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Billing Supervisor-logo
DocGoRidgewood, New York
Title: Billing Supervisor Location: 16-70 Weirfield St, Ridgewood, NY (In Person) Employment Type: Full-Time Hourly Rate: $25 - $27 per hour Benefits: Medical, Dental, and Vision (with company contribution), Paid Time Off, Weekly pay, PTO & 401k About Ambulnz by DocGo : DocGo is leading the proactive healthcare revolution with an innovative care delivery platform that includes mobile health services, population health, remote patient monitoring, and ambulance services. DocGo disrupts the traditional four-wall healthcare system by providing high quality, highly affordable care to patients where and when they need it. DocGo's proprietary, AI-powered technology, logistics network, and dedicated field staff of over 5,000 certified health professionals elevate the quality of patient care and drive efficiencies for municipalities, hospital networks, and health insurance providers. With Mobile Health, DocGo empowers the full promise and potential of telehealth by facilitating healthcare treatment, in tandem with a remote physician, in the comfort of a patient's home or workplace. Together with DocGo's integrated Ambulnz medical transport services, DocGo is bridging the gap between physical and virtual care. Responsibilities: Implement and/or assist internal billing process and procedures Implement and/or assist processes for verification of patient benefits Supervise staff in the Billing department (including billing, follow-up, collections, customer service team members) Prepare and re-submit clean claims in various methods (e.g., electronically, paper, online) Identify and resolve patient billing complaints Coordinate collection of needed insurance documents for billing Rebill insurance companies or other third parties to secure payment for patients Follow-up and report status of delinquent accounts Review accounts for possible assignment and makes recommendations Perform various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers Establish payment plans to help patients manage payment of bills Respond to patient billing and statement inquiries Prepare Health Insurance analysis reports on a weekly basis Make recommendations to management for write-offs Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations Additional duties as outlined by the Revenue Cycle Director or CRO Required Qualifications: 3-5+ years of experience Strong knowledge of various payers Proficient in MS Office, including intermediate experience in excel Knowledgeable on ICD-10 and CPT codes Familiar with standard concepts, practices, and procedures Works under general supervision. A certain degree of creativity and latitude is required Commitment to excellence and high standards Ability to understand and follow written and verbal instructions Strong organizational, problem-solving, and analytical skills; able to manage priorities and workflow Ability to work independently and as a member of various teams Ability to work in a fast-paced environment Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm Time management skills as related to daily schedules and productivity Excellent interpersonal and communication skills Preferred Qualifications: Extensive knowledge of ICD-10 and Condition Codes Ability to collect for healthcare claims from Medicare/Medicaid, commercial insurance, contracted facilities, and individuals Understand Medicare and Medicaid regulations and guidelines Familiarity with Medicare, Medicaid, Coding, Private Pay, and insurance preferred Familiarity with medical terminology Ability to interpret EOB (Explanation of Benefits) Familiarity with Microsoft Office Suite EEO/AAP Statement: DocGo is an equal opportunity employer. We acknowledge and honor the fundamental value and dignity of all individuals. We pledge ourselves to crafting and maintaining an environment that respects diverse traditions, heritages, and experiences. DocGo is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. The above-noted job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general sense of the responsibilities and expectations of this position. As the nature of business demands change so, too, may the essential functions of the position.

Posted 3 days ago

Intake and Billing Specialist - 2025239-logo
World ReliefCarol Stream, IL
Are you a person of compassion? An advocate for justice? Someone who stands up for the rights of the vulnerable and speaks out for the marginalized, the exploited and the forgotten? Do you believe in our calling as Christians to welcome the least of these and love our neighbor? If you answered ‘yes’, to any of the above, World Relief, and millions of people around the world need you. At this pivotal moment in time, we are rapidly expanding and growing our team to meet the increasing needs of our world. We are looking for people who want to use their gifts and talents to make a real and tangible difference in our world and the lives of the suffering. If you’re looking for a purpose-driven career in which you can grow your talents, while also standing up for the rights of the vulnerable, we want you to join us today. ORGANIZATION SUMMARY World Relief is a global Christian humanitarian organization whose mission is to boldly engage the world’s greatest crises in partnership with the church. The organization was founded in the aftermath of World War II to respond to the urgent humanitarian needs of war-torn Europe. Since then, for 80 years, across 100 countries, World Relief has partnered with local churches and communities to build a world where families thrive and communities flourish. Today, organizational programming focuses on humanitarian and disaster response, community strengthening and resilience, and refugee & immigrant services and advocacy. This position is reliant upon funding and may be subject to modification or termination based on resource availability. POSITION SUMMARY: Provide administrative support to counseling team including conducting initial intakes, processing billing claims and tracking insurance compliance, and participating in grant reporting. ROLE & RESPONSIBILITIES: Conduct intakes with prospective clients Create and update client files Participate in appointment scheduling Initiate billing claims Track insurance contract requirements Create and update organizational systems and protocols participating in collection of data for grant reports JOB REQUIREMENTS: Mature and personal Christian faith Committed to the mission, vision, and values of World Relief Desire to serve and empower the Church to impact vulnerable communities Able to affirm and/or acknowledge World Reliefs Core Beliefs , Statement of Faith , Christian Identity and National Evangelicals For the Health of The Nation document Expertise in billing processes Clear understanding of HIPAA compliance Highly organized PREFERRED QUALIFICATIONS: Experience conducting intake calls, trauma-informed training Strong soft skills in relational communication Ability to manage and prioritize multiple projects effectively Ability to create and update systems and protocols Creative problem-solver Self-starter Bilingual preferred Expertise in Excel World Relief offers a competitive benefits package and employee discount program for full-time and part-time employees. World Relief is honored to be recognized with the Gold-level Cigna Healthy Workforce Designation for exceeding the core components of our well-being program including leadership and culture, program foundations and execution, and whole person health. *** Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. We are proud to be an EEO/AA employer M/F/D/V. We maintain a drug-free workplace and perform pre-employment substance abuse testing. For World Relief staff, strong commitment to the mission, vision, and values of World Relief is essential, and Christian faith is a prerequisite for employment, based upon United States federal guidelines provided in Title VII of the Civil Rights Act of 1964.

