Credentialing Specialist
Billing specialist job in Philadelphia, PA
Delegation Oversight Credentialing Specialist
Hybrid Onsite Schedule | Monday - Friday, 8:00 AM - 4:15 PM
We are seeking a detail-oriented and compliance-driven Delegation Oversight Credentialing Specialist to join our Delegation Oversight team. In this role, you will play a critical part in ensuring our delegated credentialing vendors maintain full compliance with NCQA, CMS, and regulatory standards. You'll lead and perform credentialing audits, review policies and procedures, and partner closely with vendors to drive continuous improvement and operational excellence.
Key Responsibilities
Lead, coordinate, and participate in delegation oversight activities for credentialing vendors to ensure adherence to state, federal, and accreditation standards.
Conduct pre-delegation assessments for onboarding new vendors and ensure readiness to meet contractual and regulatory requirements.
Review and validate delegate rosters for accuracy and completeness prior to processing.
Perform annual and ongoing credentialing/recredentialing audits and policy reviews to ensure compliance with NCQA, CMS, and internal guidelines.
Conduct Medicare Compliance Program Effectiveness audits, identifying gaps and driving corrective actions.
Track and analyze audit findings, identify trends, and prepare reports for management and Delegation Oversight Committees.
Develop, monitor, and report on Corrective Action Plans (CAPs), providing clear feedback and performance updates to delegates.
Stay current with changes in credentialing and recredentialing requirements and ensure implementation across vendors.
Present findings, trends, and compliance updates to internal committees and leadership teams.
Qualifications
3-5 years of experience in a regulatory, accreditation, credentialing, or compliance role within the health insurance, healthcare, or managed care industry.
Associate's degree in Business, Healthcare, or a related field (or equivalent combination of education and experience).
Proven auditing experience within credentialing operations or CMS/NCQA-regulated environments.
Strong working knowledge of NCQA standards, CMS regulations, and Medicare compliance programs.
Exceptional written and verbal communication skills with the ability to present audit results and compliance recommendations effectively.
Highly organized, with strong attention to detail and the ability to manage multiple priorities.
Proficiency in Microsoft Office (Word, Excel, PowerPoint, Outlook) and Adobe Acrobat.
Electronic Billing Coordinator
Billing specialist job in Philadelphia, PA
SourcePro Search has a fantastic opportunity for a Electronic Billing Coordinator with a top ranked large law firm in the Philadelphia office. The incumbent will be responsible for the administration of all electronic billing clients and vendors, including documentation, training, analysis, reporting, and security.
The ideal candidate has an Associate's Degree (Bachelor's preferred) and 5+ years of Legal Billing experience (large firm preferred).
Extensive experience with Elite Enterprise, Aderant, eBilling Hub, and eBilling vendor application is required.
Must have electronic billing experience.
This role offers a highly competitive salary and excellent benefits package. ****************************
Permit & Billing Coordinator
Billing specialist job in Philadelphia, PA
Benefits:
Company parties
Competitive salary
Free uniforms
Health insurance
Opportunity for advancement
Paid time off
Join the largest and fastest-growing sign company in Philadelphia! Signarama Philly is looking for a sharp, organized Permit & Billing Coordinator who understands the fast-paced nature of the sign industry and can keep projects moving smoothly from permit to payment.
What You'll Do:
Prepare and submit sign permit applications to city and township zoning/building departments
Track all active permits and maintain communication with municipalities
Coordinate with sales, project management, and install teams to ensure accurate documents and timelines
Create and issue invoices based on completed fabrication and installations
Follow up on outstanding payments and maintain accurate billing records
Ensure compliance with local code requirements and landlord criteria
What We're Looking For:
Experience in the signage, construction, or permitting field preferred
Strong administrative and follow-up skills
Familiarity with Philadelphia and surrounding township zoning/permit processes is a big plus
Proficient in Microsoft Excel, Outlook, and project tracking tools
Detail-oriented, reliable, and a team player who can work across departments
Why Join Signarama Philly?
Be part of the largest sign company in the region
Competitive salary & benefits (health, dental, PTO)
Growth opportunities within a family-run, fast-growing business
Work with major brands, franchises, and iconic local businesses
Compensation: $20.00 - $25.00 per hour
At Signarama, the world's leading sign and graphics franchise, we offer you an unparalleled opportunity to develop and enhance your career within the industry. Recognized globally, we have nearly 900 locations across over 60 countries, offering limitless opportunities for professional growth. Whether you're passionate about sales, have a flair for design, excel in production, or are skilled in installation or administration, Signarama has a place for you. Our expansive network provides an exceptional environment where your skills can flourish and where you can make a significant impact. Working at Signarama means joining a family of professionals who are dedicated to innovation and quality. We take pride in our collaborative culture where creativity and efficiency are rewarded. We are on the lookout for individuals who are eager to drive their careers forward and make their mark in the signage industry. Apply today and step into a career where your work will be seen and appreciated across cities and communities worldwide. Become a part of the Signarama family-where your journey can take you anywhere!
This franchise is independently owned and operated by a franchisee. Your application will go directly to the franchisee, and all hiring decisions will be made by the management of this franchise. All inquiries about employment at this franchise should be made directly to the franchise location, and not to Signarama Corporate.
Auto-ApplyBilling Coordinator
Billing specialist job in Philadelphia, PA
Cozen O'Connor is seeking a Billing Coordinator to work within the firm's Finance department. The candidate will be amenable to working with flexible billing assignments and tasks supporting the billing and eBilling processes. Please note this is a hybrid work opportunity based in Philadelphia, 3 days in the office, 2 days remote. This position will report directly to the Manager Finance Insurance Operations.
