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Ann & Robert H. Lurie Children's Hospital of ChicagoChicago, Illinois
$110,240 - $181,896 / year
Ann & Robert H. Lurie Children’s Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children’s Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report. Location 680 Lake Shore Drive Job Description General Summary: The Director of Revenue Cycle Physician Billing provides leadership to the physician billing team. They elevate the productivity and effectiveness of the Revenue Cycle physician billing team through coaching, mentoring, and supporting employees to do their best work. The director leverages market research and industry best practices to deliver an efficient, cost effective and robust revenue cycle. This includes ensuring projects and initiatives are completed on time, on budget and with the stated benefit. The director makes strategic, data-driven decisions that prioritize initiatives and allocate resources in service of revenue cycle and organizational goals. The director proactively eliminates roadblocks and is adept at leading employees through change. Under their leadership, employees feel connected to their work, our mission and each other. Essential Job Functions: Maximize the efficiency of billing and follow-up processes for Lurie Children's Hospital of Chicago Medical Center’s physician groups; review, analyze and interpret operational data to assess the need for process and workflow revisions and enhancements. Monitor performance within all Lurie Children’s physician billing and follow-up functions and address any issues to ensure that the activities of the billing and follow-up operations are following all regulatory guidelines and requirements. Take appropriate action to realign billing and follow-up processes to ensure we are meeting KPIs, industry best practice and benchmark standards. Management and oversight of all billing and follow-up service and software vendors on a day-to-day basis. Analyze performance trends impacting billing and follow-up. Manage physician billing and follow-up manager(s) on a day-to-day basis relating to billing, follow-up, credits and denials management operations. Collaborate with other leaders in revenue cycle, third party vendors and Physician Coding and Auditing Director regarding physician billing denials task force activities. Provide education, expert guidance and support to physician billing and follow-up staff. Ensure that quality and productivity measures are in place, tracked and trended for individual staff performance. Ensure that billing and collection functions are directionally aligned with overall Lurie Children's Hospital’s service principles and leadership accountabilities. Work with internal department that directly affect the physician billing and follow-up operations, such as Registration, Financial Clearance, Patient Financial Services and Faculty Practice Plan, to ensure an efficient Revenue Cycle. Provide weekly, monthly, quarterly and annual reporting of physician billing and follow-up key performance indicators. Provide input on strategy, planning, and implementation of new operations and systems. Prepare and present physician billing metrics, monitoring and trending reports for review with providers and hospital leadership. Analyze and trend statistical data to identify opportunities for improvement. Develops and revises policies and procedures for all billing and follow-up workflows. Takes initiative to improve both processes and outcomes, incorporating best practices and innovation in professional field. Oversee physician billing projects as assigned. Maintains the authority to hire, separate, promote, demote, write and administer performance evaluations. Perform other related duties incidental to the work described herein. Other job functions as assigned. Knowledge, Skills and Abilities: Bachelor’s degree required. MBA or MHA or other related advanced coursework or certification strongly preferred. Minimum of 5 years of physician office billing experience, preferably in an academic setting, required. Must be able to make procedural decisions, to develop, plan, and implement short-and-long-range goals. Must be able to communicate effectively with medical and administrative staff. Ability to analyze procedures and processes and redesign workflows when necessary. Must thoroughly understand the physician operations from charge entry to denials resolution. Must be an outstanding team player, able to work effectively with direct and indirect reporting relationships. Must have strong oral and written communication skills. Epic experience required. Other Skills (i.e. Project Management, Negotiation). Education Bachelor's Degree (Required) Pay Range $110,240.00-$181,896.00 Salary At Lurie Children’s, we are committed to competitive and fair compensation aligned with market rates and internal equity, reflecting individual contributions, experience, and expertise. The pay range for this job indicates minimum and maximum targets for the position. Ranges are regularly reviewed to stay aligned with market conditions. In addition to base salary, Lurie Children’s offer a comprehensive rewards package that may include differentials for some hourly employees, leadership incentives for select roles, health and retirement benefits, and wellbeing programs. For more details on other compensation, consult your recruiter or click the following link to learn more about our benefits. Benefit Statement For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes: Medical, dental and vision insurance Employer paid group term life and disability Employer contribution toward Health Savings Account Flexible Spending Accounts Paid Time Off (PTO), Paid Holidays and Paid Parental Leave 403(b) with a 5% employer match Various voluntary benefits: Supplemental Life, AD&D and Disability Critical Illness, Accident and Hospital Indemnity coverage Tuition assistance Student loan servicing and support Adoption benefits Backup Childcare and Eldercare Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members Discount on services at Lurie Children’s facilities Discount purchasing program There’s a Place for You with Us At Lurie Children’s, we embrace and celebrate building a team with a variety of backgrounds, skills, and viewpoints — recognizing that different life experiences strengthen our workplace and the care we provide to the Chicago community and beyond. We treat everyone fairly, appreciate differences, and make meaningful connections that foster belonging. This is a place where you can be your best, so we can give our best to the patients and families who trust us with their care. Lurie Children’s and its affiliates are equal employment opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin, ancestry, age, disability, marital status, pregnancy, protected veteran status, order of protection status, protected genetic information, or any other characteristic protected by law. Support email: candidatesupport@luriechildrens.org
Posted 1 day ago
Globus MedicalColumbia, Maryland
NuVasive Clinical Services, a subsidiary of Globus Medical Inc., is a leading provider of intraoperative neuromonitoring (IOM) services to surgeons and healthcare facilities. IOM technology gives those in the operating room real-time insight into the nervous system, which can help surgeons reduce surgical risk by providing critical information and alerts throughout the procedure. Position Summary: As a Revenue Cycle Specialist with NCS, you will provide administrative support in the billing and collections function of the medical revenue cycle process. Prepare new charges, complete insurance verification, maintain patient records, and will be responsible for collecting on outstanding accounts receivable. Essential Job Functions: Obtain needed and or corrected information by contacting the patient, physician’s office, hospital, next of kin, insurance carrier, etc. Verify all patient information uploaded is accurate. Review medical documents and patient information to ensure insurance criteria is met prior to billing Activate and bill patients within the billing system. Maintains the database by entering, updating, and retrieving data, as well as formatting and generating reports. Assists in resolution of outstanding accounts receivable problems from past due accounts. Responds to inquiries from customers or external collection resources. Places calls and sends messages to those with unresolved issues. Understands and maintains all governmental, regulatory and company billing and compliance regulations and policies for payers Follows-up with payers, patients, and other appropriate parties to collect open billings in a timely manner Identifies and reports to management any payer issues with regards to billing and collections Reviews, analyzes, and reconciles initial Accounts Receivable and Order Entry exceptions and discrepancies to provide accurate invoicing and prompt payment Performs other duties as assigned Adheres to the letter and spirit of the company Code of Conduct, the AdvaMed Code, MedTech Code, and all other company policies Ensures Compliance with applicable governmental laws, rules, and regulations, both in the United States and internationally, by completing introductory and annual training and maintaining knowledge of compliance as it applies to your role Represents the company in a professional manner and uphold the highest standards of ethical business practices and socially responsible conduct in all interactions with other employees, customers, suppliers, and other third parties Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions. Basic Qualifications: High level of quality awareness, accuracy, and attention to detail Strong communication, organizational, and problem-solving skills Data-oriented with basic proficiency in MS Office Applications, strong analytical skills, and the ability to create detailed reports Sense of urgency and customer-oriented mindset with understanding of Health Insurance Portability and Accountability Act (HIPAA) compliance and Protected Health Information (PHI) Ability to work independently, multitask and handle various priorities in a fast-paced environment Working knowledge of payer reimbursement guidelines and government, regulatory and company billing and compliance regulations/policies for assigned payers Effective verbal and written communication skills Typically requires a minimum of 1-2 years of related experience High school diploma or equivalent required Travel and /or Physical Demands: Ability to sit for long periods of time, 6-8 hours per day in front of computer screen Our Values : Our Life Moves Us philosophy is built on four values: Passionate About Innovation, Customer Focused, Teamwork, and Driven. Passionate about Innovation : Improving patient care by delivering advanced technology to our customers is at the core of what we do. We are passionate ab our role in improving the lives of patients by continuously developing better solutions. Customer Focused : We listen to our customers’ needs and respond with a sense of urgency. Teamwork : Working together, anything is possible. We value every person on our team and treat each other with respect. We are accountable to one another and support each other. Together, we make each other stronger. Driven : We pursue our mission with energy and passion. We are nimble, results-oriented and decisive. We overcome obstacles that arise in our quest to deliver solutions that will improve the lives of our customers and patients. Equal Employment Opportunity : Globus Medical is an equal opportunity employer. All applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, age, disability, marital status, pregnancy, national origin or citizenship. We are committed to a diverse workforce. We value all employees’ talents and support an environment that is inclusive and respectful. Other Duties : Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Posted 2 weeks ago
