Clinical Revenue Cycle Specialist
1 week ago
Job OpportunityWe are seeking an Admissions & Utilization Review Specialist to join our team. As a key member of our revenue cycle management team, you will play a crucial role in ensuring the financial health of our organization while supporting our mission. Your responsibilities will include accurately and efficiently processing medical claims, verifying insurance coverage, and resolving billing issues. You will also collaborate closely with our clinical and administrative teams to optimize revenue cycle management and maintain compliance with regulatory requirements.
Responsibilities
- • Review claims to insurance companies and government payers • Verify insurance eligibility and benefits for patients• Follow up on outstanding claims and denials to ensure timely payment • Resolve billing discrepancies and address patient inquiries regarding billing issues • Collaborate with clinical and administrative staff to ensure accurate documentation and coding • Stay up-to-date on billing regulations and compliance requirements • Navigation of co-pays for commercial insurances • Obtaining Non-par agreements • Utilization Review • Obtaining authorizations from payer sources
Qualifications
- • Proven experience as a medical billing specialist, preferably in behavioral health or healthcare setting • Strong knowledge of medical billing procedures and coding (CPT, ICD-10) • Familiarity with insurance guidelines and reimbursement processes • Excellent attention to detail and accuracy • Effective communication and problem-solving skills • Ability to work independently and as part of a team • Proficiency in medical billing software and Microsoft Office suite
BenefitsCompetitive salary commensurate with experience, comprehensive benefits package including health, dental, and vision insurance, tuition reimbursement, retirement plan, paid time off and holidays, opportunities for professional development and advancement, and a supportive and collaborative work environment dedicated to making a positive impact on the lives of others.
$60,000 - $80,000 per year, depending on experience.
-
Revenue Cycle Coordinator
1 week ago
Media, Pennsylvania, United States MVP Recovery Full timeAbout the RoleWe are seeking a detail-oriented and organized Admissions & Utilization Review Specialist to join our team at MVP Recovery. In this role, you will play a vital part in maintaining the financial stability of our organization while providing exceptional care to our clients.Responsibilities:Review medical claims for accuracy and completenessVerify...
-
Medical Claims Specialist
1 week ago
Media, Pennsylvania, United States MVP Recovery Full timeJob OverviewMVP Recovery, a leading behavioral health company, is seeking a highly skilled Admissions & Utilization Review Specialist to join our team. This role plays a critical part in ensuring the financial health of our organization while supporting our mission to provide exceptional care to clients.Key Responsibilities:Process medical claims accurately...
-
Insurance Verification Expert
1 week ago
Media, Pennsylvania, United States MVP Recovery Full timeJob SummaryMVP Recovery is seeking an experienced Admissions & Utilization Review Specialist to join our team. In this role, you will be responsible for processing medical claims, verifying insurance coverage, and resolving billing issues.Key Responsibilities:Process medical claims accurately and efficientlyCollaborate with clinical and administrative teams...
-
Utilization Review and Billing Coordinator
1 week ago
Media, Pennsylvania, United States MVP Recovery Full timeAs a valued member of the MVP Recovery team, the Admissions & Utilization Review Specialist will contribute significantly to the company's mission of providing exceptional care and support to individuals seeking recovery from substance use and mental health disorders. This key role involves accurately and efficiently processing medical claims, verifying...
-
Clinical Care Specialist
1 week ago
Media, Pennsylvania, United States MyCareers Full timeJob OverviewWe are seeking a skilled Clinical Care Specialist to join our team at MyCareers. As a key member of our healthcare staff, you will be responsible for providing high-quality patient care in a clinical setting.
-
Home Care Medical Invoicing Expert
1 week ago
Media, Pennsylvania, United States Hart Medical Equipment Full timeHart Medical Equipment is seeking an experienced Facility Billing Specialist to join our team. As a key member of our revenue cycle operations, you will be responsible for ensuring timely and accurate billing for medical supplies provided to facilities and hospices. Our company values professionalism, integrity, and customer satisfaction, and we are...
-
Clinical Healthcare Specialist
4 days ago
Media, Pennsylvania, United States Thriveworks Full timeAbout the RoleWe are seeking a Licensed Clinician to join our team in Media, PA, providing a mix of telehealth and face-to-face sessions. As a clinical healthcare specialist, you will be part of a clinician-founded national private practice group with locations in 48 states.Our mission is to help people live happy, successful lives by providing accessible,...
-
Clinical Nurse Specialist
1 week ago
Media, Pennsylvania, United States Henry Ford Health System Full timeJob Title: Clinical Nurse Specialist - Orthopedics & NeurologyAbout the Role: We are seeking a skilled Clinical Nurse Specialist to join our team at Henry Ford Health System. This is an exciting opportunity to work in a fast-paced environment, providing expert care to patients with orthopedic and neurological conditions.Responsibilities:Develop and implement...
