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Community Options logo
Community OptionsPrinceton, New Jersey
Community Options, Inc. is a national non-profit agency providing services to individuals with disabilities in 12 states. We are seeking a Billing Specialist in Princeton, NJ to be responsible for ensuring Community Options, Inc., is following all aspects and levels of federal, state, and local laws, regulations, and standards within the realm of billing and accounts receivable. The Billing Specialist is responsible for ensuring Community Options, Inc is in compliance with all aspects and levels of federal, state, and local laws, regulations, and standards within the realm of billing and accounts receivable. This person will collect Medicaid reimbursements by resolving discrepancies, adjusting claims, preparing reports, monitoring collections, and providing excellent customer service to internal staff and designated payers. This is not a remote position. Responsibilities Process initial claims from Therap or other applicable billing platforms by the process of examining, calculating, and or adjusting claims Maintain billing platform to ensure accuracy of financials and submitted billing Submit claims to payers manually or electronically Resolve a high volume of disputed claims by gathering, verifying, and providing additional information, following up on claims Monitor collections of receivables Monitor and resolve AR report receivables over 90 days old Monitor, process, and resolve appeals of receivables Monitor filing deadlines for each designated payer and ensure processing is completed in that timeframe Correct claims when errors occur (ex: ICD-10, Authorization number, etc.) Collaborate with branch office(s), claims processors, and billing department to ensure collection and resolve disputes throughout the lives of claims Maintain, develop, and update essential billing records Assist in preparation of reports required by regulatory agencies as directed by the medical billing supervisor Gather both private and Medicaid billing information by reviewing consumer records Resolve discrepancies by examining and evaluating data, identifying corrective steps Enter codes and verify data for computer processing Locate and notify designated payers of delinquent accounts by mail, telephone, email, or personal visits to solicit payment Answer designated payer questions regarding problems with their accounts Record information about financial status of designated payers and status of collection efforts Perform all other duties as required and assigned by administrator and/or supervisor Follow Community Option’s policies and procedures Follows federal, state, local laws, and regulations pertaining to home care services Create customer accounts and invoices in NetSuite Employees must cooperate with the licensee and department staff in any inspection, inquiry or investigation Additional tasks and responsibilities may be assigned Minimum Requirements High School Diploma or equivalent Minimum Requirements Minimum of two years accounts receivable/billing experience Excellent verbal, written, interpersonal, and communication skills Knowledge of general accounting principles Proficiency in Microsoft Word and excel Excellent oral and written communication skills State training as required Community Options orientation Valid driver's license with satisfactory driving record Working Conditions Ability to work in a fast-paced environment, handling multiple priorities Occasional overtime is required throughout the year Minimal hazards, general office working conditions Why Community Options? Competitive Insurance Benefits (Medical, Dental, Vision) Paid Holidays—Including a Birthday Holiday Generous PTO Employee Incentive & Discount Programs 403b Retirement Plan Incredible career growth opportunities If interested, please click Apply Now or Send Resumes to: Jason.Iadisernia@comop.org Community Options is an Equal Opportunity Employer M/F/D/V

Posted 30+ days ago

Eastern Virginia Ear, Nose & Throat Specialists logo
Eastern Virginia Ear, Nose & Throat SpecialistsChesapeake, Virginia
Benefits: 401(k) Dental insurance Paid time off Vision insurance Health insurance Eastern Virginia Ear, Nose & Throat Specialists is looking for a motivated Medical Billing specialists who is knowledgeable in charge entry and coding for our busy ENT practice. This is an in person, Monday - Friday 8am- 5pm position at our Chesapeake office. Two Years Minimum billing/coding required. Job Responsibilities to include: Scrub and audit charges coming over from providers for billing, post any missing charged that may be necessary Ensuring codes are assigned correctly and sequenced appropriately as per government and insurance regulations. Complying with medical coding guidelines and policies. Receiving and reviewing patients charts and documents for verification and accuracy. Collaborate with healthcare providers and other staff members to ensure accurate documentation and coding. Stay updated on changes in medical coding guidelines and regulations. Assists in resolving discrepancies in charges Providing customer service related to charge inquiries Working Denials and appeals with all insurance companies Providing customer service to patients with bill inquiries Certified in Medical Coding a plus, Strong knowledge of ICD-10 / HCPS/ CPT codes. Ability to work independently and prioritize task effectively. Experience with Pre-certification and benefit verifications for surgical procedures. Experience working follow- up and denied claims. ENT/Allergy a PLUS

Posted 30+ days ago

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Bozeman Health CorporateBozeman, Montana
Position Summary: The Insurance Billing Specialist’s main focus is to obtain maximum and appropriate reimbursement for Bozeman Health and all related entities, hospital (HB) and/or professional (PB) claims from third party payers. Supports the timely development and accurate submission of claims to third party payers to include insurance follow-up related to no response, returned claims, denied claims, or claim edits preventing claim submission, submitting corrected or replacement claims, and combining hospital accounts in accordance with payer billing policies. Monitor, resolve or escalate payer denials, returned claims, claim edits, correspondence and report payer claim processing behavior to assist with identifying systemic issues that may require process improvement to strengthen the health of the Revenue Cycle as well escalating identified concerns to the HB or PB Supervisor. Collaborate and coordinate with other Revenue Cycle functions or departments to resolve DNBs, claim edits, denials that are preventing timely claim submission or appropriate reimbursement. Prioritizes and completes accounts routed to billing WQs to reduce accounts receivable days and escalates high-dollar accounts or systemic issues to either the HB or PB Billing supervisor for resolution. Minimum Qualifications: High School Diploma or Equivalent One (1) year of general or medical office experience Preferred: Epic experience Preferred: Completion of program in medical billing degree or certification program Preferred: Two (2) years of healthcare hospital and/or professional billing experience Essential Job Functions: Submits timely and accurate claims to primary, secondary, and tertiary insurances for both electronic and paper submission Follows up on applicable No Response WQs and Rejected Claims WQs through phone contact or written correspondence to ensure that no account reaches 180 days old from discharge date and still due by insurance, regardless of dollar amount Reviews accounts by verifying that reimbursement amounts are appropriate, coordination of refunds, if appropriate, and submitting adjustments for approval when necessary, routes claims for appeal, resubmits claims, or moves balances from insurance responsibility to patient responsibility when appropriate Ensures that claims have appropriate information on them for submission to insurance companies or agencies by reviewing claim edit WQs and other prebilling insurance WQs and escalates systemic issues identified to supervisor Assists Customer Service with claim processing questions Identifies and escalates concerns regarding claim processing to Billing Supervisor Knowledge, Skills and Abilities Demonstrates sound judgment, patience, and maintains a professional demeanor at all times Exercises tact, discretion, sensitivity, and maintains confidentiality Performs essential job functions successfully in a busy and stressful environment Learns current and new computer applications and office equipment utilized at Bozeman Health Strong interpersonal, verbal, and written communication skills Analyzes, organizes, and prioritizes work while meeting multiple deadlines Works varied shifts as scheduled and/or needed The above statements are intended to describe the general nature and level of work being performed by people assigned to the job classification. They are not to be construed as a contract of any type nor an exhaustive list of all job duties performed by individuals so classified. 77211370 Patient Financial Services

