Billing Representative jobs at Temple Health

Remote Home Health Billing Specialist Pay: $18-$24 per hour, DOE Schedule: Full-time Please Note: Due to current hiring restraints, we are unable to hire candidates residing in Maine, New York, Massachusetts, Connecticut, New Hampshire, or Hawaii at this time. About the Role Puget Sound Home Health & Hospice is seeking an experienced Billing Specialist to join our growing team. This is a remote position with a strong preference for candidates familiar with Home Health (possibly Hospice) billing processes and experience using HCHB. If you are detail-oriented, thrive in a fast-paced environment, and have a passion for supporting quality patient care through accurate billing, we want to hear from you! Why Work With Us? Competitive Pay: $18-$24/hour, DOE Remote Work: Enjoy flexibility while supporting our mission Health Benefits: Medical, Dental, Vision first of the month following hire date Financial Benefits: FSA, HSA, 401K with match, voluntary insurance options Work-Life Balance: PTO, paid holidays, sick time Additional Perks: Tuition reimbursement, employee assistance program, company-wide celebrations, and more Supportive Culture: Inclusive team environment with room for growth Our Culture - How We Do What We Do We believe in creating an environment where employees feel valued, supported, and empowered to deliver exceptional care. Our approach is rooted in collaboration, respect, and continuous learning. Core Values: CAPLICO Customer Second (Employee First!) Accountability Passion for Learning Love One Another Intelligent Risk Taking Celebration Ownership Responsibilities Process Home Health (possibly Hospice) billing accurately and efficiently Ensure compliance with Medicare, Medicaid, and payer regulations Manage accounts receivable, collections, and aged accounts Submit claims and reconcile fiscal data following GAAP standards Prepare reports, including Medicare cost reports and bad debt summaries Collaborate with internal teams to resolve billing issues promptly Maintain accurate documentation and reporting for audits and compliance Follow up on claim denials and resubmissions Qualifications Minimum 3 years of Home Health (or Hospice) Agency billing experience with Medicare and Medicaid Home Care Home Base (HCHB) experience required Strong knowledge of payer contracts and government billing regulations Ability to work independently and meet deadlines in a remote setting Excellent communication and organizational skills Important Note If your resume does not clearly show the required experience, please include a cover letter or message explaining your background. Applications without this information will not be considered. To learn more about Puget Sound Home Health & Hospice, please visit our website at ************************ The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at ****************************

Chord Specialty Dental Partners, a leading provider of pediatric and orthodontic dental care, has a full-time career opportunity available for a Billing Representative! As a Billing Representative, you'll play a vital role in the financial health of our practice. You'll be responsible for managing patient accounts and ensuring timely and accurate insurance claims processing. Your dedication will directly contribute to providing exceptional dental care to our patients. Pay: up to $28/hr Schedule: Mon-Thurs 8:00am-5:00pm Friday - 8:00am- 2:00pm Location: West Chester, PA Responsibilities Posts all insurance EFTs with accuracy Review insurance EOBs and places a copy in the patient account Make accurate account adjustments Mail statements Follow up with past due accounts, including account audits Follows scripting for collection calls Submit refund requests Keep AR within the company set percentages Records batch totals with date and initials on payment receipt spreadsheet Balances batches and runs transaction reports Ensures accuracy of all patient data Qualifications At least 1 year of experience working with healthcare A/R Technical School/Associate's Degree preferred Knowledge of dental or medical billing/collections/insurance terminology preferred Knowledge of basic accounts receivable and accounting principles Understanding of the revenue cycle and how the various components work together preferred Computer literacy skills including proficiency in Microsoft Excel and Word Ability to recognize roadblocks that may be causing slower reimbursement and work with management team to create solutions Service-oriented/customer-centric Excellent written/verbal communication skills What We Offer We believe that taking care of our employees and their families is paramount. That's why we offer a comprehensive benefits package designed to support you in every aspect of your life. Here's what we provide: Medical and Vision Insurance: You're eligible starting the first month after you join. In-house Dental Coverage: Enjoy this benefit with $0 premium. 401(k) Plan with Company Match: We help you plan for your future with our matching program. Generous Paid Time Off and Holidays: Take the time you need to relax and recharge. Employee Referral Program: Earn rewards for bringing talented individuals to our team. Big savings, big perks: Enjoy exclusive discounts on everything from restaurants and travel to movies and more with our employee discount program. Pet Insurance: We understand the importance of furry family members too. Cutting-edge Technology and Training: We provide the tools and resources you need to excel in your role. Life and Disability Insurance Options: Protect yourself and your loved ones with our coverage options. Who We Are At Chord Specialty Dental Partners, our goal is for every employee to cultivate a fulfilling career. From serving patients in one of our many multi-specialty dental practices to serving our Home Office based out of Nashville, TN- we have something for everyone. We're always looking for talented, driven individuals who have a desire to make an impact. #IND

