Account Representative jobs at Penn Medicine Princeton Health

The Insurance Eligibility Coordinator is responsible for verifying patient insurance coverage, ensuring accurate benefit information, and supporting efficient revenue cycle operations. This role works closely with patients, insurance carriers, clinical staff, and billing teams to confirm eligibility, resolve coverage discrepancies, and help prevent claims denials. Essential Functions: Verify patient insurance eligibility and benefits using electronic systems, payer portals, and direct insurance carrier communication. Accurate document coverage details, copayments, deductibles, prior authorization requirements, and plan limitations. Prepare and submit claims in a timely and accurate manner. Obtain Authorizations as required. Identify and correct rejected claims for prompt resubmission Submit and follow up on authorization requests. Follow up on denied or unpaid claims and work to resolve discrepancies. Post payments and adjustments to patient accounts in a timely manner. Communicate with insurance companies and internal staff regarding billing inquiries or issues. Maintain up-to-date knowledge of payer rules, policy changes, and medical coverage guidelines. Protect patient privacy and maintain compliance with HIPAA and organizational standards. Support revenue cycle improvement initiatives related to eligibility and insurance workflows. Participate in team meetings and contribute to quality improvement initiatives. Adhere to practice policies, procedures, and protocols including confidentiality. Other tasks as assigned. Travel: 100% Remote Supervisory Responsibilities: N/A Qualities & Skills: Strong understanding of insurance plans, terminology, HMOs, PPOs, Medicare/Medicaid and commercial payer policies in NJ, NY, & PA. Excellent communication, customer service, and problem-solving skills. Proficiency with medical practice management software, EHR systems, and payer portals. Ability to multitask and work in a fast-paced environment. Strong Knowledge of Microsoft Office Suite. Comfortable working independently and collaboratively. Outstanding problem solver and analytical thinking skills. Attention to detail and ability to prioritize. Ability to maintain confidentiality. Experience in Behavioral health is preferred. Education & Experience: High School diploma or equivalent required. 1-2 years of experience in medical insurance verification, medical billing, or related roles Compensation details: 20-24 Hourly Wage PI4bd1ff***********2-39233634

Flex Time Dental Sales - Pharmaceutical Sales We are currently recruiting an experienced Dental or Pharmaceutical Sales person to fill a flex time (13 days/month) position. The ideal candidate will hold a Bachelor's degree from an accredited college or university in a Sales related field or be a licensed Dental Hygienist and have 2+ years of sales success in Dental or Pharmaceutical Sales. Our client has the #1 products in the dental market. They are a fortune 500 company that has great product for you to sample/sell and have wonderful marketing materials that we deploy via the iPad. Responsibilities of the Flex Time Dental Sales - Pharmaceutical Sales position Sell and detail products directly to dental professionals Dentists and Hygienists). Call on at least 8 dental offices each day and see the entire office. Deliver 12 or more face to face presentations/day to targeted dentists and hygienists. Conduct lunch and learn sessions with at least one office per day Conduct dental products presentations with a company iPad. Requirements of the Dental Sales - Pharmaceutical Sales position Job Requirements Bachelor's degree from an accredited college or university in Sales related field or Dental Hygiene 2+ years of sales success in Dental or Pharmaceutical Sales Ability to work on a flex time (13 days/month) basis Documented sales success Relationships with dentists in the local market. Compensation The starting annual salary for this position is $30,000.00 Annual performance bonus of $5000. Auto Allowance Company Paid Storage Area Company Paid Iphone and iPad Job Type: Part-time Seniority Level Entry level Industry Pharmaceuticals Employment Type Part-time Job Functions Business DevelopmentSales

Joining Redeemer Health means becoming part of an inclusive, supportive team where your professional growth is valued. Our strength comes from bringing different perspectives and talent to our workforce, spanning PA & NJ. We offer programs that set up new team members for long-term success including education assistance, scholarships, and career training. With medical and dental coverage, access to childcare & fitness facilities on campus, investment in your retirement, and community events, your career at Redeemer is more than a job. You'll discover a commitment to quality care in a safe environment and a foundation from which you can provide and receive personalized attention. We look forward to being a part of your professional journey. We invite you to apply today. SUMMARY OF JOB: The Coding Specialist assigns diagnostic and procedural codes consistent with ICD-10 and CPT-4 guidelines, UHDDS sequencing guidelines, CMS coding guidelines, Medicare and Medicaid regulations and the American Hospital Association coding guidelines and it's publication, Coding Clinic, and AMA's publication, CPT Assistant, for assigned hospital based professional service areas of HRPAS employed practitioners. Responsible for consistently meeting quality expectations for documentation review, coding, and meets Redeemer Health's expected productivity standards for the position. Performs assigned duties in accordance with health system specific coding policies and procedures. The Coding Specialist will assist the assigned HRPAS hospital based providers with instruction, feedback and documentation review in their particular specialty area. Responsible for remaining current with latest healthcare technology and coding advice through reading available coding literature, attendance of seminars and in-services, internet research and other educational resources. Collaborates with charge entry personnel to ensure proper entry of diagnostic and billing codes in accordance with guidelines and for assigned areas and for trouble shooting any system or payor rejections for coding and/or documentation purposes. Performs duties in support of Redeemer Health mission to ensure the highest quality of patient care in an economically sound and efficient manner. CONNECTING TO MISSION: All individuals, within the scope of their position are responsible to perform their job in light of the Mission & Values of the Health System. Regardless of position, every job contributes to the challenge of providing health care. There is an ongoing responsibility for ensuring that the values of Respect, Compassion, Justice, Hospitality, Holitisic Approach, Stewardship, and Collaboration are present in our interactions with one another and in the services we provide. RECRUITMENT REQUIREMENTS: Registered Health Information Administrator or Registered Health Information Technician or equivalent experience, with a Certified Coding Specialist Certification. · Must have a minimum of two years of progressive coding and/or billing and registration functions in health care setting and experience utilizing ICD-9/10-CM and CPT-4 in medical/physician specialties.. · Background in Anatomy, Physiology, Clinical Medicine and Medical Terminology. · A graduate of an accredited coding program with certification of completion or successful completion of college credited course work in Medical Terminology, Anatomy & Physiology and Pathophysiology/Disease Processes/Pharmacology required. · Works claim edits identified along with compliance of the Medicare Coverage Determinations ( MCD ), National Coverage Determination ( NCD ) as well as payer specific edits as outlined via contractual agreements particularly around coding matters and when other factors causing the edits are identified refers to proper person to ensure a clean claim is submitted. · Serve as an information rescource and guide to clinicians, champion the need to change coding behaviors and serve as subject matter expert. · Submit any issues or trends found within documentation of a physician and/or physician extender to that provider directly or to supervisor. · Review to ensure that clinical documentation substantiates the evaluation and management, procedures and modifier selected in accordance with Federal, State and system documentation and coding requirements. · Manage and reslove Zero-Pay Worklist, Fully Worked Receivables, complete special project work, review and respond to adjustments/payment data with approval (or initiate appeal) communicate trends and root issues through proper lines of reporting · Requires the ability to read and interpret medical terminology and apply coding skills utilizing knowledge of anatomy, physiology and disease processes as well as procedural coding. · Prior experience in coding mentorship and compliance review preferred particularly with physicians/providers. · Must be detail oriented and have sound computer skills. · Experience with review of electronic health records software applications. LICENSE AND REGULATORY REQUIREMENTS: Certified Coding Specialist (CCS) EOE EQUAL OPPORTUNITY: Redeemer Health is an equal opportunity employer. We prohibit discrimination in employment due to race, color, gender, religion, creed, national origin, age, sex, sexual orientation, gender identity or expression, disability veteran status or any other protected classification required by law.

