Top 32 Claims representative Jobs in Sugar Notch Pa

Medical Billing Coordinator (5 years of Medical Billing Experience Required)
Ethical Factor Rx Pharmacy —Avoca, PA
- Up to $40 an hour
- Full-time
- Ability to walk for extended periods
- Computer literacy
- Basic math
- Health insurance
- Dental insurance
Quick Apply
Bilingual Insurance Customer Service Representative (English/Spanish)
Isabel Acevedo: Allstate —Hazleton, PA
- $39,000 - $45,000 a year
- Full-time
- Hybrid work
- Spanish
- English
- Mid-level
- Tuition reimbursement
- Paid time off
Quick Apply
13h
Appeals Representative I
Federal Hearings And Appeals —Wilkes-Barre, PA
- $40,000 - $45,000 a year
- Full-time
- Customer service
- Writing skills
- HIPAA
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Customer Service Representative - State Farm Agent Team Member
Eric Rivera - State Farm Agent —Wilkes-Barre, PA
- $38,000 - $65,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- 401(k) matching
- Opportunities for advancement
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Medical Biller
OneSource —Wilkes-Barre, PA
- Urgently hiring
- Pass drug screening
- Research
- Mid-level
- Health insurance
- Dental insurance
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Patient Access Representative (Per Diem)
St. Luke's University Health Network —Hazleton, PA
- 8 hour shift
- Computer literacy
- Mid-level
- Administrative experience
8d
Customer Service Representative - State Farm Agent Team Member
Jennifer West - State Farm Agent —Wilkes-Barre, PA
- $39,000 - $50,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Health insurance
- Paid time off
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Multi-Line Representative - State Farm Agent Team Member
Anthony Gallis - State Farm Agent —Hanover Township, PA
- $34,000 - $45,000 a year
- Full-time
- Office
- Organizational skills
- Communication skills
- Paid time off
- Opportunities for advancement
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Patient Services Representative
DermDox Dermatology —Sybertsville, PA
- Full-time
- Hybrid work
- Medical office experience
- Mid-level
- High school diploma or GED
- Health savings account
- Disability insurance
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6d
Account Specialist III
PetroChoice —Avoca, PA
- Full-time
- Microsoft Word
- Computer literacy
- Mid-level
Customer Service Representative - State Farm Agent Team Member
Pete Keselicka State Farm Agency —Hazleton, PA
- $17 - $19 an hour
- Part-time
- Office
- Communication skills
- Entry level
- Paid time off
- 401(k) matching
Account Specialist III
Moove NA Distribution LLC —Avoca, PA
- Full-time
- Microsoft Word
- Computer literacy
- English
Quick Apply
Patient Services Representative
DCSS MANAGEMENT LLC —Sybertsville, PA
- Medical office experience
- Mid-level
- High school diploma or GED
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1d
Supervisor, AR Medical Payment Specialist
The Wright Center for Graduate Medical Education —Scranton, PA
- Full-time
- Microsoft Word
- 6 years
- Research
- Work from home
Customer Service Representative - State Farm Agent Team Member
Peter Keselicka - State Farm Agent —Hazleton, PA
- $17 - $19 an hour
- Part-time
- Office
- Communication skills
- Entry level
- Paid time off
- 401(k) matching
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Dana Halechko - State Farm Agent —Hazle Township, PA
- $12 - $20 an hour
- Full-time
- Office
- Communication skills
- Entry level
- Paid time off
- Opportunities for advancement
Quick Apply
Account Representative - State Farm Agent Team Member
Lisa Zavada-Rizzo - State Farm Agent —Dallas, PA
- Full-time
- Office
- Communication skills
- Entry level
- Opportunities for advancement
Quick Apply
Insurance Account Representative - State Farm Agent Team Member
Lisa Zavada-Rizzo - State Farm Agent —Dallas, PA
- Full-time
- Office
- Entry level
- Health insurance
- Paid time off
Quick Apply
Account Associate - State Farm Agent Team Member
Lisa Zavada-Rizzo - State Farm Agent —Dallas, PA
- Full-time
- Communication skills
- Entry level
- Health insurance
- Paid time off
Quick Apply
Business Insurance Position - State Farm Agent Team Member
Eric Rivera - State Farm Agent —Wilkes-Barre, PA
- $18 an hour
- Full-time
- Office
- Entry level
- Profit sharing
- Paid time off
Quick Apply

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Medical Billing Coordinator (5 years of Medical Billing Experience Required)

