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Medical Billing Specialist
Serv Recruitment AgencyAlbuquerque, NM
Southwest Women's Oncology Team is growing fast and looking for a dedicated and driven Medical Billing Specialist to Join the Team! Join the Southwest Women's Oncology Team:  SWWO'S integrated team of healthcare professionals is committed to providing a safe, caring, and curative experience for their patients. Southwest Women's Oncology's  sole intent is to cure cancer and achieve the best possible outcomes for their patients. The Medical Billing Specialist will work closely with healthcare providers. This role is ideal for individuals looking to gain valuable experience in the medical field and contribute to improving patient care efficiency. Position Responsibilities: Actively follow up on delinquent insurance claims, ensuring timely resolution. Investigate and resolve discrepancies, claim denials, and handle appeals for all patient accounts. Address patient inquiries regarding billing, insurance, and payment concerns with empathy and professionalism. Oversee patient accounts, including collections and payment plans. Perform other related duties as assigned by management. Qualifications: Minimum of 3 years of experience in medical billing; oncology billing experience is highly preferred. In-depth understanding of third-party insurance, government payers, and physician billing/reimbursement processes. Strong knowledge of posted charges, payments, and adjustments. Proven experience with insurance precertification and verification processes. Familiarity with CMS billing guidelines and compliance. Experience working with patient advocacy programs. Ability to collaborate effectively in a team environment. Professional and service-oriented demeanor when handling patient calls. Oncology billing experience is preferred but not mandatory. Proficient in medical billing software, credit card payment processing, and Microsoft Office Suite (Word, Excel). Demonstrates a genuine passion for delivering exceptional care, consistently striving to exceed client expectations while ensuring their comfort, well-being, and satisfaction Our Dream Teammate will have access to: Competitive Salary Excellent Benefits; Medical, dental, vision, PTO, and 401K High Performance Concierge Culture Performance center complete with a full AI gym suite, recovery modalities, group fitness classes, and body composition tracking, and state of the art aesthetic modalities. Location: Albuquerque, New Mexico Job Type: Full-time

Posted 30+ days ago

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RCM Medical Billing Reimbursement Specialist
ZOLL Medical CorporationBroomfield, CO
Corporate At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and treat patients suffering from serious cardiopulmonary and respiratory conditions. ZOLL Data Systems, a division of ZOLL Medical Corporation, is a healthcare software solutions provider that empowers hospital, EMS and Fire, and billing/accounts receivable (AR) teams to deliver more-from better patient outcomes to operational efficiencies and greater revenue capture. Our business exists to help save more lives through data-driven innovation and interoperability, opening new pathways for our customers to achieve the highest levels of care, collaboration, and reimbursement. Job Summary This position is responsible to resolve aged accounts and must have denial management experience in multiple states and sometimes internationally. Must have Revenue Cycle Management experience. Professional communication skills are required for interaction with colleagues, payors and management. Essential Functions Experience working in the ambulance transportation field preferred. Denial Management- Research and determine claim denials and take appropriate action for payment within federal, state, and payor guidelines. Trend Identification- Identify consistent payor or system trends that result in underpayments, denials, errors, etc. Payor Escalation- Ability to understand and navigate payor guidelines. Determine and escalate claim issues with payor when appropriate. Trend Escalation- Meet with leadership to discuss/resolve reimbursement and/or payor obstacles. Appeals- Determine when an appeal, reopening, redetermination, etc. should be requested and the requirement of each insurance carrier. Take appropriate action to resolve claim. Claim Status- Use available resources such as payor portals and clearinghouses to review unresolved accounts. Unapplied Payments- Identify unapplied payments and take appropriate action to resolve account. Phone Calls- Call appropriate payors or patient to obtain the information necessary to resolve the claim. Medical Record Requests- Obtain necessary information from appropriate source(s) to obtain payment from payors. This includes obtaining records from treating facilities. Medical Insurance Policies- Knowledge and understanding of current policies and procedures required to determine claim resolution. Overpayment Resolution- Process or appeal refund requests following federal, state and/or payor guidelines. Legal/Subrogation Requests- Knowledge of HIPAA and multiple state guidelines to process attorney requests. Coordination of Benefits- Ability to review eligibility response and determine payor sequence. Knowledge of Medicare Part A vs Part B benefits and liability guidelines. Patient Inquiries- Respond to written and verbal inquiries from patients regarding their account. Process charity and payment plan following established policy. Communication- Clear and concise communication both written and verbal, including documenting all activities associated with an account. Production and Quality Standards- Must meet company standards and ability to work in fast paced environment. Other responsibilities as assigned Required/Preferred Education and Experience Prefer minimum 3 years in medical reimbursement field Ability to read and understand EOBs MS Excel skills (filtering and formatting reports) MS Word skills (formatting of letters and templates) PDF (formatting and editing in Adobe Acrobat or equivalent) Position requires HS or GED equivalent and some college level courses Ability to speak confidently to insurance representatives and patients Experience in billing 1500 and UB04 claim forms Understanding of non-contracted and contracted payer behaviors Ability to interact professionally on all levels Type 45 wpm, 10-key by touch Knowledge of medical terms. Ability to operate office equipment. Candidate must be able to provide documentation to support ability to work in the United States within the federal legal guidelines. Golden Hour appreciates and values diversity. We are an equal opportunity employer and do not discriminate in hiring or employment on the basis of race, color, religion, national origin, citizenship, gender, gender identity, genetic information, marital status, sexual orientation, age, disability, veteran status, or any other characteristic protected by federal, state, or local law. ZOLL is a fast-growing company that operates in more than 140 countries around the world. Our employees are inspired by a commitment to make a difference in patients' lives, and our culture values innovation, self-motivation and an entrepreneurial spirit. Join us in our efforts to improve outcomes for underserved patients suffering from critical cardiopulmonary conditions and help save more lives. The hourly rate for this position can range from $20 - 23. The actual compensation may vary outside of this range depending on geographic location, work experience, education, and skill level. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Posted 30+ days ago

