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Patient Account Rep HB - Billing And Collection - FT - Days - Billing And Collection @ MV-logo
El Camino HospitalMountain View, CA
El Camino Health is committed to hiring, retaining and growing the best and brightest professionals who will carry our mission and vision forward. We are proud of our reputation in the community: One built on compassion, innovation, collaboration and delivering high-quality care. Come join the team that makes this happen. Applicants MUST apply for position(s) by submitting a separate application for each individual job posting number they are interested in being considered for. FTE 1 Scheduled Bi-Weekly Hours 80 Work Shift Day: 8 hours Job Description Unit Specific Duties: Billing Ensures claims are billed timely and accurately using the Hospital Claims Scrubber Tool and billing system. Resolves claim edits. Collaborates with departments to resolve applicable claim errors. Reports all unbilled claim information and issues that may delay billing to Management to ensure there is no adverse effect on Hospital Cash Collections or Accounts Receivable. Customer Service Receives and processes correspondence and phone or online inquiries from patients, payers or any other third party in a timely and professional manner. Resolves patient billing inquiries and processes patient payments over the phone or in person. Follow Up Follows up on unpaid and denied claims for account resolution. Resolves accounts by contacting managed care entities, other third party payer organizations or patients to facilitate timely payments. Performs research and makes determination of appropriate actions for payment resolution. Writes and submits appeals for denied claims. Keeps informed of managed care and contractual arrangements to resolve accounts by managed care payers. Assigns root causes to denials based on research. Payment Posting Posts daily cash and adjustments for Hospital and Professional billing. Resolves undistributed payments and performs cash reconciliation. Reports all payment issues to Management to ensure there is no adverse effect on Hospital Cash Collections or Accounts Receivable. Self Pay Credit Balances Resolves credit balances that are due to patients. Audits and reconciles accounts to confirm credit balance and submits refunds in a timely manner. Qualifications High School Diploma or equivalent. Two (2) years related work experience in a Hospital, Physician, or other healthcare setting. Strong verbal and written communication skills. Works in a collaborative and team manner. Efficient organizational skills and effective reasoning, problem solving and critical thinking skills. Excellent typing skills. Ability to multi-task and demonstrate effective time management. Preferred knowledge and use of Microsoft Products: Outlook, Word & Excel. Strong attention to detail. Ability to process a high volume of work. Unit Specific Qualifications Billing Knowledge of medical terminology and billing. Prior experience with facility billing or a similar role. Understands Medicare, Medi-Cal, HMO, PPO and 3rd party rules and regulations. Customer Service Prior experience in a customer service setting. Preferred knowledge of health insurance coverages. Follow Up Experience with claim processing and denial follow up and resolution. Knowledge of insurance appeal writing. Basic knowledge of contracting. Understands Medicare, Medi-Cal, HMO, PPO and 3rd party rules and regulations. Payment Posting Preferred cash and adjustment posting background with regards to quality control of payments and transactions to financial system. 10-key preferred. Self Pay Credit Balances 10-key preferred. Knowledge of basic accounting practices and procedures. License/Certification/Registration Requirements None required Ages of Patients Served This position will serve all age groups. Salary Range: $32.45 - $48.68 USD Hourly The Physical Requirements and Working Conditions of this job are available. El Camino Health will provide reasonable accommodations to qualified individuals with a disability if that will allow them to perform the essential functions of a job unless doing so creates an undue hardship for the hospital, or causes a direct threat to these individuals or others in the workplace which cannot be eliminated by reasonable accommodation. Sedentary Work - Duties performed mostly while sitting; walking and standing at times. Occasionally lift or carry up to 10 lbs. Uses hands and fingers. - (Physical Requirements-United States of America) An Equal Opportunity Employer: El Camino Health seeks and values a diverse workforce. The organization is an equal opportunity employer and makes employment decisions on the basis of qualifications and competencies. El Camino Health prohibits discrimination in employment based on race, ancestry, national origin, color, sex, sexual orientation, gender identity, religion, disability, marital status, age, medical condition or any other status protected by law. In addition to state and federal law, El Camino Health also follows all applicable fair and equitable employment policies from the County of Santa Clara.

Posted 30+ days ago

Billing Specialist - Professional Billing-logo
Licking Memorial Health SystemsNewark, OH
Billing Specialist Professional Billing Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare organization, passionately dedicated to improving the health and well-being of our community. With a history dating back to 1898, LMHS remains a cornerstone of healthcare excellence, catering to the evolving needs of Licking County. Our cutting-edge facility provides a comprehensive spectrum of patient care services, from life-saving emergency medicine to the comforting embrace of home healthcare, with a unique range of specialized medical services, including cancer, heart health, maternity, and mental wellness. When you join the LMHS team, you become a vital part of your local community Hospital. Working at LMHS is not just a job, it is a unique opportunity to directly impact the health and well-being of your friends, family, and neighbors. You will be providing care in a place in which you are personally connected, where the impact of your work extends beyond the Hospital doors and into the heart of our community. Our commitment to diversity, equity, and inclusion ensures that every member of our community is served with respect and compassion. Join us in our mission - dedicated to patient safety, utilizing state-of-the-art technology, and with a passionate team of highly trained and compassionate individuals who strive to improve the health of the community. Position Summary Arranges the efficient and orderly resolution of all patient accounts. Ensures accurate and complete payment by insurance companies and patients, as well as accurate account adjustments pursuant to the Health Systems policy while maintaining a consistent professional conduct. Responsibilities Bill patient accounts, timely and accurate. Enter accurate billing information and prepare accurate paper or electronic claims. Correct claims and determine billing status. Perform timely follow-up of patient accounts. Prepare accurate reports of billing activity. Contact insurance carriers to expedite accurate payment of claims. Review remittances to ensure proper & accurate payments. Balance cash / checks Review and resolve credit balance accounts Complete applications for applicable Health Systems charity care programs. Perform other duties as requested. Requirements Read, write, and follow verbal or written directions. Analytical ability to detect and resolve problems. Interpersonal / Communication skills in difficult situations. Nine months experience in healthcare billing collections field. Ability to operate various office machines including a Personal Computer, fax, copier, etc. LMH is accredited by DNV and TJC, and as such, may require specific annual education related to specialty certifications and standards. Licking Memorial Health Systems is an equal opportunity employer and maintains compliance with all state, federal, and local regulations. Licking Memorial Health Systems does not discriminate against applicants because of race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors protected by law.

