Top 50 Senior billing coordinator Jobs in Pennsylvania

Complaint Appeals, Senior Coordinator - Fully Remote
CVS Health —Pennsylvania
- $18.50 - $38.82 an hour
- Weekends as needed
- Remote
- Research
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
1d
Homecare Service Coordinator
Dedicated Nursing Associates —Lewisburg, PA
- Full-time
- Bilingual
- Spanish
- Customer service
- Health insurance
- Dental insurance
Quick Apply
14d
Homecare Service Coordinator (Bilingual)
Dedicated Nursing Associates —Allentown, PA
- Full-time
- Bilingual
- Customer service
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Senior Coordinator, Complaint Appeals - Remote
CVS Health —Pennsylvania
- $18.50 - $35.29 an hour
- Full-time
- Remote
- Research
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
10d
Care Network Practice Manager III
Children’s Hospital of Philadelphia —King of Prussia, PA
- $92,100 - $117,400 a year
- Full-time
- Urgent Care
- HIPAA
- Master's degree
Quick Apply
Case Management Coordinator, ODP
Abby Care —Philadelphia, PA
- $60,000 - $70,000 a year
- Full-time
- Hybrid work
- English
- Mid-level
- Residential
- Commuter assistance
- Paid parental leave
12d
Sr Coordinator
Sunoco LP —Newtown Square, PA
- Full-time
- Research
- Mid-level
- Office
Quick Apply
8d
Grants Manager A/B
University of Pennsylvania —Philadelphia, PA
- $65,628 - $77,330 a year
- Full-time
- Background check
- Mid-level
- Office
- Health insurance
- Dental insurance
Coordinator
Temple University —Philadelphia, PA
- $26.63 - $28.78 an hour
- Full-time
- Spanish
- 5 years
- English
10h
Office Operations Coordinator
SYNERGY HomeCare —Broomall, PA
- $50,000 a year
- Weekends as needed
- Computer literacy
- Mid-level
- Office
- Paid time off
Quick Apply
Manager, Clinical Research Finance Operations (Office of Clinical Research)
University of Pennsylvania —Philadelphia, PA
- $79,500 - $95,000 a year
- Full-time
- Hybrid work
- Background check
- 5 years
- Finance
- Health insurance
- Dental insurance
Patient Care Coordinator
Beltone —Camp Hill, PA
- $42,500 - $45,000 a year
- Full-time
- Spanish
- Google Workspace
- Writing skills
- Paid training
- Paid holidays
Resident Billing Specialist
Ware Presbyterian Village —Oxford, PA
- $25 - $27 an hour
- Part-time
- HIPAA
- Office
- Travel
Quick Apply
Associate Director, Financial Aid
Saint Joseph's University —Philadelphia, PA
- $70,000 - $75,000 a year
- Full-time
- 5 years
- Office
- Master's degree
Senior Construction Project Manager
FASTSIGNS Everett, Lancaster, York —Lancaster, PA
- $110,000 - $130,000 a year
- Full-time
- Google Workspace
- 8 years
- Analysis skills
- Paid holidays
- Disability insurance
Quick Apply
Gift Planning Administrator
Swarthmore College —Swarthmore, PA
- $60,000 - $73,000 a year
- Weekends as needed
- Microsoft Word
- Mid-level
- Office
- Paid holidays
- Tuition reimbursement
Executive Engagement Administrator
Spencer Stuart —Philadelphia, PA
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Profit sharing
- Disability insurance
Senior Sales and Event Coordinator
WOODLOCH PINES INC. —Hawley, PA
- Extended hours
- Ability to walk for extended periods
- Basic math
- Mid-level
- Health insurance
- Dental insurance
1d
Senior Accounting Specialist
Carbon Lehigh Intermediate Unit —Schnecksville, PA
- School experience
- Customer service
- Writing skills
Business Manager
University of Pennsylvania —Philadelphia, PA
- $55,962 - $60,000 a year
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
2d

I want to receive the latest job alert for senior billing coordinator in pennsylvania

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

senior billing coordinator jobs near pennsylvania

Construction Project Manager jobs in Lancaster, PA

Service Coordinator jobs in Lewisburg, PA

Executive Administrator jobs in Philadelphia, PA

Patient Care Coordinator jobs in Camp Hill, PA

Director Of Finance jobs in Philadelphia, PA

Grants Manager jobs in Philadelphia, PA

Business Manager jobs in Philadelphia, PA

Service Coordinator jobs in Allentown, PA

Office Operations Manager jobs in Philadelphia, PA

Case Manager jobs in Philadelphia, PA

Logistics Manager jobs in Austin, TX

Construction Project Manager jobs in San Diego, CA

Construction jobs in Albany, NY

Case Manager jobs in Brockton, MA

Construction Project Manager jobs in Durham, NC

Construction Project Manager jobs in Pennsylvania

Security Manager jobs in Albuquerque, NM

Construction Project Manager jobs in Virginia Beach, VA

Passenger Service Agent jobs in John F. Kennedy International Airport, NY

Service Coordinator jobs in Utah

Complaint Appeals, Senior Coordinator - Fully Remote

CVS Health -
Pennsylvania

Apply Now

Job Details

Full-time
$18.50 - $38.82 an hour
1 day ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Research
Legal compliance

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

This position is available nationwide, as it is a fully remote position.