Billing Specialist Lead-logo
Billing Specialist Lead
CalistaAnchorage, AK
Calista Corporation Regular JOB SUMMARY The Billing Specialist Lead provides billing services to a large number of companies, primarily on government contracts, with an extremely high volume of data. This position also provides training and guidance to Billing Specialists. ESSENTIAL FUNCTIONS Read and understand complex government and commercial contract billing requirements. Assist Billing Specialists in interpreting and implementing contract billing requirements. Act as the primary trainer for Billing Specialists. Assist with creation and/or maintenance of contract funding and billing logs and assist Billing Specialists in the creation and proper maintenance of the logs, to including balancing them. Create and maintain electronic and hardcopy (if required) billing files. Analyze open billing detail (OBD) to ensure accuracy and reasonableness of expenses before invoice is processed. Teach Billing Specialists to run and read the OBD report. Prepare and send out accurate invoices with required back-up in a timely manner. Back-up may include Excel workbooks, timesheets, and accounts payable invoices. Enter invoices into Wide Area Workflow (WAWF) or utilize other customer-designated submittal method. Assist Billing Specialists in registering in WAWF or other customer systems and provide guidance to Billing Specialists in using these systems. Interact with accountants and project managers on matters that relate to the billing process. Follow-up on needed adjustments for unbilled expenses. Assist with reconciliation of unbilled receivables. Verify billing accounts against accounts receivable ledger to ensure that all payments are accounted for and properly posted. Identify and resolve billing discrepancies and issues and assist Billing Specialists in identifying and resolving issues as needed. Generate accounts receivable aging reports and teach Billing Specialists how to run and read the reports. Follow-up and document efforts to collect past-due receivables utilizing the Accounts Receivable Collection and Write-off Form. Assist with obtaining invoices and back-up for DCAA or internal audits. In the absence of the Billing Supervisor or Project Accountant, provide requested back-up to DCAA for routine voucher audits. Work in a constant state of alertness and in a safe manner. Document contract-specific billing procedures using the Billing Processes Template. Perform other duties as assigned. SUPERVISORY RESPONSIBILITIES This position does not have supervisory responsibilities. KNOWLEDGE, SKILLS, & ABILITIES Knowledge of billing terminology. Knowledge of billing fixed price, cost plus, and time and materials projects. Ability to process a high volume of data with high level of accuracy. Ability to prioritize, multitask and meet multiple deadlines. Solid understanding of basic accounting principles, fair credit practices and collections regulations. Ability to calculate, post and manage accounting figures and financial records. Ability to professionally and effectively communicate with employees, business partners, and clients via written and verbal communication methods. Advanced knowledge and skills in computerized accounting systems and knowledge of company-specific software. Proficiency in standard computer software, application programs and e-mail. Typing 45 wpm and 10-key by touch. Ability to visualize, articulate, and solve complex problems and concepts, and make decisions based on available information. Ability to use judgment and discretion. Ability to handle stressful situations and effectively plan and organize duties to meet deadlines. MINIMUM QUALIFICATIONS High School diploma or GED equivalent. Associate's degree or equivalent from two-year college or technical school preferred. Minimum of four years billing experience, including government contracts, is required. 2 years Deltek Costpoint experience in the Billing module required. Ability to pass a drug, background, reference, and credit check. WORKING ENVIRONMENT The work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. The noise level in the work environment is moderate. Work may require occasional weekend and/or evening work. PHYSICAL/VISUAL/MENTAL 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. PREFERENCE STATEMENT Preference will be given to Calista shareholders and their descendants and to spouses of Calista shareholders, and to shareholders of other corporations created pursuant to the Alaska Native Claims Settlement Act, in accordance with Title 43 U.S. Code 1626(g). EEO STATEMENT Additionally, it is our policy to select, place, train and promote the most qualified individuals based upon relevant factors such as work quality, attitude and experience, so as to provide equal employment opportunity for all employees in compliance with applicable local, state and federal laws and without regard to non-work related factors such as race, color, religion/creed, sex, national origin, age, disability, marital status, veteran status, pregnancy, sexual orientation, gender identity, citizenship, genetic information, or other protected status. When applicable, our policy of non-discrimination applies to all terms and conditions of employment, including but not limited to, recruiting, hiring, training, transfer, promotion, placement, layoff, compensation, termination, reduction in force and benefits. REASONABLE ACCOMMODATION It is Calista and Subsidiaries' business philosophy and practice to provide reasonable accommodations, according to applicable state and federal laws, to all qualified individuals with physical or mental disabilities. The statements contained in this job description are intended to describe the general content and requirements for performance of this job. It is not intended to be an exhaustive list of all job duties, responsibilities, and requirements. This job description is not an employment agreement or contract. Management has the exclusive right to alter the scope of work within the framework of this job description at any time without prior notice.

Posted 30+ days ago

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Correspondence Representative-I (Medical Billing Mailing Operation) - PFS (100% Work Onsite - Livonia, Michigan)
Trinity Health CorporationLivonia, MI
Employment Type: Full time Shift: Day Shift Description: POSITION PURPOSE 100% Work Onsite - Livonia, Michigan (Pay Rate: $15.0165-$22.5248) Performs the day-to-day correspondence activities within the Hospital and/or Medical Group revenue operations ($3-5B NPR) of a Patient Business Services (PBS) location. Serves as part of a team of correspondence colleagues at a PBS location responsible for sorting and distributing incoming correspondence, performing address updates, and scanning documents into the document imaging system. This position reports directly to a Manager. ESSENTIAL FUNCTIONS Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions. Collects, organizes and scans patient and insurance correspondence, insurance vouchers/explanation of benefits and other relevant documentation into Onbase or similar application based on the Health Ministry. Conducts appropriate indexing with PNC Correspondence into correct folders within Onbase or similar application, redacts and indexes correspondence to multiple accounts within OnBase as needed. Sorts and date-stamps all incoming correspondence (fax, email, postal mail), distributing correspondence to appropriate resources in a timely, accurate manner. Reviews all returned mail, researches and corrects the information (name and address) in the patient accounting system as appropriate. Updates the mailing envelope with the correct information and resubmits for mailing. Assists in large copy and mail productions. Sorts outgoing correspondence to ensure cost effective postage. Provides support for the Billing & Follow-Up teams by printing UB04's and sends medical records by Certified Mail. Unpacks and stocks supply orders that arrive to the Patient Business Service Center, keeps inventory on a routine basis regarding supplies and envelopes, follows appropriate process for reorder. May prepare special reports as directed by the manager to document billing and follow-up services (e.g., Incoming correspondence volume, returned mail status, document imaging status, etc.). May serve as relief support, if the work schedule or workload demands assistance to departmental personnel. May also be chosen to serve as a resource to train new employees. Cross training in various functions is expected to assist in the smooth delivery of departmental services. Other duties as needed and assigned by the manager. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health's Organizational Integrity Program, Code of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior. MINIMUM QUALIFICATIONS High school diploma and a minimum of one (1) year work experience within a hospital or clinic environment, an insurance company, managed care organization or other financial service setting, performing mailroom and document imaging functions or an equivalent combination of education and experience. Data entry skills (50-60 keystrokes per minutes). Excellent communication (verbal and writing) and organizational abilities. Interpersonal skills are necessary in dealing with internal and external customers. Accuracy, attentiveness to detail and time management skills. Basic understanding of Microsoft Office Microsoft Office, including Outlook, Word, PowerPoint, and Excel. To successfully accomplish the essential job functions of this position, the incumbent will be required to work independently, read, write, and operate keyboard and telephone effectively. Must be comfortable operating in a collaborative, shared leadership environment. Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health. PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS Must be able to set and organize own work priorities, and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles. Excellent problem solving skills are essential. This position requires the ability to comprehend and retain information that can be applied to work procedures to achieve appropriate service delivery. The greatest challenge in this position is to ensure that mailroom and document imaging activities are performed promptly and in an accurate manner to assist in order to reduce potential financial loss to the patient and the Ministry Organization. Position operates in an office environment. Work area is well-lit, temperature controlled and free from hazards. The incumbent is subject to eyestrain due to the many hours spent looking at a CRT screen. The noise level is low to moderate. Completion of regulatory/mandatory certifications and skills validation competencies preferred. Must possess the ability to comply with Trinity Health policies and procedures. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Posted 2 weeks ago

