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Job Description Hiring now in South New Jersey for an Insurance Verification and Authorization Specialist to serve as a key resource on insurance coverage, benefits, and policy guidelines. In this role, you’ll maintain patient accounts, verify insurance details, process payments, and communicate with both internal teams and external partners to ensure accuracy and efficiency. The right person for this role thrives in a fast-moving setting, juggling competing priorities with accuracy and a polished, professional approach. They bring strong communication, organizational, and problem-solving skills — and can work confidently on their own while adapting to evolving systems and procedures. If this sounds like you, apply today! RESPONSIBILITIES: • Provide patient balance estimates, collect patient payments and verify insurance coverage and benefits for all payers, including Medicare, Medicaid, and commercial insurances, • Answer and respond to telephone, voicemail, email, and faxed inquiries from internal and external customers, which include clients, patients, and insurance carriers, while providing exceptional customer service, • Explain insurance coverage and benefits to patients, as necessary, • Contact patients and external customers regarding inactive insurance coverage to obtain updated insurance information or obtain referrals, • Initiate, submit and obtain prior authorizations, • Possess current knowledge of insurance carrier guidelines, clinical policies, and state guidelines pertaining to referrals and prior authorization, • Process, sort, and direct incoming and outgoing mail to the appropriate teams and departments, • Maintain patient accounts by appropriately notating, updating, and collecting patient demographic, and insurance information, • Request medical records and other patient/provider information, when appropriate, • Process credit card transactions received from patients and insurance carriers, • Handle patient financial hardship applications and reviews requests for account adjustments, • Supply the management team with immediate feedback on issues affecting workflow, reimbursement, and customer service as well as identifies and escalates opportunities for process improvement to management team, • Identify insurance contract opportunities/requirements and communicates to the Payor Relations department, • Adhere to appropriate quality control, confidentiality, and HIPAA guidelines, • Bachelor’s degree, preferred, • Minimum 3 years in customer service, insurance verification, authorization and insurance billing required, • Previous experience with medical claims processing, insurance verification, authorization, medical records and insurance terminology, required #PHILLYAFT

Job Description CAMCARE HEALTH CORPORATION Job Description A/R Billing Specialist Who We Are: CAMcare Health Corporation is a mission-driven Federally Qualified Health Center (FQHC) serving Camden and Gloucester counties. Our team is dedicated to delivering accessible, high-quality healthcare to all individuals regardless of their ability to pay. With seven health centers and a commitment to innovation, we are reimagining community health by embracing technology, equity, and compassion. Position Summary The A/R Billing Specialist is responsible for ensuring timely and accurate processing of claims and collections in accordance with FQHC, federal, and payer-specific guidelines. The specialist will play a key role in managing accounts receivable, resolving claim denials, and supporting billing compliance using the EPIC EHR system. This role contributes directly to CAMcare’s financial sustainability and compliance with Uniform Data System (UDS) and Medicaid/Medicare reporting standards. This position will report to the Billing Supervisor. Key Responsibilities • Submit primary and secondary claims electronically and by paper to government and commercial payers., • Identify and resolve payment edit errors and rejections; escalate unresolved issues when appropriate., • Utilize EPIC EHR and billing modules to verify charge entry, apply edits, track claim status, and process payments., • Post payments and contractual adjustments from EOBs/EFTs/remittance advice accurately., • Conduct follow-up on denied or underpaid claims and initiate appeals or resubmissions., • Track OB delivery charges and obtain required authorization/GEMS numbers for billing., • Assist in preparing UDS perinatal reports and data for federal reporting., • Research and update Medicaid Pending claims with verified Medicaid IDs., • Submit patient statements and maintain accurate account balances., • Establish and monitor patient payment plans in line with sliding fee policies., • Support collection efforts and coordinate write-offs, bad debt, or agency assignments., • Collaborate across departments (e.g., Registration, Clinical, Compliance) to resolve billing discrepancies., • Leverage payer portals to validate claims, coverage, and remittance data., • Assist with audits, internal reviews, and revenue cycle improvement initiatives., • Maintain billing compliance with FQHC-specific guidelines, CMS rules, and payer contracts., • Provide backup assistance to team members and perform other duties as assigned. Key Performance Indicators (KPIs) • Claim First-Pass Rate (Clean Claim Rate): ≥ 95%, • Days in Accounts Receivable (A/R): ≤ 40 days average, • Claim Denial Rate: ≤ 5%, • Payment Posting Accuracy: ≥ 98%, • Timely Submission of Claims: ≥ 99% submitted within 5 days of service, • Denial Resolution Turnaround Time: ≤ 15 days from receipt, • Patient Collection Rate (Sliding Fee / Payment Plans): ≥ 85% compliance, • Timely OB Charge Entry & Authorization: 100% within 3 business days of delivery, • EPIC Work queue