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Personalis, IncFremont, CA
At Personalis, we are transforming the active management of cancer through breakthrough personalized testing. We aim to drive a new paradigm for cancer management, guiding care from biopsy through the life of the patient. Our highly sensitive assays combine tumor-and-normal profiling with proprietary algorithms to deliver advanced insights even as cancer evolves over time. Our products are designed to detect minimal residual disease (MRD) and recurrence at the earliest timepoints, enable selection of targeted therapies based on ultra-comprehensive genomic profiling, and enhance biomarker strategy for drug development. Personalis is based in Fremont, California. Summary: The Billing Specialist will be a critical component to Personalis' 2025 business goals. This role will increase billing and collection efforts and ensure expediency in the processing of Next Personal DX payments. Through the management and maintenance of the payer database and accuracy of posting receipts, the Billing Specialist ensures the accuracy of the order intake process, submission of clean claims and the application and reconciliation of receipts. The role also serves to build and reinforce existing relationships with payers, clients and patients. Who You Are You have extensive knowledge about the medical billing and the revenue cycle management process. You have a firm grasp on client and third-party billing, payer structures, claims processing and reimbursement requirements. You are known for your strong attention to detail and ability to reconcile daily payment transactions within the backdrop of CPT usage and ICD-10 coding. Additionally, you enjoy investigating and using your analytical skills to effectively problem solve. Your passion to troubleshoot issues and discrepancies is demonstrated through a proven track record of resolving claim rejections, denials and working with insurance carriers, clearinghouses and payers to obtain information and potential reimbursement. You leverage your MS Excel skills by using formulas and pivot tables to summarize payer enrollment and payment data. You are also able to navigate across various computer applications and payer portals. You are known for excellent customer service and can communicate effectively to customers in both written and verbal formats. Contributing to a team environment is something you enjoy; including learning from others, vocalizing potential customer or systems issues during team meetings, and communicating ideas for continual business improvement. Hybrid Onsite: Monday and Tuesday Responsibilities: Collect and review patient information needed to complete the billing process Request any missing patient information Transfer insurance claims and billing data to billing software Verify patient benefits and insurance Maintain an up-to-date list of current insurance providers  Develop and maintain a tracking system of incoming and late payments Initiate late payment notices to relevant parties Respond to questions and complaints from patients or insurance companies Follow-up on registration errors and insurance denials Demonstrate a balance of persistent follow-up and decorum on late or unpaid claims  Identify trends of claims not paid by insurance providers and/or patients and solve issues Arrange payment plans and timelines for payments File and maintain organized documentation of all billing and record Follow SOPs on billing processes and procedures Update and review all accounts to keep records of payments up-to-date Work with Client Experience, Finance, Sales, and Lab Operations to ensure revenue integrity Engage with payer and request prior authorization for tests Post receipts and payments on Xifin Support activities related to integrating the billing system with LIMs and other IT systems. Qualifications: High school diploma or equivalent GED. BS/BA preferred. A minimum of 0-3 years of experience with billing software, medical insurance regulations, and responding to insurance and patient inquiries Exceptional phone etiquette to communicate with patients and physicians Able to multitask, prioritize, and manage time efficiently Self-motivated and self-directed; able to work without supervision Proficient computer skills, Microsoft Office Suite (Word, PowerPoint, Outlook, and Excel); working knowledge of billing software (XIFIN) is a plus Able to analyze problems and strategize for better solutions   The hiring range for this position is $31.50 to $39 per hour, which may factor in various geographic regions. The base pay actually offered will take into account internal equity and also may vary depending on the candidate’s geographic region, job-related knowledge, skills, and experience among other factors. Our full-time regular positions also include an annual performance-based bonus (or a sales incentive plan) and long-term incentive units (equity) provided as part of our compensation package, in addition to a full range of medical, financial, and/or other benefits, dependent on the level and position offered.   Personalis is an equal opportunity employer and is committed to the full inclusion of all individuals. As part of this commitment, Personalis will ensure that persons with disabilities are provided with reasonable accommodations. If you need an accommodation to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please let your recruiter know, if/when they contacts you.   Personalis is an Equal Opportunity Employer/Minorities/Females/Veterans/Disabilities. Personalis offers a competitive compensation package and benefits including medical, dental, vision, 401(k) match, ESPP, tuition reimbursement, sick/vacation time, commuter benefits/ EV charging stations, onsite gym, and wellness benefits. (For US only, benefits in other countries may vary.)    #LI-Hybrid #LI-KK1

Posted 5 days ago

Medical Billing Specialist-logo
Centrum HealthDoral, Florida
WHO WE ARE NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical care to health consumers through our owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all. JOB SUMMARY The Billing Specialist is responsible for the accuracy of the super bill/claim prior to transmission to payer, including validation of appropriate Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM). DUTIES & RESPONSIBILITIES Assign/remove CPT, HCPCS and modifiers as part of the super bill/claim validation process. Prepare and review super bill/claims prior to submission. Identify coding trends and opportunities to improve quality, efficiency and productivity. Checking each insurance payment for accuracy. Ensure compliance with billing and payers’ guidelines. Calling insurance companies regarding any discrepancy in payments if necessary Researching and appealing denied claims. EDUCATION AND PROFESSIONAL EXPERIENCE High school diploma or GED equivalent Minimum of 1 year of experience as a medical biller. PROFESSIONAL COMPETENCIES Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems. Knowledge of CPT, ICD-10-CM and HCPCS codes. Knowledge of coding principles and guidelines. Knowledge of billing principles and guidelines. Knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing for professional and technical services. Excellent written and oral communication skills Prefer but not require American Academy of Professional Coder (AAPC) Certified Professional Coder (CPC) or American Health Information Management Association (AHIMA) Certified Coding Specialist (CCS). As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of NeueHealth, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

Posted 1 week ago

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FYZICAL WestminsterWestminster, Colorado
Responsive recruiter Benefits: 401(k) matching Company parties Competitive salary Dental insurance Employee discounts Free uniforms Health insurance Paid time off Vision insurance Wellness resources Do you have a passion for making a difference in the lives of others? Do you want to join a team with that same passion? Are you someone who sets and achieves goals? Do you want to work for a dynamic, patient care organization that is committed to the health and wellness of individuals of all ages? FYZICAL Therapy and Balance Centers is in search of a Physical Therapy Billing and Collections specialist for a growing Physical Therapy practice. Candidates must have knowledge in all aspects of AR/billing on an EMR system to include electronic filing, denials, EOB, navigation of insurance websites, printing paper claims for Worker's Compensation and Auto carriers, aging of accounts, printing patient statements and posting payments from insurance companies via paper and electronic methods. Candidates must project a warm, enthusiastic and friendly demeanor in client and team member interactions. FYZICAL Therapy and Balance Centers is a leading provider of physical therapy, rehabilitation, balance and vestibular retraining, and athletic training services. We are a values driven, hospitality based organization seeking to provide the highest caliber of rehabilitative services possible. Be a part of changing people's lives for the better. Compensation: $21.00 - $25.00 per hour

