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.
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.
Insurance Verification & Billing Support Specialist - Remote (must be local to Pittsburgh area) CQ PartnersInsurance Verification & Billing Support Specialist - Remote (must be local to Pittsburgh area)Pittsburgh, PennsylvaniaRemote$18–$20In addition, this position will serve as the primary backup to the Billing Coordinator, assisting with billing and accounts receivable functions as needed during vacations, absences, or increased workload periods. This position plays a critical role in ensuring patients have accurate insurance benefits verified prior to treatment, and that required authorizations are obtained in a timely manner.
Billing Specialist Lifespace CommunitiesBilling SpecialistUpper St Clair, PennsylvaniaDriven by a commitment to exceptional service, innovation, and meaningful connections, our team members work together to enrich the lives of our residents every day. With new opportunities, continued growth, and the support from your Lifespace team members, get ready to ignite your life and experience Our Space.
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 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.
E-Billing Specialist Fox RothschildE-Billing SpecialistPittsburgh, PAAs a member of the Finance Department, the Electronic Billing (E-Billing) Specialist is responsible for processing client bills, answering billing inquiries and assisting in the monitoring and follow-up of related billing functions. Monitor e-billing daily for new invoices and rejections; review daily new timekeeper report for new timekeepers that may need to be submitted for approval.
Bill Review Supervisor I CorVel Healthcare CorporationBill Review Supervisor IPittsburgh, PA$22.17–$35.66 / hourPart timePay 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.
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 (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.
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.
NewPatient Account & Billing Manager University of PittsburghPatient Account & Billing ManagerPittsburgh, PAIn addition to being a great place to work the University offers robust benefits including: 11 Paid Holidays in addition to paid Vacation, Sick and Personal Days Additional Paid Time Off (Winter Recess) during the period between Christmas and the New Year Paid Parental Leave Education benefits for eligible employees, their dependents and spouse/domestic partner Above-average Employer Contribution towards Medical, Prescription Drug, Vision, Life, STD, and LTD Insurance plans A robust retirement savings plan option, including 100% match on employee contributions of 3-8% (150% after vesting) and enhanced match for those nearing retirement * Free PAT bus pass. This position will be responsible for, but not limited to, the following functions: liaison between the faculty practice and 3rd-party billing agency, ensure accurate claims processing, assist in claim denials and follow ups, timely payment posting, effective resolution of billing and patient account issues, manage provider procedure entries, assist in researching/locating insurance EOBs and initiate and manage outbound calls to patients regarding outstanding balances.
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.
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.