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University of ChicagoChicago, IL
Department Provost URA: Research Finance About the Department University Research Administration has the responsibility to review and provide institutional endorsement for all proposals to federal and other external sponsors (excluding gifts), assuring compliance with University policies and sponsor terms and conditions. URA is the institutional authority for the negotiation and acceptance of financial support or other contractually-binding obligations in the form of a contract, grant, or agreement, including material transfer agreements and clinical trials. Job Summary The Associate Director, Billing and Collections is responsible for leading a team that maintains and executes billing and collections activity, manages key relationships between the University and external partners, and monitors and reports on billing and collections for sponsored projects at the University of Chicago. In addition, the Associate Director will work with University and Department leadership to identify and implement enhancements to day-to-day billing, collections and revenue operations. The successful candidate will be analytical, proactive, solution-oriented, and possess exceptional communication skills. This individual will be self-motivated and have the ability to exercise sound judgement in prioritizing tasks. Responsibilities for this position include: Manage a team of financial analysts responsible for federal drawdowns, invoicing, cash collection/application, reconciliation. This position requires the ability to effectively train new processes and convey detailed procedures. This position is expected to effectively collaborate with internal URA teams and facilitate cross collaboration. The job manages a team of professional staff responsible for establishing and maintaining accounting policies and controls, fiscal controls, preparing financial reports and safeguarding assets. Develops strategy for accounting and financial records and reports. Additional responsibilities include: dual review of funds to be drawn from Federal sponsors, issuing invoices to non-Federal sponsors, confirming all accounts are billed in accordance with the designated terms review and reconciliation of university bank accounts, sending overdue notices, and working cooperatively with inter-University teams on annual financial statements and reconciliation. This position requires rapid proficiency in University of Chicago systems as well as a high level of proficiency in Excel. Incumbents are expected to review and interpret Sponsor payment terms. Responsibilities Manages the day-to-day activities of the Billing & Collections Team within University Research Administration, providing leadership and oversight of billing and collections activities such as invoicing, dunning activity, process improvement and workload distribution. Provides guidance to staff on operational issues to ensure consistency and accuracy, train and mentor administrative support staff. Provides institutional endorsement on documents, on behalf of the Authorized Organizational Official. Communicates and collaborates effectively with university departments, sponsors, URA leadership and address /resolve issues both internally and with sponsors. Identifies reporting needs, works with developers to create/update reports and analyze team reports to ensure equitable work distribution and delegation of short-term, high-impact projects to direct reports. Applies independent judgement and knowledge of Uniform Guidance, GAAP, and university policies and procedures in performing all tasks to ensure compliance with federal sponsor requirements. Maintains and update sponsored accounting policies and procedures in accordance with regulatory requirements. Develops processes for the review of incoming sponsored awards to confirm billing is completed and payments are received and applied in accordance with sponsor requirements through the closeout of the award using Oracle Financials and Orbit (Oracle business intelligence tool) and ensure timely deposit and recording of payments received by check. Support and respond to internal and external audit data request. Contributes to cross-functional/department initiatives to improve billing and payment process and post-award accounting using Oracle Financials and Orbit. Oversees and supports Federal letter of credit draws, including review and approval of draw requests. Provides guidance for complex sponsor billing requirements and payment reconciliations through the award lifecycle. Collaborates with the Credit Union, Treasury, Financial Services, and Bursar's Office to ensure proper payment application. Liaise between federal sponsors, URA Post-Award Administrators, faculty and staff regarding billing and collections. Partners with URA Leadership and other business units/departments as needed. Addresses questions and issues related to billing and collections of sponsored projects. Coordinates with the URA training team to develop and implement training programs relating to issues of current importance in grant and contract management are communicated to and understood by the research administration community on campus. Manages professional staff. Establishes performance goals, allocates resources and assesses policies for direct subordinates. Advises and monitors accounting policies and controls, fiscal controls, preparing financial reports and safeguarding assets. Performs other related work as needed. Minimum Qualifications Education: Minimum requirements include a college or university degree in related field. Work Experience: Minimum requirements include knowledge and skills developed through 7+ years of work experience in a related job discipline. Certifications: -- Preferred Qualifications Education: Bachelor's degree, in Accounting or finance. Advanced degree strongly strongly preferred. Experience: Relevant experience interpreting sponsored research grants and contracts, and working with budgets, ledgers, invoices and fiscal reporting. A minimum of 5+ years of supervisory/management experience Knowledge of OMB's Uniform Guidance for Grants (2 CFR 200). Experience working in a sponsored programs research administration office, or in an academic environment. Experience with University of Chicago systems. Technical Skills or Knowledge: Strong technical skills including the ability to work in research administration systems, sponsor system portals, and help desk ticketing systems. Ability to keep composure during stressful situations and creatively troubleshoot technical issues to timely resolutions. Proficiency in Microsoft Office Suite, especially Access, Excel (VlookUps, Index Match, Pivot Tables, custom formulas, etc.) along with Huron Research Suite (or similar). Experience with Oracle Financial including the related Grants Management modules. Advanced level proficiency working in business intelligence reporting tools. Able to quickly comprehend current reporting practices, troubleshoot issues, develop/create complex reports, and translate data once exported. Experience with data modeling and projections. Preferred Competencies Leadership: Ability to inspire and motivate teams with a clear vision, ensuring all members understand their role in achieving overall project goals. Strong interpersonal skills to manage team dynamics, handle conflicts constructively, and maintain a positive team culture. Ability to connect short-term actions to long-term goals, ensuring alignment with organizational objectives. Independence: Work independently with a high degree of initiative, curiosity and minimal supervision. Willingness to learn new skills, take on new challenges, and ability to effectively interact and collaborate with all levels of university administrators and faculty members. Make decisions independently that will have downstream impacts on the management of sponsored projects. Communication Skills: Excellent oral and written communication skills with the ability to interact effectively with a diverse range of stakeholders, with faculty and administrative staff at the University, and close collaboration with all staff within the office of University Research Administration. Service Orientation: Positive, service-oriented attitude with a courteous demeanor, maintaining professionalism in all interactions. Ability to develop and manage interpersonal relationships. Discretion and Confidentiality: Ability to handle sensitive and confidential situations with absolute discretion and maintain confidentiality. Attention to Detail