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Patient Accounts Billing Representative-logo
Patient Accounts Billing Representative
Greater Lawrence Family Health CenterMethuen, Massachusetts
Established in 1980, the Greater Lawrence Family Health Center, Inc. (GLFHC) is a multi-site, mission-driven, non-profit organization employing over 700 staff whose primary focus is providing the highest quality patient care to a culturally diverse population throughout the Merrimack Valley. Nationally recognized as a leader in community medicine (family practice, pediatrics, internal medicine, and geriatrics), GLFHC has clinical sites in Lawrence, Methuen, and Haverhill and is the sponsoring organization for the Lawrence Family Medicine Residency program. GLFHC is currently seeking a Patient Accounts Billing Representative. Follows department and payer processes to ensure all claims are submitted in a timely and accurate manner. Analyzes and reviews outstanding accounts receivables. Prepares appeals and corrected claims within payer guidelines for resubmission in order to maximize reimbursement. Reviews patient eligibility utilizing practice management function or payer websites to determine correct payer to be billed for specific dates of service. Prepares claim data according to department and payer regulations in order to produce a “clean” claim. Prepares, reviews and transmits claims timely to payers, works EDI rejections. Posts charges, payments and denials in practice management system accurately. Works denials and prepares appeals, resubmits claims and performs compliant actions to resolve open accounts receivable. Reports unusual trends to supervisor. Utilizes insurance and practice management online systems to complete all required tasks such as eligibility, claim status and claim correction. Processes insurance and patient refunds as necessary. Answers patient and department calls. Assist in telephone inquiries regarding patient statements. Establish payment arrangements when appropriate. Reconcile all batch totals at day end to ensure accuracy of totals posted and transactions on charge capture. Identify and correct any discrepancies prior to opening any future batch. Qualifications: Experience 1-2 years of medical billing experience, or medical billing certification Knowledge of CPT, ICD10 coding and compliance preferred. Familiar with Medical terminology Combination of education and equivalent experience will be considered. GLFHC offers a great working environment, comprehensive benefit package, growth opportunities and tuition reimbursement.

