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3 results for Certified Professional Coder in Paramus, NJ

Precertification Nurse Administrator

Union, NJ
onsite
Permanent / Full Time
70000 - 87000 USD / Yearly
benefits:<ul><li>medical</li><li>dental</li><li>vision</li><li>profit sharing</li><li>pension</li><li>paid time off</li></ul> Responsibilities:<ul><li>Handle insurance authorization process for hospital or medical procedures</li><li>Work with physicians and other healthcare providers to obtain correct documentation for insurance authorizations</li><li>Ensure compliance with insurance company requirements and healthcare laws and regulations</li><li>Communicate with insurance companies on behalf of the patient and the healthcare provider</li><li>Maintain up-to-date knowledge of medical procedures, healthcare codes, and insurance policies</li><li>Assist physicians in determining the necessity of procedures based on health plan coverage</li></ul>
2026-07-27T00:00:00Z

Medical Billing Specialist

New York, NY
remote
Temporary / Contract
28.5 - 33 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to support revenue cycle activities for a healthcare organization in New York, New York. This Long-term Contract position is ideal for someone who can manage claims activity, resolve billing issues, and maintain accurate coding and payment records. The role requires strong follow-through, accuracy, and the ability to work effectively with payers, patients, and internal teams. Responsibilities: • Review patient billing information and prepare clean claims for timely submission to insurance carriers and other payers. • Apply appropriate medical codes to services and verify that documentation supports billed charges. • Investigate denied or rejected claims, identify the cause of payment issues, and take corrective action to secure reimbursement. • Follow up on outstanding balances by communicating with insurance representatives, patients, or other responsible parties as needed. • Use ePaces and related billing tools to check claim status, confirm eligibility, and update account information. • Reconcile payments, adjustments, and account activity to ensure billing records remain accurate and current. • Maintain organized documentation of billing actions, claim updates, and collection efforts in accordance with office procedures. • Collaborate with clinical, administrative, and finance staff to resolve discrepancies and improve billing accuracy.
2026-07-24T00:00:00Z

Senior Medical Billing Specialist

Danbury, CT
onsite
Temporary / Contract
27 - 32 USD / Hourly
Job SummaryOur client is looking for a temp to hire Team Lead for Billing, Financial & Insurance Assistance, and Revenue Cycle Oversight. This role is responsible for managing critical aspects of the revenue cycle, including internal and outsourced billing operations as well as financial and insurance assistance services. This is an onsite role, full time hours, temp to perm with an annual salary range $65-80k. The Team Lead will act as the organization’s primary internal contact for oversight of the outsourced billing vendor and internal patient billing functions, including self-pay and sliding fee accounts. This position ensures patients receive timely access to insurance enrollment and financial assistance while maintaining strong internal controls, accurate billing practices, vendor accountability, and compliance with healthcare billing and payer regulations. Key Responsibilities Revenue Cycle Oversight<ul><li>Serve as the main liaison between our client and outsourced billing vendors.</li><li>Monitor revenue cycle performance, including claim submission timeliness, denial trends, accounts receivable aging, and collections.</li><li>Review billing and financial reports for discrepancies, trends, and compliance issues.</li><li>Coordinate issue escalation, resolution, and corrective actions with vendors and internal teams.</li><li>Partner with Accounting, Front Desk, and Clinical leadership to support accurate and compliant revenue capture workflows.</li><li>Ensure insurance payments are posted and reconciled promptly according to policy.</li><li>Assist with audits, payer reviews, and compliance activities related to billing and revenue cycle operations.</li></ul>Internal Billing Oversight<ul><li>Oversee billing for self-pay, sliding fee, and other non-insurance patient accounts.</li><li>Ensure accurate patient statements, payment posting, adjustments, and account follow-up.</li><li>Monitor self-pay balances, payment plans, and collections efforts while supporting patient access and financial responsibility.</li><li>Work closely with the Financial & Insurance Assistance team, Front Desk, and Accounting to align eligibility decisions with patient billing.</li><li>Identify trends and recommend improvements in self-pay billing processes.</li><li>Ensure internal billing practices are consistent with client policies, compliance standards, and patient-centered care principles.</li></ul>Financial & Insurance Assistance Team Leadership<ul><li>Supervise, coach, and support the Financial & Insurance Assistance team.</li><li>Ensure efficient and compliant patient access to:</li><li>Medicaid, ACA, and State of Connecticut insurance programs</li><li>Sliding Fee Discount Program eligibility</li><li>Patient payment plans and financial counseling</li><li>Maintain consistent and compliant eligibility determinations and documentation.</li><li>Monitor team schedules to maximize patient access to assistance services.</li><li>Oversee patient payment processing, internal financial reconciliation, and reporting.</li><li>Communicate policy updates and ensure staff adherence.</li><li>Foster respectful, compassionate, and professional patient interactions.</li></ul>
2026-07-24T00:00:00Z