Resolution Rate: ≥ 95% cleared within 3 business days What You Bring Required: • High School Diploma or GED., • 1–2 years of experience in medical billing within a healthcare setting (FQHC preferred)., • Proficient in EPIC EHR, especially billing and claims processing modules., • Knowledge of CMS, Medicaid, commercial billing rules and modifiers., • Working knowledge of Microsoft Office (Excel, Outlook, Word). Preferred: • Medical Billing Certification (e.g., AAPC, AHIMA)., • Nationally recognized Coding Certification (if performing coding functions)., • Bilingual English/Spanish proficiency., • Familiarity with Medicaid PPS, sliding fee schedules, and UDS reporting. Core Competencies • Exceptional attention to detail and data accuracy., • Strong analytical, problem-solving, and time management skills., • Ability to work independently and collaboratively in a fast-paced environment., • Effective written and verbal communication., • Understanding patient confidentiality and HIPAA requirements., • Commitment to CAMcare’s mission, values, and equity-driven care model. Working Conditions • Standard office setting with potential for hybrid flexibility., • Occasional travel to other CAMcare locations may be required for support or training. CAMcare Health Corporation is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Job Description Patient Advocate CHOP - Children's Hospital of Philadelphia ChasmTeam is partnering with a growing national company, to build a team that provides real benefits to patients! We are seeking hard working, self starters who enjoy a challenge as we work together to help patients. The Patient Advocate plays a critical role in identifying, educating, and enrolling eligible hospital patients into the Health Insurance Premium Payment (HIPP) Program. You'll clearly explain program details, gather required documentation, and serve as a compassionate, professional advocate throughout each step of the enrollment process. This role demands mission-driven advocacy, proactive problem-solving, empathetic communication, and resilience—all while balancing compassion with an urgency to ensure patients receive timely support. By facilitating employer-sponsored health insurance coverage, the Patient Helper Program helps medically complex Medicaid beneficiaries access comprehensive care. We’re looking for driven individuals with a “can-do” spirit, unwavering perseverance, and the capacity to support diverse patient populations navigating complex healthcare systems. Key Responsibilities Patient Engagement & Advocacy • Educate patients and families in a clear, compassionate, and culturally sensitive manner about the HIPP program., • Assess family dynamics and adapt communication style to effectively meet their needs., • Obtain necessary authorizations and documentation from patients/families., • Foster trust with patients while maintaining appropriate professional boundaries., • Accurately collect all essential data for HIPP applications (e.g., employer information, insurance details)., • Employ proactive problem-solving to overcome barriers and ensure timely, accurate submissions., • Collaborate seamlessly with the Patient Financial Assistance team to finalize enrollments., • Clarify how employer-provided health insurance works in coordination with Medicaid., • Verify and update ongoing patient eligibility for HIPP to maintain continuity., • Utilize CRM/case management system to manage referrals and patient records., • Upload, scan, and securely transmit required documentation., • Record patient interactions meticulously in compliance with privacy and legal standards., • Represent the organization as the onsite contact at the hospital., • Establish and maintain collaborative relationships with hospital staff, state agency personnel, and community partners., • High school diploma or GED and completion of formal training in customer service, patient services, healthcare administration, social services, or case management., • Foundational knowledge of healthcare terminology and insurance processes gained via coursework or certification., • Associate’s or Bachelor’s degree in Social Work, Healthcare Administration, Public Health, or related field., • Training in motivational interviewing, trauma-informed care, or medical billing/coding., • Continuing education in Medicaid/Medicare eligibility, health equity, or patient advocacy., • Three-Five years’ experience in patient-facing roles within a healthcare setting. Technical Skills-Preferred • Proficiency with CRM or case management systems., • Knowledge of Medicaid/Medicare eligibility and benefits coordination., • Ability to interpret medical billing and insurance documents., • Active listening and empathetic communication., • De-escalation tactics for emotionally distressed patients., • Cultural awareness and sensitivity in communication., • Mission-Driven Advocacy – Consistently puts patient needs first., • Ego Resilience – Thrives amid adversity and changing demands., • Empathy – Provides compassionate support while ensuring professionalism., • Urgency – Balances speed and sensitivity in patient interactions., • Detail Orientation – Ensures accuracy and completeness in documentation., • Cultural Competence – Demonstrates respect and understanding of diverse experiences., • Adaptability – Successfully operates in evolving policy and procedural environments. Why Join Us? As a Patient Advocate, you’ll make a real difference—helping patients navigate complex health and insurance systems, securing critical benefits, and enabling focus on healing and well-being. Join a mission-driven, supportive team where your work matters and your growth is encouraged. Full benefits offered including Health, Dental, Vision, 401(k) with company match, STD/LTD, Life Insurance and more.