Posted 1 week ago

Professional Billing Representative | Professional Billing, Full-Time-logo
Memorial HealthMarysville, Ohio
We are looking for a Professional Billing Representative to join our collaborative team at Memorial Health! What You'll Do: Billing Functions: Ensures insurance claims are sent timely and accurately to government, commercial and managed care plans, adhering to payer timely filing requirements. Researches and resolves claim edits via Epic Work Queues (WQ) and/or external billing software, including electronic and paper processing. Prepares and processes secondary and tertiary insurance claims completing coordination of benefit tables accurately reflecting prior payer reimbursement. Ensures compliance and billing requirements for Worker’s Compensation (WC) and third-party liability claims are met. Ensures claims submission with all appropriate documentation, using the Release of Information (ROI) module in Health Information System (HIS). Verifies and updates patient account demographic and financial information, processing Real-Time Eligibility (RTE); contacting account guarantor and/or payer as appropriate for demographic and financial clarification. Enters complete and appropriate account note(s) in HIS identifying actions taken to reconcile claims. Works various hospital departments to ensure all authorizations, coding and charge information is in place to expedite clams processing and accurate account reimbursement. Understands Medicare Common Working File (CWF) and how to determine primary payer based on Medicare Secondary Payer Questionnaire (MSPQ). Works in conjunction with various physician offices; providers and managers, to obtain billing and coding information. Accounts Receivable Management: Manages account review and processing from system WQs, insures timely follow-up on all unpaid claims within appropriate billing cycle; manages system denial remark module, taking steps to rectify current denial. Contacts payers via payer websites and telephone for claim status and/or clarification on denied claims. Manages outstanding accounts receivable per departmental standards; maintains each payer’s outstanding receivables at or above departmental established goals. Prepares and submits appeals, collecting all pertinent documentation; filing per each individual payer’s guidelines. Customer Service: Supports all team members and co-workers, engaging in positive interactions at all times. Exhibits professional communication with customers, family members, co-workers, vendors and payers, by providing helpful assistance and responding timely to requests. Insures active listening prior to responding, remains calm and confident when assisting others. Demonstrates a strong representation of Memorial Health’s values through attitude, actions and communications with others. Addresses patient concerns and complaints and provides resolution for readily resolved issues; escalates more in-depth issues as appropriate to assist with service recovery. Displays enthusiasm while applying quick thinking and resourcefulness in providing assistance. Critical Thinking: Actively looks for and creates opportunities to improve department, staff and personal development. Develops and demonstrates knowledge of current developments in field to maintain competency. Utilizes hospital and departmental policies and procedures. Interpersonal: Acts as a resource for new employees and precepts as needed. All interactions are conducted in a professional manner. Demonstrates a positive attitude. Provides excellent customer service, facilitates quality care delivery and fosters an atmosphere of understanding cultural diversity. Communicates dissatisfaction with issues to direct supervisor; actively contributes to the solution of problems and refrain from promoting dissatisfaction among co-workers. Must be a team player; cooperate with co-workers to resolve conflict through one on one negotiation or with the assistance of the Director or their designee. Maintains confidentiality at all times to protect patient’s privacy and maintains HIPAA privacy and security regulations. Documentation: Documents accurately (painting a complete picture providing directions to other health care providers); refrains from using unapproved abbreviations in written or computer documentation. Documentation is completed on a daily basis. Understands the importance of accurate completion of documentation and Hospital accreditation requirements and how it impacts hospital payment and certification programs. Education: HIPAA privacy regulations and related procedures. CMS updates on patient rights. Requirements High school diploma or equivalent and three (3) years’ experience in the medical field preferably in a hospital setting. Knowledge of revenue cycle functions, understanding of health insurance and government programs, billing processes, managed care contracts, coordination of benefits with ability to interpret explanation of benefits desired. Knowledge of office practices and procedures, medical terminology and the ability to communicate effectively. Must be proficient with Microsoft Word, Excel and PowerPoint. Shift 1st Hours 80 per pay (Every two weeks) Benefits • Medical Insurance • Dental Insurance • Vision Insurance • Life Insurance • Flexible Spending Account Time Off • Vacation • Sick Leave • 11 Paid Holidays • Personal Day Retirement • Ohio Public Employee Retirement System • Deferred Compensation Other • Tuition Reimbursement • Kidzlink Daycare Center • Employee Recognition • Free Parking • Wellness Center • Competitive Salaries • Community/Family Atmosphere Location: Approx. 25 minutes away from Dublin, OH Approx. 30 minutes away from Hillard, OH Approx. 30 minutes away from Delaware, OH Approx. 30 minutes away from Powell, OH We look forward to seeing your application! It is our commitment to inclusivity and diversity and our ongoing determination to provide a welcoming and inclusive environment for all staff and guests of the Hospital, regardless of age, color, disability, gender, gender expression or gender identity, genetic information, national origin, race, religion, sexual orientation, or veteran status. For any questions or needed accommodations, please contact Memorial Health Human Resources at 937.578.2701.

Posted 30+ days ago

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Trinity Health CorporationFarmington Hills, MI
Employment Type: Full time Shift: Day Shift Description: POSITION PURPOSE Work Remote Position (Pay Rate: $19.2123-28.8184) Performs the day-to-day billing and follow-up activities within the revenue operations for an assigned Patient Business Services (PBS) location. Serves as a member of the billing and follow-up team assigned to a PBS location responsible for billing and follow-up of government and non-government accounts. Provides training and guidance to lower level colleagues and provide problem resolution as needed. This position reports directly to a Supervisor Billing & Follow-Up. ESSENTIAL FUNCTIONS Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions Performs daily activities as part of the billing and follow-up team in support of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates issues affecting accurate billing and follow-up activities. Adheres to proactive practices which includes contacting the payer directly for payment due on accounts and reviewing and responding to all mail correspondence in a timely and accurate manner. Communicates with appropriate hospital departments to clarify billing discrepancies, and obtain demographic, clinical, financial, and insurance information. Performs all follow-up functions which includes the investigation of overpayments, underpayments, credit balances and payment delays. Tasks will be routed to the correct workflows with the objective of maximizing reimbursement for services rendered and ensuring claims are paid or settled in a timely and accurate manner. Researches claim rejections, make corrections, take corrective actions, and/or refer claims to appropriate colleagues to ensure timely and accurate claim resolution. Proactively follow up on delayed payments by contacting patients and third-party payers and determining the cause for delay and supplying additional data as required. May prepare special reports as directed by the Supervisor Billing and Follow-Up to document follow-up services, e.g., number of claims and dollars billed, claims edited, claims unprocessed, etc. Assists in the training and education of Billing and Follow-up Representative I colleagues upon hire and ongoing, and as new systems, processes or payers are created. Provides problem resolution to billing and follow-up issues as needed. Other duties as needed and assigned by the supervisor. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health's Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior. MINIMUM QUALIFICATIONS High school diploma or Associate's degree in Accounting or Business Administration or related field, and a minimum of three (3) or more years' of direct experience and relevant knowledge of revenue cycle functions and systems working within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred. Proficiency in Microsoft Office, including Outlook, Word, PowerPoint, and Excel. Completion of regulatory/mandatory certifications and skills validation competencies preferred. Excellent verbal and written communication and organizational abilities. Strong interpersonal skills are necessary in dealing with internal and external customers. Accuracy, attention to detail and time management skills. Ability to work independently. Ability perform billing and follow-up activities in a prompt and accurate manner in order to reduce potential financial loss to the patient and the Ministry Organization. Must be comfortable operating in a collaborative, shared leadership environment. Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health. PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS This position operates in a typical office environment. The area is well lit, temperature controlled and free from hazards. Incumbent communicates frequently, in person and over the phone, with people in all locations on product support issues. Manual dexterity is needed in order to operate a keyboard. Hearing is needed for extensive telephone and in person communication. The incumbent is subject to eyestrain due to the many hours spent looking at a CRT screen. The noise level is low to moderate. Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles. Must possess the ability to comply with Trinity Health policies and procedures. The above statements are intended to describe the general nature and level of work being performed by persons assigned to this classification. They are not to be construed as an exhaustive list of duties so assigned Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Posted 1 week ago

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Trinity Health CorporationDavenport, IA
Employment Type: Full time Shift: Description: POSITION PURPOSE Work 100% Onsite in Davenport, Iowa for Training Only, and then Remote (Pay Range: $16.8185-$25.2277) Performs day-to-day billing and follow-up activities within the revenue operations of an assigned Patient Business Services (PBS) location. Serves as a member of the billing and follow-up team at a PBS location responsible for billing and follow-up of government and non-government accounts. The position reports directly to the Supervisor Billing and Follow-up. ESSENTIAL FUNCTIONS Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions. Performs daily activities as part of the billing and follow-up team in support of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates issues affecting accurate billing and follow-up activities. Adheres to proactive practices which include contacting the payer directly for payment due on accounts and reviewing and responding to all mail correspondence in a timely and accurate manner. Communicates with appropriate hospital departments to clarify billing discrepancies and obtains demographic, clinical, financial, and insurance information. . Performs all routine follow-up functions which includes the investigation of overpayments, underpayments, credit balances and payment delays. Tasks will be routed to the correct workflows with the objective of maximizing reimbursement for services rendered and ensuring claims are paid or settled in a timely and accurate manner. Researches claim rejections, make corrections, take corrective actions, and/or refer claims to appropriate colleagues to ensure timely and accurate claim resolution. Proactively follow up on delayed payments by contacting patients and third-party payers determining the cause for delay and supplying additional data as required. May prepare special reports as directed by the Supervisor Billing and Follow-Up to document follow-up services, e.g., number of claims and dollars billed, claims edited, claims unprocessed, etc. Other duties as needed and assigned by the supervisor. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health's Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.. MINIMUM QUALIFICATIONS High School diploma and successful completion of Trinity Health Trainee program as well as achievement of related program productivity and quality standards or at least one (1) year of experience and relevant knowledge of revenue cycle functions and systems working within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred. Basic understanding of Microsoft Office, including Outlook, Word, PowerPoint, and Excel. Completion of regulatory/mandatory certifications and skills validation competencies preferred. Excellent verbal and written communication and organizational abilities. Strong interpersonal skills are necessary in dealing with internal and external customers. Accuracy, attention to detail and time management skills. Ability to work independently. Ability perform billing and follow-up activities in a prompt and accurate manner in order to reduce potential financial loss to the patient and the Ministry Organization. Must be comfortable operating in a collaborative, shared leadership environment. Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health. PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS This position operates in a typical office environment. The area is well lit, temperature controlled and free from hazards. Incumbent communicates frequently, in person and over the phone, with people in all locations on product support issues. Manual dexterity is needed in order to operate a keyboard. Hearing is needed for extensive telephone and in person communication. The incumbent is subject to eyestrain due to the many hours spent looking at a CRT screen. The noise level is low to moderate. Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles. Must possess the ability to comply with Trinity Health policies and procedures. The above statements are intended to describe the general nature and level of work being performed by persons assigned to this classification. They are not to be construed as an exhaustive list of duties so assigned Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Posted 1 week ago