Posted 30+ days ago

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Hippo Insurance ServicesAustin, TX
Title: Billing Manager   Location: Austin, TX (Hybrid) Reporting To: Manager, Compliance & Customer Resolution   About Hippo: Hippo exists to protect the joy of homeownership. We believe that insurance should protect the things you treasure through an intuitive, modern experience. We provide tailored insurance coverage and preventative maintenance plans that keep you protected throughout your homeowner journey. We’ll also help you find coverage for everything life brings—from auto to flood—reimagining how you care for your home.      About This Role:   We are seeking a strategic, detail-oriented Billing Manager to oversee and continuously enhance our billing operations. In this role, you will lead a team of billing specialists, ensure the accurate processing of premium payments, and resolve complex billing challenges. You will collaborate cross-functionally with Finance, Claims, Compliance, IT, and Operations to implement scalable billing solutions that uphold regulatory compliance and drive business impact. You'll be responsible for departmental budgeting, process improvement through data analytics, and the development of performance monitoring tools that elevate accuracy and efficiency.  About You:    You are someone who brings innovation, clarity, and a customer-centric mindset to billing practices—equally comfortable diving into the details as you are influencing stakeholders and shaping strategy. You thrive in a fast-paced, dynamic environment and are passionate about driving operational excellence, mentoring teams, and improving the customer experience. What You'll Do:   Lead and manage all billing operations with a focus on accuracy, compliance, and efficiency Supervise, coach, and support billing specialist(s) to foster growth and performance Oversee account processing, crediting, and premium payment reconciliation Resolve complex billing issues, including regulatory inquiries and stakeholder concerns Drive innovation by identifying and implementing process improvements in billing logistics Identify and correct billing errors to maintain data integrity Collaborate with cross-functional teams to support billing-related workflows Maintain accurate billing records, including registration, batching, and coding Partner with audit teams to validate bills and supporting data. Champion quality billing practices and ensure adherence to internal standards Manage department budget, track expenses, and provide variance analysis to leadership Create tools to monitor team productivity and identify improvement opportunities Ensure compliance with insurance regulations and internal policies Collaborate with IT and operations to enhance billing systems and automate workflows Leverage data to monitor performance and inform process enhancements Promote a client-centric billing experience that reduces errors and improves clarity Lead cross-functional initiatives with Finance, Claims, and Compliance to strengthen billing effectiveness Must Haves:   Minimum of 3 years of experience working in a Property & Casualty insurance environment + 7 years of relevant billing experience, including prior team leadership or management responsibility A self-starter mindset with the ability to work independently while collaborating effectively with others Strong problem-solving skills fueled by intellectual curiosity and a desire to make an impact Adaptability and a proactive mindset—you take initiative and follow through to drive meaningful results Comfort operating in a fast-paced, evolving, and dynamic work environment Advanced proficiency in Microsoft Office, particularly Excel (e.g., pivot tables, vlookups, modeling) Nice to Have: Bachelor’s degree preferred   Benefits and Perks Hippo treats its team members with the same level of dedication and care as we do our customers, which is why we’re fortunate to provide all of our Hippos with: Healthy Hippos Benefits  - Multiple medical plans to choose from and 100% employer covered dental & vision plans for our team members and their families. We also offer a 401(k)-retirement plan, short & long-term disability, employer-paid life insurance, Flexible Spending Accounts (FSA) for health and dependent care, and an Employee Assistance Program (EAP) Equity  -   This position is eligible for equity compensation  Training and Career Growth  - Training and internal career growth opportunities Flexible Time Off  - You know when and how you should recharge Little Hippos Program  - We offer 12 weeks of parental leave for primary and secondary caregivers Hippo Habitat  - Snacks and drinks available for onsite employees  Hippo is an equal opportunity employer, and we are committed to building a team culture that celebrates diversity and inclusion.  Hippo’s applicants are considered solely based on their qualifications, without regard to an applicant’s disability or need for accommodation. Any Hippo applicant who requires reasonable accommodations during the application process should contact the Hippo’s People Team to make the need for an accommodation known.  Hippo CCPA

Posted 3 weeks ago

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Sentara HospitalsVirginia Beach, Virginia
City/State Virginia Beach, VA Work Shift First (Days) Overview: Sentara Health is hiring for a Premium Billing Specialist I - Cash Receipts! Status: Full-Time, permanent position (40 hours) Standard working hours: 8am to 5pm EST, M-F. Location: This is an on-site position and will report daily at Sentara Park 1300 in Virginia Beach, VA. Job responsibilities: Handling all cash checks that come in for Sentara Healthcare via mail and balancing back to reports Education: HS - High School Grad or Equivalent REQUIRED If Bachelor's Level Degree in Finance, there is not an experience requirement. Certification/Licensure: None required Experience: 1 year related experience REQUIRED Sentara Health , an integrated, not-for-profit health care delivery system, celebrates more than 130 years in pursuit of its mission - "we improve health every day." Sentara is one of the largest health systems in the U.S. Mid-Atlantic and Southeast, and among the top 20 largest not-for-profit integrated health systems in the country, with 30,000 employees, 12 hospitals in Virginia and Northeastern North Carolina, and the Sentara Health Plans division which serves more than 1 million members in Virginia and Florida. Sentara is recognized nationally for clinical quality and safety, and is strategically focused on innovation and creating an extraordinary health care experience for our patients and members. Sentara was named to IBM Watson Health's "Top 15 Health Systems" (2021, 2018), and was recognized by Forbes as a "Best Employer for New Grads" (2022), "Best Employer for Veterans" (2022, 2023), and "Best Employer for Women" (2020). Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-84689 #Indeed Talroo – NCP and Entry Level Healthcare, Hospital, Finance, Accounting, Onsite, Virginia, Accounts Receivable, Cash, Check, Revenue Cycle Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

Posted today

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SeamountLos Angeles, CA
Who We Are Be Grizzlee is an always-on studio that hyper-tailor's content for all its partners. Through agile production and a disruptive core, our diverse talent delivers best-in-class experiences globally. We are a friendly and ambitious creative studio with the highest standards for our content output. The Role Reporting into the Production Finance Supervisor, the Billing/AP Coordinator is responsible for following strict process, guidelines and expectations set by our clients. Coordinator will apply accounting principles and agency guidelines to adhere to proper procedure. This role will also coordinate with different members of the Finance and Production departments to ensure timely month end and quarter close. This is a small team and responsibilities will change depending on the need. Applicant must be flexible and willing to help wherever necessary. Responsibilities: Process client billing, ensuring it meets client requirements. Process/ensure AP is handled in a timely fashion. Assist in closing production job, preparing for billing. Resolve discrepancies as needed, with Clients, Vendors, Shared Service Center (SSC) or Production Maintain working relationships with SSC and in-house production. Oversee third party vendor application approvals. Provide assistance to the team in various roles, as needed. Requirements: Clear and unwavering desire to grow and learn. Defined interest in accounting/finance Familiarity with basic Excel functions (formulas, formatting) and will take personal initiative to learn advanced technique. Technical aptitude, eager to learn complex accounting software. Prior accounting, production experience a bonus but not required. Great written and verbal communication skills Strong customer service skills Standard range for this role is roughly $45,000-$55,000. Actual amounts will vary depending on experience, skills, potential impact, and scope of role.