Posted 3 weeks ago

T logo
The Nebraska Medical CenterOmaha, Nebraska
Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families. Shift: First Shift (United States of America) Medication Access Coordinator – Medical Billing Home Infusion (Reimbursement Specialist) Role Highlights Nebraska Medicine is now accepting applications for an experienced Medication Access Coordinator to join our Retail/Specialty Pharmacy team, focusing on home infusion medical billing. This position is based at our Central Fill location (approx. 114th and Dodge in Omaha, NE) with the option to work remotely. Candidates must reside in Nebraska or Iowa. Also known as: Medical Billing, Reimbursement Specialist, Pharmacy Advocate, Pharmacy Insurance Tech, Pharmacy Technician, Pharmacy Financial Counselor What You’ll Do Conduct home infusion medical billing benefit investigations Complete prior authorizations and insurance appeals Remove medication access barriers and support patients with coverage needs Apply expertise in DME billing, payer-specific infusion coverage guidelines, and home infusion services Document and follow up in a fast-paced, desk-based environment What We’re Looking For Minimum of 3 years’ experience in retail/specialty pharmacy insurance or payer systems (Medicaid, Medicare, or private insurance) Preferred: Home infusion experience Familiarity with CPR+ or CareTend software Strong problem-solving and patient advocacy skills Detail orientation with excellent documentation and follow-up Shift & Schedule Full Time – 1.0 FTE (80 hours per pay period) 8-hour shifts, Monday–Friday (start times between 7:00 AM and 11:00 AM) Hybrid schedule: office and work-from-home flexibility Why Work at Nebraska Medicine? Together. Extraordinary. Join a team that values your skills and collaboration. Leading Health Network. Partner with UNMC to transform lives through education, research, and patient care. Dignity and Respect. We reflect and celebrate the diverse communities we serve. Educational Support. Up to $5,000/year in tuition assistance, 35% off Clarkson College, and advancement opportunities with covered costs. Be part of something extraordinary at Nebraska Medicine! If you have questions about applying, contact the recruiter: Kegan Casey – kecasey@nebraskamed.com Medication Access Coordinator - Medical Billing: Determine, support, and assist patients, provider teams, and the pharmacy department to overcome barriers to medication access, with focused expertise in third party prior authorization and billing processes for pharmacy benefits. Assist patients within enrollment into grants, assistance programs, and communicate any financial responsibilities. Provide a Face-to Face/virtual beside oriented service that delivers comprehensive fiscal options to patients. Gather and effectively communicate medical and medication histories including diagnosis, test results, lab values, and previous medications to third party. Verify eligibility, pharmacy benefit provisions and support the appeals process. Required Qualifications: Minimum of three years healthcare and/or insurance/third party reimbursement experience. High school education or equivalent required. Excellent interpersonal skills and the ability to successfully interact with a variety of internal and external customers at all levels required. Ability to solve problems independently and must be strongly vested in team management required. Ability to multi-task and excel in a dynamic environment required. Experience with various computer mainframe, network, web based and payer applications required. Must register with the State of NE as a pharmacy technician required. Must complete Pharmacy Technician Certification within one year required. Preferred Qualifications: Knowledge of commercial, Medicare B, Medicare D, and Medicaid pharmacy rules and regulations preferred. Associate's degree in business, healthcare or related field preferred. Bi-lingual preferred. Prior Authorization experience in specialty or retail pharmacy preferred. 340B knowledge and experience preferred. Apexus 340B OnDemand Certificate preferred. One year of pharmacy technician experience preferred. Nebraska Medicine is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, sex, age, national origin, disability, genetic information, sexual orientation, gender identity and protected veterans’ status.

Posted 3 weeks ago

Integrated Home logo
Integrated HomeMiramar, Florida
Who we are: IHCS provides an Integrated Delivery System in the home setting, which includes, DME, Respiratory, Home Health and Home Infusion services. IHCS has a select network of Medicare and/or Medicaid Certified and Accredited providers to respond to the needs of our patients – 24/7. We operate with the sole intent of providing the highest quality in-home care services that improve and enhance the daily living for our patients, where our patients are #1 Our delivery model is trusted by national Managed Care Organizations (MCOs), physicians and patients, positioned with over two decades of expertise as the market leader in value-based Home Health, Durable Medical Equipment, and Home Infusion Services. We currently serve over 2 million lives throughout the nation and the Commonwealth of Puerto Rico. Join our team as we strive for excellence through teamwork delivering high quality care to our patients through Exceptional Customer Service, Proven Outcomes, and Seamless Care. Full time team members competitive compensation package, include but not limited to; Medical, Vision, Dental, Short- and Long-term insurance Paid Federal Holidays Inclusive rich sick and vacation paid days Employer paid life insurance 401K with employer contribution Wellness program with reward incentives Employee recognition and reward programs Comprehensive paid training program What will you be doing: As a DME Billing Specialist, you handle patient accounts after medical services have been rendered; liaison between our company and our patients and health plans; verify patient information, obtaining and releasing clinical documentation, appeals/denials, responds to health plan inquiries, process and perform follow-up on aging accounts, generate collection reports, and research and resolve delinquent accounts. What will you need to succeed: 2-3 years of healthcare billing and coding support experience within Home Care Services preferred Effective verbal and written communication skills. Ability to use various computer programs and applications, IE EMR/EHR Ability to self-motivate and work independently. Ability to multi-task, set priorities and manage time effectively Bilingual Spanish a plus Medical Biller/Coder certification highly desired Join our team as we strive for excellence through teamwork, where our patients are #1! IHCS is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Posted 30+ days ago

Servpro logo
ServproLos Angeles, California
Billing Specialist A National Water & Fire Damage Restoration Company in the greater Los Angeles area is looking for an experienced Billing Specialist. Knowledge in working with a Water & Fire Damage Restoration Company preferred, but not required. Qualifications · Experience in Accounts Receivable (MUST) · Knowledge or experience Invoicing in QuickBooks · Comfortable dealing with numbers and the processing of financial information · Excellent knowledge of MS Office (particularly Excel) and QuickBooks · Results-driven, high degree of attention to detail and ability to multitask · Written and verbal communication skills are very important · Experience in service industry environment a plus but not a must, willing to train the right individual · Ability to successfully complete a background check subject to applicable law Position Responsibilities will include (but not limited to): · The Billing Specialist is responsible for timely and accurate invoicing and collections activities. · Billing Specialist provides financial and administrative support by invoicing jobs in Production and Reconstruction departments. · Maintain and update records of invoices and receipts for each job file. · You will manage the entire process of initial job invoicing all the way through accounts receivables. · Communicate with previous clients and customers to request payment and arrange payment plans. · Collect payment from customers and accurately record it into QuickBooks. · Complete and review accuracy of job file documentation and job file checklist for completed and paid jobs. Compensation: $17.00 per hour Picture yourself here fulfilling your potential. At SERVPRO ® , you can make a positive difference in people’s lives each and every day! We’re seeking self-motivated, proactive, responsible, and service-oriented teammates to join us in our mission of helping customers in their greatest moments of need by repairing and restoring homes and businesses with an industry-leading level of service. With nearly 2,000 franchises all over the country, finding exciting and rewarding SERVPRO ® career opportunities near you is easy! We look forward to hearing from you. All employees of a SERVPRO® Franchise are hired by, employed by, and under the sole supervision and control of an independently owned and operated SERVPRO® Franchise. SERVPRO® Franchise employees are not employed by, jointly employed by, agents of, or under the supervision or control of Servpro Franchisor, LLC, in any manner whatsoever.