• Ability to handle a fluctuating workload based on current demand as assigned
• Proficient at prioritizing requests to meet deadlines
• Must be proficient in MS Word and MS Excel
• Legal Billing and Aderant Expert experience preferred
• Bill Blast experience a plus
• Widespread knowledge of the distinct types of legal billing a plus
• Strong oral and written communication skills and accuracy required
• Demonstrated ability to work independently
• Must be proactive, work well under pressure, and excel in a fast-paced environment
• Must be self-motivated, detail-oriented, highly organized, and reliable
• Have the ability to multi-task and work well in a team environment
• Professional and courteous communication with clients, attorneys, paralegals, and staff required
• High School diploma (or G.E.D.) required, bachelor's degree is preferred
• Law firm experience preferred but not required
• Generate and distribute pre-bills as requested
• Process Subrogation cost and on demand invoices
• Process cost adjustments and occasional time and narrative edits
• Redact back up when required
• Process final invoices
• Review various websites for matter setups and budgeting information
• Submit invoices for various websites using Bill Blast
• Email invoices using Bill Blast
• Ensure successful transmission of E-Bills and follow up when necessary
• Manage daily billing assignments by maintaining current information on attorney preferences, proforma status, and billing cycles
• Daily matter and bill group maintenance, performed in Aderant Expert
• Please note that this job description is not exhaustive and additional duties may be assigned as needed
Auto-ApplyLegal Assistant Billing Specialist
Billing specialist job in Philadelphia, PA
Greenberg Traurig (GT), a global law firm with locations across the world in 15 countries, has an exciting opportunity for a Legal Assistant Billing Specialist to join our Revenue Management Department. We offer competitive compensation and an excellent benefits package, along with the opportunity to work within an innovative and collaborative environment within the legal industry.
Join our Revenue Management Team as a Legal Assistant Billing Specialist in our Philadelphia Office.
We are seeking a highly skilled and meticulous professional who thrives in a fast-paced, deadline-driven environment. In this entry-level role, you will provide support to our Billing Department where you'll process, ensure accurate and timely invoicing, and collaborate with attorneys and client to manage billing inquiries and compliance. Excellent communication skills are essential for collaborating effectively across teams and delivering exceptional service. If you are someone who values precision, adaptability, and innovation, we invite you to join our team and make a meaningful impact.
This role will be based in our Philadelphia office. This position reports to the Billing Supervisor of Revenue Management. The candidate must be flexible to work overtime as needed.
Position Summary
The Legal Assistant Billing Specialist role involves supporting the billing department in preparing, reviewing, and processing client invoices while ensuring accuracy and compliance with firm policies and client guidelines. The candidate must have strong analytical abilities, exceptional attention to detail, and excellent communication skills to liaise effectively with attorneys, clients, and administrative staff. The candidate must be eager to learn industry standard legal billing practices.
Key Responsibilities
Assists with editing time and expense entries in our billing software based on the requests from the Billing Attorneys.
Assists with the generation of high volume of complex client invoices.
Works with the Billing Specialists to ensure that all invoices are in compliance with the billing guidelines and that all required supporting documentation is compiled prior to submission.
Assists with the submission of electronic bills, including all supporting documentation.
Works with the Billing Specialists to monitor and immediately address any invoice rejections, reductions, and appeals as needed.
Assists and respond to billing inquiries.
Assists with special projects and ad hoc reports as requested.
Qualifications
Skills & Competencies
Excellent interpersonal and communication skills (oral and written), professional demeanor, and presentation.
Effectively prioritize workload and adapt to a fast-paced environment.
Highly motivated self-starter who can work well under supervision, as well as take a proactive approach in a team setting.
Excellent organizational skills and attention to detail, with the ability to manage multiple tasks and deadlines.
Strong analytical and problem-solving skills.
Takes initiative and uses good judgment, excellent follow-up skills.
Must have the ability to work under pressure to meet strict deadlines.
Ability to establish and maintain positive and effective working relationships within all levels of the firm.
Education & Experience
Bachelor's Degree in Accounting or Finance preferred, but not required.
Minimum 1-3 years of prior work experience.
Technology
Proficiency in Excel required.
GT is an EEO employer with an inclusive workplace committed to merit-based consideration and review without regard to an individual's race, sex, or other protected characteristics and to the principles of non-discrimination on any protected basis.
Auto-ApplyCollections Specialist
Billing specialist job in Philadelphia, PA
Established in 1991, Collabera has been a leader in IT staffing for over 22 years and is one of the largest diversity IT staffing firms in the industry. As a half a billion dollar IT company, with more than 9,000 professionals across 30+ offices, Collabera offers comprehensive, cost-effective IT staffing & IT Services. We provide services to Fortune 500 and mid-size companies to meet their talent needs with high quality IT resources through Staff Augmentation, Global Talent Management, Value Added Services through CLASS (Competency Leveraged Advanced Staffing & Solutions) Permanent Placement Services and Vendor Management Programs.
Collabera recognizes true potential of human capital and provides people the right opportunities for growth and professional excellence. Collabera offers a full range of benefits to its employees including paid vacations, holidays, personal days, Medical, Dental and Vision insurance, 401K retirement savings plan, Life Insurance, Disability Insurance.
