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Right at Home logo
Right at HomeBirmingham, Alabama
JOB PURPOSE: Supports the delivery of all Insurance billing services by final/higher level auditing, correcting, and submitting claims. Ensures that billing services are timely, accurate, and allow for appropriate reimbursement. Conducts all claims-related follow up on payment delays, taking corrective action(s) to finalize account disposition and/or referring claims to the appropriate staff to ensure appropriate reimbursement in the timeliest manner possible. Conducts month-end close and cash posting responsibilities for all assigned locations. This position functions within a team environment and under general supervision. Successful individuals manage a volume of work as established by Right at Home productivity performance standards, are familiar with the rules and regulations of Insurance billing and are skilled at problem solving and account resolution. They work well within a team and help foster an environment where continuous improvement in business processes and services is welcomed and recognized to build a high-performance culture via the standard Right at Home responsibilities. KEY RESPONSIBILITIES: 1. Performs all billing and follow-up functions, including the investigation of payment delays resulting from pended claims, with the objective of receiving appropriate reimbursement based upon services delivered and ensuring that the claim is paid/settled in the timeliest manner possible. 2. Works with assigned community services facilities’ administrators and office personnel to manage relevant accounts receivable. 3. Edits claim forms, using proper data element instructions for each payer, applying principles of coordination of benefits, and ensuring that correct diagnosis, and procedure codes are utilized. 4. Submits Insurance claims, including the maintenance of bill holds and the correction of errors, to provide timely, accurate billing services. 5. Researches claim rejections, making corrections, taking corrective actions and/or referring claims to appropriate staff members for follow through to ensure timely claim resolutions. 6. Conducts account follow up including the investigation of payment delays to appropriately maximize reimbursement based upon services delivered and ensuring claims are paid and settled in the timeliest manner. 7. Applies knowledge of specific payer billing/payment rules, managed care contracts, reimbursement schedules, eligible provider information and other available data and resources to research payment variances, make corrections, and take appropriate corrective actions to ensure timely claim resolutions. 8. Evaluates accounts, resubmits claims, and performs refunds, adjustments, write-offs and/or balance reversals, if charges were improperly billed or if payments were incorrect. 9. Responds to inquiries, complaints or issues regarding patient billing and collections, either directly or by referring the problem to an appropriate resource for resolution. 10. Participates in cross-training and job enlargement opportunities for major job. responsibilities. Works with direct supervisor to identify minor set of responsibilities to develop and perform. 11. Plans, organizes, and documents work to deliver business results by meeting or exceeding all individual operating metrics and service line agreement objectives. 12. Contributes ideas and actions towards the continuous improvement of Revenue Cycle processes. 13. Adapts to learning new processes, concepts, and skills; Seeks and responds to regular performance feedback from team lead and provides upward feedback, as needed. 14. Assists in orientation and appropriate training of team members, including helping cross-train peers in minor responsibilities and acting as a mentor to peers. 15. Maintains positive work relationships with members of own and other teams to communicate effectively and ensure compliance with cross-team responsibilities. 16. Assist with Accounting (billing and payroll) responsibilities. KNOWLEDGE, SKILLS, ABILITIES: In-depth knowledge of various billing documentation requirements, the patient accounting system, and various data entry codes to ensure proper service documentation and billing of patient accounts. Knowledge of insurance and governmental programs, regulations and billing processes, commercial third-party payers, and/or managed care contracts and coordination of benefits Familiarity with medical terminology and the medical record coding process Knowledge of principles, methods, and techniques related to compliant healthcare billing/collections Familiarity with Insurance Claims management functions in non-acute settings Knowledge of Patient Management information system applications MINIMUM EDUCATION REQUIRED: AA/AS in Accounting or Business (or Equivalent Education / Experience) preferred. MINIMUM EXPERIENCE REQUIRED: Demonstrates experience and a proven track record in Insurance Claims in a medical setting of moderate size and complexity, information systems, and patient accounting applications, as typically acquired in1-3 years of patient accounting / medical billing positions Experience in month end close activities and reconciling cash received to the patient accounting system Compensation: $14.00 - $18.00 per hour Right at Home’s mission is simple...to improve the quality of life for those we serve. We accomplish this by providing the Right Care, and we deliver this brand promise each and every day around the world. However, we couldn’t do it without having the Right People. Our care teams are passionate about serving our clients and are committed to providing the personal care and attention of a friend, whenever and wherever it is needed. That’s where you come in. At Right at Home, we help ordinary people who have a passion to serve others become extraordinary care team members. We seek to find people who are compassionate, empathetic, reliable, determined and are focused on improving the quality of life for others. To our care team members, we commit to deliver the following experiences when you partner with Right at Home: We promise to help you become the best you can be. We will equip you as a professional by providing best in class training and investing in your professional development. We promise to coach you to success. We’re always available to support you and offer you tips to be the best at delivering care to clients. We promise to keep the lines of communication open. We will listen to your ideas and suggestions as you are critical to our success in providing the best possible care to clients. We will provide you timely information and feedback about the care you provide to clients. We promise to celebrate your success. We will appreciate the work you do, recognize above and beyond efforts, and reward you with competitive pay. This franchise is independently owned and operated by a franchisee. Your application will go directly to the franchisee, and all hiring decisions will be made by the management of this franchisee. All inquiries about employment at this franchisee should be made directly to the franchise location, and not to Right at Home Franchising Corporate.

Posted 1 week ago

PDI Technologies logo
PDI TechnologiesAlpharetta, Georgia
At PDI Technologies, we empower some of the world's leading convenience retail and petroleum brands with cutting-edge technology solutions that drive growth and operational efficiency. By “Connecting Convenience” across the globe, we empower businesses to increase productivity, make more informed decisions, and engage faster with customers through loyalty programs, shopper insights, and unmatched real-time market intelligence via mobile applications, such as GasBuddy. We’re a global team committed to excellence, collaboration, and driving real impact. Explore our opportunities and become part of a company that values diversity, integrity, and growth. Role Overview The Billing Specialist is responsible for compiling data, computing fees and charges, and preparing invoices. This role requires accuracy in posting data, maintaining relevant records, and reading and interpreting contracts to set up orders. Key Responsibilities Generate and distribute invoices to customers accurately and on time. Manage direct interactions with clients, ensuring clear and effective communication to address billing inquiries, resolve issues, and support a positive customer experience. Support financial monitoring tasks within Financial Management and Control. Perform basic data entry and verification tasks as part of Data Collection and Analysis. Maintain and organize files and records in alignment with Data Management. Execute basic data reporting tasks to support insights and reporting activities. Adhere to operational compliance standards, ensuring adherence to quality and regulatory requirements. Qualifications 4-6 months of office or operational experience, ideally within billing or finance Experience in NetSuite and Salesforce required Bachelor’s degree in related field or equivalent experience preferred Skills: Intermediate Data Collection and Analysis skills for reporting and decision-making. Verbal Communication for effective, clear exchanges with clients and team members. Behavioral Competencies Ensures Accountability: Takes responsibility for commitments and communicates work status. Plans and Aligns: Organizes tasks to meet organizational goals and supports project timelines. Tech Savvy: Utilizes relevant technologies and adapts to innovations in business applications. Optimizes Work Processes: Continuously improves work efficiency and quality. Action-Oriented: Approaches tasks with energy, urgency, and enthusiasm. PDI is committed to offering a well-rounded benefits program, designed to support and care for you, and your family throughout your life and career. This includes a competitive salary, market-competitive benefits, and a quarterly perks program. We encourage a good work-life balance with ample time off [time away] and, where appropriate, hybrid working arrangements. Employees have access to continuous learning, professional certifications, and leadership development opportunities. Our global culture fosters diversity, inclusion, and values authenticity, trust, curiosity, and diversity of thought, ensuring a supportive environment for all.

