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Medicaid/Medicare Billing Specialist

Bb661c48 7edc 400c Adfb 40f8f7743374 19000101 000001 · Clifton, NJ, US, Clifton, NJ · Active · $18–$29 / year · ADP Workforce Now Recruiting

Job facts

FieldValue
CompanyBb661c48 7edc 400c Adfb 40f8f7743374 19000101 000001
TitleMedicaid/Medicare Billing Specialist
Normalized title-
Department / team-
LocationClifton, NJ, United States
Work model-
Employment typeFull Time
Salary$18–$29 / year
Statusactive
ATS providerADP Workforce Now Recruiting
Posted / first seen2025-02-13 / 2026-05-31
Changed / last seen2026-06-06 / 2026-06-06

Related slices

PageWhat it containsOpen
Company jobsActive postings from Bb661c48 7edc 400c Adfb 40f8f7743374 19000101 000001.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through ADP Workforce Now Recruiting.Open
Provider filtered searchThe same provider as a filtered job collection.Open
City jobsActive postings in Clifton.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

CompanyBb661c48 7edc 400c Adfb 40f8f7743374 19000101 000001
Source5d77133d-be7d-42ab-9f81-faaefc8cd7db
ATS providerADP Workforce Now Recruiting

Description

Job Summary: Responsible for the timely and accurate resolution of insurance claims, primarily for Medicare, Medicaid, and HMO plans. This role involves follow-up on claims from billing through final resolution, identifying and correcting errors, and ensuring prompt payment of outstanding accounts. Key Responsibilities: Claim Follow-up: Monitor the progress of insurance claims from submission to payment Payers Include Medicare, Medicare HMO's, Medicaid and Medicaid HMO's Identify and resolve claim denials, rejections, and delays. Follow up with insurance carriers to expedite claim payments. Error Correction: Review daily electronic billing reports, paper claim submissions, and third-party confirmation reports for errors. Make necessary corrections in the billing system to ensure accurate claims. Medicare Claims: Process Medicare RTP claims and denial reports on a daily basis. Ensure timely and accurate submission of Medicare credit balance quarterly reports. Account Resolution: Research outstanding accounts and take appropriate action to secure prompt payment. Analyze system-generated reports to identify accounts requiring research. Document all resolution activities in the appropriate system and log. Alert supervisors or managers of non-payment trends. Contractual Allowance: Research partial payments to determine if the appropriate contractual allowance was calculated. Initiate corrective action for miscalculated allowances, including collaboration with clinical departments. Document results and alert supervisors or managers of trends. Rejected and Denied Services: Research rejected or denied services and determine corrective action. Complete corrective action using departmental procedures and policies. Document results and alert supervisors or managers of non-payment trends. Reporting: Complete productivity reports and submit to supervisors within the established timeframe. Customer Service and Performance Improvement: Support the department's customer service and performance improvement goals. Collaborate with other staff to enhance patient care and service. Compliance: Maintain strict confidentiality of patient information. Required Qualifications: Experience: 1-3 years of experience in healthcare billing or Hospital billing. Technical Skills: Proficiency in using billing systems and software. Knowledge: Knowledge of Medicare, Medicaid, and HMO billing regulations.

