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Billing Coordinator II
ModivCare SolutionsLynn, Massachusetts
Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you! Modivcare is looking for an experienced Billing Coordinator II to join our team! This position is responsible for billing effectively and efficiently to facilitate prompt payment for services via billing systems and developing collaborative relationships with payor’s billing departments. This role will be able to perform all of the following tasks: verifying client eligibility, monthly claim/invoice submissions, resubmissions or back billing, resolve denied or rejected claims, including researching accounts, analyzing EOBs, and interacting with insurance companies and government payors. You will... Utilize the phone system application by logging in and setting a status of ready to manage incoming phone calls by responding to request and assisting with inquiries. Access multiple web portals to identify and research eligibility, collect needed information to ensure timely processing of electronic, portal and invoiced claims. Follow revenue cycle from charge creation through resolution of outstanding AR. Verify eligibility when required prior to billing payers and documents insurance verification. Assume responsibility for timely and accurate invoices submission, including generating monthly charges and transmission of EDI claims and invoices Investigate and resolves claim rejections and denials via Clearinghouse or payer portals. Utilize payer portals or contact payers as needed for claim corrections and/or missing information. Add and understands specific data such as modifiers, payer specific information, including authorization criteria, CPT and ICD-10 coding. Apply corrections to patient demographics, charges, adjustments and payments or when needed forwards to the appropriate department for correction. Work through reporting cards and tickets assigned through company applications. Work rejection and denial workgroups for timely review and resubmission of EDI claims. Resolve problems by clarifying issues, researching potential solutions, helping to implement changes to maximize timely and complete reimbursement, and escalating unresolved issues. Utilize multiple system applications daily to work through assigned inventory Identify and document any payer issues and communicate with RCM leadership. Maintain KPI and quality goals. Perform resubmission projects and additional daily reports. Participate in other projects or duties as assigned. Occasional business travel may be required. We are excited to speak to someone with the following... High School Diploma required. One (1) plus years of experience in healthcare revenue cycle management or a related field. Or equivalent combination of education and/or experience. Knowledge of portal, invoice, and EDI billing methods. Experience using HHAeXchange preferred. Self-motivation and the ability to work independently and with teams. Proficient in the use of Word, Excel, Outlook, and PowerPoint. Excellent verbal and written communication skills. Proficient in managing multiple tasks as the same time. Experience with Accounts Receivable follow-up process. Attention to detail and accuracy in all tasks. Pay: $ 18.36/hr - $23.09/hr Modivcare’s positions are posted and open for applications for a minimum of 5 days. Positions may be posted for a maximum of 45 days dependent on the type of role, the number of roles, and the number of applications received. We encourage our prospective candidates to submit their application(s) expediently so as not to miss out on our opportunities. We frequently post new opportunities and encourage prospective candidates to check back often for new postings. We value our team members and realize the importance of benefits for you and your family. Modivcare offers a comprehensive benefits package to include the following: Medical, Dental, and Vision insurance Employer Paid Basic Life Insurance and AD&D Voluntary Life Insurance (Employee/Spouse/Child) Health Care and Dependent Care Flexible Spending Accounts Pre-Tax and Post --Tax Commuter and Parking Benefits 401(k) Retirement Savings Plan with Company Match Paid Time Off Paid Parental Leave Short-Term and Long-Term Disability Tuition Reimbursement Employee Discounts (retail, hotel, food, restaurants, car rental and much more!) Modivcare is an Equal Opportunity Employer. EEO is The Law - click here for more information Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled We consider all applicants for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, handicap or disability, or status as a Vietnam-era or special disabled veteran in accordance with federal law. If you need assistance, please reach out to us at hr.recruiting@modivcare.com

Posted 3 weeks ago

Billing and Administrative Specialist for a Child Care Center!-logo
Billing and Administrative Specialist for a Child Care Center!
The TEA CenterMc Lean, Virginia
Are you detail-oriented, reliable, and looking for a part-time opportunity in billing? Our child care center is seeking a Billing Specialist to join our team and help ensure the smooth and efficient processing of payments and invoices. Responsibilities: Generate invoices accurately and timely Process payments from parents/guardians Follow up on outstanding balances and overdue accounts Maintain billing records and documentation Assist with financial reporting as needed Requirements: Previous experience in billing or accounting preferred Familiarity with billing software or systems (experience with child care billing software is a plus) Strong attention to detail and accuracy Excellent organizational and time management skills Ability to communicate effectively with parents/guardians and team members Benefits: Flexible part-time hours between 8- 12 hrs weekly Opportunity to work in a rewarding and supportive environment Competitive hourly wage Potential for growth and advancement within the organization

Posted 30+ days ago

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Specialist, Billing
Norton Rose Fulbright US LLPHouston, Texas
Job Description We are a global law firm with a powerful strategic focus and real momentum. Our industry-focused strategy is seeing us take on pioneering work in places that others have yet to reach. Our shared values define our culture and our workplace. You will find us to be unusually collegial, team-oriented, and ready to innovate. We work seamlessly across practices, offices and around the world. This elimination of boundaries has allowed us to evolve into a law firm that works as hard for its culture as it does for its clients. The Billing Specialist supports lawyers in the client billing process. This position is ideally located in Austin, Dallas, Houston or San Antonio, but we will consider candidates in any of our US office locations. The position is fully remote with the understanding that the individual will able to come to the office when required for training and meetings or otherwise requested by management. Responsibilities include, but are not limited to: Print and edit proformas Prepare invoices Transmit electronic invoices where appropriate Manage workloads to ensure accurate and timely billing Have a strong understanding of accrual, budget and rate knowledge in a Law Firm setting Respond to client billing inquiries, including resolving any issues related to same Special billing projects and tasks as assigned Provide excellent and responsive customer service to legal and administrative personnel in both domestic and foreign offices Please note this job description does not cover or contain all activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Qualifications: Minimum of five years of experience with billing within a Law Firm billing environment Strong skill sets with Outlook and Excel Experience with Elite Enterprise and / or SAP billing systems Strong written and verbal communication skills Bachelors or Associate degree, preferred but not necessary Law firm experience in using electronic billing software Superior customer service skills and a team player Strong attention to detail and a self-starter Ability to multi-task and meet deadlines in a fast-paced business environment Flexibility working within the firm's defined deadlines and lawyer's time frames Must have a professional, cooperative, and positive attitude Norton Rose Fulbright US LLP is committed to providing employees with a comprehensive and competitive benefits package that supports you, your health, and your family. Benefit packages include access to three medical plans, dental, vision, life, and disability insurance. Employees can also access pre-tax benefits such as health savings and flexible spending accounts. Norton Rose Fulbright helps provide financial security by allowing employees to participate in a 401(k) savings plan and profit-sharing plans if eligible. Full- time employees are eligible to access fertility benefits designed to support fertility and family-forming journeys. In addition to the Firm’s health and welfare benefits above, we offer a competitive paid time off plan, which provides a minimum of 20 days off based on your role and tenure with the firm. The firm offers a generous paid parental leave benefit allowing parents to take a minimum of 14 weeks of paid leave to bond with your newborn, or adopted child(ren). Employees are also entitled to 11 Firm holidays. Norton Rose Fulbright US LLP is an Equal Opportunity Employer and complies with all applicable federal laws and their implementing regulations that require the collection and recording of certain data and information. The information we receive will not be used to make any decision regarding employment and will be kept separate from your application. Similarly, self-identification information is kept confidential and used only in accordance with applicable federal laws and regulations. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. Norton Rose Fulbright is committed to providing reasonable accommodation as an Equal Opportunity Employer to applicants with disabilities. If you require assistance or accommodation to complete your application, please contact us.hr@nortonrosefulbright.com . Please provide your contact information and a description of your accessibility issue. We will make a determination on your request for reasonable accommodation on a case-by-case basis. E-Verify is a registered trademark of the U.S. Department of Homeland Security. This business uses E-Verify in its hiring practices to achieve a lawful workforce. Equal Employment Opportunity

