Accounts Receivable Specialist- Correspondence (On Site) St. Luke's University Health NetworkAccounts Receivable Specialist- Correspondence (On Site)Allentown, PAIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. JOB DUTIES AND RESPONSIBILITIES: Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.
Revenue Specialist I (Rops) DaVita Inc.Revenue Specialist I (Rops)Malvern, PA$19.50–$23 / hourThis position performs revenue cycle duties including but not limited to: processing patient insurance information through the patient intake process ensuring the timely and accurate submission of insurance claims collecting payment on outstanding patient balances. Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita's online training platform StarLearning.
Revenue Specialist I (ROPS) DaVita IncRevenue Specialist I (ROPS)Malvern, PA$19.50–$23 / hourThis position performs revenue cycle duties including but not limited to: processing patient insurance information through the patient intake process ensuring the timely and accurate submission of insurance claims collecting payment on outstanding patient balances. Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita's online training platform StarLearning.
Accounts Receivable Specialist JEVS Human ServicesAccounts Receivable SpecialistPhiladelphia, PA$50,000–$52,500 / yearDiversity, inclusion, and equity are core principles that guide how we cultivate leaders, build our teams, and create an environment that is the right fit for JEVS Human Services’ employees, our community partners, and the individuals we serve. The Billing and A/R Associate will collaborate with multiple divisions, engage with all levels of management, and coordinate with Managed Care Organizations (MCOs) and government agencies.
Reimbursement Specialist MPOWERHealthReimbursement SpecialistConshohocken, PennsylvaniaThis position will be responsible for navigating the electronic medical record (EMR) and billing systems to obtain/produce and transmit the records required by the applicable insurance carrier or third party. Address denials and zero payments to identify and provide any requested documentation required to process the claim or refer to billing for claim corrections.
Program Specialist 3 22nd Century Technologies, Inc.Program Specialist 3Home-Headquarter, PAThis position is responsible for collecting and analyzing information to evaluate program administration and to determine compliance with federal, state, and departmental regulations and objectives; researching, analyzing, and reviewing data to develop and recommend policies and procedures; developing reports on program effectiveness; resolving beneficiary complaints and conducting outreach; assisting in program planning, reporting, and compliance efforts; and recruiting, training, and managing volunteers within their assigned region. This contracted position is responsible for delivering Senior Medicare Patrol (SMP) Services providing group education and one-on-one assistance to Medicare beneficiaries, their families, and caregivers about how to prevent, detect, and report Medicare fraud, errors, and abuse.
NewFinance Manager - Project Accounting JacobsWyper ArchitectsFinance Manager - Project AccountingPhiladelphia, PAThe Finance Manager works closely with our Billing Specialist and outsourced accounting consultants to manage the financial performance of a portfolio of projects, ensuring accurate billing, cost tracking, and financial reporting supporting the company’s project delivery and profitability. LOCATION: Philadelphia, PAEDUCATION: Bachelor’s Degree in Accounting, Finance, or a related field required; CPA or CPA candidate preferredEXPERIENCE: 7 or more years of experience in project accounting required; experience in an architecture, engineering, or professional services firm strongly preferred.
Healthcare Access Specialist Cooper University HospitalHealthcare Access SpecialistCamden, New JerseyPer diemShort Description: The HCA Patient Access Specialist communicates with insurance companies, patients, and healthcare providers to resolve discrepancies, update records, and ensure proper billing. The HCA Patient Access Specialist communicates as appropriate with the physicians, NJ Medical Examiners, the Sharing Network, and Funeral Directors to ensure timely handling of deceased patients.
Accounts Resolution Specialist II Penn Center for Primary Care Penn MedicineAccounts Resolution Specialist II Penn Center for Primary CarePhiladelphia, PAAct as a subject matter expert escalated issues and provide insight on identified denial trends or root cause of denials to mitigate future denials, expedite the reprocessing of claims and maximize opportunities to enhance front end claim edits to facilitate a first pass resolution. 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.
Accounts Resolution Specialist I - RAD-O-BRO Data Acct Receivable Penn MedicineAccounts Resolution Specialist I - RAD-O-BRO Data Acct ReceivablePhiladelphia, PARemoteExercising good judgement in escalating identified denial trends or root cause of denials to mitigate future denials, expedite the reprocessing of claims and maximize opportunities to enhance front end claim edits to facilitate a first pass resolution. This position will work out of assigned work queues handling claim edit work queue resolution as well as follow up work queue denials transferred from Professional Billing Office that require department intervention.