Full job record

Job IDfc5f83860a58d9c9830d697973ae50984b602554
Org IDb1bceb74-f458-408c-8b2e-6674db847335
Source ID5d77133d-be7d-42ab-9f81-faaefc8cd7db
Board ID5d77133d-be7d-42ab-9f81-faaefc8cd7db
Provideradp_workforcenow
Provider Job Key544781
TitleMedicaid/Medicare Billing Specialist
Normalized Title—
Statusactive
Activeyes
Location TextClifton, NJ, US, Clifton, NJ
Department—
Team—
Employment Typefull_time
Workplace Type—
Remote Policy—
CountryUnited States
RegionNJ
CityClifton
Salary Raw18.00 To 29.00 (USD) Annually
Salary Min18
Salary Max29
Salary CurrencyUSD
Salary Periodyear
Source URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=bb661c48-7edc-400c-adfb-40f8f7743374&ccId=19000101_000001&lang=en_US&type=JS&jobId=544781&jwId=9200818512542_1
Apply URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=bb661c48-7edc-400c-adfb-40f8f7743374&ccId=19000101_000001&lang=en_US&type=JS&jobId=544781&jwId=9200818512542_1
First Seen At2026-05-31 18:32:28Z
Last Seen At2026-06-06 13:26:30Z
Last Checked At2026-06-06 13:26:30Z
Last Changed At2026-06-06 13:26:30Z
Inactive At—
Source Posted At2025-02-13 13:47:00Z
Source Updated At—
Raw Payload Uris3://job-postings-prod-raw-590183727216/raw/provider=adp_workforcenow/board=bb661c48-7edc-400c-adfb-40f8f7743374|19000101_000001/date=2026-06-06/2026-06-06T13-26-27-101Z-b4b95ef7db215bba21991bff320ea36806af133eb9c4d07d371728123545d26c.json
Event Fields
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Parsed Structured
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Extensions
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Native Structured
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    "requisitionDescription": "<div><div><div><p style=\"margin:0in;margin-bottom:.0001pt;font-size:16px;font-family:Aptos;\" id=\"isPasted\"><strong><span style=\"color:black;\">Job Summary:</span></strong></p><p style=\"margin:0in;margin-bottom:.0001pt;font-size:16px;font-family:Aptos;\"><span style=\"color:black;\">Responsible for the timely and accurate resolution of insurance claims, primarily for Medicare, Medicaid, and HMO plans. This role involves follow-up on claims from billing through final resolution, identifying and correcting errors, and ensuring prompt payment of outstanding accounts.</span></p><p style=\"margin:0in;margin-bottom:.0001pt;font-size:16px;font-family:Aptos;\"><strong><span style=\"color:black;\">Key Responsibilities:</span></strong></p><ul type=\"disc\" style=\"margin-bottom:0in;\"><li style=\"margin:0in;margin-bottom:.0001pt;font-size:16px;font-family:Aptos;color:black;\"><strong><span style='font-family:\"Times New Roman\";'>Claim Follow-up:</span></strong><ul type=\"circle\" style=\"margin-bottom:0in;\"><li style=\"margin-top: 0in;margin-right: 0in;margin-bottom: 0.0001pt;font-size:16px;font-family: Aptos;color: black;\"><span style='font-family:\"Times New Roman\";'>Monitor the progress of insurance claims from submission to payment&nbsp;</span></li><li style=\"margin-top: 0in;margin-right: 0in;margin-bottom: 0.0001pt;font-size:16px;font-family: Aptos;color: black;\"><span style='font-family:\"Times New Roman\";'>Payers Include Medicare, Medicare HMO&#39;s, Medicaid and Medicaid HMO&#39;s</span></li><li style=\"margin-top: 0in;margin-right: 0in;margin-bottom: 0.0001pt;font-size:16px;font-family: Aptos;color: black;\"><span style='font-family:\"Times New Roman\";'>Identify and resolve claim denials, rejections, and delays.</span></li><li style=\"margin-top: 0in;margin-right: 0in;margin-bottom: 0.0001pt;font-size:16px;font-family: Aptos;color: black;\"><span style='font-family:\"Times New Roman\";'>Follow up with insurance carriers to expedite claim payments.