At Labcorp, you are part of a journey to accelerate life-changing healthcare breakthroughs and improve the delivery of care for all. You'll be inspired to discover more, develop new skills and pursue career-building opportunities as we help solve some of today's biggest health challenges around the world. Together, let's embrace possibilities and change lives! Billing Coordinator I Labcorp is seeking an entry level Billing Coordinator I to join our team! Labcorp's Revenue Cycle Management Division is seeking individuals whose work will improve health and improve lives. If you are interested in a career where learning and engagement are valued, and the lives you touch provide you with a higher sense of purpose, then Labcorp is the place for you! Responsibilities: Billing Data Entry involved which requires 10 key skills Compare data with source documents and enter billing information provided Research missing or incorrect information Verification of insurance information Ensure daily/weekly billing activities are completed accurately and timely Research and update billing demographic data to ensure prompt payment from insurance Communication through phone calls with clients and patients to resolve billing defects Meeting daily and weekly goals in a fast-paced/production environment Ensure billing transactions are processed in a timely fashion Requirements: High School Diploma or equivalent required Minimum 1 year of previous working experience required Specific work in medical billing, AR.AP, Claims/Insurance will be given priority Previous RCM work experience preferred Alpha-Numeric Data Entry proficiency (10 key skills) preferred REMOTE work: Must have high level Internet speed (50 mbps) connectivity Dedicated work from home workspace Ability to manage time and tasks independently while maintaining productivity Strong attention to detail which requires following Standard Operating Procedures Ability to perform successfully in a team environment Excellent organizational and communication skills; ability to listen and respond Basic knowledge of Microsoft office Extensive computer and phone work Application Window Closes: 12/11/2025 Pay Range: $ 17.75 - $21.00 per hour Shift: Mon-Fri, 9:00am - 6pm Eastern Time All job offers will be based on a candidate's skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data. Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only. For more detailed information, please click here. Rewards and Wellness | Labcorp Labcorp is proud to be an Equal Opportunity Employer: Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law. We encourage all to apply If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at Labcorp Accessibility. For more information about how we collect and store your personal data, please see our Privacy Statement.

