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Billing specialist jobs in Scranton, PA

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Billing Specialist
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Patient Advocate
  • 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
  • Guidewire Policy Center/Billing Center

    Sonsoft 3.7company rating

    Billing specialist job in Clarks Summit, PA

    Sonsoft , Inc. is a USA based corporation duly organized under the laws of the Commonwealth of Georgia. Sonsoft Inc. is growing at a steady pace specializing in the fields of Software Development, Software Consultancy and Information Technology Enabled Services. Job Description At least 7 years of experience in Guidewire product configuration/integration, solutions evaluation, validation, and deployment. At least 6 years of experience in problem definition, Architecture, Design and Implementation in a client facing role for US based Insurers. Analytical and Communication skills. Project, talent management and thought leadership. Experience and desire to work in a consulting environment that requires regular travel. At least 7 years of IT experience in Insurance Domain with Guidewire expertise. Perform as a technical subject matter expert for Guidewire product. Analytical and Communication skills. Experience with project management. Experience and desire to work in a management consulting environment that requires regular travel. Qualifications Bachelor's degree or foreign equivalent required from an accredited institution. Will also consider three years of progressive experience in the specialty in lieu of every year of education Additional Information Connect with me @ ******************** WaseemRaheelAhmed for direct clients requirements ** U.S. Citizens and those who are authorized to work independently in the United States are encouraged to apply. We are unable to sponsor at this time Note:- 1.This is a Full-Time & Permanent job opportunity for you 2.Only US Citizen, Green Card Holder, GC-EAD, H4-EAD & L2-EAD can apply 3. No OPT-EAD, H1B & TN candidates please 4.Please mention your Visa Status in your email or resume
    $33k-42k yearly est. 1d 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 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
    $31k-36k yearly est. 60d+ ago
  • Billing Coordinator II

    Child Guidance Resource 4.3company rating

    Billing specialist job in Shavertown, PA

    The Billing Coordinator II assists the Revenue Cycle Manager with claims resolution, denial management, as well as processing private and public insurance authorization and benefits. Primary functions include research and resubmission of rejected claims, maintenance of excel worksheets related to cash receipts, performing liaison services with payers and various other billing responsibilities. Some responsibilities include: Compilation and timely submission of claims to Commercial Insurance plans, including pre-billing report review. Verification of acceptance of Electronic Data Interchange (EDI) transactions to commercial insurance payers, where applicable. Accurate and timely entry of Commercial Insurance payments and denials from weekly remittance advices. Completes Commercial Insurance denial research and resubmissions as needed. Monitoring and tracking Commercial Insurance batch A/R reports to determine and rectify reasons for outstanding claim balances. Transferring client liability balances to secondary payer, where applicable. Monitoring and tracking secondary payer batch A/R reports and collaborates with Managed Care Organization (MCO) Billing Coordinator II to determine and rectify reasons for outstanding claim balances. Communicates with programs regarding outstanding client liability balances and works to identify and resolve outstanding items. Provides support to Revenue Cycle Manager with all billing, reporting and program liaison responsibilities. Provides training and guidance to billing staff as lead team member. Who is CGRC? CGRC is a premier behavioral health provider that embraces our employees as partners in our organization's strategic plan. What can CGRC do for you? Do YOU want to be a Change Agent? If so, we want you to be a part of the Child Guidance partnership. Working here means being open to new experiences both as an individual and as part of a team. We offer the opportunity to develop your leadership competencies and career interests on a personal level. Join any of our organizational committees, task forces, or work groups. It is important to us that you enjoy a healthy work-life balance, and we will encourage you to have personal goals that focus on self-care. At CGRC, you can enjoy a relaxed working environment with flexible work schedules that allow for a healthy work-life balance. We encourage and support career development and there are always opportunities for you to learn and grow within the organization. We have a competitive compensation package and generous time off and benefits for eligible employees. You and your family can also enjoy discounts and offers through our Tickets at Work Program. CGRC is an eligible employer for the Public Service Loan Forgiveness Program. APPLY NOW TO JOIN OUR TEAM! Child Guidance Resource Centers is an Equal Opportunity Employer
    $31k-38k yearly est. Auto-Apply 6d ago
  • HVAC Account Representative

