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Billing representative jobs in Scranton, PA - 97 jobs

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  • Customer Service Representative

    E.S. Kluft & Company

    Billing representative job in Hazleton, PA

    E.S. Kluft & Company The Standard of Luxury and Comfort We're seeking a highly qualified, collaborative, professional, knowledgeable, and results-driven Customer Service Representative to support our growing mattress manufacturing company. Future employees will have the opportunity to join Health, Vision, Dental, and Life Insurance on the first of the month following the date of hire. We offer 10 holidays, vacation, sick pay, and 401k employer match E.S. Kluft & Company is known for a long story of building only the best mattress in the U.S.! We are the company of choice for luxurious high-quality mattresses and want to be the employer of choice for your next career employment opportunity. JOB PURPOSE The Customer Service Representative is responsible for providing effective customer service for all customers and assist in processing orders, RGA's, warranty claims and respond to product related questions. Works with Production, Sales and Accounting personnel to provide excellent customer service and resolve customer issues. MAIN DUTIES & RESPONSIBILITIES Provides excellent quality service that meets or exceeds the needs of our customers by timely responding to customer questions and resolving issues that may develop. Responds to customer inquiries in a positive manner. Researches customer issues and interfaces with Production, Sales and Accounting personnel to resolve any and all problems that may occur. Tracks all issue, errors and returns and ensures all issues, errors, and returns are completely closed or resolved. Processes Electronic Data Interchange (EDI) orders from customers. Assists with Returns and Warranty processes as required. Assists with answering incoming calls within the company as may be required. Assists Customer Service Manager with special projects as required. KPIs Maintain excellent customer relations and timely resolve issues. DIRECT REPORTS None QUALIFICATIONS At least 3 years Customer Service experience preferably within an order entry or order fulfillment role in the manufacturing industry. Experience with Customer Returns and Warranty Professional and effective communication skills (verbal and written). Ability to organize work and achieve daily tasks High school graduate Computer literate (Microsoft Office: Word, Excel, Email, etc.) Ability to perform general math calculations Self-motivated and able to work with little supervision.
    $28k-36k yearly est. 1d ago
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  • Specialist, Billing

    Wright 4.2company rating

    Billing representative job in Scranton, PA

    The Billing Specialist is responsible for all aspects of billing inpatient and outpatient claims. The Billing Specialist, a key position in the Revenue Cycle, facilitates the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries and patients. The incumbent will assist in the clarification and development of process improvements and inquiries in order to maximize revenues. Work is typically performed in an office environment, but this position has the option to work from home but may also be needed onsite for projects or team meetings from time to time. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements for this job description are not intended to be all inclusive. They represent typical elements considered necessary to successfully perform the job. Requirements ESSENTIAL JOB DUTIES and FUNCTIONS While 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 Prepare and submit clean claims to third party payers either electronically or by paper Follow billing guidelines and legal requirements to ensure compliance with federal and state regulations Respond to account inquiries from patients, payers, providers, and/or other staff as requested Identify and resolve patient/insurance billing issues Work closely with team members regarding claim appeals, denials, resolution, and education Understand Medicare, Medicaid and other commercial payer rules and regulations applicable to billing. Update providers, learners, office staff, clinics, and faculty of changes as appropriate Responsible for contributing to the areas for coding, billing, and documentation education that is being reviewed for all providers and residents, related to billing coding and errors. Responsible for contributing to new learner education related to billing and collections Understand the considerations of coding in Value Based payment contracts Responsible for reviewing and implementing changes from payer bulletins Use online healthcare databases and other resources for verification and claim status Deliver the highest quality service to internal and external customers Assist other members of the team with projects as needed Maintain strictest confidentiality; adhere to all HIPAA guidelines/regulations PREFERRED QUALIFICATIONS Certified Biller FQHC Billing
    $46k-57k yearly est. 60d+ ago
  • Guidewire Policy Center/Billing Center Consutlant

