Billing Representative

Billing Representative - Full Time

Holy Name Medical Center

Welcome to Holy Name, a medical center where innovation is not just a goal — it's a commitment. Here, medical excellence thrives, allowing hope to reign supreme and leaving no room for fear. At our hospital, every patient is cared for with undivided attention — because healing every soul is our sole focus. Holy Name is New Jersey's only independent Catholic health system, comprising a 361-bed acute care hospital, a renowned cancer center, a state‑of‑the‑art fitness center, a residential hospice, a prestigious nursing school, and an extensive physician network.

Healing at Holy Name goes beyond medicine and technology – it is infused with faith, conviction, compassion, and a commitment to educating the next generation of healthcare professionals through a variety of residency and educational programs. Our mission to provide care for the body, mind, and soul spans education, prevention, diagnosis, treatment, rehabilitation, and overall wellness. This is at the core of who we are and what we do, and we've done it this way across generations, every single day, for nearly 100 years.

Every innovation, medical breakthrough, and groundbreaking treatment is powered by some of the best minds in medicine, ensuring nothing is left on the table or the road to recovery.

Responsible for submission and follow up of assigned claims.

• Reviews patient accounts for accuracy and completeness of charge, insurance, UB and DRG information.
• Prepares and identifies portion of charges to be billed to insurance companies and those to be billed to the patient.
• Submits claims via the appropriate mode of submission, i.e. teleprocessing, PC or hard copy.
• Inputs all claim activity into the computer system.
• Monitors the status of all outstanding claims within account assignments and follows up as needed.
• Receives and answers correspondence and phone inquiries from patient, insurance companies, Medicare and other parties regarding claims, charges or billing discrepancies.
• Updates financial transactions on billing folders within account assignments and maintains folders in file.
• Demonstrates effective communication skills with patients and insurance companies.
• Maintains patient billing files in an orderly manner.
• Calculates charge prorations, payer discounts, allowances and adjustments to be posted to accounts.
• Prepares daily billing activity report.
• Maintains and respects confidentiality.
• Performs related duties as assigned.

• High School Diploma or equivalent - Required
• Trade/Vocational School Accredited college/trade school for medical billing & coding - Required

• 1-3 years of experience; must have two years of office experience with a financial background.
• CRT or PC experience - Required

• Must have strong math skills and familiarity with medical terminology.
• Must speak, write and read English.

Full-time employees have access to a comprehensive benefits package designed to support health, financial security, and quality of life, including low‑cost medical coverage, dental and vision plans, discounted prescriptions, on‑site child care, 401(k) matching, tuition reimbursement, paid time off, flexible spending accounts, life insurance, and free on‑site parking. Final base compensation will be determined based on employment status, skills, education and experience.

Pay range: $20.00/hour – $25.00/hour.

Holy Name is an Equal Opportunity Employer.