Medical Claims Processor

Overview

Russell Tobin's client is hiring a Medical Claims Processor in Paramus, NJ

Employment Type: Contract

Location: Hybrid (2 days in office) - Paramus, NJ 07652

Schedule: 9:00 AM – 5:00 PM

Pay rate: $20-$21/hr

• 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 over payment 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.

• 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.

Russell Tobin offers eligible employees 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.