    Sonsoft 3.7company rating

    Billing representative job in Clarks Summit, PA

    SonSoft Inc. is a USA based corporation duly organized under the laws of the Commonwealth of Georgia. SonSoft Inc is growing at a steady pace specializing in the fields of Software Development, Software Consultancy, and Information Technology Enabled Services. Job Description At least 7 years of experience in Guidewire product configuration/integration, solutions evaluation, validation and deployment At least 6 years of experience in problem definition, Architecture, Design and Implementation in a client facing role for US based Insurers Analytical and Communication skills Project, talent management, and thought leadership Experience and desire to work in a consulting environment that requires regular travel At least 7 years of IT experience in Insurance Domain with Guidewire expertise. Perform as a technical subject matter expert for Guidewire product. Analytical and Communication skills Experience with project management Experience and desire to work in a management consulting environment that requires regular travel Qualifications Bachelor's degree or foreign equivalent required from an accredited institution. Will also consider three years of progressive experience in the specialty in lieu of every year of education. At least 7 years of experience with Information Technology. Additional Information Connect with me at ******************************************* ( For Direct Clients Requirements ) ** U.S. Citizens and those who are authorized to work independently in the United States are encouraged to apply. We are unable to sponsor at this time. Note:- This is a Full-Time & Permanent job opportunity for you. Only US Citizen, Green Card Holder, GC-EAD, H4-EAD & L2-EAD can apply. No OPT-EAD, H1B & TN candidates, please. Please mention your Visa Status in your email or resume. ** All your information will be kept confidential according to EEO guidelines.
    $87k-119k yearly est. 60d+ ago
  • Billing Coordinator II

    Child Guidance Resource 4.3company rating

    Billing representative job in Shavertown, PA

    The Billing Coordinator II assists the Revenue Cycle Manager with claims resolution, denial management, as well as processing private and public insurance authorization and benefits. Primary functions include research and resubmission of rejected claims, maintenance of excel worksheets related to cash receipts, performing liaison services with payers and various other billing responsibilities. Some responsibilities include: Compilation and timely submission of claims to Commercial Insurance plans, including pre-billing report review. Verification of acceptance of Electronic Data Interchange (EDI) transactions to commercial insurance payers, where applicable. Accurate and timely entry of Commercial Insurance payments and denials from weekly remittance advices. Completes Commercial Insurance denial research and resubmissions as needed. Monitoring and tracking Commercial Insurance batch A/R reports to determine and rectify reasons for outstanding claim balances. Transferring client liability balances to secondary payer, where applicable. Monitoring and tracking secondary payer batch A/R reports and collaborates with Managed Care Organization (MCO) Billing Coordinator II to determine and rectify reasons for outstanding claim balances. Communicates with programs regarding outstanding client liability balances and works to identify and resolve outstanding items. Provides support to Revenue Cycle Manager with all billing, reporting and program liaison responsibilities. Provides training and guidance to billing staff as lead team member. Who is CGRC? CGRC is a premier behavioral health provider that embraces our employees as partners in our organization's strategic plan. What can CGRC do for you? Do YOU want to be a Change Agent? If so, we want you to be a part of the Child Guidance partnership. Working here means being open to new experiences both as an individual and as part of a team. We offer the opportunity to develop your leadership competencies and career interests on a personal level. Join any of our organizational committees, task forces, or work groups. It is important to us that you enjoy a healthy work-life balance, and we will encourage you to have personal goals that focus on self-care. At CGRC, you can enjoy a relaxed working environment with flexible work schedules that allow for a healthy work-life balance. We encourage and support career development and there are always opportunities for you to learn and grow within the organization. We have a competitive compensation package and generous time off and benefits for eligible employees. You and your family can also enjoy discounts and offers through our Tickets at Work Program. CGRC is an eligible employer for the Public Service Loan Forgiveness Program. APPLY NOW TO JOIN OUR TEAM! Child Guidance Resource Centers is an Equal Opportunity Employer
    $32k-39k yearly est. Auto-Apply 37d ago
  • Specialist, Billing