Posted 30+ days ago

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

Posted 3 weeks ago

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FYZICAL Jersey CityJersey City, New Jersey
Benefits: Flexible schedule Free food & snacks Opportunity for advancement Do you have a passion for making a difference in the lives of others? Do you want to join a team with that same passion? Are you someone who sets and achieves goals? Do you want to work for a dynamic, patient care organization that is committed to the health and wellness of individuals of all ages? FYZICAL Therapy and Balance Centers is in search of a Physical Therapy Billing and Collections specialist for a growing Physical Therapy practice. Candidates must have knowledge in all aspects of AR/billing on an EMR system to include electronic filing, denials, EOB, navigation of insurance websites, printing paper claims for Worker's Compensation and Auto carriers, aging of accounts, printing patient statements and posting payments from insurance companies via paper and electronic methods. Candidates must project a warm, enthusiastic and friendly demeanor in client and team member interactions. FYZICAL Therapy and Balance Centers is a leading provider of physical therapy, rehabilitation, balance and vestibular retraining, and athletic training services. We are a values driven, hospitality based organization seeking to provide the highest caliber of rehabilitative services possible. Be a part of changing people's lives for the better. Compensation: $15.00 - $18.00 per hour

Posted 30+ days ago

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MVA BrandCharlotte, North Carolina
Moore & Van Allen PLLC, a dynamic and fast-growing full-service law firm of more than 400 attorneys and professionals, is seeking an experienced Billing Specialist to join its Charlotte, NC office. The incumbent, under general supervision and according to established policies and procedures, will be responsible for all aspects of client bill preparation according to both client and attorney specifications, including but not limited to: processing edits, printing and mailing invoices. Responsibilities also include the preparation and submission of electronic invoices in accordance with client and vendor guidelines as well as researching and resolving issues associated with electronic invoicing. This position will also provide time and billing application support to users firm-wide. Candidates should be proficient with Microsoft Excel, Word and Outlook. Must have good organizational and analytical skills, the ability to handle multiple demands, prioritize tasks and handle the pressure of meeting deadlines; with the ability to work in a team environment, as well as independently. Must possess excellent interpersonal and communications skills to communicate with all levels of staff and attorneys. Must have a minimum of an Associate’s degree in Business or Accounting. 2+ years of general office experience is required. Prior law firm billing experience preferred. Physical Requirements: The work is primarily sedentary. It requires the ability to communicate effectively using speech, vision, and hearing. The work requires the use of hands for simple grasping and fine manipulations. The work at times requires bending, squatting, and reaching, with the ability to lift, carry, push, or pull light weights. Work Hours: M-F, 8:30am - 5:00pm. The position, may at times, require more than 37.5 hours per week to accomplish essential duties of the position. Competitive compensation package commensurate with experience. Equal Employment Opportunity Employer. Interested and qualified applicants should apply via our website at https://www.mvalaw.com/careers-working-at-mva Applicant Disclosures Family Medical Leave Act Employer: For more information, visit Employee Rights Under the Family and Medical Leave Act Employee Polygraph Protection Act: For more information, visit Employee Polygraph Protection Act Employee Rights Under the Fair Labor Standards Act: For more information, visit Employee Rights Under the Fair Labor Standards Act

Posted 30+ days ago

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Standing StoneLivermore, California
Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries. JOB DESCRIPTION: Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and your family, be your true self, and live a full life. You’ll also have access to: Career development with an international company where you can grow the career you dream of. Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year. An excellent retirement savings plan with a high employer contribution. Tuition reimbursement, the Freedom 2 Save student debt program, and FreeU education benefit - an affordable and convenient path to getting a bachelor’s degree. A company recognized as a great place to work in dozens of countries worldwide and named one of the most admired companies in the world by Fortune. A company that is recognized as one of the best big companies to work for as well as the best place to work for diversity, working mothers, female executives, and scientists. The Opportunity This position works out of our Livermore, CA location in the Heart Failure Division. The Manager of Medical Billing & Coding will lead the strategy, operations, and compliance of Acelis Connected Health’s medical billing and coding functions. This role ensures accurate, timely, and compliant billing practices, with a focus on optimizing revenue cycle performance, enhancing payer-provider alignment, and supporting patient satisfaction. The ideal candidate brings deep expertise in healthcare billing, coding standards (ICD-10, CPT, HCPCS), and payer regulations, along with strong leadership and cross-functional collaboration skills. What You’ll Work On Act as a resource Demonstrates the ability to request, review and code medical services from reports and notes in order to convert procedural and diagnostic notes into appropriate levels of care following coding rules and regulations. Ability to understand CMS NCD , LCD guidelines to support coding decision making Identifies clinical documentation deficiencies and recommends methods for resolution that satisfy regulatory and compliance requirements. Performs medical chart audits meeting minimum department productivity standards. Exercises mature judgment and maintains confidentiality in all activities. Coding and compliance Assure compliance with ICD-10-CM/PCS and CPT-4 rules and guidelines as well as facility specific requirements. Implement CMS and the Correct Coding Initiative Guidelines (CCI) Identify areas of potential coding, billing and documentation deficiencies. Provide suggestions to resolve areas of deficiencies to management. Identify areas of potential Compliance risk and notify management immediately. Ensures the accuracy of all work and strives to achieve 100% accuracy. Identifies anomalies in coding and fixes them immediately. Identifies ways to avoid errors and issues and creates safeguards to prevent them from happening again. Support commercial and IT teams with coding guidance and handhold Change management processes. Data collection and reporting Demonstration of strong knowledge of coding software, databases used by Abbott Continually strives to increase knowledge of electronic data systems and reporting tools to enhance value. Designing and development of special reports within a specified timeframe. Participation in job related conferences, seminars and workshops. Review of various coding publications for changes and relay information to pertinent parties. Maintains average Billing lag days of 7 days of less. Data entry Verifies that each charge contains the necessary charge elements on EMR and Sales Force Special Projects - participates in projects that improve department production and/or efficiency. Identifies and trends errors. Ensures all charges are entered correctly and accounted for. Be able to perform charge entry and all others charge related procedures. General support Perform other duties as assigned. Process improvement Independently researches coding questions, documents findings, makes recommendations and provides documentation that supports the recommended solutions. Provides professional and courteous support to Revenue cycle and commercial teams through email, phone and in-person contact, answering questions and providing supporting documentation. Provides timely and accurate answers to inquiries presented by customers on clinical coding issues. Maintain a positive attitude and productive relationship with peers, physicians, coworkers and management. Provides updates and status reports to management. Participates in coding/auditing discussions to ensure that the best practice efforts and processes are followed to allow for maximum reimbursement through appropriate coding. Required Qualifications Minimum 7 years in Revenue Cycle Management Experienced in change entry and coding Active coding certification Preferred Qualifications Bachelor’s degree in healthcare administration, Business, or related field Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required. 7+ years of progressive experience in medical billing and coding Strong knowledge of healthcare reimbursement, payer policies, and regulatory compliance. Experience with electronic health records (EHR), billing software, and revenue cycle management tools. Excellent communication, analytical, and problem-solving skills. Learn more about our health and wellness benefits, which provide the security to help you and your family live full lives: www.abbottbenefits.com Follow your career aspirations to Abbott for diverse opportunities with a company that can help you build your future and live your best life. Abbott is an Equal Opportunity Employer, committed to employee diversity. Connect with us at www.abbott.com , on Facebook at www.facebook.com/Abbott , and on Twitter @AbbottNews. The base pay for this position is $112,000.00 – $224,000.00 In specific locations, the pay range may vary from the range posted. JOB FAMILY: Accounting & Reporting DIVISION: HF Heart Failure LOCATION: United States > Livermore : 6465 National Drive ADDITIONAL LOCATIONS: WORK SHIFT: Standard TRAVEL: Not specified MEDICAL SURVEILLANCE: Not Applicable SIGNIFICANT WORK ACTIVITIES: Awkward/forceful/repetitive (arms above shoulder, bent wrists), Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day), Keyboard use (greater or equal to 50% of the workday) Abbott is an Equal Opportunity Employer of Minorities/Women/Individuals with Disabilities/Protected Veterans. EEO is the Law link - English: http://webstorage.abbott.com/common/External/EEO_English.pdf EEO is the Law link - Espanol: http://webstorage.abbott.com/common/External/EEO_Spanish.pdf