Posted 1 week ago

A logo
Aeroflow CareerAsheville, North Carolina
Aeroflow Health – Billing Specialist - Sleep - Fully Remote Opportunity Aeroflow Health is made up of creative and talented associates who are transforming the home medical equipment industry. Our patient-centric business model is founded on innovation through technology and cutting-edge delivery platforms. We have grown to be a leader in the home medical equipment segment of the healthcare industry, are among the fastest-growing healthcare companies in the country and recognized on Inc. 5000’s list of fastest-growing companies in the U.S. As Aeroflow has grown, our needs to curate an amazing employee environment and experience have grown as well. We’re working hard to ensure that Aeroflow remains a premier employer in Western North Carolina by making constant improvements to our office spaces, thus better the everyday lives of the employees that work so hard to service our patients. The Opportunity At Aeroflow Health, the Sleep Billing Team plays a critical role in ensuring the financial sustainability of our operations. Currently composed of 23 dedicated team members, the department focuses primarily on the collection of outstanding balances from health insurance providers and patients. We serve individuals who receive continuous positive airway pressure (CPAP), non-invasive ventilation (ASV) equipment, and related supplies through Aeroflow Sleep. Due to the specialized nature of this service line, the Sleep Billing Team is uniquely structured into three collaborative sub-teams Customer Service Representatives – Frontline support for patient communication Insurance Specialists – Claim submission, tracking, and reimbursement management Prior Authorization Team – Securing approvals to ensure access to necessary equipment This team structure allows for a seamless and patient-focused billing experience while maintaining operational efficiency and compliance. Your Primary Responsibilities We are currently seeking an Insurance Billing Specialist. A Billing Specialist is typically responsible for: Analyzes denied insurance claims by identifying root causes & implementing resolution strategies Monitor and analyze billing reports to identify trends and provide insights to leadership Collaborate with insurance companies to ensure timely claim adjudication and payment Respond to patient billing inquiries with professionalism via phone and email Clearly explain explanation of benefits (EOBs) and coverage details to patients Verify and manage medical documentation to meet payer-specific requirements Stay up-to-date on payer policies and regulatory changes to maintain compliance Utilize multiple systems to manage tasks and enhance workflow efficiency Collaborates with internal team members as well as external Maintain strict patient confidentiality in compliance with HIPAA regulations Employee has an individual responsibility for knowledge of and compliance with laws, regulations, and policies. Compliance is a condition of employment and is considered an element of job performance. Maintain HIPAA/patient confidentiality Perform other related duties as assigned Skills for Success Relentless Curiosity: Proactively seeks out opportunities for process improvements. Entrepreneurial: Identifies and acts on new opportunities with a willingness to take calculated risks. Obsession to Learn: Actively seeks out opportunities to learn and grow and identifies areas for self-improvement. Confidentially Humble : Freely admits knowledge gaps and seeks help from team members, and regularly solicits feedback. Strategic: Makes decisions and takes actions with a broader organizational impact. Transformative : Constantly seeks ways to improve and actively pursues growth opportunities. Tech-Savvy : Keeps up to date with modern technology and regularly develops and refines processes within the team. Commitment to People Development : Shows passion for developing talent through regular training and mentoring. Relationship Focused : Proactively builds relationships across the organization. Required Qualifications Claims Resolution Expertise: Proven ability to analyze denied insurance claims, identify root causes, and take corrective actions to ensure payment Analytical Skills: Experience monitoring billing reports, recognizing trends or recurring issues, and providing actionable insights to leadership or team leads Payer Communication Experience: Demonstrated success working directly with insurance companies to follow up on claims, submit documentation, and expedite adjudication and reimbursement At least 1–2 years of experience in medical billing, insurance claims, or revenue cycle management Prior exposure to Medicare, Medicaid, or commercial payer guidelines Proficiency with Microsoft Office Suite, Google Workspace, and medical billing systems Strong written and verbal communication skills Ability to multitask, prioritize, and adapt in a dynamic environment Analytical thinking and problem-solving mindset Self-motivated with a positive attitude and willingness to learn High level of professionalism and discretion You might also have Experience with CPAP billing, DME billing, or sleep therapy Starting Pay: Between $20 - $24 an hour based on experience What Aeroflow Offers Competitive Pay, Health Plans with FSA or HSA options, Dental, and Vision Insurance, Optional Life Insurance, 401K with Company Match, 12 weeks of parental leave for birthing parent/ 4 weeks leave for non-birthing parent(s), Additional Parental benefits to include fertility stipends, free diapers, breast pump, Paid Holidays, PTO Accrual from day one, Employee Assistance Programs and SO MUCH MORE!! Here at Aeroflow, we are proud of our commitment to all of our employees. Aeroflow Health has been recognized both locally and nationally for the following achievements: Family Forward Certified Great Place to Work Certified 5000 Best Place to Work award winner HME Excellence Award Sky High Growth Award If you’ve been looking for an opportunity that will allow you to make an impact, and an organization with unlimited growth potential, we want to hear from you! Aeroflow Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

Posted 30+ days ago

D logo
Delta Dental of WIStevens Point, Wisconsin
Come Grow with US! Delta Dental of Wisconsin has been serving our communities, families, and businesses for 50+ years. We have been successful for so long because our people and our culture set us apart; in the way we work together, work with our customers, as well as how we treat our employees. Delta Dental of Wisconsin has continued to grow and we want you to Come Grow with Us! This position is based in Stevens Point, WI. 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 Specialist will: Maintain knowledge of Wyssta’s policy processing agreements for all Wyssta clients Process payment information updates to policyholder accounts and/or complete payment transactions Process enrollment applications and changes to enrollment from paper, web, image or phone contact in accordance with established procedures using multiple systems Responsible for accurate application of individual consumer premium payments Generate invoices for applicable consumers and ensure accuracy of invoices sent out Respond promptly and professionally to inquiries from internal and/or external consumers relating to enrollment and billing inquiries; customer service may be provided by telephone, web, email or other types of communication Participate in team meetings and training sessions Research and resolve billing or payment discrepancies, communicating solutions to consumers Work collectively with other members of the Billing & Enrollment team to document processing policy steps and identify process improvements Attend and participate in meetings and/or projects as assigned by Leadership Education/Experience/Personal Requirements Associate degree in business or related field and one year of related business experience or equivalent combination Knowledge of Delta Dental’s contract structures and policy requirements preferred Must have or be willing to obtain the Accident and Health License Demonstrated proficiency with MS Office Suite applications Strong interpersonal, written and oral communication skills Self-motivated and directed Ability to effectively prioritize and execute tasks Must be well-organized and have a strong attention to detail Strong customer service orientation Experience working both in a team-oriented, collaborative environment and independently Ability to operate general office equipment including a computer keyboard, mouse and other computer components

