Medical Staff Credentialing Specialist
Billing specialist job in Somerset, NJ
Job Title: Credentialing Specialist
Department Name: Medical Staff
Status: Salaried
Shift: Day
Pay Range: $52,666.00 - $72,416.00 per year
Pay Transparency:
The above reflects the anticipated annual salary range for this position if hired to work in New Jersey.
The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.
Job Overview:
The Credentialing Specialist is accountable for performing duties related to the sending, receiving, processing, and primary source verifying applications for initial and reappointment and their related clinical privileges.
Exemplifies a culture of excellence, effective communication and collaboration, and customer service with central Medical Staff Office (MSO) leadership and staff, internal and external customers, providers, and clinical and administrative leaders within RWJBarnabas Health.
Handles, with discretion, issues that are significant, complex, multidisciplinary, sensitive, and confidential.
Possesses and develops a strong grasp of the medical staff operations and the cultures of each affiliated institution and works to collaborates with local Medical Staff Offices to facilitate timely completion of credentialing processing.
Works to develop an overall singular culture of excellence and efficiency across the enterprise.
Qualifications:
Required:
Associates degree or combination of education and experience deemed equivalent
Successful completion of all RWJBarnabas Health orientation programs
Preferred:
Two years' prior experience in Medical Staff credentialing preferred.
Certified Professional in Medical Staff Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) preferred
Knowledge of credentialing software and associated applications strongly preferred (MDStaff)
Excellent interpersonal and communication skills
Scheduling Requirements:
This is an onsite role in Somerset, NJ with hybrid/ remote capabilities if/when available.
Essential Functions:
Oversees and assists with application management and verification activities, preliminary analysis of application and verification information
Analyze verification information, to include identifying red flag and/or adverse information and notifying central MSO leadership in accordance with policies
Oversee the monitoring of expiring information such as but not limited to DEA, license, professional liability insurance, and specialty board certification status; maintain and update credentials file(s)
Management of database entries for accuracy and completeness
Maintenance of electronic files as required
Effective and timely communication with local medical staff offices
Timely and accurately prepare credential files for audit and submission to the hospitals
Monitor staff productivity in accordance with standard turn-around-times
Maintain a working knowledge of relevant regulatory standards (i.e., TJC, DNV and NCQA), state and federal requirements, and applicable Medical Staff Bylaws
Assist with the development and implementation of credentialing and recredentialing workflows to ensure efficient and effective alignment of processes
Assist in the development or revision of credentialing related forms
Participation in special project teams as assigned
Training of new staff as assigned - credentialing procedures, software, and workflows
Enforcement of internal procedures and controls and problem resolution
Takes a proactive role in monitoring and assisting in improving team productivity
Continually strives to achieve individual, team and departmental goals
All other duties as assigned
Other Duties:
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
#LI-AB1
Senior Medical Biller
Billing specialist job in New York, NY
About Us
M&D Capital is a leading third-party Medical Billing and Revenue Cycle Management company serving clients across the United States. We operate offices across multiple states, along with a growing international team. We specialize in out-of-network surgical claims, and partner directly with our clients to ensure the maximum reimbursement for their services. Our rapidly growing organization provides employees with generous opportunities for professional growth and advancement. We're looking for talented, dedicated employees who are eager to grow and contribute to our success. If you meet the qualifications below, we encourage you to apply.
Job Description
We are seeking an experienced and detail-oriented Senior Medical Biller to join our dynamic billing department. The ideal candidate will possess deep knowledge of the full claims lifecycle, surgical billing, and current coding guidelines, including CMS CPT, ICD-10, NDC, and LCD regulations. Strong communication skills and the ability to work cross functionally are essential for success in this role.
Primary Responsibilities
· Serve as a liaison with clients and front office staff to gather missing information and minimize billing delays.
· Ensure clients provide accurate and complete data for timely and compliant claims
· submission.
· Collaborate with the coding team to resolve claims on hold due to incomplete or
· missing information.
· Accurately review and process patient encounters in compliance with coding and
· billing regulations.
· Demonstrate understanding of various surgical specialties and their specific billing
· requirements.
· Identify gaps or deficiencies in clinical documentation, work with physicians to
· clarify and improve records.
· Maintain up-to-date knowledge of CMS guidelines, as well as NDC and LCD payer specific regulations.
· Participate in internal billing audits and implement process improvements based on
· audit findings.
· Work proficiently within Electronic Medical Records (EMR) systems.
· Perform additional billing-related tasks and responsibilities as assigned.
Qualifications
· Proficient in CPT and ICD-10 coding.
· In-depth knowledge of CMS, LCD, and NDC billing requirements.
· Familiar with both CMS-1500 and UB-04 billing formats.
· Proven ability to independently identify and resolve billing and coding issues.
· Strong attention to detail with excellent analytical and organizational skills.
