Talent.com
Billing Specialist
Billing SpecialistProject H.O.M.E. • Philadelphia, PA, United States
[error_messages.no_longer_accepting]
Billing Specialist

Billing Specialist

Project H.O.M.E. • Philadelphia, PA, United States
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Billing Specialist

Job Summary : Billing Specialist is responsible for scrubbing and processing billing claims for all Health Services claims including Medical, Dental, and Behavioral Health addressing claim denials, and posting payments all within in a timely manner.

Essential Duties and Responsibilities

Charge Capture :

  • Review and process pending charges from the EHR into the Practice Management (PM) system
  • High level chart review and resolution of any billing encounters based on EHR documentation

Claims Processing :

  • Bill Encounters
  • Review claim production status report daily
  • Address all claim edits and resolve any issues to ensure an accurate claim is produced and all claims have a clean status
  • Generate Electronic Data Interface (EDI) Files
  • Claims Submission and Response Review :

  • Generate EDI claim batches and submit the files through the clearinghouses
  • Monitor claims generated and submitted by the billing department routinely and remediate discrepancies
  • Download vendor rejection files, generate reports, address adverse results, and document follow-up activities
  • Communicate to Front Desk Manager(s) at Health Services to address any outstanding issues
  • System :

  • Access the following systems daily to complete Biller tasks and responsibilities :
  • eCW (Electronic Health Records System)
  • Third Party Administrators (TPAs) / Payer Portals / Clearinghouses
  • Administration :

  • Provide claim data tracking & reporting to the Billing Supervisor and Accounting Manager ? Revenue & Billing, as requested.
  • Assist in gathering requested supporting documentation for the annual audit and tri-annual HRSA audits.
  • Additional duties as assigned by the Billing Supervisor.
  • Minimum Qualifications

  • High school diploma or GED, or equivalent experience in health care billing (2 years)
  • At least three (3) years experience in health care billing
  • Excellent phone etiquette
  • Attention to detail
  • Intermediate Microsoft Excel experience, including general navigation, reading / interpreting data, and creating charts and pivot tables
  • What Qualifications or Experience You May Bring :

  • Bachelor's degree
  • Experience with eClinicalWorks (eCW), an Electronic Health Records (EHR) / Practice Management (PM) System
  • Experience with dental billing
  • Hold current medical billing and coding certification from the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA)
  • Knowledge of federally qualified health center (FQHC) revenue cycle management processes
  • Advanced Excel skills and strong proficiency in other Microsoft Office applications
  • PHYSICAL REQUIREMENTS

    Ability to move to or remain sedentary for periods of time in various locations

    Project HOME provides equal employment opportunities to all employees and applicants for employment, without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, genetic information, or any other characteristic protected by federal, state, or local laws. Project HOME prohibits discrimination and harassment of any type.

    Project HOME reserves the right to revise or change job duties and responsibilities as needed. This job description is not meant to be an all-inclusive statement of the duties and responsibilities of the job nor does it constitute a written or implied contract.

    [job_alerts.create_a_job]

    Billing Specialist • Philadelphia, PA, United States

    [internal_linking.related_jobs]
    Billing Specialist

    Billing Specialist

    Tobii Dynavox • Philadelphia, PA, US
    [job_card.full_time]
    We're on a mission to empower people with disabilities to do what they once did or never thought possible.As the world-leader in assistive communication solutions, we empower our customers to expre...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    E-Billing Specialist

    E-Billing Specialist

    Fawkes IDM • Philadelphia, PA, US
    [job_card.full_time]
    [filters_job_card.quick_apply]
    Assist the E-Billing Manager and E-Billing team with all electronic on-boarding needs to include, client matter setup and mapping, timekeeper entry and mapping, diversity submission as required, an...[show_more]
    [last_updated.last_updated_30]
    Billing Specialist

    Billing Specialist

    Ballard Spahr • Philadelphia, PA, US
    [job_card.full_time]
    Ballard Spahr is a renowned national law firm with more than 750 lawyers across 18 offices in the United States.A career at Ballard Spahr offers a diverse group of mentors, colleagues, and friends,...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Billing Analyst

    Billing Analyst

    Independence Blue Cross • Philadelphia, PA, United States
    [job_card.full_time]
    Bring your drive for excellence, teamwork, and customer commitment to Independence.Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the he...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Grants and Billing Specialist