Posted 2 days ago

Q logo
Quadax Careers & CultureMiddleburg Heights, Ohio
Responsibilities: Coordinate and supervise department work assignments and staffing levels. Monitor work lists to verify work is being completed within required TAT (Turn Around Time). Move staff as needed to ensure the work is covered. Conduct scheduled staff meetings and other activities. This would include both onshore and offshore team members. Participate in client meetings, as needed, for discussion on process flows and billing issues. Conduct monthly quality audits on domestic and offshore staff to ensure all team members are following the client SOPs and meeting quality targets. Measure productivity for every staff member against established targets. Supervise staff in company policies and processes by coaching, counseling, disciplining employees, and appraising job contributions. Review employee timesheets and monitor overtime. Contact insurance companies to resolve unusual or difficult claim issues. Recommend and coordinate process improvement initiatives based on results of process analysis. Ensure staff members are kept up to date on policy changes and procedure updates related to the company and the client billing policies. Communicate SOP (Standard Operating Procedure) updates to the management team. Develop staff in resolving complex billing issues and other questions. Conduct employee performance reviews for the staff. Accomplish billing team departmental objectives by meeting expectations/goals. Monitor and serve on committees and teams as department representative. Assist department manager(s) in planning and organizing tasks and resources in a manner which results in achievement of strategic goals and objectives. This position is either remote or hybrid at management discretion. Occasional in-person meetings will be required. Represent the department in the absence of the Manager. Other duties as assigned. Qualifications: Four-year degree or similar level of experience 2-4 years of experience working and managing staff in a business environment Experience in working with software and systems Ability to work effectively in collaboration with diverse groups of people Positive experience in attracting, developing, coaching, and retaining high performance team members Ability to establish priorities and effectively communicate initiatives and objectives to staff Demonstrated strong integrity, positive attitude, and goal-oriented initiative Proficient in using Microsoft Excel, Word, and other related software Ability to maintain confidentiality

Posted 1 week ago

A logo
American InstituteWest Hartford, Connecticut
American Institute, founded in 1924 as the Hartford Secretarial School, provides hands-on training for careers in the world of business, legal, allied healthcare, diagnostic medical sonography, and information technology. Recognizing our single, well-defined teaching mission: reflecting job market demands with flexibility in identifying and incorporating new programs to give our graduates an edge in today’s competitive job market. Medical (including prescription), Dental, Vision (Company subsidized) FSA/HSA (Depending on Medical Plan chosen) $50,000 Life Insurance (Company paid) Additional Voluntary Life Insurance (Team Member paid) Employee Assistance Program – EAP (Company paid) Long Term Disability (Company paid) Short Term Disability (Team Member paid) Supplemental Insurance such as Critical Illness, Accident, and Hospital (Team Member Paid) Paid Time Off – 15 days accrued in year 1, 9 holidays, and 1 day of Volunteering Time Off 401k (eligible upon completion of 90 days of employment and must be at least 21 years of age) Pet Insurance Identity Theft Protection Purpose of the Position: As an instructor, you will empower students by delivering engaging and effective instruction. You collaborate closely with program leaders and other departments to enhance student success, foster retention, support certification, celebrate graduation milestones, and facilitate successful career placements. Our commitment lies in promoting the overall well-being and integrity of our educational programs and our students. What you’ll do: Deliver Centralized Curriculum : Teach the standardized education curriculum according to an assigned schedule. Create a learning environment that fosters students’ academic growth and guides their professional development. Engage Students : Facilitate discussion forums and interactive course contributions to promote student interaction and engagement. Avail self to students other than class time, e.g., office hours, for additional educational engagement. Monitor Student Progress : Grade course activities and post grades on a weekly basis. Proactively track student performance and provide timely academic feedback. Support Student Success : Create learning support tools tailored to students demonstrated needs. Provide academic feedback in a constructive, positive, and timely manner. Maintain Professionalism : Adhere to policies, maintain an up-to-date faculty file, and communicate effectively with program leadership and students per established expectations and timelines. Perform other duties as assigned . Career Level Expectations: Applies broad theoretical job knowledge typically obtained through post-secondary education or equivalent work experience. Work is supervised. Handles problems and uses critical thinking to solve. Communicates facts, policies and practices related to job area. Desire for growth and professional development. Required Skills/Experience: High school diploma/GED 3 years of verifiable experience in medical coding and billing Skills and abilities – communication and presentation skills, organization, people-orientation, time management, and high energy. Ability to professionally communicate fluently in verbal and written English. Ability to support a diverse and inclusive work environment. Computer literacy/basic computer skills to effectively navigate and utilize the technology required for the role. Preferred Requirements: Prior teaching experience Certified Professional Coder (CPC) certificate Experience applying adult learning principles and practices to blended learning. Proficient in MS Office (Word, Excel, PowerPoint) and other business tools such as Microsoft Teams. Other skills and abilities - ability to inspire students to meet career goals by tying course curriculum to potential career outcomes; familiarity with learning management systems, student information systems, and synchronous instructional tools. Compliance: Demonstrate knowledge of and carefully follow all applicable federal and state compliance requirements and regulations including those prescribed by the U.S. Department of Education, accrediting agencies, state regulations, and internal policies and procedures. Effectively communicate compliance requirements to other staff as appropriate and quickly escalate any compliance concerns to the Compliance department. Work Environment/Physical Demands: This is a campus position; in-person instruction, office hours, laboratory work, and preparation time are required. Home office set up, quiet place to work, and ability to hard wire into high-speed internet connection. May require setup of computer equipment; accommodation consideration available upon request. Flexibility to work evenings and weekends, as needed. Anticipated starting salary is based on experience and qualifications. Compensation Range $24 - $28 USD OUR CORE VALUES Caring We believe every student has the potential to be successful in a rewarding career, with the right support. We partner with you from your first day of classes through your search for a job after graduation. Respect We view everyone who enters American Institute as a productive adult who deserves respect and the opportunity to excel. Our staff and instructors are dedicated to helping you achieve your goals and realize your potential. Service American Institute is committed to the professional and academic success of each student by actively seeking opportunities to provide service both within the campus as well as within the surrounding community. Integrity We look forward, not backward. No matter where you come from or what obstacles you’ve faced in the past, we believe your future is yours to create. Accountability When you commit to us, we commit to you. When you walk into American Institute, we focus on helping you continue to move forward, so you can create the life you want to live. Innovation We know that the sooner you have the knowledge and skills you need to begin your career, the sooner you can become successful. American Institute offers focused, practical training that gets you out of the classroom and on your way faster than you thought possible.

Posted 5 days ago

Prisma Health logo
Prisma HealthGreenville, South Carolina
Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. Responsible for resolving all assigned pre-billing edits Communicates billing related issues and participates in meetings to improve overall billing process Provides feedback to providers in order to clarify and resolve coding concerns. Assists in identifying areas that need additional training. Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education- High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree p referred Experience- Two (2) years p rofessional coding experience In Lieu Of NA Required Certifications, Registrations, Licenses Certified Professional Coder-CPC Knowledge, Skills and Abilities Maintains knowledge of governmental and commercial payer guidelines. Participates in coding educational opportunities (webinars, in house training, etc.). Ability to utilizes appropriate coding software and coding resources in order to determine correct codes. Knowledge of office equipment (fax/copier) Proficient computer skills including word processing, spreadsheets, database Data entry skills Mathematical skills Work Shift Day (United States of America) Location Independence Pointe Facility 7001 Corporate Department 70019178 Medical Group Coding & Education Services Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