Posted 6 days ago

C logo
Culligan 39WIPlymouth, Wisconsin
Culligan Kaat’s Water Conditioning, Inc. Full-Time Billing & Scheduling Specialist Plymouth, WI Culligan, the industry leader in water treatment, is looking for a Full-Time Billing & Scheduling Specialist. This position will be responsible for working with customers to ensure quality and timely scheduling as well as processing billing paperwork. This position will require full-time employment at our Plymouth, WI location. Our office hours are Monday - Thursday 8am-5pm, Friday 8am-2pm. DUTIES INCLUDE: Effective and polite telephone, communication, and interpersonal skills to contact past, current, and new customers to provide support with leads to our sales and marketing department. Schedule route and service workers to customer locations in an effective and cost-savings way. Communication with customers on service and route scheduling, billing and invoicing, equipment and service options. Map and organize service technician work for the next day. Enter completed service and route work and make any necessary changes in accounts. Scan and file daily work. Retail portion of walk-in customers who come in to purchase product available in-store (handling multiple forms of payments via check, credit card, or cash). Balance cash drawer and do daily deposit – manually run any credit card payments that customers may call in over the phone. Work with multiple departments such as the office, service team, route team, and sales team on customer-related solutions and scheduling. JOB REQUIREMENTS: High School Diploma or General Education Degree (GED). Friendly and approachable attitude when greeting and assisting customers. 1-2 years of experience working in an office environment. Experience with Microsoft Office Applications. Strong organizational skills and ability to multi-task. Being able to work independently and handle customer’s money responsibly. About Culligan Great tasting water. Brighter future. Bigger job opportunities. Culligan is making a real difference in the lives of people all over the world by providing better, cleaner water through our suite of innovative products and exceptional customer service. Join the Culligan team. Apply for a job now. Culligan provides healthy, delicious water for our customers in their homes, offices, businesses, and industrial facilities around the world. Our complete line of water softeners, water filtration systems, commercial and industrial water treatment solutions, drinking water systems, whole-house filtration systems and bottled water delivery options set the standard in the water treatment industry. This location is independently owned and operated. Your application will go directly to the owner, and all hiring decisions will be made by the management of this location. All inquiries about employment at this location should be made directly to the location owner, and not to Culligan Corporate.

Posted 2 weeks ago

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IMS Care CenterPhoenix, Arizona
Headquartered in Phoenix, IMS is a team of 500 employees and a physician-led organization united through its providers’ commitment to high-quality innovative health care. Each day is a new day for ground-breaking ideas and unparalleled opportunity. Ours is a culture focused on what we can accomplish today, and where it can lead us tomorrow. IMS is searching for a professional, compassionate and knowledgeable individual to fill an approximately 6–9-month Medical Billing position. The Billing Specialist is accountable for processing medical claim information through data-entry in the Electronic Medical Record (EMR), researching, and correcting data entry errors. This position uses knowledge of CPT and ICD-10 codes to determine the appropriate order and combination of alpha, numeric or symbolic data to ensure accuracy in entering medical claim information by following the CMS coding guidelines. Instill the IMS mission, vision and values in the work performed Responsibilities : Audit alpha, numeric or symbolic data from the EMR for patient billing purposes using knowledge of CPT and ICD-10 codes Research and query coding and documentation discrepancies Compiles, sorts and prioritizes audits based on dates of service Remains current on the specific data requirements as dictated by various government and private insurance carriers Ensures strict confidentiality of patient records Develops productive working relationships with co-workers by exhibiting honesty, tact, respect and flexibility in order to meet department and organization objectives Participates in in-service training activities and staff meetings and is available to participate in additional educational/ training sessions to expand skills Uses coding knowledge to assist peers in daily tasks and activities Requirements : 1-year minimum experience required, specifically medical office/physician coding and medical chart review/auditing of documentation Knowledge of Athena EMR system preferred Familiarity with Microsoft Excel & Word Bilingual preferred 1-2-years' experience as an AR follow-up / billing specialist required Exceptional oral and written communication skills Demonstrated organizational ability Demonstrated ability to interact effectively with peers and subordinates of all levels Computer skills in the Microsoft environment: Outlook, Word, Excel Recognizes possible solutions to problems and is able to explain issues and propose solutions Maintains customer confidence and protects operations by keeping information confidential Contributes to team effort by accomplishing related results as needed The ability to work in a constant state of alertness and in a safe manner Education : High school diploma or GED required Benefits of Working with IMS : You can look forward to a generous compensation package including medical, dental, vision, short-term and long-term disability, life insurance, paid time off and a very lucrative 401K plan. *IMS is a tobacco-free work environment IMS is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sex, disability status, sexual orientation, gender identity, age, protected veteran status or any other characteristic protected by law. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Joining IMS is more than saying “yes” to making the world a healthier place. It’s discovering a career that’s challenging, supportive and inspiring. Where a culture driven by excellence helps you not only meet your goals but also create new ones. We focus on creating a diverse and inclusive culture, encouraging individual expression in the workplace and thrive on the innovative ideas this generates. Our hope is that each day you’ll uncover a new reason to love what you do. If this sounds like the workplace for you, apply now!