Posted 30+ days ago

Billing Manager-logo
Billing Manager
Greenberg TraurigMiami, Florida
Greenberg Traurig (GT), a global law firm with locations across the world in 15 countries, has an exciting opportunity for a Billing Manager to join our Revenue Management Department. We offer competitive compensation and an excellent benefits package, along with the opportunity to work within a dynamic and collaborative environment within the legal industry. Join our Revenue Management Team as a Billing Manager We are seeking a highly skilled and meticulous professional who thrives in a fast-paced, deadline-driven environment. The ideal candidate possesses strong problem-solving and decision-making abilities while ensuring efficiency and accuracy in every task. With a dedicated work ethic and a can-do attitude, you will take initiative and approach challenges with confidence and resilience. Excellent communication skills are essential for collaborating effectively across teams and delivering exceptional service. With a client-focused mindset and an initiative-taking approach, you will play a critical role in driving success, anticipating needs, and providing strategic solutions. If you are someone who values precision, adaptability, and innovation, we invite you to join our team and make a meaningful impact. This role will be based in our Miami office, with responsibilities extending to our other Florida locations. Regular in-office presence is required for day-to-day operations, as well as for team meetings, training opportunities, and relationship building. The role reports to the Director of Revenue Management. Position Summary The Billing Manager will be responsible for the billing operations of all the Florida offices, ensuring accuracy, efficiency and compliance with client guidelines and firm polices. This role requires strong leadership, attention to detail, and the ability to manage both billing and e-billing processes as well as attorney/client communications. The Billing Manager will collaborate with Shareholders, firm management, facilitate smooth billing workflows, and improve overall efficiency. Key Responsibilities Directs management and support of the revenue cycle to ensure all billing, ebilling and collections are processed accurately, in compliance with client requirements and firm policies. Builds and consistently foster excellent working relationships with the Billing Attorneys and staff. Develops into a trusted advisor to both the office and Revenue Management leadership. Supervises, supports, and provides guidance and leadership to the Billing Supervisor and revenue management staff across Florida offices. Collaborates with Revenue Management leadership to review and recommend changes to automate or enhance timeliness, accuracy, and efficiency of billing processes. Monitors key performance indicators related to revenue such as rates, volume discounts, ebill usage charges. Works in partnership with the Florida offices to understand aged Accounts Receivable balances, including matters with no activity over a specific threshold. Collaborates with Billing Attorneys to manage billing disputes and help resolve collection issues efficiently. Monitors outstanding accounts receivables to improve cash flow and reduce write-offs. Participates in team hiring, new hire training and onboarding tasks. Provides feedback during staff performance appraisals, develops performance management objectives to address concerns, drives engagement and retention, separation decisions. Qualifications Skills & Competencies Excellent interpersonal and communication skills, professional demeanor, and presentation. Ability to clearly communicate with Billing Attorneys, Senior Leadership and Staff. Ability to identify and address billing/collection issues promptly and effectively. High attention-to-detail to ensure accurate information, outstanding organizational skills, and the ability to manage tasks effectively, excellent follow-up skills. Strong analytical and critical thinking skills to make informed business decisions. Ability to multi-task and work under pressure to meet strict deadlines in a fast-paced environment. Client focused mindset with an initiative-taking approach. Education & Experience Bachelor’s Degree in Accounting, Finance, Business Administration, or related field. Minimum of 8 years of Legal Billing and Collections management experience with advanced knowledge of E-Billing. Extensive experience in effectively and successfully leading teams. Technology Expert knowledge of Aderant (highly preferred). Elite or 3E experience acceptable. Strong knowledge of Ebilling platforms, i.e., Ebilling Hub or Bill-Blast. Proficiency in Excel required. GT is an EEO employer with an inclusive workplace committed to merit-based consideration and review without regard to an individual’s race, sex, or other protected characteristics and to the principles of non-discrimination on any protected basis.

Posted 30+ days ago

E-Billing Specialist - Michigan-logo
E-Billing Specialist - Michigan
DykemaDetroit, Michigan
Dykema Gossett PLLC, a leading national law firm, is seeking to hire two experienced E-Billing Specialists who will be responsible for timely, efficient and accurate E-Billing of client accounts. Works closely with Billing Coordinators, attorneys, clients and EBilling vendors to facilitate e-billing in accordance with client and established firm guidelines and attorney requests within policy. Works closely with Billing leadership, proactively identify issues and resolve inquiries. Positions are open to all our office locations. ESSENTIAL DUTIES AND RESPONSIBILITIES Collaborate with Client Financial Intake Specialist to onboard new clients and update existing client e-billing vendor sites, updating timekeepers, rates and budgets for client approval. Submit client bills prepared by Billing Team onto e-billing vendor sites via upload or BillBlast. Analyze and correct submission errors, collaborating with the Billing Team to correct errors in Aderant for resubmission. Monitor the stages of acceptance on various e-billing vendor sites. Become an expert on client engagement letters and billing guidelines to ensure compliance that limit delays in billing and collections. Review daily cash report for client payments and application accuracy, identifying reductions for coordination with billing attorneys in order to appeal or write-off, and working with the Cash Team on any adjustments or refunds. Audit, research and contact clients regarding aged Accounts Receivable of e-billed invoices; input notes into Bill Blast and Collection modules; coordinate with the Billing team to correct related issues. Organize and maintain client billing and instruction files for each billing client. Identify unusual situations, gather information and elevate as needed for assistance, providing the Billing Team with guidance and assistance on complex e-billing issues. Responsible for research and resolution on ad-hoc projects and assignments as they arise. KNOWLEDGE, SKILLS AND ABILITIES REQUIRED Bachelor’s Degree or comparable level of legal Billing experience preferred. Strong understanding of all end-to-end aspects of client revenue accounting. Experience with Aderant Billing, Prebill Manager, and client E-Billing platforms strongly preferred; experience with software such as BillBlast and other revenue-cycle software a plus. Must be proficient in Microsoft Office Suite, particularly Word, Excel and Outlook. Excellent attention to detail. Excellent written, verbal and interpersonal communication skills required. Pro-active, inquisitive and analytical problem solver. Ability to collaborate and cross-team with all finance team members and promote a positive work environment that embraces the abilities of all members. Effective client management skills with a record of providing excellent customer service. Requires flexibility and ability to manage time, organize and prioritize workload effectively. Great Benefits for Great People Dykema offers a comprehensive benefits package designed to support the well-being and success of our employees both personally and professionally. This includes competitive health, dental, and vision insurance plans, along with flexible paid time off (PTO), holiday leave, and a retirement savings plan with profit sharing for eligible employees. Other benefits include flexible spending programs, health savings account, commuter benefits, and personal and parental leave programs. We prioritize work-life balance and offer wellness programs, and access to mental health support. Additionally, employees enjoy access to professional development programs, a supportive and inclusive workplace culture, and various employee discounts and perks. We are committed to providing a benefits package that helps our team thrive and feel valued. The offered salary will be determined by a variety of factors including, but not limited to, work location, individual skill set, previous/applicable experience, education, external market data and consideration of internal equity. EEO STATEMENT It is the Firm’s policy to provide employment opportunities to qualified applicants and employees on an equal basis without regard to the individual’s age, race, color, gender, sexual orientation, gender identity or expression, religion, national origin, marital status, domestic partner relationship, physical characteristics, disability, or other protected characteristics under applicable federal, state or local laws or ordinances. Dykema will make reasonable efforts to accommodate the known disabilities of employees who are otherwise qualified to perform the essential functions of the jobs involved. It is the responsibility of every individual concerned with personnel actions, including management, supervision, seeking, compensation, benefits, promotions, work assignments, and training, to ensure that these activities are administered consistent with the Firm’s goal of furthering the principle of equal employment opportunity. E-Verify Dykema uses E-Verify in its hiring practices to achieve a lawful workforce. E-Verify is a registered trademark of the U.S. Department of Homeland Security.