San Francisco Campus for Jewish LivingSan Francisco, California
$27 - $35 / hour
San Francisco Campus for Jewish Living: Nestled in San Francisco's Excelsior neighborhood on a nine-acre campus, the San Francisco Campus for Jewish Living (SFCJL) is a center of excellence in providing a continuum of care. This includes the Frank Residences, offering luxurious assisted living and memory care services; the Jewish Home and Rehabilitation Center, featuring long-term skilled nursing, short-term rehabilitation, and an acute psychiatric unit specialized in mental healthcare for older adults over age 55; and the Jewish Home and Senior Living Foundation. Grounded in the Jewish values of dignity, compassion, and community, the San Francisco Campus for Jewish Living, fondly referred to in the past as "the Jewish Home," was founded in 1871. Today, 150 years later, it continues to build upon its legacy of enriching the lives of older adults. Position Summary The Medical Billing Self Pay Collections Specialist plays a key role in supporting the organization’s revenue cycle by responding to patient billing inquiries, establishing payment arrangements, managing insurance follow-up, and ensuring accurate account documentation. This position interacts frequently with patients, payers, and internal departments to resolve outstanding account issues and ensure timely reimbursement. This role is ideal for a detail-oriented professional with strong communication skills and the ability to thrive in a fast-paced healthcare billing environment. Key Responsibilities Communicate directly with patients to explain financial responsibility and respond to billing inquiries. Establish payment arrangements that align with organizational policies and payer requirements. Document all calls, discussions, and follow-up actions accurately within the billing system. Manage outstanding self-pay accounts, monitor balances, and prepare status updates for leadership. Perform insurance claim follow-ups to resolve rejected, delayed, or unpaid claims. Investigate insurance denials, prepare appeals, and submit required documentation for reimbursement. Collaborate with billing, collections, authorization, and clinical teams to resolve account or documentation issues. Ensure compliance with HIPAA regulations and payer billing guidelines. Maintain organized, detailed records of account activity and follow-up actions. Provide high-quality customer service to patients, families, payers, and external partners. Recommend process improvements to enhance accuracy and efficiency within the billing workflow. Why You Should Work for Us as a Medical Billing Specialist Competitive Pay – $27.00–$35.00 per hour, depending on experience. Full Benefits – Medical, Vision, and Dental coverage for team members working 20+ hours/week. 403(b) Retirement Plan – Voluntary participation available. Paid Time Off (PTO) – Begin accruing PTO on your first day. Tuition Reimbursement – Up to $5,250/year for full-time and $2,625/year for part-time employees. Commuter Check Program – Save on eligible commuting expenses. Weekday Shuttle Services – Convenient shuttle transportation to and from the Glen Park BART station. Referral Bonus Program – Earn $1,000 for every successful clinical referral hired. Flexible Spending Accounts (FSA) – Tax-advantaged health and dependent care spending options. Employee Assistance Program (EAP) – Free, confidential mental health and well-being support. Access to LifeMart – Exclusive discounts on everyday products and services. Minimum Qualifications High school diploma or equivalent required; Associate degree preferred. 1–2 years of experience in medical billing, insurance follow-up, or healthcare collections. 2–4 years of experience in skilled nursing authorization processing, healthcare insurance verification, or coordination of benefits preferred. Strong understanding of billing practices, claims processing, denial management, coordination of benefits, and payer authorization requirements. Experience working with medical billing software or EHR systems preferred. Proficiency in Microsoft Office 365 (Excel, Word, Outlook). Knowledge of medical terminology and experience handling protected health information (PHI). Strong diligence, accuracy, organizational skills, and ability to manage competing priorities. Excellent verbal and written communication skills. Ability to work both independently and collaboratively in a fast-paced environment. Strong customer service skills and effective problem-solving abilities. Physical Demands Ability to lift, push, and pull a minimum of twenty-five (25) pounds. Ability to use abdominal and lower-back muscles over time without fatigue. Ability to stand or sit for extended periods. Ability to bend, stoop, stretch, twist, reach, and perform fine motor tasks. Good visual and auditory acuity.
Posted 5 days ago
Vedder Price CareersChicago, Illinois
$70,000 - $90,000 / year
Vedder Price's Chicago office is looking for a Senior E-Billing Specialist. The Senior E-billing Specialist plays a critical role in the revenue cycle of the Firm, monitoring and troubleshooting e-billing related issues to ensure invoices are submitted successfully to our clients for payment. The Senior E-Billing Specialist will be an integral part of our highly collaborative Billing team. The Senior E-Billing Specialist will demonstrate a strong understanding of the E-Billing process and will be responsible for supporting our Billing team on the coordination and resolution of E-billing issues. The role prioritizes E-billing, however, other billing related duties will be involved. The role reports to and will work closely with the Billing Supervisor and Manager. As the Senior E-Billing Specialist, your duties will include but not be limited to: Communicates with client contacts, billing team and billing partners to successfully coordinate all aspects of the E-Billing process Proactively manages client reporting to ensure all issues are addressed in a timely manner, both internally and externally Assists in communicating newly identified timekeeper rates to clients on a monthly/ad-hoc basis, tracking and following up as needed Works with client contacts to setup new matters for e-Billing, tracking and following up as needed Assists the billing team with invoice submissions via E-Billing Hub, reviewing to ensure invoices are compliant with client billing requirements Works in E-Billing Hub to submit invoices, manage inventory and map client and matter specifications Assists in client accrual requests and coordinating submission of estimates Distributes adjustment/rejection notifications to the billing team and coordinates resubmissions in a timely manner Navigates and understands the functionality for all major e-Billing sites and understands the nuances of each site and their requirements for submission. Sites include but are not limited to: LegalTracker, CounselLink, TyMetrix360, Collaborati, Passport, CounselGO, BillingPoint, Corridor Implements an efficient organizational system to track and follow up with clients and firm contacts to resolve ongoing issues Communicates and provides updates to management with regards to all eBilling related holdups and resolutions Works closely with members of the Billing team to address e-billing requests Documents all aspects of the e-billing process for each client Monitors progress of invoices to be submitted, resubmitted and escalate when necessary Conducts e-billing training sessions for billing staff. Participates in firm-wide and departmental projects and initiatives Utilizes Excel functions to efficiently pull reports, create and distributes to billers for review and fix e-billing issues Manipulates LEDES files (LEDES1998, LEDES98BI, LEDES98BI V2, XML) and troubleshooting technical issues for submission Update Rates and Split Billing Credit Allocation into 3E System. Some normal billing is expected on an Ad Hoc basis; assists in addressing incoming and outgoing e-billing, split credit allocation and billing related inquires. Perform special projects as assigned. Skills & Competencies: Essential to have a can-do attitude and problem solving mindset Must have the ability to effectively communicate with all levels of personnel Must have excellent attention to detail, and have the ability to work well under pressure Ability work independently, overtime during firm Fiscal and Calendar year-end. Position requires outstanding written and verbal communication skills and excellent organizational skills During year end, applicant should have the ability to manage an increased workload and coordinate with team members to complete work under established deadlines Qualifications & Required Experience: College degree is preferred, but not necessary Minimum of five (5) years of legal e-billing experience is required for this role Experience working with eBillingHub or BillBlast is required and experience working with 3E is a plus Must have strong technology skills, including MS Office Suite, and an ability to leverage technology in work processes Position also requires the ability to work under pressure to meet strict deadlines. Computer Skills: To perform this job successfully, an individual must be proficient in the following software: Strong MS Office Suite Compensation Range: 70,000/yr. to $90,000/yr. At Vedder Price, we believe in recognizing and rewarding our employees' contributions. Our comprehensive Total Rewards Package includes: Competitive Salary : We offer a competitive base salary commensurate with skills and experience. Bonus Program : Discretionary annual bonus program. Retirement Planning : Discretionary profit sharing and 401(k) matching to help you plan for your future. Health and Wellness : Comprehensive health, dental, and vision plans, along with optional health savings and flexible spending accounts, firm-paid Life and Disability benefits, and wellness programs to support your overall well-being. Paid Time Off : Competitive time off package including vacation days, paid holidays, sick time and personal days. Professional Development : Opportunities for continuous learning and career growth through firm provided training programs. Employee Recognition : Anniversary and Vedder Praise Programs to celebrate your achievements and milestones. Work-Life Balance : Hybrid work model and family-friendly policies. Additional Perks : Employee discount program, pre-tax commuter benefits, back up child & elder care, Employee Assistance Program (EAP), fitness center discounts and more. Join Vedder Price and be part of a team that values hard work and dedication! Equal Employment Opportunity Vedder Price P.C. is an equal opportunity employer. We value and encourage diversity and solicit applications from all qualified applicants without regard to race, color, gender, sex, age, religion, creed, national origin, ancestry, citizenship, marital status, sexual orientation, physical or mental disability (where applicant is qualified to perform the essential functions of the job with or without reasonable accommodations), medical condition, protected veteran status, gender identity, genetic information, or any other characteristic protected by federal, state, or local law. We participate in E-verify. Applicants who are interested in applying for a position and require special assistance or an accommodation during the process due to a disability should contact the Vedder Price Recruiting Team at vprecruiting@vedderprice.com.