Posted 30+ days ago

Infiniti of Charlotte logo
Infiniti of CharlottePineville, North Carolina
Mills Auto Group is seeking a full time Billing Clerk to join our growing team in the Charlotte, NC area. Applicant must demonstrate good administration, organizational skills and be a team player. Must have basic accounting skills and knowledge of routine accounting functions. Good computer skills and a working knowledge of CDK a plus. Automotive dealership experience is highly preferred. Growth opportunities, competitive pay and great benefits including medical and dental after 60 days. BASIC JOB RESPONSIBILITIES: Post vehicle sales for new and used car sales and ensure required paperwork is accurate. Issue trade payoffs (check or online/eft) Manage deal receivable, rebates, and inventory schedules Respond to and handle inquiries from sales management as needed Perform basic and routine accounting functions Knowledge of the Title process Other administrative duties as necessary REQUIREMENTS: Previous accounting experience required, dealership preferred Understanding of accounting principles, credits/debits Proficient with standard computer software and accounting software Excellent customer service and communication skills About the Dealership Mills Auto Group understands rapid growth in the automotive space. Family-owned and operated for the past 17 years, we are proud to have grown from 1 store to 33. Most of our team of dedicated and motivated leaders have been with us since the beginning, most starting in entry-level roles themselves. We understand the importance of employee growth and promote from within often. In addition to career development, at Mills Auto Group, you are recognized for your accomplishments. We have quarterly and yearly employee appreciation events. We participate in Degrees at Work and fund our employees’ college education! We encourage you to get involved with our community outside of the office as well – whether you choose to participate in the Boys and Girls Club, Wounded Warriors, or Support Future Leaders, there is always an opportunity for our employees to help our community.

Posted 1 day ago

A logo
Arkansas Children's Hospital NorthwestLittle Rock, Arkansas
ARKANSAS CHILDREN'S IS A TOBACCO FREE WORKPLACE. FLU VACCINES ARE REQUIRED. ARKANSAS CHILDREN'S IS AN EQUAL OPPORTUNITY EMPLOYER. ALL QUALIFIED APPLICANTS WILL RECEIVE CONSIDERATION FOR EMPLOYMENT WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, NATIONAL ORIGIN, AGE, DISABILITY, PROTECTED VETERAN STATUS OR ANY OTHER CHARACTERISTIC PROTECTED BY FEDERAL, STATE, OR LOCAL LAWS. This position has been designated as safety sensitive and cannot be filled by a candidate who is a current user of medical marijuana. CURRENT EMPLOYEES: Please apply via the internal career site by logging into your Workday Account ( https://www.myworkday.com/archildrens/ )and search the "Find Jobs" report. Work Shift: Day Shift Time Type: Full time Department: CC807100 PSO Professional Billing Summary: Monday to Friday — Onsite The Director of Professional Billing is responsible for overseeing the billing and collections processes for professional services rendered at ACH or ACNW or any other Arkansas Children’s program. This role is crucial for ensuring that patient accounts are managed efficiently and accurately, aligning with the organization's financial strategy and goals. Works closely with the ACH Patient Accounts Director, collaborating on initiatives to optimize billing operations and improve collection outcomes. This position is integral to the organization’s revenue cycle management and requires expertise in professional billing, regulatory compliance, and patient account services. This position will collaborate with Revenue Cycle Leaders on planning, budget, system optimization, performance management, and other related matters. Promoting innovation, team building, technology transformation and alignment with best practices. Additional Information: Monday to Friday — Onsite Required Education: Bachelors Degree or Equivalent Experience Recommended Education: Required Work Experience: Related Field - 7 years with 5 years of leadership experience Recommended Work Experience: Required Certifications: Recommended Certifications: Description 1. Develops strategic plans, goals and outcomes for ACPSO Patient Accounts department. 2. Functions as the expert in statutory and regulatory requirements. 3. Identifies key performance indicators and ensures indicators are monitored. Identifies when deviations occur from the desired outcome and resolves the issue. 4. Drives quality improvement initiatives by establishing performance targets and process improvement activities. Analyzes trends in professional billing operations and initiates changes to improve efficiency and outcomes. 5. Drives quality improvement initiatives by establishing performance targets and process improvement activities. Analyzes trends in professional billing operations and initiates changes to improve efficiency and outcomes. 6. Creates and utilizes comprehensive reports to evaluate financial performance, focusing on professional billing operations. Participates in the design and creation of financial and productivity dashboards to provide insights for leadership. 7. Prepares, justifies, and manages the departmental budget, ensuring the financial health of the ACPSO Patient Accounts Department. Holds full personnel authority, including hiring, terminations, and performance evaluations. 8. Maintains open communication with third-party payers to resolve operational and payment issues related to professional billing. Collaborates with payers to ensure timely and accurate reimbursements. 9. Performs other duties as assigned, contributing to the overall success of the ACH and ACPSO Patient Financial Services departments and AC’s mission.

Posted 1 day ago

C logo
Clinical Professional ConnectionsOdessa, FL
Requirements: Medical Billing Certifification (preferred) using TherapyNotes -EMR A high school diploma is required Proficient with Microsoft Office Suite Reliable, professional, courteous and patient Excellent communication and writing skills Able to work 4 day work week Salary: Depending on experience $18-25/hour or a salary based of $30-42K annuallyHealth benefits (will be discussed if needed)PTO and vacation The ideal candidate will deliver a professional and qualified first impression to all visitors. This person has excellent communication and customer service skills. He/she has a basic understanding of administrative and clerical procedures/systems and the ability to multitask in a busy environment. Responsibilities: Guest services – Welcome patientswho arrive at the office, answer all phone calls and emails sent to the main office and provide inter-office messages as requested. Administration – Send out and receive mail, documents, supplies and packages. Distribute items to mailboxes and offices as requested. File and keep good records. Maintain office supplies and reorder as needed. Maintain an organized filing system. Manage a schedule for those needing support and schedule appointments as required. Medical Billing/Authorizations - Prepare medical billing claims to insurance company and do authorizations. Powered by JazzHR

