Intake Coordinator, Billing Specialist UCP Central PAIntake Coordinator, Billing SpecialistCamp Hill, PennsylvaniaFull timeYou’ll coordinate referrals, guide families through the intake process, manage service authorizations, and support billing operations so our programs can deliver high-quality services to the people we support. As an Intake Coordinator, Billing Specialist , you’ll support UCP Central PA’s mission by helping individuals and families successfully begin services while ensuring accurate billing, authorizations, and system documentation.
Billing Coordinator - Healthcare/Long Term Care Masonic Village at WarminsterBilling Coordinator - Healthcare/Long Term CareElizabethtown, PAMedical 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. With over 145 years of providing award-winning care and services across the state of PA, Masonic Villages is driven by our Mission of Love to assists individuals in realizing their potential and enjoying the highest possible quality of life.
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorPA$50,000–$60,000 / yearOur 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.
AR Billing Specialist OWL Services IncAR Billing SpecialistMechanicsburg, PAOWL Services is the premier sales, installation, program management and service provider to retail, commercial, fleet, aviation and marine, and emergency power generation companies across the U.S. With 33 offices and distribution centers and more than 1,400 field service professionals, OWL delivers on a service platform that includes construction, compliance and testing, maintenance and repair, modernization and re-imaging, and EV charging solutions to keep businesses and people moving 24 hours a day, 7 days a week, 365 days a year. In this role, you'll be responsible for preparing and issuing invoices, reviewing billing data for accuracy, and working closely with internal teams and vendors to resolve discrepancies.
Billing Manager - Private/Medicaid Masonic Village at ElizabethtownBilling Manager - Private/MedicaidElizabethtown, PAWith over 145 years of providing award-winning care and services across the state of PA, Masonic Villages is driven by our Mission of Love to assist individuals in realizing their potential and enjoying the highest possible quality of life. As a Billing Manager, you will carry out our Mission of Love by managing the Private Pay/Medicaid team and coordinate billing processes, providing support and training to meet compliance and regulatory requirements resulting in accurate billing and reimbursement.
Billing Intern DRT TransportationBilling InternLEBANON, PAThis role is designed to provide hands-on experience in invoicing, financial systems, and basic accounting practices while ensuring accuracy and timeliness in billing processes. This paid internship offers an hourly rate of $15 and is designed for students or recent graduates looking to build real-world experience and develop their skills.
Billing Supervisor Flagger Force, LLCBilling SupervisorHummelstown, PennsylvaniaFull timeClient Onboarding & Technical Setup Manage the setup of new clients and billing processes, including creating billing templates, defining invoicing parameters, and coordinating with Technology, Payroll, Operations, and Field Operations to ensure proper data capture and system configuration. Process Improvement & Systems Efficiency Partner with Technology, Finance, and Operations leadership to evaluate and implement process enhancements that improve data flow, reduce rework, and support scalable revenue operations practices.
Billing and Accounts Receivable Manager Deloitte Touche Tohmatsu LtdBilling and Accounts Receivable ManagerPARemote$140,000–$160,000 / yearAs 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.
Epic Hospital Billing Analyst Tower HealthEpic Hospital Billing AnalystWyomissing, PennsylvaniaFull timeAdditionally, the system provides a wide range of healthcare services, such as Reading Hospital Rehabilitation at Wyomissing, home healthcare via Tower Health at Home, TowerDirect ambulance and emergency response, Tower Health Medical Group, Tower Health Providers (a clinically integrated network), and Tower Health Urgent Care facilities across its service area. Developing Knowledge/Skills - Obtaining an in-depth knowledge of the Epic platform for the supported application and a general knowledge of other applications supported along with a detailed understanding of the integration of modules within the Epic Enterprise.
Client Experience Ambassador 2- Billing Community Services GroupClient Experience Ambassador 2- BillingMountville, PennsylvaniaComplete claims corrections and write offs; submit claims to all payers in a timely manner including electronic, online, and paper submissions; Enter and process payments and denial codes; Review and resolve all denials and monitor aging reports and resolve open client payables. The Client Experience (CX) Ambassador 2 is a primary CSG operations team member that proactively and innovatively anticipates and addresses the needs of our clients, external customers, and internal program partners ensuring a successful and satisfactory experience.