and Accuracy: Exceptional attention to detail and thoroughness in completing tasks accurately. Work on multiple projects simultaneously, set priorities, and meet deadlines. Organizational and Multitasking Skills: Strong organizational skills with the ability to multitask, meet deadlines, and navigate ambiguity in a fast-paced work environment. Interact by phone, email, online meetings or in person with faculty and administrative staff at the University and occasionally with staff of federal government, non-federal sponsors, and other institutions and organizations. Judgment and Project Management: Sound judgment with the ability to prioritize and anticipate potential issues and address them proactively. Adaptability and Feedback Reception: Stay current with technology and digital tools. Ability to maintain composure under pressure, work flexible hours as needed, and respond constructively to feedback. Working Conditions Sit for 4 hours or more. Use computers extensively for 4 hours or more. Use standard office equipment and troubleshoot IT equipment in a remote/hybrid environment. Some evening and weekend work may be required. Application Documents Resume/CV (required) Cover Letter (required) References Contact Information (3) (preferred) When applying, the document(s) MUST be uploaded via the My Experience page, in the section titled Application Documents of the application. Job Family Financial Management Role Impact People Manager Scheduled Weekly Hours 37.5 Drug Test Required No Health Screen Required No Motor Vehicle Record Inquiry Required No Pay Rate Type Salary FLSA Status Exempt Pay Range $95,000.00 - $115,000.00 The included pay rate or range represents the University's good faith estimate of the possible compensation offer for this role at the time of posting. Benefits Eligible Yes The University of Chicago offers a wide range of benefits programs and resources for eligible employees, including health, retirement, and paid time off. Information about the benefit offerings can be found in the Benefits Guidebook. Posting Statement The University of Chicago is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender, gender identity, or expression, national or ethnic origin, shared ancestry, age, status as an individual with a disability, military or veteran status, genetic information, or other protected classes under the law. For additional information please see the University's Notice of Nondiscrimination. Job seekers in need of a reasonable accommodation to complete the application process should call 773-702-5800 or submit a request via Applicant Inquiry Form. All offers of employment are contingent upon a background check that includes a review of conviction history. A conviction does not automatically preclude University employment. Rather, the University considers conviction information on a case-by-case basis and assesses the nature of the offense, the circumstances surrounding it, the proximity in time of the conviction, and its relevance to the position. The University of Chicago's Annual Security & Fire Safety Report (Report) provides information about University offices and programs that provide safety support, crime and fire statistics, emergency response and communications plans, and other policies and information. The Report can be accessed online at: http://securityreport.uchicago.edu . Paper copies of the Report are available, upon request, from the University of Chicago Police Department, 850 E. 61st Street, Chicago, IL 60637.
Posted 4 weeks ago
AlixaRxEden Prairie, MN
Essential Duties Provide prescription price quotes to nursing centers and prescriber's representatives Process short orders and partial fill prescriptions billing from pharmacy production Manage refill-to-soon rejections process Process combine prescription billing (same drug with multiple doses) Process and manage prior authorization and non-covered prescription orders Handles prescription test claims About AlixaRx Come join us and help make a difference in the world of long-term patient care! AlixaRx was founded in 2011 with a mission to transform medication management in long-term, post-acute and other healthcare settings. We were born from a need to improve patient outcomes, reduce costs, and improve efficiencies. AlixaRx was developed through collective input from nurses, pharmacists, and physicians to provide safety, access, and savings to long-term and post-acute care facilities. With the use of proprietary dispensing technology and innovative clinical pharmacy services, AlixaRx services more than 20,000 patients across the nation. Our mission is to deliver pharmacy services through innovative technology that improve patient outcomes, reduce costs, and improve efficiencies. Job Types: Full-time Part-time Benefits Offered: Medical Dental Vision 401k Flexible spending account (FSA) Health Savings Account (HSA) Employee Assistance Program (EAP) Paid Time Off (PTO) Basic Life Insurance (paid by AlixaRx) Basic Accident Death & Dismemberment (AD&D) (paid by AlixaRx) Short Term Disability (paid by AlixaRx) Long Term Disability (paid by AlixaRx) Schedules Available: 8 hour shift Day shift Holidays Monday to Friday Overtime Weekend availability Education: High School Diploma or equivalent Licensure: National Pharmacy Technician Certification preferred or as required by state of practice State licensure or registration as a Pharmacy Technician as required by state of practice
Posted 30+ days ago
Geico InsuranceChicago, IL
At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. GEICO is looking for an accomplished, customer obsessed, and results oriented Senior UX/UI Designer. The ideal candidate will be comfortable working with a variety of business partners and delivering design solutions. Collaborates with customers, engineers, and product management to determine design requirements, create mockups, user workflows, conduct user research, and provide feedback. As a Senior UX/UI designer you will be responsible for designing high quality solutions that put the customer at the center and achieving outcomes that move our business forward. You work directly with product management to develop solutions that achieve our customer and business needs. You will be part of a multi-disciplinary design and research team that values people, human-centered design and a growth mindset. This position is a hybrid role that requires to be on-site 3 days a week at one of the following locations: Chevy Chase, MD; New York City, NY; Chicago, IL; Palo Alto, CA; Fredericksburg, VA Job Responsibilities Collaborates with product, engineering, and business teams to uncover customer and business needs Translates complex ideas into understandable concepts and solutions that evolve and enhance the product experience Manages through shifting priorities to provide clear direction and input on product prioritization and support early product definition Advocates for the customer through human-centered design methods, including discovery, research, and user testing Facilitates and participates in workshops with internal and external stakeholders to align with business needs Creates process and user flows, wireframes, journey maps, and user interface specifications Delivers design assets for acceptance, development, and delivery to market in partnership with engineering Basic Qualifications 5+ years of experience (or 3+ with Masters degree) with User Experience design Preferred Qualifications Experience designing for cross channel e.g. responsive web and native mobile interfaces Demonstrate ability to work across design processes e.g. user research, user experience design, UI design and specifications Ability to collaborate with Product Management, Engineering and Operations teams Effective communication and storytelling skills Proficiency with design tools (i.e., Figma) to deliver concepts and enable successful collaboration across teams Familiarity with working in an established design system and agile development teams Annual Salary $104,550.00 - $172,200.00 The above annual salary range is a general guideline. Multiple factors are taken into consideration to arrive at the final hourly rate/ annual salary to be offered to the selected candidate. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate's work experience, education and training, the work location as well as market and business considerations. At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. Access to additional benefits like mental healthcare as well as fertility and adoption assistance. Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.