Posted 4 weeks ago

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Topaz HRBardonia, NY
Company Overview We are the premier pharmacy partner for long-term-care communities that share their commitment and priority to patient-care first. We have transformed the conventional medication management process by being high-touch and patient -focused. We work tirelessly to streamline the often-disjointed communication process between the integral stakeholders in the medication ordering and administration life-cycle. How they accomplish this, is by simplifying processes, educating and communicating frequently. Our comprehensive technology solutions and breadth of pharmaceutical products and services allow us to be nimble and creative in offering the right service everyone of their unique customer needs. We understand our customers’ needs and have the industry’s highest standards with strict adherence to federal and state regulations. Position Overview We are seeking a meticulous and detail-oriented Billing Specialist experienced in pharmacy billing, with knowledge of Durable Medical Equipment (DME) claims processing under Medicare Part B for residents in assisted living facilities. The ideal candidate will possess extensive knowledge of Medicare guidelines, documentation compliance, claim submission, and follow-up to ensure timely reimbursement and minimal claim denials. Location: Bardonia, NY Reports To: Billing Department  Schedule: Onsite Employment Type: Full-Time Salary Range: $50,000 - $65,000 USD/Annually   Key Responsibilities Prepare and submit DME claims to Medicare Part B, ensuring accuracy and full compliance with regulatory requirements. Verify patient eligibility and insurance coverage, with attention to assisted living facility billing requirements. Ensure all documentation meets Medicare standards. Track, monitor, and proactively follow up on outstanding claims, denials, and payment discrepancies. Manage collections for patient and insurance accounts, including monitoring aging reports, identifying delinquent accounts, and prioritizing collection efforts. Review, reconcile, and resolve billing discrepancies or disputes promptly to ensure accurate patient invoices. Collaborate with billing and accounts receivable teams to address invoicing errors or issues impacting collections. Maintain accurate and organized billing records and reports for internal audits. Stay current on Medicare Part B policies and changes affecting DME billing. Communicate professionally with facility staff, patients, and families regarding billing inquiries and payment arrangements. Physical Demands The physical demands and work environment described here are representative of those an employee encounters while performing the essential functions of this job. Primarily office-based with extended periods of sitting, computer usage, and phone communication. Regular handling of documentation and participation in meetings.   Qualifications Minimum of 1-3 years of collections experience in DME and pharmacy billing, specifically with Medicare Part B. Strong knowledge of HCPCS codes, insurance verification processes, and claims management/processing. Experience working with assisted living facilities or similar long-term care environments required. Proficiency with medical billing software and Electronic Health Records (EHR) systems. Excellent attention to detail, problem-solving, and organizational skills. Strong communication skills for working with patients, families, and facility staff. Compensation The published salary range is used as a guide to provide prospective candidates with a level of compensation that is competitive with today’s market. The salary range for this position is a good faith estimate that allows for flexibility to align with various levels of experience, education, and performance. EEO Statement Topaz HR is an Equal Opportunity Employer and we do not discriminate on the basis of race, religion, gender, national origin, age, disability, or any other status protected by applicable law. We value and are committed to creating an inclusive environment for all employees. Please Note: Topaz HR is conducting this search on behalf of one of our clients. The employer's name will be disclosed during the interview process, and all hiring decisions will be made directly by the client. Powered by JazzHR

Posted 30+ days ago

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Ladgov CorporationLatham, NY
Job title: Utility Analyst Location: Latham, NY  12110 Duties: The applicant shall pull utility bills from the FileNet program maintained by the Business Service Center. The applicant shall ensure that a utility bill is received for each facility for each billing period. The applicant shall perform an audit of all utility bills to ensure bill charges and usage are accurate. The applicant shall pursue reimbursement from the utilities for bills that are incorrectly billed. The applicant shall identify issues in billing and unusual usage and notify the Energy Manager.  The applicant shall regularly review meter data and compare bill charges The applicant shall assist the Energy Manger in the expansion of the current metering program by providing spreadsheets regarding site requirement by energy type. The applicant shall use auditing tools in the Utility Manager Pro/Energy Center software to verify accuracy of data entered to the Utility Manager Database and to analyze utility usage patterns to determine opportunities for energy savings and discrepancies that indicate excessive energy/utility usage. Education/Qualification: Excellent written and verbal communication, planning, organization, and time management skills. Must have proficient computer skills including Microsoft Office (with a strong emphasis on Excel), database programs, and project management and accounting software (Oracle preferred).   Powered by JazzHR

Posted 30+ days ago

P logo
Purple Ink LLCCarmel, IN
Are you looking for mission-driven work? Do you want to join a collaborative team where your financial expertise fuels a nonprofit’s mission? Are you r eady to make a measurable impact in a role that blends leadership, compliance, and compassion? If so, this might be the role for you! Our client, The Children’s TherAplay Foundation, Inc. is a mission driven organization with a team of dedicated employees who work enthusiastically and collaboratively to support the children they serve. If you are interested in being a part of their growing organization, we want to share more information with you!The Medical Billing Manager is a vital member of the clinic operations team and oversees all aspects of the organization’s billing and revenue cycle functions, including claims processing, accounts receivable, payor relations, and compliance with billing regulations. This role is essential to sustaining the financial health of their programs while upholding their commitment to affordable, accessible care. BENEFITS: Health, Dental, Vision Flexible scheduling with 1 day work from home Paid time off Paid holidays Health savings account 401(k) matching Disability insurance Employee assistance program KEY RESPONSIBILITIES: Revenue Cycle Management Manage full-cycle medical billing operations, including coding oversight, claim submission, payment posting, follow-ups, and denial management. Ensure timely and accurate submission of claims to commercial insurance, Medicaid, and other payors. Manage patient balances and collections and work in partnership with families to ensure a smooth payment collection process. Monitor aged receivables and implement effective follow-up strategies to maximize collections. Compliance & Audit Ensure compliance with federal, state, and payer-specific billing regulations and HIPAA. Maintain and update billing policies and procedures. Assist in preparation for audits and respond to audit requests as needed. Data, Reporting & Analysis Track and analyze billing performance metrics, preparing monthly and quarterly reports for leadership. Identify trends in claim denials and recommend solutions to improve collection rates and minimize errors. Collaborate with leadership on revenue forecasting and planning. Participate in month end financial reconciliation with EMR and QuickBooks. Team Leadership & Collaboration Supervise billing team. Train and support clinical and administrative staff on billing-related processes. Act as liaison with payors and patients to resolve complex billing issues. Proactively identify areas in the medical billing department where process improvements can be made to improve clinic operation KPI’s. Ensure patient confidentiality and integrity through HIPAA compliance. Establish and maintain positive working relationships with coworkers, patients, family members, payors, and referral sources. Manages the A/R aging and payment reports monthly to identify trends and underpayments; investigate causes and take appropriate steps towards resolution using professional judgment. REQUIRED EXPERIENCE: Associate’s or Bachelor’s degree in Business, Health Administration, or related field required. Minimum 3–5 years of experience in medical billing, with at least 2 years in a supervisory or lead role. Strong knowledge of CPT, ICD-10, HCPCS coding, and electronic billing systems. Experience with nonprofit healthcare organizations or community health centers a plus. Familiarity with Medicaid, Medicare, and managed care payors. Proficient with billing software, Quickbooks, and Microsoft Excel; experience with Practice Perfect would be helpful. Strong attention to detail, problem-solving, and organizational skills. Excellent interpersonal and communication skills. Many of our clients utilize E-Verify as part of their employment process. E-Verify is an internet-based system operated by the Department of Homeland Security (DHS) in partnership with the Social Security Administration (SSA) that allows participating employers to electronically verify the employment eligibility of their newly hired employees in the United States PURPLE INK OPERATES AS AN EQUAL OPPORTUNITY EMPLOYER #IND Powered by JazzHR