Posted 2 weeks ago

Accounts Receivable / Billing Coordinator - Full Time-logo
Accounts Receivable / Billing Coordinator - Full Time
Eventide Senior LivingMoorhead, Minnesota
Eventide Senior Living Communities in Moorhead, MN is currently looking for a full time Accounts Receivable / Billing Coordinator . Eventide offers a competitive salary , an excellent benefits package, and generous Paid Time Off (PTO) program for full time positions. We have a fun and dynamic work culture! The Billing Coordinator is responsible for a variety of duties, as assigned, which includes routine billing, payment posting, and problem solving for various payers, including insurance, HMO, Medicaid, Medicare and private pay, 3rd party payers and also special projects in billing and collection. In addition, the Coordinator may be responsible for billing and posting for special contracts and for obtaining and/or entry of prior authorizations. The Coordinator is responsible for clear, detailed communication with the facilities and finance staff and with payers and resident/responsible parties regarding various insurance-related and payment-related issues. Responsibilities may also include researching and resolving resident claims which are denied or uncollected and, also, working with the facilities and other finance staff members to resolve billing problems to maintain adequate cash flows and the timely disbursement of accounts payable requests within acceptable cash flow policies, and to assure accuracy in preparation of financial statements. Ideal Candidate Requires 2 year technical program in accounting 3-5 years of accounts receivable experience preferred Essential Job Functions Operate software systems for billing, posting, filing claims and claims research Generate and send out billing statements. Obtain and/or enter documentation as needed to bill, such as authorizations, financial agreement, ancillary charges. Maintain detailed records as required with in our software system. Resolve discrepancies in account records. Verify accuracy of billing data and revise errors. Interact with other staff, residents, responsible parties, payer and other agencies to answer questions, obtain information and resolve issues. Monitor aging reports and take such steps as necessary to guarantee payment of claims. Coordinate and collect necessary information from staff or payers for claims adjudication. Participate in take-back, overpayment, and refund process. Recognize problem accounts and notify appropriate staff to assist in problem resolution. Anticipate trends or changes with payers and advise supervisor of them. Record monthly payments received. Participate in Medicare Meetings with the facilities Prepare all necessary monthly statements, report, logs, yearly reports, and any other required reports. Assist in creation of manuals and processes. Participate in training of new staff members. Maintain open, positive, cordial, team-oriented communication with the Eventide team. Back up other areas of the Finance Teams as

Posted 1 week ago

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

Posted 30+ days ago

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Pharmacy Billing Lead
Guardian Pharmacy Services ManagementOrlando, Florida
Orlando, Florida, United States of America Extraordinary Care. Extraordinary Careers. With one of the nation’s largest, most innovative long-term care pharmacy services providers, there is no limit to the growth of your career. Guardian Pharmacy of Orlando, a member of the Guardian family of pharmacies, has an exciting opportunity for you to join our rapidly growing team in Orlando, Florida . Why Guardian Pharmacy of Orlando ? We’re reimagining medication management and transforming care. Who We Are and What We’re About: Our core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered. We offer an opportunity to learn and grow your career in a fast-paced, diverse, and inclusive environment. If you are looking for a challenging, team-oriented environment in which you can put your expertise to work, then this is the place for you. Schedule: Full Time, Monday- Friday 8:30am-5:00pm ( hours are a range, with flexibility) *At the end of billing cycle each month some extended hours and occasional weekends may be needed* This role will be performed onsite at a closed-door pharmacy in Orlando, FL. All patient interactions will be over the phone. Comprehensive training provided side by side with training team. Must be comfortable working in a high-volume environment. We offer full time benefits including health, vision, dental and matching 401k options. The Lead Billing Specialist assists in supporting and leading the daily operations of the billing function. Assists pharmacy management in daily operational workflow and scheduling assignments. Provides support and training to billing team members. Ensures customer service standards are met for facilities and patients we service. Attributes Required: • Work Ethic/Integrity – must possess intrinsic drive to excel coupled with values in line with company philosophy • Leadership – ability to lead project teams to deadlines, while maintaining strong team orientation • Strategy and Planning – ability to think ahead, plan and manage time efficiently • Problem Solving – ability to analyze causes and solve problems at both a strategic and functional level • Team Oriented – ability to work effectively and collaboratively with all team members Essential job functions (include the following): Consistently perform all activities and duties of Billing Specialist II at above standard performance levels. This includes performing all daily and month-end billing functions, procedures and reporting. Handle escalated billing issues and questions from team members. Ensure full customer satisfaction is reached for residents, responsible parties and facility staff. Working with department leadership, train, lead and develop team to ensure optimum performance. Ensure training manuals and written policies and procedures are maintained and updated for area/function. Working with department leadership, train, lead and develop team to ensure optimum performance. Ensure training manuals and written policies and procedures are maintained and updated for area/function. Work with various department leaders to assist/support clearing bottlenecks in workflow and ensure the most efficient processes are followed. Assist in implementing changes and rollout of new processes/tools to team members. In coordination with Departmental management, provide input on performance evaluations Lead by example in all areas of role and supporting the non-negotiable attributes: attitude, dependability, commitment, productivity, efficiency and upholding policies and procedures Through prior experience and cross training, demonstrate advanced knowledge and understanding in pharmacy facility billing requirements (Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances) and working/functional knowledge of other pharmacy departmental functions Serve as subject matter expert and departmental resource in Pharmacy information systems and workflow. Consistently exceed pharmacy's established accuracy and productivity levels. Follow all applicable government regulations including HIPAA. As a team lead, ensures team members work collaboratively to meet the service goals of the pharmacy Other essential functions and duties may be assigned as needed Education and/or Certifications: High School Diploma or GED required Pharmacy Technician license/certification/registration per state requirements; National Certification preferred (PTCB) may be required (pharmacy specific). Skills and Qualifications: • 3+ years related experience including a minimum of 1 year at Billing Specialist II level • Advanced computer skills; pharmacy information system experience required • Ability to work independently and deliver to deadlines • Great attention to detail and accuracy • Ability to excel in a fast-paced, team-oriented environment working on multiple tasks simultaneously, while adhering to strict deadlines • Quality minded; motivated to seek out errors and inquire about inaccuracies Work Environment: • Ability to work flexible hours What We Offer: Guardian provides employees with a comprehensive Total Rewards package, supporting our core value of, “Treat others as you would like to be treated.” Compensation & Financial Competitive pay 401(k) with company match Family, Health & Insurance Benefits (Full-Time employees working 30+ hours/week only) Medical, Dental and Vision Health Savings Accounts and Flexible Spending Accounts Company-paid Basic Life and Accidental Death & Dismemberment Company-paid Long-Term Disability and optional Short-Term Disability Voluntary Employee and Dependent Life, Accident and Critical Illness Dependent Care Flexible Spending Accounts Wellbeing Employee Assistance Program (EAP) Guardian Angels (Employee assistance fund) Time Off Paid holidays and sick days Generous vacation benefits based on years of service The Guardian Difference Our clients require pharmacy services that aren’t “cookie cutter.” That’s why every Guardian pharmacy is locally operated and empowered with the autonomy to tailor their business to meet their clients’ needs. Our corporate support offices, based in Atlanta, Ga., provide services such as human resources, business intelligence, legal, and marketing to promote the success of each Guardian location. Regardless of your role at Guardian, your voice and talents matter. Because healthcare is an ever-changing industry, we encourage innovative thinking, intellectual curiosity, and diverse viewpoints to ensure we stay competitive in today’s dynamic business environment. At Guardian, we are dedicated to fostering and advancing a diverse and inclusive workforce. Join us to discover what your best work truly looks like.

