Top 105 Medical claims processing Jobs in Township Of Monroe, Nj

Medical Billing Appeals Specialist
CH Revenue Management Solutions(CHRMS) —Tinton Falls, NJ
- From $26 an hour
- Full-time
- Microsoft Outlook
- Customer service
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
Ambulatory Surgery Center (ASC) Collection Specialist
Redefine Management, LLC —Matawan, NJ
- $22 - $27 an hour
- Full-time
- Research
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
Medical Claims Specialist
CH Revenue Management Solutions —Tinton Falls, NJ
- From $24 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Insurance Claims Specialist
Northeast Spine and Sports Medicine —Manasquan, NJ
- $52,000 - $58,000 a year
- Full-time
- Research
- Mid-level
- Organizational skills
- Health insurance
- Dental insurance
Quick Apply
Medical Biller
TheraCorp Behavioral Health —Jamesburg, NJ
- $22 - $25 an hour
- Hybrid work
- Customer service
- Mid-level
- Organizational skills
- Profit sharing
- Health insurance
Quick Apply
Medical coder and billing
RWJ OB/GYN Associates —Kendall Park, NJ
- $25 - $30 an hour
- Full-time
- Background check
- Mid-level
- Organizational skills
- Health insurance
- Dental insurance
Quick Apply
1d
Medical Billing Specialist
Exceptional Wellness Counseling —Manalapan, NJ
- $25 - $27 an hour
- 8 hour shift
- HIPAA
- Mid-level
- Office
- Paid holidays
- Health insurance
Quick Apply
Biller Specialist
PharmcareUSA —Edison, NJ
- Full-time
- Microsoft Word
- Basic math
- Mid-level
- Health savings account
- Health insurance
Quick Apply
Medical Office Associate I - Full Time, Days - AMG Primary Care - Metuchen
Atlantic Health System —Metuchen, NJ
- Full-time
- Customer service
- Primary Care
- HIPAA
- 403(b) matching
- AD&D insurance
Specialty Billing Technician
Walgreens —New Brunswick, NJ
- $22 - $29 an hour
- Full-time
- Writing skills
- Mid-level
- High school diploma or GED
Epic Denials Management Operator
Deloitte —Princeton, NJ
- $70,000 - $90,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
Billing and Collections Specialist
Henry J Austin Health Center —Trenton, NJ
- $42,600 - $67,000 a year
- Full-time
- Customer service
- Writing skills
- HIPAA
Quick Apply
Revenue Cycle Specialist
Henry J Austin Health Center —Trenton, NJ
- $48,500 - $85,400 a year
- Full-time
- Customer service
- Writing skills
- HIPAA
Quick Apply
Medical Billing Specialist
American Heart CenterPC —Neptune City, NJ
- $20 - $30 an hour
- Urgently hiring
- Microsoft Outlook
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Ambulance Biller
Maverick RCM —Freehold, NJ
- $20 - $23 an hour
- Full-time
- Microsoft Excel
- Customer service
- Medical office experience
Quick Apply
7d
Reconciliation Representative
Hackensack Meridian Health —Tinton Falls, NJ
- From $24.34 an hour
- Full-time
- Research
- Mid-level
- Finance
- Health insurance
- Dental insurance
Provider Partnership Associate
Independence Blue Cross —Cranbury, NJ
- Writing skills
- Research
- Mid-level
Manager Hospital Billing - FT - Day - Hospital Billing Lawrenceville NJ
Capital Health —Princeton, NJ
- $86,964.80 - $119,714.81 a year
- 8 hour shift
- Management
- High school diploma or GED
- Analysis skills
- AD&D insurance
- Disability insurance
Claims A/R and Denial Analyst Escalations – CPC Lead
Allied Digestive Health —West Long Branch, NJ
- $35 - $38 an hour
- Full-time
- 5 years
- Office
- Senior level
- Commuter assistance
- Health insurance
Quick Apply
11d
Senior Associate, Healthcare Law Compliance Monitoring
Otsuka America Pharmaceutical, Inc —Princeton, NJ
- $89,622 - $128,800 a year
- Full-time
- CPA
- Up to 50% travel
- Mid-level
- AD&D insurance
- Paid holidays