ABOUT US In 1981, fueled by the desire to provide quality, accessible healthcare to migrant and farm workers in their community, five visionary women laid the foundation of what would later become Tri-Cities Community Health (TCCH). As a Federally Qualified Health Center (FQHC), TCCH stands tall in the community, boasting six clinical sites strategically positioned to provide comprehensive primary care services to the underserved populations of Pasco, Kennewick, Richland, and the neighboring cities. Serving as the trusted medical home for our patients, TCCH offers a wide range of services - from dental care, optometry, and pharmacy needs to behavioral health and endocrinology. Our spectrum of services is continually expanding as our community grows. Our excellent care extends beyond the walls of our clinics, seamlessly connecting patients to vital social services like WIC and Maternal Support Services. And for those facing logistical barriers, we go the extra mile, ensuring access to prescribed medication by delivering directly to their doorstep. Everything we do reflects our core values of Quality, Respect, and Service. OPPORTUNITY TCCH is growing and actively recruiting Billing Specialist to join our team within the Pasco administrative building. We are seeking passionate, driven individuals who align with our values of Quality, Respect, and Service, and are eager to make a meaningful impact on the well-being of our patients through delivery of exceptional care. FUNCTIONS Reviews all billing activity daily Manages accounts receivable Resolves patient billing problems and unpaid claims with insurance companies, as observed by manager SCHEDULE / LOCATION Monday-Friday, full time Pasco Administrative Building - 800 W Court St, Pasco, WA 99301 WAGE / STATUS $21.52-$24.24/hour; up to $27.84 This is a Union / Bargaining Unit position, non-exempt BENEFITS AND WELL-BEING A flexible, part time schedule for creating a healthy work-life balance Competitive pay for highly qualified individuals (you!) Benefits package including medical, dental, vision, life, disability, retirement with employer match, and paid sick/vacation time Conveniently located within a 3-4 hour drive to major metropolitan areas such as Seattle, Portland, Spokane, and Coeur d'Alene Conveniently located between major outdoor recreational hubs such as Mount Rainier National Park, White Pass/Bluewood/Schweitzer Ski Resorts, Snoqualmie/Palouse/Multnomah Falls, wine country, and more! WHY TCCH? At Tri-Cities Community Health, we are dedicated to making a lasting impact on the lives of others while keeping pace with our rapidly growing community. Enjoy flexible scheduling, excellent benefits, and a fulfilling work-life balance that allows you to embrace the 300 days of sunshine the Tri-Cities has to offer! As a healthcare professional with TCCH, you'll be a part of a collaborative team focused on providing comprehensive care to the underserved and underinsured populations of our community - creating meaningful, generational change. Requirements Billing certificate or degree, preferred Two (2) years of experience in accounts receivable, collections, medical/dental billing, and/or data processing, preferred Proficient in English and another language (Spanish, Russian, Mandarin, or other) preferred

ABOUT US In 1981, fueled by the desire to provide quality, accessible healthcare to migrant and farm workers in their community, five visionary women laid the foundation of what would later become Tri-Cities Community Health (TCCH). As a Federally Qualified Health Center (FQHC), TCCH stands tall in the community, boasting six clinical sites strategically positioned to provide comprehensive primary care services to the underserved populations of Pasco, Kennewick, Richland, and the neighboring cities. Serving as the trusted medical home for our patients, TCCH offers a wide range of services - from dental care, optometry, and pharmacy needs to behavioral health and endocrinology. Our spectrum of services is continually expanding as our community grows. Our excellent care extends beyond the walls of our clinics, seamlessly connecting patients to vital social services like WIC and Maternal Support Services. And for those facing logistical barriers, we go the extra mile, ensuring access to prescribed medication by delivering directly to their doorstep. Everything we do reflects our core values of Quality, Respect, and Service. OPPORTUNITY TCCH is growing and actively recruiting Billing Specialist to join our team within the Pasco administrative building. We are seeking passionate, driven individuals who align with our values of Quality, Respect, and Service, and are eager to make a meaningful impact on the well-being of our patients through delivery of exceptional care. FUNCTIONS * Reviews all billing activity daily * Manages accounts receivable * Resolves patient billing problems and unpaid claims with insurance companies, as observed by manager SCHEDULE / LOCATION * Monday-Friday, full time * Pasco Administrative Building - 800 W Court St, Pasco, WA 99301 WAGE / STATUS * $21.52-$24.24/hour; up to $27.84 * This is a Union / Bargaining Unit position, non-exempt BENEFITS AND WELL-BEING * A flexible, part time schedule for creating a healthy work-life balance * Competitive pay for highly qualified individuals (you!) * Benefits package including medical, dental, vision, life, disability, retirement with employer match, and paid sick/vacation time * Conveniently located within a 3-4 hour drive to major metropolitan areas such as Seattle, Portland, Spokane, and Coeur d'Alene * Conveniently located between major outdoor recreational hubs such as Mount Rainier National Park, White Pass/Bluewood/Schweitzer Ski Resorts, Snoqualmie/Palouse/Multnomah Falls, wine country, and more! WHY TCCH? At Tri-Cities Community Health, we are dedicated to making a lasting impact on the lives of others while keeping pace with our rapidly growing community. Enjoy flexible scheduling, excellent benefits, and a fulfilling work-life balance that allows you to embrace the 300 days of sunshine the Tri-Cities has to offer! As a healthcare professional with TCCH, you'll be a part of a collaborative team focused on providing comprehensive care to the underserved and underinsured populations of our community - creating meaningful, generational change. Requirements * Billing certificate or degree, preferred * Two (2) years of experience in accounts receivable, collections, medical/dental billing, and/or data processing, preferred * Proficient in English and another language (Spanish, Russian, Mandarin, or other) preferred