Posted 1 week ago

Clyde & Co logo
Clyde & CoKansas City, Kansas
The Role As an E-Billing Analyst at Clyde & Co, you will assist with the management of electronic billing for the North America region. You will research and collect information and documentation to facilitate setup of new clients in the designated E-Billing software and vendor sites; collaborate with the billing team to ensure timely submission of invoices or resubmission of corrected invoices. This role acts as a primary support and back up for the E-Billing Manager and Working Capital Controller. Responsibilities Coordinate all aspects of e-billing for assigned attorneys. Implement clients on applicable electronic billing systems. Effectively communicate to appropriate Firm personnel the timeline for implementation and the specific electronic billing system requirements to which we will need to adhere. Assist billing team with submitting monthly e-invoices to clients. Ensuring all client and firm guidelines are followed during submission. Act as a liaison between billing/collections team, billing attorneys, secretarial staff and clients regarding e-billing, as directed. Manage the electronic invoice submission process and track the status of electronic invoices from submission to acceptance. Identify, research, and troubleshoot rejected invoices and other issues as they arise so that electronic invoices are properly submitted and accepted by clients. Interact with various groups, including the billing group, collections team, partners and secretaries, to expedite the acceptance of electronic invoices. Responsible for monitoring new timekeepers. Work closely with rates team to determine the correct rates for those new timekeepers and submit for approval through the electronic billing system. Ensure the new timekeepers are accepted in a timely manner and follow-up as necessary to resolve any issues. Coordinate resubmission of invoices with billing team, billing attorneys, secretaries and client representatives. Ensure corrective action is in place for future submissions. The E-Billing Analyst will work with the client arrangements team to ensure the communications to the billing group on the arrangement terms, including populating, maintaining and updating data for assigned clients in Elite 3E system. Assist with month-end and year-end closing and reporting as directed. Assist with special projects and ad-hoc requests as directed by E-Billing Manager and Working Capital Controller. Other duties as they arise. Qualifications Education: Bachelor's degree or higher, and/or related job experience, required. 3+ years of ebilling experience Service-oriented and self-motivated individual who consistently performs with a high sense of urgency and pride in product. Superior detail-oriented proofreading skills. Capable of exceeding expectations of internal (partners and attorneys) and external (clients) constituents on a regular basis. Extensive experience with billing software, preferably Elite 3E. Extensive knowledge of e-billing platforms such as E-Billing Hub Tymetrix, Serengeti, Legal-X, etc, and processes with multiple workflows is desirable. Some experience working with London Markets, Insurance Groups and 3rd Party Payers (preferable, but not critical). Demonstrated understanding of complex billing and rate arrangements. Familiarity with multi payors (preferable) Advanced proficiency with Microsoft Excel and Microsoft Office products. Working knowledge of LEDES and XML electronic files Excellent written and verbal communication and interpersonal skills, and an ability to establish and maintain relationships with partners, attorneys, finance staff, clients, brokers and other third-party vendors. Additional fluency in the French language is welcomed. *We are not accepting agency submissions at this time* Our Values Our values are the principles that guide the decisions we make, unite us in our endeavors and strengthen our delivery, for our clients and our firm. We: Work as one - We are a globally connected team of talented people who act with a firm-first mentality to achieve success Excel with clients - We aim high and challenge ourselves to deliver unique excellence for our clients, keeping them at the center of everything we do Celebrate difference - We help each other to be at our best and believe our differences result in greater achievement Act boldly - We seek new opportunities, take action and learn as we go, recognizing that curiosity drives our development and contributes to growth Benefits offered include medical, dental, and vision insurance; 401K Safe Harbor contribution; Life/AD&D Disability; Flexible Spending Account; Supplemental Medical Accident Insurance; Supplemental Critical Illness Insurance; Employee Assistance Program; Pet Insurance; Commuter Benefits and more! When you work at Clyde & Co, you join a team of 500 partners, 2,400 lawyers, 3,200 legal professionals and 5,500 people in nearly 70 offices and associated offices worldwide. Our values are the principles that guide the decisions we make, unite us in our endeavours and strengthen our delivery, for both our clients and our firm. We work as one, excel with clients, celebrate difference and act boldly. We are committed to operating in a responsible way by progressing towards a diverse and inclusive workforce that reflects the communities and clients it serves. We are devoted to providing an environment in which everyone can realise their potential, using its legal and professional skills to support its communities. We do this through pro bono work, volunteering and charitable partnerships, and minimising the impact it has on the environment, including through our commitment to the SBTi Net-Zero standard and the setting of ambitious emissions reduction targets.We offer a range of tailored benefits and support, including healthcare, retirement planning and wellbeing initiatives.Clyde & Co is proud to be an equal opportunities employer. Our core values encourage us to support fairness, celebrate diversity and prohibit all forms of discrimination in the workplace to allow everyone to excel at work. Therefore, we welcome and encourage all applications from suitably qualified individuals, regardless of background or identity.Please take a moment to read our privacy notice carefully. This describes what personal information Clyde & Co (we) may hold about you, what it’s used for, how it’s obtained, your rights and how to contact us as a data subject.If you are submitting a candidate as a Recruitment Agency Partner, it is an essential requirement and your responsibility to ensure that candidates applying to Clyde & Co are aware of this privacy notice.

Posted 2 days ago

S logo
S R InternationalHarrisburg, Pennsylvania
Commonwealth of PA - PTC - SAP S/4HANA Analyst - 763333 (Hybrid/Mostly Remote) The PTC has a need for an SME in SAP S/4HANA to implement and support of Unified Back Office Solution (UBOS) throughout the UBOS program delivery phase, from design to deployment and post deployment support, plus continued enhancements. Key Skills: SAP-BRIM systems expert specializing in high volume consumption-based billing specializing in end-to-end implementations Experience with end-to-end Order-to-Cash business process design and implementation, identifying areas for improvement Experience leading workshops to document requirements and write functional specifications on multiple SAP-BRIM / FICA implementation projects including SOM, CI, CM, CC, and FICA Experience managing Order-to-Cash workstreams keeping teams on track and budget Experience with hands-on use configuration for pricing, rating, billing, and invoicing functions of SAP-BRIM CC, CM, CI Hands-on use of configuration of dunning and collection methodologies of SAP-FICA Automation Test process design and config for SAP-BRIM implementation Ability to understand complex, B2B contracts and how they d be represented in configurable billing/financial systems Experience with Agile Project methodologies and traditional waterfall project methodologies Real-world experience managing Global Billing operations Proficient in the Microsoft Office 365 suite of business software including Teams, Word, Excel, and PowerPoint, plus proficient in Microsoft ADO Testing Module The ideal candidate will have 15 or more years of expertise in Billing and SAP BRIM on implementation projects of various sizes and subject matters Enterprise Business Solutions , specifically SAP projects ITIL / ITSM practices and methodologies Education Requirements Bachelor s degree in business management or information systems Equivalent combination of education and/or experience may be accepted Flexible work from home options available. About SR International INC. SR International has been a leading name among the IT consulting companies with offices in US and India. For past 16 years, our industry experience and domain knowledge have enabled us to provide innovative solutions to our customers. Who We Are We Are Leading IT Based Solution Providers Today, the world of business information represents the realization of our collective efforts toward improving the future. Held only by the limits of our imagination, the business world is accelerating at an ever-increasing pace. Imagine a better way of doing business, of implementing the perfect software, of refining practice or business integration. All it takes are benchmark standards in service, support, and technical know-how, which have been our bread and butter. Our Vision. Established in 2002, SR International Inc is one of the fastest growing and reputed provider of Information Technology Services and Solutions in the USA. Since our inception, we have been a trusted IT partner for our clients. We take pride in our highly skilled IT Resources and unique engagement model. We have been consistently delivering on our promises as a high-performance team. Our expertise in Cloud Computing, Mobility, Web Technologies, ERP and CRM are second to none. Our industry-leading flagship product iMathSmart is re-defining math learning experience for school students. Career At SR International At SR International, we treat our consultants like family. Our business and our reputation have been built and maintained by quality resources working onboard, so it’s important for us to maintain the quality resource pool.

