Home Care PFS Accts Rec Rep

2 weeks ago


King of Prussia, United States Equiliem Full time
Client Summary: Our Client has been the birthplace for countless breakthroughs and dramatic firsts in pediatric medicine. Built on a foundation of delivering safe, high-quality, family-centered care, the Hospital has fostered medical discoveries and innovations that have improved pediatric healthcare and saved countless children's lives.

Job Description: Home Care PFS Accts Rec Rep

The primary focus of the accounts receivable representative is to provide consistent follow up on the open account receivables.Responsible to review payments received for services rendered and to determine contractual compliance. Responsible to provide payment disputes to third parties in a timely manner per payor, contractual and regulatory guidelines. Work with interdisciplinary team and appropriate pre-cert coordinator to assure authorization issues are resolved.

Essential Functions
1. Review of the accounts receivable reports and explanation of benefits to determine outstanding balances for follow up. Perform payment disputes timely and in accordance with payor, contractual and regulatory guidelines. Document all follow up activities into the patient's medical record.
2. Review payments for accuracy. Identify and report all issues and identified trends related to contractual compliance utilizing the payor issue process to management.
3. Complete payor projects as assigned and document all follow up activity.
4. Perform as necessary, eligibility checks, payer changes, crediting and resubmission of claims.
5. Assist in obtaining/maintaining department's cash goals.
6. Provide all home care patient financial services functions in accordance with the company, CHHC policy and all regulatory and accrediting agency guidelines
7. Perform other duties as assigned by management.

Education Requirement: High School Diploma / GED Required

Work Experience
  • At least one (1) year experience with computers. Required
  • At least two (2) years experience in health care billing. Required
  • Level 2A Worker No Covid Vaccine Required
Knowledge, Skills, Abilities:
  • Previous billing/reimbursement experience.
  • Strong organizational skills.
  • Strong verbal and communication skills.
  • Basic application and computer skills.
  • Strong data entry skills
Schedule Notes: We are looking for someone with extensive Billing experience and possibly a CPC certification. 3 days remote/ 2 week in office Tuesday and Wednesday, Daytime - 8:30-5pm EST Equiliem Healthcare specializes in staffing clinical, non-clinical, and allied personnel. We excel in all levels, disciplines, and specialties within the healthcare spectrum. Our projects range from short to long term local and travel assignments. Equiliem has been recognized as a certified small business enterprise. In addition, we are proud that we have earned the prestigious Joint Commission accreditation for staffing firms and have been awarded Best in Staffing 4 years running by our employees and client partners.

Benefits offered to our workers include the following:
  • Medical Insurance
  • Vision & Dental insurance
  • Life Insurance
  • 401K
  • Commuter Benefits
  • Employee Discounts & Rewards
  • Payroll Payment Options




  • King of Prussia, United States Equiliem Full time

    Client Summary: Our Client has been the birthplace for countless breakthroughs and dramatic firsts in pediatric medicine. Built on a foundation of delivering safe, high-quality, family-centered care, the Hospital has fostered medical discoveries and innovations that have improved pediatric healthcare and saved countless children's lives. Job...


  • King of Prussia, United States HonorVet Technologies Full time

    Job Title: Home Care PFS Billing Rep Location: King of Prussia Shift: Variable Duties: Review hold reports to ensure that services are billed for timely, accurately and hold edits are completed. Ensure all documentation necessary for accurate billing is obtained. Verifies that all the proper coding and charge information is entered in the system...


  • King of Prussia, United States Integrated Resources, Inc Full time

    JOB SUMMARY The primary focus of the accounts receivable representative is to provide consistent follow up on the open account receivables. Responsible to review payments received for services rendered and to determine contractual compliance. Responsible to provide payment disputes to third parties in a timely manner per payor, contractual...


  • King of Prussia, United States Equiliem Full time

    Client Summary: Our Client has been the birthplace for countless breakthroughs and dramatic firsts in pediatric medicine. Built on a foundation of delivering safe, high-quality, family-centered care, the Hospital has fostered medical discoveries and innovations that have improved pediatric healthcare and saved countless children's lives. Job...


  • King of Prussia, United States Integrated Resources, Inc Full time

    Duties: The primary focus of the billing representative is to accurately process charges according to payor specific contracts in accordance with Client, CHHC policy and all regulatory and accrediting agency guidelines. Work with interdisciplinary team to ensure that all documentation required to generate claims has been obtained prior to submission. "...

  • Home Infusion RN, PRN

    2 weeks ago


    King of Prussia, United States CSI Pharmacy Full time

    Job DescriptionCSI Pharmacy is hiring for an Infusion Registered Nurse, RN to join our dynamic team. CSI Pharmacy is a nationwide specialty pharmacy, founded by pharmacists and dedicated to providing services for patients with chronic and rare illnesses that require complex care. Our headquarters are based in Wake Village, Texas and we are expanding...


  • King of Prussia, United States Aveanna Healthcare Full time

    Position Overview We are looking for an Occupational Therapist (OT) to join our team! You will utilize your clinical expertise to assess, teach, and deliver therapy interventions and treatment directed by the Physician as established in the home health plan of care. You will collaborate with interdisciplinary team members, receiving and providing...