Requirements Billing certificate or degree, preferred Two (2) years of experience in accounts receivable, collections, medical/dental billing, and/or data processing, preferred Proficient in English and another language (Spanish, Russian, Mandarin, or other) preferred

Job Specific Competencies * Via electronic work lists, user generated reports or as directed by management, follows up on unresolved claims in a timely fashion. Includes claims with no response, pended or denied. * Identifies rejected claims files, researches reject reason(s) and resolves affected claims errors. Resubmits files as needed to ensure receipt of clean claims. * Assists system vendor with appeal requests, or processes appeals directly with payer for denied claims as dictated by department policy. * When claims are denied for coding related reasons, effectively utilizes coding software and/or books to confirm coding accuracy in order to resolve claims with the payer. May seek assistance from clinic coders. * Ensures claims have correct insurance information and are billed to insurances timely. * Prepares and finalizes insurance claims for batch processing and submission to system vendor, clearinghouse or direct to payer. * Ensures insurance coverage records are complete and accurate for patient accounts. Verifies insurance coverage via electronic means or by phone when required. Makes corrections as needed. * Contacts patients or insured members to resolve insurance coverage discrepancies. * Confirms receipt of batch claims by insurance, system vendor or clearinghouse via electronic means or by phone. Monitors files for acceptance by same as dictated by department policy (normally within 48 hours). * Processes secondary and tertiary insurance claims, electronically or via paper, as dictated by department and payer policy. * Receives and posts electronic or manual insurance payments and adjustments in a timely fashion. * Resolves unidentified or problem payments according to department policy. Is sure to balance payments posted with remittance or EOB prior to completion. * Receives, researches and processes insurance and patient correspondence. * Processes adjustments and requests approval for write-off of balances as dictated by department policy. * Is careful to use correct adjustment or payment codes for processing and reporting needs. * Understands, utilizes and properly posts industry standard claims and remittance codes (CARC and RARC). * Communicates with accounting department, via spreadsheets, regarding processed or pending payments for cash reconciliation purposes. * Thoroughly researches insurance credit balances and processes adjustments or refunds as needed and dictated by department policy. * Identifies trends in causes of credit balances as works with the appropriate CVCH departments (Patient Services, Billing, etc.) to prevent credit balances. * Is responsible to remain current with general billing guidelines, reimbursement rules and regulations. * For assigned payers, is responsible to remain current with their specific guidelines by reading payer publications and reviewing their websites. * Understands FQHC billing nuances to ensure accurate coding and maximum reimbursement for related services. * Attends conferences, seminars and webinars as requested to remain current on billing related policies. * Maintains accurate, complete and auditable billing records in accordance with CVCH policy and procedures. * Appropriately and thoroughly documents patient accounts and/or claims with each action taken and each contact made to resolve the claim or account balance. * Scans appropriate documents for electronic storage purposes, according to department policy. * Builds and maintains positive relationships with payers, clinical department staff, corporate compliance, etc. * Participates with claims resolution meetings, projects or problem-solving processes for assigned payers. * Utilizing approved methods, communicates incorrect application of insurance coverage or benefits with clinic department staff members. Meets with clinical departments as needed or requested to provide updates regarding insurance coverage or benefit application concerns. * Participates with educational activities with clinical departments, corporate compliance, etc. to ensure lines of communication among departments remains open and positive. * Assists providers, staff and insurance payer representatives with insurance and billing inquiries in a friendly and professional manner. * Other responsibilities may include: * Completes and follows up on credentialing and re-credentialing of providers with appropriate insurance companies. * Provides information as needed for production reporting and to ensure job standards are consistently met or exceeded. * Assists with internal audits by providing requested information and participating in review finding discussions regarding insurance processing performance. Submits to remedial training if substandard performance is identified through such audits. * Assists co-workers and management with special projects related to claims or A/R clean-up efforts. * To ensure uninterrupted service, participates in cross-training efforts and provides coverage for insurance processing and follow-up needs with non-assigned payers. * Actively participates in departmental and/or organizational process improvement (lean) initiatives. * Notifies management of audit requests by insurance payers and complies with requests in a timely manner. * Performs other duties as assigned by management. * Engages in training Patient Services and Call Center Agent's to meet organizational needs. * Performs complex holds to resolve denials and performs higher level tasks. General Duties and Responsibilities * Performs other duties and tasks as assigned by supervisor. * Expected to meet attendance standards and work the hours necessary to perform the essential functions of the job. * Conforms to safety policies, general housekeeping practices. * Demonstrates sound work ethics, flexible, and shows dedication to the position and the community. * Demonstrates a positive attitude, is respectful, and possesses cultural awareness and sensitivity toward clients and co-workers. * Keeps customer service and the mission of the organization in mind when interacting with all clients, co-workers, and others. * Employees are expected to embrace, support and promote the core values of respect, integrity, trust, compassion and quality which align with the CVCH mission statement through their actions and interactions with all patients, staff, and others. * Conforms to CVCH policies and Joint Commission and HIPAA regulations Job Specifications * Education: High School graduate or equivalent * Certification/Licensure: None * Experience: 3 years billing experience in a healthcare setting preferred. Strongly prefer knowledge of diagnosis and procedural coding, medical terminology and insurance billing guidelines, fluent with industry X12 and ANSI guidelines, proficient with claims adjustment reason and remark codes (CARC and RARC), FQHC certification or billing experience. * Language Skills: English required. * Essential Technical/Motor Skills: Knowledge of computer applications and equipment related to work. Must have basic computer and keyboarding skills and have the ability to enter data within company's computer system to include strong knowledge in MS Word/Excel; must demonstrate manual dexterity. Exhibit strong customer service skills, strong process improvement background. * Interpersonal Skills: Strong