    The Wright Center Medical Group 4.5company rating

    Billing representative job in Scranton, PA

    Full-time Description The Billing Specialist is responsible for all aspects of billing inpatient and outpatient claims. The Billing Specialist, a key position in the Revenue Cycle, facilitates the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries and patients. The incumbent will assist in the clarification and development of process improvements and inquiries in order to maximize revenues. Work is typically performed in an office environment, but this position has the option to work from home but may also be needed onsite for projects or team meetings from time to time. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements for this job description are not intended to be all inclusive. They represent typical elements considered necessary to successfully perform the job. Requirements ESSENTIAL JOB DUTIES and FUNCTIONS While 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 Prepare and submit clean claims to third party payers either electronically or by paper Follow billing guidelines and legal requirements to ensure compliance with federal and state regulations Respond to account inquiries from patients, payers, providers, and/or other staff as requested Identify and resolve patient/insurance billing issues Work closely with team members regarding claim appeals, denials, resolution, and education Understand Medicare, Medicaid and other commercial payer rules and regulations applicable to billing. Update providers, learners, office staff, clinics, and faculty of changes as appropriate Responsible for contributing to the areas for coding, billing, and documentation education that is being reviewed for all providers and residents, related to billing coding and errors. Responsible for contributing to new learner education related to billing and collections Understand the considerations of coding in Value Based payment contracts Responsible for reviewing and implementing changes from payer bulletins Use online healthcare databases and other resources for verification and claim status Deliver the highest quality service to internal and external customers Assist other members of the team with projects as needed Maintain strictest confidentiality; adhere to all HIPAA guidelines/regulations PREFERRED QUALIFICATIONS Certified Biller FQHC Billing
    $31k-36k yearly est. 60d+ ago
  • HVAC Account Representative

    Johnson Controls Holding Company, Inc. 4.4company rating

    Billing representative job in Wilkes-Barre, PA

    Build your best future with the Johnson Controls team As a global leader in smart, healthy and sustainable buildings, our mission is to reimagine the performance of buildings to serve people, places and the planet. Join a winning team that enables you to build your best future! Our teams are uniquely positioned to support a multitude of industries across the globe. You will have the opportunity to develop yourself through meaningful work projects and learning opportunities. We strive to provide our employees with an experience, focused on supporting their physical, financial, and emotional wellbeing. Become a member of the Johnson Controls family and thrive in an empowering company culture where your voice and ideas will be heard - your next great opportunity is just a few clicks away! What we offer Competitive salary Paid vacation/holidays/sick time- 15 days of vacation first year Comprehensive benefits package including 401K, medical, dental, and vision care - Available day one Encouraging and collaborative team environment Dedication to safety through our Zero Harm policy Check us out!: **************************** What you will do Under specific direction is responsible for the sale of Johnson Controls service offerings to owners, primarily at the Director level. Promote the Johnson Controls value proposition to building owners by providing technical solutions and operational expertise. Builds and manages long term customer relationships/partnerships with target and managed accounts. Responsible for customer satisfaction. Positions renewable service agreements as the foundation of managed account relationships. Performs the sales process to cultivate and manage long-term relationships and seeking out, qualifying and closing new sales opportunities. Obtain and close sales on a monthly basis. Seeks to expand the depth and breadth of Johnson Controls offerings within an account. How you will do it With direction from the supervising manager, sells the Johnson Controls offerings persuasively, persistently and confidently to building owners at the D-level while reaching optimal profit levels. Focuses on improving the existing building to allow the building owner to achieve business objectives. Manages ongoing, opportunities particularly focusing on selling services and retrofits. Sells, renews and expands renewable service agreements, including multi-year agreements, to both new and existing customers. Builds partnering relationships with the owner or owner representatives responsible for the decision-making process to drive the sale of Johnson Controls service offerings. Actively listens, probes and identifies concerns. Understands the customer's business and speaks their language. What we look for Required Bachelor's degree in business, engineering, or Equivalent SALES Experience in HVAC or Building Automation Industry Required A minimum of six (6) years of progressive field sales experience. At least one year successfully selling HVAC or building automation system service or projects. Demonstrates a commitment to integrity and quality in business. Excellent initiative and interpersonal communications skills. Demonstrated ability to influence account decision makers at key levels. HIRING SALARY RANGE: $61,000-82,000 (Salary to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data.) This role also offers a competitive Sales Incentive Plan that will take into account volume and margin on a project, quarterly, and annual basis. This position includes a competitive benefits package. The posted salary range reflects the target compensation for this role. However, we recognize that exceptional candidates may bring unique skills and experiences that exceed the typical profile. If you believe your background warrants consideration beyond the stated range, we encourage you to apply. To support an efficient and fair hiring process, we may use technology assisted tools, including artificial intelligence (AI), to help identify and evaluate candidates. All hiring decisions are ultimately made by human reviewers. For details, please visit the About Us tab on the Johnson Controls Careers site at ****************************************** #LI-Onsite #LI-KP1 Johnson Controls International plc. is an equal employment opportunity and affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, protected veteran status, genetic information, sexual orientation, gender identity, status as a qualified individual with a disability or any other characteristic protected by law. To view more information about your equal opportunity and non-discrimination rights as a candidate, visit EEO is the Law. If you are an individual with a disability and you require an accommodation during the application process, please visit here.
    $61k-82k yearly Auto-Apply 35d ago
  • Account Representative - State Farm Agent Team Member

