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Billing specialist jobs in East Stroudsburg, PA - 77 jobs

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  • Specialist, Billing

    Wright 4.2company rating

    Billing specialist 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 QUALIFICATIONS Meet The Wright Center for Community Health and its affiliated entity The Wright Center for Graduate Medical Education EOS© 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
    $46k-57k yearly est. 60d+ ago
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  • Medical Billing & Revenue Cycle Manager

    Onesource Staffing Solutions

    Billing specialist job in Bethlehem, PA

    Job Title: Medical Billing & Revenue Cycle Specialist Job Type: Full-time About Us: We are a multi-specialty private practice and infusion center located in Bethlehem, PA. We are seeking a highly skilled Medical Billing & Revenue Cycle Specialist with strong experience in hematology/oncology billing, coding, and revenue cycle management. Responsibilities and Duties: Process and coordinate all electronic charges for billing and claim submission. Follow up on delinquent insurance claims and resolve denials/appeals in a timely manner. Verify insurance eligibility and complete pre-authorizations. Ensure insurance companies and patients are billed correctly. Manage patient accounts, collections, and payment posting. Answer patient inquiries regarding billing and payments with professionalism. Maintain fee schedules, billing manuals, and ensure compliance with CMS and payer guidelines. Perform charge entry, payment posting, and account reconciliation. Track and manage reimbursement rates, working closely with insurance carriers. Conduct month-end audits on charges billed, unbilled procedures, and discrepancies. Update provider credentialing information and patient demographics. Experience with Medicaid, Medicare, managed care, and third-party billing. Work collaboratively with the clinical and administrative team to optimize revenue cycle processes. Other duties as assigned. Requirements: Minimum 5 years of hematology/oncology billing experience (GI experience is a plus). Strong background in medical billing, insurance AR, and revenue cycle management. ICD-10, CPT/HCPCS coding, and HCFA 1500 expertise required. Experience with insurance verification, authorizations, claim submission, and patient advocacy programs. Knowledge of CMS billing guidelines and compliance regulations. Familiarity with OncoEMR (preferred). Proficiency in billing software, Microsoft Word/Excel, and payment processing systems. Excellent verbal/written communication and customer service skills. Ability to work independently and as part of a team. Preferred Qualifications: Coding certification (CPC, CCS, or CCA) strongly preferred. Bachelor's degree required; MBA preferred. Contract negotiation experience is a plus. Benefits: 401(k) Health, Dental, Vision insurance Paid time off Life insurance Schedule: Full-time Monday to Friday Day shift (8-hour shift) Application Question(s): Do you have 5+ years of hematology/oncology billing experience? Do you have coding certification (CPC, CCS, or CCA)? Experience: Medical Billing: 5 years (Required) Hematology/Oncology Billing: 5 years (Required) ICD-10 & CPT Coding: 3 years (Required) Revenue Cycle Management: 3 years (Preferred) Work Location: In person - Bethlehem, PA Job Type: Full-time Pay: $35.00 - $36.00 per hour Benefits: 401(k) Dental insurance Flexible schedule Health insurance Paid time off Vision insurance Work Location: In person
    $35-36 hourly 4d ago
  • Manager Physician Billing

    Schuylkill 3.2company rating

    Billing specialist job in Allentown, 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 Oversees bill preparation, submission, edits, and resolution of all physician accounts receivable. Processes design, staff education, and management, and ensures regulatory compliance. Manages the reporting of accounts receivable balances, accounts receivable performance trends, and issues causing billing delays. Job Duties Performs preliminary troubleshooting of billing related issues to identify potential system issues and/or payer issues. Oversees escalated inquiries from team members to avoid any delays in timely claim submission. Drives efficiencies in process and workflow to maximize the team's ability to submit clean claims to the payer. Provides coaching and mentoring to enable team members to work independently. Minimum Qualifications High School Diploma/GED 7 years Experience in progressively responsible supervisory positions in physician billing operations and accounts receivable management. Demonstrates flexibility in assuming various tasks as they relate to physician billing Demonstrates the ability to initiate, accept, and adapt to change. Demonstrates proficiency in directing and guiding personnel. Demonstrates time management and organizational skills. Knowledge of medical terminology. Knowledge of 3rd party billing and claims processing procedures. Preferred Qualifications Bachelor's Degree Physical Demands Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR. 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: Day Shift Address: 1501 N Cedar Crest Blvd Primary Location: Allentown - 1501 N Cedar Crest Position Type: Onsite Union: Not Applicable Work Schedule: Monday-Friday; 7:00a - 3:30p Department: 1012-35158 LVPG-L Gastroenterology - Cedar Crest
    $46k-60k yearly est. Auto-Apply 60d+ ago
  • Billing Administrator

