Billing Specialist Clearfield EMS Penn Highlands HealthcareBilling Specialist Clearfield EMSPAp>Submit clean, accurate ambulance claims in a timely manner Ensure compliance with CMS ambulance billing guidelines Review documentation for medical necessity, PCS forms, narratives, and mileage Manage accounts receivable and aggressively follow up on unpaid claims Resolve denials, underpayments, and rejections Prepare and submit appeals as needed Post and reconcile payments accurately Identify trends in denials and underpayments and recommend corrective actions Communicate with operations regarding documentation deficiencies Track and report billing KPIs, including clean claim rate and A/R aging Assist with audits, payer requests, and compliance reviews Required Qualifications (Non-Negotiable) Minimum 1 year of ambulance/medical billing experience OR NAAC Certified Ambulance Coder Strong knowledge of: o Medicare and MA ambulance billing guidelines o Managed care plans o Levels of Service Billing requirements o PCS forms and medical necessity documentation o Modifiers, base rates, and mileage billing o Strong Working knowledge of ICD-10 diagnosis codes Proven experience with denial management and appeals Ability to independently manage A/R and follow-ups High attention to detail and strong organizational skills Knowledge of HIPAA and Patient Privacy and Compliance Laws. The Ambulance Billing Specialist is responsible for managing the complete billing lifecycle, including charge entry, claim submission, denial management, appeals, payment posting, and accounts receivable follow-up.
Billing Specialist Business Office DuBois CRC Penn Highlands HealthcareBilling Specialist Business Office DuBois CRCDuBois, PASummary As a Billing Specialist, youll be responsible for billing and collecting patient accounts receivable balances from the insurance companies in a prompt and efficient manner. This position interprets all contracts and determines the correct and timely payment and ensures the workflow of the billing department runs smoothly.
BUSINESS MANAGER (Accounting) The GEO GroupBUSINESS MANAGER (Accounting)Philipsburg, Pennsylvaniaul>Bachelor's Degree in business related field such as Business, Finance, or Accounting required and a minimum of five (5) years of work experience in a finance-related role required with budget preparation/control or administration of government contracts preferred, or an equivalent combination of work experience and education. From 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.
Insurance Authorization Specialist Nursing Solutions IncInsurance Authorization SpecialistDuBois, PA$19–$21 / hourCandidates must be located within commuting distance of a Pennsylvania branch office: Bethlehem (Allentown), DuBois, Harrisburg, Irwin (Pittsburgh), Bridgeville, Wyomissing (Reading), or Springfield. In addition to our great benefits, we offer a fun and supportive culture rooted in our values of Heart, Advocacy, Love, Outreach, and Speed (HALOS).
PATIENT SERVICES ASSOCIATE- NEW BETHLEHEM Independence Health SystemPATIENT SERVICES ASSOCIATE- NEW BETHLEHEMFairmount City, PAActively 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.
Social Worker Fresenius Medical Care AG & Co KGaASocial WorkerDubois, PASupports the FMCNA commitment to the Quality Indicators and Outcomes and Quality Assessment and Improvement (QAI) Activities, including those related to patient satisfaction and quality of life and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Goals. PURPOSE AND SCOPE: Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior and accepted methods of social work practice.
Medical Assistant - IRMC Physician Group - Part Time Indiana Regional Medical CenterMedical Assistant - IRMC Physician Group - Part TimePAKnowledge: • Basic medical front and back office procedures and medical terminology; first aid measure; equipment, supplies and instruments used in a medical office; simple routine clinical laboratory methods; universal blood and body fluid precautions; OSHA rules and regulations; established protocol for storing poisons, narcotics, acids, caustics and flammable items, restrictions imposed by various managed care carriers, various forms inherent to profession; patient confidentiality regulations, usage of computer systems, insurance authorizations, referrals, and billing processes. • Collects co-pays, payments from patients and provides receipt to every patient; maintains payment log, balances at end of day, correctly enters credit card payments through Emdeon, and prepares deposit slip daily.
Physician Practice Office Manager - Family Medicine Residency Program at Mahoning Medical Center - Full Time Indiana Regional Medical CenterPhysician Practice Office Manager - Family Medicine Residency Program at Mahoning Medical Center - Full TimePATravel between office locations may be required to provide on-site support, ensure consistency in practice operations, and assist with coverage or training as needed. Work closely with providers and clinical teams to support documentation, billing accuracy, and compliance with value-based care programs.