Posted 1 week ago
Washington University in St. LouisSaint Louis, MO
Scheduled Hours 40 Position Summary Obtains insurance information, referral forms and counsels patients on financial assistance over the phone. Schedules and registers patients over the phone or by email, with no patient contact. Job Description Primary Duties & Responsibilities: Obtains insurance information from patients and counsels alternative ways for financial assistance. Communicates with physicians and clinical staff to assist with scheduling urgent or referred patient scheduling calls/requests. Provides patient scheduling services to include collecting demographics and insurance registration. Reviews schedule for new patients and makes updates when necessary. Calls patients with appointment time reminders; obtains insurance information and referral forms. Processes internal physician referrals for clinical care. Explains billing process to patients, answers incoming inquiries from patients and third-party payers. Works with others to solve moderately complex problems. Explains billing process to other staff; assists with basic account maintenance activities. Assists patients with insurance questions regarding the billing process. Assists staff with sending out reminder cards and other scheduling duties. Works Relatient patient reminder system results and contacts patients or makes scheduling changes. May make daily edits and temporary changes to provider scheduling templates based on physician input. Working Conditions: Job Location/Working Conditions Normal office environment. Physical Effort Typically sitting at desk or table. Repetitive wrist, hand or finger movement. 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: No specific certification is required for this position. Work Experience: Relevant Experience (3 Years) Skills: Not Applicable Driver's License: A driver's license is not required for this position. More About This Job WashU seeks highly motivated individuals who are able to perform duties in a manner consistent with our core mission and guiding principles. 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: Billing Systems, Customer Service, Epic EHR, Financial Information, Insurance, Interpersonal Communication, Medical Office Support, Microsoft Excel, Microsoft Office, Microsoft Word, Organizing, Prioritization, Scheduling, Third Party Claims Grade G06-H Salary Range $17.87 - $27.06 / 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 2 weeks ago
DigitalOceanSeattle, WA
Dive in and do the best work of your career at DigitalOcean. Journey alongside a strong community of top talent who are relentless in their drive to build the simplest scalable cloud. If you have a growth mindset, naturally like to think big and bold, and are energized by the fast-paced environment of a true industry disruptor, you'll find your place here. We value winning together-while learning, having fun, and making a profound difference for the dreamers and builders in the world. 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 30+ days ago
Burrell Behavioral HealthSaint Louis, MO
Job Description: Job Summary: The incumbent of this position is responsible for collecting, posting, and managing account payments as well as submitting claims and following up with insurance companies. Essential Job Functions: Creates insurance claims for all private insurance billing and submits claims in a timely manner following billing schedule. Complete audits of all claims documentation to verify accuracy of charges related to appropriate diagnosis and codes prior to filing claims. Maintain an accurate, up-to-date reporting system providing information on insurance billings, processing timelines, verification, pre-certifications, reasons for denial and payment of filed claims on a daily basis. Monitor pay habits of contracted insurance companies as well as out-of-network reimbursements and reports this to Leadership quarterly in order to assist in determining the need for additional or re-negotiated contracting. Provides follow up on any unpaid or denied claims; submits appeals within industry time frames for denials. Communicates status of appeals to program site. Deliver appropriate, timely reports to Supervisors and to the Executive Team members as needed regarding accounts receivables, claim status, etc. Assist with monitoring of receivable accounts for recommendations of collection, write-off, reimbursements, etc. Assist with the development of any new in-house computerized billing systems and client demographics databases. Other duties as assigned by the Director, Vice President, and/or Executive Team members. Knowledge, Skills, and Abilities: Considerable knowledge in medical billing and collection practices. Basic knowledge of medical coding and third-party operating procedures and practices. Superior communication and customer service skills Excellent 10 key and alphanumeric data entry skills with attention to detail Proficient in common word processing, spreadsheet, database, and web-based applications. Experience and Education Qualifications: High School diploma with courses in typing and business practices; AND At least three (3) years experience in bookkeeping position; AND At least two (2) years includes experience in an insurance billing position. Supervisory Requirements: None Employment Requirements: Successful completion of background check including criminal record, driving record, abuse/neglect and fingerprint check. Completion of New Hire Orientation at the beginning of employment. All training requirements including Relias at the beginning of employment and annually thereafter. Current driver's license, acceptable driving record and current auto insurance. Physical Requirements: ADA Consideration - Sedentary work: Exerting up to 10 pounds of force occasionally (exists up the 1/3 of the time) and/or a negligible amount of force frequently (exists 1/3 to 2/3 of the time) to lift, carry, push, or pull, or otherwise move objects, including the human body. Repetitive movements of hands, fingers, and arms for typing and/or writing during work shift. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met. Position Perks & Benefits: Paid time off: full-time employees receive an attractive time off package to balance your work and personal life Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more Top-notch training: initial, ongoing, comprehensive, and supportive Career mobility: advancement opportunities/promoting from within Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness Brightli is on a Mission: A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients. As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission-driven organization dedicated to cultivating an authentic workplace. We are an Equal Employment Opportunity Employer. Places for People is a Smoke and Tobacco Free Workplace.