interpersonal and communication skills and the ability to work effectively with other staff and management. Demonstrated skill in developing and maintaining productive work teams. Ability to demonstrate personal integrity in all interactions. * Essential Physical Requirements: This job is performed mostly in a typical inside, office environment. Essential physical requirements of this job include: light physical effort; repetitive motions of wrists, hands, and/or fingers; standing, walking, lifting, reaching, kneeling, bending, stooping, pushing, and pulling; frequent sitting; lifting and/or moving items up to 50 pounds, with assistance as needed; ability to read forms and computer screens and to read correspondence and other documents. * Essential Mental Abilities: Ability to make decisions in line with state and federal regulations; ability to read, comprehend, and analyze documents, regulations, and policies; ability to prepare and submit complete and succinct documents necessary to the job. Ability to assess and evaluate, have attention to detail. Knowledge of auditing and compliance procedures, quality assurance and improvement practices, understanding of the elements of sponsored clinical protocols including consent forms, and reporting requirements. Problem solving and analytical skills are required with a heavy emphasis on detailed analysis of information to support actions. * Essential Sensory Requirements: Essential sensory requirements include the ability to: read computer keyboard, monitor, and documents; prepare and analyze documents; read extensively; see, recognize, receive and convey detailed information orally, by telephone and in person; convey accurate and detailed instructions by speaking to others in person and by telephone. * Exposure to Hazards: Worker is subject to inside environmental conditions on a frequent basis with moderate noise. Typical working conditions found in most administrative work areas. Worker has contact with consumers and other staff and may be exposed to medical conditions presented by them. Blood/Fluid Exposure Risk Category III * Tasks involve no greater exposure to blood, body fluids, or tissues than would be encountered by a visitor. Category I tasks are not a condition of employment. Age Specific Competency Position does not involve patient care. Position will demonstrate general knowledge and skill to effectively communicate and provide safety measures to all life cycles. Telecommuting * Position eligible for Partial Telecommuting Benefits * Coverage below based on a 1.0 FTE; Medical, Dental, Paid Leave, Holidays are prorated based on FTE Benefit: Coverage: Effective: Medical Premera (Self Insured) Preferred Provider Employee covered - $60.00 per month Dependents covered - please refer to the benefits Guide 2025 for rates First of the month following the first date of employment. Dental Washington Dental Employee covered - 100% Dependents covered - 50% First of the month following the first date of employment. Paid Leave 120 hours - Year 1 136 hours - Year 2 Each year after that employee will accrue 8 hours of PTO each year, on their anniversary date, until they reach a maximum of 208 hours at 10+ years. Paid Leave may be used immediately for sick leave and after 3 months employment for vacation. Maximum accrual cap of 320 hours; hours in excess of 320 hours will automatically transfer into the employees EIB. Extended Illness Bank (EIB) Allows for maximum accrual of 200 hours PTO hours in excess of 320 will transfer into EIB. Employees are eligible to use EIB hours after at least 3 consecutive scheduled working days of PTO (max 24 hours) which have been used for a personal illness and/or a qualifying event under FMLA or the WA Family Care Act. Holidays 88 hours related to: * New Year's Day * Memorial Day * 4th of July * Labor Day * Thanksgiving Day * Day after Thanksgiving * Christmas Eve * Christmas Day * 3 Diversity Days Holidays are calculated as 8-hour days if full time, 1.0 FTE, and paid based on the calendar year (January 1 through December 31). Holiday hours will be added to the employee's timecard automatically. If an employee is part-time, as documented in our HR/Payroll system, Holiday hours will be pro-rated. If an employee starts after the calendar year has begun, holiday hours will be prorated based on remaining holidays in the calendar year and diversity days will be prorated as outlined below: * Jan 1- April 30: 3 diversity days (24 hours if 1.0 FTE) * May 1 - August 31: 2 diversity days (16 hours if 1.0 FTE) * Sept 1 - Dec 31: 1 diversity day (8 hours if 1.0 FTE) Please refer to the Paid Leave policy for additional details. 403(b) Retirement Plan Lincoln Financial 150% CVCH match up to 3% of the employee's contribution Immediately. Vesting schedule: 20% at 2 years, 50% at 3 years, 60% at 4 years, and 100% at 5 years. Employee Assistance Program Mutual of Omaha Free short-term counseling for employee and family Immediately. Call ************ Long-term Disability Mutual of Omaha Employee Only (variable) First of the month following the first date of employment. Benefit: Coverage: Effective: Basic Term Life Mutual of Omaha Employee Only (1x annual salary, up to $200,000) First of the month following the first date of employment. Group Accidental Death and Dismemberment (AD&D) Mutual of Omaha Employee Only (1x annual salary, up to $200,000) First of the month following the first date of employment. Supplemental Term Life Mutual of Omaha Employee / Spouse / Dependent(s) First of the month following the first date of employment. Voluntary AD&D Mutual of Omaha Employee / Family First of the month following the first date of employment. Health Reimbursement Arrangement RedQuote Reimbursement for out of pocket expenses for services received at CVCH (medical, dental, and prescription) by employees and their dependents enrolled in our medical plan. Up to $750 per family per year. First of the month following the first date of employment. Flex Plan: Medical RedQuote Flex Plan: Maximum $3,300 per year Direct Deposit available First of the month following the first date of employment. Flex Plan: Dependent Care RedQuote Flex Plan: Maximum $5,000 per year Direct Deposit available First of the month following the first date of employment. AFLAC Supplemental insurance - cafeteria plan First of the month following the first date of employment. Wellness Stipend CVCH will reimburse staff up to $30 per month for a local gym membership OR CVCH will reimburse up to $150 per year for a subscription type workout program service (i.e.: Beachbody on Demand, Les Mills, etc.) Immediately. Once employee has submitted invoice to HR/Payroll department. Cell Phone Discounts Discounted monthly access fees Discounted select accessories and special equipment Available for personal cell phones, currently in place with AT&T & Verizon Benefit: Coverage: Effective: Tuition Reimbursement For approved courses, the cost of tuition, books, and lab fees may be reimbursed at 75% of the actual costs up to a maximum of: * $4,000 for an Associate's degree, vocational, technical, or certification program * $6,000 for a Bachelor's degree * $8,000 for a Master's degree Upon approval; regular employees who work at least 20 hours per week, have successfully passed their evaluation period and are in good standing may apply. Employees must agree to work for a period of two (2) years from the date of receipt of tuition reimbursement and obtain satisfactory completion of approved courses or Challenge Exams. Compensation: $21.06 to $30.27 (DOE)

