Senior Specialist, Patient Access Ensemble Health PartnersSenior Specialist, Patient AccessLewes, DE$18.65–$19.90 / hourReviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate including pre-registration of patient accounts prior to the patient visit which may include inbound and outbound calls to obtain demographic information, insurance information, and all other patient information. Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity or compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician order while utilizing an overlay tool and providing excellent customer service as measured by Press Ganey.
Patient Access Specialist PT 2O HOURS WEEKLY Ensemble Health PartnersPatient Access Specialist PT 2O HOURS WEEKLYLewes, DE$19–$19.90 / hourPatient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician orders, and utilizing a overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
Home Healthcare Medical Billing and Collections Home HealthHome Healthcare Medical Billing and CollectionsDelawareIJN Health Systems is a Skilled Home Health Agency in Chadds Ford, PA, looking for an individual to join our strong team of compassionate caregivers and provide billing, Coding, collections, and claim posting services. Our commitment to our patients and families is very simple: By helping our patients or loved ones continue living at home, we help you find peace of mind by providing compassionate, excellent services.
Senior Billing Specialist Relativity ODA LLCSenior Billing SpecialistDE$60,000–$90,000 / yearRequired Skills: Accounts Receivable (AR), Billing, Communication, Customer Service, Data Entry, Enterprise Resource Planning (ERP) Systems, Invoices, Microsoft Excel, Payment Processing. The Senior Billing Specialist is a key contributor to the OTC team, responsible for the accurate and timely preparation of customer invoices, contract processing, and billing documentation across a broad range of product lines and billing models.
Legal Billing Coordinator EKC Advanced Electronics USALegal Billing CoordinatorWimington, DelawareReporting to the Legal Operations Manager, this position requires a highly organized, detail-oriented professional capable of managing multiple systems and requests, collaborating with internal stakeholders - including Finance, IT, and attorneys - and delivering a high level of service. The Billing and Legal Operations Coordinator is a key contributor within the Qnity Legal Department, responsible for supporting legal billing operations and knowledge management systems.
Billing Analyst Stride, Inc.Billing AnalystDover, DelawareSummary: The Billing Analyst compiles, validates, and analyzes data in order to prepare accurate and timely customer invoices, schedules, reconciliations, and journal entries to ensure the company flow of cash and revenue. Apply core competencies in work including Effective Communication, Accountability, Prioritization, Ownership, Technical Acumen, Operational Excellence, and Proactiveness.
Epic Applications Analyst (1-4): PROFESSIONAL BILLING - Rev Cycle Application and Epic Operations - Full Time SolutionHealthEpic Applications Analyst (1-4): PROFESSIONAL BILLING - Rev Cycle Application and Epic Operations - Full TimeDEEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
Medical Biller/Certified Coder Bayhealth Medical Center IncMedical Biller/Certified CoderDover, DE$22.09–$33.47 / hourCredential(s): Certified Professional Coder; Or equivalent (Certified Coding Specialist certification, Registered Health Information Technician, or Registered Health Information Administrator). Inform the responsible channels of all issues that create loss of reimbursement, constant errors and other issues pertaining to management issues.
NewMedical Office Support Specialist Bayhealth Medical Center IncMedical Office Support SpecialistDover, DE$19.66–$29.49 / hourCharge Capture/Billing a) Accurately posts all technical and professional charges daily in appropriate hospital information system prior to export (i.e., EMR system, Horizon, etc.) b) Verifies charge entries within 24 hours of posting, using defined audit processes and available reports, and regularly resolves charge work queue issues. Responsibilities: Insurance Authorization for Services/Treatment a) Verifies or obtains referring Clinician authorizations and ensures all diagnosis and procedure codes are accurate and appropriate prior to service delivery; works closely and collaboratively with physician offices.
CARDIOLOGY CLINICAL DOCUMENTATION & REVENUE INTEGRITY SPECIALIST Beebe HealthcareCARDIOLOGY CLINICAL DOCUMENTATION & REVENUE INTEGRITY SPECIALISTLewes, DelawareFull timeThis position serves as the internal departmental revenue authority, partnering with clinical leadership, supply chain, and outsourced revenue cycle teams to ensure procedural documentation and charges align with regulatory and payer requirements Responsibilities: Charge Capture & Reconciliation . Overview: The Cardiovascular Charge Capture Specialist is responsible for ensuring complete, accurate, and compliant charge capture, code validation, and identifying revenue opportunities for all cardiac procedural services.