Posted 6 days ago
Washington University in St. LouisHazelwood, MO
Scheduled Hours 40 Position Summary Obtains insurance information and referral forms and counsels patients on financial assistance when seen in department for services. Job Description Primary Duties & Responsibilities: Obtains insurance information from patients and counsels alternative ways for financial assistance. Registers all new patients and assists with form completion. Reviews schedule for new patients and makes updates when necessary. Calls patients with appointment time reminders; obtains insurance information and referral forms. Explains billing process to patients; answers incoming inquiries from patients and third-party payers. Explains billing process to other staff; assists with basic account maintenance activities. Assists patients with insurance questions regarding the billing process. Assists staff with sending out reminder cards and other scheduling duties. 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. Repetitive wrist, hand or finger movement. 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 (3 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, Stress Management, Telephone Communications, Working Independently Grade C06-H Salary Range $17.34 - $25.40 / 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
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Trinity Health CorporationFarmington Hills, MI
Employment Type: Full time Shift: Day Shift Description: POSITION PURPOSE Work Remote Position (Pay Range: $19.2123-$28.8184) Performs day- to- day customer service activities within the hospital revenue operations of an assigned Patient Business Services (PBS) location. Serves as part of a Customer Service team at an assigned PBS location responsible for ensuring excellent customer satisfaction through timely, accurate and professional follow-up and resolution to customer complaints, problems, issues and general inquiries. This position reports to the Supervisor PFS Customer Service. ESSENTIAL FUNCTIONS Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions. Performs customer service activities handling various self-pay and insurance billing and collection inquiries, requests and related functions as part of the revenue cycle process for an assigned PBS location. Assists patients in the resolution of billing issues, which may include setting up payment plans and responding to complaints, problems and general inquiries in a timely, responsive and efficient manner. Provides detailed documentation and reports of customer complaints, issues, interactions, actions taken and results in appropriate system(s). Tracks trends of customer service encounters and recommendations for resolutions of the issues and findings for the supervisor. Resolves independently or escalates issues affecting customer complaints and issues to the Supervisor Customer Service. Performs communication and follow-up processes related customer service and ensures such activities are submitted timely, tracked, trended and reported to key stakeholders. Performs other duties as needed and assigned by the supervisor. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health's Integrity and Compliance Program and 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 or Associate's degree in Accounting or Business Administration or related field and successful completion of Trinity Health Trainee program as well as achievement of related program productivity and quality standards or at least one (1) year of experience and relevant knowledge of revenue cycle functions and systems working within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred. Previous service/call center experience with the ability to respond to customer inquiries and expectations in a highly efficient and effective manner. Excellent verbal and written communication skills and organizational abilities. Strong interpersonal skills in interacting with internal and external customers, which includes the ability to interpret customer requirements and recommending appropriate actions to satisfy customer needs. Accuracy, attention to detail and time management skills. Ability to work independently and operate keyboard and telephone effectively. Basic understanding of Microsoft Office, including Outlook, Word, PowerPoint, and Excel. Completion of regulatory/mandatory certifications and skills validation competencies preferred 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 This position operates in a typical office environment. The area is well lit, temperature controlled and free from hazards. Incumbent communicates frequently, in person and over the phone, with people in all locations on product support issues. Manual dexterity is needed in order to operate a keyboard. Hearing is needed for extensive telephone and in person communication. The environment in which the incumbent will work requires the ability to concentrate, meet deadlines, work on several projects at the same time and adapt to interruptions. 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. Must possess the ability to comply with Trinity Health policies and procedures. The above statements are intended to describe the general nature and level of work being performed by persons assigned to this classification. They are not to be construed as an exhaustive list of duties so assigned 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
Whitley PennFort Worth, TX
Whitley Penn, a leading CPA and Consulting firm, is looking for a Billing Coordinator to join our team. The Billing Coordinator will play a key role in processing executive billings while ensuring accuracy, timeliness, and high-quality output. The ideal candidate is a self-starter and team player who can communicate effectively with clients and professionals at all levels. This position requires strong attention to detail and the ability to thrive in a fast-paced professional environment. How We Work Whitley Penn has become one of the region's most distinguished and fastest growing public accounting firms by providing exceptional service that reaches far beyond traditional accounting. We believe in working in collaborative teams with an emphasis on open-door policy and encouraging entrepreneurial thinking. We learn, innovate, and succeed by sharing knowledge, embracing diversity, and working together. We are all part of the same family and each person matters. We are more than just a job. How Will You Make an Impact? Process executive billings accurately and meet departmental deadlines Reconcile billing, work-in-process (WIP), and accounts receivable Maintain accurate and up-to-date client records Draft internal and external correspondence as needed Support weekly and monthly reporting requirements Manage large projects as assigned to meet department needs Collaborate with team members to maintain client database Assist with data entry and other administrative tasks as required How Will You Get Here? 3-4 years of combined billing and administrative experience Prior professional service billing a plus High degree of efficiency with Microsoft Word and Excel Excellent verbal and written communication skills Possess strong organizational skills with exceptional attention to detail and follow-through Strong time management skills and ability to manage multiple tasks Must be flexible and able to prioritize duties in response to demands of the day-to-day activities of the department Possess a positive attitude and outlook in a fast-paced environment Ability to communicate effectively with individuals at all levels of the organization Must be able to work independently as well as in a collaborative team environment Capable of maintaining strict confidentiality Ability to work overtime as workload requires. Why Should You Apply? Firm Paid Medical Insurance (Free Employee Only Coverage on 2 of 3 plans) Voluntary Dental and Vision Insurance 17 Annual Firm holidays, with extended breaks around July 4th and year end Generous PTO for Non-Exempt Team Members Paid Maternity and Parental Leave 401(k) with Profit Sharing Discretionary Bonus Program Health & Wellness Program Pet Insurance Whitley Penn is proud to be an equal opportunity workplace. We recruit, employ, train, compensate, and promote without regard to on age, race, creed, gender, color, religion, national origin, sexual orientation, gender identity, veteran status, disability or any other basis protected by applicable federal, state, or local law. Whitley Penn is a participant in E-Verify please follow the link to review disclosure notifications: https://www.dropbox.com/s/olsr5xgsgxsntu3/E-Verify%20Notices.pdf?dl=0 . All employment is decided on the basis of qualifications, merit, and business need. #LI-ONSITE #LI-DNP