Posted 3 weeks ago

Billing Manager-logo
Billing Manager
IbottaDenver, Colorado
Ibotta is seeking a Billing Manager to join our innovative team and contribute to our mission to Make Every Purchase Rewarding. This person will spearhead initiatives to streamline billing processes, enhancing cross-departmental collaboration and driving efficiency in revenue and invoicing operations. They will also lead efforts to ensure SOX compliance, while providing strategic insights through detailed monthly analytics and overseeing all month-end accounting responsibilities. This position is located in Denver, Colorado as a hybrid position requiring 3 days in office (Tuesday, Wednesday, and Thursday). Candidates must live in the United States What you will be doing: Manage, develop, and guide the 5+ member Billing Team to achieve performance targets and organizational objectives. Collaborate with Sales, Engineering, and Accounting Leadership to enhance and implement procedures that improve the efficiency of the Revenue and Invoicing processes. Oversee and review accounts receivable details with the AR, Collections, and Sales teams to ensure accurate billing, timely collections and accurate cash application. Participate in and lead internal and external customer facing calls regarding customer billing issues. Collaborate with Collections Department on delinquent accounts Ensure compliance with all relevant financial regulations, accounting standards (e.g., GAAP), and internal control policies. Prepare and review month-end accounting tasks, including journal entries, reconciliations, reporting, and invoicing. Create, compile, and analyze monthly analytics for reporting to Senior Leadership. Monitor deferred revenue balances and coordinate with the AR and Sales teams to ensure timely repurposing or refunding. Prepare and review documentation for annual audit requests. Undertake special projects as requested by management at all levels. Embrace and uphold Ibotta’s Core Values: Integrity, Boldness, Ownership, Teamwork, Transparency & A good idea can come from anywhere What we are looking for : 10+ years of overall operational experience Bachelor’s Degree in Accounting preferred Proficiency in NetSuite, GSuite, Excel, and optionally SalesForce Excellent analytical skills with a focus on accuracy and attention to detail Adaptability to work effectively in a dynamic and changing technology driven environment Clear and effective communication skills, both verbal and written Proven ability to lead and influence staff at all levels and across various functions and external parties Demonstrated capability in driving process improvement and applying critical thinking About Ibotta ("I bought a...") Ibotta (NYSE: IBTA) is a leading performance marketing platform allowing brands to deliver digital promotions to over 200 million consumers through a network of publishers called the Ibotta Performance Network (IPN). The IPN allows marketers to influence what people buy, and where and how often they shop – all while paying only when their campaigns directly result in a sale. American shoppers have earned over $1.8 billion through the IPN since 2012. The largest tech IPO in history to come out of Colorado, Ibotta is headquartered in Denver, and is continually listed as a top place to work by The Denver Post and Inc. Magazine. Additional Details: This position is located in Denver, CO and includes competitive pay, flexible time off, benefits package (including medical, dental, vision), Lifestyle Spending Account, 401k match, profit sharing and equity. Denver office perks include paid parking, snacks and occasional meals. Base compensation range: $85,000 - $99,000. This role also includes a variable component in addition to base salary that will increase total earnings. This compensation range is specific to the United States labor market and may be adjusted based on actual experience. Ibotta is an Equal Opportunity Employer. Ibotta’s employment decisions are made without regard with race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, gender identity, sexual orientation, or any other legally protected status Applicants must be currently authorized to work in the United States on a full-time basis. For the security of our employees and the business, all employees are responsible for the secure handling of data in accordance with our security policies, identifying and reporting phishing attempts, as well as reporting security incidents to the proper channels. Recruiting Agency Notice Ibotta does not accept agency resumes and is not responsible for any fees related to unsolicited resumes. Please do not forward resumes to any Ibotta employees. #LI-Hybrid #BI-Hybrid

Posted 1 week ago

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

Posted 30+ days ago

M
Billing Specialist
Manatt, Phelps & Phillips, LLPLos Angeles, California
With eleven offices across the United States, 450+ professionals and 350+ business professionals, Manatt, Phelps & Phillips, LLP (www.manatt.com) is a multidisciplinary, integrated national professional services firm known for quality and an extraordinary commitment to clients. The Firm’s groundbreaking approach—bringing together legal services, advocacy and business strategy—differentiates Manatt from its competitors and positions the firm to provide a distinct and compelling value proposition. Opportunity: We currently have a great opportunity for a Billing Specialist in our New York, Los Angeles, Boston, Washington, D.C., or Orange County office. This position will process a large volume of bills on a monthly basis. Bills will need to be processed accurately and timely in accordance with billing professional instructions, client guidelines, and billing department policies and procedures. Essential Job Functions: Accurately and timely process high volume of bills each month, including complex bills with requirements such as split party billing, flat fee arrangements and multiple discounts by matter for client-level bills. Familiarize self with special fee arrangements for clients and act as resource to billing professionals on how to best implement arrangements. Monitor select matter billings against budgets to track and alert of potential overage/deficit. Create and maintain accurate and up-to-date client and/or billing professional specific billing instructions. Review client and matter setup for accuracy and consistency. Review and edit pre-bills according to billing professional instructions and compliant with client billing guidelines Submit invoices electronically, monitor and promptly resolve reduction and appeals. Communicate effectively with billing professionals, assistants, and clients to solve problems that arise during the billing process to ensure that bills are mailed timely. Escalate to the Billing Supervisor, if necessary, clearly articulating the issue and possible solutions. Actively listen to issues raised by billing professionals and offer suggestions to the Billing Supervisor on process changes that address the issues. Clearly articulate Firm’s billing policies, including policies on write-offs and carry forwards to billing professionals and their assistants. Monitor carry forwards and write-offs and alert Billing Supervisor of problems. Coordinate with Accounts Payable to ensure that all costs are captured timely, particularly in the case of an out-of-cycle invoice, such as when a closing occurs. Troubleshoot with Collections to resolve billing issues resulting in payment problems. Create billing schedules and bill and payment analyses as required. Assist with special billing projects as needed. Qualifications: Must have a minimum of two years of legal billing experience. Self-starter who proactively focuses on providing excellent and responsive client service. Quickly grasps processes and procedures and applies them to everyday tasks. Prioritizes and organizes workflow to complete tasks in a timely manner. Active listening skills and a systematic and structured approach to problem solving which results in the implementation of practical solutions. Adapts to different work styles and to changing circumstances while adhering to Firm policies and billing guidelines. Communicates effectively with all levels of the organization both verbally and in writing. Works well under pressure and stays focused on accomplishing the task. Exercises good judgment. Works well both independently as well as part of a team. Knowledge of billing systems such as Aderant. Experience with e-billing. Solid basic math skills, including addition, subtraction, multiplication, division and calculation of percentages. Excellent spelling and grammar skills. Demonstrated proficiency with Word and Excel. Strong attention to detail and ability to follow instructions accurately. The base annual pay range for this role is between $75,000-$95,000. The base pay to be offered will vary and depend on skills and qualifications, experience, location and will also take into account internal equity. A full range of medical, financial and/or other benefits dependent on the position will also be offered. EEO/AA EMPLOYER/Veterans/Disabled Manatt is an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, color, physical or mental disability, religion, creed, national origin, citizenship status, ancestry, sex or gender (including gender identity, gender expression, status as a transgender or transsexual individual, pregnancy, childbirth, or related medical conditions), age (over 40), genetic information, past, current, or prospective service in the uniformed services, sexual orientation, political activity or affiliation, genetic or and any other protected classes or characteristic protected under applicable federal, state, or local law. Consistent with the American Disabilities Act, applicants may request accommodations needed to participate in the application process. This employer will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS), with information from each new employee’s Form I-9 to confirm work authorization. IMPORTANT: If the Government cannot confirm that you are authorized to work, this employer is required to provide you written instructions and an opportunity to contact SSA and/or DHS before taking adverse action against you, including terminating your employment. Employers may not use E-Verify to pre-screen job applicants or to re-verify current employees and may not limit or influence the choice of documents presented for use on the Form I-9. In order to determine whether Form I-9 documentation is valid, this employer uses E-Verify’s photo screening tool to match the photograph appearing on some permanent resident and employment authorization cards with the official U.S. Citizenship and Immigration Services’ (USCIS) photograph. If you believe that your employer has violated its responsibilities under this program or has discriminated against you during the verification process based upon your national origin or citizenship status, please call the Office of Special Counsel at 1-800-255-7688 (TDD: 1-800-237-2515).

