920 Results for

Medical Reimbursement Specialist Jobs in Pennsylvania

Jobs

Construction Administration/Field Document Control Specialist Whitman, Requardt & Associates, LLP

Pittsburgh, PA

Full time

WRA is currently seeking qualified Construction Administration/Document Control Specialist (Project Controls) for a major Design-Build project located in our Pittsburgh Regional location. Mid-level technician with at least 3 years of relevant Document Controls experience for Bridge and Highway construction projects.

11 days ago

Associate Specialist, Patient Access - PRN Ensemble Health Partners

Butler, PA

$17–$18.15

Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician orders, and utilizing a overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.

5 days ago

Patient Access Specialist (PRN) Ensemble Health Partners

Pottstown, PA

$17–$18.15

Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.

5 days ago

Travel Nurse RN - Medical-Surgical - $1,891 to $2,113 per week in Johnstown, PA TravelNurseSource

Johnstown, PA

$1,890.74–$2,113.18

Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc. As an integral part of our team, you'll collaborate closely with fellow healthcare professionals, ensuring every patient receives the highest level of care possible.

4 days ago

Travel Nurse RN - Medical-Surgical - $1,822 to $2,037 per week in Johnstown, PA TravelNurseSource

Johnstown, PA

$1,822.40–$2,036.80

4 days ago

Travel Nurse RN - Medical-Surgical - $2,050 to $2,291 per week in Pittsburgh, PA TravelNurseSource

Pittsburgh, PA

$2,050.20–$2,291.40

4 days ago

Travel Nurse RN - Medical-Surgical - $1,868 to $2,088 per week in Roaring Spring, PA TravelNurseSource

Roaring Spring, PA

$1,867.96–$2,087.72

Prime Time Healthcare is seeking dynamic individuals like you to join our team in Roaring Spring, PA and make a real impact in patient care! Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc.

4 days ago

Principal Engineer – Transmission Scenario Planning - External Analysis Specialist Exelon

KENNETT SQUARE, PA

$122,400–$168,300

Develops and/or leads teams in studies, plans, criteria, specifications, calculations, evaluations, design documents, performance assessments, integrated systems analysis, cost estimates, budgets, associated with the planning, design, licensing, construction, operation, and maintenance of Exelon's electric generation, transmission, distribution, gas and telecommunication facilities/systems. We are a Fortune 200 company, 20,000 colleagues strong serving more than 10.7 million customers at six energy companies -- Atlantic City Electric (ACE), Baltimore Gas and Electric (BGE), Commonwealth Edison (ComEd), Delmarva Power & Light (DPL), PECO Energy Company (PECO), and Potomac Electric Power Company (Pepco).

25 days ago

Accounts Receivable Specialist- Variance St. Luke's Health Network, Inc.

Allentown, PA

Full time

Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.

1 day ago

Accounts Receivable Specialist- Physician Billing St. Luke's Health Network, Inc.

Allentown, PA

Full time

5 days ago

Accounts Receivable Specialist- Hospital Billing St. Luke's Health Network, Inc.

Allentown, PA

Full time

30+ days ago

Accounts Receivable Specialist - Hospital Billing St. Luke's Health Network, Inc.

Allentown, PA

Full time

30+ days ago

Accounts Receivable Specialist (On Site) St. Luke's Health Network, Inc.

Sellersville, PA

Remote

Full time

30+ days ago

Accounts Receivable Specialist- Professional Radiology Billing St. Luke's Health Network, Inc.

Allentown, PA

Remote

Full time

30+ days ago

Practice Prior Auth and Referral Specialist - Sleep Medicine St. Luke's Health Network, Inc.

Bethlehem, PA

Full time

Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Responds to written as well as telephone inquires from patients, insurances, pharmacies, other outpatient/inpatient departments, and facilities regarding planned specialty care and/or services.

30+ days ago

Reimbursement Specialist Penn Medicine

Philadelphia, PA

Licenses, Registrations, and Certifications HFMA Certified Healthcare Finance Professional (CHFP) is preferred Required Skills and Abilities ANALYTICS: Strong quantitative and analytical abilities COMMUNICATION: Ability to communicate with internal and external constituents COMMUNICATION: Able to translate complex information into simple explanations PROJECT/CHANGE MANAGEMENT: Ability to manage concurrent projects while meeting project deadlines OPERATIONS: Familiarity with Graduate Medical Education training programs FINANCE: Clear and demonstrated understanding of health care financing REGULATORY: Understanding of Federal Regulatory process impacting Medicare We believe that the best care for our patients starts with the best care for our employees. • Assist department leadership and GME office with Resident billing analysis, including the VAMC and CHOP • Assist residency coordinator with resident financial issues when needed Monthly Financial Statement Support • Prepare timely Medicare cash analysis • Support department leadership with analysis for month-end and year-end close Staff Development: Mutually develop and implement learning and development plans for teaching regulatory changes to the analysts and others in the department.