Posted 6 days ago
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Evergreen HealthcareKirkland, WA
Description Wage Range: $21.09 - $33.75 per hour Hybrid in Washington State only - Medical Billing Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity. Job Summary: Investigates health plan denials to determine appropriate action and provide resolution. Primary Duties: investigates insurance denials to identify action necessary. Corrects claims based on denials, complaints and audits and rebills using payor approved process. Determines need for payor appeal and sends individualized appeal letter. Monitors appeals for resolution 4.. Adjusts denials determined to be appropriate using the corresponding adjustment code(s). Works the accounts that meet denial management criteria and coordinates resolution with other departments. Denial management criteria include accounts that have potential financial impact such as authorization and refer denials, bundling issues and medical necessity for all assigned payers. Logs all denials including actions and resolution on Denial spreadsheet. Identify denial pattern to identify potential process improvement. Produces quarterly denial reports. License, Certification, Education or Experience: REQUIRED for the position: High School graduate or equivalent. 1-year previous experience in professional billing. Knowledge and experience in working with health care insurers' and their reimbursement systems, especially Medicare, Medicaid, Workers Compensation, Motor Vehicle and contract payers. A good understanding of CPT, Modifiers, HCPC, ICD-10 codes and medical terminologies. Demonstrated problem solving ability. Ten-key by touch DESIRED for the position: College degree/Vocational training in billing or business Benefit Information: Choices that care for you and your family At EvergreenHealth, we appreciate our employees' commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being. Medical, vision and dental insurance On-demand virtual health care Health Savings Account Flexible Spending Account Life and disability insurance Retirement plans (457(b) and 401(a) with employer contribution) Tuition assistance for undergraduate and graduate degrees Federal Public Service Loan Forgiveness program Paid Time Off/Vacation Extended Illness Bank/Sick Leave Paid holidays Voluntary hospital indemnity insurance Voluntary identity theft protection Voluntary legal insurance Pay in lieu of benefits premium program Free parking Commuter benefits View a summary of our total rewards available to you as an EvergreenHealth team member by clicking on the link below. EvergreenHealth Benefits Guide
Posted 30+ days ago
Harris CompaniesUpper Marlboro, MD
The purpose of your role as a Billing Manager We are seeking a detail-oriented and strategic Billing Manager to lead our billing operations within a shared services environment supporting multiple regions and project teams across the organization. This role is critical to ensuring accurate, timely, and compliant billing for large-scale projects, while fostering strong relationships with internal stakeholders and clients. This is a hybrid-remote position, based out of our corporate headquarters in St. Paul, MN or a Harris regional office location. Billing Operations & Oversight: Manage end-to-end billing processes and teams for construction projects across regions. Ensure timely and accurate generation of invoices in accordance with contract terms, project milestones, and client requirements. Review and approve billing packages prepared by billing specialists, ensuring completeness and compliance. Monitor billing schedules and proactively resolve delays or discrepancies. Lead, mentor, and guide complex (GMP, T&M and cost plus) billing specialists to ensure strict adherence to contract terms and conditions. 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. Assist with special projects, billing / collection research and ad hoc analysis as needed. Organizational Support and Process Improvement: Liaise with regional teams and stakeholders to drive cross-functional projects, initiatives, and streamline processes to increase accuracy and efficiency. Evaluate and implement process improvements to streamline billing procedures and enhance accuracy, reducing the risk of errors and delays. Provide Billing leadership and organizational support for system implementations. Establish and enforce accounting policies and procedures, ensuring proper internal controls exist. Continuously assess the efficiency of current billing processes and recommend improvements to minimize operational inefficiencies. Reporting and Analysis: Prepare monthly billing reports, aging summaries, and variance analyses for leadership and team. Track KPIs such as billing cycle time, invoice accuracy rate, and dispute resolution time. Support audits and provide documentation as needed. People Leadership: Supervise and mentor billing team members with a strong stakeholder service mindset. Conduct training sessions to ensure team proficiency in billing systems and policies. Establish connections with others to build trust, share ideas, and accomplish work. Help others become more effective through strengths development, clear expectations, encouragement, and coaching. Provide growth and development opportunities to the team through training and continuing education. Identify the consequences of actions and hold yourself and others responsible for performance. Listen, share information concisely and with purpose, and be open to hearing opinions. Encourage others through positivity, vision, confidence, challenge, and recognition. Support timely and effective implementation of business-required changes. Utilize the ADKAR model to lead change within teams/departments supervising. Motivate and support employee engagement by creating a positive and motivating working environment, aligning work according to employee motivation, giving others appropriate latitude to get work done, and making people feel that their contributions are visible and valuable. Develop, coach, advise and mentor team members to: manage change, inspire confidence, be empowered, hold team members accountable, support the strategic direction and operational needs of the company while meeting their own internal objectives, build collaborative relationships across the company to assist in managing through the employee life cycle (e.g., plan, attract, retain, develop, measure, and advance employees) and to cultivate and foster the desired Harris culture, values and competencies. Model and be an example for the Harris culture, values and competencies. Emphasize a strong safety culture at all times What we're looking for in you Bachelor's degree in accounting or 6+ years (or equivalent combination of experience and education) 5+ years of Billing experience in the construction or engineering industry, with a strong understanding of construction contracts (e.g., AIA, GMP, T&M). 5+ years of 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. Working knowledge of MS Office (including advanced experience with Excel). Decisive with excellent leadership, planning, problem solving, and active listening skills. Ability to work efficiently under deadlines and be flexible. Excellent organizational and prioritization skills, ability to multi-task, work well independently and as part of a team. Demonstrated analytical, quantitative, research, problem solving and critical-thinking skills. Ability to learn and use multiple systems and applications. 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
The Oregon ClinicPortland, OR