Posted 1 week ago

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Mom and Baby Billing Supervisor
Aeroflow CareerAsheville, North Carolina
Aeroflow Health – Mom and Baby Billing Supervisor Aeroflow Health is made up of creative and talented associates who are transforming the home medical equipment industry. Our patient-centric business model is founded on innovation through technology and cutting-edge delivery platforms. We have grown to be a leader in the home medical equipment segment of the healthcare industry, are among the fastest-growing healthcare companies in the country and recognized on Inc. 5000’s list of fastest-growing companies in the U.S. As Aeroflow has grown, our needs to curate an amazing employee environment and experience have grown as well. We’re working hard to ensure that Aeroflow remains a premier employer in Western North Carolina by making constant improvements to our office spaces, thus bettering the everyday lives of the employees that work so hard to service our patients. The Opportunity The Mom and Baby Billing Supervisor focuses on cultivating a high-performing team through effective leadership and development strategies. This Billing team is responsible for all denied or unpaid claims billed to insurance, while also assisting any patient who has a billing related question. This role involves managing, mentoring, and motivating a team of billing representatives. Key responsibilities include conducting coaching sessions, identifying training needs and following trends related to receipts and denials. This role requires strong communication skills, a proactive approach to problem-solving, and a commitment to continuous improvement within the team. Your Primary Responsibilities Lead/Manage and support daily activities for billing staff of 10-15 representatives to ensure quality and production is met. Provide training, constructive feedback, performance evaluations and delivery of disciplinary action, when applicable, to billing staff. timely and accurate submission of insurance claims (Medicaid, Medicare, and Commercial payers) to meet all applicable deadlines. Ensure proper benefit verification and authorization is followed for accurate compliance with payer specific documentation (e.g. prescriptions, HCPC codes and IDC 10 codes) Ability to review and drive solutions to claim denials or rejections based on documentation and payer guidelines. Work with internal and external customers to escalate trends in rejections, denials, underpayments, or process gaps. Serves as the point of escalation for operational issues or customer concerns. Audit productivity and quality of the team by emphasizing KPIs and performance management. Identify process inefficiencies and escalate for process change implementation to enhance production and quality improvement. Facilitate and establish sound and timely communication with team Foster collaboration, creativity, and professional growth among your team members. Gather and analyze data for potential business solutions or expansions using various reporting available within our internal systems, or directly in SQL. Identify opportunities for collections, decreasing open A/R and automation. Employees have an individual responsibility for knowledge of and compliance with laws, regulations, and policies. Compliance is a condition of employment and is considered an element of job performance Maintain HIPAA/patient confidentiality Other job duties assigned Skills for Success Curiosity and Learning : Constantly seeks to understand how things work and find root causes. Committed to self-improvement and learning, they openly admit knowledge gaps, seek feedback, and embrace continuous personal and organizational growth. [combines Relentless Curiosity, Obsession to Learn, and Confidently Humble] Entrepreneurial and Action-Oriented : Proactively identifies opportunities, takes calculated risks, and drives action at all levels. Takes full ownership of outcomes, admits mistakes, and focuses on solutions without assigning blame. [combines Entrepreneurial and Buck Stops Here] Strategic Thinking : Makes decisions with a focus on long-term, company-wide impact. Always looking for ways to enhance and transform processes, they prioritize big-picture thinking while driving continuous improvement. [combines Strategic and Transformative] Technological Agility: Skilled in modern technology, this person stays up-to-date with emerging tools and systems, leveraging them to improve efficiency and performance. Committed to continuous learning and application of new tech. People and Relationship Development: Passionate about mentoring and developing talent, while fostering strong, cross-functional relationships. Focuses on collaboration, communication, and building a supportive culture for others’ growth. [combines Commitment to People Development and Relationship Focused] Adaptability and Transformation: Embraces change and continuously seeks new ways to innovate and improve. Thrives on transformation, with a flexible, entrepreneurial mindset that drives bold steps and adaptability. Qualifications Two or more years of experience in a business unit as an individual contributor or manager. Demonstrated ability to manage and prioritize multiple tasks, leading to a track record of meeting or exceeding deadlines. Proficient excel experience, including pivoting and manipulating the data, creating visuals, such as graphs and charts to identify trends. Demonstrated natural analytical skillset and has the ability to think critically. Demonstrated drive to solve problems within a team environment. Professional communication skills, both written and verbal. Proven ability to build strong relationships within an internal and external team. Ability to make quick decisions for the benefit of patient care and organizational goals. Individual responsibility for knowledge of and compliance with laws, regulations, and policies, with no recorded compliance violations. Google Suite experience is a plus but is not required. What Aeroflow Offers Competitive Pay, Health Plans with FSA or HSA options, Dental, and Vision Insurance, Optional Life Insurance, 401K with Company Match, 12 weeks of parental leave for birthing parent/ 4 weeks leave for non-birthing parent(s), Additional Parental benefits to include fertility stipends, free diapers, breast pump, Paid Holidays, PTO Accrual from day one, Employee Assistance Programs and SO MUCH MORE!! Here at Aeroflow, we are proud of our commitment to all of our employees. Aeroflow Health has been recognized both locally and nationally for the following achievements: Family Forward Certified Great Place to Work Certified 5000 Best Place to Work award winner HME Excellence Award Sky High Growth Award If you’ve been looking for an opportunity that will allow you to make an impact, and an organization with unlimited growth potential, we want to hear from you! Aeroflow Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. Remote – EST Time Zone is preferred Must be able to travel to Asheville, NC quarterly and as needed

Posted 3 weeks ago

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Senior Billing Specialist
Cumming Management GroupMurrieta, California
At Cumming Group, you will work on some of the world's most exciting projects in a dynamic environment where your success is measured by the impact you make. We are one of the fastest-growing project and cost management consultancies in the United States, as reflected in our top 10 rankings in ENR. With over 60 offices globally, an extremely diverse project portfolio, and double-digit year-over-year revenue growth, the opportunities to make your mark are limitless! Essential Duties & Responsibilities: Analyze, maintain, and tend to monthly invoicing and Accounts Receivable ledgers. Researching and reconciling billing discrepancies. Analyze and Review of contracts, purchase orders, change orders in order to validate accuracy of project set up and billing. Assist with tracking of subconsultants. Field questions from Project Managers and Collections Specialist about status of invoices. Report analysis using Excel and integrated accounting systems. Audit and reconcile account balances, receipts and expense claims; balance against reports and invoices. Prepare documentation for input into computerized accounting system. Assist in audits as necessary; prepare reports and respond to inquiries from auditors. Close-out completed contracts in accounting software. Perform related duties as assigned. Document filing and storage. Other duties as assigned. Attendance at work during normal business hours. Knowledge & Skills Required: Exceptional billing experience highly preferred. Experience processing a high volume of transactions. Recent experience using integrated accounting systems such as MAS200, Deltek, or Great Plains (not just Quick Books). Experience within the Construction Industry preferred. Experience with accounts payable and expense reporting processing. Experience with posting journal entires to the general ledger and general accounting administrative duties. Intermediate to Advanced skill level with Excel. Team player with solid interpersonal skills. Accurate and organized; strong problem solving skills. Preferred Education and Experience: Education: AA degree with an Accounting major Experience: 4 years of equivalent billing specific experience. Preferred Certification: Accounting Certification #LI-SJ1 Cumming Group is committed to providing Equal Employment Opportunity in its personnel policies and practices. It is Cumming Group’s policy to recruit, hire, train and promote Team Members and applicants for employment without regard to race, color, creed, religion, age, sex, marital status, registered domestic partner status, genetic information, sexual preference, sexual orientation, gender (including gender expression and gender identity), pregnancy (including childbirth or related medical conditions, including breastfeeding), military service, national origin, ancestry, citizenship, physical disability, mental disability, veteran status or any other protected classification under federal, state, or local law. All such decisions are based on (1) individual merit, qualifications, and competence as they relate to the particular position, and (2) promotion of the principle of equal employment opportunity. All other terms and conditions of employment, such as compensation, benefits, transfers, layoff, return from layoff, training, education, and social and recreational programs, are administered without regard to the characteristics described above. To this end, Cumming Group complies with all provisions of Title VII of the Civil Rights Act of 1964 as amended, all of the rules, regulations and relevant orders of the Secretary of Labor, and all similar state and local laws. The salary range for this full-time role is $24.04-$30.45 per hour. Ranges are determined based on the position, geography, client and industry experience and level, and represent a good faith effort to provide a fair and equitable salary. This range reflects base salary only, and not the total compensation package. Cumming Group reserves the right to pay more or less than the posted range, depending on a candidate’s experience, skills, and qualifications, including client requirements. In addition to base salary, Cumming Group offers a comprehensive benefits package including: Medical Dental Insurance Vision Insurance 401(k) 401(k) Matching Paid Time Off Paid Holidays Short and long-term disability Employee Assistance Program

