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C logo
Caresense Home HealthBrick, New Jersey
At CareSense we are only as good as our caregivers.Our extraordinary caregivers provide quality Home Health assistance, bringing much relief and quality of life for our patients and their families.A BILLING - FISCAL BOOKKEEPING SPECIALIST is needed to assist in our Lakewood NJ Branch. RESPONSIBILITIES INCLUDE: Billing: · Prepares claim reports and ensures all claim data is accurate and correct · Submits claims to the appropriate payers and monitors status from submission until payment · Resolves and coordinates resolution of denied claims, by communicating with all parties involved · Resubmits corrected denied claims · Identifies and reconciles discrepancies in reimbursements · Reports issues regarding claims to appropriate individuals Fiscal: · Reviews client/staff files to ensure all information required for authorizations is present · Enters services authorizations into proprietary software ensuring correct coding and amounts · Updates authorizations as needed · Reviews care logs to ensure correct coding, unit and dollar calculations. · Reviews expense reimbursement requests · Reviews expense reports to ensure good practices are being followed · Implements cost control measures · Disburses funds for approved expenses Bookkeeping: · Enters data in Quickbooks including invoices, payments, adjustments in Quickbooks · Enters expenses, income, and reconciles bank and credit card statements · Runs reports to identify outstanding invoices and initiate collection Requirements: · Three to five years related experience and training; in-depth knowledge of billing/fiscal administration processes, procedures and best practices. · Familiarity with insurance reimbursement protocols. · Expert level proficiency in QuickBooks and Microsoft Office (Word and Excel); · Expert computer skills with the ability to utilize various advanced computer systems to support the various responsibilities · Excellent phone, interpersonal, verbal and written communication skills · Fast paced, very organized and detailed, with the ability to handle extensive amounts of paperwork/documentation · Self-directing and very independent with the ability to work with little direct supervision · Very comfortable with technology applications including personnel recruiting systems, staffing and scheduling systems, electronic medical records systems, · Reliable car, valid State driver's license and car insurance · Background check will be required · Must have authorization to work in the USA CareSense Home Health and Hospice provides superb services, including nursing, therapy, social services, and health aides.We are committed to quality care, sensitivity, and patient satisfaction. Our goal is to improve our patients' health andquality of life with professionalism and respect.To learn more about our company please visit our website at http://www.caresensehc.com

Posted 6 days ago

Molly Maid logo
Molly MaidRancho Mirage, California
As our Billing and House Cleaning Crew Coordinator, you are a key member of the team and represent Molly Maid on support calls. You are responsible for handling billing and processing requests and assisting in the management of the Home Service Professional (HSP's). Exemplifying our code of values, you show respect and courtesy to all customers and employees. You are self-motivated, energetic, and enjoy helping people. You are driven to provide the highest level of customer service and satisfaction and able to effectively manage a variety of situations on a day-to-day basis. Responsibilities: Billing Processing Deposit entry and set up for banking Take billing calls, processing payments database updates such as credit cards, addresses, e-mail and phone changes Track & Follow Up on balances owed. Call/Collect customers who fall behind on payments. Track and charge lockout fees, cancellation fees etc Bring to Managements attention any upcoming appointments who owe high balances Print out report & add updates on reasons and any 30 – 60 day outstanding reports status Customer database quality control of entries and coding for better management of schedules Receive incoming calls in professional and courteous manner Schedule estimates & cleans Perform marketing functions to sell additional work and earn business Perform administrative functions including data entry, payment processing, and supply inventory Perform other duties as needed which may include cross-training in related positions HSP coordination Assisting Quality Control and HSP Manager with the HSP crew Preparing route schedules the day before and morning paperwork and keys for the Teams Advising teams of any changes, making sure they understand notes, cleaning needs, directions Preparing and making sure supplies needed are provided to HSP’s along with QC Manager day prior and any last minute item changes or requests in the morning. Inventory Control and Management 3 rd or 4 th in line to answer phones when other line of order is not present or as necessary Help QC Manager with HSP’s communications, meetings, translation, requests, maintenance and forward any bonus tracking info for proper credit Sending Welcome Letters, Policy Letters to new Clients and updates of Calendars Assist QC Manager with inventory needs and control Move cars to advertising locations. In charge of and securing car and home keys in boxes Job Requirements: Minimum two years admin experience Strong written and verbal communication skills Detail-oriented with strong data entry skills Positive Attitude Team player who can work independently as well as within a team We are actively interviewing for this position - Apply today and our hiring manager will follow-up! Compensation: 12.00 Plus bonus scheme When you put on a Molly Maid® uniform, you become part of a family—a team of people committed to excellent customer service and passionate about giving families the joy of a cleaned home and the relief from needing to do it themselves. Working for our franchise owners means they’ll take care of you the way they take care of their own family and friends. Because Molly Maid is not just a company that focuses on expertly cleaning homes, it’s a company that focuses on people, and creating a work culture of respect, integrity, and fun is just as important as serving our customers. *All independently owned and operated franchised businesses operate under the service brands’ marks, trademarks, trade names, logos, emblems, slogans, or other indicia of origin in connection with the Molly Maid® franchise system within a specified geographical area. Only the independently owned and operated franchised business shall have any interaction with or authority for its business and make all employment related decisions related to its franchised business.

Posted 1 day ago

Georgina Home Care logo
Georgina Home CareBridgeport, Connecticut
Benefits: 401(k) Employee discounts Opportunity for advancement Paid time off Training & development Wellness resources Position Overview: We are seeking a detail-oriented and highly organized Billing Assistant to support our billing operations in a fast-paced Home Care Agency environment. The ideal candidate will have experience with Sandata , understand the unique billing requirements of home care services, and be comfortable working with electronic visit verification (EVV) systems, Medicaid, and other payer sources. Key Responsibilities: Review, prepare, and submit billing for home care services through various payer portals, including Medicaid and Managed Care Organizations (MCOs). Maintain and update client and caregiver records in Sandata , ensuring data accuracy and compliance with EVV requirements. Create and Edit Schedules in Sandata Reconcile EVV data with schedules and timesheets to ensure all visits are correctly verified and billable. Monitor rejections, denials, and re-bills, and follow up to ensure timely payment. Collaborate with the scheduling and HR teams to resolve discrepancies in billing, documentation, and visit verification. Assist with payroll processing by cross-checking billed hours against caregiver hours. Maintain compliance with all state and federal regulations related to home care billing and documentation. Generate and review billing reports to track revenue and outstanding claims. Support audits by preparing necessary documentation and responding to payer requests. Required Qualifications: 1–2 years of billing experience in a healthcare or home care setting. Proficiency with Sandata and a strong understanding of EVV processes. Knowledge of Medicaid, MCO billing, and payer-specific requirements. High attention to detail and strong organizational skills. Strong analytical and problem-solving abilities. Excellent communication skills, both written and verbal. Ability to work independently and collaboratively in a team environment. Proficiency in Microsoft Excel and billing software. Compensation: $19.00 - $23.00 per hour At Georgina Home Care we know what it takes to feel at-home. You need people who are always there for you—ones who know exactly how you like your coffee and always greet you with a smile. You need care that you can depend on. And you need the freedom to do what you love. Luckily all of that and more can be found with Georgina Home Care, our team has been in senior care for 3 generations. We want to make your life enjoyable and we have senior living activities for just about every interest. It’s all right here, just for you. Come and live your best life.

