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E-Billing Administrator-logo
E-Billing Administrator
Buchanan Ingersoll-RooneyPittsburgh, Pennsylvania
E-Billing Administrator Buchanan Ingersoll & Rooney is a national law firm with a proven reputation for providing progressive, industry-leading legal, business, regulatory and government relations advice to our regional, national and international clients. We are currently recruiting for an E- Billing Administrator in our Pittsburgh or Philadelphia, PA location . The primary duties of the E-Billing Administrator are to track and monitor the submission and acceptance of e-billed invoices through eBillingHub and specific vendor sites. The E-Billing Administrator assists Billing and Collections Coordinators as needed to help resolve submission issues, including submitting budgets and appealing invoice rejections and reductions via vendor sites. Routinely checks for new matters and rate approvals on vendor sites and works with the Billing team to ensure data integrity in Elite 3E. This position may be fully remote with the exception of occasional necessary trainings, meetings, or projects. Applicants must live within one hour commute time of office location. Key Responsibilities: Work with the Billing team to submit and track invoices to vendor sites via eBillingHub in accordance with Outside Counsel Guidelines. Ensure invoice acceptance in vendor sites such as Legal Tracker, T360, and others. Perform a first-level attempt to correct e-billing issues such as fixing block-billing and task codes, and resubmit any rejected invoices. Monitor vendor sites for newly created matters and work with Billing team to set up matters in Elite 3E. Review vendor sites for timekeeper rate approvals and communicate rate adjustments to Billing and Pricing teams as necessary. Assist the e-billing Supervisor in suggesting actions the Billing team might take in the future to avoid reductions and rejections of certain line items. Other duties as assigned by the Billing Manager. Skills and Requirements: Associate’s degree with emphasis in business or accounting, or equivalent work experience preferred. Prior experience with billing or other accounting functions required, ideally in a Law Firm environment. Familiarity with Elite 3E, Elite Enterprise or Aderant financial systems, in addition to eBillingHub or BillBlast, and major vendor sites such as T360, Legal Tracker and CounselLink, desirable. Flexibility to work overtime and weekends, if needed, particularly during 4 th Quarter. Demonstrated proficiency with Microsoft Office, especially Excel and Word. Ability to organize and prioritize workload. Excellent communication skills, both written and verbal. Why should you work at Buchanan Ingersoll & Rooney PC? Our Firm offers an outstanding benefits package that includes: Hybrid work schedules Generous Paid Time Off Paid Holidays, including a floating holiday WorkWell wellness program, including free use of the Calm App Caregiving assistance with Bright Horizons (child, elder, and pet care!) Access to our Firm-wide emergency assistance fund Free full access to LinkedIn Learning Insurance – Medical, Dental, Vision 401K Program Retirement Savings Program We are an Equal Opportunity Employer.

Posted 1 week ago

Billing & Enrollment Exchange Specialist-logo
Billing & Enrollment Exchange Specialist
Delta Dental of WIStevens Point, Wisconsin
We are currently hiring for a Billing & Enrollment Exchange Specialist. This role is responsible for the accurate and timely processing of electronic enrollment files, submission of the inbound enrollment reconciliation file, answer escalated inquiries from Federal and State Based Exchanges. Conduct analysis of Electronic Data Interchange (EDI) enrollment transactions and is responsible for resolving issues with exchanges. Join Delta Dental of Wisconsin and grow your skills for promotional opportunities, while cross-training into other areas for a broad foundation of knowledge. Our positions are full time, 40 hours per week and benefit eligible. Delta Dental of Wisconsin offers a comprehensive benefit package which includes health and dental insurance, employer match within our 401(k) retirement plan, and a generous Paid Time Off program. You do not want to miss this opportunity, apply today. In this role, our Billing & Enrollment Exchange Specialist will: Process enrollment files received via an electronic enrollment data feed and perform maintenance to accounts Perform data reconciliation to ensure accuracy and consistency of information exchanged through EDI based on state and federal reconciliation guidelines Monitor and respond to inquiries from the Federal or State Exchange through the appropriate escalation paths Create and maintain comprehensive documentation related to processes and changes Establish, document, and maintain EDI procedures in a shared directory and keep department up to date on EDI best practices Participate in Federal and State Exchange meetings and bring forth any required changes Acts as a Subject Matter Expert (SME) and escalation specialist related to problems or situations within EDI Responsible for accurate application of advanced premium tax credits and/or individual consumer premium payments Reconcile advanced premium tax credit and ensure policies are billed appropriate premium rates Perform user acceptance testing for enhancements or new processes related to federal or state exchange business Work collectively with internal and external partners to ensure proper file submission, error resolution and improve data collection and management Identify, communicate, and escalate critical issues to appropriate internal and external parties Collaborate with Client Experience and Product Services team to relay any changes that are required of the Client as a result of a Federal or State Exchange change Participate in team meetings and training sessions Attend and participate in meetings and/or projects as assigned by Leadership Learn and maintain knowledge of Wyssta policy processing agreements for all clients Respond promptly and professionally to inquiries from internal and external consumers relating to enrollment and billing issues; customer service may be provided by telephone, web, email or other type of communication Education/Experience/Personal Requirements Associate degree in business or related field preferred 1 – 2 years related EDI experience preferred Computer skills, with demonstrated proficiency in MS Office Suite applications with intermediate Excel skills required Strong interpersonal, written and oral communication skills with the ability to communicate effectively with non-technical staff Self-motivated and directed Ability to effectively prioritize and execute tasks Analytical and problem-solving abilities Must be well-organized and attentive to detail Strong customer service orientation Experience working both in a team-oriented, collaborative environment and independently

Posted 1 week ago

Patient Accounts Billing Representative-logo
Patient Accounts Billing Representative
Greater Lawrence Family Health CenterMethuen, Massachusetts
Established in 1980, the Greater Lawrence Family Health Center, Inc. (GLFHC) is a multi-site, mission-driven, non-profit organization employing over 700 staff whose primary focus is providing the highest quality patient care to a culturally diverse population throughout the Merrimack Valley. Nationally recognized as a leader in community medicine (family practice, pediatrics, internal medicine, and geriatrics), GLFHC has clinical sites in Lawrence, Methuen, and Haverhill and is the sponsoring organization for the Lawrence Family Medicine Residency program. GLFHC is currently seeking a Patient Accounts Billing Representative. Follows department and payer processes to ensure all claims are submitted in a timely and accurate manner. Analyzes and reviews outstanding accounts receivables. Prepares appeals and corrected claims within payer guidelines for resubmission in order to maximize reimbursement. Reviews patient eligibility utilizing practice management function or payer websites to determine correct payer to be billed for specific dates of service. Prepares claim data according to department and payer regulations in order to produce a “clean” claim. Prepares, reviews and transmits claims timely to payers, works EDI rejections. Posts charges, payments and denials in practice management system accurately. Works denials and prepares appeals, resubmits claims and performs compliant actions to resolve open accounts receivable. Reports unusual trends to supervisor. Utilizes insurance and practice management online systems to complete all required tasks such as eligibility, claim status and claim correction. Processes insurance and patient refunds as necessary. Answers patient and department calls. Assist in telephone inquiries regarding patient statements. Establish payment arrangements when appropriate. Reconcile all batch totals at day end to ensure accuracy of totals posted and transactions on charge capture. Identify and correct any discrepancies prior to opening any future batch. Qualifications: Experience 1-2 years of medical billing experience, or medical billing certification Knowledge of CPT, ICD10 coding and compliance preferred. Familiar with Medical terminology Combination of education and equivalent experience will be considered. GLFHC offers a great working environment, comprehensive benefit package, growth opportunities and tuition reimbursement.