Posted 1 week ago

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Guardian Pharmacy Services ManagementJacksonville, Florida
Jacksonville, 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 Jacksonville, a member of the Guardian family of pharmacies, has an exciting opportunity for you to join our rapidly growing team in Jacksonville, Florida. Why Guardian Pharmacy of Jacksonville? 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: Varying Shifts, Hybrid Potential ; Pharmacy in Jacksonville, FL. During training candidate schedule is 9-5:30 until independent enough to switch over to 12:30am-9pm and 6am-2:30pm. This would likely last about 1-2 months depending on how quickly they learn. Position will require 1 weekend shift every 4-5 weeks, rotating. Will work both Saturday and Sunday on their scheduled weekend. Candidate may be asked to cover other varying shifts if a coworker is off on vacation. Will require a Florida state pharmacy tech license and Frameworks experience is a plus. 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: Guardian provides employees with a comprehensive Total Rewards package, supporting our core value of, “Treat others as you would like to be treated.” Compensation & Financial Competitive pay 401(k) with company match Family, Health & Insurance Benefits (Full-Time employees working 30+ hours/week only) Medical, Dental and Vision Health Savings Accounts and Flexible Spending Accounts Company-paid Basic Life and Accidental Death & Dismemberment Company-paid Long-Term Disability and optional Short-Term Disability Voluntary Employee and Dependent Life, Accident and Critical Illness Dependent Care Flexible Spending Accounts Wellbeing Employee Assistance Program (EAP) Guardian Angels (Employee assistance fund) Time Off Paid holidays and sick days Generous vacation benefits based on years of service The Guardian Difference Our clients require pharmacy services that aren’t “cookie cutter.” That’s why every Guardian pharmacy is locally operated and empowered with the autonomy to tailor their business to meet their clients’ needs. Our corporate support offices, based in Atlanta, Ga., provide services such as human resources, business intelligence, legal, and marketing to promote the success of each Guardian location. Regardless of your role at Guardian, your voice and talents matter. Because healthcare is an ever-changing industry, we encourage innovative thinking, intellectual curiosity, and diverse viewpoints to ensure we stay competitive in today’s dynamic business environment. At Guardian, we are dedicated to fostering and advancing a diverse and inclusive workforce. Join us to discover what your best work truly looks like.

Posted 30+ days ago

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Pennant ServicesEagle, Idaho
About the Company Pennant Services is one of the most dynamic and progressive companies in the rapidly expanding senior living, home health, hospice, and home care industries. Affiliates of Pennant Services now operate over 200 senior living, home health, hospice, and home care operations across 14 states, and we are growing! These operations have no corporate headquarters or traditional management hierarchy. Instead, they operate independently with support from the “Service Center,” a world-class service team that provides the centralized clinical, compliance, risk management, HR, training, accounting, IT and other resources necessary to allow on-site leaders and caregivers to focus squarely on day-to-day care and business issues in their individual agencies. Something else that sets us apart from other companies is the quality of our most valuable resources – our people! We are dedicated to living out our culture as defined by our core values, “ CAPLICO ”: Customer Second Accountability Passion for Learning Love One Another Intelligent Risk Taking Celebrate Ownership By incorporating these principles at all levels of our organization, our employees feel valued and excited about their impact on our service center team members and operational partners. Our culture fosters excellence both personally and professionally and promotes development that leads to continued success. JOB SUMMARY Responsible for managing accurate , timely completion and submission of all the billing, collections, and accounts receivable functions for Muir Home Health agency . DUTIES & RESPONSIBILITIES Ensures reimbursement through efficient billing and collections operations and effective accounts receivable management. Provides oversight and approval of claims, audits, and processing. Conducts final billing audit and issues assignments to the pre-billing team when findings require further documentation. Ensures that billing and patient accounts record systems are maintained following generally accepted accounting principles and in compliance with state, federal, and Joint Commission regulations. Maintains a comprehensive working knowledge of payer contracts and ensures that payers are billed according to contract provisions . Represents and acts on behalf of the agency in resolving conflicts with payers. Advises the manager in matters of accepting/declining problematic payers. Maintains a comprehensive working knowledge of government billing regulations, including Medicare and Medicaid regulations, and serves as a resource for appropriate agency personnel. Monitors aged accounts receivable and resubmits bills to overdue accounts, submits seriously overdue accounts to collection agencies for collection, and prepares bad debt reports for weekly meetings. Gathers, collates, and reports key billing information to the billing team . Works with the Executive Leadership Team in strategizing monthly, quarterly, and annual goals for optimized billing efficiency. Collaborates with the Executive Director in successfully reconciling the billing system reports with the general ledger. Reconciles Medicare quarterly reports produced by the fiscal intermediary with the billing information system, and prepares the annual Medicare cost report for Executive Director review. Supervises the use of the billing information system and maintains a comprehensive working knowledge of the system including upgrades and enhancements. Supervises and reconciles cash receipts and bank deposits according to policy. Establishes and maintains positive working relationships with patients, family members, payers, and referral sources. Protects the confidentiality of patient and agency information through effective controls and direct supervision of billing operations. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job . The incumbents may be requested to perform job-related tasks other than those stated in this description. JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities) Associate's degree in Accounting , Business Administration, or related field, Bachelor’s degree preferred. At least three years’ experience in health care billing and collections management, preferably in home care operations . Billing information systems knowledge is . Knowledge of corporate business management, governmental regulations, and Joint Commission standards. Ability to exercise discretion and independent judgment and demonstrate good communication , negotiation, and public relations skills. Demonstrated capability to accurately manage detailed information. Able to deal tactfully with patients, family members, referral sources, and payers. Demonstrates autonomy, assertiveness, flexibility, and cooperation in performing job responsibilities. Additional Information We are committed to providing a competitive Total Rewards Package that meets our employees’ needs. From a choice of medical, dental, and vision plans to retirement savings opportunities through a 401(k), company match, and various other features, we offer a comprehensive benefits package. We believe in great work, and we celebrate our employees' efforts and accomplishments both locally and companywide, recognizing people daily through our Moments of Truth Program. In addition to recognition, we believe in supporting our employees' professional growth and development. We provide employees a wide range of free e-courses through our Learning Management System as well as training sessions and seminars. Compensation: DOE Type: Full Time Pennant Service Center 1675 E. Riverside Drive, #150 Eagle, ID 83616 The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies, as well as senior living communities, located throughout the United States. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees, and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com. The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.