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

We are looking for a Billing Specialist to join our Team! The Billing Specialist is responsible for all aspects of medical billing within our Agency. Duties include, but are not limited to: speaking with insurance companies, obtaining prior authorizations, daily entry of data, and determining insurance eligibilities. The Billing Specialist will also check eligibilities on patients, communicate directly with patients regarding billing, obtain authorizations and update and maintain patient insurance in the current software. Additional responsibilities will include: a. Post payments from insurance and clients b. Management of the denials/rejections c. Reading and understanding 835 files d. Generate 1500 form claims via paper or electronically e. Navigate insurance websites/maintain user status f. General billing duties related to the scope of the position, but not mentioned specifically above. Education, Experience, Skills, Training: High School Diploma or equivalent. The successful applicant must have excellent communication skills, computer skills, and knowledge of Medicare, Medicaid, Commercial and Third-Party Insurers. Applicant must have efficient knowledge of eligibility verification and claims processing. At least one year of billing experience preferred. Must be able to obtain Act 33, Act 34 and FBI clearances. This is a full-time position with medical, dental and vision benefits, as well as, 401(k) Retirement Plan with matching company contributions, paid vacation and paid holidays. Nulton Diagnostic and Treatment Center is an equal opportunity employer. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability status. Nulton Diagnostic & Treatment Center is an EEO Employer - M/F/Disability/Protected Veteran Status View all jobs at this company

Job Description Are you detail-oriented and experienced in healthcare billing? Join our growing team that provides exceptional rehabilitation therapy services to skilled nursing facilities across Pennsylvania and Ohio. We are currently seeking a Billing Specialist who will play a key role in ensuring accurate, timely billing and reimbursement for therapy services. This position supports our mission to provide high-quality care while maintaining strong financial performance. Key Responsibilities: •Prepare and submit claims for therapy services to Medicare, Medicaid, and private insurers •Monitor and follow up on outstanding accounts receivable and denied claims •Verify patient insurance eligibility and authorizations •Ensure compliance with payer requirements and billing regulations •Work closely with clinical and administrative staff to maintain accurate billing records •Generate reports and assist with audits as needed Qualifications: •Working knowledge of medical billing (therapy or skilled nursing preferred) •Strong knowledge of Medicare/Medicaid and third-party billing guidelines •Working knowledge of Windows and Excel •Excellent organizational and problem-solving skills •Ability to work independently with accuracy and efficiency What We Offer: •Competitive compensation •Health, dental, and vision benefits •Paid time off and holidays •Supportive, team-oriented culture •Opportunity to grow within a mission-driven company Apply today to join a team that values precision, integrity, and care! Call/Text Becki Circle, Recruiter to learn more or apply online. ************. We are proud to be an Equal Opportunity Employer.