Job Description
• Analyze/monitor client A/R account balances for past due
• Make client contacts as per collections strategy (e.g. comfort calls, e-mails, follow-ups)
• Utilize collections tools and workflow to manage contacts
• Escalate collection issues to field finance managers and business as needed
• Successfully handle most non-routine issues, and escalate to management issues that cannot be resolved
• Ensure all work is performed in accordance with targets
• Plan and organize work so that Service Level Agreement objectives are realized
• Contribute ideas and actions towards the continuous improvement of processes within area of influence
• Understand and apply Towers Watson's Billing processes, policies, procedures and internal control standards
People
Qualifications
Qualifications:
• 2+ years' experience in business -to- business collections
• Fluency in French and English languages
• Oracle (or other ERP platform) Accounts Receivable; Oracle Advanced Collections (or other Collections tool)
• Experience in a shared services/internal service delivery role desirable
• Professional Services (e.g. consulting, auditing, project-based) industry experience
• Skilled in customer service interactions
• Understanding of accounting processes
• Being adaptable to learn new processes, concepts, and skills
• Good data entry skills
• Ability to pay attention to detail
• Ability to resolve exceptions and disputes
• Ability to work well under pressure and meet deadlines
Additional Information
To know more about the position, please contact:
Sagar Rathore
******************************
************
Easy ApplyMedical Billing Specialist
Billing specialist job in Broomall, PA
Salary: $23-$25 PER HOUR
Medical Billing and Payment Posting Specialist
About Us: At Abundant Life Family Services, we are dedicated to making a difference in the lives of children and families through our Early Intervention and ABA Therapy programs. We believe that every child deserves the opportunity to reach their full potential, and we're committed to providing the highest quality of care.
Job Description:We are seeking a skilled and experienced ABA Billing Professional to join our team. In this role, you will be responsible for handling healthcare billing for our ABA Therapy programs and contributing to overall Revenue Cycle Management. The successful candidate will have a minimum of two years of medical billing experience and will be proficient in dealing with private insurance and Medicaid billing.
Key Responsibilities:
Prepare and submit claims to various insurance providers, including private insurance and Medicaid.
Accurately post payments and adjustments to accounts.
Verify and reconcile all insurance payments with remittance advice.
Identify and resolve any discrepancies or issues with payments.
Collaborate with billing team to resolve any billing or coding errors.
Communicate payment and denial trends to Manager.
Contribute to and strengthen the organizations Revenue Cycle Management by ensuring accuracy, compliance, and efficiency across all ABA billing processes.
Verify patient insurance information and eligibility.
Review and appeal denied claims as needed.
Ensure accurate and timely billing of services.
Maintain up-to-date knowledge of insurance regulations and billing requirements.
Partner with clinical staff and leadership to align billing practices with ABA therapy procedures and appointment structures.
Monitor and report on revenue cycle performance metrics, identifying opportunities to reduce denials and increase collections.
Embrace innovation and be open to leveraging AI and other technology solutions to improve coding accuracy, streamline workflows, and enhance revenue cycle performance over time.
Collaborate with our dedicated team to ensure seamless billing processes.
Perform other duties as assigned by Manager or Director.
Minimum Qualifications:
Education: Bachelors degree required (Healthcare Administration, Business, or related field preferred).
Experience: Minimum of two years of ABA/behavioral health medical billing experience, with demonstrated knowledge of CPT, ICD-10, and HCPCS coding for ABA therapy services.
Insurance Knowledge: Proven proficiency with both private insurance and Medicaid billing, including eligibility verification, authorizations, claims submission, and appeals.
Regulatory Compliance: Strong understanding of payer compliance, HIPAA, and state/federal billing regulations related to behavioral health and ABA services.
Revenue Cycle Management: Hands-on experience contributing to the full revenue cycle from patient intake and coding through payment posting, denial management, and reporting.
Technical Proficiency: Comfortable working with billing software, clearinghouses, and electronic health record (EHR) systems; ability to adapt to new technologies and AI-driven solutions.
Analytical Skills: Ability to track, analyze, and report on denial trends, payment accuracy, and revenue cycle KPIs.
Soft Skills: Excellent attention to detail, organizational skills, and problem-solving abilities; strong written and verbal communication skills to work effectively with providers, payers, and internal staff.
Cultural Alignment: Mission-driven, values-centered professional who can represent Abundant Life Family Services commitment to children, families, and quality care.
Work Environment:
This position is in-office, supporting internal billing and intake operations.
Standard business hours, Monday through Friday.
Occasional flexibility required based on organizational needs.
Compensation: $23-$25/hr based on experience
Billing Specialist
Billing specialist job in Wilmington, DE
ESSENTIAL DUTIES & RESPONSIBILITIES:
Input all charges related to the assigned physician's professional services into the practice management system including office and hospital charges in accordance with practice protocol with an emphasis on accuracy to ensure timely reimbursement and maximum patient satisfaction. All charge batches should balance in both number of procedures and total dollar prior to posting.
Post all payments, by line-item, received for physician's professional services into the practice management system including co-payments, insurance payments, and patient payments in accordance with practice protocol with an emphasis on accuracy to ensure maximum patient satisfaction and profitability. All payment batches must be balanced in both their dollar value of payments and adjustments prior to posting.
Post all credit and debit adjustments to patient accounts with strict adherence to the guidelines in the Procedure Manual.
File all charge, payment and adjustment batches in the appropriate format by batch date for quick reference.
Review the physician's coding at charge entry to ensure compliance with Medicare guidelines and to ensure accurate and timely reimbursement.
