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Donato Technologies logo
Donato TechnologiesDallas, Alabama
Greetings from Donato Technologies Inc. We have an immediate opening with my client. If you are looking for a new project, please send me a copy of your updated resume Job Title: Sr. Oracle BRM (Billing and Revenue Management) Professional Job Location: Remote Job Duration: 12+ Months Job Description: We are seeking an experienced Oracle Communications Billing and Revenue Management (BRM) senior developer for an Remote position. The ideal candidate will have 3-10 years of experience in designing, implementing, and optimizing BRM solutions. Key Responsibilities: · Design and architect Oracle BRM solutions to meet complex business requirements · Provide technical leadership and guidance to development teams · Optimize BRM system performance and scalability · Collaborate with stakeholders to define and implement BRM strategies · Ensure seamless integration of BRM with other enterprise systems · Develop and maintain BRM system documentation · Troubleshoot and resolve complex BRM issues Required Skills and Experience: · 12-15 years of experience in Oracle BRM architecture and implementation · Strong expertise in Oracle BRM 7.x/12.x/15.x architecture and modules (pricing, billing, invoicing, payment) · Proficiency in SQL, PL/SQL, Java, and shell scripting · Good understanding of real-time rating, balance management, and upstream system integrations with BRM over REST APIs · Knowledge of pricing catalogue configurations using PDC (Pricing Design Center) · Understanding of business use cases for BRM implementations · In-depth knowledge of BRM system components and architecture · Expertise in BRM database design and optimization · Strong understanding of BRM business processes and workflows · Experience with BRM integration and customization · Familiarity with telecom industry standards and practices · Excellent problem-solving and communication skills Preferred Skills: · Oracle BRM certification · Experience with data migration projects in BRM environments and experience with BRM's Conversion Manager Tool (CMT) · Knowledge of Pricing Design Center (PDC) configuration · Familiarity with real-time rating and Batch Rating Jennifer Sampson Technical Recruiter ....................................................... DONATO TECHNOLOGIES, INC 12100 Ford Rd, #306, Dallas, TX 75234 Email: jenny@donatotech.com Web: www.donatotech.net This is a remote position. Compensation: $60.00 per hour DONATO TECHNOLOGIES WAS FOUNDED IN 2012, WE SPECIALIZE IN STAFFING, CONSULTING, SOFTWARE DEVELOPMENT, AND TRAINING ALONG WITH IT SERVICES. INFORMATION TECHNOLOGY REMAINS OUR STRENGTH! We partner with clients, appreciate, and understand their business needs and bring them the most innovative and relevant technology solutions available. Our experience has made us who we are today. We have partnered with a lot of clients and built technology that powers their business. Careers At Donato Technologies, Inc., we unite top-tier talent within a creative, collaborative, and supportive atmosphere, transforming daunting challenges into enjoyable and rewarding pursuits.As a valued member of our team, you’ll experience unparalleled opportunities to engage with both clients and cutting-edge technology. We serve as the ultimate destination for talented individuals with aspirations and ambitions, addressing companies’ growth needs comprehensively. We hold our clients, consultants, and talent in the highest regard. If you’re prepared to embark on a career in the technology fast lane, Donato is your ideal destination.

Posted 1 week ago

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Convergint CareerBethel, Connecticut
Convergint is looking for a full-time, enthusiastic, results driven and forward-thinking Service Billing Coordinator to join our amazing culture. The Service Billing Coordinator is responsible for the timely preparation and submission of all types of invoices to be billed to Convergint customers through our various billing systems. (Navision, Microsoft Dynamics 365 – CRM/Field One). As a Service Billing Coordinator, you are a part of a dynamic team that allows you to grow as Convergint grows. This is a full-time, in-office role. For information about how we use your personal information, please see our Colleague & Applicant Privacy Notice, available on convergint.com/careers. Who You Are You have a passion for providing world-class service to customers, colleagues and communities. You are a person of integrity with a commitment to growth, accountability and delivering results. You want to join an organization with a positive culture that embraces equal opportunity and allows everyone to be the best version of themselves at work and home. You want to grow with us and deliver results as an exceptional Service Billing Coordinator. Who We Are With 20-years of proven growth and exceptional performance, our mission is to be our customer’s best service provider. We realize the importance of diversity in achieving that goal. Our company was built upon a solid foundation of 10 Values and Beliefs which drive our unmatched culture, making us the #1 global, serviced-based systems integrator in the industry. We take great pride in protecting the lives and assets of our customers and their communities with the solutions we provide. What you’ll do with “Our Training and Your Experience” Convergint is looking for a full-time, enthusiastic, results driven and forward-thinking [position] to join our amazing culture. As a Service Billing Coordinator, you are a part of a dynamic team that allows you to grow as Convergint grows. Ensure assigned accounts are billed in the month the work was performed Prepare invoices daily based on customer’s contractual obligations and terms and conditions. Submission of invoices in a timely manner to customers via email, USPS, 3 rd party billing systems Resolve and respond to customers on outstanding billing issues in a timely fashion Organize and complete any special projects as assigned to meet departmental expectations Prepare invoicing for month end processing to position the department to meet month end goals. Qualifications: Bachelor’s Degree preferred and 2+ years’ experience in Billing or equivalent work experience Proficient in Microsoft Suite – Word, Excel, and Outlook Company Benefits Convergint fosters a supportive, accessible, and inclusive environment in which all individuals of different backgrounds and identities are able to realize their maximum potential within the company. We offer a variety of programs and exceptional benefits to all of our colleagues: 10 Company Holidays and Paid Time Off starting at 13 days annually Fun & Laughter Day Off Medical, Dental & Vision Plan Life insurance & Disability Plan Wellness Program 401K Matching Plan Colleague Assistance Program Tuition reimbursement Competitive salary and compensation plan Vehicle reimbursement plan or company vehicle Corporate Social Responsibility Day Cell phone reimbursement (if applicable) Paid Parental leave Convergint is an Equal Opportunity Employer. Visit our Convergint careers site to learn more about the company and the exciting opportunities available. Please note that this job posting includes salary information for the assigned target market range within the primary geographic region the requisition is posted. If the position is posted in multiple locations or is a remote position, the salary range may vary. Individual pay rates will, of course, vary depending on the job, department, and location, as well as the individual skills, experience, certifications, specific licenses, and education of the applicant.

