Remote Medical Billing Specialist TRC Talent SolutionsRemote Medical Billing SpecialistPittsburgh, PENNSYLVANIARemoteIf you thrive in a fast-paced environment, enjoy problem solving, and have experience working insurance denials and unpaid claims, we'd love to hear from you. Our team partners with healthcare providers and hospital organizations to deliver revenue cycle and accounts receivable support services.
Insurance Resolution Specialist (Second Shift) Pantherx Specialty LLCInsurance Resolution Specialist (Second Shift)Pittsburgh, PAThis role liaises between patients, insurance companies, and government agencies to ensure patient receives medication accurately and timely and the appropriate entity is being billed. In every line of service, in every position and area of expertise, PANTHERx associates are driven to provide the highest quality outcomes for our patients.
NewInsurance Resolution Specialist (Mid Shift) Pantherx Specialty LLCInsurance Resolution Specialist (Mid Shift)Pittsburgh, PAThis role liaises between patients, insurance companies, and government agencies to ensure patient receives medication accurately and timely and the appropriate entity is being billed. In every line of service, in every position and area of expertise, PANTHERx associates are driven to provide the highest quality outcomes for our patients.
Insurance Resolution Specialist Pantherx Specialty LLCInsurance Resolution SpecialistPittsburgh, PAThis role liaises between patients, insurance companies, and government agencies to ensure patient receives medication accurately and timely and the appropriate entity is being billed. In every line of service, in every position and area of expertise, PANTHERx associates are driven to provide the highest quality outcomes for our patients.
Bilingual Care Coordinator Pantherx Specialty LLCBilingual Care CoordinatorPittsburgh, PAPerforms all required order management activities such as order/data entry, patient onboarding, patient profile creation and updates, prescription retrieval, adverse event and product compliant submission and reconciliation, and assigned follow-ups. Conducts all patients and physicians facing interactions related to reimbursement support, including but not limited to processing pharmacy claims, obtaining authorizations and overrides as needed and discussing financial responsibility with patients.
NewAccounts Receivable Specialist NEP Group Inc.Accounts Receivable SpecialistPittsburgh, PAEffective communication skills, ability to prepare and present to clients and various levels of employee populations. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments.
Customer Service Representative # 26-11811 US Tech Solutions, Inc.Customer Service Representative # 26-11811Pittsburgh, PA$18.50–$19 / hourThis 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-5pm Under the supervisor's direction, The Patient Support Specialist is responsible for providing patient health care services, enabling access to care for prescription medications.
PRE-AUTHORIZATION SPECIALIST - DIAGNOSTIC IMAGING Tri-State OrthopaedicsPRE-AUTHORIZATION SPECIALIST - DIAGNOSTIC IMAGINGPittsburgh, PAFull timeResponsibilities:Reviewing clinical notes for required content, verifying insurance benefits, submitting requests through payer portals and tracking statuses to prevent delays in care and/or denied claimsCompleting and processing prior insurance authorizations for MRI/CT scans for all Providers in the practiceProactively monitoring, including tracking pending imaging requests and actively providing information to the insurance companies as needed for approval and addressing problems/concerns before they impact patient careObtaining and scheduling STAT/URGENT imaging prior authorizations for necessary examsAssisting and communicating authorization status with providers, imaging facilities, clinical staff and patientsFacilitating peer-to-peer conversations, reviews or appeals for denied authorizations with insurance companies and Providers and addressing inquiries from Providers, staff and patientsRemaining current with payer guidelines and authorization requirementsReturning patient and imaging facility phone calls and email correspondence in a timely manner; answering basic imaging prior authorization-related questions regarding the processMaintaining confidentiality and complying with HIPAA regulations Requirements:Candidates must possess strong telephone and computer skills and demonstrate the ability to provide exceptional customer service with a positive and upbeat attitude in a fast-paced practice environment. Qualifications:High school diploma or equivalent; associate degree or medical certification is a plusOne to two years of experience in medical billing, insurance verification, or prior authorizationsKnowledge of CPT and ICD-10 medical codingFamiliarity with medical terminology for radiology and advanced imaging is a plusStrong computer literacy and experience with electronic health record (EHR) systems
Supervisor, Patient Access Pantherx Specialty LLCSupervisor, Patient AccessPittsburgh, PAIn every line of service, in every position and area of expertise, PANTHERx associates are driven to provide the highest quality outcomes for our patients. Supports management with regularly scheduled training classes with staff to ensure staff is abreast of all new therapies, drugs, and any new changes.