Posted 1 week ago

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Pillsbury Winthrop Shaw Pittman LLPNashville, Tennessee
Nashville, Tennessee Job Description The Senior Billing Specialist prepares and distributes accurate pre-bills, invoices, and standard analysis/reports, which involves interacting with billing attorneys, secretaries, and firm clients daily. KEY RESPONSIBILITIES Process client bills via Aderant software. Research and answer billing questions. Review pre-bills, generating accurate invoices and encouraging cyclical billing practices, according to requests by attorneys and secretaries. Regularly follow up on unbilled accounts, ensuring that all functions are completed on time and with high service levels. Anticipate and troubleshoot issues from the perspective of policy, personnel/attorneys, and clients. Submission of electronic invoices using EbillingHub and attention to process from start to finish. Ad hoc reports for attorneys as needed. Provide mentorship to Billing Specialists, Billing Assistants, and Billing Clerks Special projects and additional duties as assigned. REQUIRED EDUCATION, KNOWLEDGE & EXPERIENCE BA/BS degree in Business Administration or related experience, preferably in a large legal services or professional services organization 5+ years of experience in a Legal Billing Specialist role Knowledge of effective legal billing procedures and of computerized legal billing systems (Aderant Expert) and electronic online billing applications (EbillingHub, Legal Tracker, T360, Mitratech Collaborati, etc.) is a plus. REQUIRED SKILLS AND ABILITIES Strong computer skills and be proficient with Microsoft Office Strong typing/keyboard skills and able to use a 10-key calculator by touch. Ability to self-direct, prioritize tasks and work with minimum supervision and with Individuals at all levels of the organization. Excellent written and verbal communication skills Organizational skills, attention to detail and the willingness to work as part of a team are highly desired. PHYSICAL REQUIREMENTS Ability to sit and stand for extended periods. Ability to lift up to 20 pounds. Qualified applicants with arrest and conviction records will be considered for the position in accordance with the California Fair Chance Act. California, New York and Washington DC Pay range for this role, with final offer amount dependent on skillset and experience, is $70k - $90k. Pillsbury Winthrop Shaw Pittman LLP is an Equal Opportunity Employer. If you require an accommodation in order to apply for a position, please contact us at PillsburyWorkday@pillsburylaw.com .

Posted 30+ days ago

Medical Billing Payment Specialist-logo
Horizon CareerGetzville, New York
Are you looking to work for an organization where you are able to make a difference? Do you have billing skills you’re ready to put into action? Then you’ve come to the right place! Apply to be a Medical Billing Payment Specialist today! What will your day look like? At Horizon, you’ll enjoy a supportive, team-based work environment. Have a question? There’s always someone there to help! We offer a seamless onboarding experience that’ll ensure your success in your new role. As a Medical Billing Payment Specialist at Horizon, you will be responsible for… Accurate posting of payments and adjustments received from insurance companies and patients into our EHR system Interpreting Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs) to correctly identify and post appropriate amounts Ensuring all denials and zero-payments are categorized for further analysis Identifying discrepancies in payments and reporting issues to management for resolution Working in coordination with the Billing Team to ensure patient accounts reflect the correct balance Assisting in the resolution of patient inquiries related to their account balances Maintaining compliance with healthcare billing standards and regulations *Please note that this is not a Finance or Accounting position. Why choose Horizon to build your career? At Horizon, we don’t just offer a workplace—we offer a community where you can thrive while making a meaningful impact in the lives of others. Recognized as a Best Place to Work in NYS for 17 consecutive years and one of America’s Best Workplaces, we take pride in fostering a culture where motivated teammates collaborate to make a difference, every day. Join us and experience the satisfaction of doing work that matters alongside people who share your passion! What we offer that you’ll love… Company Culture: At Horizon, we pride ourselves on cultivating an atmosphere of teamwork where all employees feel heard and valued. Diversity & Inclusion: We are committed to equity, racial justice, and equal opportunity for all, and strive toward this goal through the work of our Diversity, Equity, Inclusion and Belonging Council, frequent trainings, ongoing conversations, affinity groups, and more. Trainings, Trainings, and More Trainings: We have an entire team dedicated to your personal development and professional growth. Team Building, Connection, and Relationships: At Horizon, we’re more than co-workers, we’re a community. We support each other, celebrate our achievements and milestones together, and have fun together! Retirement: We know you want to retire comfortably and we’re here to help! Horizon offers 401(k) AND profit-sharing programs to make sure you’re set for the future. Student Loan Assistance: We help pay off our team members' student loans every month. One year after joining, you’ll have been able to pay off an extra $600! Horizon employees and their families (includes spouses and children up to age 30) are eligible for a 10% discount on their tuition through a partnership with Capella University. Paid time off and paid holidays! What makes you a great candidate? We can’t wait to learn more about you! Here are a few specifics of what you’ll need for the job: Bachelor's degree preferred. Associate's degree required. - OR High School Diploma with 5 years of relevant experience required. Experience with Microsoft Suite Experience with Cerner/Electronic Health Record systems preferred Strong analytical and customer service skills Ability to work in team environment Ability to provide close attention to detail Location: This position is located at our corporate office at 55 Dodge Road, Getzville, NY 14068. Hours: This position is full-time with flexible daytime hours from Monday – Friday. Compensation Horizon is consistently evaluating our compensation and benefit packages to ensure we remain competitive. This position starts at an hourly rate of $18.55-18.90. Compensation adjustments are evaluated annually. Physical demands associated with this position include: Sitting for extended periods, alternating between standing and sitting Mobility required with repetitive wrist, hand, and finger movements Handling light duties, occasionally lifting objects up to 20 pounds Horizon DEIB Statement: Horizon commits to being an anti-racist, diverse, equitable, and inclusive organization. Through self-reflection and our commitments to education, growth and development, increased workplace diversity throughout all levels of our organization and the cultivation of meaningful relationships, we pledge to advance equity, racial justice, and equal opportunity for all. Disclaimer: Horizon endorses public health measures including vaccinations. We encourage all applicants to be mindful of the fact that Horizon is a healthcare agency proving in person services throughout our community. This information is intended to provide a general overview of the position; it is not a full job description.