Posted 30+ days ago

Medical Billing Specialist - Follow up & Collections III/IV-logo
Medical Billing Specialist - Follow up & Collections III/IV
PHI HealthPhoenix, Arizona
Specialist, Med Billing - Follow-Up & Collections IV Join Our Life-Saving Team and take advantage of a sign on bonus up to $7,500! Are you ready to elevate your career to new heights? PHI Health is looking for dynamic, driven individuals to join our team. We are committed to providing top-tier emergency medical services with unmatched speed and efficiency, saving lives when every second counts. By supporting our mission from the ground, you will play a crucial role in orchestrating the seamless operations that keep our advanced fleet soaring and our patients safe. With PHI Health you’ll collaborate with the best minds in the industry, driving initiatives that enhance our services and expand our reach to those who need it most. If you're passionate about making a difference and thrive on challenges, PHI Health offers an extraordinary opportunity to impact lives and develop your professional career in a meaningful way. Who We Are: PHI Health is the leading air ambulance provider in the United States. With an unmatched safety record and the best aviation, medical and communication specialists in the field, we set the standard in the air medical industry. We transport more than 22,000 patients each year from our more than 80 bases across the country, all while offering services and outreach education to local communities and leading healthcare systems. Our mission is simple: move communities to health while maintaining the highest standard of safety, period. Job Summary: Under the direction and supervision of the Team Operational Coordinator (TOC), the Follow Up & Collections III position performs all collection tasks as assigned utilizing collection processes with a high level of knowledge, skills, abilities, and experience. The follow-up position will assume duties as a collector but not limited, to manage patient accounts from the point of resubmission through final resolution. Identify and address denials by writing appeal letters and ensure account balances are correct based on payer contract terms. Possess and maintain knowledge of payer specific rules and guideline related to collection requirements. Perform necessary follow-up to obtain the appropriately owed reimbursement for services in a timely fashion. Responsibilities Include: Acts as a patient advocate to obtain additional information and support for claims processing or to discuss outstanding patient balance with options available for balance resolution. Analyze adverse billing, collections, and payer trends and report/present to management to include suggested solutions. Assist with special projects related to payer issues or overall collections shortfalls. Contact insurances in an assertive, consistent and knowledgeable manner in order to obtain timely payments. This includes escalation of issue to supervisors and/or grievance departments. Categorize and quantify payer payment issues for resolution and reporting to management. Demonstrate and maintain consistent customer focus in the face of adversity and change both internally and externally. Demonstrate the ability to contact insurances in a consistent and knowledgeable manner in order to obtain timely payments, this includes escalation of issue to supervisors. Demonstrates understanding of payer fee schedules, enrollment requirements along with PHI payer and facility contracts. Demonstrates, performs an understanding of insurance collections to include payment in full (negotiation) offers, overpayment reviews and approvals, next action on correspondence, insurance types, insurance classes, in compliance with PHI's billing policies and procedures. Draft correspondence to patients and payers including 1st level appeals for technical denials, and identify accounts to refer to Appeals Department for escalation. Handle patient calls in support of collections activities to include financial review for charity program, payment plans, negotiation of discounts and proper resolution of patient complaints. Maintaining a professional relationship and effectively communicating with first responders, facilities, PHI agencies, entities, insurers, attorneys and patient's Must demonstrate positive teaming, effective cooperation in all communication within established team and throughout the entire PFS department. Organize and prioritize work to support production goals utilizing on-line tools and required systems and software. Participate in increasing responsibility through ongoing training and expansion of duties. Perform financial screening for payment in full (negotiation) offers, setting up payment plans and PHI's charity program in compliance with PHI's billing policies and procedures for appropriate next required action. Perform in-depth account review such as skip tracing, correspondence research, secondary claims billing, payment review, contractual adjustments and modify insurances/demographic information in compliance with PHI's billing policies and procedures for appropriate next required action. Perform, identify, collect and confirm insurance coverage to include obtaining prior authorization, third party liability and coordinator of benefits. Possess a good working knowledge of HCPCS, CPT, ICD-9, ICD10 codes, medical terminology and clinical documentation. Provide leadership and act as a resource for management to assist, train and provide support to the PFS Billing Staff Research, evaluate and communicate to the team, payer specific billing policies, guidelines and statutory regulations for insurance and collection follow-up. Respond, monitor and track claims and correspondence and prioritize work accordingly to maintain and meet productions standards. Review and evaluate any patient account for appropriate handling – regardless of age, status or payer. Review and interpret explanation of benefits to determine contractual compliance, accuracy of payment received, true patient responsibility, status of denied or reduction of service coverage and follow up appropriately. Take direction, coordinate projects and prioritize assignments on individual basis, as well as on a departmental/team level. Understand billing requirements for all payers and participate in ensuring claims are accurate prior to submission; train staff on billing requirements for new and established payers. Understand insurance regulations and guidelines to include CMS guidelines in order to effectively discuss outstanding claims with payers related to slow payments, underpayments, denials and to ensure claims are processed compliantly and paid appropriately. Comply with Company HS&E policy and procedures. Responsible for supporting company Safety Management Systems activities. Understand and provide visible support of Destination Zero Other duties and responsibilities as assigned. Schedule/Location: Phoenix, AZ 5 & 2 The Successful Candidate Will Have: Must have completed high school diploma (or GED equivalent) and have previous experience in medical billing/collections with a progressive increase in complexity and responsibilities. Must have knowledge of general office procedures using office equipment. Must have PC skills and demonstrated proficiency in Microsoft Office Word, Excel and medical billing software. Must have prior experience with email and using the web. Some college preferred. Must be able to pass a pre-placement drug test and background screen. This position is designated Safety Sensitive for purposes of the Arizona Medical Marijuana Act. Compensation and Benefits: Regular pay scale applies Our Core Competencies: Safe. We are absolute in our belief in the tenets of Destination Zero and that Zero is not only achievable, but the only acceptable outcome. Efficient. We are focused on outcomes that are smart and responsible by making the best use of our resources to maximize overall productivity and achieve sustainable profitability as a high performing organization. Quality. We are committed to ensuring excellent organizational performance which produces sustainable and reliable outcomes. Service. We are dedicated to the service of our customers, our communities and each other. Behavioral Competencies: Drive & Energy – The ability to maintain a fast pace and continue to produce during exhausting circumstances. Functional & Technical Expertise – Allows the individual to add organizational value through unique expertise and serve as a resource to the organization within his/her area of expertise High Standards – Sets the stage for continuous improvements, the adoption of best practices and ultimately influences organizational standards. Initiative – Takes a proactive approach and takes action without being prompted. Integrity – Acts ethically and honestly and applies those standards of behavior to daily work activities. The PHI Health Advantage: For more than 40 years, our company has been providing critical air medical transport services across the country. As an organization, we outfit each aircraft we fly with the most advanced technology, subject our crews to the most rigorous protocols and training and pioneer the most-forward thinking safety program in the country. Everything that we do comes back to the safety of our crew and our patients. Our accident rate is well below the national average and we were the first to receive the Vision Zero Aviation Safety Award. This belief has guided us towards a number of industry firsts and has given us the highest safety rating in the industry. DISCLAIMER The above Statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed, as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. PHI, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws

Posted 2 weeks ago

VE - Billing Team Lead (Internal)-logo
VE - Billing Team Lead (Internal)
Blueprint InternalBellevue, Washington
Who is Blueprint? Why Blueprint? We are innovators. Motivators. Thought provokers. Our collective backgrounds bring diverse perspectives that enable us to consistently think differently. We want you to bring your biggest and best ideas to help positively impact our culture, clients, and the community around us. We believe in the importance of a healthy and happy team, which is why our benefits include full medical, dental and vision coverage, as well as paid time off, and 401k. What will I be doing? Blueprint is looking for a Billing Team Lead to be part of the team. We are looking for a well-organized contact center leadership professional to significantly contribute to overall customer satisfaction by ensuring their team members are successfully coached and developed, so they can effectively respond to customer’s requests, issues, and concerns in a timely and professional manner. The Billing Team Lead directly impacts the success of the engagement by managing team members to maximize the productivity and quality of service provided to the client and their customers. The Team Lead will be expected to manage and respond to tickets as well as manage a team. Duties/Responsibilities: Manages the day-to-day operations and activities for the assigned team under general direction and guidance of the Operations Program Manager (OPM) Monitors workflow changes and pivots and immediately communicate necessary information to the team Monitors and manages team schedule, timecards and attendance adherence and logs nonproductive time daily Review and process team feedback daily Review, analyze, and improve team performance Complete team audits and report findings to Operations Program Manager (OPM) Manage performance and provide agents with coaching and development opportunities Maintain a high level of excellence in both individual and team metric performance Follow and enforce Blueprint policies, processes, and core values Be a subject matter expert in your space Other duties and projects as assigned. Qualifications: 2+ years of customer support experience Demonstrated leadership with the desire to manage others and maximize the performance of a team Demonstrates a high level of service-excellence and consistently meets performance expectations Knowledge of gaming industry trends, major events, and news. Skills/Abilities: Innovative thinker and excellent written, verbal and listening communication skills Strong leadership and interpersonal skills with the ability to effectively communicate with different teams, levels of management, key business stakeholders and other functional departments Strong organizational and time management skills with the ability to prioritize workloads across a team Ability to motivate employees within a team environment and assess performance metrics to achieve high standards of performance Ability to effectively lead by example, coach and mentor a team of diverse employees Effective decision making and problem-solving skills Strong customer service skills and attention to detail Ability to work as part of a team and independently Essential Functions: Availability: Must work a hybrid schedule, two in-office days per week in alignment with the organization’s work-from-home policy. Specific work shifts may be subject to change based on business needs. Role may require work during weekends and holidays, including potential blackout dates when PTO is not approved. Physical Requirements: Comfort with working in a traditional office environment, which involves working indoors without exposure to outside elements. Ability to sit at a workstation for extended periods, engaging with content on a monitor. Proficiency in using a mouse, laptop touchpad, and keyboard, with a minimum typing speed of 45 wpm. Communication and Collaboration: Effective communication skills, both verbal and written, for interactions with co-workers, professionals, the public, customers, and clients. Role may require the ability to communicate in written form other languages as specified based on engagement requirements. Openness to receiving constructive feedback and maintaining courtesy in interactions. Independent Judgment and Time Management: Demonstrate the ability to make decisions using experience and knowledge, while also seeking assistance when needed and adhering to deadlines and engagement expectations. Accessibility Accommodations: Reasonable accommodations may be made to enable individuals with disabilities to perform the job. Salary Range In the spirit of pay transparency, our pay ranges vary based on multiple factors, including but not limited to, skill sets, education, responsibilities, experience, and geographical market. The pay range for this position reflects geographic based ranges for Washington state: $26.00- 28.00 USD/per hour. The salary/wage and job title for this opening will be based on the selected candidate’s qualifications and experience and may be outside this range. We believe in the importance of pay equity and consider internal equity of our current team members as part of any final offer. Please keep in mind that the range mentioned above is the full base salary range for the role. Hiring at the maximum of the range would not be typical in order to allow for future and continued salary growth FLSA - Job Classification : Non-Exempt - Hourly, Full Time Position Location : Hybrid (Work from home and in-office located in Bellevue, WA)