· Experience with commercial insurance payers.
· Prior experience with surgical billing required.
· Familiarity with Epic EMR system is preferred.
· 3-5 years experience in a billing position or related position
Benefits
M&D Capital offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program.
Salary
This position offers a salary range of $70,000 to $95,000 annually, commensurate with experience.
Ops Professional/ Senior Billing Specialist
Billing specialist job in New York, NY
We are seeking a highly skilled and detail-oriented Senior Billing Specialist with extensive experience in the Asset Management industry. The role requires deep expertise in managing end-to-end billing cycles, including fee calculation, AUM data aggregation, reconciliation, and invoice generation across a variety of fund structures and distribution channels. The ideal candidate has hands-on experience with advanced billing tools, custodial platforms, and reporting systems, and can seamlessly translate complex fee arrangements into accurate billing outputs.
This individual will play a critical role in strengthening our billing governance framework, enhancing automation, reducing revenue leakage, and ensuring timely and error-free invoicing for institutional, intermediary, and private wealth clients.
End-to-End Billing Management
Lead the monthly, quarterly, and annual billing cycles across mutual funds, SMAs, hedge funds, and private equity vehicles.
Review and calculate management fees, admin fees, performance fees, breakpoints, and waterfall structures.
Maintain and update client-specific billing instructions, fee schedules, side letters, and negotiated terms.
Data Management & Reconciliation
Aggregate AUM/holdings data from multiple custodians (LPL, Schwab, Fidelity, Pershing, etc.) and ensure consistency with internal systems.
Perform in-depth reconciliations between:
Custodian feeds
Internal books & records
Pricing & NAV systems
CRM/contract repositories
Identify and resolve discrepancies proactively to ensure accurate billing outputs.
Billing System Operations
Operate and enhance workflows in billing engines such as:
Revport
Eagle/Advent APX Billing
Salesforce (contract modules)
Workday Financials or Oracle/NetSuite billing modules
Configure rules, rate cards, fee tiers, client hierarchies, and exception logic in the billing platform.
Partner with technology teams to drive automation and reduce manual touchpoints.
Invoice & Reporting
Generate, validate, and deliver invoices for institutional clients, distributors, wealth platforms, and sub-advisory relationships.
Coordinate with finance on revenue recognition and ensure alignment with GAAP and internal controls.
Maintain dashboards and MIS covering billed revenue, accruals, write-offs, and client-level profitability.
Process Governance & Client Interaction
Serve as the subject-matter expert for billing queries from clients, auditors, relationship managers, and compliance.
Enhance billing policies, documentation, SOPs, checklists, and control frameworks.
Contribute to continuous improvement initiatives, including workflow redesign and automation using tools like Power BI, Alteryx, Tableau, or Python-based scripts.
Qualifications & Skills
Mandatory Experience
8+ years in a billing or revenue operations role within an Asset Management, Wealth Management, or Fund Administration organization.
Strong understanding of fund structures, AUM feeds, custodial platforms, and fee mechanics.
Technical & Tool Proficiency
Experience working with at least one major billing system (Revport, APX Billing, Workday, Oracle, SAP, or custodian billing engines).
Familiarity with data extract and reconciliation tools:
Alteryx
Power BI / Tableau
Excel (advanced - macros, pivoting, lookups, modeling)
Experience with document management or contract systems (e.g., Salesforce, SharePoint).
Functional Expertise
In-depth understanding of investment products (equity, fixed income, alternatives, SMAs, model portfolios, multi-asset funds)
Strong command of fee structures: standard management fees, tiered breakpoints, performance fees, incentive fees, hurdle rates, distribution fees, platform fees, and negotiated institutional terms.
Knowledge of billing-related controls, audit trails, and compliance requirements.
Soft Skills
Exceptional attention to detail and accuracy in a high-stakes financial environment.
Strong analytical and problem-solving mindset.
Ability to communicate clearly with internal teams, tech partners, auditors, and high-value clients.
Ownership mindset with ability to thrive in fast-paced, deadline-driven environments.
Preferred Experience (Nice to Have)
Background in hedge fund or private equity fee calculations.
Exposure to custodial billing for platforms.
Experience in revenue assurance or fee leakage analysis.
Prior involvement in migration or system-implementation projects for billing engines.
Senior Billing Specialist
Billing specialist job in New York, NY
We are seeking a highly skilled and detail-oriented Senior Billing Specialist with extensive experience in the Asset Management industry. The role requires deep expertise in managing end-to-end billing cycles, including fee calculation, AUM data aggregation, reconciliation, and invoice generation across a variety of fund structures and distribution channels. The ideal candidate has hands-on experience with advanced billing tools, custodial platforms, and reporting systems, and can seamlessly translate complex fee arrangements into accurate billing outputs.