    Johnson Controls Holding Company, Inc. 4.4company rating

    Billing specialist job in Wilkes-Barre, PA

    Build your best future with the Johnson Controls team As a global leader in smart, healthy and sustainable buildings, our mission is to reimagine the performance of buildings to serve people, places and the planet. Join a winning team that enables you to build your best future! Our teams are uniquely positioned to support a multitude of industries across the globe. You will have the opportunity to develop yourself through meaningful work projects and learning opportunities. We strive to provide our employees with an experience, focused on supporting their physical, financial, and emotional wellbeing. Become a member of the Johnson Controls family and thrive in an empowering company culture where your voice and ideas will be heard - your next great opportunity is just a few clicks away! What we offer Competitive salary Paid vacation/holidays/sick time- 15 days of vacation first year Comprehensive benefits package including 401K, medical, dental, and vision care - Available day one Encouraging and collaborative team environment Dedication to safety through our Zero Harm policy Check us out!: **************************** What you will do Under specific direction is responsible for the sale of Johnson Controls service offerings to owners, primarily at the Director level. Promote the Johnson Controls value proposition to building owners by providing technical solutions and operational expertise. Builds and manages long term customer relationships/partnerships with target and managed accounts. Responsible for customer satisfaction. Positions renewable service agreements as the foundation of managed account relationships. Performs the sales process to cultivate and manage long-term relationships and seeking out, qualifying and closing new sales opportunities. Obtain and close sales on a monthly basis. Seeks to expand the depth and breadth of Johnson Controls offerings within an account. How you will do it With direction from the supervising manager, sells the Johnson Controls offerings persuasively, persistently and confidently to building owners at the D-level while reaching optimal profit levels. Focuses on improving the existing building to allow the building owner to achieve business objectives. Manages ongoing, opportunities particularly focusing on selling services and retrofits. Sells, renews and expands renewable service agreements, including multi-year agreements, to both new and existing customers. Builds partnering relationships with the owner or owner representatives responsible for the decision-making process to drive the sale of Johnson Controls service offerings. Actively listens, probes and identifies concerns. Understands the customer's business and speaks their language. What we look for Required Bachelor's degree in business, engineering, or Equivalent SALES Experience in HVAC or Building Automation Industry Required A minimum of six (6) years of progressive field sales experience. At least one year successfully selling HVAC or building automation system service or projects. Demonstrates a commitment to integrity and quality in business. Excellent initiative and interpersonal communications skills. Demonstrated ability to influence account decision makers at key levels. HIRING SALARY RANGE: $61,000-82,000 (Salary to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data.) This role also offers a competitive Sales Incentive Plan that will take into account volume and margin on a project, quarterly, and annual basis. This position includes a competitive benefits package. The posted salary range reflects the target compensation for this role. However, we recognize that exceptional candidates may bring unique skills and experiences that exceed the typical profile. If you believe your background warrants consideration beyond the stated range, we encourage you to apply. To support an efficient and fair hiring process, we may use technology assisted tools, including artificial intelligence (AI), to help identify and evaluate candidates. All hiring decisions are ultimately made by human reviewers. For details, please visit the About Us tab on the Johnson Controls Careers site at ****************************************** #LI-Onsite #LI-KP1 Johnson Controls International plc. is an equal employment opportunity and affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, protected veteran status, genetic information, sexual orientation, gender identity, status as a qualified individual with a disability or any other characteristic protected by law. To view more information about your equal opportunity and non-discrimination rights as a candidate, visit EEO is the Law. If you are an individual with a disability and you require an accommodation during the application process, please visit here.
    $61k-82k yearly Auto-Apply 4d ago
  • Registration Specialist