Job Description Seeking a skilled and experienced Collections Reimbursement Specialist to work out of our office in South New Jersey. In this role you will ensure timely, accurate reimbursement for healthcare services, manage outstanding balances, verify insurance details, file claims, and follow up with payers to resolve denials and secure payments. This role requires someone who can manage multiple priorities in a fast-paced environment with accuracy and professionalism. Strong communication, organization, and problem-solving skills are essential, as is the ability to work independently and embrace change. If you’re ready to utilize your collections experience to contribute to a dynamic team, send in your application today! RESPONSIBILITIES: • Run and review aging accounts receivable reports, • Identify and report payer denial trends and resolve outstanding accounts receivable, • Share payer trending data with internal departments to ensure a reduction in the number of denials, • Manage timely insurance denial, appeal and claim follow up activities to maximize collection efforts, • Review collection worklists, • Ensure timely follow up on all patient and insurance refund requests and credit balances, • Recommend and complete account adjustments, where appropriate, • Identify insurance contract opportunities/requirements and communicates to the Payor Relations department, • Answer and respond to telephone, email, and faxed inquiries from internal and external customers, which include clients, patients, and insurance carriers, while providing excellent customer service, • Analyze and determine accounts to transfer to External Agency for collection, • Accept and negotiate payment arrangements and contact patient(s) regarding missed payments, • Assist with obtaining prior authorizations, • Provide patient balance estimates and verify insurance for all payers, including Medicare, Medicaid, and commercial insurances, • Identify underpayments and overpayments made by third-party payers while monitoring credit balance report, • Process patient financial hardship applications and review requests for account adjustments, • Process, sort, and direct incoming and outgoing mail to the appropriate teams and departments, • Maintain patient accounts by appropriately notating, updating, and collecting patient demographic, and insurance information, • Request medical records and other patient information, when appropriate, • Provide management team with immediate feedback on issues affecting workflow, reimbursement, and customer service, • Attend staff meetings and report on monthly performance and activities, • Bachelor’s degree preferred, • Minimum 5 years of Medical Accounts Receivable, Medical Billing, Customer Service, Denial Management and, • Collections experience, • Previous experience with medical claims processing, insurance verification, medical records and insurance, • terminology, • Competency with Windows PC Applications, including strong Microsoft Word and Microsoft Excel skills #PHILLYAFT

Job Description BAYADA Home Health Care is currently seeking a Part Time Admissions Coordinator to join our Hospice Triage Services team for Weekend Coverage. POSITION SUMMARY: The Admission Coordinator (AC) is responsible for receiving and coordinating hospice referrals from physicians, hospitals, facilities, and other community resources. The AC coordinates all hospice referrals and is the lead coordinator of all client referral/admissions activity. This role collaborates with different departments to obtain necessary billing and clinical preadmission information and build effective working relationships within the work group to benefit our clients and referral sources. The position works with and supports the families and clients directly at the beginning of their hospice experience, which may include explaining benefits, coordinating care, and sharing knowledge about the services provided. The AC will positively impact the experiences of our clients and families, as well as increase our response time to referral sources, all while creating a team environment between sales and operations. MINIMUM QUALIFICATIONS: • Exemplifies characteristics of The BAYADA Way: compassion, excellence and reliability., • Four (4) year college degree., • Minimum two (2) years of experience and/or training with hospice. Experience in a medical office environment, customer service role, and intake or inside sales experience are preferred., • Licensed Practical Nurse (LPN) certification is preferred but not required., • Has a positive attitude and willingness to learn throughout employment. Self-starter with excellent verbal and written communication skills., • Ability to work in a demanding, high-stress environment., • Sit, stand, bend, lift, and move intermittently and be able to lift at least 25 lbs., • Move equipment and supplies necessary for job functions., • Abide by all occupational safety and bloodborne pathogen protocols to minimize illness and/or injury and exposure to infectious and communicable diseases, chemicals, and repetitive motions., • Demonstrates confidence to openly discuss the benefits of hospice and obstacles one may have when choosing hospice., • Possesses a high sense of integrity, negotiation, advanced customer service skills, and effective organizational and interpersonal skills., • Ability to work collaboratively with clinical, sales, and non-clinical staff members., • Ability to work with outside physician offices, hospitals, and facility Administrators to coordinate client start of care. Learn and utilize HCHB, including hospice workflow tasks., • Ability to think critically and manage multiple tasks and priorities at any given time., • Willingness to learn hospice regulatory standards related to job-specific duties, including but not limited to hospice Medicare Conditions of Participation, etc., • Extensive knowledge of hospice benefits, services and philosophy, phone etiquette, thoughtfulness, and initiative to obtain and relay information correctly and efficiently., • Demonstrate effective communication skills working with the hospice program's clinical/ops team, sales team, referral sources, physicians, nurses, clinical management, and other healthcare personnel., • High attention to detail and a willingness to assist the daily operations in all applicable methods and practices., • Cope with work involving ill, disabled, and dying clients., • Proficient in Microsoft Office Suite (including Excel and Teams)., • Demonstrate and communicate the core values of BAYADA Home Health Care and The BAYADA Way., • Develop working knowledge of BAYADA's mission, services, people, organization, policies and procedures., • Ensure all activities performed align with the hospice leadership team., • Serve as the lead coordinator for client pre-admission activities and is responsible for all aspects associated with the referral management processing of hospice referrals from physicians, hospitals, facilities, and other community