Posted 30+ days ago

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Legal E-Billing Administrator
Goodwin ProcterLos Angeles, District of Columbia
Join Goodwin’s Global Operations Team, and make a real impact on a global scale. At Goodwin, we work with some of the world’s most successful and innovative investors, entrepreneurs and disruptors in the life sciences, private equity, real estate, technology and financial industries, and where they converge. As part of the Global Operations Team – all business professionals at the firm – you’ll collaborate with colleagues from varied backgrounds and experiences, fostering an environment where cross-functional learning, networking, and collaboration are at the core of what we do. Here, we’re not just supporting a law firm; we’re partnering with attorneys and clients to deliver cutting-edge solutions in high-stakes litigation and dispute resolution, world-class regulatory compliance and advisory services, and complex transactions. Our commitment to integrity, ingenuity, agility, and ambition drives us, and we’re proud to have been recognised as the “Best Business Team” by The American Lawyer. This is your opportunity to grow professionally in a dynamic, global environment, surrounded by forward-thinking peers. As an E-Billing Administrator, you will support the E-Billing Manager and team with all aspects of client electronic billing platform changes and on-boarding. Your responsibilities will include managing e-billing processes, services, and procedures to ensure accurate and timely entries into the firm’s billing system, while delivering exceptional customer service. What You’ll Do: Assist in appeals of reduced and short paid invoices researching e-billing sites. Assist with electronic on-boarding tasks, including client matter setup and mapping, timekeeper entry and mapping and rate updates/maintenance across various e-billing platforms. Troubleshoot e-billing-related issues and provide support to Billing Department team members. Handle overflow e-billing invoice submissions. Transmit electronic billing, evaluate e-billing processes and procedures, and implement necessary system changes. Record and maintain accurate phase, task, and billing codes. Coordinate special client billing requests with E-Billing management. Collaborate with the Pricing and Project Management team to approve and implement special rate arrangements. Respond promptly to requests submitted in the E-billing inbox. Prepare client and/or attorney analyses as needed. Work with billers and collection coordinators on e-billing short-pays and appeals. Preform tasks as needed. Who You Are : 3-5 years of legal billing experience; appealing invoices a plus. Proficiency with financial/billing software; Aderant Expert billing system experience is preferred. Experience with electronic billing transmission on various e-billing platforms; BillBlast experience is preferred. Ability to adhere to and apply billing department policies and procedures. Strong communication skills, with the ability to interact professionally and tactfully with all levels of the firm. High level of customer service in a fast-paced environment. Ability to manage a high volume of tasks with attention to detail and prioritize effectively. Proficiency in MS Office, with strong knowledge of Excel preferred.​ #LI-MS1 Benefits and More At Goodwin, you will discover your next career opportunity with a rewarding compensation package and comprehensive benefits, including: Flexible work arrangements and hybrid work schedule Health, dental, and vision insurance Life and disability insurance Retirement & Savings Plan Emergency back-up child and adult care Paid vacation, sick time off, and holidays Professional development and career advancement opportunities Employee recognition and reward programs Employee wellness and assistance programs Employee discounts and perks ​ Consistent with the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance an arrest and conviction record will not automatically disqualify a qualified applicant from consideration. Consistent with the SF Fair Chance Ordinance, an arrest and conviction record will not automatically disqualify a qualified applicant from consideration. G oodwin Procter LLP is an equal opportunity employer. This means that Goodwin Procter LLP considers applicants for employment, and makes employment decisions without unlawful discrimination on the basis of race, color, gender, gender identity or expression, age, religion, national origin, citizenship status, disability, medical condition, genetic information, marital status, sexual orientation, military or veteran status, or other legally protected status. To request a reasonable accommodation to participate in the job application or interview process in the US, contact the Benefits Department by email or by phone at 617-570-1800. To request any disability or neurodivergence related accommodations to participate in the job application or interview process in the UK or Germany, please email the Recruiting Department. Any information you provide will be in the strictest confidence, and only used for the purpose of providing the accommodations needed. Requesting accommodations will not adversely affect the outcome of your application. This position is eligible for overtime: Yes The Target Salary Range For This Position Varies By Location And Is Commensurate With Relevant Experience: $70,000.00 - $75,000.00

Posted 3 weeks ago

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Pharmacy Technician - Billing Specialist
Guardian Pharmacy Services ManagementPhoenix, Arizona
Phoenix, Arizona, United States of America Extraordinary Care. Extraordinary Careers. With one of the nation’s largest, most innovative long-term care pharmacy services providers, there is no limit to the growth of your career. Saliba’s Extended Care Pharmacy, a member of the Guardian family of pharmacies, has an exciting opportunity for you to join our rapidly growing team in Phoenix, Arizona . Why Saliba’s Extended Care Pharmacy ? We’re reimagining medication management and transforming care. Who We Are and What We’re About: Our core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered. We offer an opportunity to learn and grow your career in a fast-paced, diverse, and inclusive environment. If you are looking for a challenging, team-oriented environment in which you can put your expertise to work, then this is the place for you. Details: Schedule: Mon - Fri, 11:30 am - 8:00 pm (Training hours will differ) Pay: $20.00 - $22.00 Location: Saliba's Pharmacy - 925 E Covey Lane, Phoenix, AZ 85024 Responsible for processing customer bills and insurance claims in an accurate and timely manner. This includes assisting with all daily and month-end billing functions, procedures and reporting. Provides excellent customer service to patients, caregivers, medical providers and insurance carriers. ATTRIBUTES REQUIRED: Work Ethic/Integrity – must possess intrinsic drive to excel coupled with values in line with company philosophy Relational – ability to build relationships with business unit management and become “trusted advisor.” Strategy and Planning – ability to think ahead, plan and manage time efficiently. Problem Solving – ability to analyze causes and solve problems at functional level. Team Oriented – ability to work effectively and collaboratively with all team members. ESSENTIAL JOB FUNCTIONS (include the following): Research and establish patient eligibility coverage with insurance providers including private individuals and/or government entities. Reverify benefit coverage criteria as needed for claims follow up. Accurately enters and/or updates patient/insurance information into billing system. Maintain and continually audit patient files and corresponding documentation necessary to defend third party audits and ensure payer and company compliance. Accurately enter patient information into the pharmacy system. Provide assistance and timely response to all billing customer inquiries via phone or electronic communications. Research and resolve patient billing issues regarding insurance eligibility, coverage, and related benefits. Provide guidance and support to resident or responsible party by running Medicare plan comparisons during open enrollment and special enrollment periods. Proactively review patient profiles, drug regimens and insurance coverage to evaluate options to save resident money. Responsible for completion of daily census, admit, discharge, and room changes for the facilities assigned. Process patient payments, returns, and credits. Transmit individual credit card payments as needed. May pursue payment from delinquent accounts and make payment arrangements. Research, identify and organize requested audit documentation in timely manner. Perform prescription claims adjudication including communication with insurance companies regarding rejected claims, eligibility, prior authorizations or other issues as needed. Make corrections as needed and rebill claims as necessary. Develop knowledge and understanding in pharmacy facility billing requirements (Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances) Develop proficiency in the utilization of pharmacy information systems to meet operational needs and regulatory requirements. This includes using pharmacy systems to process prior authorizations, resolve rejections, produce various reports as necessary, and complete billing functions. Rotate through other departments to gain working/functional knowledge of other department workflows. Follow all applicable government regulations including HIPAA. Work as a collaborative team member to meet the service goals of the pharmacy. Other essential functions and duties may be assigned as needed. EDUCATION AND/OR CERTIFICATIONS: High School Diploma or GED required. Pharmacy Technician license/certification/registration per state requirements; National Certification preferred (PTCB) may be required (pharmacy specific). SKILLS AND QUALIFICATIONS: 1+ years of related experience Advanced computer skills; pharmacy information system experience preferred. Ability to work independently and deliver to deadlines. Great attention to detail and accuracy Ability to excel in a fast-paced, team-oriented environment working on multiple tasks simultaneously, while adhering to strict deadlines Quality minded; motivated to seek out errors and inquire about inaccuracies. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the job. The noise level in the work environment is usually low to moderate. Due to the collaborative nature of the business and the need to service customers, the employee must be able to interact effectively with others in an office environment, manage conflict, and handle stressful situations and deadlines. Requires desk work in office environment. Ability to work flexible hours. What We Offer: Emotional well-being and physical health are important, which is why our employees receive a generous benefits package and a work culture that supports our core value of, “Treat others as you would like to be treated.” Compensation & Financial Competitive pay 401(k) with up to 3.5% company match (1) Family, Health & Insurance Benefits ( 1), (2) Multiple health plan options including copay (FSA-eligible) and HSA eligible plans Wellness Incentive Program Dental and Vision plans Company-paid basic life, AD&D and long-term disability coverage Optional employee, spouse, and child life/AD&D insurance Optional accident, critical illness, and short-term disability coverage Dependent Care Flexible Spending Accounts Employee Assistance Program (EAP) Time Off Paid holidays and sick days Generous vacation benefits based on years of service (1) Eligibility begins the first of the month following 30 days of employment (2) Full-time employees only, excluding EAP which is available to all Guardian employees The Guardian Difference Our clients require pharmacy services that aren’t “cookie cutter.” That’s why every Guardian pharmacy is locally operated and empowered with the autonomy to tailor their business to meet their clients’ needs. Our corporate support offices, based in Atlanta, Ga., provide services such as human resources, business intelligence, legal, and marketing to promote the success of each Guardian location. Regardless of your role at Guardian, your voice and talents matter. Because healthcare is an ever-changing industry, we encourage innovative thinking, intellectual curiosity, and diverse viewpoints to ensure we stay competitive in today’s dynamic business environment. At Guardian, we are dedicated to fostering and advancing a diverse and inclusive workforce. Join us to discover what your best work truly looks like.

