Billing Specialist

Location: Camden
Posted on: June 23, 2025

Job Description:

A non-profit in the Philadephia area is looking to fill a position for a Billing Specialist. : Billing Specialist is responsible for scrubbing and processing billing claims for all Health Services claims including Medical,Dental, and Behavioral Health addressing claim denials, and posting payments all within in a timely manner. Essential Duties and Responsibilities Charge Capture: Review and process pending charges from the EHR into the Practice Management (PM) system High level chart review and resolution of any billing encounters based on EHR documentation Claims Processing: Bill Encounters Review claim production status report daily Address all claim edits and resolve any issues to ensure an accurate claim is produced and all claims have a clean status Generate Electronic Data Interface (EDI) Files Claims Submission and Response Review: Generate EDI claim batches and submit the files through the clearinghouses Monitor claims generated and submitted by the billing department routinely and remediate discrepancies Download vendor rejection files, generate reports, address adverse results, and document follow-up activities Communicate to Front Desk Manager(s) at Health Services to address any outstanding issues System: Access the following systems daily to complete Biller tasks and responsibilities: eCW (Electronic Health Records System) Third Party Administrators (TPAs) / Payer Portals/Clearinghouses Administration: Provide claim data tracking & reporting to the Billing Supervisor and Accounting Manager ? Revenue & Billing, as requested. Assist in gathering requested supporting documentation for the annual audit and tri-annual HRSA audits. Additional duties as assigned by the Billing Supervisor. Minimum Qualifications High school diploma or GED, or equivalent experience in health care billing (2 years) At least three (3) years experience in health care billing Excellent phone etiquette Attention to detail Intermediate Microsoft Excel experience, including general navigation, reading/interpreting data, and creating charts and pivot tables What Qualifications or Experience You May Bring: Bachelor's degree Experience with eClinicalWorks (eCW), an Electronic Health Records (EHR)/Practice Management (PM) System Experience with dental billing Hold current medical billing and coding certification from the American Academy of Professional Coders (AAPC) or the American HealthInformation Management Association (AHIMA) Knowledge of federally qualified health center (FQHC) revenue cycle management processes Advanced Excel skills and strong proficiency in other Microsoft Office applications PHYSICAL REQUIREMENTS Ability to move to or remain sedentary for periods of time in various locations The organization provides equal employment opportunities to all employees and applicants for employment, without regard to race, color,religion, age, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, genetic information, or anyother characteristic protected by federal, state, or local laws. The organization prohibits discrimination and harassment of any type. The organizationE reserves the right to revise or change job duties and responsibilities as needed. This job description is not meant to be an all-inclusive statement of the duties and responsibilities of the job nor does it constitute a written or implied contract.

Keywords: , West Orange , Billing Specialist, Accounting, Auditing , Camden, New Jersey