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Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. Perform and analyze clinical laboratory tests in all laboratory disciplines by standard operating policies and procedures. Understand method principles, perform quality control, perform preventative maintenance, review, and analyze results as to accuracy, acceptability, and critical limits. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Must possess current licensure as required by state board where services will be provided: MD: No State License required OH: No State License required PA: No State License required WV: Medical Laboratory Scientist license or Trainee license Bachelor of Science in Medical Technology/Medical (Clinical) Laboratory Science OR Bachelor's degree in a chemical or biological science with one year of clinical lab training/experience, or 30 or more years of previous experience concurrent with CLIA grandfathered exception. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Certification as a Medical Technologist/ Medical Lab Scientist by the American Society of Clinical Pathologists (ASCP) or American Medical Technologists (AMT). EXPERIENCE: Experience as a Medical Technologist. CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. Process and analyze samples, in a timely and orderly fashion, and meet usual and customary levels of productivity, while following procedures for accurate identification. Set up, run, maintain, and adjust laboratory instruments accordingly to policies and procedures. Take appropriate action for quality control in all technical areas and follow infection control procedures for all job-related functions. May perform quality control summaries. Perform phlebotomy procedures on patients as needed. Complete forms and reports findings to nurses and/or physicians. Interact with other healthcare workers to solve problems and interpret patient lab results within the framework of medical technology. Perform routine and basic laboratory testing within a designated area in the clinical laboratory. Recognize testing inconsistency and take appropriate corrective action. Maintain all patent and specimen records accurately, neatly, and legibly. Follow hospital, state, and federal guidelines for ensuring a safe environment for workers, patients, and public. Maintain compliance with hospital and departmental policies and procedures for safety, security, and infection control. Communicate and interact with patients, families, visitors, physicians, departmental and hospital staff, and the public in general, in a manner that demonstrates professionalism and concern for their individual needs. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work requires strength and/or stamina, lifting, moving, stooping, reaching, standing, walking, and carrying of materials and equipment. May sit for extended period of time. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work around strong or unpleasant odors. May be exposed to agents which may cause serious disease. SKILLS AND ABILITIES: Able to multitask and handle stressful situations. Able to communicate effectively. Able to work well as a team with co-workers, supervisors and all other staff/customers, including patients. Knowledge of basic computer skills. Additional Job Description: This position will be responsible for the following with other duties related to billing assigned as needed: Follows SOP for clinical laboratory and surgical pathology technical billing Perform daily LIS billing reports and checks for zero charges and correct as appropriate Works multiple charge related workqueues in Epic in a timely manner Reviews, enters and corrects all reference lab billing for miscellaneous codes in Epic and reviews for correct pricing and CPT coding Performs manually billing credits Enters charges for reflex lab testing from reference labs Enter modifiers as included on charges Investigates charging issues within the LIS and EMR Scans reference lab reports in Beaker and Epic when indicated Communicates critical reference lab results when indicated Perform merging of patient information in LIS (e.g. Sunquest) Coordinates all laboratory research studies, protocols, ensure proper paperwork, and establishes necessary billing accounts and documents Candidate needs to be well organized and detail oriented while being able to work autonomously. Scheduled Weekly Hours: 40 Shift: Day (United States of America) Exempt/Non-Exempt: United States of America (Non-Exempt) Company: WVUH West Virginia University Hospitals Cost Center: 109 WVUH Clinical Labs Admin Address: 1 Medical Center Drive Morgantown West Virginia Equal Opportunity Employer West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.