Posted 2 weeks ago

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InfuSystem CareerRochester Hills, Michigan
InfuSystem is a leading national health care service provider, facilitating outpatient care for durable medical equipment manufacturers and health care providers by delivering ambulatory pumps and supplies, along with related clinical, biomedical and billing services, to practices and patients nationwide. With a comprehensive suite of services, InfuSystem improves clinician access to quality medical equipment and promotes patient wellness and safety while reducing the overall cost of infusion care. InfuSystem offers Oncology, Pain Management and Wound Care therapies, including Negative Pressure Wound Therapy. The company’s Durable Medical Equipment (DME) Services are composed of direct payer rentals, pump and consumable sales, and biomedical services and repair, including on-site and depot services. InfuSystem provides the sale, rental, lease and associated supplies, including infusion pumps, nerve blocks for acute pain, nerve block catheters, postoperative pain pumps, central venous catheters, IV pumps, pole-mounted pumps, syringe pumps, enteral pumps, Huber needles, clean room supplies, IV extension tubing, pump tubing, ambulatory pumps, replacement pumps, disposable products, central venous access devices, closed system transfer devices, negative pressure wound therapy vacs, wound vac, and chemotherapy and oncology infusion pumps. Biomedical services include both on-site and depot preventive maintenance, repair and warranty services, ranging from equipment inspections to extensive repairs, including compression device systems, defibrillators, EKG machines, electrosurgical units, external pacemakers, humidifiers, infusion pumps, LCDs, light sources, modules, patient monitors, printers, pulse oximeters, telemetry transmitters and tourniquets – all completed to factory specifications. Headquartered in Rochester Hills, Michigan, InfuSystem delivers local, field-based customer support and operates Centers of Excellence in Michigan, Florida, Kansas, California, Massachusetts, Texas and Ontario, Canada. 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 30+ days ago

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STV ConstructionorporatedEmpire State Building, New York
STV is seeking a Construction Billing Specialist for our PM/CM group in NYC. We are looking for a detail-oriented professional with strong accounting/ finance skills and the ability to coordinate effectively with large teams. The ideal candidate will be highly organized, proactive, and capable of managing multiple responsibilities under tight deadlines. Key Responsibilities: · Review and processing of contractor’s invoicing according to company and client’s guidelines. · Ensuring all documents meet set standards in terms of quality and compliance. · Manage and maintain all controlled documents, including processing and recording revisions. · Inputting document data into the standard registers ensuring that the information is accurate and up to date. · Support Project Managers and project teams with document control and distribution tasks. · Maintain confidentiality around sensitive documentation. Required Skills & Experience: · Proficiency in Microsoft Office Suite (especially Excel) and Bluebeam/Adobe Acrobat. · Bachelor's degree · Minimum of 5 years of full time experience in project management, design, construction, operations, administration, or related field · Strong attention to detail and organizational skills. · Experience with public agency contract administration is a plus. · Excellent oral and written communication skills. · A self-starter with a proactive, results-oriented mindset and a strong sense of responsibility. If you’re a motivated professional looking to advance your career in document control within a dynamic PM/CM environment, we encourage you to apply Compensation Range: $60,151.50 - $80,202.00 Don’t meet every single requirement? Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. At STV, we are fully committed to expanding our culture of diversity and inclusion, one that will reflect the clients we serve and the communities we work in, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description we encourage you to apply anyways. You may be just the right candidate for this or other roles. STV offers the following benefits • Health insurance, including an option with a Health Savings Account • Dental insurance • Vision insurance • Flexible Spending Accounts (Healthcare, Dependent Care and Transit and Parking where applicable) • Disability insurance • Life Insurance and Accidental Death & Dismemberment • 401(k) Plan • Retirement Counseling • Employee Assistance Program • Paid Time Off (16 days) • Paid Holidays (8 days) • Back-Up Dependent Care (up to 10 days per year) • Parental Leave (up to 80 hours) • Continuing Education Program • Professional Licensure and Society Memberships STV is committed to paying all of its employees in a fair, equitable, and transparent manner. The listed pay range is STV’s good-faith salary estimate for this position. Please note that the final salary offered for this position may be outside of this published range based on many factors, including but not limited to geography, education, experience, and/or certifications.