    Schuylkill 3.2company rating

    Billing specialist job in Lehighton, PA

    Imagine a career at one of the nation's most advanced health networks. Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work. LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day. Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network. Summary Coordinates all aspects of patient registration, insurance verification, and scheduling of patients accurately. Conducts patient interviews by phone and in-person for the purpose of establishing an account by gathering demographic, insurance, and clinical information to ensure appropriate patient scheduling and optimal financial clearance. Educates patients regarding financial responsibilities and collects out of pocket fees. Job Duties Interviews patients using open-ended questions to obtain pertinent demographic, insurance (referral/authorization), and other information. Engages patients throughout the registration process to create a welcoming and positive patient experience whether in person or via phone. Ensures referring providers' orders are complete and match the appointment scheduled. Obtains a new order prior to test/treatment if order is incomplete or inaccurate. Scans insurance cards, scripts, patient identification, and all pertinent documentation including regulatory forms accurately. Secures signatures to ensure timely reimbursement, which includes consents signed specific to service(s) being rendered. Determines and collects patient financial liability and creates estimates, if applicable. Refers patients to financial resources as needed for assistance with financial counseling. Reviews daily schedule and identifies potential scheduling conflicts affecting department flow and confers with colleagues and providers for a resolution. Maintains compliance with registration accuracy. Minimum Qualifications High School Diploma/GED 1 year Customer service or 1 year Healthcare environment such as a hospital and/or physician office Computer and typing proficiency. Must be able to interact with a diverse customer base, including those seeking emergency services or treatment due to an accident or illness. Must successfully pass the required training in two attempts or less. Preferred Qualifications Associate's Degree Health care or related field 2 years registration/insurance verification in a health care setting Knowledge of medical terminology. Bi-lingual - Spanish/English. Physical Demands Lift and carry 7 lbs., continuous sitting >67%, frequent keyboard use/repetitive motion, frequent fine motor activity/wrist position deviation. Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require. Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities. **************************** Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes. Work Shift: Day Shift Address: 2128 Blakeslee Boulevard Dr E Primary Location: Lehigh Valley Hospital- Carbon Position Type: Onsite Union: Not Applicable Work Schedule: Monday - Friday Variable Department: 1004-09388 Outpatient Registration Float - CC
    $37k-44k yearly est. Auto-Apply 14d ago
  • Account Representative - State Farm Agent Team Member

    Elizabeth Cavallin Rushefski-State Farm Agent

    Billing specialist job in Old Forge, PA

    Job DescriptionBenefits: Hiring bonus Bonus based on performance Competitive salary Flexible schedule Health insurance Opportunity for advancement Paid time off Training & development ROLE DESCRIPTION: As Account Representative - State Farm Agent Team Member for Elizabeth Cavallin Rushefski - State Farm Agent, you are vital to our daily business operations and customers success. You grow our agency through meaningful client relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services. Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team. RESPONSIBILITIES: Provide information about insurance products and services. Assist clients with policy applications and renewals. Handle client inquiries and provide timely responses. Maintain accurate records of client interactions. QUALIFICATIONS: Strong communication and interpersonal skills. Detail-oriented and able to multitask. Experience in customer service or sales preferred.
    $33k-52k yearly est. 7d ago
  • Account Representative - State Farm Agent Team Member

    Jennifer West-State Farm Agent

    Billing specialist job in Wilkes-Barre, PA

    Job DescriptionBenefits: Bonus based on performance Competitive salary Flexible schedule Health insurance Opportunity for advancement Paid time off Training & development ROLE DESCRIPTION: As Account Representative - State Farm Agent Team Member for Jennifer West - State Farm Agent, you are vital to our daily business operations and customers success. You grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services. Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team. RESPONSIBILITIES: Provide information about insurance products and services. Assist customers with policy applications and renewals. Handle customer inquiries and provide timely responses. Maintain accurate records of customer interactions. QUALIFICATIONS: Communication and interpersonal skills. Detail-oriented and able to multitask. Experience in customer service or sales preferred.
    $33k-52k yearly est. 21d ago
  • Account Representative - State Farm Agent Team Member

    Chuck McAveney-State Farm Agent

    Billing specialist job in Shavertown, PA

    Job DescriptionBenefits: License Reimbursement Salary Plus Commission/Bonus Health Stipend Retirement Stipend Bonus based on performance Competitive salary Opportunity for advancement Paid time off Training & development ROLE DESCRIPTION: As Account Representative - State Farm Agent Team Member for Chuck Mcaveney - State Farm Agent, you are vital to our daily business operations and customers success. You grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services. Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team. RESPONSIBILITIES: Provide information about insurance products and services. Assist customers with policy applications and renewals. Handle customer inquiries and provide timely responses. Maintain accurate records of customer interactions. QUALIFICATIONS: Communication and interpersonal skills. Detail-oriented and able to multitask. Experience in customer service or sales preferred.
    $33k-52k yearly est. 30d ago
  • Account Representative - State Farm Agent Team Member

