Claims Coordinator

Russell Tobin
Paramus, NJ

Russell Tobin's client is hiring a Claims Coordinator in Paramus, NJ


Employment Type: Contract

Location: Onsite - Paramus, NJ 07652

Schedule: Monday-Friday 9am-5pm

Pay rate: $20-$22/hr


Responsibilities:

  • Review medical claims and submit them to insurance carriers through the practice Electronic Health Records (EHR) system and clearinghouse.
  • Monitor rejected claim reports, correct errors, and resubmit claims to the appropriate insurance carrier.
  • Download and review Explanation of Payments (EOPs) and post claim payments or denials within the EHR system.
  • Research denied claims to determine eligibility for correction and resubmission.
  • Analyze aging reports to identify unpaid claims and ensure resubmission within insurance filing limits.
  • Utilize insurance carrier portals and contact carriers when necessary to investigate claim status or denials.
  • Coordinate with the clearinghouse to distribute patient billing statements and manage payments through the patient portal.
  • Process overpayment refunds to patients and repayments to insurance carriers when required.
  • Serve as the primary point of contact for medical and vision claims related to assigned practices.
  • Support leadership in maximizing claim collection rates and billing accuracy.

Requirements:

  • High School Diploma or equivalent
  • 3+ years of medical billing or claims processing experience
  • Experience with medical billing and coding
  • Strong organizational and multitasking abilities
  • Ability to prioritize and resolve billing issues efficiently
  • Excellent verbal and written communication skills

Nice to have:

  • Experience supporting multiple doctor practices
  • Experience working with multiple insurance carriers and understanding their claim requirements
  • Demonstrated ability to identify issues, troubleshoot, and resolve billing problems

Benefits that Russell Tobin offers:

Russell Tobin offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), a 401(k)-retirement savings, life & disability insurance, an employee assistance program, identity theft protection, legal support, auto and home insurance, pet insurance, and employee discounts with some preferred vendors.