Epic Hospital Billing Analyst Tower Health Medical GroupEpic Hospital Billing AnalystWyomissing, PAAdditionally, the system provides a wide range of healthcare services, such as Reading Hospital Rehabilitation at Wyomissing, home healthcare via Tower Health at Home, TowerDirect ambulance and emergency response, Tower Health Medical Group, Tower Health Providers (a clinically integrated network), and Tower Health Urgent Care facilities across its service area. Developing Knowledge/Skills - Obtaining an in-depth knowledge of the Epic platform for the supported application and a general knowledge of other applications supported along with a detailed understanding of the integration of modules within the Epic Enterprise.
Large Customer Billing Representative UGI CorpLarge Customer Billing RepresentativePAWork independently responding to external inquiries (phone calls and e-mails) applicable to various billing issues; including resolving billing disputes with difficult customers. As our energy needs evolve, UGI will be there providing safe and reliable service that brings warmth and comfort to our 750,000 customers in 45 counties in Pennsylvania and 1 county in Maryland.
Utility Billing and Customer Service Manager Capital Region WaterUtility Billing and Customer Service ManagerHarrisburg, PennsylvaniaWe are always looking for talented, energetic, and hard-working employees that want to serve their community Company name: Capital Region Water Title of position: Billing and Customer Service Manager Position type: Full-time Location: Administrative Offices Join the CReW! The manager supervises the Assistant Customer Service Manager, oversees treasury functions, coordinates with banking institutions and third‑party billing vendors, and approves customer assistance program applications.
Hospital Billing Operator Deloitte Touche Tohmatsu LtdHospital Billing OperatorPA$70,000–$90,000 / yearOur 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.
Pediatric Office Manager Smilebuilderz LLCPediatric Office ManagerLancaster, PAThe ideal candidate will ensure smooth workflow, high-quality patient care, and an efficient and supportive work environment for both staff and providers. We are seeking a dedicated and experienced Pediatric Office Manager to oversee the daily operations of our pediatric dental office in Lancaster, PA.
NewPatient Service Specialist - Full-time Penn State Health Rehabilitation HospitalPatient Service Specialist - Full-timeHummelstown, Pennsylvania$20.50–$27.59 / hourOur Outpatient Center partnered with our Inpatient Rehabilitation Hospital is committed to providing exceptional and compassionate care to best address the medical, physical, emotional, and vocational challenges for individuals with brain injuries, spinal cord injuries, neurological disorders, orthopedic issues, amputation, and multiple traumas. Customer service and interpersonal skills necessary to communicate effectively with staff members, supportive personnel, patients, physicians and community members required.
NewProvider Audit Specialist Capital Blue CrossProvider Audit SpecialistHarrisburg, PennsylvaniaFull timeConduct end-to-end audits of provider charge masters (CDM) and associated claims to evaluate billing accuracy, rate structures, and adherence to contractual and regulatory requirements. Proficiency in Microsoft Office Suite products (Access, Excel, Word, PowerPoint, etc.), SAS, SQL, PowerBI, or other software used for both analytic, reporting, and data visualization functions.
NewInsurance Authorization Specialist (Fulltime/Days) Penn MedicineInsurance Authorization Specialist (Fulltime/Days)PALiaise with doctor's offices, insurance representatives, Financial Services personnel (PFS), and other departments across the organization to ensure authorization and/or referrals for services on file and accurate with the payer resulting in maximized reimbursement. Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine.
Patient Service Specialist Full time Select Medical CorpPatient Service Specialist Full timePA$20.50–$27.59 / hourOur Outpatient Center partnered with our Inpatient Rehabilitation Hospital is committed to providing exceptional and compassionate care to best address the medical, physical, emotional, and vocational challenges for individuals with brain injuries, spinal cord injuries, neurological disorders, orthopedic issues, amputation, and multiple traumas. Customer service and interpersonal skills necessary to communicate effectively with staff members, supportive personnel, patients, physicians and community members required.
Associate Chiropractor HealthSource ChiropracticAssociate ChiropractorEast Petersburg, PennsylvaniaWe are a fast-paced, upbeat Chiropractic and Progressive Rehab clinic dedicated to helping patients get out of pain and back to doing what they love through chiropractic, progressive rehab, spinal decompression, sports therapy, laser therapy, massage, orthotics, nutrition, and wellness products. We practice a variety of therapeutic modalities including chiropractic, progressive rehab, spinal decompression, Class IV laser therapy, nutritional support, and custom orthotics; all with the focus of providing better patient outcomes.