Provide customer service both on the telephone and in the office for all patients and authorized representatives regarding patient accounts in accordance with practice protocol. Patient calls regarding accounts receivable should be returned within 2 business days to ensure maximum patient satisfaction.
Verify all demographic and insurance information in patient registration of the practice management system at the time of charge entry to ensure accuracy, provide feedback to other front office staff members and to ensure timely reimbursement.
Follow-up on all outstanding insurance claims at 30,45,60 days from the date of service in accordance with practice protocol with an emphasis on maximizing patient satisfaction and practice profitability.
Follow-up on all outstanding patient account balances at 35,60,90,120 days from the date of service in accordance with practice protocol with an emphasis on maximizing patient satisfaction and practice profitability using the A/R aged reports.
Provide information pertaining to billing, coding, managed care networks, insurance carriers and reimbursement to physicians and managers.
Follow-up on all returned claims, correspondence, denials, account reconciliations and rebills within five working days of receipt to achieve maximum reimbursement in a timely manner with an emphasis on patient satisfaction.
Submit primary and secondary insurance claims electronically each day and on HCFA semi-weekly to ensure timely reimbursement.
Attendance at relevant seminars to remain abreast of current issues regarding obstetric and/or gynecology accounts receivable, Medicare Compliance and HIPAA.
Recommend accounts for outside collection when internal collection efforts fail in accordance with practice protocol.
Process refunds to insurance companies and patients in accordance with practice protocol.
Reconcile the incoming lockbox deposits in accordance with practice protocol as required to ensure timely payment posting.
Monitor reimbursement from managed care networks and insurance carriers to ensure reimbursement consistent with contract rates.
Proficiency with all facets of the medical practice management system including patient registration, charge entry, insurance processing, advanced collections, reports and ledger inquiry.
Maintain information regarding coding, insurance carriers, managed care networks and credentialing in an organized easy to reference format.
Maintain an organized, efficient and professional work environment.
Adhere to all practice policies related to OSHA, HIPAA and Medicare Compliance.
Other duties as assigned.
Job Type: Full-time
Benefits:
401(k)
401(k) matching
Dental insurance
Disability insurance
Health insurance
Life insurance
Paid time off
Vision insurance
Schedule:
8 hour shift
Monday to Friday
Education:
High school or equivalent (Preferred)
Experience:
Medical collection: 2 years (Preferred)
Medical billing: 2 years (Required)
Work Location: In person
E-Billing Specialist
Billing specialist job in Philadelphia, PA
Job Description
Responsibilities:
Assist the E-Billing Manager and E-Billing team with all electronic on-boarding needs to include, client matter setup and mapping, timekeeper entry and mapping, diversity submission as required, and rate updates/maintenance in the various e-billing platforms utilized by the firm clients
Transmit electronic billing via Ebilling Hub and various e-billing sites
Responsible for recording and maintaining accurate phase, task, and billing codes
Assist with bill preparation for more sophisticated e-bills and/or on-demand requirements as available (both manual & electronic)
Maintaining and adding timekeepers to restricted lists in Time Entry software
Send weekly reports to the Billing Team for un-submitted invoices and rejected invoices.
Prepare invoices for usage of various e-billing sites
Coordinate special client billing requests with E-Billing Manager
Coordinate approval and implementation of special rate arrangements in collaboration with the Pricing and Project Management team and the Billing Compliance team
Requirements
3+ years experience working in a professional services environment, law firm billing experience preferred.
Experience with financial/billing software packages and Finance/Accounting organizational operations. Elite billing system experience preferred.
Experience with electronic billing transmission on a variety of e-billing platforms, eBillingHub experience preferred.
Ability to adhere and apply billing department policies and procedures.
Proficiency in MS Office; strong knowledge of Excel required.
Family Enrollment & Billing Specialist
Billing specialist job in Philadelphia, PA
Job DescriptionBenefits:
Competitive salary
Opportunity for advancement
Training & development
The Family Enrollment & Billing Specialist oversees all parent onboarding, Brightwheel account setup, billing profiles, tuition invoicing, and payment tracking for hundreds of families across multiple Robots & Mentors program sites. This role ensures smooth communication with parents, accurate billing, and real-time revenue reporting.
The Specialist is the front-line support for families and plays a critical role in financial operations, CCIS subsidy alignment, and keeping all accounts current.
Key Responsibilities
Family Onboarding
Manage all new family intake steps from acceptance to full enrollment.
Create and activate Brightwheel family accounts.
Guide parents through app setup, student profiles, and attendance procedures.
Ensure all required forms are collected (emergency contacts, health records, etc.).
Billing & Tuition Management
Set up billing profiles for all new families in Brightwheel.
Generate weekly/monthly invoices based on program schedules.
Track, record, and reconcile payments for 200300 families.
Manage auto-pay enrollment, declined payments, and failed transactions.
Handle payment plans, credits, adjustments, and refunds.
Process and track CCIS subsidy attendance and reimbursement reporting.
Parent Communication
Respond to parent billing questions with speed and professionalism.
Send reminders for overdue accounts.
Provide onboarding support for families unfamiliar with digital billing tools.
Maintain high-quality customer service and quick response times.
Revenue Reporting
Maintain a master payment tracker for all families.
Provide weekly revenue reports to leadership on:
Total collected
Outstanding balances
Subsidy reimbursement status
Expiring subsidy paperwork
Collection concerns
Identify trends, risks, and families needing follow-up.
Systems & Documentation
Maintain clean, accurate digital records for all billing and enrollment interactions.