sources., • Coordinate BAYADA hospice services with referral sources, insurance companies, clients, and families., • Process client referrals, coordinate client admissions, collaborate closely with hospice branch operations and sales team, and enter client admission data after all hospice requirements have been met and documented., • Collaborate with different BAYADA functional offices to obtain necessary billing information, clinical information, referral source/account preferences, and build effective working relationships within the work group for the benefit of our clients., • Perform an initial screening/verification of benefits according to Medicare, Medicaid, and third-party payor guidelines, coordinate equipment with contracted vendors, and gather supporting information and/or documents pertinent to client admission to the program., • Ensure that operations remain in accordance with BAYADA policies and procedures, and applicable local, state, and federal regulations., • Accept all new referral calls and monitor all referral fax lines and portals., • Contact the client and family, liaison and/or Program Manager, referral source, and branch staff within one (1) hour of the referral., • Enter all information gathered accurately into HCHB., • Contact the insurance company for eligibility and authorization. Obtain sufficient client and insurance information to confirm the hospice service line., • Perform an initial screening to determine suitability for admission to Hospice care according to Medicare, Medicaid, and third-party payer guidelines., • Maintain discretion, as the position could be exposed to highly confidential information., • Explain benefits to families and clients directly at the beginning of their hospice experience, working with and supporting them., • Coordinate care and share knowledge about the services provided and hospice philosophy with the clients and their families., • Positively impact the experiences of our clients and families, increase our response time to referral sources, and create a team environment between sales and operations., • Confirm the benefit period and explain hospice services, benefits, and philosophy to clients, family members, and significant others., • Ensure maximum reimbursement through initial payer source, benefits, eligibility verification, and authorization processes., • Provide accurate insurance and admission information to admission staff to ensure appropriate disclosure of rights and responsibilities, financial liabilities, and benefit plan details to clients and their families., • Completes required payer source verification forms., • Schedule an appointment with the client and family for a hospice informational meeting., • Secures a hospice order for evaluation/admission. Confirm and obtain Do Not Resuscitate., • Coordinate hospice durable medical equipment/ comfort kits in place upon client arrival and with hospital staff upon discharge to ensure a smooth transition for the client when arriving home., • Confirm and audit client charts in HCHB, ensuring all necessary documents are signed, dated, and uploaded to HCHB., • Participate as a member of the marketing team by following up on pending referrals, developing and maintaining positive relationships with referral sources, and assisting in developing strategies and plans for site and company growth., • Provide the Billing Coordinator, or designee, with insurance and billing documentation, client location, and client level of care as needed for final confirmation prior to admission., • Maintain communication with pending clients, families, and referral sources and routinely follow the progress of any non-admissions., • Participate in the service office morning stand-up calls., • Ensure operations remain in accordance with BAYADA policies and procedures, and applicable local, state, and federal regulations., • Attend in-services and continuing education programs when appropriate and assigned. Remain current on innovations, developments, new procedures, and techniques as they may pertain to referral information., • Promote BAYADA's philosophy, mission statement, and administrative policies to ensure quality of care., • Maintain client and staff privacy and confidentiality pursuant to the HIPAA Privacy Final Rule., • Demonstrate solid performance or exceed performance standards in key job dimensions/attributes as defined on the Performance Appraisal for Office Staff., • BAYADA Home Health Care offers the stability and structure of a national company with the values and culture of a family-owned business., • Paid Weekly, • Base Pay: $20-23/ hour depending on qualifications As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates. BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here. BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.

Job DescriptionABOUT PATH INC. PATH (People Acting to Help) Inc. is a comprehensive Community Behavioral Health and Intellectual Disability Center. We offer a wide of array of services and supports to meet the needs of our community in Northeast Philadelphia. PATH regularly achieves the highest levels of accreditation including a 5 Star Provider Rating by CBH, Philadelphia’s Managed Care Entity, and recognition and awards related to our high-quality, innovative programs and staff accomplishments and contributions. Our Mission? To Help Individuals Achieve a More Independent and Fulfilling Life. WHY WORK AT PATH? A Career with Meaning At PATH, our team members are at the heart of what we do, so we work hard to give them the best reasons to work here — and to stay here. In addition to the satisfaction of making a real difference in people's lives, we offer: • Competitive pay, • Annual increases, • Performance and longevity bonuses, • Comprehensive benefits package for staff and family, • Generous number of paid holidays, vacation, sick, and personal time, • No-cost pension plan, • Ongoing professional development opportunities, including licensure supervision, • Cutting-edge treatment facility, resources, and treatment modalities, • Opportunities for advancement and growth within the organization, • Eligible for the Federal Public Student Loan Forgiveness (PSLF) program, • Referral bonus for referring a friend who accepts employment JOB SUMMARY: To promote the mission of PATH to help individuals achieve a more independent and fulfilling life by being an effective team member. Confirm and update client eligibility. Prepare and submit 837P electronic billing files and CMS1500 paper claim forms. Download and review response files to the 837 billing files. Post electronic and manual payment files as received. Perform all billing and cash posting tasks in a timely manner in order to ensure maximum revenue and facilitate cash flow. Provide the Accounts Receivable Manager and Chief Revenue Officer with the necessary information to resolve all billing and funding discrepancies. PHYSICAL DEMANDS: Minimal in nature QUALIFICATIONS: Associate degree preferred; Three to Five years’ experience in