p style="text-align:inherit"/>Annual or Hourly Compensation Range:.
To meet customer requirements and comply with local or state regulations, applicants for certain customer-facing roles may need to:
- Undergo additional background screens and/or drug/alcohol testing for customer credentialing.
Pittsburgh, PA20 days ago
In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Performs other duties as assigned or required, including but not limited to reviewing and verifying billing reports, registration, and chart audits.
As a Manager, Flexible Consumption Billing Implementation, you will be responsible for: Working on integrated project teams on a range of projects covering the entire lifecycle from strategy formulation through to design, development and the deployment of solutions. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Handles patient phone calls, takes patient payments, sets up payment plans, reviews and researches patient accounts for purposes of identifying billing trends and maintaining a clean AR aging. POSITION SUMMARY: Responsible for preparing and submitting claims to appropriate insurances, working outstanding and rejected claims, corresponding with patients, reviewing and analyzing accounts receivable balances, and other duties as assigned to support the Billing Department.
Pittsburgh, PA24 days ago
The Billing Specialist is responsible for ensuring all claims are entered in a timely manner within these systems and communicating directly with the Billing Manager if any billing updates and/or issues arise. The Billing Specialist is responsible for submitting all claims in a timely manner through all applicable billing systems.
Pittsburgh, PA30+ days ago
Ability to communicate and work with physicians, physician office personnel, associates, care managers, third party payer review personnel, and others in order to expedite the billing and accounts receivable process. Ability to compare clinical findings with payor requirements, educate physicians regarding requirements and obtain supporting documentation from the physician or local policies that substantiate medical appropriateness as indicated.
As a Billing Coordinator, under moderate supervision, you will obtain, analyze and review all patient information, diagnoses and procedures for billing and collection of radiology services to ensure maximum accurate and timely reimbursement. Handle all phone calls and written correspondence from patients' insurance carriers, payers, attorneys' offices and field offices in appropriate manner.
Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Pittsburgh, Pennsylvania23 days ago
The Medical Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update patient and insurance information, and support the administrative workflows that help keep clinical operations running smoothly. This person should be comfortable learning billing and coding processes, communicating with patients professionally, and maintaining accuracy when working with claims, records, and confidential information.
Pittsburgh, PA14 days ago
This position supports agency operations by monitoring visit documentation, maintaining payor compliance requirements, processing billing submissions, and assisting with administrative functions necessary to ensure uninterrupted patient services and revenue cycle management. The Billing Assistant / EVV Coordinator is responsible for ensuring the accuracy, compliance, and timely completion of Electronic Visit Verification (EVV), scheduling oversight, insurance eligibility verification, and billing functions.
Pittsburgh, PA30+ days ago
Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. This position functions as a member of the Bill Review Department leadership team, ensuring optimum team performance by providing exemplary support and assistance to achieve the organizational goals of excellent customer service of the bill review department and of CorVel.
Pittsburgh, PA10 days ago
Based Upon Qualifications'',''TBD Based Upon Qualifications'',''No'',''No'',''No'',''No'',''For position finalists, employment with the University will require successful completion of a background check'',''For position finalists, employment with the University will require successful completion of a background check'',''Not Applicable'',''Not Applicable'',''Resume'',''Resume'',''Not Applicable'',''Not Applicable'',''false'',''446914'',''446914'',''true'',''446914'',''false'',''Submission for the position: Account Specialist (Dental Billing) - (Job Number: 26003534)'',''false'',''446914'',''false'',''true''. ''446914'',''true'',''446914'',''false'',''Submission for the position: Account Specialist (Dental Billing) - (Job Number: 26003534)'',''false'',''446914'',''false'',''true'',''Account Specialist (Dental Billing)'',''Dent Med-Clinical Affairs'',''Pennsylvania-Pittsburgh'',''26003534'','''','''',''!*!
Pittsburgh, Pennsylvania30+ days ago
Correspond with facility and family representatives to gather demographic information for the purpose of validating appropriate charges to facility and/or private pay accounts. Perform mid-month and end of month census reconciliation procedures to ensure that census data is correct in pharmacy software program.
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As an Epic Billing and Accounts Receivable Manager you will help deliver back-end revenue cycle management (RCM) services, including billing and claims submission, A/R follow-up, denials management, payment posting, and credits and refunds, for health care provider client. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Summary: The COBRA Specialist supports and services COBRA & Direct Billing participants, as well as clients and brokers by providing COBRA Administration in accordance with federal COBRA regulations. American Benefits Group (ABG) is one of the nation's leading employee benefit solution providers for Consumer Directed Health accounts, COBRA and Direct Billing services.
