21 jobs found in Pennsylvania

The Service Line Coding Administrator shall have two distinct revenue cycle functions and responsibilities. First, the Administrator is directly responsible for the organization and management of the point of care coding documentation improvement program for their individual service line. As such, the Administrator must possess an expert knowledge of the documentation issues that impact service line metrics and create strategies to optimize performance. Second, the Administrator is directly responsible for all clinical coding activities for their service line. This responsibility includes the timely, optimal, and compliant coding of discharged accounts. Education Associates Degree: in Health Information Management or related field (Required) Bachelors Degree: in Nursing or Health Information Management (Preferred) Combination of relevant education and experience may be considered in lieu of degree. Experience 2 Years experience in coding, process improvement, UR or case...

Job Description Job description Cardiology Consultants of Philadelphia is a professional medical organization committed to the healing mission of Medicine. CCP specializes in providing comprehensive Cardiology care and currently has over 30 locations throughout the Philadelphia area. We are currently hiring for a full time Medical Biller for our West Chester, PA location. Please note this role is entitled to a $500 sign on bonus. Responsibilities: * Code and enter all patient visits, tests, etc. * Ensure the accuracy of all patient information in the billing system. * Ensure the timeliness of all charges. * Verify, adjust, and correct bills to ensure accuracy and consistency. * Ensure compliance with all federal, state, and third party billing requirements, rules, and regulations. Requirements * Must have at least 3-5 yrs experience in a medical office setting, preferably in Cardiology * Must have knowledge of different insurances * Must have the ability to multitask * Computer...

Job Description American Endovascular is currently seeking an Insurance & Billing Accounts Receivable Team Member! We are looking for a Billing And Insurance Accounts Receivable Team Member that is proficient with Insurance Companies, Customer Service, Accounts Receivable and Medical Records. The New Team Member must also be well-versed with soft skills such as Communication, Basic Math, Independence and Organization. * Identify and resolve patient and insurance billing issues. * Follow-Up on denied, appealed and re-consideration of claims. * Patient AR: collect outstanding accounts, process credit card payments and discuss insurance & billing questions. * Update insurance payor information and profiles * Support Clinical Staff, Physicians and Front Office Staff with questions regarding insurance policies, authorizations and payments * Understand insurance productivity, insurance aging and revenue cycle reporting. * Adhere to HIPAA guideline and patient confidentiality. *...

Job Description Because we are rapidly growing, we are looking for a part-time billing specialist to join our team. You will report directly to the Operations Manager while assisting with daily, weekly, monthly, and quarterly billing tasks and initiatives to maximize profitability of the business. You must be detail oriented and highly organized to properly fulfill this role. Numbers don't lie and they keep the office moving forward, so high attention to detail is required for this position. If you don't like numbers and don't enjoy tracking things down to the cent, then this is NOT the job for you! If you love checking all the details, being meticulous with the numbers, and take pride in being a major contributor to a business's mission, success, and growth - then we can't wait to speak with you! The right person for this role has experience with medical billing systems, understanding insurance and time spent in electronic software. This is a part-time position, which may grow to...

Job Description We are a rapidly growing medical billing company seeking several experienced medical billers to enter, update or correct patient information with speed and accuracy. The right candidate will be responsible for the following: * Denial management * Make adjustments/ corrections to patient accounts * Contact insurance carriers for claims status * Answer patient calls and respond to inquiries or problems in a professional and courteous manner MBMS sets itself apart from other billing companies by offering clients a dedicated team structure, a 100% referenceable existing client base, and the two strongest performance guarantees in the industry. Please do not miss this exciting opportunity to be a part of MBMS' expansion! Education/Experience Qualifications: * High school diploma or equivalent; required. * Knowledge of health insurance, medical billing policies and procedures; required. * Revenue cycle experience preferred. Additional Benefits: * $500 sign-on bonus with...

Job Description Apis Services, Inc. a large Berks County, Pennsylvania based corporation with over 3,500 employees nationwide has a great career opportunity! We are seeking a Full Time Medical Billing/Revenue Cycle Specialist - who will be responsible for ensuring timely and accurate billing of claims, identifying errors and rejects and resolving billing issues. This is a hybrid position between working from office and your home. Department Summary: The Revenue Cycle Department is responsible for supporting program leadership and departments in the areas of admissions, registration, pre-certification, charging, clinical documentation, billing, insurance follow-up and denial resolution for services provided throughout the program. This includes working with medical staff, administrative staff, and client families to ensure a positive experience for all stakeholders of the program. Position Summary: • Review all client accounts to ensure timely and compliant billing of Institutional...