Posted 30+ days ago

ITS Logistics logo
ITS LogisticsSparks, Nevada
About ITS Logistics Are you ready to unleash your potential and be a part of one of the fastest growing, exciting, logistics companies in the US? ITS Logistics is a premier Third-Party Logistics company that provides creative supply chain solutions. With the highest level of service, unmatched industry experience and work ethic, and a laser focus on innovation and technology–our purpose is to improve the quality of life by delivering excellence in everything we do. At ITS, we invest in your personal and professional growth, providing the tools, resources, and support you need to unleash your full potential, collaborate with like-minded teammates, and seize limitless opportunities. By joining our all-star team, you will be part of an organization that values your unique skills, encourages your drive for excellence, and recognizes your unwavering commitment to achieving our shared goals. We empower our team members to become champions in their respective fields by nurturing a culture of collaboration, competition, and unyielding resilience. We believe that together, we can conquer any challenge and achieve remarkable victories. Want to learn more about ITS Logistics? Check out our website! www.its4logistics.com Position Summary The Account Specialist, Billing, works within the Customer Experience team to create, audit, and oversee weekly and monthly invoicing and collections tasks. Principle Accountabilities Generate weekly and monthly client invoices leveraging WMS system, various internal and external reports, and other data, as necessary Research and send basic collections communications for past-due payables Partner with Client Experience team to improve weekly and monthly invoice audit processes and accuracy Assist in efforts to minimize revenue leakage by analyzing basic invoice trends, data inputs, and operational performance Assist in maintaining documented standard operating procedures specific to your client(s) Position Requirements Requirements for this position include, but are not limited to: Previous experience with invoicing, billing, or collections strongly preferred Proficiency with MS Office Suite (Word, Excel, Outlook, etc.), experience with a WMS preferred Excellent verbal and written skills (phone etiquette and fluency in English required) Must possess excellent problem diagnosis and resolution skills Strong work ethic and a positive attitude Ability to work with a high degree of autonomy Ability to manage the demands of multiple priorities simultaneously Schedule : Monday through Friday, 8am to 4:30pm. Some overtime required. Compensation : $22 to $24.50 per hour

Posted 5 days ago

E logo
External BrandAustin, Texas
ABOUT AUSTIN REGIONAL CLINIC: Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas’ largest professional medical groups with 35+ locations and we are continuing to grow. We offer the following benefits to eligible team members: Medical, Dental, Vision, Flexible Spending Accounts, PTO, 401(k), EAP, Life Insurance, Long Term Disability, Tuition Reimbursement, Child Care Assistance, Health & Fitness, Sick Child Care Assistance, Development and more. For additional information visit https://www.austinregionalclinic.com/careers/ PURPOSE Oversees the day-to-day billing and collection operations for the Ambulatory Surgery Center facilities. Responsible for maximizing revenue through accurate charge capture, claims submission, timely remittance posting, post-procedure patient collections and denial management. Ensures compliance with company standards and government regulations. Carries out all duties while maintaining compliance and confidentiality and promoting the mission and philosophy of the organization. ESSENTIAL FUNCTIONS Key leader in managing mid- and back-end revenue cycle functions including procedure and coding capture, claims processing and submission to clearinghouses and insurance companies, payment posting and reconciliation, patient collections, claim denial resolution and reporting activities of the department. Assists VP with implementation of revenue cycle, customer service, human resource, and financial goals and objectives consistent with the organization’s strategic plan and goals. Develops, implements, monitors, and periodically reviews and adjusts as necessary CBO specific policies, procedures, and programs for managing billing and collections under third party payer contracts. Monitors adherence to those policies, procedures and workflows and to system-wide policies/standardizations. Manages the billing and collections team. In collaboration with Human Resource department, responsibilities include performance evaluations, disciplinary actions, staff training and development, promoting teamwork, and fostering a positive work environment. Monitors teams’ staffing mix, workload and allocation of resources for efficiency and to meet department objectives and benchmarks, recommends changes as appropriate. Trends and analyzes accounts receivable, payer claim denials, remittances and rejections to identify opportunities to prevent denials, improve collection rates and implement revenue enhancement opportunities. Prepares and analyzes billing reports, including accounts receivable aging, denial rates, and collection statistics. Meets regularly with clinical and administrative teams on revenue cycle performance. Addresses patient service complaints to ensure customer satisfaction. Works with Coding Quality, Finance, contracting and health plan provider representatives, to ensure revenue cycle quality measures and goals are met. Works closely with Revenue Integrity Unit analysts to maximize PM system performance and support of team needs. Participates in testing and implementation of new applications, monthly release and upgrades as needed. Stays abreast of federal and state insurance laws, rules and regulations and ensures departmental compliance. Acquires a strong working knowledge of Epic PM related to its billing and reimbursement processes. Routinely interacts with and supports staff. Adheres to all company policies, including but not limited to, OSHA, HIPAA, compliance and Code of Conduct. Regular and dependable attendance. Follows the core competencies set forth by the Company, which are available for review on CMSweb. OTHER DUTIES AND RESPONSIBILITIES Attends ongoing organizational training to maintain compliance requirements and to improve leadership and supervisory skills. Performs other duties as assigned. QUALIFICATIONS Education and Experience Required: High school diploma or GED. Bachelor’s degree in healthcare administration, business, or a related field or relevant work experience may be substituted for bachelor’s degree on a year-to-year basis. Five (5) or more years of increasingly responsible billing experience, to include supervision of staff for an ASC or similar health system or hospital setting. Proven proficiency in financial management, which includes comprehensive understanding of insurance plans as they relate to physician practice. Knowledge, Skills and Abilities Detailed knowledge of ASC-specific procedural and diagnostic coding, payor and reimbursement policies. Familiarity with laws and regulations related to ASC healthcare delivery compliance. Knowledge of and experience with Medicare, Medicaid and commercial insurance plan billing policies, practices, and resources, and applicable collections-related law. Knowledge of human resource fundamentals and underlying laws, i.e., FLSA, ADA, FMLA, etc. Proficient computer skills and knowledge of Microsoft Office programs Excellent interpersonal & problem-solving skills. Ability to analyze and interpret financial data/reports. Ability to engage others, listen and adapt response to meet others’ needs. Ability to align own actions with those of other team members committed to common goals. Excellent computer and keyboarding skills, including familiarity with Windows. Excellent verbal and written communication skills. Ability to manage competing priorities. Ability to perform job duties in a professional manner at all times. Ability to understand, recall, and communicate, factual information. Ability to understand, recall, and apply oral and/or written instructions or other information. Ability to organize thoughts and ideas into understandable terminology. Ability to apply common sense in performing job.