Posted 2 weeks ago

Revenue Specialist, Commercial Billing, MVA (REMOTE)-logo
Revenue Specialist, Commercial Billing, MVA (REMOTE)
EnableCompFranklin, Tennessee
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM Position Summary The Revenue Specialist, Commercial Billing investigates and analyzes Motor Vehicle Accident accounts in order to properly identify and coordinate insurance benefits and resolve outstanding balances for our clients. This position acts as the liaison between EnableComp clients, patient attorneys, and insurance companies. This position is responsible for handling patient health information (PHI) and maintaining extreme privacy and security as it relates to confidential and proprietary information. Key Responsibilities Conduct online medical research of Motor Vehicle Accident claim and Health Insurance claims using EnableComp’s proprietary software, systems, and tools, as well as other online medical websites. Research, request, acquire, and review medical records, provider notes, explanation of benefits and any other supporting documentation necessary for knowledge of account information. Utilizing information to manage claim life cycle and accurately communicate insurance carriers. Review accounts take steps to resolve for payment by contacting payers for claim status, rebilling when necessary, and escalating issues when needed. Responsible for thorough and timely claim and resolution for HI/GI account receivables. Review and Resolve denied claims by submitting corrected claims and filing appeals. Communicate with various parties to discuss coordination of insurance benefits, claim status, and additional needs to facilitate claim adjudication. Review and analyze health insurance remittance to ensure proper claim adjudication, work with payers to resolve underpayments. Identify and alert leadership of denial trends to assist in denial prevention efforts. Other duties as required. Requirements and Qualifications High School Diploma or GED required. Associate or bachelor’s Degree preferred. 2+ years’ experience in healthcare field working in billing or collections. EMR/Billing system experience required. 2+ years’ client facing/customer services experience. 1+ years’ experience with Health Insurance/Government Insurance claim resolution required. Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook). Intermediate level understanding of insurance payer/provider claims processing and subsequent data requirements in relation to motor vehicle claims Intermediate level understanding of Health Insurance/Government insurance claims processing Basic level understanding of MVA legal requirements An equivalent combination of education and experience will be considered. Regular and predictable attendance. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodation may be made to enable qualified individuals with disabilities to perform the essential functions. Special Considerations and Prerequisites Practices and adheres to EnableComp’s Core Values, Vision and Mission. Proven ability to meet and/or exceed productivity targets and goals. Maintains a professional image and provides excellent customer service. Maintains stable performance under pressure or opposition. Handles stress in ways to maintain relationships with all stakeholders. Must be a self-starter and able to work independently without direct supervision. Proven written and verbal communication skills. Strong analytical and problem-solving skills. Proven experience working with external clients; strong customer service skills and business acumen. Attend weekly team meetings to discuss updates/changes such as new hospital procedures or current client issues. Communicate any issues through the manager including, but not limited to, systems errors, questions for other departments, HIPAA questions. Constantly operates a computer and phone. EnableComp is an Equal Opportunity Employer M/F/D/V. All applicants will be considered for this position based upon experience and knowledge, without regard to race, color, religion, national origin, sexual orientation, ancestry, marital, disabled or veteran status. We are committed to creating and maintaining a workforce environment that is free from any form of discrimination or harassment. EnableComp recruits, develops and retains the industry's top talent. As the employer of choice in the complex claims industry, EnableComp takes pride in our continuous commitment to building and maintaining a culture centered around fostering the professional growth and development of our people. We believe that investing in our employees is the key to our success , and we are dedicated to providing them with the tools, resources, and support they need to thrive and grow their career here. At EnableComp, we are committed to living up to our core values each and every day, and we believe that this commitment is what sets us apart from other companies. If you are looking for a company that values its employees and is dedicated to helping them achieve their full potential, then EnableComp is the place for you. Don’t just take our word for it! Hear what our people are saying: “I love my job because everyone shares the same vision and is determined and dedicated. People care about you as a person and your professional growth. There is a genuine spirit of cooperation and shared goals all revolving around helping each other.” – Revenue Specialist “I enjoy working for EnableComp because of the Core Values we believe in. EnableComp stands true to these values from empowering employees to ecstatic clients. This company is family oriented and flexible, along with understanding the balance of work, life, and fun.” – Supervisor, Operations

Posted 4 days ago

Billing Operations Manager-logo
Billing Operations Manager
Yeo & YeoSaginaw, Michigan
Description Position Summary The Billing Operations Manager will manage the daily operational needs of YYMBC. The position will be responsible for managing client assignments and projects and delivering high quality service. This includes coaching, advising and supporting team members in meeting client and personal development expectations. Assist the President of Medical Billing with personnel administration tasks. Key Objectives Oversees the operations of the billing department including but not limited to: medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, collections, electronic files and reimbursement management Assists the President of Medical Billing in the development and implementation of procedures and policies for administrating staff workflow and personnel activities Organize workflows, supervise day-to-day activities, and ensure that billing deadlines are met, and payments are maximized Educate and trains staff, acts as a professional subject matter expert and mentor to staff. Maintain a working knowledge of insurance carriers, payers, and processes utilized within the revenue cycle Oversee prospective new client process Actively participates in planning, troubleshooting, and processing in various billing areas Analyze billing and claims for accuracy and completeness Audits current processes and procedures to monitor and improve efficiency of billing and collections operations Maintenance and compliance to all HIPAA guidelines/regulations Qualifications Associates in related field or equivalent work experience Minimum of three (3) years’ experience in a medical billing, coding, healthcare or related industry Working knowledge of medical information systems, medical claims payment process, medical terminology and coding, case management practices, managed care, and Medicaid programs Working knowledge of: CPT codes ICD-10-CM codes HCPCS codes HIPAA HCFA 1500 Desired Qualifications Prefer certification as Certified Professional Coder (CPC) or Certified Professional Medical Auditor (CPMA) Knowledge, Skills, and Abilities Knowledge of the current and future state of the healthcare industry Skill in problem solving and the ability to deal with employee issues Ability to work under stressful situations Ability to adapt to an ever changing business environment including healthcare policies and procedures Ability to lead and guide the work of others Ability to investigate and analyze information and to draw conclusions Ability to communicate efficiently and effectively both verbally and in writing Ability to handle multiple tasks and meet deadlines Business Development Manage client accounts to ensure customer service needs are being met Expand sales within existing accounts Leadership Reports to President of YYMBC Supervise medical billing staff; overseeing both personnel and work activities Evaluate performance of medical billing staff annually Provide guidance and support in career development opportunities for staff including training opportunities and feedback Establish and maintain sound working relationships with peers, supervisors, and clients Review employee timesheet details and report weekly on employee technical accuracy Work with the Talent Manager to recruit, develop and retain high performing employees Technology Coordinate with vendors to ensure seamless implementation and continual maintenance of systems Train, implement and oversee software used within the organization: Clearinghouse software Medical Billing software Data management workflow software Physical Demand Frequent use of hands, wrists, fingers associated with computer equipment. Required to sit for extended periods of time. Occasionally stoop, kneel, crouch or crawl. Normal visual acuity, ability to talk and hear. Occasionally lift and/or move up to 20 pounds. Working Conditions On-site position Normal office environment May on occasion be exposed to loud sounds and distracting noise levels, such as from office equipment.