Posted 1 week ago

ZEISS logo
ZEISSMinneapolis, Minnesota
About Us: How many companies can say they’ve been in business for over 178 years?! Here at ZEISS, we certainly can! As the pioneers of science, ZEISS handles the everchanging environments in a fast-paced world, meeting it with cutting edge of technologies and continuous advancements. ZEISS believes that innovation and technology are the key to a sustainable future and solutions for global change. We have a diverse range of portfolios throughout the ZEISS family in segments like, Industrial Quality & Research, Medical Technology, Consumer Markets and Semiconductor Manufacturing Technology. We are a global company with over 42,000 employees and have over 4,000 in the US and Canada alone! Make a difference, come join the team! What’s the role? The Service Billing Coordinator is responsible for managing the end-to-end monthly billing cycle and responsible for accurate and timely creation of service contracts as well as maintenance and updates of data in all relevant systems. The position requires strong attention to detail, an intense focus on customer satisfaction, the ability to identify opportunities for process improvement and implement changes in a timely and organized manner. Sound Interesting? Here’s what you’ll do: Process all paperwork related to each scheduled service job as stated in working instructions. Creation of Service contracts and service orders for all contract related services. Process service partner invoices and paperwork as stated in working instructions. Assist in updating/maintenance of all invoicing working instructions. Handle incoming customer questions/complaints. Inform appropriate Service Manager(s) and/or direct Manager/Supervisor of any customer complaints/disputes. Advise regional Service Managers of any problems concerning technician paperwork quality and any parts issues encountered. Assists in maintaining all databases and systems. Advise direct Manager/Supervisor of any difficulties or discrepancies encountered with any current processes or systems. Participate in ongoing continuous improvement efforts, including process improvement events. Employee must work in compliance of all ZEISS policies and procedures, and applicable ISO standards. Support direct Manager/Supervisor as necessary, including reports, analysis and review of orders, projects or inventory as requested. Other duties as defined or requested. Do you qualify? Two years of post-secondary education in accounting or related field, or four years related experience preferred. Proficient with Microsoft Office (Excel, Word, Outlook). Data Entry with 10-key. Excellent oral and written communication skills, problem solving skills and attention to detail required. Be highly organized and have a history of multi-tasking and achieving results including an ability to balance multiple tasks within deadlines. SAP or related ERP and CRM operating systems experience preferred. The annual pay range for this position is $46,000 – $57,000. This position is also eligible for a performance bonus. The pay offered for this role may be influenced by factors such as job location, scope of role, qualifications, education, experience, & complexity/specialization/scarcity of talent. We have amazing benefits to support you as an employee at ZEISS! Medical Vision Dental 401k Matching Employee Assistance Programs Vacation and sick pay The list goes on! Your ZEISS Recruiting Team: Holly Greenwood-Mosher Zeiss provides Equal Employment Opportunity without unlawful regard to an Applicants race, color, religion, creed, sex, gender, marital status, age, national origin or ancestry, physical or mental disability, medical condition, military or veteran status, citizen status, sexual orientation, pregnancy (includes childbirth, breastfeeding or related medical condition), genetic predisposition, carrier status, gender expression or identity, including transgender identity, or any other class or characteristic protected by federal, state, or local law of the employee (or the people with whom the employee associates, including relatives and friends).

Posted 3 days ago

Afc Urgent Care logo
Afc Urgent CareHinsdale, Illinois
Company Overview: Modern Pain Consultants is a renowned Interventional Pain Practice committed to providing exceptional patient care and innovative pain management solutions. We are a well-established, higher volume Interventional Pain Practice seeking a seasoned, talented full-time biller with a can-do attitude and strong professionalism. You must be computer savvy for this position. We are EMR– based, using EMA; Experience with EMA is very beneficial, but not required. Looking for candidates who want a long-term, stable position with opportunity for advancement. Basic Job Responsibilities Daily claim billing and auditing for accuracy Posting insurance payments including electronic and paper Resolve claim edits/exclusions Understanding billing guidelines and payor requirements. Perform prior authorization functions as needed Follow-up on unpaid claims to ensure prompt payment based on aging Insurance appeal experience. Experience in balancing/closing Statements Collections Refunds Follow-up on patient and insurance accounts receivables Answer patient questions regarding balances/insurance issues Meet departmental productivity and quality standards. Other duties requested by Management Qualifications And Requirements A minimum of 1 years’ experience in medical billing Preferred candidates will have Interventional Pain billing and coding experience Competencies · Team oriented/collaborative · Must have strong follow through · Exceptional maturity and professionalism · Commitment to excellence and high standards. · Ability to manage priorities and workflow. · Excellent attention to detail · Good communication skills American Family Care is the leading provider of urgent care with more than 200 centers nationally and ranked by Inc. Magazine as one of the fastest-growing companies in the U.S. We offer a fast-paced, collaborative environment with health benefits and opportunities for advancement within a growing organization. We have locations in Willowbrook, IL and coming soon in Naperville, IL.

Posted 30+ days ago

Smithtown Toyota logo
Smithtown ToyotaSmithtown, New York
Smithtown Toyota & Smithtown Kia located on Jericho Turnpike in Smithtown is seeking to hire a Part Time Auto Biller. 20 hours per week evening shift until 6:30pm and occasional Saturday hours. This position has the potential to become full time in the future. Experience is preferred but we will train the right candidate. We are seeking to hire a candidate that has the following skills: Knowledge of DMV & Verifi Reliable,dependable and a team player Positive attitude with a high-energy personality Excellent organizational and follow-up skills Automate experience is preferred but not mandatory Responsibilities will include but are not limited to: Billing all new and preowned retail and lease deals Stocking in vehicles Process DMV work through the Partnering system. Process out of state transactions Other office duties as assigned by management We will provide you with a salary between $24-$26 per hour based on your level of experience For further information on this opportunity, please fill out the form below. and attach your resume. We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Posted 3 days ago

G logo
Guardian Pharmacy Services ManagementShelbyville, Tennessee
Shelbyville, Tennessee, 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. Middle Tennessee Pharmacy Services, a member of the Guardian family of pharmacies, has an exciting opportunity for you to join our rapidly growing team in Shelbyville, Tennessee . Why Middle Tennessee Pharmacy Services ? We’re reimagining medication management and transforming care. Who We Are and What We’re About: Our core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered. We offer an opportunity to learn and grow your career in a fast-paced, diverse, and inclusive environment. If you are looking for a challenging, team-oriented environment in which you can put your expertise to work, then this is the place for you. Responsible for processing customer bills and insurance claims in an accurate and timely manner. This includes assisting with all daily and month-end billing functions, procedures and reporting. Provides excellent customer service to patients, caregivers, medical providers and insurance carriers. ATTRIBUTES REQUIRED: Work Ethic/Integrity – must possess intrinsic drive to excel coupled with values in line with company philosophy Relational – ability to build relationships with business unit management and become “trusted advisor.” Strategy and Planning – ability to think ahead, plan and manage time efficiently. Problem Solving – ability to analyze causes and solve problems at functional level. Team Oriented – ability to work effectively and collaboratively with all team members. ESSENTIAL JOB FUNCTIONS (include the following): Research and establish patient eligibility coverage with insurance providers including private individuals and/or government entities. Reverify benefit coverage criteria as needed for claims follow up. Accurately enters and/or updates patient/insurance information into billing system. Maintain and continually audit patient files and corresponding documentation necessary to defend third party audits and ensure payer and company compliance. Accurately enter patient information into the pharmacy system. Provide assistance and timely response to all billing customer inquiries via phone or electronic communications. Research and resolve patient billing issues regarding insurance eligibility, coverage, and related benefits. Provide guidance and support to resident or responsible party by running Medicare plan comparisons during open enrollment and special enrollment periods. Proactively review patient profiles, drug regimens and insurance coverage to evaluate options to save resident money. Responsible for completion of daily census, admit, discharge, and room changes for the facilities assigned. Process patient payments, returns, and credits. Transmit individual credit card payments as needed. May pursue payment from delinquent accounts and make payment arrangements. Research, identify and organize requested audit documentation in timely manner. Perform prescription claims adjudication including communication with insurance companies regarding rejected claims, eligibility, prior authorizations or other issues as needed. Make corrections as needed and rebill claims as necessary. Develop knowledge and understanding in pharmacy facility billing requirements (Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances) Develop proficiency in the utilization of pharmacy information systems to meet operational needs and regulatory requirements. This includes using pharmacy systems to process prior authorizations, resolve rejections, produce various reports as necessary, and complete billing functions. Rotate through other departments to gain working/functional knowledge of other department workflows. Follow all applicable government regulations including HIPAA. Work as a collaborative team member to meet the service goals of the pharmacy. Other essential functions and duties may be assigned as needed. EDUCATION AND/OR CERTIFICATIONS: High School Diploma or GED required. Pharmacy Technician license/certification/registration per state requirements; National Certification preferred (PTCB) may be required (pharmacy specific). SKILLS AND QUALIFICATIONS: 1+ years of related experience Advanced computer skills; pharmacy information system experience preferred. Ability to work independently and deliver to deadlines. Great attention to detail and accuracy Ability to excel in a fast-paced, team-oriented environment working on multiple tasks simultaneously, while adhering to strict deadlines Quality minded; motivated to seek out errors and inquire about inaccuracies. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the job. The noise level in the work environment is usually low to moderate. Due to the collaborative nature of the business and the need to service customers, the employee must be able to interact effectively with others in an office environment, manage conflict, and handle stressful situations and deadlines. Requires desk work in office environment. Ability to work flexible hours. What We Offer: Guardian provides employees with a comprehensive Total Rewards package, supporting our core value of, “Treat others as you would like to be treated.”Compensation & Financial Competitive pay 401(k) with company match Family, Health & Insurance Benefits (Full-Time employees working 30+ hours/week only) Medical, Dental and Vision Health Savings Accounts and Flexible Spending Accounts Company-paid Basic Life and Accidental Death & Dismemberment Company-paid Long-Term Disability and optional Short-Term Disability Voluntary Employee and Dependent Life, Accident and Critical Illness Dependent Care Flexible Spending Accounts Wellbeing Employee Assistance Program (EAP) Guardian Angels (Employee assistance fund) Time Off Paid holidays and sick days Generous vacation benefits based on years of service The Guardian Difference Our clients require pharmacy services that aren’t “cookie cutter.” That’s why every Guardian pharmacy is locally operated and empowered with the autonomy to tailor their business to meet their clients’ needs. Our corporate support offices, based in Atlanta, Ga., provide services such as human resources, business intelligence, legal, and marketing to promote the success of each Guardian location. Regardless of your role at Guardian, your voice and talents matter. Because healthcare is an ever-changing industry, we encourage innovative thinking, intellectual curiosity, and diverse viewpoints to ensure we stay competitive in today’s dynamic business environment. At Guardian, we are dedicated to fostering and advancing a diverse and inclusive workforce. Join us to discover what your best work truly looks like.