Are you detail-oriented and experienced in healthcare billing? Join our growing team that provides exceptional rehabilitation therapy services to skilled nursing facilities across Pennsylvania and Ohio. We are currently seeking a Billing Specialist who will play a key role in ensuring accurate, timely billing and reimbursement for therapy services. This position supports our mission to provide high-quality care while maintaining strong financial performance. Key Responsibilities: •Prepare and submit claims for therapy services to Medicare, Medicaid, and private insurers •Monitor and follow up on outstanding accounts receivable and denied claims •Verify patient insurance eligibility and authorizations •Ensure compliance with payer requirements and billing regulations •Work closely with clinical and administrative staff to maintain accurate billing records •Generate reports and assist with audits as needed Qualifications: •Working knowledge of medical billing (therapy or skilled nursing preferred) •Strong knowledge of Medicare/Medicaid and third-party billing guidelines •Working knowledge of Windows and Excel •Excellent organizational and problem-solving skills •Ability to work independently with accuracy and efficiency What We Offer: •Competitive compensation •Health, dental, and vision benefits •Paid time off and holidays •Supportive, team-oriented culture •Opportunity to grow within a mission-driven company Apply today to join a team that values precision, integrity, and care! Call/Text Becki Circle, Recruiter to learn more or apply online. ************. We are proud to be an Equal Opportunity Employer.

Job Details 454 NEW HOLLAND AVE - LANCASTER, PADescription Our Mission, Vision, & Model of Care At Union Community Care, our purpose is at the forefront of all that we do: we stand for whole health to help you live your fullest life. We envision vibrant and healthy communities supported by inclusive healthcare that embraces each member's unique culture, needs, and values, and emboldens them to make healthful choices that fuel their well-being and the well-being of others. We believe in whole health. This means we address and heal disease but equally important, we work at the causes of the causes, the social ills that must be addressed to achieve true equity. We listen, learn, and embrace the complex lives and unique strengths of our patients, and we work hard to break down all barriers to care. This means we look through a grassroots lens. We connect with our communities because we are our communities. Each of us is a neighbor, a friend, a family member, and together, we are a trusted community health center. Qualifications JOB SUMMARY This position is responsible for a variety of complex clerical and accounting functions related to medical accounts receivable (A/R), including insurance verification, insurance claim submission, along with collection, posting, and managing account payments. Duties also include following up on submitted claims and patient billing, along with investigating insurance denials. SPECIFIC JOB DUTIES- Billing Specialist I Posting of daily charges and research missing slips to make sure all charges are captured Prepares, audits and generates clean claims Processes and posts insurance payments along with patient payments in an accurate and timely manner in accordance with Union Community Care's policies, procedures and performance goals. Coordinates with PAS to ensure accurate patient information for billing purposes Performs a variety of general clerical duties, including telephone reception, mail distribution, and other routine functions. Works all Claim Holds and Denials by investigating (calling), correcting and resubmitting claims to third party payers Answers questions from team members, patients and insurance companies Identifies and resolves patient billing questions and complaints Knowledge of Sliding Fee policy and rates Maintains patient demographic information, including insurance eligibility and benefit verification Ability to prepare, reviews, and sends patient statements Creates payment plans with patients; that follow the guidelines established by Union Community Care Participates in educational activities and attends staff meetings Maintains strict confidentiality and adheres to all HIPAA guidelines and regulations Performs other work-related duties as assigned Reconciles cash and batches daily Works on appeals to insurance companies as needed SPECIFIC JOB DUTIES- Billing Specialist II Preform all job duties of Billing Specialist I Demonstrates the ability to act as a coach to peers Proficient in both Medical and Dental Billing SPECIFIC JOB DUTIES- Billing Team Lead Performs all duties of Billing Specialist I Works with Billing Specialists to research appropriate billing & coding procedures Works with Director of Billing to maximize revenue potential based on our unique services and providers Works with Director of Billing to maximize department efficiency Assists with reconciliation errors Works with Accounting to identify any discrepancies in cash Keeps ongoing knowledge of current CPT/CDT guidelines and educates Billing Specialists Responsible for Training of Billing Staff Assists with Training of PAS Certification in Medical Billing or Coding preferred JOB REQUIREMENTS To perform this job successfully, an individual must be able to perform all duties satisfactorily. The requirements listed below are representative of knowledge, skill, and/or ability required. Knowledge of medical terminology and current CPT AND/OR CDT coding practices preferred Working knowledge of Microsoft Office, EMR software's and other online programs; along with general business equipment Basic mathematic skills Spanish proficiency preferred Ability to work well with others ESSENTIAL FUNCTIONS To fulfill the requirements of this position, all duties above are considered essential functions of the job. ORGANIZATIONAL INVOLVEMENT This position is required to participate in mandatory all staff meetings, team meetings and trainings.