Posted 2 weeks ago

Legal  E-Billing Analyst (Hybrid Flexibility)-logo
Legal E-Billing Analyst (Hybrid Flexibility)
LatitudeWashington, District of Columbia
Job Summary: We are seeking a detail-oriented and technically proficient Legal E-Billing Analyst to support our legal billing operations. The ideal candidate will have hands-on experience with Aderant or 3E billing platforms and a strong understanding of legal billing processes, electronic billing (eBilling), and client compliance guidelines. This role ensures accurate, timely, and compliant billing to our clients, helping optimize revenue flow and reduce billing rejections. This position offers 3 days remote per week. Responsibilities: Manage the full lifecycle of electronic billing, from matter setup through invoice submission and resolution of rejections/disputes. Submit invoices via various eBilling platforms (e.g., Legal Tracker, Serengeti, CounselLink, Tymetrix, etc.). Collaborate with attorneys, finance staff, and clients to resolve billing issues and ensure timely collections. Maintain and update matter records, billing rates, timekeeper information, and billing templates in Aderant or 3E . Ensure compliance with client billing guidelines and firm policies. Monitor and analyze eBilling rejections, identify trends, and implement improvements to reduce denials. Assist in client audits and billing system implementations or upgrades. Generate and distribute billing reports to key stakeholders as needed. Provide training and support on eBilling processes to attorneys and legal staff. $80,000 - $100,000 a year

Posted 2 weeks ago

Medical Billing and Collections Representative-logo
Medical Billing and Collections Representative
GetixHealthHouston, Texas
Join Our Team as a Medical Billing and Collections Rep! Are you a problem-solver with a passion for helping others? As a Medical Billing and Collections Representative, you'll play a key role in resolving patient accounts quickly and respectfully, offering payment solutions, and working with insurance companies. We’re looking for someone who’s customer-focused, assertive, and ready to take on challenges in a fast-paced environment. Ready to make an impact? Let’s get started! Position Summary: As a Medical Billing and Collections Representative , you will play a crucial role in managing delinquent medical accounts and ensuring timely resolution. Your responsibilities will include helping patients with payment arrangements, addressing account disputes, and collaborating with insurance companies for re-billing. You will also perform skip tracing to locate missing payments. A professional, respectful demeanor is essential when interacting with patients and colleagues. Compensation: Hourly Rate: $16.00 per hour + Eligible for up to a $3,500 monthly bonus based on performance. Work Hours: Shift Options: 9:00 AM – 6:00 PM or 10:00 AM – 7:00 PM Position Requirements: Manage and resolve overdue medical accounts. Assist patients with payment arrangements and disputes. Re-bill insurance companies as needed. Maintain accurate account records. Collaborate with billing teams and insurance companies. Qualifications: Education: High school diploma / GED Experience: 1- 2 years’ experience in Call center/Collections operations in a Healthcare field. Have a working insurance collection knowledge including verification of insurance and insurance follow up activities to get claims paid. Requirements: Strong communication and organizational skills. Ability to work independently and meet goals. Experience with medical billing software is a plus. Previous collections or customer service experience preferred. Ability to handle over 100 calls per day. Bilingual in Spanish Preferred Benefits & Incentives: Comprehensive Health Coverage: Enjoy medical, dental, and vision plans available starting after 90 days of full-time employment. Life & Disability Insurance: Benefit from basic life/AD&D, short-term, and long-term disability coverage, with optional voluntary life/AD&D plans. 401(k) Plan: Eligible to participate in the company’s 401(k) plan after 6 months of continuous service. Paid Time Off (PTO): Start accruing PTO from your very first day of employment. Flexible Benefits: Customize your benefits package to fit your personal and family needs. Work Environment: Moderately fast-paced with general supervision. Some creativity and latitude are expected in the role. About ARStrat/GetixHealth: Founded in 1992, ARStrat/GetixHealth has grown into a leading provider of healthcare revenue cycle management services, with offices across the United States and India. We work with healthcare organizations to optimize their financial performance, offering solutions that enhance efficiency and profitability. Our team of 1,800 dedicated professionals delivers exceptional patient care, compliance, and cutting-edge technology to help clients succeed. With a relentless commitment to patient satisfaction, we ensure that every step of the revenue cycle is streamlined and patient centered. Note: This job description outlines the primary duties and qualifications for the role. It is not intended to be an exhaustive list of responsibilities or working conditions. ARStrat is an equal employment opportunity employer and participates in E-Verify.

Posted 30+ days ago

AR Billing Associate-logo
AR Billing Associate
U.S. Urology PartnersSyracuse, New York
About the Role To be considered a qualified candidate, must have knowledge of Medical Billing and working insurances. What You’ll Be Doing Responsible for ensuring the final resolution of all insurance and guarantor owed balances. This would include but not be limited to follow-up and resubmission of claims not on file, filing of appeals for claims denied in error, collection of guarantor balances in accordance with written policy, electronic and telephone communication with payers and refunds. Responsible for maintaining day-to-day operations of team lead direct reports Ability to troubleshoot billing problems for the Revenue Cycle department Qualified candidates must be highly organized with a strong work focus. Responsible for communication of incorrect filing issues that result in claim being denied to office staff and Revenue Cycle Director. Responsible for developing relationships with representatives of all payers to help resolve issues regarding claims payment, denials, policies and problems. Monitoring of aged accounts balances, both insurance and guarantor types, insuring compliance within corporate benchmarks set in accordance with the MGMA for superior performance. Responsible for ensuring the daily production and quality standards of the Corporate and Departmental written policy and procedures are met. Responsible for daily report of progress/problems to Revenue Cycle Director. Responsible for ensuring appropriate documentation to support write-offs, transfers to collection agencies, and adjustments to all accounts. Responsible for random audits of all positions to ensure compliance with Corporate and Departmental policies and procedures. Maintain working relationships with other Supervisors/Team Leaders to ensure communication, cross-training and resolution of problems. Responsible for adhering to the Corporate Confidentiality Policy. Other duties as assigned. What We Expect from You To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions Education and/or Experience High School Graduate or equivalent Reasoning Ability Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Computer Skills To perform this job successfully, an individual should have thorough knowledge in computer information systems. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand; walk; sit; use hands to finger, handle, or feel; reach with hands and arms; stoop, kneel, crouch, or crawl and talk or hear. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Work Environment This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Salary Range: Please note that the hourly range for this position will vary based on experience level, education and geographical location. $20.50 - $23.50 / hour What We are Offer You At U.S. Urology Partners, we are guided by four core values. Every associate living the core values makes our company an amazing place to work. Here “Every Family Matters” Compassion Make Someone’s Day Collaboration Achieve Possibilities Together Respect Treat people with dignity Accountability Do the right thing Beyond competitive compensation, our well-rounded benefits package includes a range of comprehensive medical, dental and vision plans, HSA / FSA, 401(k) matching, an Employee Assistance Program (EAP) and more. About US Urology Partners U.S. Urology Partners is one of the nation’s largest independent providers of urology and related specialty services, including general urology, surgical procedures, advanced cancer treatment, and other ancillary services. Through Central Ohio Urology Group, Associated Medical Professionals of NY, Urology of Indiana, and Florida Urology Center, the U.S. Urology Partners clinical network now consists of more than 50 offices throughout the East Coast and Midwest, including a state-of-the-art, urology-specific ambulatory surgery center that is one of the first in the country to offer robotic surgery. U.S. Urology Partners was formed to support urology practices through an experienced team of healthcare executives and resources, while serving as a platform upon which NMS Capital is building a leading provider of urological services through an acquisition strategy. Salary Range: Please note that the hourly range for this position will vary based on experience level, education and geographical location. $0.00 - $0.00 / hour U.S. Urology Partners is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable federal, state or local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.