Posted 1 week ago

OpenAI logo
OpenAISan Francisco, California
About the Team OpenAI Finance ensures the organization is positioned for long-term success as we pursue our mission. The Revenue team plays a critical role in enabling OpenAI to scale its commercial offerings – overseeing billing operations, deal desk, revenue systems, and revenue accounting. We work cross-functionally with Product, Engineering, and Go-To-Market teams to support new monetization strategies, improve operational efficiency, and maintain financial integrity. About the Role As the Director, Deal and Billing Operations, you will own the end-to-end quote-to-cash (QTC) process — from pre-sale strategy (Deal Desk) to post-sale execution (Billing Operations, Credits and Collections). You will design scalable processes, oversee pricing and discounting strategies, drive automation across QTC systems, and partner with cross-functional teams to ensure operational excellence. We’re looking for a strategic operator with deep expertise in deal structuring, billing operations, and enterprise-scale revenue systems, who thrives in a fast-paced and rapidly evolving environment. This role is based in San Francisco, CA. We use a hybrid work model of 3 days in the office per week and offer relocation assistance to new employees. In this role, you will: Lead and scale the Deal Desk team, driving global pricing strategies, non-standard deal support, and discounting guidance. Manage Billing Operations, including order ingestion, invoicing, collections, and resolution of billing escalations. Partner with Revenue Systems and GTM teams to ensure launch readiness for new pricing, packaging, and monetization strategies. Own and optimize end-to-end quote-to-cash workflows, championing automation across CPQ, ERP, and billing platforms. Define scalable processes and internal controls to support hyper-growth and global expansion. You might thrive in this role if you have: Deep quote-to-cash expertise, including how sales, pricing, contracts, billing, and finance interconnect. A Deal Desk or Pricing Operations background, with experience supporting large, global sales teams and complex pricing models. Hands-on experience with CPQ and billing systems, leading large-scale implementations or overhauls in hyper-growth environments. Strong communication and partnerships skills to influence cross-functional partners like GTM, Legal, Engineering, and Finance. A process and systems oriented mindset, with the ability to anticipate control gaps and design scalable solutions. About OpenAI OpenAI is an AI research and deployment company dedicated to ensuring that general-purpose artificial intelligence benefits all of humanity. We push the boundaries of the capabilities of AI systems and seek to safely deploy them to the world through our products. AI is an extremely powerful tool that must be created with safety and human needs at its core, and to achieve our mission, we must encompass and value the many different perspectives, voices, and experiences that form the full spectrum of humanity. We are an equal opportunity employer, and we do not discriminate on the basis of race, religion, color, national origin, sex, sexual orientation, age, veteran status, disability, genetic information, or other applicable legally protected characteristic. For additional information, please see OpenAI’s Affirmative Action and Equal Employment Opportunity Policy Statement . Qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law, including the San Francisco Fair Chance Ordinance, the Los Angeles County Fair Chance Ordinance for Employers, and the California Fair Chance Act. For unincorporated Los Angeles County workers: we reasonably believe that criminal history may have a direct, adverse and negative relationship with the following job duties, potentially resulting in the withdrawal of a conditional offer of employment: protect computer hardware entrusted to you from theft, loss or damage; return all computer hardware in your possession (including the data contained therein) upon termination of employment or end of assignment; and maintain the confidentiality of proprietary, confidential, and non-public information. In addition, job duties require access to secure and protected information technology systems and related data security obligations. To notify OpenAI that you believe this job posting is non-compliant, please submit a report through this form . No response will be provided to inquiries unrelated to job posting compliance. We are committed to providing reasonable accommodations to applicants with disabilities, and requests can be made via this link . OpenAI Global Applicant Privacy Policy At OpenAI, we believe artificial intelligence has the potential to help people solve immense global challenges, and we want the upside of AI to be widely shared. Join us in shaping the future of technology.

Posted 3 weeks ago

DEX Imaging logo
DEX ImagingTampa, Florida
Description DEX Imaging is a leading provider of document handling equipment and services with multiple offices and locations throughout the United States. We are the nation’s largest independent provider of office technology. We are the industry leader in delivering excellent customer service every time and we do this by hiring and training great people. We are holding an Open House Job Fair event for several career opportunities in our corporate headquarters, in Tampa, FL. We will be holding on-site interviews with any candidates that are interested in joining our award-winning team. When/Where is the event: DEX Imaging 5109 W Lemon St Tampa, FL 33609 Thursday, September 4, 2:00pm - 4:00pm EST What is the event: Positions: Special Billing Administrator Assist and supports team with the development and implementation of departmental goals, policies, procedures, budgets and reporting tools and change. Support internal and external customers. Work closely with AR and Accounting department to ensure timely resolution to minimize collection issues. Produce monthly billing metrics, revenue analysis & reporting Reconcile monthly collections to open accounts; investigate any discrepancies; work with Branch Manager and Controller in order to resolve receivable balances. Collect information from customers for daily processing of data for billing. Review, coordinate, and address invalid invoice submissions to ensure accurate and timely collection of revenue. Report progress, operational issues, organizational opportunities and threats to the regional team on a monthly basis or as needed. Provide administrative and clerical tasks that aid the daily service billing operations. Local Route Driver Deliver copiers and printers to customer locations Drive box trucks – no overnight routes Monday through Friday, daytime hours only Pay starts at $20/hour Increases to $22/hour once fully trained Training Includes: Entry-level networking skills Hands-on equipment handling All training provided by the DEX Imaging training team No DOT card? No problem. DEX pays for your DOT certification. Why Drive for DEX? Consistent weekday schedule Competitive pay No long hauls or overnight travel Professional, supportive team environment Visit us at 50 Rachel Drive on August 6th for an on-the-spot interview.Bring your resume, a valid driver’s license, and be ready to speak with our team. Start your driving career with DEX Imaging — where you're more than just a driver This job description does not imply or cannot be considered as a part of an employment contract. DEX Imaging as an Equal Opportunity Employer.