Experity is the leading software and services company for on-demand healthcare in the U.S. We provide software solutions that remove complexities and simplify operations for 5700+ urgent care clinics across the country. We create, maintain, and support products to facilitate the complete on-demand healthcare experience: from patients finding clinics and making appointments, to checking in, to clinical documentation, and to the final bill paid by the patient. Our team is committed to changing healthcare for the better by innovating and revolutionizing on-demand healthcare for millions of patients across the country. Experity offers the following: Benefits- Comprehensive coverage starts first day of employment and includes Medical, Dental/Orthodontia, and Vision. Ownership- All Team Members are eligible for synthetic ownership in Experity upon one year of employment with real financial rewards when the company is successful! Employee Assistance Program- This robust program includes counseling, legal resolution, financial education, pet adoption assistance, identity theft and fraud resolution, and so much more. Flexibility- Experity is committed to helping team members face the demands of juggling work, family and life-related issues by offering flexible work scheduling to manage your work-life balance. Paid Time Off (PTO) - Experity offers a generous PTO plan and increases with milestones to ensure our Team Members have time to recharge, relax, and spend time with loved ones. Career Development- Experity maintains a learning program foundation for the company that allows Team Members to explore their potential and achieve their career goals. Team Building- We bring our Team Members together when we can to strengthen the team, build relationships, and have fun! We even have a family company picnic and a holiday party. Total Compensation- Competitive pay, quarterly bonuses and a 401(k) retirement plan with an employer match to help you save for your future and ensure that you can retire with financial security. Hybrid: Experity offers Team Members the opportunity to work remotely or in an office. While this position allows remote work, we require Team Members to live within a commutable distance from one of our locations to ensure you are available to come into the office as needed. Job Type: Full time Compensation: Budgeted between $17 and $19.50 dependent upon experience Responsibilities: Manage outstanding insurance AR for assigned clients along with providing trending information to Client Success Managers (CSM) and Supervisor Contact insurance companies regarding claim status, follow-up on denials or partial payments Analyze denied claims to find the root cause and take necessary actions to resolve Submit corrected insurance claims and/or appeals, as necessary, with appropriate documentation based on payer guidelines Prioritize workload as required to ensure claims are submitted timely Notating patient accounts with accurate information based on information received Research, record findings and communicate effectively with Supervisor to achieve optimum performance Identify trends and payer issues related to billing and reimbursements and report to Supervisor with possible solution to maximize efficiency Assist CSMs and others with AR questions or concerns Communicate daily with internal and external customers via phone calls and written communication Contribute to team effort by accomplishing related results as needed Maintain patient confidence by following HIPAA guidelines Comply with applicable laws regarding medical billing standards Maintain work operations by following policies and procedures Meet productivity and accuracy standards Other duties as assigned Education and Experience: High school diploma or equivalent Experience in a medical office setting and/or experience with an Electronic Medical Record preferred Skills and Qualifications: Knowledge of payment posting, insurance company process, and ability to handle inbound and outbound calls preferred Knowledge of legal liability, insurance coverage, and medical terminology preferred \ Every Team Member lives and breathes our Core Values: Team First Lift Others Up Share Openly Set and Crush Goals Delight the Client Our urgent care solutions include: Electronic Medical Records (EMR): Software that healthcare providers use to input patient data, such as medical history, diagnoses, treatment plans, medications, and test results. Patient Engagement (PE): Software that shows patients the wait times at various clinics, allows patients to reserve a spot in line if there's a wait, and book the appointment. Practice Management (PM): Software that the clinic front desk staff uses to register the patient once they arrive for their appointment. Billing and Revenue Cycle Management (RCM): Software that manages coding, billing and payer contracts for clinics so they don't have to. Teleradiology: Board certified radiologist providing accurate and timely reads of results from X-rays, CT scans, MRIs, and ultrasounds, for our urgent care clients. Consulting: Consulting services for urgent care clinics to assist with opening, expanding and enhancing client's businesses #LI-HYBRID

Site: The General Hospital Corporation Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Summary Assists Manager with the Patient Billing Office's client relationship and coordinate the processing, reporting and analysis of key revenue cycle activities. Provides research support to the manager and assigned practices related to accounts receivable management, patient/customer service complaints and Third Party Requests for information. Does this position require Patient Care? No Essential Functions Assists the Manager in completing tasks including, but not limited to, report review and distribution, billing account inquiries, charge reconciliation and research of missing charges, procedure code dictionary maintenance, and other essential Master files. Analyze information on trends for practice groups; this may involve account research and downloading or inputting information into spreadsheets. Provides research and follow-up for inquiries from Customer Service. Pulls monthly rejection