-
Medical Billing Specialist
3 days ago
Media, Pennsylvania, United States Hart Medical Equipment Full timeJob OverviewHart Medical Equipment provides comprehensive home care products and support services tailored to individual needs. We strive to deliver exceptional patient care by upholding the highest standards.We are a nationally accredited, premier provider of home medical equipment and supplies. As a leading organization in our field, we offer a competitive...
-
Clinical Interventional Radiology Specialist
4 days ago
Media, Pennsylvania, United States Uniti Med Full timeJob OverviewWe are seeking a highly skilled Clinical Interventional Radiology Specialist to join our team at Uniti Med in Grand Blanc, Michigan.Estimated SalaryThe estimated salary for this position is $85,000 per year, based on 40 hours of work per week and 10 hours of shifts.Job DescriptionThis role involves working as an Interventional Radiology...
-
Technical Solutions Specialist
4 weeks ago
Media, Pennsylvania, United States Mee Derby Full timeMee Derby is seeking a seasoned Technical Solutions Specialist to drive growth and deliver exceptional client experiences in the Philadelphia area. As part of our hybrid team, you will focus on cultivating new business opportunities, expanding revenue in existing accounts, and providing top-notch services.About This Role:This position offers a competitive...
-
Senior Clinical Nurse Specialist
4 weeks ago
Media, Pennsylvania, United States Henry Ford Health Full timeAbout UsHenry Ford Health is a leading academic medical center and health system in the United States. With a strong commitment to innovation and quality care, we provide a full continuum of services from primary and preventative care to complex and specialty care.Job SummaryWe are seeking an experienced and skilled Senior Clinical Nurse Specialist -...
-
Clinical Nurse Specialist
4 weeks ago
Media, Pennsylvania, United States Henry Ford Health System Full timeAbout UsAt Henry Ford Health, we are committed to delivering exceptional patient care and improving the lives of our patients and communities. As a member of our team, you will be part of a world-class organization that prioritizes quality, safety, and innovation.The OpportunityWe are seeking a skilled and compassionate Clinical Nurse Specialist to join our...
-
Pediatric Nurse Specialist
3 weeks ago
Media, Pennsylvania, United States Aveanna Healthcare Full time**About the Job**Aveanna Healthcare is seeking a dedicated and compassionate Pediatric Nurse Specialist to join our team in Media, PA.**Job Summary**The Pediatric Nurse Specialist will provide high-quality clinical care to patients in their homes, working closely with our interdisciplinary team to develop and implement individualized care...
-
Medical Billing Specialist
4 weeks ago
Media, Pennsylvania, United States Hart Medical Equipment Full timeHart Medical Equipment offers a career opportunity in our documentation team for a Medical Billing Specialist. This role is based in Grand Blanc, MI and is a full-time position.About the PositionWe strive to provide quality assurance for processed orders respecting Hart policies and insurance guidelines. The successful candidate will be responsible for...
-
Pediatric Care Specialist
4 weeks ago
Media, Pennsylvania, United States Aveanna Healthcare LLC Full timeAveanna Healthcare LLC is a leading provider of pediatric and adult care services specializing in home healthcare. Our mission is to enhance the lives of our patients and their families by delivering compassionate and personalized care in the comfort of their own homes.We are seeking a dedicated and compassionate Pediatric Care Specialist to join our team in...
-
Healthcare Specialist
6 days ago
Media, Pennsylvania, United States Leoforce Full timeJob OverviewThe Healthcare Specialist will be responsible for delivering quality patient care in a home healthcare setting. This role requires a compassionate and dedicated Registered Nurse (RN) with 6 months of recent experience in a clinical care setting. The ideal candidate will have excellent communication skills, attention to detail, and the ability to...
-
Traveling Critical Care Specialist
6 days ago
Media, Pennsylvania, United States OneStaff Medical Full timeTraveling Critical Care Specialist NeededOneStaff Medical is seeking a highly skilled Critical Care Specialist to join our team in Grand Blanc, Michigan. As a traveling critical care specialist, you will be responsible for providing exceptional patient care in emergency situations.About the RoleThis is a challenging and rewarding role that requires advanced...
-
Cardiac Cath Lab Specialist
4 weeks ago
Media, Pennsylvania, United States American Traveler Full timeAbout the RoleAmerican Traveler is seeking a skilled Cardiac Cath Lab Specialist to join their team on a travel assignment in Grand Blanc, Michigan. Job SummaryWe are looking for a highly experienced and certified Cardiac Cath Lab Specialist to work with our client in Grand Blanc, Michigan. As a key member of the healthcare team, you will be responsible for...
-
Ambulatory Nurse Specialist
3 days ago
Media, Pennsylvania, United States Main Line Health Full timeMain Line HealthWe are seeking a skilled and compassionate Ambulatory Nurse Specialist to join our Urogynecology team at Riddle Hospital and Lankenau Medical Center.About the RoleThis is an excellent opportunity for a registered nurse to make a meaningful impact in the lives of our patients. As an Ambulatory Nurse Specialist, you will work closely with our...