30+ days ago

Reimbursement Specialist MPOWERHealth

Conshohocken, PA

Intermediate level of expertise using Microsoft Office Suite (Outlook, Excel, Word, Teams) and PDF software (NitroPro). This position will be responsible for navigating the electronic medical record (EMR) and billing systems to obtain/produce and transmit the records required by the applicable insurance carrier or third party.

30+ days ago

Reimbursement Specialist (ID #512716) Partners Personnel Management Services LLC

Langhorne, PA

$20–$22 / hour

Role Responsibilities: Submit CMS-1500 claims for custom orthotics, prosthetics, and durable. Investigate denied claims, analyze denial trends and prepare appeals.

30+ days ago

Reimbursement Specialist LUX Infusion

Pennsylvania

While performing the duties of this position, the employee may occasionally be required to stand, walk, or sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch, or crawl; and talk or hear. Employees in this position may be required to assist directly - or coordinate appropriate assistance - to ensure access to LUX Infusion’s services for individuals with disabilities, including patients, visitors, employees, or others.

30+ days ago

Medical Records Specialist Vital Care Infusion Services

Philadelphia, Pennsylvania

Income protection programs include company-sponsored basic life insurance and long-term disability insurance, as well as employee-paid voluntary life, accident, critical illness, and short-term disability insurance. Vital Care ( www.vitalcare.com ) is the premier pharmacy franchise business with franchises serving a wide range of patients, including those with chronic and acute conditions.

3 days ago

Medical Billing Specialist (GSD) ConnectAmerica LLC

The purpose of the Medical Billing Specialist role is to: Support our life-saving Lifeline products by using your medical billing and collecting experience to obtain maximum reimbursement while establishing strong relationships with insurance companies and customers. With the easy-to-use personal emergency response, remote patient monitoring and medication management systems, Connect America/Lifeline processes more than 250,000 emergency signals and data transmissions each month and has protected more than 1 million lives.

25 days ago

Medical Records Specialist MPOWERHealth

Conshohocken, PA

Role Summary: Responds to medical record requests from insurance carriers at varying stages of claim processing as an integral part of recognizing the maximum reimbursement from each claim. Intermediate level of expertise using Microsoft Office Suite (Outlook, Excel, Word, Teams) and PDF software (NitroPro).

30+ days ago

Medical Billing Specialist Mi Familia & Summit Home Health and Hospice

Bethlehem, PA

Remote

$58,000–$74,000

The Medical Billing Specialist will be responsible for processing medical claims, managing insurance reimbursements, resolving billing issues, and ensuring accurate and timely revenue cycle operations. Summit Home Health & Hospice is a Texas-based healthcare organization dedicated to enhancing the lives of patients and families through compassionate home health and hospice services.

30+ days ago

Medical Assistant/Clinical Service Specialist, Full-Time - Lancaster, PA Vivo Infusion

Lancaster, PA

$20–$25 / hour

The employee may be required to use safety equipment, PPE (personal protective equipment) that may include but not be limited to face shield or goggles, non-slip shoes, gloves, mask, and other protective garments and equipment. Must possess outstanding communication and interpersonal skills with ability to communicate professionally and effectively with other staff members, patients and physicians.

11 days ago

Supervisor, AR Medical Payment Specialist Wright Center

Scranton, PA

Parties which may be contacted to resolve an outstanding balance include but are not limited to patients, responsible parties, insurance carriers, case managers, employers, referring physician, attorneys and facility personnel. Monitors Billing Staff performance and productivity and meets with Accounts Receivable & Collection Manager regarding updates on appropriate utilization and quality assurance.

30+ days ago

Information Specialist Medical Laboratory (HYBRID) Scientist Geisinger

Muncy, Pennsylvania

Bachelor of Science degree from an accredited college/university AND successful completion of an ASCP/NAACLS-accredited Medical Technology/Medical Laboratory Science program OR; Bachelor of Science degree from an accredited college/university with a major in biological, chemical, physical or clinical laboratory science AND ASCP categorical certification OR; Bachelor of Science degree from an accredited college/university with a major in biological, chemical, physical, or clinical laboratory science AND at least two years' experience in a role equivalent to that of a Medical Laboratory Technician (MLT) in a clinical laboratory. Communication, Computer Literacy, Laboratory Equipment Operation, Laboratory Information Systems (LIS), Laboratory Services, Laboratory Supply And Inventory Management OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities.