Posted 1 week ago

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Billing Specialist - San Benito Medical
Alpine PhysiciansHouston, Texas
We're committed to bringing passion and customer focus to the business. Job Description: We are seeking a Medical Billing Specialist to become a part of the ASAS Health team powered by Alpine Physician Partners! This position performs a wide variety of duties and responsibilities in a manner that places emphasis on quality of care and customer service. The position must exemplify the core values and mission of the organization, always exercising utmost discretion, diplomacy and tact in patient/staff interactions. Responsibilities: Effectively utilizes ICD 10, CPT, HPCPS, modifiers and/or other codes according to coding guidelines Creates claims and transfer to third-party payers utilizing the correct forms Conducts audits and coding reviews to ensure all documentation is accurate and precise Manage the status of accounts and identify inconsistencies Maintains appeal and denials Posts payments and adjusts accounts appropriately Qualifications: Minimum 3 years experience in medical billing and coding Excellent communication skills and ability to effectively communicate with patient population and staff while demonstrating a high degree of diplomacy and tact. Beginner to intermediate computing and phone skills. Demonstrates flexibility in regard to job duties and assignments. Willingness to cross train within other departments within your scope of duties. Ability to multi-task and work effectively in a high-stress and fast-moving environment. Culturally sensitive and demonstrated ability and effectiveness working with ethnically diverse populations. Working knowledge of “Universal Precautions,” always demonstrates professionalism. Possess a thorough understanding of the importance of confidentiality and non-disclosure according to the general standards set forth by HIPAA. Bilingual English/Spanish and/or other languages strongly preferred. Valid Texas Driver’s License, insurance, and ability to travel as required to perform duties. Education: High School Diploma or GED required Certification preferred If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

Posted 1 week ago

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

Posted 30+ days ago

Billing and Coding Specialist-logo
Billing and Coding Specialist
RiverStone HealthBillings, Montana
Working title : Billing and Coding Specialist Classification title : Bookkeeping, Accounting and Auditing Clerks (43-3031) Division: Administration Program : Fiscal Services Reports to : Medical Billing Manager FLSA status : Non-Exempt: Full-time Schedule: Monday-Friday; 8am-5pm Wage Range: $20.32 to $25.35 hourly; depending on number of years of transferrable experience and internal equity RiverStone Health: Serving the Yellowstone County community and south-central Montana for nearly 50 years, RiverStone Health is an essential provider of personal and public health services. Health, Education, Leadership and Protection – HELP is what we do. From medical, dental and behavioral healthcare; home care and hospice; public health services like immunizations, WIC, health promotion and restaurant inspections; and educating the next generation of health professionals, our expertise spans all ages and stages of life. Underlying principles of access, affordability, compassion and quality in all interactions, RiverStone Health improves life, health and safety for all of the communities we serve. Job Summary: Performs a variety of tasks in coding and billing. This may include claims review and submissions as well as technical accounts payable and receivable functions specializing in billing and collections for all RiverStone Health Clinic Facilities. Essential Functions/Major Duties and Responsibilities: A. Accounting Tech-Medical/Dental Billing and Coding Specialist 90% Obtains billing information from medical and dental care providers. Analyzes and prepares Medicaid, Medicare, and insurance claims for billing. Verifies claim accuracy and completion. Adjusts invoices for patient discounts and amounts based on insurance provider and government program allowances. Prepare and distribute billing invoices at least monthly. Performs preliminary “audits” of patient electronic charts to ensure billing information is included and coded properly. Establishes and maintains patient financial files. Post charges and payments to patient accounts. Posts patient and insurance payments against accounts receivable balances into the electronic health record, eCW. Reconciles differences between actual and expected payments. Respond to questions pertaining to patient invoices, sliding fee discounts and payment plans; discusses payment options and sets up payment plans when Develop monthly accounts receivable days tracking systems and closely monitor aging accounts. Include discounts applied and write-off percentages tracking. Enters miscellaneous payments made to RiverStone Health into the deposit spreadsheet or other deposit-tracking system. Post pharmacy Medicaid payments in pharmacy software. Investigates anomalies, errors, and discrepancies in accounts. Processes payment denials and errors and takes appropriate follow-up measures. Provides guidance that assists new employees with work tasks to new employees in the same or similar class of positions. Informs the immediate supervisor and designated others about work progress, present and potential work problems, and suggestions to address problems.Billing Responds to citizens’ questions and comments with courtesy and in a timely manner. Communicates and coordinates regularly with others to maximize the effectiveness and efficiency of interagency operations and activities. Attends meetings, conferences, workshops, and training sessions and reviews publications and audio-visual materials to become and remain current on principles, practices, and new developments in assigned work areas. Communicates with patients, families, or payors Performs other functions as assigned by specific programs. Non-Essential Functions/Other duties as assigned ≥10% Perform other duties as assigned in support of RiverStone Health’s mission and goals. Education and Experience: Minimum Qualifications High school diploma or GED; plus Experience and/or training directly related to ICD-10 coding applications Any combination of experience and training which provide the equivalent scope of knowledge, skills, and abilities necessary to perform the work. Preferred Qualifications ICD-10 Coding certification Required Certificates, Licenses, Registrations: Must become Certified Professional Coder (CPC) credentialed within 12 months of hire date if not already credentialed. Knowledge, Skills, and Abilities: Computer literacy including MS Excel and Office Suite™ and knowledge of office procedures and equipment Performs data entry relevant to job duties. High degree of detail-orientation Knowledge and understanding of protected sensitive patient health information (HIPAA) and confidentiality Ability to meet deadlines Work collaboratively to contribute to a positive work experience Communicate calmly, focused on the issue, and with empathy Able to perform each essential duty satisfactorily. Customer Service Excellence: Doing things right the first time Making people feel welcome Showing respect for each customer Anticipating customer needs and concerns Keeping customers informed Helping and going the extra mile Responding quickly Protecting privacy and confidentiality Demonstrating proper telephone etiquette Taking responsibility for handling complaints Being professional Taking ownership of your attitude toward Service Excellence. Supervision: None Physical Demands and Working Conditions: Work is mainly performed on a computer up to 8 hours per day. Use of repetitive motion Standing, bending, sitting, lifting required Work is performed in an office environment and requires the ability to operate standard office equipment and keyboards. Must have the ability to lift and carry a laptop and other small items, to walk short distances. Ability to see details near and far, recognize color differences, and focus on fine details like small print and/or instruments required. Create and maintain a safe/secure working environment by adhering to safety, security, and health requirements. Integrates injury, illness, and loss prevention into job activities by attending any necessary training and implementing best practices. Freedom to Act & Decision Making: Limited discretion: actions subject to regulations, contract requirements, generally accepted accounting principles and supervision. Communications & Networking: Respond effectively during tense / emotional conversations with patients or their family members and payors. Responsible for maintaining confidentiality and sharing only information relevant to inquiries Professional communication style with payors, insurers, and patients Budget & Resource Management: None