Billing Associate-logo
Billing Associate
Avera HealthSioux Falls, SD
Location: Avera Long Term Care Pharmacy Worker Type: Regular Work Shift: Day Shift (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate dependent upon experience. $18.25 - $23.75 Position Highlights 9:30am-6:00pm, e/3rd wknd/hol; 80hrs/2wks You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Verifies, submits and adjudicates patient billing information, submits necessary claim forms and reconciles accounts receivable remittances appropriately and documents tracking information to customer's accounts. Additional responsibilities include verifying and correcting billing input for claim processing and reconciles Point of Sale cash flow. A successful Associate provides excellent customer service to external and internal customers. What you will do Respond to external and internal customers concerns regarding accounts in a timely and accurate manner. Follow up may include investigating reports and correcting information necessary for complete accuracy. Once verified, corrections and documentation of changes provided to patient and other appropriate departments. Investigates and reports on all current reimbursement developments on third party remittances and maintains compliance with coding/billing requirements. Directs the preparation, completion and filing of third party payor insurance reimbursement claims, both electronic and paper formats. Processes explanation of Medicare Benefits for supplemental insurances. Verifies bill accuracy and responsible for review to initiate appeal information when appropriate. Collaborate with other departments for follow-up and timely resolution. Comprehends/interprets organization policies, procedures and maintains appropriate records for compliance and audit purposes. Corresponds with other appropriate departments for necessary billing information. Reconciles cash management and coordinates daily deposits for all applicable areas. Essential Qualifications The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer. Preferred Education, License/Certification, or Work Experience: Associate's Technical degree or 1 to 2 years or related experience 1-3 years Related experience Expectations and Standards Commitment to the daily application of Avera's mission, vision, core values, and social principles to serve patients, their families, and our community. Promote Avera's values of compassion, hospitality, and stewardship. Uphold Avera's standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity. Maintain confidentiality. Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment. Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Benefits You Need & Then Some Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future. PTO available day 1 for eligible hires. Free health insurance options, for full-time single coverage on Avera High Deductible Health Plan Up to 5% employer matching contribution for retirement Career development guided by hands-on training and mentorship Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org.

Posted 2 weeks ago

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

Posted 2 weeks ago

Medical Coding And Billing Assistant 2-logo
Medical Coding And Billing Assistant 2
Yale UniversityNew Haven, CT
Working at Yale means contributing to a better tomorrow. Whether you are a current resident of our New Haven-based community- eligible for opportunities through the New Haven Hiring Initiative or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome. Discover your opportunities at Yale! Hourly Range 34.77 Overview Under the direction of Yale Medicine Administration (YMA) Coding and Billing, the Coding and Billing Assistant 2 is responsible for all aspects of accurate charge submission for patient clinical services based on coding, documentation review, quality assurance, and compliance guidelines. Requires comprehensive knowledge and expertise to exercise independent judgement and decision making on a regular basis with respect to all codes selected; ensure compliance with established coding guidelines, all YMA policies and protocols, third party reimbursement policies, Federal payer regulations, and HIPAA guidelines; maintain effective workflow processes to assure complete, accurate and timely billing activity and optimal reimbursements, while maintaining productivity to meet lag day expectations; responsible for recommending coding and billing change procedures to improve processes; review and analyze documented medical services to ensure accurate documentation and coding of all services. This opportunity is currently remote (work from home) within CT. Required Skills and Abilities 1. Demonstrated ability to apply critical thinking skills. Comprehensive knowledge of ICD-10, CPT, HCPCs & modifier coding, medical terminology, human anatomy, & digital coding resources/software. Ability to analyze & interpret evaluation & management documentation guidelines & surgical procedure reports, diagnostic studies, pathology, & labs. 2. Proficiency with electronic health record and practice application systems, electronic data entry and retrieval, and web-based applications and websites. Intermediate proficiency with MS Word, Excel, Outlook (emails and calendars), Zoom and PowerPoint. 3. Demonstrated ability to independently perform all categories of coding/billing work, including all aspects of surgical coding. Comprehensive knowledge of Federal payer regulations, third party payers, HIPAA rules, reimbursement policies and procedures and Teaching Physician Guidelines within an academic medical practice. Proven ability to interpret and apply guidelines 4. Demonstrated ability to train others & to assist in QA process across multiple service lines. Demonstrated strong interpersonal, verbal, & written communication skills. Effectively communicate with team members to resolve questions on assignments. Effectively communicate with providers, following escalation processes with analytics team & manager. 5. Ability to work independently with a high level of proficiency, accountability, and productivity. Organize and prioritize work with minimal supervision, as well as others as assigned. Ability to work in a fast-paced environment meeting timely deadlines while maintaining high productivity and quality standards. Ability to work effectively as a team member with common goals. Preferred Education, Experience and Skills Additional specialty coding credential. Principal Responsibilities Acts as an expert resource on proper procedural and diagnostic coding and changes in codes and coding practices as they reflect changes in medical practices. Based on a high level of medical knowledge of human anatomy and physiology in specialized medical fields and procedures, reviews and revises the coding of medical professionals, including physicians and APPs. Advises medical professionals and D-level Coding Specialists in order to ensure accuracy of coding and reimbursement of claims and compliance with government regulations and third-party carrier requirements. 2. Reviews operative and diagnostic reports, as well as procedures and E&M service documentation to validate diagnostic (ICD-10) and procedural (CPT/HCPCS) codes and modifiers with consideration given to charge review edits within work queues for Yale Medicine patient clinical services. Expert resource within the Epic Professional Billing application, ensuring that all charge review edits are appropriately resolved in charge review work queues to file clean, accurate claims, utilizing claim judgement and critical thinking skills. 3. Follows charge reconciliation processes to ensure all charges are being captured for all providers. Verifies all information required to produce and submit a clean claim including provider, place of service, date of service, bill area, all codes and special billing procedures that may be defined by a payer, contract, or YMA. Ensure compliance with Teaching Physician guidelines within an academic medical practice. 4. Pends charge sessions to seek corrective action for services not meeting documentation requirements in accordance with YMA policies and procedures. Identifies that a provider should be contacted to clarify or amend a medical record, following communication and escalation procedures. Modifies clinician's selection. Exercises independent judgement and decision making on a regular basis with respect to all codes selected, applying critical thinking skills. Draws valid conclusions to support decision. Identifies provider issues that are trending and escalate per policy to minimize rejections and audit risk that could result in substantial financial costs to the department and school. 5. Adheres to YMA policies and procedures and Yale Medicine's Mission, Values and Guiding Principles. Active participation in team and department training and education programs and staff meetings. Establish and cultivate productive relationships among staff to support a positive team environment and professional interactions. Maintain professional and technical knowledge by participating in educational workshops and reviewing professional publications. 6. Works with manager or designee to identify educational opportunities for colleagues and providers, as well as system edits to enhance accuracy and productivity within Epic. Perform independent research using available digital and website resources to provide recommendations for coding, billing, and documentation questions when escalation is indicated. 7. May perform other duties as assigned. Required Education and Experience Six years of related work experience, four of them in the same job family at the next lower level, and a high school level education; or four years of related work experience and an Associate degree; or little or no work experience and a Bachelor degree in a related field; or an equivalent combination of experience and education. Required License(s) or Certification(s) Certified Professional Coder (CPC) through AAPC organization. Must maintain certification through annual education requirements. Physical Requirements Ability to push, pull, and lift in excess of 20 pounds as well as travel around the medical school campus. Background Check Requirements All candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks based on the position description and job requirements. All offers are contingent upon the successful completion of the background check. For additional information on the background check requirements and process visit "Learn about background checks" under the Applicant Support Resources section of Careers on the It's Your Yale website. Health Requirements Certain positions have associated health requirements based on specific job responsibilities. These may include vaccinations, tests, or examinations, as required by law, regulation, or university policy. Posting Disclaimer The hiring rate of a role is determined in accordance with the provisions outlined in the respective collective bargaining agreement. The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the position. Employees will be assigned specific job-related duties through their hiring department. The University is committed to basing judgments concerning the admission, education, and employment of individuals upon their qualifications and abilities and seeks to attract to its faculty, staff, and student body qualified persons from a broad range of backgrounds and perspectives. In accordance with this policy and as delineated by federal and Connecticut law, Yale does not discriminate in admissions, educational programs, or employment against any individual on account of that individual's sex, sexual orientation, gender identity or expression, race, color, national or ethnic origin, religion, age, disability, status as a special disabled veteran, veteran of the Vietnam era or other covered veteran. Inquiries concerning Yale's Policy Against Discrimination and Harassment may be referred to the Office of Institutional Equity and Accessibility (OIEA). Note Yale University is a tobacco-free campus.