    Elizabeth Cavallin Rushefski-State Farm Agent

    Billing representative job in Old Forge, PA

    Job DescriptionBenefits: Hiring bonus Bonus based on performance Competitive salary Flexible schedule Health insurance Opportunity for advancement Paid time off Training & development ROLE DESCRIPTION: As Account Representative - State Farm Agent Team Member for Elizabeth Cavallin Rushefski - State Farm Agent, you are vital to our daily business operations and customers success. You grow our agency through meaningful client relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services. Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team. RESPONSIBILITIES: Provide information about insurance products and services. Assist clients with policy applications and renewals. Handle client inquiries and provide timely responses. Maintain accurate records of client interactions. QUALIFICATIONS: Strong communication and interpersonal skills. Detail-oriented and able to multitask. Experience in customer service or sales preferred.
    $33k-52k yearly est. 8d ago
  • Registration Specialist

    Schuylkill 3.2company rating

    Billing representative job in Dickson City, PA

    Imagine a career at one of the nation's most advanced health networks. Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work. LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day. Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network. Summary Coordinates all aspects of patient registration, insurance verification, and scheduling of patients accurately. Conducts patient interviews by phone and in-person for the purpose of establishing an account by gathering demographic, insurance, and clinical information to ensure appropriate patient scheduling and optimal financial clearance. Educates patients regarding financial responsibilities and collects out of pocket fees. Job Duties Interviews patients using open-ended questions to obtain pertinent demographic, insurance (referral/authorization), and other information. Engages patients throughout the registration process to create a welcoming and positive patient experience whether in person or via phone. Ensures referring providers' orders are complete and match the appointment scheduled. Obtains a new order prior to test/treatment if order is incomplete or inaccurate. Scans insurance cards, scripts, patient identification, and all pertinent documentation including regulatory forms accurately. Secures signatures to ensure timely reimbursement, which includes consents signed specific to service(s) being rendered. Determines and collects patient financial liability and creates estimates, if applicable. Refers patients to financial resources as needed for assistance with financial counseling. Reviews daily schedule and identifies potential scheduling conflicts affecting department flow and confers with colleagues and providers for a resolution. Maintains compliance with registration accuracy. Minimum Qualifications High School Diploma/GED 1 year Customer service or 1 year Healthcare environment such as a hospital and/or physician office Computer and typing proficiency. Must be able to interact with a diverse customer base, including those seeking emergency services or treatment due to an accident or illness. Must successfully pass the required training in two attempts or less. Preferred Qualifications Associate's Degree Health care or related field 2 years registration/insurance verification in a health care setting Knowledge of medical terminology. Bi-lingual - Spanish/English. Physical Demands Lift and carry 7 lbs., continuous sitting >67%, frequent keyboard use/repetitive motion, frequent fine motor activity/wrist position deviation. Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require. Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities. **************************** Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes. Work Shift: Evening Shift Address: 334 Main St Primary Location: Orthopedic Institute- Dickson City Position Type: Onsite Union: Not Applicable Work Schedule: evenings weekends and holidays Department: 1029-00222 DC -Registration
    $38k-44k yearly est. Auto-Apply 1d ago
  • Account Representative - State Farm Agent Team Member

    Jennifer West-State Farm Agent

    Billing representative job in Wilkes-Barre, PA

    Job DescriptionBenefits: Bonus based on performance Competitive salary Flexible schedule Health insurance Opportunity for advancement Paid time off Training & development ROLE DESCRIPTION: As Account Representative - State Farm Agent Team Member for Jennifer West - State Farm Agent, you are vital to our daily business operations and customers success. You grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services. Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team. RESPONSIBILITIES: Provide information about insurance products and services. Assist customers with policy applications and renewals. Handle customer inquiries and provide timely responses. Maintain accurate records of customer interactions. QUALIFICATIONS: Communication and interpersonal skills. Detail-oriented and able to multitask. Experience in customer service or sales preferred.
    $33k-52k yearly est. 22d ago
  • Account Representative - State Farm Agent Team Member