Posted 30+ days ago

Billing Operations Team Leader-logo
Billing Operations Team Leader
OpenTableNorwalk, CA
With millions of diners, tens of thousands of restaurants, and 23+ years of experience, OpenTable, part of Booking Holdings, Inc. (NASDAQ: BKNG), is an industry leader with a unique insight into the world of hospitality. We champion restaurants, bars, wineries, and other venues around the world, helping them attract guests, manage capacity, improve operations and maximize revenue. Every employee at OpenTable has a tangible impact on what we do and how we do it. You’ll also be part of a global network that includes OpenTable and KAYAK's portfolio of travel brands including Swoodoo, checkfelix, momondo, Cheapflights, Mundi and HotelsCombined. Hospitality is all about taking care of others, and it defines our culture. You’ll work in a welcoming and inclusive environment, and get the benefits, flexibility, and support you need to succeed. About the role: We are seeking an experienced and dynamic Billing Operations Team Leader to join our organization. This role will primarily focus on ensuring the accuracy of billing processes, supporting compliance initiatives, and driving operational efficiency. The successful candidate will collaborate closely with internal teams to optimize workflows and improve overall billing operations. A strong analytical approach, deep expertise in billing operations, and one who can manage sophisticated billing scenarios are essential. Proven leadership capabilities are also critical for success in this role. In alignment with our hybrid work model, we expect employees to maintain a hybrid approach and in-office presence as determined by management. In this role, you will: Lead all aspects of the global billing process for commercial contracts, ensuring accuracy and compliance with customer agreements and internal standards. Support the month-end close process by meeting deadlines and performing key activities, including revenue statistics compilation and account reconciliations. Ensure adherence to internal controls and risk management protocols, including reviewing contracts and implementing vital billing controls. Assist in audit processes by providing timely and accurate documentation as requested. Provide leadership and support to the Billing team, working closely with the Billing Manager to foster strong team performance and operational excellence. Lead training and development efforts for team members, supporting new hire onboarding and finding opportunities for ongoing skills development. Address and resolve billing discrepancies and issues swiftly, minimizing impact on customers and internal operations while raising complex issues as needed. Serve as the primary point of escalation for billing-related inquiries, ensuring SLAs for issue resolution are consistently met. Prepare and review monthly reports and key performance indicators, ensuring that all data is validated before sharing. Find opportunities for continuous improvement within billing processes, focusing on enhancing efficiency, accuracy, and automation. Collaborate cross-functionally with teams in finance, sales, and billing support to ensure smooth and effective operations. Maintain comprehensive and up-to-date documentation of billing processes, policies, and procedures to ensure consistency and compliance. Please apply if: 5+ years of proven experience in accounts receivable (billing), with at least 2 years in a leadership or supervisory capacity. Validated experience leading globally dispersed teams. Strong problem-solving and analytical skills, with the ability to handle sophisticated billing scenarios. In-depth knowledge of billing systems, invoicing processes, and SOX compliance. A continuous improvement attitude, with demonstrated experience in optimizing operational processes. Expertise in managing month-end tasks, including reconciliations, revenue actuals, and reporting (sophisticated Excel skills required). Outstanding communication and collaboration skills. Highly meticulous with strong organizational abilities. Familiarity with NetSuite and Salesforce is preferred. Ability to thrive in a fast-paced environment. Bachelor’s degree or equivalent experience in Finance, Accounting, Business Administration, or a related field. Benefits: Work from (almost) anywhere for up to 20 days per year Focus on mental health and well-being: Company-paid therapy sessions through SpringHealth Company-paid subscription to HeadSpace Company-wide week off a year - the whole team fully recharges (and returns without a pile-up of work!) No meeting Fridays Paid parental leave Generous paid vacation + time off for your birthday Paid volunteer time Focus on your career growth: Development Dollars Leadership development Access to thousand of on-demand e-learnings Travel Discounts Employee Resource Groups Competitive retirement and health plans Free lunch 2 days per week There are a variety of factors that go into determining a salary range, including but not limited to external market benchmark data, geographic location, and years of experience sought/required. The range for this U.S. located role is 90,000 - 110,000 USD annually. In addition to a competitive base salary, roles are eligible to be considered for additional compensation and benefits including: annual cash bonus; health benefits; flexible spending account; retirement benefits; life insurance; paid time off (including PTO, paid sick leave, medical leave, bereavement leave, floating holidays and paid holidays); and parental leave and benefits. Diversity, Equity, and Inclusion OpenTable aspires to be a workplace that reflects the diverse communities we serve and a culture that is inclusive and welcoming. Hiring people with different backgrounds, experiences, perspectives, and ideas is critical to innovation and to how we deliver great experiences for our users and our partners. Representation matters. We ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform job responsibilities, and to receive other benefits and privileges of employment. Please contact us to request accommodation.   #LI-BB1  