    Fannie Mae Sb 4.6company rating

    Billing specialist job in Allentown, PA

    At Fannie Mae, futures are made. The inspiring work we do makes an affordable home a reality and a difference in the lives of Americans. Every day offers compelling opportunities to modernize the nation's housing finance system while being part of an inclusive team using new, emerging technologies. Here, you will help lead our industry forward, enhance your technical expertise, and make your career. Additional Information The future is what you make it to be. Discover compelling opportunities at careers.fanniemae.com. Fannie Mae is an Equal Opportunity Employer, which means we are committed to fostering a diverse and inclusive workplace. All qualified applicants will receive consideration for employment without regard to race, religion, national origin, gender, gender identity, sexual orientation, personal appearance, protected veteran status, disability, age, or other legally protected status. For individuals with disabilities who would like to request an accommodation in the application process, email us at [email protected] . Successful job applicants will be required to successfully complete a background investigation.will be kept confidential according to EEO guidelines.
    $47k-65k yearly est. 10h ago
  • Specialist, Billing

    The Wright Center Medical Group 4.5company rating

    Billing specialist 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
  • Billing & Bookkeeping

    Reuther Material Co

    Billing specialist job in Succasunna, NJ

    Reuther Material Co. is a family-owned supplier of masonry, hardscape, and construction materials serving northern New Jersey for nearly 100 years. We're known for our dependable service, quality products, and team-focused environment. We're looking for a Billing & Bookkeeping team member to join our office in Succasunna, NJ. This person will handle day-to-day billing, accounts receivable/payable, and general bookkeeping tasks to help keep our business running smoothly. Responsibilities * Prepare and send customer invoices accurately and on time * Record and reconcile daily financial transactions * Manage accounts receivable and follow up on past-due payments * Process vendor invoices and assist with accounts payable * Perform bank and credit card reconciliations * Maintain organized financial records * Assist with month-end and year-end reporting Qualifications * 2+ years of billing, bookkeeping, or accounting experience * Proficiency in QuickBooks (or similar accounting software) * Strong Excel and data entry skills * Excellent attention to detail and organizational ability * Reliable, self-motivated, and able to multitask Preferred: Experience in the construction, masonry, or materials supply industry Requirements * 2+ years of billing, bookkeeping, or accounting experience * Proficiency in QuickBooks (or similar accounting software) * Strong Excel and data entry skills * Excellent attention to detail and organizational ability * Reliable, self-motivated, and able to multitask
    $38k-50k yearly est. 28d ago
  • Billing & Bookkeeping

    Reuther Manufacturing

    Billing specialist job in Succasunna, NJ

    Full-time Description Reuther Material Co. is a family-owned supplier of masonry, hardscape, and construction materials serving northern New Jersey for nearly 100 years. We're known for our dependable service, quality products, and team-focused environment. We're looking for a Billing & Bookkeeping team member to join our office in Succasunna, NJ. This person will handle day-to-day billing, accounts receivable/payable, and general bookkeeping tasks to help keep our business running smoothly. Responsibilities Prepare and send customer invoices accurately and on time Record and reconcile daily financial transactions Manage accounts receivable and follow up on past-due payments Process vendor invoices and assist with accounts payable Perform bank and credit card reconciliations Maintain organized financial records Assist with month-end and year-end reporting Qualifications 2+ years of billing, bookkeeping, or accounting experience Proficiency in QuickBooks (or similar accounting software) Strong Excel and data entry skills Excellent attention to detail and organizational ability Reliable, self-motivated, and able to multitask Preferred: Experience in the construction, masonry, or materials supply industry Requirements 2+ years of billing, bookkeeping, or accounting experience Proficiency in QuickBooks (or similar accounting software) Strong Excel and data entry skills Excellent attention to detail and organizational ability Reliable, self-motivated, and able to multitask
    $38k-50k yearly est. 29d ago
  • Billing Clerk