    Chuck McAveney-State Farm Agent

    Billing representative job in Shavertown, PA

    Job DescriptionBenefits: License Reimbursement Salary Plus Commission/Bonus Health Stipend Retirement Stipend Bonus based on performance Competitive salary Opportunity for advancement Paid time off Training & development ROLE DESCRIPTION: As Account Representative - State Farm Agent Team Member for Chuck Mcaveney - State Farm Agent, you are vital to our daily business operations and customers success. You grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services. Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team. RESPONSIBILITIES: Provide information about insurance products and services. Assist customers with policy applications and renewals. Handle customer inquiries and provide timely responses. Maintain accurate records of customer interactions. QUALIFICATIONS: Communication and interpersonal skills. Detail-oriented and able to multitask. Experience in customer service or sales preferred.
    $33k-52k yearly est. 1d ago
  • Account Representative - State Farm Agent Team Member

    Sean Black-State Farm Agent

    Billing representative job in Berwick, PA

    Job DescriptionBenefits: Simple IRA Licensing paid by agency Bonus based on performance Competitive salary Flexible schedule Health insurance Opportunity for advancement Paid time off Training & development ROLE DESCRIPTION: As Account Representative - State Farm Agent Team Member for Sean Black - State Farm Agent, you are vital to our daily business operations and customers success. You grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services. Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team. RESPONSIBILITIES: Provide information about insurance products and services. Assist customers with policy applications and renewals. Handle customer inquiries and provide timely responses. Maintain accurate records of customer interactions. QUALIFICATIONS: Communication and interpersonal skills. Detail-oriented and able to multitask. Experience in customer service or sales preferred.
    $32k-52k yearly est. 12d ago
  • Account Representative

    Adams Outdoor 3.6company rating

    Billing representative job in The Hideout, PA

    . Adams Outdoor Advertising (AOA), the 4 th largest and largest private Outdoor Advertising firm in the U.S., is seeking an experienced Account Representative responsible for selling outdoor advertising concepts to current and prospective clients within the market utilizing existing inventory while obtaining customer satisfaction, both internally and externally. The primary focus and responsibilities of the position is to manage activities associated with smaller accounts which generate $10,000 or less in revenue annually. The core objective is to grow these accounts, maintain good relationships and perform the functions of a typical Account Executive pertaining to activity on the accounts (i.e. contracts, PA's, renewals, etc.). The Account Representative will also be responsible for managing the majority of the call-ins and determining their potential revenue opportunity in conjunction with sales management. ESSENTIAL FUNCTIONS OF POSITION INCLUDE: Work with existing clients as well as new business on outdoor advertising campaigns through upselling, cold calling, and on-going discussions primarily through phone calls. Handle call-in inquiries and work with sales management to determine the potential revenue opportunity. Identifies advertising needs of clients based on features and benefits of the product. Creates and proposes advertising recommendations that best suit customer needs. Prepares accurate advertising contracts on behalf of Adams Outdoor Advertising. Submits all advertising contracts and schedules to the Sales Management for approval. Meets and/or exceeds stated annual revenue growth objectives. Manage all facets of client accounts ensuring long-term business relationships with AOA are secured. Facilitates face-to-face meetings with clients when required. Prepares various reports as required. Completes all sales-related paperwork as required. Adheres to collection procedures as prescribed by Adams Outdoor Advertising. Assists with special projects that may be assigned. Displays conduct and behavior which is positive and professional both in the internal and external environment. Must have and maintain a valid driver's license with a satisfactory driving record in order to operate a personal vehicle on company business. PREFERRED QUALIFICATIONS: Bachelor's degree in Sales and Marketing or equivalent experience Excellent written and oral communication skills Proficient with computer software and technology ADAMS OUTDOOR ADVERTISING: AOA, founded in 1983 by Steve Adams, is the 4 th largest, and largest privately-held, Outdoor Advertising operator in the U.S.. AOA operates in the following 12 markets: Ann Arbor/Kalamazoo/Lansing (MI), Beaufort/Charleston/Florence (SC), Charlotte (NC), Eastern Pennsylvania (PA), Madison (WI), Norfolk (VA), Peoria and Champaign (IL). Searchlight Capital Partners, a leading global private investment firm, in partnership with British Columbia Investment Management Corporation, one of the largest asset managers in Canada, invested in AOA in 2021. The above statements are intended to describe the general nature and level of work being performed by the people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties, and skills required of the job. #LI-Onsite
    $31k-43k yearly est. Auto-Apply 60d+ ago
  • Medical Billing Specialist

