About us
Coastal Ear, Nose and Throat is a medical group practice that specializes in Ear, Nose, and Throat. We're growing and we’re on the lookout for top talent to keep us moving forward.
With three offices located in Neptune, Holmdel and Manahawkin New Jersey we're committed to providing the highest quality, state-of-the-art medical care. We have the best ENT team in New Jersey, committed to providing the highest quality, state-of-the-art medical care in a compassionate and professional manner.
Our physicians come from high-level training programs with expertise in treating both basic and complex ENT (ear, nose and throat) problems in children and adults. We pride ourselves on providing a unique level of compassion and care at all of our New Jersey locations. With us, you’ll join a community of passionate health care advocates.
RESPONSIBILITIES:
- Posting charges, releasing claims, entering insurance and patient payments.
- Communicate with other staff, coders, providers and/or medical assistants to ensure chart and/or coding accuracy.
- Timely mailing or electronic submission of bills, statements and month end reports.
- Respond to inquiries from payors, providers and patients in a timely fashion.
- Maintain patient and payor contact to ensure prompt payment of bills.
- Responsible for accuracy and status of accounts.
- Work claims and claim denials to ensure maximum reimbursement for services rendered.
- Timely follow up on insurance claim denials ensuring benchmarks are met.
- Claim corrections and appeals.
- Reading and interpreting insurance Explanation of Benefits
- Utilize monthly aging account receivable reports to follow up on unpaid claims aged over 30 days.
- Utilize all online tools available to ensure medical necessity, clean claims, active coverage, authorizations and referrals.
- Participate in monthly meetings.
- Perform additional duties as requested by Supervisory or Management Team.
QUALIFICATIONS:
- 3-5 years billing experience is required.
- Medicaid billing experience preferred.
- Computer experience is essential. Working knowledge of all Microsoft Office products. Previous experience with practice management software. Daily use of Payor sites, such as Navinet, Availity.
- Understanding and interpreting insurance medical policies
- Experience with CPT and ICD 10 coding, coding for otolaryngology preferred.
- Familiarity with medical terminology.
- Strong customer service skills.
- Ability to perform multiple tasks simultaneously.
- Strong written and verbal communication skills.
- Experience with Workers Comp, MVA preferred.
- Experience with filing claim appeals with payors to ensure maximum entitled reimbursement.
- Experience with in-house chart auditing preferred.
- Pleasant speaking voice and demeanor.
- Neat, professional appearance.
- Ability to work in a team environment.
- Desire for continued education/training
- Experience with CPT and ICD 10 coding, Coding for otolaryngology preferred.
- Medical Terminology
- Strong customer service skills.
- Experience filing claim appeals with payors to ensure maximum entitled reimbursement.
- Experience with in-house chart auditing preferred.
- Pleasant speaking voice and demeanor.
- Neat, professional appearance.
- Ability to work in a team environment.
- Desire for continued education/training
EDUCATIONAL REQUIREMENTS:
- High School Diploma required
- Coding Certification preferred
Work Location
Job Type: Full-time
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Work Location: In-person
Coastal Ear, Nose & Throat (CENT) is an Equal Opportunity Employer and Prohibits Discrimination and Harassment of any kind: CENT is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at CENT are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by law. CENT will not tolerate discrimination or harassment based on any of these characteristics.”
Job Type: Full-time
Benefits:
- 401(k)
- Dental insurance
- Flexible schedule
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Ability to Relocate:
- Neptune City, NJ 07753: Relocate before starting work (Required)
Work Location: In person