Posted 4 weeks ago

Provail logo
ProvailSeattle, Washington
Join an empowered team that is making a difference in our community! Are you passionate about Inclusion, and looking for a way to make a difference? Do you have excellent interpersonal skills and the ability to constantly provide top notch customer service? If so, we want to hear from you! PROVAIL has an exciting opportunity for a Billing Manager to join our team! The Billing Manager is responsible for overseeing the billing operations for PROVAIL's Mobility&. Communication Program, ensuring accurate and timely submission of claims, partnering with Clinic and Accounting staff, and maintaining compliance with State and Federal regulations. The Billing Manager will create and maintain billing policies and procedures, ensure compliance with regulatory requirements, and develop strategies to improve billing efficiency and accuracy. We are open to considering outside contractors for this work. Along with your resume, we’d love to hear your story, please include a cover letter explaining why you’re excited about this opportunity. About Us PROVAIL was founded in 1942 by parents of children with cerebral palsy. They created some of the first community services for individuals with cerebral palsy and other severe disabilities in the area. Our mission is supporting people with disabilities to fulfill their life choices. We help people decide how they want to live their life in the community and then provide the support services they need to act on those choices. We are one of the state’s largest private, multi-service agencies dedicated to meeting the needs of children and adults with all types of disabilities. What we offer: Competitive pay, $30.29-$32.21 per hour, DOE Comprehensive medical, dental, vision insurance with highly subsidized employer contribution for the employee. Dependent coverage for qualified family members is available. Employer Funded Health Reimbursement Account (HRA) when enrolled in a medical plan. Flexible Spending Accounts (FSA) - Health Care and Dependent Care Employee Assistance Program 104 hours paid vacation plus incremental increases based on years of service Twelve paid personal holidays 403(b) retirement plan Referral bonus program Monthly cell phone stipend and mileage reimbursement Extensive paid training and professional development opportunities ESSENTIAL DUTIES Billing Operations Management Responsible for all aspects of Mobility &. Communication (M&.C) medical billing activities, such as claims, clearinghouse, appeals, accounts receivable, patient statements, & audits Responsible for all aspects of M&:C non-medical billing activities, such as private pay contracts and invoices to individuals, businesses, schools, &: government entities including ALTSA, ODHH, DVR, and ODA Responsible for the entirety of the Medical Practice Management System (MPMS) Approves vendor invoices with proper general ledger codes for accounts payable process Utilizes Clearinghouse functions for first-pass denials, insurance-level denials, and claim payment functions, including both ERA and manual paper posting Independently able to set up processes & actions for entering non-medical billing activities, including those with zero charges, into the medical practice management system, such as work performed on grants, collaborative projects, and private groups. Independently sets up and performs grant billing documents, provider website data-entry, and reconciliation for grant activities Works in collaboration with the grant manager, clinical staff, and director to ensure grant reporting submissions are complete, accurate, and timely Works in collaboration with clinical staff and director to manage production and time spent on grant work by all M&C parties involved Works in collaboration with the PROVAIL accounting department to ensure smooth process, data flow, and reconciliation activities, including creating or modifying policies and processes as needed to improve efficiency and accuracy Independently performs and oversees billing reconciliations and month-end process review Monitors the schedule and alerts the director of any issues with scheduling, production, high cancel rates, and other preventable scheduling issues Prepares and analyzes various reports, identifying trends and areas for improvement Extracts and prepares data for department dashboards, metrics, forecasting, and budgeting cycles Works in collaboration with and provides support for the Director of Mobility & Communication Insurance and Authorizations Responsible for insurance verifications, benefit checks, and input of relevant insurance information into the client files or MPMS tables with particular attention to coverage based on client age, diagnosis code, concurrent home health, and benefit maximums Manages all aspects of initial and ongoing authorizations to ensure continued coverage and payment Claim Cycle Ensures all electronic and paper claims are sent & received by payors timely Monitors and manages claims to meet billing requirements per payor, claim type, service type, client age, diagnoses, taxonomy codes, and all relevant modifiers Sets up all healthcare payors to deliver processing via ERA where possible; manages, tracks, and works all processing from other sources Pulls processing and performs all ERA and manual posting with attention to EFT and/or manual deposit date for smooth reconciliation processes with Accounting Performs or ensures all primary processing forwards correctly to secondary or tertiary insurances and that they process in a timely manner Coordinates with the Accounting department to set up & ensure payors are set for EFT payment wherever possible Coordinates with the Accounting department for manual check payments from non-healthcare payors and performs all manual invoice and private pay posting timely to deposit date A/R Actively tracks and follows up on any unprocessed or unpaid claims, invoices, or statements to keep all primary-processing A/R under 90 days Monitors accounts receivable and implements strategies to reduce outstanding balances Uses independent judgment to take appropriate actions on processed unpaid claims such as rebilling, insurance issues, appeals, corrected claims write-offs, and adjustments Notifies the director in a timely manner of any processing or nonpayment issues, particularly for clients with current ongoing services Notifies the director and clinicians of any issues with non-payment due to documentation or non-administrative error Facilities the set-up of peer-to-peer and other medical-necessity reviews Medical Practice Management System (MPMS) Independently monitors, updates, and maintains the MPMS such as the dashboard Scheduler, Patient Files, Ledger, Tables, Utilities, EMR modules, etc. Works in collaboration with the director and clinical staff to create and/or improve documentation module for greater efficiency and accuracy when charting Contracts & Credentialing Oversees and ensures provider credentialing is initiated, maintained, and up to date. Keeps the MPMS updated with current provider and provider credentialing Reviews non-healthcare payor contracts, makes recommendations, and uploads or updates the MPM system in all relevant areas; sets up new or updated documenting, scheduling, charge posting, and billing procedures as needed Updates & manages healthcare payor contracts to ensure they are current and active and all compliance with contract is maintained Monitors regularly all provider sites for updates to insurance policies such as updates or changes to LCDs, LMN requirements, coverage, and limitations; communicates relevant changes or information to the director and M&C staff as well as takes all necessary actions in the Compliance & Regulatory Management Ensures all billing and documenting activities comply with federal, WA state, and local King County regulations, including HIPAA, DOH, and S. Code of Federal Regulations (CMS Conditions of Participation) Sets up and maintains all passwords and access to all provider sites and medical systems, including, but not limited to, Noridian and Provider One. Conducts regular audits of the entire MPMS to ensure accuracy and compliance in documenting, billing, & compliance requirements Conducts timely audits of the administrative portion of documentation required by Title 42 Subpart H Conditions of Participation Works in collaboration with the director and any other member of PROVAIL regarding any and all other regulatory requirements, conditions of participation, and Point of contact for all medical audits, certification & re-certifications, and reviews including medical records review & provision, audit tracking & communication, and working with the director on major audit projects and findings Tracks, notifies staff, and notifies director of any issues with compliance in all provider-required areas such as licensure, background checks, and trainings such as CPR, handwashing, mandatory reporting, fraud, waste, and abuse, etc. REQUIRED QUALIFICATIONS Required Experience: Minimum of ten (5) years experience with full revenue cycle medical billing Minimum of three (3) years experience full-cycle billing for outpatient occupational, speech, physical, and neurodevelopmental therapy Experience with Telehealth billing for Washington State outpatient therapies preferred Experience with ABA/Mental Health / Counseling I Psychology/ Neuropsychology / sensory-feeding billing desired Minimum of three (3) years experience updating, maintaining, and creating content or new modules for Medical Practice Management systems, including tables, ledgers, billing, posting, scheduling, and EMR Experience with Raintree medical practice management system preferred Minimum of three (3) years experience with full-cycle billing for both pediatric and adult populations Deep understanding of the intricacies of the differing requirements based on client age, diagnosis code, service type, and insurance plan type preferred Experience with Jurisdiction F Noridian Medicare, Medicare Replacement and Dual-complete plans, Washington State Medicaid, Apple Health ACA, and Medicaid managed-care plans. Required Skills: Good judgment and the ability to recognize when to take initiative and when consultation is Thorough and accurate attention to Proven ability to meet strict deadlines, particularly month-end close, timely filing, medical record responses, and other critical deadlines. Ability to analyze patient ledgers, medical claim ft clearinghouse data, scheduling reports, dashboard data, as well as various custom and standard reports and data to make informed decisions and recommendations PROVAIL is committed to diversity & inclusion and continually working to build an organizational culture and climate in which every voice is valued, staff have a sense of belonging and connection with one another and to the organization, and staff feel empowered to do their best work. We specifically encourage people of color, individuals who identify as LGBTQ and individuals with disabilities to apply for this position. PROVAIL is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, sexual orientation, gender identity, or any other characteristic protected by law.