Health Care Billing functions, preferably in a Behavioral Health and/or non-profit environment, in an Electronic Health/Medical Records system; Ability to run reports necessary to correct and update billing and funding source data; Ability to work with numbers and function with minimal supervision. Experience and knowledge of Primary and Secondary insurance billing including the input of data, generation of electronic 837 billing files, and electronic and manual cash application of cash received from billings. Possess the skills needed to interact with outside parties to collect the necessary information for the successful submission of claims. SPECIFIC DUTIES: • Complete all CBH Monthly and Weekly (CBE/PE) billing, including analysis to determine service type to bill and completion of roll-up services., • Rebill services from CBH to Medicare as required via HCFA 1500 forms and complete all relevant documentation., • Download, review and document all 277 files from CBH after each 837 file submission., • File TPL Discrepancies with CBH as needed based on the 277 Rejections for CBH., • Submit requests for Medicare Exceptions to CBH for all newly admitted or newly eligible Medicare clients who are dual-eligible and are receiving services from Russian-speaking therapists., • Download and post CBH 835 RA files including review, analysis, and correction of any incorrectly or unposted services., • Review, correct, and resubmit services rejected on the CBH 835 RA, or refer to A/R Manager for adjustments when indicated., • Review, correct, and resubmit services on the monthly CBH Open Services Reports, or refer to A/R Manager for adjustments when indicated., • Submit TPL Discrepancies to CBH for resolution., • Submit appeals for CBH services over 90 days as needed, and upload billing file with services within the required time frame when/if approved., • Review the CBH Unbilled Claims report on a monthly basis., • Generate and submit to DBH (Philadelphia County) all electronic requests for MHX Clearance for new Clients weekly., • Download and review the response file to the MHX Clearance submission., • Identify Clients that are ineligible for MHX Clearance for missing demographic data and flag in Avatar., • Follow up with Clinical Staff to obtain missing demographic data elements that prevent PATH from obtaining an MHX Clearance for the client, including missing Social Security Numbers., • Download the MHX Feedback Report on a weekly basis., • Identify and flag in Avatar Clients that have been newly approved for MHX Clearance for PATH on the MHX Feedback report., • Using source reports, create monthly Intake service charges to be billed to DBH., • Using source reports, create monthly Anonymous charges, and adjust clients’ services’ that will be billed as Anonymous., • Generate and submit billing files to DBH for Outpatient, CRR, BCM, and Administrative Case Management services by the end of the first full week of the month., • Download and review the ta1, 999, and 277 response files for the DBH billing two (2) business days of the submission of the 837 files., • Transfer 277 rejections into the DBH 277 workbook including the reason code(s) for rejection., • Analyze, correct, and resubmit DBH claims rejected on 277 files, or refer to the A/R Manager for adjustments., • Download the 835 RA for DBH within one (1) business day of its availability., • Document and calculate amounts approved by Program and/or age for DBH and enter in the DBH-OAS Approval Summary Workbook for the current Fiscal Year., • Analyze, correct, and resubmit DBH claims rejected on the 835 RA, or refer to A/R Manager for adjustments., • Review, confirm, and approve DHS services in the DHS Placement Verification System on the first working day of the month by 4:00 PM., • Follow-up and coordinate any corrections to DHS services with either DHS, RTF Clinical Staff, or both until the issue is resolved., • Review and resolve discrepancies on the Credit Balance report weekly., • Review the Service Code, Service Fee, Guarantor Definitions, and Program files in Avatar monthly to ensure accuracy in all areas., • Maintain a Cash Receipt Log by month., • Balance the Cash Receipts Log against the Monthly Posting report the first week of the month to ensure accuracy. Resolve any discrepancies., • Provide back-up in assigned tasks for the Accounts Receivable Manager., • Assist in the training and on-going support of new Accounts Receivable staff.

Job DescriptionDescription: Physician and Tactical Healthcare Services (PATHS), LLC is committed to provide the best possible environment for maximum development and goal achievement for all employees. Our practice is to treat each employee as an individual. We seek to develop a spirit of teamwork; individuals working together to attain a common goal. In order to maintain an atmosphere where these goals can be accomplished, PATHS provides a comfortable and progressive workplace. We take into account individual circumstances and the individual employee. Founded in 2000, PATHS offers a broad range of account receivable management, patient advocacy, and consultation services to assist the needs of our healthcare clients. Our 4 offices in PA, NJ, and DE is home to 450 employees and that serve over 100 clients. Our team has built long term flourishing partnerships with clients and staff by cultivating a great experience. PATHS, LLC is currently seeking a Credentialing/Payor Enrollment Specialist to join our team at the Cherry Hill, NJ office. Duties Include: • Submitting initial and re-credentialing payer enrollment applications for commercial enrollment., • Submitting initial and re-credentialing payer enrollment application for Medicare and Medicaid enrollment., • Follow up and checking status of submitted applications with payors., • Track and follow-up to obtain provider ID numbers and effective dates., • Develop working knowledge of payors enrollment process for multiple states., • Serve as a liaison between billing department and the payors on troubleshooting claims denials due to provider enrollment issues., • Maintain matrix of all facility and provider expiring credentials need for provider enrollment., • Maintain high level of organization while being extremely focused on details., • Other duties as assignedRequirements:, • Minimum of ONE YEAR payer enrollment experience required, • CAQH and payer portal experience recommended, • Efficient in using computer software applications (i.e. Excel, Word, Outlook), • Ability to meet time-sensitive deadlines and multi-task work priority and projects, • Excellent written and verbal communication skills, • Strong trouble-shooting and problem solving skills, • Strong attention to detail, • Strong team player attitude Work schedule: Monday - Friday 8:00 am – 4:30pm Company offers competitive salary and excellent benefits package including: Paid Time off Paid Holidays Medical, Dental, Life and Long Term Disability Insurance 401K Plan Preferred rate of $20-22 an hour Equal Opportunity Employer.

