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Billing Managed Care Coordinator-logo
Billing Managed Care Coordinator
Brigham and Women's HospitalBoston, MA
Site: The Brigham and Women's Hospital, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Monday through Friday 8:30am-5pm Mandatory in office the first 90-day for in person training. Remote considered after successful completion of training and meeting job requirements. Job Summary Summary Responsible for obtaining appropriate insurance authorizations, referrals and payments for all patient visits and procedures as well as collection of patient service coinsurance, deductibles, and self-pay revenue. Essential Functions-Obtains insurance approval prior to initiation of patient services Responsible for ensuring insurance referrals are received Ensure accurate and timely billing and reimbursement from managed care organizations Review and process managed care contracts and agreements Manage and monitor billing and collections activities Provide training and support to other departments on managed care billing practices and procedures Maintain up-to-date records of all managed care billing activities Qualifications Education High School Diploma or Equivalent required or associate's degree Related Field of Study preferred or bachelor's degree Related Field of Study preferred Experience experience in managed care billing and collections 2-3 years required Knowledge, Skills and Abilities Knowledge of insurance and reimbursement practices. Strong organizational, interpersonal, and communication skills. Ability to analyze and interpret data and make informed decisions. Knowledge of healthcare billing software and systems is a plus. Ability to work independently and as part of a team. Ability to work in a fast-paced environment. Additional Job Details (if applicable) Physical RequirementsStanding Occasionally (3-33%) Walking Occasionally (3-33%) Sitting Constantly (67-100%) Lifting Occasionally (3-33%) 20lbs- 35lbs Carrying Occasionally (3-33%) 20lbs- 35lbs Pushing Rarely (Less than 2%) Pulling Rarely (Less than 2%) Climbing Rarely (Less than 2%) Balancing Occasionally (3-33%) Stooping Occasionally (3-33%) Kneeling Rarely (Less than 2%) Crouching Rarely (Less than 2%) Crawling Rarely (Less than 2%) Reaching Occasionally (3-33%) Gross Manipulation (Handling) Constantly (67-100%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision- Far Constantly (67-100%) Vision- Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%) Remote Type Hybrid Work Location 1620 Tremont Street Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) EEO Statement: The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Posted 4 days ago

Billing Coordinator-logo
Billing Coordinator
Lufkin Industries, Inc.Odessa, TX
Lufkin is seeking a Billing Coordinator for their Odessa, TX location. The Billing Coordinator will be responsible for providing support to the Business Operations Manager related to all areas of invoicing, ERP, and SAP. The Billing Coordinator will be responsible for monitoring and reconciling job tickets to order data and preparing customer invoices efficiently and correctly into ERP and handling multiple high-level accounts as well as helping to drive process improvements to help management and operations make tactical and strategic decisions. Responsibilities Monitor and reconcile job tickets to order data and prepare customer invoices efficiently and correctly into ERP Handle multiple high-level accounts and needs to be able to strongly communicate with the customer Verify information, maintain files, and assist in preparation of reports Address and solve client questions and issues Securely handle client data and payment information Provide regular, accurate reports of billing data Other projects or task as required Minimum Requirements Basic knowledge of accounting principles Basic knowledge of SAP and EDI invoice processing a plus Basic knowledge of JDE is a plus Excellent attention to detail and accuracy Proficient in SharePoint, MS Word, PowerPoint, Adobe and Outlook Excellent written and verbal communication and customer service skills Strong organizational skills essential, coupled with the ability to multitask Must be able to effectively manage changing priorities and work to strict deadlines Able to work both independently and as part of a team Essential Characteristics High School Diploma or equivalent Associate degree preferred 3+years' experience in accounting or finance a plus Results and success-oriented mentality, conveying a sense of urgency and driving initiatives to close Creative, strategic thinker with excellent organizational abilities Process and data driven Personable, an ability to initiate and build relationships with people in an open, friendly, and accepting manner Disclaimer The above information on this description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted, as a comprehensive inventory of all duties, responsibilities, qualifications required of employees assigned to this job. LUFKIN US Acquisitions Company LLC is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, veteran status, or any other protected category under applicable law. We celebrate diversity and are dedicated to creating an inclusive atmosphere for all employees.

Posted 1 week ago

Billing Specialist - Contract-logo
Billing Specialist - Contract
Marquis Industrial ServicesAngleton, TX
Job Description- Billing Specialist- CONTRACT Reports to Senior Controller / Billing Lead Primary Function In this highly visible position, the successful candidate will be able to quickly shift from processing routine transactions to providing high-level analysis, coupled with the ability to uncover process improvements, The Successful candidate will be skilled at streamlining internal processes to better serve our customers. Candidates must have demonstrated the ability to interface with all levels of our organization, clients, and vendors. Essential Functions Managing the day-to-day operations of the Company's billing and timekeeping department and staff. Ensuring the timely and accurate invoicing of customers per contract terms. Monitoring the aging of the Company's receivables and maintaining open communication with appropriate customer staff regarding past due receivables. Managing the reporting of KPI and business metrics, as required, to internal and external users. The review and distribution of job cost reports, calling attention to projects not meeting expected gross profit margins. Create, post, and monitor journal entries and accruals. Perform accounting month-end closing activities with a special focus on job cost and revenue accruals. Responsible for developing & ensuring data accuracy and process adherence. Accounts, Job set-ups, etc. Responsible for measuring and improving overall billing accuracy, job closing activities, and lump sum billing. Prepare actionable reporting and analysis to support the company's financial closings and internal/external reporting processes and to ensure the reliability of reported results. Communicate with colleagues at various locations to resolve issues with month-end closing and follow through with appropriate action. Responsible for monitoring Accounts Receivable and working directly with external customers to resolve past-due obligations. Recommend, develop, and implement changes to continually improve processes, support standardization, and the overall effectiveness of the Finance and Accounting Services team. Ensure all schedules and deadlines are met on time and accurately, following Service Level Agreements. Document policies, procedures, workflow, and checklists for assigned responsibilities. Other duties as may be assigned Personal Attributes and Capabilities High level of intellectual ability and curiosity. Training and mentoring staff. Able to make timely decisions, can support and explain reasoning for decisions. Proven communication skills - written and verbal Contributes to building a positive team spirit. Adapts to changes and communicates changes effectively. Balances team and individual responsibilities. Prioritizes and plans work activities with the willingness to reprioritize and adjust as needed to support timely issue resolution. High level of internal/external customer service flexibility, with the ability to hold firm on corporate requirements. Must demonstrate "end to end" thinking with an understanding of the impact of decisions on other areas of the business. Required Education and Experience Proficiency in MS Office Suite - particularly MS Excel. Ability to work cross-functionally with other groups. Capable of working independently and managing multiple priorities; must be a self-starter and take the initiative in completing projects and assignments. Excellent written and verbal communication skills with the ability to share knowledge at appropriate levels of the organization. Customer-focused with strong attention to detail; capable of delivering accurate, quality results on time. Strong interpersonal skills, including the ability to interact comfortably and respectfully with all levels of plant and corporate personnel. Proven ability to successfully manage and resolve conflict politely and professionally Strong analytical skills to identify KPIs and address improvement opportunities. Experience with construction accounting software preferred, with Sage Intacct a plus. Preferred Education and Experience Three (3) years of increasing responsibility in accounting or finance discipline, or any equivalent combination of related education and experience. Preference in the construction industry is a plus. . Work Environment This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, copiers, and filing cabinets. Physical Demands Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 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. While performing the duties of this job the employee is frequently required to type, file and lift office supplies up to 20 pounds. The employee is frequently required to stand, talk, and hear. Position Type / Expected Hours of Work This is a temporary position with targeted hours per week between 20-40. There may be times when the successful candidate will be asked to work in excess of 40 hours per week. Work Authorization Must be legally authorized to work in the United States. 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 1 week ago