Posted 30+ days ago

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AMN Workforce SolutionsDallas, Texas
Job Description Welcome to AMN Healthcare: Where Your Career Becomes the Next Big Success Story! Ever wondered what it takes to build one of the largest and most successful healthcare staffing and total talent solutions companies? It takes trailblazers, innovators, and amazing people like you. At AMN Healthcare, we don’t just offer jobs; we pave the way for incredible careers. Why AMN Healthcare? Because You Deserve the Best: Forbes Recognition: We don’t just make lists; we make headlines. AMN Healthcare proudly claims a spot on Forbes’ prestigious lists not once, but twice! We’re among the “Best Large Employers for Women,” a testament to our commitment to excellence. SIA Approval: Acknowledged by Staffing Industry Analysts (SIA) as one of the “Rapidly Advancing Staffing Firms,” we have no plans to decelerate in the future. Incredible Futures: Join a team that doesn’t just talk about building the future; we’re shaping it. Discover how AMN Healthcare is crafting incredible futures, one amazing career at a time. Job Summary The Billing Specialist will support Vendor Neutral Billing and Accounts Receivable (AR) functions for healthcare travelers placed at various facilities. This role is distinct from other positions due to its focus on managing time entries and billing processes for different facilities, each with its own rules. Key responsibilities include entering time data, generating invoices, and managing disputes. This position is a temporary contract role. Job Responsibilities Time Entry and Invoicing: Enter time from Kronos sheets and agency-uploaded data into the system. Manage time entry for travelers using Vendor Management System (VMS) platforms, including Medefis, Shiftwise, and possibly others. Ensure compliance with specific billing processing rules for each facility. Generate invoices and submit them to the facilities for approval, with a 10-day approval window. Billing and Dispute Management: Pull traveler assignments from different agencies and input data for accurate billing. Investigate and resolve disputes when agencies report discrepancies in hours. Support Caressa with uploads into Great Plains for billing purposes. Reporting: Process multiple internal reports, including the Agency Dispute Report and Great Plains Upload Report. Assist in maintaining accurate billing records and reports for ongoing account management. Key Skills Proficiency in Excel , particularly with Pivot Tables. Strong attention to detail and accuracy in data entry and invoicing. Ability to manage multiple billing accounts with different rules and procedures. Experience with Vendor Management Systems (VMS) , such as Medefis, preferred. Excellent communication and problem-solving skills to handle disputes and work with agencies. Qualifications Education & Years of Experience High School Diploma/GED plus 2-5 years of work experience Additional Experience Experience in accounting field Work Environment / Physical Requirements Work is performed in an office/home office environment. Team Members must have the ability to operate standard office equipment and keyboards. AMN Healthcare will provide reasonable accommodations to qualified individuals with disabilities to enable them to perform the essential functions of the job. Our Core Values ● Respect ● Passion ● Continuous Improvement ● Trust ● Customer Focus ● Innovation At AMN we embrace the ways we are similar and different; respecting all voices and ensuring everyone has the opportunity to contribute to our collective success. We acknowledge our shared responsibility to foster a welcoming environment where everyone feels recognized and valued. We cast a wide net to recruit and retain competitive talent and build healthcare workforces supportive of the communities we serve. We believe in the power of compassion and collaboration to build healthy communities where access to quality care is available to all. Equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities. At AMN we recognize that in-person connections have value and promote collaboration. You will be expected to come into an AMN Healthcare office at a frequency dependent on the work arrangement for your role. Pay Rate $21.00 - $24.75 Hourly Final pay rate is dependent on experience, training, education, and location.

Posted 1 week ago

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SII Saulsbury IndustriesHouston, Texas
Take your next step with Saulsbury Industries! Location: Houston TX Type: Full Time – In Office General Information/Job Summary The position is to provide support for the Accounting Department in our Houston office. Responsibilities/Competencies Responsible for tracking signed time sheets on all Time & Material projects to which assigned. Work with project managers and others to resolve discrepancies. Work with Billing Specialists and assist in preparing preliminary work required before invoicing customers. Submit applicable invoices through ADP and other online customer systems. Ensure invoices reflect negotiated payment terms and conditions and provide required billing detail support. Track billing disputes to ensure adequate resolution. Provide support by performing other tasks as necessary. Requirements 2-3 years’ experience Previous billing experience Multi-state tax experience a plus Previous Accounts Receivable experience Excellent data entry and computer skills Detail oriented, accurate Work as a team in a fast-paced environment Punctuality and attendance is critical Maintain confidentiality of information Initiative / Self Starter Maintain the expected dress code requirements *The satisfactory completion of a credit check is required for this position. * Physical Requirements Prolonged periods sitting at a desk and working on a computer. Ability to stand for extended periods of time. Ability to walk the property and lay down yards. Ability to carry up to 35 pounds.

Posted 2 weeks ago

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Guardian Pharmacy Services ManagementOmaha, Nebraska
Omaha, Nebraska, 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 Omaha, a member of the Guardian family of pharmacies, has an exciting opportunity for you to join our rapidly growing team in Omaha, Nebraska . Why Guardian Pharmacy of Omaha ? 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. Uses working knowledge to troubleshoot and resolve customer service issues. 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. Through prior experience and cross training, demonstrate 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 Exercise 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 in a timely manner and with a high degree of accuracy. Consistently meet pharmacy's established accuracy and productivity levels. 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: 2 + years related experience including a minimum of 6 months billing experience in long term care or retail setting. 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: 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: Guardian provides employees with a comprehensive Total Rewards package, supporting our core value of, “Treat others as you would like to be treated.” Compensation & Financial Competitive pay 401(k) with company match Family, Health & Insurance Benefits (Full-Time employees working 30+ hours/week only) Medical, Dental and Vision Health Savings Accounts and Flexible Spending Accounts Company-paid Basic Life and Accidental Death & Dismemberment Company-paid Long-Term Disability and optional Short-Term Disability Voluntary Employee and Dependent Life, Accident and Critical Illness Dependent Care Flexible Spending Accounts Wellbeing Employee Assistance Program (EAP) Guardian Angels (Employee assistance fund) Time Off Paid holidays and sick days Generous vacation benefits based on years of service The Guardian Difference Our clients require pharmacy services that aren’t “cookie cutter.” That’s why every Guardian pharmacy is locally operated and empowered with the autonomy to tailor their business to meet their clients’ needs. Our corporate support offices, based in Atlanta, Ga., provide services such as human resources, business intelligence, legal, and marketing to promote the success of each Guardian location. Regardless of your role at Guardian, your voice and talents matter. Because healthcare is an ever-changing industry, we encourage innovative thinking, intellectual curiosity, and diverse viewpoints to ensure we stay competitive in today’s dynamic business environment. At Guardian, we are dedicated to fostering and advancing a diverse and inclusive workforce. Join us to discover what your best work truly looks like.

Posted 30+ days ago

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American Family Care RiversideRiverside, California
The individual would be responsible for identifying diagnostic and procedural information. This individual utilizes knowledge of insurance regulations, health insurance contracts, medical coding, and bookkeeping to perform a variety of revenue cycle support activities. These include but are not limited to medical coding, insurance verification, and ensuring the accuracy of the information housed in the practice. >Review medical documentation and translate it into diagnosis codes, treatment/services codes, and medical hardware codes > Communicate with medical providers and insurance companies or other payers > Correspond with medical providers to confirm or get details to "code to the highest degree of specificity" >Use digital tools, such as coding software and patient record platforms Compensation: $37,000.00 - $54,000.00 per year PS: It’s All About You! American Family Care has pioneered the concept of convenient, patient-centric healthcare. Today, with more than 250 clinics and 800 in-network physicians caring for over 6 million patients a year, AFC is the nation's leading provider of urgent care, accessible primary care, and occupational medicine. Ranked by Inc. magazine as one of the fastest-growing companies in the U.S., AFC's stated mission is to provide the best healthcare possible, in a kind and caring environment, while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient. If you are looking for an opportunity where you can make a difference in the lives of others, join us on our mission. We invite you to grow with us and experience for yourself the satisfying and fulfilling work that the healthcare industry provides. Please note that a position may be for a company-owned or franchise location. Each franchise-owned and operated location recruits, hires, trains, and manages their own employees, sets their own employment policies and procedures, and provides compensation and benefits determined by that franchise owner. Company-owned locations provide a comprehensive benefits package including medical, dental, vision, disability, life insurance, matching 401(k), and more. We are an Equal Opportunity Employer.