Job Description Acentus is currently seeking a Billing Representative to join our team! *This is not a fully remote position. You must be able to commute and report to our Mount Laurel office. Semi-remote work may be available after the successful completion of a 90 day introductory period. Anticipated start date is January 12, 2026 As a Billing Representative at Acentus, you will report directly to an AR Manager and work alongside AR Representatives on one of our AR Teams: Commercial Payors, Managed Medicare & Medicaid Payors, Government Payors, Specialty Payors, Horizon Payors, or Eligibility and Edits AR. Our AR teams also work closely with our internal Payment Posting and AR Coding teams and a variety of external groups to ensure cohesive and efficient billing practices. The ideal Billing Representative maintains a positive attitude, is self-motivated and detail-oriented, and has excellent problem-solving skills which allow the delivery on on-time results to ensure the success of individuals and the organization. This is an entry-level position that can lead to advancement within the company. In this position, you will be responsible for a variety of clerical and revenue related billing activities requiring data research and analysis, time management, self-motivation, and teamwork. Proactive and clear written and verbal communication skills are essential as communicating with internal and external parties is a large part of this role. Billing Representatives act as a billing system super-user, perform simple billing functions, and demonstrate an understanding of all business lines as they relate to the role’s responsibilities. Daily duties of a Billing Representative include sorting and distributing mail, processing legal requests in a timely manner, and performing all functions of processing the daily claim run. You will be expected to use critical thinking to identify trends and report issues to management. Successful Billing Representatives also assist AR Teams with special projects and other essential billing office duties as assigned. A qualified and dedicated Billing Representative will: • Print, sort, mail, and accept the daily claim run., • Assist AR Teams with filing, copying, scanning, emailing, and faxing, • Distribute correspondence to internal teams, • Perform registration and insurance data entry, • Upload medical records to payor portals, • Complete insurance eligibility verification and payor project reconciliation, • Input accurate notes in patient accounts within the billing system, • Identify and report trends to management, • Provide timely, accurate, and professional responses to internal, patient, and third party inquiries, • Research and resolve simple issues and escalate issues to management, • Report needed system updates to manager, • High school diploma or equivalent required, • Basic to intermediate typing and computer skills required, • Some experience in professional medical billing or a similar role preferred, • Ability to troubleshoot and problem solve in a healthcare setting, • Proficient understanding of HIPAA compliance practices, • Proficient knowledge and a working understanding of Microsoft Excel and Word, • Some knowledge of and experience using payer tools (e.g. Navinet, etc.), • Excellent research abilities, attention to detail, and communication skills, • Outstanding problem-solving and organizational abilities, • Self-motivation, including multitasking and time management, • Ability to work in an office setting, • Positive attitude and team player

Job Description Job Title: Site Inspector II Position Overview The Site Inspector II is responsible for conducting on-site physical and observational inspections to verify the operational status of Medicare and Medicaid providers and suppliers, in accordance with CMS (Centers for Medicare & Medicaid Services) guidelines. This role requires strict adherence to CMS protocols, strong attention to detail, professionalism, and compliance with federal standards. Inspectors conduct Physical Observation and In-Depth (IDTF) inspections and document findings in real time using the FSA mobile application. The position involves frequent fieldwork and adherence to defined service-level agreements (SLAs). This role is well suited for professionals with backgrounds in healthcare operations, compliance, auditing, law enforcement, or field inspection who possess strong observational, documentation, and regulatory compliance skills. Key Responsibilities • Conduct on-site inspections of Medicare and Medicaid provider and supplier locations to verify operational status per CMS guidelines., • Perform Physical Observation and In-Depth (IDTF) site visits as assigned., • Confirm business operations through direct observation, document review, and brief interviews with authorized personnel., • Capture and upload required documentation, including geo-tagged photographs, using the FSA mobile application in real time., • Ensure full compliance with CMS protocols, reporting standards, confidentiality requirements, and safety guidelines., • Accurately record inspection findings and ensure timely submission of reports., • Communicate clearly and professionally with providers, suppliers, and internal teams., • Participate in required CMS-approved training and maintain ongoing certification. Preferred Background & Experience The Site Inspector II role is ideal for professionals with experience that provides directly transferable skills in observation, verification, documentation, compliance assessment, and regulatory enforcement. Healthcare Backgrounds (Preferred): • Utilization Review Nurses, • Patient Care Coordinators, • Diagnostic & Allied Health Technologists (Radiologic, Mammography, Nuclear Medicine, Ultrasound, Vascular, Echocardiography), • Phlebotomists, • Compliance Auditors, • Program Integrity Analysts, • Fraud, Waste & Abuse (FWA) Investigators, • Quality Assurance Inspectors, • Field Inspectors, • Enforcement Officers, • Investigators Core Skills & Competencies • Operational and regulatory compliance verification, • Documentation and records review, • Interviewing and information gathering, • Evidence and photographic documentation, • Objective assessment and professional judgment, • Confidentiality, ethics, and data security, • Field safety and situational awareness, • Time management and SLA adherence, • Clear and accurate reporting Work Environment • Field-based role with frequent local travel, • Use of mobile tools and applications for real-time reporting Arch Systems LLC is committed to diversity in its workforce and is proud to be an equal opportunity employer. Arch Systems LLC considers qualified applicants without regard to race, color, religion, creed, gender, national origin, age, disability, veteran status, marital status, pregnancy, sex, gender expression or identity, sexual orientation, or any other legally protected class. Arch Systems LLC is an Affirmative Action and Equal Opportunity Employer.HIGH Growth, small business. Check us out at Systems LLC is committed to diversity in its workforce and is proud to be an equal opportunity employer. Arch Systems LLC considers qualified applicants without regard to race, color, religion, creed, gender, national origin, age, disability, veteran status, marital status, pregnancy, sex, gender expression or identity, sexual orientation, or any other legally protected class. Arch Systems LLC is an Affirmative Action and Equal Opportunity Employer.