    Robert Half 4.5company rating

    Billing specialist job in Bethlehem, PA

    We are looking for a dedicated Billing Clerk to join our team in Bethlehem, Pennsylvania. In this long-term contract to hire position, you will play a critical role in managing insurance claims, school billing processes, and ensuring accurate financial operations. The ideal candidate will have experience in Medicaid billing and accounts receivable, with a strong attention to detail and commitment to timely reimbursements and payments. Responsibilities: - Process insurance claims for commercial and Managed Medicaid reimbursement, including secondary claims, ensuring timely submissions. - Assist patients in establishing self-pay arrangements and payment plans tailored to their needs. - Post and track payments within the accounts receivable system, maintaining accuracy in financial records. - Investigate and resolve billing issues, adhering to payor collection timelines. - Coordinate private pay collections following insurance cancellations, denials, or similar issues under the guidance of the Administrative Director. - Enter client authorizations and necessary documentation into the billing system, ensuring compliance with school contracts. - Track mileage reimbursements and process school billing efficiently. - Review and verify staff timesheets for billing purposes, addressing coding errors or overlapping times. - Train new employees on billing procedures and system operations to support cross-training initiatives. - Maintain and troubleshoot billing platform functionalities, including service codes and authorizations, as required. Requirements - Proven experience in Medicaid billing and eligibility processes. - Strong knowledge of accounts receivable practices and procedures. - Familiarity with billing systems, such as Central Reach, or similar platforms. - Ability to accurately process insurance claims and reimbursements. - Excellent problem-solving skills for resolving billing issues. - Effective communication skills to assist patients and collaborate with staff. - Experience in training employees on billing systems and procedures. - Strong organizational skills to manage multiple billing tasks and deadlines. Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use (https://www.roberthalf.com/us/en/terms) and Privacy Notice (https://www.roberthalf.com/us/en/privacy) .
    $34k-48k yearly est. 53d ago
  • Full Time Biller for Rheumatology/Allergy practice

    Allergy and Arthritis Associates

    Billing specialist job in Dover, NJ

    Job DescriptionLooking for a full time billing clerk Mon-Fri 8:00-4:00 (flexible) for busy Rheumatology/Allergy practice in Dover New Jersey. Experience billers only. Must have at least 5 years experience in medical office billing and have knowledge of CPT, ICD10 coding and insurances. We offer health insurance, 401k and paid time off. Salary negotiable. Willing to pay for experience.
    $38k-50k yearly est. 12d ago
  • Insurance Billing Specialist- Full Time

    ABA Support Services

    Billing specialist job in Bethlehem, PA

    Full-time Description This position is 100% in person to start, 5 days a week in the office at our Bethlehem, PA location. Full-time opportunity! Join a growing team to provide support to the Billing Team! Are you an experienced biller looking for an opportunity to make a difference? ABA Support Services is dedicated to supporting, empowering, and strengthening the lives of children and adolescents on the autism spectrum. The Billing Specialist handles a variety of billing and office duties, processing billing in a timely and accurate fashion. The Billing Specialist may process billing for either Medical or School Billing. The successful candidate must be an enthusiastic team player, willing to roll up their sleeves and help where needed. This position is responsible for processing billing for private insurance reimbursement or school billing; submit timely reimbursement requests to Medicaid. Assist with the creation of self-pay arrangements, and payment plans; post and track payments to ensure timely payment. Research and resolve client billing problems and issues. Review timesheets for billing purposes ensuring that all documentation/coding is accurate; troubleshoot and resolve issues with relevant staff. Excellent benefits available for full time employees. Join our team today! We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law. Requirements Associate Degree in related field with 1-2 years experience and/or 3-5 years of experience in a relevant medical office setting, with a focus on billing and A/R Experience in medical billing is required, prior Medicaid/Medicare experience is strongly preferred Experience with medical billing in behavioral/mental health is a plus! Must have and maintain intermediate knowledge of billing systems, coding and applicable software Strong attention to detail and accuracy is required along with the exceptional organizational skills and the ability to multi task in a fast paced work setting Must maintain the utmost confidentiality and be knowledgeable in maintaining HIPAA requirements Proficiency in Microsoft Office Suite, with advanced skills in Excel preferred Motivated, strong work ethic, high degree of quality work and ability to work with minimal direction
    $31k-41k yearly est. 60d+ ago
  • Billing Specialist