Posted 1 week ago

Teamshares logo
TeamsharesSan Antonio, TX
MGR Accounting Recruiters, a Teamshares Network company, is searching for an AR & Progress Billing Specialist for a client in San Antonio. AR/Progress Billing Specialist (Construction Industry) Are you looking for a rewarding role in the Construction & Extraction industry where attention to detail is key? Do you thrive in a fast-paced environment and enjoy working with numbers? Our client is looking for a highly skilled AR/Progress Billing Specialist to join our team. As an integral part of their organization, you will have the opportunity to work on diverse projects and enhance your billing expertise. Join us and enjoy benefits such as paid time off, dental insurance, health insurance, vision insurance, paid training, and more. Responsibilities: Manage accounts receivable processes Prepare and submit progress billings (AIA) Ensure accurate and timely invoicing Collaborate with internal teams to resolve billing discrepancies Requirements: High attention to detail Proficiency in progress billing for a construction related role Strong communication skills Ability to multitask and prioritize workload

Posted 30+ days ago

Grace Health logo
Grace HealthCorbin, KY
Payer Relations Manager Summary:  Management position responsible to assist the Director with planning, directing and coordinating the overall functions of the medical billing and coding office to ensure a health revenue cycle is sustained while improving patient, physician, and other customer relations. The position requires strong managerial, leadership, and business office skills, including critical thinking and the ability to produce and present detailed billing activity reports. ESSENTIAL DUTIES AND RESPONSIBILITIES: Maintain a proficient working knowledge of CMS-FQHC billing and collection regulations, HRSA Compliance Manual, KY Medicaid FQHC Regulation and CLIA regulations. Ensure the activities of the Grace Health billing team (not limited to: Billing Work Queues, Follow up on Accounts Receivables, Manual Charge Entry, Refunds, Payment Posting, and Unapplied Credits) are performed in a manner consistent with the department’s processes and are completed in a timely manner. Assist in the development, implementation, and sustainability of operating policy and procedures . Oversee hiring and supervision of personnel including work allocation, training, problem resolution, cross training and performance evaluation . Collaborate with Payers, ACO, Director of Quality and other Leaders to ensure processes are established to maximize Pay for Performance outcomes . Audit billing and collection processes to monitor and improve billing and collections operations and provide specific feedback as indicated; examples may include audits of new providers, new services, payers, hospital location, PPS rates, timeliness of A/R f/u, etc. Facilitate compliance audits when concerns are identified as well as coordinate ongoing compliance audits such as Consolidated Claims, VFC, or Annual Wellness Visits; work with leadership to ensure process improvement is implemented as indicated and refunds are issued if an overpayment is identified. Monitor compliance with timely submission of charges, lead efforts to address gaps, escalate gaps to CEO and CFO as indicated . Collaborate with Leadership to submit required reporting, such as cost report information and the quarterly Medicare Credit Balance report. Monitor and report outcome metrics to billing staff and leadership . Review and interpret operational data, including lag days, un-submitted charges, days in A/R, credit balance amounts . Demonstrate proficiency and expertise with the functions within the Electronic Health Record, Epic; maximize the utilization of the system’s functions and reporting . Communicate concerns related to the Revenue Cycle to appropriate leadership and help develop process improvement as needed always ensuring sustainability . Work on special assigned projects . Participate in professional development activities and maintain professional certification as applicable . Ensure thorough communication and exceptional customer service with internal and external customers.  Timely F/U with all patients inquires . Other duties may be assigned. OTHER ESSENTIAL DUTIES and RESPONSIBILITIES: Grace Health recognizes that managing patient care is a team effort that involves clinical and non-clinical staff.  All employees must embrace a team-based approach to patient care and understand that each role is important to our success. Team members must demonstrate excellent team communication and coordination to provide quality patient care. Care coordination includes communicating with community organizations, health plans, facilities, and specialists. Care team members understand and embrace the concept of population management and proactively address the needs of patients and families served by this practice. Team members must demonstrate skill and knowledge related to effective communication with vulnerable patient populations. Team members must participate in Continuous Quality Improvement activities within the organization to ensure patients receive high quality care. All team members will be involved in the process of improving quality incomes. Team members will participate in the review and evaluation processes of practice performance and help to identify opportunities for improvement. Team members will participate in Grace Health's advocacy program. GENERAL DUTIES: Follows policies and procedures of the office, including administrative, clinical, quality assurance, and personnel . Maintain good attendance (daily, meetings, and other assignment tasks) . Maintain timely documentation of all work assignments . Maintain patient confidentiality . Routinely keep supervisor informed about attendance and job assignment. Flexible in being able to multitask . Work effectively and at an efficient pace . Work cooperatively with providers, administration, and peers QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to assist in advancing Grace Health’s mission and to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. SKILLS: Excellent organizational, analytical and decision-making skills . Effective leadership and managerial skills . Exceptional customer service skills; must be able to establish and maintain effective working relationships with employees and other Grace Health leader. Effective written and oral communication skills . Highly organized work habits with ability to prioritize . Exceptional computer skills, including knowledge of the EMR/PM and Excel. EDUCATION and/or EXPERIENCE:  Bachelor’s Degree in related field . Minimum of three (3) years of experience in a health care setting . Management experience preferred. 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.  While performing the duties of this job, the employee is regularly required to talk or hear.  The employee frequently is required to stand; walk; sit; and use hands to finger, handle, or feel objects, tools, or controls.  The employee is occasionally required to reach with hands and arms; stoop, kneel, crouch, or crawl; and taste or smell.  The employee must occasionally lift and /or move up to 50 pounds.  Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. WORK ENVIRONMENT: Grace Health is a faith-based, federally qualified community health center (FQHC). We provide primary health services to underserved, underinsured, and uninsured individuals in the southeastern Kentucky region. Our mission is “to show the love and share the truth of Jesus Christ to southeastern Kentucky, thorough access to compassionate, high quality, primary health care for the whole person” regardless of ability to pay.  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.  While performing the duties of this job, the employee is occasionally exposed to wet and/or humid conditions, fumes or airborne particles, and toxic or caustic chemicals.  The noise level in the work environment is usually moderate. Grace Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Powered by JazzHR