Job Description A Medical Coder, or Certified Professional Coder, is responsible for reviewing a patient's medical records after a visit and translating the information into codes that insurers use to process claims from patients. Their duties include confirming treatments with medical staff, identifying missing information and submitting forms to insurers for reimbursement. ESSENTIAL DUTIES and RESPONSIBILITIES: The duties and responsibilities of a Medical Coder vary from one healthcare facility to another. The main duty of a Medical Coder is assigning codes to medical procedures and diagnoses. Other duties and responsibilities of a Medical Coder include: ● Making sure codes are assigned correctly and sequenced appropriately as per government regulations ● Complying with medical coding guidelines and policies ● Receiving and reviewing patients charts and documents for verification and accuracy ● Following up and clarifying any information that is not clear to other staff members...

Job Description SUMMARY A person in this position functions under the working title of Licensed Practical Nurse when working in an ICF/ID or Medical Compliance Specialist in non-ICF/ID programs. Assignments are technical in nature and are performed under the supervision of the Director of Nursing. A person working in this position in an ICF/ID also is provided oversight by the Qualified Intellectual Disability Professional/Regional Director. ESSENTIAL DUTIES AND RESPONSIBILITIES * Administers medication in accordance with the physician's orders, under the supervision of the Director of Nursing. * Provides direct care to residents by utilizing standard nursing techniques and following care plans. * Observes, interprets, records, and reports those signs, symptoms and processes which indicate the residents' responses to actual or potential health problems. * Provides health promotion and maintenance through teaching, guidance, and counseling the residents, families, and other members...

Job Description Preferred Primary Care Physicians is currently recruiting for a full-time Medical Billing Specialist to work out of Central Administrative office located in Canonsburg, PA. The ideal candidate will have a minimum of 1 year of medical billing experience and be familiar with medical terminology. WORK FROM HOME FLEXIBILITY possible after successful completion of 90-Day introductory period. Come join the PPCP team to get a highly competitive starting hourly wage, a fantastic benefit package that includes one of the top 401k plans in the field, and a company that promotes a positive, upbeat environment and healthy work/life balance! General Purpose of the Medical Billing Specialist Position: This position will prepare, review, and transmit claims using billing software, including electronic and paper claim processing. The Biller will also follow up on unpaid claims within standard billing cycle timeframe. This position will also check each insurance payment for accuracy...

Job Description MMS is an innovative, data focused CRO that supports the pharmaceutical, biotech, and medical device industries with a proven, scientific approach to complex trial data and regulatory submission challenges. Strong industry experience, technology-enabled services, and a data-driven approach to drug development make MMS a valuable CRO partner, creating compelling submissions that meet rigorous regulatory standards. With a global footprint across four continents, MMS maintains a 97 percent customer satisfaction rating, and the company has been recognized as a leading CRO in Global Health & Pharma's international awards programs for the last three consecutive years. For more information, visit www.mmsholdings.com or follow MMS on LinkedIn. Job Specific Skills * Maintains a strong understanding of regulations and guidance as they pertain to compliance; maintains knowledge relating to regulatory updates. * Understanding of how to plan, prepare and conduct GCP audits...

Job Description This job description explains the detail and general nature of the position; and overview of why the job exists and what the job is to accomplish. Job title Compliance Auditor, Full-Time Reports to Director and Assistant Director Location Office for Child and Youth Protection Overtime Non-Exempt, Based on Job Duties Job purpose The Compliance Auditor is responsible for the monitoring of the compliance of Archdiocesan parishes, schools, and entities with policies as they relate to working with children. Duties and responsibilities * Conducts on-site audits to ensure compliance with policies by examining and analyzing records, reports, operating practices, and documentation; recommending opportunities to strengthen the internal control structure. * Also conducts audits of data entered into the database. * Prepares for audit by researching materials; formulating a plan of action. * Communicates audit progress and findings by preparing reports; providing information in...

ROLE SUMMARY The clinician medical monitor may contribute towards providing medical and scientific expertise and oversight for Clinical Trials of pneumococcal vaccines or other vaccine programs. The clinician medical monitor may be required to design a development strategy for multiple protocols designed to obtain worldwide approval for a compound or group of compounds. ROLE RESPONSIBILITIES Accountable for safety across the study: Provide study team with medical advice for all medical issues during risk assessment and mitigation planning to enable quality, compliance and patient safety at the trial, site and patient level. Ensures development of and adherence to the Safety Surveillance Review Plan (SSRP).Consistent with the SSRP, performs and documents regular review of individual subject safety data, and performs review of cumulative safety data with the safety risk lead. As appropriate, the clinician medical monitor may delegate these responsibilities...

