Confidential Hiring for Medical Collector Job at Hackensack, NJ Full Time

We are seeking an energetic, hardworking, detail-oriented NY NF and WC Billing and Collections Specialist to provide a professional and courteous environment for our collections department. Extensive knowledge with No Fault/PIP/Worker’s Compensation claims is a must. The right candidate must have a minimum of 3 years experience with No Fault/PIP/Worker’s Compensation Billing and Collections.

RESPONSIBILITIES AND DUTIES

• Must have an understanding of how insurance carriers work, and ability to perform various billing and collections functions.
• Provide accurate and complete information grounded on claim procedures and regulatory time frames
• Review accounts for accuracy. Obtain & verify appropriate insured, policy, claim and billing addresses of each payer and patient eligibility prior to billing.
• Handle all aspects of billing including charge entry, payments and A/R management.
• Effectively communicate with referring physicians, attorneys, insurance carriers and patients. Assertively negotiate settlements with Defense Attorneys and Insurance Adjusters.
• Communicate proper responses to insurance carriers regarding prior authorizations, denials, revisions and other issues as they arise.
• Follow-up on denials, incorrect or underpayments and past due receivables in a timely manner. Send files for reconsideration as needed.
• Directing notes that need to be completed, adjusted, and/or corrected to Manager for revision.
• Experience in No Fault arbitration/litigation required. Prepare and track arbitration/litigation accounts.
• Run weekly and monthly reports and learn the use of our billing systems.
• Performing other related duties and special projects as needed.
• Follow HIPAA compliance and maintain patient privacy.

SKILLS/QUALIFICATIONS

• Clear understanding of EOB’s, CPT’s and ICD codes.
• Possess strong knowledge of Worker’s Compensation Forms and Guidelines (C-4’s and MG-2’s).
• Extensive knowledge in Worker’s Compensation Appeal Board process.
• Knowledge of Commercial/HMO insurances.
• Knowledge of legal pleadings.
• Strong attention to detail and the ability to multi-task in a fast-paced environment.
• Excellent written and verbal communication skills.
• Must be self motivated and work with minimum supervision.
• Strong computer skills with proficiency in Microsoft Office.
• Effective organization and time management skills with the ability to work under pressure and adhere to project deadlines
• Ability to adapt to new situations and learn quickly

Job Type: Full-time

Pay: $21.00 – $25.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday
• Weekend availability

COVID-19 considerations:
Required to wear mask.

Ability to commute/relocate:

• Hackensack, NJ 07601: Reliably commute or planning to relocate before starting work (Required)

Experience:

• ICD-10: 2 years (Preferred)
• NF and WC: 3 years (Required)

Work Location: One location