Job DescriptionPOSITION SUMMARY:The Revenue Cycle Analyst supports BAYADA Home Health Care's mission by analyzing, monitoring, and optimizing aspects of the revenue cycle, including insurance verification, authorizations, billing, payer performance, and reimbursement. This role serves as a key liaison between service offices, reimbursement teams, and cross functional stakeholders to ensure accurate reporting, effective process improvements, and sustained revenue integrity. The Analyst will also provide insights and recommendations to leadership through data-driven reporting and trend analysis MINIMUM QUALIFICATIONS: • Four (4) year college degree in healthcare administration, business, finance, or related field., • Minimum two (2) years of healthcare revenue cycle, reimbursement, or related business experience (home health preferred)., • Minimum two (2) years of experience with BAYADA revenue cycle operations., • Demonstrated record of goal achievement and exceeding performance standards., • Proven ability to analyze and interpret revenue cycle data and create actionable reports., • Strong interpersonal skills with a demonstrated ability to build collaborative relationships., • Excellent written, verbal, and presentation skills., • Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook); familiarity with business intelligence tools and EMR systems., • Understanding of basic business software applications required to perform job functions., • Highly organized with strong attention to detail and ability to manage competing priorities., • Customer service mindset with commitment to excellence and reliability., • Specialized knowledge (as applicable to assignment):, • Collections: Comprehensive understanding of collection processes across all payer types (Medicare A/B, Medicaid, FFS, PDGM, and Managed Care for Home Health & Hospice)., • Insurance Verification: In-depth understanding of insurance verification processes., • Authorizations: Thorough knowledge of authorization requirements for all applicable payers., • Serve as a subject matter expert on designated revenue cycle functions (insurance verification, authorization, billing, collections, payer setup, payer performance, and EMR system support)., • Prepare, analyze, and distribute recurring and ad hoc reports to highlight trends, risks, and opportunities for improvement., • Identify and escalate front-end revenue cycle, payer, billing, or collection issues and recommend solutions to improve reimbursement and reduce days sales outstanding (DSO)., • Partner with service offices and reimbursement staff to address denials, reimbursement delays, and preventable bad debt., • Conduct root cause analyses of revenue cycle challenges and recommend process improvements to eliminate inefficiencies and manual work., • Provide training, guidance, and technical support to associates and senior associates as assigned and needed., • Collaborate with designated team members to provide technical support., • Conduct quality audits to ensure compliance with standards and share results with leadership for next steps., • Facilitate quarterly account management meetings with the service offices to review revenue cycle performance, develop corrective action plans as necessary, and lead collaborative efforts to improve the process to minimize bad debt., • Lead or support initiatives related to process improvement, new payer implementation, and cross-functional collaboration., • Develop and deliver in-service education and cross-functional training programs based on the Revenue Cycle Management office's needs., • Base Salary: $67,000-90,000 / year depending on qualifications, • BAYADA offers a comprehensive benefits plan that includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct deposit and employee assistance program BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here. BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.

Job Description Hiring now for a Billing Reimbursement Specialist in South New Jersey! We are looking for someone experienced in submitting and following up on claims, ensuring compliance with insurance and regulatory guidelines, handling payments, and resolving billing issues. We’re looking for a detail-oriented and adaptable professional who thrives in a fast-paced environment and enjoys juggling multiple priorities with accuracy and efficiency. The ideal candidate brings strong computer and navigation skills, sound judgment, and the ability to make decisions and solve problems with confidence. You’ll communicate effectively across teams, maintain positive working relationships, and adapt smoothly to procedural or departmental changes — all while ensuring that deadlines are met and quality standards are upheld. All qualified applicants are encouraged to apply! RESPONSIBILITIES: • Ensure timely submission of electronic and paper claims to insurance companies, • Correct billing submission errors, claim edits and other billing work queues, • Manage unbillable, patient demographic updates, payer rebills and other error reports, • Provide patient balance estimates, collect patient payments and verify insurance coverage and benefits for all payers, including Medicare, Medicaid, and commercial insurances, • Answer and respond to telephone, email, and faxed inquiries from internal and external customers, which include clients, patients, and insurance carriers, • Process, sort, and direct incoming and outgoing mail to the appropriate teams and departments, • Maintain patient accounts by appropriately notating, updating, and collecting patient demographic, and, • insurance information, • Request medical records and other patient information, when appropriate, • Provide management team with immediate feedback on issues affecting workflow, reimbursement, and customer service, • Identify insurance contract opportunities/requirements and communicates to the Payor Relations department, • Adhere to appropriate quality control, confidentiality, and HIPAA guidelines, • Attend staff meetings and report on monthly performance and activities, • Bachelor’s degree preferred, • Minimum 3 years in customer service, insurance verification and insurance billing, required, • Previous experience with medical claims processing, insurance verification, medical records and insurance terminology #PHILLYAFT

