Medical Biller, SNF US Career PartnersMedical Biller, SNFNew JerseyAs a Medical Biller, you will be responsible for accurately and efficiently processing medical claims and ensuring timely reimbursement for services rendered. Company Overview: Our client is a leading SNF finance company that provides financial solutions to skilled nursing facilities across the country.
NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistPA$17–$28.46 / hourAnalyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing.
Medicaid Billing Administrator - Intern (Unpaid) Neuropath Healthcare SolutionsMedicaid Billing Administrator - Intern (Unpaid)Cherry Hill, New JerseyAt Neuropath Healthcare Solutions, we provide comprehensive technology-driven healthcare solutions for healthcare organizations, including hospitals, long-term care, outpatient facilities, and residential treatment. The Medicaid Billing Administrator Internship at Neuropath Behavioral Healthcare is designed to provide students and recent graduates with practical training and exposure to healthcare billing processes.
Medical Office Manager - Pennsylvania The Dermatology SpecialistsMedical Office Manager - PennsylvaniaPhiladelphia, PennsylvaniaKnowledge of health insurance policies, guidelines- including copays, coinsurances, referrals, verification of insurances; handling patients' records discretely, updating demographic and financial information; Protecting and securing medical records. Program graduates are guaranteed a position to join our clinical team, creating a clear pathway from education to long-term career growth with us.
Medical Auditor - Remote YO AI LabsMedical Auditor - RemotePhiladelphia, PennsylvaniaRemoteWe are seeking experienced Medical Auditors to contribute their specialized expertise to an innovative healthcare AI project. This opportunity is ideal for professionals with strong experience in outpatient professional fee coding, auditing, and academic medical center environments.
Medical Director, Payment Integrity - Remote (PA/NJ/DE) Blue Cross and Blue Shield AssociationMedical Director, Payment Integrity - Remote (PA/NJ/DE)Philadelphia, PARemoteRepresent the organization in executive-level meetings, Joint Value Committees (JVCs), Joint Operating Committees (JOCs), and other provider forums to discuss payment accuracy, utilization trends, quality outcomes, claim reviews, disputes, appeals, and improvement opportunities. Collaborate with Utilization Management Medical Directors, Quality Clinical Leaders, Network Management, Provider Relations, Analytics, Legal, Compliance, and Operational teams to align payment integrity activities, reimbursement policies, medical necessity determinations, and provider communications.
NewCharge Audit Analyst Sutter HealthCharge Audit AnalystTrenton, NJ$42.41–$63.62 / hourPosition Overview: Responsible for activities which improve the accuracy of facility outpatient clinical documentation coding and charging, including education with the clinical departments and coding staff and root cause correction to support accurate charging and coding in compliance with policies. Demonstrated ability to utilize official coding/billing resources including CPT/HCPCS references, OPPS Manual, NCCI Manual, NUBC Manual, etc. to determine applicable charges/codes as documented in the health record.
Sr. Collections Associate Generis Tek Inc.Sr. Collections AssociatePhiladelphia, PA$25–$30 / hourResolve patient insurance balances by analyzing denials and using critical thinking skills and knowledge of payer requirements to determine the steps needed to obtain payment. -Follow workflows to route accounts to other client departments (Case Management, Medical Records, Credit Resolution, Billing, Abstraction, Clinical Teams, Coding etc.) to address denials.
Coder - Physician Practice - CPC Required Virtua Health IncCoder - Physician Practice - CPC RequiredMount Laurel, NJRemote$26–$39.11 / hourWe assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling.
Charge Master Analyst Sutter HealthCharge Master AnalystTrenton, NJ$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
Compliance Auditor - Billing Thomas Jefferson UniversityCompliance Auditor - BillingPhiladelphia, PennsylvaniaJefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. 1101 Market, Philadelphia, Pennsylvania, United States of America Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value.
Medical Coder - Remote YO AI LabsMedical Coder - RemotePhiladelphia, PennsylvaniaRemoteWe are seeking experienced Medical Coders to contribute their healthcare coding expertise to an innovative project focused on improving next-generation AI systems. In this role, you will review and annotate medical records, evaluate coding accuracy, and provide expert feedback to support the development of high-quality medical datasets.