Pittsburgh, PA30+ days ago
Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. This position functions as a member of the Bill Review Department leadership team, ensuring optimum team performance by providing exemplary support and assistance to achieve the organizational goals of excellent customer service of the bill review department and of CorVel.
Pittsburgh, PA30+ days ago
LHH Recruitment Solutions is seeking a detail-oriented and experienced Legal Billing Coordinator for a confidential client in the legal industry. Additionally, you may be eligible for paid leave including Paid Sick Leave or other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Cranberry Township, PA30+ days ago
At Larson Design Group (LDG), we’re more than an award-winning Architecture, Engineering, and Consulting firm; we’re a team of passionate professionals united by a bold purpose: creatively shaping our world. In this role, you’ll partner with project managers, architects, and accounting professionals to help deliver seamless billing experience for clients while maintaining strong financial accuracy and integrity.
Medical Assistance/Fraternal Care - responsible to assist residents and families with Medical Assistance, SSI, PACE, and Fraternal care applications, including gathering documentation for new applicants, level of care changes, income changes, and discharges. Have a collaborative mindset with strong teamwork capabilities, the ability to think critically, a commitment to professional growth as a curious and continuous learner, and the negotiation and persuasive skills necessary to influence key stakeholders and drive business outcomes.
Pittsburgh, PA30+ days ago
In addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Job Description: Epic Certified Hospital Billing Claims Analyst will bring experience in managing applications, with a strong background in managing day-to-day operations, client stakeholder relationships, and collaboration with offshore teams.
Pittsburgh, PA30+ days ago
In addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Job Description: Epic Certified Hospital Billing (Charge Router) Senior Analyst will bring experience managing applications, with a strong background in managing day-to-day operations, client stakeholder relationships, and collaboration with offshore teams.
In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Corrects issues, conducts routine maintenance, updates systems with new functionality to meet the end user"s needs, and implements new technologies.
Pittsburgh, PA15 days ago
PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. As a Managed Services - Revenue Cycle - PB Patient Financial Services (Billing/AR/Cash Posting) - Director, you will specialize in enhancing the efficiency and effectiveness of financial operations within organizations.
Pittsburgh, PA14 days ago
Qualifications: Required Qualifications:High School Diploma/GED3+ years of experience with laboratory or physician level healthcare medical billing/claims experience Experience working with Microsoft Office Suite including ExcelAbility to travel up to 70% of the time to client sitesReliable personal transportation (automobile)Cell phoneStrong Written/Verbal Communication skillsStrong organization/time management skills Strong problem-solving skillsAbility to develop and sustain good customer relationships Preferred Qualifications:College degree or equivalent experienceExperience working with data - pulling and analyzing information to understand root cause/trends/opportunities3+ years of experience with face-to-face customer relationship managementExperience working independently and as part of a teamKnowledge of Medicare/Medicaid coverage policies57256Quest Diagnostics honors our service members and encourages veterans to apply. Account visits will be prioritized based on evaluation of trends that show education needs in: Medicare Limited Coverage Policy/ABNMedicaid requirements/policiesRegional specific third-party requirements/policiesOrdering provider registration (PECOS)Missing demographic/insurance information for ordering physician and patientSupport Commercial Sales team with client training and education as required for large new customers and/or new billing initiatives.
Pittsburgh, PA13 days ago
In addition, we offer a comprehensive, high-quality benefits program which includes annual bonus, medical, dental, and vision care; disability and life insurance; generous Paid Time Off; retirement plans; Paid Care Leave; and other programs that are dedicated to enhancing your personal and work life and providing you and your family with a measure of financial protection. https://careers.cbh.com/legal-disclosures/ contains further information regarding the firm's compliance with federal, state and local recruitment and hiring laws.
Cranberry Township, PA3 days ago
Position is performed in a general office, home office, or approved remote workspace where physical work includes, but is not limited to, sitting, standing, reaching, kneeling, bending, and lifting to 25 lbs. Partner with cross-functional teams including Finance, IT, Product, and Operations to implement payment solutions and improvements.
