billing Representative

Location: Emergency Medicine Associates

Department Name: Administration - Physicians

Req #: 0000219914

Status: Hourly

Shift: Day

Pay Range: $17.93 - $25.32 per hour

Pay Transparency:

The above reflects the anticipated hourly wage range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

Hybrid position working at Clara Maass Medical Center, Belleville NJ 07109

Job Overview:

The Billing Representative position supports day-to-day responsibilities, including review of daily revenue capture reports ensuring all coding and documentation was submitted for billing, review of all assigned work queues, collection, denials and chart review for all EHM service lines: Emergency Medicine, Observation, Hospitalist, Subacute, and ICU for all locations.

Qualifications:

Required:

  • High School Diploma or Equivalent

  • Able to work relatively independently

  • Detail-oriented with a proven ability to work effectively under conditions requiring accuracy

  • Courteous and professional demeanor with strong interpersonal, verbal and written communication skills

  • Excellent grammar, editing and proofreading skills

  • Internet and Computer proficiency with Microsoft Office products: Email, Microsoft Calendar, Word, Excel and PowerPoint

Scheduling Requirements:

  • Working Shift: Monday – Friday

  • Day Shift

  • Full-Time, 40 Hours Per Week

Essential Functions:

  • Works closely with physicians, APPs and Admin on send back review and functions of the EHM revenue cycle

  • Works closely with HURC and Vee Tech on any coding and billing communication

  • Follows up on denials as needed

  • Assist with other projects and duties related to revenue cycle management on an ad hoc basis as needed

  • Requires EPIC, Excel, QGenda, training to ensure all charges were captured and interfaced to the coding/billing team

Billing and Charge Capture:

  • Verifies documentation with charge entries

  • Identify missing charges

  • Follow up with providers on incomplete reports and clarification

  • Follow up with Coding team

  • Follow up outstanding charge session coding WQs

  • Enter CAM and tickets as needed

  • Identify and assist with provider education

  • Handles ad hoc projects, reports, and leadership requests

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Benefits and Perks:

At RWJBarnabas Health, our employees are at the heart of everything we do. Driven by our Total Wellbeing promise, our market-competitive offerings include comprehensive benefits and resources to support our employees’ physical, emotional, financial, personal, career, and community wellbeing. These benefits and resources include, but are not limited to:

  • Paid Time Off including Vacation, Holidays, and Sick Time

  • Retirement Plans

  • Medical and Prescription Drug Insurance

  • Dental and Vision Insurance

  • Disability and Life Insurance

  • Paid Parental Leave

  • Tuition Reimbursement

  • Student Loan Planning Support

  • Flexible Spending Accounts

  • Wellness Programs

  • Voluntary Benefits (e.g., Pet Insurance)

  • Community and Volunteer Opportunities

  • Discounts Through our Partners such as NJ Devils, NJ PAC, and Verizon

  • ….and more!

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey—whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.


At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees physical, emotional, social, and financial health.

  • Paid Time Off (PTO)

  • Medical and Prescription Drug Insurance

  • Dental and Vision Insurance

  • Retirement Plans

  • Short & Long Term Disability

  • Life & Accidental Death Insurance

  • Tuition Reimbursement

  • Health Care/Dependent Care Flexible Spending Accounts

  • Wellness Programs

  • Voluntary Benefits (e.g., Pet Insurance)

  • Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

Description:

Join our respected medical practice as our Billing & Collections Representative, where your exceptional attention to detail and revenue cycle expertise will ensure our financial health while providing patients with clear financial guidance.

We're seeking an experienced professional who can masterfully navigate insurance claims, patient accounts, and collection processes while maintaining the highest standards of accuracy and compliance.

If you thrive in a collaborative healthcare environment and take pride in resolving complex billing challenges with both efficiency and empathy, we offer competitive compensation, professional growth, and the satisfaction of being an essential member of our patient-centered team.

 This is NOT a remote position. It is in-person at our Linden, NJ location

Requirements:

Key Responsibilities include the following:

Charge Entry

  • Posts missing charges when discovered

Claims Filing

  • Reprocesses all paper and electronic claims for assigned carriers when required — verifies completeness of insurance claim information before sending

  • Reviews edit reports from clearinghouse daily and resolves issues so claims can be processed

  • Follows up on rejected claims the day that the rejected EOB is received

Claims Account Follow-Up

  • Using data from the monthly aged accounts receivable report, calls payors or looks up claims status online to inquire about unpaid insurance claims that are 45 days old; records response or activity in the computer system "notes"

  • Makes necessary arrangements for medical records requests, completion of additional paperwork, etc., if payors request this information prior to payment of claims

  • Responds to written and telephone inquiries from patients and insurance companies; manages relationships with personnel from assigned carriers

  • Meets with Billing Manager regularly to discuss and solve reimbursement and insurance follow up problems

  • Calls carriers to appeal payments that do not match contractual agreement; notifies Billing Manager of payors for which this is a consistent problem; works with Billing Manager and physicians to obtain appeal language for denials and/or unacceptable payment

