Job Description

Russell Tobin's client is hiring a Medical Claims Coordinator in Paramus, NJ

Employment Type: Contract

Location: Hybrid (2 days in-office) - Paramus, NJ 07652

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.

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