Job description

We are a fast-growing Nutri-tech company that focuses on Medically Tailored Home Delivery Meals. Nutrition for Longevity (N4L) owns and operates its own Regenerative Farm in NJ and utilizes the fresh produce from the farm in their fresh prepared meals. Meals are designed to support healthy eating based on the Science of the Longevity Diet and are designed as Medically Tailored Meals to support specific medical conditions.

The Senior Medical Billing Specialist is an integral part of our team and we're looking for the perfect fit! This role manages documents to create new client profiles, and continuously updates existing clients as needed in the Customer Relationship Management (CRM) system. This role will manage speed with agilility of patient entry while observing various agency-specific handling procedures, all while maintaining the highest level of accuracy for billing and compliance purposes. In addition, this role is responsible for working with payors and insurances to check for eligibility, medical billing (CMS 1500) as well as care managers to create the highest quality of care to our customers. This position will report directly into our Associate Director of Customer Excellence and has potential succession planning to leading a team.

This position is Full Time and is in-person at our Hackettstown, NJ office during normal business hours, Monday-Friday.

Experience/Knowledge:

• Associate Degree or equivalent, required
• 5 years Medical Billing, required
• 3 years Proficiency in QuickBooks, required
• Management experience, preferred
• Strong analytical skills with high attention to detail and accuracy
• Strong ability to problem solve billing in a timely manner
• Ability to navigate multiple computer systems, and applications, and utilize search tools to find information
• Must be detailed oriented, extremely organized, able to simultaneously work on numerous efforts and demonstrate incredible persistence and determination when dealing with complicated and difficult scenarios with insurance payers and platforms
• Excellent computer skills with proficiency in Microsoft Office Suite and ability to navigate billing and APIs associated with digital health management
• Strong verbal, written, and interpersonal communication skills
• Ability to work independently and autonomously in a fast-paced, start up environment
• Ability to work effectively in a team environment
• Sincerity and passion for helping people
• Prior experience adhering to company policies and showing core values

Core Tasks/Duties:

• Support the mission and vision of the company
• Be passionate about dietetics, nutrition, and helping others
• Review incoming Medical Service Authorizations and Medical paperwork to create new clients, update existing clients, and close accounts as needed
• Correspond and follow up with Agency Case Managers via email, State Portal Messaging, and phone calls for action items or needed information
• Troubleshoot and resolve billing issues as required
• Coordinate with internal business partners including but not limited to Logistics, Customer Care, Billing, and Compliance
• Assist other departments with Intake-related inquiries
• Maintains current knowledge of major payor payment provisions and regulations. Strong follow-up skills are essential, as applicants will need to follow up on rejected and denied claims and underpayments, using the Practices electronic health record and payers Explanation of Benefits forms.
• Strong accounting skills, including being responsible for reconciliation of billing account transactions to ensure accurate information according to established guidelines/procedures.
• Responsible for communicating issues and inefficiencies encountered in daily processes to Associate Director of Customer Excellence and assist in establishing process flows.
• Responsible for maintaining and keeping all edits, denials, and rejections at a current status within the established time frame.
• Prepare and submit billing data and medical claims to insurance companies.
• Ensure the patient’s medical information is accurate and up to date.
• Prepare bills and invoices, and document amounts due to medical procedures and services.
• Collect and review referrals and pre-authorizations.
• Examine patient bills for accuracy and request any missing information.
• Maintain billing software by updating rate change, cash spreadsheets, and current collection reports.
• Work effectively as a team contributor on all assignments.
• Ability to delegate tasks and lead a small team
• Work independently while understanding the necessity for communicating and coordinating work efforts with other employees and organizations
• Stay current with the most recent health-related and industry trends as well as health-care policy

Job Type: Full-time

Pay: $18.00 - $28.00 per hour

Benefits:

• Dental insurance
• Employee discount
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

COVID-19 considerations:
Per state mandates

Ability to commute/relocate:

• Hackettstown, NJ 07840: Reliably commute or planning to relocate before starting work (Preferred)

Education:

• Associate (Preferred)

Experience:

• QuickBooks: 3 years (Preferred)
• Medical billing: 5 years (Preferred)

Work Location: In person

jackharris.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, jackharris.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, jackharris.com is the ideal place to find your next job.