    Sean Black-State Farm Agent

    Billing specialist job in Berwick, PA

    Job DescriptionBenefits: Simple IRA Licensing paid by agency Bonus based on performance Competitive salary Flexible schedule Health insurance Opportunity for advancement Paid time off Training & development ROLE DESCRIPTION: As Account Representative - State Farm Agent Team Member for Sean Black - State Farm Agent, you are vital to our daily business operations and customers success. You grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services. Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team. RESPONSIBILITIES: Provide information about insurance products and services. Assist customers with policy applications and renewals. Handle customer inquiries and provide timely responses. Maintain accurate records of customer interactions. QUALIFICATIONS: Communication and interpersonal skills. Detail-oriented and able to multitask. Experience in customer service or sales preferred.
    $32k-52k yearly est. 11d ago
  • Account Representative

    Adams Outdoor 3.6company rating

    Billing specialist job in Lake, PA

    Job Description . Adams Outdoor Advertising (AOA), the 4th largest and largest private Outdoor Advertising firm in the U.S., is seeking an experienced Account Representative responsible for selling outdoor advertising concepts to current and prospective clients within the market utilizing existing inventory while obtaining customer satisfaction, both internally and externally. The primary focus and responsibilities of the position is to manage activities associated with smaller accounts which generate $10,000 or less in revenue annually. The core objective is to grow these accounts, maintain good relationships and perform the functions of a typical Account Executive pertaining to activity on the accounts (i.e. contracts, PA's, renewals, etc.). The Account Representative will also be responsible for managing the majority of the call-ins and determining their potential revenue opportunity in conjunction with sales management. ESSENTIAL FUNCTIONS OF POSITION INCLUDE: Work with existing clients as well as new business on outdoor advertising campaigns through upselling, cold calling, and on-going discussions primarily through phone calls. Handle call-in inquiries and work with sales management to determine the potential revenue opportunity. Identifies advertising needs of clients based on features and benefits of the product. Creates and proposes advertising recommendations that best suit customer needs. Prepares accurate advertising contracts on behalf of Adams Outdoor Advertising. Submits all advertising contracts and schedules to the Sales Management for approval. Meets and/or exceeds stated annual revenue growth objectives. Manage all facets of client accounts ensuring long-term business relationships with AOA are secured. Facilitates face-to-face meetings with clients when required. Prepares various reports as required. Completes all sales-related paperwork as required. Adheres to collection procedures as prescribed by Adams Outdoor Advertising. Assists with special projects that may be assigned. Displays conduct and behavior which is positive and professional both in the internal and external environment. Must have and maintain a valid driver's license with a satisfactory driving record in order to operate a personal vehicle on company business. PREFERRED QUALIFICATIONS: Bachelor's degree in Sales and Marketing or equivalent experience Excellent written and oral communication skills Proficient with computer software and technology ADAMS OUTDOOR ADVERTISING: AOA, founded in 1983 by Steve Adams, is the 4th largest, and largest privately-held, Outdoor Advertising operator in the U.S.. AOA operates in the following 12 markets: Ann Arbor/Kalamazoo/Lansing (MI), Beaufort/Charleston/Florence (SC), Charlotte (NC), Eastern Pennsylvania (PA), Madison (WI), Norfolk (VA), Peoria and Champaign (IL). Searchlight Capital Partners, a leading global private investment firm, in partnership with British Columbia Investment Management Corporation, one of the largest asset managers in Canada, invested in AOA in 2021. The above statements are intended to describe the general nature and level of work being performed by the people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties, and skills required of the job. #LI-Onsite Powered by JazzHR w5cMmfRqzf
    $31k-43k yearly est. 29d 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. 28d ago
  • Account Representative - State Farm Agent Team Member

    Mike Peterson-State Farm Agent

    Billing specialist job in Pocono, PA

    Job DescriptionBenefits: Hiring bonus 401(k) Bonus based on performance Competitive salary Flexible schedule Health insurance Opportunity for advancement Paid time off Training & development ROLE DESCRIPTION: As Account Representative - State Farm Agent Team Member for Mike Peterson - State Farm Agent, you are vital to our daily business operations and customers success. You grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services. Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team. RESPONSIBILITIES: Provide information about insurance products and services. Assist customers with policy applications and renewals. Handle customer inquiries and provide timely responses. Maintain accurate records of customer interactions. QUALIFICATIONS: Communication and interpersonal skills. Detail-oriented and able to multitask. Experience in customer service or sales preferred.
    $33k-53k yearly est. 18d ago
  • Account Representative - State Farm Agent Team Member