This individual will play a critical role in strengthening our billing governance framework, enhancing automation, reducing revenue leakage, and ensuring timely and error-free invoicing for institutional, intermediary, and private wealth clients.
End-to-End Billing Management
• Lead the monthly, quarterly, and annual billing cycles across mutual funds, SMAs, hedge funds, and private equity vehicles.
• Review and calculate management fees, admin fees, performance fees, breakpoints, and waterfall structures.
• Maintain and update client-specific billing instructions, fee schedules, side letters, and negotiated terms.
Data Management & Reconciliation
• Aggregate AUM/holdings data from multiple custodians (LPL, Schwab, Fidelity, Pershing, etc.) and ensure consistency with internal systems.
• Perform in-depth reconciliations between:
o Custodian feeds
o Internal books & records
o Pricing & NAV systems
o CRM/contract repositories
• Identify and resolve discrepancies proactively to ensure accurate billing outputs.
Billing System Operations
• Operate and enhance workflows in billing engines such as:
o Revport
o Eagle/Advent APX Billing
o Salesforce (contract modules)
o Workday Financials or Oracle/NetSuite billing modules
• Configure rules, rate cards, fee tiers, client hierarchies, and exception logic in the billing platform.
• Partner with technology teams to drive automation and reduce manual touchpoints.
Invoice & Reporting
• Generate, validate, and deliver invoices for institutional clients, distributors, wealth platforms, and sub-advisory relationships.
• Coordinate with finance on revenue recognition and ensure alignment with GAAP and internal controls.
• Maintain dashboards and MIS covering billed revenue, accruals, write-offs, and client-level profitability.
• Process Governance & Client Interaction
• Serve as the subject-matter expert for billing queries from clients, auditors, relationship managers, and compliance.
• Enhance billing policies, documentation, SOPs, checklists, and control frameworks.
• Contribute to continuous improvement initiatives, including workflow redesign and automation using tools like Power BI, Alteryx, Tableau, or Python-based scripts.
Qualifications & Skills
Mandatory Experience
• 8+ years in a billing or revenue operations role within an Asset Management, Wealth Management, or Fund Administration organization.
• Strong understanding of fund structures, AUM feeds, custodial platforms, and fee mechanics.
• Technical & Tool Proficiency
• Experience working with at least one major billing system (Revport, APX Billing, Workday, Oracle, SAP, or custodian billing engines).
• Familiarity with data extract and reconciliation tools:
o Alteryx
o Power BI / Tableau
o Excel (advanced - macros, pivoting, lookups, modeling)
• Experience with document management or contract systems (e.g., Salesforce, SharePoint).
• Functional Expertise
• In-depth understanding of investment products (equity, fixed income, alternatives, SMAs, model portfolios, multi-asset funds)
• Strong command of fee structures: standard management fees, tiered breakpoints, performance fees, incentive fees, hurdle rates, distribution fees, platform fees, and negotiated institutional terms.
• Knowledge of billing-related controls, audit trails, and compliance requirements.
Soft Skills
• Exceptional attention to detail and accuracy in a high-stakes financial environment.
• Strong analytical and problem-solving mindset.
• Ability to communicate clearly with internal teams, tech partners, auditors, and high-value clients.
• Ownership mindset with ability to thrive in fast-paced, deadline-driven environments.
Preferred Experience (Nice to Have)
• Background in hedge fund or private equity fee calculations.
• Exposure to custodial billing for platforms.
• Experience in revenue assurance or fee leakage analysis.
• Prior involvement in migration or system-implementation projects for billing engines.
Thanks & Regards
Alok Ranjan Pathak | Team Lead - US Staffing
Email: *********************** | Desk: **************
Ampstek LLC - Global IT Partner | ***************
Verification/Authorization Specialist
Billing specialist job in Bridgewater, NJ
Job Title: Verification/Authorization Specialist
Employment Type: Full-time, Hybrid 2 days remote
Schedule: Monday - Friday
About Us
Performance Ortho is a leading provider of comprehensive orthopedic and outpatient care in New Jersey. With four clinic locations, an Ambulatory Surgery Center, and our corporate headquarters in Bridgewater, we're celebrating 24 years of growth and excellence. Our holistic approach includes a wide array of services-Chiropractic, Physical Therapy, Acupuncture, Occupational Therapy, and Orthopedic Surgery-all aimed at delivering the highest quality of patient care. We pride ourselves on fostering a collaborative, supportive work environment where our team members are empowered to thrive and grow.
Job Overview
The Verification/Authorization Specialist is responsible for conducting detailed verification of patient eligibility and benefits, as well as securing required authorizations for services across government, commercial, and third-party payers. This role ensures accurate and timely eligibility and authorization determinations while adhering to compliance regulations. The specialist will collaborate with internal teams, external vendors, and insurance providers to resolve discrepancies, streamline processes, and maintain data integrity.