Update SOPs for billing, onboarding, and communication workflows.
Maintain the Brightwheel billing system with 100% accuracy.
Qualifications
13 years of experience in enrollment, billing, family-services administration, or school operations.
High School or Equivalent required
Strong technical skills with billing platforms (Brightwheel, Procare, or similar).
Excellent communication and customer service skills.
Extremely organized, able to manage large volumes of families/data.
Experience with childcare subsidy systems (CCIS/ELRC) is a plus.
Billing Clerk (Educational Services)
Billing specialist job in Fort Washington, PA
The Billing Clerk supports the financial operations of our educational services organization by ensuring accurate, timely, and compliant billing practices. This role is responsible for preparing, reviewing, and processing invoices related to educational programs and services, maintaining financial records, and collaborating with internal teams to resolve billing inquiries. The ideal candidate has strong attention to detail, an understanding of accounting principles, and experience working within an education-focused environment.
Essential Duties and Responsibilities
Prepare, generate, and process accurate invoices for educational services in compliance with contractual and funding requirements
Review service logs, and supporting documentation to ensure correct billing and payment terms
Review contracts and maintain up to date records on current bill rates
Enter, update, and maintain billing data in financial systems, ensuring accuracy and completeness
Utilize NetSuite and QuickBooks to manage billing, accounts receivable, and related financial reports
Monitor accounts receivable and follow up on outstanding balances as needed
Reconcile billing discrepancies and collaborate with internal departments to resolve issues promptly
Maintain organized and audit-ready billing records in accordance with organizational policies and applicable regulations
Support monthly close activities and assist with internal and external audits
Respond professionally and timely to billing inquiries from internal teams and external partners
Adhere to confidentiality and data security standards, particularly in an educational environment
Required Qualifications
Minimum of two (2) years of billing, accounting, or accounts receivable experience
Experience working in an educational, public sector, or service-based organization
Strong knowledge of billing processes and basic accounting principles
Proficiency in financial systems and accounting software
Preferred Qualifications
Hands-on experience with NetSuite and QuickBooks
Experience billing educational services, grants, or publicly funded programs
Familiarity with contract-based or service-driven billing models
Skills and Competencies
Exceptional attention to detail and accuracy
Strong organizational and time-management skills
Ability to handle multiple deadlines in a fast-paced environment
Clear written and verbal communication skills
Ability to work independently and collaboratively as part of a team
Education
Associate's degree in Accounting, Finance, Business Administration, or a related field preferred (or equivalent professional experience)
Medical Billing Specialist
Billing specialist job in Camden, NJ
Job DescriptionDescription:
Exporting, importing, and submitting claims from one system to another system
Medical billing collections and follow up
Resolving insurance denials and underpayments
Review medical claims
Identify and resolve outstanding issues preventing claim resolution
Documentation and data entry
Verification of health insurance benefits
Other duties assigned
Requirements:
Minimum 6 months of medical billing experience
Working knowledge of Medicaid
Working knowledge of an EMR system - Navinet / EPIC experience is a plus!
Understanding of EOB and insurances
Understanding of CPT, ICD-10, and UB-04 claim forms
Excellent interpersonal skills both written and verbal
Working knowledge of Microsoft applications: Outlook, Word, and Excel
Detail oriented, strong problem solving, and research skills
Ability to meet productivity goals (70 plus claims)
Billing Specialist
Billing specialist job in West Chester, PA
FourStone Partners is an innovative consulting firm specializing in business development, sales outsourcing, and operational support services within the Workers' Compensation industry.
We are currently seeing a Billing Specialist to join our growing team! The Billing Specialist will be responsible for ensuring client bills are generated correctly, processed efficiently and paid timely.
Essential Functions:
Based on referral, works with physician or medical record staff to ensure that correct diagnosis/procedures are reported in order to bill third party insurance carriers, TPAs, and other payors.
Prepares and submits physician claims to third-party insurance carriers either electronically or by hard copy billing.
Secures needed medical documentation required or requested by third party insurances.
Resolution of customer deductions, including investigation and follow up.
Applying payments to customers accounts accurately.
Researching and resolving payment discrepancies.
Generating credits to accounts and miscellaneous billings.
Assistance with collections for past due balances on accounts.
Assist claimants, providers and clients with problems or questions regarding claims.
Completes work within authorized time to assure compliance with departmental standards.
Keeps updated on all third-party billing requirements and changes for insurance types within the area of responsibility
Ideal Candidate Skills:
Strong organizational, communication and analytical skills
Excellent attention to detail and research skills
Multi-tasking/time management
Problem solving/analysis
Strong computer literacy
FourStone Partners recognizes that our greatest assets are our employees. We strive to create a mutually rewarding work environment to ensure employee engagement, recognition, and professional development. Our total rewards package includes a competitive salary, excellent benefits, traditional and Roth 401(k), educational assistance, life insurance, and ongoing rewards and recognition. These programs aim to protect your health, your finances, and ultimately your peace of mind. Come join the Team!
Billing Clerk
Billing specialist job in Warminster, PA
About Us
Excelsia Injury Care provides management services to a network of healthcare companies, supporting them in delivering comprehensive rehabilitation, diagnostic, surgical, and pain management services for individuals affected by post-traumatic neuro-musculoskeletal injuries. With 95 locations across Idaho, Illinois, Maryland, Missouri, Nevada, New Jersey, Pennsylvania, Utah, and Virginia, we ensure accessible, high-quality care tailored to each patient's unique needs. Our providers are leaders in personal injury and workers' compensation care, with a proven track record of helping patients recover and reach their maximum recovery potential.