Home Care Billing Specialist-logo
Home Care Billing Specialist
Interim HealthcareOklahoma City, Oklahoma
Now Hiring: Billing Specialist Oklahoma City, OK | This is not a remote position — work is performed in-office, Monday through Friday. Are you an experienced healthcare biller who thrives in a fast-paced, supportive environment? Interim HealthCare of Oklahoma City is seeking a detail-oriented Billing Specialist to join our Business Office. In this key role, you will: Post payments accurately and efficiently Monitor and work on collections Check claims status weekly Collaborate with our billing and administrative teams to ensure timely and compliant revenue cycle management Requirements: Associate’s degree in a related field or equivalent work experience Minimum of five (5) years of healthcare billing experience, including managed care Prior experience in healthcare billing or collections is required Experience with home care billing is highly preferred Pay: $16–$19/hour Perks & Benefits: Health and dental coverage Paid holidays and paid time off Quarterly profit-sharing bonus Paid mileage MTM Recognition Program Stay Pay Weekly pay on Fridays Simple IRA with company match up to 3% Life insurance Competitive salary and benefits Want a glimpse into our culture? Visit us on Facebook: Interim HealthCare of Oklahoma City Company Overview Nationally, Interim HealthCare has been providing great jobs to great people for over 50 years with more than 300 offices across the country. Locally, we’ve served Oklahoma City and surrounding areas since 1999 with life-enhancing services like Home Health, Palliative Care, Hospice, and Private Duty. We are Veteran and RN-owned , deeply rooted in our community, and proudly family-run with a passion for quality care and a CMS 4.5 STAR rating . We’ve also been voted Best of the Best from 2018–2024 in the Home Care division by Oklahoma Magazine readers. Our commitment to integrity and excellence makes us your perfect career partner. www.interimhealthcare.com/oklahomacity/ Interim HealthCare is an Equal Opportunity Employer. Each Interim HealthCare location is independently owned and operated. ©2022 Interim HealthCare Inc.

Posted 30+ days ago

Billing Representative I-logo
Billing Representative I
J.B. Hunt TransportLowell, Arkansas
Job Title: Billing Representative I Department: Finance Country: United States of America State/Province: Arkansas City: Lowell Full/Part Time: Full time Job Summary: Under close supervision, this position is responsible for a limited variety of administrative duties for functional groups involving compiling and arranging amounts owed from accessorial charges, processing and coding documents, maintaining records and files, monitoring of detention events, and/or preparing invoices and record transactions. Routines are generally prescribed and supervision is readily available. Job Description: Schedule: Monday - Friday 8:30am - 5:00pm Key Responsibilities: Communicate with the internal and external stakeholders to collect documentation for invoicing, inputting, and processing transactions into billing systems Collaborate with internal stakeholders to address billing questions, escalate issues, & resolve basic problems Answer external customer billing questions and troubleshoot billing issues Understand contract implications and implement invoicing in compliance with customers needs Prepare billing information and verify any changes to support an accurate and efficient billing process Distribute/Track outgoing correspondence to external customers for return compliance and authorization Understand and executive administrative procedures, policies, and practices Qualifications: Minimum Qualifications: 1 year or less experience in an administrative, business, or financial role and/or demonstrated ability of the following skills through education, certifications, or other experiences: Ability to act professionally Ability to be both flexible and adaptable Ability to communicate effectively in verbal & written settings Ability to pay attention to detail Ability to quickly learn a new software system Ability to prioritize & organize tasks Proficient computer skills This position is not eligible for employment-based sponsorship. Compensation: Factors which may affect starting pay within this range may include skills, education, experience, geography, and other qualifications of the successful candidate. This position may be eligible for annual bonus and incentives based on profitability or volumes in accordance with the terms of the Company’s bonus and incentive plans, as applicable and in effect from time to time. Benefits: The Company offers the following benefits for full-time positions, subject to applicable eligibility requirements, as may be in effect from time to time: medical benefit, dental benefit, vision benefit, 401(k) retirement plan, life insurance, short-term and long-term disability coverage, paid time off commensurate with tenure (includes vacation and sick time), six weeks of paid maternity leave along with two weeks of paid parental leave, and six paid holidays annually. Education: GED, High School Work Experience: Accounting/Payroll, Business Administration, Clerical/Administrative, Finance Job Opening ID: 00592490 Billing Representative I (Open) “This job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.” J.B. Hunt Transport, Inc. is committed to basing employment decisions on the principles of equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, persons with disabilities, protected veterans or other bases by applicable law.

Posted 6 days ago

Billing Specialist-logo
Billing Specialist
Javitch BlockCleveland, Ohio
The Billing Specialist will be responsible for items such as: Preparing and submitting billing reports based on client requirements (mail and/or electronically) Preparing remittance via ACH, wire, or check Reviewing billing rejection reports Ability to utilize case management system and Microsoft Excel Education/Experience: Knowledge of basic accounting principles Previous invoicing/billing experience preferred Previous experience with a law firm preferred Required skills: 10-key experience a MUST Experience using Microsoft Excel Detail-oriented and well-organized - Accuracy required Ability to handle high work volume within time constraints efficiently and with a can-do attitude Willingness to learn and ability to multi-task as requested Ability to handle highly confidential matters and documents with discretion You can learn more about Javitch Block LLC at www.jbllc.com JB is a Cleveland-based law firm with offices in Columbus and Cincinnati, Ohio; Kentucky, Indiana, Texas, West Virginia and Tennessee. Our clients include taxing authorities, banks, credit unions, savings and loans, finance companies, department stores, credit card companies, medical organizations, landlords, commercial businesses, collection agencies, insurance companies, education facilities, utility companies, law firms, manufacturers, oil companies

