Professional, Certified Coding Integrity THE WRIGHT CENTERProfessional, Certified Coding IntegrityScranton, PAThe Certified Coding Integrity Professional, a key position in the Revenue Cycle, facilitates the coding as well as manages the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries and patients related to coding issues. As part of our commitment in creating a fair, efficient, and consistent hiring process we may use artificial intelligence (AI) to help our recruiting teams organize, summarize, and analyze information provided by candidates, including resumes, application responses, and other materials submitted during the application process.
Manager, Revenue Cycle & Coding Compliance THE WRIGHT CENTERManager, Revenue Cycle & Coding ComplianceScranton, PAThe Manager, Revenue Cycle and Coding Compliance, a key position in the Revenue Cycle, facilitates the coding as well as manages the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries and patients related to coding/billing issues. Develop and coordinate educational and training programs regarding elements of the coding compliance such as appropriate documentation and accurate coding to all appropriate staff including coding staff, physicians, learners, other clinical providers and operational departments.
Administrative Director Reaching Beyond LimitsAdministrative DirectorWilkes-Barre, PAFull timeKnowledge, Skills, and CompetenciesPennsylvania IBHS regulatory knowledgeBehavioral-health billing and revenue-cycle managementMedical Assistance and managed care billingClinical documentation auditingService authorization monitoringClaims submission and denial resolutionAccounts receivable monitoringCompliance investigationsLicensing and audit preparationCorrective action planningPolicy and procedure developmentStaff trainingData analysis and reportingConfidentiality and ethical decision-makingStrong attention to detailEffective communication across clinical, administrative, billing, and leadership teamsRequired Clearances and ScreeningsThe selected candidate must obtain and maintain all clearances and screenings required for employment with a Pennsylvania child-serving behavioral-health organization, which may include:Pennsylvania State Police Criminal History ClearancePennsylvania Child Abuse History ClearanceFBI Criminal History ClearanceFederal and state healthcare exclusion screeningsAny additional background, credentialing, or payer-required screeningsWork RequirementsThis position primarily involves office-based administrative work and may require prolonged computer use, participation in meetings, review of electronic and paper records, and occasional travel to agency service locations. Position SummaryReaching Beyond Limits is seeking an experienced IBHS Compliance and Billing Officer to oversee regulatory compliance, quality assurance, clinical documentation, billing operations, and revenue-cycle processes for its Pennsylvania Intensive Behavioral Health Services program.
Medical Billing Specialist & Account Receivables OneSource Staffing SolutionsMedical Billing Specialist & Account ReceivablesCity of WB, PA$15.75If you thrive on accuracy, understand the full revenue cycle, and enjoy solving payment and claim challenges — this is your opportunity to step into a stable, high-demand role. We are hiring multiple Medical Billing Specialists and Healthcare Accounts Receivable Representatives to support a growing healthcare operation.
Pharmacy Billing Specialist 837959 ASG PharmacyPharmacy Billing Specialist 837959Moosic, PAYoull work closely with the healthcare team to ensure claims are processed efficiently, accurately, and promptly, supporting smooth operations and excellent patient service. Join a dedicated healthcare team in Moosic, PA, and help ensure smooth and accurate billing for home infusion therapy and specialty pharmacy services.
Field Reimbursement Manager Immunology Gastroenterology - Scranton PA AbbVie IncField Reimbursement Manager Immunology Gastroenterology - Scranton PAScranton, PAThe amount and availability of any bonus, commission,incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Companys sole and absolute discretion unless anduntil paid and may be modified at the Company's sole and absolute discretion, consistent with applicable law. Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law: The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of thisposting based on the job grade for this position.
Internal Medicine Resident THE WRIGHT CENTERInternal Medicine ResidentScranton, PAAs part of our commitment in creating a fair, efficient, and consistent hiring process we may use artificial intelligence (AI) to help our recruiting teams organize, summarize, and analyze information provided by candidates, including resumes, application responses, and other materials submitted during the application process. The primary purpose of this position is to participate in clinical training in a specialized area of medicine through various medical rotations, while providing patient care that is compassionate, appropriate and effective.
Internal Medicine Resident Wright CenterInternal Medicine ResidentScranton, PAThe primary purpose of this position is to participate in clinical training in a specialized area of medicine through various medical rotations, while providing patient care that is compassionate, appropriate and effective. Venues may include but are not limited to TWCCH primary care settings, partnering hospitals and FQHCs Participate in outside medical rotations with area physicians.