Posted 2 days ago

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

Posted 2 days ago

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The Law Office of Bryan FaganArlington, Texas
Description The Account Representative at the Law Office of Bryan Fagan is the primary point of contact for existing clients and is responsible for ensuring high levels of engagement, satisfaction, and retention. This role demands a proactive approach to client relationship management, including regular communication, conflict resolution, upsell opportunities, and cross-functional collaboration to meet client needs. A critical focus includes ensuring contract compliance, financial accountability, and full transparency with clients during key legal milestones.An outstanding candidate will demonstrate excellent communication skills and a knack for working with numbers. Account Representative Responsibilities: Client Relationship Management Serve as the dedicated liaison for active clients throughout the lifecycle of their case or engagement. Build and maintain strong relationships with clients by offering support, solutions, and timely updates. Conduct scheduled check-ins to assess client satisfaction and address concerns proactively. Meet with clients at designated stages of their case—such as mediations, depositions, arbitrations, and trial—to ensure transparency, preparedness, and understanding of both legal and financial expectations. Engage in heavy client communication using multiple channels, including verbal (calls and meetings), written (emails, letters), and texting, using platforms like Clio, client portals, and secure messaging tools. Account Oversight & Communication Monitor all assigned client accounts to ensure legal service delivery is on track. Maintain and update financial information and case milestones across various platforms, including Clio, Google Sheets, and internal systems. Ensure accurate documentation of all client interactions in CRM and case management systems. Maintain high client engagement through personalized communication, case status updates, and milestone celebrations. Requirements Account Representative/Collections (Billing Department) Requirements: 2+ years of experience in customer service, client success, or account management (preferably handling collection/client relations in legal, financial, or professional services) Strong verbal and written communication skills across phone, email, and text platforms Proficient in CRM and productivity tools including Clio, Google Sheets, and internal case management platforms Demonstrated ability to manage multiple accounts and prioritize effectively Proficient in Excel Benefits 401(k) Dental insurance Health insurance Life insurance Vision insurance Schedule: 8 hour shift 40-hour work week Weekends as needed Equal Opportunity Statement: We recognize that diverse experiences, perspectives and backgrounds enable us to be an even stronger company and workplace. Not only will you be welcome here, your unique thoughts and opinions will be encouraged, celebrated and deeply valued.

Posted 1 week ago

Dykema logo
DykemaLos Angeles, California
Dykema Gossett PLLC, a leading national law firm, is seeking to hire two experienced E-Billing Specialists who will be responsible for timely, efficient and accurate E-Billing of client accounts. Works closely with Billing Coordinators, attorneys, clients and EBilling vendors to facilitate e-billing in accordance with client and established firm guidelines and attorney requests within policy. Works closely with Billing leadership, proactively identify issues and resolve inquiries. Positions are open to all our office locations. ESSENTIAL DUTIES AND RESPONSIBILITIES Collaborate with Client Financial Intake Specialist to onboard new clients and update existing client e-billing vendor sites, updating timekeepers, rates and budgets for client approval. Submit client bills prepared by Billing Team onto e-billing vendor sites via upload or BillBlast. Analyze and correct submission errors, collaborating with the Billing Team to correct errors in Aderant for resubmission. Monitor the stages of acceptance on various e-billing vendor sites. Become an expert on client engagement letters and billing guidelines to ensure compliance that limit delays in billing and collections. Review daily cash report for client payments and application accuracy, identifying reductions for coordination with billing attorneys in order to appeal or write-off, and working with the Cash Team on any adjustments or refunds. Audit, research and contact clients regarding aged Accounts Receivable of e-billed invoices; input notes into Bill Blast and Collection modules; coordinate with the Billing team to correct related issues. Organize and maintain client billing and instruction files for each billing client. Identify unusual situations, gather information and elevate as needed for assistance, providing the Billing Team with guidance and assistance on complex e-billing issues. Responsible for research and resolution on ad-hoc projects and assignments as they arise. KNOWLEDGE, SKILLS AND ABILITIES REQUIRED Bachelor’s Degree or comparable level of legal Billing experience preferred. Strong understanding of all end-to-end aspects of client revenue accounting. Experience with Aderant Billing, Prebill Manager, and client E-Billing platforms strongly preferred; experience with software such as BillBlast and other revenue-cycle software a plus. Must be proficient in Microsoft Office Suite, particularly Word, Excel and Outlook. Excellent attention to detail. Excellent written, verbal and interpersonal communication skills required. Pro-active, inquisitive and analytical problem solver. Ability to collaborate and cross-team with all finance team members and promote a positive work environment that embraces the abilities of all members. Effective client management skills with a record of providing excellent customer service. Requires flexibility and ability to manage time, organize and prioritize workload effectively. Great Benefits for Great People Dykema offers a comprehensive benefits package designed to support the well-being and success of our employees both personally and professionally. This includes competitive health, dental, and vision insurance plans, along with flexible paid time off (PTO), holiday leave, and a retirement savings plan with profit sharing for eligible employees. Other benefits include flexible spending programs, health savings account, commuter benefits, and personal and parental leave programs. We prioritize work-life balance and offer wellness programs, and access to mental health support. Additionally, employees enjoy access to professional development programs, a supportive and inclusive workplace culture, and various employee discounts and perks. We are committed to providing a benefits package that helps our team thrive and feel valued. The salary range for this position is $75,000 - $85,000 in Los Angeles. The offered salary will be determined by a variety of factors including, but not limited to, work location, individual skill set, previous/applicable experience, education, external market data and consideration of internal equity. EEO STATEMENT It is the Firm’s policy to provide employment opportunities to qualified applicants and employees on an equal basis without regard to the individual’s age, race, color, gender, sexual orientation, gender identity or expression, religion, national origin, marital status, domestic partner relationship, physical characteristics, disability, or other protected characteristics under applicable federal, state or local laws or ordinances. Dykema will make reasonable efforts to accommodate the known disabilities of employees who are otherwise qualified to perform the essential functions of the jobs involved. It is the responsibility of every individual concerned with personnel actions, including management, supervision, seeking, compensation, benefits, promotions, work assignments, and training, to ensure that these activities are administered consistent with the Firm’s goal of furthering the principle of equal employment opportunity. E-Verify Dykema uses E-Verify in its hiring practices to achieve a lawful workforce. E-Verify is a registered trademark of the U.S. Department of Homeland Security.