Posted 30+ days ago

Manager, Technology Operations - Marketplace Payment Monetization and Billing-logo
Manager, Technology Operations - Marketplace Payment Monetization and Billing
WalmartSunnyvale, California
Position Summary... Join our Marketplace Payments and Financial Services team as a key member, leading innovative payment solutions and enabling the monetization of seller services and new Fintech services for Marketplace Sellers. This role offers the opportunity to drive strategic initiatives and make a significant impact on our platform's growth. What you'll do... About the team The Marketplace Payments and Financial Services team is dedicated to developing and managing payment solutions that enhance the seller experience on our platform. By collaborating closely with product, technology, and operations teams, we aim to create efficient and effective billing solutions that support our company's goals and drive financial success. What You'll Do… Develop and implement payment monetization strategies and tools to support new and existing seller services. Lead advancements in billing strategies and payment mechanisms, including innovative solutions for international segments. Create and execute a detailed roadmap for billing solutions, optimizing the recovery process in collaboration with product, technology, and operations teams. Partner with business teams to customize billing solutions, reduce payment costs, and minimize bad debt. Work with legal and compliance teams to ensure appropriate agreements and regulatory compliance. What You'll Bring… Strong leadership skills with the ability to drive ownership and accountability. Excellent communication skills and the ability to influence internal and external partners. Expertise in digital payments and Fintech, with hands-on experience in data analysis, data profiling, and data quality. Proven ability to lead cross-functional teams and deliver results to senior executives. Advanced SQL skills, including proficiency in window functions and query optimization. At Walmart, we offer competitive pay as well as performance-based bonus awards and other great benefits for a happier mind, body, and wallet. Health benefits include medical, vision and dental coverage. Financial benefits include 401(k), stock purchase and company-paid life insurance. Paid time off benefits include PTO (including sick leave), parental leave, family care leave, bereavement, jury duty, and voting. Other benefits include short-term and long-term disability, company discounts, Military Leave Pay, adoption and surrogacy expense reimbursement, and more. ‎ ‎ ‎ You will also receive PTO and/or PPTO that can be used for vacation, sick leave, holidays, or other purposes. The amount you receive depends on your job classification and length of employment. It will meet or exceed the requirements of paid sick leave laws, where applicable. ‎ For information about PTO, see https://one.walmart.com/notices . ‎ ‎ Live Better U is a Walmart-paid education benefit program for full-time and part-time associates in Walmart and Sam's Club facilities. Programs range from high school completion to bachelor's degrees, including English Language Learning and short-form certificates. Tuition, books, and fees are completely paid for by Walmart. ‎ Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to a specific plan or program terms. ‎ For information about benefits and eligibility, see One.Walmart . ‎ The annual salary range for this position is $104,000.00-$202,000.00 ‎ Additional compensation includes annual or quarterly performance bonuses. ‎ Additional compensation for certain positions may also include: ‎ ‎ - Stock ‎ ‎ Minimum Qualifications... Outlined below are the required minimum qualifications for this position. If none are listed, there are no minimum qualifications. Option 1: Bachelor's degree in computer science, management information systems, industrial engineering, engineering management, business, information systems, project/program management, information technology, finance, management, or related area and 3 years’ experience in project management, program management, program operations, or related area. Option 2: 5 years’ experience in project management, program management, program operations, or related area. Preferred Qualifications... Outlined below are the optional preferred qualifications for this position. If none are listed, there are no preferred qualifications. Master’s degree in computer science, management information systems, industrial engineering, engineering management, business, information systems, project/program management, information technology, finance, management, or related area, We value candidates with a background in creating inclusive digital experiences, demonstrating knowledge in implementing Web Content Accessibility Guidelines (WCAG) 2.2 AA standards, assistive technologies, and integrating digital accessibility seamlessly. The ideal candidate would have knowledge of accessibility best practices and join us as we continue to create accessible products and services following Walmart’s accessibility standards and guidelines for supporting an inclusive culture. Primary Location... 640 W California Avenue, Sunnyvale, CA 94086-4828, United States of America

Posted 3 days ago

Automotive Car Deal Billing Clerk-logo
Automotive Car Deal Billing Clerk
Kia Country of Hilton HeadBluffton, South Carolina
New and Used Kia Dealership is in search of an experienced, organized individual to join our Accounting Team as A Car Deal Billing Clerk. Will post new and used car deals from the finance dept, balance sales commission for payroll, provide admin assistance to the office manager and accounting office. Dealership experience required. Benefits Medical, Dental & Vision Insurance 401K Plan + Match Paid time off and vacation Short/Long Term Disability Health and wellness Discounts on products and services Responsibilities Description of the role: The Automotive Deal Billing Clerk at Kia Country of Hilton Head in Bluffton, South Carolina is responsible for accurately and efficiently processing all new and used car deals. This role plays a crucial part in the accounting department and is vital to ensuring the smooth operation of the dealership. Responsibilities: Bill all new and used car deals and post them into the accounting system, meticulously verifying accuracy and completeness of all paperwork. Process pay-off checks for trade-ins and promptly mail them to the appropriate financial institutions. Generate and maintain commission reports to facilitate efficient tracking of sales performance. Immediately route paid deals to the title clerk once money is received. Conduct daily deposit reconciliation to ensure proper financial record-keeping. Provide administrative support to management and other departments as needed. Perform other accounting duties as assigned. Requirements: - Attention to detail and exceptional organizational skills - Proficiency in accounting processes and software - Strong communication and interpersonal abilities - Ability to work independently and meet deadlines consistently - Prior experience in a similar role is preferred About the Company: Kia Country of Hilton Head is a reputable automotive dealership located in Bluffton. We pride ourselves on offering high-quality vehicles and outstanding customer service. Join our team and be part of an environment that values professionalism, teamwork, and customer satisfaction. Qualifications Ability to handle multiple tasks Good social and interpersonal skills Strong record of positive Customer Happiness results Collaborative and eagerness to improve Professional personal appearance 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 3 days ago