Posted 2 weeks ago

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Amerilife UsOverland Park, Kansas
Our Company Explore how you can contribute at AmeriLife. For over 50 years, AmeriLife has been a leader in the development, marketing and distribution of annuity, life and health insurance solutions for those planning for and living in retirement. Associates get satisfaction from knowing they provide agents, marketers and carrier partners the support needed to succeed in a rapidly evolving industry. Job Summary The Billing Manager is responsible for the day-to-day supervision of the Billing Department, performing premium statement billing, reconciling and posting payments and leading the team to ensure that established deadlines are achieved. This role is critical to ensuring accurate and timely collection, reconciliation, and remittance of premiums across multiple carriers, clients, and benefit plans. Accounting proficiency and Microsoft Excel is a must, as well as experience with reconciliations and other accounting related tasks. Strong attention to detail, great organizational skills, and technical ability to work with software systems and experience with treasury/banking functions required. Job Description ESSENTIAL DUTIES AND RESPONSIBILITIES: The following reflects management’s definition of essential functions for this job but does not restrict the tasks that may be assigned. Management may assign or reassign duties and responsibilities to this job at any time for business reasons. Supervise a team of Billing Representatives responsible for day-to-day premium collections and remittance operations Oversee the end-to-end process of collecting insurance premiums from employers and participants for health, dental, vision, life, disability, and other benefit plans Reconcile premium collections against carrier invoices, enrollment records, and eligibility data Acting as the primary information source for the team, maintaining/implementing audit measures and consistency, and taking corrective action when needed Coordinate with insurance carriers to ensure accurate premium remittance and resolve discrepancies or retroactive adjustments Ensuring the Department meets deadlines as set forth by clients and carriers Partner with client services and eligibility teams to resolve billing and enrollment mismatches that impact collections Respond to client inquiries related to premium payments, remittance schedules, or reporting Maintain standard operating procedures (SOPs) and monitor performance to ensure service level agreements (SLAs) are met Assists in the onboarding and training of billing representatives. Trains as system enhancements are developed and ensures procedures are followed. Successful achievement of team quality, production and service expectations, staff development, successful implementation of new clients, and retention of existing clients. Answering complex or difficult questions, advising team members regarding processes and procedures, and providing support to ensure all department goals are met. Support and encourage team members, and promote a positive work environment with Management and other departments as needed to resolve escalated issues. Participate in Client meetings and presentations, as needed. Processing of Accounting details and management reports within internal Billing and Enrollment Systems Other various reconciliation/analysis under the direction of the Sr. Director Operations and Sales Technology Ad-Hoc special projects QUALIFICATIONS: Bachelor’s degree in Business Administration, Accounting, or Finance preferred. Minimum of 2 years experience in the insurance industry. Previous supervisory or management experience. Experience in Microsoft office Suite (Excel, Word, Outlook). Advanced Excel knowledge is a necessity. Skilled in process improvements. Data reconciliation skills. Strong organizational and analytical skills. Ability to handle multiple projects simultaneously. Attention to detail and the ability to work efficiently under deadline pressure is essential. Able to multitask, prioritize, and manage time efficiently. Strong interpersonal skills; effective oral and written communications both internally and externally. Flexibility and adaptability; energetic and self-driven.

Posted 30+ days ago

Greenberg Traurig logo
Greenberg TraurigDallas, Texas
Greenberg Traurig (GT), a global law firm with locations across the world in 15 countries, has an exciting opportunity for a Billing Manager to join our Revenue Management Department. We offer competitive compensation and an excellent benefits package, along with the opportunity to work within a dynamic and collaborative environment within the legal industry. Join our Revenue Management Team as a Billing Manager in our Dallas Office. We are seeking a highly skilled and meticulous professional who thrives in a fast-paced, deadline-driven environment. The ideal candidate possesses strong problem-solving and decision-making abilities while ensuring efficiency and accuracy in every task. With a dedicated work ethic and a can-do attitude, you will take initiative and approach challenges with confidence and resilience. Excellent communication skills are essential for collaborating effectively across teams and delivering exceptional service. With a client-focused mindset and an initiative-taking approach, you will play a critical role in driving success, anticipating needs, and providing strategic solutions. If you are someone who values precision, adaptability, and innovation, we invite you to join our team and make a meaningful impact. This role will be based in our Dallas office. Regular in-office presence is required for day-to-day operations, as well as for team meetings, training opportunities, and relationship building. The role reports to the Director of Revenue Management. Position Summary The Billing Manager will be responsible for the billing operations of the Dallas office, ensuring accuracy, efficiency and compliance with client guidelines and firm polices. This role requires strong leadership, attention to detail, and the ability to manage both billing and e-billing processes as well as attorney/client communications. The Billing Manager will collaborate with Shareholders, firm management, facilitate smooth billing workflows, and improve overall efficiency. Key Responsibilities Directs management and support of the revenue cycle to ensure all billing, ebilling and collections are processed accurately, in compliance with client requirements and firm policies. Builds and consistently foster excellent working relationships with the Billing Attorneys and staff. Develops into a trusted advisor to both the office and Revenue Management leadership. Supervises, supports, and provides guidance and leadership to the Billing Supervisor and revenue management staff. Collaborates with Revenue Management leadership to review and recommend changes to automate or enhance timeliness, accuracy, and efficiency of billing processes. Monitors key performance indicators related to revenue such as rates, volume discounts, ebill usage charges. Works in partnership with the Texas offices to understand aged Accounts Receivable balances, including matters with no activity over a specific threshold. Collaborates with Billing Attorneys to manage billing disputes and help resolve collection issues efficiently. Monitors outstanding accounts receivables to improve cash flow and reduce write-offs. Participates in team hiring, new hire training and onboarding tasks. Provides feedback during staff performance appraisals, develops performance management objectives to address concerns, drives engagement and retention, separation decisions. Qualifications Skills & Competencies Excellent interpersonal and communication skills, professional demeanor, and presentation. Ability to clearly communicate with Billing Attorneys, Senior Leadership and Staff. Ability to identify and address billing/collection issues promptly and effectively. High attention-to-detail to ensure accurate information, outstanding organizational skills, and the ability to manage tasks effectively, excellent follow-up skills. Strong analytical and critical thinking skills to make informed business decisions. Ability to multi-task and work under pressure to meet strict deadlines in a fast-paced environment. Client focused mindset with an initiative-taking approach. Education & Experience Bachelor’s Degree in Accounting, Finance, Business Administration, or related field. Minimum of 8 years of Legal Billing and Collections management experience with advanced knowledge of E-Billing. Extensive experience in effectively and successfully leading teams. Technology Expert knowledge of Aderant (highly preferred). Elite or 3E experience acceptable. Strong knowledge of Ebilling platforms, i.e., Ebilling Hub or Bill-Blast. Proficiency in Excel required. GT is an EEO employer with an inclusive workplace committed to merit-based consideration and review without regard to an individual’s race, sex, or other protected characteristics and to the principles of non-discrimination on any protected basis.

