Benefits:
Life Insurance
401(k) matching
Dental insurance
Health insurance
Paid time off
Vision insurance
Position Summary
The Medical Coding and Billing Associate is responsible for accurately translating clinical services, diagnoses, and procedures into standardized medical codes and ensuring timely, compliant submission of insurance claims. This role supports the financial health of the pediatric neuroscience practice by maximizing reimbursement, minimizing denials, and maintaining strict adherence to federal, state, and payer regulations. The billing associate works closely with providers, clinical staff, and administrative teams to ensure complete documentation, proper billing practices, and exceptional revenue cycle performance while upholding the highest standards of patient confidentiality and compliance.
Key Responsibilities
Maintains competency and performs all necessary functions for medical and surgical billing and collections
Maintains and updates billing and collection data daily
Resolves billing and collection conflicts for patients and their families, office staff and insurance carriers
Establishes payment arrangements with patient per company policy
Performs insurance claim follow-ups for insurance denials and appeals
Monitors accounts to identify overdue payment
Keeps close contact with collections agency to monitor patient accounts
Works collectively with all NJPNI office staff
Documents and records all communications with patients, families and insurance carriers
Assists manager with production and presentation of monthly, quarterly and annual reports
Examines and reviews “Explanation of Benefits” (EOB’s) with patients and their families
Participates in professional development activities and maintains professional affiliations with area of expertise
Maintains current knowledge of, and complies with established policies and procedures including patient confidentiality/patient rights, government, insurance and third-party payer regulations
Identifies and implements methods to automate and streamline revenue cycle processes through use of the electronic medical record / GE system
Completes and maintains credentialing of clinical staff with insurance carriers and hospitals as needed
Perform other administrative duties as assigned.
Skills & Competencies
Strong Interpersonal and Communication Skills
Customer Service Excellence
Problem Solving and Attention to Detail
Multitasking and Time Management
Proficiency with Scheduling Software and EMR Systems
Ability to Perform Well in a Fast-Paced, Team-Oriented Environment
Qualifications
Knowledge of medical terminology and healthcare scheduling workflows preferred.
High school diploma or equivalent required, associate or bachelor’s degree in healthcare administration or related field preferred.
Medical billing/coding 1 year experience (preferred)
Demonstrated professionalism, reliability, and commitment to patient-centered care.
Work Environment & Physical Requirements
Standard office environment within a medical practice.
Frequent use of computers and telephones.
Occasional lifting of files, office supplies, or equipment (up to 20 lbs).