Client Billing Specialist-logo
Client Billing Specialist
Caris Life SciencesIrving, Texas
At Caris, we understand that cancer is an ugly word—a word no one wants to hear, but one that connects us all. That’s why we’re not just transforming cancer care—we’re changing lives. We introduced precision medicine to the world and built an industry around the idea that every patient deserves answers as unique as their DNA. Backed by cutting-edge molecular science and AI, we ask ourselves every day: “What would I do if this patient were my mom?” That question drives everything we do. But our mission doesn’t stop with cancer. We're pushing the frontiers of medicine and leading a revolution in healthcare—driven by innovation, compassion, and purpose. Join us in our mission to improve the human condition across multiple diseases. If you're passionate about meaningful work and want to be part of something bigger than yourself, Caris is where your impact begins. Position Summary Our Client Billing Specialist are responsible for charge entry on specific client accounts in accordance with facility agreements and pricing. We are looking for an individual that can manag e business to business invoicing, collections, researching accounts and educating clients on the nature of billing received. Job Responsibilities Adheres to all company policies and procedures. Verifies charges submitted to clients are billed accurately and in accordance to guidelines. Confirms rates and any fee arrangements are reflected for each individual matter Research and respond to inquiries regarding billing issues and problems Send monthly client statements based on client preferences Research credit balances Call clients to inquire on state of payments Communicate with other departments, including billing and collections, to ensure seamless financial transactions Maintains patient confidentiality and complies with HIPAA regulations. Identify ways to improve and promote quality and monitor own work to ensure quality standards are met. Assist with more difficult client questions and account inquiries. Required Qualifications High School Diploma or GED equivalent 3-5 year in medical /dental office setting, preferably in customer facing role OR front desk associate. Previous experience with Business-to-Business (B2B) communications . Strong Customer Service & Communication skills – written and verbal Intermediate Problem solving Intermediate knowledge of Medical billing processes Intermediate knowledge of Medicare, Medicaid and commercial insurance guidelines Proficient in MS Office (Word, Excel, Outlook) Must be highly organized with a strong attention to detail Demonstrates solid time management skills and organization Ability to work with minimal guidance; Proactive, motivated self-starter Flexibility and proven ability to handle and manage frequent changes effectively and efficiently Knowledge of insurance processing, guidelines and general laws related to all payers. Intermediate knowledge of clinical documentation review for alignment with insurance authorization requirements Basic knowledge of CPT, ICD-10 Meets productivity/performance standards as set forth by management. Conditions of Employment: Individuals must successfully complete the pre -employment process, which includes criminal background check, drug screening, and reference verification. Preferred Qualifications Associate’s degree accounting, finance, healthcare administration, or a related field OR equivalent combination of education and experience Must possess professionalism, superior organizational skills, communications skills that allow the ability to educate and influence, an unrelenting passion for persistent follow up, and a drive towards problem resolution. Drive for Results (Service, Quality, and Continuous Improvement) – Ensure procedures and processes are in place that will lead to delivery of quality results and continually reassess their effectiveness to achieve continuous improvement. Communication – Proficient verbal and written communication skills. Willingness to share and receive information and ideas from all levels of the organization to achieve the desired results. Teamwork – Commitment to the successful achievement of team and organizational goals through a desire to participate with and help other members of the team. Customer Service Focus – Demonstrate a focus on listening to and understanding client/customer needs and then delighting the client/customer by exceeding service and quality expectations. Physical Demands Must possess ability to sit and/or stand for long periods of time. Must possess ability to perform repetitive motion. Ability to lift up to 15 pounds. The majority of work is performed in a desk/cubicle environment. Training All job specific, safety, and compliance training are assigned based on the job functions associated with this employee. Other Willingness to work shift work and overtime. Job may require occasional weekends, evenings, and/or holidays. Conditions of Employment: Individual must successfully complete pre-employment process, which includes criminal background check, drug screening, credit check ( applicable for certain positions ) and reference verification. This job description reflects management’s assignment of essential functions. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Caris Life Sciences is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

Posted 3 days ago

Insurance Billing Specialist-Ft-logo
Insurance Billing Specialist-Ft
Memorial Regional HealthCraig, Colorado
Position-Specific Performance Expectations, Duties, and Responsibilities: Process and submit health insurance claims to various insurance companies in a timely and accurate manner. Ensure claims are coded correctly in compliance with the latest medical coding and billing guidelines (CPT, ICD-10, HCPCS). Collaborate with the coding and clinical departments to resolve edits and denials. Maintain a working knowledge of Medicare and Medicaid as well as commercial payer guidelines, and stay abreast of new policy changes. Verify patient eligibility and coverage details before claim submission, and reconcile coverage denials when necessary. Resolve claim edits both in the electronic medical record and in the clearinghouse to prevent denials. Follow up with insurance companies regarding denied or underpaid claims, and submit appeals when appropriate. Review insurance and patient credit balances and resolve them timely. Educate patients on their billing inquiries, providing clear and accurate explanations regarding their insurance coverage and payment responsibilities. Document all actions taken with an account in the electronic medical record (EMR). Performs other duties as assigned. Organization-Specific Performance Expectations, Duties, and Responsibilities: Demonstrates 100% commitment to performance in accordance with the CHOICE values of MRH and representing the organization in a positive and professional manner. Establishes and maintains effective verbal and written communication and good working relationships with all patients, staff, and vendors. Adheres to MRH attire/dress code per policies and procedures. Utilizes initiative; strives to maintain a steady level of productivity; self-motivated; and manages activity and time. Completes annual education, training, in-service, and licensure/certification requirements; and attends departmental and organizational staff meetings or reads meeting minutes. Maintains patient confidentiality at all times. Reports to work on time as scheduled; completes work within designated timeframes. Actively participates in departmental and organizational performance improvement and continuous quality improvement activities. Strives to uphold regulatory requirements to ensure continual compliance with departmental, hospital, state, and federal regulations and policies. Follows policies and procedures for infection control, safety, and risk management to ensure a safe environment for patients, the public, and staff. QUALIFICATIONS: Minimum Requirements: Must be at least 16 years of age (21 for driving positions with a valid driver’s license). Must be able to legally work in the United States. Must be able to pass a background check. Must be able to pass a drug screen and breath alcohol test (if applicable). Must complete employee health meeting. Required Education/Licensure/Certification: High School Diploma or equivalent, preferred. Medical billing or coding certification highly desired (CPC, CPB, RHIT, CCS, etc) Experience: Two (2) years prior experience in medical billing, accounts receivable, or related field required (can substitute with a medical billing or coding certification (CPC, CPB, RHIT, CCS, etc). Knowledge of UB-04 and CMS-1500 claim forms, preferred. Epic or similar EMR experience, preferred. Prior authorization process experience, preferred. Typing speed of a minimum of 30 WPM, preferred. Proficiency in Excel, preferred. Position Classification: Non-exempt Compensation Range: $24.99 to $37.49 Benefits: Medical, Dental, Life, Retirement, Paid Time Off

Posted 30+ days ago

Billing & Collections Coordinator-logo
Billing & Collections Coordinator
Continental Casualty CompanyLake Mary, Florida
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. Under general supervision, handles internal and external customer calls and emails relating to billing and/or policy status. JOB DESCRIPTION: Essential Duties & Responsibilities Performs a combination of duties in accordance with departmental guidelines: Independently conducts contacts via phone or email with external customers in pursuit of collection or resolution of aged receivables. Provides responses in writing and/or by telephone within designated call and transaction parameters. Performs analysis and balance reconciliation of financial data to ensure accuracy of all transactions and open balances. Determines and initiates actions such as corrections, policy cancellations/ reinstatements, balance transfers to legal collections, etc. to resolve issues and disputes. Owns all internal actions, including follow through, to ensure that all related corrective actions or transactions are supported by peer areas in underwriting, processing and billing & collections. Maintains detailed file activity documentation through closure of collection efforts. Communicates professionally and effectively, follows up, and keeps customers informed. Builds strong relationships with customers and colleagues. Provides superior service to our customers and internal business partners acting with a sense of urgency. Provides user assistance with website navigation assistance. Identifies issues and process improvement opportunities on a routine basis. May perform additional duties as assigned. Reporting Relationship Typically Supervisor or above Skills, Knowledge & Abilities Strong written, verbal and interpersonal communication skills, including professional phone etiquette and the ability to work with internal and external customers at all levels. Analytical skills with the ability to work independently and proactively to identify and resolve problems. Solid computer skills including Microsoft Office Suite and other business related software. Strong organizational skills including the ability to handle multiple tasks and prioritize work. Education & Experience Associates Degree or equivalent. Typically a minimum two years of relevant experience. #LI-DM1 #LI-Hybrid I n certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia , California, Colorado, Connecticut, Illinois , Maryland , Massachusetts , New York and Washington, the national base pay range for this job level is $35,000 to $65,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees – and their family members – achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA’s benefits, please visit cnabenefits.com . CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact leaveadministration@cna.com .

