the smart solution for Bethlehem jobs

Billing Specialist

Company: Resources for Human Development
Location: Bethlehem
Posted on: April 14, 2019

Job Description:


Apply Now


Billing Specialist
Resources for Human Development - Pennsylvania Behavioral Health & Housing Division
Can be located Philadelphia, PA or Bethlehem, PA

Position Summary
The Billing Specialist is responsible for billing, collections, claims resolution and payment posting for multiple programs and payers.

Essential Duties and Functions

* Charge and Claim Processing

* Confirm that all services provided have been entered

* Appropriately process all services to be billed

* Timely file all claims -primary and secondary

* Confirm successful transmission to payors and timely resolve any transmission errors, rebilling as needed

* Confirm that appropriate charges and contractual adjustments are posting for all claims

* Timely communicate un-billable claims to mitigate timely filing denials

* Claim Resolution

* Follow-up with payers to resolve all rejections, denials, re-submissions, and appeals.

* Communicate with insurance companies, program staff and other internal stakeholders to settle billing issues and resolve open claims

* Work open claims systematically giving priority to aged claims to resolve balances in a timely manner

* Respond to inquiries or follow up on issues and provide information to resolve outstanding balances

* Partner with program personal, insuring compliance with RHD Billing requirements and guidelines

* Create and provide reports to analyze billing and accounts receivable

* Initiate the write-off of claims, where applicable

* Payment posting

* Ensure payments and adjustments are properly applied and that payments reconcile to the EOB s received by payers

* Retrieve payment files from various websites for payment processing

* Process payments received from multiple insurance plans, 3rd parties and patients

* Ensure deductibles, coinsurance, copays, and denials are properly posted

* Perform payment research and investigation as needed

* Reconciling Unapplied Accounts

* Complete all other duties as assigned


* High School Diploma or equivalent

* Three years of experience preferably with accounts receivable for healthcare or mental health billing systems in a high-volume Medical Insurance Billing setting

* Proficiency in Microsoft Excel

* Must be detail-oriented and able to juggle multiple assignments in a fast-paced open environment

* Experience with Netsmart Avatar application is a plus.

Resources for Human Development is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, gender, gender identity, sexual orientation, national origin, genetic information, veteran, or disability status.

Keywords: Resources for Human Development, Bethlehem , Billing Specialist, Accounting, Auditing , Bethlehem, Pennsylvania

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Other Accounting, Auditing Jobs

Java Developer - Trading System
Description: This role is client-facing trading analytics. This experienced individual must have a proven track record of developing quality software and will support the Trade Insights platform, reporting
Company: Forrest Solutions
Location: New York
Posted on: 04/26/2019

Technical Business Analyst (BA) - Finance - Investment Banking
Description: Business analyst with prior programming
Company: East End Resources
Location: New York
Posted on: 04/26/2019

Chief Financial Officer
Description: POSITION DESCRIPTION: -- -- CPNJ seeks an energetic, self-directed individual to join our agency as a member of the Senior Management Team during a period of growth and transition.--The successful candidate (more...)
Company: Cerebral Palsy of North Jersey
Location: Livingston
Posted on: 04/26/2019

Chief Compliance Officer- Global Citi Private Bank (CPB) & C
Description: Primary Location: United States,New York,New YorkOther Location: United Kingdom,England,LondonEducation: Bachelor's DegreeJob Function: Compliance and ControlSchedule: Full-timeShift: Day JobEmployee (more...)
Company: Citi
Location: New York
Posted on: 04/26/2019

Global Markets, Equity Research - Research Associate (Semiconductors)
Description: We Offer We are looking for a Research Associate/Associate Analyst to join the Semiconductors Team in our New York office. Highly motivated, diligent, detail-oriented, team players are encouraged to apply. (more...)
Company: Credit Suisse -
Location: New York
Posted on: 04/26/2019

Chief Compliance Officer- Global Control Group, Research, Ba
Description: Primary Location: United States,New York,New YorkEducation: Bachelor's DegreeJob Function: Compliance and ControlSchedule: Full-timeShift: Day JobEmployee Status: RegularTravel Time: Yes, 25 of the (more...)
Company: Citi
Location: New York
Posted on: 04/26/2019

Personal Financial Consultant
Description: We believe that as a Financial Representative, you make a key impact on the branch culture and sales, as the official face of Fidelity. Through honesty and integrity, we know you will inspire client dedication (more...)
Company: Fidelity Investments
Location: Roslyn
Posted on: 04/26/2019

M&A Rewards Restructuring Senior Manager
Description: Deloitte Consulting's Human Capital practice is a leading global advisor and implementation partner working with companies, governments, and organizations around the world. Our goal is to improve our (more...)
Company: Deloitte & Touche
Location: New York
Posted on: 04/26/2019

Financial Systems Administrator (TM1)
Description: Revelwood, one of the top Financial Performance Management consulting firms in the world, is looking for a Client System Administrator in the New York/New Jersey metropolitan area--- -- Revelwood is looking (more...)
Company: Revelwood
Location: Florham Park
Posted on: 04/26/2019

Program Financial Scheduler
Description: Program Financial Scheduler - Clifton, NJ br Job Code: ES20190904-30838 br Job Description: br Harris Corporation is a leading technology innovator, solving customers' toughest mission-critical (more...)
Company: Harris
Location: Clifton
Posted on: 04/26/2019

Log In or Create An Account

Get the latest Pennsylvania jobs by following @recnetPA on Twitter!

Bethlehem RSS job feeds