Job Description Aeroflow Health - Billing Representative - Urology - Fully Remote Opportunity Aeroflow Health is taking the home health products and equipment industry by storm. We have created a better way of doing business that prioritizes our customers, our community, and our coworkers. Aeroflow believes in career building. That is why we promote from within and reward individuals who have invested their time and talent in us. Whether you are looking for a place from which to launch your career - or a stable, ethical company in which to advance you will not find an organization better equipped to help you meet your professional goals than Aeroflow Health. The Opportunity Within Aeroflow, there are 4 main divisions: Urology, Diabetes, Mom & Baby, & Sleep. Each division specializes in a specific set of medical supplies aimed to treat a medical diagnosis or the symptoms of that diagnosis. Aeroflow Urology focuses on incontinence products such as diapers, underpads, and catheter supplies Supplies are shipped directly to more than 100,000+ patients a month across the nation who have medical insurance and a urinary incontinence diagnosis Aeroflow Urology is a leader in the incontinence industry. With a focus on outstanding customer service, Urology has maintained a 4.9 out of 5 star average on over 7000+ Google reviews The Urology Billing team specifically addresses denied claims that are sent to insurance for payment, provides medical documentation to insurance carriers, addresses insurance audits, and so much more Your Primary Responsibilities We are currently seeking a Urology Billing Representative. The duties and responsibilities for this role include: Performing analytical work of denied claims Research insurance payer requirements Solving problems and finding innovative solutions Ability to prioritize multiple responsibilities Making and receiving calls with a professional demeanor Understanding reimbursement policies Comfort with technology Monitor reports to identify trends, concerns, and/or areas of improvement Discuss findings with the potential of reporting up to management Employee has an individual responsibility for knowledge of and compliance with laws, regulations, and policies. Compliance is a condition of employment and is considered an element of job performance Maintain HIPAA/patient confidentiality Regular and reliable attendance as assigned by your schedule Other job duties assigned Required Qualifications: 2 years recent work history Desired Qualifications: Bachelor's degree from accredited university (any field) Prior work experience in healthcare or health insurance What we look for We are looking for a highly motivated, talented individual with the following qualities: Detail oriented & critical thinker Excellent customer service skills High level of organization Strong decision maker Strong communicator Flexible and adaptable Empathetic, compassionate, inclusive What to expect in the first 30 - 60 days: First 30 days you will be training on: 4 major internal programs Basic & complex strategies for resolving a insurance claim denial Key metrics & KPI's Compliance rules & regulations Training is a combination of modules + one on one with supervisors and billers After 30-45 days, you will be responsible for working an assigned billing report independently, answering phone calls independently, as well as the attending and contributing to the following meetings: Frequent one on one prioritization and Q&A sessions with supervisor Weekly all team meetings with all Urology Billing members Bi-monthly meetings with relevant support teams as needed Expect about 25% of your time to be spent collaborating; 75% of time to be spent working independently What Aeroflow Offers Competitive Pay, Health Plans with FSA or HSA options, Dental, and Vision Insurance, Optional Life Insurance, 401K with Company Match, 12 weeks of parental leave for birthing parent/ 4 weeks leave for non-birthing parent(s), Additional Parental benefits to include fertility stipends, free diapers, breast pump, Paid Holidays, PTO Accrual from day one, Employee Assistance Programs and SO MUCH MORE!! Here at Aeroflow, we are proud of our commitment to all of our employees. Aeroflow Health has been recognized both locally and nationally for the following achievements: Family Forward Certified Great Place to Work Certified 5000 Best Place to Work award winner HME Excellence Award Sky High Growth Award If you've been looking for an opportunity that will allow you to make an impact, and an organization with unlimited growth potential, we want to hear from you! Aeroflow Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

We're not just a workplace - we're a Great Place to Work certified employer! Proudly certified as a Great Place to Work, we are dedicated to creating a supportive and inclusive environment. At Sonic Healthcare USA, we emphasize teamwork and innovation. Check out our job openings and advance your career with a company that values its team members! Join our front line of #HealthcareHeroes! Our mission is to advance the health and wellbeing of our communities as a leader in clinical laboratory solutions. The Bilingual Patient Billing Representative is responsible for initial telephone contact with patients, clients, and insurance companies to answer billing questions and receive payment for services. ***Position will be fully remote after training has been completed in full*** Locations: Dallas, Texas 75247 Days: Monday - Friday Hours: 8:00 AM - 4:30 PM DUTIES: Take incoming calls from patients, clients, and insurance companies in a call center environment. Quickly access the needs of the caller and adapt self to address those needs, maintaining a courteous and professional manner at all times. Accurately and concisely document patient's account with proper feedback, call summary, and any resolution provided during each call. Help to identify trends and takes action to help prevent negative impact to the patient and/or client. Answer questions and resolve inquiries that do not involve extensive research. Research/Review Explanation of Benefits (EOBs) that reflect payment or denial of patient medical claims in order to respond to patient/client inquiries. Process credit card transactions with patients over the phone and correctly apply proper payment. Work patient correspondence with regards to updating insurance information, address corrections, bankruptcies, returned mail, etc. EDUCATION/KNOWLEDGE: High School diploma or equivalent. Some college helpful. Ability to effectively communicate orally and in writing with clients and patients. Knowledge of Medical Insurance claim processing. Familiarity with Microsoft software including Excel, Word, and Outlook. Detail-oriented with the ability to communicate information related to Explanation of Benefits, charge detail, and patient responsibility in an effective and courteous manner. EXPERIENCE: Minimum 2 years' experience in a medical billing environment required with at least 1-year experience in a customer service capacity preferred. Scheduled Weekly Hours: 40 Work Shift: Job Category: Laboratory Operations Company: ProPath Services, LLC Sonic Healthcare USA is an equal opportunity employer that celebrates diversity and is committed to an inclusive workplace for all employees. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, age, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

About Us At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description Review and correct claims edit, and electronic exception reports. Review error data with appropriate staff and have corrections made. Maintain the rejection and no response reports. Periodically review EOB's from all carriers. Monitor reimbursement levels of inappropriate payments. Experience Required Experience with a complex billing system such IDX or SMS is required. Experience in accounts receivables resolution is required. Computer and financial management experience required Education Requirements High School Diploma or Equivalent required, some college preferred. Salary Min ($) USD $20.00 Salary Max ($) USD $31.00