Posted 1 week ago

Billing Specialist-logo
Billing Specialist
Troutman Pepper Locke LLPAtlanta, Georgia
We are always seeking talented, motivated, growth-minded, and creative individuals. Our firm is committed to providing employee support and advancement, while embracing inclusion and innovation as keys to a stronger future. We invite you to explore the position below and to submit your application to join our team! The Billing Specialist is responsible for the billing of client invoices in the format required by the client. The Billing Specialist handles many day-to-day tasks related to billing such as printing prebills and/or final bills for attorney’s review. The Billing Specialist researches and answers billing questions for attorneys, Legal Practice Assistants and clients, as well as inputs, updates, and mails invoices on the accounting system, and maintains and manages client’s alternate fee arrangements. Essential Duties and Responsibilities: Edit prebills to make time and disbursement transfers, time splits, on account transfers, time adjustments and disbursement adjustments. Print, sort, and distribute prebills to billing attorneys. Print drafts and/or finals of computerized invoices and forward to attorneys for further edits. Maintain client billing addresses, ensuring information is accurate and current. Enter any exemption for billing necessary by the billing cutoff date and maintain status through month-end. Monitor and manage several levels of approvals for write-offs and monthly exemptions for billing. Enter alternate rates in computer system accurately and efficiently. Provide attorneys and legal support staff with requested billing statistics, using and formatting Excel spreadsheets, as needed. Effectively manage communication with attorney to ensure billing deadline is met. Submit, process and track invoices as well as resolve billing issues via electronic and web-based billing. Effectively communicate during monthly check in meetings with billing manager to provide updates on the status of timekeepers’ Work in Progress and troubleshoot if necessary. Identify and respond to internal and external client inquiries in a timely manner and seek feedback/follow-up as appropriate. Knowledge, Skills and Abilities: Ability to clearly communicate in both written and oral form with professionals in the firm and with clients regarding billing issues. Outstanding customer/client service and interpersonal skills. Ability to represent the department in a professional and positive manner. Proficient in the use of Microsoft Word and Excel. Ability to work under pressure and balance multiple competing priorities. Ability to produce high volume, computerized document edits in a fast-paced, deadline driven environment. Ability to work effectively both independently and with teams to promote consistent and efficient workflow processes. Strong interpersonal skills, with the ability to provide high-quality service and partner effectively with diverse groups of people at various levels within the firm as well as external contacts. Ability to self-manage and work independently in a hybrid, and in-office setting. Education and/or Experience: College degree preferred; or any equivalent combination of training, education and experience that demonstrates the ability to perform the essential duties of the position. Minimum of three (3) years of Law Firm Billing experience. Previous Aderant/CMS experience strongly preferred. #LI-Hybrid The Firm will comply with any applicable city or state workplace mandates in effect in regards to Covid-19. This position description is intended to describe the general content of and requirements for the performance of the job. The statements contained in the position description are not necessarily all-inclusive and additional duties and responsibilities may be assigned as determined by business needs. This position description does not constitute a written or implied contract of employment. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. By applying for this position, you agree and understand that Troutman Pepper Locke will process your Personal Information pursuant to the terms of our Worker and Applicant Global Privacy Notice . If you have questions about our data handling practices, or you are a resident of California, the United Kingdom, or the European Union and wish to exercise your privacy rights, please contact us at privacy@troutman.com . Equal Employment Opportunity Troutman Pepper Locke adheres to a policy of equal opportunity and will make all employment decisions, which include hiring, promotion, transfer, demotion, evaluation, compensation and separation, without regard to race, color, religion, sex, age, sexual orientation, gender identity or expression, national origin, pregnancy, citizenship, disability, genetic information, marital or armed forces status and any other classification as protected by law. Compensation is dependent on several factors, such as position, location, education, training, and/or experience. Hiring Salary Range: $50,000.00 - $70,000.00

Posted 6 days ago

E-Billing Specialist-logo
E-Billing Specialist
Freeman, Mathis & Gary LawAtlanta, Georgia
Freeman Mathis and Gary, LLP is a rapidly growing, national specialty litigation firm seeking an E-Billing Specialist to join our Atlanta office. The E-Billing Specialist will be executing electronic submissions of client invoices via various e-billing systems. The E-Billing Specialist will need to identify, trouble shoot and resolve issues by coordinating with Attorneys, Billing Specialists, Clients and Legal Administrative Staff. Characteristics that have proven successful in the role include the ability to follow up, multi-task quickly, research and resolve complex billing transactions and above all else, maintain a positive attitude. Solid communication skills are important as E-Billers are required to communicate frequently with attorneys, either in writing or in-person. The following set of success factors describe the characteristics of those who are successful in our Firm: Helpful, Congenial, Personable, Positive Unpretentious, Approachable, Respectful, Team Oriented Accountable, Takes Ownership, Corrects Mistakes Organized, Timely, Confidential, Responsive (within 24 hours) Duties and Responsibilities: Execute electronic submission of client invoices via various e-billing systems. Identify, troubleshoot and resolve issues that arise during the invoice submission process. Coordinate with Attorneys, and Billing Specialists, Clients and Legal Administrative Staff for resolution and maintenance tasks associated with client e-billing requirements. Escalate issues as needed to Supervisor. Track statuses of submitted invoices to ensure payment from client. Maintain internal database of e-billed clients and their compliance requirements. Document and update reference materials for all aspects of the e-billing process as necessary. Assist with Partner and Client inquiries in a timely manner. Provide updates to attorneys, clients and administrative staff. Work with management, and outside counsel to support and expand the Firm's e-billing program. Review processed legal, and related legal service provider bills from various internal and external sources for accuracy. Help manage and curate data in the departments matter management/e-billing system. Perform research, ad hoc reporting and other analysis projects. Performs other duties as assigned. Education, Experience, and Skills: Candidate must be highly organized and must be able to communicate and meet with attorneys to clarify billing specifics. This position requires great communication skills, both verbally and written, to attorneys and will include both follow through and follow up skills. Must be proactive, self-starter, quick learner and detail oriented with the ability to work independently. Must have a professional demeanor with the ability to work in a team setting. Must have basic Excel skills, working in spreadsheets, copy and paste and data entry. Solid analytical and problem-solving skills. Candidate must have a minimum of 2-3 years of E-Billing experience navigating systems such as Legal Exchange; Legal X; T360; Litigation Advisor [LSS]; Serengeti or similar systems. 3rd party E-billing platform experience preferable. Bachelor's degree or equivalent preferred and at least 2 years of experience with billing, preferably in a law firm, legal environment or insurance industry. What we offer you Competitive compensation Comprehensive benefits package, including medical, dental, and vision HSA and FSA plans available for employees and dependents Work-life balance Generous PTO policy 401K plan including a 3% Employer Safe Harbor contribution Firm paid life insurance and long-term disability Employee Assistance Program Year-end bonuses and referral fee programs EEO Statement Freeman Mathis & Gary, LLP (FMG) is committed to providing equal employment opportunities to all applicants and employees by maintaining a workplace free of discrimination based on race, color, religion, sex, national origin, age, disability, genetic information, or any other protected status as provided by law. FMG complies with all applicable federal, state, and local laws. This position is subject to our drug‑free workplace policy, which includes the ability to pass a pre‑employment drug screen. Employees may be subject to reasonable‑suspicion drug testing in accordance with Firm policies outlined in the Employee Handbook.

Posted 1 week ago

Billing Supervisor-logo
Billing Supervisor
Haynes and BooneHouston, Texas
At Haynes and Boone, our people are the driving force behind our success. Because we value the role every individual plays in how we deliver exceptional legal services, we hire people who will contribute to our professional reputation, enhance client relationships and share in our success. This exempt position is responsible for providing supervision, coaching and mentoring to the Senior Billing Coordinators and Billing Coordinators. This individual will assist with the development and maintenance of billing processes and standards to ensure overall billing quality. The supervisor will review engagement documentation to ensure billing compliance and assist with system change control activities that may be necessary to support the engagement. This position will also support monthly proforma processing and client matter rate and discount maintenance. This individual will interface with billing attorneys, staff and the firm’s clients while maintaining confidentiality of client and firm matters. E ssential Duties Monitor billing coordinator workloads and activity, review and approve employee time in Workday and document and perform annual employee appraisals. Ensure team and firm billing policies, procedures, and timelines are followed and recommend improvements to same. Oversee and manage the monthly proforma creation and distribution process. Oversee and manage response to client accruals/charge estimates and other client-specific reporting requests. Conduct training sessions with new hires, attorneys, and secretaries in group settings, as well as on an individual basis. Work with the firm’s Business Development team in reviewing and responding to RFPs. Review, assess, and ensure compliance with Outside Counsel Policies and Procedures. Assist with system change control items that impact the billing team including documenting functional requirements and performing user acceptance testing. Communicate professionally and courteously with clients, attorneys, paralegals, and other staff. Monitor and respond to email received in the billing group team mailbox. Manage and monitor the billing group calendar. Enter and maintain client and matter special rating and discounting. Support month-end billing processes and proforma creation. Other Duties Assist with special projects as needed. Perform other related duties as needed or assigned. Reporting Relationship The Billing Supervisor reports to the Manager or Senior Manager of Billing and works closely with various partners in leadership positions. Direct Reports: Electronic Billing Coordinators. Qualifications Knowledge/Experience Five years of relevant billing experience and three years of supervision experience are preferred. The Billing Supervisor must have proficient knowledge in Microsoft Excel and other Microsoft Office applications. A solid understanding of the billing processes in the professional services industry (ideally within a law firm environment) is required. A broad range of technical ability, with a demonstrated aptitude and willingness to learn new software/applications is needed for this position Skills The Billing Supervisor must have superior attention to detail, time management and organizational skills. Additionally, the ideal candidate must possess superior analytical skills and be able to effectively multi-task and prioritize work to meet aggressive deadlines. The individual must possess strong client focus, as well as strong written and verbal communication skills. The ability to work with many different types of personalities at all levels of organization is a must. This individual must have the ability to answer questions while maintaining confidentiality. A sense of “urgency” is of an utmost importance. Must be flexible and able to adapt to change quickly. Must have a desire to train, coach and mentor staff from entry level up to Senior Billing Coordinator. Education A bachelor’s degree in accounting or related field or equivalent experience is required. Physical Demands Must be able to move around the office up to 15% of the time to make copies, fax, file, etc. Remains stationary at least 85% of the time. This position operates computers and other office productivity machines (e.g., fax machine, copier, printer, etc.) on a regular basis. Occasionally required to move documents or files weighing up to 15 lbs. This position requires constant communication and exchange of information with the Firm attorneys, clients and staff. This position must be able to inspect and observe information on a computer screen at least 80% of the time. Working Conditions Hybrid and remote environment; occasionally required to work additional hours beyond the normal schedule to meet firm or client demands.