Posted 30+ days ago

Servpro logo
ServproBear, Delaware
SERVPRO of Bear New Castle is hiring an Billing Clerk ! Benefits SERVPRO offers: Competitive compensation Superior benefits Career progression Professional development And more! As a Billing Clerk, you would be asked to assist office teammates and all customers by handling office tasks, providing polite and professional assistance via phone and e-mail, and generally being a helpful and positive presence in the workplace. Key Responsibilities • Documents detailed notes on accounts as needed to communicate account status and to document account queries for both internal and external parties. • Identifies trends affecting the client's A/R; collaborates with the operational team to ensure the client's account and works it daily on a timely basis. • Reviews the status of open accounts and contacts insurance companies and customers to resolve unpaid claims. • Enter customer and insurance information in Workcenter2.0 and Excel spreadsheets. • Answers or returns phone call to customers or clients regarding account status in a timely matter. • Contacts and/or checks insurance company portals to resolve payment denials and claim correction issues. • Identify and bill secondary or tertiary insurances. • Files charges and payments in accordance with the current filing methods in place. • Follows Management policies and procedures. • Reports compliance concerns. • Participates in corrective action for compliance related issues as needed. • Cooperates with compliance auditing, and investigations. • Other duties as assigned. • Accepts additional responsibilities willingly. • Cross- training on all systems to ensure a check and balance internally. Position Requirements High school diploma/GED (preferred) Must be knowledgeable in Microsoft Office Attention to detail and problem-solving skills Excellent written and verbal communication skills Strong organizational skills with the ability to multi-task Skills/Physical Demands/Competencies This is a role in a fast-paced office environment. Some filing is required which would require the ability to lift files, open filing cabinets, and bending or standing as necessary. Ability to successfully complete a background check subject to applicable law Each SERVPRO® Franchise is Independently Owned and Operated. All employees of a SERVPRO Franchise are hired by, employed by, and under the sole supervision and control of an independently owned and operated Servpro Franchise. Servpro Franchise employees are not employed by, jointly employed by, agents of or under the supervision or control of Servpro Industries, LLC or Servpro Franchisor, LLC (the Franchisor), in any manner whatsoever. All Sample Forms provided by Servpro Industries to Servpro Franchises should be reviewed and approved by the Franchise’s attorney for compliance with Federal, State and Local laws. All Sample Forms are provided for informational purposes and Servpro Franchises may choose whether or not to use them. Picture yourself here fulfilling your potential. At SERVPRO ® , you can make a positive difference in people’s lives each and every day! We’re seeking self-motivated, proactive, responsible, and service-oriented teammates to join us in our mission of helping customers in their greatest moments of need by repairing and restoring homes and businesses with an industry-leading level of service. With nearly 2,000 franchises all over the country, finding exciting and rewarding SERVPRO ® career opportunities near you is easy! We look forward to hearing from you. All employees of a SERVPRO® Franchise are hired by, employed by, and under the sole supervision and control of an independently owned and operated SERVPRO® Franchise. SERVPRO® Franchise employees are not employed by, jointly employed by, agents of, or under the supervision or control of Servpro Franchisor, LLC, in any manner whatsoever.

Posted 30+ days ago

Right at Home logo
Right at HomeBirmingham, Alabama
Right at Home is a Home Health company that provides Nursing and Therapy services in the homes of patients throughout Alabama. Right at Home is a Preferred Provider of BlueCross BlueShield of Alabama. Billing Specialist duties and responsibilities Billing Specialists perform many accounting, customer service and organizational tasks to promote the financial health of their organization. These duties and responsibilities often include: Maintaining the billing and medical coding for BlueCross BlueShield of Alabama Collaborating with patients or customers, third party institutions and other team members to resolve billing inconsistencies and errors Creating invoices and billing materials to be sent directly to a customer or patient Inputting payment history, upcoming payment information or other financial data into an individual account Finding financial solutions for patients or customers who may need payment assistance Informing patients or customers of any missed or upcoming payment deadlines Calculating and tracking various company financial statements Translating medical code if working in a medical setting A Billing Specialist uses soft skills, technical abilities and industry-specific knowledge to manage their organization’s accounts, including: Strong communication, including writing, speaking and active listening Great customer service skills, including interpersonal conversation, patience and empathy Good problem-solving and critical thinking skills In-depth knowledge of industry best practices Basic math, bookkeeping and accounting skills Organization, time management and prioritization abilities Ability to be discreet and maintain the security of patient or customer information Effective computer skills to input to use bookkeeping and account management software in a timely and efficient manner Understanding of industry-specific policies, such as HIPAA regulations for health care Compensation: $18.00 per hour Right at Home’s mission is simple...to improve the quality of life for those we serve. We accomplish this by providing the Right Care, and we deliver this brand promise each and every day around the world. However, we couldn’t do it without having the Right People. Our care teams are passionate about serving our clients and are committed to providing the personal care and attention of a friend, whenever and wherever it is needed. That’s where you come in. At Right at Home, we help ordinary people who have a passion to serve others become extraordinary care team members. We seek to find people who are compassionate, empathetic, reliable, determined and are focused on improving the quality of life for others. To our care team members, we commit to deliver the following experiences when you partner with Right at Home: We promise to help you become the best you can be. We will equip you as a professional by providing best in class training and investing in your professional development. We promise to coach you to success. We’re always available to support you and offer you tips to be the best at delivering care to clients. We promise to keep the lines of communication open. We will listen to your ideas and suggestions as you are critical to our success in providing the best possible care to clients. We will provide you timely information and feedback about the care you provide to clients. We promise to celebrate your success. We will appreciate the work you do, recognize above and beyond efforts, and reward you with competitive pay. This franchise is independently owned and operated by a franchisee. Your application will go directly to the franchisee, and all hiring decisions will be made by the management of this franchisee. All inquiries about employment at this franchisee should be made directly to the franchise location, and not to Right at Home Franchising Corporate.