Job Description Aeroflow Health - Billing Representative - Urology - Fully Remote Opportunity Aeroflow Health is taking the home health products and equipment industry by storm. We have created a better way of doing business that prioritizes our customers, our community, and our coworkers. Aeroflow believes in career building. That is why we promote from within and reward individuals who have invested their time and talent in us. Whether you are looking for a place from which to launch your career - or a stable, ethical company in which to advance you will not find an organization better equipped to help you meet your professional goals than Aeroflow Health. The Opportunity Within Aeroflow, there are 4 main divisions: Urology, Diabetes, Mom & Baby, & Sleep. Each division specializes in a specific set of medical supplies aimed to treat a medical diagnosis or the symptoms of that diagnosis. Aeroflow Urology focuses on incontinence products such as diapers, underpads, and catheter supplies Supplies are shipped directly to more than 100,000+ patients a month across the nation who have medical insurance and a urinary incontinence diagnosis Aeroflow Urology is a leader in the incontinence industry. With a focus on outstanding customer service, Urology has maintained a 4.9 out of 5 star average on over 7000+ Google reviews The Urology Billing team specifically addresses denied claims that are sent to insurance for payment, provides medical documentation to insurance carriers, addresses insurance audits, and so much more Your Primary Responsibilities We are currently seeking a Urology Billing Representative. The duties and responsibilities for this role include: Performing analytical work of denied claims Research insurance payer requirements Solving problems and finding innovative solutions Ability to prioritize multiple responsibilities Making and receiving calls with a professional demeanor Understanding reimbursement policies Comfort with technology Monitor reports to identify trends, concerns, and/or areas of improvement Discuss findings with the potential of reporting up to management Employee has an individual responsibility for knowledge of and compliance with laws, regulations, and policies. Compliance is a condition of employment and is considered an element of job performance Maintain HIPAA/patient confidentiality Regular and reliable attendance as assigned by your schedule Other job duties assigned Required Qualifications: 2 years recent work history Desired Qualifications: Bachelor's degree from accredited university (any field) Prior work experience in healthcare or health insurance What we look for We are looking for a highly motivated, talented individual with the following qualities: Detail oriented & critical thinker Excellent customer service skills High level of organization Strong decision maker Strong communicator Flexible and adaptable Empathetic, compassionate, inclusive What to expect in the first 30 - 60 days: First 30 days you will be training on: 4 major internal programs Basic & complex strategies for resolving a insurance claim denial Key metrics & KPI's Compliance rules & regulations Training is a combination of modules + one on one with supervisors and billers After 30-45 days, you will be responsible for working an assigned billing report independently, answering phone calls independently, as well as the attending and contributing to the following meetings: Frequent one on one prioritization and Q&A sessions with supervisor Weekly all team meetings with all Urology Billing members Bi-monthly meetings with relevant support teams as needed Expect about 25% of your time to be spent collaborating; 75% of time to be spent working independently What Aeroflow Offers Competitive Pay, Health Plans with FSA or HSA options, Dental, and Vision Insurance, Optional Life Insurance, 401K with Company Match, 12 weeks of parental leave for birthing parent/ 4 weeks leave for non-birthing parent(s), Additional Parental benefits to include fertility stipends, free diapers, breast pump, Paid Holidays, PTO Accrual from day one, Employee Assistance Programs and SO MUCH MORE!! Here at Aeroflow, we are proud of our commitment to all of our employees. Aeroflow Health has been recognized both locally and nationally for the following achievements: Family Forward Certified Great Place to Work Certified 5000 Best Place to Work award winner HME Excellence Award Sky High Growth Award If you've been looking for an opportunity that will allow you to make an impact, and an organization with unlimited growth potential, we want to hear from you! Aeroflow Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

To support the functions of In Vitro Fertilization department by coordinating the billing and financial services for patients and physicians. Education College degree or equivalent. Experience Prior experience in professional fee/office practice billing. Previous reproductive endocrine and/or OB/GYN billing preferred. Coding experience. Managed care experience preferred. Skills Strong communication skills. Math skills. Ability to operate general office equipment and computers. Competent in Microsoft Excel software. Ability to work well under pressure, tolerate frequent interruptions and adapt to changes in workload and work schedule. Ability to set priorities, effective problem solving of complex situations, organized. Job Location Paramus 140 E Ridgewood Ave Shift Day (United States of America) Benefits Medical/Prescription, Dental & Vision Discount Program (Full Time/Part Time Employees) Group Term Life Insurance and AD&D(Full Time Employees) Flexible Spending Accounts and Commuter Benefit Plans Supplemental Voluntary Benefits ( e.g. Short-term and Long-term Disability, Whole Life Insurance, Legal Support, etc.) 6 Paid Holidays, Paid Time Off (varies), Wellness Time Off, Extended Illness Retirement Plan Tuition Assistance Employee Assistance Program (EAP) Valley Health LifeStyles Fitness Center Membership Discount Day Care Discounts for Various Daycare Facilities SalaryJoining Valley Health System means becoming part of a dedicated team that values the highest quality of care in a supportive environment. In our commitment to high performance and reliability, we encourage and recognize exceptional individual performance through our industry leading compensation practices including a starting salary and benefits in accordance with your role, experience, education, and licensure. Actual individual salaries vary depending on these factors. The salary listed does not include other forms of compensation or benefits.Pay Range: $23.55 - $29.44 (per hour) EEO Statement Valley Health System does not discriminate on the basis of ancestry, age, atypical hereditary cellular or blood trait, civil union status, color, creed, disability, domestic partnership, gender, gender identity or expression, familial status, genetic information, liability for service in the Armed Forces of the United States, marital status, medical condition or illness, mental or physical handicap, national origin, nationality, perceived disability, pregnancy, race, refusal to submit to genetic testing or make available results of such tests, religion, sex, sexual orientation, veteran's status or any other protected basis, in accordance with all applicable Federal, State and Local laws. This applies to all areas of employment, including recruitment, hiring, training and development, promotion, transfer, termination, layoff, compensation, benefits, social and recreational programs, and all other conditions and privileges of employment.

Responsible for performing a variety of billing functions to minimize accounts receivable and enhance collection. Works in a timely and courteous manner when responding to patients, physicians or insurance companies inquiries. Serves as a resource person for ALL department staff on questions regarding billing and claims issue Work requires a High School diploma or equivalent and up to one year of basic technical training in health care billing/customer service and three to six months of previous experience plus three months or less of on the job training and orientation. Proficient knowledge of Microsoft Office preferred St. Joseph's Health is recognized for the expertise and compassion of its highly skilled and responsive staff. The combined efforts of the organization's outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation's "100 Best Places to Work in Health Care".

