Medical Billing Specialist

Company: Progressive Spine and Orthopaedics LLC
Location: Englewood
Posted on: May 8, 2025

Job Description:

Job Title: Medical Billing Specialist (PIP & Out-of-Network Focus)
Location: Englewood, NJ
Schedule: Full-Time (Monday - Friday, 8am - 5pm)

Are you a detail-oriented Medical Billing Specialist with experience in Personal Injury Protection (PIP) and out-of-network billing? Do you enjoy solving complex billing challenges and working in a collaborative, fast-paced environment? If so, we'd love to meet you!

Since our founding in 2011, we've grown significantly-especially in the last year-and continue to expand across New Jersey. We're committed to providing exceptional care while building an inclusive, innovative, and supportive workplace. As part of our continued growth, we're seeking a Medical Billing Specialist to support our PIP and out-of-network billing operations.

What You'll Do:

As a Medical Billing Specialist, you will manage PIP and out-of-network major medical claims across a range of specialties. You'll be responsible for preparing, submitting, and following up on claims, working closely with internal teams and insurance carriers to ensure accurate and timely reimbursement. Your understanding of PIP guidelines, insurance processes, and appeals will help support our patients and contribute to the success of our billing team.

Key Responsibilities:

PIP Claim Processing: Submit and manage PIP claims in compliance with state regulations and deadlines, including documentation, coding, and follow-ups.

Out-of-Network Billing: Handle billing for out-of-network services, ensuring accuracy and prompt claim resolution.

Appeals & Denials: Follow up on unpaid or underpaid claims and submit appeals when necessary, particularly for PIP and out-of-network cases.

Team Collaboration: Coordinate with clinical, legal, and administrative teams to gather necessary documents and resolve billing issues.

Regulatory Knowledge: Stay up to date with NJ PIP laws, insurance policies, and best practices in medical billing.

Why You Should Apply:

Opportunity to Grow: Join a rapidly expanding organization that supports your learning and career development.

Meaningful Work: Play a key role in helping patients receive the care they need by ensuring accurate and timely billing.

Supportive Team Culture: Work in a collaborative, fast-paced environment where your contributions are valued.

Competitive Compensation & Benefits: Enjoy a strong salary and comprehensive benefits package.

We're looking for someone with hands-on experience in PIP and out-of-network medical billing, attention to detail, and a team-oriented mindset. Whether you're looking to build your career or bring your existing skills to a growing healthcare company, we'd love to hear from you.

Apply now and bring your expertise to a company that's changing healthcare for the better!



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Keywords: Progressive Spine and Orthopaedics LLC, Tenafly , Medical Billing Specialist, Accounting, Auditing , Englewood, New Jersey