NewBilling Analyst Thomas Jefferson UniversityBilling AnalystPhiladelphia, Pennsylvania5501 Old York Road, Philadelphia, Pennsylvania, United States of America Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Thomas Jefferson University , home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students.
Revenue Cycle Specialist Henry J. Austin Health Center IncRevenue Cycle SpecialistTrenton, NJ$48,500–$85,400 / yearProvider billing experience, preferably in an FQHC or similar setting (3-5 years) with an understanding of medical insurances ie; Medicare, Medicaid, Managed Care, and Commercial insurances, and a thorough understanding of medical insurance billing basics, ie; charges, allowed amounts, payments, adjustments, denials, capitation, eligibility, coordination of benefits. Responsibilities include organizing and prioritizing workflows, setting deadlines for finance department staff and external billing vendors, and providing analytical support to other departments on revenue cycle matters.
Director, Claim Research & Resolution - JHP Thomas Jefferson UniversityDirector, Claim Research & Resolution - JHPPhiladelphia, PennsylvaniaJefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University , home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students.
Revenue Cycle Billing Specialist - FT - Day - MSO/Centralized Billing Lawrenceville NJ Capital HealthRevenue Cycle Billing Specialist - FT - Day - MSO/Centralized Billing Lawrenceville NJNJ$19.32–$24.13 / hourResponsible for all aspects of claim submission for services rendered at Capital Health through the Revenue Cycle life cycle to all payers, including but not limited to pre and post claim review, claim (277) rejections, denial review, and claim resubmission. Reviews hospital billing reports for corrections needed in order to have the accounts final bill - these includes but are not limited to: Late Charge report, 72-hour report, etc. to ensure claims are billed timely and accurately (hospital only).
Revenue Cycle Specialist Henry J Austin Health CenterRevenue Cycle SpecialistTrenton, NJ$48,500–$85,400 / yearProvider billing experience, preferably in an FQHC or similar setting (3-5 years) with an understanding of medical insurances ie; Medicare, Medicaid, Managed Care, and Commercial insurances, and a thorough understanding of medical insurance billing basics, ie; charges, allowed amounts, payments, adjustments, denials, capitation, eligibility, coordination of benefits. Responsibilities include organizing and prioritizing workflows, setting deadlines for finance department staff and external billing vendors, and providing analytical support to other departments on revenue cycle matters.
Manager Hospital Billing - FT - Day - Hospital Billing Lawrenceville NJ Capital HealthManager Hospital Billing - FT - Day - Hospital Billing Lawrenceville NJNJ$83,595.20–$109,220.80 / yearFrequent physical demands include: Occasional physical demands include: Standing, Walking, Climbing (e.g., stairs or ladders), Carry objects, Push/Pull, Twisting, Bending, Reaching forward, Reaching overhead, Squat/kneel/crawl. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity.
Medical Billing Representative Easy ApplyMedical Billing RepresentativeBergen County, NJ$22–$26 / hourMedloop a large multi-specialty medical billing company servicing many clients across the US mostly in NY/NJ is looking for a talented and highly motivated Medical Billing Representative to resolve billing issues and work directly with clients to identify and manage efficient billing processes for optimal A/R outcomes. PREFERRED ADDITIONAL QUALIFICATIONS (not required): Working knowledge of Medicare, Medicaid, and Commercial payor claims and appeals processing requirements.
Sr Charge Master Analyst Remote Cooper University Health CareSr Charge Master Analyst RemoteCamden, NJRemoteAdvises and instructs providers, department managers, end users regarding billing and documentation policies, procedures and regulations; interacts with Cooper University Health Care staff regarding incorrect charging, conflicting coding, ambiguous documentation, obtaining clarification of same and educate in regard to changes and measuring compliance. Responsibilities include: Oversee Chargemaster maintenance for CUH to ensure proper revenue generation and reimbursement, improvement to all aspects of revenue cycle operation (coding, charge capture, and work processes), while maintaining compliance with third party and government requirements.