Established in 1987, Pacific Medical, Inc. is a distributor of durable medical equipment; specializing in orthopedic rehabilitation, arthroscopic surgery, sports medicine, prosthetics, and orthotics. With the heart of the company dedicated to helping and serving others, we provide our services directly to the patient, medical networks, physician clinics, and offices. We are dedicated to the advancement of patient care through excellent service and product technology. We have an immediate non-remote opportunity to join our growing company. We are currently seeking 3 full-time (M-F 8:00 am-5:00 pm) Patient Collections Specialists for our Tracy, CA office. These individuals will be responsible for the following: * Must be Bilingual (Spanish) * Job Responsibilities: · Contact patients/guarantors to secure payment for services provided based on an aging report with balances. · Contact patients when credit card payments are declined. · Follow up with refund requests. · Document all calls and actions are taken in the appropriate systems. Sets next work date if follow-up is needed. · Confirms/updates with patient/guarantor insurance and patient demographics information. Makes appropriate changes and submits/re-submits claims as indicated. · Establishes a payment arrangement with the patient/guarantor and follow-up on all payment arrangement plans implemented. · Document all patient complaints/disputes and forward them to the appropriate person for follow-up. · Perform other duties as needed. Qualifications/Skills: · Must excel in interpersonal communication, customer service and be able to work both independently and as part of a team. · Must excel in organizational skills. · Must possess strong attention to detail and follow-through skills. · Education, Training, and Experience Required: High School graduate or equivalent. Bilingual (Spanish) Must type 25-45 words per minute. Hourly Rate Pay Range: $17.00 to $19.00 · Annual Range ($35,360.00 to $39,520.00) O/T Rate Pay Range: $25.50 to $28.50 · Example of Annual O/T Range (5 to 10 hours per week @ 50 weeks range $6,375.00 - $14,250+) · Note: Abundance of O/T Available Bonus Opportunity Team Bonus: $0 to $500 per month (increases hourly rate up to $2.88 per hour or up to $6k per year) Profit Bonus: $0 to $500 per month (increases hourly rate up to $2.88 per hour or up $6k per year) Total Compensation Opportunity Examples: Annual Base Pay: $41,735 (Estimate incl. 5 hrs O/T per week, Low-range Production and Profit Bonus after 3 months) Annual Mid-Range Pay: $54,315.00 (Estimate incl. 5 hrs O/T per week, Mid-range Production and Profit Bonus) Annual Top Pay: $57,895.00 (Estimate incl. 5 hrs O/T per week, Max Production and Profit bonus) All Full-Time positions offer the following: Medical, Dental, Vision, ER paid Life for Employee, Voluntary benefits, Medical FSA, Dependent FSA, HSA, 401k, and Financial Wellness planning. Additional Benefits for Full-Time Employees (3 to 4 weeks of Paid Time Off) Holidays: 10 paid holidays per year Vacation Benefit: At completion of 3-month introductory period, vacation accrual up to a max of 40 hours in the first 23 months, at 24 months, accrual up to a max of 80 hours with a rollover balance. Sick Benefit: Sick accrual begins upon date of hire up to a max accrual of 80 hours annually with a max usage of 48 hours annually with a rollover balance.