Posted 6 days ago

Billing Specialist-logo
Billing Specialist
Guardian Pharmacy Services ManagementCincinnati, Ohio
Cincinnati, Ohio, United States of America Extraordinary Care. Extraordinary Careers. With one of the nation’s largest, most innovative long-term care pharmacy services providers, there is no limit to the growth of your career. Mullaney’s Pharmacy & Home Healthcare, a member of the Guardian family of pharmacies, has an exciting opportunity for you to join our rapidly growing team in Cincinnati, Ohio. Why Mullaney’s Pharmacy & Home Healthcare ? We’re reimagining medication management and transforming care. Who We Are and What We’re About: Our core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered. We offer an opportunity to learn and grow your career in a fast-paced, diverse, and inclusive environment. If you are looking for a challenging, team-oriented environment in which you can put your expertise to work, then this is the place for you. Responsible for processing customer bills and insurance claims in an accurate and timely manner. This includes assisting with all daily and month-end billing functions, procedures and reporting. Provides excellent customer service to patients, caregivers, medical providers and insurance carriers. ATTRIBUTES REQUIRED: Work Ethic/Integrity – must possess intrinsic drive to excel coupled with values in line with company philosophy Relational – ability to build relationships with business unit management and become “trusted advisor.” Strategy and Planning – ability to think ahead, plan and manage time efficiently. Problem Solving – ability to analyze causes and solve problems at functional level. Team Oriented – ability to work effectively and collaboratively with all team members. ESSENTIAL JOB FUNCTIONS (include the following): Research and establish patient eligibility coverage with insurance providers including private individuals and/or government entities. Reverify benefit coverage criteria as needed for claims follow up. Accurately enters and/or updates patient/insurance information into billing system. Maintain and continually audit patient files and corresponding documentation necessary to defend third party audits and ensure payer and company compliance. Accurately enter patient information into the pharmacy system. Provide assistance and timely response to all billing customer inquiries via phone or electronic communications. Research and resolve patient billing issues regarding insurance eligibility, coverage, and related benefits. Provide guidance and support to resident or responsible party by running Medicare plan comparisons during open enrollment and special enrollment periods. Proactively review patient profiles, drug regimens and insurance coverage to evaluate options to save resident money. Responsible for completion of daily census, admit, discharge, and room changes for the facilities assigned. Process patient payments, returns, and credits. Transmit individual credit card payments as needed. May pursue payment from delinquent accounts and make payment arrangements. Research, identify and organize requested audit documentation in timely manner. Perform prescription claims adjudication including communication with insurance companies regarding rejected claims, eligibility, prior authorizations or other issues as needed. Make corrections as needed and rebill claims as necessary. Develop knowledge and understanding in pharmacy facility billing requirements (Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances) Develop proficiency in the utilization of pharmacy information systems to meet operational needs and regulatory requirements. This includes using pharmacy systems to process prior authorizations, resolve rejections, produce various reports as necessary, and complete billing functions. Rotate through other departments to gain working/functional knowledge of other department workflows. Follow all applicable government regulations including HIPAA. Work as a collaborative team member to meet the service goals of the pharmacy. Other essential functions and duties may be assigned as needed. EDUCATION AND/OR CERTIFICATIONS: High School Diploma or GED required. Pharmacy Technician license/certification/registration per state requirements; National Certification preferred (PTCB) may be required (pharmacy specific). SKILLS AND QUALIFICATIONS: 1+ years of related experience Advanced computer skills; pharmacy information system experience preferred. Ability to work independently and deliver to deadlines. Great attention to detail and accuracy Ability to excel in a fast-paced, team-oriented environment working on multiple tasks simultaneously, while adhering to strict deadlines Quality minded; motivated to seek out errors and inquire about inaccuracies. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the job. The noise level in the work environment is usually low to moderate. Due to the collaborative nature of the business and the need to service customers, the employee must be able to interact effectively with others in an office environment, manage conflict, and handle stressful situations and deadlines. Requires desk work in office environment. Ability to work flexible hours. What We Offer: Emotional well-being and physical health are important, which is why our employees receive a generous benefits package and a work culture that supports our core value of, “Treat others as you would like to be treated.” Compensation & Financial Competitive pay 401(k) with up to 3.5% company match (1) Family, Health & Insurance Benefits ( 1), (2) Multiple health plan options including copay (FSA-eligible) and HSA eligible plans Wellness Incentive Program Dental and Vision plans Company-paid basic life, AD&D and long-term disability coverage Optional employee, spouse, and child life/AD&D insurance Optional accident, critical illness, and short-term disability coverage Dependent Care Flexible Spending Accounts Employee Assistance Program (EAP) Time Off Paid holidays and sick days Generous vacation benefits based on years of service (1) Eligibility begins the first of the month following 30 days of employment (2) Full-time employees only, excluding EAP which is available to all Guardian employees The Guardian Difference Our clients require pharmacy services that aren’t “cookie cutter.” That’s why every Guardian pharmacy is locally operated and empowered with the autonomy to tailor their business to meet their clients’ needs. Our corporate support offices, based in Atlanta, Ga., provide services such as human resources, business intelligence, legal, and marketing to promote the success of each Guardian location. Regardless of your role at Guardian, your voice and talents matter. Because healthcare is an ever-changing industry, we encourage innovative thinking, intellectual curiosity, and diverse viewpoints to ensure we stay competitive in today’s dynamic business environment. At Guardian, we are dedicated to fostering and advancing a diverse and inclusive workforce. Join us to discover what your best work truly looks like.

Posted 1 week ago

Billing and Reimbursement Customer Service Representative-logo
Billing and Reimbursement Customer Service Representative
Clarity ClinicChicago, Illinois
Clarity Clinic is an interdisciplinary group private practice of Psychiatrists, Psychiatric Advanced Practice Providers (PAs, NPs), Psychologists, and Therapists. Our mission is to thoughtfully guide the whole person on their journey to find clarity and mental wellness by providing exceptional holistic care. Our staff of Psychiatrists, Advanced Practice Providers and Psychotherapists offer the latest medication, psychological assessment, and therapy treatment as we help guide our patients toward mental wellness and a balanced personal and professional lifestyle. Our team offers a broad range of specialties, services, and orientations to support and help all people regardless of their place in life. This multidisciplinary approach allows us to provide holistic care in psychiatry, psychotherapy and much more. At Clarity Clinic, we are seeking a Customer Service Representative to work in our Billing and Reimbursement department. Location: ****Candidates must be based in the state of Illinois**** Fully remote within Illinois In this role, you will: Ensure that patients are treated with the highest level of confidentiality and professionalism. Maintain incoming patient calls and responding to voicemails promptly, courteously, and professionally while de-escalating situations involving dissatisfied customers by offering assistance and support. Assists billing staff with basic office duties (i.e., pulling notes, EOBs, payment receipts etc..) as needed. Manage the patient billing emails and portal messages with prompt resolution in a courteous and professional manner. Support as Liaison between billing and operations, offering support as it relates to billing and patient balance inquiries. Responsible for Self-Pay AR and management of accounts with credit cards on file. Collects patient payments and assists in posting payments as it relates to our collection processes. Responsible for reviewing, identifying, and sending qualified accounts to collections. Identify patient and insurance credits/refunds. Create and manage patient payment plans. Manage and run weekly statement files. Responsible for return mail. Handle mailing secondary claims to insurance companies, attaching copies of primary EOB. Handle mailing collection letters to both insurance and patient as instructed by collection staff. Work various tasks assigned as needed. Maintain the strictest confidentiality according to the guidelines of company policies. Stay abreast of and comply with all state and federal laws including HIPAA, ADA, OSHA, and FLSA. Attend meetings as required. Participate in development and training activities as required by management. Adapt to change in positive and professional manner. Minimum Requirements: BS/BA degree preferred or two years of medical billing and customer service experience is preferred. Heavy focus on high volume phone calls and emails. Bilingual is a plus! Please stay alert to protect yourself from sophisticated job scams during the recruiting process. Only emails that come from claritychi.com are legitimate recruiting messages. Our HR Team will not send emails from other domains, or message you using WhatsApp or text messaging. We conduct all interviews by phone or video, and we will never ask you for money or to download software either during the interview process, credentialing or during our onboarding process. More tips from the FTC to avoid job scams: https://www.consumeraffairs.com/news/ftc-offers-tips-on-avoiding-job-scams-041321.html

