Medical Billing and Collections Rep

Progressive Spine and Orthopaedics LLC

  • Englewood, NJ
  • Permanent
  • Full-time
  • 2 days ago
Medical Billing and Collections Representative (Commercial, Out-of-Network, and Vein Procedure Experience) Are you a driven billing professional who thrives on solving complex challenges and making sure every claim gets the attention it deserves? We are seeking a Medical Billing & Collections Representative to join our growing team in Englewood, NJ. This is an exciting opportunity to bring your expertise in commercial insurance, out-of-network claims, and vein procedures into a dynamic practice that has been expanding rapidly across New Jersey since 2011. If you are motivated by results, passionate about accuracy, and want to work with phenomenal providers and staff, this role is for you. In this position, you'll be the go-to expert for managing the full collections cycle for vein-related procedures such as ablations, sclerotherapy, and phlebectomy. You'll work directly with commercial carriers, resolving out-of-network reimbursement issues, negotiating fair payments, and ensuring timely resolution of outstanding claims. Your ability to navigate payer policies, advocate for proper reimbursement, and keep up with coding requirements will directly impact both our patients and our practice. Collaboration is at the heart of what we do. You'll work closely with management, coding teams, and providers to ensure accurate billing for vein services, while also building strong relationships with patients to explain their financial responsibilities and set up workable payment plans. Every day will bring new challenges, from appealing denials and correcting discrepancies to reconciling payments and producing reports for leadership. This is a fast-paced, purpose-driven environment where your contributions will truly make a difference. We're looking for someone with 3-5 years of medical billing and collections experience, preferably with direct exposure to commercial insurance carriers and out-of-network claim resolution. Prior experience with vascular billing and vein procedure coding is highly valued. Technical proficiency in billing software and EHR systems, strong communication skills, and the ability to problem-solve under pressure are essential for success in this role. What You'll Bring to the Team: Expertise in commercial carriers, out-of-network claims, and specialized vein billing. Proven ability to follow up on unpaid claims, resolve denials, and drive appeals to success. Clear, professional communication with carriers, providers, and patients alike. Strong organizational skills to manage competing priorities in a high-energy setting. This is a full-time, on-site role in Englewood, NJ, with Monday-Friday, 8-hour shifts. We offer a collaborative, inclusive, and supportive workplace where you'll be surrounded by colleagues who share your commitment to excellence. Our practice is growing fast, and so can your career. Come join a team that's as passionate about people as it is about results. If you're ready to put your commercial insurance, out-of-network expertise, and vein billing knowledge to work in an environment that values your skills, apply today. Together, we'll ensure patients get the care they deserve and our providers receive the reimbursement they've earned. Pay Transparency Statement: In accordance with the New Jersey Pay Transparency Act, this role falls within Pay Grade 7 of the 2025 OPM Salary Table for the NY, NJ, CT, and PA region. Compensation is commensurate with experience and education.PIced-2269

Progressive Spine and Orthopaedics LLC