Ethical Factor Rx Pharmacy
Avoca, PA

Quick Apply

Job Details

Full-time
Up to $40 an hour

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance

Qualifications

Medical billing payment report preparation
Computer operation
Customer communication
Medical insurance coverage verification
Computer literacy
High school diploma or GED
Insurance medical billing
Medical denial report preparation
Problem-solving
Medical billing
Medical claims submission
Medical billing account reconciliation
Aging report preparation
Time management

Full Job Description

Medical Billing Coordinator

Summary:

The Medical Billing Coordinator is responsible for Commercial Medical, Medicaid, Medicare, entities through the electronic system(s) for home infusion therapy claims, and specialty pharmacy claims. Additional responsibilities include preparing paperwork and documentation required for and participating in billing and collections.

Education/Experience:

If you do not have medical billing experience do not apply.

High school diploma or GED required. Bachelor’s degree preferred. Minimum one-year experience in home infusion and specialty pharmacy medical claims. Experience with insurance verification, healthcare benefit assessment, paperwork and documentation for billing Medicare/Medicaid and commercial insurances preferred. Previously experience and/or knowledge of home care equipment, supplies and coding preferred. Those without billing experience need not apply. In person work required.

Duties and Responsibilities include the following.

Monitors ready to bill file for claims that need to be processed
Ensures all new paperwork required is returned before billing
Ensures that all tickets that are ready are billed within 3 business days
Participates as necessary in care conferences and meetings related to patients
Ensures accuracy of units, billed charges and expected charges either based on contracts or when billing out of network.
Makes sure that claims that require authorization are authorized before submission
Receives and responds to patient/client questions or complaints regarding services/care rendered and billing.
Works with collection team to resolve claims issues
Reviews claims in Change Healthcare making sure that they are transmitted and accepted as a clean claim.
Alerts appropriate management team members regarding late or missing documents required for billing
Performs other specific projects related to billing data entry and computer operations as required.
Develop review and suggest changes to reimbursement policies and procedures a needed
Monitors aged accounts receivables and resubmit bills to overdue accounts submits seriously overdue accounts to collection and prepares bad debt reports for finance manager

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Language Ability:

Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

Math Ability:

Ability to comprehend and apply principles of basic math while analyzing data and generating reports.

Reasoning Ability:

Ability to apply principles of logical thinking to a wide range of intellectual and practical problems.

Computer Skills:

To perform this job successfully, an individual should have knowledge of Microsoft products.

Information Security Expectations:

While performing the duties of this job, the employee is required to abide by Ethical Factor Rx information security policies, employee handbook, and security and privacy regulatory requirements. Each employee is responsible for the secure and appropriate handling of Ethical Factor Rx information, information received by customers, other companies, and/or external parties.

Knowledge, Skills, and Other Abilities:

Self-directed
Strong organizational and time-management skills.
Demonstrates effective communication skills with patients, family members, other staff members, and outside organizations or persons.
Professionalism
Excellent customer service
Detailed
Multi-tasking skills
Ability to work well with various personalities and within a team
Participate in continuous quality improvement activities

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to walk; sit and use hands. The employee is occasionally required to stand.

Equal Employment Opportunity and Affirmative Action:

Ethical Factor Rx provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Ethical Factor Rx complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Job Type: Full-time

Experience:

Insurance Verification: 1 year (Required)
Medical Billing: 1 year (Required)

Education:

High school or equivalent (Required)

Job Type: Full-time

Pay: Up to $40.00 per hour

Expected hours: 40 per week

Benefits:

401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance

Experience:

Medical billing: 5 years (Required)

Ability to Commute:

Avoca, PA 18641 (Required)

Work Location: In person

Quick Apply

Refine Your Search

claims representative jobs in sugar notch pa

Medical Billing Coordinator (5 years of Medical Billing Experience Required)

Bilingual Insurance Customer Service Representative (English/Spanish)

Appeals Representative I

Customer Service Representative - State Farm Agent Team Member

Medical Biller

Patient Access Representative (Per Diem)

Customer Service Representative - State Farm Agent Team Member

Multi-Line Representative - State Farm Agent Team Member

Patient Services Representative

Account Specialist III

Customer Service Representative - State Farm Agent Team Member

Account Specialist III

Patient Services Representative

Supervisor, AR Medical Payment Specialist

Customer Service Representative - State Farm Agent Team Member

Customer Service Representative - State Farm Agent Team Member

Account Representative - State Farm Agent Team Member

Insurance Account Representative - State Farm Agent Team Member

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Business Insurance Position - State Farm Agent Team Member

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