Ahava Care Group Jobs Hiring Now

Medical Billing & Claims Operations Specialist – Ancillary / Post-Acute Physician Billing

Company: Aleph Billing Co.
Job Type: Part-Time
Hours: 20 - 30 hours per week
Schedule Options:
Mon - Thurs, 10:00 AM - 3:00 PM
or Mon - Fri, 10:00 AM - 2:00 PM
or Mon - Fri, 10:00 AM - 4:00 PM

Compensation: $22 - $32, depending on experience
Location: Lakewood, New Jersey

About Aleph Billing Co.
Aleph Billing Co. is a medical billing company focused on helping healthcare providers keep their revenue cycle organized, timely, and accurate. We work in a detail-heavy environment where small issues can quickly become delays, so we value people who are proactive, careful, and dependable.

This role is focused on ancillary and post-acute physician billing. It is different from many traditional medical billing roles because the billing itself is fairly narrow. We work with a limited set of CPT codes, and diagnosis coding is not a major part of the day-to-day work. A candidate does not need years of specialty billing experience to succeed here.

What matters most in this role is not memorizing every billing rule on day one. It is being the kind of person who catches problems early, follows through quickly, keeps excellent records, and does not let claims, denials, credentialing items, mail, or carrier communications sit unattended.

What we do need is someone who is extremely organized, highly responsive, and able to manage a steady stream of claims, denials, credentialing items, mail, payer follow-ups, and administrative details. The right person will notice when something is stuck, follow up quickly, document what happened, and keep the process moving without needing constant reminders.

The billing specifics can be taught. The organization, urgency, accuracy, and ownership need to already be there.

Position Overview

The Medical Billing & Claims Operations Specialist – Ancillary / Post-Acute Physician Billing will help manage the flow of claims from submission through payment. This role is specialized for ancillary and post-acute physician services. Our work is focused, detail-driven, and operationally precise. This person will monitor the claims pipeline, identify issues quickly, handle denials or rejections that our system cannot automatically resolve, communicate with insurance carriers, assist with clinician credentialing, and keep billing operations moving smoothly.

This is not primarily a patient collections role. It is a claims operations role. The ideal candidate is someone who enjoys tracking details, resolving issues, documenting actions clearly, and making sure nothing falls through the cracks.

Key Responsibilities

Claims Monitoring & Denial Resolution

• Monitor the claims pipeline daily for rejections, denials, delays, and other issues.
• Review claims that require manual attention and determine the next appropriate step.
• Handle rejected claims quickly and accurately to keep the billing process moving.
• Work denials that cannot be automatically handled by our billing system.
• Prepare and submit corrected claims, reconsiderations, appeals, or supporting documentation as needed.
• Track claim statuses and follow up with carriers until issues are resolved.
• Identify recurring payer issues and communicate trends to leadership.
• Document all claim actions clearly in the appropriate systems.

Carrier Communication

• Communicate professionally with Medicare, Medicaid, commercial payers, and other carriers.
• Follow up on claim status, denial reasons, credentialing status, payment delays, and payer-specific requirements.
• Obtain clarification from carriers when claims are rejected, underpaid, or delayed.
• Maintain organized records of calls, portals, correspondence, and follow-up dates.

Credentialing & Enrollment Support

• Assist with clinician credentialing and payer enrollment, including Medicare and Medicaid.
• Track credentialing applications, revalidations, missing items, effective dates, and follow-up deadlines.
• Help maintain accurate provider credentialing records.
• Communicate with payers regarding enrollment status and documentation requirements.
• Monitor credentialing-related issues that may affect claim submission or payment.

Mail & Administrative Billing Support

• Process incoming mail related to claims, payments, denials, credentialing, and payer correspondence.
• Scan, sort, upload, and route documents accurately.
• Maintain organized billing and credentialing records.
• Assist with audits, payer requests, documentation requests, and internal follow-up lists.
• Support day-to-day billing operations as needed.

Workflow & Organization

• Maintain strong task lists, follow-up systems, and documentation habits.
• Ensure time-sensitive issues are addressed promptly.
• Escalate unusual or complex billing issues when appropriate.
• Help improve internal workflows and identify ways to make claim follow-up more efficient.
• Work independently while staying aligned with company procedures and priorities.

What Makes This Role Different

This position is different from a traditional medical billing role. We are not looking for someone to manage a broad range of specialties, complex coding scenarios, or extensive ICD-based billing decisions. Our billing is focused on a limited set of services and claim types.

Because of that, prior medical billing experience is helpful but not required. A smart, organized, detail-oriented person can learn the billing side and we are more than happy to train the right candidate.

The most important qualities are:

• You are extremely organized.
• You move quickly when something needs attention.
• You follow up without being reminded.
• You notice when something is stuck.
• You document your work clearly.
• You can manage many small details without losing track.
• You care about keeping the entire claims process flowing.

Qualifications

Required

• Excellent organizational skills and strong attention to detail.
• Ability to manage multiple tasks, deadlines, and follow-ups at the same time.
• Strong written and verbal communication skills.
• Comfortable using computer systems, online portals, spreadsheets, and documentation platforms.
• Ability to work independently and take ownership of assigned responsibilities.
• Professional communication style when dealing with carriers, clinicians, and internal team members.
• High level of reliability and follow-through.
• Ability to maintain confidentiality and follow HIPAA requirements.

Preferred, But Not Required

• Experience in medical billing, claims follow-up, denial resolution, credentialing, or healthcare administration.
• Familiarity with Medicare, Medicaid, or commercial insurance carriers.
• Experience working with payer portals.
• Experience reviewing EOBs, ERAs, rejected claims, or denial notices.
• Familiarity with provider enrollment or credentialing processes.
• Comfort using spreadsheets to track tasks, claims, or deadlines.

Ideal Candidate

The ideal candidate is someone who enjoys order. You like lists, follow-ups, clean documentation, and getting things unstuck. You do not need someone standing over your shoulder to remind you that a claim, application, or carrier request needs attention.

You may have prior billing experience, or you may come from another administrative, healthcare, operations, or detail-heavy role. Either way, you are the kind of person who sees a pending item and wants to close the loop.

This role is a good fit for someone who is precise, persistent, calm under pressure, and comfortable handling a steady stream of small but important tasks.

Benefits

• Part-time schedule with consistent daytime hours.
• Training provided for our specific billing workflows.
• Focused billing environment with a limited set of CPT codes.
• Opportunity to grow with a specialized medical billing company.
• Supportive team environment.

Schedule

This is a part-time position, approximately 20 - 30 hours per week.

Available schedule options include:

• Monday - Thursday, 10:00 AM - 3:00 PM
• Monday - Friday, 10:00 AM - 2:00 PM
• Monday - Friday, 10:00 AM - 4:00 PM

Final schedule may be determined based on company needs and candidate availability.

Pay: $22.00 - $32.00 per hour

Benefits:

• Flexible schedule
• Paid time off

Work Location: In person