Coder Commonwealth HealthCoderWilkes-Barre, PAUsing a computerized encoding system, assigns ICD-10-CM, ICD-10-PCS, CPT4/HCPCS, DRG and APCs in accordance with official coding and reimbursement guidelines from the American Medical Association, the American Hospital Association, and the American Health Information Management Association. In this role, you'll work across inpatient, outpatient, and emergency services, applying your knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, DRG, and APC coding to ensure each patient encounter is accurately captured.
Supervisor, AR Medical Payment Specialist THE WRIGHT CENTERSupervisor, AR Medical Payment SpecialistScranton, PAParties which may be contacted to resolve an outstanding balance include but are not limited to patients, responsible parties, insurance carriers, case managers, employers, referring physician, attorneys and facility personnel. As part of our commitment in creating a fair, efficient, and consistent hiring process we may use artificial intelligence (AI) to help our recruiting teams organize, summarize, and analyze information provided by candidates, including resumes, application responses, and other materials submitted during the application process.
Specialist, Billing THE WRIGHT CENTERSpecialist, BillingScranton, PAWhile living and demonstrating our Core Values, the Billing Specialist will: Perform and monitor all steps in the billing processes to ensure maximum reimbursement from patients, government and commercial payers as well as from special billing arrangements. As part of our commitment in creating a fair, efficient, and consistent hiring process we may use artificial intelligence (AI) to help our recruiting teams organize, summarize, and analyze information provided by candidates, including resumes, application responses, and other materials submitted during the application process.
Field Registered Nurse-Lackawanna and Wayne Counties UnitedHealth Group IncField Registered Nurse-Lackawanna and Wayne CountiesScranton, PA$60,200–$107,400 / yearAs a team member of our Senior Community Care (SCC) product, we work with a team to provide care to patients at home in a nursing home, assisted living for senior housing. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere.
Field Registered Nurse-Lackawanna And Wayne Counties UnitedHealth Group Inc.Field Registered Nurse-Lackawanna And Wayne CountiesScranton, PA$60,200–$107,400 / yearAs a team member of our Senior Community Care (SCC) product, we work with a team to provide care to patients at home in a nursing home, assisted living for senior housing. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere.
Specialist, Accounts Receivable THE WRIGHT CENTERSpecialist, Accounts ReceivableScranton, PAParties which may be contacted to resolve an outstanding balance include but are not limited to patients, responsible parties, insurance carriers, case managers, employers, referring providers, attorneys and facility personnel. As part of our commitment in creating a fair, efficient, and consistent hiring process we may use artificial intelligence (AI) to help our recruiting teams organize, summarize, and analyze information provided by candidates, including resumes, application responses, and other materials submitted during the application process.
Specialist, Payment And Accounts Receivable THE WRIGHT CENTERSpecialist, Payment And Accounts ReceivableScranton, PAAs part of our commitment in creating a fair, efficient, and consistent hiring process we may use artificial intelligence (AI) to help our recruiting teams organize, summarize, and analyze information provided by candidates, including resumes, application responses, and other materials submitted during the application process. The Payment & Accounts Receivable Specialist provides financial, administrative and clerical services to ensure accuracy and efficiency of billing operations.
Specialist, Payment and Accounts Receivable Wright CenterSpecialist, Payment and Accounts ReceivableScranton, PAThe Payment & Accounts Receivable Specialist provides financial, administrative and clerical services to ensure accuracy and efficiency of billing operations. While living and demonstrating our Core Values, the Payment & Accounts Receivable Specialist will: Post all mail and EFT insurance and personal payments to patient's accounts.
Senior Automation Test Engineer biBerk Business Insurance IncSenior Automation Test EngineerPittston, PA$85,000–$115,000 / yearThis role extends beyond writing automated tests and requires an individual who can contribute to and influence automation strategy and engineering practices, mentor peers, and take ownership of critical quality initiatives. biBerk is where commercial insurance buyers can obtain coverage for their businesses from insurers of the Berkshire Hathaway group of Insurance Companies, one of the best capitalized insurance groups in the world.
Financial Counselor (Full Time, Days. Bilingual Preferred) St. Luke's University Health NetworkFinancial Counselor (Full Time, Days. Bilingual Preferred)Lehighton, PAUtilize Search America to evaluate patients for hospital Financial Assistance Program and obtain all necessary financial documentation to support eligibility on All Self Pay Accounts including: Self Pay POS accounts referred by Admission Services, Self Pay SAT accounts referred by Outpatient Registration, any High Dollar outpatient Self Pay (i.e. Oncology/OB) that appears on high dollar report or are referred by a Financial Rep. Individually 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.