Job Details Erie, PADescription The Ambulance Billing Specialist performs all duties relative to the billing cycle and helps maintain adequate control over individual patient accounts. These duties include data entry, all phases of first and third party billing; patient inquiries; requests for information from patients; payers or others; assistance to patients regarding insurance payments or other matters; and account receivable posting. Qualifications High school diploma or general education degree (GED); One year certificate from college or technical school; or three to six months related experience and/or training; or equivalent combination of education and experience. Prior experience in medical terminology and/or billing with a medical insurance background is preferred. To perform this job successfully, an individual should have knowledge of Internet browser software; RescueNet Billing Software, Spreadsheet software; Word Processing software.

Job Description The Pre-billing coordinator is responsible for daily upkeep of the Call Maintenance board in Home Health Exchange including Prebilling and Dashboard. This role reports directly to the Director of Finance. Responsibilities Ensure all caregivers are paid in a timely and accurate manner. Identify and provide support and training for caregivers struggling with the EVV process. Review and address all open items on the call maintenance dashboard daily. Contact caregivers listed on the prebilling portal in a timely manner and request manual timesheets where needed. Make necessary adjustments to the schedules to correct prebilling issues. Ensure EVV and timesheet compliance, discuss discrepancies with clients and caregivers, and ensure that documentation received is correct, complete, and on a timely basis. Monitor the prebilling portal and code shifts with non-service information provided within the MCO regulated timeline of 48 hours from date of service. Review and address all outstanding shifts left unprocessed on a weekly basis within 3 months of the date of service. Collaborate with the operations department to monitor utilization to ensure maximum service delivery. Communicate with Client Care Manager about any disruption in service that occurs. Communicate any changes in client's schedule as needed with Client Care Manager. Ensure that all Clients receive 100% service utilization, and if not possible provide documentation and timely communication to Managed Care Organizations. Required Education and Experience Bachelor's degree in human services, Business Administration, or related field preferred or minimum 2 years' experience in Home Care, Social Work, and/or work with The Office of Long-Term Living. Proficient in Microsoft Office: Word, Excel, Power Point, Outlook. Knowledge of HHAeXchange. Bi-lingual preferred but not required. Must have own car, valid driver's license, and insurance. Physical Requirements May require sitting, standing, or walking on a level surface for periods throughout the day. May require lifting up to 20 pounds. Regional travel up to 25% is required to other JEVS locations, home visits and other related functions. Benefits Heath insurance Dental insurance Life insurance Paid time off Retirement benefits For more information about JEVS Care at Home, please visit our website: jevsathome.org

Full-time Description Smile builderz is a well-established private multi-specialty dental practice located in Lancaster County, PA. We are looking for a billing specialist to join our team. This position involves verifying insurance coverage for proposed dental treatments, preparing, and submitting predetermination requests, and communicating with patients to provide estimates of insurance benefits. Job Responsibilities: 1. Verify patients' insurance coverage and eligibility for proposed dental treatments before submitting claims. 2. Accurately create, batch, and send dental claims to insurance companies within 72 hours of the patient's date of service. 3. Input accurate dental coding of procedures, with correct documentation, images and notes attached with the insurance claims. 4. Assist with monitoring predetermination requests to insurance companies. 5. Monitor the status of claims and follow up with insurance companies to ensure timely responses. 6. Address claim issues with insurance companies within a timely manner. 7. Monitor and address interoffice requests and discrepancies for the Sending team. 8. Maintain accurate records of claims requests, responses, and patient communications. Ensure documentation is organized and readily accessible. 9. Assist in the appeals process if claims are denied or if there are discrepancies. 10. Stay informed about insurance regulations and ensure that the practice complies with insurance guidelines in the claims process. Requirements High school diploma or equivalent. Previous experience in dental billing, insurance verification, or related roles is preferred. Strong attention to detail and excellent organizational skills. Strong communication and customer service skills.

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

SPECIFIC RESPONSIBILITIES:  Generate primary and secondary paper bills according to established procedures.  Edit paper claims before mailing.  Perform claim follow up on denials quickly and accurately from assigned payers to ensure revenues are received timely.  Run 837 files according to established procedures. Resolve any validation issues  Accurate and timely data entry into payer websites for original claim submissions and/or corrected claims submissions.  Verify and post remittance from assigned payers.  Re-bill accounts as necessary to ensure an open insurance receivable against which a payment can be applied.  Thoroughly research questionable/unidentified payment in order to post properly or refund to payer per payer guidelines.  Work with payers and subscribers to resolve issues and facilitate prompt payment of claims.  Verify NAP issues and work to resolve.  Identify and communicate to up-line delays effecting balancing issues, new codes, or adjustments.  Identify and communicate to up-line any Psych Consult issues such as fee matrix, CPT codes, units or rates to eliminate inefficiencies and/or obstacles in billing process  Reconcile funds in the bank to payments posted.  Prepare adjustments such as refunds, contractual differences and write offs for approval and processing.  Work open/billed reports and/or aged reports timely to ensure revenue is not lost.  Monitor payer websites for benefit information and requirements. Timely communication to manager if our system needs updated for accurate billing.  Follow up on corrected claims to ensure filing time guidelines are met.  Receive incoming telephone and email inquires from patients, families, internal staff and insurance companies and resolve/refer appropriately.  Efficiently and accurately documents detailed notes in Psych Consult Patient Accounts Screen and review notes documented by others before proceeding on issues.  Forward all authorization issues/concerns to the Managed Care Coordinator timely to ensure revenue is not lost. Document in system.  Communicate appropriately utilizing a service account.  Support co-workers towards completion of assigned projects/tasks.  Back up for clerical staff at Behavioral Health facilities as needed.  Suggest new work flows and/or office procedures to increase customer satisfaction and/or staff productivity.  Scan, OCR and redact in scanning software. REQUIRED MINIMUM QUALIFICATIONS: High school diploma or equivalent is required. Associate degree in accounting field preferred. Minimum of four years experience in an accounts receivable environment with three years specific to health care billing including cash posting, submitting paper and electronic claims, working rejections/denials, required. Knowledge of insurance reimbursement guidelines for Medical Assistance, Commercial Plans, Medicare and Medicare HMO plans required. Knowledge of Allegheny County guidelines preferred. Proficient with personal computer base applications and other various office equipment. Good oral and written communication skills required. Conveys an outstanding first contact experience to all customers, including internal and external contacts. Performs multiple tasks. Proficient in task analysis and completion. Excellent organizational, time management, and follow-up skills. Maintains confidentiality with regard to all job assignments. Apply online at ************ Qualifications See above Additional Information APPLY ONLINE at ************