    Grants and Billing Specialist

    Community Legal Services • Philadelphia, Pennsylvania, USA
    [job_card.full_time]
    This is a new position in our Finance Department.Generally Accepted Accounting Principles (GAAP).The ideal candidate will possess strong analytical and technical accounting skills with experience i...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Medical Billing and Coding Specialist

    Medical Billing and Coding Specialist

    Titan Placement Group • Marlton, New Jersey, USA
    [job_card.full_time] +1
    Medical Billing and Coding Specialist.Titan Placement Group invites you to explore an opportunity in Marlton New Jersey.Marlton is a charming suburban community located just outside of Philadelphia...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Billing Associate

    Billing Associate

    Abacus Service Corporation • Philadelphia, PA, US
    [job_card.temporary]
    Location : Hybrid flex- the individual will work onsite three days and remote two days every week after training.The ideal candidate must have great Excel skills and billing experience.They will ass...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Skilled Care Billing Analyst

    Skilled Care Billing Analyst

    Always Best Care Senior Service • Philadelphia, PA, United States
    [job_card.full_time]
    Billing Analyst The Billing Analyst is responsible for obtaining all Authorizations and for managing the Billing - Receivable process for Skilled Care. Works closely with the Operations Team to reso...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Billing Analyst (Utilities)

    Billing Analyst (Utilities)

    Metergy Solutions • Philadelphia, PA, United States
    [job_card.full_time]
    Metergy has the energy, rapid growth and excitement of a startup, together with a rock-solid, recession-proof business that has a 45 year track record. We're a technology company that drives huge ca...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Specialist, Billing Comms

    Specialist, Billing Comms

    Comcast • Philadelphia, PA, US
    [job_card.full_time]
    Specialist, Billing And Service Communications.The Customer Lifecycle Communications Team works to improve customer experience and bolster brand love throughout the customer lifecycle by infusing b...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Billing Manager

    Billing Manager

    Goodwin Procter • Philadelphia, PA, United States
    [job_card.full_time]
    Join Goodwin's Global Operations Team, and make a real impact on a global scale.At Goodwin, we work with some of the world's most successful and innovative investors, entrepreneurs and disruptors i...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Billing Service Specialist

    Billing Service Specialist

    Chubb • Philadelphia, Pennsylvania, United States
    [job_card.full_time]
    Billing Service Specialist Key Objectives : Premium collections and resolution of disputes and premium differences to maintain open receivables to a current status and increase cash flow.Responsibil...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Grants and Billing Specialist

    Grants and Billing Specialist

    Pennsylvania Staffing • Philadelphia, PA, US
    [job_card.full_time]
    Philadelphia (CLS) is seeking a Grants and Billing Specialist to join our Finance Department.This position focuses on financial analysis, compliance oversight, and following proper accounting proce...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Billing / Collections Specialist

    Billing / Collections Specialist

    Acadia Healthcare • Philadelphia, PA, United States
    [job_card.full_time]
    Belmont Behavioral Health System is a premiere provider of comprehensive treatment for mental health conditions and substance abuse problems. Having been in operation for over 75 years as one of the...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Billing Specialist

    Billing Specialist

    AllStar Staffing Group • Philadelphia, PA, US
    [job_card.full_time] +1
    We have an immediate need for an E-Billing Specialist / Legal Biller for a leading law firm conveniently located in the Philadelphia metro area. This is a full time direct hire position that offers an...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Billing Coordinator

    Billing Coordinator

    Cozen O Connor • Philadelphia, PA, United States
    [job_card.full_time]
    Cozen O'Connor is seeking a Billing Coordinator to work within the firm's Finance department.Please note that this is a hybrid work opportunity based in Cozen O'Connor's Philadelphia, PA or Miramar...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Service Billing Specialist

    Service Billing Specialist

    CSTK • Philadelphia, Pennsylvania, USA
    [job_card.full_time]
    Location : Philadelphia PA (Onsite).Authorized Thermo King dealership group providing a complete line of refrigerated transportation products including parts service aftermarket accessories trailer ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Billing Specialist

    Billing Specialist

    Asplundh Tree Expert • Willow Grove, PA, US
    [job_card.full_time]
    Essential Functions & Responsibilities : .Perform high volume of customer billing consisting of Create weekly time and equipment invoices for our client utilizing multiple templates in excel and othe...[show_more]
    [last_updated.last_updated_30]