Henry J. Austin Health Center delivers person-centered, high-quality health care. Working with our community partners, our exceptional team provides trauma-informed, holistic care to maximize individuals' strengths and abilities to achieve optimal health and well-being. Henry J. Austin Health Center is an Equal Opportunity Employer (EOE) and Federally Qualified Health Center (FQHC). FQHC is a federal designation from the Bureau of Primary Health Care (BPHC) and the Center for Medicare and Medicaid Services (CMS) that is assigned to private non-profit or public health care organizations that serve predominantly uninsured or medically underserved populations. FQHCs are located in or serving a federally designated Medically Underserved Area. Qualified applicants are considered for employment without regard to age, race, creed, color, national origin, ancestry, marital status, civil union, domestic partnership, affectional or sexual orientation, genetic information, sex, gender identity, disability or veteran status. Henry J. Austin Health Center is an accessible and equitable employer. Billing and Collections Specialist Trenton, NJ Full Time Entry Level Share Starting at $47,840 On-site position MAJOR FUNCTION This position collaborates closely with the Revenue Cycle Manager & Revenue Cycle Supervisor, to ensure the seamless execution of day-to-day operations within the Billing Department. With a focus on detail and accuracy, the Billing and Collections Specialist will work to ensure the timely of provider encounters for submission to insurance companies. They will also work with the Revenue Cycle Specialist and revenue cycle vendor(s) to research and resolve billing issues. ESSENTIAL FUNCTIONS * Billing and Claims Management: * Prepare and submit accurate and timely medical claims to insurance companies or government programs (e.g., Medicare, Medicaid). * Verify insurance eligibility and benefits for patients, as needed. * Assist with claims follow-up to promptly resolve billing discrepancies and denials. * Collaborate with healthcare providers and relevant department staff to resolve billing discrepancies. * Revenue Cycle Management: * Monitor accounts receivable to ensure timely payment and reduce aging of accounts. * Process payments, adjustments, and refunds accurately. * Reconcile billing discrepancies and resolve billing issues. * Works with the Patient Access department (Medical and/or Dental) to resolve billing and registration issues. * Compliance and Documentation: * Maintain compliance with coding and billing regulations, including HIPAA, CPT coding guidelines, and local coverage determinations. * Ensure timely and accurate submissions for Medicare and Medicaid WRAP billing and NJ Letter of Agreement (LOA) billing. * Revenue Analysis and Reporting: * Generate and analyze reports related to billing, collections, and revenue cycle metrics. * Identify trends, discrepancies, or areas for improvement in the billing process. * Provide regular updates to management on billing and collection activities. ADDITIONAL RESPONSIBILITIES: * Works closely with Revenue Cycle Manager, Supervisor and/or Director to establish priorities in duties/responsibilities * Works closely with the Revenue Cycle Specialist with the goal of maximizing revenue for HJAHC. * Manage relationships with outsourced revenue cycle vendor(s). * Attend Medical Staff meetings and deliver special presentations as needed. * Collaborate with all employees to achieve Henry J. Austin Health Center's goals and objectives, following established policies and procedures. * Demonstrate willingness and flexibility to perform tasks and projects assigned in the Finance Department. * Stay updated on healthcare regulations and reimbursement trends to optimize revenue generation. * Assist in training new staff members on revenue cycle processes and procedures as needed. * Ability to keep up with multiple deadlines, project goals, and to keep up with high volume of work. * Performs any additional duties as may be assigned by supervisor, manager or director. * Works on special projects as needed/assigned. * Duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice. PREREQUISITES: * Minimum of 2-3 years of billing experience required in a healthcare setting. * Minimum of 4-5 years of experience in FQHC settings preferred with an understanding of the workings of City, State and Federal assistance programs such as LOA, HRSA, and Grants. * Proficiency in Athena EHR system preferred. LICENSURE AND/OR CERTIFICATIONS * Organization reserves the right to request certifications and/or licensures as needed. EDUCATION & EXPERIENCE: * High School Diploma required, bachelor's degree preferred, or some college combined with equivalent experience. * Proficiency in using Electronic Health Records (EHR) and billing software (Athena Preferred). * Proficient in word processing and skilled in utilizing Excel and its functionalities. * Knowledge of medical terminology * Provider billing and collections experience (3 years) with an understanding of medical insurances ie; Medicare, Medicaid, Managed Care, and Commercial insurances, and a thorough understanding of medical insurance billing basics, ie; charges, allowed amounts, payments, adjustments, denials, capitation, eligibility, coordination of benefits. KNOWLEDGE, SKILLS, ABILITIES AND OTHER (KSAO's) * Knowledge: Understanding of healthcare billing practices, compliance regulations, and reimbursement methodologies, preferably for FQHC's. Understanding of the workings of City, State and Federal assistance programs such as LOA, HRSA, and Grants. * Skills: Strong analytical skills, attention to detail, and proficiency in Microsoft Office Suite (Excel, Word). Excellent writing skills with the ability to present high level data and information to senior level staff. Ability to use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems. * Abilities: Ability to multitask, prioritize workload, follow through on tasks and work independently as well as part of a team. Must be willing to take ownership of work deliverables to ensure assignments/projects are met in a timely fashion. Ability and willingness to meet critical deadlines. Ability to independently set and achieve goals. Ability to use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems. * Other: Strong communication skills, adept in both verbal and written forms. Committed to upholding patient confidentiality and delivering exceptional customer service. Skilled in fostering and maintaining effective working relationships with colleagues. Bilingual proficiency preferred. Demonstrates recognition and respect for cultural diversity. Adheres to dress code standards with a neat and clean appearance. Diligently attends annual reviews and departmental in-services as scheduled. PHYSICAL & WORK REQUIREMENTS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position requires manual dexterity sufficient to operate phones, computers and other office equipment. The position requires the physical ability to kneel, bend, and perform light lifting. This person must have the ability to write and speak clearly using the English language to convey information and be able to hear at normal speaking levels both in person and over the telephone. Specific vision abilities required by this job include close vision, depth perception and the ability to adjust focus. Generally, the working conditions are good with little or no exposure to extremes in health, safety hazards and/or hazardous materials.

