Billing Specialist (Hospital)
Job Description
Lawrenceville, NJ | Contract-to-Hire | $23-$26/hr | Full-Time
Medix is currently hiring a Billing Specialist - Hospital for a leading healthcare organization in the Lawrenceville, NJ area. This is a 4-5 month / 800-hour contract-to-hire opportunity with an ASAP start goal.
Position Details
- Location: Lawrenceville, NJ 08648
- Schedule: Monday-Friday, 8-hour workday; 8:00 AM-5:00 PM preferred
- Pay: $23-$26/hour
- Employment Type: Contract-to-Hire
- Contract Length: Approximately 4-5 months / 800 hours
- Start Date: ASAP
- Work Arrangement: Primarily onsite initially, with potential for hybrid flexibility after training and demonstrated proficiency
About the Role
The Billing Specialist will support the healthcare revenue cycle by submitting and managing insurance claims, following up on outstanding accounts, resolving billing errors and denials, and ensuring claims are accurately processed through payment.
The ideal candidate will come in with strong hospital billing and revenue cycle experience and be able to work independently with minimal training on standard billing concepts. Training will primarily focus on internal workflows, organization-specific processes, and EMR/system training.
Key Responsibilities
Claims Processing
- Submit primary and secondary insurance claims according to payer guidelines
- Review claims for accuracy prior to submission and correct errors
- Resolve claim rejections, denials, and returned claims
- Resubmit corrected claims in a timely manner
- Stay current with payer requirements and billing regulations
Insurance Follow-Up & Account Management
- Review patient accounts to verify insurance payments and identify outstanding balances
- Contact insurance companies by phone and through payer portals regarding unpaid or denied claims
- Process account adjustments, insurance updates, and financial class changes as appropriate
- Document account activity accurately and thoroughly
Billing Review & Denials
- Review and interpret EOBs
- Research and resolve billing issues
- Work with coding, registration, and other departments to correct account issues
- Research authorizations, medical records, and other documentation needed for appeals
- Process claim reconsiderations and appeals
- Identify recurring denials, payment trends, and billing issues and communicate findings to management
Productivity & Compliance
- Complete assigned worklists and special projects accurately and on time
- Maintain productivity and quality standards
- Follow departmental policies and procedures
- Adapt to changing priorities and perform other duties as assigned
Required Qualifications
- High school diploma or equivalent
- Strong hospital billing experience required
- Hands-on UB-04 experience required
- Experience with hospital revenue cycle workflows
- Ability to read and interpret EOBs
- Understanding of insurance denials and claim reconsiderations
- Experience processing appeals
- Ability to work independently with standard revenue cycle processes
- Experience with Cerner, Athena, or Epic
- Proficiency with Microsoft Office, particularly Excel
- Strong organizational, communication, and problem-solving skills
Hybrid Opportunity
This position is initially expected to be onsite. Hybrid flexibility may be earned after the employee successfully completes training, becomes fully up to speed with department workflows, and demonstrates the ability to work independently.
Depending on performance and business needs, employees will have the opportunity to work from home 2-3 days per week. Hybrid arrangements are considered on a case-by-case basis and are not guaranteed at the start of the assignment.
Equipment
A laptop will be provided for the position.
There is a $50/week IT equipment deposit for the first 10 weeks ($500 total). The full deposit is refunded when the equipment is returned or when the employee converts to a permanent employee.
Why This Role?
This is a strong opportunity for a hospital billing professional looking to join a team where your existing revenue cycle knowledge can make an immediate impact. The successful candidate will be able to hit the ground running with hospital billing fundamentals while learning organization-specific systems and processes.
Apply today to be considered for this contract-to-hire opportunity.
For California Applicants:
We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).
This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
Our commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?