    Wayne Memorial Community Health Centers 3.3company rating

    Billing representative job in Honesdale, PA

    Wayne Memorial Community Health Centers (WMCHC) is seeking a Medical Billing Specialist to join the team at our Wayne Memorial CHC billing office. This position is responsible for coding and entering charges for CHC physician practices and physicians under billing agreements. WMCHC's Mission Wayne Memorial Community Health Centers creates and sustains healthy rural communities by providing accessible, high quality medical, dental, and behavioral health care for all, while recognizing and addressing other factors that influence health outcomes. If our mission inspires you and you are willing to go the extra mile for our patients, please feel free to apply for this or future employment opportunities for which you meet the minimum qualifications. Please know that only the candidates who meet the minimum qualifications can be considered, and only those selected for interviews will be contacted by a WMCHC representative. What you will do as a WMCHC Medical Billing Specialist: Accurately and legibly codes super bills with ICD-10-CM and CPT-4 codes. Enters proper information from superbills into the computer system. Follows up with the physician office for information needed to complete data entry of bills. Reports ongoing issues with physician offices to coordinator. Reconciliation of super bills, day sheets, computer reports and bank deposits. Post payments, adjustments-recording information from explanation of benefits. Payments/adjustments must be posted in a timely manner All adjustments must be reviewed for appropriateness prior to posting. Only adjustments on an explanation of benefit and within contract guidelines are to be posted without the coordinator's review. Reconciliation of posting via computer and bank deposits Timely filing of all secondary claims Month-end process: All charges, payments and adjustments need to be entered by the second work day of the new month. Follows up with insurance companies who request information or call regarding patient accounts or accounts greater than 60 days old. Follows up with patient calls with a response to the patient within one working day. Quarterly reviews of aged trial balance. Rebilling insurance/patient. Getting accounts ready for collections if needed. Keeps abreast of new coding and insurance regulations and guidelines through seminars, newsletters, journals, internet. Reviews billing guidelines to make sure data entry/insurance forms are correct. Continuous daily operations of CHC. Daily filing of CHC explanation of benefits. Daily organization of incoming and outgoing mails. Organization of 1500/319 forms, superbills, day sheets. Performs other duties as assigned to support the efficient operation of the department. Qualifications Minimum Qualifications Requires the ability to communicate effectively, good organization skills, and detail oriented Personable phone skills and computer experience preferred Self-motivated, good at managing time effectively, and able to work well with others and independently Must be willing to learn and keep abreast on all billing guidelines and third party requirements Experience with medical terminology, ICD-10-CM and CPT-4 coding and medical billing preferred. Benefits: Medical, Dental, Vision Life Insurance Short-Term Disability Long-Term Disability Generous Paid Time Off (PTO) 403 (b) Retirement Plan Matching
    $32k-45k yearly est. 12d ago
  • Account Representative - State Farm Agent Team Member

    Mike Peterson-State Farm Agent

    Billing representative job in Pocono, PA

    Job DescriptionBenefits: Hiring bonus 401(k) Bonus based on performance Competitive salary Flexible schedule Health insurance Opportunity for advancement Paid time off Training & development ROLE DESCRIPTION: As Account Representative - State Farm Agent Team Member for Mike Peterson - State Farm Agent, you are vital to our daily business operations and customers success. You grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services. Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team. RESPONSIBILITIES: Provide information about insurance products and services. Assist customers with policy applications and renewals. Handle customer inquiries and provide timely responses. Maintain accurate records of customer interactions. QUALIFICATIONS: Communication and interpersonal skills. Detail-oriented and able to multitask. Experience in customer service or sales preferred.
    $33k-53k yearly est. 19d ago
  • Account Representative - State Farm Agent Team Member

    David Giarratano-State Farm Agent

    Billing representative job in East Stroudsburg, PA

    Job DescriptionBenefits: Bonus based on performance Competitive salary Opportunity for advancement Paid time off ROLE DESCRIPTION: As Account Representative - State Farm Agent Team Member for David Giarratano - State Farm Agent, you are vital to our daily business operations and customers success. You grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services. Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team. RESPONSIBILITIES: Provide information about insurance products and services. Assist customers with policy applications and renewals. Handle customer inquiries and provide timely responses. Maintain accurate records of customer interactions. QUALIFICATIONS: Communication and interpersonal skills. Detail-oriented and able to multitask. Experience in customer service or sales preferred.
    $33k-53k yearly est. 22d ago
  • Customer Service Representative