A strong understanding of Medicare, Medicare Advantage, private insurance plans, and other third-party payers is essential for success in this role.
Key Responsibilities
Eligibility & Verification
Conduct detailed reviews of patient insurance coverage, supporting documents, and eligibility criteria.
Verify patient insurance and benefit information for scheduled services, including diagnostics, therapies, and surgeries.
Process eligibility determinations in accordance with company policies and payer guidelines.
Authorizations
Obtain pre-authorizations and referrals as required by insurance carriers.
Communicate with insurance representatives to ensure timely approval of procedures and services.
Track and follow up on pending authorizations to prevent delays in care.
Compliance & Quality Assurance
Ensure all verification and authorization activities align with company standards and regulatory requirements.
Conduct audits and quality checks to maintain accuracy and minimize errors.
Stay updated on payer policy changes and industry best practices.
Case Management & Collaboration
Manage complex cases, including appeals, escalations, and exceptions.
Collaborate with internal departments-billing, scheduling, and clinical teams-to resolve insurance-related issues.
Provide guidance and support to junior staff as needed.
Documentation & Reporting
Maintain accurate and up-to-date records in EHR and billing systems.
Prepare reports and summaries on verification and authorization trends.
Ensure compliance with HIPAA and internal confidentiality standards.
Communication & Patient Support
Respond to inquiries from patients, providers, and other stakeholders.
Clearly and professionally explain insurance coverage, eligibility status, and authorization outcomes.
Support the development of internal communication materials and policy updates.
Preferred Candidate Attributes
Exceptional attention to detail and accuracy
Strong analytical and problem-solving skills
Excellent communication and customer service abilities
Ability to handle confidential information with discretion
Team-oriented mindset with a proactive, solutions-driven approach
Capable of managing multiple tasks and meeting deadlines in a fast-paced environment
Qualifications
High school diploma or equivalent; Associate degree in healthcare administration or related field preferred
Minimum of 2 years of experience in verification, authorization, eligibility determination, or a related healthcare role
Familiarity with orthopedic billing codes, payer requirements, and insurance policies
Knowledge of EHR systems and billing software (eClinicalWorks experience preferred)
Proficiency in Microsoft Office Suite, especially Excel
Strong communication skills, both written and verbal
Ability to work independently and collaboratively within a team
Must be able to work onsite in Somerset County, NJ
Credentialing Specialist
Billing specialist job in Summit, NJ
Title: Credentialing Specialist
Schedule: 8:00 AM - 4:00 PM.
Duration: 13 weeks with a high possibility of extension
Pay Rate: $27 - $30/Hr W2
Job Description
The Credentialing Specialist ensures all healthcare providers meet regulatory, organizational, and accreditation standards. This role processes high-volume credentialing applications, verifies provider qualifications, and maintains accurate records in the Echo database.
Key Responsibilities
Process and review 125-200 initial and reappointment applications quarterly.
Verify education, training, licensure, certifications, malpractice history, and work experience.
Maintain provider records in Echo; track license and certification expirations.
Prepare credentialing files for Credentials Committee, MEC, and Board of Trustees meetings.
Ensure compliance with federal/state regulations, bylaws, and standards such as TJC/NCQA.
Coordinate with providers, medical staff offices, HR, and insurance networks.
Maintain confidentiality and support medical staff meeting scheduling and minutes.
Skills & Qualifications
Knowledge of credentialing processes and regulatory standards.
Strong organizational, communication, and analytical skills.
Ability to manage multiple priorities and work independently.
Proficiency with Echo and general computer systems.
Site Scheduling Account Specialist
Billing specialist job in Madison, NJ
Our pharmaceutical client is seeking a Site Account Specialist on a long-term contracting basis
based in Madison NJ
The Site Account Specialist, Scheduling and Cell Logistics will be responsible for scheduling and monitoring patient treatment schedules for the manufacturing of the Company's commercial autologous cellular immunotherapy products. They will serve as the Company's cell therapy treatment centers main point of contact for patient scheduling. The primary duty of the Site Account Specialist, Scheduling and Cell Logistics is to execute day-to-day operations ( 95% of time). Participation in projects and working groups is a growth opportunity as operations permit, considering performance and alignment with development plan.