Posted 30+ days ago

Billing Coordinator-logo
BeckerFort Lauderdale, Florida
Becker was honored by U.S. News & World Report as one of the best law firms to work for in both the 2024 and 2025 inaugural lists, reflecting our strong commitment to employee well-being, professional development, and a supportive workplace culture. Come be a part of our award-winning team! Becker is a diverse, multi-practice, commercial law firm with international affiliates and offices in Florida, New York, New Jersey and Washington, DC. Becker prides itself on client focused services and a commitment to always exceeding our client's expectations. Since 1973, we have been focusing on building a culture that is collaborative, creative, and passionate about growth. We offer a comprehensive benefits package including Employer-Paid benefits, Mental Health coverage, and even a 401k match! To fulfill our commitment to our employee’s health and safety, Becker has committees – such as the Mental Health and Wellness Committee – that ensures our employee’s individual health is always a priority. We provide every incoming employee with individualized training to ensure that they are experts on Becker’s use of above-industry-standard software and in their role. We are seeking a highly organized and proactive Billing Coordinator to join the accounting team. The ideal candidate will excel in a professional and team-oriented environment. The role requires excellent communication skills, meticulous attention to detail, and the ability to thrive in a fast-paced environment. DUTIES: Responsible for the daily operations of accounts receivable, billing and client relations. Coordinate and complete the monthly billing cycle, including processing invoices for specific practice groups and on-demand invoices. Ensures that billing and collections statements are timely prepared. Responsible for maintaining accurate information in the firm's time and billing system. Responsible for updating attorneys' rates, completing billing adjustments, and updating the matter frequencies before initiating the billing process. Work alongside the Senior Accountant to ensure that all incoming emails/correspondences to the accounting email group are addressed promptly. Work alongside the Senior Accountant to ensure the ongoing monitoring and application of unapplied and WIP balances. Provides management with regular status reports about billing, cash receipts, and other transactions. Maintains an orderly accounting electronic imaging system (Expert Image). Work alongside the team’s management on implementing new technology or standard operating procedures for the billing department. Follows a documented system of accounting policies and procedures. Any and all other duties as assigned. EDUCATION/REQUIREMENTS: An Associate's Degree in Accounting combined with five or more years of related experience in accounting procedures, billing, and client relations. Law firm experience required. Must respond effectively to the most sensitive inquiries and complaints and possess strong verbal and written communication skills. Must have experience in Aderant Expert or similar legal software—Microsoft Office experience with proficiency in Excel. Replies are given within 24 hours, so apply today for immediate consideration. Equal Employment Opportunity Becker is committed to diversity in the workplace. Workplace diversity refers to the protection, respect and inclusion of all of the attributes that each employee contributes to the workplace. We strive for a workplace that welcomes and respects all employees regardless of any protected class status, including, but not limited to, race, color, religious creed, national origin, sex, sexual orientation, gender identity, genetic information, military service, age, ancestry, and disability. We also acknowledge the other ways in which people are different, such as educational level, life experience, work experience, socio-economic background, and personality and recognize the value of these individual differences. We are wholly committed to creating hiring practices and a work environment that values and utilizes the contributions of people with different backgrounds, experiences, and perspectives. As such, it is the policy of Becker to recruit, employ, train, develop, and promote employees on the basis of individual qualifications, competence, and merit. We believe that all persons are entitled to equal employment opportunity and do not discriminate on any basis prohibited by applicable law. It is our goal to fully comply with the letter of the law, as well as its spirit and intent.

Posted 1 week ago

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Mass General BrighamorporatedSomerville, Massachusetts
Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Summary Responsible to analyze and audit medical coding and billing processes to identify potential compliance issues, discrepancies, and opportunities for improvement. Essential Functions -Conduct comprehensive audits of medical coding, billing, and documentation practices to assess compliance with industry regulations and internal policies. -Monitor coding and billing practices on an ongoing basis to identify trends, patterns, and potential compliance risks. -Stay updated on changes in coding and billing regulations, including those from CMS, CPT, and other governing bodies, to ensure compliance. -Review medical documentation to ensure alignment with billed services and coding specificity requirements. -Evaluate the accuracy and appropriateness of diagnostic and procedural codes assigned to medical services. Qualifications Bachelor's Degree in Health Information Management or related field of study required 2-3 years of experience preferred in medical coding, billing, compliance auditing, or a related role within the healthcare industry Knowledge, Skills and Abilities In-depth knowledge of coding systems (ICD-10, CPT, HCPCS) and billing guidelines, as well as compliance regulations related to healthcare billing and coding. Analytical and critical thinking skills to conduct audits and identify compliance issues. Excellent written and verbal communication skills to effectively communicate compliance findings and recommendations. Attention to detail and the ability to work independently and collaboratively in a team-oriented environment. Proficiency in using healthcare software applications and electronic health record (EHR) systems. Additional Job Details (if applicable) Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $62,400.00 - $90,750.40/Annual Grade 6 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Posted 1 week ago

