Billing Specialist Philadelphia FightBilling SpecialistPhiladelphia, PA$21–$23.50 / hourFull timeConducts all billing activities for managed care, commercial insurance Medicare and Medicaid, including verifying insurance, processing patient claims for services rendered, processing data batches, transmitting/submitting documents to insurance companies, etc. Recognizes, interprets and evaluates inconsistencies, discrepancies and inaccuracies in accounts receivable and system files and initiates appropriate corrective methods; works to increase error resolution/denial management.
BILLING SPECIALIST The GEO GroupBILLING SPECIALISTDoylestown, PennsylvaniaFull timeFrom the development of state-of-the-art facilities and the provision of management services and evidence-based rehabilitation to the post-release reintegration and supervision of individuals in the community, GEO offers fully diversified, cost-effective services that deliver enhanced quality and improved outcomes. The Billing Specialist is responsible for generating all Managed Care Organization (MCO) billing and resolving unpaid claims identified on Accounts Receivable Aging and various other reports, and for reviewing and responding to all insurance billing-related correspondence.
Program Specialist 3 22nd Century Technologies, Inc.Program Specialist 3Home-Headquarter, PAThis position is responsible for collecting and analyzing information to evaluate program administration and to determine compliance with federal, state, and departmental regulations and objectives; researching, analyzing, and reviewing data to develop and recommend policies and procedures; developing reports on program effectiveness; resolving beneficiary complaints and conducting outreach; assisting in program planning, reporting, and compliance efforts; and recruiting, training, and managing volunteers within their assigned region. This contracted position is responsible for delivering Senior Medicare Patrol (SMP) Services providing group education and one-on-one assistance to Medicare beneficiaries, their families, and caregivers about how to prevent, detect, and report Medicare fraud, errors, and abuse.
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.
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.
Accounts Receivable Specialist ManpowerAccounts Receivable SpecialistSwedesboro, NJManpowerGroup® (NYSE: MAN), the leading global workforce solutions company, helps organizations transform in a fast-changing world of work by sourcing, assessing, developing, and managing the talent that enables them to win. We are recognized consistently for our diversity - as a best place to work for Women, Inclusion, Equality and Disability and in 2023 ManpowerGroup was named one of the World's Most Ethical Companies for the 14th year - all confirming our position as the brand of choice for in-demand talent.
Reimbursement Specialist MPOWERHealthReimbursement SpecialistConshohocken, PennsylvaniaThis position will be responsible for navigating the electronic medical record (EMR) and billing systems to obtain/produce and transmit the records required by the applicable insurance carrier or third party. Address denials and zero payments to identify and provide any requested documentation required to process the claim or refer to billing for claim corrections.
Hospital Invoicing Specialist MPOWERHealthHospital Invoicing SpecialistWest Conshohocken, PennsylvaniaRole Summary: Performs a variety of hospital invoicing activities and related tasks in order to recognize the contracted reimbursement within net payment terms. This position will be responsible for navigating the electronic medical record (EMR) and billing systems to obtain and/or produce and transmit the documentation required by the applicable contracted facility.
Certified Professional Coder Integrated Resources, IncCertified Professional CoderHopewell, NJ$35–$38 / hourThe role involves designing audit protocols, handling special projects, and performing/finalizing per diem audits, bill verification, DRG validation (utilization review audits), and credit balance reviews. This position is responsible for leading on-site and desk audits of hospital billing and coding practices, including forms development, audit profiling, and tracking institutional audit trends.
Medical Records Specialist GEE Group, IncMedical Records SpecialistPrinceton, NJ$20–$21 / hourThe Medical Records Specialist is responsible for maintaining accurate, complete, and confidential patient health records in accordance with organizational policies, HIPAA requirements, and applicable healthcare regulations. Previous experience in medical records, healthcare administration, patient registration, billing, or a related healthcare support role preferred.
Billing Specialist Therapy SourceBilling SpecialistPlymouth Meeting, PAFull timeKey Responsibilities:Approve provider billing in accordance with client contract requirements and assignment guidelinesCollaborate with internal teams to support efficient and accurate billing operationsCommunicate with providers via phone and email to address billing questions and provide clear, supportive guidancePrepare invoices for assigned clients and assist team members to ensure timely invoice submissionProcess external billing through third-party billing systems, including data entry and corrections as assignedQualifications:Strong attention to detail with a high level of accuracyAbility to work independently and consistently meet deadlinesExcellent communication and organizational skillsAt least one year of customer service experiencePrior billing experience a plus Therapy Source, a national provider of school-based special education staffing and related services, is seeking a motivated Billing Specialist for a full-time, hybrid position in Plymouth Meeting, PA (two days in the office and three days working from home).
Utilization Review Coordinator – Behavioral Health Avenues RecoveryUtilization Review Coordinator – Behavioral HealthJackson Township, NJFull timePosition OverviewLocation: Corporate office - New JerseySchedule: Full-timeThe Utilization Review Specialist ensures timely authorization of client services, supports appropriate level-of-care determinations, and partners closely with clinical and billing teams to maintain accurate documentation and continuity of care across facilities. Avenues Recovery Center is Now Hiring: Utilization Review Specialists Avenues Recovery Center is a nationwide network of drug and alcohol rehabilitation centers with eighteen locations across seven states.
Phlebotomist Patient Services Representative - Floater GTTPhlebotomist Patient Services Representative - FloaterWoodbury, NJLeveraging the world’s largest clinical laboratory database, the organization delivers insights to identify and treat diseases, promote healthier behaviors, and improve healthcare management for millions of patients and healthcare providers worldwide. The Phlebotomist Patient Services Representative - Floater serves as the primary patient-facing representative responsible for performing blood specimen collection and supporting laboratory testing operations across multiple service locations.
RN - Revenue Integrity Specialist Integrated Resources, IncRN - Revenue Integrity SpecialistPhiladelphia, PARemoteLeads revenue cycle assessments, coordinates charge audits, works with Patient Financial Services (PFS), Health Information Management (HIM), and Reimbursement teams to improve charge accuracy and revenue integrity. Support Revenue Analytics team and cross-department collaboration (Internal Audit, Billing Compliance, PFS).
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.
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.
Medical Coding Specialist (32473) ExamWorks Group IncMedical Coding Specialist (32473)Mount Laurel, NJExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers' compensation insurance coverages.
Medical Billing Specialist CareerscapeMedical Billing SpecialistPhiladelphia, PA$20–$26 / hourPart timeCandidates should be comfortable working independently, managing a claims queue, and communicating with insurance carriers to resolve denials and underpayments. This role handles claims submission, payment posting, and insurance follow-up for a multi-provider outpatient practice.
Accounts Receivable Billing Associate Osborn Family Health CenterAccounts Receivable Billing AssociateCamden, New JerseyThe following statements reflect the general duties, responsibilities and competencies considered necessary to perform the principal functions of the job and shall not be considered as a detailed description of all work requirements that may be inherent in the position. Ensuring compliance with financial regulations, implementing strategies to improve cash flow and manage risk associated with outstanding patient/insurance balances.
Oracle Revenue Management & Billing (ORMB) Consultant Contech SystemsOracle Revenue Management & Billing (ORMB) ConsultantPhiladelphia, PAThe ideal consultant has successfully implemented and configured Oracle ORMB within healthcare payer environments and can quickly evaluate an existing production implementation to determine whether operational challenges are the result of configuration, implementation approach, data quality, or system design. We are seeking an experienced Oracle Revenue Management & Billing (ORMB) Lead Consultant to join a high-impact initiative supporting a large healthcare payer.