Program Specialist (Non-Profit) plans and coordinates one or more programs of a non-profit organization. Coordinates fundraising, budgeting, and community outreach efforts. Being a Program Specialist (Non-Profit) develops an event calendar and implements programs that align with the organization's vision, mission, and goals. Creates program materials, establishes staffing requirements, and ensures that the program achieves stated objectives. Additionally, Program Specialist (Non-Profit) measures the performance of programs and makes adjustments to optimize results. Utilizes a client relationship management (CRM) or another system to organize information and facilitate outreach communications. Works with partners on special events that publicize the organization and its programs to the community. Requires a bachelor's degree. Typically reports to a manager. The Program Specialist (Non-Profit) work is generally independent and collaborative in nature. Contributes to moderately complex aspects of a project. To be a Program Specialist (Non-Profit) typically requires 4 -7 years of related experience. (Copyright 2024 Salary.com)
Medical Billing Specialist
Seeking a part-time (15-19 hours/week, hybrid), detail-oriented, self-motivated, and highly organized individual with experience in medical insurance and billing. The Specialist will handle all insurance billing, reimbursement, and collection for the organization.
The ideal candidate will possess a high level of professionalism and understand and respect issues of confidentiality. Excellent communication skills, the ability to interact effectively with a diverse team and client base, and the ability to work with a high degree of accuracy and efficiency are also required.
Responsibilities:
§ Timely, accurate submission and processing of insurance claims, payments, and adjustments
§ Review denied medical claims and perform necessary steps for reprocessing until account is resolved
§ Document all follow-up activity taken in the EHR system
§ Verify insurance eligibility
§ Assist clients in understanding medical benefits and eligibility
§ Generate client statements and monthly reports and manage accounts receivables
§ Assist clinicians with insurance paneling
§ Assist with State Licensure requirements and processes
§ Identify payor issues and trends, and escalate those issues to management
§ Monitor risk assessment for HIPAA compliance to best manage risk for
organization.
Qualifications include:
§ Proficient in EHR software with proven experience in medical coding
§ Knowledge of NaviNet
§ Knowledge of Medicare re-validation processes and insurance paneling and credentialing
§ Must possess comprehensive knowledge of medical, ethical, and legal requirements and standards related to healthcare delivery and the privacy of protected client information
§ The ability to be an effective team member.
Job Type: Part-time
Expected hours: 15 – 19 per week
Work setting:
Ability to Relocate:
Work Location: Hybrid remote in Princeton, NJ 08540