Accounts Resolution Specialist II Penn MedicineAccounts Resolution Specialist IIRadnor, PAAct as a subject matter expert escalated issues and provide insight on identified denial trends or root cause of denials to mitigate future denials, expedite the reprocessing of claims and maximize opportunities to enhance front end claim edits to facilitate a first pass resolution. 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.
Healthcare Access Specialist Cooper University Health CareHealthcare Access SpecialistCamden, NJLicense/Certification Requirements NAHAM Certified Healthcare Access Associate (CHAA) certification or HFMA Certified Revenue Cycle certification (Preferred) Special Requirements Excellent verbal and written communications skills Experienced in use of computers and software applications, i.e., Microsoft Word, Excel, Outlook, Access, registration, and billing systems. Short Description The HCA Patient Access Specialist communicates with insurance companies, patients, and healthcare providers to resolve discrepancies, update records, and ensure proper billing.
Preregistration Specialist Penn MedicinePreregistration SpecialistWoodbury Heights, NJIdentifies un-and underinsured and low-income patients; refers them to staff who can help with financial assistance options and other arrangements prior to patient visit • Performs duties in accordance with Penn Medicine and entity values, policies, and procedures • Other duties as assigned to support the unit, department, entity, and health system organization Qualifications: HS Diploma/GED And 3+ years Work experience in Patient Access, Medical Billing, or Customer service. Entity: CCA-Penn Primary Care and Penn Specialty Practices Department: Shared Services Woodbury Location: Penn Medicine Woodbury Heights- 1006 Mantua Pike Hours: FT Job Summary: The Pre-registration specialist reports to the Supervisor of Financial Clearance, and directly communicates with patients to verify patient demographics and insurance information.
Collections Specialist II Cooper University HospitalCollections Specialist IICamden, New JerseyFull timeShort Description: Under the direction of the team Supervisor and/or Manager, the Collections Specialist II will be responsible for Accounts Receivable tasks related to Cooper Universtiy Professional provider revenue cycle and collections. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols.
Hospital Invoicing Specialist MPOWERHealthHospital Invoicing SpecialistWest Conshohocken, PennsylvaniaRole Summary: Performs a variety of hospital invoicing activities and related tasks in order to recognize the contracted reimbursement within net payment terms. This position will be responsible for navigating the electronic medical record (EMR) and billing systems to obtain and/or produce and transmit the documentation required by the applicable contracted facility.
Clinical Support Specialist ChimesClinical Support SpecialistReading, PAHolcomb Behavioral Health Systems is accredited by the Joint Commission and provides a comprehensive range of services and supports for people with mental health, substance abuse, intellectual and developmental disabilities, and co-occurring disorders throughout southern and central Pennsylvania, central New Jersey, Delaware, and Maryland. Job Description: In this role, the Clinical Support Specialist has the responsibility to work cooperatively with other administrative and clinical staff members to manage client communication and needs, whether on the phone or in person.
Collections Specialist II Cooper University Health CareCollections Specialist IICamden, NJUnder the direction of the team Supervisor and/or Manager, the Collections Specialist II will be responsible for Accounts Receivable tasks related to Cooper Universtiy Professional provider revenue cycle and collections. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols.
Accounts Receivable Specialist United Wound HealingAccounts Receivable Specialistyeadon, PARemote$24–$27.25 / hourClaims Knowledge:Strong ability to read and understand EOBs; deep understanding of insurance denials and unresolved claims resolution; knowledge of ICD-10, CPT, HCPCS, and CMS-1500 claim format. Soft Skills: Critical thinker with strong problem-solving skills; high attention to detail; excellent organization and time management; ability to prioritize and manage time-sensitive situations with urgency.
Medical Records Specialist MPOWERHealthMedical Records SpecialistConshohocken, PennsylvaniaFull timeResponsibilities: Role Summary: Responds to medical record requests from insurance carriers at varying stages of claim processing as an integral part of recognizing the maximum reimbursement from each claim. Intermediate level of expertise using Microsoft Office Suite (Outlook, Excel, Word, Teams) and PDF software (NitroPro).
Retinal Camera Operator - Eye Exam Specialist GuidehealthRetinal Camera Operator - Eye Exam SpecialistPhiladelphia, PARemoteWorking in a field-based role, traveling to provider practices and patient homes for scheduled eye exam appointments, while engaging virtually with team members, internal partners, customers, providers, payers, and care teams on non-appointment days. Success in this role requires comfort operating specialized retinal imaging equipment (full training and camera provided), strong attention to detail, and a willingness to travel daily to provider practices for scheduled eye exam appointments.