Make an Impact at The Oregon Clinic! Premium Benefits, Competitive Pay, and Inspiring Purpose Join us at The Oregon Clinic as an Insurance Billing & Coding Specialist (Hybrid/Remote). Must live in SW Washington or the Portland area to come on-site to support projects as needed. Work alongside a collaborative team of patient-focused colleagues in our thriving Central Administration office. Every person at TOC makes a difference in our mission of delivering world-class care with kindness and empathy. As a member of our team, you have the opportunity to make a valuable impact within the local community and our ecosystem of care. By providing patients and internal and external stakeholders with a consistent, efficient, and easy experience, you'll help ensure that patients at The Oregon Clinic receive the highest value care tailored to their needs. Using excellent customer service and communications skills, your primary duties in this role include: Responsible for ensuring that all procedural and diagnostic codes used by TOC comply with all application rules, State & Federal laws, and healthcare industry standards to maximize reimbursement within the legal and ethical constraints. Ensuring the accuracy of all claims submitted, performing follow-up on accounts that are not paid timely or appropriately, processing account adjustments, and verifying insurance coverage. Updating records as needed. Other duties as assigned. Salary: Hiring range, based on experience and credentials: $27.46-$37.16 per hour. Workdays: This role is located at the Central Administration office. Hybrid/Remote work is available once training is completed and expectations are met. Must live in SW Washington or the Portland area to come on-site to support projects as needed. Typical hours are Monday-Friday, (7:30 am-4:00 pm, Pacific Standard Time (P.S.T.)) Qualifications that support success in this role are based on education, experience and values including: Business and computer courses at college level; an Associate's degree is strongly preferred. Current certification from a national accredited body that credentials professional coders is required. American Academy of Professional Coders (AAPC) certification is preferred. Minimum two (2) years of Medical Accounts Receivable and Coding experience is required. Demonstrated ability to initiate, work independently, and effectively multitask. Excellent attendance and work ethic. Positive attitude and desire to be a team player. Ability to communicate professionally and effectively with patients, physicians and other team members. A commitment to patient-focused care, privacy, and safety. This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve. Make an impact in patient-focused healthcare. Look forward to coming to work and feel good about the work you do - apply today! Premium Benefits: Healthcare: Employee is 100% covered Medical, Dental, Vision, and Prescription Insurance Financial Wellbeing: Generous 401(k) plan and Flexible Spending Account options Work-Life Balance: Paid Time Off plus 8 paid holidays annually Wellness Support: Robust wellness program and employee assistance services Commuter Benefits: 70% of Tri-Met transit pass covered Additional Perks: Employee discounts and optional benefits like Pet Insurance Patients and peers recognize The Oregon Clinic as a top regional healthcare provider and employer. We are: Guided by our values of dedicating to excellence, compassionate and joyful connection, inclusive collaboration, listening humbly, and leading with integrity. The largest physician-owned, multi-specialty medical and surgical practice in Oregon with a team of 1,500 team members across 30 specialties and our business office. Dedicated to providing the highest value care tailored to the needs of each unique patient. Proud to be consistently ranked by our employees as a Top 10 Workplace by The Oregonian. Our Commitments: Diversity, Equity, & Inclusion: We are more than an Equal Opportunity Employer. We welcome and embrace differences and a diversity of backgrounds. Our goal is for patients, physicians, and team members to see and feel diversity, equity, safety, and inclusion in all aspects of their interactions with TOC clinics and administration. A safe workplace: We are an alcohol and drug-free workplace for the safety of our patients and employees. Offers are contingent on successful completion of drug and background screenings.
Posted 30+ days ago
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 30+ days ago
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
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 30+ days ago
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 30+ days ago
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 30+ days ago
Katapult NetworkRochester, MN
Job description Katapult Network is designed to help college graduates with zero to two years of professional experience find their next professional career opportunity. We focus on helping recent college graduates, with no experience, get access to full-time, entry-level opportunities with some of the Nation's top employers. Our clients include ground-breaking start-up companies and well-established billion-dollar organizations who want to find their next generation of talent. The Job: We are currently recruiting for an entry-level Billing Specialist. This position is responsible for overseeing the billing process for customers. This can include processing payments, maintaining organized financial records, and calculating bill totals. Recent college graduates and entry-level talent are encouraged to apply. What You Will Be Doing As A Billing Specialist: Create charts and graphs, using computer spreadsheets, to illustrate technical reports Search financial statements for payment errors or inconsistencies Create invoices and billing materials to be sent to customers Input payment history, upcoming payment information, or other financial information Calculate and track company financial statements Collaborate with customers, third-party institutions, and other team members to resolve billing errors and inconsistencies Find financial solutions for customers who may need payment assistance Help with new projects, report results to Senior Leadership Our Ideal Billing Specialist Candidate Has: Communication - express ideas clearly in both written and verbal correspondence, listen effectively, and share information appropriately with persons inside and outside the organization Organizing and planning - develop specific goals and benchmarks to prioritize, organize and accomplish your work in a timely manner Analytical thinking - determine the essential function of each task in a detailed, goal-driven manner with strong multitasking abilities Office software acumen - comfortable with a wide variety of software including, but not limited to Microsoft Suite, Google applications, and relevant databases. Salesforce experience desired Mathematical reasoning - facility with numbers, the proven ability to calculate, post, and manage figures and records, and the ability to choose the right mathematical methods to solve a problem Requirements To Be A Billing Specialist: Bachelor's degree Katapult Network is an equal opportunity employer and celebrates diversity in all of its forms. People of all identities and backgrounds are encouraged to apply. We're social! Follow us on: Instagram: @katapultnetwork ( https://www.instagram.com/katapultnetwork/ ) Facebook: https://www.facebook.com/KatapultNetwork/ LinkedIn: Other"> https://www.linkedin.com/compa ... Job Type: Full-time Pay: $40,000.00 - $50,000.00 per year Benefits: 401(k) 401(k) matching Dental insurance Disability insurance Flexible spending account Health insurance Health savings account Life insurance Paid sick time Paid time off Parental leave Vision insurance Work Location: In person
Posted 30+ days ago
S
Simon EyeWilmington, DE