SPECIFIC RESPONSIBILITIES:  Generate primary and secondary paper bills according to established procedures.  Edit paper claims before mailing.  Perform claim follow up on denials quickly and accurately from assigned payers to ensure revenues are received timely.  Run 837 files according to established procedures. Resolve any validation issues  Accurate and timely data entry into payer websites for original claim submissions and/or corrected claims submissions.  Verify and post remittance from assigned payers.  Re-bill accounts as necessary to ensure an open insurance receivable against which a payment can be applied.  Thoroughly research questionable/unidentified payment in order to post properly or refund to payer per payer guidelines.  Work with payers and subscribers to resolve issues and facilitate prompt payment of claims.  Verify NAP issues and work to resolve.  Identify and communicate to up-line delays effecting balancing issues, new codes, or adjustments.  Identify and communicate to up-line any Psych Consult issues such as fee matrix, CPT codes, units or rates to eliminate inefficiencies and/or obstacles in billing process  Reconcile funds in the bank to payments posted.  Prepare adjustments such as refunds, contractual differences and write offs for approval and processing.  Work open/billed reports and/or aged reports timely to ensure revenue is not lost.  Monitor payer websites for benefit information and requirements. Timely communication to manager if our system needs updated for accurate billing.  Follow up on corrected claims to ensure filing time guidelines are met.  Receive incoming telephone and email inquires from patients, families, internal staff and insurance companies and resolve/refer appropriately.  Efficiently and accurately documents detailed notes in Psych Consult Patient Accounts Screen and review notes documented by others before proceeding on issues.  Forward all authorization issues/concerns to the Managed Care Coordinator timely to ensure revenue is not lost. Document in system.  Communicate appropriately utilizing a service account.  Support co-workers towards completion of assigned projects/tasks.  Back up for clerical staff at Behavioral Health facilities as needed.  Suggest new work flows and/or office procedures to increase customer satisfaction and/or staff productivity.  Scan, OCR and redact in scanning software. REQUIRED MINIMUM QUALIFICATIONS: High school diploma or equivalent is required. Associate degree in accounting field preferred. Minimum of four years experience in an accounts receivable environment with three years specific to health care billing including cash posting, submitting paper and electronic claims, working rejections/denials, required. Knowledge of insurance reimbursement guidelines for Medical Assistance, Commercial Plans, Medicare and Medicare HMO plans required. Knowledge of Allegheny County guidelines preferred. Proficient with personal computer base applications and other various office equipment. Good oral and written communication skills required. Conveys an outstanding first contact experience to all customers, including internal and external contacts. Performs multiple tasks. Proficient in task analysis and completion. Excellent organizational, time management, and follow-up skills. Maintains confidentiality with regard to all job assignments. Apply online at ************ Qualifications See above Additional Information APPLY ONLINE at ************

Job DescriptionSalary: DOE Billing Specialist needed for very busy family practice office in Poulsbo! The ideal applicant has a positive attitude, a welcoming smile, the ability to multi-task, detail oriented, and exceptional work ethic! Job duties include: Process refunds to patient and insurance carriers Correct claim issues and resubmission of claims as appropriate Assist in claim submission and accuracy of data Work past due accounts and process in accordance to policy and procedures Contact insurance carriers as needed to resolve claim issues Communicate with patients via multiple different platforms such as phone/secure text and patient portal Other duties as assigned Working with your colleagues as a team player! Job experience include: High School degree or equivalent Medical coding and billing: 1 year required Experience with EHR(athena): Preferred Knowledge with Microsoft Office, Excel and Teams Job Type: Full-time Pay: DOE Expected hours: 40 per week Benefits: 401(k) 401(k) matching Dental insurance Disability insurance Employee discount Health insurance Health savings account Paid time off Vision insurance Medical Specialty: Primary Care Schedule: 10 hour shift 8 hour shift No weekends Work Location: In person

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.