Posted 30+ days ago

M logo
McKenney's Inc.Atlanta, GA
JOB SUMMARY This position will work in a collaborative team environment, managing a high volume of billing with accuracy and efficiency, while providing proactive support to the Atlanta and Charlotte Building Services and their customers. The ideal candidate will be detail-oriented, possess critical thinking skills, and demonstrate a strong willingness to go the extra mile to ensure customer satisfaction and billing accuracy. DUTIES AND ESSENTIAL JOB FUNCTIONS Review service work order documentation and provide billing information to account managers for approval. Review, bill, and submit project invoices for assigned account managers, ensuring accuracy and completeness. Communicate with account managers and customers to gather any information necessary to complete the billing process. Review unbilled reports and resolve outstanding issues to meet AR deadlines proactively. Submit and send invoices to customers following customer-specific billing requirements. Collaborate with customers, account managers, technicians, and other departments to solve billing-related issues, utilizing critical thinking and problem-solving skills. Provide timely updates on billed invoices that are over 30 days past due. Lead monthly meetings with account managers to review, update, and follow up on aging invoices. Become a subject matter expert on specialized customer billing requirements, including customer-specific billing portals. Collaborate with account management teams to meet customer requests for billing documentation, ensuring thoroughness and attention to detail. Perform data management using reporting tools to proactively identify, address, and resolve billing discrepancies. Actively contribute to simplifying and enhancing the customer experience through critical thinking and process improvement. Use Salesforce to research customer details, update work order information, and ensure billing records are accurate and up to date. Review, edit, and send customer proposals and service maintenance contracts, ensuring completeness and alignment with billing requirements. Help maintain a shared mailbox to update existing customer and site information requests. Perform other BSD Support Team duties as needed. BASIC QUALIFICATIONS Minimum three years of experience in a billing, accounting, or related customer service role. Previous experience in the construction or building services industry. Demonstrated experience in Cost Plus Billing, Lean Waivers, Project Billing, etc. Experience with Microsoft Word, Excel, Outlook, and Adobe PDF. High school diploma or GED. PREFERRED QUALIFICATIONS 2 or 4-year college degree in business, accounting, or related field. 4+ years of experience in construction accounting or related roles. Experience with Salesforce or other CRM programs. KNOWLEDGE, SKILLS, ABILITIES, AND CHARACTERISTICS Focuses on continuous improvement by taking on challenges, proactively increasing skills and capacity, and improving knowledge and performance over time. Detail-oriented with strong organizational skills. Ability to prioritize work and manage multiple projects. A well-developed sense of judgment. Exudes a positive attitude with customers, peers, and other McKenney’s team members. Strong interpersonal skills and desire to be a team player. Ability to use time productively, maximize efficiency, and meet challenging work goals. Able to demonstrate a serious commitment to accuracy and quality while meeting goals or deadlines. Ability to take on additional responsibilities as needed, as well as determine and manage priorities with minimal guidance. Must possess and maintain an exceptional work ethic, uphold company values, and demand the highest standard of conduct from self and others. Excellent communication skills—both written and oral. WORKING CONDITIONS AND PHYSICAL EFFORT Work is normally performed in a typical interior/office environment. No or very limited exposure to physical risk. No or very limited physical effort required. Moving Safety Forward, our initiative for continuous improvements in our safety culture, reminds us that we are on a journey toward a zero-incident culture. In all we do, we must work to build a partnership with our employees, customers and business associates that empowers them all with the ability to do their jobs safely. McKenney’s is an Equal Opportunity Employer committed to workforce diversity. Qualified candidates will receive consideration without regard to age, color, religion, sexual orientation, disability, national origin, or gender identity. McKenney’s is a smoke-free and drug-free workplace. Powered by JazzHR

Posted 2 weeks ago

Easy Apply logo
Easy ApplyMahwah, NJ
Our client Medloop is a large multi-specialty medical billing company servicing many clients across the US mostly in NY/NJ is looking for a talented and highly motivated Medical Billing Team Lead.   The Billing Team Lead will lead and supervise a team of billing specialists who are responsible for submitting claims and collecting payments for providers. Duties/Responsibilities Trains and oversees employees involved in billing functions. Directs assigned tasks and provides assistance as needed. Reviews work of billing staff to ensure accuracy, resolving inconsistencies as needed. Oversees the preparation of statements and bills. Provide customer support to customers with disputes or inquiries concerning invoices or billing process. Create reports for customers  Assist with performance evaluations. Enhance office environment  Performs other related duties as assigned. Key Skills/Experience Excellent verbal and written communication skills Excellent interpersonal and supervisory skills. 5+ years supervising or managing team experience 5+ years Medical Billing experience required Basic understanding of collection practices and laws. Detail oriented and organized Ability to act with discretion, tact, and professionalism in all situations. Proficient in Microsoft Office and related software At Medloop we offer great opportunities with the potential for growth.  Job Type: Full Time (In the office) Pay:  $50-$65K annually Benefits:  Health Insurance (Including Dental and Vision) 401K Great PTO Package Powered by JazzHR

Posted 30+ days ago

C logo
Comfort Dental - Citadel CrossingCOLORADO SPRINGS, CO
Location: Colorado Springs, CO Position Type: Full-Time Salary: $18 - $24 per hour depending on experience Job Summary: We are seeking a detail-oriented, reliable, and experienced Dental Billing Specialist to join our team. The ideal candidate will be responsible for managing patient billing processes, checking out patients, collecting co-payments, filing insurance claims, and ensuring accurate and timely reimbursements. This full-time position offers competitive pay between $18 and $24 per hour, depending on experience and qualifications. Key Responsibilities: Billing and Claims Management: Process and submit dental insurance claims accurately and in a timely manner. Verify patient insurance coverage and benefits. Follow up on unpaid claims and handle claim denials or rejections. Post payments and adjustments to patient accounts. Patient Account Management: Generate and send patient statements. Manage patient billing inquiries and resolve discrepancies. Set up payment plans for patients as needed. Ensure accuracy in patient account records. Compliance and Documentation: Maintain patient confidentiality and comply with HIPAA regulations. Keep up-to-date with changes in insurance policies and billing codes. Document all billing and payment activities thoroughly. Communication and Coordination: Liaise with dental office staff and insurance companies to resolve billing issues. Communicate effectively with patients regarding their billing questions and concerns. Assist in other administrative duties as needed. Qualifications: High school diploma or equivalent; additional education or certification in medical/dental billing is a plus. Minimum of 1 year of experience in dental billing or a related field. Proficient in dental billing software and electronic health records (EHR) systems (Dentrix a plus). Strong understanding of dental insurance policies, billing codes, and reimbursement procedures. Excellent attention to detail and organizational skills. Strong communication and customer service skills. Ability to work independently and as part of a team. Benefits: Competitive hourly wage ($18 - $24 per hour) based on experience and qualifications. Health, dental, and vision insurance. Paid time off (PTO) and holidays. Retirement plan options. Opportunities for professional development and growth. How to Apply: Interested candidates are invited to submit their resume and a cover letter outlining their relevant experience.  We are an equal opportunity employer and encourage all qualified candidates to apply. We look forward to welcoming a new member to our team who is dedicated to providing excellent service and support to our patients and staff. Powered by JazzHR