Posted 30+ days ago

Z logo
ZEMLOCKPhoenix, Arizona
Description Job description Responsibilities Review, approve, and process invoices from outside counsel and vendors, ensuring accuracy and compliance with billing guidelines. Maintain data integrity and manage user access across billing and financial systems. Maintain and optimize the legal billing platform, including user setup, configuration, and data accuracy. Utilize AI tools and automation to improve billing accuracy, streamline workflows, and generate insights. Provide training and support to legal team members on billing systems and processes. Coordinate onboarding of new law firms and vendors, customizing workflows and providing system training. Develop reports and dashboards to track legal spend, matter status, budgeting trends, and KPIs. Assist in preparing and analyzing quarterly and annual departmental budgets and forecasts. Qualifications Required: High School Diploma and 4 years of professional experience in a law firm or in-house legal department, OR Associate’s degree and 2 years of relevant experience. Strong understanding of legal operations, billing procedures, and legal terminology. Proficiency in legal billing systems or equivalent software. Strong Microsoft Office skills (Word, Excel, Outlook, PowerPoint, CoPilot). Experience with data analysis, budgeting, and reporting. Excellent organizational, communication, and time-management skills. Ability to work independently and collaboratively, manage multiple priorities, and meet deadlines. Preferred: Bachelor’s Degree in a related field. Experience with Thomson Reuters Legal Tracker software. Job Types: Full-time, Contract Pay: $27.07 - $37.00 per hour Expected hours: 40 per week Benefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance Application Question(s): Do you have experience in Thomson Reuters Legal Tracker software? Do you have knowledge with legal operations, billing procedures, and legal terminologies? Experience: Law office: 4 years (Preferred) Work Location: In person

Posted 1 week ago

Servpro logo
ServproMilpitas, California
SERVPRO of Palo Alto is hiring an Office Manager ! Benefits SERVPRO of Palo Alto offers: Competitive compensation Medical, Vision, Dental Career progression Professional development And more! As the Office Manager , you will be responsible for managing, training, and motivating the SERVPRO® office team. You will oversee all accounting functions, administrative activities, and ensure customer satisfaction. Key Responsibilities Assist in hiring office personnel and ensure employment best practices and compliance Manage the training and development plans for office team Oversee performance management for office team Deliver financial reporting as needed Verify and analyze franchise performance reports Assist with office staffing and compensation plan as needed Position Requirements High school diploma/GED; Associate degree or Bachelor’s degree preferred At least 1 year of management and/or supervisory experience At least 3 year of customer service and/or office-related experience At least 3 years in Xactimate billing for Mitigation related jobs Excellent written and verbal communication skills Exceptional organization and planning capabilities, strong attention to detail Skills/Physical Demands/Competencies This is a role in a fast-paced office environment. Some filing is required which would require the ability to lift files, open filing cabinets, and bending or standing as necessary. Ability to successfully complete a background check subject to applicable law Each SERVPRO® Franchise is Independently Owned and Operated. All employees of a SERVPRO Franchise are hired by, employed by, and under the sole supervision and control of an independently owned and operated Servpro Franchise. Servpro Franchise employees are not employed by, jointly employed by, agents of or under the supervision or control of Servpro Industries, LLC or Servpro Franchisor, LLC (the Franchisor), in any manner whatsoever. All Sample Forms provided by Servpro Industries to Servpro Franchises should be reviewed and approved by the Franchise’s attorney for compliance with Federal, State and Local laws. All Sample Forms are provided for informational purposes and Servpro Franchises may choose whether or not to use them. Flexible work from home options available. Compensation: $73,000.00 - $83,000.00 per year Picture yourself here fulfilling your potential. At SERVPRO ® , you can make a positive difference in people’s lives each and every day! We’re seeking self-motivated, proactive, responsible, and service-oriented teammates to join us in our mission of helping customers in their greatest moments of need by repairing and restoring homes and businesses with an industry-leading level of service. With nearly 2,000 franchises all over the country, finding exciting and rewarding SERVPRO ® career opportunities near you is easy! We look forward to hearing from you. All employees of a SERVPRO® Franchise are hired by, employed by, and under the sole supervision and control of an independently owned and operated SERVPRO® Franchise. SERVPRO® Franchise employees are not employed by, jointly employed by, agents of, or under the supervision or control of Servpro Franchisor, LLC, in any manner whatsoever.

Posted 30+ days ago

V logo
Valley Subaru of LongmontLongmont, Colorado
Our Goal at Valley Subaru of Longmont is to create an exceptional environment for our customers and employees for the continual well-being and growth of everyone involved. We are all working together to build a stronger and better dealership and community in which to work and live. By working together in a spirit of cooperation and teamwork, our dealership will be unsurpassed for its quality, integrity, and service. We are looking for Automotive Deal Billing Clerk with experience to join our team. WE OFFER: Medical & Dental Insurance Paid Vacation Closed Saturdays & Sundays Great work environment Wonderful company culture RESPONSIBILITIES: Ensure proper billing of all vehicles sold Process title work on traded in vehicles and sold vehicles Process payments to floor plan institutions Research and resolve any discrepancies with the billing process REQUIREMENTS: experience of automotive billing experience High school diploma or equivalent We are an equal opportunity employer and prohibit discrimination/harassment 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 30+ days ago

Xcel Energy logo
Xcel EnergyMinneapolis, Minnesota
Are you looking for an exciting job where you can put your skills and talents to work at a company you can feel proud to be a part of? Do you want a workplace that will challenge you and offer you opportunities to learn and grow? A position at Xcel Energy could be just what you’re looking for. Director, Business Transformation (Billing and Invoicing) Position Summary We are seeking a dynamic and experienced Director of Business Transformation to lead the design, transformation and operational integrity of billing and invoicing processes to enable a seamless customer experience and financial accuracy as we execute our transformation program. ​ This role is pivotal in driving strategic initiatives that simultaneously transform business operations and the technology (if applicable) that supports them. The ideal candidate will have a strong background in the relevant functional and strategy, project management, and change management, with the ability to work across multiple verticals to achieve business objectives. Essential Responsibilities Drive end-to-end billing process modernization within the CIS program, ensuring scalability and compliance. Oversee invoice design, delivery channels and digital adoption to improve customer usability. Partner with IT and Product to align billing functionality with new CIS capabilities and compliance. Establish performance metrics and controls for billing accuracy, timelines and dispute resolution. Influence adoption of automation and analytics to reduce billing errors and operating costs. Strategic Leadership : Develop and implement a business transformation strategy through people, process and technology (if applicable) that aligns with the organization’s business goals and objectives. Program Management: Direct the planning, execution, and delivery of transformational projects that enhance business operations and improve applicable domain capabilities; ensuring they are completed on time, within scope, and within budget. Stakeholder Engagement: Collaborate with senior leadership, business units, technology partners (if applicable) and external partners to ensure alignment and support for transformation initiatives. Change Management: Champion change management efforts to ensure smooth adoption of new technologies/way of working and processes across the organization. Performance Monitoring: Establish metrics and KPIs to measure the success of transformation initiatives and report on progress to stakeholders. Risk Management: Identify and mitigate risks associated with enterprise transformation projects." Team Leadership: Build and lead a high-performing team of transformational professionals, providing guidance, mentorship, and support. Continuous Improvement: Stay abreast of industry trends and emerging technologies/tools to continuously improve the organization’s capabilities. Minimum Requirements Bachelor’s degree in Business Administration or related field. Or equivalent experience. 10+ years of experience in leading technology and/or business transformation programs in a functional context. Strong operational and program delivery skills with a track record of delivering complex projects on time and within budget. Excellent communication and interpersonal skills, with the ability to influence and engage stakeholders at all levels. Demonstrated ability to lead and manage cross-functional teams . Strong analytical and problem-solving skills. Knowledge of change management principles and practices. Ability to adapt to a fast-paced and dynamic environment. Preferred Requirements Experience driving end-to-end billing process modernization ensuring scalability and compliance. Demonstrated expertise in leading operational integrity within Billing and Invoicing functions. Experience with SAP Environment Complex Regulated Billing Experience MBA preferred As a leading combination electricity and natural gas energy company, Xcel Energy offers a comprehensive portfolio of energy-related products and services to 3.4 million electricity and 1.9 million natural gas customers across eight Western and Midwestern states. At Xcel Energy, we strive to be the preferred and trusted provider of the energy our customers need. If you’re ready to be a part of something big, we invite you to join our team. All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Individuals with a disability who need an accommodation to apply please contact us at recruiting@xcelenergy.com . Non-BargainingThe anticipated starting base pay for this position is: $144,800.00 to $205,600.00 per yearThis position is eligible for the following benefits: Annual Incentive Program, Medical/Pharmacy Plan, Dental, Vision, Life Insurance, Dependent Care Reimbursement Account, Health Care Reimbursement Account, Health Savings Account (HSA) (if enrolled in eligible health plan), Limited-Purpose FSA (if enrolled in eligible health plan and HSA), Transportation Reimbursement Account, Short-term disability (STD), Long-term disability (LTD), Employee Assistance Program (EAP), Fitness Center Reimbursement (if enrolled in eligible health plan), Tuition reimbursement, Transit programs, Employee recognition program, Pension, 401(k) plan, Paid time off (PTO), Holidays, Volunteer Paid Time Off (VPTO), Parental Leave Benefit plans are subject to change and Xcel Energy has the right to end, suspend, or amend any of its plans, at any time, in whole or in part. In any materials you submit, you may redact or remove age-identifying information including but not limited to dates of school attendance and graduation.You will not be penalized for redacting or removing this information. Deadline to Apply: 10/31/25 EEO is the Law | EEO is the Law Supplement | Pay Transparency Nondiscrimination | Equal Opportunity Policy (PDF) | Employee Rights (PDF) ACCESSIBILITY STATEMENT Xcel Energy endeavors to make https://www.xcelenergy.com/ accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact Xcel Energy Talent Acquisition at recruiting@xcelenergy.com. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