Posted 1 week ago

Pharmacy AR Billing And Collections Specialist-logo
Pharmacy AR Billing And Collections Specialist
Mckesson CorporationCary, NC
McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care. What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow's health today, we want to hear from you. Join Our Team at Biologics by McKesson: Elevate Patient Care with Us! Position: Pharmacy AR Billing and Collections Specialist Our Mission: At Biologics by McKesson, we are dedicated to simplifying medication access and delivering personalized care to ensure the best possible outcomes for every patient, partner, and therapy-one at a time. Role Overview: As a Senior Associate AR Billing and Collections Specialist, you will be at the heart of our financial operations, managing accounts receivable with precision and care. Your expertise will ensure that we maintain a healthy revenue cycle, minimize financial risks, and foster seamless collaboration with patients and partners. Key Responsibilities: AR Management: Oversee open accounts receivable daily to meet key revenue cycle performance indicators. Strategic Collections: Analyze and address complex AR accounts outstanding over 31 days, employing effective collection strategies. Account Adjustments: Process approved adjustments and promptly issue overpayment refunds. Claims Expertise: Research and resolve denials, underpayments, and rejections; handle claims appeals efficiently. Collaborative Resolution: Work with internal teams on account resolution and claims resubmission within timely filing guidelines. Patient & Payer Communication: Respond to inquiries regarding claims and account status with clarity and professionalism. Data Management: Maintain payer files, compile claims data, and produce comprehensive tracking and trending reports. Regulatory Compliance: Stay updated on third-party payers and CMS reimbursement requirements, adhering to all guidelines and procedures. Team Participation: Engage actively in billing and collection meetings, contributing to ongoing account resolutions. Operational Excellence: Demonstrate a strong commitment to operational excellence and continuous improvement. Additional Duties: Undertake other responsibilities as assigned by the supervisor and manager. Minimum Requirements: Typically requires 5+ years of related experience Critical Skills High volume AR/collections experience in the specialty healthcare or pharmacy segment Strong understanding of health insurance coverage and reimbursement processes, including knowledge of NDC/HCPCS coding and billing practices. Familiarity with oncology therapies and the associated reimbursement landscape is a plus. Knowledge of applicable healthcare laws and regulations, including HIPAA, Medicare, and Medicaid guidelines. Exceptional written and verbal communication skills, along with collaboration skills and ability to influence others; ability to build credible relationships across multi-business units. Excellent verbal and written communication skills, with the ability to effectively communicate with patients and insurance companies. Ability to work effectively in a team-oriented environment, collaborating with colleagues to achieve common goals. Proficiency in Microsoft Office Suite, including Word, Excel, and PowerPoint 3+ years' high volume collections experience within specialty pharmacy, medical/infusion office, or other relevant industry services. Specialized Knowledge and Skills Experience specifically related to specialty pharmacy is highly desirable. Strong prioritization, time management and project management skills Ability to manage complex issues, function independently, demonstrate flexibility, as well as the ability to work effectively with remote internal and external teams. Strong analytical and problem-solving skills, with the ability to identify and resolve issues related to insurance reimbursement. Critical thinking, analytical, research, and problem-solving skills Education Associate Degree or equivalent. Job Working Conditions: Environment: Hybrid Office environment Career Level Job Profile: Sr. Associate AR Collections Specialist, B4 We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here. Our Base Pay Range for this position $19.87 - $33.11 McKesson is an Equal Opportunity Employer McKesson provides equal employment opportunities to applicants and employees and is committed to a diverse and inclusive environment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age or genetic information. For additional information on McKesson's full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page. Join us at McKesson!

Posted 30+ days ago

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

Posted 3 weeks ago

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

Posted 1 week ago

Patient Billing/Services Representative III - Heart And Vascular Center-logo
Patient Billing/Services Representative III - Heart And Vascular Center
Washington University In St. LouisSaint Louis, MO
Scheduled Hours 40 Position Summary Serves as the lead to Patient Billing/Services Representatives; plans, organizes, gives direction, and assists in aspects of the front desk/scheduling team; coordinates office functions and performs specialized/technical duties with minimal supervision; serves as a liaison between consumers (staff, patients, healthcare professionals and general public) and advocates the patients' needs. Job Description Primary Duties & Responsibilities: Monitors the performance of the staff areas to ensure quality care and compliance with practice standards. Monitors and observes to ensure appointments are scheduled appropriately in accordance with departmental procedures to include scheduling transactions, registration review, pre-arrival processes and HIPAA acknowledgement notification and documentation using department-approved monitoring tools. Works with physician and/or appropriate personnel to appropriately triage patient phone calls, tasks and e-mails as needed. Assists in management of providers' schedules, scheduling templates and master schedules according to physician protocols and management direction. Assists in coordination of training, interoffice activities, schedules, programs, distribution of policy/procedure changes and related administrative needs; serves as primary trainer for new procedures and to new staff members in conjunction with manager. Assists in coordination of staff vacations, schedules and coverage. Assists with staff timesheets and distribution of accruals. Plans, schedules and/or carries out orientation program and staff training/development for established and new personnel under guidance of management. Coordinates ordering and monitoring of supplies, equipment, mail and related operational services as needed. Maintains required skills/competencies and participates in in-services, staff programs, continuing education and cross-training programs according to established standards. Complies with OSHA, state and federal regulatory sources/standards. Acts as backup for staff during peak times, vacations, illnesses. Prepares custom reports as directed by management. Participates in quality improvement activities to ensure appropriate clinical outcomes. Incorporates the Fish Philosophy and Principles into daily job activities. Performs other duties as assigned. Working Conditions: Job Location/Working Conditions Normal office environment. Patient care setting. Physical Effort Typically sitting at desk or table. Equipment Office equipment. The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time. Required Qualifications Education: High school diploma or equivalent high school certification or combination of education and/or experience. Certifications: The list below may include all acceptable certifications and issuers. More than one credential or certification may be required depending on the role. Basic Life Support- American Heart Association, Basic Life Support- American Red Cross Work Experience: Billing Systems And Third-Party Claims And/Or Medical Office Setting, Related Customer Service (4 Years) Skills: Not Applicable Driver's License: A driver's license is not required for this position. More About This Job Required Qualifications: Basic Life Support certification must be obtained within one month of hire date Basic Life Support certification (Online BLS certifications, those without a skills assessment component, are not sufficient to meet the BLS requirements). Preferred Qualifications Education: No additional education beyond what is stated in the Required Qualifications section. Certifications: No additional certification beyond what is stated in the Required Qualifications section. Work Experience: No additional work experience beyond what is stated in the Required Qualifications section. Skills: Communication, Computer Literacy, Confidential Data Handling, Data Entry, Decision Making, Epic EHR, Fast-Paced Environments, Interpersonal Communication, Managed Care, Medical Terminology, Multitasking, Office Equipment, Organizing, Patient Confidentiality, Scheduling, Stress Management, Telephone Communications, Working Independently Grade C08-H Salary Range $20.57 - $30.84 / Hourly The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget. Questions For frequently asked questions about the application process, please refer to our External Applicant FAQ. Accommodation If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request. All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship. Pre-Employment Screening All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening. Benefits Statement Personal Up to 22 days of vacation, 10 recognized holidays, and sick time. Competitive health insurance packages with priority appointments and lower copays/coinsurance. Take advantage of our free Metro transit U-Pass for eligible employees. WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%. Wellness Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more! Family We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We've got you covered. WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us. For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/ EEO Statement Washington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups. It is the University's policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information. Washington University is dedicated to building a community of individuals who are committed to contributing to an inclusive environment - fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply.