Posted 30+ days ago

UMass Memorial Health logo
UMass Memorial HealthWorcester, Massachusetts
Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Schedule Details: Monday through Friday Scheduled Hours: 8am-4:30 Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5418 Pre Billing and Claims Union: SHARE (State Healthcare and Research Employees) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Supports the timely and accurate submission of claims using provided reference material to resolve claim edits supporting timely claim submission. I. Major Responsibilities: 1. Prioritizes standards and guidelines to perform pre-billing and claims submission processes utilizing assigned work queues. 2. Sorts, distributes and processes primary and secondary paper claims. Ensures appropriate attachments are included leveraging available technology if possible. Documents action taken as appropriate in the Hospital Billing revenue cycle management system. 3. Submits electronic claims using the claims submission system in accordance with payer requirements. 4. Resolves edits in the claim submission application. 5. Uses provided reference material to troubleshoot edits and gain additional understanding of payer claim submission requirements. 6. References payer websites as needed to acquire knowledge and understanding of appropriate follow up actions. 7. Communicates and works with other team members collaboratively to understand and resolve claim edits and issues. 8. Escalates trends and additional edits internally, to promote claim accuracy and quality applicable to Hospital Billing Revenue Cycle management system, claim submission system, and payor claims processing systems. 9. Utilizes payer websites to identify claim submission requirements and communicate accordingly. 10. Works specialty claims according to instruction and work with departments to resolve issues on a timely basis. 11. Meets established productivity standards. 12. Facilitates and promotes the sharing of knowledge and content throughout departments. 13. Participates in cross training to optimize billing resources. 14. Maintains and fosters an organized, clean, and safe work environment. 15. Maintains a collaborative, team relationship with peers and colleagues in order to effectively contribute to the group’s achievement of goals and to help foster a positive work environment. 16. Practices cost containment and fiscal responsibility through the efficient use of supplies, equipment, time, etc. Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. High School diploma Experience/Skills: Required: 1. Previous Revenue Cycle knowledge in one of the following areas including PFS, Customer Service, Cash Posting, Financial Assistance, Patient Access, HIM/Coding and/or 3rd party Reimbursement. 2. Ability to perform assigned tasks efficiently and in timely manner. 3. Ability to work collaboratively and effectively with people. 4. Exceptional communication and interpersonal skills. Preferred:1. One or more years of experience in health care billing functions. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered sedentary. Position requires work indoors in a normal office environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.

Posted 1 week ago

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All PositionsGreenwood, South Carolina
Day Shift Under general supervision, computes, bills, posts, and collects patient accounts. Possesses ability to elicit and evaluate information, sometimes of a highly personal and sensitive nature from a broad spectrum of individuals and agencies; maintains confidentiality; reads, interprets, and applies regulations, policies, and procedures; works with minimal supervision and with extensive detail; coordinates functions and works cooperatively with others; and organizes work and set priorities to meet deadlines. Performs all other duties as assigned by Centralized Billing Director. Computer literate. High school diploma with secondary school preferred. CPC Certification preferred. Knowledge of business office functions and third-party payor billing, including reimbursement methods and requirements preferred. Customer service and proper telephone etiquette required.

Posted 1 week ago

Village Green Dental Center logo
Village Green Dental CenterAurora, Illinois
Benefits: 401(k) Bonus based on performance Competitive salary Flexible schedule Training & development Are you looking for a position that will allow you to use all of your skills in a unique and exciting family-like environment? We are a rapidly expanding dental office looking for a full-time Insurance and Financial Coordinator to join our amazing team! Our patients are always first here at Village Green, where we thrive on building relationships with them and our team! Ask us how we can help you grow personally & professionally in our strong cultured environment. Dental Insurance and Billing experience preferred. Willing to train interested candidates. Job Types: Full-time, Part-time Pay: From $18.00 - $21.00 per hour with fun ways to earn more easily! Benefits: Retirement plan whether you contribute or not! Employee Dental Benefits Paid time off Compeitive Pay & Incentives Uniform Allowance Schedule: 8 or 12-hour shift Flexible Scheduling Supplemental Pay: Performance Pay, we give you the tools you need; the outcome is up to you! Fun Spin wheel Why Village Green Dental?! Performance Pay Structure Spin Wheel Quarterly Team Events Fun and Friendly Atmosphere Newly Remodeled Office with Updated Technology Flexible Hours Monthly Celebrations and National Days Team Bonding Lunches Spirit Weeks and Theme Days Patient-Centric Community Involvement Career Enhancing Opportunities On/Off Site training Experience: Preferred/ Not Required Work Location: One location Hours per week: 35-40 Duties: Fun, positive attitude Entering Checks and Online Payments Office Accounts Receivable Understanding Patient Accounts and Billing Assisting with Patient Questions Daily maintenance and tasks Patient communication Scheduling Appointments Please visit our website at www.villagegreendental.net to learn more about us! Compensation: $18.00 - $20.00 per hour Please refer to our website at www.villagegreendental.net to learn all about us! :)