Starting at $47,840 MAJOR FUNCTION This position collaborates closely with the Revenue Cycle Manager & Revenue Cycle Supervisor, to ensure the seamless execution of day-to-day operations within the Billing Department. With a focus on detail and accuracy, the Billing and Collections Specialist will work to ensure the timely of provider encounters for submission to insurance companies. They will also work with the Revenue Cycle Specialist and revenue cycle vendor(s) to research and resolve billing issues. ESSENTIAL FUNCTIONS Billing and Claims Management: Prepare and submit accurate and timely medical claims to insurance companies or government programs (e.g., Medicare, Medicaid). Verify insurance eligibility and benefits for patients, as needed. Assist with claims follow-up to promptly resolve billing discrepancies and denials. Collaborate with healthcare providers and relevant department staff to resolve billing discrepancies. Revenue Cycle Management: Monitor accounts receivable to ensure timely payment and reduce aging of accounts. Process payments, adjustments, and refunds accurately. Reconcile billing discrepancies and resolve billing issues. Works with the Patient Access department (Medical and/or Dental) to resolve billing and registration issues. Compliance and Documentation: Maintain compliance with coding and billing regulations, including HIPAA, CPT coding guidelines, and local coverage determinations. Ensure timely and accurate submissions for Medicare and Medicaid WRAP billing and NJ Letter of Agreement (LOA) billing. Revenue Analysis and Reporting: Generate and analyze reports related to billing, collections, and revenue cycle metrics. Identify trends, discrepancies, or areas for improvement in the billing process. Provide regular updates to management on billing and collection activities. ADDITIONAL RESPONSIBILITIES: Works closely with Revenue Cycle Manager, Supervisor and/or Director to establish priorities in duties/responsibilities Works closely with the Revenue Cycle Specialist with the goal of maximizing revenue for HJAHC. Manage relationships with outsourced revenue cycle vendor(s). Attend Medical Staff meetings and deliver special presentations as needed. Collaborate with all employees to achieve Henry J. Austin Health Center's goals and objectives, following established policies and procedures. Demonstrate willingness and flexibility to perform tasks and projects assigned in the Finance Department. Stay updated on healthcare regulations and reimbursement trends to optimize revenue generation. Assist in training new staff members on revenue cycle processes and procedures as needed. Ability to keep up with multiple deadlines, project goals, and to keep up with high volume of work. Performs any additional duties as may be assigned by supervisor, manager or director. Works on special projects as needed/assigned. Duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice. PREREQUISITES: Minimum of 2-3 years of billing experience required in a healthcare setting. Minimum of 4-5 years of experience in FQHC settings preferred with an understanding of the workings of City, State and Federal assistance programs such as LOA, HRSA, and Grants. Proficiency in Athena EHR system preferred. LICENSURE AND/OR CERTIFICATIONS Organization reserves the right to request certifications and/or licensures as needed. EDUCATION & EXPERIENCE: High School Diploma required, bachelor's degree preferred, or some college combined with equivalent experience. Proficiency in using Electronic Health Records (EHR) and billing software (Athena Preferred). Proficient in word processing and skilled in utilizing Excel and its functionalities. Knowledge of medical terminology Provider billing and collections experience (3 years) with an understanding of medical insurances ie; Medicare, Medicaid, Managed Care, and Commercial insurances, and a thorough understanding of medical insurance billing basics, ie; charges, allowed amounts, payments, adjustments, denials, capitation, eligibility, coordination of benefits. KNOWLEDGE, SKILLS, ABILITIES AND OTHER (KSAO's) Knowledge: Understanding of healthcare billing practices, compliance regulations, and reimbursement methodologies, preferably for FQHC's. Understanding of the workings of City, State and Federal assistance programs such as LOA, HRSA, and Grants. Skills: Strong analytical skills, attention to detail, and proficiency in Microsoft Office Suite (Excel, Word). Excellent writing skills with the ability to present high level data and information to senior level staff. Ability to use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems. Abilities: Ability to multitask, prioritize workload, follow through on tasks and work independently as well as part of a team. Must be willing to take ownership of work deliverables to ensure assignments/projects are met in a timely fashion. Ability and willingness to meet critical deadlines. Ability to independently set and achieve goals. Ability to use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems. Other: Strong communication skills, adept in both verbal and written forms. Committed to upholding patient confidentiality and delivering exceptional customer service. Skilled in fostering and maintaining effective working relationships with colleagues. Bilingual proficiency preferred. Demonstrates recognition and respect for cultural diversity. Adheres to dress code standards with a neat and clean appearance. Diligently attends annual reviews and departmental in-services as scheduled. PHYSICAL & WORK REQUIREMENTS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position requires manual dexterity sufficient to operate phones, computers and other office equipment. The position requires the physical ability to kneel, bend, and perform light lifting. This person must have the ability to write and speak clearly using the English language to convey information and be able to hear at normal speaking levels both in person and over the telephone. Specific vision abilities required by this job include close vision, depth perception and the ability to adjust focus. Generally, the working conditions are good with little or no exposure to extremes in health, safety hazards and/or hazardous materials.

←Back to all jobs at Weisman Children's Rehabilitation Hospital Billing and Collections Representative Weisman Children's Rehabilitation Hospital is an EEO Employer - M/F/Disability/Protected Veteran Status Are you passionate about making a difference in the lives of children? Join us at Weisman Children's Rehabilitation Hospital, one of the region's top children's rehabilitation organizations, as we expand and evolve! With numerous exciting opportunities available, this is your chance to be part of a thriving team dedicated to excellence in pediatric care. As we grow, we offer unparalleled support, advanced tools, and a collaborative environment while contributing to our mission. Come grow with us and shape the future of children's rehabilitation! We are recruiting for a full time (benefit eligible) Billing and Collections Rep to join our skilled pediatric team of professionals in Marlton, NJ! About Us: Weisman Children's is a highly-acclaimed, community-based pediatric organization consisting of an acute care rehabilitation hospital, outpatient rehabilitation centers, and medical day care centers. We specialize in delivering individualized, family-centered care. By including family and caregivers in every step of the rehab process, along with an interdisciplinary approach to treatment, we give our patients every opportunity to reach their fullest potential. We are an equal opportunity employer. #W2 Why Choose Us: You chose healthcare to make an impact. At Weisman Children's, we inspire you to help change lives and unlock the potential of every child, every day. Our culture is driven by our community, our values, and our team. We are also proud to offer the following benefits: · Medical, dental, vision coverage · 401(K) Retirement Program with employer match · Employer paid life insurance policy · Employee Recognition Program · Company discounts at select retailers · And much more! POSITION SUMMARY: Responsible and accountable for the billing process and other applications as assigned by the Office Manager. This includes certain activities involving program follow up and documentation, collections calls Month End data entry, prepares and processes Patient Billing, receptionist back up and other various clerical duties. Will be trained by the Office Manager pertaining to HBA procedures. Thorough knowledge of facility policies and procedures as it relates to the above duties. POSITION QUALIFICATIONS: · High School Diploma · Two years experience in clerical or business environment · Articulate, tactful, and able to deal with people in a pleasing manner in both personal and telephone contacts · Computer literate in Excel, MS Word, and Outlook · Ability to communicate effectively Please visit our careers page to see more job opportunities.

Your Tomorrow is Here! Temple Health is a dynamic network of outstanding hospitals, specialty centers, and physician practices that is advancing the fight against disease, pushing the boundaries of medical science, and educating future healthcare professionals. Temple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc., and Temple Transport Team. Temple Health is proudly affiliated with the Lewis Katz School of Medicine at Temple University. To support this mission, Temple Health is continuously recruiting top talent to join its diverse, 10,000 strong workforce that fosters a healthy, safe and productive environment for its patients, visitors, students and colleagues alike. At Temple Health, your tomorrow is here! Equal Opportunity Employer/Veterans/Disabled An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability. Responsible for claims submission, ongoing billing, payments and associated bookkeeping for inpatient and outpatient services through established methods and procedures using current available technology. Receives and responds to day-to-day inquiries from third-party carriers and patients, processes correspondence and maintains patient files. Education High School Diploma or Equivalent Required Experience 2 years experience in a related role Required Licenses Your Tomorrow is Here! Temple Health is committed to setting new standards for preventing, diagnosing and treating major diseases in our community and across the nation. Achieving that goal means investing in our employees' success through staff and leadership development. Our recruitment strategy is to attract and retain a diverse, high performing workforce that fosters a healthy, safe and productive environment for our patients and colleagues alike.