Posted 30+ days ago

Supervisor, Rural Government Billing-logo
Supervisor, Rural Government Billing
Gundersen Health SystemOnalaska, WI
Love + medicine is who we are, it's what we do, it's why people want to work here. If you're looking for a job to love, apply today. Scheduled Weekly Hours: 40 We are seeking a dynamic and detail-oriented Supervisor, Rural Government Billing to join our team! The Supervisor of Rural Government Billing is responsible for the daily operations of the rural government billing team. The Supervisor is responsible for coordinating functions and billing staff to ensure duties are completed in an accurate and timely manner. You will maintain strong leadership skills to coach and mentor team members while fostering a positive work environment and professional development. The Supervisor will collaborate closely with cross-functional teams to identify opportunities and implement effective solutions to streamline billing procedures, reduce denials and implement best practices within the billing cycle while providing leadership and accountability to organizational performance metrics and compliance of regulatory requirements. Responsibilities Include: Uses key performance indicators on dashboards and scorecards to monitor performance and direct resources as appropriate. Monitor daily operations to ensure billing staff meet established performance metrics and customer satisfaction goals. Develop and implement billing policies and procedures that comply with federal and state regulations. Ensure accurate billing of rural health services, ensuring compliance with Medicare and Medicaid regulations. Stay updated on changes in healthcare regulations and billing practices affecting rural health services. Work collaboratively with healthcare providers and billing departments to resolve claim rejections and payor denials. Analyze billing data to identify trends and develop strategies to minimize errors and enhance the collection process. Collaborates with Revenue Cycle, ITDS and Clinical Operations to identify process errors and design-improved processes. Support systemwide initiatives and works in a collaborative relationship with other departments to improve billing processes. Implements a multidimensional quality control and productive measurement program that assures compliance with regulations and policies. What's Available: 1.0 FTE Schedule: Monday-Friday Days with ability to work outside of business hours due to departmental needs Location: Hybrid eligible role, with expectation to travel onsite to La Crosse, WI or Green Bay, WI as needed. What You'll Need: High School Diploma or equivalency 3-4 years of experience in healthcare revenue cycle with demonstration of increasing responsibility. Certified Professional Biller (CPB) Certified Coding Specialist (CCS) Certified Professional Coder (CPC), Registered Health Information Technician (RHIT) Registered Health Information Administrator (RHIA), Desired but not required for the role In addition to the rewarding work, you'll receive: Competitive Benefits: We offer a comprehensive package including medical, dental, pet insurance, and a generous retirement contribution. Work-Life Balance: We prioritize your well-being with a 24/7 Employee Assistance Program, generous PTO, and paid holidays. Professional Development: Invest in your future with our Tuition Invest Program (up to $3,000 per year), access to hundreds of internal courses, and our Career Development Center. Diversity, Equity & Inclusion: We foster a welcoming environment with an inclusive celebration program, Unconscious Bias Training, and Patient Care resources Additional Perks: Enjoy an 18% discount on your Verizon data plan and a 20% discount on Gundersen services not covered by insurance If you are looking to be a part of a stable and mission driven organization, we welcome you to apply! Emplify Health is comprised of two of the Midwest's most respected healthcare systems, Bellin Health and Gundersen Health System. Once neighbors, we are now partners, united in our mission to provide exceptional care to our communities. As a not-for-profit, patient-centered healthcare network, we have headquarters in Green Bay and La Crosse, Wisconsin. Our extensive network includes 11 hospitals and more than 100 clinics, serving 67 cities and rural communities across Wisconsin, Iowa, Minnesota and Michigan's Upper Peninsula. With over 4,500 dedicated nurses and providers, we are committed to delivering primary, specialty and emergency care, along with innovative medical education programs. Join us in making a meaningful difference in the lives of our patients and communities. If you need assistance with any portion of the application or have questions about the position, please contact HR-Recruitment@gundersenhealth.org or call 608-775-0267. We inspire your best life by relentlessly caring, learning and innovating. This is our purpose. Together with our values - belonging, respect, excellence, accountability, teamwork and humility - our pillars set our foundation and our future. Equal Opportunity Employer

Posted 1 week ago

Billing Manager-logo
Billing Manager
Harris CompaniesRochester, MN
The purpose of your role as a Billing Manager As a Billing Manager, you will be responsible for the development and leadership for the AR Billing team. Requires top level customer support and analytical problem-solving skills. This is a hybrid-remote position, based out of our corporate headquarters in St. Paul, MN or a Harris regional office location. Billing: Provide leadership and drive best practices supporting the billing team. Manage and oversee daily operations of the billing function, assigning work across the team, monitor and analyze accounting data, ensuring the billing support is complete, accurate, on time, and in compliance with company policies and procedures. Lead, mentor, and guide GMP billing specialists to ensure strict adherence to contract terms and conditions. Collaborate with project managers to accurately prepare, adjust and verify pre-bill documents before invoicing. Prepare timely and accurate AIA progress and other billings, and enter data accurately into systems and jobs. Collaborate with Corporate accounting to obtain necessary insurance, fringe, and other necessary information to support billings. Deliver outstanding customer service to both internal and external customers, as well as other members of the Accounting team, to answer invoicing questions or manage related issues. Assist with contract preparation, review and pre-qualifications and change orders Troubleshoot and resolve complex customer issues. Act as an escalation point for internal and external customers. Preparation of conditional and unconditional waivers Assist with special projects, billing / collection research and ad hoc analysis as needed. Ensure that all billing processes comply with accounting standards, contractual obligations, and legal requirements. Conduct thorough billing audits to verify that all costs have been billed in accordance with contract guidelines. Organizational Support and Process Improvement: Lead or participate in cross-functional projects, to work through initiatives, streamline processes to increase accuracy and efficiency. Establish and enforce accounting policies and procedures, ensuring proper internal controls exist. Evaluate and implement process improvements to streamline billing procedures and enhance accuracy, reducing the risk of errors and delays. Continuously assess the efficiency of current billing processes and recommend improvements to minimize operational inefficiencies. Leadership: Lead the hiring and training of new employees. Monitor, develop, mentor, provide growth and development opportunities, and evaluate construction billing staff of 10+ employees Foster the desired Harris culture What we're looking for in you Bachelor's degree in accounting or equivalent experience 10+ years of comprehensive experience managing Guaranteed Maximum Price projects to ensure billing aligns with contract terms. 6+ years of progressive experience managing accounting functions across multiple locations / businesses, and supervising staff. 6+ years of knowledge of process improvement methodologies which result in organizational efficiencies. Proven ability to lead, coach, mentor, and build a team Extensive knowledge of billing and accounting procedures and practices, including journal entries, sub-ledgers, general ledger, closing and reconciliation. Advanced Excel skills Experience and understanding of working in the construction industry is preferred Your life at Harris As one of the country's leading mechanical contractors, Harris offers you the best of both worlds: the stability, resources and opportunities of a national company, and the team culture, creative spirit and customer loyalty of a local business. If you thrive on variety and new challenges, we want to meet you! From stadiums to manufacturing facilities, power plants to hospitals, concert halls to classrooms, we handle projects of all sizes and complexity from multiple regional locations across the country. Harris Benefits + Compensation Medical, dental, vision, and life insurance 401K with company match Vacation time, sick time, and paid holidays Paid Parental leave Short-Term Incentive Plan Visit our Careers Page for additional benefit details: https://www.harriscompany.com/careers/employee-benefits-at-a-glance Pay Range: $86,681 - $130,022 per year The actual salary offer will vary by candidate based on a wide range of factors such as specific skills, qualifications, experience, and location.