Duties and Responsibilities:
Act as primary scheduling point of contact for assigned treatment sites
Create and maintain patient schedules in coordination with treatment sites and manufacturing sites
Troubleshoot and develop plans of action for issues throughout the patient journey
Interact with internal and external stakeholders over the phone and email
Ensure a positive end-to-end customer experience
Execute exception processes such as product returns, product replacements, and out of spec product
Input and maintain transactional data related to patient schedules within clients' scheduling system
Train treatment sites on patient scheduling processes as assigned
Document feedback from customers and partners as received
Create and maintain master data in account management system
Actively participate in tactical and other meetings as assigned
Facilitate daily operations activities and meetings including shift turnover on rotating basis
Provide real-time scheduling portal support to external users
Lead meetings with commercial matrix teams
Raise escalations and execute as assigned
Track assigned account health and provide insights into trends
Comply with applicable SOPs, work practices, and other documentation
Establish and maintain a trusted relationship with commercial matrix team and treatment sites as assigned
Accountable for individual performance
Execute project tasks as assigned
Execute working groups tasks as assigned
Required Competencies:
Bachelors degree or 3 years of work experience
Work experience in customer service, call center operations, patient services/navigator, account management, logistics, or supply chain preferred
Highly self-motivated, self-aware, and professional
Able to work independently and in groups
Flexible in responding to quickly changing business needs
Exceptional customer service orientation
Skilled at managing tense situations and de-escalation
Eager to work with teams from other regions and cultures
Able to share workspace for independent and collaborative work
Strong sense of ownership and accountability
Position shift time is 8am 5 pm local.
Overtime may occasionally be required as assigned.
Holiday support is required as assigned.
Travel is possible and will not exceed 10%. International travel will not exceed once per year.
Pay: 31-33/hr.
Job #83955
Medical Biller
Billing specialist job in Paramus, NJ
Russell Tobin's client is hiring a Medical Claims Coordinator in Paramus, NJ
Employment Type: Contract
Schedule: Monday-Friday, 9am-5pm EST
Pay rate: $20-$21/hr
Description:
We are seeking a detail-oriented Claims Coordinator (Medical Biller) to support the medical billing operations for one or more doctor practices. In this role, you will manage insurance claim submissions, review adjudications, correct denials, and ensure accurate and timely payment posting. This position requires strong organizational skills, the ability to troubleshoot claim issues, and familiarity with practice EHR systems.
Responsibilities:
Review and submit medical claims using the practice EHR system and clearinghouse.
Monitor rejected claim reports and adjust claims for resubmission.
Download and process insurance Explanation of Payments (EOPs) to post payments and denials.
Evaluate denied claims for correction and resubmission.
Review aging reports, research open balances, and ensure timely follow-up within payer filing limits.
Utilize insurance carrier portals and communicate with carriers to resolve denials and clarify claim status.
Coordinate with the clearinghouse to distribute patient statements and post portal payments in the EHR.
Process patient overpayment refunds and insurance repayments as needed.
Serve as the primary contact for all medical and vision claim inquiries for the practice.
Assist the corporate manager in maximizing claim collection rates.
Requirements:
High school diploma.
3+ years of medical billing experience (medical claims & coding required).
Strong organizational and multitasking skills.
Knowledge of multiple insurance carriers and their claim requirements.
Ability to prioritize issues effectively.
Excellent written and verbal communication skills.
Benefits that Russell Tobin offers:
Russell Tobin offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), a 401(k)-retirement savings, life & disability insurance, an employee assistance program, identity theft protection, legal support, auto and home insurance, pet insurance, and employee discounts with some preferred vendors.
Billing Specialist
Billing specialist job in New York, NY
We are seeking a detail-oriented Billing Specialist with experience in logistics and freight operations. This role involves preparing invoices, processing payments, and managing shipping documentation such as bills of lading. The ideal candidate will ensure billing accuracy, compliance with shipping regulations, and smooth financial operations.
Are you looking to make a career change to a stable company? This exciting opportunity offers a competitive salary plus an excellent benefits package including medical insurance, dental insurance, vision insurance and paid PTO.Does this position match your future career goals?Then this opportunity could be the right fit for you.
Why should you apply?
Growth Opportunities
Great Pay
Excellent Benefits
Qualifications:
High School Diploma.
Prepare and issue invoices for freight, shipping, and logistics services
Review and process bills of lading, shipping manifests, and delivery receipts
Prepare and issue invoices for goods and services
Record and post customer payments accurately
Reconcile billing accounts and resolve discrepancies
Generate monthly statements and financial reports
Monitor overdue accounts and apply late fees when necessary
Respond to client inquiries regarding billing and payment issues
Collaborate with sales, customer service, and accounting teams to ensure billing accuracy
Maintain organized billing records and documentation for audits
Assist with process improvements to enhance billing efficiency
Exceptional attention to detail, especially with financial and shipping documents
Strong organizational and communication skills
Proficiency in billing software and Microsoft Office Suite (Excel, Outlook, Word).
Ability to thrive in a fast-paced, cross-functional team environment
Proficient in MS Office Suite
Strong leadership qualities
Ask for Jasleen
*********************************
Ajulia Executive Search is a search firm specializing in Manufacturing, Finance, IT, Legal and Pharmaceutical positions. This is a confidential search for one of our preferred clients. It is a direct hire position that includes competitive compensation and full comprehensive benefit package.