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medical claims processing jobs near township of monroe, nj

Medical Billing Appeals Specialist

CH Revenue Management Solutions(CHRMS)
Tinton Falls, NJ

Quick Apply

Job Details

Full-time
From $26 an hour

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Life insurance

Qualifications

Appeals
Employee relationship building
High school diploma or GED
Computer networking
Medical insurance appeals management
Insurance claims appeal handling

Full Job Description

CH Revenue Management Solutions (CHRMS) is seeking an Out-of-Network Medical Billing Appeals Specialist to join its growing team. CHRMS represents out-of-network surgeons throughout the United States in the claim reimbursement cycle, from medical billing through appeals, including claims through the arbitration process under Federal and State laws. Our team is comprised of more than 50 professional medical billers, coders, insurance industry professionals, medical practice managers and ERISA and state regulatory experts. This opportunity is for the right individual looking to be part of an entrepreneurial work environment with a good work/life balance.

The Out-of-Network Medical Billing Appeals specialist is responsible for denial and appeals claim processing for medical providers and facilities, ensuring compliance with contractual obligations and State and Federal laws and regulations and generating appeals for denied or underpaid claims. If you are looking for a change to a more claim specific appeals process based on pursuing medical and legal strategies, this opportunity is for you.

MUST have experience with out-of-network reimbursement and be a strong writer.

This is a full time in-office position.

Key Responsibilities

Validate denial code/reasons following explanation of benefit (EOB) review and ensure coding is accurate and reflects the procedures billed
Analyze all coding adjustments made on EOB to ascertain accuracy and valid support
Review Summary Plan Descriptions and related insurance documents to ascertain benefits
Determine and execute best approach for denial resolution and processing appeal
Ensure timeliness of all appeals according to Federal, State and plan guidelines
Generate appeals based on the dispute reason(s)
Document all actions taken during the appeal process and any follow-up required
Request and obtain medical records, notes and/or copy of claim as appropriate
Resolve appeal claims with third party payers
Assist with Appeals Team efforts to coordinate problem solving in an efficient and timely manner

Knowledge, Skills and Abilities

Proficiency in Microsoft Office programs, especially Excel, Word and Outlook version 2007
Comprehensive knowledge of health care customer service, regulatory requirements and Provider Dispute and/or Member Appeal process.
Working knowledge and a thorough understanding of denial resolution strategies and payer reimbursement specifics
Knowledge of CPT/HCPC, ICD9/10 coding, procedures and guidelines
Comprehensive analytical skills
Excellent vocabulary, grammar, spelling, punctuation, and composition skills proven through the development of written communication
Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA) and fraud and abuse prevention detection policies and procedures
Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers
Strong knowledge and experience in the out-of-network insurance world
Must be a strong writer

Minimum Requirements

High school diploma or equivalency
At least 3 years of medical coding/billing/appeals experience
MUST have experience in out-of-network reimbursement

Salary and Benefits

From $26/hour

EOE/DFWP

Job Type: Full-time

Pay: From $26.00 per hour

Benefits:

401(k)
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance

Experience:

Out-of-network medical billing and appeals: 3 years (Preferred)

Ability to Commute:

Tinton Falls, NJ 07724 (Required)

Work Location: In person

Quick Apply

Refine Your Search

medical claims processing jobs in township of monroe, nj

Medical Billing Appeals Specialist

Ambulatory Surgery Center (ASC) Collection Specialist

Medical Claims Specialist

Insurance Claims Specialist

Medical Biller

Medical coder and billing

Medical Billing Specialist

Biller Specialist

Medical Office Associate I - Full Time, Days - AMG Primary Care - Metuchen

Specialty Billing Technician

Epic Denials Management Operator

Billing and Collections Specialist

Revenue Cycle Specialist

Medical Billing Specialist

Ambulance Biller

Reconciliation Representative

Provider Partnership Associate

Manager Hospital Billing - FT - Day - Hospital Billing Lawrenceville NJ

Claims A/R and Denial Analyst Escalations – CPC Lead

Senior Associate, Healthcare Law Compliance Monitoring

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