    Hunterdon Healthcare 3.4company rating

    Billing specialist job in Flemington, NJ

    # Position#Summary Works hospital claims to assure timely billing and appropriate reimbursement from Non-Governmental#Insurance Companies. Primary Position Responsibilities Utilize tools, software and reports#provided. Perform all activities for billing, claim adjustment, account follow-up processes. Complete payment review, working Compass Exception Reports. Process denials timely. Exhibit strong professional customer service in daily interactions. Other duties as warranted. Qualifications Minimum Education: Required: High School Education or equivalent Preferred: Associates Degree in Business Administration Minimum Years of Experience (Amount, Type and Variation): Required: None Preferred: Two years experience in a hospital or physician billing environment, two years experience working on a Windows based software package and prior experience working in a customer service environment. Experience with Medicare Rules, DRG/APC payment methodology. License, Registry or Certification: Required: None Preferred: Certificate and/or Advanced Specialized or technical training, IE: Certified Revenue Cycle Specialist - Institutional (CRCS-I) or Certified Revenue Cycle Specialist - Professional (CRCS-P) through AAHAM. Knowledge, Skills and/or Abilities: Required: Computer Skills, Customer Service Skills Preferred: Detail oriented, bookkeeping skills, Team player # Hunterdon Health is committed to providing a competitive benefit package to our employees.# Benefit#offerings vary based on status and may include but not be limited to medical, dental, vision, family forming, paid time off, tuition reimbursement, and retirement savings. # The hiring range listed is the potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement. When determining an applicant#s hourly rate and/or base salary, several factors may be considered as applicable (e.g., years of relevant experience, education, internal equity, and specialty). # Position Summary * Works hospital claims to assure timely billing and appropriate reimbursement from Non-Governmental Insurance Companies. Primary Position Responsibilities * Utilize tools, software and reports provided. * Perform all activities for billing, claim adjustment, account follow-up processes. * Complete payment review, working Compass Exception Reports. * Process denials timely. * Exhibit strong professional customer service in daily interactions. * Other duties as warranted. Qualifications * Minimum Education: * Required: * High School Education or equivalent * Preferred: * Associates Degree in Business Administration * Minimum Years of Experience (Amount, Type and Variation): * Required: * None * Preferred: * Two years experience in a hospital or physician billing environment, two years experience working on a Windows based software package and prior experience working in a customer service environment. Experience with Medicare Rules, DRG/APC payment methodology. * License, Registry or Certification: * Required: * None * Preferred: * Certificate and/or Advanced Specialized or technical training, IE: Certified Revenue Cycle Specialist - Institutional (CRCS-I) or Certified Revenue Cycle Specialist - Professional (CRCS-P) through AAHAM. * Knowledge, Skills and/or Abilities: * Required: * Computer Skills, Customer Service Skills * Preferred: * Detail oriented, bookkeeping skills, Team player Hunterdon Health is committed to providing a competitive benefit package to our employees. Benefit offerings vary based on status and may include but not be limited to medical, dental, vision, family forming, paid time off, tuition reimbursement, and retirement savings. The hiring range listed is the potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement. When determining an applicant's hourly rate and/or base salary, several factors may be considered as applicable (e.g., years of relevant experience, education, internal equity, and specialty).
    $32k-38k yearly est. 60d+ ago
  • Medical Billing Specialist_Bilingual English & Spanish