Posted 6 days ago

Pharmacy Billing Lead-logo
Pharmacy Billing Lead
Guardian Pharmacy Services ManagementNorth Port, Florida
North Port, Florida, United States of America Extraordinary Care. Extraordinary Careers. With one of the nation’s largest, most innovative long-term care pharmacy services providers, there is no limit to the growth of your career. Guardian Pharmacy of Southwest Florida, a member of the Guardian family of pharmacies, has an exciting opportunity for you to join our rapidly growing team in North Port, Florida . Why Guardian Pharmacy of Southwest Florida ? We’re reimagining medication management and transforming care. Who We Are and What We’re About: Our core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered. We offer an opportunity to learn and grow your career in a fast-paced, diverse, and inclusive environment. If you are looking for a challenging, team-oriented environment in which you can put your expertise to work, then this is the place for you. Schedule: M-F 10:00am to 6:00pm This role will be performed onsite at a closed-door pharmacy in North Port, Florida. All patient interactions will be over the phone. Comprehensive training provided side by side with training team. Must be comfortable working in a high-volume environment. We offer full time benefits including health, vision, dental and matching 401k options. The Lead Billing Specialist assists in supporting and leading the daily operations of the billing function. Assists pharmacy management in daily operational workflow and scheduling assignments. Provides support and training to billing team members. Ensures customer service standards are met for facilities and patients we service. Attributes Required: • Work Ethic/Integrity – must possess intrinsic drive to excel coupled with values in line with company philosophy • Leadership – ability to lead project teams to deadlines, while maintaining strong team orientation • Strategy and Planning – ability to think ahead, plan and manage time efficiently • Problem Solving – ability to analyze causes and solve problems at both a strategic and functional level • Team Oriented – ability to work effectively and collaboratively with all team members Essential job functions (include the following): Consistently perform all activities and duties of Billing Specialist II at above standard performance levels. This includes performing all daily and month-end billing functions, procedures and reporting. Handle escalated billing issues and questions from team members. Ensure full customer satisfaction is reached for residents, responsible parties and facility staff. Working with department leadership, train, lead and develop team to ensure optimum performance. Ensure training manuals and written policies and procedures are maintained and updated for area/function. Working with department leadership, train, lead and develop team to ensure optimum performance. Ensure training manuals and written policies and procedures are maintained and updated for area/function. Work with various department leaders to assist/support clearing bottlenecks in workflow and ensure the most efficient processes are followed. Assist in implementing changes and rollout of new processes/tools to team members. In coordination with Departmental management, provide input on performance evaluations Lead by example in all areas of role and supporting the non-negotiable attributes: attitude, dependability, commitment, productivity, efficiency and upholding policies and procedures Through prior experience and cross training, demonstrate advanced knowledge and understanding in pharmacy facility billing requirements (Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances) and working/functional knowledge of other pharmacy departmental functions Serve as subject matter expert and departmental resource in Pharmacy information systems and workflow. Consistently exceed pharmacy's established accuracy and productivity levels. Follow all applicable government regulations including HIPAA. As a team lead, ensures team members work collaboratively to meet the service goals of the pharmacy Other essential functions and duties may be assigned as needed Education and/or Certifications: High School Diploma or GED required Pharmacy Technician license/certification/registration per state requirements; National Certification preferred (PTCB) may be required (pharmacy specific). Skills and Qualifications: • 3+ years related experience including a minimum of 1 year at Billing Specialist II level • Advanced computer skills; pharmacy information system experience required • Ability to work independently and deliver to deadlines • Great attention to detail and accuracy • Ability to excel in a fast-paced, team-oriented environment working on multiple tasks simultaneously, while adhering to strict deadlines • Quality minded; motivated to seek out errors and inquire about inaccuracies Work Environment: • Ability to work flexible hours What We Offer: Guardian provides employees with a comprehensive Total Rewards package, supporting our core value of, “Treat others as you would like to be treated.” Compensation & Financial Competitive pay 401(k) with company match Family, Health & Insurance Benefits (Full-Time employees working 30+ hours/week only) Medical, Dental and Vision Health Savings Accounts and Flexible Spending Accounts Company-paid Basic Life and Accidental Death & Dismemberment Company-paid Long-Term Disability and optional Short-Term Disability Voluntary Employee and Dependent Life, Accident and Critical Illness Dependent Care Flexible Spending Accounts Wellbeing Employee Assistance Program (EAP) Guardian Angels (Employee assistance fund) Time Off Paid holidays and sick days Generous vacation benefits based on years of service The Guardian Difference Our clients require pharmacy services that aren’t “cookie cutter.” That’s why every Guardian pharmacy is locally operated and empowered with the autonomy to tailor their business to meet their clients’ needs. Our corporate support offices, based in Atlanta, Ga., provide services such as human resources, business intelligence, legal, and marketing to promote the success of each Guardian location. Regardless of your role at Guardian, your voice and talents matter. Because healthcare is an ever-changing industry, we encourage innovative thinking, intellectual curiosity, and diverse viewpoints to ensure we stay competitive in today’s dynamic business environment. At Guardian, we are dedicated to fostering and advancing a diverse and inclusive workforce. Join us to discover what your best work truly looks like.

