2 jobs found in Elmer

Job Description Job Description A nursing home located in Pittsgrove, NJ is looking for an experienced Medical Biller/Business Office Manager to join their team! Salary: $80K to $100K range; based on experience Qualifications: Must have prior experience as Business Office Manager in long-term care/a skilled nursing facility Familiarity with skilled nursing facility finances, as well as experience dealing with Medicaid is required Must have experience and be knowledgeable in the entire medical assistance process; This includes patient accounts, resident funds, collections, etc. Knowledge of Federal and State billing regulations/guidelines required Duties: Meet with residents and families to discuss financial responsibilities and payment obligations Assist Medicaid applicants with gathering and submitting required documentation Maintain accurate resident census information within billing and clinical software systems Collect private-pay balances...

Job Description Job Description We are seeking a detail-oriented Medical Biller to join our team. The Medical Biller is responsible for preparing, submitting, and following up on insurance claims to ensure timely and accurate reimbursement. This position works with Medicare, Medicaid, Managed Care/HMO plans, commercial insurance carriers, and private pay accounts while maintaining compliance with all federal, state, and payer regulations. Essential Duties & Responsibilities Prepare, review, and submit electronic and paper claims to Medicare, Medicaid, HMOs, commercial insurance carriers, and other third-party payers. Verify patient insurance eligibility and benefits. Ensure claims are coded accurately and meet payer billing requirements. Monitor claim status and resolve denials, rejections, and unpaid claims. Appeal denied claims and submit corrected claims when appropriate. Post insurance payments, adjustments, and patient payments accurately. Reconcile...