    David Giarratano-State Farm Agent

    Billing specialist job in East Stroudsburg, PA

    Job DescriptionBenefits: Bonus based on performance Competitive salary Flexible schedule Opportunity for advancement Paid time off ROLE DESCRIPTION: As Account Representative - State Farm Agent Team Member for David Giarratano - State Farm Agent, you are vital to our daily business operations and customers success. You grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services. Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team. RESPONSIBILITIES: Provide information about insurance products and services. Assist customers with policy applications and renewals. Handle customer inquiries and provide timely responses. Maintain accurate records of customer interactions. QUALIFICATIONS: Communication and interpersonal skills. Detail-oriented and able to multitask. Experience in customer service or sales preferred.
    $33k-53k yearly est. 21d ago
  • Account Representative - State Farm Agent Team Member

    Kevin Kendall-State Farm Agent

    Billing specialist job in Albrightsville, PA

    Job DescriptionBenefits: 401(k) matching Opportunity for advancement Training & development ROLE DESCRIPTION: Kevin Kendall - State Farm Agent is searching for a competitive Producer who can recognize opportunities and strategically turn leads into long-lasting customer relationships. As our Account Representative - State Farm Agent Team Member, your knowledge of insurance products and industry trends equips you to communicate directly with clients, identify their needs, and market products or services that maximize value. You may also assist in developing strategies and establishing quotas for our agency. If you are energetic, goal-oriented, and sales-minded, we are excited to harness your talents in this rewarding opportunity to build your career. RESPONSIBILITIES: Develop leads, schedule appointments, identify customer needs, and market appropriate products and services. Work with the agent to establish and meet marketing goals. Maintain a strong work ethic with a total commitment to success each and every day. Work alongside your agencys team to ensure successful long-lasting customer relations. QUALIFICATIONS: Sales experience (outside sales or inside sales representative, retail sales associate, or telemarketing) preferred Successful track record of meeting sales goals/quotas preferred Ability to effectively relate to a customer Property & Casualty license BENEFITS: Salary plus commission/bonus Paid time off (vacation and personal/sick days) Health benefits Profit sharing Growth potential/Opportunity for advancement within my office Licensing reimbursement after 3 months Signing bonus for pre-licensed professionals
    $33k-52k yearly est. 1d ago
  • Physician Billing, Patient Account Representative

    Wayne Memorial Health System & Community Health Centers 4.4company rating

    Billing specialist job in Honesdale, PA

    Full-Time. Responsible for processing insurance claims, collecting payments from patients and resolving any problems that may occur during the payment process. Minimum Requirements Physician billing coding experience required. Requires the ability to communicate effectively via verbal and written skills. Good computation and organizational skills, able to understand an Insurance Explanation of Benefits. Detail oriented and understands basic problem solving skills. Related office experience and computer skills preferred via Microsoft Excel and Word products.
    $30k-36k yearly est. 41d ago
  • Branch Collection Specialist

    Onemain Financial 3.9company rating

    Billing specialist job in East Stroudsburg, PA

    Branch Collections Specialist At OneMain, the Branch Collections Specialist contacts customers to help them succeed in resolving their financial obligations by arranging for repayment or settlement of account balances. Branch Collections Specialists focus on our existing customers who have long-term relationships with OneMain. In the role Responsible for high volume collections activities to achieve delinquency goals for an assigned branch Work with customers in a consultative manner, negotiating (including renewing the loan) to resolve account matters Commitment to excellent customer service with the ability to prioritize and manage multiple responsibilities Ability to overcome objections and utilize strong negotiation skills to resolve customer delinquencies REQUIREMENTS: HS Diploma/GED Preferred: Collections or Customer Service experience Bilingual Location: On Site Who we Are A career with OneMain offers you the potential to earn an annual salary plus incentives. You can steer your career toward leadership roles such as Branch Manager and District Manager by taking advantage of a variety of robust training programs and opportunities to advance. Other team member benefits include: Health and wellbeing options including medical, prescription, dental, vision, hearing, accident, hospital indemnity, and life insurances Up to 4% matching 401(k) Employee Stock Purchase Plan (10% share discount) Tuition reimbursement Paid time off (15 days vacation per year, plus 2 personal days, prorated based on start date) Paid sick leave as determined by state or local ordinance, prorated based on start date Paid holidays (7 days per year, based on start date) Paid volunteer time (3 days per year, prorated based on start date) OneMain Financial (NYSE: OMF) is the leader in offering nonprime customers responsible access to credit and is dedicated to improving the financial well-being of hardworking Americans. Since 1912, we've looked beyond credit scores to help people get the money they need today and reach their goals for tomorrow. Our growing suite of personal loans, credit cards and other products help people borrow better and work toward a brighter future. In our more than 1,300 community branches and across the U.S., team members help millions of customers solve critical financial needs, including debt consolidation, home and auto repairs, medical procedures and extending household budgets. We meet customers where they want to be -- in person, by phone and online. At every level, we're committed to an inclusive culture, career development and impacting the communities where we live and work. Getting people to a better place has made us a better company for over a century. There's never been a better time to shine with OneMain. Key Word tags Collections, Delinquency, Sales, Retail, Loan Sales, Customer Service, Customer Care, Business Development, New Grad, Newly Graduated, Finance, Full-time, Career, Benefits, Customer Experience, Financial Representative, Credit
    $34k-47k yearly est. Auto-Apply 2d ago
  • Branch Collection Specialist