  • King of Prussia, United States 365 Health Services Full time

    Job DescriptionJob DescriptionWe, at 365 Health services are actively seeking qualified and dedicated Personal Care Assistants that can provide exceptional care to our patients. An experienced personal care professional provides personalized assistance and support to individuals, focusing on their physical, emotional, and social well-being. Responsibilities...


  • Township of Ocean, United States Prestige Home Care Full time

    **HIRING IMMEDIATELY! $200 SIGN ON BONUS Weekly pay!** **$17-$20 / hour** **If you are compassionate and loyal and are seeking a workplace where we value our employees this is for you!** **Flexible hours! Hourly, days, evenings, weekends** **Amazing sign on bonus! Live-ins and sifts** Prestige Home Care is looking for caring and Certified Home Health...


  • Township of Hamilton, United States Gardenview Home Care Full time

    **_ARE YOU A HOME HEALTHCARE SUPERHERO?_** Gardenview Home Care is the fastest-growing senior care companies in Burlington County, NJ. At Gardenview, our patients and clients come first! We are a family oriented agency and welcome hardworking staff to our family! **_ - OFFERS:_** - Flexible schedules: full time/part-time/weekends - Competitive to an...

  • Sales Coordinator

    3 weeks ago


    King of Prussia, United States Sila HVAC Full time

    Job DescriptionJob DescriptionSales Coordinator - Member of CX TeamHours: Monday – Friday 8am – 5pm + rotational Saturdays during busiest monthsWho We Are Sila believes that great home services start with expertly trained staff who share our vision for superior quality work and unique solutions for all of our customers. Sila’s Customer Experience...


  • King of Prussia, United States GeoBlue Full time

    We are seeking an Implementation Specialist to join our Sales Effectiveness department! The Implementation Specialist will be responsible for successfully onboarding new clients. They will be responsible with meeting the needs of our clients while working within our internal capabilities. They will coordinate with various internal departments including...


  • King of Prussia, United States Worldwide Insurance Services Full time

    Job DescriptionJob DescriptionWe are seeking an Implementation Specialist to join our Sales Effectiveness department! The Implementation Specialist will be responsible for successfully onboarding new clients. They will be responsible with meeting the needs of our clients while working within our internal capabilities. They will coordinate with various...


  • King of Prussia, United States 365 Health Services Full time

    Job DescriptionJob DescriptionWe, at 365 Health services are actively seeking qualified and dedicated Personal Care Assistants that can provide exceptional care to our patients. An experienced personal care professional provides personalized assistance and support to individuals, focusing on their physical, emotional, and social well-being. Responsibilities...


  • King of Prussia, United States CritiCare Home Health & Nursing Services - Full time

    **Opportunities**: **Health Room Nurse, 1:1 Nurse, Bus Runs*** ***: - **Join the CritiCare team as a School Nurse and make a difference in your community! CritiCare has several openings for nurses (LPNs and//or RNs) to provide care and nursing services in schools, to students//clients in surrounding counties.*** **Responsibilities Include**: ***: - **Our...

  • BCBA Clinician

    4 days ago


    King of Prussia, United States SimiTree Talent Solutions Full time

    BCBA Clinician - Applied Behavioral Analysis (ABA)   If you are a Board-Certified Behavioral Analyst with ABA experience then you need to read on…   BCBA Clinician Opportunity Description   Our client is a multi-state and growing provider of Applied Behavioral Analysis care. They are looking for a BCBA Clinician to provide care to clients in the clinic...


  • Township of Hamilton, United States Gardenview Home Care Full time

    Home Care Aide (CHHA) Gardenview Home Care is seeking a dedicated, compassionate, and experienced Certified Home Health Aide (CHHA) to join our team in New Jersey. We are committed to providing high-quality home care to elderly or disabled individuals living in their own homes. As a CHHA in our team, you will enjoy: - Attractive pay rate starting at $16.50...


  • King of Prussia, United States Klasik Fit Full time

    Job DescriptionJob DescriptionKlasik Fit is looking for energetic, bubbly and excited personal trainers to join our #fitfam. Our team is currently looking for someone to start Part time, 16-hours per week with the opportunity to grow into a full time position. This is an IN-PERSON role with virtual opportunities.We are different from a big box gym and not...

  • Billing Specialist

    2 weeks ago


    King of Prussia, United States Top Stack Full time

    Job DescriptionJob DescriptionThe primary focus of the billing representative is to accurately process charges according to payor specific contracts in accordance with   policy and all regulatory and accrediting agency guidelines. Work with interdisciplinary team to ensure that all documentation required to generate claims has been obtained prior to...

  • Sous Chef Trainee

    1 week ago


    King of Prussia, United States Wegmans Food Markets Full time

    Schedule: Full timeAvailability: Morning, Afternoon, Evening (Includes Weekends). Age Requirement: Must be 18 years or olderLocation: King of Prussia, PAAddress: 1 Village DrPay: $22 - $23.50 / hourJob Posting: 04/12/2024Job Posting End: 05/12/2024Job ID: R0206572As Culinary Management Trainee at Wegmans, you will take part in a structured training...