NewDE - Patient Financial Services AR Manager - Dover Carenest Health ServicesDE - Patient Financial Services AR Manager - DoverDover, DEIn lieu of a bachelor s degree, will accept a High School Diploma or GED with eight (8) years of Revenue Cycle Progressive leadership experience (Four years of experience for a verified associate s degree.). Responsible for directing, coordinating, and planning of staff for insurance AR, to ensure efficient and proper billing, account follow-up, account collections, and reconciliation of patient accounts.
NewDE - Patient Financial Services AR Manager - Dover GlobalPoint HCDE - Patient Financial Services AR Manager - DoverDover, DERequired Education, Credential(s) and Experience: Education: Bachelor Degree; Business; In lieu of a bachelor s degree, will accept a High School Diploma or GED with eight (8) years of Revenue Cycle Progressive leadership experience (Four years of experience for a verified associate s degree.) General Summary: Responsible for directing, coordinating, and planning of staff for insurance AR, to ensure efficient and proper billing, account follow-up, account collections, and reconciliation of patient accounts.
Patient Financial Services SBO Manager Bayhealth Medical Center IncPatient Financial Services SBO ManagerDover, DE$82,950.40–$128,564.80 / yearBayhealth Medical Center is Central and Southern Delaware's healthcare leader with hospitals in Dover and Milford, as well as stand-alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. Responsibilities for the Customer Service Team include efficient and accurate patient billing and collections, financial counseling, vendor processes, and reconciliation of patient accounts, along with other associated treasury functions.
Insurance Follow-Up Specialist Bayhealth Medical Center IncInsurance Follow-Up SpecialistDover, DE$19.18–$28.77 / hourSpecific duties involve researching unpaid claims, responding to insurance company information requests, submitting reconsiderations for partially paid claims, interpreting payer denials and reviewing medical records as appropriate, appealing denied claims and resolving payment variances as encountered to facilitate timely patient billing. The position requires advanced knowledge of all payers and claim types, and the ability to prioritize workflow to meet insurance company filing deadlines for claim submission, claim reconsiderations, and appeals, and achieve targeted receivables monthly, and expedite cash flow.
Registered Nurse (RN) IJN HEALTH SYSTEMS - HOME HEALTHRegistered Nurse (RN)262 CHAPMAN RD, STE 204, DEYou take pride in creating personalized care plans for patients and are able to observe and communicate effectively in your patients' best interest. • Effectively communicates ongoing with patient and family progression/changes in POC.
Fraud Waste and Abuse - Sr. Analyst CVS Health CorpFraud Waste and Abuse - Sr. AnalystDE$46,988–$112,200 / yearActivities include reviewing billing activity for state agency referrals, assisting in the investigation and triage of FWA complaints, coordination with other departments and assist in prevention activities including training of internal staff and internal departments. Analyst, Fraud, Waste, and Abuse (FWA) will assist in detecting, investigating, remediating and referring to state regulatory agencies incidents of FWA arising in connection with medical, behavioral, transportation, and other healthcare services.
Patient Registrar PRISM Vision GroupPatient RegistrarVineland, New JerseyEnters all patient payments received into patient record, prepares all monies for bank deposit. · Ensures lab results are obtained, signed and dated by surgeon, and filed within patient medical record.
Quality Assurance Specialist - Pharmaceuticals WuXi AppTecQuality Assurance Specialist - PharmaceuticalsMiddletown, DelawareThis is a build role rather than a maintenance role: the Specialist helps stand up the quality processes, systems, and documentation required for Oral Solid Dosage (OSD) and Sterile drug-product manufacturing—including aseptic processing and drug-substance operations—and ensures compliance with applicable GMP regulations and health-authority expectations. Working with limited precedent, the Specialist exercises independent judgment to resolve quality issues of diverse scope, advises operations and cross-functional partners, and helps embed a “Right First Time” culture as the site progresses toward routine GMP operations.
Quality Assurance Specialist Pharmaceuticals WuXi AppTec Co LtdQuality Assurance Specialist PharmaceuticalsMiddletown, DEThis is a build role rather than a maintenance role: the Specialist helps stand up the quality processes, systems, and documentation required for Oral Solid Dosage (OSD) and Sterile drug-product manufacturing-including aseptic processing and drug-substance operations-and ensures compliance with applicable GMP regulations and health-authority expectations. Working with limited precedent, the Specialist exercises independent judgment to resolve quality issues of diverse scope, advises operations and cross-functional partners, and helps embed a "Right First Time" culture as the site progresses toward routine GMP operations.