Posted 2 weeks ago
Fawkes IDMSan Diego, CA
Responsibilities: Establishing, fostering, and maintaining professional and collaborative relationships with attorneys, staff, and clients to ensure compliance with both attorney and client specifications, managing all billing and collections processes from engagement to collections with tact, diplomacy, and effective negotiation skills. Primarily handling complex billing arrangements which may include client-level billing and collections. Training and mentoring billing specialists. Verifying rates with the rate analysts, reviewing, and implementing the outside counsel guidelines, monitors fee caps, tier discounts, and matter budgets; setting up and monitoring alerts; communicating with the firm’s Billing & Intake Committee regarding discounts, write-downs, and write-offs. Managing the prebill to the final bill process; ensuring that billing attorneys receive accurate prebills and that they return their prebills in a timely manner; submitting finalized bills/eBills in appropriate template format, adhering to the attorney and client specifications; and confirming the final bills have been submitted to the client and are posted in the accounting system. Collaborating with the eBilling Coordinators for new client account set-ups with eBilling requirements; collaborating with Accounting Systems Administrator to update appropriate fields according to client billing guidelines; submitting invoices electronically, taking accountability for successful submission, and troubleshooting issues; and proactively following-up regarding acceptance and timely payment of eBills. Communicating directly with clients as requested or as established, including following-up on collections and contacting clients as needed. Concisely communicating arrangements with attorneys and clients on their matters; providing clients with requested information on any special billing and or collection arrangements. Responding to all inquiries relating to same. Responding to inquiries relating to accruals, audits, and payment reports; recommending solutions based on billing trends relating to realization; and preparing ad hoc reports upon request. Requirements Four-year college degree preferred. Equivalent experience considered. Prior law experience in a law firm environment required. Prior law firm billing experience with strong proficiency in Excel, Word and Outlook. Aderant experience is a plus.
Posted 30+ days ago
Sibanye-Stillwater ReldanLanghorne, PA
Sibanye-Stillwater Reldan | Langhorne, PA Full-time • Onsite • Flexibility That Works Position Summary The Accounts Payable and Billing Manager is responsible for managing the full lifecycle of accounts payable and customer billing processes across Sibanye-Stillwater Recycling, Americas Region. This role ensures accurate, timely, and compliant vendor payments and customer invoicing while maintaining strong internal controls and alignment with Group finance standards. Working closely with Accounting, Operations, and other segment-level departments, as well as Group and Region stakeholders, the Manager strengthens process consistency, supports system adoption, and contributes to a reliable, transparent financial operations environment that supports monthly closings, audit readiness, and overall business performance. What You’ll Do Systems Implementation and Integration: • Support the rollout and optimization of financial operations systems • Ensure AP workflows and billing processes integrate effectively within ERP platforms • Serve as a primary resource for system users, providing training and troubleshooting Accounts Payable Operations: • Oversee the full AP lifecycle, ensuring accurate invoice processing and on-time payments • Maintain and enhance standard operating procedures across all sites • Ensure adherence to approval hierarchies and internal controls • Monitor invoice aging, payment cycles, and outstanding items Billing and Receivables Support: • Lead customer billing to ensure invoices are accurate, timely, and aligned with contractual terms • Partner with Accounting to resolve discrepancies and strengthen billing accuracy • Maintain audit-ready documentation and clear billing records Compliance and Controls: • Ensure adherence to SOX requirements, internal controls, and Group governance standards • Maintain proper segregation of duties and documentation • Support internal and external audits with timely and accurate records Vendor and Customer Coordination: • Support vendor onboarding, record accuracy, and tax compliance • Serve as a primary point of contact for vendor inquiries • Partner with Commercial teams to ensure billing accuracy and resolve customer questions Process Improvement and Reporting: • Identify opportunities to streamline AP and billing operations • Track workflow metrics, system performance, and error rates • Support continuous improvement and cross-functional process mapping initiatives What You Bring • Bachelor’s degree in Accounting, Finance, Business Administration, or equivalent experience • Five or more years of experience in accounts payable, billing, or finance operations • Experience implementing or managing ERP or financial systems • Strong understanding of internal controls, SOX compliance, and transactional finance processes • Proficiency in Excel and financial platforms; multi-site experience preferred • Excellent communication, analytical, and problem-solving skills • Experience in manufacturing, industrial, or metals environments is a plus Attributes for Success • Highly organized and detail-oriented • Able to balance daily deadlines with longer-term improvement initiatives • Collaborative, approachable, and responsive • Strong customer-service mindset • Values accuracy, transparency, and teamwork • Embodies our iCARES values Powered by JazzHR
Posted 4 weeks ago
FST Technical ServicesChandler, AZ
Job Description Job Title: Billing Coordinator Location preference: In Office Reports to: Billing Manager Summary: The Billing Coordinator at FST is a key player in our client billing process, focusing on accounts receivable and the meticulous management of invoices, statements, and reports. This role involves daily tasks like emailing invoices and applying payments and monthly responsibilities such as compiling Labor Detail and Expense reports. The Billing Coordinator's accuracy and efficiency are vital for smooth financial operations. Responsibilities include : Create and send invoices and account updates to clients electronically and on paper Adhere to customer billing guidelines as necessary Keep an accurate record of client accounts and outstanding balances Notify clients of upcoming or missed payment deadlines Address our clients' billing questions and issues Assist with specific project set up tasks Participate in Monthly Invoicing Review Meetings (MIR) – as needed Attend Project Kick Off meetings – as needed Uphold our strict client confidentiality policies Participates in company training and events, continuously expanding knowledge and skills Other duties as assigned Qualifications 3+ years experience in a billing department - preferred Proficiency in Salesforce/Certinia is a plus Comprehension of industry-specific policies is a plus Strong written and verbal communication Excellent active listening skills Powered by JazzHR
Posted 1 week ago
Serv Recruitment AgencyAlbuquerque, NM
Southwest Women's Oncology Team is growing fast and looking for a dedicated and driven Medical Billing Specialist to Join the Team! Join the Southwest Women's Oncology Team: SWWO'S integrated team of healthcare professionals is committed to providing a safe, caring, and curative experience for their patients. Southwest Women's Oncology's sole intent is to cure cancer and achieve the best possible outcomes for their patients. The Medical Billing Specialist will work closely with healthcare providers. This role is ideal for individuals looking to gain valuable experience in the medical field and contribute to improving patient care efficiency. Position Responsibilities: Actively follow up on delinquent insurance claims, ensuring timely resolution. Investigate and resolve discrepancies, claim denials, and handle appeals for all patient accounts. Address patient inquiries regarding billing, insurance, and payment concerns with empathy and professionalism. Oversee patient accounts, including collections and payment plans. Perform other related duties as assigned by management. Qualifications: Minimum of 3 years of experience in medical billing; oncology billing experience is highly preferred. In-depth understanding of third-party insurance, government payers, and physician billing/reimbursement processes. Strong knowledge of posted charges, payments, and adjustments. Proven experience with insurance precertification and verification processes. Familiarity with CMS billing guidelines and compliance. Experience working with patient advocacy programs. Ability to collaborate effectively in a team environment. Professional and service-oriented demeanor when handling patient calls. Oncology billing experience is preferred but not mandatory. Proficient in medical billing software, credit card payment processing, and Microsoft Office Suite (Word, Excel). Demonstrates a genuine passion for delivering exceptional care, consistently striving to exceed client expectations while ensuring their comfort, well-being, and satisfaction Our Dream Teammate will have access to: Competitive Salary Excellent Benefits; Medical, dental, vision, PTO, and 401K High Performance Concierge Culture Performance center complete with a full AI gym suite, recovery modalities, group fitness classes, and body composition tracking, and state of the art aesthetic modalities. Location: Albuquerque, New Mexico Job Type: Full-time