Job Description This position may be for you if you are a positive, dynamic, self-motivated, well-organized, task-oriented, reliable, dependable, lifelong learner mentality, solution-oriented ROCK STAR who loves the idea of ensuring we provide an outstanding patient experience. This position is NOT for you if you require micro-management, spend more time focusing on problems than solutions, engage in office drama and gossip, have no interest in helping patients have a great experience, dont like the field of physical therapy, and are unable to take charge of your environment and role. We value team work, collaboration, innovation, and the use of technology to allow us to better serve our patients and community. We value continued lifelong learning and mentoring as well as critical thinking. We are passionate and strive to take physical therapy to the next level. We are seeking a medial biller to help our team: * Perform posting charges * Perform completion of claims to payers *...

Job Description Currently seeking ​a Medical Billing Supervisor. Candidate will be responsible for charge entry, posting, patient phone calls and issues follow-up and ensuring business tasks are completed efficiently and effectively. Responsibilities: * There is a daily workload that must be completed * Reading comprehension and problem solving are a must * Phone skills and communication skills are essential. You will be talking to patients and insurance companies daily. * Required to analyze the history of how denied claims were handled in the past with the goal of getting them paid. * Perform data entry Qualifications: * Previous experience with medical billing * Ability to prioritize and multitask * Strong organizational skills * Detail-oriented, self sufficient problem solver Company Description Busy and growing medical billing office in the suburbs of Philadelphia. Company Description Busy and growing medical billing office in the suburbs of Philadelphia.

Are you energized by the opportunity to take a leadership role in writing clinical study-related documents and supporting the writing of selected regulatory documents from scientific and clinical project data to meet the needs of licensing authorities? If so, this Medical Writing & Clinical Submission Planning Associate Director opportunity could be an ideal opportunity to explore. As a Medical Writing & Clinical Submission Planning Associate Director, you will work in a matrix team to ensure delivery of high quality, fit-for-purpose clinical documents that accurately reflect associated data, and are in line with GSK standards and global, regional and/or local regulatory requirements. In the US, this position can be based at the GSK Collegeville, PA, in RTP, NC, or can be remote-based within the US East coast or US Central time zones. In Canada, this position can be based in Toronto, or can be remote-based in a location within the Eastern, Atlantic, Newfoundland,...

Job Description Description: Medical Receptionist Supervisor MidLantic Urology was founded on the desire to advance urology health care for our patients. Our merger of the top urology groups in Philadelphia not only gives us the most recognizable and skilled urologists but also empowers us with the resources to continue to innovate with the most advanced treatments backed by clinical research. Our approach comes directly from the private practice model. We believe in highly personalized and compassionate care. Our specialists are by our patient's side throughout their entire care journey. With 47 state-of-the art locations located throughout the region, we strive to provide the most convenient access to all our patients. The MidLantic Urology team thrives on pushing the envelope of what's possible in urological medicine. Our advancement of urology health through clinical research makes us a stronger practice. We're passionate about raising the bar for urological care in service of...

Job Description Fast paced medical billing company seeking full-time Certified Medical Coder, experience in interventional radiology preferred . Must have a current CPC, CCS-P and/or RCC certification. Great work environment, competitive salary and great benefits which include Medical, Dental, Vision, STD, LTD and 401K. Salary is commensurate with experience.

This job description explains the detail and general nature of the position; and overview of why the job exists and what the job is to accomplish. Job title Compliance Auditor, Full-Time Reports to Director and Assistant Director Location Office for Child and Youth Protection Overtime Non-Exempt, Based on Job Duties Job purpose The Compliance Auditor is responsible for the monitoring of the compliance of Archdiocesan parishes, schools, and entities with policies as they relate to working with children. Duties and responsibilities Conducts on-site audits to ensure compliance with policies by examining and analyzing records, reports, operating practices, and documentation; recommending opportunities to strengthen the internal control structure. Also conducts audits of data entered into the database. Prepares for audit by researching materials; formulating a plan of...

The Medical Billing Specialist is responsible for providing selective medical billing services to a variety of clients within the post-acute healthcare industry, including nursing, retirement communities, home health and hospice facilities. They handle third-party billing and any denials after the claim is submitted while providing excellent client service. Success Factors Responsibilities Train with Medical Billing Senior Specialist and Manager to learn billing procedures and claim follow-up on the numerous systems clients utilize Establish collaborative working relationship with Medical Billing Senior Specialist and Manager to assist with any client needs that arise Learn and understand Medicare, Managed Care, and Medicaid regulatory billing practices Review claims against medical documentation provided by clients to ensure clean claims are submitted to the appropriate third party payer Communicate with Medical Billing Senior Specialist and Manager when claims require...