8 days ago

Medical Account Specialist II - HEMATOLOGY - PITTSBURGH, PA Regeneron Pharmaceuticals Inc

Pittsburgh, PA

$158,950–$220,000 / year

Facilitate partnership with multiple collaboration partners; Regional Director, Territory-based Oncology Account Specialists, Reimbursement Specialists to proactively resolve customer needs, identify market dynamics and trends, and develop strategies which support brand and corporate objectives in assigned territory. Build our future together: The Hematology Oncology Account Specialist is responsible for engaging Oncology specialists and other key Oncology customers within a geographical universe and settings, including academic centers, large group practices, IDNs, and community accounts in support of the launch of our Multiple Myeloma product.

11 days ago

Medical Assistant - Pediatric Specialists University of Pittsburgh Medical Center

Lemoyne, PA

The Medical Assistant will receive cross-training across multiple pediatric specialties, creating opportunities to expand clinical knowledge and build a well-rounded skill set. The ideal candidate enjoys working with children, thrives in a fast-paced clinical environment, and values teamwork, learning, and service excellence.

3 days ago

Medical Account Specialist II - PHILADELPHIA , PA Regeneron Pharmaceuticals Inc

Philadelphia, PA

$158,950–$220,000 / year

Develops strong working relationships with customers, collaboration colleagues and Internal contacts - Clinics, physicians, nurses, additional important health care providers, key patient advocacy support groups, collaboration teammates, Reimbursement and Access Specialist team, Clinical Nurse Educators, Marketing, National Accounts, Training and Trade. This role involves developing and executing account strategies to grow market share, building relationships with clinicians, nurses, and patient advocacy groups, and collaborating with cross-functional partners (e.g., Reimbursement and Access, Regional Science Managers) to address customer needs and market dynamics.

30+ days ago

Medical Account Specialist II - PHILADELPHIA, PA Regeneron Pharmaceuticals Inc

Philadelphia, PA

$158,950–$220,000 / year

30+ days ago

Medical Account Specialist II - PITTSBURGH, PA Regeneron Pharmaceuticals Inc

Pittsburgh, PA

$158,950–$220,000 / year

30+ days ago

Medical Account Specialist II - NEUROLOGY - PITTSBURGH, PA Regeneron Pharmaceuticals

Pittsburgh, Pennsylvania

30+ days ago

Medical Account Specialist II - NEUROLOGY - PHILADELPHIA SOUTH, PA Regeneron Pharmaceuticals

Philadelphia, Pennsylvania

30+ days ago

Medical Account Specialist II - NEUROLOGY - PHILADELPHIA NORTH, PA Regeneron Pharmaceuticals

Philadelphia, Pennsylvania

30+ days ago

Reimbursement Analyst University of Pittsburgh Medical Center

Pittsburgh, PA

Knowledge of ICD-10CM, CPT4, Revenue Codes, DRGs, base rates, Medicare methodologies, Medicaid methodologies, HCPCS coding and related governmental guidelines and provider reimbursement methodologies preferred. Bachelor's Degree in health care administration, business and/or other related discipline (Related experience in a health care administration setting may be substituted for educational requirements.

21 days ago

Medical Coder (Pennsylvania resident) Geisinger

Danville, PA

Carefully details review of documents such as laboratory findings, radiology reports, various scan reports, discharge summary, history and physical, consultations, orders, progress notes and other ancillary services treatment records needed to ensure all pertinent diagnoses and procedures are recorded. Coders are responsible for translating diagnostic and procedural phrases utilized by healthcare providers into coded form procedure codes that can be utilized for submitting claims to payers for reimbursement.

30+ days ago

Inpatient Audit Specialist FT Datavant

Harrisburg, PA

Remote

$35–$45 / hour

As an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, andlife sciences companies.

Today

Certified Peer Specialist Valley Youth House

Bethlehem, Pennsylvania

$21.60–$24

To assist individuals with the development of self-help skills and facilitate activities that lead to increased self-worth and education of community outreach and to document these in Strength Based Assessments, Individualized Service Plans, and Crisis plans. To provide one-on-one support and encouragement to young adults to assist them with developing individual service plans aimed at increasing their active participation in person centered planning and delivery of individualized services.

