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

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.

HOW TO APPLY:https://jobs.smartrecruiters.com/oneclick-ui/company/Sutherland/publication/52b1614d-2f9d-4c9f-8603-72dcb5485c72?dcr_ci=Sutherland

Medicaid/Medicare Billing Specialist Needed in Clifton, NJ

Medicaid/Medicare Billing Specialist

Full Time

Clifton, NJ, US

Requisition ID: 3596

Salary Range: $19.00 To $28.00 Annually

Position Summary  

Responsible for accurately and efficiently processing insurance claims, primarily Medicaid, Medicare and Medicare and Medicaid HMO’s.

Job Duties

• Monitor the progress of insurance claims from submission to payment.

• Identify and resolve claim denials, rejections, and delays.

• Follow up with insurance carriers to expedite claim payments.

• Review daily electronic billing reports, paper claim submissions, and third-party confirmation reports for errors.

• Make necessary corrections in the billing system to ensure accurate claims.

• Process Medicare RTP claims and denial reports on a daily basis.

• Ensure timely and accurate submission of Medicare credit balance quarterly reports.

• Research outstanding accounts and take appropriate action to secure prompt payment.

• Analyze system-generated reports to identify accounts requiring research.

• Document all resolution activities in the appropriate system and log.

• Alert supervisors or managers of non-payment trends.

• Research partial payments to determine if the appropriate contractual allowance was calculated.

• Initiate corrective action for miscalculated allowances, including collaboration with clinical departments.

• Document results and alert supervisors or managers of trends.

• Complete productivity reports and submit to supervisors within the established timeframe.

• Support the department's customer service and performance improvement goals.

• Collaborate with other staff to enhance patient care and service.

• Maintain strict confidentiality of patient information.

• Performs all other duties as assigned.

Qualifications and Skills

• Excellent customer service skills and problem solving skills.

• Strong analytical and organizational skills.

• Ability to interact with varying cultures and a diverse population.  

• Proficient in billing systems and software.  

Education, Experience and Certification/Licensure Requirements

• H.S. Graduate

• 1-3 years’ experience in hospital or healthcare billing

• Working knowledge of Medicare, Medicaid and HMO billing regulations.

HOW TO APPLY: https://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=bb661c48-7edc-400c-adfb-40f8f7743374&ccId=19000101_000001&type=JS&lang=en_US&jobId=596529

Medical Billing Specialist Needed in Jersey City, NJ

Medical Billing Specialist

FYZICAL Jersey City

Jersey City, NJ, United States

Job Description

Benefits: Flexible schedule Free food & snacks Opportunity for advancement Do you have a passion for making a difference in the lives of others? Do you want to join a team with that same passion? Are you someone who sets and achieves goals? Do you want to work for a dynamic, patient care organization that is committed to the health and wellness of individuals of all ages?

FYZICAL Therapy and Balance Centers is seeking a Physical Therapy Billing and Collections Specialist for our growing practice.

Candidates should have knowledge of all aspects of AR/billing on an EMR system, including electronic filing, denials, EOBs, navigating insurance websites, printing paper claims for Worker's Compensation and Auto carriers, aging of accounts, printing patient statements, and posting payments from insurance companies via paper and electronic methods. Candidates must project a warm, enthusiastic, and friendly demeanor in client and team interactions. FYZICAL Therapy and Balance Centers is a leading provider of physical therapy, rehabilitation, balance and vestibular retraining, and athletic training services. We are a values-driven, hospitality-based organization committed to providing the highest quality rehabilitative services.

Join us in changing people's lives for the better. #J-18808-Ljbffr

HOW TO APPLY:https://jobs.aapc.com/job/1106598/medical-billing-specialist/