Simon Eye and Center for Advanced Eye Care are partner practices with a combined 27 Optometrists, 8 Ophthalmologists, and 150 staff serving patients across the state of Delaware and in Pennsylvania with locations in West Chester and Bucks County. We are aligned to ensure our communities can access patient-centered, medically oriented full service eyecare delivered in convenient locations with friendly, knowledgeable doctors and staff. As a Billing Specialist, you will be responsible for the insurance billing and collections functions for multiple Simon Eye locations. Your success in this position will be driven by your ability to complete billing and/or accounts receivable follow-up with payers while achieving the expected quality and productivity requirements. What You'll Do: Review, prepare, and transmit claims using electronic and paper claim processing Daily submission of claims Follow up on unpaid claims meeting the standard billing cycle time frame Post insurance payments and review for accuracy Contact insurance companies in regards to discrepancies Investigate and appeal denied claims Identify and resolve billing issues Continual account review monitoring insurance trends and report findings to manager Ability to work autonomously, self starter Effective communication skills and ability to work collaboratively in a team environment Have strong organizational skills and manage time well Must maintain HIPAA confidentiality of patients Additional tasks as requested What You'll Need: Two plus years of medical / healthcare billing experience required. Knowledge of Medical and Optometric insurance claim forms including ICD10 and CPT codes. Experience reading and understanding explanation of benefits and the contractual adjustments. Strong initiative to solve problems while paying close attention to detail. Ability to work in office
Posted 4 weeks ago
Infosys LTDMiami, FL
Job Description Infosys is seeking Principal SAP ISU Billing Consultant As a Principal Consultant, you will be a key player in the consulting team that helps discover and define the problem statement, evaluates the solution options, and makes recommendations. You will plan the activities of configuration, configure the product as per the design, conduct conference room pilots and will assist in resolving any queries related to requirements and solution design. You will conduct solution/product demonstrations, POC/Proof of Technology workshops and prepare effort estimates which suit the customer budgetary requirements and are in line with organization's financial guidelines. You will also support knowledge transfer with the objective of providing value-adding consulting solutions that enable our clients to meet the changing needs of the global landscape. Basic Qualifications: Bachelor's degree or foreign equivalent required from an accredited institution. Will also consider three years of progressive experience in the specialty in lieu of every year of education. At least 11 years of experience with Information Technology. Location for this position is Miami, FL. This position may require travel and/or relocation. All applicants authorized to work in the United States are encouraged to apply. Preferred Qualifications: Atleast 11 years of experience in application maintenance & implementation projects, primarily in ISU Projects from SAP ISU Billing and Invoicing area Experience across Electricity, Gas & Water Utilities industries across UK, North America & Europe regions Experience with CRM -ISU Integration Experience in end-to-end implementation and support projects Client facing experience. Should be able to drive a team consisting of junior functional and technical resources. Experience in setup of Rate Structure and Billing Schema, Price management Experience in analyzing issue in Billing & Invoicing process. Experience in RTP. Good Experience Invoice Layout & Bill Print Setup of Billing Master Data/Tariff Structure for Metered/Unmetered Installations Integration with Device Management, Finance & SD module SAP Industry Solution->SAP Utilities (SAP ISU)->SAP IS-UTILITIES Billing and Invoicing (SAP ISU BILLING) The job entails sitting as well as working at a computer for extended periods of time. Should be able to communicate by telephone, email, or face to face.
Posted 30+ days ago
Associate Director, Billing And Collections
University of ChicagoChicago, IL
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Job Description
Department
Provost URA: Research Finance
About the Department
University Research Administration has the responsibility to review and provide institutional endorsement for all proposals to federal and other external sponsors (excluding gifts), assuring compliance with University policies and sponsor terms and conditions. URA is the institutional authority for the negotiation and acceptance of financial support or other contractually-binding obligations in the form of a contract, grant, or agreement, including material transfer agreements and clinical trials.
Job Summary
The Associate Director, Billing and Collections is responsible for leading a team that maintains and executes billing and collections activity, manages key relationships between the University and external partners, and monitors and reports on billing and collections for sponsored projects at the University of Chicago. In addition, the Associate Director will work with University and Department leadership to identify and implement enhancements to day-to-day billing, collections and revenue operations. The successful candidate will be analytical, proactive, solution-oriented, and possess exceptional communication skills. This individual will be self-motivated and have the ability to exercise sound judgement in prioritizing tasks.
Responsibilities for this position include: Manage a team of financial analysts responsible for federal drawdowns, invoicing, cash collection/application, reconciliation. This position requires the ability to effectively train new processes and convey detailed procedures. This position is expected to effectively collaborate with internal URA teams and facilitate cross collaboration.
The job manages a team of professional staff responsible for establishing and maintaining accounting policies and controls, fiscal controls, preparing financial reports and safeguarding assets. Develops strategy for accounting and financial records and reports.
Additional responsibilities include: dual review of funds to be drawn from Federal sponsors, issuing invoices to non-Federal sponsors, confirming all accounts are billed in accordance with the designated terms review and reconciliation of university bank accounts, sending overdue notices, and working cooperatively with inter-University teams on annual financial statements and reconciliation.
This position requires rapid proficiency in University of Chicago systems as well as a high level of proficiency in Excel. Incumbents are expected to review and interpret Sponsor payment terms.
Responsibilities
Manages the day-to-day activities of the Billing & Collections Team within University Research Administration, providing leadership and oversight of billing and collections activities such as invoicing, dunning activity, process improvement and workload distribution.
Provides guidance to staff on operational issues to ensure consistency and accuracy, train and mentor administrative support staff.
Provides institutional endorsement on documents, on behalf of the Authorized Organizational Official.
Communicates and collaborates effectively with university departments, sponsors, URA leadership and address /resolve issues both internally and with sponsors.
Identifies reporting needs, works with developers to create/update reports and analyze team reports to ensure equitable work distribution and delegation of short-term, high-impact projects to direct reports.
Applies independent judgement and knowledge of Uniform Guidance, GAAP, and university policies and procedures in performing all tasks to ensure compliance with federal sponsor requirements.
Maintains and update sponsored accounting policies and procedures in accordance with regulatory requirements.
Develops processes for the review of incoming sponsored awards to confirm billing is completed and payments are received and applied in accordance with sponsor requirements through the closeout of the award using Oracle Financials and Orbit (Oracle business intelligence tool) and ensure timely deposit and recording of payments received by check.
Support and respond to internal and external audit data request.