Posted 3 weeks ago

Billing Specialist-logo
Atlantic Medical ManagementJacksonville, North Carolina
Summary: We are looking for a meticulous Billing Specialist to join our team. The successful candidate will handle billing issues, ensure financial statement accuracy, and deliver excellent customer service. Responsibilities include reviewing financial statements for payment discrepancies, working with patients, customers, third-party institutions, and team members to resolve billing issues, creating and sending invoices, updating payment histories and financial data in accounts, providing payment solutions for those needing assistance, notifying patients or customers of missed or upcoming payment deadlines, and calculating and monitoring company financial statements. Essential Functions: Reviewing financial statements for payment discrepancies or errors Working with patients, customers, third-party institutions, and team members to address billing issues Generating and sending invoices and billing documents to customers or patients Entering payment histories, future payment details, and other financial information into individual accounts Providing financial assistance solutions for patients or customers in need Notifying patients or customers of missed or upcoming payment deadlines Computing and monitoring various company financial records Minimum Qualifications: High School Diploma or GED. Insurance billing experience. Strong financial business acumen. Outstanding verbal and written communication abilities. Excellent analytical and problem-solving capabilities. In-depth knowledge of the company's services, or the ability to quickly acquire it. Proficient in Microsoft Office Suite and related software. Exceptional organizational skills, a sense of urgency, and keen attention to detail. Capable of meeting requirements with minimal supervision. Strong critical evaluation skills. Commitment to ethical practices. Benefits: 401(k) Health, Dental and Vision insurance Employee assistance program AFLAC Paid time off

Posted 30+ days ago

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

Posted 2 weeks ago

Billing Coordinator-logo
Giving Home Health CareAlbuquerque, New Mexico
Since 2012, Giving Home Health Care has been supporting individuals impacted by health conditions related to their work in nuclear facilities for the Department of Energy. With a focus on personalized, in-home care, we are committed to assisting those who have dedicated their careers to these vital roles. As a fast-growing, leading provider, we proudly serve patients across Arizona, Colorado, Kentucky, Missouri, Nevada, New Mexico, Tennessee, Texas, and Utah. If you’re a compassionate individual who puts patients first and thrives in a mission-driven, collaborative environment, we want you to join our team! Apply today and help us continue delivering exceptional care to those who need it most. We are seeking a full-time Billing Coordinator to join our Billing Department. This critical role involves preparing medical notes and work with our Case Managers, Home Health Aides and Nurses. You will be required to use Excel spreadsheets with a high level of accuracy and attention to detail. Work collaboratively with multiple departments ensuring a seamless authorization and billing process. We are seeking someone who is friendly, reliable, detail-oriented, and who enjoys working independently as well as in a team environment. #IND Responsibilities: Contact Home Health Aides and Nurses to retrieve missing notes and request corrections to charting. Use medical management software, PDF editing software, spreadsheets, email, and other Microsoft Office applications. Process and review medical and caregiver notes for accuracy. Keep payroll deadlines ensuring contractors are accurately paid, in collaboration with the Billing Specialist. Handle General payroll questions for caregivers. Troubleshoot problems in a timely manner. Review and analyze reports and take corrective action as needed. Cross reference documentation for accuracy. Audit data for integrity. Requirements: Proficiency Microsoft applications specifically Excel spreadsheets, MS word, Teams, and Outlook. Excellent reading, writing, & verbal communication skills. Acute memory with exceptional analytical skill. Strong interpersonal skills and a collaborative mindset are essential. Ability to manage repetitive tasks and remain seated at a computer for extended periods is required. Passionate about creating meaningful impact behind the scenes for patients and their families. Benefits: Health, Dental, and Vision Insurance after 1 full month of employment. 401(k) with company matching program. PTO, holidays, and your birthday off. Company holidays, floating holiday. Vacation (PTO) and Sick Days. Company-paid STD and LTD. Tuition reimbursement program. $100 monthly cell phone reimbursement. Monthly in-office lunch for birthdays, anniversaries, and events. $20.21 - $22 an hour To provide the exceptional care our patients deserve, we rely on a team of passionate, dedicated professionals. We’re committed to creating a supportive, collaborative culture, offering competitive benefits and compensation, and giving our team members the tools and opportunities to grow and advance their careers. If you’re ready to be part of an organization that truly makes a difference in people’s lives, we encourage you to apply today and start a fulfilling journey with Giving Home! Giving Home is dedicated to fostering an inclusive and equitable work environment. We adhere to all applicable federal, state, and local pay transparency laws to ensure fair compensation practices. Giving Home is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected characteristic under applicable law. Our employment practices are designed to provide equal opportunity at all stages of employment, including hiring, promotion, training, compensation, and termination. Giving Home is committed to maintaining transparent compensation practices and regularly reviews our policies to ensure compliance with evolving laws and best practices. We value the contributions of our employees and strive to provide a work environment where everyone feels respected, valued, and fairly compensated.

Posted 6 days ago

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US Foot and Ankle Specialists CareersAlton, Illinois
Billing Coordinator Position Summary: We are seeking a detail-oriented and customer-focused Internal Biller to join our team. This position is responsible for managing billing queues, responding to patient and provider inquiries related to billing, and supporting the overall revenue cycle process. Billing Coordinator Essential Functions/Responsibilities (other duties may be assigned): Process and manage daily billing queues in the billing system Answer and respond to incoming billing-related phone calls from patients, providers, and internal stakeholders Research and resolve billing issues or discrepancies in a timely manner Assist with patient account reviews and follow-up on outstanding balances Work collaboratively with the revenue cycle and billing teams to support smooth operations Maintain accurate records of billing activities and communications Escalate complex billing issues to appropriate team members or leadership Provide excellent customer service in all interactions Perform other related duties as assigned Billing Coordinator Required Skills and Experience: High school diploma or equivalent required; Associate degree or higher preferred 1-2 years of billing, revenue cycle, or medical office experience preferred Strong attention to detail and organizational skills Excellent verbal and written communication skills Ability to manage multiple tasks and meet deadlines Proficiency with billing software and Microsoft Office Suite (Word, Excel, Outlook) Customer-service mindset and ability to work well in a team environment Billing Coordinator Physical Requirements: The physical demands described here represent those required to perform essential job functions. Reasonable accommodation may be made for individuals with disabilities. While performing this role, the employee must regularly: Sit, talk, hear, and use hands to write, type, or operate office equipment Occasionally reach with hands and arms; climb, balance, stoop, kneel, crouch, crawl, and smell Perform repetitive motions, including reaching overhead and typing Lift up to 50 pounds occasionally and carry objects weighing up to 25 pounds Maintain peripheral vision, depth perception, and focus adjustments Billing Coordinator Benefits Offered: Health Insurance (Single & Family plans available) Life Insurance Disability Insurance 401(k) Plan with Company Match Employee Discount Program Paid Time Off (PTO) Paid Holidays #USFAS