Posted 30+ days ago

Pharmacy Technician Billing Specialist-logo
Pharmacy Technician Billing Specialist
Guardian Pharmacy Services ManagementJacksonville, Florida
Jacksonville, Florida, United States of America Extraordinary Care. Extraordinary Careers. With one of the nation’s largest, most innovative long-term care pharmacy services providers, there is no limit to the growth of your career. Guardian Pharmacy of Jacksonville, a member of the Guardian family of pharmacies, has an exciting opportunity for you to join our rapidly growing team in Jacksonville, Florida. Why Guardian Pharmacy of Jacksonville? We’re reimagining medication management and transforming care. Who We Are and What We’re About: Our core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered. We offer an opportunity to learn and grow your career in a fast-paced, diverse, and inclusive environment. If you are looking for a challenging, team-oriented environment in which you can put your expertise to work, then this is the place for you. Schedule: Varying Shifts, Hybrid ; Pharmacy in Jacksonville, FL. During training candidate schedule is 9-5:30 until independent enough to switch over to 12:30am-9pm and 6am-2:30pm. This would likely last about 1-2 months depending on how quickly they learn. Position will require 1 weekend shift every 4-5 weeks, rotating. Will work both Saturday and Sunday on their scheduled weekend. Candidate may be asked to cover other varying shifts if a coworker is off on vacation. If located within an hour of the Jacksonville, Florida pharmacy this position would be hybrid and would be required to come to the office 2 day a week. Will require a Florida state pharmacy tech license and Frameworks experience is a plus. Responsible for processing customer bills and insurance claims in an accurate and timely manner. This includes assisting with all daily and month-end billing functions, procedures and reporting. Provides excellent customer service to patients, caregivers, medical providers and insurance carriers. ATTRIBUTES REQUIRED: Work Ethic/Integrity – must possess intrinsic drive to excel coupled with values in line with company philosophy Relational – ability to build relationships with business unit management and become “trusted advisor.” Strategy and Planning – ability to think ahead, plan and manage time efficiently. Problem Solving – ability to analyze causes and solve problems at functional level. Team Oriented – ability to work effectively and collaboratively with all team members. ESSENTIAL JOB FUNCTIONS (include the following): Research and establish patient eligibility coverage with insurance providers including private individuals and/or government entities. Reverify benefit coverage criteria as needed for claims follow up. Accurately enters and/or updates patient/insurance information into billing system. Maintain and continually audit patient files and corresponding documentation necessary to defend third party audits and ensure payer and company compliance. Accurately enter patient information into the pharmacy system. Provide assistance and timely response to all billing customer inquiries via phone or electronic communications. Research and resolve patient billing issues regarding insurance eligibility, coverage, and related benefits. Provide guidance and support to resident or responsible party by running Medicare plan comparisons during open enrollment and special enrollment periods. Proactively review patient profiles, drug regimens and insurance coverage to evaluate options to save resident money. Responsible for completion of daily census, admit, discharge, and room changes for the facilities assigned. Process patient payments, returns, and credits. Transmit individual credit card payments as needed. May pursue payment from delinquent accounts and make payment arrangements. Research, identify and organize requested audit documentation in timely manner. Perform prescription claims adjudication including communication with insurance companies regarding rejected claims, eligibility, prior authorizations or other issues as needed. Make corrections as needed and rebill claims as necessary. Develop knowledge and understanding in pharmacy facility billing requirements (Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances) Develop proficiency in the utilization of pharmacy information systems to meet operational needs and regulatory requirements. This includes using pharmacy systems to process prior authorizations, resolve rejections, produce various reports as necessary, and complete billing functions. Rotate through other departments to gain working/functional knowledge of other department workflows. Follow all applicable government regulations including HIPAA. Work as a collaborative team member to meet the service goals of the pharmacy. Other essential functions and duties may be assigned as needed. EDUCATION AND/OR CERTIFICATIONS: High School Diploma or GED required. Pharmacy Technician license/certification/registration per state requirements; National Certification preferred (PTCB) may be required (pharmacy specific). SKILLS AND QUALIFICATIONS: 1+ years of related experience Advanced computer skills; pharmacy information system experience preferred. Ability to work independently and deliver to deadlines. Great attention to detail and accuracy Ability to excel in a fast-paced, team-oriented environment working on multiple tasks simultaneously, while adhering to strict deadlines Quality minded; motivated to seek out errors and inquire about inaccuracies. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the job. The noise level in the work environment is usually low to moderate. Due to the collaborative nature of the business and the need to service customers, the employee must be able to interact effectively with others in an office environment, manage conflict, and handle stressful situations and deadlines. Requires desk work in office environment. Ability to work flexible hours. What We Offer: Guardian provides employees with a comprehensive Total Rewards package, supporting our core value of, “Treat others as you would like to be treated.” Compensation & Financial Competitive pay 401(k) with company match Family, Health & Insurance Benefits (Full-Time employees working 30+ hours/week only) Medical, Dental and Vision Health Savings Accounts and Flexible Spending Accounts Company-paid Basic Life and Accidental Death & Dismemberment Company-paid Long-Term Disability and optional Short-Term Disability Voluntary Employee and Dependent Life, Accident and Critical Illness Dependent Care Flexible Spending Accounts Wellbeing Employee Assistance Program (EAP) Guardian Angels (Employee assistance fund) Time Off Paid holidays and sick days Generous vacation benefits based on years of service The Guardian Difference Our clients require pharmacy services that aren’t “cookie cutter.” That’s why every Guardian pharmacy is locally operated and empowered with the autonomy to tailor their business to meet their clients’ needs. Our corporate support offices, based in Atlanta, Ga., provide services such as human resources, business intelligence, legal, and marketing to promote the success of each Guardian location. Regardless of your role at Guardian, your voice and talents matter. Because healthcare is an ever-changing industry, we encourage innovative thinking, intellectual curiosity, and diverse viewpoints to ensure we stay competitive in today’s dynamic business environment. At Guardian, we are dedicated to fostering and advancing a diverse and inclusive workforce. Join us to discover what your best work truly looks like.

Posted 5 days ago

Billing Project Manager-logo
Billing Project Manager
UlinePleasant Prairie, Wisconsin
Billing Project Manager Corporate Headquarters 12575 Uline Drive, Pleasant Prairie, WI 53158 Join us as a Billing Project Manager to spearhead invoicing strategy for Uline’s Finance team, modernizing our billing systems as we continue to grow as a top distributor of shipping, industrial and packaging materials! Better together! This position is on-site, and we are looking for people who share our passion. Position Responsibilities Lead efforts to modernize Uline’s billing and invoicing processes. Advise senior leadership on strategies to improve efficiency, accuracy and customer experience. Build strong partnerships across departments and vendors to align billing solutions with business goals. Manage billing projects from start to finish, setting clear objectives, milestones and deliverables. Minimum Requirements Bachelor's degree. Major in Finance or Business preferred. 3+ years of demonstrated leadership experience. 5+ years of billing experience preferred. Excel and SQL experience. Oracle knowledge a plus. Benefits Complete health insurance coverage and 401(k) with 6% employer match that starts day one! Multiple bonus programs. Paid holidays and generous paid time off. Tuition Assistance Program that covers professional continuing education. Employee Perks On-site café and first-class fitness center with complimentary personal trainers. Over four miles of beautifully maintained walking trails. About Uline Uline, a family-owned company, is North America’s leading distributor of shipping, industrial, and packaging materials with over 9,000 employees across 13 locations. Uline is a drug-free workplace . EEO/AA Employer/Vet/Disabled #LI-MT1 #CORP (#IN-PPFIN) Our employees make the difference and we are committed to offering exceptional benefits and perks! Explore Uline.jobs to learn more!