Accounts Receivable Healthcare Billing Specialist-logo
Berkshire HealthcareSpringfield, MA
Integritus Healthcare is a long-term Care, Senior Living and Housing company located in the Berkshires with locations throughout Massachusetts. Integritus Healthcare lives its core values of integrity, compassion, teamwork, excellence, and stewardship. We are looking for a Experienced Healthcare Billing Specialist to join our team. This position has competitive salary as well as a prime benefit package. Please don't forget WEEKLY PAY! Do you have third-party reimbursement experience? You will be an integral part of our accounting team at Integritus Healthcare. If so, please apply and join the dynamic team at Integritus Healthcare. Are you skilled at collection techniques and knowledgeable with accounting principle, analysis, billing, follow up and collection of all assigned facilities patient receivables? This is accomplished by using knowledge of third-party reimbursement, Integritus Healthcare policies and collection techniques and accounting principles to insure the timely financial resolution of each account. Other Requirements: o Demonstrate ability to work within deadlines and prescribed time frames. o Demonstrate ability to work on multiple tasks simultaneously. o Demonstrate effective interpersonal skills dealing with coworkers and the public. o Excellent communication skills, including telephone etiquette. Previous experience working with Medicare and Medicaid. o Previous Keane Ram computer experience desirable. o Demonstrate ability to complete tasks on a timely basis with minimum supervision. o Ability to preserve confidential nature of work subject. o Demonstrate experience in excel and word documents. Job Type: Full-time

Posted 3 weeks ago

Billing Analyst - Remote-logo
UnitedHealth Group Inc.Eden Prairie, MN
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Optum Rx is seeking a detail-oriented Sr. Billing Analyst to join our Finance Operations team. This role plays a critical part in ensuring accurate client invoices and supporting strategic financial initiatives across the organization. This Sr. Billing Analyst role will be responsible for completing day-to-day tasks related to PBM client billing. This role will be responsible for accurately and timely, based on contracts/supporting documentation, setting up invoicing configurations of new clients, changing invoicing configurations existing clients, adding elected services/product fees to clients' invoices. This role will peer review the work of others, ensuring accurate changes were made to the billing system. This role will collaborate with other Optum Rx operational areas working strategically to aid in achieving business and financial goals. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Ensure accurate and timely client billing in accordance with contractual terms and supporting documentation Configure and maintain invoice setups for new and existing clients, including elected services and product fees Conduct peer reviews to validate billing system updates and ensure accuracy Interpret contracts and documentation to support billing configurations and issue resolution Generate manual invoices and reports as needed Investigate and resolve billing discrepancies and client inquiries Collaborate cross-functionally with operational teams to support financial and business objectives Participate in and support special projects and process improvement initiatives Perform other duties and responsibilities as assigned to support departmental and organizational objectives You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Bachelor's degree 5+ years of billing experience Experience successfully managing multiple requests, assessing priorities, and achieving solutions under deadlines Intermediate level of proficiency with Microsoft Excel (pivot tables, v-lookups, etc.) Proven solid written and verbal communication and interpersonal skills Proven to be a motivated self-starter with exceptional time management and organization skills Proven ability to work independently and as part of a team in a fast-paced environment Proven solid analytical and problem-solving skills Proven to have high attention to detail and accuracy Preferred Qualifications: Bachelor's degree in accounting 1+ years of PBM billing experience Healthcare accounting experience Experience in large matrix organizations Experience using Oracle for financial transactions and reporting Familiarity with ServiceNow for workflow and issue tracking Proficiency in using Power BI for data visualization and reporting All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $48,700 to $87,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Posted 5 days ago

Senior Engineer I - Billing-logo
DigitalOceanSeattle, WA
Dive in and do the best work of your career at DigitalOcean. Journey alongside a strong community of top talent who are relentless in their drive to build the simplest scalable cloud. If you have a growth mindset, naturally like to think big and bold, and are energized by the fast-paced environment of a true industry disruptor, you'll find your place here. We value winning together-while learning, having fun, and making a profound difference for the dreamers and builders in the world. We are looking for a Senior Engineer I who is passionate about building scalable, intuitive, and reliable billing solutions. As a Senior Engineer I on the Billing Engineering Team at DigitalOcean, you will join a dynamic team dedicated to revolutionizing cloud computing and delivering a seamless, trustworthy billing experience to our customers. You'll report to the Engineering Manager of Billing Engineering and work closely with teams across Finance, Product, and Engineering to ensure that our billing platform remains accurate, transparent, and highly available. The ideal candidate is deeply empathetic toward customers, embraces continuous learning, and is driven to build simple yet powerful billing systems. What You'll Do: Design, build, and maintain scalable services, APIs, and workflows that support DigitalOcean's billing platform. Collaborate with cross-functional teams to define and implement new billing features, ensuring financial accuracy and compliance. Leverage technologies such as Go, gRPC, Kubernetes, Kafka, Grafana, Temporal, MySQL, and Redis. Create tooling and self-service capabilities to empower internal stakeholders and streamline processes. Contribute to continuous improvements in CI/CD workflows, performance, and developer experience within the billing ecosystem. What You'll Add to DigitalOcean: Proven experience in designing, building, and maintaining scalable, highly performant systems. Strong proficiency in Go (Golang); experience with Ruby is a plus. Solid understanding of distributed systems and microservice architecture, especially with Docker, Kubernetes, gRPC, Kafka, and MySQL. Familiarity with modern CI/CD pipelines, testing frameworks, and observability best practices. Excellent collaboration and communication skills, with a passion for cross-functional teamwork. A growth mindset and a customer-first attitude, with a track record of learning and adapting continuously. Why You'll Like Working for DigitalOcean We innovate with purpose. You'll be a part of a cutting-edge technology company with an upward trajectory, who are proud to simplify cloud and AI so builders can spend more time creating software that changes the world. As a member of the team, you will be a Shark who thinks big, bold, and scrappy, like an owner with a bias for action and a powerful sense of responsibility for customers, products, employees, and decisions. We prioritize career development. At DO, you'll do the best work of your career. You will work with some of the smartest and most interesting people in the industry. We are a high-performance organization that will always challenge you to think big. Our organizational development team will provide you with resources to ensure you keep growing. We provide employees with reimbursement for relevant conferences, training, and education. All employees have access to LinkedIn Learning's 10,000+ courses to support their continued growth and development. We care about your well-being. Regardless of your location, we will provide you with a competitive array of benefits to support you from our Employee Assistance Program to Local Employee Meetups to flexible time off policy, to name a few. While the philosophy around our benefits is the same worldwide, specific benefits may vary based on local regulations and preferences. We reward our employees. The salary range for this position is $145,000 - $170,000 based on market data, relevant years of experience, and skills. You may qualify for a bonus in addition to base salary; bonus amounts are determined based on company and individual performance. We also provide equity compensation to eligible employees, including equity grants upon hire and the option to participate in our Employee Stock Purchase Program. We value diversity and inclusion. We are an equal-opportunity employer, and recognize that diversity of thought and background builds stronger teams and products to serve our customers. We approach diversity and inclusion seriously and thoughtfully. We do not discriminate on the basis of race, religion, color, ancestry, national origin, caste, sex, sexual orientation, gender, gender identity or expression, age, disability, medical condition, pregnancy, genetic makeup, marital status, or military service. This is a remote role #LI-Remote