details. The role is responsible for pivoting rejections and analyzing rejections prior to RCAM review. Work EPIC work queues and resolve edits in compliance with GPM Service standards for assigned billing areas. Review accounts referred for write-off and document collection efforts prior to transferring for write-off approval. Assist with the orientation and training of new staff. Qualifications High School Diploma or Equivalent required or Associate's Degree Related Field of Study preferred Can this role accept experience in lieu of a degree? No Licenses and Credentials Experience Revenue, billing and related experience 2-3 years required Knowledge, Skills and Abilities Strong knowledge of medical billing and payer requirements. Excellent leadership and team management skills. Proficiency in billing software and electronic health records (EHR) systems. Strong analytical and problem-solving abilities. Exceptional communication and interpersonal skills. Ability to handle multiple tasks and work under pressure. Ability to work with a high degree of accuracy. Additional Job Details (if applicable) Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) EEO Statement: The General Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Northwest Specialty Hospital is seeking a detail-oriented AR Resolution Specialist to join our Billing Team! We need someone with a professional demeanor, can work well under stress/stress situations, will provide great customer service, and can multitask! The AR Resolution Specialist will resolve aging accounts receivable in accordance with payer regulations and department policies and procedures. This position will ensure timely follow up and resolution of billed accounts using follow up worklists. The position will require contact with the patient and or payers for information and or clarification as needed to resolve account balances. This position will need advanced knowledge of payer contracts, policies and guidelines to write and submit timely appeals. The position will require timely account notation of action taken to resolve their assigned accounts. The position will work with multiple AR systems daily. Qualifications and Preferred Experience: High school diploma or equivalent required Proficient with hospital & clinic accounts receivable and denial resolution for various payers Knowledge of CPT, HCPC and ICD-10 coding Claims appeal and resolution experience Proficient with billing UB04s and HCFAs Meditech and Greenway experience Excellent communication skills; required for both written and verbal Analytical; ability to research, analyze and train on data and reports Minimum of 2 years' physician & facility billing experience About Northwest Specialty Hospital: Northwest Specialty Hospital is widely known for being a center of excellence and is proudly owned and operated by local physicians. The physicians have invested personally, professionally, and financially in the care of the patients and the staff. They have dedicated their lives to creating a hospital that allows them to practice on their own terms and do what's best for patients. Northwest Specialty Hospital includes 10 operating rooms and 30 inpatient beds, along with a variety of clinics and services throughout Kootenai County, that span across multiple specialties. Northwest Specialty Hospital has earned numerous awards for patient care, surgical skills, medical care, and employee satisfaction. Northwest Specialty Hospital has been recognized as one of the Best Places to Work in the Inland Northwest for seven consecutive years!! Companies throughout Washington and Idaho were selected based on employee feedback about benefits, work environment, job satisfaction, and other factors. We continue to receive this distinguished honor based on our great company culture, patient-focused approach, and robust benefits package! Some of our amazing perks and benefits offered to employees are: Company-sponsored events such as sporting events, BBQs, and holiday parties Comprehensive health care coverage with options for Medical, Dental, & Vision Insurance (for benefit-eligible positions) Tuition reimbursement Growth opportunities, ongoing education, training, leadership courses A generous 401K retirement plan A variety of discounts throughout the hospital and community are available to employees Wellness benefits offered to staff such as: weight loss challenge, access to a dietitian, and discount gym memberships Culture that promotes and supports work/life balance Northwest Specialty Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

Join our team as a Biller! What's in it for you? Benefits and perks include: Earn some of the best wages in the market! Access a portion of your earned wages before payday with PayActiv Paid Time Off (PTO), holiday pay and opportunities to earn additional PTO Medical, vision & dental insurance with Telehealth option and flex spending accounts Paid training, skills certification & career development support Continued education opportunities with company-sponsored scholarship programs Tuition reimbursement and certification reimbursement 401(k) retirement plan options Lucrative Employee Referral Bonus program Employee assistance program & wellness support Retail, food & entertainment discounts, and so much more Full-Time and Part-Time Benefits may vary, terms and conditions apply The Centralized Billing Office (CBO) Biller is responsible for data entry of accounts receivable, bank deposits, reconciliation of cash and census, coinsurance claim billing and follow up. Key responsibilities of a Biller include: Reconciles census and cash entries for accuracy. Posts third-party payments on accounts. Performs data entry for ancillary and therapy, other charges as needed. Submits co-insurance claims to insurance companies, both electronically and/or hard copy. Reviews insurance aging and follows up on outstanding co-insurance claims. Validates Medicare claims are set to pay. Validates payer name override is present for payers that need one. Completes month-end processing and billing. Completes special projects as assigned. Saves files to the Shared Drive as needed. Complies with the company's