Our mission is to restore quality of life through patient-centric care, supporting those injured in motor vehicle or work-related accidents. We take an interdisciplinary approach, ensuring patients receive coordinated care from evaluation through treatment, with the goal of achieving optimal recovery outcomes.
Founded on the values of respect and trustworthiness, we are committed to delivering services that adhere to the highest legal, regulatory, and ethical standards. As responsible corporate citizens, we integrate environmental, social, and governance (ESG) considerations into our business practices, ensuring that we positively impact the healthcare companies we serve, our employees, and the communities we reach.
Job Duties
*PLEASE NOTE: This position is IN PERSON M-F 8-4:30*
Assistance with prepping Physician, Medications, and DME Billing to include:
Verifying billing is received (and scanned) for each scheduled patient (per day and provider)
Verifying LIBC-9's are included (and creating/printing if any are missing), for all WC patients
Alphabetizing bills (per day and provider)
Printing dictations (per day and provider)
Requesting any missing dictations from provider
Renaming and printing Dr. Leiberman's EMGs/Procedures
Matching bills with all supporting docs once charges are entered and bills printed (per day and provider)
Mailing/faxing of bills, and scanning completed faxed bills
Assistance with Rehab Billing
Assist with printing Rehab bills and exporting/printing corresponding notes
Assistance with mailing/faxing of all Rehab bills, and scanning completed faxed bills
A/R-Collections Assistance
Updating green sheets
Downloading WCAIS correspondence (WC)
Assisting with Reconsiderations for partially paid bills
Assisting with Rebilling accounts
Assisting with billing exhausted MVA accounts to personal health insurance
Assist with billing out “Insurance Pending” accounts
Assist with following-up on medical cases
Back-up support for UR records requests (WC)
Back-up payment posting support (ie personal health insurance EFTs, medical records payments, month end help as needed)
Reviewing denials for exhausted MVA's and any other pertinent correspondence to be brought to collectors' attention for review/follow-up
Intake/Medical Records Assistance
Monitor incoming records request, and distribute to appropriate office
Scanning and saving all Glenolden records requests, and sending records to requesting party via mail, fax, or email
Invoicing of all Glenolden records requests
Review and distribute incoming faxes to appropriate staff
Back-up support for deposition scheduling
Assist with deposition records preparations
Creating new MVA/WC/PI charts for new patients
Minimum Requirements
High school diploma or GED equivalent
Additional Skills/Competencies
Ability to maintain a strong confidentiality profile
Ability to form interpersonal relationships (i.e. establish rapport with others)
Ability to manage time effectively by setting priorities
Physical/Mental Requirements
Sitting, standing, walking, reaching above shoulder length, working with body bent over at waist, working in kneeling position, climbing stairs, climbing ladders, working with arms extended at shoulder length, lifting max. of 20 lbs.
Why work for Excelsia Injury Care? We offer a competitive salary, a great and stable work environment as well as amazing benefit package! Offered Benefits include:
Medical, Dental and Vision plans through CareFirst with PPO And HSA options available the first of the month after your hire date.
Rich leave benefits including PTO that is accrued starting on your first day of work, 8 company-recognized paid holidays plus a floating holiday, and 5 days of sick leave each calendar year.
Employee Assistance Program, Earned Wage Access, and Employee Assistance Fund.
Discounts on shopping and travel perks through WorkingAdvantage.
401(k) retirement plan with employer match.
Paid training opportunities and Education Assistance Program.
Employee Referral Bonus Program
Diversity Statement
Excelsia Injury Care is an equal opportunity employer. We commit to a policy of nondiscrimination and equal opportunity for all employees and qualified applicants without regard to race, color, religion, creed, gender, pregnancy or related medical conditions, age, national origin or ancestry, physical or mental disability, genetic predisposition, marital, civil union or partnership status, sexual orientation, gender identity, or any other consideration protected by federal, state or local laws.
Collections Specialist
Billing specialist job in King of Prussia, PA
Job DescriptionDo you thrive in a fast paced environment? Do you have previous collections experience? If so, this is the position for you! Our client in the King of Prussia area is looking for an experienced B2B Collections Specialist to join their team. This position offers hybrid options, excellent training and a competitive pay rate!Job Details for the B2B Collections Specialist:
Pay Rate: $23-26/hour (pay rate based on experience)
Hours: Monday-Friday 8AM-5PM
Full-Time: Temp to Perm
Job Responsibilities for the B2B Collections Specialist:
Collecting on all past due balances for B2B accounts
Prioritizing follow-up actions and making informed decisions regarding payment plans, invoice credits, and bad debt designation
Expert analysis of accounts receivable, to proactively identify issues and appropriate actions to resolve or escalate to leadership
Working cross functionally with cash applications team, billing team, account managers, and order processing team to resolve customer issues
Using conflict resolution skills to diffuse difficult situations in a calm and professional manner
Job Requirements for the B2B Collections Specialist:
2-5 years of B2B collections experience required
Excellent customer service skills with the ability to negotiate and handle difficult customer situations
Result oriented mind set
Self-starter who understands the big picture and can thrive in a fact paced, constantly changing environment
PeopleShare is the leading Staffing Agency in the region and has temporary to hire and permanent jobs in Pennsylvania (PA) - King of Prussia, Center City Philadelphia, West Chester, Norristown, Conshohocken, Horsham, Lansdale, Montgomeryville, Hatboro, Wayne, Malvern, Media, Plymouth Meeting, Exton, Collegeville, Oaks, Phoenixville, Royersford, Pottstown, Media, Chester, and the Main Line. We have openings for receptionist, B2B Collections Specialist, data entry, customer service, B2B collections specialist, call center, administrative assistant, accounts payable clerk, accounts receivable clerk, file clerk, program manager, account manager, client account representative, warehouse, assembly, production, forklift, machine operators, maintenance mechanics and office managers.PeopleShare provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, PeopleShare complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
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Collection Specialist
Billing specialist job in Exton, PA
Mindlance is a national recruiting company which partners with many of the leading employers across the country. Feel free to check us out at ************************* Its a simple route driver job and company will be providing the car.