Pittsburgh, PA30+ days ago
Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Pittsburgh, PA29 days ago
As part of Accenture's Utilities SAP Practice, you'll be delivering major SAP solutions and Utilities-specific capabilities such as customer systems, energy data management, demand response, asset operations, regulatory reporting, Distributed Energy Resources (solar panels, batteries, electric vehicle chargers), and new Utility business models. Then join Accenture and build a rewarding career improving the way the world works and lives, as you help clients innovate with leading-edge SAP and Accenture Customer, Sales and Service solutions and technologies on some of the most innovative projects in the world.
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Pittsburgh, PA30+ days ago
Qualifications: Required Qualifications:High School Diploma/GED3+ years of experience with laboratory or physician level healthcare medical billing/claims experience Experience working with Microsoft Office Suite including ExcelAbility to travel up to 70% of the time to client sitesReliable personal transportation (automobile)Cell phoneStrong Written/Verbal Communication skillsStrong organization/time management skills Strong problem-solving skillsAbility to develop and sustain good customer relationships Preferred Qualifications:College degree or equivalent experienceExperience working with data - pulling and analyzing information to understand root cause/trends/opportunities3+ years of experience with face-to-face customer relationship managementExperience working independently and as part of a teamKnowledge of Medicare/Medicaid coverage policies57256Quest Diagnostics honors our service members and encourages veterans to apply. Account visits will be prioritized based on evaluation of trends that show education needs in: Medicare Limited Coverage Policy/ABNMedicaid requirements/policiesRegional specific third-party requirements/policiesOrdering provider registration (PECOS)Missing demographic/insurance information for ordering physician and patientSupport Commercial Sales team with client training and education as required for large new customers and/or new billing initiatives.
Pittsburgh, PA30+ days ago
In addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Job Description: Epic Certified Professional Billing Claims Analyst will bring experience in managing applications, with a strong background in managing day-to-day operations, client stakeholder relationships, and collaboration with offshore teams.
Pittsburgh, PA30+ days ago
In addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Job Description: Epic Certified Professional Billing Analyst will bring experience in managing applications, with a strong background in managing day-to-day operations, client stakeholder relationships, and collaboration with offshore teams.
Pittsburgh, PA30+ days ago
In addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Job Description: Epic Certified Professional Billing Analyst will bring experience in managing applications, with a strong background in managing day-to-day operations, client stakeholder relationships, and collaboration with offshore teams.
Pittsburgh, PA30+ days ago
BHAS is seeking a Billing Coordinator to assist with various financial functions for our Retail & Logistics division, which includes the following departments: University Store on Fifth, Maggie & Stella''s Cards & Gifts, The Pitt Shop, Copy Cat, Student Mail Services, Campus Mail Services, Moving and Receiving Services, and Surplus Property. Combination of On-Campus and Remote work as determined by the department.'',''$17.50 per hour'',''$17.50 per hour'',''No'',''No'',''No'',''No'',''For position finalists, employment with the University will require successful completion of a background check'',''For position finalists, employment with the University will require successful completion of a background check'',''Not Applicable'',''Not Applicable'',''Resume'',''Resume'',''Cover Letter'',''Cover Letter'',''false'',''441854'',''441854'',''true'',''441854'',''false'',''Submission for the position: Billing Coordinator - (Job Number: 26002085)'',''false'',''441854'',''false'',''true''.
Pittsburgh, PA30+ days ago
Collaborate with Product Marketing, Lead Origination, Pre-Sales, Product Management, Professional Services, and Engineering teams to ensure client needs are met and sales origination and pursuits are successful and feedback loops are engaged/active - culture of continuous improvement on product value. Products and platforms have built-in value propositions for account teams looking to: • Originate to Win • Accelerate to Cloud • Improve Time-to-Value • Build in Profitability Uplift • Deliver Exponential ROI • Realize what New becomes Next • Let there be change.