6 days ago

Billing Specialist Philadelphia Fight

Philadelphia, PA

Full time

Conducts all billing activities for managed care, commercial insurance Medicare and Medicaid, including verifying insurance, processing patient claims for services rendered, processing data batches, transmitting/submitting documents to insurance companies, etc. Recognizes, interprets and evaluates inconsistencies, discrepancies and inaccuracies in accounts receivable and system files and initiates appropriate corrective methods; works to increase error resolution/denial management.

30+ days ago

Patient Support Specialist Integrated Resources, Inc

Pittsburgh, PA

This individual is part of a highly concierge white glove service team that will manage the patient experience from start to finish by providing program information, eligibility, reimbursement support, and general assurances and ease of use in supporting our client s copay assistance programs. Job Description: Under the supervisor's direction, The Patient Support Specialist is responsible for providing patient health care services, enabling access to care for prescription medications.

27 days ago

Participant Enrollment Specialist LIFE-NWPA

Oil City, PA

At One Senior Care, you’ll be part of a compassionate team that makes a tangible difference in seniors’ lives — working together to keep participants safe, healthy, connected, and at home. You’ll work closely with participants, families, community partners, and our Interdisciplinary Team to ensure a smooth and supportive enrollment experience.

30+ days ago

Clinical Coder Level I HIM Impatient Specialist (Full-Time, Remote) Penn Medicine

Remote

Summary: Position Summary: Codes and abstracts information from inpatient and outpatient records by careful analysis and adherence to official coding guidelines assuring appropriate reimbursement, compliance with regulations, and accuracy for clinical care analysis and provider profiling. 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.

30+ days ago

Inpatient Audit Specialist FT- Sign on Bonus Datavant

Harrisburg, PA

Remote

$35–$45 / hour

Today

HIM Inpatient Coding Specialist I Penn Medicine

Philadelphia, PA

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. Refers charts that require clarification of vague or unclear documentation for accurate coding and DRG assignment to a Coding Quality Specialist to query the physician for the needed documentation.

13 days ago

HIM Inpatient Coding Specialist III Penn Medicine

Philadelphia, PA

30+ days ago

Youth Specialist (767) Valley Youth House

Bethlehem, Pennsylvania

$19–$21

Support activities of daily living, including academic and career planning, permanent relationships and mentoring, housing and household management, priority setting, money management, preparing meals, and health and wellness. The Organization: Valley Youth House empowers and strengthens the lives of children, youth, and families through inclusive programming that builds resilience and fosters growth and independence.

26 days ago

Education Specialist (EASD) Valley Youth House

Easton, Pennsylvania

$24–$26

Essential Functions of the Education Specialist: To provide direct services within the EASD at least 60% of the total time worked and document progress: The facilitation of small group and classroom lessons to support student IEP requirements across EASD. The Organization: Valley Youth House empowers and strengthens the lives of children, youth, and families through inclusive programming that builds resilience and fosters growth and independence.

30+ days ago

Medical Assistant Main Line Health System

Collegeville, PA

$18.37–$28.47 / hour

Main Line Healthcare is a dynamic network of primary care and specialty care physicians, including cardiology, family medicine, endocrinology, orthopedic surgery, internal medicine, plastic and reconstructive surgery, obstetrics/gynecology, and pediatric practices that have become benchmark networks. Licensures/Certifications: Medical Assistant Certification Preferred All Main Line Health Care Medical Assistants are required to have their BLS for Healthcare Providers at time of hire or within 30 days of start date.

30+ days ago

Regional Medical Assistant Main Line Health System

Collegeville, PA

$18.37–$28.47 / hour

Main Line Healthcare is a dynamic network of primary care and specialty care physicians, including cardiology, family medicine, endocrinology, orthopedic surgery, internal medicine, plastic and reconstructive surgery, obstetrics/gynecology, and pediatric practices that have become benchmark networks. Just as each of our patients requires a personalized care plan, each of our employees, physicians, and volunteers, bring distinctive talents to Main Line Health.

30+ days ago

Account Specialist (Dental Billing) University of Pittsburgh

Pittsburgh, PA

Based Upon Qualifications'',''TBD Based Upon Qualifications'',''No'',''No'',''No'',''No'',''For position finalists, employment with the University will require successful completion of a background check'',''For position finalists, employment with the University will require successful completion of a background check'',''Not Applicable'',''Not Applicable'',''Resume'',''Resume'',''Not Applicable'',''Not Applicable'',''false'',''446914'',''446914'',''true'',''446914'',''false'',''Submission for the position: Account Specialist (Dental Billing) - (Job Number: 26003534)'',''false'',''446914'',''false'',''true''. ''446914'',''true'',''446914'',''false'',''Submission for the position: Account Specialist (Dental Billing) - (Job Number: 26003534)'',''false'',''446914'',''false'',''true'',''Account Specialist (Dental Billing)'',''Dent Med-Clinical Affairs'',''Pennsylvania-Pittsburgh'',''26003534'','''','''',''!*!