Posted 30+ days ago

Insurance Billing Specialist-logo
Burrell Behavioral HealthSaint Louis, MO
Job Description: Job Summary: The incumbent of this position is responsible for collecting, posting, and managing account payments as well as submitting claims and following up with insurance companies. Essential Job Functions: Creates insurance claims for all private insurance billing and submits claims in a timely manner following billing schedule. Complete audits of all claims documentation to verify accuracy of charges related to appropriate diagnosis and codes prior to filing claims. Maintain an accurate, up-to-date reporting system providing information on insurance billings, processing timelines, verification, pre-certifications, reasons for denial and payment of filed claims on a daily basis. Monitor pay habits of contracted insurance companies as well as out-of-network reimbursements and reports this to Leadership quarterly in order to assist in determining the need for additional or re-negotiated contracting. Provides follow up on any unpaid or denied claims; submits appeals within industry time frames for denials. Communicates status of appeals to program site. Deliver appropriate, timely reports to Supervisors and to the Executive Team members as needed regarding accounts receivables, claim status, etc. Assist with monitoring of receivable accounts for recommendations of collection, write-off, reimbursements, etc. Assist with the development of any new in-house computerized billing systems and client demographics databases. Other duties as assigned by the Director, Vice President, and/or Executive Team members. Knowledge, Skills, and Abilities: Considerable knowledge in medical billing and collection practices. Basic knowledge of medical coding and third-party operating procedures and practices. Superior communication and customer service skills Excellent 10 key and alphanumeric data entry skills with attention to detail Proficient in common word processing, spreadsheet, database, and web-based applications. Experience and Education Qualifications: High School diploma with courses in typing and business practices; AND At least three (3) years experience in bookkeeping position; AND At least two (2) years includes experience in an insurance billing position. Supervisory Requirements: None Employment Requirements: Successful completion of background check including criminal record, driving record, abuse/neglect and fingerprint check. Completion of New Hire Orientation at the beginning of employment. All training requirements including Relias at the beginning of employment and annually thereafter. Current driver's license, acceptable driving record and current auto insurance. Physical Requirements: ADA Consideration - Sedentary work: Exerting up to 10 pounds of force occasionally (exists up the 1/3 of the time) and/or a negligible amount of force frequently (exists 1/3 to 2/3 of the time) to lift, carry, push, or pull, or otherwise move objects, including the human body. Repetitive movements of hands, fingers, and arms for typing and/or writing during work shift. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met. Position Perks & Benefits: Paid time off: full-time employees receive an attractive time off package to balance your work and personal life Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more Top-notch training: initial, ongoing, comprehensive, and supportive Career mobility: advancement opportunities/promoting from within Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness Brightli is on a Mission: A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients. As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission-driven organization dedicated to cultivating an authentic workplace. We are an Equal Employment Opportunity Employer. Places for People is a Smoke and Tobacco Free Workplace.

Posted 6 days ago

Billing/Scheduling Associate II (Remote) - Obstetrics And Gynecology-logo
Washington University in St. LouisSaint Louis, MO
Scheduled Hours 40 Position Summary Obtains insurance information, referral forms and counsels patients on financial assistance over the phone. Schedules and registers patients over the phone or by email, with no patient contact. Job Description Primary Duties & Responsibilities: Obtains insurance information from patients and counsels alternative ways for financial assistance. Communicates with physicians and clinical staff to assist with scheduling urgent or referred patient scheduling calls/requests. Provides patient scheduling services to include collecting demographics and insurance registration. Reviews schedule for new patients and makes updates when necessary. Calls patients with appointment time reminders; obtains insurance information and referral forms. Processes internal physician referrals for clinical care. Explains billing process to patients, answers incoming inquiries from patients and third-party payers. Works with others to solve moderately complex problems. Explains billing process to other staff; assists with basic account maintenance activities. Assists patients with insurance questions regarding the billing process. Assists staff with sending out reminder cards and other scheduling duties. Works Relatient patient reminder system results and contacts patients or makes scheduling changes. May make daily edits and temporary changes to provider scheduling templates based on physician input. Working Conditions: Job Location/Working Conditions Normal office environment. Physical Effort Typically sitting at desk or table. Repetitive wrist, hand or finger movement. Equipment Office equipment. The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time. Required Qualifications Education: High school diploma or equivalent high school certification or combination of education and/or experience. Certifications: No specific certification is required for this position. Work Experience: Relevant Experience (3 Years) Skills: Not Applicable Driver's License: A driver's license is not required for this position. More About This Job WashU seeks highly motivated individuals who are able to perform duties in a manner consistent with our core mission and guiding principles. Preferred Qualifications Education: No additional education beyond what is stated in the Required Qualifications section. Certifications: No additional certification beyond what is stated in the Required Qualifications section. Work Experience: No additional work experience beyond what is stated in the Required Qualifications section. Skills: Billing Systems, Customer Service, Epic EHR, Financial Information, Insurance, Interpersonal Communication, Medical Office Support, Microsoft Excel, Microsoft Office, Microsoft Word, Organizing, Prioritization, Scheduling, Third Party Claims Grade G06-H Salary Range $17.87 - $27.06 / Hourly The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget. Questions For frequently asked questions about the application process, please refer to our External Applicant FAQ. Accommodation If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request. All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship. Pre-Employment Screening All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening. Benefits Statement Personal Up to 22 days of vacation, 10 recognized holidays, and sick time. Competitive health insurance packages with priority appointments and lower copays/coinsurance. Take advantage of our free Metro transit U-Pass for eligible employees. WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%. Wellness Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more! Family We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We've got you covered. WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us. For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/ EEO Statement Washington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups. It is the University's policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information. Washington University is dedicated to building a community of individuals who are committed to contributing to an inclusive environment - fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply.