    Raymour & Flanigan Furniture 4.6company rating

    Billing representative job in Stroudsburg, PA

    Who we are: With Raymour and Flanigan, you'll quickly learn that our core beliefs are about you! We believe that if we treat our associates well, they will treat our customers well. We will continually ask you to think outside of the box to raise the bar in our business and we will do the same for you! It's why we pride ourselves on having the most competitive and comprehensive compensation packages in the furniture industry. This includes health benefits, 401k with company match plus profit sharing, cross training, annual breakfast prepared by our owners and so much more! What you'll do: As a Customer Service Representative, you will play an important role in the lifecycle of every customers' purchase. You bridge the gap between the dream and the reality by assisting customers with scheduling their deliveries, managing payments and skillfully acknowledging customer questions and concerns. You will work independently and on a small team to ensure our vision of enhancing the customer shopping experience is continually strengthened. What we need from you is: * Consistently to provide genuine, friendly, personable and professional service. * Effective communication, interpersonal and organizational skills in person and on the phone. * Demonstrate excellent listening skills and the ability to multi-task within a fast-paced service environment. * Proactively resolve escalated customer issues. * Support sales and operations team members to go above and beyond by advocating for every customer's concerns and requests. * Flexibility to work a retail schedule that includes days, nights, weekends, holidays, and events. We can't wait to get to know you! For a more detailed look into this role click here or copy and paste the following link if using a mobile device ************************************************************************************************************************************ Raymour & Flanigan supports an inclusive workplace where associates excel based on personal merit, qualifications, experience, ability, and job performance. We are strongly committed to inclusivity and diverse workforce. We are committed to a discrimination free workplace where associates are treated with respect and dignity. To achieve this, we do not discriminate against any associate or applicant on the basis of race, creed, color, religion, sex (including pregnancy), age, national origin, physical or mental disability, status as a victim of domestic violence, sexual orientation, sexual and other reproductive health decisions, marital or familial status, genetic information or other basis protected by law. Please note that we are currently unable to offer visa sponsorship for this position. Candidates must have authorization to work in the U.S. without the need for sponsorship now or in the future. Raymour & Flanigan proudly supports a drug and smoke free work environment. Customer service representative Customer support Call center Customer satisfaction Problem-solving Communication skills Customer inquiries Ticketing system Customer complaints Conflict resolution Product knowledge Order processing Service inquiries Multitasking Active listening Empathy Resolution time Customer feedback Service excellence Escalation management Chat support Email support CRM (Customer Relationship Management)
    $27k-34k yearly est. 7d ago
  • Account Representative - State Farm Agent Team Member

    Kevin Kendall-State Farm Agent

    Billing representative job in Albrightsville, PA

    Job DescriptionBenefits: 401(k) matching Opportunity for advancement Training & development ROLE DESCRIPTION: Kevin Kendall - State Farm Agent is searching for a competitive Producer who can recognize opportunities and strategically turn leads into long-lasting customer relationships. As our Account Representative - State Farm Agent Team Member, your knowledge of insurance products and industry trends equips you to communicate directly with clients, identify their needs, and market products or services that maximize value. You may also assist in developing strategies and establishing quotas for our agency. If you are energetic, goal-oriented, and sales-minded, we are excited to harness your talents in this rewarding opportunity to build your career. RESPONSIBILITIES: Develop leads, schedule appointments, identify customer needs, and market appropriate products and services. Work with the agent to establish and meet marketing goals. Maintain a strong work ethic with a total commitment to success each and every day. Work alongside your agencys team to ensure successful long-lasting customer relations. QUALIFICATIONS: Sales experience (outside sales or inside sales representative, retail sales associate, or telemarketing) preferred Successful track record of meeting sales goals/quotas preferred Ability to effectively relate to a customer Property & Casualty license BENEFITS: Salary plus commission/bonus Paid time off (vacation and personal/sick days) Health benefits Profit sharing Growth potential/Opportunity for advancement within my office Licensing reimbursement after 3 months Signing bonus for pre-licensed professionals
    $33k-52k yearly est. 2d ago
  • Patient Accounts Representative - Full-Time

