Medical Biller

Russell Tobin's client, a specialty retail company, is hiring a Claims Processor in Paramus, NJ.

Job Title: Claims Coordinator (Medical Biller)

Location: Paramus, NJ – Hybrid (2x a week in-office)

Duration: 0–6 months (Temp-to-Perm)

Work Hours: 9:00 AM – 5:00 PM

Rate: $19 - $22.55/hour

Start Date: Immediate

About the Role:

We are seeking a detail-oriented Claims Coordinator (Medical Biller) to join our team on a temporary-to-permanent basis. This role involves monitoring and managing medical claims for multiple doctor practices, ensuring timely and accurate submission, adjudication, and follow-up with insurance carriers. The position requires strong organizational skills and the ability to communicate effectively with internal teams and insurance providers.

Key Responsibilities:

• Review and submit medical claims using the practice’s electronic health records (EHR) system and clearing house.
• Monitor rejected claim reports, adjust claims, and resubmit to insurance carriers.
• Post claim payments and denials in the EHR system after reviewing explanation of payments (EOPs).
• Research open/unpaid claim balances and take necessary actions within insurance carrier filing limits.
• Investigate claim denials by contacting insurance carriers or using their online portals.
• Manage patient billing statements and post payments via the patient portal.
• Process overpayment refunds to patients and repayments to insurance carriers as required.
• Serve as the primary point of contact for vision and medical claims within the practice.
• Support management in maximizing claim collection rates.

Basic Qualifications:

• High school diploma or equivalent.
• Minimum 3 years of experience in medical billing and coding.
• Strong organizational and multitasking skills.
• Ability to prioritize and handle multiple issues effectively.
• Excellent communication skills (verbal, written, listening, presentation).

Preferred Qualifications:

• Experience working across multiple doctor practices.
• Familiarity with multiple insurance carriers and their claim requirements.
• Proven problem-solving skills and attention to detail.

Benefits that Russell Tobin offers:

Russell Tobin offers eligible employee’s 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.