Posted 30+ days ago
PainPoint HealthJoliet, IL
$18 - $21 / hour
Billing Specialist Full-Time | $18–$21 per hour | Monday-Friday | 8:00 AM-5:00 PMLocation: Joliet, IL 60435 About Pain & Spine Institute (PSI) Pain & Spine Institute (PSI) is a multidisciplinary pain practice serving Northwest Indiana and the greater Chicago area, specializing in interventional pain care—from diagnostic nerve blocks and spinal injections to implantable neuromodulation and regenerative therapies. The Opportunity As a Billing Specialist, you will play a key role in medical billing operations by managing claims, insurance verification, and patient account resolution. This role requires strong attention to detail, professionalism, and the ability to communicate effectively with patients, providers, and insurance carriers. What You’ll DoBilling, Claims & Accounts Process medical claims, follow-ups, collections, charge entry, and payment posting Interpret EOBs and reconcile accounts to ensure accurate payments, adjustments, and balances Follow up on outstanding A/R for all payers, including government and self-pay Research, appeal, and resolve denied or outstanding insurance claims Maintain petty cash counts Insurance Verification & Authorizations Verify insurance eligibility, deductibles, exclusions, and coverage Obtain precertification’s, prior authorizations, required approvals, codes, and acceptance Determine when second opinions or approvals are needed and notify patients Assist insurance companies with questions regarding patient accounts Patient, Phone & Office Support Answer patient and family billing questions with tact and professionalism Handle daily phone communication with internal departments and insurance carriers Route calls appropriately and assist the front desk with calls and scheduling as needed Administrative & Compliance Support Enter, update, and maintain patient and billing records in electronic systems Prepare, sort, and distribute mail; copy records and documents as needed Complete mandatory annual training by assigned due dates Perform other related duties as assigned You’ll Thrive in This Role If You… Are highly organized and detail-oriented Communicate clearly and professionally in person and by phone Work well independently while collaborating with a team Handle sensitive patient information with confidentiality Remain calm and effective in difficult or high-volume situations Qualifications High school diploma or GED required At least one year of office experience required Proficiency in Microsoft Office Suite or related software required Strong communication, organizational, and customer service skills required Knowledge of confidentiality requirements and patient privacy required Experience in a healthcare setting preferred Knowledge of medical terminology, spelling, and office ethics preferred Basic Life Support (BLS) certification preferred What We Offer Health, Dental & Vision Insurance Life/AD&D Insurance Health Savings Account (HSA) Retirement Savings Program Paid Time Off (PTO) and Company Paid Holidays Bonusly (employee recognition platform) DailyPay (on-demand pay access) Employee Assistance Program (EAP) LifeMart Employee Discount Program Health Management Tools Emergency Travel Assistance Program Why You’ll Love Working at PSI Your work directly supports patients seeking relief and restored function. At PSI, you’ll be part of a professional, patient-focused team where accuracy, compassion, and collaboration matter. Ready to Make an Impact? If you’re passionate about billing accuracy, patient support, and contributing to a healthcare team that truly changes lives, we encourage you to apply. An Equal Opportunity Employer We do not discriminate based on race, color, religion, national origin, sex, age, disability, genetic information, or any other status protected by law or regulation. It is our intention that all qualified applicants are given equal opportunity and that selection decisions be based on job-related factors. Powered by JazzHR
Posted 1 day ago
NTSOCColorado Springs, CO
$21 - $22 / hour
BILLING SPECIALIST II Salary $21.00 to $22.00 Full time and in-office Benefits: 403(b) 403 (b) matching Dental insurance Health insurance Paid time off Vision insurance Flex Spending account Health Saving account Life Insurance Critical Illness, Short-term and long-term disability and accident insurances Job Summary : Responsible for visit review, billing, payment posting and payroll functions. Performance Expectations for All Employees: Protects confidential information and understands responsibilities regarding the Health Insurance Portability and Accountability Act (HIPAA) and protected health information (PHI). Complies with safety instructions, observes safe work practices, and provides input on safety issues and promotes a safe work environment. Meets the agency’s expectations for exemplary customer service. Pursues learning opportunities to enhance personal and professional capabilities. Adheres to all agency policies and procedures. Complies with all local, state, and federal laws and regulations. Attends required meetings. Essential Functions: Audit and prepare Home Health and Clinic therapy visits for billing. Billing of Home Health or Clinic Therapy visits both primary and secondary claims. Accounts Receivable claim corrections, review and rebilling of any unpaid claims. Prep, calculate and prepare payroll timesheets for an assigned portion of employees. Post payments into medical billing system based on EOBs received for all lines of business. Serve as backup to process and maintain all Prior Authorization Requests for agency services. Processing Prior Authorization. In rotation for Finance Departments after hours on call scheduling. Provide backup support to others in the Financial Services Department. Performs other related job duties as required. Qualifications: 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 accommodation may be made to enable individuals with disabilities to perform the essential functions. Minimum Education : High school diploma or equivalent required. Additional related vocational coursework is preferred. Minimum Experience : Three years of work-related experience in a similar environment. Minimum Knowledge/Skills/Abilities : Knowledge of medical billing/collection practices. Knowledge of business office procedures. Comfortable dealing with numbers and the processing of financial information. Knowledge of MS Office (particularly Excel) and electronic medical records systems. Strong customer/client focus. Ability to read, understand and follow oral and written instructions. Ability to establish and maintain effective working relationships with clients, employees, vendors and other stakeholders. Adherence to laws and best practices regarding dealing with customers and data. Strong problem solving/analysis skills. Time management and multi-tasking skills. Must be well-organized and detail oriented. Physical/Mental 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 accommodation may be made to enable individuals with disabilities to perform the essential functions. Requires sitting and standing associated with a normal office environment. Manual dexterity needed for using a calculator and computer keyboard. This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, skills and working conditions may change as needs evolve. Working Conditions : Work is generally performed in an office environment during normal business hours of Monday through Friday, 8:00 am to 4:30 pm. This position requires after-hours or on-call scheduling. Equipment Used : Computer based word processing. Office equipment used such as copiers, printers and fax machines. Powered by JazzHR
Posted 5 days ago
Gulf Copper & Mfg. Corp. and Sabine Surveyors Ltd.Galveston, TX