Posted 30+ days ago

Billing/Collections Specialist-logo
Billing/Collections Specialist
Acadia ExternalTurbotville, Pennsylvania
This position is an on-site position Responsible for obtaining accurate and detailed information concerning insurance and self-pay reimbursement on all patient accounts. Request and process all bills to third party payors and patients, maximizing re-imbursement of services provided to achieve established hospital goals. Responsible for accurate and timely data entry of charges, payments, adjustments and other transactions to patient accounts as required to include both insurance and patient billing for charges incurred. Responsible for timely follow-up to insurance companies on billing submitted in order to allow for an effective and efficient cash flow of hospital receivables. Balance A/R and maintain supporting reports as per department policy. Retrieve and perform electronic billing to insurance companies in a timely manner. Make follow up calls to insurance companies and guarantors as required. OTHER FUNCTIONS: Perform other functions and tasks as assigned EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: High School Diploma or GED required. Minimum of one-year experience in either medical or third party billing/collections required. Compensation is based on experience. Must have good verbal and written communication skills Must be detail oriented Proficiency in Microsoft Offices and knowledge of healthcare billing is required Must be able to work individually as well as within a team setting

Posted 30+ days ago

Billing Specialist-logo
Billing Specialist
Wright ServiceWest Des Moines, Iowa
Title : Billing Specialist Type : Full-Time/Non-Exempt Reports to : Payroll and Billing Supervisor About Wright Service Corp: Wright Service Corp. is a leading provider of environmental services, offering integrated vegetation management, forest and reforestation management, technology solutions, sustainability consulting, landscaping, tree care, and more. The Wright family of companies includes Wright Tree Service®, Wright Outdoor Solutions®, Eocene Environmental Group℠, and other well-known brands such as Spectrum Resource Group and ArborCare. Founded in 1933 and headquartered in Central Iowa, Wright Service Corp. has been 100% employee-owned since 2002. Position Summary: The Billing Specialist plays a key role in supporting the accuracy, timeliness, and integrity of customer billing processes. This position is responsible for generating, reviewing, and submitting invoices in accordance with customer agreements and internal policies, while also supporting billing-related inquiries and coordinating with operations and field staff as needed. Responsibilities : Accurately prepare, generate, and submit customer invoices in accordance with utility and service contracts. Enter billing data into customer-specific platforms and internal systems, ensuring alignment with contractual obligations. Review billing documentation and timesheets to validate service hours, rates, job codes, and other invoice elements. Maintain organized and up-to-date billing records and documentation for audit and reference purposes. Reconcile billing discrepancies and resolve issues in collaboration with internal departments and customers. Assist in the preparation of periodic billing reports, customer summaries, and financial records. Respond to customer billing inquiries and requests with professionalism and timely follow-up. Ensure billing compliance with union and utility contracts, including rate changes, service modifications, and adjustments. Provide backup support for select payroll tasks during peak periods or team absences. Collaborate with field teams to collect and verify billing data as needed. Perform other related duties and administrative tasks as assigned. Requirements : 2+ years experience in billing, accounts receivable, or a related administrative role (utility or service industry preferred). Strong attention to detail with excellent data entry and organizational skills. Proficiency in Microsoft Office products, especially Excel. Ability to work independently and manage time effectively in a deadline-driven environment. Familiarity with customer invoicing systems or portals is a plus. Strong written and verbal communication skills with a customer service mindset. Demonstrated discretion when handling confidential information. Benefit Summary: Full-Time employees within Wright Service Corp are eligible for the following: Medical (HDHP & PPO), Dental, and Vision 401k and 401k match ESOP (Employee Ownership Program) Paid Time Off (Vacation, Sick, Floating Holidays) Paid Parental & Family Care Leave Company Paid STD, LTD, and Life Insurance Paid Volunteer Time And More... Learn more at www.thewrightbenefits.com Wright Service Corp. employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. https://wrightservicecorp.com/privacy-policy

Posted 1 week ago

Skilled Nursing Billing Specialist-logo
Skilled Nursing Billing Specialist
Lifespace CommunitiesUpper St Clair, Pennsylvania
Community: Friendship Village of South Hills Address: 1290 Boyce Road Upper St Clair, Pennsylvania 15241 Pay Range $22.25-$30.60+ Hourly Live your purpose. Grow your career. Thrive through teamwork. Create meaningful, personalized experiences. At Lifespace, team members are at the center of delivering a purpose driven experience for our residents! We provide an environment where each team member can live their aspirations, developing in their career, making a difference, and being a part of a meaningful mission. Join our Billing Specialist team today! A few details about the role: Follow-up on outstanding resident receivables (A/R) through a variety of methods. Review, post/upload, and reconcile designated invoices and charges in the billing system to generate and submit monthly resident statements. Responsible for entering census actions for all levels of living; maintain accurate census data in the healthcare management system. Prepare, review and send resident statements and collection letters. Participate in monthly or quarterly AR reviews with the community teams, providing information on nonpayment of private balances. Identify trends and provide feedback regarding billing issues and uncollectible accounts monthly. And here’s what you need to apply: High school diploma or equivalency. Associate degree in business administration, accounting or health care administration preferred. Skilled nursing billing knowledge required. Lifespace has enjoyed over 40 years of success, and this is just the beginning. With new opportunities, continued growth, and the support from your Lifespace family get ready to ignite your life and experience Living Lifespace. COMPANY OVERVIEW: Lifespace Communities headquartered in West Des Moines, Iowa and Dallas, Texas, is one of the nation's largest Senior Living providers of non-profit retirement communities. Lifespace employs over 4,500 team members and servers over 5,100 residents. The organization is committed to creating communities where people are empowered to live their aspirations. Equal Opportunity Employer If you are excited to learn and grow, be excellent, thrive with your team and deliver personalized experiences you'll enjoy your career with us!

Posted 30+ days ago

Billing Administrator-logo
Billing Administrator
Performance Systems IntegrationPortland, Oregon
Job Title: Billing Administrator Position Summary: The Billing Administrator is responsible for preparing, reviewing, and distributing accurate and timely invoices to customers while ensuring compliance with company policies and contractual obligations. This role supports the broader billing operations by maintaining accurate billing records, addressing discrepancies, and contributing to a smooth and efficient billing cycle. The Billing Administrator will report to the Billing Supervisor and work collaboratively with both internal teams and external stakeholders. --- Key Responsibilities: Invoice Preparation and Processing: ● Accurately prepare and issue customer invoices in accordance with contract terms and billing schedules. ● Ensure timely delivery of invoices and related documentation. ● Review billing data for completeness, accuracy, and adherence to internal guidelines. ● Make adjustments or corrections to invoices as needed, following approval processes. Data Validation and Issue Resolution: ● Validate billing information including customer details, pricing, and terms. ● Collaborate with sales, operations, and finance teams to investigate and resolve billing discrepancies. ● Respond to internal and external inquiries regarding invoice status, adjustments, or clarifications. ● Maintain detailed billing records and documentation to support accuracy and compliance. Reporting and Compliance: ● Assist with generating billing-related reports for management as requested. ● Support month-end closing activities related to accounts receivable. ● Ensure compliance with company billing procedures and relevant regulatory requirements. Process Improvement: ● Identify and communicate opportunities to improve billing processes or enhance data accuracy. ● Support the implementation of process improvements as directed by the Billing Supervisor. --- Skills and Qualifications: ● Proficiency in accounting or ERP systems (e.g., NetSuite, SAP, Oracle, SAGE) and MS Excel. ● Strong attention to detail and commitment to accuracy. ● Good organizational skills with the ability to manage multiple tasks and meet deadlines. ● Effective written and verbal communication skills. ● Ability to work independently and as part of a collaborative team. ● Familiarity with basic accounting principles and billing practices. --- Education & Experience: ● Minimum 2 years of experience in Billing, Accounts Receivable, or a related field. ● High school diploma or equivalent required; Associate’s or Bachelor’s degree in Accounting, Finance, or Business is preferred. --- Work Environment: ● Office-based environment with potential for remote work upon approval. Schedule: ● Monday through Friday, with occasional overtime as needed. Travel & Driving: ● No travel or driving required. Remote Work Eligibility: ● This position is eligible for remote work. To qualify, employees must have a secure and dedicated home office, reliable high-speed internet, and the ability to handle sensitive data responsibly. ● Continued remote work eligibility is based on performance and compliance with company policies.