Posted 4 days ago

Associate Order Management & Billing Specialist-logo
ClarivateAnn Arbor, Michigan
Join Clarivate's dynamic global Finance team as a Document Preparation and Retention Specialist ! In this role, you will be responsible for organizing, preparing, and maintaining documents for efficient storage and retrieval. Ready to make an impact? Join us and be part of a team that values excellence and innovation! About You – experience, education, skills, and accomplishments... Bachelors’ degree and/or equivalent work experience It would great if you also had... 1+ years(s) of experience working in an Order Management function in a large, corporate setting, or similar experience What will you be doing in this role?... Document Preparation – Sorting, formatting, and ensuring documents are ready for scanning or digital storage. Retention Management – Implementing policies for document storage, archiving, and disposal in compliance with regulations. Quality Control – Reviewing documents for accuracy and completeness before processing. Confidentiality Handling – Managing sensitive information with security protocols. Collaboration – Working with departments to ensure proper document lifecycle management. About the Team Our Order Management Department is a diverse and dynamic team with members based across the globe. From the United States, mainly on the East Coast, to France, India, Japan, and Malaysia, we bring a wealth of knowledge and experience to the table. Under the guidance of our Global OMB Sr. Director, we work collaboratively as a tight-knit group, despite being spread across multiple time zones and regions. Our team is committed to achieving global process alignment and driving continuous improvement. By working together and leveraging our unique strengths, we strive to deliver exceptional results for our customers and stakeholders. Hours of Work This is a full-time, onsite, fixed term position working out of our Ann Arbor or Ypsilanti office locations Ability to be flexible with working hours across regions and time zones worldwide At Clarivate, we are committed to providing equal employment opportunities for all qualified persons with respect to hiring, compensation, promotion, training, and other terms, conditions, and privileges of employment. We comply with applicable laws and regulations governing non-discrimination in all locations.

Posted 3 weeks ago

Billing Analyst-logo
HksDallas, Texas
Overview: Supports project teams using a wide range of developing professional skills. Assists in accurate entry and maintenance of project information into the accounting system by reading and interpreting contracts and creating and submitting client invoices monthly. Strong written and interpersonal communication with all levels in the organization as well as external clients. Eager to learn, highly organized, and willing to contribute creatively to the team. Responsibilities: Supports billing for multiple Project Managers, ensuring fees are properly entered in the system and invoices are issued monthly in a timely manner, in accordance with contract terms Requests contracts, labor plans, fee breakouts, authorizations to proceed, etc. as needed to ensure compliance with client agreements and firm policies Enters project information into the accounting system based on contracts and Project Manager/Client preferences and requirements Assists in maintaining, tracking, and updating project-related records, including change orders and additional services in collaboration with project team throughout project lifecycle Collaborates with clients, Project Managers, and Project Accountants to understand project requirements, coordinating with consultants, and developing strong working relationships with all parties of the project team to gain trust and understanding of expectations Reviews consultant invoices for accuracy and process in conjunction with monthly billing, ensuring that revenue offsets costs within each accounting period, rejecting and requesting revised invoices as needed, and ensuring all required documentation is in place Reviews WIP prior to billing to ensure labor and expenses are posted correctly, transferring between phases or accounts as needed Creates and submits client invoices in accordance with company procedures and established billing processes, compiling all required documentation such as client-specific invoice templates, special reporting, lien waivers, etc. Performs reconciliations of accounts receivable and billing records to ensure accuracy and completeness, processing adjustments and corrections to invoices as needed in adherence to team policies Supports in ensuring all billing practices comply with relevant accounting standards, contractual obligations, and legal requirements, maintaining accurate and comprehensive records of all billing transactions for audit purposes Assists in monitoring working capital to ensure prompt billing of services and payment from client Assists clients regarding billing inquiries, disputes, and adjustments Performs monthly collections process and resolve issues promptly and professionally Closes out projects in system upon completion, writing off WIP and removing backlog when needed, following up with Project Managers to ensure projects are closed out timely Assists in identifying opportunities for process and system improvements and recommend changes to enhance billing efficiency and accuracy Works closely with other departments, including finance, project management, and legal teams, to ensure seamless billing operations, following established billing procedures and enforcing policies Qualifications: Bachelor’s degree in Accounting, Finance or an equivalent combination of education and experience Typically with 2+ years of experience Experience in MS Office Suite, including Excel, Outlook and Word Experience in Deltek Vision or Vantagepoint preferred Basic understanding of accounting principles and billing practices, particularly in a project-based environment Strong interpersonal skills and the ability to interact with all levels of staff Strong work ethic and eagerness to produce high quality, accurate results Ability to hold sensitive information with a high level of confidentiality and integrity Ability to communicate and present ideas in a clear, concise and professional manner both verbally and in writing Ability to problem solve and apply innovative solutions Ability to work and collaborate in a team environment Ability to effectively meet deadlines at expected quality If you currently work for HKS, please submit your application via the Internal Careers Portal . HKS is an EEO/AA Employer: M/F/Disabled/Veteran