    Preventive Measures

    Billing specialist job in Allentown, PA

    The Medical Billing Specialist role supports our Pennsylvania Mental Health Program and operates in a hybrid capacity, with work performed both remotely and on-site at our Allentown location. Primary responsibilities include updating client information, managing insurance-related billing, handling patient collections, and coordinating with specialty payors. The ideal candidate is detail-oriented, able to thrive in a fast-paced environment, and capable of working both independently and collaboratively. Strong customer service skills are essential when interacting with patients and internal departments. Effective cross-functional and client communication is required to navigate needs and resolve issues efficiently. Bilingual proficiency in English and Spanish is required. This position has no direct reports and reports directly to the Billing Director. Primary Job Responsibilities: • Verify coverage for Medicaid, Medicare and Commercial Mental Health insurance • Update and correct inconsistencies of insurance information in EHR • Connect with patients regarding coverage details • Obtain pre-authorization for recommended services and procedures • Explain to patients what their financial responsibilities will be • Inform relevant clinical and operational staff about denials • Cancel appointments as needed due to insurance loss • Refer clients out to other providers • Investigate and Reprocess Denied Claims based on Insurance Coverage • Prepare billing invoices and create patient statements • Post and reconcile patient collections in EHR • Communicate billing and authorization concerns with insurance companies and account reps • Prepare and update reports for specialty payers with attention to due dates • Maintain compliance with HIPPA and insurance regulatory guidelines • Other duties and responsibilities as assigned. Job Skills: • Bilingual (English / Spanish) Proficiency is Required • Ability to multitask. • Problem-solving • Detailed Oriented • Excellent communication skills • Take responsibility for individual and team projects. • Microsoft Office Suite (Excel, Word, Teams, etc.) • Credible and Inovalon software knowledge is a plus. Education/Experience: • High School Diploma or Equivalent; some college preferred. • 1-2 years of experience in Mental Health Billing • 1-2 years of insurance verification experience a plus Join our Team! Company website: ********************************** Preventive Measures is committed to equal opportunity for all employees and applicants. As a proud Equal Opportunity Employer (EOE), we do not discriminate based on race, color, national origin, ancestry, citizenship status, religion, sex, sexual stereotyping, sexual orientation, gender, gender identity, gender expression, age, marital status, mental or physical disability, medical condition, genetic information, military or veteran status, pregnancy (which includes pregnancy, childbirth, and medical conditions related to pregnancy, childbirth, or breastfeeding), or any other protected characteristic. Employment may be contingent upon receipt of and passing all job-related clearances, background checks and regulated requirements as applicable and permissible by law.
    $31k-41k yearly est. Auto-Apply 44d ago
  • Patient Advocate - Lehigh Valley, PA