Posted 30+ days ago

S logo
Sentara HospitalsVirginia Beach, Virginia
City/State Virginia Beach, VA Work Shift Multiple shifts available Overview: Sentara Health is seeking to hire a qualified individual to join our team as a Premium Billing Specialist. Position Status : Full-time, Day Shift Position Location: On-site in Virginia Beach. After successful completion of training will have the opportunity to work from home 2 days a week. Standard Working Hours : 8:00AM to 5:00PM Overview Responsible for accurately balancing and reconciling health plan accounts receivables. Maintaining and updating spreadsheets with current accounts payable and receivable data, verifying the accuracy of billing information, and making necessary corrections. Key responsibilities include posting payments, generating monthly reports, managing collections, and maintaining regular correspondence with various groups to ensure accurate and timely financial transactions. Education High school diploma or equivalent Certification/Licensure No specific certification or licensure requirements Experience 1 year of related experience in accounts receivables, reconciliation, AND excel Required Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down – $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan•Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

Posted 1 week ago

Fns logo
FnsRidgefield Park, New Jersey
Company Overview Since its inception in 1995, FNS has been focused on providing the best total logistics services by implementing our core values: trust, communication, team play, challenge, and balance. Through trust, we can be a logistics partner that customers trust with a diverse group that works together based on a strong, unified belief. By communicating with and accommodating the voices of customers and co-workers we can deliver the best services. Our team play is enhanced by the appreciation and cooperation with each other with a focus on a singular goal. Challenging the status quo and innovating, FNS is unafraid of failure and strives to develop and improve our processes. Work-life balance strives to provide individuals with happiness to achieve and grow together. For 2025, we have set out to become one of the nation’s top 25 logistics companies with more than $1,500M in sales, with the best employee and customer satisfaction, and a network of over 100 different partners. To achieve our goals, there is an emphasis on three traits of work. We promote a family-like working environments allow us to help promote every member’s work-life balance, allowing us to develop cooperation and care for one another like family. We are nominated by our customers whom we can grow with based on a trusting relationship between our services and our customers. We specialize fields of work where professionals can nurture their talent, and we focus on every member’s work-life balance so that members may cooperate and care for each other like family. Our core values are integral to the success and growth of FNS. To Discover more, please visit our website at http://www.fnsusa.com Responsibilities Manage accounts receivable (A/R) and accounts payable (A/P) functions. Process expense reports, vendor registrations, and customer registrations. Support monthly financial closing activities. Monitor and manage A/P and A/R aging reports to ensure timely payments and collections. Maintain and compile operational records including but not limited to customer/vendor profiles, quotes, and other related data. Review invoices for accuracy and ensure proper documentation before processing check requests. Maintain organized and accurate records in compliance with company policies. Perform other duties as assigned by the manager. Qualifications Bachelor’s degree in Business or a related field preferred. Intermediate to advanced proficiency in Microsoft Excel. Strong attention to detail and organizational skills. Effective time management skills and ability to meet deadlines. Fluent in Korean and English. The pay rate for the position ranges from $26.44 to $27.89 an hour, depending on the candidiate's experience, qualifications, and skill set. Benefits (Full-Time ONLY) Health, Dental, and Vision PPO Insurance Life, STD, LTD Insurance 401(K) Plan Paid Time Off Additional Paid time off (Bereavement, Wedding, Birth of a Child, etc.) Years of Service Awards Education Assistant Program (Based on Eligibility) If you are a California resident, California law may provide you with additional rights regarding our use of your personal information. To learn more about your California privacy rights, visit https://oag.ca.gov/privacy/ccpa .

Posted 3 weeks ago

Home Healthcare Agency logo
Home Healthcare AgencyNovi, Michigan
Description of the Role: We are seeking a dedicated individual to join our team as a Billing and Coding Specialist for Home Health & Hospice services. This role will play a crucial part in ensuring accurate and timely billing procedures, reconciling claims and payments, while updating and maintaining health records. Responsibilities: - Review and process billing and coding information for home health and hospice services - Ensure compliance with all relevant regulations and guidelines - Collaborate with healthcare providers to gather necessary billing information - Maintain accurate records of billing and coding information Requirements: - Proven experience in medical billing and coding, in the home health & hospice setting - Knowledge of relevant billing and coding regulations and guidelines - Experience with clearinghouses, authorization portals, and governmental websites for processing - Excellent communication and interpersonal skills Experience with ICD-10 coding preferred Benefits: - Competitive compensation package - Opportunities for professional growth and development - Full suite of benefits including, health, dental, vision, 401k, and other ancillary benefits. About the Company: Interim HealthCare in Novi, MI, is a leading provider of home health and hospice services. We are committed to delivering high-quality, compassionate care to our patients and their families.