Posted 1 week ago

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TabsNew York, New York
About the Company Tabs is an AI-powered revenue intelligence platform for B2B businesses. Using the power of AI, Tabs is able to understand and extract elements from even the most complex B2B contracts and then power automated billing, revenue recognition and reporting workflows. Our customers use Tabs to eliminate manual work, collect cash faster, streamline operations, and increase business model flexibility. Tabs is a Series A hyper growth company based in New York that has raised $35m to date from top-tier VCs like Lightspeed and Primary Ventures . About the Role Tabs is seeking a software engineer to help revolutionize our billing infrastructure across both flat-rate and usage-based pricing models. You'll take high ownership in implementing usage tracking, billing APIs, and scalable microservices that power critical invoicing workflows for our customers. As an AI-native company, you'll also collaborate closely with our AI systems to ensure billing is tightly integrated with usage, automation, and customer intelligence. How We Work We work hard . One-week sprints, weekly ship goals, and short feedback cycles. Built around intra-month product releases. We work smart . Get in front of the customer, use both data and customer feedback to drive decisions, while keeping the bigger picture in the back of our minds. We work together . In-office culture with people that you want to work with. Lots of whiteboard space. Expense coffee, lunch and dinner when in the office. What You’ll Do Manage the entire lifecycle of an invoice between creation and payment Scale up our current usage-based pricing infrastructure to handle thousands of events per second Maintain and expand our collections based capabilities Build new 0-1 initiatives that will land straight in the hands of end users within weeks of project start Work closely with product and operations to deliver a seamless billing experience to our customers About You 3+ years of professional engineering experience Have experience with Typescript, Python, or a similar web development language Have a strong desire for ownership, capable of self defining the vision of projects. A strong foundation in computer science and coding Extra-credit Have worked at a startup or similarly fast-paced company Experience working with Langchain, PydanticAI or other agentic frameworks Any sort of accounting background Perks and Benefits: Competitive compensation and equity 100% coverage for healthcare (Medical, Dental and Vision) 401(k) plan Daily meal and coffee stipend for in-office days Tax free contribution to commuter benefits

Posted 30+ days ago

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Romph & Pou AgencyShreveport, Louisiana
The Billing Specialist job duties include, but are not limited to: Operate computers programmed with accounting software to record, store, and analyze information. Check figures, postings, and documents for correct entry, mathematical accuracy, and proper codes. Classify, record, and summarize numerical and financial data to compile and keep financial records. Debit, credit, and total accounts on computer spreadsheets and databases, using specialized accounting software. Comply with federal, state, and company policies, procedures, and regulations. Code documents according to company procedures. Reconcile or note and report discrepancies found in records. Access computerized financial information to answer general questions as well as those related to specific accounts. Match order forms with invoices and record the necessary information. Perform general office duties, such as filing, answering telephones, and handling routine correspondence. Perform personal bookkeeping services. Calculate, prepare, and issue bills, invoices, account statements, and other financial statements according to established procedures. Calculate and prepare checks for utilities, taxes, and other payments. Reconcile records of bank transactions. Transfer details from separate journals to general ledgers or data processing sheets. Prepare purchase orders and expense reports. Perform financial calculations, such as amounts due, interest charges, balances, discounts, equity, and principal. Any other requested accounting tasks or jobs Requirements: Bachelor’s Degree Strongly Preferred Billing Experience Strongly Preferred Excellent math skills Proficiency with Excel Strong analytical and problem-solving abilities Attention to detail Organizational skills

Posted 30+ days ago

Medical Billing Specialists-logo
Eastern Virginia Ear, Nose & Throat SpecialistsChesapeake, Virginia
Benefits: 401(k) Dental insurance Paid time off Vision insurance Health insurance Eastern Virginia Ear, Nose & Throat Specialists is looking for a motivated Medical Billing specialists who is knowledgeable in charge entry and coding for our busy ENT practice. This is an in person, Monday - Friday 8am- 5pm position at our Chesapeake office. Two Years Minimum billing/coding required. Job Responsibilities to include: Scrub and audit charges coming over from providers for billing, post any missing charged that may be necessary Ensuring codes are assigned correctly and sequenced appropriately as per government and insurance regulations. Complying with medical coding guidelines and policies. Receiving and reviewing patients charts and documents for verification and accuracy. Collaborate with healthcare providers and other staff members to ensure accurate documentation and coding. Stay updated on changes in medical coding guidelines and regulations. Assists in resolving discrepancies in charges Providing customer service related to charge inquiries Working Denials and appeals with all insurance companies Providing customer service to patients with bill inquiries Certified in Medical Coding a plus, Strong knowledge of ICD-10 / HCPS/ CPT codes. Ability to work independently and prioritize task effectively. Experience with Pre-certification and benefit verifications for surgical procedures. Experience working follow- up and denied claims. ENT/Allergy a PLUS

Posted 1 week ago

Medical Billing Specialist - Hybrid Schedule-logo
Stellar Senior LivingMidvale, Utah
Medical Billing Specialist - Stellar Senior Living *Hybrid schedule, 3 days from home, 2 in office* We seek an outstanding Medical Billing Specialist to join our corporate office team in Midvale, UT. Join a team of dedicated, competent, and caring professionals as they work together to care for our seniors and provide them with the lifestyle they deserve. What we offer $55,000 - $65,000 DOE Quarterly profit-sharing bonus Benefits include medical, dental, vision, unlimited PTO, holidays, 401k, and more!!! A growing company with opportunities for advancement Company-sponsored training, tuition reimbursement, and other learning opportunities Job Description The Medical Billing Specialist is responsible for various tasks requiring data analysis, in-depth evaluation, and sound judgment. As a Medical Billing Specialist, your daily duties will include maintaining billing software, appealing denied claims, and recording late payments. Responsibilities Process claims to ensure proper billing information and to resolve any discrepancies. Review, prepare, and submit claims for electronic billing. Timely and accurate billing and follow-up on Medicaid, Medicare, and Primary/Secondary Insurance Payers claims. Follow up on all claims through final resolution within a timely manner. I will call insurance companies regarding any discrepancies or rejection of payments if necessary. Keep current with Medicare and Medicaid regulations and procedures. Responsible for all claims collection follow-up by contacting insurance companies, resubmitting claims, and working on aging reports. Review account aging regularly and report inconsistencies; correct errors as appropriate. Identify billing errors for correction and resubmit via provider review form (appeal) or new submission. Answer facility and insurance company inquiries on time. Submit all UB04 billing. Qualifications At least 2 years’ experience as a medical biller or in a similar role. Solid understanding of billing software and electronic medical records. Must have the ability to multitask and manage time effectively. Excellent written and verbal communication skills. Outstanding problem-solving and organizational abilities. Who we are "Our supreme goal is to do and be the best in all we undertake and to provide a Stellar life for our residents, their families, and our employees." - Evrett Benton, CEO If you are looking for a company and team that understands the value of people, then look no further! Stellar Senior Living is the premier assisted living and memory care provider in the Western United States. Founded in 2012, we have experienced consistent growth, adding senior living communities to our family each year. We continue to grow and seek top talent to join our team and continue the journey with us.