Chiropractor Clinic Director HealthSource ChiropracticChiropractor Clinic DirectorEast Petersburg, PennsylvaniaAccess ongoing support and join a community of chiropractors, rehab specialists, billing specialist, and front desk specialists to enhance your skills and advance your career. Be a part of the ever-growing team focused on blending personalized and customized chiropractic and wellness care– in order to provide each patient with a unique treatment care plan!
Front Desk Coordinator / Patient Experience / Growth Role HealthSource ChiropracticFront Desk Coordinator / Patient Experience / Growth RoleLancaster, PennsylvaniaAccess ongoing support and join a community of chiropractors, rehab specialists, billing specialist, and front desk specialists to enhance your skills and advance your career. Be a part of the ever-growing team focused on blending personalized and customized chiropractic and wellness care– in order to provide each patient with a unique treatment care plan!
Lead Chiropractor / Clinical Director Lead a New Clinic HealthSource ChiropracticLead Chiropractor / Clinical Director Lead a New ClinicEast Petersburg, PennsylvaniaWe are opening a brand-new HealthSource Chiropractic clinic in East Petersburg, PA and are seeking a Lead Chiropractor / Clinical Director to take ownership of clinical outcomes, team leadership, and clinic growth from day one. Access ongoing support and join a community of chiropractors, rehab specialists, billing specialist, and front desk specialists to enhance your skills and advance your career.
Office Assistant Select Physical TherapyOffice AssistantMechanicsburg, PennsylvaniaHelp to maintain a positive patient experience and safe treatment environment by assisting the clinic staff in maintaining the general cleanliness of the center and ensuring patient care materials are readily available and kept orderly. Provide excellent customer service by meeting and greeting patients, family members, and visitors and answer any questions/offer assistance as needed.
Office Assistant Select Medical CorpOffice AssistantMechanicsburg, PAHelp to maintain a positive patient experience and safe treatment environment by assisting the clinic staff in maintaining the general cleanliness of the center and ensuring patient care materials are readily available and kept orderly. Provide excellent customer service by meeting and greeting patients, family members, and visitors and answer any questions/offer assistance as needed.
Patient Access Specialist PT Ensemble Health PartnersPatient Access Specialist PTWest Reading, PA$17–$18.15 / hourJob Responsibilities: Patient 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 an 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.
Patient Access Specialist pt Ensemble Health PartnersPatient Access Specialist ptWest Reading, PennsylvaniaPatient 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 an 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.
Patient Access Specialist - Full Time Ensemble Health PartnersPatient Access Specialist - Full TimeIndependence, PennsylvaniaPatient 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 an 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.
Associate Specialist, Patient Access - PRN Ensemble Health PartnersAssociate Specialist, Patient Access - PRNIndependence, PennsylvaniaPatient 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.
Patient Access Specialist - PRN Ensemble Health PartnersPatient Access Specialist - PRNIndependence, PennsylvaniaPatient 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 an 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.
Patient Access Specialist - Part-time Ensemble Health PartnersPatient Access Specialist - Part-timeIndependence, PennsylvaniaPatient 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 an 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.
NewRespiratory Support Coordinator AdaptHealth CorpRespiratory Support CoordinatorPAThis role ensures patients receive appropriate goods and services in the most efficient and satisfactory manner possible while serving as a subject matter expert, conducting new hire training, and mentoring team members. Collaborate with Respiratory Department Staff, CPAP/BIPAP Program Managers, and Operations Managers to provide equipment instruction, service, and troubleshooting for respiratory patients.
Accounting Specialist UCP Central PAAccounting SpecialistCamp Hill, PennsylvaniaFull timeYou’ll help manage Medicaid and private pay billing, monitor payments, resolve issues, and support reporting and audits, all while partnering with internal teams to keep our programs running smoothly for the people we serve. As an Accounting Specialist , you’ll support UCP Central PA’s mission by ensuring accurate billing, reliable financial processes, and strong revenue management.
Assistant Business Office Manager - Skilled Nursing Facility LimitlessliAssistant Business Office Manager - Skilled Nursing FacilityHarrisburg, PA$50,000–$60,000Prior experience in a Business Office, Resident Accounts, Billing, Collections, Accounts Payable, or Assistant Business Office Manager role preferred. We are seeking a detail oriented and organized Assistant Business Office Manager (ABOM) to support the daily financial and administrative operations of our skilled nursing facility.