Physician Billing Denial Analyst HYBRID-logo
Ann & Robert H. Lurie Children's Hospital of ChicagoChicago, Illinois
Ann & Robert H. Lurie Children’s Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children’s Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report. Location 680 Lake Shore Drive Job Description General Summary: T he Revenue Cycle Professional Billing Denials Analyst is responsible for analyzing, tracking, and resolving professional billing claim denials to optimize reimbursement and minimize revenue leakage. This role collaborates closely with coding, billing, payer relations, and clinical departments to identify denial trends, recommend process improvements, and support appeal strategies. The ideal candidate possesses strong analytical skills, healthcare billing knowledge, and a proactive approach to denial prevention and resolution. Essential Job Functions: Denial Management & Resolution Review and resolve professional billing denials in Epic workqueues and payer portals. Analyze denials by category (e.g., coding, authorization, eligibility, bundling) to determine root cause and appropriate resolution pathway. Work collaboratively with clinical departments, coders, and payers to ensure timely appeal submissions. Prepare and submit appeals with supporting clinical documentation and justifications. Escalate complex denials requiring payer intervention or legal review. Data Analysis & Reporting Monitor denial trends and produce routine and ad hoc reports to identify patterns. Track key denial KPIs such as first pass denial rate, overturn rate, and appeal success rate. Analyze financial impacts of denials on revenue. Identify and prioritize denials based on financial risk or impact. Provide actionable insights to improve front-end processes and reduce preventable denials. Process Improvement Participate in denial prevention initiatives, including front-end and back-end education, edit refinements, and payer policy reviews. Recommend changes to workflows, system configurations, or documentation practices based on analysis findings. Contribute to root cause analysis (RCA) sessions and collaborate on corrective action plans. Payer Relations & Compliance Maintain up-to-date knowledge of payer guidelines, coverage policies, and industry regulations. Communicate denial trends and appeal outcomes with payer representatives during monthly meetings. Ensure all activities comply with HIPAA, CMS, and internal audit standards. Required: Associate's degree in healthcare administration , Business, or related field; or equivalent work experience. Minimum 3 years of experience in revenue cycle operations with a focus on denials management. Strong knowledge of CPT, ICD-10, and HCPCS codes. Understanding of payer policies and regulations (Medicare, Medicaid, commercial insurances). Strong analytical and problem-solving skills. Proficiency with Epic Resolute Professional Billing and Microsoft Excel. Education Pay Range $22.25-$36.38 Hourly At Lurie Children’s, we are committed to competitive and fair compensation aligned with market rates and internal equity, reflecting individual contributions, experience, and expertise. The pay range for this job indicates minimum and maximum targets for the position. Ranges are regularly reviewed to stay aligned with market conditions. In addition to base salary, Lurie Children’s offer a comprehensive rewards package that may include differentials for some hourly employees, leadership incentives for select roles, health and retirement benefits, and wellbeing programs. For more details on other compensation, consult your recruiter or click the following link to learn more about our benefits. Benefit Statement For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes: Medical, dental and vision insurance Employer paid group term life and disability Employer contribution toward Health Savings Account Flexible Spending Accounts Paid Time Off (PTO), Paid Holidays and Paid Parental Leave 403(b) with a 5% employer match Various voluntary benefits: Supplemental Life, AD&D and Disability Critical Illness, Accident and Hospital Indemnity coverage Tuition assistance Student loan servicing and support Adoption benefits Backup Childcare and Eldercare Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members Discount on services at Lurie Children’s facilities Discount purchasing program There’s a Place for You with Us At Lurie Children’s, we embrace and celebrate building a team with a variety of backgrounds, skills, and viewpoints — recognizing that different life experiences strengthen our workplace and the care we provide to the Chicago community and beyond. We treat everyone fairly, appreciate differences, and make meaningful connections that foster belonging. This is a place where you can be your best, so we can give our best to the patients and families who trust us with their care. Lurie Children’s and its affiliates are equal employment opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin, ancestry, age, disability, marital status, pregnancy, protected veteran status, order of protection status, protected genetic information, or any other characteristic protected by law. Support email: candidatesupport@luriechildrens.org

Posted 3 weeks ago

DocGo logo

Billing Supervisor

DocGoRidgewood, New York

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Job Description

Title: Billing Supervisor
Location: 16-70 Weirfield St, Ridgewood, NY (In Person)
Employment Type: Full-Time

Hourly Rate: $25 - $27 per hour
Benefits: Medical, Dental, and Vision (with company contribution), Paid Time Off, Weekly pay, PTO & 401k

 

About Ambulnz by DocGo  
DocGo is leading the proactive healthcare revolution with an innovative care delivery platform that includes mobile health services, population health, remote patient monitoring, and ambulance services. DocGo disrupts the traditional four-wall healthcare system by providing high quality, highly affordable care to patients where and when they need it. DocGo's proprietary, AI-powered technology, logistics network, and dedicated field staff of over 5,000 certified health professionals elevate the quality of patient care and drive efficiencies for municipalities, hospital networks, and health insurance providers. With Mobile Health, DocGo empowers the full promise and potential of telehealth by facilitating healthcare treatment, in tandem with a remote physician, in the comfort of a patient's home or workplace. Together with DocGo's integrated Ambulnz medical transport services, DocGo is bridging the gap between physical and virtual care.  

 

Responsibilities:

  • Implement and/or assist internal billing process and procedures  

  • Implement and/or assist processes for verification of patient benefits  

  • Supervise staff in the Billing department (including billing, follow-up, collections, customer service team members)  

  • Prepare and re-submit clean claims in various methods (e.g., electronically, paper, online)  

  • Identify and resolve patient billing complaints  

  • Coordinate collection of needed insurance documents for billing  

  • Rebill insurance companies or other third parties to secure payment for patients  

  • Follow-up and report status of delinquent accounts  

  • Review accounts for possible assignment and makes recommendations  

  • Perform various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers  

  • Establish payment plans to help patients manage payment of bills  

  • Respond to patient billing and statement inquiries  

  • Prepare Health Insurance analysis reports on a weekly basis  

  • Make recommendations to management for write-offs   

  • Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations  

  • Additional duties as outlined by the Revenue Cycle Director or CRO  

 

Required Qualifications:

  • 3-5+ years of experience  

  • Strong knowledge of various payers  

  • Proficient in MS Office, including intermediate experience in excel 

  • Knowledgeable on ICD-10 and CPT codes  

  • Familiar with standard concepts, practices, and procedures  

  • Works under general supervision. A certain degree of creativity and latitude is required  

  • Commitment to excellence and high standards  

  • Ability to understand and follow written and verbal instructions  

  • Strong organizational, problem-solving, and analytical skills; able to manage priorities and workflow  

  • Ability to work independently and as a member of various teams 

  • Ability to work in a fast-paced environment  

  • Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm  

  • Time management skills as related to daily schedules and productivity 

  • Excellent interpersonal and communication skills  

Preferred Qualifications:  

  • Extensive knowledge of ICD-10 and Condition Codes  

  • Ability to collect for healthcare claims from Medicare/Medicaid, commercial insurance, contracted facilities, and individuals  

  • Understand Medicare and Medicaid regulations and guidelines  

  • Familiarity with Medicare, Medicaid, Coding, Private Pay, and insurance preferred  

  • Familiarity with medical terminology  

  • Ability to interpret EOB (Explanation of Benefits)  

  • Familiarity with Microsoft Office Suite  

EEO/AAP Statement:  DocGo is an equal opportunity employer. We acknowledge and honor the fundamental value and dignity of all individuals. We pledge ourselves to crafting and maintaining an environment that respects diverse traditions, heritages, and experiences.  DocGo is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

The above-noted job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general sense of the responsibilities and expectations of this position.  As the nature of business demands change so, too, may the essential functions of the position. 

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