Contributes to cross-functional/department initiatives to improve billing and payment process and post-award accounting using Oracle Financials and Orbit.
Oversees and supports Federal letter of credit draws, including review and approval of draw requests.
Provides guidance for complex sponsor billing requirements and payment reconciliations through the award lifecycle.
Collaborates with the Credit Union, Treasury, Financial Services, and Bursar's Office to ensure proper payment application.
Liaise between federal sponsors, URA Post-Award Administrators, faculty and staff regarding billing and collections.
Partners with URA Leadership and other business units/departments as needed.
Addresses questions and issues related to billing and collections of sponsored projects.
Coordinates with the URA training team to develop and implement training programs relating to issues of current importance in grant and contract management are communicated to and understood by the research administration community on campus.
Manages professional staff. Establishes performance goals, allocates resources and assesses policies for direct subordinates.
Advises and monitors accounting policies and controls, fiscal controls, preparing financial reports and safeguarding assets.
Performs other related work as needed.
Minimum Qualifications
Education:
Minimum requirements include a college or university degree in related field.
Work Experience:
Minimum requirements include knowledge and skills developed through 7+ years of work experience in a related job discipline.
Certifications:
- --
Preferred Qualifications
Education:
Bachelor's degree, in Accounting or finance.
Advanced degree strongly strongly preferred.
Experience:
Relevant experience interpreting sponsored research grants and contracts, and working with budgets, ledgers, invoices and fiscal reporting.
A minimum of 5+ years of supervisory/management experience
Knowledge of OMB's Uniform Guidance for Grants (2 CFR 200).
Experience working in a sponsored programs research administration office, or in an academic environment.
Experience with University of Chicago systems.
Technical Skills or Knowledge:
Strong technical skills including the ability to work in research administration systems, sponsor system portals, and help desk ticketing systems. Ability to keep composure during stressful situations and creatively troubleshoot technical issues to timely resolutions.
Proficiency in Microsoft Office Suite, especially Access, Excel (VlookUps, Index Match, Pivot Tables, custom formulas, etc.) along with Huron Research Suite (or similar).
Experience with Oracle Financial including the related Grants Management modules.
Advanced level proficiency working in business intelligence reporting tools. Able to quickly comprehend current reporting practices, troubleshoot issues, develop/create complex reports, and translate data once exported.
Experience with data modeling and projections.
Preferred Competencies
Leadership: Ability to inspire and motivate teams with a clear vision, ensuring all members understand their role in achieving overall project goals. Strong interpersonal skills to manage team dynamics, handle conflicts constructively, and maintain a positive team culture. Ability to connect short-term actions to long-term goals, ensuring alignment with organizational objectives.
Independence: Work independently with a high degree of initiative, curiosity and minimal supervision. Willingness to learn new skills, take on new challenges, and ability to effectively interact and collaborate with all levels of university administrators and faculty members. Make decisions independently that will have downstream impacts on the management of sponsored projects.
Communication Skills: Excellent oral and written communication skills with the ability to interact effectively with a diverse range of stakeholders, with faculty and administrative staff at the University, and close collaboration with all staff within the office of University Research Administration.
Service Orientation: Positive, service-oriented attitude with a courteous demeanor, maintaining professionalism in all interactions. Ability to develop and manage interpersonal relationships.
Discretion and Confidentiality: Ability to handle sensitive and confidential situations with absolute discretion and maintain confidentiality.
Attention to Detail and Accuracy: Exceptional attention to detail and thoroughness in completing tasks accurately. Work on multiple projects simultaneously, set priorities, and meet deadlines.
Organizational and Multitasking Skills: Strong organizational skills with the ability to multitask, meet deadlines, and navigate ambiguity in a fast-paced work environment. Interact by phone, email, online meetings or in person with faculty and administrative staff at the University and occasionally with staff of federal government, non-federal sponsors, and other institutions and organizations.
Judgment and Project Management: Sound judgment with the ability to prioritize and anticipate potential issues and address them proactively.
Adaptability and Feedback Reception: Stay current with technology and digital tools. Ability to maintain composure under pressure, work flexible hours as needed, and respond constructively to feedback.
Working Conditions
Sit for 4 hours or more.
Use computers extensively for 4 hours or more.
Use standard office equipment and troubleshoot IT equipment in a remote/hybrid environment.
Some evening and weekend work may be required.
Application Documents
Resume/CV (required)
Cover Letter (required)
References Contact Information (3) (preferred)
When applying, the document(s) MUST be uploaded via the My Experience page, in the section titled Application Documents of the application.
Job Family
Financial Management
Role Impact
People Manager
Scheduled Weekly Hours
37.5
Drug Test Required
No
Health Screen Required
No
Motor Vehicle Record Inquiry Required
No
Pay Rate Type
Salary
FLSA Status
Exempt
Pay Range
$95,000.00 - $115,000.00
The included pay rate or range represents the University's good faith estimate of the possible compensation offer for this role at the time of posting.
Benefits Eligible
Yes
The University of Chicago offers a wide range of benefits programs and resources for eligible employees, including health, retirement, and paid time off. Information about the benefit offerings can be found in the Benefits Guidebook.
Posting Statement
The University of Chicago is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender, gender identity, or expression, national or ethnic origin, shared ancestry, age, status as an individual with a disability, military or veteran status, genetic information, or other protected classes under the law. For additional information please see the University's Notice of Nondiscrimination.
Job seekers in need of a reasonable accommodation to complete the application process should call 773-702-5800 or submit a request via Applicant Inquiry Form.
All offers of employment are contingent upon a background check that includes a review of conviction history. A conviction does not automatically preclude University employment. Rather, the University considers conviction information on a case-by-case basis and assesses the nature of the offense, the circumstances surrounding it, the proximity in time of the conviction, and its relevance to the position.
The University of Chicago's Annual Security & Fire Safety Report (Report) provides information about University offices and programs that provide safety support, crime and fire statistics, emergency response and communications plans, and other policies and information. The Report can be accessed online at: http://securityreport.uchicago.edu. Paper copies of the Report are available, upon request, from the University of Chicago Police Department, 850 E. 61st Street, Chicago, IL 60637.
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