#ZR
Medical Biller (Paralegal)
Billing specialist job in Fair Lawn, NJ
Gottlieb and Greenspan is a boutique law firm based in Fair Lawn, New Jersey with a strong focus on arbitration under the Federal No Surprises Act. Our collaborative team is growing, and we're seeking a detail-oriented and motivated Medical Biller to join us.
About the Role
As a Medical Biller Paralegal on our team, you'll be part of a close-knit group of 5-6 paralegal professionals led by a Senior Paralegal. You'll receive comprehensive training in all aspects of the arbitration process and play a key role in supporting our legal efforts to ensure fair reimbursement for healthcare providers.
Responsibilities:
Assist in preparing and filing arbitration documents
Review and analyze medical billing records and reimbursement claims
Maintain accurate case files and documentation
Support attorneys and senior paralegals in case strategy and execution
Educational Qualifications:
Bachelor's degree preferred, or associate's degree with relevant experience in medical billing or coding
Medical Billing Certification preferred
Required Skills:
The ability to read and decipher medical EOBs
Familiarity with CPT coding
Proficiency in the Microsoft Office Suite and Adobe
Strong attention to detail and a high level of accuracy
Excellent critical thinking and problem-solving skills
Effective written and verbal communication abilities
Professional customer service skills
Strong ability to uphold and promote the organization's core values
Flexibility to adapt to increased workloads and shifting deadlines
Positive, collaborative outlook, and strong interpersonal skills
Prior paralegal experience is a plus, not required. Training will be provided
Benefits:
401(k)
Safe Harbor
Profit Sharing
Cash Balance
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Paid Time Off
Work Location:
Onsite
Credentialing Specialist
Billing specialist job in New York, NY
Responsible for all aspects of provider credentialing and re-credentialing. Healthcare Field Experience- Required
License Renewals: Ensures that physician licenses are renewed prior to expiration.
Primary Source Verification: Completes primary source verification for new and existing providers to ensure due diligence.
Records Management: Maintains assigned physician files, updating each item/action as processed.
Utilizes database status/alert and other report functions, software tools and links to scanned documentation.
Ensures that information is current and accurate.
Credentialing Standards: maintains consistency in database entry to ensure accurate and consistent processes.
Back-up Coverage: provide credentialing back-up for other members of the credentialing group
Billing Coordinator (Law Firm Experince)
Billing specialist job in Newark, NJ
We are conducting a search for a Billing Coordinator to join a prestigious law firm. This opportunity is open across any of the firm's nationwide offices and offers a hybrid work schedule. The ideal candidate will have 2-3 years of law firm billing or accounting experience, strong attention to detail, and proficiency with 3E (preferred).
This role is an excellent chance to join a leading firm known for its supportive culture, top-tier benefits, and career development opportunities.
What You'll Do
Review and edit pre-bills in response to attorney and secretary requests.
Apply retainer funds and process write-offs in compliance with firm policy.
Handle high-volume, complex billing including split-party billing, multiple discounts, and electronic billing.
Research and resolve billing issues and respond to attorney/client inquiries.
Review billing documentation for accuracy and finalize client invoices.
Generate and distribute monthly billing reports.
Utilize billing platforms such as TyMetrix, CounselLink, Tracker, and Datacert.
Maintain strict confidentiality in handling firm and client matters.
Assist with special projects and provide support on legal or financial inquiries as needed.
What You'll Bring
2-3 years of billing or accounting experience in a law firm required.
Proficiency in Microsoft Office and familiarity with 3E preferred.
Strong organizational skills and ability to handle high-volume billing.
Excellent communication skills with attorneys, staff, and clients.
Experience with electronic billing systems (TyMetrix, CounselLink, Tracker, Datacert).
High level of accuracy, discretion, and professionalism.
What You'll Get
Hybrid work flexibility.
Heavily subsidized health insurance premiums.
Firm-paid HSA contributions ($600-$1,200 annually).
100% firm-paid dental and vision insurance (employee only) + affordable dependent coverage.
Life Insurance & Long-Term Disability Insurance fully covered by firm.
Employee Assistance Program (EAP).
401(k) - Traditional & Roth options from day one with discretionary firm match.
Additional tax-advantaged options: Flexible Spending & Dependent Care Accounts.
Billing Coordinator
Billing specialist job in Little Falls, NJ
Join a respected law firm located in Madison, NJ, known for its collaborative culture and commitment to excellence. With a strong presence in the region, the firm provides comprehensive legal services across multiple practice areas, serving a diverse client base. They are currently expanding their team and looking to add a Billing Coordinator. The team values precision, professionalism, and proactive client service, making it an ideal environment for growth-oriented professionals.
Salary/Hourly Rate:
$70k - $75k
Position Overview:
The firm is seeking a Billing Coordinator with 3 - 4 years of legal billing experience. This hybrid role offers a mix of remote flexibility and in-office collaboration. The ideal Billing Coordinator will be detail-oriented, proactive, and experienced in managing the full billing cycle in a legal environment.