Posted 30+ days ago

ClinDCast logo
ClinDCastTampa, Florida
We are seeking highly experienced HRP Consultants with a strong background in Premium Billing to join our team. The ideal candidates will possess extensive expertise in HealthRules Premium Billing and demonstrate the ability to create and draft Business Requirements Documents (BRD) . Key Requirements: Proven experience with HealthRules Premium Billing . Strong ability to develop and document Business Requirements Documents (BRD) . Hands-on experience with HealthRules is mandatory. Prior exposure to Enrollment processes is preferred but not required. Mandatory Skills: ✔ HRP (HealthRules Payor) ✔ Premium Billing ✔ Enrollment Empowering the Future of Healthcare The healthcare Industry is on the brink of a paradigm shift where patients are increasingly being viewed as empowered consumers, utilizing digital technologies to better understand and manage their own health. As a result, there is a growing demand for a range of patient-centric services, including personalized care that is tailored to each individual's unique needs, health equity that ensures access to care for all, price transparency to make healthcare more affordable, streamlined prior authorizations for medications, the availability of therapeutic alternatives, health literacy to promote informed decision-making, reduced costs, and many other initiatives designed to improve the patient experience. ClinDCast is at the forefront of shaping the future of healthcare by partnering with globally recognized healthcare organizations and offering them innovative solutions and expert guidance. Our suite of services is designed to cater to a broad range of needs of healthcare organizations, including healthcare IT innovation, electronic health record (EHR) implementation & optimizations, data conversion, regulatory and quality reporting, enterprise data analytics, FHIR interoperability strategy, payer-to-payer data exchange, and application programming interface (API) strategy.

Posted 30+ days ago

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Dickinson Wright Professional StaffTroy, Michigan
Summary: Staff designated at Dickinson Wright PLLC (“the Firm”) as Billing Coordinator are responsible for providing billing support and other professional support services to Attorneys and Clients of the Firm as assigned or otherwise necessary on a full-time basis, unless otherwise arranged with the Firm. Essential Duties and Responsibilities: Essential duties and responsibilities of staff designated as Billing Coordinator at the Firm include but are not limited to: Daily audit approval of new client/matter intake and change requests to ensure accuracy of key accounting data in the core system, including manual updates to information. Detail review of outside counsel guidelines, as needed, and confirmation of results reflected in client/matter setups. Collaborate with legal secretaries and others to manage outcomes and expectations; Review submitted pre-bill/proforma documents and raise client invoices in the core accounting system based on attorney direction, distribution of resulting invoices to the client based on preference (e-mail, e-Billing system, mail). Request approval for significant write-downs of fees and/or costs. Also responsible for processing adjustments, transfers, application of funds held in trust and generation of ad-hoc pre-bill/proforma documents; Coordinate specialized billing processes for assigned attorneys, including, but not limited to: Manage the set-up, submission, tracking and follow-up on rejection/appeals for electronic billing. Serve as a liaison between attorney, client and third party billing vendor. Coordinate client billings based on thresholds with multiple billing attorneys, prepare status reporting, as needed. Monitor status of retainer billings, generate invoices and prepare necessary reports. Communicate with legal secretaries and attorneys in a diplomatic manner to resolve billing challenges and inquiries within expected turnaround times; Assist with generation of ad-hoc time and billing requests and external audit responses, as needed; Perform other tasks and projects as assigned by the Assistant Billing Manager and/or the Billing Manager. Qualifications , Skills and Abilities Required: Billing Coordinator must: Have an Associate’s Degree in Accounting, preferred with 3-5 years of related experience in a professional services setting; Possess strong written and verbal communication skills; Possess the ability to demonstrate technical proficiency with business and accounting software applications (ex: Microsoft Excel, Microsoft Word, Microsoft Outlook, Adobe, Elite Enterprise, Elite 3E); Possess the ability to work independently to meet established deadlines; Possess the ability to assume responsibility and take ownership of work; Possess attention to detail, while understanding the big picture; Be flexible and possess problem-solving ability; Possess problem solving skills/ability to transfer technical knowledge from one assignment to the next; Possess strong organizational skills. Working Conditions: Normal law office environment with little exposure to noise, dust, temperature. The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of essential functions, responsibilities or requirements. Please note that a variety of factors determine compensation, including geographic location, experience, relevant degrees and certifications, and other applicable factors authorized by law. Dickinson Wright offers a generous benefits package for eligible fulltime employees within our U.S. offices, including health, dental, and vision; 401(k) and profit sharing plans; paid vacation; and parental leave. Additional elective programs include: a health flexible spending account, a health savings account, identity theft protection, a dependent day care reimbursement account, commuter benefits, life and AD&D insurance, short- and long-term disability protection, an employee assistance program, and emergency travel assistance. We are an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

Posted 30+ days ago

Synergistic Systems logo
Synergistic SystemsGarden City, New York
Benefits: 401(k) Dental insurance Health insurance Paid time off Tuition assistance Vision insurance Job Title: Epic Physician Billing Analyst (Epic Professional Billing Analyst) Location: Hicksville, NY (initially onsite during training), transitioning to Garden City, NY Schedule: Onsite five days per week during training. After training, hybrid schedule with in-office work required Mondays, Tuesdays, and Fridays. Visa Sponsorship Eligibility: Not available. Candidates must be U.S. Citizens or Green Card holders. Compensation: $121,000 – $150,000 annually, based on experience. Employment Type: Full-time, permanent role An Epic Physician Billing Analyst (also known as an Epic Professional Billing Analyst) is responsible for the configuration, maintenance, and optimization of the Epic Professional Billing module within a healthcare organization. This role is vital for ensuring accurate patient billing, claims processing, and reimbursement for services provided by individual healthcare providers, such as doctors or therapists. Key Responsibilities: System Configuration and Maintenance: Configure and customize the Epic Professional Billing application to meet the specific business needs and workflows of the organization. Maintain the Resolute Professional Billing module to manage charges, benefit engines, and workflows with external collection agencies. Perform ongoing maintenance and updates to Epic applications. Build and test system changes, presenting them to end-users and migrating them to production. Workflow Analysis and Optimization: Analyze existing financial workflows and identify opportunities for improvement and optimization. Design and implement leading practice workflows to enhance efficiency and effectiveness. Collaborate with various stakeholders, including IT, finance, and end-users, to ensure the Epic system aligns with business operations. Support and Troubleshooting: Act as the primary support contact for Epic Professional Billing application end-users. Provide support to end-users on the Epic EMR system, including integrating revenue cycle processes such as maintaining claim scrubbers and payment processors. Troubleshoot system errors and resolve issues related to billing, claims, and reimbursement. Provide on-call support on a rotating basis. Training and Education: Participate in training and educate end-users on the Epic Professional Billing application and related workflows. Develop and document internal procedures for using Epic and other applications. Compliance and Updates: Stay current with Epic technologies, obtain and maintain necessary Epic certifications. Ensure compliance with industry standards and regulations, such as transitioning between different claim formats (e.g., X12 4010 to 5010) and coding systems (e.g., ICD-9 to ICD-10). Review and assess the impact of changes and enhancements with each new Epic release and make recommendations for the best course of action. Essential skills and qualifications: Education and Certification: Bachelor’s Degree, preferably in Computer Science, Information Technology, Computer Engineering, or a related field. Certified in Epic Professional Billing. Technical Skills: Expertise in Epic's Professional Billing module, including charge router, workqueue configuration, collection agency workflows, statement processing, benefit engine, and estimates. Experience with system configuration and troubleshooting tools. Proficiency with Microsoft Office Suite (Word, Project, Excel, Visio, and PowerPoint). Healthcare Industry Knowledge: Strong understanding of healthcare revenue cycle processes, medical billing codes, and insurance procedures. Familiarity with the differences between professional billing and hospital billing. Knowledge of medical coding systems like CPT and ICD-10. Soft Skills: Strong interpersonal relationship skills and effective communication skills (both oral and written). Analytical thinking and problem-solving abilities. Attention to detail and accuracy. Self-motivated and a team player Flexible work from home options available. Compensation: $121,000.00 - $150,000.00 per year Our History Years ago, SynergisticIT founders Carlos Pinzon and Antonio Proto recognized a significant gap in IT consulting and staffing services. On the one hand there are thousands of staffing firms who overload their clients with resumes that do not come close to meeting client needs. Alternatives—such as global consulting firms with costly layers of bureaucracy—achieve great results, but at a very high price. In response, Carlos and Antonio built a new type of IT staffing company where technical recruiters—all experienced IT professionals—match IT resources to our client’s exact job requirements, providing superior talent at a lower cost and far lower risk. Our Mission SynergisticIT’s mission is to match great companies with great talent, serving our clients with professionalism, honesty and integrity. Our Vision To be the number one choice of Fortune 1000 companies seeking critical IT talent. If you are an IT professional who is passionate about IT, join us! SynergisticIT has been providing leading Fortune 1000 companies and government agencies with top IT talent for over 25 years. Our firm is led by IT professionals so we understand you, respect your talent, and recognize the value you can provide to our clients. Whether you are seeking a consultant or a full time employee position, we will find a match for you with one of our premier clients. Unlike many other consulting firms, SynergisticIT will prepare you for the interview and support you throughout your consulting engagement.