30+ days ago

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Medical Reimbursement Specialist Jobs in Pennsylvania

Construction Administration/Field Document Control Specialist Whitman, Requardt & Associates, LLP

Associate Specialist, Patient Access - PRN Ensemble Health Partners

Patient Access Specialist (PRN) Ensemble Health Partners

Travel Nurse RN - Medical-Surgical - $1,891 to $2,113 per week in Johnstown, PA TravelNurseSource

Travel Nurse RN - Medical-Surgical - $1,822 to $2,037 per week in Johnstown, PA TravelNurseSource

Travel Nurse RN - Medical-Surgical - $2,050 to $2,291 per week in Pittsburgh, PA TravelNurseSource

Travel Nurse RN - Medical-Surgical - $1,868 to $2,088 per week in Roaring Spring, PA TravelNurseSource

Principal Engineer – Transmission Scenario Planning - External Analysis Specialist Exelon

Accounts Receivable Specialist- Variance St. Luke's Health Network, Inc.

Accounts Receivable Specialist- Physician Billing St. Luke's Health Network, Inc.

Accounts Receivable Specialist- Hospital Billing St. Luke's Health Network, Inc.

Accounts Receivable Specialist - Hospital Billing St. Luke's Health Network, Inc.

Accounts Receivable Specialist (On Site) St. Luke's Health Network, Inc.

Accounts Receivable Specialist- Professional Radiology Billing St. Luke's Health Network, Inc.

Practice Prior Auth and Referral Specialist - Sleep Medicine St. Luke's Health Network, Inc.

Reimbursement Specialist Penn Medicine

Reimbursement Specialist MPOWERHealth

Reimbursement Specialist (ID #512716) Partners Personnel Management Services LLC

Reimbursement Specialist LUX Infusion

Medical Records Specialist Vital Care Infusion Services

Medical Billing Specialist (GSD) ConnectAmerica LLC

Medical Records Specialist MPOWERHealth

Medical Billing Specialist Mi Familia & Summit Home Health and Hospice

Medical Assistant/Clinical Service Specialist, Full-Time - Lancaster, PA Vivo Infusion

Supervisor, AR Medical Payment Specialist Wright Center

Information Specialist Medical Laboratory (HYBRID) Scientist Geisinger

Medical Account Specialist II - HEMATOLOGY - PITTSBURGH, PA Regeneron Pharmaceuticals Inc

Medical Assistant - Pediatric Specialists University of Pittsburgh Medical Center

Medical Account Specialist II - PHILADELPHIA , PA Regeneron Pharmaceuticals Inc

Medical Account Specialist II - PHILADELPHIA, PA Regeneron Pharmaceuticals Inc

Medical Account Specialist II - PITTSBURGH, PA Regeneron Pharmaceuticals Inc

Medical Account Specialist II - NEUROLOGY - PITTSBURGH, PA Regeneron Pharmaceuticals

Medical Account Specialist II - NEUROLOGY - PHILADELPHIA SOUTH, PA Regeneron Pharmaceuticals

Medical Account Specialist II - NEUROLOGY - PHILADELPHIA NORTH, PA Regeneron Pharmaceuticals

Reimbursement Analyst University of Pittsburgh Medical Center

Medical Coder (Pennsylvania resident) Geisinger

Inpatient Audit Specialist FT Datavant

Certified Peer Specialist Valley Youth House

Billing Specialist Philadelphia Fight

Patient Support Specialist Integrated Resources, Inc

Participant Enrollment Specialist LIFE-NWPA

Clinical Coder Level I HIM Impatient Specialist (Full-Time, Remote) Penn Medicine

Inpatient Audit Specialist FT- Sign on Bonus Datavant

HIM Inpatient Coding Specialist I Penn Medicine

HIM Inpatient Coding Specialist III Penn Medicine

Youth Specialist (767) Valley Youth House

Education Specialist (EASD) Valley Youth House

Medical Assistant Main Line Health System

Regional Medical Assistant Main Line Health System

Account Specialist (Dental Billing) University of Pittsburgh

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