</span></li></ul></li><li style=\"margin:0in;margin-bottom:.0001pt;font-size:16px;font-family:Aptos;color:black;\"><strong><span style='font-family:\"Times New Roman\";'>Error Correction:</span></strong><ul type=\"circle\" style=\"margin-bottom:0in;\"><li style=\"margin-top: 0in;margin-right: 0in;margin-bottom: 0.0001pt;font-size:16px;font-family: Aptos;color: black;\"><span style='font-family:\"Times New Roman\";'>Review daily electronic billing reports, paper claim submissions, and third-party confirmation reports for errors.</span></li><li style=\"margin-top: 0in;margin-right: 0in;margin-bottom: 0.0001pt;font-size:16px;font-family: Aptos;color: black;\"><span style='font-family:\"Times New Roman\";'>Make necessary corrections in the billing system to ensure accurate claims.</span></li></ul></li><li style=\"margin:0in;margin-bottom:.0001pt;font-size:16px;font-family:Aptos;color:black;\"><strong><span style='font-family:\"Times New Roman\";'>Medicare Claims:</span></strong><ul type=\"circle\" style=\"margin-bottom:0in;\"><li style=\"margin-top: 0in;margin-right: 0in;margin-bottom: 0.0001pt;font-size:16px;font-family: Aptos;color: black;\"><span style='font-family:\"Times New Roman\";'>Process Medicare RTP claims and denial reports on a daily basis.</span></li><li style=\"margin-top: 0in;margin-right: 0in;margin-bottom: 0.0001pt;font-size:16px;font-family: Aptos;color: black;\"><span style='font-family:\"Times New Roman\";'>Ensure timely and accurate submission of Medicare credit balance quarterly reports.</span></li></ul></li><li style=\"margin:0in;margin-bottom:.0001pt;font-size:16px;font-family:Aptos;color:black;\"><strong><span style='font-family:\"Times New Roman\";'>Account Resolution:</span></strong><ul type=\"circle\" style=\"margin-bottom:0in;\"><li style=\"margin-top: 0in;margin-right: 0in;margin-bottom: 0.0001pt;font-size:16px;font-family: Aptos;color: black;\"><span style='font-family:\"Times New Roman\";'>Research outstanding accounts and take appropriate action to secure prompt payment.</span></li><li style=\"margin-top: 0in;margin-right: 0in;margin-bottom: 0.0001pt;font-size:16px;font-family: Aptos;color: black;\"><span style='font-family:\"Times New Roman\";'>Analyze system-generated reports to identify accounts requiring research.</span></li><li style=\"margin-top: 0in;margin-right: 0in;margin-bottom: 0.0001pt;font-size:16px;font-family: Aptos;color: black;\"><span style='font-family:\"Times New Roman\";'>Document all resolution activities in the appropriate system and log.</span></li><li style=\"margin-top: 0in;margin-right: 0in;margin-bottom: 0.0001pt;font-size:16px;font-family: Aptos;color: black;\"><span style='font-family:\"Times New Roman\";'>Alert supervisors or managers of non-payment trends.</span></li></ul></li><li style=\"margin:0in;margin-bottom:.0001pt;font-size:16px;font-family:Aptos;color:black;\"><strong><span style='font-family:\"Times New Roman\";'>Contractual Allowance:</span></strong><ul type=\"circle\" style=\"margin-bottom:0in;\"><li style=\"margin-top: 0in;margin-right: 0in;margin-bottom: 0.0001pt;font-size:16px;font-family: Aptos;color: black;\"><span style='font-family:\"Times New Roman\";'>Research partial payments to determine if the appropriate contractual allowance was calculated.</span></li><li style=\"margin-top: 0in;margin-right: 0in;margin-bottom: 0.0001pt;font-size:16px;font-family: Aptos;color: black;\"><span style='font-family:\"Times New Roman\";'>Initiate corrective action for miscalculated allowances, including collaboration with clinical departments.</span></li><li style=\"margin-top: 0in;margin-right: 0in;margin-bottom: 0.0001pt;font-size:16px;font-family: Aptos;color: black;\"><span style='font-family:\"Times New Roman\";'>Document results and alert supervisors or managers of trends.</span></li></ul></li><li style=\"margin:0in;margin-bottom:.0001pt;font-size:16px;font-family:Aptos;color:black;\"><strong><span style='font-family:\"Times New Roman\";'>Rejected and Denied Services:</span></strong><ul type=\"circle\" style=\"margin-bottom:0in;\"><li style=\"margin-top: 0in;margin-right: 0in;margin-bottom: 0.0001pt;font-size:16px;font-family: Aptos;color: black;\"><span style='font-family:\"Times New Roman\";'>Research rejected or denied services and determine corrective action.