    Wayne Memorial Health System & Community Health Centers 4.4company rating

    Billing representative job in Honesdale, PA

    Full-Time (This is not a remote position) Responsible for answering incoming patient phone calls, Verifying insurance coverage, processing payments, resolving billing inquiries, communicating with patients about their outstanding balance, working with insurance companies to ensure accurate claims submission and timely reimbursements. Billing hospital claims to various insurance carriers and governmental agencies following up on unpaid claims with various insurance carriers and/or governmental agencies, which could include following up with collection agencies, attorneys and/or other third-party agents. Minimum Requirements Requires the ability to communicate effectively via verbal and written skills. Good computation and organizational skills, able to understand an Insurance Explanation of Benefits. Detail oriented and understands basic problem solving skills. Related office experience and computer skills preferred via Microsoft Excel and Word products.
    $30k-36k yearly est. 17d ago
  • Guidewire Policy Center/Billing Center

    Sonsoft 3.7company rating

    Billing representative job in Clarks Summit, PA

    Sonsoft , Inc. is a USA based corporation duly organized under the laws of the Commonwealth of Georgia. Sonsoft Inc. is growing at a steady pace specializing in the fields of Software Development, Software Consultancy and Information Technology Enabled Services. Job Description At least 7 years of experience in Guidewire product configuration/integration, solutions evaluation, validation, and deployment. At least 6 years of experience in problem definition, Architecture, Design and Implementation in a client facing role for US based Insurers. Analytical and Communication skills. Project, talent management and thought leadership. Experience and desire to work in a consulting environment that requires regular travel. At least 7 years of IT experience in Insurance Domain with Guidewire expertise. Perform as a technical subject matter expert for Guidewire product. Analytical and Communication skills. Experience with project management. Experience and desire to work in a management consulting environment that requires regular travel. Qualifications Bachelor's degree or foreign equivalent required from an accredited institution. Will also consider three years of progressive experience in the specialty in lieu of every year of education Additional Information Connect with me @ ******************** WaseemRaheelAhmed for direct clients requirements ** U.S. Citizens and those who are authorized to work independently in the United States are encouraged to apply. We are unable to sponsor at this time Note:- 1.This is a Full-Time & Permanent job opportunity for you 2.Only US Citizen, Green Card Holder, GC-EAD, H4-EAD & L2-EAD can apply 3. No OPT-EAD, H1B & TN candidates please 4.Please mention your Visa Status in your email or resume
    $33k-42k yearly est. 3d ago
  • Specialist, Billing

    The Wright Center Medical Group 4.5company rating

    Billing representative job in Scranton, PA

    Full-time Description The Billing Specialist is responsible for all aspects of billing inpatient and outpatient claims. The Billing Specialist, a key position in the Revenue Cycle, facilitates the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries and patients. The incumbent will assist in the clarification and development of process improvements and inquiries in order to maximize revenues. Work is typically performed in an office environment, but this position has the option to work from home but may also be needed onsite for projects or team meetings from time to time. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements for this job description are not intended to be all inclusive. They represent typical elements considered necessary to successfully perform the job. Requirements ESSENTIAL JOB DUTIES and FUNCTIONS While 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 Prepare and submit clean claims to third party payers either electronically or by paper Follow billing guidelines and legal requirements to ensure compliance with federal and state regulations Respond to account inquiries from patients, payers, providers, and/or other staff as requested Identify and resolve patient/insurance billing issues Work closely with team members regarding claim appeals, denials, resolution, and education Understand Medicare, Medicaid and other commercial payer rules and regulations applicable to billing. Update providers, learners, office staff, clinics, and faculty of changes as appropriate Responsible for contributing to the areas for coding, billing, and documentation education that is being reviewed for all providers and residents, related to billing coding and errors. Responsible for contributing to new learner education related to billing and collections Understand the considerations of coding in Value Based payment contracts Responsible for reviewing and implementing changes from payer bulletins Use online healthcare databases and other resources for verification and claim status Deliver the highest quality service to internal and external customers Assist other members of the team with projects as needed Maintain strictest confidentiality; adhere to all HIPAA guidelines/regulations QUALIFICATIONS Meet The Wright Center for Community Health and its affiliated entity The Wright Center for Graduate Medical Education EOSĀ© People Analyzer Tool Buy in and experience working in the EOS model (strongly preferred) Mission-oriented; represents the enterprise in a professional manner while demonstrating organizational pride Certified Biller FQHC Billing
    $31k-36k yearly est. 60d+ ago

Learn more about billing representative jobs

How much does a billing representative earn in Scranton, PA?

The average billing representative in Scranton, PA earns between $27,000 and $42,000 annually. This compares to the national average billing representative range of $28,000 to $42,000.

Average billing representative salary in Scranton, PA

$34,000
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