Responsible for claims submission, ongoing billing, payments and associated bookkeeping for inpatient and outpatient services through established methods and procedures using current available technology. Receives and responds to day-to-day inquiries from third-party carriers and patients, processes correspondence and maintains patient files. Education High School Diploma or Equivalent Required Experience 2 years experience in a related role Required Licenses '391561

Responsible for claims submission, ongoing billing, payments and associated bookkeeping for inpatient and outpatient services through established methods and procedures using current available technology. Receives and responds to day-to-day inquiries from third-party carriers and patients, processes correspondence and maintains patient files. Education High School Diploma or Equivalent Required Experience 2 years experience in a related role Required Licenses '387674

Job Details 209 13TH STREET - SHARPSBURG, PADescription Performs secretarial duties to support the functions and activities of the unit. All areas of responsibility are carried out under strict time constraints. Performs functions related to the monitoring, distribution, transference and filing of all medical records and billing files. Performs a variety of clerical functions involving such activities as answering incoming calls, placing calls, filing, copying, faxing, use of a computer, sending and receiving mail. PRINCIPAL DUTIES AND RESPONSIBILITIES: Performs duties such as processing, delivering, validating and receiving clinical practice documentation. Examples: face to face encounters, verbal orders, and 485's (Plan of Care). Examines appropriate records and forms and ensures these documents are complete and accurate. Monitors receipt and routing of all original documentation and advise Management of time discrepancies. Alphabetizes and files all documentation for patient medical records. Verifies the accuracy of the billing record utilizing the computer system. Ensures all necessary documentation is in the patient billing file in a timely and accurate manner. Ability to work independently and in collaboration with others. Handles all calls in a courteous manner and relates messages in a timely fashion. Refers professional matters to an appropriate staff person. Mails or delivers patient orders promptly to physicians for signature. Responsible for dismantling of charts and identifying incomplete information. Responsible for medical records filing. Has access to electronic, manual or written protected health information by scope and responsibility. Will be required to adhere to the privacy practices as detailed in the Notice of Privacy Practices, privacy policies and procedures. Obtains, delivers, and processes clinical/medical documentation to medical practices. Examples: Face to face encounters, verbal orders, and 485's (Plan of Care). Qualifications SPECIAL SKILLS AND ABILITIES REQUIRED: Honest. Punctuality and reliability. Few mistakes or accidents; ability to work safely; ability to focus attention. Calm pleasant demeanor; ability to get along with others at all levels. Knowledge and skills to perform the job. Ability to solve problems, provide workable solutions and implement their actions. Self-starting and self directed. Self-critical. Scheduling flexibility and availability. Organized and efficient. Effective, efficient computer skills Communicate effectively, both verbally and in writing. Operate basic office equipment. Maintain confidentiality. Knowledge and skill of Home Health or Community Health Nursing. Ability to work independently and in collaboration with others. Knowledge of medical terminology KNOWLEDGE, EXPERIENCE, LICENSURE REQUIRED: High School or equivalent including related data processing, secretarial and/or business classes. Basic knowledge of business office procedures and practices. Knowledge of business machines and computer systems. One year experience with billing/accounting and data entry operations required. Valid current driver's license and necessary insurance coverage as mandated by the State. PHYSICAL JOB DEMANDS: Ability to physically move, shift, lift 100 pounds. Ability to stand, walk, climb and descend stairs and reach above objects. WORKING CONDITIONS: Normal working hours are Monday - Friday 8:00 AM to 5:00 PM. Non-Exempt position. DISCLAIMER CLAUSE NOTE: The above statements are intended to describe the general nature and level of the work being performed by people assigned this job. They are not exhaustive lists of all duties and responsibilities, knowledge, skills, abilities, physical job demands and working conditions associated with the job.

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? Entity - Corporate Services Department - Financial Management Patient Accounting Location -150 Monument Road, Bala Cynwyd, PA Hours- M-F, Hybrid, 8am-4:30pm Summary: + This position is responsible for the collection of outstanding patient accounts which has a direct impact on Penn Medicine's cash flow and accounts receivable. Responsible for the efficient and effective execution of all assigned duties. Responsibilities: + Monitors and manages the collection of accounts receivable as assigned. + Documents each collection activity on the Patient Accounting system. + Initiates calls to insurance carriers to facilitate a payment and follow up on a timely basis. + Prepares accounts for bad debt based on departmental procedure and management approval. + Recommend accounts for free care or discounts based on predetermined criteria. + Enters adjustments and/or corrections to accounts to update the Patient Accounting file. + Initiates processing of late charges, re-bills, insurance discounts, refunds, audit discrepancies, etc. + Responsible for dunning patients and insurance carriers. + Adheres to the Quality Review and Productivity standards established for each unit or individual, recognizing that approved special projects will be calculated into the Productivity standards. + Achieves a minimum of 40 accounts per day (after a 6 week ramp-up period for new employees) + Achieves a minimum of 90% on Quality Reviews (after 3 mock QRs for new employees) + Performs duties in accordance with Penn Medicine and entity values, policies, and procedures + Other duties as assigned to support the unit, department, entity, and health system organization Education or Equivalent Experience: + H.S. Diploma/GED (Required) + 1+ years of experience in hospital patient accounting. (Preferred) + Basic understanding of hospital billing and knowledge of hospital reimbursement. (Preferred) + Basic knowledge/understanding of healthcare/insurance terminology. (Preferred) We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. Live Your Life's Work We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law. REQNUMBER: 260334