Patient Care Coordinator Pantherx Specialty LLCPatient Care CoordinatorPittsburgh, PAIf you are looking for a career in the healthcare field that embraces authentic dedication to patient care, you don’t need to look beyond PANTHERx. In every line of service, in every position and area of expertise, PANTHERx associates are driven to provide the highest quality outcomes for our patients.
Patient Care Coordinator (Bilingual) Pantherx Specialty LLCPatient Care Coordinator (Bilingual)Pittsburgh, PAHealthcare interpreter certification from a nationally recognized institute (Certification Commission for Healthcare Interpreters or the National Board of Certification for Medical Interpreters) or willingness to become certified. This position redirects calls to pharmacists as needed, communicates with healthcare providers in a confidential manner, and adheres to applicable healthcare regulations.
Netsmart EHR RCM Consultant enkompas Technology SolutionsNetsmart EHR RCM ConsultantSewickley, PARemoteRevenue 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.
CareLogic Clinical System Consultant enkompas Technology SolutionsCareLogic Clinical System ConsultantSewickley, PARemoteThis role collaborates with clinical, billing, compliance, and operational teams to improve workflows, enhance reporting capabilities, ensure regulatory compliance, and maximize system utilization across behavioral health organizations. A CareLogic Clinical System Consultant provides functional and technical expertise for the implementation, optimization, training, and support of the CareLogic electronic health record (EHR) platform.
Billing Coordinator Masonic Village at Sewickley, PABilling CoordinatorSewickley, 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. 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.
Billing Collections Specialist University of Pittsburgh Medical CenterBilling Collections SpecialistPittsburgh, PAAdditionally, they make sound financial decisions to facilitate the resolution of third-party accounts based on the information gathered from such sources at third-party insurers, physicians, hospital personnel, governmental agencies, lawyers and patients, the Billing/Collections Specialist. Knowledge of all third-party payors (Medicare, Blue Cross, Medical Assistance, Commercial, etc., the applicable reimbursement practices and familiar with automated patient billing systems.
BILLING ASSISTANT Tri-State OrthopaedicsBILLING ASSISTANTPittsburgh, PAPart timeResponsibilities:The Billing Assistant is responsible for assisting in all aspects of billing, including but not limited to:Printing paper claims and corresponding office notes or primary EOBs and mailing to insurance carriersProcessing itemized statement requestsProcessing credit card paymentsContacting patients or insurances regarding missing informationProviding coverage/cross-training within the Billing DepartmentAssisting providers and staff practice-wide with billing-related issues and other related tasks Handling returned mail and updating patient addressesAssisting with mailing correspondence to patientsQualifications:This Team Member must possess:Excellent customer service and communication skills via telephoneDemonstrate the ability to work with others in various departments, as well as independentlyMaintain practice and patient confidentialityHave strong computer/typing skillsAbility to stay organized and multi-task with a positive and upbeat attitudeCustomer service, medical accounts receivable, billing or related medical experience preferred. NO FURTHER!Tri-State Orthopaedics & Sports Medicine, a well-respected and busy orthopaedic practice, is recruiting a part-time Billing Assistant to work 20 hours a week in the Billing Department of their corporate office in the North Hills.
Resident Billing Coordinator/Long-Term Care Masonic Village at Sewickley, PAResident Billing Coordinator/Long-Term CareSewickley, 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. Our Resident Billing Coordinator/Long-Term Care is responsible for the following: Knowledge of Medical Assistance regulations generally accepted accounting principles, regulations governing resident personal care accounts, and other governmental or industry regulations applicable to Masonic Villages' operations, as appropriate.
Accounts Payable Specialist Ethos Veterinary HealthAccounts Payable SpecialistMonroeville, PAPart timeOur brand-new, 19,000-square-foot, state-of-the-art hospital was designed to support exceptional patient care, featuring advanced technology including a 16-slice CT, 1.5 Tesla MRI, four surgical suites, a dedicated ICU, and expanded specialty services. The area features affordable housing, highly rated schools, beautiful parks, and miles of hiking and outdoor recreation, making it an ideal place to live, work, and explore.
Contact Center Specialist (Sports Medicine University of Pittsburgh Medical CenterContact Center Specialist (Sports MedicinePittsburgh, PAAssist 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.
NewClinical Denial Specialist - Diagnosis Related Grouping (DRG) West Virginia University MedicineClinical Denial Specialist - Diagnosis Related Grouping (DRG)PAMINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Associate degree in healthcare administration, Nursing, Health Information Management, or related field AND Five (5) years of experience in hospital billing, acute care setting, CDI, inpatient coding, or revenue cycle'. Current Licensed Practical Nurse license issued by the state in which services will be provided or current multi-state Licensed Practical Nurse license through the enhanced Nurse Licensure Compact (eNLC).