Minimum of three (3) years of demonstrable progressive experience in medical billing • Demonstrated ability to enter and process minimum 200 claims per day depending upon billing system • Must be familiar with external payer portals and clearinghouses; Navinet, Promise preferred • Demonstrated understanding of policy deductibles, co pays, and coinsurance and out of pocket maximums • Demonstrated understanding of billing revenue codes CPT/HCPCS and claim forms UB/HCFA • Demonstrated knowledge of ICD-10 diagnosis codes • Demonstrated knowledge of Explanation of Benefits (EOB) interpretation and balance billing requirements • Demonstrated extensive knowledge of medical terminology • Demonstrated ability to work effectively as part of a team • Demonstrated strong attention to detail • Demonstrated strong time management and organizational skills • Demonstrated excellent judgment with the ability to independently solve problems and make decisions with little or no need for direct supervision • Comfortable using computer with multiple screens • Must be familiar with patient eligibility portal, PA COMPASS preferred • Strong analytical skills • Ability to resolve billing issues as they occur and create lasting solutions to problems to prevent issues from occurring in the future • Ability to work in a fast-paced environment and manage and prioritize multiple, often competing, priorities • Must possess excellent customer interaction, collaboration, presentation, and written and verbal communication skills • Demonstrated intermediate experience with Microsoft Office applications, including Word, Excel, and Outlook; Crystal Report writer experience preferred • Experience using/knowledge of Electronic Health Record (EHR) / Electronic Medical Record (EMR). • Manage claims in an web-based billing and claiming environment with tasks including but not limited to accurately perform charge entry into clearinghouses and payer portals, confirming patient eligibility and plan coverage • Research and identify CPT/HCPCS billing revenue codes and utilize electronic claim forms UB/Healthcare Financing Administration (HCFA) to bill claims • Confirm appropriate ICD-10 diagnostic codes to ensure proper billing • Review Explanation of Benefits (EOBs) and confirm plan requirements to ensure all collectable revenue is identified • Communicate with peers and supervisors to address billing and claims issues as appropriate and as needed • Participates in internal billing audits to reduce billing errors and maximize collections • Be available for alternative work schedules including flexibility to work within the following time slots: 8:00am - 8:00pm; occasional evening and weekend work as needed based on workload • Generate daily batching reports based on total claims billed • Perform other duties as assigned.
Slippery Rock, PA30+ days ago
Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.
Pittsburgh, PA20 days ago
Assist patients that call with access issues for their MyUPMC account, telemedicine visit or any other on-line access concerns Contact patients to discuss their post-discharge appointment requirements; follow up and coordinate all appointments for the patient. Review and take action on accounts on aged trial balance reports or in assigned work queue meeting specified dollar and age criteria to ensure lowest number of days possible on accounts receivable.
Review and take action on accounts on aged trial balance reports or in assigned work queue meeting specified dollar and age criteria to ensure lowest number of days possible on accounts receivable. Identify and take action to address patient concerns by utilizing effective decision making skills to know when to handle the call, send the call to in house clinical staff or send call to the physician?s office to meet the patient?s needs.
The Qualifacts EHR Consultant will be accountable for multiple modules to provide consulting and project activity related to assigned areas, including both clinical and revenue cycle operations. Revenue Cycle Management (RCM) Skills: Understanding of end-to-end revenue cycle workflows (intake charge capture claims payment posting A/R).
Pittsburgh, PA30 days ago
Responsibilities:Respond to inbound phone calls and claims (as well as outbound calls) to/from patients, physicians, and pharmacies, services their access to care, and reimbursement needs. Focus on patient empathy and the consumer experience to assure our patients of ease of use of program goals and ultimately drive access to care and medication adherence.
Pittsburgh, PA30+ days ago
This individual is part of a highly concierge ‘white glove’ service team that will manage the patient experience from start to finish by providing program information, eligibility, reimbursement support, and general assurances and ease of use in supporting our client’s copay assistance programs. 8:30am-5pmUnder the supervisor's direction, The Patient Support Specialist is responsible for providing patient health care services, enabling access to care for prescription medications.
Applies extensive clinical and coding knowledge and abilities, independently conducts coding research, aligns all aspects of audit, including coding adjudication and rebuttals with audit vendor, obtains provider attestations, identifies & obtains missing medical records, compares audit results to claims, and thoroughly reviews all in-house charts in chart repository for validation of audit. Completes analytics on providers and/or provider group coding trends and creates and delivers externally facing presentations to provider documentation and accuracy, act as the point person for the provider office for any questions and additional trainings, as needed.
Pittsburgh, Pennsylvania30+ days ago
This individual is part of a highly concierge ‘white glove’ service team that will manage the patient experience from start to finish by providing program information, eligibility, reimbursement support, and general assurances and ease of use in supporting our client’s copay assistance programs. Focus on patient empathy and the consumer experience with the goal to assure our patients on ease of use of program goals and ultimately driving access to care and medication adherence.
Revenue Cycle Management Integration:Ensure Netsmart EHR systems are fully integrated with revenue cycle management processes, from patient registration through billing and collection. Training and Support:Develop training materials and conduct training sessions for healthcare providers, clinical staff, and administrative staff on Netsmart EHR and RCM system usage.