    Patient Funding Alternatives

    Billing specialist job in Lehigh, PA

    Job Description Patient Advocate Specialist Lehigh Valley, PA ChasmTeam is partnering with a growing national company to build a team that provides real benefits to patients! We are seeking hard-working, self-starters who enjoy a challenge as we work together to help patients. The Patient Advocate plays a critical role in identifying, educating, and enrolling eligible hospital patients into the Health Insurance Premium Payment (HIPP) Program. You'll clearly explain program details, gather required documentation, and serve as a compassionate, professional advocate throughout each step of the enrollment process. This role demands mission-driven advocacy, proactive problem-solving, empathetic communication, and resilience - all while balancing compassion with an urgency to ensure patients receive timely support. By facilitating employer-sponsored health insurance coverage, the Patient Helper Program helps medically complex Medicaid beneficiaries access comprehensive care. We're looking for driven individuals with a “can-do” spirit, unwavering perseverance, and the capacity to support diverse patient populations navigating complex healthcare systems. Key Responsibilities Patient Engagement & Advocacy Educate patients and families in a clear, compassionate, and culturally sensitive manner about the HIPP program. Assess family dynamics and adapt communication style to effectively meet their needs. Obtain necessary authorizations and documentation from patients/families. Foster trust with patients while maintaining appropriate professional boundaries. Demonstrate cultural competence and empathy when engaging with vulnerable populations. HIPP Enrollment & Case Management Accurately collect all essential data for HIPP applications (e.g., employer information, insurance details). Employ proactive problem-solving to overcome barriers and ensure timely, accurate submissions. Collaborate seamlessly with the Patient Financial Assistance team to finalize enrollments. Consistently deliver against performance metrics such as enrollments completed, case resolution time, and documentation accuracy. Program Maintenance & Benefit Coordination Clarify how employer-provided health insurance works in coordination with Medicaid. Verify and update ongoing patient eligibility for HIPP to maintain continuity. Assist with resolving insurance-related issues upon request from patients or clients. Technology & Documentation Utilize CRM/case management system to manage referrals and patient records. Upload, scan, and securely transmit required documentation. Record patient interactions meticulously in compliance with privacy and legal standards. Efficiently operate Apple tools such as iPads and iPhones for enrollment-related tasks. Client & Hospital Relationship Management Represent the organization as the on-site contact at the hospital. Establish and maintain collaborative relationships with hospital staff, state agency personnel, and community partners. Always uphold the organization's values with ethical integrity and professionalism. Required Qualifications High school diploma or GED and completion of formal training in customer service, patient services, healthcare administration, social services, or case management. Foundational knowledge of healthcare terminology and insurance processes gained via coursework or certification. Ability to pass hospital credentialing, including vaccinations and drug/alcohol screening. Preferred Qualifications Associate's or Bachelor's degree in Social Work, Healthcare Administration, Public Health, or related field. Training in motivational interviewing, trauma-informed care, or medical billing/coding. Continuing education in Medicaid/Medicare eligibility, health equity, or patient advocacy. Three to five years' experience in patient-facing roles within a healthcare setting. Full Bilingual proficiency in Spanish is strongly preferred. Core Skills & Competencies Technical Skills-Preferred Proficiency with CRM or case management systems. Knowledge of Medicaid/Medicare eligibility and benefits coordination. Ability to interpret medical billing and insurance documents. Strong compliance-based documentation practices. Interpersonal Skills Active listening and empathetic communication. De-escalation tactics for emotionally distressed patients. Cultural awareness and sensitivity in communication. Collaboration with cross-functional teams, including hospital and internal staff. Key Traits for Success Mission-Driven Advocacy - Consistently puts patient needs first. Ego Resilience - Thrives amid adversity and changing demands. Empathy - Provides compassionate support while ensuring professionalism. Urgency - Balances speed and sensitivity in patient interactions. Detail Orientation - Ensures accuracy and completeness in documentation. Cultural Competence - Demonstrates respect and understanding of diverse experiences. Adaptability - Successfully operates in evolving policy and procedural environments. Why Join Us? As a Patient Advocate, you'll make a real difference-helping patients navigate complex health and insurance systems, securing critical benefits, and enabling focus on healing and well-being. Join a mission-driven, supportive team where your work matters and your growth is encouraged. Full benefits offered, including Health, Dental, Vision, 401(k) with company match, STD/LTD, Life Insurance, and more.
    $32k-41k yearly est. 23d ago
  • Account Representative - State Farm Agent Team Member

    Morgan R Sayre State Farm Agency

    Billing specialist job in Flemington, NJ

    Job Description Account Representative - State Farm Agent Team Member Full Time in Lawrence Township, NJ Responsive recruiter Benefits License reimbursement 401(k) Bonus based on performance Competitive salary Flexible schedule Health insurance Opportunity for advancement Paid time off Training & development ROLE DESCRIPTIONAs Account Representative - State Farm Agent Team Member for Morgan Sayre - 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. Compensation $75,000.00 - $90,000.00 per year #hc203170
    $75k-90k yearly 27d ago
  • Account Representative - State Farm Agent Team Member