Posted 30+ days ago

W
Associate Systems Analyst - Hospital Billing IT
West Virginia University Health Systemclendenin, WV
Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. Supports the design, implementation, and maintenance of software systems to meet organizational needs. Assists in system troubleshooting, providing end-user training, and performing basic project coordination. This role works closely with senior team members to ensure system functionality, deliver user support, and enhance operational efficiency. Through effective collaboration and continuous learning, this position contributes to the successful integration and optimization of technology solutions, while providing foundational technical and administrative support for various projects and tasks. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Bachelor's degree in Computer Science, Information Technology or a related field. Relevant certifications and/or proficiencies may be required for this position, with a target completion within 90 days following formal training provided by WVUHS Information Technology. EXPERIENCE: In lieu of a degree, a minimum of two (2) years of relevant experience will be considered. Entry level position. PREFERRED QUALIFICATIONS: EXPERIENCE: Experience in applicable business, clinical, imaging, or web application systems, including advanced workflows, focused on driving efficiency and optimization. Proficiency in systems administration and providing strategic insights and improvements to business operations. Experience working in inpatient and outpatient clinical settings, with a focus on improving patient care processes through advanced system implementations. Understanding of clinical data management and healthcare interoperability standards (HL7, FHIR, DICOM) to ensure seamless data exchange and compliance. Knowledge in Cloud-based healthcare applications and web services, ensuring secure, scalable, and efficient system architecture supported by this role. Knowledge of reporting tools, delivering actionable insights and enhancing decision-making processes through comprehensive data analysis and reporting capabilities CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. System Maintenance, Updates, and Innovation: Assist in Diagnosing and Resolving IT Issues: Support daily troubleshooting and problem-solving efforts to maintain and optimize system functionality, escalating issues as needed. Support System Modifications, Implementation, and Testing: Help implement and test system updates for basic workflows, ensuring reliable functionality and supporting optimization initiatives. Participate in Functional and Integrated Testing: Engage in testing activities to verify and optimize system performance, documenting results and identifying areas for improvement. Contribute to System Error Correction and Optimization: Aid in identifying, diagnosing, and correcting system errors to maintain smooth operations and timely resolutions. Assist with User Security Management: Apply user security settings under the guidance of senior analysts to uphold data integrity and optimize access control. Collaborate on System Enhancements and Optimization: Work with senior team members to suggest and implement updates or new functionalities based on organizational needs, focusing on system efficiency and best practices. Support Data Import/Export and Basic Reporting: Assist in managing data transfers and generating basic reports, contributing to accurate data handling and reporting optimization. Collaboration and Communication: Collaborate Effectively and Proactively Communicate: Work closely with team members, providing clear updates to ensure alignment with project goals. Effectively Communicate with Business Partners: Engage with business partners to understand needs, gather requirements, and ensure technical solutions align with business objectives. Foster a Positive Team Environment: Contribute to a supportive, respectful, and collaborative work culture. Demonstrate Openness to Feedback and Continuous Improvement: Actively seek and apply feedback and suggest process improvements. Ensure Reliable Remote Communication: Maintain consistent communication with the team for seamless collaboration. Project Coordination: Project Planning and Scheduling: Help define scope, plan, deliverables, schedules, and milestones. Coordination: Help oversee a project, acting as a contact for team members, colleagues, and stakeholders to ensure the smooth execution of projects. Communication: Help ensure proper communication of information within the project team. Including facilitation of regular meetings, documentation of meeting notes and action items. Documentation and Reporting: Assist with maintaining project documentation, including project scope, plans, reports, and status updates. Risk Management: Help identify risks, create risk mitigation plans, and ensure contingency measures are in place. Issue Management: Help identify problems in the project and assists in finding solutions to keep the project on track. Training and Education: Provide End-User Support and Training: Deliver classroom, one-on-one, and/or remediation training to support end-users' effective use of systems. Assess User Readiness and Abilities: Evaluate staff readiness and skill levels to ensure proper use of systems and identify any additional training needs. Deliver Systems Support: Offer ongoing end-user systems support to resolve issues and enhance system proficiency. Content Development: Contribute to curriculum development to support the creation and delivery of effective training materials that align with organizational workflows and objectives. Continuous Learning and Knowledge Development: Demonstrates growing commitment to expanding technical knowledge. Utilizes resources such as application community sites, professional networks, and industry tools. Applies new skills to support tasks and contribute to team objectives. Attends basic training sessions and workshops. Follows industry news and monitors basic trends. Identifies key areas for personal and professional improvement. Participates in team discussions and knowledge-sharing activities. Conducts basic research for projects and contributes to content development. Accepts and incorporates feedback from peers and supervisors. Shares knowledge informally with peers. Collaborates with other teams to gain a better understanding of their processes. PHYSICAL REQUIREMENTS: 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. Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping are necessary body movements utilized in performing duties through the work shift. Ability to sit for extended periods of time. WORKING 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. Standard office environment. This position may require travel to other West Virginia United Health System (WVUHS) facilities or affiliated sites to assist with implementations, training, and/or support. SKILLS AND ABILITIES: Analysis and Assessment: Foundational experience in analyzing business needs, documenting functional specifications, and supporting alignment with technical solutions. Capable of utilizing data insights to assist in decisions related to software procurement, installation, and configuration. Demonstrates growing proficiency in utilizing tools such as process maps, workflow diagrams, and data analytics to support system design, training, and problem resolution. Attention to Detail: Demonstrates foundational skills to troubleshoot and test systems, assisting in identifying and resolving potential issues to support functionality and reliability. Communication, Relationship Building, and Teamwork: Demonstrates written and verbal communication skills to convey technical information clearly. Applies interpersonal skills to build relationships and support collaboration within teams. Actively contributes to a positive team dynamic by participating in group problem-solving, sharing knowledge, and fostering a collaborative environment. Adaptability and Change Management: Demonstrates ability to respond to unexpected changes and system issues, applying foundational coping skills to assist in minimizing disruptions and maintaining operations. Time Management: Shows ability to prioritize and manage multiple tasks and deadlines, working to ensure timely and accurate completion while contributing to team goals. Additional Job Description: Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Exempt) Company: SYSTEM West Virginia University Health System Cost Center: 5907 SYSTEM IT Revenue Cycle

