Medical Billing Associate

Medical Billing Associate WorqTap Fair Lawn, NJ Job Details Full-time $22 - $25 an hour 2 hours ago Benefits Health insurance Dental insurance 401(k) Paid time off Vision insurance Life insurance Qualifications Accounts receivable Accounts receivable management Medical coding Medical billing and coding communication with insurance companies Medical billing Payment posting in medical billing systems Medical billing account reconciliation Medical debt collection accounts Full Job Description Job Overview Garden State Orthopaedic Associates is a growing orthopedic medical practice and ambulatory surgery center with five locations, eight providers, and more than 100 employees across Northern New Jersey. As we continue to expand, we're making significant investments in our people, culture, technology, and leadership. The Billing Associate is responsible for the accurate and timely execution of medical billing, payment posting, and accounts receivable follow-up in a physician practice. This role works assigned claims, payer categories, and/or AR buckets in accordance with established workflows and priorities set by the Billing Manager. Billing Associates play a critical role in protecting practice revenue by ensuring claims are submitted correctly, followed through to resolution, and documented thoroughly. This role focuses on execution, accuracy, and follow-through and escalates issues that fall outside of defined scope. What You'll Do 1. Claim Submission & Billing Execution Submit clean, accurate claims to insurance carriers in a timely manner. Review charges for completeness and accuracy prior to submission. Correct claim rejections and resubmit claims as needed. Ensure documentation supports billed services. Work within billing systems, clearinghouses, and payer portals. 2. Accounts Receivable (AR) Follow-Up Work assigned AR reports by payer and aging category. Contact insurance carriers to obtain claim status and resolve unpaid claims. Follow up on delayed, underpaid, or unpaid claims according to established timelines. Document all actions and payer responses clearly in the billing system. Meet daily and weekly productivity expectations for AR work. 3. Payment Posting & Cash Application Post payments accurately from EOBs, ERAs, and lockbox deposits. Apply contractual adjustments and write-offs per policy. Reconcile posted payments with remittance advice. Identify and flag discrepancies or missing payments for review. 4. Denials, Corrections & Appeals Support Review and work denied claims promptly. Identify root causes of denials and take corrective action. Prepare and submit appeals within payer timeframes, when appropriate. Escalate complex denials, underpayments, or repeated issues to the Billing Manager. Support arbitration or advanced appeals as directed. 5. Payer, Patient & Internal Communication Communicate professionally with insurance representatives regarding claims. Respond to internal inquiries related to billing status. Assist with patient billing questions as assigned. Maintain confidentiality and professionalism at all times. 6. Compliance, Accuracy & Process Adherence Follow all billing SOPs, payer rules, and compliance standards. Maintain accurate, complete documentation in billing systems. Participate in audits and quality checks as requested. Identify recurring issues and flag opportunities for improvement. What We're Looking For We are looking for someone who brings strong revenue cycle knowledge, practical leadership skills, and the ability to improve both daily operations and longer-term processes.

Qualified candidates should have:

1-3+ years of medical billing experience in a physician practice. Know and understand E&M Codes Knowledge of medical billing processes and payer requirements. Experience with AR follow-up and claim resolution. Familiarity with billing systems and clearinghouses. Workers' Compensation billing experience preferred but not required. Strong attention to detail and organizational skills. The Ideal Candidate The ideal candidate is someone who can both roll up their sleeves and lead the function. You are comfortable digging into AR details, denial trends, billing issues, and payer problems - but you also know how to step back, identify patterns, create structure, coach staff, and improve the overall process.

Pay:

$22.00 - $25.00 per hour

Benefits:

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

Experience:

Medical Practice:

2 years (Preferred) Medical billing: 2 years (Required)

E/M Code:

2 years (Preferred)

Work Location:

In person