    Erin Misurelli-State Farm Agent

    Billing specialist job in Randolph, NJ

    Job DescriptionBenefits: Competitive salary Opportunity for advancement Paid time off ROLE DESCRIPTION: As an Account Representative for Erin Misurelli, 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.
    $35k-57k yearly est. 13d ago
  • Tenant Collections Specialist

    Sebco

    Billing specialist job in Raritan, NJ

    Full-time Description We are seeking a highly motivated and detail-oriented Tenant Collections Specialist to join our team. This role is essential in maintaining positive tenant relationships, ensuring timely rent payments, and representing our interests in tenant-related legal matters. The ideal candidate will have a strong background in tenant relations, collections, and legal procedures, with excellent communication and problem-solving skills. Key Responsibilities: Tenant Relations: Serve as the primary contact for tenants regarding outstanding rent, security deposits, and other related matters. Collections Management: Proactively follow up on unpaid rent, promises to pay, and overdue accounts, ensuring timely resolution. Security Deposits: Manage inquiries and disputes regarding security deposits in compliance with applicable laws and company policies. Legal Representation: Represent the company in small claims court, mediations, and agreements concerning tenant-landlord disputes. These instances will predominantly take place in Camden County, Burlington County, Monmouth County, and Gloucester County. Mediations & Agreements: Facilitate and negotiate resolutions to disputes, ensuring outcomes align with company objectives and legal standards. Requirements Strong conflict resolution skills. Familiarity with landlord-tenant laws and small claims court procedures. Excellent verbal and written communication skills. Ability to work independently and manage multiple tasks simultaneously. Experience using Appfolio or a similar property management software Reliable transportation - applicant must be willing to travel 4-5 times per month to mediations and small claims court in Camden County, Burlington County, Monmouth County, and Gloucester County.
    $33k-50k yearly est. 9d ago
  • Billing Administrator

    Fannie Mae SB 4.6company rating

    Billing specialist job in Allentown, PA

    At Fannie Mae, futures are made. The inspiring work we do makes an affordable home a reality and a difference in the lives of Americans. Every day offers compelling opportunities to modernize the nation's housing finance system while being part of an inclusive team using new, emerging technologies. Here, you will help lead our industry forward, enhance your technical expertise, and make your career. Additional Information The future is what you make it to be. Discover compelling opportunities at careers.fanniemae.com. Fannie Mae is an Equal Opportunity Employer, which means we are committed to fostering a diverse and inclusive workplace. All qualified applicants will receive consideration for employment without regard to race, religion, national origin, gender, gender identity, sexual orientation, personal appearance, protected veteran status, disability, age, or other legally protected status. For individuals with disabilities who would like to request an accommodation in the application process, email us at [email protected]. Successful job applicants will be required to successfully complete a background investigation.will be kept confidential according to EEO guidelines.
    $47k-65k yearly est. 60d+ ago
  • Specialist, Accounts Receivable