Job description:
M-F 8:30am -5:00pm
Business Casual dress code
This position will report to the Collections Manager and will coordinate and support the execution of the Accounts Receivable Collection process for the United States Animal Health customer portfolio.
Key Responsibilities:
Support supervisor on day-to-day activities and deliverables of the US Collections Portfolio
Responsible for Collections for the United States which include:
• Daily engagement with Key Account Customers
• Manage and execute Dunning Process
• Follow up on disputes, deductions, late payments, issues which delay payment of invoice etc.
• Liaise with Customer Service group to enhance Customer experience by resolving timely
open queries
• Coordinate and support the preparation of periodic and ad-hoc reports for areas related to the assigned B2B Customer Collection portfolio as requested by management
• Proactively identify issues and risks within the applicable areas and support their timely
resolution by escalating issues to the Collections Lead as required
• Liaise with the Credit Risk team daily on customer issues relating to order holds, delinquency financial concerns
• Assist Collections Lead and Global Director to identify and implement process improvement initiatives and best practices
• Leverage related systems and follow procedures to ensure robust compliance environment with SOX, internal controls, accounting policies and procedures.
Experience:
•2-5 years of experience working in Accounts Receivable B2B Collections experience
•Basic computer skills (e.g. Microsoft Word, Excel and Access)
•ERP systems (Oracle, SAP, Polaris) preferred
•Previous experience working in large multinational firm or Animal Health/Pharmaceutical
industry or Medical Device (preferred, not required)
Key Attributes of this role:
•Capable of working independently and applying analytical skills in the collection processes
•Experience in handling high volume account portfolios and balancing multiple priorities
•Ability to work in culturally diverse teams
•Customer focused with excellent interpersonal and communication skills
Education:
Undergraduate degree in Finance /Accounting preferred
Qualifications
Experience:
•2-5 years of experience working in Accounts Receivable B2B Collections experience
•Basic computer skills (e.g. Microsoft Word, Excel and Access)
•ERP systems (Oracle, SAP, Polaris) preferred
•Previous experience working in large multinational firm or Animal Health/Pharmaceutical
industry or Medical Device (preferred, not required)
Education:
Undergraduate degree in Finance /Accounting preferred
Additional Information
All your information will be kept confidential according to EEO guidelines.
: Collections Specialist/Accounts Receivable
Billing specialist job in Philadelphia, PA
Artech is the 10th Largest IT Staffing Company in the US, according to Staffing Industry Analysts' 2012 annual report. Artech provides te chnical expertise to fill gaps in clients' immediate skill-sets availability, deliver emerging technology skill-sets, refresh existing skill base, allow for flexibility in project planning and execution phases, and provide budgeting/financial flexibility by offering contingent labor as a variable cost.
Job Description
Job Title: Collections Specialist/Accounts Receivable
Location: Philadelphia PA
Duration: 12 months
Key Accountabilities/Responsibilities:
• Collection and accounts receivable management for AR trade customers
• Ensure the complete and timely collection of accounts receivable
• Analyze aged trial balance of accounts receivable
• Communicate with customers and negotiate repayment terms
• Respond to customer inquiries on a timely basis
• Reconciliation of accounts receivable
• Prepare special reports as required
• Prepare and recommend credit files
• Monthly reporting and journal entries
• JD Edwards and other system support for the Credit Department
• Credit department processes support and improvement
Knowledge/Skills Required
• Outstanding customer service
• Outstanding communication and negotiation skills
• Excellent analytical skills
• Team Player
• Ability manage time effectively and efficiently
• Ability to handle multiple assignments and high stress situations with professionalism
• Credit and accounts receivable experience preferred
• Excellent knowledge of Microsoft Windows, Word, Excel and JD Edwards
• College degree or equivalent experience is required and University degree is an asset
• Accounting knowledge (university course or equivalent)
Qualifications
Collections EXP require
Additional Information
Thanks
Shubham
If you are interested, Please call me at ************ or email me shubham DOTsATartechinfoDOTcom
Billing Coordinator
Billing specialist job in Philadelphia, PA
SourcePro Search has a fantastic opportunity for a Billing Coordinator with a top ranked large law firm in the Philadelphia office. The ideal candidate has an Associate's Degree (Bachelor's preferred) and 3-5 years of Legal Billing experience (large firm preferred).
Extensive experience with Elite Enterprise, Aderant, eBilling Hub, and eBilling vendor application is required. Must have electronic billing experience.
This role offers a highly competitive salary and excellent benefits package.
****************************
Billing Specalist
Billing specialist job in Wilmington, DE
Job description
ESSENTIAL DUTIES & RESPONSIBILITIES:
Input all charges related to the assigned physician's professional services into the practice management system including office and hospital charges in accordance with practice protocol with an emphasis on accuracy to ensure timely reimbursement and maximum patient satisfaction. All charge batches should balance in both number of procedures and total dollar prior to posting.
