Vein Medical Billing & Collections Representative BMV Recruiting Clifton, NJ Job Details Full-time $26 - $28 an hour 18 hours ago Benefits Health insurance Dental insurance 401(k) Employee assistance program Qualifications Customer communication Accounts receivable management Regulatory compliance in claims processing Coding for physician billing HIPAA Patient management software Financial issue resolution High school diploma or GED Electronic health record (EHR) management for billing and coding Medical billing and coding communication with insurance companies Medical billing Health information regulatory compliance Medical claims submission Patient interaction Clinical confidentiality policies Medical debt collection accounts Technical Proficiency Collections account management Patient collections management Full Job Description Veins Medical Billing & Collections Representative (Commercial, Out-of-Network, and Vein Procedure Experience)

Position Summary:

The Medical Billing & Collections Representative is responsible for managing the full collections process for medical claims, with a specialized focus on commercial insurance carriers , out-of-network (OON) claims , and vein-related procedures .The ideal candidate will have in-depth experience with complex reimbursement structures , vein procedure coding , and claims resolution , ensuring accurate payment and compliance with payer policies.

Key Responsibilities:

Collections & Follow-Up Monitor and follow up on unpaid or underpaid claims, particularly from commercial carriers and OON payers, with emphasis on vein-related procedures (e.g., ablations, sclerotherapy, phlebectomy). Communicate with insurance companies, providers, and patients to ensure timely resolution of outstanding balances. Manage claim denials, including procedure-specific denials, by preparing and submitting timely, well-documented appeals. Collaborate with management and coding teams to ensure accurate CPT and ICD-10 coding for vein treatments. Dispute Resolution Investigate and resolve OON reimbursement issues for vein procedures to secure appropriate payment. Negotiate with insurance companies for fair reimbursement on complex or high-cost vascular treatments. Maintain up-to-date knowledge of vein procedure codes, payer medical policies, and appeal guidelines. Patient Communication Explain billing statements, vein procedure charges, and OON patient responsibilities in a clear and professional manner. Assist patients with establishing payment plans or financial arrangements for high-cost treatments. Documentation & Reporting Maintain accurate, detailed records of all billing and collection activities related to vein services. Generate reports on outstanding claims, denials, appeals, and aging for management review. Insurance Reconciliation Reconcile carrier payments against submitted vein procedure claims. Process necessary adjustments and write-offs per established billing and compliance policies.

Required Skills & Qualifications Experience:

3-5 years of medical billing and collections experience with a focus on commercial carriers (e.g., BCBS, Aetna, UnitedHealthcare) and out-of-network claims . Prior experience in vein or vascular billing (ablation, sclerotherapy, ultrasound-guided procedures) strongly preferred. Familiarity with ICD-10, CPT, and HCPCS coding specific to vein treatments. Strong understanding of OON reimbursement structures and vein-specific payment challenges.

Technical Proficiency:

Proficient in medical billing software and EHR/claims management systems . Knowledge of HIPAA regulations and confidentiality best practices.

Communication Skills:

Excellent written and verbal communication skills when working with carriers, providers, and patients. Ability to clearly explain insurance and billing details, particularly for specialized vein procedures.

Problem-Solving:

Strong analytical skills to identify trends, correct discrepancies, and resolve billing issues efficiently. Ability to manage multiple priorities in a fast-paced environment while meeting deadlines.

Education:

High school diploma or equivalent required. Associate's or Bachelor's degree in Healthcare Administration , Business , or related field preferred.

Pay:

$26.00 - $28.00 per hour Expected hours: 40.0 per week

Benefits:

401(k) Dental insurance Employee assistance program Health insurance

Experience:

Out of Network :

2 years (Required)

Work Location:

In person