Posted 1 week ago

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

Posted 1 week ago

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RCM Billing Specialist
InfuSystem CareerRochester Hills, Michigan
InfuSystem is a growing healthcare service provider, specializing in infusion pumps and related products and services for patients in hospitals, clinics, ambulatory surgery centers, and other major service centers. We provide direct payer rentals, pump and consumable sales, and biomedical services and repair, serving all 50 states and Canada. Headquartered in Rochester Hills, Michigan, we have Centers of Excellence in Kansas, California, Massachusetts, and Ontario, Canada. As a leader in our field, our mission is to provide quality infusion services to patients and medical practices, including a 24‐hour clinical support hotline. Our team effort provides product management and clinical support to enhance the lives of our patients and the communities we serve. Service is always our highest priority; keeping the patients’ health & safety at the center of everything we do. SUMMARY: The Revenue Cycle Billing Specialist is responsible for the management of activities relative to third party payer billing. This includes, benefit verification, obtaining authorizations and timely and accurate filing of claim submission. Ensuring that all claims billed are following all federal and state requirements and meeting the requirements of payers. This position should have billing work experience in DME and other healthcare related services. The scheduled working shift for this position is Monday through Friday in a hybrid setting, working in the office a minimum of 3 days and 2 days from home. In office days will be Tuesday, Wednesday, Thursday. IN THIS ROLE, THE IDEAL CANDIDATE WILL: Have capability to interpret payer explanation of benefits (EOBs) to ensure proper reimbursement of claims and report any problems, issues, or payer trends to management Work with payers and/or payer web portals to determine reasons for front end denials and correct and resubmit claims for reimbursement in a timely manner Conduct insurance reverification as needed through various tools and initiate billings to a new payer or reprocess the claim accordingly or bill patient Process third party payer correspondence, refunds, and adjustments timely Remain up to date on payer informational notices and changes Share information and ideas for process improvements with team Respond to all patient inquiries timely Comply with all work instructions, policies and behavioral expectations QUALITY AND QUANTITY OF WORK Team members will be responsible for hitting regular productivity targets with a high level of quality. Quality audits will be performed on a regular basis and feedback and education will be provided to the team member to help support growth and development. SUPERVISORY RESPONSIBILITIES: This position has no supervisory responsibilities THE IDEAL CANDIDATE WILL HAVE THE FOLLOWING QUALIFICATIONS: Minimum High School Diploma or GED Minimum 2 years of medical billing experience Associate Degree or equivalent preferred or equivalent combination of education and experience Strong Organizational and troubleshooting skills, and strong attention to detail Proficient with MS Office (Word, Excel, PowerPoint) Ability to operate Express/HDMS/WaySta Understanding of insurance guidelines including Medicare, Medicaid, Workers Compensation, and all commercial managed-care plans Ability to handle inquiries via telephone or in writing Ability to explain and resolve collections related questions/issues to patients, sales representatives, and facilities Understand proper use of billing codes: ICD-10, CPT and HCPCS Ability to independently meet tight deadlines in a project-based atmosphere PERSONAL AND PROFESSIONAL ATTRIBUTES : The ideal candidate must be a rigorous analytical thinker and problem solver with the following professional attributes: Strong work ethic Sound judgment Proven written and verbal communication skills Natural curiosity to pursue issues and increase expertise Pursue and design innovative analytical performance metrics The courage to promote and defend ideas and analyses Passionate about InfuSystem and serving customers and patients Strives to make an impact on improving our business processes and results Exemplary honesty and integrity Ability to collaborate effectively and work selflessly as part of a team PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. COMPREHENSIVE BENEFIT PACKAGE: At InfuSystem, we give our employees the tools to succeed both on and off the job. Our generous benefits package provides comprehensive coverage to help you protect your health and earning power and prepare for the future. In addition, we offer perks and programs that help you grow in your career and make InfuSystem a great place to work! Health Savings Account Healthcare and Dependent Care Flexible Spending Accounts (FSA) Dental and Vision premiums covered by InfuSystem 401(k) with a specified Company Match Life Insurance, STD & LTD Employee Stock Purchase Program Tuition Assistance Generous Paid Time Off plan Paid Parental Leave Employee Assistance Program Competitive Pay Direct Deposit Employee Referral Bonus

Posted 1 week ago

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Billing Coordinator II
ModivCare SolutionsLynn, Massachusetts

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Job Description

Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you!

Modivcare is looking for an experienced Billing Coordinator II to join our team! This position is responsible for billing effectively and efficiently to facilitate prompt payment for services via billing systems and developing collaborative relationships with payor’s billing departments. This role will be able to perform all of the following tasks: verifying client eligibility, monthly claim/invoice submissions, resubmissions or back billing, resolve denied or rejected claims, including researching accounts, analyzing EOBs, and interacting with insurance companies and government payors.

You will...

  • Utilize the phone system application by logging in and setting a status of ready to manage incoming phone calls by responding to request and assisting with inquiries.

  • Access multiple web portals to identify and research eligibility, collect needed information to ensure timely processing of electronic, portal and invoiced claims.

  • Follow revenue cycle from charge creation through resolution of outstanding AR.

  • Verify eligibility when required prior to billing payers and documents insurance verification.

  • Assume responsibility for timely and accurate invoices submission, including generating monthly charges and transmission of EDI claims and invoices

  • Investigate and resolves claim rejections and denials via Clearinghouse or payer portals.

  • Utilize payer portals or contact payers as needed for claim corrections and/or missing information.

  • Add and understands specific data such as modifiers, payer specific information, including authorization criteria, CPT and ICD-10 coding.

  • Apply corrections to patient demographics, charges, adjustments and payments or when needed forwards to the appropriate department for correction.

  • Work through reporting cards and tickets assigned through company applications.

  • Work rejection and denial workgroups for timely review and resubmission of EDI claims.

  • Resolve problems by clarifying issues, researching potential solutions, helping to implement changes to maximize timely and complete reimbursement, and escalating unresolved issues.

  • Utilize multiple system applications daily to work through assigned inventory

  • Identify and document any payer issues and communicate with RCM leadership.

  • Maintain KPI and quality goals.

  • Perform resubmission projects and additional daily reports.

  • Participate in other projects or duties as assigned.

  • Occasional business travel may be required.

We are excited to speak to someone with the following...

  • High School Diploma required.

  • One (1) plus years of experience in healthcare revenue cycle management or a related field.

  • Or equivalent combination of education and/or experience.

  • Knowledge of portal, invoice, and EDI billing methods.

  • Experience using HHAeXchange preferred.

  • Self-motivation and the ability to work independently and with teams.

  • Proficient in the use of Word, Excel, Outlook, and PowerPoint.

  • Excellent verbal and written communication skills.

  • Proficient in managing multiple tasks as the same time.

  • Experience with Accounts Receivable follow-up process.

  • Attention to detail and accuracy in all tasks.

Pay: $18.36/hr - $23.09/hr

Modivcare’s positions are posted and open for applications for a minimum of 5 days. Positions may be posted for a maximum of 45 days dependent on the type of role, the number of roles, and the number of applications received.  We encourage our prospective candidates to submit their application(s) expediently so as not to miss out on our opportunities. We frequently post new opportunities and encourage prospective candidates to check back often for new postings. 


We value our team members and realize the importance of benefits for you and your family.

Modivcare offers a comprehensive benefits package to include the following:

  • Medical, Dental, and Vision insurance
  • Employer Paid Basic Life Insurance and AD&D
  • Voluntary Life Insurance (Employee/Spouse/Child)
  • Health Care and Dependent Care Flexible Spending Accounts
  • Pre-Tax and Post --Tax Commuter and Parking Benefits
  • 401(k) Retirement Savings Plan with Company Match
  • Paid Time Off
  • Paid Parental Leave
  • Short-Term and Long-Term Disability
  • Tuition Reimbursement
  • Employee Discounts (retail, hotel, food, restaurants, car rental and much more!)

Modivcare is an Equal Opportunity Employer.

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

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