    Wright 4.2company rating

    Billing specialist job in Scranton, PA

    The Accounts Receivable Specialist is responsible for researching outstanding balances and determining correct action to be taken to ensure maximum reimbursement. Must take the lead on corrective actions for accounts with outstanding balances in a timely manner to obtain reimbursement. Responsible for processing correspondence relating to the financial status of an account. Responsible for recognizing trends for denials and reimbursement issues and reporting such to the Billing Supervisor & /or Director Revenue Cycle. 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. REPORTING RELATIONSHIPS The position reports to the Director of Revenue Cycle. No staff report to this position. ESSENTIAL JOB DUTIES and FUNCTIONS While living and demonstrating our Core Values, the Accounts Receivable Specialist will: Manage outstanding accounts receivable. Resolve outstanding balances, resubmitting claims and providing necessary information to support prompt payment. Parties 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 Follow up on outstanding accounts receivable, focusing on maintaining aged receivables within 90 days of days outstanding. Includes researching aged account reports, outstanding “to-do” list, and processing problematic EOB's Identify, correct and communicate payment posting errors to staff Make all necessary corrections in the billing system. Research and resolve claims rejected by payer Identify billing and coverage concerns. Communicate with billing and front office staff regarding billing requirements not being met Answer patient and facility questions about account balance and status of payment Identify, correct and communicate facility errors to appropriate parties involved and produce corrective action plans accordingly Identify and communicate payment trends to Supervisor & /or Director Revenue Cycle, related to payers, CPT codes, diagnosis codes, etc Research outstanding credit balances and prepare requests for refunds Research and recommend accounts for bad debt write off Assist to develop a strategy the team will use to reach goals and maintain high level of productivity Provide training that team members may need and monitor progress Create reports to update the organization on Billing Department progress Other duties as assigned by management Requirements QUALIFICATIONS Meet The Wright Center for Community Health and its affiliated entity The Wright Center for Graduate Medical Education EOS© 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 High school degree or equivalent required 1 - 3 years medical billing/claims experience Knowledge of EOBs, EFTs and ERAs Experience in CPT codes and ICD 10 coding preferred Experience with electronic medical records preferred FQHC billing and payment posting preferred, but will train the right candidate Medent experience preferred Knowledge of Microsoft Office software Must be focused, self-directed, organized, and have demonstrated problem-solving abilities Accurate and precise attention to detail Excellent verbal and written communication skills Able to work both independently and as part of a team
    $49k-60k yearly est. 60d+ ago
  • Account Representative - State Farm Agent Team Member

    Morgan R Sayre State Farm Agency

    Billing specialist job in Flemington, NJ

    Full Time in Lawrence Township, NJ Responsive recruiter Benefits License reimbursement 401(k) Bonus based on performance Competitive salary Flexible schedule Health insurance Opportunity for advancement Paid time off Training & development ROLE DESCRIPTIONAs Account Representative - State Farm Agent Team Member for Morgan Sayre - 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. Compensation $75,000.00 - $90,000.00 per year
    $75k-90k yearly 60d+ ago
  • Cash Reconciliation Specialist

    Schuylkill 3.2company rating

    Billing specialist job in Allentown, 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 Reconciles monies received from the bank lock box, insurance carriers checks, patient payments, and vendors payments assigning the monies to the appropriate GL account. Completes all daily and monthly activities needed to report cash receipts to Finance by the designated deadline. Job Duties Maintains logs for multiple financial institutions of all payment batches, researches any unidentified payments, and takes the appropriate steps for resolution. Documents all monies received through lock box payments, paper checks received in the mail, EFT payments made directly to the bank, and credit card payments for daily reconciliation. Researches and resolves all reconciliation issues; provides suggestions for resolution and work flow changes to improve efficiency. Researches and locates missing explanation of benefits (EOB) or missing payments to ensure that the Accounts Receivable is current. Researches any questions regarding bank wires, checks, journal entries, and credit card payments. Researches the appropriate distribution and GL routing for non patient payments. Conducts GL transfer of funds deposited into the incorrect account. Minimum Qualifications High School Diploma/GED 2 years reconciliation experience in a healthcare organization or 5 years experience in healthcare Finance (Accounts Payable, Accounts Receivable) Ability to think logically and apply mathematical concepts. Knowledge of generally accepted accounting procedures and principles. Mathematical competency to understand debits, credits, adjustments, and reconciliation. Proficiency in Microsoft Office applications (Excel, Word, PowerPoint, Outlook). Strong analytical, problem-solving, and organizational skills. Successful completion of DOE within 3 months of hire. Preferred Qualifications Associate's Degree Healthcare Administration, Finance or Business 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: Day Shift Address: 2100 Mack Blvd Primary Location: Mack Building Position Type: Onsite Union: Not Applicable Work Schedule: Monday-Friday; 8:00a-4:30p Department: 1004-13052 CSS-Patient Receivables Office
    $35k-44k yearly est. Auto-Apply 38d ago

Learn more about billing specialist jobs

How much does a billing specialist earn in East Stroudsburg, PA?

The average billing specialist in East Stroudsburg, PA earns between $27,000 and $47,000 annually. This compares to the national average billing specialist range of $27,000 to $45,000.

Average billing specialist salary in East Stroudsburg, PA

$36,000
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