Posted 2 weeks ago

Associate Director, Billing And Collections-logo
University of ChicagoChicago, IL
Department Provost URA: Research Finance About the Department University Research Administration has the responsibility to review and provide institutional endorsement for all proposals to federal and other external sponsors (excluding gifts), assuring compliance with University policies and sponsor terms and conditions. URA is the institutional authority for the negotiation and acceptance of financial support or other contractually-binding obligations in the form of a contract, grant, or agreement, including material transfer agreements and clinical trials. Job Summary The Associate Director, Billing and Collections is responsible for leading a team that maintains and executes billing and collections activity, manages key relationships between the University and external partners, and monitors and reports on billing and collections for sponsored projects at the University of Chicago. In addition, the Associate Director will work with University and Department leadership to identify and implement enhancements to day-to-day billing, collections and revenue operations. The successful candidate will be analytical, proactive, solution-oriented, and possess exceptional communication skills. This individual will be self-motivated and have the ability to exercise sound judgement in prioritizing tasks. Responsibilities for this position include: Manage a team of financial analysts responsible for federal drawdowns, invoicing, cash collection/application, reconciliation. This position requires the ability to effectively train new processes and convey detailed procedures. This position is expected to effectively collaborate with internal URA teams and facilitate cross collaboration. The job manages a team of professional staff responsible for establishing and maintaining accounting policies and controls, fiscal controls, preparing financial reports and safeguarding assets. Develops strategy for accounting and financial records and reports. Additional responsibilities include: dual review of funds to be drawn from Federal sponsors, issuing invoices to non-Federal sponsors, confirming all accounts are billed in accordance with the designated terms review and reconciliation of university bank accounts, sending overdue notices, and working cooperatively with inter-University teams on annual financial statements and reconciliation. This position requires rapid proficiency in University of Chicago systems as well as a high level of proficiency in Excel. Incumbents are expected to review and interpret Sponsor payment terms. Responsibilities Manages the day-to-day activities of the Billing & Collections Team within University Research Administration, providing leadership and oversight of billing and collections activities such as invoicing, dunning activity, process improvement and workload distribution. Provides guidance to staff on operational issues to ensure consistency and accuracy, train and mentor administrative support staff. Provides institutional endorsement on documents, on behalf of the Authorized Organizational Official. Communicates and collaborates effectively with university departments, sponsors, URA leadership and address /resolve issues both internally and with sponsors. Identifies reporting needs, works with developers to create/update reports and analyze team reports to ensure equitable work distribution and delegation of short-term, high-impact projects to direct reports. Applies independent judgement and knowledge of Uniform Guidance, GAAP, and university policies and procedures in performing all tasks to ensure compliance with federal sponsor requirements. Maintains and update sponsored accounting policies and procedures in accordance with regulatory requirements. Develops processes for the review of incoming sponsored awards to confirm billing is completed and payments are received and applied in accordance with sponsor requirements through the closeout of the award using Oracle Financials and Orbit (Oracle business intelligence tool) and ensure timely deposit and recording of payments received by check. Support and respond to internal and external audit data request. Contributes to cross-functional/department initiatives to improve billing and payment process and post-award accounting using Oracle Financials and Orbit. Oversees and supports Federal letter of credit draws, including review and approval of draw requests. Provides guidance for complex sponsor billing requirements and payment reconciliations through the award lifecycle. Collaborates with the Credit Union, Treasury, Financial Services, and Bursar's Office to ensure proper payment application. Liaise between federal sponsors, URA Post-Award Administrators, faculty and staff regarding billing and collections. Partners with URA Leadership and other business units/departments as needed. Addresses questions and issues related to billing and collections of sponsored projects. Coordinates with the URA training team to develop and implement training programs relating to issues of current importance in grant and contract management are communicated to and understood by the research administration community on campus. Manages professional staff. Establishes performance goals, allocates resources and assesses policies for direct subordinates. Advises and monitors accounting policies and controls, fiscal controls, preparing financial reports and safeguarding assets. Performs other related work as needed. Minimum Qualifications Education: Minimum requirements include a college or university degree in related field. Work Experience: Minimum requirements include knowledge and skills developed through 7+ years of work experience in a related job discipline. Certifications: -- Preferred Qualifications Education: Bachelor's degree, in Accounting or finance. Advanced degree strongly strongly preferred. Experience: Relevant experience interpreting sponsored research grants and contracts, and working with budgets, ledgers, invoices and fiscal reporting. A minimum of 5+ years of supervisory/management experience Knowledge of OMB's Uniform Guidance for Grants (2 CFR 200). Experience working in a sponsored programs research administration office, or in an academic environment. Experience with University of Chicago systems. Technical Skills or Knowledge: Strong technical skills including the ability to work in research administration systems, sponsor system portals, and help desk ticketing systems. Ability to keep composure during stressful situations and creatively troubleshoot technical issues to timely resolutions. Proficiency in Microsoft Office Suite, especially Access, Excel (VlookUps, Index Match, Pivot Tables, custom formulas, etc.) along with Huron Research Suite (or similar). Experience with Oracle Financial including the related Grants Management modules. Advanced level proficiency working in business intelligence reporting tools. Able to quickly comprehend current reporting practices, troubleshoot issues, develop/create complex reports, and translate data once exported. Experience with data modeling and projections. Preferred Competencies Leadership: Ability to inspire and motivate teams with a clear vision, ensuring all members understand their role in achieving overall project goals. Strong interpersonal skills to manage team dynamics, handle conflicts constructively, and maintain a positive team culture. Ability to connect short-term actions to long-term goals, ensuring alignment with organizational objectives. Independence: Work independently with a high degree of initiative, curiosity and minimal supervision. Willingness to learn new skills, take on new challenges, and ability to effectively interact and collaborate with all levels of university administrators and faculty members. Make decisions independently that will have downstream impacts on the management of sponsored projects. Communication Skills: Excellent oral and written communication skills with the ability to interact effectively with a diverse range of stakeholders, with faculty and administrative staff at the University, and close collaboration with all staff within the office of University Research Administration. Service Orientation: Positive, service-oriented attitude with a courteous demeanor, maintaining professionalism in all interactions. Ability to develop and manage interpersonal relationships. Discretion and Confidentiality: Ability to handle sensitive and confidential situations with absolute discretion and maintain confidentiality. Attention to Detail and Accuracy: Exceptional attention to detail and thoroughness in completing tasks accurately. Work on multiple projects simultaneously, set priorities, and meet deadlines. Organizational and Multitasking Skills: Strong organizational skills with the ability to multitask, meet deadlines, and navigate ambiguity in a fast-paced work environment. Interact by phone, email, online meetings or in person with faculty and administrative staff at the University and occasionally with staff of federal government, non-federal sponsors, and other institutions and organizations. Judgment and Project Management: Sound judgment with the ability to prioritize and anticipate potential issues and address them proactively. Adaptability and Feedback Reception: Stay current with technology and digital tools. Ability to maintain composure under pressure, work flexible hours as needed, and respond constructively to feedback. Working Conditions Sit for 4 hours or more. Use computers extensively for 4 hours or more. Use standard office equipment and troubleshoot IT equipment in a remote/hybrid environment. Some evening and weekend work may be required. Application Documents Resume/CV (required) Cover Letter (required) References Contact Information (3) (preferred) When applying, the document(s) MUST be uploaded via the My Experience page, in the section titled Application Documents of the application. Job Family Financial Management Role Impact People Manager Scheduled Weekly Hours 37.5 Drug Test Required No Health Screen Required No Motor Vehicle Record Inquiry Required No Pay Rate Type Salary FLSA Status Exempt Pay Range $95,000.00 - $115,000.00 The included pay rate or range represents the University's good faith estimate of the possible compensation offer for this role at the time of posting. Benefits Eligible Yes The University of Chicago offers a wide range of benefits programs and resources for eligible employees, including health, retirement, and paid time off. Information about the benefit offerings can be found in the Benefits Guidebook. Posting Statement The University of Chicago is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender, gender identity, or expression, national or ethnic origin, shared ancestry, age, status as an individual with a disability, military or veteran status, genetic information, or other protected classes under the law. For additional information please see the University's Notice of Nondiscrimination. Job seekers in need of a reasonable accommodation to complete the application process should call 773-702-5800 or submit a request via Applicant Inquiry Form. All offers of employment are contingent upon a background check that includes a review of conviction history. A conviction does not automatically preclude University employment. Rather, the University considers conviction information on a case-by-case basis and assesses the nature of the offense, the circumstances surrounding it, the proximity in time of the conviction, and its relevance to the position. The University of Chicago's Annual Security & Fire Safety Report (Report) provides information about University offices and programs that provide safety support, crime and fire statistics, emergency response and communications plans, and other policies and information. The Report can be accessed online at: http://securityreport.uchicago.edu . Paper copies of the Report are available, upon request, from the University of Chicago Police Department, 850 E. 61st Street, Chicago, IL 60637.

Posted 4 weeks ago

Accounts Receivable Specialist I, Physician Billing.-logo
UMass Memorial Health CareWorcester, MA
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: 8-430 Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5436 Med Specs Ancillary Pod Ar 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 20,000 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. Responsible for follow-up of complex claims for payment. $3K sign-on bonus! Please ask your talent acquisition consultant during the interview process. I. Major Responsibilities: Calls insurance companies and utilizes payor web-sites while working detailed reports to secure outstanding payments. Reviews rejections in assigned payors and plans to determine validity of rejection and takes appropriate action to resolve the invoice. Calculates and posts adjustments based on third party reimbursement guidelines and contracts. Makes appropriate payor and plan changes to secondary insurers or responsible parties. Inputs missing data as required and corrects registration and other errors as indicated. II. Position Qualifications: License/Certification/Education: Required: High School Diploma Experience/Skills: Required: 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. Ability to perform assigned tasks efficiently and in timely manner. Ability to work collaboratively and effectively with people. Exceptional communication and interpersonal skills. Preferred: One or more years of experience in health care billing functions. 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 30+ days ago