Posted 1 week ago

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BrightliSt Louis, Missouri
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 30+ days ago

Xacimate Billing Specialist-logo
ServproMedford, New York
Benefits: Signing bonus Role Overview We are looking for an experienced Mitigation Billing Specialist with advanced Xactimate skills and a strong understanding of profit and loss management throughout the entire project lifecycle. This role supports our fire, water, mold, and structural mitigation services by ensuring that all estimates are accurate, fully documented, and aligned with project financial goals. You’ll manage the billing process, audit job files for completeness, and collaborate with project teams to ensure each phase—from initial scope to final invoice—supports job profitability and compliance. Accuracy, accountability, and clarity in documentation are essential. Key Responsibilities Write, revise, and manage Xactimate estimates for mitigation and structural restoration projects, ensuring they align with scope, carrier guidelines, and internal financial goals Perform field inspections and develop detailed scopes with supporting documentation (when necessary) Audit project files for accuracy and completeness, including photos, notes, change orders, and cost documentation Submit and follow up on supplements with insurance carriers and TPAs Work directly with project managers and leadership to track budgets, job costs, and profitability throughout the project lifecycle Maintain consistent documentation and support audit readiness across all platforms and systems Assist in resolving billing discrepancies and ensuring timely payment collection Support clear communication between internal teams, insurance carriers, and clients Qualifications 5+ years of experience in restoration estimating and Xactimate billing ( Proven experience managing job costing, estimating, and documentation for insurance-funded restoration work Familiarity with residential and commercial construction practices, mitigation scopes, and supplement workflows Ability to read and interpret scopes of work, blueprints, and field reports Strong working knowledge of Microsoft Office Detail-oriented with strong organizational and analytical skills Benefits Offered: Medical Insurance – Comprehensive healthcare coverage for employees Dental Insurance – Preventive and restorative dental care 401(k) Retirement Plan – With company contribution to help you plan for the future Paid Vacation & Personal Time Paid Holidays – Enjoy time off for major U.S. holidays Paid Training & Certifications – We invest in your professional development Additional Requirements Field-based estimating role; job site inspections are required (not mandatory but when necessary) Must pass a background check and drug screening Compensation: Pay Range: $60K-$80K per year based on qualifications and relevant experience Compensation: $60,000.00 - $80,000.00 per year Picture yourself here fulfilling your potential. At SERVPRO ® , you can make a positive difference in people’s lives each and every day! We’re seeking self-motivated, proactive, responsible, and service-oriented teammates to join us in our mission of helping customers in their greatest moments of need by repairing and restoring homes and businesses with an industry-leading level of service. With nearly 2,000 franchises all over the country, finding exciting and rewarding SERVPRO ® career opportunities near you is easy! We look forward to hearing from you. All employees of a SERVPRO® Franchise are hired by, employed by, and under the sole supervision and control of an independently owned and operated SERVPRO® Franchise. SERVPRO® Franchise employees are not employed by, jointly employed by, agents of, or under the supervision or control of Servpro Franchisor, LLC, in any manner whatsoever.

Posted 1 week ago

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US Offices & UnitColumbia, District of Columbia
Morgan, Lewis & Bockius LLP, one of the world’s leading global law firms with offices in strategic hubs of commerce, law, and government across North America, Asia, Europe, and the Middle East, is seeking to hire a Billing Specialist. The Billing Specialist will be responsible for ensuring the accurate and timely preparation of client bills for assigned clients and matters, and to support the partners with managing their client inventories. Reporting to the Director of Firmwide Billing, the Billing Specialist will support the firm Partners by managing all aspects of billing for assigned clients and matters, with supervision. This position will reside in the Washington DC office and offers a hybrid in-office/remote working schedule. Key responsibilities include: Supports the Partners by completing all aspects of billing for assigned clients and matters, with supervision. Reviews matter set up to ensure compliance with rate agreements and outside counsel guidelines. Identifies any required reporting for budgets, alternate fee arrangements and accrual requests, and seeks assistance from supervisor to ensure completion. Reviews time and cost entries based on client and matter requirements (block billing, task codes, summer associate time etc.); edits entries, including transfers, combining and dividing. Submits timekeepers and new matter requests to eBilling vendors; ensures successful submission of all invoices in appropriate eBilling vendors’ systems. Contacts new clients to review billing and payment procedures and coordinates handling of any special requests, with support from the billing supervisor. Experience and qualifications: Bachelor’s Degree, from four-year college or university and some accounting or financial background. Proficient in Outlook, Word, Excel and PDF software. Excellent written and verbal communication skills with mathematical aptitude. Detail Oriented, highly organized and possesses excellent customer service skills. Ability to work independently or on a team. Qualified candidates must apply online by visiting our website at www.morganlewis.com and selecting “Careers.” #LI-Hybrid #LI-HB1 For position in Washington, DC the salary range for this job posting is: $62,000 - $ 86,800 . The base salary or hourly wage range for this position will be determined during the interview process and will vary based on multiple factors, including but not limited to prior experience, relevant expertise, current business needs, and market factors. The final salary or hourly wages offered may be outside of this range based on other reasons and individual circumstances. Additionally, salary or hourly wages may be only part of the total compensation package. The total compensation package for this position may also include a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered. Details of participation in these benefit plans will be provided if an employee receives an offer of employment. If hired, the employee will be in an "at-will position" and the firm reserves the right to modify base salary (as well as any other discretionary payment or compensation or benefit program) at any time, including for reasons related to individual performance, firm or individual department/team performance, and market factors. Morgan, Lewis & Bockius LLP is committed to equal employment opportunity and providing reasonable accommodations to applicants with physical and/or mental disabilities. We value inclusion and solicit applications from all qualified applicants without regard to race, color, gender, sex, age, religion, creed, national origin, ancestry, citizenship, marital status, sexual orientation, physical or mental disability, medical condition, veteran status, gender identity, genetic information, or any other characteristic protected by federal, state, or local law. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment qualified applicants with arrest and conviction records. California Applicants : Pursuant to the California Consumer Privacy Act, the following link contains the Firm's California Consumer Privacy Act Privacy Notice for Candidates which explains the categories of personal information that we collect and the purposes for which we use such personal information. CCPA Privacy Notice for Candidates Morgan, Lewis & Bockius, LLP reasonably accommodates applicants and employees who need them to perform the essential functions of the job because of disability, religious belief, or other reason protected by applicable law. If you believe you need a reasonable accommodation during the application process, please contact Talent Acquisition at 888.534.5003 or talent.acquisition@morganlewis.com If hired, y our employment relationship with the firm will be on an "at-will" basis, meaning that the firm may modify the terms and conditions of your employment at any time, and that either you or the firm will be free to end the relationship at any time with or without cause and with or without advance notice, although reasonable notice would be expected.