Posted 30+ days ago

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

Posted 2 weeks ago

Ardurra logo
ArdurraMeridian, Idaho
Ardurra is seeking a Project Billing Specialist to join our team in Meridian, ID ! Primary Function The Project Billing Specialist plays a key role in the financial operations of the company by managing client billing, tracking accounts receivable, supporting collections efforts, and assisting in project financial setup and maintenance. This position collaborates closely with Project Managers, the Project Finance team, and Accounts Payable and Receivable teams to ensure timely and accurate billing, proper coding of subcontractor invoices, and effective cash receipt processing. Responsibilities/Accountabilities: Project Invoicing & Billing Management Prepare and distribute client invoices in accordance with contract terms and billing cycles. Ensure accurate billing of labor, expenses, and contract deliverables, including change orders and amendments. Update client remittance information as needed. Maintain organized billing documentation and correspondence. Submit invoices through client portals when applicable. Monitor and escalate issues related to delayed or rejected billings. Accounts Receivable Tracking & Collections Track accounts receivable aging reports and flag outstanding balances for follow-up. Coordinate with Project Managers and clients to resolve payment issues. Support the collections process by preparing follow-up communications and documentation. Assist in reconciling discrepancies between payments and billed amounts. Monitor unbilled receivables and ensure timely conversion to billing. Project Setup Assist in project setup based on contract terms, including proper configuration of rate tables, revenue methods, and billing terms. Ensure subcontractor and expense breakdowns are accurately captured in the project setup. Participate in new client onboarding and data entry for system records. Subcontractor Invoice Routing & Coding Receive, code, and route subcontractor and subconsultant invoices for approval in a timely manner. Ensure invoices align with project budgets and contract terms. Provide necessary documentation to Accounts Payable for vendor setup and payments. Cash Receipt Coding Assistance Assist in identifying appropriate coding for incoming cash receipts. Collaborate with the accounting team to apply payments to correct accounts and invoices. Investigate and resolve cash application discrepancies. Client & Internal Communication Maintain professional and clear communication with internal teams and external clients. Provide support to Project Managers with financial data and reporting as requested. Collaborate across departments to resolve project or billing-related questions. Other Support Functions Participate in project closeout activities including final billing and AR reconciliation. Support audits and internal reviews by providing requested billing and payment documentation. Assist in other financial or administrative tasks as assigned by management. Required Skills and Qualifications: Minimum Experience - High School Diploma and 2+ years’ experience in project accounting with a primary focus on project billings. OR Bachelor’s degree and 0+ years’ experience. Strong initiative, attention to detail, analytical and problem-solving skills. Strong communication skills, possessing the ability to work with employees throughout the organization, vendors, and clients, while building long-distance positive relationships across offices. Capability to work independently. Proficient in Microsoft Office Products, particularly Excel. Availability for occasional travel as needed between offices. Preferred Skills and Qualifications: Demonstrated experience in engineering, construction, or professional services industry. Familiarity with accounting software, Deltek Ajera, Vision and Vantagepoint a plus. Experience in a quick-paced, high-volume environment. Ability to collaborate with other team members to achieve high quality work products. Competencies Adaptability Communication Personal Development Planning & Organization Accountability Why Ardurra? While Ardurra offers competitive compensation and rich benefits programs, it is our culture that truly sets us apart from our peers. We nurture a family-like culture, striving to create a work environment that is enjoyable, challenging and rewarding but also fun. We are acutely focused on developing our staff, whether through our internal Ardurra Academy or through our industry-leading Leadership program. We have made a deliberate and focused commitment to nurture a people-centric culture where people are: valued as individuals; supported in their professional and career development with multiple, varied career paths; provided the tools and resources to be successful, engaged, and satisfied in their work; and positive benefits, time-off programs, and flexibility to help maintain a healthy balance between work and home. Ardurra is an Equal Opportunity/ Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status, gender identity or sexual orientation. NOTICE TO THIRD PARTY AGENCIES: Ardurra does not accept unsolicited resumes from recruiters or employment agencies. In the absence of a signed Agency Agreement, Ardurra will not consider or agree to payment of any referral compensation or recruiter fee. If a resume or candidate is submitted to any hiring manager without a previously signed agreement, Ardurra reserves the right to pursue and hire those candidate(s) without any financial obligation to the recruiter or agency. These candidates will be considered property of Ardurra. We’re not currently looking to add any more agencies to our list of approved vendors, so please do not contact any of our managers or recruitment team with sales calls or details of your candidates. #LI-LC

Posted 1 week ago

Servpro logo
ServproLake Forest, California
We’re seeking someone who is great on the phone, has excellent analytical skills, is detail-oriented, and is a serious multi-tasker. If you are self-motivated and have superb interpersonal skills, then you’ll thrive in this work environment. Our idea of the ultimate candidate is one who is proactive, is experienced, truly enjoys providing superior service, and loves taking ownership. Primary Responsibilities Monitor job file status Monitor and ensure client requirements are followed Review and validate initial field documentation Create preliminary estimates Maintain internal and external communications Perform job close-out Assist other departments, as needed Position Requirements Experience in service industry environment a plus but not a must, will train the right individual Written and verbal communication skills are very important, including proper pronunciation and grammar, and a consistently Courteous and professional tone of voice at all times Excellent organizational skills and strong attention to detail Ability to multi-task Word processing and knowledge of spreadsheets is a plus Ability to learn new and proprietary software applications on a PC and iPad Minimum of HSD/GED preferred Ability to successfully complete a background check subject to applicable law Salary: $16.00 - $20.00 per hour depending on experience Benefits: 401(k) matching Health, Dental and Vision insurance Paid time off Compensation: $16.00 - $20.00 per hour Picture yourself here fulfilling your potential. At SERVPRO ® , you can make a positive difference in people’s lives each and every day! We’re seeking self-motivated, proactive, responsible, and service-oriented teammates to join us in our mission of helping customers in their greatest moments of need by repairing and restoring homes and businesses with an industry-leading level of service. With nearly 2,000 franchises all over the country, finding exciting and rewarding SERVPRO ® career opportunities near you is easy! We look forward to hearing from you. All employees of a SERVPRO® Franchise are hired by, employed by, and under the sole supervision and control of an independently owned and operated SERVPRO® Franchise. SERVPRO® Franchise employees are not employed by, jointly employed by, agents of, or under the supervision or control of Servpro Franchisor, LLC, in any manner whatsoever.