Patient Account Rep - Prof Billing - FT - Days - Physician Services-logo
El Camino HospitalMountain View, CA
El Camino Health is committed to hiring, retaining and growing the best and brightest professionals who will carry our mission and vision forward. We are proud of our reputation in the community: One built on compassion, innovation, collaboration and delivering high-quality care. Come join the team that makes this happen. Applicants MUST apply for position(s) by submitting a separate application for each individual job posting number they are interested in being considered for. FTE 1 Scheduled Bi-Weekly Hours 80 Work Shift Day: 8 hours Job Description Unit Specific Duties Listed Below Billing Ensures claims are billed timely and accurately using the Hospital Claims Scrubber Tool and billing system. Resolves claim edits. Collaborates with departments to resolve applicable claim errors. Reports all unbilled claim information and issues that may delay billing to Management to ensure there is no adverse effect on Hospital Cash Collections or Accounts Receivable. Customer Service Receives and processes correspondence and phone or online inquiries from patients, payers or any other third party in a timely and professional manner. Resolves patient billing inquiries and processes patient payments over the phone or in person. Follow Up Follows up on unpaid and denied claims for account resolution. Resolves accounts by contacting managed care entities, other third party payer organizations or patients to facilitate timely payments. Performs research and makes determination of appropriate actions for payment resolution. Writes and submits appeals for denied claims. Keeps informed of managed care and contractual arrangements to resolve accounts by managed care payers. Assigns root causes to denials based on research. Payment Posting Posts daily cash and adjustments for Hospital and Professional billing. Resolves undistributed payments and performs cash reconciliation. Reports all payment issues to Management to ensure there is no adverse effect on Hospital Cash Collections or Accounts Receivable. Self Pay Credit Balances Resolves credit balances that are due to patients. Audits and reconciles accounts to confirm credit balance and submits refunds in a timely manner. Qualifications High School Diploma or equivalent. One year related work experience in a Hospital, Physician, or other healthcare setting. Strong verbal and written communication skills. Works in a collaborative and team manner. Efficient organizational skills and effective reasoning, problem solving and critical thinking skills. Excellent typing skills. Ability to multi-task and demonstrate effective time management. Preferred knowledge and use of Microsoft Products: Outlook, Word & Excel. Strong attention to detail. Ability to process a high volume of work. Unit Specific Qualifications Billing Knowledge of medical terminology and billing. Prior experience with facility billing or a similar role. Understands Medicare, Medi-Cal, HMO, PPO and 3rd party rules and regulations. Customer Service Prior experience in a customer service setting. Preferred knowledge of health insurance coverages. Follow Up Experience with claim processing and denial follow up and resolution. Knowledge of insurance appeal writing. Basic knowledge of contracting. Understands Medicare, Medi-Cal, HMO, PPO and 3rd party rules and regulations. Payment Posting Preferred cash and adjustment posting background with regards to quality control of payments and transactions to financial system. 10-key preferred. Self Pay Credit Balances 10-key preferred. Knowledge of basic accounting practices and procedures. License/Certification/Registration Requirements None required Ages of Patients Served This position will serve all age groups. Salary Range: $32.45 - $48.68 USD Hourly The Physical Requirements and Working Conditions of this job are available. El Camino Health will provide reasonable accommodations to qualified individuals with a disability if that will allow them to perform the essential functions of a job unless doing so creates an undue hardship for the hospital, or causes a direct threat to these individuals or others in the workplace which cannot be eliminated by reasonable accommodation. Sedentary Work - Duties performed mostly while sitting; walking and standing at times. Occasionally lift or carry up to 10 lbs. Uses hands and fingers. - (Physical Requirements-United States of America) An Equal Opportunity Employer: El Camino Health seeks and values a diverse workforce. The organization is an equal opportunity employer and makes employment decisions on the basis of qualifications and competencies. El Camino Health prohibits discrimination in employment based on race, ancestry, national origin, color, sex, sexual orientation, gender identity, religion, disability, marital status, age, medical condition or any other status protected by law. In addition to state and federal law, El Camino Health also follows all applicable fair and equitable employment policies from the County of Santa Clara.

Posted 30+ days ago

E-Billing Specialist-logo
Fox RothschildGreenville, SC
As a member of the Accounting Department, the Electronic Billing (E-Billing) Specialist is responsible for processing client bills, answers billing inquiries and assists in the monitoring and follow-up of related billing functions. ESSENTIAL FUNCTIONS: Submit invoices through the e-billing system and document progress within the eHub and eBilling Tracker. Reviews newly opened client matters for assigned attorneys to determine if matters are available through e-billing websites. Monitor e-billing daily - for new invoices and rejections; review daily new timekeeper report for new timekeepers that may need to be submitted for approval. Ensures successful submissions of e-billed clients and assist with the resolution of any rejections. Assist attorneys, Client Service Specialists, and clients with day-to-day e-billing questions and concerns. Verifies that client setup, rates, and billing requirements are correct in the eBilling system. As required, submits rate requests to related vendor sites. Provide updates regarding invoice status to Client Billing Manager. Ensures that all tasks are done in accordance with Firm and client billing guidelines and policies. Work closely with supervisor and managers to resolve any e-billing or client e-billing issues. Submit invoices though the e-billing system and document progress within BillBlast, Ebilling Portal. Responsible for the submission of monthly/quarterly accruals as required. Provide updates regarding invoice status to Billing Supervisors/Director of Billing. ADDITIONAL FUNCTIONS: Other accounting duties and special projects as assigned. QUALIFICATIONS (EXPERIENCE, KNOWLEDGE, SKILLS AND ABILITIES): Education: Bachelors' degree in Accounting, Financial Analysis, Management or related field preferred. High school diploma or equivalent required. Experience: Minimum of five (5) years' e-billing experience in a law firm (preferred) or other professional services organization required. Knowledge, Skills, & Abilities: Ability to utilize various vendor websites and BillBlast system for electronic billing. Previous experience with 3E or Elite accounting system strongly preferred. Excellent customer service skills. Must be self-motivated, very detail oriented, highly organized and reliable, have the ability to multi-task with a high volume of work and work well independently as well as in a team environment. Ability to prioritize and take initiative to assist as needed. Strong oral and written communication skills and accuracy are a must. Must be proactive, work well under pressure and excel in a fast-paced environment. Professional and courteous communication with clients, attorneys, paralegals and staff are a must. Demonstrated experience using related accounting computer systems and Microsoft Office Suite, including Outlook, Word and Excel. WORK ENVIRONMENT & PHYSICAL DEMANDS: This job operates in a clerical, office setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. PHYSICAL REQUIREMENTS Sedentary work: Exertion of physical strength to lift, carry, push, pull, or otherwise move objects up to 10 pounds. Work involves sitting most of the time. Walking and standing is often necessary in carrying out job duties. VISUAL ACUITY Worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. DISCLAIMER Fox Rothschild LLP is under no obligation to provide sponsorship for this position. Applicants must be currently authorized to work in the United States on a full-time basis now and in the future. The above is intended to describe the general content of and requirements for the performance of this job. It is not a contract or employment agreement and is not to be construed as an exhaustive statement of all functions, responsibilities, or requirements the employee may be required to perform, and the employee may be required to perform additional duties. Additionally, management reserves the right to review and revise the job description at any time. Employment with the firm is at-will. Employees must be able to satisfactorily perform all of the essential functions of the position with or without a reasonable accommodation. If an accommodation request would cause an undue hardship or a safety concern, the individual may not be eligible for the position. Equal Opportunity Employer - vets, disability

Posted 30+ days ago

Senior Billing Analyst-logo
Element Fleet Management Corp.Baltimore, MD
Get started on an exciting career at Element! Element employees make a difference in the lives of others every day. We are re-defining the fleet management industry to be people first, then business - delivering on our promise of a superior client experience. This takes hard work and innovation, and we need more like-minded people on our team. What We Need We are looking for a Senior Analyst, Strategic Client Billing, to join Element Fleet Management. As the largest pure-play fleet manager in the world, we provide unmatched products and services and solutions to our clients. At Element, employees play a critical role in delivering value to customers and ensuring an exceptional client experience. We are committed to the success of our clients, employees, and investors by fostering a culture where every employee can make a difference! Are You: Inquisitive and results driven? Client centric and able to effectively partner cross-functionally? As the Senior Analyst, Strategic Client Billing, you will be contributing to the Billing organization by effectively supporting the Armada team, ensuring that the billing process is efficient and accurate. The role requires attention to detail and managing deadlines on a scheduled cadence. A Day in the Life Assists BPS staff when needed to ensure accurate outcomes Work cross-functionally with IT and Operations to develop new products and solutions, or resolution to system created variances Execute, review, and analyze outputs from multiple billing validation models Support and deliver on SOC-1 compliance requirements for related processes Provide analysis and reporting support during Monthly billing process and Month-End Reporting Retrieve and analyze data using Excel and other data management/BI systems Work with team to ensure billing is accurate prior to invoice creation Create reports to support the management of the process Provide recommendations and collaboratively ensure operational ownership across business teams Responsible for daily audit reporting, reconciling daily reports Consult and resolve any issues relating to client process, billing, and corrections with the Billing team and clients if required Work with Billing team to ensure projects are identified and scope potential process or technology improvement opportunities Requirements Bachelor's degree or equivalent business experience 5 years of finance and data analysis Experience in leasing industry, billing, financial operations, or customer facing finance roles desired Strong organizational skills (ability to prioritize and close, project management capabilities) Identify and ask probing questions, gather data, identify options/solutions to a problem or issue General business knowledge and skills; sound financial knowledge Demonstrate proper judgement regarding decision making, self-reliance and problem resolution Able to balance multiple deadlines and competing priorities Ability to implement and adapt to change effectively Strong customer service and relationship skills Advanced Microsoft Excel knowledge and data skills, including look ups, Pivot Tables, DBeaver, Power Query, and SQL (preferred experience and aptitude with Alteryx, but willing to train) The hiring base salary range for this position is $75,500 to $103,800 annually. Actual compensation within this range will be dependent upon the individual's knowledge, skills, experience, equity with other team members, and alignment with market data. Please note that the disclosed salary range is solely for candidates hired to perform work within this geographic location. Candidates hired to work in other locations will be subject to the pay range associated with that location. What's in it for You A culture of innovation, empowerment, decision-making, and accountability Comprehensive health and welfare benefits that serve the needs of you and your family and foster a culture of wellness Additional benefits and amenities, including paid time-off programs (vacation, sick leave, and holidays) Applicants will be required to undergo a background check only if and after a conditional offer of employment has been extended. Element Fleet Management and its wholly owned subsidiaries are an equal opportunity employer committed to diversity, equity, inclusion, and belonging. We are pleased to consider all qualified applicants for employment without regard to race, color, religion, gender identity, age, sex, sexual orientation, disability, national origin, Aboriginal/Native American status, protected veterans' status or any other legally-protected factors. Disability-related accommodations during the application and interview process are available upon request. Should you require an accommodation with our hiring process please send an email to talentacquisition@elementcorp.com or call (800) 665-9744. Know Your Rights: Workplace discrimination is illegal