Job Description Pay: $65,000.00 $75,000.00 per year Job Description: Note: This position requires employees to be on-site five days a week at our clients Mt. Laurel, NJ office, with one remote day available after 90 days. Note: The qualified candidate for this position must have at least 2 years of experience in Personal Injury law. About Our Client Our client is a respected personal injury law firm with nearly 30 years of service, dedicated to fighting for justice and fair compensation. Known for putting clients first, the firm combines compassion with a team-based approach that leverages the experience of every attorney and staff member. Their philosophy is simple: they care, they fight, and they win. Job Description * Serve as the primary point of contact for clients during the pre-litigation process * Gather, organize, and track medical records, bills, and related documentation * Communicate with medical providers, insurance adjusters, and lienholders (Medicare, Medicaid, Workers Comp, etc.) * Prepare and maintain PIP ledgers and medical treatment summaries * Draft correspondence, settlement demands, and status letters to insurance carriers * Track treatment progress and provide regular case updates to attorneys and clients * Assist attorneys in evaluating claims and preparing demand packages for settlement negotiations * Maintain accurate case files and documentation within the firms case management system (Filevine or similar) * Support attorneys in preparing cases for possible transition to litigation if unresolved * Manage deadlines and ensure prompt follow-up on all open items Qualifications * 2+ years of experience as a Personal Injury Pre-Litigation Paralegal (plaintiff-side strongly preferred) * Experience communicating directly with clients, insurance adjusters, and medical providers * Strong drafting and organizational skills with attention to detail * Familiarity with medical terminology, records, and billing * Proficiency in MS Word, Outlook, and legal case management software (Filevine or similar) * Ability to handle a high-volume caseload and multitask effectively in a fast-paced environment * Positive, professional attitude and strong interpersonal skills * Bilingual Spanish a plus Why This Is a Great Opportunity * Join a highly respected firm with a supportive, team-focused culture * Competitive compensation and performance-based bonuses * Comprehensive benefits package (401k match, health, dental, disability, PTO, flexible schedule) * Hybrid flexibility one remote workday per week after 90 days * Direct involvement in meaningful personal injury cases that change lives Job Type: Full-time Benefits: * 401(k) matching * Dental insurance * Health insurance * Paid time off JPC-372 Job Type: Full-time Benefits: • 401(k) matching, • Dental insurance, • Health insurance, • Paid time off

💼 Revenue Cycle Manager – Hospital Billing 📍 Camden, NJ | 💻 Hybrid (3 days in-office, 2 remote after initial 3 months) 💰 Salary: $135k – $180k Are you a seasoned Revenue Cycle professional ready to lead hospital billing operations at a large Level 1 Trauma Center? We’re seeking a Revenue Cycle Manager to oversee and optimize all aspects of the patient revenue cycle, driving financial performance, accuracy, and compliance. There is also a Director of Cash Applications open at this same company! What You’ll Do: • 🏥 Lead daily hospital billing operations for an 80-FTE team, ensuring efficiency across billing, insurance follow-up, customer service, and charity care financial screening., • 📊 Set and achieve key performance targets such as days in AR, denial rates, net revenue, and cash collections., • 🔍 Continuously improve revenue cycle processes through audits, quality initiatives, and policy updates., • ⚖️ Monitor regulatory and payer changes, implementing updates to ensure HIPAA and Medicare compliance., • 💡 Utilize Epic (or equivalent EHR/billing systems) to generate reports, identify trends, and support strategic business decisions., • 📈 Oversee financial forecasting, budgeting, variance analysis, and AR reserve strategies., • 🌐 Eventually expand oversight to include a 240-bed community hospital (Cape Regional). What We’re Looking For: • 🎓 Bachelor’s degree required, • 🏆 Leadership experience managing large teams, • 💻 EPIC experience, • Excellent communication, problem-solving, and team-building skills Why You’ll Love It: • Lead a critical function at a 650-bed Level 1 Trauma Center, • Hybrid work flexibility after onboarding, • Competitive salary and opportunity to make a measurable impact

Hiring a HYBRID Director of Patient Financial Services opportunity in Camden, NJ! Schedule: M-F 40 hours/week Transitions to hybrid schedule after first few months Salary: Between $135,000-$180,000 annually Day to day: • Oversee daily operations of hospital billing teams; ensure cross-functional coordination and efficiencies, • Set and achieve performance targets for metrics like days in AR, denial rates, net revenue, and cash collections, • Continuously improve revenue cycle processes through quality initiatives, audits, and policy updates, • Monitor regulatory and payer changes, implementing necessary updates and ensuring HIPAA/Medicare compliance, • Manage budgeting, financial forecasting, variance analysis, and AR reserve strategies, • Utilize Epic (or equivalent EHR/billing systems) to generate reporting, identify trends, and support business decisions Must Have Qualifications: • EPIC experience, • Leadership experience, • Bachelor's Degree

Extensive knowledge and understanding of Commercial Insurance and Medicare/Medicaid required. Responsible for accurate, timely and complete documentation regarding insurance verification, billing and collections. Verifies Medicare, Medicaid and Commercial benefits and prior authorizations.