Collections Specialist II Cooper University HospitalCollections Specialist IICamden, New JerseyFull timeShort Description: Under the direction of the team Supervisor and/or Manager, the Collections Specialist II will be responsible for Accounts Receivable tasks related to Cooper Universtiy Professional provider revenue cycle and collections. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols.
Appeal Analyst RN I Integrated Resources, IncAppeal Analyst RN IHopewell, NJ$40–$42 / hourStrong knowledge of medical terminology, anatomy and physiology, disease processes, treatment protocols, procedural drug therapies, ancillary services, and diagnostic procedures. Additionally, the role provides guidance and education to stakeholders regarding ICD-10-CM coding, DRG assignment, payment methodologies, and audit processes.
NewPatient Service Specialist - Call Center Southern Jersey Family Medical CentersPatient Service Specialist - Call CenterBurlington, NJSummary : The Patient Service Specialist performs a wide variety of medical front office duties while providing excellent customer service to patients and staff. Southern Jersey Family Medical Centers, Inc. is looking for a talented Patient Service Specialist to step into our fast-paced call center!
Collection Specialist Dynavox Group ABCollection SpecialistPAThe Collection Specialist supports the effective management of the revenue cycle process and ensures the accurate and timely collection of sales to third party payers (including Medicare, Medicaid, Private Insurance, and other funding sources). Working with people from a variety of backgrounds and perspectives helps us all become better communicators, better problem solvers, and better human beings.
Retinal Camera Operator - Eye Exam Specialist GuidehealthRetinal Camera Operator - Eye Exam SpecialistPhiladelphia, PARemoteWorking in a field-based role, traveling to provider practices and patient homes for scheduled eye exam appointments, while engaging virtually with team members, internal partners, customers, providers, payers, and care teams on non-appointment days. Success in this role requires comfort operating specialized retinal imaging equipment (full training and camera provided), strong attention to detail, and a willingness to travel daily to provider practices for scheduled eye exam appointments.
Collections Specialist II Cooper University Health CareCollections Specialist IICamden, NJUnder the direction of the team Supervisor and/or Manager, the Collections Specialist II will be responsible for Accounts Receivable tasks related to Cooper Universtiy Professional provider revenue cycle and collections. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols.
Accounts Receivable Specialist United Wound HealingAccounts Receivable Specialistyeadon, PARemote$24–$27.25 / hourClaims Knowledge:Strong ability to read and understand EOBs; deep understanding of insurance denials and unresolved claims resolution; knowledge of ICD-10, CPT, HCPCS, and CMS-1500 claim format. Soft Skills: Critical thinker with strong problem-solving skills; high attention to detail; excellent organization and time management; ability to prioritize and manage time-sensitive situations with urgency.
NewAccounts Receivable Specialist Hunterdon HealthAccounts Receivable SpecialistFlemington, NJPositionSummary The Accounts Receivable Specialist role and responsibilities include: monitoring all aspects of the collection of outstanding debts owed to the health system including following up directly with commercial and governmental payers to resolve claim issues and secure appropriate and timely reimbursement, resolve missing and unresolved payment issues, and monitor overdue accounts, Identify and analyze denials and payment variances and takes action to resolve accounts including drafting and submitting technical appeals. Knowledge of Medical Terminology, CPT Codes, Modifiers and Diagnosis Codes Ability to analyze, identify and resolve issues causing payer payment delays Ability to work well individually and in a team environment Experience with practice management system, NexGen preferred; intermediate skills with Microsoft Office Strong communication skills/oral and written Preferred: none Hunterdon Health is committed to providing a competitive benefit package to our employees.
Remittance Reimbursement Specialist Lee Hecht HarrisonRemittance Reimbursement SpecialistMount Laurel, NJ$19–$21 / hourThis role is responsible for posting payments, reconciling deposits, resolving unapplied cash, processing refunds, and ensuring the accurate application of insurance and patient payments. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.
Sr. Collections Associate Generis Tek Inc.Sr. Collections AssociatePhiladelphia, PA$25–$30 / hourResolve patient insurance balances by analyzing denials and using critical thinking skills and knowledge of payer requirements to determine the steps needed to obtain payment. -Follow workflows to route accounts to other client departments (Case Management, Medical Records, Credit Resolution, Billing, Abstraction, Clinical Teams, Coding etc.) to address denials.