Posted 30+ days ago

U logo
Urogynecology PCAlpharetta, GA
Miklos and Moore Urogynecology is looking for a Receptionist to join our team in our Alpharetta office.   The ideal candidate will deliver a professional and qualified first impression to all visitors. This person has excellent communication and customer service skills. He/she has a basic understanding of administrative and clerical procedures/systems and the ability to multitask in a busy environment.    Responsibilities:  Welcome guests, employees, and clients who arrive at the office and clarify the purpose of their visit, and who they want to see. Answer all phone calls and emails sent to the main office and provide inter-office messages as requested. Schedule new patient appointments, manage medical record requests, and other front office responsibilities. Requirements: A high school diploma is required Proficient with Microsoft Excel, Word, and Outlook Reliable, professional, courteous, and patient Excellent communication and writing skills   Miklos and Moore Urogynecology is an upscale international surgical practice dedicated to women's health.   Miklos and Moore Urogynecology benefits include paid health and dental insurance, life insurance, 401K, PTO, and first responder cell phone discounts.   Powered by JazzHR

Posted 30+ days ago

H logo
HEALTHCARE RECRUITMENT COUNSELORSOdenton, MD
Medical Billing Manager Odenton MD We are looking for an experienced Medical Billing Manager to join our medical group full time in Odenton, MD. Ideally, we are looking for a manager who has experience within privately held medical groups, someone who has real expertise in holding their billing team accountable, being the point person, and is able to regularly report to upper management, running reports and is able to evaluate where our business can improve. Must have experience managing a group of medical billers in a clinic setting (non-hospital based). About us: We are a highly reputable team of medical doctors, compassionate providers/colleagues and support staff and we work hard to help our patients live a pain-free, active lifestyle. We have helped thousands of individuals in the community of Odenton, as well as the surrounding areas. Our philosophy is that everyone deserves a fair chance to enjoy and participate in the things they love, and we are committed to education and research to provide numerous effective treatment options for our patients in need. We have a dynamic, friendly, and compassionate team and we enjoy working together in our welcoming team environment. Primary Responsibilities: Overseeing the day-to-day operation of a medical billing department and staff. Perform Patient and Insurance report analysis and identify any trends or issues that need to be addressed. Communicate trends for improvement of the cashflow with practice' management team and medical providers. Assign and oversee work of billing staff to ensure accuracy and resolving inconsistencies. Ensure billing and coding for all current and new medical service lines are accurate and consistent. Identify compliant, financial billing opportunities. Create SOP's for all tasks. Train and motivate billing and medical staff. Uphold company policies and procedures. Work on and manage insurance AR to resolve outstanding or denied claims. Submit insurance appeals. Complete monthly payment posting reconciliation. Answer patient billing questions and concerns as needed Key Skills: Advance proficiency in Microsoft Office Suite, particularly Excel Assume role of liaison between billing and other departments 5+ years of experience in Revenue Cycle Management Strong familiarity with federal and commercial insurance plans Must have experience managing a group of medical billers in a clinic setting Benefits: Health Insurance Dental and Vision PTO 401k Compensation : $70k plus bonus potential (uncapped) We are looking for a dedicated team player, who has a high level of professionalism and reporting skills to join our amazing team within multiple clinics in Maryland. If this sounds like the opportunity for you, then please contact us! HCRC Staffing Powered by JazzHR

Posted 1 week ago

LogixHealth logo
LogixHealthBedford, MA
Location: On-Site in Bedford, MA This Role: As a Clerical Assistant in ED Billing at LogixHealth, you will perform general clerical tasks in the Billing Operations department . You’ll contribute to our fast-paced, collaborative environment and will bring your expertise to facilitate payment of Emergency Department Physician medical claims . The ideal candidate will have strong technical skills, excellent interpersonal communication, and a desire to learn. Key Responsibilities: Review accounts in the self-pay category and make determination to send to collections Process all incoming returned mail from patients Mail out all paper claims generated by the staff on a daily basis Attach primary EOBs to secondary claims Attach medical records to claims Qualifications: To perform this job successfully, an individual must be able to perform each Key Responsibility satisfactorily. The following requirements are representative of the knowledge, skills, and/or ability required to perform this job successfully. Reasonable accommodation may be made to enable individuals with disabilities to perform the duties. Required: Ability to work in a fast-paced environment Proficiency with MS 365 including Teams, Word, Excel, and Outlook Excellent written and verbal communication skills Preferred: One to two years related billing experience Benefits at LogixHealth: We offer a comprehensive benefits package including health, dental and vision, 401(k), PTO, paid holidays, life and disability insurance, on-site fitness center and company-wide social events. About LogixHealth: At LogixHealth we provide expert coding and billing services that allow physicians to focus on providing great clinical care. LogixHealth was founded in the 1990s by physicians to service their own practices and has grown to become the nation’s leading provider of unsurpassed software-enabled revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for clients in 40 states. Since our first day, we have had a clear vision of a better healthcare system and have continually evolved to get there. In addition to providing expert revenue cycle services, we utilize proprietary software to provide valuable financial, clinical, and other data insights that directly improve the quality and efficiency of patient care. At LogixHealth, we’re committed to Making intelligence matter through our pillars of Physician-Inspired Knowledge, Unrivaled Technology and Impeccable Service. To learn more about us, visit our website https://www.logixhealth.com/. Powered by JazzHR

Posted 30+ days ago

National Health Transport logo
National Health TransportMiami, FL
Summary: Ambulance Medical Billing Specialist is responsible for billing and collection processes for National Health Transport's ambulance trips. Ambulance   Medical Billing Specialist answers inquiries from insurance companies, patients, and processes claims accordingly. Essential duties and responsibilities : Promotes, develops, and fosters the mission, vision, and values of National Health Transport Inc. Provides the highest level of customer service to a wide variety of internal and external customers Manage and maintain National Health Transport Inc. billing processes. File complaints with the appropriate payer or their governing authority. Identify and separate denials by code and payer Follow through with payers correspondence in a timely manner. Review account status routinely as required for each payer type; minimum of 20 days.  Identify recurring denials and make necessary system changes to resolve them. Assist customers with their account information. File supplement or secondary insurance upon request of the patient. Work with Respond Billing software to ensure the most efficient billing process. Directs patient complaints to the Billing Operations Supervisor for completion and filing. Manages workload in an ethical manner and within the intent of federal, state, and local laws and in alignment within National Health Transports Billing Protocols and Procedures. Performs other duties as assigned. Required Qualifications: High School Graduate/GED Medical coding training and experience Familiar with Medicare/Medicaid laws and billing Certified Ambulance Coder helpful Ambulance Industry experience helpful Compensation: $15.00 - $18.50 hourly  Required Shifts/Schedule: Hours must be flexible to meet the demands of the office, but would generally be 8:00am-4:30pm, Monday through Friday. This position is not remote. Note:  This description indicates, in general terms, the type and level of work performed and responsibilities held by the team member(s).  Duties described are not to be interpreted as being all-inclusive or specific to any individual team member.   No Third Party Agencies or Submissions Will Be Accepted.   Our company is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. DFWP   Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients. Any and all information may change without notice. We reserve the right to solely determine applicant suitability. By your submission you agree to all terms herein. Powered by JazzHR