Billing Clerk About us: For over 75 years, Gulf Copper & Manufacturing has been a customer-driven leader in the marine and offshore industries, delivering unwavering quality and an uncompromising commitment to safety, integrity, and environmental protection. We specialize in repairing, refurbishing, and fabricating vital components for the oil and gas, marine transportation, refining, petrochemical, and government sectors. Benefits: 401 (k) Group Health & Dental Plan Short- & Long-Term Disability Insurance Life & Voluntary Life Insurance Holiday & Vacation Pay Employee Assistance Program Essential Duties and Responsibilities: This position is responsible for the following: Other duties may be assigned. Assign project numbers for new entries in CRM. Monitor Customer Relationship Management (“CRM”) for project entries for accuracy, i.e., status and project start date. Open/close projects in the system and maintain project documentation including customer purchase orders, pre job budgets, etc. Set up project budgets in Jamis Prime and run the Cost Summary Report to confirm budget set up. Coordinate with other divisions for shared projects, including confirming item set-up and budgets. Assist Project Managers with ongoing project reporting, cost review and cost correction. Attend project meetings with project managers and customers as needed. Process customer billings using the Prime ERP system and Microsoft Excel to prepare billings and research billing issues. File the customer billing along with appropriate backup in SharePoint & Prime ERP system. Process revenue for month end and document revenue calculations. Communicate with billing manager / accounting managers/Project Management and others. Contact customers for collection of outstanding invoices and assist with customer questions. Attend the weekly collections meeting to update management on the status of unpaid invoices. Prepare and update Project Cash Flow forecasts. Perform other duties as assigned. Required Education & Experience: High school education or equivalent Some college courses in business, Accounting or Finance preferred. Five years of billing, accounting or equivalent experience required. Billing or accounting experience in an environment that uses Job Cost Accounting preferred. Computer literate, including advanced skills using Microsoft office (Word, Excel, Outlook) and experience with accounting software. Working Conditions: Must possess mobility to work in a standard office setting and use standard office equipment, including a computer, and to attend meetings at various sites. Mobility to climb up and down stairs all day, as needed. Health, transportation, and family arrangements to attend work every weekday from 8 am to 5 pm and work on the weekends, as needed. Strength to lift and carry materials weighing up to twenty (20) pounds. Vision to read printed materials and a computer screen, including the ability to look at a computer screen for at least eight hours each day. Hearing and speech to communicate in person and over the telephone. Regular exposure to all weather conditions, especially hot, humid, and/or rainy weather, combined with regular work time indoors in environmentally controlled conditions. Necessary Equipment Operation: Office equipment, including telephone, scanner, computer, printer. Special Skills: Excellent interpersonal and communication skills. High performance and a strong team player. Commitment to company values. Ability to function under pressure in a fast-paced environment. Ability to meet deadlines. * An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability. Equal Employment Opportunity Posters . If you’d like to view a copy of the company’s affirmative action plan or policy statement, please email: hrcorp@gulfcopper.com . If you have a disability and you believe you need a reasonable accommodation in order to search for a job opening or to submit an online application, please e-mail: hrcorp@gulfcopper.com . Powered by JazzHR
Posted 30+ days ago
Pappageorge Haymes PartnersChicago, IL
$55,000 - $70,000 / year
Pappageorge Haymes Partners (PH) is seeking a professional Billing Assistant to join our team. The ideal candidate is an organized self-starter with strong attention to detail, a problem-solving mindset, and the ability to work independently. Familiarity with professional services environments is preferred. Job Responsibilities: Project Billing & Financial Administration: Manage monthly draft billing using Interactive Billing, ensuring all deadlines are met Run financial reports and process project billing in alignment with contract terms and approved rate schedules Generate project reports for Project Managers, ensuring accuracy of calculations and data Set up new projects, including reviewing contract terms, preparing project budget worksheets, and closing out completed projects Process time and expense transfers within or between projects Review employee timesheets for billing accuracy Make labor and timesheet adjustments as needed after timesheets are posted Review preliminary invoices for labor accuracy, billing rates, fee maximums, and necessary reclassifications Project Coordination & Client Communication: Communicate effectively with Project Managers regarding contract terms, billing guidelines, and additional services Distribute draft invoices to Project Managers for review and coordinate follow-up Handle client and contractor inquiries related to project billing and accounting records Experience: Bachelor’s degree in Accounting, Finance, or a related field preferred 2+ years of relevant experience in the architecture or engineering (A/E) industry preferred Proficient in MS Office, including Word and Excel Strong analytical and reporting capabilities Highly organized with strong attention to detail and a proactive, problem-solving mindset Able to manage competing deadlines and adapt to shifting priorities Familiar with project-based accounting principles and procedures Self-directed and dependable, with the ability to work independently Salary range for this position is $55,000.00 - $70,000.00, based on qualifications and experience. PH offers a comprehensive benefits package that includes employer-paid health insurance, life insurance, and long-term disability coverage, along with dental and vision insurance, 401(k) with an employer match, Employee Stock Ownership Plan (ESOP), paid vacation and personal days, and a discretionary performance bonus. Powered by JazzHR
Posted 30+ days ago
Sea Mar Community Health CentersFederal Way, WA
$20 - $22 / hour
Sea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State. Sea Mar proudly serves all persons without regard to race, ethnicity, immigration status, gender, or sexual orientation, and regardless of ability to pay for services. Sea Mar's network of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social, and educational services. We are recruiting for the following position(s): Billing Specialist I, II or III - Posting #26048 Hourly Rate: $20.00 - $21.75 Position Summary: Full-time Billing Specialist available immediately for our Federal Way Billing Department. Main responsibilities include: ensuring accurate and timely processing of all third party insurance, Medicaid, Medicare, Private Pay, and special programs. This position will require that candidate take a billing test. The test will determine what level of expertise or what level of billing the candidate is at. It will also determine what pay the candidate will be making based on the test score. This position requires a comprehensive understanding of accounts receivable management in a healthcare setting. This position requires strong working knowledge of managed care plans, insurance carriers, referrals and pre-certification procedures. Also required is a strong working knowledge of CPT, ICD-9, ICD-10, HCPCS, modifiers, coding and documentation guidelines. Strong customer service, organizational and communication skills are essential to this position. In addition, strict adherence to write-off policies, refund policies and other accounts receivable policies as outlined in the Procedure Manual is required. This position requires an ability to prioritize multiple tasks simultaneously in an occasionally stressful environment. Also required are general computer skills, typing skills and a working knowledge of Medicare Compliance, OSHA and HIPAA. Responsibilities include: Posting payments, adjustments, processing denial, bi-monthly re-bill, follow up with insurance companies on accounts not paid, and collections of private past-due accounts. Qualifications: Experience with ICD-10, CPT and CDT coding, both dental and medical terminology preferred. Applicant must be proficient in Excel, Word, and Ten-key by touch. Healthcare billing experience required. Excellent verbal and written communications skills are a must. Excellent Customer service required. Must be able to resolve client billing problems in a timely manner. Must have the ability to add subtract, multiply and divide in all units of measure using whole numbers, common factions and decimals. Bilingual English/Spanish a plus. What We Offer: Sea Mar offers talented and motivated people the opportunity to work in a dynamic and growing community health organization. Working at Sea Mar Community Health Centers is more than just a job, it’s a fulfilling career with opportunity for advancement. The fringe benefits surpass most companies. For example, Full-time employees working 30 hours or more, receive an excellent benefit package of: Medical Dental Vision Prescription coverage Life Insurance Long Term Disability EAP (Employee Assistance Program) Paid-time-off starting at 24 days per year + 10 paid Holidays. We also offer 401(k)/Retirement options and an exciting opportunity to work in a culturally diverse environment. How to Apply: To apply for this position, complete the online application and click SUBMIT or APPLY NOW. If you have any questions regarding the position, email Aaron Palmer, Billing Director, at AaronPalmer@seamarchc.org. Sea Mar is an Equal Opportunity Employer Posted on 01/30/2024 External candidates may apply after 02/02/2024 This position is represented by Office and Professional Employees International Union (OPEIU). Please visit our website to learn more about us at www.seamar.org. You may also apply through our Career page at https://www.seamar.org/jobs-general.html Powered by JazzHR
Posted 30+ days ago
Specialty Orthopedic GroupTupelo, MS