Practice Prior Auth and Referral Specialist - Sleep Medicine St. Luke’s University Health NetworkPractice Prior Auth and Referral Specialist - Sleep MedicineBethlehem, PennsylvaniaIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Responds to written as well as telephone inquires from patients, insurances, pharmacies, other outpatient/inpatient departments, and facilities regarding planned specialty care and/or services.
Practice Prior Authorization Specialist, ENT and Allergy St. Luke's University Health NetworkPractice Prior Authorization Specialist, ENT and AllergyBethlehem, PAIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Responds to written as well as telephone inquires from patients, insurances, pharmacies, other outpatient/inpatient departments, and facilities regarding planned specialty care and/or services.
Revenue Integrity Specialist MindlanceRevenue Integrity SpecialistPhiladelphia, PARemoteThe Revenue Integrity Specialist will coordinate all Revenue Integrity activities on behalf of assigned service line areas; department charge capture education, charge audit activities, charge description master management, and monitoring of charge capture related metrics. • This position will lead, support, and coordinate on-going charge capture improvement initiatives for assigned service line areas; including charge reconciliation activities, new service implementation, and identification of revenue management opportunities.
Precertification Specialist Emerson Personnel GroupPrecertification SpecialistPhiladelphia, PAThe specialist works closely with Billing Director, providers, patients, insurance companies, and pharmacy teams to facilitate access to high-cost biologic treatments. The Precertification Specialist is responsible for managing and processing prior authorization requests for biologic medications, ensuring timely and accurate approvals in compliance with payer guidelines and clinical protocols.
Managed Care Contract Specialist - FT - Day - Managed Care Pennington NJ Capital HealthManaged Care Contract Specialist - FT - Day - Managed Care Pennington NJHopewell, New JerseyOccasional physical demands include: Standing, Walking, Climbing (e.g., stairs or ladders), Carry objects, Push/Pull, Twisting, Bending, Reaching forward, Reaching overhead, Squat/kneel/crawl, Wrist position deviation. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity.
Surgical Revenue Integrity Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJ Capital HealthSurgical Revenue Integrity Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJNJ$44.37–$57.97 / hourReviews physician operative/procedural reports, implant/device logs, purchasing documentation, and billing detail to identify missing invoices, missing charges, documentation-to-charge mismatches, and related claim-readiness risks. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity.
Senior Compliance Audit & Education Specialist Temple University Health SystemSenior Compliance Audit & Education SpecialistPhiladelphia, PAPennsylvania-Philadelphia'',''Pennsylvania-Philadelphia'',''Operational Admin & Management'',''Operational Admin & Management'',''Full-time'',''Full-time'',''Day Job'',''Day Job'',''Regular'',''Regular'',''false'',''405161'',''405161'',''true'',''405161'',''false'',''Submission for the position: Senior Compliance Audit & Education Specialist - (Job Number: 263313)'',''false'',''405161'',''false'',''true''. ''405161'',''true'',''405161'',''false'',''Submission for the position: Senior Compliance Audit & Education Specialist - (Job Number: 263313)'',''false'',''405161'',''false'',''true'',''Senior Compliance Audit & Education Specialist'',''263313'',''!*!Responsible for reviewing and auditing coded records across specialties for coding and compliance quality.
Project Manager G. Fedale Roofing and SidingProject ManagerNorth Wales, PAPhysical demands: The ability to walk around an office, warehouse, or neighborhood, climb and descend stairs, work in a seated position at a desk for hours at a time, stand at a trade/home show for hours at a time, drive to and from offsite meetings, operate computers and phones, open/close file cabinets, bend/stand as necessary, set up and use an extension ladder, safely climb on, navigate around, and descend from residential and commercial roofs, and lift and carry up to 80 pounds. Visits project sites, confirms measurements and materials provided by the Estimator, identifies issues that might affect the successful completion of the project, and clarifies any identified issues with the homeowner.
Remote Medical Biller Needed SYDIERA Healthcare StaffingRemote Medical Biller NeededPhiladelphia, PennsylvaniaRemoteQualified candidates without prior medical billing experience may be considered for additional training and development opportunities designed to help them build the skills needed for success in the field. This opportunity is open to both experienced medical billing professionals and individuals looking to enter the field and develop new skills.
Legal Specialist Lee Hecht HarrisonLegal SpecialistBerwyn, PA$35–$45 / hourAbility to write reports and business correspondence and to effectively present information and respond to questions from groups of managers, clients, customers, and the general public. Perform clerical duties including filing, photocopying, mailing, ordering office supplies, proofreading and database maintenance with great attention and detail.