Posted 4 days ago

Mass General Brigham logo
Mass General BrighamSomerville, Massachusetts
Site: Wentworth-Douglass Hospital Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. This position will cover MGB Community Hospital Billing. Job Summary Summary:The role serves as the primary liaison between designated practices or hospital sites and the Revenue Cycle Operations (RCO) team. The position is responsible for the proactive management, assessment, and optimization of the revenue cycle, including billing, coding, compliance, and financial performance. This role requires a deep understanding of systems, processes, and service-specific requirements, and involves developing and executing improvement initiatives, supporting new service setups, and providing regular performance analyses.Does this position require Patient Care? NoEssential Functions:Establish and maintain effective communication with assigned practices or hospital sites to identify and address business needs. -Collaborate across departments (e.g., compliance, coding, digital, revenue integrity) to support integration of new services and business opportunities. Conduct regular meetings with stakeholders and provide timely responses to inquiries. -Analyze monthly performance data, including projections and budget comparisons. Provide statistical reports and consult on performance variances. -Conduct quality assurance checks and support implementation tasks. Maintain and prioritize issue lists; develop and implement action plans. -Provide updates on RCO initiatives aimed at improving billing and revenue capture. Assist with budgeting, forecasting, and financial analysis for new initiatives. -Monitor activity using EPIC Dashboards, Work queues, and reports. -Develop standardized approaches for reporting, analysis, and quality management. Ensure charge and account receivables processing meets service standards. -Represent RCO functional areas and facilitate communication across teams. Attend required meetings and participate in committees and task forces. Qualifications EducationBachelor's Degree Finance required or Bachelor's Degree Related Field of Study requiredCan this role accept experience in lieu of a degree?YesLicenses and CredentialsExperienceExperience in healthcare, finance, billing, or revenue cycle management (professional or hospital) 3-5 years required and Experience with EPIC and Cognos 0-1 year preferred and Prior experience in academic medical facilities or hospital revenue operations 2-3 years preferredKnowledge, Skills and Abilities- Strong understanding of healthcare billing, finance, and accounting principles.- Ability to manage multiple tasks simultaneously. Motivated to achieve service excellence.- Proficiency in analyzing financial data, identifying trends, and implementing strategies for revenue enhancement and process improvement.- Ability to present to diverse audiences, including senior leadership and front-line staff. Ability to conduct training sessions.- Ability to identify billing issues, propose solutions, and implement changes to improve revenue cycle efficiency.- Excellent oral and written communication skills.- Proficiency in Microsoft Office Suite. Additional Job Details (if applicable) Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $78,000.00 - $113,453.60/Annual Grade 7At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: Wentworth-Douglass Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Posted 3 days ago

LogixHealth logo
LogixHealthDania Beach, FL
Location: On-Site in Dania Beach, FL This Role: As a Billing Specialist at LogixHealth, you will work with a team of fellow medical billers, administrators, and coders to provide cutting edge solutions that will directly improve the healthcare industry. You’ll contribute to our fast-paced, collaborative environment and will bring your expertise to deliver exceptional third-party billing services.  The ideal candidate will have strong technological skills, excellent interpersonal communication, and experience in third-party billing. Key Responsibilities: Review/work denials on an explanation of benefits (EOB) statement Analyze A/R (Accounts Receivable) reports to follow up on unpaid claims Send out appeals on claims that require an appeal Submit required documentation to insurance companies as requested Research claims for information in order to process bills in a timely manner Communicate with insurance companies, adjustors and patients on a regular basis Correct errors and resubmit all unprocessed or returned claims to insurance companies Create UB92 and HCFA bills Qualifications: To perform this job successfully, an individual must be able to perform each Key Responsibility satisfactorily. The following requirements are representative of the knowledge, skills, and/or ability required to perform this job successfully. Reasonable accommodation may be made to enable individuals with disabilities to perform the duties. Required: Minimum 2-3 years of A/R follow-up experience in professional healthcare billing Familiarity with payer regulations, claims appeals processes, and denial reasons Proficiency in EHR and billing systems and clearinghouse portals Prior word processing, spreadsheet, and internet software experience including  p roficiency with MS Teams, Word, Excel, and Outlook Excellent written and verbal communication skills   Preferred: Experience with Billing in emergency medicine or hospital-based specialties Knowledge of CPT, ICD-10, and HCPCS coding standards specific to emergency medicine services About LogixHealth: At LogixHealth we provide expert coding and billing services that allow physicians to focus on providing great clinical care. LogixHealth was founded in the 1990s by physicians to service their own practices and has grown to become the nation’s leading provider of unsurpassed software-enabled revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for clients in 40 states. Since our first day, we have had a clear vision of a better healthcare system and have continually evolved to get there. In addition to providing expert revenue cycle services, we utilize proprietary software to provide valuable financial, clinical, and other data insights that directly improve the quality and efficiency of patient care. At LogixHealth, we’re committed to Making intelligence matter through our pillars of Physician-Inspired Knowledge, Unrivaled Technology and Impeccable Service. To learn more about us, visit our website https://www.logixhealth.com/ Powered by JazzHR