Job description Specialty Orthopedic Group is currently seeking a Billing & VA Authorization Specialistto join our Billing Department in Tupelo . This position will be Monday-Friday, full time. *Please do not call in to Specialty Orthopedic Group regarding this position.* JOB SUMMARY The Billing & VA Authorization Specialist plays a vital role within the Billing Department by supporting accurate claims submission, VA authorization processing, patient communication, and payment collection. This position serves as a key liaison between patients, insurance carriers, and internal teams to ensure timely authorizations, accurate billing, and efficient revenue cycle operations. JOB RESPONSIBILITIES Submit, track, and manage VA authorizations, ensuring all required documentation is complete and processed timely Receive and respond to patient phone calls related to billing inquiries, insurance coverage, and account questions Sort, review, and route incoming faxes related to VA authorizations, insurance correspondence, and claims documentation Collect patient payments and assist with payment posting and account resolution Submit insurance claims accurately and timely across multiple payers, including VA and commercial carriers Work within multiple insurance portals and payer websites to verify coverage, submit claims, and monitor claim status Assist with follow-up on unpaid or denied claims as assigned Maintain accurate and detailed documentation within billing systems and patient accounts Collaborate with front office, clinical teams, and billing staff to resolve authorization and billing issues Adhere to HIPAA, billing regulations, and organizational policies and procedures Other duties as assigned JOB QUALIFICATIONS Prior experience in medical billing, insurance, or revenue cycle operations preferred Experience with VA authorizations strongly preferred Familiarity with insurance portals and claims submission processes Strong customer service and communication skills with a patient-centered approach Excellent attention to detail and organizational skills Ability to manage multiple priorities in a fast-paced environment Proficiency with computer systems and ability to learn billing software High school diploma or equivalent required; additional healthcare or billing training a plus Powered by JazzHR
Posted 2 days ago
Easy ApplyBergen County, NJ
$22 - $26 / hour
Medloop a large multi-specialty medical billing company servicing many clients across the US mostly in NY/NJ is looking for a talented and highly motivated Medical Billing Representative to resolve billing issues and work directly with clients to identify and manage efficient billing processes for optimal A/R outcomes. They also manage a broad array of projects in relation to claims resolution, payer tracking, website access, claims status inquiries, and direct carrier contact. RESPONSIBILITIES: Serve as a liaison between patient, insurer, and practice Follow-up on patient accounts to assure claims for patient charges submitted to insurance companies are paid in a timely fashion Initiates prior authorization for all procedures requested by staff, providers, and or insurers. Prioritize and organizes all prior authorization activities Documents all prior authorization activities and record activity Excellent communication and organizational skills with a customer service focus Ability to read and understand EOB’s and ERA files Processing appeals Analyze and research denials Knowledge of CPT and ICD10 coding requirements Previous experience in a medical industry Is required Understanding of refunds/take-backs Knowledge of medical terminology Must have the ability to maintain confidential information Must have the ability to multitask and take initiative Must be able to identify and communicate billing inconsistencies REQUIRED MINIMUM QUALIFICATIONS: High school diploma, or equivalent 2 years of medical billing experience, or medical billing training, or other experience in a healthcare setting PREFERRED ADDITIONAL QUALIFICATIONS (not required): Working knowledge of Medicare, Medicaid, and Commercial payor claims and appeals processing requirements Familiar with writing appeals with successful outcomes General knowledge of ICD-10, CPT-4, and HCPC coding and CCI edits Ability to prioritize effectively and handle shifting priorities Self-starter with the ability to organize work for maximum efficiency and attention to quality At Medloop we offer great opportunities with the potential for growth. Benefits: Health Insurance 401K Great PTO Package Job Type: Full-time (In the office) Pay: $22-$26 per hour Powered by JazzHR
Posted 30+ days ago
Hart Medical EquipmentGrand Blanc, MI
Hart Medical Equipment provides a full range of home care products and support services based on individual needs. We strive to conduct our patient care operation with the highest standards. We are a nationally accredited, premier provider of home medical equipment and supplies. Status: Full Time Location: Grand Blanc, MI Hart Medical Equipment offers a competitive salary and benefits package. EOE SUMMARY: Coordinates insurance and billing related activities associated with the care of service provided to the customers of the company. ESSENTIAL DUTIES AND RESPONSIBILITIES: Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions. Enter charges accurately and expeditiously to ensure proper records handling and fast payment responses. Initiate private pay collections after insurance cancellation, denial or other issue. Obtaining referrals and pre-authorizations as well as eligibility and verification of benefit when required. Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing. Following up on unpaid claims within standard billing cycle timeframe. Checking each insurance payment for accuracy and compliance with contract discount. Identifying and billing secondary or tertiary insurances. Maintain accuracy of tables as well as inform management with rate changes. Check to see if claims remain unpaid and follow up with patients and insurance companies to determine the cause of the delay and to keep the billing cycle on track. Look into claims that are denied and research how to modify the claim to ensure it is processed correctly at maximum reimbursement. Answer inquiries made by patients, insurance companies, or fellow employees regarding assigned accounts, the billing process or the appeals process . This includes reviewing for accuracy, completeness, and obtaining missing information. Maintain complete understanding and knowledge of all reimbursement requirements for assigned payer as well as general knowledge for payers outside of those assigned. Communicate policy changes/issues to management so information can be communicated out to other areas of company. Liaise between payers/provider representatives when necessary. Uphold positive attitude towards tasks and co-workers, as well as a commitment to teamwork throughout the billing team and the organization. Serves as troubleshooter for accounts receivable problems and as back-up troubleshooter for complete system. Other duties as requested by Management. QUALIFICATIONS To perform this job successfully, an individual must be professional, proactive and positive with internal and external customers and coworkers. The requirements listed below are representative of the knowledge, skill, and/or ability required. Education and/or Experience High school diploma or general education degree (GED). Minimum of six (6) months in a medical related field and/or training; or equivalent combination of education and experience. Skills & Abilities Excellent interpersonal, written and verbal communication skills. Attention to detail Good data entry skills Proficiency with computers, with strong typing skills. Good organization skills Language Skills Proficient English (verbal, written) 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 regularly required to sit, talk and hear. The employee is occasionally required to stand and walk. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision. All employees are required to work in a safe manner. WORK ENVIRONMENT The work environment described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Office environment Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. By submitting an application, you are agreeing to the terms of Hart's Application Acknowledgement and Agreement found at https://hartmedical.org/application-agreement . IRB Medical Equipment LLC, dba Hart Medical Equipment, is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, national origin, citizenship age, disability genetic information, height, weight, marital or veteran status or any other protected status in accordance with the requirements of applicable federal state and local laws. Hart Medical Equipment also provides reasonable accommodation for individuals with disabilities in accordance with applicable law. Powered by JazzHR
Posted 2 weeks ago
Lifelong AccessNormal, IL
$20+ / hour