Posted 3 days ago

Candescent logo
CandescentLong Island, New York
Candescent is the largest non-core digital banking provider. We bring together the transformative technologies that power and connect account opening, digital banking and branch solutions for banks and credit unions of all sizes on any core. Our Candescent solutions power the top three U.S. mobile banking apps and are trusted by banks and credit unions of all sizes. We offer an extensive portfolio of industry-leading products and services with an extensible ecosystem of out-of-the-box and integrated partner solutions. In addition, our API-first architecture and developer tools enable financial institutions to optimize and expand upon their existing capabilities by seamlessly integrating custom-built or third-party solutions. And our connected in-person, remote and digital experiences reinvent customer service across all channels. Self-service configuration and marketing tools give financial institutions greater control of their branding, targeted messaging and overall user experience. And data-driven analytics and reporting tools provide valuable insights to help drive continued growth and profitability. From conversions and implementations to custom development and customer care, our clients get expert, end-to-end support at every step. Key Responsibilities: Invoice Preparation & Review: Generate and review invoices for accuracy and completeness. Ensure billing aligns with contractual terms and service delivery. Data Analysis: Analyze billing data to identify trends, discrepancies, and opportunities for process improvement. Monitor billing metrics and KPIs. Reconciliation & Dispute Resolution: Investigate and resolve billing discrepancies or disputes. Collaborate with finance, sales, and customer service teams to address issues. Reporting: Prepare regular and ad-hoc billing reports for management. Support month-end and year-end financial close processes. System Management: Maintain and update billing systems and databases. Assist in system upgrades or transitions related to billing. Compliance & Documentation: Ensure billing practices comply with internal policies and external regulations. Maintain accurate documentation for audits and reviews. EEO Statement Integrated into our shared values is Candescent ’s commitment to diversity and equal employment opportunity. All qualified applicants will receive consideration for employment without regard to sex, age, race, color, creed, religion, national origin, disability, sexual orientation, gender identity, veteran status, military service, genetic information, or any other characteristic or conduct protected by law. Candescent is committed to being a globally inclusive company where all people are treated fairly, recognized for their individuality, promoted based on performance and encouraged to strive to reach their full potential. We believe in understanding and respecting differences among all people. Every individual at Candescent has an ongoing responsibility to respect and support a globally diverse environment. Statement to Third Party Agencies To ALL recruitment agencies: Candescent only accepts resumes from agencies on the preferred supplier list. Please do not forward resumes to our applicant tracking system, Candescent employees, or any Candescent facility. Candescent is not responsible for any fees or charges associated with unsolicited resumes.

Posted 3 weeks ago

Community Options logo

Billing Specialist

Community OptionsPrinceton, New Jersey

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Job Description

Community Options, Inc. is a national non-profit agency providing services to individuals with disabilities in 12 states. 

We are seeking a Billing Specialist in Princeton, NJ to be responsible for ensuring Community Options, Inc., is following all aspects and levels of federal, state, and local laws, regulations, and standards within the realm of billing and accounts receivable. The Billing Specialist is responsible for ensuring Community Options, Inc is in compliance with all aspects and levels of federal, state, and local laws, regulations, and standards within the realm of billing and accounts receivable. This person will collect Medicaid reimbursements by resolving discrepancies, adjusting claims, preparing reports, monitoring collections, and providing excellent customer service to internal staff and designated payers. 

This is not a remote position.

Responsibilities

  • Process initial claims from Therap or other applicable billing platforms by the process of examining, calculating, and or adjusting claims
  • Maintain billing platform to ensure accuracy of financials and submitted billing
  • Submit claims to payers manually or electronically
  • Resolve a high volume of disputed claims by gathering, verifying, and providing additional information, following up on claims
  • Monitor collections of receivables
  • Monitor and resolve AR report receivables over 90 days old
  • Monitor, process, and resolve appeals of receivables
  • Monitor filing deadlines for each designated payer and ensure processing is completed in that timeframe
  • Correct claims when errors occur (ex: ICD-10, Authorization number, etc.)
  • Collaborate with branch office(s), claims processors, and billing department to ensure collection and resolve disputes throughout the lives of claims
  • Maintain, develop, and update essential billing records
  • Assist in preparation of reports required by regulatory agencies as directed by the medical billing supervisor
  • Gather both private and Medicaid billing information by reviewing consumer records
  • Resolve discrepancies by examining and evaluating data, identifying corrective steps
  • Enter codes and verify data for computer processing
  • Locate and notify designated payers of delinquent accounts by mail, telephone, email, or
  • personal visits to solicit payment
  • Answer designated payer questions regarding problems with their accounts
  • Record information about financial status of designated payers and status of collection efforts
  • Perform all other duties as required and assigned by administrator and/or supervisor
  • Follow Community Option’s policies and procedures
  • Follows federal, state, local laws, and regulations pertaining to home care services
  • Create customer accounts and invoices in NetSuite
  • Employees must cooperate with the licensee and department staff in any inspection, inquiry or investigation
  • Additional tasks and responsibilities may be assigned
  • Minimum Requirements
  • High School Diploma or equivalent

Minimum Requirements

  • Minimum of two years accounts receivable/billing experience
  • Excellent verbal, written, interpersonal, and communication skills
  • Knowledge of general accounting principles
  • Proficiency in Microsoft Word and excel
  • Excellent oral and written communication skills
  • State training as required
  • Community Options orientation
  • Valid driver's license with satisfactory driving record

Working Conditions

  • Ability to work in a fast-paced environment, handling multiple priorities
  • Occasional overtime is required throughout the year
  • Minimal hazards, general office working conditions

Why Community Options?

  • Competitive Insurance Benefits (Medical, Dental, Vision)
  • Paid Holidays—Including a Birthday Holiday
  • Generous PTO
  • Employee Incentive & Discount Programs
  • 403b Retirement Plan
  • Incredible career growth opportunities

If interested, please click Apply Now or Send Resumes to: Jason.Iadisernia@comop.org

Community Options is an Equal Opportunity Employer   M/F/D/V

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Submit 10x as many applications with less effort than one manual application.

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