Posted 5 days ago

Billing & Scheduling Specialist-logo
Billing & Scheduling Specialist
Culligan Kaat's Water ConditioningPlymouth, Wisconsin
Culligan Kaat’s Water Conditioning, Inc. Full-Time Billing & Scheduling Specialist Plymouth, WI Culligan, the industry leader in water treatment, is looking for a Full-Time Billing & Scheduling Specialist. This position will be responsible for working with customers to ensure quality and timely scheduling as well as processing billing paperwork. This position will require full-time employment at our Plymouth, WI location. Office hours are Monday - Thursday 8-5, Friday 8-2. DUTIES INCLUDE: Effective and polite telephone, communication, and interpersonal skills to contact past, current, and new customers to provide support with leads to our sales and marketing department. Schedule route and service workers to customer locations in an effective and cost-savings way. Communication with customers on service and route scheduling, billing and invoicing, equipment and service options. Map and organize service technician work for the next day. Enter completed service and route work and make any necessary changes in accounts. Scan and file daily work. Retail portion of walk-in customers who come in to purchase product available in-store (handling multiple forms of payments via check, credit card, or cash). Balance cash drawer and do daily deposit – manually run any credit card payments that customers may call in over the phone. Work with multiple departments such as the office, service team, route team, and sales team on customer-related solutions and scheduling. JOB REQUIREMENTS: High School Diploma or General Education Degree (GED). Friendly and approachable attitude when greeting and assisting customers. 1-2 years of experience working in an office environment. Experience with Microsoft Office Applications. Strong organizational skills and ability to multi-task. Being able to work independently and handle customer’s money responsibly.

Posted 4 days ago

Fleet Billing Clerk-logo
Fleet Billing Clerk
Parkway ChevroletTomball, Texas
Job Summary : Billing all New and Used vehicles sold within the Fleet Department. About Us: Parkway is locally owned and operated. We have been in the Houston area for more than 45 years. We have three locations… Parkway Chevrolet, Parkway Family Kia, and Parkway Family Mazda. We operate elite, state-of-the-art service departments. Benefits Medical, Dental and Vision Life and Short-Term Disability Continuous Improvement Training 401K with Match Paid Vacation Paid Holidays Employee Discounts on Parts, Services and Vehicles Opportunities for Growth Job Duties • Creates buyers orders and all documents required for a fleet deal • Billing of fleet deals of salesperson responsible • Checks for accuracy in purchase orders and deals in Reynolds. • Maintains and cleans CIT schedule of responsible sale person(s). • Communicates and assists fleet department administrators and sales reps to maintain high standards of customer service. Skill Requirements • 1+ years of experience as a billing clerk for fleet/commercial deals • Promotes dealership by presenting professional image, positive attitude, and clean work area • Strong time management skills • Maintains high ethical standards • Ensures maximum customer satisfaction • High attention to details • Resolves customer concerns and problems quickly and effectively Must have a valid TX drivers license

Posted 6 days ago

Senior Billing Specialist-logo
Senior Billing Specialist
Access-Supports for LivingMiddletown, New York
Description Location: Middletown, NY Pay Rate: $26.44 per hour Hours: Monday-Friday 8:00AM-4:30PM (40hrs) Job Description: Reporting to the A/R Manager, the Senior Billing Specialist is a key position in the financial management of the company. The Senior Billing Specialist supports all billing and revenue management throughout the revenue cycle. This individual manages the electronic claims process, including accurate and timely claim batch creation, submission, and uploading of claims with providers and insurance companies, including but not limited to daily procedure review, self-pay and co-payment processing, ensuring payments related to participant services from all sources are recorded and reconciled timely in order to maximize revenues. Additionally, the Senior Billing Specialist will assist Finance in maintaining the financial data required for revenue management report generation, and assist with credentialing management and regulatory audits. Duties/Responsibilities: Promote revenue cycle improvements throughout the organization, including working with appropriate programs, front desk staff, remit, denial management and insurance verifications areas to aid in the resolution of identified revenue cycle billing issues Handling billing cycle review procedures for pre-processing (scrubbing) of weekly claims processing Analyze, billing and processing program claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues Analyzing, identifying and resolving complex claims issues adversely impacting the revenue cycle management and billing process and achieving resolution through coordination and reconciliation Review and work claims in the clearinghouse & Fund EZ. Complete weekly billing batches (uploads and response files) in Electronic Health Record (MyEvolv) Understand clients’ insurance benefits utilizing ePACES, various payers’ portals. Maintain a working knowledge of OMH, OASAS, Medicare, Medicaid, Medicaid Managed Care and other payers’ billing regulations for all programs. Understand and remain updated with current coding and billing regulations and compliance requirements Oversight of self-pay processing and assist with monitoring on participant outstanding balances Provide credentialing management support working with program directors to identify when changes must be made to the EHR system, incudes communicating to systems support when corrections require a process or system change. Cross-train other revenue cycle areas to support and back-up the remit and denial management functional areas Required Skills/Abilities: An Associate Degree from an accredited university with accounting degree preferred Detail-oriented, and able to work independently as well as on a collaborative team. Knowledge of Medical Insurance programs such as Medicaid, Medicare and Dual eligibility benefits establishment. Experience with automated billing systems and familiarity with regulatory and compliance requirements and statutes Knowledge and experience with behavioral health/medical billing (Strong preference is given to candidates who have attended an accredited certificate program focused on Medical Billing). Ease and comfort with numbers and calculations Working knowledge of related CPT Codes and Revenue Codes Excellent written and verbal communication skills, as well as excellent organizational and interpersonal skills. Ability to take initiative and problem-solving skills. Capable of setting priorities and ability to manage multiple projects as well as strong follow-through skills. Ability to communicate effectively with all levels of employees, including leadership as required. Proficient working with Word, Excel, PowerPoint and Electronic Medical Record Systems (MyEvolv is a plus). Work Environment/ Physical Requirements: This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Physical Demands This is largely a sedentary role; however, some filing is required. This would require the ability to move files, open filing cabinets and bend or stand, as necessary. EEO Employer

Posted 5 days ago

Buchanan Ingersoll-Rooney logo
E-Billing Administrator
Buchanan Ingersoll-RooneyPittsburgh, Pennsylvania
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Job Description

E-Billing Administrator 

Buchanan Ingersoll & Rooney is a national law firm with a proven reputation for providing progressive, industry-leading legal, business, regulatory and government relations advice to our regional, national and international clients. 

We are currently recruiting for an E-Billing Administrator in our Pittsburgh or Philadelphia, PA location. The primary duties of the E-Billing Administrator are to track and monitor the submission and acceptance of e-billed invoices through eBillingHub and specific vendor sites. The E-Billing Administrator assists Billing and Collections Coordinators as needed to help resolve submission issues, including submitting budgets and appealing invoice rejections and reductions via vendor sites. Routinely checks for new matters and rate approvals on vendor sites and works with the Billing team to ensure data integrity in Elite 3E.

This position may be fully remote with the exception of occasional necessary trainings, meetings, or projects. Applicants must live within one hour commute time of office location.

 

Key Responsibilities:

  • Work with the Billing team to submit and track invoices to vendor sites via eBillingHub in accordance with Outside Counsel Guidelines.
  • Ensure invoice acceptance in vendor sites such as Legal Tracker, T360, and others.
  • Perform a first-level attempt to correct e-billing issues such as fixing block-billing and task codes, and resubmit any rejected invoices.
  • Monitor vendor sites for newly created matters and work with Billing team to set up matters in Elite 3E.
  • Review vendor sites for timekeeper rate approvals and communicate rate adjustments to Billing and Pricing teams as necessary.
  • Assist the e-billing Supervisor in suggesting actions the Billing team might take in the future to avoid reductions and rejections of certain line items.
  • Other duties as assigned by the Billing Manager.

 

Skills and Requirements:

  • Associate’s degree with emphasis in business or accounting, or equivalent work experience preferred.
  • Prior experience with billing or other accounting functions required, ideally in a Law Firm environment.
  • Familiarity with Elite 3E, Elite Enterprise or Aderant financial systems, in addition to eBillingHub or BillBlast, and major vendor sites such as T360, Legal Tracker and CounselLink, desirable.
  • Flexibility to work overtime and weekends, if needed, particularly during 4th Quarter.
  • Demonstrated proficiency with Microsoft Office, especially Excel and Word.
  • Ability to organize and prioritize workload.
  • Excellent communication skills, both written and verbal.

Why should you work at Buchanan Ingersoll & Rooney PC?

Our Firm offers an outstanding benefits package that includes:

  • Hybrid work schedules
  • Generous Paid Time Off
  • Paid Holidays, including a floating holiday
  • WorkWell wellness program, including free use of the Calm App
  • Caregiving assistance with Bright Horizons (child, elder, and pet care!)
  • Access to our Firm-wide emergency assistance fund
  • Free full access to LinkedIn Learning
  • Insurance – Medical, Dental, Vision
  • 401K Program
  • Retirement Savings Program

 

We are an Equal Opportunity Employer.