Post all payments, by line-item, received for physician's professional services into the practice management system including co-payments, insurance payments, and patient payments in accordance with practice protocol with an emphasis on accuracy to ensure maximum patient satisfaction and profitability. All payment batches must be balanced in both their dollar value of payments and adjustments prior to posting.
Post all credit and debit adjustments to patient accounts with strict adherence to the guidelines in the Procedure Manual.
File all charge, payment and adjustment batches in the appropriate format by batch date for quick reference.
Review the physician's coding at charge entry to ensure compliance with Medicare guidelines and to ensure accurate and timely reimbursement.
Provide customer service both on the telephone and in the office for all patients and authorized representatives regarding patient accounts in accordance with practice protocol. Patient calls regarding accounts receivable should be returned within 2 business days to ensure maximum patient satisfaction.
Verify all demographic and insurance information in patient registration of the practice management system at the time of charge entry to ensure accuracy, provide feedback to other front office staff members and to ensure timely reimbursement.
Follow-up on all outstanding insurance claims at 30,45,60 days from the date of service in accordance with practice protocol with an emphasis on maximizing patient satisfaction and practice profitability.
Follow-up on all outstanding patient account balances at 35,60,90,120 days from the date of service in accordance with practice protocol with an emphasis on maximizing patient satisfaction and practice profitability using the A/R aged reports.
Provide information pertaining to billing, coding, managed care networks, insurance carriers and reimbursement to physicians and managers.
Follow-up on all returned claims, correspondence, denials, account reconciliations and rebills within five working days of receipt to achieve maximum reimbursement in a timely manner with an emphasis on patient satisfaction.
Submit primary and secondary insurance claims electronically each day and on HCFA semi-weekly to ensure timely reimbursement.
Attendance at relevant seminars to remain abreast of current issues regarding obstetric and/or gynecology accounts receivable, Medicare Compliance and HIPAA.
Recommend accounts for outside collection when internal collection efforts fail in accordance with practice protocol.
Process refunds to insurance companies and patients in accordance with practice protocol.
Reconcile the incoming lockbox deposits in accordance with practice protocol as required to ensure timely payment posting.
Monitor reimbursement from managed care networks and insurance carriers to ensure reimbursement consistent with contract rates.
Proficiency with all facets of the medical practice management system including patient registration, charge entry, insurance processing, advanced collections, reports and ledger inquiry.
Maintain information regarding coding, insurance carriers, managed care networks and credentialing in an organized easy to reference format.
Maintain an organized, efficient and professional work environment.
Adhere to all practice policies related to OSHA, HIPAA and Medicare Compliance.
Other duties as assigned.
Job Type: Full-time
Benefits:
401(k)
401(k) matching
Dental insurance
Disability insurance
Health insurance
Life insurance
Paid time off
Vision insurance
Schedule:
8 hour shift
Monday to Friday
Education:
High school or equivalent (Preferred)
Experience:
Medical collection: 2 years (Preferred)
Medical billing: 2 years (Required)
Work Location: In person
Collections Specialist
Billing specialist job in Exton, PA
Job Details: This position will report to the Collections Manager and will coordinate and support the execution of the Accounts Receivable Collection process for the United States Animal Health customer portfolio. Qualifications (Training, Education & Prior Experience): Education
Undergraduate degree in Finance /Accounting preferred
Experience:
2-5 years experience working in Accounts Receivable Collections experience
Basic computer skills (e.g. Microsoft Word, Excel and Access) and hands on experience with ERP systems (Oracle, SAP, Polaris)
Previous experience working in large multinational firm or Animal Health/Pharmaceutical industry (preferred, not required)
Key attributes of this role include:
Knowledge, insight, and experience in financial accounting
Capable of working independently and applying analytical skills in the collection processes
Experience in handling high volume account portfolios and balancing multiple priorities
Ability to work in culturally diverse teams
Customer focused with strong interpersonal and communication skills
Ability to leverage and build on ERP skills to ensure operational excellence and service
quality.
Key Responsibilities:
Support supervisor on day-to-day activities and deliverables of the US Collections Portfolio
Responsible for Collections for the United States which include:
• Daily engagement with key Account Customers
• Manage and execute Dunning Process
• Follow up on disputes, deductions, late payments, issues which delay payment of invoice etc.
• Liaise with Customer Service group to enhance Customer experience by resolving timely open queries
• Coordinate and support the preparation of periodic and ad-hoc reports for areas related to the assigned Customer Collection portfolio as requested by management
• Proactively identify issues and risks within the applicable areas and support their timely resolution by escalating issues to the Collections Lead as required
• Liaise with the Credit Risk team daily on customer issues relating to order holds, delinquency financial concerns
• Assist Collections Lead and Global Director to identify and implement process improvement initiatives and best practices
• Leverage related systems and follow procedures to ensure robust compliance environment with SOX, internal controls, accounting policies and procedures.
Other Skills:
Strong written and oral communication skills
Proficiency in English and applicable local language(s)
Qualifications
Qualifications (Training, Education & Prior Experience): Education
Undergraduate degree in Finance /Accounting preferred
Experience:
2-5 years experience working in Accounts Receivable Collections experience
Basic computer skills (e.g. Microsoft Word, Excel and Access) and hands on experience with ERP systems (Oracle, SAP, Polaris)
Previous experience working in large multinational firm or Animal Health/Pharmaceutical industry (preferred, not required)