  • Processes requests for insurance refunds, and submits to Billing Manager for approval

  • Check payors monthly updates on medical policy/guidelines and report to supervisor

Patient Accounts

  • Establishes payment plans within approved guidelines—obtains approval from the Billing Manager when necessary

  • Resubmits insurance claims on behalf of patients, if necessary

  • Recommends to Billing Manager those accounts needing to go to an outside collection agency and sends out collection letters

  • Prints and mails itemized statements to those patients who request them, or transmits claims to outside mailing house for processing

  • Processes requests for patient refunds, and submits to Billing Manager for approval

  • Meets with Billing Manager, as necessary, to discuss and solve collection problems • Assist patients on claims processing if needed

Payment Posting

  • Posts adjustments, withholds, as part of this process, and transfers deductibles and coinsurance to patient responsibility; batches them according to protocol

  • Alerts Billing Manager when payments do not match contractual amounts; looks for underpayments and silent PPOs

  • Submits balanced payment batches to the Billing Manager daily

  • May be required to post all mailed-in payments and electronic payments by line item (in absence of Poster)

General

  • Ensure all medical information for patient is accurate, updating when necessary

  • Check patient eligibility and benefit verification; update account if discrepancies

  • Document all actions taken; scan all documents sent out to payors (ex: appeals paperwork)

Shared Duties/Other

  • Ensures that all faxes are cleared off the machine (or routed in the system) and distributed throughout the day

  • Sorts incoming reports and directs to appropriate person if not addressed properly

  • Maintains detailed knowledge of practice management and other computer software as it relates to job functions

  • Maintains and respect the confidentiality of patient information in accordance with company policy & procedure, and HIPAA & compliance guidelines

  • Attends regular staff meetings and continuing education sessions as requested

  • Presents professional image in manner, appearance, motivation and work habits

  • Regular attendance is required

  • Performs other duties as assigned

Critical Skills & Attributes

  • Academic/Technical Qualifications

  • HS diploma or GED required

Industry Experience

  • Minimum of 18 months experience in a physician group practice billing department

  • Familiar with CPT and ICD-10-CM coding for orthopedic, podiatry & pain management surgery procedures

  • Good analytical skills and an affinity for detail

  • Knowledge of HIPPA & OSHA guidelines

  • Working knowledge of medical practice management systems and electronic medical records

  • Basic knowledge of computers and medical terminology is mandatory

Communication Skills

  • Excellent verbal, written, and interpersonal skills

  • Ability to work well with physicians, employees, patients, and others

  • A committed and result-driven attitude to work as a high ethical and professional standard

  • Unquestionable commitment to confidentiality, quality customer service and professionalism


OrthoNJ, LLC is required by New Jersey law to include the salary range for this role. The hourly hiring range for this role is $18-$29. The range for this role is typically determined by several factors, including the geography in which the selected candidate will be working, and alignment with qualifications and experience. Certain roles may also be eligible for additional compensation (bonus, etc) and/or benefits. In addition, full-time employees are eligible for standard benefits package including paid time off, medical, dental, vison and retirement plan.


Full job description

Join Our Compassionate Team as a Certified Home Health Aide (CHHA) in Bergen Hudson Counties, NJ

Certified Home Health Aide (CHHA) - Bergen Hudson Counties, NJ Make a Real Difference with Grace Healthcare Services

Are you a Certified Home Health Aide (CHHA) who takes pride in compassionate care and wants to feel truly supported in your work? At Grace Healthcare Services, we know the heart you bring to this profession-and we make sure you're rewarded for it.

We're currently hiring CHHAs to serve patients in Jersey City, Paramus and surrounding areas. Whether you're looking for full-time, part-time, or per diem work, we have opportunities that meet your availability and respect your time.

What We Offer You

  • Starting pay at $20 per hour

  • Generous sign-on bonus

  • Mileage and toll reimbursement - we take care of your travel expenses

  • Flexible schedules - workdays, evenings, or weekends that fit your life

  • Parr-time positions available

  • Ongoing training and quarterly in-services to keep your skills sharp

  • A team that values you - supportive leadership and RN collaboration

Available Shifts (Monday - Friday every other weekend)

  • Monday - Friday 7;00am-3:30pmevery other weekend

Let us know your preferred shift-your schedule matters to us.

What You'll Do

  • Assist with personal care needs including bathing, dressing, grooming, and mobility

  • Prepare simple, nutritious meals tailored to patient needs

  • Maintain a clean, safe home environment for the patient

  • Document care accurately using Celltrak

  • Communicate changes in condition to RN Case Managers

What You Bring

  • Current NJ CHHA certification in good standing

  • Clear communication in English (reading, writing, and speaking)

  • Ability to lift up to 50 lbs

  • Reliable transportation and willingness to travel within Morris County

Ready to Join a Team That Respects Your Work and Honors Your Commitment?

Send your resume to: jobs@gracehcs.com Have questions? Call us at 732-225-4100 Ext 133

At Grace Healthcare Services, you're more than a CHHA-you're a vital part of a team that delivers comfort, dignity, and peace at the most important time in a person's life. Come grow with us.


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