Design Specialist Contract Johnson Controls International PlcDesign Specialist ContractYork, PA$68,000–$101,000 / yearProvide technical support to and communication among the Engineering and Production teams to assist in efficient execution of building air handling units, guide factory assemblers as necessary to complete and coordinate activities. Prepare drawings of parts and assemblies involving selection of scales, dimensioning, detailed views, sectional views orthographic projects from sketches, layouts or verbal instructions, e.g., sheet metal housings.
NewClaims Resolution Specialist Select MedicalClaims Resolution SpecialistCamp Hill, PennsylvaniaContact responsible party to establish reason for non-payment document in system all verbal and written communication relative to open account balance, and institute timely follow-up with responsible party as a result of last contact to assure progress in resolving account with payment. Additional Data: Select Medical strives to provide our employees with a solid work-life balance, as we understand that happy employees have both fulfilling careers and fulfilling lives beyond our doors.
NewAccounts Receivable Specialist Evans Delivery Co IncAccounts Receivable SpecialistPA$18–$18.50 / hourThis position is responsible for monitoring customer accounts, following up on past-due balances, resolving billing and payment discrepancies, and accurately recording payments and account adjustments. The Accounts Receivable Specialist serves as a primary point of contact between customers, Agents, and internal departments to help ensure invoices are accurate and customer payments are received on time.
Therapeutic Activity Specialist WellSpan HealthTherapeutic Activity SpecialistYork, PALife in York County offers affordable housing options, higher education, a thriving arts and cultural community, historical attractions, parks and recreational resources, a semi-professional baseball team, fine dining, and more - within an easy drive of major East Coast cities. Demonstrates leadership through collaboration with other team members, maintaining positive solution-focused communication, taking initiative, leading by example, demonstrating open and consistent communication, understanding of diagnosis and clinical interventions, and investing in the development of growth of staff and the program.
Patient Service Representative Patient FirstPatient Service RepresentativeHarrisburg, PennsylvaniaReferring billing questions to the appropriate parties as needed; Collecting money and issuing receipts for a patient’s visit, diagnostic studies, and supplies as prompted by the electronic medical record system; Discharging the patient and completing his or her visit by processing incurred charges; Completing all cash management duties to include counting and accounting for money collected at the end of the shift; Obtaining change for the front office, supplies, or other materials as directed by the Patient Service Coordinator (PSC), Direct of Medical Support (DMS), or Charge Nurse; Printing itemized statements as requested; Receiving, sending, and distributing correspondence as directed; Filing and scanning medical documents and office forms as directed; Completing assigned checklists and Policy Manager tasks within the assigned shift; Answering all incoming calls and distributing messages to proper personnel; Assisting with other assignments delegated by the PSC; Demonstrating an efficient understanding of the electronic medical record system; Receiving, moving, and stocking ordered supplies; Cleaning work area and other maintenance assignments as directed; Verifying daily reports are run at the end of the day; Attending staff meetings as scheduled by the PSC or DMS; Being available to assist as needed (breaks and mealtimes may be interrupted at any time to provide necessary patient care or to maintain center operations); Operating, using, and maintaining medical and office equipment as trained; Participating in maintenance assignments when necessary and as directed; Fostering teamwork and ensuring a positive and professional atmosphere; Providing positive, warm, and friendly service in all interactions; Adhering to all established policies and procedures; Completing other duties as directed. Minimum education and professional requirements include, but are not limited to, the following: Must be 18 years of age or older; Basic typing skills; High school graduate or equivalent; Minimum one year of clerical experience preferred; Ability to hear pages, bells, and the phone system; Ability to sit, stand, and walk for up to 7 hours at a time; Ability to lift up to 25 pounds; Excellent visual, verbal, written, and typed communication skills; Ability to prioritize and deal with numerous tasks simultaneously; Willing to work at any center due to a staffing issue, center emergency, or a reduction of work.
Accounts Receivable Specialist LatitudeAccounts Receivable SpecialistHershey, PennsylvaniaAbout the Opportunity A growing, organization within the construction services space is seeking a high-performing Accounts Receivable Specialist with strong construction billing experience. This is a critical role supporting company cash flow, project financial health, and client relationships.