Posted 30+ days ago

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

Posted 30+ days ago

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Medical Billing Specialist
New York Plastic Surgical GroupGarden City, New York
LOCATION : Garden City/ HYBRID SCHEDULE Why Choose New York Plastic Surgical Group: Annual bonuses based on performance evaluation. Medical, Dental, & Vision Benefits 19 PTO days, and Holiday Pay 401k-3% Company Match Deep Blue Med Spa Employee Benefits Program (50% product discount, complimentary and discounted services, including injectables, etc.) Wellness programs (Employee Assistance Program and discounted gym memberships) Discounted wireless phone services through Verizon. Discounts through PLUM and Work Advantage RESPONSIBILITIES INCLUDE, BUT ARE NOT LIMITED TO PERFORMING THE FOLLOWING ACTIVITIES: *Training is in the Garden City office for approximately 3 months* Accurately enter medical charges and procedure codes in Nextech based on documentation and operative reports Maintain and update EMR and "scheduled, not billed" reports to avoid delays in claim processing Collaborate with billing and coding staff to resolve discrepancies and support complaint claim submissions Create follow up tasks (TODO’s) for high volume claims (over 10K) or emergency claims to ensure timely processing Send Non-Participating provider Letters to new patients seen in the hospital or office setting Qualifications & Requirements: Certified Professional Coder (CPC) Bachelor's degree preferred 3+ plus years of medical billing experience for surgical procedures Must have working knowledge of ICD-9, ICD-10, CPT Codes Knowledge of Medical Coding Efficient in analyzing an operative report. Compensation: $23.00-$26.00 ABOUT US: New York Plastic Surgical Group, a division of Long Island Plastic Surgical Group, is the largest, longest-running academic plastic surgery group in the nation. Established in 1948, our practice has treated over half a million patients and developed many of the region's specialty centers including microsurgery, burn surgery, wound care, facial reanimation, peripheral nerve reconstruction, and cleft care. With 20+ surgeons and 10+ locations, we are proud to provide patients with over 75 years of medical innovation. In addition to offering a full spectrum of plastic surgery and injectable services to our patients, we are also committed to supporting our community by meeting the need for reconstructive care. Each year our practice hosts an annual Breast Cancer Summit to provide an overview of the latest developments in breast cancer care and reconstruction. Beyond our work locally we are also proud to partner with ReSurge International to bring our expertise in limb reattachment, complex wound and burn management, reconstructive cleft lip and palate repair, and other life-altering surgeries to underserved communities worldwide. When it comes to aesthetics, our surgeons are proud to oversee Deep Blue Med Spa, a comprehensive medical spa designed to provide patients with non-surgical aesthetic options clinically proven to rejuvenate, restore, and refresh. From relaxing and results-driven facials to laser treatments and skin tightening, our highly skilled physician assistants, nurse practitioners, and medical aestheticians offer services customized to meet the needs of every patient. We also offer several medical-grade skincare brands including our signature line: ProBLUEMD®.

Posted 30+ days ago

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

Posted 30+ days ago

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

Posted 30+ days ago

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

Posted 2 weeks ago

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

Posted 1 week ago

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

Posted 30+ days ago

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Law Firm Billing Specialist
Akerman LLPJacksonville, Florida
Founded in 1920, Akerman is recognized as one of the country’s premier law firms, with more than 700 lawyers in 25 offices throughout the United States. Akerman is seeking a Billing Specialist to join the firm’s Financial Services Department. We have adopted a hybrid workplace environment, and this position can be based in any of our U.S. offices. This hybrid position is required to work in the office at least 2 days per week. The Billing Specialist will coordinate and administer all facets of client account analysis and billing. A minimum of five (5) years' legal billing experience in a law firm setting or a professional services environment is strongly preferred. Requirements: Experience with electronic third-party billing applications Ability to understand complex billing guidelines Ability to analyze and track e-bills that require appeals due to deductions and specialty legal billing Proficiency with Microsoft Office Suite; specifically, Microsoft Word and Excel Proficiency in the use of legal billing software applications Ability to process high volume billing and handle challenges in a professional manner Ability to prioritize and work efficiently under pressure Must have excellent interpersonal skills Candidate must have the ability and willingness to work extended hours when necessary to meet client and firm deadlines. We offer an excellent compensation and benefits package. Please submit your resume, cover letter, and salary requirements. EOE #LI-PT1

Posted 1 week ago

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Automotive Billing Clerk
Quantrell CadillacLexington, Kentucky
We are seeking an experienced and detail-oriented Automotive Billing Clerk to join the Quantrell Automotive Group team. The successful candidate will be responsible for ensuring the accuracy and timeliness of all financial transactions, providing exceptional customer service, and adhering to industry standards and regulations. Qualifications for hire: Dealership accounting experience preferred Strong attention to detail and the ability to work independently. Strong computer skills Great attitude and work ethic Must be able to pass a pre-employment background check, MVR and drug test. We are an equal opportunity employer and do not discriminate in hiring or promotions. We love to promote from within! Responsibilities The successful candidate will be responsible for ensuring the accuracy and timeliness of all financial transactions, providing exceptional customer service, and adhering to industry standards and regulations Prepare payoff checks for new vehicles and trade- ins Various billing duties including wholesale and dealer trades Reconcile associated schedules Research and answer all receivable and vendor inquiries Proactively communicate with your supervisor and store department staff Communicate errors, unusual items, proposed solutions and process improvement opportunities Other duties, as assigned