Posted 1 week ago

Billing Associate-logo
Billing Associate
Peak Utility Services GroupStoughton, Massachusetts
The Billing Specialist works directly with the Operations teams to create work packets, enter projects into Vista, and perform partial or final billing. This includes working with the General Managers and Supervisors to provide information, follow-up on questions and assistance as needed. This position also uses customer systems to obtain work orders and process billing, works directly with customers as questions and issues are identified, and follows up as needed with the GM's, Supervisors and/or customers. It might also require telephones, to take messages and direct calls as needed.  Our Core Values: TRAITS  Trust, Respect, Accountability, Integrity, Teamwork, and Safety.  Essential Functions:  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  Roles and Responsibilities: Demonstrate strong attention to detail while ensuring compliance with diverse contract requirements Adapt quickly to varying rules and regulations across multiple city and town contracts Maintain filing and spreadsheets (Knowledge of Excel a MUST) Collaborate with supervisors to manage job billing details, ensuring all billable items are properly documented and approved Maintain a strong understanding of various underground utility contracts to ensure compliance and accurate invoicing   Tracking work orders internally and by subcontractors   Create jobs in Riley Brothers software   Create office files for work orders   Download work order plans from customer software and save them into an online work order file  Create field files for jobs. File and route appropriately   Enter customer approved invoices into company software system   Answering telephones, taking messages, and directing calls as needed   Working directly with customers and updating customer systems  Performs other duties as assigned  Success Factors:  Approachable, welcoming and personable personality  Detail-oriented, professional and have excellent written and verbal communication skills  Proficiency with Microsoft Office (Word, PowerPoint, Excel, Outlook)  Strong attention to detail Strong analytical skills  Experience and Education:  2-3 yrs. administrative experience.   Construction or underground utility experience a plus   Minimum of a High School diploma or GED  Additional Requirements/Licenses/Certifications:  Possession of, or ability to obtain, a valid State of Residence Driver’s License is required within two weeks of employment.  Candidates must pass criminal and Motor Vehicle Record (MVR) background checks and pass a pre-employment drug screen.  Notes:   The statements herein are intended to describe the general nature and level of work being performed by employees and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of the employer. 

Posted 1 week ago

Revenue Cycle Billing Specialist-logo
Revenue Cycle Billing Specialist
MahecAsheville, North Carolina
JOB SUMMARY: Manage daily billing functions for assigned patient insurance companies. Coordinate the interaction between patients and payors to facilitate timely reimbursement. Serve as a point of contact for billing problem solving. In depth knowledge of carrier Clinical Coverage Policies (CCP) and Billing Coverage Policies (BCP). SPECIFIC RESPONSIBILITIES: Maintain Accounts Receivable KPI (A/R balances older than 120 days must be less than 19% of total A/R) Maintain Adjusted Collection Percentage KPI (Reimbursement/Collections equal to or above 97% of Expected) Review and resolve denied patient insurance claims Assist in identifying current and/or potential billing issues specific to unpaid claims Post and balance all activity from carrier remits to include payments, contractual adjustments, and other adjustments Post and balance all payments from patients Make appropriate decisions and calls to carriers to maximize reimbursement on accounts to be worked Correct errors on electronic error reports Process and print/ transmit patient insurance claims, bills and other reports. Respond to patient account inquiries in person, by phone, or by mail; resolve problems as necessary Respond to inquiries from office staff regarding patient charges, appropriate diagnosis coding, and insurance coverage related issues Respond to inquiries from employees, payers, and patients regarding CPT and ICD-10 codes Maintain high level of patient confidentiality Ensure compliance with HIPAA regulations Other duties as assigned This role description is a general description of the essential job functions . It is not intended to describe all the duties the Denial Specialist may perform. KEY COMPETENCIES: Communication Skills Effectively and respectably communicate with other individuals, whether it be a colleague, patient, or patient’s family member and appropriately enumerate information in a manner easily understood by all parties. We do this to foster a culture of understanding between all parties, especially in complex and difficult situations , to ultimately provide the best care possible to our patients and their families. Decision Making Ability to make the most appropriate decision in a given situation and then taking the next steps to ensure appropriate and timely completion. This requires conflict resolution skills, critical thinking skills, confidence in your ability to make the right decision in most situations. This also includes ability to prioritize your workday appropriately to ensure the most important tasks are completed on time. HealthCare Knowledge Having the drive to keep yourself abreast and up to date on the new breakthroughs in your area of expertise and communicating them to the rest of the team, as appropriate . This also includes keeping up with your licensure and yearly training requirements within your area exp ertise along with MAHEC’s organizational training. Finally, the ability to apply the depth of knowledge maintained and gained through this process in real life scenarios as appropriate . Interpersonal Skills Showing the ability to meet difficult situations with grace, professionalism, and understanding. Within your area of expertise, showing respect and showing empathy where appropriate with your colleagues, patients, and their family at all times, even when its most difficult to do so. This is done, in part, by effective listening, being your authentic self, showing responsibility and dependability, and being patient with others. Organizational Values Adherence to MAHEC’s founding principles and incorporating them every day. This includes, among others, having integrity and accountability, reverence for other cultures and equitable practices, ability to manage change, and displaying a clear understanding of organizational dynamics. Doing these things creates a culture where people want to do the best for each other and gives personal ownership towards the goal of helping people in their time of need. Problem Solving Having an analytical mind and ability to work autonomously to solve complex problems that may arise. The wherewithal to think logically through a difficult problem and come to an appropriate resolution for a given issue. This helps to drive continuous improvement by thinking through where we can improve in a novel way. Measures success by understanding where we are currently and where we want to go and then applying those new ideas to affect positive change. SPECIFIED SKILLS COMPUTER Excellent skills in Microsoft Office including Word, Excel, PowerPoint, and database applications . FOREIGN LANGUAGE Spanish speaking skills preferred. PHYSICAL DEMANDS Not Applicable. SUPERVISORY RESPONSIBILITIES: EDUCATION AND EXPERIENCE MINIMUM QUALIFICATIONS: High School Diploma or GED equivalent required PREFERRED QUALIFICATIONS: One (1) year of relevant billing experience preferred in a medical office setting SCHEDULE: Regular attendance on-site is an essential function of this position. Typical business hours are Monday – Friday, 8:00 am to 5:00 pm (or flexed to best meet the needs of the clients and/or the Division); 40 hours per workweek; weekend, holiday, or evening coverage is occasionally . Work hours will need to be flexible in order to respond to special work assignments, or evening activities, as requested by the team leader. POSITION COMPENSATION: $22.31/hour At MAHEC , we strive to equip all team members with Total Rewards (pay + benefits) to honor their service, support their health, manage their financial security, build their career, and thrive. All MAHEC employees and learners will be required to receive the Flu vaccine or have an approved exemption. MAHEC Talent Management is located at 121 Hendersonville Road, Asheville, NC 28803. Equal Opportunity Employer. Black, Indigenous, People of Color and Spanish/English bilingual persons are strongly encouraged to apply. With this in mind, studies show that women, gender diverse, and BIPOC candidates are less likely to apply unless they meet all of the qualifications listed in the job description. If you are interested i

