Medical Billing Specialist - Out-of-Network We are seeking an experienced Medical Billing Specialist with a strong background in commercial insurance and out-of-network medical billing to join a busy healthcare revenue cycle team. This position will focus on insurance payment activity, account reconciliation, payment research, and financial documentation while also providing support for appeals and arbitration matters. The right candidate is highly organized, detail-oriented, and comfortable working independently in a high-volume medical billing environment. Experience with commercial payers, out-of-network reimbursement, surgical or physician billing, and insurance payment processes is strongly preferred.

Medical Billing Specialist Compensation & Benefits Pay:

Up to $27 per hour, based on experience 80% employer-paid health insurance 100% employer-paid dental and vision insurance Fully funded pension 50% 401(k) match 2 weeks PTO, increasing to 3 weeks after one year Full-time, Monday through Friday schedule Supportive professional work environment Medical Billing Specialist Responsibilities Manage daily insurance payment activity and ensure transactions are accurately reflected on patient and insurance accounts Review payment information and financial records to identify inconsistencies, missing funds, or reimbursement issues Reconcile payment activity against internal records and maintain accurate financial tracking Monitor incoming checks, electronic payments, deposits, and settlement activity Investigate differences between expected and received insurance reimbursement Review account history and supporting documentation to determine appropriate next steps on outstanding payment issues Assist with identifying accounts that may require additional payer follow-up, appeals, or arbitration Compile financial and account documentation needed for appeals and arbitration matters Maintain organized records of active cases, deadlines, correspondence, supporting documentation, and resolutions Document account activity clearly and consistently within the practice management system Work closely with billing, accounts receivable, appeals, legal, and other internal teams to resolve account issues Maintain spreadsheets and internal tracking tools used to monitor payment activity and outstanding matters Assist with financial audits and ensure supporting records can be easily reviewed and traced Handle confidential patient, insurance, and financial information in accordance with company policies Medical Billing Specialist Requirements High school diploma or equivalent 3-5+ years of experience in medical billing Strong working knowledge of commercial health insurance billing Previous experience handling out-of-network claims or reimbursement Familiarity with insurance payment processing and account reconciliation Ability to analyze account activity, payment records, and insurance documentation Experience identifying and researching reimbursement discrepancies Working knowledge of medical billing, accounts receivable, or revenue cycle operations Strong Excel skills, including spreadsheets, sorting, filtering, and data tracking Experience with an electronic health record or practice management platform ModMed experience is preferred Experience with comparable systems such as Epic, NextGen, eClinicalWorks, AdvancedMD, or similar platforms will be considered Excellent attention to detail and accuracy Strong organizational skills and ability to manage competing priorities Ability to work independently and meet established deadlines Professional communication skills and discretion when handling confidential information to be considered. A recruiter will follow up within 48 hours. HumanHire is a national executive search and staffing firm with a leadership team that has over 50 years of experience as trusted industry professionals specializing in direct hire, temp to hire, temporary and payrolling services. We have multiple highly specialized divisions. Within the Healthcare industry, we specialize in the following and more - Healthcare Administration & Management Medical Billing & Coding Behavioral & Mental Health Nursing Allied Health Professionals Health Information Technology (HIT) Rehabilitation Services Laboratory & Diagnostic Services Emergency & Critical Care Public Health & Community Health Revenue Cycle Management Patient Access & Registration Medical Office Administration Hospital & Clinic Operations Compliance & Risk Management Managed Care & Insurance Operations Medical Receptionist, Medical Front Desk, Patient Coordinator, or Healthcare Customer Service Representative.

Pay:

Up to $27.00 per hour Expected hours: 40.0 per week

Benefits:

401(k) matching Dental insurance Health insurance Life insurance Paid time off Retirement plan Vision insurance

Experience:

Out of network insurance: 2 years (Required)

Commercial Insurance:

2 years (Required) Medical billing: 2 years (Required) Medical collection: 1 year (Required)

Location:

Clifton, NJ 07014 (Required)

Work Location:

In person