Posted 2 weeks ago

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

Posted 1 week ago

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

Posted 3 weeks ago

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

Posted 30+ days ago

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

Posted 3 weeks ago

Billing Representative-logo
Billing Representative
Essentia HealthBrainerd, Minnesota
Building Location: Business Service Center Department: 1006080 PROFESSIONAL BILLING - EH SS Job Description: Processes paper and electronic claims to payers with full and complete information to satisfy and facilitate the claim for payment. Produces accurate and timely claims in order to prevent denials and maximize reimbursement. Responsible for working assigned work queues within the patient accounting system and claim scrubber edits prior to final submission. Responsible for optimizing the claim submission operations including prospectively reviewing submissions and making corrections to expedite first time payment to the extent possible. He/ she is also responsible for research and communication of payer, HIPAA or other regulatory changes affecting the billing of health insurance claims and making recommendations regarding billing and system operations to improve payment turnaround. This position works closely with insurance companies, credentialing, access and managed care and other internal and external stakeholders tied to the billing system. Makes recommendations regarding system changes to improve the revenue cycle process and quality, and works to assist in the development of training. Position requires high level of customer service skills to establish and enhance positive relationships with patients, colleagues, and others. Depending upon location responsibilities may vary and may include a variety of duties of similar scope and responsibility. Education Qualifications: Required Qualifications: 1 year of healthcare experience in healthcare billing, revenue services, or coding- medical certification or degree preferred Licensure/Certification Qualifications: FTE: 0.7 Possible Remote/Hybrid Option: Remote Shift Rotation: Day Rotation (United States of America) Shift Start Time: 800 Shift End Time: 500 Weekends: Holidays: No Call Obligation: No Union: Union Posting Deadline: 02/12/2025 Compensation Range: $17.45 - $26.18 Employee Benefits at Essentia Health: At Essentia Health, we’re committed to supporting your well-being, growth, and work-life balance. Our comprehensive benefits include medical, dental, vision, life, and disability insurance, along with supplemental options to fit your needs. We offer a 401(k) plan with employer contributions to help you plan for the future, and we invest in your professional development through training, tuition reimbursement, and educational programs. To help you thrive both at work and at home, we provide flexible scheduling, generous time off, and wellness resources focused on your physical, mental, and emotional health. Please note that benefit eligibility may vary. For full details, refer to your benefit summary or contact our HR Service Center at (218) 576-0000.

Posted 2 days ago

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

Posted 3 weeks ago

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Mgr Central Billing Office( Credit Balance Resolution)
OU Health PartnersOklahoma City, Oklahoma
Position Title: Mgr Central Billing Office( Credit Balance Resolution) Department: Revenue Integrity Job Description: Job Description General Description: The primary responsibilities of the Billing Office Manager are to lead, plan and direct the overall functions of the billing office department to ensure optimum revenue cycle functionality. This position will be responsible for optimizing staff performance through process monitoring, policy/procedure implementation, communications, and outcome feedback. This position will actively be involved in the staff training and development of the billing specialist team. Essential Functions/Duties: Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position. Oversee, develop, implement, and maintain policies and procedures, workflows, reports, and standards related to all billing activities. Development of staff and performance expectations in alignment with department goals to support organizational strategic initiatives, focusing on growth and innovation. Develops guidelines for prioritizing work activities, evaluating effectiveness, and modifying activities as necessary to ensure appropriate staffing levels are maintained. Keep staff and upper management informed using effective communication techniques. Build relationships and efficient communication with key stakeholders and other internal teams. Monitors patient service calls regularly to ensure that prompt, courteous, and accurate responses are provided to patients. This is to include inquiries from providers and patients regarding billing, eligibility, enrollment, provider network, program benefits, appeals and grievances. The Billing Office Manager may handle provider/patient calls of an advanced or difficult nature as needed. Identifies, analyzes, and resolves work problems. Assist in the hiring and development of the billing staff. Continually monitors and evaluates insurance verification and precertification procedures. Works closely with outside agencies in helping patients apply for Medicaid and state aid. Works with other staff to ensure efforts are coordinated and high quality patient care is provided. Performs select administrative duties. Compiles and condenses statistical data for reports and records. Ensures any patient complaints are handled appropriately. Participates in professional development activities. Conducts departmental staff meetings. Leads, develops, coaches, and effectively manages the team to ensure deliverables and performance metrics are met. Develops team to accomplish results through training, development, performance management and recognition. Performs other duties as assigned. Minimum Qualifications: Education: Bachelor’s Degree in applicable field required. Experience : 3 to 5 years of progressive leadership experience required, including at least 1 year experience of collections. Licensure/Certifications/Registrations Required: None required. Knowledge, Skills, and Abilities: Ability to work as part of a multi-disciplinary team . Ability to communicate accurately and concisely . Ability to work independently and collaboratively. Excellent interpersonal skill. Highly process and detail oriented . Ability to establish and monitor performance/productivity standards . Ability to analyze financial and operating information to facilitate decision-making . Ability to communicate and instill a commitment to exemplary customer service, ensuring customer satisfaction. Demonstrated prioritization, problem-solving, organizational skills, and detail-oriented mindset . Ability to manage multiple projects concurrently . Ability to function effectively in a fast-paced and changing environment with multiple priorities and objectives . Ability to resolve conflicts, while maintaining professionalism, and ensuring exemplary customer service . Ability to evaluate processes and procedures for continuous process improvement . Intermediate word processing, spreadsheets, and computer software skills. Knowledge and understanding of medical terminology . Knowledge of or experience in Medicaid/Medicare programs . Knowledge of organizational policies, procedures, systems, and objectives. Knowledge of clinic office procedures. Ability to use proper grammar, spelling, punctuation, and sentence structure to answer correspondence and reports. Ability to evaluate the effectiveness of existing methods and procedures. Ability to interpret, adapt and apply guidelines, policies, and procedures. Ability to react calmly and effectively in emergency situations. Current OU Health Employees - Please click HERE to login. OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.