Posted 30+ days ago

Patient Billing/Services Representative II - Orthopedic Surgery-logo
Washington University in St. LouisSaint Charles, MO
Scheduled Hours 40 Position Summary This position greets patients upon their arrival. Duties include check-in, check-out, scheduling appointments, ensuring insurance is verified and referrals are obtained, ensuring appropriate registration information is entered correctly and in a timely manner. Assists with maintaining patient flow in a fast paced clinical office. This position requires evening and Saturday hours. Job Description Primary Duties & Responsibilities: Obtains insurance information from patients and counsels alternative ways for financial assistance. Registers all new patients and assists with form completion. Reviews schedule for new patients and makes updates when necessary. Calls patients with appointment time reminders; obtains insurance information and referral forms. Explains billing process to patients; answers incoming inquiries from patients and third-party payers. Explains billing process to other staff; assists with basic account maintenance activities. Assists patients with insurance questions regarding the billing process. Assists staff with sending out reminder cards and other scheduling duties. Performs other duties as assigned. Working Conditions: Job Location/Working Conditions Normal office environment. Patient care setting. Physical Effort Typically sitting at desk or table. Repetitive wrist, hand or finger movement. Equipment Office equipment. The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time. Required Qualifications Education: High school diploma or equivalent high school certification or combination of education and/or experience. Certifications: The list below may include all acceptable certifications and issuers. More than one credential or certification may be required depending on the role. Basic Life Support- American Heart Association, Basic Life Support- American Red Cross Work Experience: Billing Systems And Third-Party Claims And/Or Medical Office Setting, Related Customer Service (3 Years) Skills: Not Applicable Driver's License: A driver's license is not required for this position. More About This Job Required Qualifications: Basic Life Support certification must be obtained within one month of hire date. Basic Life Support certification (Online BLS certifications, those without a skills assessment component, are not sufficient to meet the BLS requirements). Preferred Qualifications Education: No additional education beyond what is stated in the Required Qualifications section. Certifications: No additional certification beyond what is stated in the Required Qualifications section. Work Experience: No additional work experience beyond what is stated in the Required Qualifications section. Skills: Financial Information, Insurance, Interpersonal Relationships Grade C06-H Salary Range $17.34 - $25.40 / Hourly The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget. Questions For frequently asked questions about the application process, please refer to our External Applicant FAQ. Accommodation If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request. All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship. Pre-Employment Screening All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening. Benefits Statement Personal Up to 22 days of vacation, 10 recognized holidays, and sick time. Competitive health insurance packages with priority appointments and lower copays/coinsurance. Take advantage of our free Metro transit U-Pass for eligible employees. WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%. Wellness Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more! Family We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We've got you covered. WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us. For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/ EEO Statement Washington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups. It is the University's policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information. Washington University is dedicated to building a community of individuals who are committed to contributing to an inclusive environment - fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply.

Posted 2 weeks ago

Billing Specialist (Entry-Level)-logo
Katapult NetworkRochester, MN
Job description Katapult Network is designed to help college graduates with zero to two years of professional experience find their next professional career opportunity. We focus on helping recent college graduates, with no experience, get access to full-time, entry-level opportunities with some of the Nation's top employers. Our clients include ground-breaking start-up companies and well-established billion-dollar organizations who want to find their next generation of talent. The Job: We are currently recruiting for an entry-level Billing Specialist. This position is responsible for overseeing the billing process for customers. This can include processing payments, maintaining organized financial records, and calculating bill totals. Recent college graduates and entry-level talent are encouraged to apply. What You Will Be Doing As A Billing Specialist: Create charts and graphs, using computer spreadsheets, to illustrate technical reports Search financial statements for payment errors or inconsistencies Create invoices and billing materials to be sent to customers Input payment history, upcoming payment information, or other financial information Calculate and track company financial statements Collaborate with customers, third-party institutions, and other team members to resolve billing errors and inconsistencies Find financial solutions for customers who may need payment assistance Help with new projects, report results to Senior Leadership Our Ideal Billing Specialist Candidate Has: Communication - express ideas clearly in both written and verbal correspondence, listen effectively, and share information appropriately with persons inside and outside the organization Organizing and planning - develop specific goals and benchmarks to prioritize, organize and accomplish your work in a timely manner Analytical thinking - determine the essential function of each task in a detailed, goal-driven manner with strong multitasking abilities Office software acumen - comfortable with a wide variety of software including, but not limited to Microsoft Suite, Google applications, and relevant databases. Salesforce experience desired Mathematical reasoning - facility with numbers, the proven ability to calculate, post, and manage figures and records, and the ability to choose the right mathematical methods to solve a problem Requirements To Be A Billing Specialist: Bachelor's degree Katapult Network is an equal opportunity employer and celebrates diversity in all of its forms. People of all identities and backgrounds are encouraged to apply. We're social! Follow us on: Instagram: @katapultnetwork ( https://www.instagram.com/katapultnetwork/ ) Facebook: https://www.facebook.com/KatapultNetwork/ LinkedIn: Other"> https://www.linkedin.com/compa ... Job Type: Full-time Pay: $40,000.00 - $50,000.00 per year Benefits: 401(k) 401(k) matching Dental insurance Disability insurance Flexible spending account Health insurance Health savings account Life insurance Paid sick time Paid time off Parental leave Vision insurance Work Location: In person

Posted 30+ days ago

S
Simon EyeWilmington, DE
Simon Eye and Center for Advanced Eye Care are partner practices with a combined 27 Optometrists, 8 Ophthalmologists, and 150 staff serving patients across the state of Delaware and in Pennsylvania with locations in West Chester and Bucks County. We are aligned to ensure our communities can access patient-centered, medically oriented full service eyecare delivered in convenient locations with friendly, knowledgeable doctors and staff. As a Billing Specialist, you will be responsible for the insurance billing and collections functions for multiple Simon Eye locations. Your success in this position will be driven by your ability to complete billing and/or accounts receivable follow-up with payers while achieving the expected quality and productivity requirements. What You'll Do: Review, prepare, and transmit claims using electronic and paper claim processing Daily submission of claims Follow up on unpaid claims meeting the standard billing cycle time frame Post insurance payments and review for accuracy Contact insurance companies in regards to discrepancies Investigate and appeal denied claims Identify and resolve billing issues Continual account review monitoring insurance trends and report findings to manager Ability to work autonomously, self starter Effective communication skills and ability to work collaboratively in a team environment Have strong organizational skills and manage time well Must maintain HIPAA confidentiality of patients Additional tasks as requested What You'll Need: Two plus years of medical / healthcare billing experience required. Knowledge of Medical and Optometric insurance claim forms including ICD10 and CPT codes. Experience reading and understanding explanation of benefits and the contractual adjustments. Strong initiative to solve problems while paying close attention to detail. Ability to work in office