Posted 30+ days ago

A logo
Agility Billing ServicesRonkonkoma, NY
About Us: At Agility Billing Services, we are dedicated to providing exceptional care and service in the orthopedic/pain management field. We are looking for a skilled and motivated Medical Billing Specialist to join our team. The ideal candidate will have significant experience with medical billing and a deep understanding of various insurance types and companies. Position Overview: We are seeking a Medical Billing & Accounts Receivable Specialist to join our team and support billing and collections for a busy surgical practice. The ideal candidate will have experience in medical claims follow-up, with a strong understanding of commercial insurance plans. Prior experience in out-of-network billing, orthopedic, spine, or pain management services is highly preferred. Candidates with solid billing skills and a willingness to learn out-of-network workflows are encouraged to apply. Key Responsibilities: Submit and follow up on medical claims to commercial payers, focusing on specialty and surgical services. Track outstanding accounts, follow up on unpaid or underpaid claims, and resolve any issues to ensure timely reimbursement. Review and appeal claim denials and discrepancies in payment, using payer communication tools and documentation. Maintain up-to-date knowledge of payer policies, billing regulations, and coding guidelines. Collaborate with clinical and administrative staff to ensure accurate documentation and billing practices. Keep thorough and organized records of claims activity, account status, and insurance correspondence. Qualifications: Experience in billing for orthopedic, spine, or pain management services is preferred but not required. Familiarity with out-of-network billing processes and understanding of the IDR process and appeals is a plus. Working knowledge of Workers' Compensation, No-Fault, and commercial insurance plans. Proficient in ICD-10, CPT, and modifier use. Strong problem-solving and organizational skills. Excellent communication skills, especially when working with insurance reps and internal teams. Self-motivated with the ability to work independently and meet deadlines. Education and Experience: High school diploma or equivalent required. Associate’s Degree in Health Information Technology or a related field preferred. Certificate in medical billing or coding is a plus. Benefits: Competitive compensation with consideration for experience, skills, and growth potential Opportunities for professional development and advancement in a specialty billing role. Supportive and team-oriented work environment. Powered by JazzHR

Posted 30+ days ago

I logo
IntelliPro Group Inc.Davenport, IA
Job Title: Customer Service/Billing Specialist Duration: 06 months with possible extension Office: Davenport, IA 52801 Shift: 7:30 AM – 4:00 PM Pay rate: $21.50/hr. on W2 Job Description: We are seeking a detail-oriented and analytical Utility Revenue Specialist to support accurate and timely utility billing by identifying, investigating, and resolving billing discrepancies. This role is critical to maintaining customer satisfaction and ensuring compliance with internal policies and regulatory standards. Job Responsibilities: Investigate and resolve billing errors utilizing the customer information system (CSS). Process billing corrections and adjustments in compliance with company procedures and audit standards. Interpret and apply utility tariffs, billing policies, and regulatory practices. Research client billing issues as directed. Maintain detailed records of billing activities using Excel spreadsheets. Contribute to process documentation and suggest updates to billing procedures for operational efficiency. Support various ad-hoc billing projects as needed. Minimum Requirement: High school diploma or equivalent required; bachelor's degree in business or related field preferred. Proficient with the MS Office Suite including Outlook, Word, and Excel. Strong analytical and organizational skills with high attention to detail. Ability to manage deadlines effectively in a fast-paced environment. About Us: Founded in 2009, IntelliPro is a global leader in talent acquisition and HR solutions. Our commitment to delivering unparalleled service to clients, fostering employee growth, and building enduring partnerships sets us apart. We continue leading global talent solutions with a dynamic presence in over 160 countries, including the USA, China, Canada, Singapore, Japan, Philippines, UK, India, Netherlands, and the EU. IntelliPro, a global leader connecting individuals with rewarding employment opportunities, is dedicated to understanding your career aspirations. As an Equal Opportunity Employer, IntelliPro values diversity and does not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or any other legally protected group status. Moreover, our Inclusivity Commitment emphasizes embracing candidates of all abilities and ensures that our hiring and interview processes accommodate the needs of all applicants. Learn more about our commitment to diversity and inclusivity at https://intelliprogroup.com/ . Compensation: The pay offered to a successful candidate will be determined by various factors, including education, work experience, location, job responsibilities, certifications, and more. Additionally, IntelliPro provides a comprehensive benefits package, all subject to eligibility. Powered by JazzHR

Posted 30+ days ago

Donato Technologies logo

Sr. Oracle BRM (Billing and Revenue Management) Professional

Donato TechnologiesDallas, Alabama

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Job Description

Greetings from Donato Technologies Inc.
We have an immediate opening with my client. If you are looking for a new project, please send me a copy of your updated resume
Job Title: Sr. Oracle BRM (Billing and Revenue Management) Professional
Job Location: RemoteJob Duration: 12+ Months
Job Description:
We are seeking an experienced Oracle Communications Billing and Revenue Management (BRM) senior developer for an Remote position. The ideal candidate will have 3-10 years of experience in designing, implementing, and optimizing BRM solutions.Key Responsibilities:
  • · Design and architect Oracle BRM solutions to meet complex business requirements
  • · Provide technical leadership and guidance to development teams
  • · Optimize BRM system performance and scalability
  • · Collaborate with stakeholders to define and implement BRM strategies
  • · Ensure seamless integration of BRM with other enterprise systems
  • · Develop and maintain BRM system documentation
  • · Troubleshoot and resolve complex BRM issues
Required Skills and Experience:
  • · 12-15 years of experience in Oracle BRM architecture and implementation
  • · Strong expertise in Oracle BRM 7.x/12.x/15.x architecture and modules (pricing, billing, invoicing, payment)
  • · Proficiency in SQL, PL/SQL, Java, and shell scripting
  • · Good understanding of real-time rating, balance management, and upstream system integrations with BRM over REST APIs
  • · Knowledge of pricing catalogue configurations using PDC (Pricing Design Center)
  • · Understanding of business use cases for BRM implementations
  • · In-depth knowledge of BRM system components and architecture
  • · Expertise in BRM database design and optimization
  • · Strong understanding of BRM business processes and workflows
  • · Experience with BRM integration and customization
  • · Familiarity with telecom industry standards and practices
  • · Excellent problem-solving and communication skills
Preferred Skills:
  • · Oracle BRM certification
  • · Experience with data migration projects in BRM environments and experience with BRM's Conversion Manager Tool (CMT)
  • · Knowledge of Pricing Design Center (PDC) configuration
  • · Familiarity with real-time rating and Batch Rating
Jennifer Sampson
Technical Recruiter
.......................................................
DONATO TECHNOLOGIES, INC
12100 Ford Rd, #306, Dallas, TX 75234
Email: jenny@donatotech.com
Web:  www.donatotech.net

This is a remote position.

Compensation: $60.00 per hour

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