• Biller

    Prime Healthcare (Clifton, NJ)


    Overview

     

    Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! St. Mary's General Medical Group is affiliated with St. Mary's General Hospital, one of the nation’s “100 Top Hospitals” and “A” rated for patient safety. We offer incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

    Responsibilities

    The Biller is responsible to bill all insurance companies, workers compensation carriers, as well as HMO/PPO carriers. Audits patient accounts to ensure procedures and charges are coded accurate and corrects billing errors. Able to identify stop loss claims, implants and missing codes. Maintains proficiency in Medical Terminology. The Biller is responsible for the follow-up performed on insurance balances as needed to ensure payment without delay is received from the insurance companies. Communicates clearly and efficiently by phone and in person with our clients and staff members. Maintains productivity standards and reports. Obtains updated demographic information and all necessary information needed to comply with insurance billing requirements. Operates computer to input follow up notes and retrieve collection and patient information. Is able to write effective appeals to insurance companies.

    Qualifications

    Education and Work Experience

     

    1. Knowledge of multiple insurance billing requirements and 1-2 years of billing experience

    2. Knowledge of CPT, HCPCS, and Revenue Code structures

    3. Effective written and verbal communication skills

    4. Ability to multi-task, prioritize needs to meet required timelines

    5. Analytical and problem-solving skills

    6. High School Graduate or GED Equivalent Required

     

    Pay Transparency

     

    St. Mary's General Hospital offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $15.49 to $20.50. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

     

    Employment Status

     

    Full Time

     

    Shift

     

    Days

     

    Equal Employment Opportunity

     

    Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pd (https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf)

     

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    FacilitySt. Mary's General Medical Group

     

    LocationUS-NJ-Clifton

    ID2025-226563

    CategoryAdmin

     

    Position TypeFull Time

     

    ShiftDays

     

    Job TypeNon-Exempt