Posted 1 week ago

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American Family Care Ladera RanchLadera Ranch, California
Benefits/Perks Great small business work environment Flexible scheduling Paid vacation, health insurance, dental insurance, retirement benefit, and more! Company Overview American Family Care (AFC) is one of the largest primary and urgent care companies in the U.S. providing services seven days a week on a walk-in basis. Our state-of-the-art centers focus on the episodic treatment of acute illnesses and injuries, workers' compensation, and occupational medicine. Each location is equipped with an onsite lab and in-house x-ray capability. AFC is the parent company of AFC Franchising, LLC (AFCF). This position works directly with a franchised business location. The specific job duties and benefits can vary between franchises. Candidates Must Have: At least 2 years of experience in medical practice billing with exposure to working with denials, appeals, insurance collections, and related follow-up Working knowledge of Local and National Coverage Determinations and payor policies, and how to use them Must have ICD-10 and CPT coding assessment skills, CPC certification is preferred Strong proficiency in MS Office applications (Word, Excel, PowerPoint), and computerized billing systems is required. A patient-first, mission-oriented mindset Duties: Organize and prioritize all incoming claims and denials. Evaluate medical claims and coverage policy documentation to determine validity for an appeal. Responsible for ensuring and monitoring the effectuation of all decisions as a result of the follow-up of unpaid/denied claims with insurance carriers. Responsible for adhering to health care billing procedures, documentation, regulations, payment cycles, and standards. Work accounts to resolution. Collection from patients and insurances. Works collaboratively and effectively with all other departments and functions to maximize operational efficiency and service and ensure consistency in addressing appeals issues. Work independently to identify and resolve complex client problems. Work with leadership to develop appropriate policies and procedures. Maintain current knowledge of healthcare billing laws, rules and regulations, and developments. Comply with all applicable HIPAA policies and procedures and maintain confidentiality. Compensation: $18.00 - $23.00 per hour PS: It’s All About You! American Family Care has pioneered the concept of convenient, patient-centric healthcare. Today, with more than 250 clinics and 800 in-network physicians caring for over 6 million patients a year, AFC is the nation's leading provider of urgent care, accessible primary care, and occupational medicine. Ranked by Inc. magazine as one of the fastest-growing companies in the U.S., AFC's stated mission is to provide the best healthcare possible, in a kind and caring environment, while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient. If you are looking for an opportunity where you can make a difference in the lives of others, join us on our mission. We invite you to grow with us and experience for yourself the satisfying and fulfilling work that the healthcare industry provides. Please note that a position may be for a company-owned or franchise location. Each franchise-owned and operated location recruits, hires, trains, and manages their own employees, sets their own employment policies and procedures, and provides compensation and benefits determined by that franchise owner. Company-owned locations provide a comprehensive benefits package including medical, dental, vision, disability, life insurance, matching 401(k), and more. We are an Equal Opportunity Employer.

Posted 5 days ago

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Guardian Pharmacy Services ManagementSpringfield, Missouri
Springfield, Missouri, United States of America Extraordinary Care. Extraordinary Careers. With one of the nation’s largest, most innovative long-term care pharmacy services providers, there is no limit to the growth of your career. Guardian of the Heartland , a member of the Guardian family of pharmacies, has an exciting opportunity for you to join our rapidly growing team in Springfield , Missouri . Why Guardian of the Heartland? We’re reimagining medication management and transforming care. Who We Are and What We’re About: Our core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered. We offer an opportunity to learn and grow your career in a fast-paced, diverse, and inclusive environment. If you are looking for a challenging, team-oriented environment in which you can put your expertise to work, then this is the place for you. SCHEDULE: MONDAY-FRIDAY 830A-5P Responsible for processing customer bills and insurance claims in an accurate and timely manner. This includes assisting with all daily and month-end billing functions, procedures and reporting. Provides excellent customer service to patients, caregivers, medical providers and insurance carriers. ATTRIBUTES REQUIRED: Work Ethic/Integrity – must possess intrinsic drive to excel coupled with values in line with company philosophy Relational – ability to build relationships with business unit management and become “trusted advisor.” Strategy and Planning – ability to think ahead, plan and manage time efficiently. Problem Solving – ability to analyze causes and solve problems at functional level. Team Oriented – ability to work effectively and collaboratively with all team members. ESSENTIAL JOB FUNCTIONS (include the following): Research and establish patient eligibility coverage with insurance providers including private individuals and/or government entities. Reverify benefit coverage criteria as needed for claims follow up. Accurately enters and/or updates patient/insurance information into billing system. Maintain and continually audit patient files and corresponding documentation necessary to defend third party audits and ensure payer and company compliance. Accurately enter patient information into the pharmacy system. Provide assistance and timely response to all billing customer inquiries via phone or electronic communications. Research and resolve patient billing issues regarding insurance eligibility, coverage, and related benefits. Provide guidance and support to resident or responsible party by running Medicare plan comparisons during open enrollment and special enrollment periods. Proactively review patient profiles, drug regimens and insurance coverage to evaluate options to save resident money. Responsible for completion of daily census, admit, discharge, and room changes for the facilities assigned. Process patient payments, returns, and credits. Transmit individual credit card payments as needed. May pursue payment from delinquent accounts and make payment arrangements. Research, identify and organize requested audit documentation in timely manner. Perform prescription claims adjudication including communication with insurance companies regarding rejected claims, eligibility, prior authorizations or other issues as needed. Make corrections as needed and rebill claims as necessary. Develop knowledge and understanding in pharmacy facility billing requirements (Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances) Develop proficiency in the utilization of pharmacy information systems to meet operational needs and regulatory requirements. This includes using pharmacy systems to process prior authorizations, resolve rejections, produce various reports as necessary, and complete billing functions. Rotate through other departments to gain working/functional knowledge of other department workflows. Follow all applicable government regulations including HIPAA. Work as a collaborative team member to meet the service goals of the pharmacy. Other essential functions and duties may be assigned as needed. EDUCATION AND/OR CERTIFICATIONS: High School Diploma or GED required. Pharmacy Technician license/certification/registration per state requirements; National Certification preferred (PTCB) may be required (pharmacy specific). SKILLS AND QUALIFICATIONS: 1+ years of related experience Advanced computer skills; pharmacy information system experience preferred. Ability to work independently and deliver to deadlines. Great attention to detail and accuracy Ability to excel in a fast-paced, team-oriented environment working on multiple tasks simultaneously, while adhering to strict deadlines Quality minded; motivated to seek out errors and inquire about inaccuracies. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the job. The noise level in the work environment is usually low to moderate. Due to the collaborative nature of the business and the need to service customers, the employee must be able to interact effectively with others in an office environment, manage conflict, and handle stressful situations and deadlines. Requires desk work in office environment. Ability to work flexible hours. What We Offer: Guardian provides employees with a comprehensive Total Rewards package, supporting our core value of, “Treat others as you would like to be treated.” Compensation & Financial Competitive pay 401(k) with company match Family, Health & Insurance Benefits (Full-Time employees working 30+ hours/week only) Medical, Dental and Vision Health Savings Accounts and Flexible Spending Accounts Company-paid Basic Life and Accidental Death & Dismemberment Company-paid Long-Term Disability and optional Short-Term Disability Voluntary Employee and Dependent Life, Accident and Critical Illness Dependent Care Flexible Spending Accounts Wellbeing Employee Assistance Program (EAP) Guardian Angels (Employee assistance fund) Time Off Paid holidays and sick days Generous vacation benefits based on years of service The Guardian Difference Our clients require pharmacy services that aren’t “cookie cutter.” That’s why every Guardian pharmacy is locally operated and empowered with the autonomy to tailor their business to meet their clients’ needs. Our corporate support offices, based in Atlanta, Ga., provide services such as human resources, business intelligence, legal, and marketing to promote the success of each Guardian location. Regardless of your role at Guardian, your voice and talents matter. Because healthcare is an ever-changing industry, we encourage innovative thinking, intellectual curiosity, and diverse viewpoints to ensure we stay competitive in today’s dynamic business environment. At Guardian, we are dedicated to fostering and advancing a diverse and inclusive workforce. Join us to discover what your best work truly looks like.