Posted 4 days ago

Medical Office Administration And Billing-logo
Medical Office Administration And Billing
American Family Care, Inc.Mission Viejo, CA
Benefits: 401(k) Bonus based on performance Competitive salary Health insurance Opportunity for advancement Paid time off Training & development Benefits/Perks Paid time off Health insurance Dental insurance Retirement benefits Employee referral incentives Great small business work environment Flexible scheduling Additional perks! Responsibilities Office administrative work HR Duties Process billing, payments, and other financial transactions Assist with medical record filing and data entry Insurance and payer follow ups Greeting patients visiting the facility, answering any questions they may have and helping them fill out the required forms Answering phone calls, creating appointments, directing the calls as required and handling all queries Maintaining a filing system for all patient documents and reports submitted Answering emails and other electronic messages as required Creating invoices and bills, processing insurance forms and managing vendors and contractors Transcribing all notes and documents related to treatments Coordinate with other departments to ensure smooth operations Assist with special projects and other administrative tasks And other Medical Office Administration and Billing tasks Qualifications Bachelor's degree preferred - Not Required A minimum of 1 year experience medical office administration required Demonstrated skills in written, verbal, and consultative communications Ability to deliver high levels of customer service and achieve customer satisfaction Understanding of compliance and regulatory guidelines Understanding medical office admin/billing Company Overview American Family Care (AFC) is one of the largest primary and urgent care companies in the U.S. providing services seven days a week on a walk-in basis. Our state-of-the-art centers focus on the episodic treatment of acute illnesses and injuries, workers' compensation, and occupational medicine. Each location is equipped with an onsite lab and in-house x-ray capability. AFC is the parent company of AFC Franchising, LLC (AFCF). Compensation: $22.00 - $28.00 per hour PS: It's All About You! American Family Care has pioneered the concept of convenient, patient-centric healthcare. Today, with more than 250 clinics and 800 in-network physicians caring for over 6 million patients a year, AFC is the nation's leading provider of urgent care, accessible primary care, and occupational medicine. Ranked by Inc. magazine as one of the fastest-growing companies in the U.S., AFC's stated mission is to provide the best healthcare possible, in a kind and caring environment, while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient. If you are looking for an opportunity where you can make a difference in the lives of others, join us on our mission. We invite you to grow with us and experience for yourself the satisfying and fulfilling work that the healthcare industry provides. Please note that a position may be for a company-owned or franchise location. Each franchise-owned and operated location recruits, hires, trains, and manages their own employees, sets their own employment policies and procedures, and provides compensation and benefits determined by that franchise owner. Company-owned locations provide a comprehensive benefits package including medical, dental, vision, disability, life insurance, matching 401(k), and more. We are an Equal Opportunity Employer.

Posted 30+ days ago

Dental Billing Specialist-logo
Dental Billing Specialist
Fair Haven Community Health CareNew Haven, CT
Fair Haven Community Health Care FHCHC is a forward-thinking, dynamic, and exciting community health center that provides care for multiple generations at over 143,000 office visits in 21 locations. Overseen by a Board of Directors, the majority of whom are patients themselves, we are proud to offer a wide range of primary and specialty care services, as well as evidence-based patient programs to educate patients in healthy lifestyle choices. As we grow and are able to bring high-quality health care to more areas that need access, we continue to put our patients first in everything we do. The mission of FHCHC is "To improve the health and social well-being of the communities we serve through equitable, high quality, patient-centered care that is culturally responsive." For 53 years, we have been a health care leader in our community focused on providing excellent, affordable primary care to all patients, regardless of insurance status or ability to pay. Fair Haven is proud to have a motivated team of professionals who are constantly seeking ways to enhance and improve the health and well-being of all patients. We believe that everyone should have access to high-quality medical and dental care, regardless of ability to pay. Job purpose Fair Haven prides itself on efficient billing services including the filing of claims, appeals processing, authorizations, and, above all, a great passion for helping individuals obtain treatment. The Billing Specialist/Dental Authorization Coordinator works with the Billing and Dental department verifying benefits for patients and ensuring benefits quoted are accurate and detailed. Duties and responsibilities The Billing Specialist/ Dental Authorization Coordinator maintains the professional reimbursement and collections process for the dental program. Typical duties include but are not limited to: Billing Performs billing and computer functions, including data entry, documentation review and encounter posting Prepares and submits clean claims to various insurance companies either electronically or by paper when necessary Work claims and claim denials to ensure maximum reimbursement for services provided Carrier Authorizations Verifying patients' insurance and obtaining coverage breakdowns Creating ABNs as needed based on coverage Schedule/treatment plan reviews for carrier authorization Obtaining and logging prior authorizations for procedures as mandated by carriers. Collections (Self-pay) Prepare, review and send patient statements Process and send "collections" letters for outstanding balances Process all returned mail Answer incoming patient billing phone calls, work to resolve patient issues Initiating collection calls and setting up and maintaining payment arrangements Follow collections process as outlined in FHCHC billing guideline Qualifications High School diploma or GED is required. Experience in a dental setting is essential. The ideal candidate will have a minimum of one year of dental authorizations and billing experience; excellent Interpersonal skills, accuracy and attention to detail a must. The selected candidate will have the ability to work in a team environment or independently; to meet all established deadlines, metrics and assignment goals at all times and have oral and written proficiency in English. Bi-lingual in English and Spanish is highly preferred. He/she must be able to use computer and multi-lined telephones; have an understanding of dental terminology and knowledge and experience in billing and authorization practices specific to Medicaid. American with Disabilities Requirements: External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job specific functions (listed within each job specific responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case by case basis. Fair Haven Community Health Care is an Equal Opportunity Employer. FHCHC does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.

Posted 30+ days ago

Medical Billing Specialist-logo
Medical Billing Specialist
ONE Health OhioYoungstown, OH
Join Our Team as a Medical Billing Specialist! Why Work With Us? At One Health Ohio, we believe in fostering a positive work environment that prioritizes our team and our patients. Enjoy competitive benefits and a supportive workplace where your contributions truly matter! Benefits Include: Affordable Health, Vision, Dental, and Life Insurance 401(K) with dollar-for-dollar matching (up to 4%) Generous Paid Time Off (PTO) Paid Holidays Essential Job Functions: Prepares and submits clean claims to various insurance companies either electronically or by paper. Answers questions from patients, clerical staff, and insurance companies. Identifies and resolves patient billing complaints. Prepares, reviews, and sends patient statements. Evaluates patient's financial status and establishes budget payment plans. Follows and reports the status of delinquent accounts. Reviews accounts for possible assignment and make recommendations to the Director of Billing and Reimbursement, also prepares information for the collection agency Performs daily backups on the office computer system. Performs various collection actions including contacting patients by phone, correcting, and resubmitting claims to third-party payers. Processes payments from insurance companies and prepares a daily deposit. Participates in educational activities and attends monthly staff meetings. Conducts self in accordance with employee handbook. Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations. Ensures accurate billing and coding as per regulations. Works with administrator in training providers in coding and EMR system. Education and Experience: Minimum of 2 years experience medical billing (Preferred) Certified Biller (Required) Certified Coder (Preferred) Physical Requirements Sitting in a normal seated position for extended periods of time Reaching by extending hand(s) or arm(s) in any direction Finger dexterity required to manipulate objects with fingers rather than with whole hand(s) or arm(s), for example, using a keyboard Communication skills using the spoken word Ability to see within normal parameters Ability to hear within normal range Ability to move about NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as negotiated to meet the ongoing needs of the organization. Employee is able to work at any OHO locations deemed necessary by OHO.

