Medical Billing and Accounts Receivable Specialist/Claims Follow-up

Job Description

Job Description

Medical Biller/Accounts Receivable Specialist

Confidential Plastic Surgery Practice – Red Bank, NJ

A well-established and discreet plastic surgery practice in Red Bank, NJ is seeking a detail-oriented Medical Biller/Accounts Receivable Specialist to join our billing and revenue cycle team. This role is ideal for a professional with strong medical billing and accounts receivable experience in healthcare, a command of follow-up workflows, and the ability to drive collections while maintaining a high standard of patient service.

This is a confidential recruitment.

Position Overview

The Billing and Accounts Receivable Specialist will manage all aspects of the full medical billing lifecycle and accounts receivable, including aging follow-up, insurance and patient balance reconciliation, denial/appeals follow-up, insurance verification, claims submission, payment posting, denial management, patient account reconciliation and coordination with clinical and front-office staff to optimize cash flow and reduce outstanding balances.

This role requires accuracy, discretion, strong follow-through, and a high level of professionalism.

Key Responsibilities

• Submit and track insurance claims (commercial, out-of-network)
• Post insurance and patient payments accurately, post payments and adjustments; reconcile accounts
• Manage claim denials, appeals , and underpayments
• Monitor and manage aging AR from all payers (insurance, self-pay, patient balances)
• Conduct timely follow-up with payers to resolve claim delays, denials, and underpayments
• Reconcile daily deposits and billing reports
• Prepare and submit appeals and supporting documentation
• Coordinate with clinical and front-desk staff to resolve documentation or coding issues
• Provide clear, professional communication with patients on billing inquiries and payment options
• Produce daily, weekly, and monthly A/R reporting
• Drive metrics and KPI tracking (e.g., 30/60/90+ day aging, clean claim rates)
• Maintain HIPAA compliance and confidentiality at all times.

Qualifications

• 3+ years medical billing and A/R or revenue cycle experience (surgical or specialty practice preferred)
• Strong knowledge of CPT, ICD-10, modifiers, surgical coding and billing compliance
• Excellent organizational and communication skills
• Ability to manage multiple payers, prioritize follow-up, and produce accurate reporting
• Experience with medical billing systems and electronic remittance (ANSI 835) with cosmetic and reconstructive billing preferred
• Strong analytical and organizational skills
• Ability to manage A/R metrics and meet collection targets
• Professional demeanor and discretion required

Preferred Experience

• Out-of-network reimbursement workflows
• Self-pay and financing program coordination
• Appeals, arbitration and high-dollar surgical claim follow-up

Preferred Skills

• Denial management and appeals expertise
• Out-of-network and self-pay receivables experience
• Familiarity with electronic practice management systems
• Metrics-driven with focus on reducing outstanding A/R

Benefits

• Competitive compensation based on experience
• Health/dental/vision options
• Professional work environment
• Room for growth and skill advancement

How to Apply

Please submit your resume and a brief summary highlighting your medical billing and accounts receivable experience (especially with surgical specialties). All inquiries will remain confidential.