Posted 1 week ago

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Billing Specialist

Personalis, IncFremont, CA

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Job Description

At Personalis, we are transforming the active management of cancer through breakthrough personalized testing. We aim to drive a new paradigm for cancer management, guiding care from biopsy through the life of the patient. Our highly sensitive assays combine tumor-and-normal profiling with proprietary algorithms to deliver advanced insights even as cancer evolves over time. Our products are designed to detect minimal residual disease (MRD) and recurrence at the earliest timepoints, enable selection of targeted therapies based on ultra-comprehensive genomic profiling, and enhance biomarker strategy for drug development. Personalis is based in Fremont, California.

Summary:

The Billing Specialist will be a critical component to Personalis' 2025 business goals. This role will increase billing and collection efforts and ensure expediency in the processing of Next Personal DX payments. Through the management and maintenance of the payer database and accuracy of posting receipts, the Billing Specialist ensures the accuracy of the order intake process, submission of clean claims and the application and reconciliation of receipts. The role also serves to build and reinforce existing relationships with payers, clients and patients.

Who You Are
You have extensive knowledge about the medical billing and the revenue cycle management process. You have a firm grasp on client and third-party billing, payer structures, claims processing and reimbursement requirements. You are known for your strong attention to detail and ability to reconcile daily payment transactions within the backdrop of CPT usage and ICD-10 coding.

Additionally, you enjoy investigating and using your analytical skills to effectively problem solve. Your passion to troubleshoot issues and discrepancies is demonstrated through a proven track record of resolving claim rejections, denials and working with insurance carriers, clearinghouses and payers to obtain information and potential reimbursement. You leverage your MS Excel skills by using formulas and pivot tables to summarize payer enrollment and payment data. You are also able to navigate across various computer applications and payer portals. You are known for excellent customer service and can communicate effectively to customers in both written and verbal formats. Contributing to a team environment is something you enjoy; including learning from others, vocalizing potential customer or systems issues during team meetings, and communicating ideas for continual business improvement.

Hybrid Onsite: Monday and Tuesday

Responsibilities:

  • Collect and review patient information needed to complete the billing process
  • Request any missing patient information
  • Transfer insurance claims and billing data to billing software
  • Verify patient benefits and insurance
  • Maintain an up-to-date list of current insurance providers 
  • Develop and maintain a tracking system of incoming and late payments
  • Initiate late payment notices to relevant parties
  • Respond to questions and complaints from patients or insurance companies
  • Follow-up on registration errors and insurance denials
  • Demonstrate a balance of persistent follow-up and decorum on late or unpaid claims 
  • Identify trends of claims not paid by insurance providers and/or patients and solve issues
  • Arrange payment plans and timelines for payments
  • File and maintain organized documentation of all billing and record
  • Follow SOPs on billing processes and procedures
  • Update and review all accounts to keep records of payments up-to-date
  • Work with Client Experience, Finance, Sales, and Lab Operations to ensure revenue integrity
  • Engage with payer and request prior authorization for tests
  • Post receipts and payments on Xifin
  • Support activities related to integrating the billing system with LIMs and other IT systems.

Qualifications:

  • High school diploma or equivalent GED. BS/BA preferred.
  • A minimum of 0-3 years of experience with billing software, medical insurance regulations, and responding to insurance and patient inquiries
  • Exceptional phone etiquette to communicate with patients and physicians
  • Able to multitask, prioritize, and manage time efficiently
  • Self-motivated and self-directed; able to work without supervision
  • Proficient computer skills, Microsoft Office Suite (Word, PowerPoint, Outlook, and Excel); working knowledge of billing software (XIFIN) is a plus
  • Able to analyze problems and strategize for better solutions

 

The hiring range for this position is $31.50 to $39 per hour, which may factor in various geographic regions. The base pay actually offered will take into account internal equity and also may vary depending on the candidate’s geographic region, job-related knowledge, skills, and experience among other factors. Our full-time regular positions also include an annual performance-based bonus (or a sales incentive plan) and long-term incentive units (equity) provided as part of our compensation package, in addition to a full range of medical, financial, and/or other benefits, dependent on the level and position offered.

 

Personalis is an equal opportunity employer and is committed to the full inclusion of all individuals. As part of this commitment, Personalis will ensure that persons with disabilities are provided with reasonable accommodations. If you need an accommodation to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please let your recruiter know, if/when they contacts you.

 

Personalis is an Equal Opportunity Employer/Minorities/Females/Veterans/Disabilities. Personalis offers a competitive compensation package and benefits including medical, dental, vision, 401(k) match, ESPP, tuition reimbursement, sick/vacation time, commuter benefits/ EV charging stations, onsite gym, and wellness benefits. (For US only, benefits in other countries may vary.) 

 

#LI-Hybrid #LI-KK1

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

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