Billing Jobs in Edison, NJ (NOW HIRING)

Job Title: Coordinator Billing

Location: Barnabas Health Medical Group

Department Name: UPA-DCMC Otolaryngology

Req #: 0000259355

Status: Hourly

Shift: Day

Pay Range: $18.82 - $26.58 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.

As a Billing Coordinator supporting the Department of Otolaryngology, you'll play an important role in keeping the revenue cycle moving for a busy surgical practice. From reviewing daily revenue capture and coding documentation to coordinating insurance authorizations, managing denials, and helping patients understand their financial responsibilities, you'll help ensure services are accurately billed and patients are prepared for their care.

If you're detail-oriented, knowledgeable about medical coding and insurance, and comfortable working with patients, providers, and insurance companies, this role offers the opportunity to make a meaningful impact on both the patient experience and the financial health of the practice.

As a Billing Coordinator, a typical day might include the following:

• Assist with the billing needs of physicians and provide backup support to the Billing Supervisor.
• Review daily revenue capture reports and ensure all required coding and documentation has been submitted for billing.
• Review assigned work queues, WIP reports, exception reports, collections, denials, and patient charts to identify and resolve billing issues.
• Verify CPT codes and determine when authorizations are required for covered and non-covered services for both in-network and out-of-network insurance plans.
• Obtain insurance authorizations for out-of-network office visits, surgeries, and next-day procedures.
• Obtain and follow up on insurance authorizations to help prevent delays in patient care.
• Research coding and billing errors and submit RAI requests as needed.
• Enter financial documentation and related information into Epic notes accurately and timely.
• Explain billing information to patients, including out-of-network deductibles and out-of-pocket maximums.
• Communicate with patients and providers regarding billing, insurance requirements, authorizations, and financial information.
• Review and ensure coding and clinical documentation is complete and accurate for billing.
• Assist with accounts receivable and insurance denials, including researching and disputing denials as needed.
• Perform chart reviews and other revenue cycle activities to support accurate and timely billing.
• Perform other related duties as assigned.

This role might be for you if:

• You have a strong understanding of medical coding, insurance policies, and healthcare billing.
• You're highly detail-oriented and understand how accurate coding and documentation impact the revenue cycle.
• You enjoy researching billing issues, insurance requirements, and denials and following through to resolution.
• You're comfortable explaining complex insurance and billing information to patients in a clear and compassionate way.
• You can confidently communicate with patients, physicians, clinical staff, and insurance companies.
• You're organized and able to manage multiple work queues, deadlines, authorizations, and follow-up activities.
• You're comfortable working with Epic and other technology in a busy surgical practice.
• You take initiative, work well independently, and can step in to support the Billing Supervisor and broader billing team when needed.

To be considered for this role, you must have a High School Diploma or equivalent and at least one year of coding experience. Candidates must have strong knowledge of insurance providers and policies, medical terminology, ICD-10 and CPT codes, and Microsoft Office applications, including Excel. A Certified Professional Coder (CPC) certification from AAPC or equivalent training is also required. Preferred qualifications include experience obtaining and following up on insurance authorizations, working accounts receivable (A/R) and insurance denials, including researching and disputing denials, and experience with EPIC. Understanding of New Jersey No-Fault regulations and Workers' Compensation is also preferred. Bilingual is a plus.