    Onemain (Formerly Springleaf & Onemain Financials

    Billing specialist job in East Stroudsburg, PA

    Branch Collections Specialist At OneMain, the Branch Collections Specialist contacts customers to help them succeed in resolving their financial obligations by arranging for repayment or settlement of account balances. Branch Collections Specialists focus on our existing customers who have long-term relationships with OneMain. In the role * Responsible for high volume collections activities to achieve delinquency goals for an assigned branch * Work with customers in a consultative manner, negotiating (including renewing the loan) to resolve account matters * Commitment to excellent customer service with the ability to prioritize and manage multiple responsibilities * Ability to overcome objections and utilize strong negotiation skills to resolve customer delinquencies REQUIREMENTS: * HS Diploma/GED Preferred: * Collections or Customer Service experience * Bilingual Location: On Site Who we Are A career with OneMain offers you the potential to earn an annual salary plus incentives. You can steer your career toward leadership roles such as Branch Manager and District Manager by taking advantage of a variety of robust training programs and opportunities to advance. Other team member benefits include: * Health and wellbeing options including medical, prescription, dental, vision, hearing, accident, hospital indemnity, and life insurances * Up to 4% matching 401(k) * Employee Stock Purchase Plan (10% share discount) * Tuition reimbursement * Paid time off (15 days vacation per year, plus 2 personal days, prorated based on start date) * Paid sick leave as determined by state or local ordinance, prorated based on start date * Paid holidays (7 days per year, based on start date) * Paid volunteer time (3 days per year, prorated based on start date) OneMain Financial (NYSE: OMF) is the leader in offering nonprime customers responsible access to credit and is dedicated to improving the financial well-being of hardworking Americans. Since 1912, we've looked beyond credit scores to help people get the money they need today and reach their goals for tomorrow. Our growing suite of personal loans, credit cards and other products help people borrow better and work toward a brighter future. In our more than 1,300 community branches and across the U.S., team members help millions of customers solve critical financial needs, including debt consolidation, home and auto repairs, medical procedures and extending household budgets. We meet customers where they want to be -- in person, by phone and online. At every level, we're committed to an inclusive culture, career development and impacting the communities where we live and work. Getting people to a better place has made us a better company for over a century. There's never been a better time to shine with OneMain. Key Word tags Collections, Delinquency, Sales, Retail, Loan Sales, Customer Service, Customer Care, Business Development, New Grad, Newly Graduated, Finance, Full-time, Career, Benefits, Customer Experience, Financial Representative, Credit OneMain Holdings, Inc. is an Equal Employment Opportunity (EEO) employer. Qualified applicants will receive consideration for employment without regard to age, ancestry, citizenship status, color, creed, culture, disability, ethnicity, gender, gender identity or expression, genetic information or history, marital status, military status, national origin, nationality, pregnancy, race, religion, sex, sexual orientation, socioeconomic status, transgender or on any other basis protected by law.
    $31k-46k yearly est. 9d ago
  • Guidewire Policy Center/Billing Center

    Sonsoft 3.7company rating

    Billing specialist job in Clarks Summit, PA

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

Learn more about billing specialist jobs

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

The average billing specialist in Scranton, 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 Scranton, PA

$36,000

What are the biggest employers of Billing Specialists in Scranton, PA?

The biggest employers of Billing Specialists in Scranton, PA are:
  1. The Wright Center for Graduate Medical Education
  2. Wright
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