Posted 30+ days ago

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Preferred Care at Home of Boca Raton and Delray BeachBoca Raton, Florida
Weekly Billing & Payroll Coordinator Job Type: Part-Time (Recurring Weekly Schedule) Location: Remote (occasional in-office flexibility if applicable) About the Role We are seeking a Weekly Billing & Payroll Coordinator to join our team and oversee the financial and administrative flow that keeps our operations running smoothly. This role focuses on structured, recurring weekly tasks such as billing, insurance claims processing, and payroll administration. If you are detail-oriented, reliable, and thrive in an organized environment, we’d love to hear from you. Responsibilities Monday – Billing Operations Generate and issue client invoices Manage auto-pay accounts and send invoice reminders Record payments received and update invoice statuses Apply credits and update billing spreadsheets with transaction history Add new clients and maintain payment records Tuesday – Long-Term Care (LTC) Insurance Processing Review and verify caregiver care logs for insurance clients Download required documentation and submit claims to insurance providers via fax (using the LTC Insurance Directory) Onboard new LTC clients and ensure all policy details and insurance information are documented Wednesday – Payroll Administration Audit caregiver paychecks for accuracy Calculate straight-time pay for caregivers not eligible for overtime Enter new caregiver profiles into the Viventium payroll system Ongoing & As-Needed Support Send login credentials to new caregivers for payroll access Handle ad-hoc insurance provider requests and delegate follow-up tasks as needed Qualifications Previous experience in billing, payroll, or healthcare administration strongly preferred Proficiency in Excel with the ability to maintain accurate records Strong organizational skills and exceptional attention to detail Ability to manage deadlines and follow structured weekly processes Excellent communication skills to coordinate with clients, caregivers, and team members Schedule & Benefits Schedule: Part-time role structured around recurring tasks (Monday–Wednesday are required; flexibility for ongoing tasks throughout the week) Work Environment: Primarily remote with a supportive and collaborative team culture Impact: Be a key part of ensuring smooth operations for both clients and caregivers How to Apply If you are highly organized, dependable, and passionate about operational excellence, we encourage you to apply today.

Posted 3 days ago

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WisdomNew York, New York
About Wisdom Wisdom blends industry expertise with advanced technology to make dental practices work better for everyone involved. We believe dentistry is about people, and we exist to make the future of dentistry stronger and more sustainable for dentists, their teams, and the patients they serve. We match administrative teams with expert billers and custom-built technology to take on the heavy lifting of dental billing while maximizing dentists’ time in-office, and their bottom line. Coming from a fresh $21M Series A round of funding we are looking for exceptional candidates to help us build a category-defining company. We are a fully distributed, remote-first team with employees across the US. About The Role Our Insurance Billing Specialists focus on keeping insurance billing moving by submitting claims, posting dental insurance payments, and working insurance aging reports for our customers. This work is at the heart of Wisdom’s service offerings, and is a large part of what allows us to provide outstanding services to the dental offices we serve. As an Insurance Billing Specialist, you’ll: Prepare and submit dental insurance claims promptly and accurately, following up as necessary to ensure prompt payment and resolve any issues or discrepancies with insurance companies Post insurance payments and adjustments to patient accounts, reconciling insurance payments with the PMS and investigating any discrepancies Monitor and manage accounts receivable, ensuring timely collection of outstanding insurance balances and running regular reports on AR to identify trends and areas for improvement Partner directly with offices and insurance companies, acting as their primary point of contact for any insurance-related inquiries and regularly communicating challenges and successes Coordinate with dental offices to ensure accurate coding and documentation for all insurance claims Why Wisdom? Work remotely alongside a fully remote team that knows how to get stuff done, without the pain and drama of in-office work. Flexible hours Support and inclusion no matter your background. Whether you’re a seasoned remote biller or you’re testing the waters for the first time, we’ll set you up with the tools, training, and community support you need to succeed at Wisdom. A better experience for billers. We’re building tools and leveraging technology to save you time and let you focus on earning more, faster. We’d Love to Hear From You If You Have At least 5 years of experience in dental insurance claim submission, claim posting, and AR management Must have a minimum of 8 hours per week of availability during standard business hours (Monday–Friday, 8am–5pm CST) Strong knowledge of dental insurance plans, procedures, and coding Exceptional problem-solving skills and the ability to handle complex billing issues with care and a commitment to patient confidentiality and data security Excellent communication, interpersonal, and follow-up skills Proficiency in dental practice management software (e.g., Dentrix, Eaglesoft) and Google Workspaces Wisdom is an equal opportunity employer. We provide employment opportunities without regard to age, race, color, ancestry, national origin, religion, disability, sex, gender identity or expression, sexual orientation, veteran status, or any other protected status in accordance with applicable law.

Posted 30+ days ago

Bridgeview Eye Partners logo
Bridgeview Eye PartnersFort Wayne, Indiana
POSITION SUMMARY : With direction from the Cash Applications and Data Manager, the Cash Applications Billing Representative is responsible for executing timely and accurate posting of various types of payments to respective patient accounts. This role also coordinates patient and insurance credit balances to ensure refunds are requested in a timely manner and any other action required for account reconciliation. Location: Fort Wayne, IN ESSENTIAL RESPONSIBILITIES: Demonstrate and uphold the mission statement and values of Midwest Eye Consultants. Process the daily application of cash receipts from various sources, i.e., insurance payors, patients in the Compulink EyeMD practice management software. Ensure the receipts are applied timely and accurately. Monitor and balance the daily receipts and adjust workflow accordingly. Identify and research any receipts received that are not patient related accounts. Balance and prepare daily reconciliation report. Assist and address timely inquiries from patients and/or office staff as needed. Assist on various requests associated with cash/receipts as requested. Perform any other related duties as assigned by Supervisor. OTHER RESPONSIBILITIES: Demonstrate knowledge of the content and context of billing forms and documents such as insurance remittances, explanation of benefits and HCFA forms. Strong knowledge of Compulink EyeMD and/or any other practice management software applications, specifically patient ledgers. Maintain strong working knowledge of third party billing and collection policies, procedures and laws. Demonstrate knowledge of insurance companies’ guidelines for claims preparation, billing and collection. Work with ten-key calculators, computers and practice management software in a competent manner. Protect MWEC and its assets by following all billing and compliance guidelines, rules and regulations and never knowingly committing a fraudulent act. EDUCATION AND/OR EXPERIENCE : A minimum of one (1) year experience in patient services and or Medicare/Medical billing. Experience in Optometry/Ophthalmology billing preferred. COMPETENCIES: communication skills attention to detail adaptability customer service oriented problem solving skills integrity confidentiality decision-making skills adaptable to change stress tolerance PHYSICAL DEMANDS AND WORK ENVIRONMENT (per ADA guidelines): Physical Activity: Talking, Hearing, Repetitive motion. Physical Requirements: Sedentary work. Involves sitting most of the time. The worker is required to have visual acuity to determine the accuracy, neatness, and thoroughness of the work assigned. PERSONAL DEVELOPMENT : Demonstrate and maintain technical knowledge of the job and of related procedures and policies in order to provide high quality support to the department. This may involve participation in advanced training and/or certification in field as appropriate.

