Prior Authorization/Billing Specialist

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🕒 December 9, 2025

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

💵 $18 - $19 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 Billing Specialist

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Grace Care Homes

WebsiteLinkedInAll Job Openings

11 - 50 employees

🧘 Wellness

Wellness

Grace Care Homes is a provider of residential care and assisted living services, delivering daily support, personal care, and nursing oversight for older adults and people with care needs. The organization operates care home facilities focused on safety, dignity, and quality of life, offering services such as medication management, mobility assistance, social activities, and family communication. Grace Care Homes may also coordinate with healthcare professionals and community services to support residents' wellbeing.

📋 Description

• Prepare and submit accurate insurance claims using DRG, CPT coding, ICD-9, ICD-10, and ICD coding standards. • Review and verify medical records for completeness and accuracy prior to billing. • Manage accounts receivable by following up on unpaid claims and patient balances through medical collection processes. • Utilize EMR and EHR systems to document billing information and update patient records efficiently. • Collaborate with medical staff to ensure proper documentation of services rendered with appropriate medical terminology. • Reconcile billing discrepancies and resolve claim denials promptly to ensure timely reimbursement. • Maintain organized records of all billing transactions, claims, and correspondence for audit purposes. • Stay updated on changes in medical coding regulations and insurance policies to ensure compliance.

🎯 Requirements

• Proven experience in medical billing, medical office administration, or related roles. • Strong knowledge of DRG, CPT coding, ICD-9, ICD-10, ICD coding, and medical terminology. • Familiarity with EMR and EHR systems used in healthcare settings. • Experience with medical records management and medical collection procedures. • Ability to interpret complex medical documentation accurately for coding purposes. • Excellent organizational skills with attention to detail to ensure error-free billing processes. • Effective communication skills for collaborating with healthcare providers, insurance companies, and patients. • Prior experience working with medical coding standards and insurance claim submissions is highly desirable.

🏖️ Benefits

• $18.96-$19.75