</span></li><li style=\"margin-top: 0in;margin-right: 0in;margin-bottom: 0.0001pt;font-size:16px;font-family: Aptos;color: black;\"><span style='font-family:\"Times New Roman\";'>Complete corrective action using departmental procedures and policies.</span></li><li style=\"margin-top: 0in;margin-right: 0in;margin-bottom: 0.0001pt;font-size:16px;font-family: Aptos;color: black;\"><span style='font-family:\"Times New Roman\";'>Document results and alert supervisors or managers of non-payment trends.</span></li></ul></li><li style=\"margin:0in;margin-bottom:.0001pt;font-size:16px;font-family:Aptos;color:black;\"><strong><span style='font-family:\"Times New Roman\";'>Reporting:</span></strong><ul type=\"circle\" style=\"margin-bottom:0in;\"><li style=\"margin-top: 0in;margin-right: 0in;margin-bottom: 0.0001pt;font-size:16px;font-family: Aptos;color: black;\"><span style='font-family:\"Times New Roman\";'>Complete productivity reports and submit to supervisors within the established timeframe.</span></li></ul></li><li style=\"margin:0in;margin-bottom:.0001pt;font-size:16px;font-family:Aptos;color:black;\"><strong><span style='font-family:\"Times New Roman\";'>Customer Service and Performance Improvement:</span></strong><ul type=\"circle\" style=\"margin-bottom:0in;\"><li style=\"margin-top: 0in;margin-right: 0in;margin-bottom: 0.0001pt;font-size:16px;font-family: Aptos;color: black;\"><span style='font-family:\"Times New Roman\";'>Support the department&#39;s customer service and performance improvement goals.</span></li><li style=\"margin-top: 0in;margin-right: 0in;margin-bottom: 0.0001pt;font-size:16px;font-family: Aptos;color: black;\"><span style='font-family:\"Times New Roman\";'>Collaborate with other staff to enhance patient care and service.</span></li></ul></li><li style=\"margin:0in;margin-bottom:.0001pt;font-size:16px;font-family:Aptos;color:black;\"><strong><span style='font-family:\"Times New Roman\";'>Compliance:</span></strong><ul type=\"circle\" style=\"margin-bottom:0in;\"><li style=\"margin-top: 0in;margin-right: 0in;margin-bottom: 0.0001pt;font-size:16px;font-family: Aptos;color: black;\"><span style='font-family:\"Times New Roman\";'>Maintain strict confidentiality of patient information.</span></li></ul></li></ul><p style=\"margin:0in;margin-bottom:.0001pt;font-size:16px;font-family:Aptos;\"><strong><span style=\"color:black;\">Required Qualifications:</span></strong></p><ul type=\"disc\" style=\"margin-bottom:0in;\"><li style=\"margin:0in;margin-bottom:.0001pt;font-size:16px;font-family:Aptos;color:black;\"><strong><span style='font-family:\"Times New Roman\";'>Experience:</span></strong><span style='font-family:\"Times New Roman\";'>&nbsp;1-3 years of experience in healthcare billing or Hospital billing.&nbsp;</span></li><li style=\"margin:0in;margin-bottom:.0001pt;font-size:16px;font-family:Aptos;color:black;\"><strong><span style='font-family:\"Times New Roman\";'>Technical Skills:</span></strong><span style='font-family:\"Times New Roman\";'>&nbsp;Proficiency in using billing systems and software.</span></li><li style=\"margin:0in;margin-bottom:.0001pt;font-size:16px;font-family:Aptos;color:black;\"><strong><span style='font-family:\"Times New Roman\";'>Knowledge:</span></strong><span style='font-family:\"Times New Roman\";'>&nbsp;Knowledge of Medicare, Medicaid, and HMO billing regulations.</span></li></ul></div></div></div>\n",
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GET https://api.bluedoor.sh/job-postings/v1/sources/5d77133d-be7d-42ab-9f81-faaefc8cd7dbJSON
GET https://api.bluedoor.sh/job-postings/v1/jobs/fc5f83860a58d9c9830d697973ae50984b602554/eventsJSON

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