This position will manually key claims and upload documentation on insurance portals, prepare paper claims and follow up on outstanding claims. Complete assigned workflows and adjustments in billing software to ensure timely and accurate submission, follow-up, and resolution of all issues. Patient contact as needed. Understand and communicate changes in payer guidelines and policies, and ensure proper revenue booking. This is a production-oriented position with a focus on meeting or exceeding goals and deadlines.  

Reporting to: Departmental Supervisor or Manager 

Job Type: Full-Time, 40 hours per week, Mon-Fri 

Job Location: King of Prussia, PA (Hybrid - 2 days in office and 3 days remote)

• High School Diploma or equivalent. Bachelor’s degree preferred
• Proficient in Microsoft Office Suite
• DME, Medical Reimbursement and Brightree experience preferred
• Excellent communication and interpersonal skills  
• Strong analytical and problem-solving skills   
• Ability to work independently and as part of a team

Job Responsibilities, included but not limited to:

• Process insurance claims accurately and on time through designated portals 
• Prepare and submit accurate and complete paper claims with all necessary documentation to insurance companies 
• Process assigned workflows accurately and on time    
• Accurately complete account adjustments in compliance with all applicable policies and procedures   
• Document all actions taken on accounts worked, according to the department policy, to ensure clear understanding of encounter status 
• Collaborate with the team to identify root causes and address denial trends, develop and implement innovative A/R follow-up strategies, and improve performance, process, and net revenue collections 
• Protect patient privacy and confidentiality. Demonstrate strong cybersecurity awareness and practices, including the ability to identify, report, and mitigate cyber security risks
• Other duties as assigned  

Physical Demands

The physical requirements listed here indicate what an employee must meet to effectively perform this role's essential functions. The employee frequently needs to communicate verbally, listen attentively, and spend prolonged periods sitting at a desk and working on a computer. The role also requires lifting files, opening filing cabinets, and bending or standing as needed. 

Benefits & Perks

• Comprehensive Medical, Dental, and Vision Package
• 401(k) Plan with Company Match
• Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays
• Life Insurance: Standard coverage with optional enhancements
• Employee Assistance Program: Free counseling and coaching sessions
• Emotional Well-being and Work-Life Balance Resources
• Short & Long-Term Disability: Company-paid with optional supplements
• Accidental Death and Dismemberment Insurance
• FSA and HSA: Manage healthcare expenses
• Commuter Spending Programs
• Volunteer and Engagement Opportunities
• Employee Referral Bonuses
• Exclusive Discounts on entertainment, travel and various other supplemental and cellphone plans

Equal Employment Opportunity

The PromptCare Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws. We foster a work environment in which diversity and inclusion are embraced, people are hired and advanced on their merits, and employees are treated with mutual respect and dignity.