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Responsible for the accurate enrollment and billing process. Maintains related documents, updates corresponding records and responsible for enrollment and billing queries. Collaborates with the billing service function to support electronic and technical operations. Handles complex enrollment or billing issues and reports to the manager with the relevant updates.

Principal Accountabilities:

+ Corresponds with customers or patients to resolve billing issues and queries.

+ Updates and maintains daily billing and invoice records and documentation.

+ Interacts with customers or patients to respond to specific requirements.

+ Collaborates with other departments and performs assigned administration related duties and responsibilities.

+ Evaluates, analyzes, and verifies dates of service and billed amounts.

+ Verifies completeness and accuracy in client information before billing period.

+ Resolves all accounts within the give time frame.

+ Maintains records and updates unbilled reconciliation daily.

+ Obtains prior authorizations or referrals for appointments, surgical procedures, and diagnostic imaging studies.

+ Communicates with providers to ensure chart notes support proposed procedure, imaging study to CPT codes.

+ Obtain workmen’s compensation and/or auto-PIP authorizations

+ Assist providers with Peer-to-Peer appeals process.

+ Performs other related duties as assigned.

Required:

+ High School Diploma or equivalent.

+ 1-3 years of experience in Billing or relevant area.

+ Minimum 2 years’ experience obtaining insurance prior authorizations-referrals

+ Strong communication skills

+ Travel to Rockaway location as needed

+ Hours 8:30 am to 4:30 pm; Monday to Friday

Preferred:

+ Experience in a Health Care facility, Hospital System or relevant area.

Atlantic Medical Group is a physician-led and physician-governed organization that delivers the highest quality health care, at the right place, the right price, and the right time. We are a multispecialty physician group with more than 1,000 doctors, nurse practitioners and physician assistants at over 300 locations throughout northern and central New Jersey and northeast Pennsylvania. Our mission is to deliver exceptional care recognizing the unique needs of all those we serve. Our vision is to achieve the best outcomes with our patients at the center of the physician-led team, driven by service, innovation and continuous learning.

Our integrated network offers seamless access to Atlantic Health System’s entire health care continuum and our nationally and regionally ranked hospitals. In collaboration with Atlantic Health System, several of our practices offer urgent care and walk-in services.

In addition to primary care physicians, the team includes specialists that care for patients in all aspects of their health from pediatrics to geriatrics and everything in between. We make health decisions easier for patients with enhanced access to referrals.

Atlantic Health System offers a competitive and comprehensive Total Rewards package that supports the health, financial security, and well-being of all team members. Offerings vary based on role level (Team Member, Director, Executive). Below is a general summary, with role-specific enhancements highlighted:

Team Member Benefits

+ Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members)

+ Life & AD&D Insurance.

+ Short-Term and Long-Term Disability (with options to supplement)

+ 403(b) Retirement Plan: Employer match, additional non-elective contribution

+ PTO & Paid Sick Leave

+ Tuition Assistance, Advancement & Academic Advising

+ Parental, Adoption, Surrogacy Leave

+ Backup and On-Site Childcare

+ Well-Being Rewards

+ Employee Assistance Program (EAP)

+ Fertility Benefits, Healthy Pregnancy Program

+ Flexible Spending & Commuter Accounts

+ Pet, Home & Auto, Identity Theft and Legal Insurance

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Note: In Compliance with the NJ Pay Transparency Act (effective Sunday, June 1, 2025), all job postings will include the hourly wage or salary (or a range), as well as this summary of benefits. Final compensation and benefit eligibility may vary by role and employment status and will be confirmed at the time of offer.

EEO STATEMENT

Atlantic Health System, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran status.