Posted 3 days ago

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Billing Specialist
Guardian Pharmacy Services ManagementCharleston, South Carolina
Charleston, South Carolina, 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 South Carolina, a member of the Guardian family of pharmacies, has an exciting opportunity for you to join our rapidly growing team in Charleston , South Carolina. Why Guardian Pharmacy of South Carolina ? 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: Monday-Friday 9:30am-6pm 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 1 week ago

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

Posted 1 week ago

Greater Lawrence Family Health Center logo
Patient Accounts Billing Representative
Greater Lawrence Family Health CenterMethuen, Massachusetts

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Job Description

Established in 1980, the Greater Lawrence Family Health Center, Inc. (GLFHC) is a multi-site, mission-driven, non-profit organization employing over 700 staff whose primary focus is providing the highest quality patient care to a culturally diverse population throughout the Merrimack Valley. Nationally recognized as a leader in community medicine (family practice, pediatrics, internal medicine, and geriatrics), GLFHC has clinical sites in Lawrence, Methuen, and Haverhill and is the sponsoring organization for the Lawrence Family Medicine Residency program.

GLFHC is currently seeking a Patient Accounts Billing Representative. Follows department and payer processes to ensure all claims are submitted in a timely and accurate manner. Analyzes and reviews outstanding accounts receivables. Prepares appeals and corrected claims within payer guidelines for resubmission in order to maximize reimbursement.

  • Reviews patient eligibility utilizing practice management function or payer websites to determine correct payer to be billed for specific dates of service.
  • Prepares claim data according to department and payer regulations in order to produce a “clean” claim.
  • Prepares, reviews and transmits claims timely to payers, works EDI rejections. 
  • Posts charges, payments and denials in practice management system accurately.
  • Works denials and prepares appeals, resubmits claims and performs compliant actions to resolve open accounts receivable. Reports unusual trends to supervisor.
  • Utilizes insurance and practice management online systems to complete all required tasks such as eligibility, claim status and claim correction.
  • Processes insurance and patient refunds as necessary.
  • Answers patient and department calls. Assist in telephone inquiries regarding patient statements. Establish payment arrangements when appropriate.
  • Reconcile all batch totals at day end to ensure accuracy of totals posted and transactions on charge capture. Identify and correct any discrepancies prior to opening any future batch.

 

Qualifications:

Experience

  • 1-2 years of medical billing experience, or medical billing certification
  • Knowledge of CPT, ICD10 coding and compliance preferred.
  • Familiar with Medical terminology
  • Combination of education and equivalent experience will be considered.

GLFHC offers a great working environment, comprehensive benefit package, growth opportunities and tuition reimbursement.

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