Reimbursement Associates & Medical Billing Clerks

Reimbursement Associates & Medical Billing Clerks

Location: Langhorne, PA 19047
Job Type: Full-Time, Temp-to-Hire
Schedule: Monday–Friday, 8:00 AM–4:30 PM (100% Onsite)
Compensation: $19.00–$21.00 per hour, depending on experience

Positions Overview

We are seeking two (3) detail-oriented and results-driven Reimbursement Associates & Medical Billing Clerks to join a busy healthcare billing team in Langhorne, PA. This role is responsible for managing aged accounts receivable, resolving denied claims, and ensuring timely reimbursement from Medicare, Medicaid, and commercial insurance carriers. The ideal candidate will have strong experience in medical billing and accounts receivable within a high-volume physician or specialty practice environment.

Reimbursement Associate Key Responsibilities:

• Prepare, submit, and track insurance claims.
• Analyze denial trends, correct issues, and send appeals for unpaid/rejected claims.
• Interpret and apply coverage criteria, ensuring pre-authorizations and payer-specific guidelines are met before patient fitting.
• Coding Compliance: Utilize specific O&P terminology, modifiers, and HCPCS codes to accurately document and bill for devices.
• Patient Support: Collaborate with clinical teams to educate patients on their out-of-pocket responsibilities, payment plans, and coverage options.
• Accounts Receivable (A/R): Monitor aged accounts, follow up on discrepancies, and manage cash receipts against payer contracts

Medical Billing Clerk Key Responsibilities:

• Claims processing, which involves submitting accurate and clean claims.
• Ensuring precise coding accompanied by supporting documentation.
• Coordinating prior authorizations.
• Investigating denied or underpaid claims.
• Discussing patient financial assistance, including co-pays, deductibles, and out-of-pocket expenses.

Minimum Qualifications

• Minimum 1–2 years of medical billing, reimbursement, accounts receivable, or revenue cycle experience in a healthcare or physician practice setting.
• Experience processing Medicare, Medicaid, and commercial insurance claims, including claim submission, denial resolution, appeals, reimbursement follow-up, insurance verification, prior authorizations, EOBs, and first-party billing.
• Working knowledge of medical terminology, CPT, HCPCS, ICD coding, and payer reimbursement guidelines.
• Proficiency with Microsoft Excel and medical billing, EHR, or practice management software.
• Ability to manage a high-volume workload, maintain accuracy under deadlines, and effectively resolve billing discrepancies and denied claims.
• Strong communication and customer service skills with experience discussing patient financial responsibilities, including co-pays, deductibles, and out-of-pocket expenses.
• High school diploma or equivalent required; healthcare billing or coding training preferred.