Find & Apply For Insurance Claims / Policy Clerk Jobs in Millville, New Jersey

Description Core Responsibilities Create Claims:

Turn medical information into insurance claims using correct billing codes. Submit to

Insurance:

Send claims to insurance companies electronically or by mail.

Bill Patients:

Send invoices to patients for copays, deductibles, or leftover balances.

Fix Denied Claims:

Investigate and appeal claims that insurance companies reject.

Track Payments:

Post incoming payments and update patient account records. Daily Tasks Check patient insurance coverage before appointments. Talk with insurance agents to check on claim progress. Set up payment plans for patients. Keep all patient data private under HIPAA rules. Reporting for office/update monthly for outstanding bills/payments This is an in office position Mon-Friday 8a-430p, Saturday PRN 8a-12p. This is not a remote position. Requirements Education & Experience High school diploma or equivalent is the minimum requirement for entry-level roles. 1 to 2 years of experience in a medical office, clerical role, or customer service setting is highly valued. Billing/Coder certification or degree Professional Certifications While not always legally required, having a certification significantly increases your job prospects and earning potential.

The most recognized credentials include:

Certified Professional Biller (CPB)

• Offered by the AAPC. Certified Medical Reimbursement Specialist (CMRS)
• Offered by the AMBA. Certified Medical Billing Specialist (CMBS)
• Offered by the MAB.

Key Skills & Qualifications Medical Coding Knowledge:

Basic understanding of ICD-10, CPT, and HCPCS codes to read medical records and submit accurate claims.

Software Proficiency:

Familiarity with Electronic Health Records (EHR) and medical billing software (such as Epic, eClinicalWorks, or Azalea ).

Financial Literacy:

Strong math skills for processing payments, calculating copays, and balancing accounts.

HIPAA Compliance:

Deep understanding of medical privacy laws to keep patient data secure.

Communication:

Clear communication skills to explain complex bills to patients and negotiate with insurance adjusters.