Position Summary

Provide support to the Supervisors by coaching, mentoring and training new staff. Oversight over inventory.

Responsible for Oversight of that that investigates and resolution of appeals scenarios for all products, which may contain multiple issues and, may require coordination of responses from multiple business units. Ensure timely, customer focused response to appeals.
Identify trends and emerging issues and report and recommend solutions. Independently coaches others on appeals ensuring compliance with Federal and/or State regulations.
Manage control and trend inventory, independently investigate, adapts to changes or revise policy to resolve the most escalated cases coming from internal and external constituents for all products.
Responsible for serving as the point of contact for the appeal if there is an inquiry from leadership, compliance and State regulators. Understand and adapt to departmental process and policies.
Medicare knowledge is a plus. Fast Turn Around of inventory, collaboration with clinical team and management. Attention to detail is needed and must be able to maintain compliance turn-around times, with accurate case resolution or research.
Remain a part of the solution by escalating issues that may impact compliance timeliness. -Additional duties as assigned which will include a carrying a modified case load including but not limited to
Serves as a content model expert and mentor to team regarding Aetna's policies and procedures, regulatory and accreditation requirements.
Ensures work of team meets federal and state requirements and quality measures, with respect to letter content and turn-around time for appeals, complaints and grievances handling.
Independently researches and translates policy and procedures into intelligent and logically written responses for Executive or Senior leaders on escalated cases.
Successfully works across functions, segments, and teams to create, populate, and trend reports to find resolution to escalated cases.
Identify potential risks and cost implications to avoid incorrect or inaccurate responses and/or decisions which may result in additional rework, confusion to the constituents, or legal ramifications.
Additional duties as assigned which will include a carrying a modified case load including but not limited to:
Research incoming electronic appeals, complaints and grievance to identify if appropriate for unit based upon published business responsibilities. Identify correct resource and reroute inappropriate work items that do not meet appeals, complaints and grievance criteria.
Research Standard Plan Design or Certification of Coverage (Evidence of Coverage) relevant to the member to determine accuracy/appropriateness of benefit/administrative denial.
Research claim processing logic to verify accuracy of claim payment, member eligibility data, billing/payment status, prior to initiation of appeal process.
Research incoming electronic appeals, complaints and grievance to identify if appropriate for unit based upon published business responsibilities. Identify correct resource and reroute inappropriate work items that do not meet appeals, complaints and grievance criteria.
Research Standard Plan Design or Certification of Coverage relevant to the member to determine accuracy/appropriateness of benefit/administrative denial.
Identify and research all components within member or provider/practitioner appeals.

Required Qualifications

2-4 years of experience in a Customer Service role.
2-4 years of Medicare and/or Medicaid knowledge.
At least 2-4 years of experience that includes but is not limited to clinical and claim platforms, benefits and services. In addition; Compliance and regulatory knowledge; provider relations and customer service.
Experience in reading or researching benefit language.
Ability to work in fast paced environment.
Excellent verbal and written communication skills.
Excellent organizational skills to handle high inventory which aids in meeting or exceeding metrics.
Solution driven and can handle complex issues with accuracy.
Availability to work alternating weekends for oversight of analysts on alternate schedule.

Preferred Qualifications

Audit experience
Critical thinking experience.
Ability to work complex issues
Team Player
Exhibit How We Work Behaviors
Solution Driven

Education

High School Diploma or GED required or 2-4 years of equivalent work experience

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $38.82

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 07/31/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

senior billing coordinator jobs in pennsylvania

Complaint Appeals, Senior Coordinator - Fully Remote

Homecare Service Coordinator

Homecare Service Coordinator (Bilingual)

Senior Coordinator, Complaint Appeals - Remote

Care Network Practice Manager III

Case Management Coordinator, ODP

Sr Coordinator

Grants Manager A/B

Coordinator

Office Operations Coordinator

Manager, Clinical Research Finance Operations (Office of Clinical Research)

Patient Care Coordinator

Resident Billing Specialist

Associate Director, Financial Aid

Senior Construction Project Manager

Gift Planning Administrator

Executive Engagement Administrator

Senior Sales and Event Coordinator

Senior Accounting Specialist

Business Manager

I want to receive the latest job alert for senior billing coordinator in pennsylvania

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected