CAMcare Health Corporation · 5 months ago
AR Billing Specialist
Camden, NJ, US
Full-time
Onsite
Entry Level
$24/hr - $28/hr
1+ years expCAMcare Health Corporation is a mission-driven Federally Qualified Health Center serving Camden and Gloucester counties. The A/R Billing Specialist is responsible for ensuring timely and accurate processing of claims and collections, managing accounts receivable, and supporting billing compliance.
CommunitiesHealth CareHealth DiagnosticsHospitalMedicalPersonal Health
Responsibilities
Submit primary and secondary claims electronically and by paper to government and commercial payers
Identify and resolve payment edit errors and rejections; escalate unresolved issues when appropriate
Utilize EPIC EHR and billing modules to verify charge entry, apply edits, track claim status, and process payments
Post payments and contractual adjustments from EOBs/EFTs/remittance advice accurately
Conduct follow-up on denied or underpaid claims and initiate appeals or resubmissions
Track OB delivery charges and obtain required authorization/GEMS numbers for billing
Assist in preparing UDS perinatal reports and data for federal reporting
Research and update Medicaid Pending claims with verified Medicaid IDs
Submit patient statements and maintain accurate account balances
Establish and monitor patient payment plans in line with sliding fee policies
Support collection efforts and coordinate write-offs, bad debt, or agency assignments
Collaborate across departments (e.g., Registration, Clinical, Compliance) to resolve billing discrepancies
Leverage payer portals to validate claims, coverage, and remittance data
Assist with audits, internal reviews, and revenue cycle improvement initiatives
Maintain billing compliance with FQHC-specific guidelines, CMS rules, and payer contracts
Provide backup assistance to team members and perform other duties as assigned
Qualification
Required
High School Diploma or GED
1–2 years of experience in medical billing within a healthcare setting (FQHC preferred)
Proficient in EPIC EHR, especially billing and claims processing modules
Knowledge of CMS, Medicaid, commercial billing rules and modifiers
Working knowledge of Microsoft Office (Excel, Outlook, Word)
Preferred
Medical Billing Certification (e.g., AAPC, AHIMA)
Nationally recognized Coding Certification (if performing coding functions)
Bilingual English/Spanish proficiency
Familiarity with Medicaid PPS, sliding fee schedules, and UDS reporting
Company
CAMcare Health Corporation
CAMcare Health Corporation is a Federally Qualified Healthcare Center (FQHC) that has been a trusted name in providing top-quality healthcare services to Camden and Gloucester Counties since 1978.
201-500 employees
Funding
Current Stage
Growth StageTotal Funding
$1MKey Investors
Health Resources and Services Administration
2024-11-22Grant· $1M
Company data provided by crunchbase