Our mission at Lifelong Access is to connect individuals with developmental disabilities to their community by helping them break down barriers through a lifetime of meaningful supports. From birth to end of life, Lifelong Access provides a continuum of services and supports for families, children, teens, and adults including residential housing, vocational development, supported employment, high school transition, behavioral health counseling and services, and a wide variety of pediatric therapy supports. Guided by our Core Values, our team members have a strong drive and big hearts for improving the lives of others; a place where we support each other and the individuals who put their trust in us. We are seeking a full-time Medical Billing Specialist. In this role you will oversee the tasks of sending claims to payers, monitoring outstanding balances to ensure each account is paid on time and in full. This position handles all incoming payments, outgoing invoices, database updates and more that make up your day-to-day responsibilities. If you are self-motivating, thrive on digging into the details, and take pride in your ability to provide high quality support, this may be the role for you. At Lifelong Access we offer our employees the opportunity to grow personally and professionally, as each of us contribute to the success of our dynamic organization. Come grow with us and let us show you why the employees at Lifelong Access love what they do! Pay: $20/hr Job Type: Full-Time – 40 hours/week Your typical workweek will allow some flexibility in daytime work schedule, Monday thru Friday. While performing the duties of this job, the employee will typically work in an office setting as well as potentially offered some remote (work from home) scheduling once fully trained. Essential functions of the job include: Prepare and submit medical claims to insurance companies through billing software. Ensure patient information is correct and up to date. Verify CPT and ICD-10 codes are correct before claims are submitted. Collect and review referrals and prior authorizations using provider portals/phone/fax services. Verify patient Insurance using scheduling software/provider portal/phone. Investigate and appeal denied claims. Resubmit corrected claims. Prepare weekly and monthly reports for the Finance department. Follow up on missed payments and resolve financial discrepancies. Provide client families with information linkage to financial services or supports in the community. Qualifications for this position include: Requires one of the following: Associates degree in a related field; or medical billing and coding certification. Experience working with Insurance and Medicaid billing strongly preferred. Proficient with Microsoft Office Suite. Strong analytical and problem-solving skills. Strong communication skills, both verbal and written. Strong organizational skills. Ability to maintain confidential and meticulous records. Valid Illinois driver’s license with safe driving record. Physical Requirements: While performing the duties of this job, the employee is frequently expected to talk, hear, and possess clear close and distance vision. Frequently required to sit for prolonged periods of time, walk, use hands, fingers to reach or feel. The employee must be able to regularly lift and/or move up to 10 pounds. Here are some of the benefits we will offer you: Supportive, positive, and friendly team environment Professional development, training, and advancement opportunities Flexible schedule options Comprehensive benefit plans Generous paid time off including vacation, personal time, and holidays Read more in our Employment Brochure Lifelong Access is an Equal Opportunity Employer. Powered by JazzHR
Posted 30+ days ago
Fawkes IDMLos Angeles, CA
Responsibilities: Assist the E-Billing Manager and E-Billing team with all electronic on-boarding needs to include, client matter setup and mapping, timekeeper entry and mapping, diversity submission as required, and rate updates/maintenance in the various e-billing platforms utilized by the firm clients Transmit electronic billing via Ebilling Hub and various e-billing sites Responsible for recording and maintaining accurate phase, task, and billing codes Assist with bill preparation for more sophisticated e-bills and/or on-demand requirements as available (both manual & electronic) Maintaining and adding timekeepers to restricted lists in Time Entry software Send weekly reports to the Billing Team for un-submitted invoices and rejected invoices. Prepare invoices for usage of various e-billing sites Coordinate special client billing requests with E-Billing Manager Coordinate approval and implementation of special rate arrangements in collaboration with the Pricing and Project Management team and the Billing Compliance team Requirements 3+ years experience working in a professional services environment, law firm billing experience preferred. Experience with financial/billing software packages and Finance/Accounting organizational operations. Elite billing system experience preferred. Experience with electronic billing transmission on a variety of e-billing platforms, eBillingHub experience preferred. Ability to adhere and apply billing department policies and procedures. Proficiency in MS Office; strong knowledge of Excel required.
Posted 30+ days ago
ICBDFort Lauderdale, FL
Billing Specialist - Behavioral Health – Exact Billing Solutions (EBS) Lauderdale Lakes, FL Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the substance use disorder, mental health, and autism care fields of healthcare services. We have extensive industry knowledge, a deep understanding of the specific challenges of these markets, and a reputation for innovation. With our proprietary billing process, EBS is the oil that brings life to the engines of its partner healthcare companies. EBS is poised for exponential growth, and we are building out our teams to support the expansion of global operations. Part of the ICBD family office portfolio, Exact Billing Solutions combines entrepreneurial speed with the financial discipline of a self-funded, founder-led organization. Our growth reflects a proven ability to solve complex healthcare challenges with operational precision, scalable systems, and client-first innovation. Our Origin Story Exact Billing Solutions was launched to address one of healthcare’s most persistent challenges: the burden of billing and insurance administration on providers. With firsthand knowledge of how inefficiencies in revenue cycle management drain resources from patient care, our founder built a company dedicated to removing obstacles, accelerating cash flow, and delivering peace of mind to clients across specialties. Recognition & Awards Exact Billing Solutions contributes heavily to the success of the broader ICBD family office ecosystem and benefits from the recognition awarded to other portfolio companies, including: Inc. 5000, 2024 – Top 5 Fastest-Growing Private Companies in America (ABA Centers of America) EY Entrepreneur Of The Year® U.S. Overall Florida Trend Magazine – 500 Most Influential Business Leaders About the Role Are you an experienced behavioral health collections professional ready to take your career to the next level with a growing, fast-moving company? You could be our Billing Specialist—Behavioral Health, responsible for effective communication and coordination with insurance companies and clients to obtain the maximum benefits for clients. We work with multiple expanding clinic locations, so timely collections are critical to our operations. The work you will do can make a real difference in the lives of client families and kids by allowing our partners to open clinics where they are desperately needed. Requirements Review and manage assigned AR inventory to ensure timely follow-up on outstanding claims. Investigate and resolve denials, rejections, and underpayments by working directly with payors, and internal teams. Submit corrected claims, appeals, and additional documentation as required to secure reimbursement. Document all collection activities clearly and accurately within our systems. Monitor payor trends and escalate recurring issues to leadership. Meet or exceed daily, weekly, and monthly productivity and quality standards. Support special projects and process improvement initiatives as assigned. Maintain effective communication with third-party insurance carriers to resolve issues that impede cash flow and detract from patient/member satisfaction Monitor and create reports on key metrics such as cash collections, days outstanding, unbilled claims, denials, daily census, etc. Status claims and add notes in the patient accounting system (CollaborateMD) Escalate any payor or client claim issues to department leadership Establish/maintain effective communications with the leadership team to ensure that all third-party guidelines are satisfied Update patient demographics and insurance information as needed Ability to meet KPI established metrics for productivity Qualifications Associate's degree (preferred) Behavioral health out-of-network billing: 3 years of experience Knowledge and experience with CollaborateMD EMR and billing software programs Experience with ABA therapy preferred Experience/knowledge with CPT and ICD10 codes preferred Claims denial experience with follow up from payers including appeals Benefits 21 paid days off (15 days of PTO, which increases with tenure, plus 6 holidays). Flexible Spending Account (FSA) and Health Savings Account (HSA) options. Medical, dental, vision, long-term disability, and life insurance. Generous 401(k) with up to 6% employer match. Exact Billing Solutions (EBS) Culture Integrity. Dependability. Attention to detail. All our team members exhibit these qualities when it comes to doing business. And when it comes to the business of supporting a team, as a company, we offer no less to our team members. We’re a fast-paced, growing company delivering services that allow our clients to spend more time helping people. At the end of the day, it’s people, not numbers, that drive our success. Exact Billing Solutions participates in the U.S. Department of Homeland Security E-Verify program.