Patient Insurance Navigator - Float CVS Health CorpPatient Insurance Navigator - FloatYork, PA$21.10–$40.90 / hourAs our resident insurance experts, they help guide patients through Medicare, Medicaid, and affordable coverage options by answering any questions, navigating complex plans and billing, connecting with insurance resources, and providing critical support during the Annual Enrollment Period (AEP). Assist patients in navigating the healthcare system: Help patients resolve medical bills inside and outside of Oak Street Health, ensuring patient advocacy as the highest priority.
Business Service Specialist Cox AutomotiveBusiness Service SpecialistMorgantown, PennsylvaniaThe Support Specialist provides exceptional customer service, collaborates with team members, customers and outside vendors ensuring timelines are met, vehicles are compliant, and department KPIs are maintained. **** EOE, including disability/vets **** Cox Fleet is an administrative and operational role that primarily focuses on coordinating fleet maintenance, vehicle assignments, documentation, scheduling, tracking, vehicle compliance, database accuracy, and cost controls.
NewOccupational Therapist Reach Cyber Charter School JobsOccupational TherapistEnola, PennsylvaniaWhat we offer you for all your hard work Reach Cyber Charter School is dedicated to providing our employees with a comprehensive benefits package offering flexibility to customize benefits to meet your needs by offering major medical, dental, and vision; HSA and FSA; company paid Basic Life/AD&D, STD, LTD and EAP; a retirement plan; voluntary Life/AD&D; as well as perks and discount programs. Authorized by the Pennsylvania Department of Education in 2016, Reach Cyber Charter School is state certified and open to students throughout Pennsylvania with a vision to inspire and nurture future success for all students.
Bilingual Public Benefit Specialist Ensemble Health PartnersBilingual Public Benefit SpecialistWyomissing, PennsylvaniaEssential Job Functions : Reviewing all referred uninsured/under-insured patients for program eligibility opportunities, initializing and coordinating the application process to facilitate accurate and appropriate submissions. Developing and maintaining proactive working relationship with county/state/federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates.
Customer Service Team Lead Select Medical CorpCustomer Service Team LeadCamp Hill, PAThis position will maintain a more active role in fixing patient accounts in RT and reviewing reports to assist in quality control of patient accounts, specifically patient balances. Select Medical strives to provide our employees with a solid work-life balance, as we understand that happy employees have both fulfilling careers and fulfilling lives beyond our doors.
Customer Service Representative Select Medical CorpCustomer Service RepresentativeCamp Hill, PAThis position will maintain a more active role in fixing patient accounts in the billing system and reviewing reports to assist in quality control of patient accounts, specifically patient balances. Select Medical strives to provide our employees with a solid work-life balance, as we understand that happy employees have both fulfilling careers and fulfilling lives beyond our doors.
NewOccupational Therapist Reach Cyber Charter SchoolOccupational TherapistEnola, PAPart timeWhat we offer you for all your hard work Reach Cyber Charter School is dedicated to providing our employees with a comprehensive benefits package offering flexibility to customize benefits to meet your needs by offering major medical, dental, and vision; HSA and FSA; company paid Basic Life/AD&D, STD, LTD and EAP; a retirement plan; voluntary Life/AD&D; as well as perks and discount programs. Authorized by the Pennsylvania Department of Education in 2016, Reach Cyber Charter School is state certified and open to students throughout Pennsylvania with a vision to inspire and nurture future success for all students.
Front Desk Coordinator - Full Time RestorixHealthFront Desk Coordinator - Full TimeCamp Hill, PAResponsible for scheduling patients, precertification, insurance verification, charge entry and daily reconciliations, this position will wear many hats. When you join our team, you have the opportunity to develop your career based on your strengths and potential, including the possibility to move functionally, geographically, laterally and vertically.
Patient Access Assistant I - East Berlin Medical Center - Days WellSpan HealthPatient Access Assistant I - East Berlin Medical Center - DaysPASchedules patient appointments for patients with other provider offices including correct processing of necessary referral forms, pre-authorization forms, test instructions, patient benefit verification and transfer of patient information. Common Expectations: Types and/or compiles correspondence and reports, photocopies information, files information, answers the telephone, takes messages and directs calls.
Optometric Technician HarrisburgOptometric TechnicianHarrisburg, PennsylvaniaThe position will interact with patients/customers by delivering an exceptional patient/customer experience, foster patient/customer retention, and promotes outstanding associate/doctor satisfaction. An Optometric Office Technician role may combine skills of a medical office administrator, medical billing and collections, appointment scheduler or medical records clerk and direct patient care.