Responsibilities of the Billing Coordinator:
* Prepare, edit, and finalize monthly client invoices using legal billing software (SurePoint).
* Collaborate with attorneys to ensure billing guidelines are followed.
* Resolve billing discrepancies and respond to client inquiries.
* Process time transfers, write-offs, and adjustments.
* Generate billing reports and assist with collections.
* Maintain accurate billing records and support audits as needed.
Required Experience/Skills for the Billing Coordinator:
* 3 - 4 years of billing experience in a law firm.
* Proficiency in legal billing software and Microsoft Excel.
* Strong understanding of legal billing procedures and client guidelines.
* Excellent communication and organizational skills.
* Ability to work independently and meet deadlines in a hybrid work environment.
Education Requirements:
* Bachelor's degree in Accounting and out of law is required.
Benefits:
* Health, dental, and vision insurance.
* 401(K) with firm match.
* Paid time off (vacation, sick leave, and personal days).
* Collaborative and inclusive work culture.
Billing Coordinator
Billing specialist job in Madison, NJ
Job Description
Billing Coordinator
Salary: $55k - $70k
Stable Law Firm seeks a Billing Coordinator to join their Team!
Responsibilities
· Handle billing for assigned Partner(s)
· Coordinate new matter intake
· Generate and distribute prebills
· Finalize and send invoices to clients
· Submit e-bills and manage electronic billing platforms
· Handle appeals and billing rejections as needed
· Monitor and follow up on invoices with open balances
· Communicate and coordinate with attorneys, partners, and legal support staff
· Perform other administrative or billing-related tasks as assigned
· Hybrid work schedule may be considered
Qualifications
· Minimum of 2+ years of law firm billing experience
· Previous experience of using SurePoint is preferred
· High level of attention to detail and organizational skills
· Strong written and verbal communication abilities
· Tech-savvy with the ability to quickly learn new systems
· Proficiency in Microsoft Word and Excel is helpful
· Ability to handle confidential information with discretion
· College degree required
Billing Coordinator
Billing specialist job in New York, NY
HumanHire is partnered with an Am Law 100 Law Firm to find a Legal Billing Coordinator to join the firms growing team in Manhattan. The Billing Coordinator will be responsible for managing the complete, compliant, and timely client billing lifecycle, from matter setup and e-bill submission to accounts receivable and financial reporting.
We Offer:
Pay: $90,000 - $110,000K Base plus OT and Bonus
Hybrid Flexibility: 2 days remote weekly!
Great Benefits: 401K Match, Medical, Dental, PTO, Disability, Life, and more
Responsibilities:
Manage the end-to-end client billing process from initial matter review and proforma generation to final bill processing and submission
Ensure compliance by reviewing matter setups, rates, and task codes against client billing guidelines and resolving any discrepancies with timekeepers and clients
Handle all aspects of e-billing, including submitting invoices via e-billing platforms and resolving rejections or adjustments promptly until payment is secured
Actively manage accounts receivable by proactively following up on past due invoices and coordinating with attorneys, clients, and the Director of Collections
Provide financial support and reporting, supplying clients and management with budgets, billing forecasts, and ad hoc reports as requested
Qualifications:
2+ years of Legal Billing experience
Elite 3E or Aderant & Excel proficiency required
Familiarity with eBilling platforms and client billing guidelines
If interested, please apply to this posting for immediate consideration! If this is not the ideal role for you, please look at our website ******************** for additional job opportunities!
HumanHire is a national executive search and staffing firm with a leadership team that has over 50 years of experience as trusted industry professionals specializing in direct hire, temp to hire, temporary, and payrolling services. We have cultivated long-lasting relationships and utilize them to connect our candidates and clients in several industries and job functions:
Paralegals
Legal Assistants
Billing and Accounting
Attorneys
Legal Secretaries
Human Resources
Business Development
Billing Coordinator
Billing specialist job in New York, NY
Department: Finance
Reporting Structure: Reports to the Billing Manager
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We are seeking a detail-oriented and highly organized Billing Coordinator to join our Finance team. As a Billing Coordinator, you will play a vital role in ensuring accurate and timely billing processes. Your primary responsibility will be to manage and coordinate the billing activities of our organization. If you have excellent attention to detail, strong analytical skills, and a passion for providing exceptional customer service, we would love to hear from you!