Posted 30+ days ago

Bayview Physicians Group logo
Bayview Physicians GroupChesapeake, VA
Job Type Full-time Full Job Description Bayview Physicians Group is a rapidly growing outpatient multi-specialty medical group, that strongly believes the doctor-patient relationship is the cornerstone of quality healthcare. We staff more than 600 positions in the Hampton Roads area. Individuals who possess excellent customer service skills, strong collegial relationships, and the desire to promote a positive work environment are encouraged to apply. We offer a competitive benefits package to our full time employees and we are always accepting applications from qualified candidates. On the job training is available for the right candidate. Duties & Responsibilities: Answer multi-line phones Provide exceptional customer service to Bayview Patients calling in to make a payment or have questions about their bills Take payments over the phone Update patient information and data entry Review patient balance due accounts Navigate in the Electronic Health Record Resolve patient concerns or disputes regarding their bill Work Accounts Receivable Qualifications: General customer service experience Ability to communicate effectively orally and in writing. Excellent telephone skills. Must demonstrate the ability to work as a team. Must demonstrate a positive attitude, and helpful demeanor. General knowledge of standard office equipment such as computers, fax machine, photo copier, etc. General medical office experience a plus Education and/or Experience: Minimum of 1 year previous customer service experience Call center experience a plus Previous medical front desk experience a plus Organization is willing to train the right candidate Powered by JazzHR

Posted 1 week ago

Right at Home logo

Home Health Billing Specialist

Right at HomeBirmingham, Alabama

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Job Description

JOB PURPOSE:

Supports the delivery of all Insurance billing services by final/higher level auditing, correcting, and submitting claims. Ensures that billing services are timely, accurate, and allow for appropriate reimbursement. Conducts all claims-related follow up on payment delays, taking corrective action(s) to finalize account disposition and/or referring claims to the appropriate staff to ensure appropriate reimbursement in the timeliest manner possible. Conducts month-end close and cash posting responsibilities for all assigned locations. This position functions within a team environment and under general supervision.

Successful individuals manage a volume of work as established by Right at Home productivity performance standards, are familiar with the rules and regulations of Insurance billing and are skilled at problem solving and account resolution. They work well within a team and help foster an environment where continuous improvement in business processes and services is welcomed and recognized to build a high-performance culture via the standard Right at Home responsibilities.

KEY RESPONSIBILITIES:

1. Performs all billing and follow-up functions, including the investigation of payment delays resulting from pended claims, with the objective of receiving appropriate reimbursement based upon services delivered and ensuring that the claim is paid/settled in the timeliest manner possible.

2. Works with assigned community services facilities’ administrators and office personnel to manage relevant accounts receivable.

3. Edits claim forms, using proper data element instructions for each payer, applying principles of coordination of benefits, and ensuring that correct diagnosis, and procedure codes are utilized.

4. Submits Insurance claims, including the maintenance of bill holds and the correction of errors, to provide timely, accurate billing services.

5. Researches claim rejections, making corrections, taking corrective actions and/or referring claims to appropriate staff members for follow through to ensure timely claim resolutions.

6. Conducts account follow up including the investigation of payment delays to appropriately maximize reimbursement based upon services delivered and ensuring claims are paid and settled in the timeliest manner.

7. Applies knowledge of specific payer billing/payment rules, managed care contracts, reimbursement schedules, eligible provider information and other available data and resources to research payment variances, make corrections, and take appropriate corrective actions to ensure timely claim resolutions.

8. Evaluates accounts, resubmits claims, and performs refunds, adjustments, write-offs and/or balance reversals, if charges were improperly billed or if payments were incorrect.

9. Responds to inquiries, complaints or issues regarding patient billing and collections, either directly or by referring the problem to an appropriate resource for resolution.

10. Participates in cross-training and job enlargement opportunities for major job. responsibilities. Works with direct supervisor to identify minor set of responsibilities to develop and perform.

11. Plans, organizes, and documents work to deliver business results by meeting or exceeding all individual operating metrics and service line agreement objectives.

12. Contributes ideas and actions towards the continuous improvement of Revenue Cycle processes.

13. Adapts to learning new processes, concepts, and skills; Seeks and responds to regular performance feedback from team lead and provides upward feedback, as needed.

14. Assists in orientation and appropriate training of team members, including helping cross-train peers in minor responsibilities and acting as a mentor to peers.

15. Maintains positive work relationships with members of own and other teams to communicate effectively and ensure compliance with cross-team responsibilities.

16.  Assist with Accounting (billing and payroll) responsibilities. 

KNOWLEDGE, SKILLS, ABILITIES:

  • In-depth knowledge of various billing documentation requirements, the patient accounting system, and various data entry codes to ensure proper service documentation and billing of patient accounts.
  • Knowledge of insurance and governmental programs, regulations and billing processes, commercial third-party payers, and/or managed care contracts and coordination of benefits
  • Familiarity with medical terminology and the medical record coding process
  • Knowledge of principles, methods, and techniques related to compliant healthcare billing/collections
  • Familiarity with Insurance Claims management functions in non-acute settings
  • Knowledge of Patient Management information system applications
  • MINIMUM EDUCATION REQUIRED: AA/AS in Accounting or Business (or Equivalent Education / Experience) preferred.

    MINIMUM EXPERIENCE REQUIRED:

  • Demonstrates experience and a proven track record in Insurance Claims in a medical setting of moderate size and complexity, information systems, and patient accounting applications, as typically acquired in1-3 years of patient accounting / medical billing positions
  • Experience in month end close activities and reconciling cash received to the patient accounting system
  • Compensation: $14.00 - $18.00 per hour

    This franchise is independently owned and operated by a franchisee. Your application will go directly to the franchisee, and all hiring decisions will be made by the management of this franchisee. All inquiries about employment at this franchisee should be made directly to the franchise location, and not to Right at Home Franchising Corporate.

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

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