Posted 30+ days ago

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American Family Care Memorial CityHouston, Texas
Benefits/Perks Great small business work environment Flexible scheduling 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. Job Summary Review all billing done at the clinic. You will not be billing out claims to insurance companies. You will be responsible for scrubbing charts, answering billing questions, verifying insurances, and more. Qualifications Billing and coding certifications. Flexible work from home options available. Compensation: $45,000.00 per year PS: It’s All About You! American Family Care has pioneered the concept of convenient, patient-centric healthcare. Today, with more than 250 clinics and 800 in-network physicians caring for over 6 million patients a year, AFC is the nation's leading provider of urgent care, accessible primary care, and occupational medicine. Ranked by Inc. magazine as one of the fastest-growing companies in the U.S., AFC's stated mission is to provide the best healthcare possible, in a kind and caring environment, while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient. If you are looking for an opportunity where you can make a difference in the lives of others, join us on our mission. We invite you to grow with us and experience for yourself the satisfying and fulfilling work that the healthcare industry provides. Please note that a position may be for a company-owned or franchise location. Each franchise-owned and operated location recruits, hires, trains, and manages their own employees, sets their own employment policies and procedures, and provides compensation and benefits determined by that franchise owner. Company-owned locations provide a comprehensive benefits package including medical, dental, vision, disability, life insurance, matching 401(k), and more. We are an Equal Opportunity Employer.

Posted 30+ days ago

Exact Sciences logo
Exact SciencesMadison, Wisconsin
Help us change lives At Exact Sciences, we’re helping change how the world prevents, detects and guides treatment for cancer. We give patients and clinicians the clarity needed to make confident decisions when they matter most. Join our team to find a purpose-driven career, an inclusive culture, and robust benefits to support your life while you’re working to help others. Position Overview The Application Analyst will work on business systems design, configuration, upgrades, and improvements for assigned technology platforms. As a primary support contact for application end-users, the Application Analyst will work to identify issues that arise in the application area, as well as issues that impact other application teams, and work to resolve them. The Application Analyst will perform impact analysis of desired changes, build and test systems changes, and identify areas of improvement associated with platform performance and opportunities to enable business processes and requirements. This is a hybrid role based in Madison, WI. Essential Duties Include, but are not limited to, the following: Responsible for business systems design and configuration, upgrades, and improvements for low complexity applications using established processes and procedures. Estimate and assess impact of requested changes to assigned business system and/or platform. Guide workflow design, configure and test system changes, and analyze technical issues. Develop new processes and procedures in partnership with leadership and business teams. Create and maintain technical documentation. Contribute to peer design and code reviews. Identify issues that arise in the application area, as well as issues that impact other application teams, and work to resolve them. Create and maintain system documentation. Liaise with business systems stakeholders and software vendor’s implementation staff to ensure alignment of business needs with the delivery of system changes. Develop an understanding of operational needs to set the direction for the organization's workflows; proactively identify opportunities to improve business workflow with technology improvements. Help develop, document, and participate in trainings and work with end users. Troubleshoot problems and questions, and provide regular updates on status. Provide end-user production support for issues entered into issue tracking systems. Review the status of projects and issues with project leadership. Demonstrate flexibility with respect to changing end-user business needs. Apply strong problem-solving skills. Ability and willingness to take ownership of work activities and ensure that they are done in a timely, accurate, and efficient manner. Ability and willingness to recognize assignments or tasks that need to be completed, to seek out additional assignments or tasks, and to help others. Ability to communicate information clearly and concisely with project leadership, subject matter experts, and key stakeholders. Ability to persevere in difficult situations, overcome obstacles, and reach high levels of performance when faced with stressful work situations and time pressures. Ability and willingness to learn new software applications, as needed. Apply strong analytical skills, business intuition, and organizational ability. Apply excellent interpersonal and communication skills with the ability to operate in a cross-functional and complex matrix environment. Ability to be adaptable, open to change, and able to work in ambiguous situations and respond to new information or unexpected circumstances. Uphold company mission and values through accountability, innovation, integrity, quality, and teamwork. Support and comply with the company’s Quality Management System policies and procedures. Maintain regular and reliable attendance. Ability to act with an inclusion mindset and model these behaviors for the organization. Ability to work nights and/or weekends, as needed. Ability to work on a computer and phone simultaneously. Ability to work on a mobile device, tablet, or in front of a computer screen and/or perform typing for approximately 90% of a typical working day. Ability and means to travel between local Exact Sciences locations. Ability to travel 5% of working time away from work location, may include overnight/weekend travel. Minimum Qualifications Bachelor’s Degree in related field as outlined in the essential duties; or High School Diploma or General Education Degree (GED) and 4 years of relevant experience as outlined in the essential duties in lieu of Bachelor’s Degree. 3+ years of experience developing or configuring technology solutions, either in an application analyst or project delivery role. Demonstrated ability to understand industry best practices. Strong computer skills to include internet navigation and email usage. Proficient in Microsoft Office programs. Demonstrated ability to perform the essential duties of the position with or without accommodation. Authorization to work in the United States without sponsorship. Preferred Qualifications Experience configuring business systems software in a life sciences, health care, or related industry. #LI-RS1 Salary Range: $74,000.00 - $122,000.00The annual base salary shown is for this position located in US - WI - Madison on a full-time basis. In addition, this position is bonus eligible. Exact Sciences is proud to offer an employee experience that includes paid time off (including days for vacation, holidays, volunteering, and personal time), paid leave for parents and caregivers, a retirement savings plan, wellness support, and health benefits including medical, prescription drug, dental, and vision coverage. Learn more about our benefits . Our success relies on the experiences and perspectives of a diverse team, and Exact Sciences fosters a culture where all employees can develop personally and professionally with a sense of respect and belonging. If you require an accommodation, please contact us here . Not ready to apply? Join our Talent Community to stay updated on the latest news and opportunities at Exact Sciences. We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to disability, protected veteran status, and any other status protected by applicable local, state, or federal law. To view the Right to Work, E-Verify Employer, and Pay Transparency notices and Federal, Federal Contractor, and State employment law posters, visit our compliance hub . The documents summarize important details of the law and provide key points that you have a right to know.

Posted 3 weeks ago

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Billing Fiscal Bookkeeping Specialist

Caresense Home HealthBrick, New Jersey

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Job Description

At CareSense we are only as good as our caregivers.Our extraordinary caregivers provide quality Home Health assistance, bringing much relief and quality of life for our patients and their families.A BILLING - FISCAL BOOKKEEPING SPECIALIST is needed to assist in our Lakewood NJ Branch.

RESPONSIBILITIES INCLUDE:Billing:

· Prepares claim reports and ensures all claim data is accurate and correct

· Submits claims to the appropriate payers and monitors status from submission until payment

· Resolves and coordinates resolution of denied claims, by communicating with all parties involved

· Resubmits corrected denied claims

· Identifies and reconciles discrepancies in reimbursements

· Reports issues regarding claims to appropriate individuals

Fiscal:

· Reviews client/staff files to ensure all information required for authorizations is present

· Enters services authorizations into proprietary software ensuring correct coding and amounts

· Updates authorizations as needed

· Reviews care logs to ensure correct coding, unit and dollar calculations.

· Reviews expense reimbursement requests

· Reviews expense reports to ensure good practices are being followed

· Implements cost control measures

· Disburses funds for approved expenses

Bookkeeping:

· Enters data in Quickbooks including invoices, payments, adjustments in Quickbooks

· Enters expenses, income, and reconciles bank and credit card statements

· Runs reports to identify outstanding invoices and initiate collection

Requirements:

· Three to five years related experience and training; in-depth knowledge of billing/fiscal administration processes, procedures and best practices.

· Familiarity with insurance reimbursement protocols.

· Expert level proficiency in QuickBooks and Microsoft Office (Word and Excel);

· Expert computer skills with the ability to utilize various advanced computer systems to support the various responsibilities

· Excellent phone, interpersonal, verbal and written communication skills

· Fast paced, very organized and detailed, with the ability to handle extensive amounts of paperwork/documentation

· Self-directing and very independent with the ability to work with little direct supervision

· Very comfortable with technology applications including personnel recruiting systems, staffing and scheduling systems, electronic medical records systems,

· Reliable car, valid State driver's license and car insurance

· Background check will be required

· Must have authorization to work in the USA

CareSense Home Health and Hospice provides superb services, including nursing, therapy, social services, and health aides.We are committed to quality care, sensitivity, and patient satisfaction. Our goal is to improve our patients' health andquality of life with professionalism and respect.To learn more about our company please visit our website at http://www.caresensehc.com

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