Responsibilities:
Manage and coordinate the billing process from start to finish
Review and verify accuracy of billing data and invoices
Prepare and send invoices to clients
Follow up on outstanding payments and resolve any billing discrepancies
Maintain billing records and documentation
Generate financial reports related to billing activities
Collaborate with cross-functional teams to ensure smooth billing operations
Provide support to clients and internal stakeholders regarding billing inquiries
Stay up-to-date with industry trends and best practices in billing processes
Qualifications and Skills:
High school diploma or equivalent; Bachelor's degree in Finance or related field is preferred
Proven experience as a Billing Coordinator or similar role
Strong knowledge of billing processes and procedures
Proficient in using billing software and MS Office applications
Excellent attention to detail and accuracy
Strong analytical and problem-solving skills
Ability to prioritize and manage multiple tasks effectively
Exceptional customer service and communication skills
Ability to work independently and collaboratively in a team environment
If you are looking for a challenging role in a dynamic and fast-paced environment, this is the perfect opportunity for you. Join our team and contribute to the success of our organization!
Billing Coordinator
Billing specialist job in New York, NY
The ideal candidate is responsible for: Collecting medical and patient data such as diagnosis, treatment, proof of eligibility, and insurance verification. Makes appropriate corrections to systems to satisfy system edit requirements and resubmit claims as needed.
Posts payments and adjustments in billing databases; prepares batches for posting.
Maintains active communication with patient and third-party carriers until account is paid or referred to other appropriate agency for further collection activity.
Investigates and analysis problem accounts. Researches accounts and resolves disputes.
Review Explanation of Benefits (EOB's) and follows up on open accounts with insurance company to resolve and pending issues.
Legal Billing Coordinator
Billing specialist job in New York, NY
Job Description
A global law firm seeks a Billing Coordinator to join their dynamic team. This role will be responsible for coordinating the activities of the billing process and performing complex billing duties in efforts to meet monthly targets, while acting as liaison between billing attorneys, attorney support assistants, legal attorneys, and/or organizations (customers), and the billing staff, as well as responding to internal and external inquiries in a timely manner. Please note that this role may be eligible for a flexible working schedule that allows for a hybrid and in-office presence.
Responsibilities
Preparing and analyzing complex client billing
Communicating with customers to ensure their requests from the billing staff are being met; updating customers on the status of tasks and/or projects
Providing accurate and timely completion of assignments and inquiry responses; ensuring that all tasks and duties completed are done within the firm's set guidelines and policies
Generating and reviewing proformas from 3E (pre-existing or generating new charges)
Tracking delivery of client invoices and matter statuses
Protecting and maintaining any highly sensitive, confidential, privileged, financial, and/or proprietary information that Latham & Watkins retains
Qualifications
A high school diploma or an equivalent
A bachelor's degree in Accounting or a related field, preferably
A minimum of three (3) years of experience in general accounting practices, including a minimum of two (2) years of experience with billing processes and practices
Prior experience with professional services billing operations system, preferably
Benefits & Additional Information
Successful candidates will not only be provided with an outstanding career opportunity and welcoming environment, but will also be provided with a generous total compensation package with bonuses awarded in recognition of both individual and firm performance. Eligible employees can participate in firm's comprehensive benefit program which includes:
Healthcare, life and disability insurance
A generous 401k plan
At least 11 paid holidays per year, and a PTO program that accrues 23 days during the first year of employment and grows with tenure
Well-being programs (e.g. mental health services, mindfulness and resiliency, medical resources, well-being events, and more)
Professional Development programs
Employee discounts
And more!
Many of our job openings can be viewed at **********************************************
Patient Registration Representative
Billing specialist job in New York, NY
Please find below the :
Job Title : Patient Registrar
Duration : 6+ months (Possibility for extension)
Pay Rate : $23/Hr.
Schedule Notes: 9:00 am - 5:00 pm
Job Description:
M-F 9a-5p. 24 wk assignment covering FTE LOA. HS diploma/GED (R). Some college (P). Proficiency in EHR (strongly P). 3 yrs clerical exp (R) [3-5 yrs preferred of cardiology exp in medical or secretarial setting]. Data entry skills of 4500 keystrokes (R).Knowledge of health insurance benefits/requirements, Coding: ICD 9, CPT-4 (P). Customer service, telephone, keyboard, computer, effective communication skills (R). Customer service exp (P).
Benefits:
Pride Health offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, , legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.
Credentialing Coordinator
Billing specialist job in New York, NY
Job Title : Credentialing Coordinator
Duration : 2 Months Contract (with possible extension)
Education : High school Degree required, Bachelor's Degree preferred
Shift Details : 9:00 AM-5:00 PM Hybrid (Thursdays Mandatory) First week training on-site
General Description:
·Maintain communication with the credentialing contacts at facilities and provider sites to coordinate receipt of information required for credentialing, re-credentialing, and update of provider credentialing information
·Review provider-credentialing file for completion and presentation to the Credentialing Committee
·Perform primary source verification on required elements and in accordance with MetroPlus' policies and procedures
·Respond to inquiries from other MetroPlus departments relative to a provider's credentialing status
Education:
High school Degree required, Bachelor's Degree preferred