Posted 4 weeks ago

Billing Coordinator-logo
Whitley PennFort Worth, TX
Whitley Penn, a leading CPA and Consulting firm, is looking for a Billing Coordinator to join our team. The Billing Coordinator will play a key role in processing executive billings while ensuring accuracy, timeliness, and high-quality output. The ideal candidate is a self-starter and team player who can communicate effectively with clients and professionals at all levels. This position requires strong attention to detail and the ability to thrive in a fast-paced professional environment. How We Work Whitley Penn has become one of the region's most distinguished and fastest growing public accounting firms by providing exceptional service that reaches far beyond traditional accounting. We believe in working in collaborative teams with an emphasis on open-door policy and encouraging entrepreneurial thinking. We learn, innovate, and succeed by sharing knowledge, embracing diversity, and working together. We are all part of the same family and each person matters. We are more than just a job. How Will You Make an Impact? Process executive billings accurately and meet departmental deadlines Reconcile billing, work-in-process (WIP), and accounts receivable Maintain accurate and up-to-date client records Draft internal and external correspondence as needed Support weekly and monthly reporting requirements Manage large projects as assigned to meet department needs Collaborate with team members to maintain client database Assist with data entry and other administrative tasks as required How Will You Get Here? 3-4 years of combined billing and administrative experience Prior professional service billing a plus High degree of efficiency with Microsoft Word and Excel Excellent verbal and written communication skills Possess strong organizational skills with exceptional attention to detail and follow-through Strong time management skills and ability to manage multiple tasks Must be flexible and able to prioritize duties in response to demands of the day-to-day activities of the department Possess a positive attitude and outlook in a fast-paced environment Ability to communicate effectively with individuals at all levels of the organization Must be able to work independently as well as in a collaborative team environment Capable of maintaining strict confidentiality Ability to work overtime as workload requires. Why Should You Apply? Firm Paid Medical Insurance (Free Employee Only Coverage on 2 of 3 plans) Voluntary Dental and Vision Insurance 17 Annual Firm holidays, with extended breaks around July 4th and year end Generous PTO for Non-Exempt Team Members Paid Maternity and Parental Leave 401(k) with Profit Sharing Discretionary Bonus Program Health & Wellness Program Pet Insurance Whitley Penn is proud to be an equal opportunity workplace. We recruit, employ, train, compensate, and promote without regard to on age, race, creed, gender, color, religion, national origin, sexual orientation, gender identity, veteran status, disability or any other basis protected by applicable federal, state, or local law. Whitley Penn is a participant in E-Verify please follow the link to review disclosure notifications: https://www.dropbox.com/s/olsr5xgsgxsntu3/E-Verify%20Notices.pdf?dl=0 . All employment is decided on the basis of qualifications, merit, and business need. #LI-ONSITE #LI-DNP

Posted 6 days ago

Principal SAP ISU Billing Consultant-logo
Infosys LTDMiami, FL
Job Description Infosys is seeking Principal SAP ISU Billing Consultant As a Principal Consultant, you will be a key player in the consulting team that helps discover and define the problem statement, evaluates the solution options, and makes recommendations. You will plan the activities of configuration, configure the product as per the design, conduct conference room pilots and will assist in resolving any queries related to requirements and solution design. You will conduct solution/product demonstrations, POC/Proof of Technology workshops and prepare effort estimates which suit the customer budgetary requirements and are in line with organization's financial guidelines. You will also support knowledge transfer with the objective of providing value-adding consulting solutions that enable our clients to meet the changing needs of the global landscape. Basic Qualifications: Bachelor's degree or foreign equivalent required from an accredited institution. Will also consider three years of progressive experience in the specialty in lieu of every year of education. At least 11 years of experience with Information Technology. Location for this position is Miami, FL. This position may require travel and/or relocation. All applicants authorized to work in the United States are encouraged to apply. Preferred Qualifications: Atleast 11 years of experience in application maintenance & implementation projects, primarily in ISU Projects from SAP ISU Billing and Invoicing area Experience across Electricity, Gas & Water Utilities industries across UK, North America & Europe regions Experience with CRM -ISU Integration Experience in end-to-end implementation and support projects Client facing experience. Should be able to drive a team consisting of junior functional and technical resources. Experience in setup of Rate Structure and Billing Schema, Price management Experience in analyzing issue in Billing & Invoicing process. Experience in RTP. Good Experience Invoice Layout & Bill Print Setup of Billing Master Data/Tariff Structure for Metered/Unmetered Installations Integration with Device Management, Finance & SD module SAP Industry Solution->SAP Utilities (SAP ISU)->SAP IS-UTILITIES Billing and Invoicing (SAP ISU BILLING) The job entails sitting as well as working at a computer for extended periods of time. Should be able to communicate by telephone, email, or face to face.

Posted 30+ days ago

El Camino Hospital logo

Patient Account Rep HB - Billing And Collection - FT - Days - Billing And Collection @ MV

El Camino HospitalMountain View, CA

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Job Description

El Camino Health is committed to hiring, retaining and growing the best and brightest professionals who will carry our mission and vision forward. We are proud of our reputation in the community: One built on compassion, innovation, collaboration and delivering high-quality care. Come join the team that makes this happen.

Applicants MUST apply for position(s) by submitting a separate application for each individual job posting number they are interested in being considered for.

FTE

1

Scheduled Bi-Weekly Hours

80

Work Shift

Day: 8 hours

Job Description

Unit Specific Duties:

Billing

  • Ensures claims are billed timely and accurately using the Hospital Claims Scrubber Tool and billing system. Resolves claim edits.
  • Collaborates with departments to resolve applicable claim errors.
  • Reports all unbilled claim information and issues that may delay billing to Management to ensure there is no adverse effect on Hospital Cash Collections or Accounts Receivable.

Customer Service

  • Receives and processes correspondence and phone or online inquiries from patients, payers or any other third party in a timely and professional manner.
  • Resolves patient billing inquiries and processes patient payments over the phone or in person.

Follow Up

  • Follows up on unpaid and denied claims for account resolution.
  • Resolves accounts by contacting managed care entities, other third party payer organizations or patients to facilitate timely payments.
  • Performs research and makes determination of appropriate actions for payment resolution. Writes and submits appeals for denied claims.
  • Keeps informed of managed care and contractual arrangements to resolve accounts by managed care payers.
  • Assigns root causes to denials based on research.

Payment Posting

  • Posts daily cash and adjustments for Hospital and Professional billing.
  • Resolves undistributed payments and performs cash reconciliation.
  • Reports all payment issues to Management to ensure there is no adverse effect on Hospital Cash Collections or Accounts Receivable.

Self Pay Credit Balances

  • Resolves credit balances that are due to patients.
  • Audits and reconciles accounts to confirm credit balance and submits refunds in a timely manner.

Qualifications

  • High School Diploma or equivalent.
  • Two (2) years related work experience in a Hospital, Physician, or other healthcare setting.
  • Strong verbal and written communication skills.
  • Works in a collaborative and team manner.
  • Efficient organizational skills and effective reasoning, problem solving and critical thinking skills.
  • Excellent typing skills.
  • Ability to multi-task and demonstrate effective time management.
  • Preferred knowledge and use of Microsoft Products: Outlook, Word & Excel.
  • Strong attention to detail.
  • Ability to process a high volume of work.

Unit Specific Qualifications

Billing

  • Knowledge of medical terminology and billing.
  • Prior experience with facility billing or a similar role.
  • Understands Medicare, Medi-Cal, HMO, PPO and 3rd party rules and regulations.

Customer Service

  • Prior experience in a customer service setting.
  • Preferred knowledge of health insurance coverages.

Follow Up

  • Experience with claim processing and denial follow up and resolution.
  • Knowledge of insurance appeal writing.
  • Basic knowledge of contracting.
  • Understands Medicare, Medi-Cal, HMO, PPO and 3rd party rules and regulations.

Payment Posting

  • Preferred cash and adjustment posting background with regards to quality control of payments and transactions to financial system.
  • 10-key preferred.

Self Pay Credit Balances

  • 10-key preferred.
  • Knowledge of basic accounting practices and procedures.

License/Certification/Registration Requirements

None required

Ages of Patients Served

This position will serve all age groups.

Salary Range:

$32.45 - $48.68 USD Hourly

The Physical Requirements and Working Conditions of this job are available. El Camino Health will provide reasonable accommodations to qualified individuals with a disability if that will allow them to perform the essential functions of a job unless doing so creates an undue hardship for the hospital, or causes a direct threat to these individuals or others in the workplace which cannot be eliminated by reasonable accommodation.

Sedentary Work - Duties performed mostly while sitting; walking and standing at times. Occasionally lift or carry up to 10 lbs. Uses hands and fingers. - (Physical Requirements-United States of America)

An Equal Opportunity Employer:

El Camino Health seeks and values a diverse workforce. The organization is an equal opportunity employer and makes employment decisions on the basis of qualifications and competencies. El Camino Health prohibits discrimination in employment based on race, ancestry, national origin, color, sex, sexual orientation, gender identity, religion, disability, marital status, age, medical condition or any other status protected by law. In addition to state and federal law, El Camino Health also follows all applicable fair and equitable employment policies from the County of Santa Clara.

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