Posted 4 weeks ago
ICBDDeerfield Beach, FL
Billing Specialist - Behavioral Health – Exact Billing Solutions (EBS) Lauderdale Lakes, FL Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the substance use disorder, mental health, and autism care fields of healthcare services. We have extensive industry knowledge, a deep understanding of the specific challenges of these markets, and a reputation for innovation. With our proprietary billing process, EBS is the oil that brings life to the engines of its partner healthcare companies. EBS is poised for exponential growth, and we are building out our teams to support the expansion of global operations. Part of the ICBD family office portfolio, Exact Billing Solutions combines entrepreneurial speed with the financial discipline of a self-funded, founder-led organization. Our growth reflects a proven ability to solve complex healthcare challenges with operational precision, scalable systems, and client-first innovation. Our Origin Story Exact Billing Solutions was launched to address one of healthcare’s most persistent challenges: the burden of billing and insurance administration on providers. With firsthand knowledge of how inefficiencies in revenue cycle management drain resources from patient care, our founder built a company dedicated to removing obstacles, accelerating cash flow, and delivering peace of mind to clients across specialties. Recognition & Awards Exact Billing Solutions contributes heavily to the success of the broader ICBD family office ecosystem and benefits from the recognition awarded to other portfolio companies, including: Inc. 5000, 2024 – Top 5 Fastest-Growing Private Companies in America (ABA Centers of America) EY Entrepreneur Of The Year® U.S. Overall Florida Trend Magazine – 500 Most Influential Business Leaders About the Role Are you an experienced behavioral health collections professional ready to take your career to the next level with a growing, fast-moving company? You could be our Billing Specialist—Behavioral Health, responsible for effective communication and coordination with insurance companies and clients to obtain the maximum benefits for clients. We work with multiple expanding clinic locations, so timely collections are critical to our operations. The work you will do can make a real difference in the lives of client families and kids by allowing our partners to open clinics where they are desperately needed. Requirements Review and manage assigned AR inventory to ensure timely follow-up on outstanding claims. Investigate and resolve denials, rejections, and underpayments by working directly with payors, and internal teams. Submit corrected claims, appeals, and additional documentation as required to secure reimbursement. Document all collection activities clearly and accurately within our systems. Monitor payor trends and escalate recurring issues to leadership. Meet or exceed daily, weekly, and monthly productivity and quality standards. Support special projects and process improvement initiatives as assigned. Maintain effective communication with third-party insurance carriers to resolve issues that impede cash flow and detract from patient/member satisfaction Monitor and create reports on key metrics such as cash collections, days outstanding, unbilled claims, denials, daily census, etc. Status claims and add notes in the patient accounting system (CollaborateMD) Escalate any payor or client claim issues to department leadership Establish/maintain effective communications with the leadership team to ensure that all third-party guidelines are satisfied Update patient demographics and insurance information as needed Ability to meet KPI established metrics for productivity Qualifications Associate's degree (preferred) Behavioral health out-of-network billing: 3 years of experience Knowledge and experience with CollaborateMD EMR and billing software programs Experience with ABA therapy preferred Experience/knowledge with CPT and ICD10 codes preferred Claims denial experience with follow up from payers including appeals Benefits 21 paid days off (15 days of PTO, which increases with tenure, plus 6 holidays). Flexible Spending Account (FSA) and Health Savings Account (HSA) options. Medical, dental, vision, long-term disability, and life insurance. Generous 401(k) with up to 6% employer match. Exact Billing Solutions (EBS) Culture Integrity. Dependability. Attention to detail. All our team members exhibit these qualities when it comes to doing business. And when it comes to the business of supporting a team, as a company, we offer no less to our team members. We’re a fast-paced, growing company delivering services that allow our clients to spend more time helping people. At the end of the day, it’s people, not numbers, that drive our success. Exact Billing Solutions participates in the U.S. Department of Homeland Security E-Verify program.
Posted 4 weeks ago
Dir Physician Billing
Ann & Robert H. Lurie Children's Hospital of ChicagoChicago, Illinois
$110,240 - $181,896 / year
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Job Description
Ann & Robert H. Lurie Children’s Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children’s Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.
Location
Job Description
General Summary:
The Director of Revenue Cycle Physician Billing provides leadership to the physician billing team. They elevate the productivity and effectiveness of the Revenue Cycle physician billing team through coaching, mentoring, and supporting employees to do their best work. The director leverages market research and industry best practices to deliver an efficient, cost effective and robust revenue cycle. This includes ensuring projects and initiatives are completed on time, on budget and with the stated benefit. The director makes strategic, data-driven decisions that prioritize initiatives and allocate resources in service of revenue cycle and organizational goals. The director proactively eliminates roadblocks and is adept at leading employees through change. Under their leadership, employees feel connected to their work, our mission and each other.
Essential Job Functions:
Maximize the efficiency of billing and follow-up processes for Lurie Children's Hospital of Chicago Medical Center’s physician groups; review, analyze and interpret operational data to assess the need for process and workflow revisions and enhancements.
Monitor performance within all Lurie Children’s physician billing and follow-up functions and address any issues to ensure that the activities of the billing and follow-up operations are following all regulatory guidelines and requirements. Take appropriate action to realign billing and follow-up processes to ensure we are meeting KPIs, industry best practice and benchmark standards.
Management and oversight of all billing and follow-up service and software vendors on a day-to-day basis. Analyze performance trends impacting billing and follow-up.
Manage physician billing and follow-up manager(s) on a day-to-day basis relating to billing, follow-up, credits and denials management operations.
Collaborate with other leaders in revenue cycle, third party vendors and Physician Coding and Auditing Director regarding physician billing denials task force activities.
Provide education, expert guidance and support to physician billing and follow-up staff.
Ensure that quality and productivity measures are in place, tracked and trended for individual staff performance.
Ensure that billing and collection functions are directionally aligned with overall Lurie Children's Hospital’s service principles and leadership accountabilities.
Work with internal department that directly affect the physician billing and follow-up operations, such as Registration, Financial Clearance, Patient Financial Services and Faculty Practice Plan, to ensure an efficient Revenue Cycle.
Provide weekly, monthly, quarterly and annual reporting of physician billing and follow-up key performance indicators.
Provide input on strategy, planning, and implementation of new operations and systems.
Prepare and present physician billing metrics, monitoring and trending reports for review with providers and hospital leadership.
Analyze and trend statistical data to identify opportunities for improvement.
Develops and revises policies and procedures for all billing and follow-up workflows.
Takes initiative to improve both processes and outcomes, incorporating best practices and innovation in professional field.
Oversee physician billing projects as assigned.
Maintains the authority to hire, separate, promote, demote, write and administer performance evaluations.
Perform other related duties incidental to the work described herein.
Other job functions as assigned.
Knowledge, Skills and Abilities:
Bachelor’s degree required. MBA or MHA or other related advanced coursework or certification strongly preferred.
Minimum of 5 years of physician office billing experience, preferably in an academic setting, required.
Must be able to make procedural decisions, to develop, plan, and implement short-and-long-range goals.
Must be able to communicate effectively with medical and administrative staff.
Ability to analyze procedures and processes and redesign workflows when necessary.
Must thoroughly understand the physician operations from charge entry to denials resolution.
Must be an outstanding team player, able to work effectively with direct and indirect reporting relationships.
Must have strong oral and written communication skills.
Epic experience required.
Other Skills (i.e. Project Management, Negotiation).
Education
Bachelor's Degree (Required)Pay Range
$110,240.00-$181,896.00 SalaryAt Lurie Children’s, we are committed to competitive and fair compensation aligned with market rates and internal equity, reflecting individual contributions, experience, and expertise. The pay range for this job indicates minimum and maximum targets for the position. Ranges are regularly reviewed to stay aligned with market conditions.In addition to base salary, Lurie Children’s offer a comprehensive rewards package that may include differentials for some hourly employees, leadership incentives for select roles, health and retirement benefits, and wellbeing programs. For more details on other compensation, consult your recruiter or click the following link to learn more about our benefits.
Benefit Statement
For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes:
Medical, dental and vision insurance
Employer paid group term life and disability
Employer contribution toward Health Savings Account
Flexible Spending Accounts
Paid Time Off (PTO), Paid Holidays and Paid Parental Leave
403(b) with a 5% employer match
Various voluntary benefits:
Supplemental Life, AD&D and Disability
Critical Illness, Accident and Hospital Indemnity coverage
Tuition assistance
Student loan servicing and support
Adoption benefits
Backup Childcare and Eldercare
Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members
Discount on services at Lurie Children’s facilities
Discount purchasing program
There’s a Place for You with Us
At Lurie Children’s, we embrace and celebrate building a team with a variety of backgrounds, skills, and viewpoints — recognizing that different life experiences strengthen our workplace and the care we provide to the Chicago community and beyond. We treat everyone fairly, appreciate differences, and make meaningful connections that foster belonging. This is a place where you can be your best, so we can give our best to the patients and families who trust us with their care.
Lurie Children’s and its affiliates are equal employment opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin, ancestry, age, disability, marital status, pregnancy, protected veteran status, order of protection status, protected genetic information, or any other characteristic protected by law.
Support email: candidatesupport@luriechildrens.org
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