Posted 1 week ago

Pre-Billing & Claims Assoc I-logo
Pre-Billing & Claims Assoc I
UMass Memorial HealthWorcester, Massachusetts
Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account . Exemption Status: Non-Exempt Schedule Details: Monday through Friday Scheduled Hours: Days Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5418 Pre Billing and Claims Union: SHARE (State Healthcare and Research Employees) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 16,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. I. Major Responsibilities: 1. Prioritizes standards and guidelines to perform pre-billing and claims submission processes utilizing assigned work queues. 2. Sorts, distributes and processes primary and secondary paper claims. Ensures appropriate attachments are included leveraging available technology if possible. Documents action taken as appropriate in the Hospital Billing revenue cycle management system. 3. Submits electronic claims using the claims submission system in accordance with payer requirements. 4. Resolves edits in the claim submission application. 5. Uses provided reference material to troubleshoot edits and gain additional understanding of payer claim submission requirements. 6. References payer websites as needed to acquire knowledge and understanding of appropriate follow up actions. 7. Communicates and works with other team members collaboratively to understand and resolve claim edits and issues. 8. Escalates trends and additional edits internally, to promote claim accuracy and quality applicable to Hospital Billing Revenue Cycle management system, claim submission system, and payor claims processing systems. 9. Utilizes payer websites to identify claim submission requirements and communicate accordingly. 10. Works specialty claims according to instruction and work with departments to resolve issues on a timely basis. 11. Meets established productivity standards. 12. Facilitates and promotes the sharing of knowledge and content throughout departments. 13. Participates in cross training to optimize billing resources. 14. Maintains and fosters an organized, clean, and safe work environment. 15. Maintains a collaborative, team relationship with peers and colleagues in order to effectively contribute to the group’s achievement of goals and to help foster a positive work environment. 16. Practices cost containment and fiscal responsibility through the efficient use of supplies, equipment, time, etc. Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. High School diploma Experience/Skills: Required: 1. Previous Revenue Cycle knowledge in one of the following areas including PFS, Customer Service, Cash Posting, Financial Assistance, Patient Access, HIM/Coding and/or 3rd party Reimbursement. 2. Ability to perform assigned tasks efficiently and in timely manner. 3. Ability to work collaboratively and effectively with people. 4. Exceptional communication and interpersonal skills. Preferred: 1. One or more years of experience in health care billing functions. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered sedentary. Position requires work indoors in a normal office environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.

Posted 1 week ago

Coordinator I Billing-logo
Coordinator I Billing
Primoris UsaDenton, Texas
Principle Duties and Responsibilities: Invoicing of completed work to customer – Accurate and efficient review of all work documents and submitted billing in preparation of customer invoices. Invoice creation in Vista following all established guidelines, procedures and required approvals. Timely submission of all invoices to customer via customer portal or email transmission. Resolve in a timely manner any issues or rejected invoice submissions. Follow up with customers and on unpaid aging invoices. Skills and Requirements: 1. Attention to details, ability to consistently follow billing procedures. 2. Intermediate MS office skills, Excel (V-Lookup, Pivot Tables) and Outlook. 3. Keyboarding, 10 key preferred 4. Business communications skills in interactions with other billing staff, operations, and customers 5. Organization skills related to document retention, audit controls compliance 6. Basic problem-solving skills to assist with reviewing, assessing, and resolving any issues encountered with various steps of the invoicing process 7. Self-Starter/Motivated 8. Detail oriented EEO Statement: We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Third Party Agency Notice: Primoris will not accept any unsolicited resumes from any third-party recruiting agencies either domestic or international. Primoris nor its subsidiaries will be responsible for any fees from the use of any unsolicited resumes either through our ATS or via electronic mail systems from any agency representative or agency consultant unless your firm is an approved vendor partner with a current executed agreement.

Posted 2 weeks ago

Brigham and Women's Hospital logo
Billing Managed Care Coordinator
Brigham and Women's HospitalBoston, MA
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Job Description

Site: The Brigham and Women's Hospital, Inc.

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Monday through Friday 8:30am-5pm

Mandatory in office the first 90-day for in person training.

Remote considered after successful completion of training and meeting job requirements.

Job Summary

Summary Responsible for obtaining appropriate insurance authorizations, referrals and payments for all patient visits and procedures as well as collection of patient service coinsurance, deductibles, and self-pay revenue.

Essential Functions-Obtains insurance approval prior to initiation of patient services

  • Responsible for ensuring insurance referrals are received
  • Ensure accurate and timely billing and reimbursement from managed care organizations
  • Review and process managed care contracts and agreements
  • Manage and monitor billing and collections activities
  • Provide training and support to other departments on managed care billing practices and procedures
  • Maintain up-to-date records of all managed care billing activities

Qualifications

Education

High School Diploma or Equivalent required or associate's degree Related Field of Study preferred or bachelor's degree Related Field of Study preferred

Experience

experience in managed care billing and collections 2-3 years required

Knowledge, Skills and Abilities

  • Knowledge of insurance and reimbursement practices.
  • Strong organizational, interpersonal, and communication skills.
  • Ability to analyze and interpret data and make informed decisions.
  • Knowledge of healthcare billing software and systems is a plus.
  • Ability to work independently and as part of a team.
  • Ability to work in a fast-paced environment.

Additional Job Details (if applicable)

Physical RequirementsStanding Occasionally (3-33%) Walking Occasionally (3-33%) Sitting Constantly (67-100%) Lifting Occasionally (3-33%) 20lbs- 35lbs Carrying Occasionally (3-33%) 20lbs- 35lbs Pushing Rarely (Less than 2%) Pulling Rarely (Less than 2%) Climbing Rarely (Less than 2%) Balancing Occasionally (3-33%) Stooping Occasionally (3-33%) Kneeling Rarely (Less than 2%) Crouching Rarely (Less than 2%) Crawling Rarely (Less than 2%) Reaching Occasionally (3-33%) Gross Manipulation (Handling) Constantly (67-100%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision- Far Constantly (67-100%) Vision- Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%)

Remote Type

Hybrid

Work Location

1620 Tremont Street

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

EEO Statement:

The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.