Posted 30+ days ago

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

Posted 2 weeks ago

Billing Advocate Associate-logo
Billing Advocate Associate
Sun Life FinancialMilwaukee, WI
Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. Job Description: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. The opportunity: Billing Advocate Associates for our Bill Resolve division are responsible for organizing, auditing, and managing patient accounts. You will assist with empowering healthcare consumers by reducing the financial burden of healthcare. How you will contribute: Develop and execute on strategies for reducing patient medical bills including working with provider offices, insurance companies and collection agencies Work with providers and insurers to efficiently process patient claims Negotiate bills with medical providers, hospitals and collection agencies Answer patient inquiries related to their medical bills Manage task tracking and record interactions in our Patient Management database to ensure high quality service Analyze EOB's and medical bills for errors Work with leadership and colleagues on special projects that improve Bill Resolve operations What you will bring with you: Prior medical billing, coding and /or claim adjudication or auditing is required Must have strong familiarity with various medical insurance (private, Medicare, etc.) plan selection Familiarity with EOB's and medical bill coding Experience with Medicare Supplemental, Medicare Advantage, and Prescription Drug plans is preferred National health insurance knowledge as well as Affordable Care Act Knowledge is preferred Strong work ethic Excellent time management skills Computer proficiency in MS Office Ability to work with a diverse range of people Willingness to go above and beyond for our clients Ability to work with leadership to identify areas of improvement to ensure that we save our clients the most money possible Self-starter, ability to work independently and as part of a team Compelling communicator, service oriented and ability to work collaboratively with others Ability to navigate and adapt to a changing, fast paced work environment Extremely high attention to detail Salary Range: $47,600 - $64,300 At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email thebrightside@sunlife.com to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Health Advisor Posting End Date: 29/09/2025

Posted 1 week ago

Adjunct Faculty - Insurance Billing & Coding-logo
Adjunct Faculty - Insurance Billing & Coding
Herzing UniversityMilwaukee, WI
To participate in a remote work arrangement, employees must reside in the United States. No remote work arrangement will be considered for working from outside the United States. If you are a current employee, faculty or adjunct instructor at Herzing University (not a Contractor or temporary employee through a staffing agency), please click here to log in to UKG and then navigate to Menu > Myself > My Company > View Opportunities to apply using the internal application process. Each course at Herzing University is thoughtfully designed to introduce new concepts, build upon prior knowledge, provide supportive resources, allow the student to validate and remediate personal mastery of the content, and assess student development of a defined set of competencies and the achievement of a prescribed set of learning objectives. The faculty member is responsible for assisting each student in navigating the learning process within a course. QUALIFICATIONS: A Master's degree in a healthcare related field At least one of the following certifications: Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA) Certified Coding Specialist-Physician Based (CCS-P) through AHIMA Certified Professional Coder (CPC) through the American Association of Professional Coders (AAPC) Current industry experience in a healthcare setting is a must. Faculty must have a minimum of two years of working knowledge of healthcare operations related to insurance billing and medical coding. College-level teaching experience in the insurance, billing, and medical coding field. Preferred experience: At least two years of experience teaching in a remote online setting with experience using learning management systems such as Blackboard, Canvas, etc. At least five years of related industry experience in coding RESPONSIBILITIES: The position's responsibilities fall into eight basic areas. Subject Matter Expertise Effective Communication Pedagogical Mastery Operational Excellence Appreciation and Promotion of Diversity Assessment of Student Learning Utilization of Technology to Enhance Teaching and Learning Continuous Improvement Adjunct Faculty are eligible to participate in the Herzing 401(k) plan with a generous company match and our excellent education assistance programs! To learn more about careers at Herzing University, visit: https://www.youtube.com/watch?time_continue=3&v=DPDCRvjmzHM&embeds_referring_euri=https%3A%2F%2Fwww.linkedin.com%2F Herzing University is committed to providing a diverse environment and is dedicated to fostering a culture and atmosphere of mutual respect. It provides an inclusive and collegial community where individuals are valued, heard and empowered to contribute to the effectiveness of the institution. PHYSICAL REQUIREMENTS: Must be able to remain in a stationary position 50% of the time. Ability to move about readily and rapidly, if necessary, around campus, classrooms, clinical settings, etc., to access classrooms, desks, students, office machinery, clinics, patients, etc. Constantly communicates using the spoken word with students, staff and colleagues. Visually or otherwise identify, observe and assess. Operate equipment specific to programmatic track, personal computer, audio-visual equipment, clinical equipment, etc. Travel to off-site meetings or conferences or to observe students during clinical education at off-site clinical settings. In addition to the above requirements, for programs that include a clinical component, all faculty must be able to: Stand and/or walk for extended periods of time. Ability to reach by extending hands or arms in any direction. Finger dexterity required to manipulate objects. Ability to see and hear within normal parameters. Lift up to 25 pounds. Applicants must be authorized to work for any employer in the U.S. We do not sponsor or take over sponsorship of an employment Visa at this time. It is the university's practice to recruit and hire without discrimination because of skin color, gender, religion, LGBTQi2+ status, disability status, age, country of birth, veteran status, or any other status protected by law. https://www.herzing.edu/about/diversity Herzing University prohibits sex-based discrimination in any education program or activity that it operates. Individuals may report concerns or questions to the Title IX Coordinator. The notice of nondiscrimination is located at https://www.herzing.edu/title-ix .

Posted 30+ days ago

S
Medical Billing Specialist
Serv Recruitment AgencyAlbuquerque, NM

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Job Description

Southwest Women's Oncology Team is growing fast and looking for a dedicated and driven Medical Billing Specialist to Join the Team!

Join the Southwest Women's Oncology Team:

 SWWO'S integrated team of healthcare professionals is committed to providing a safe, caring, and curative experience for their patients. Southwest Women's Oncology's  sole intent is to cure cancer and achieve the best possible outcomes for their patients.

The Medical Billing Specialist will work closely with healthcare providers. This role is ideal for individuals looking to gain valuable experience in the medical field and contribute to improving patient care efficiency.

Position Responsibilities:

  • Actively follow up on delinquent insurance claims, ensuring timely resolution.
  • Investigate and resolve discrepancies, claim denials, and handle appeals for all patient accounts.
  • Address patient inquiries regarding billing, insurance, and payment concerns with empathy and professionalism.
  • Oversee patient accounts, including collections and payment plans.
  • Perform other related duties as assigned by management.

Qualifications:

  • Minimum of 3 years of experience in medical billing; oncology billing experience is highly preferred.
  • In-depth understanding of third-party insurance, government payers, and physician billing/reimbursement processes.
  • Strong knowledge of posted charges, payments, and adjustments.
  • Proven experience with insurance precertification and verification processes.
  • Familiarity with CMS billing guidelines and compliance.
  • Experience working with patient advocacy programs.
  • Ability to collaborate effectively in a team environment.
  • Professional and service-oriented demeanor when handling patient calls.
  • Oncology billing experience is preferred but not mandatory.
  • Proficient in medical billing software, credit card payment processing, and Microsoft Office Suite (Word, Excel).
  • Demonstrates a genuine passion for delivering exceptional care, consistently striving to exceed client expectations while ensuring their comfort, well-being, and satisfaction

Our Dream Teammate will have access to:

  • Competitive Salary
  • Excellent Benefits; Medical, dental, vision, PTO, and 401K
  • High Performance Concierge Culture
  • Performance center complete with a full AI gym suite, recovery modalities, group fitness classes, and body composition tracking, and state of the art aesthetic modalities.

Location: Albuquerque, New Mexico
Job Type:
Full-time

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