privacy practices and procedures related to resident and employee records and all state and federal privacy practices and procedures related to resident and employee records and all state and federal privacy laws including HIPAA. Complies with and adheres to the appropriate use of Personal Protective Equipment (PPE) required by the Bloodborne Pathogens Standards. Protective Personal Equipment (PPE), including personal protective equipment for eyes, face, extremities, protective clothing, and protective shield and barriers, will be provided, used, and maintained. Demonstrates teamwork and prompt and regular attendance at work to ensure that quality care and services are provided to the patients we serve. Demonstrates C.A.R.E. values to our residents, family members, customers, and staff. Qualifications: Associate's degree or equivalent from two-year college or technical school or one or more years related experience and / or training, OR equivalent combination of education and experience. Must have knowledge of Medicare and Medicaid regulations including billing guidelines. Must have knowledge of Veterans and insurance billing guidelines. Must be familiar with UB04. Ability to read, analyze, and interpret technical procedures. Ability to write business correspondence. Ability to effectively present information and respond to questions from the field, peers, and leaders. Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, and percentages. Ability to apply concepts of basic algebra. Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables. About American Senior Communities Bring your heart to work! Caring people make the difference at American Senior Communities! Compassion, Accountability, Relationships and Excellence are the core values for American Senior Communities. These words not only form an acronym for C.A.R.E., they are our guiding principles and create the framework for all our relationships with customers, team members and community at large. American Senior Communities has proudly delivered patient centered care since the year 2000, with a long history of excellent outcomes. Each of our 80+ American Senior Community is part of the neighborhood in which it exists. Our leaders and staff live in surrounding areas and know the community well. As partners in senior care, we are not just doing a job, but following a calling.

Working at Yale means contributing to a better tomorrow. Whether you are a current resident of our New Haven-based community- eligible for opportunities through the New Haven Hiring Initiative or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome. Discover your opportunities at Yale! Hourly Range 31.05 Overview Under the direction of Yale Medicine Administration (YMA) Coding and Billing, the Coding and Billing Assistant 1 is responsible for reviewing all aspects of charge submission for patient clinical services based on coding, documentation review, quality assurance, and compliance guidelines. Reviews charge submissions for compliance with established coding guidelines, all YMA policies and protocols, third party reimbursement policies, Federal payer regulations, and HIPAA guidelines. Performs effective workflow processes to file complete, accurate and timely billing of professional charges, while maintaining productivity to meet lag day expectations. May review and analyze documented medical services to verify accurate documentation and coding of services performed. Required Skills and Abilities 1. General/intermediate knowledge of ICD-10, CPT, HCPCs and modifier coding, medical terminology, human anatomy, and digital coding resources and software. Ability to analyze and interpret evaluation and management documentation guidelines as well as procedures and applicable coding guidelines. 2. Demonstrated ability with an electronic health record and practice application systems, electronic data entry, and web-based applications and websites. Intermediate proficiency with MS Word, Excel, Outlook (emails and calendars). 3. Demonstrated knowledge of Federal payer regulations, third party payers, HIPAA rules, reimbursement policies and procedures. Proven ability to interpret and apply guidelines. 4. Demonstrated strong interpersonal, verbal and written communication skills. Ability to effectively communicate with team members to resolve questions regarding collaboration and assignments. Communicate effectively with providers, following escalation processes with analytics team and manager. 5. Demonstrated ability to work independently; organize and prioritize own work with minimal supervision; ability to work in a fast-paced environment meeting timely deadlines while maintaining productivity and quality standards. Ability to work effectively as a team member with common goals. Preferred Education, Experience and Skills Experience within an academic medical environment or large multi-specialty practice; CPC certification preferred. Principal Responsibilities Performs work queue resolution of medical billing charge sessions by reviewing clinical documentation to confirm diagnostic (ICD-10) and procedural (CPT/HCPCS) codes and modifiers, based on charge review edits for Yale Medicine patient clinical services filed to charge review work queues. May perform manual charge entry for non-Epic services. With an ability to navigate within the Professional Billing applications, ensures that all charge review edits are appropriately resolved in charge review work queues utilizing claim judgement and critical thinking skills. Draws valid conclusions to support decisions. 2. May verify all information required to submit a clean claim including provider, place of service, date of service, bill area, all codes and special billing procedures that may be defined by a payer, contract or YMA. Ensures compliance with Teaching Physician guidelines within an academic medical practice. 3. Pends charge sessions to seek corrective action for services not meeting documentation requirements in accordance with YMA policies and procedures. May identify that a provider should be contacted to clarify or amend a medical record, following communication and escalation procedures. May modify clinician's selection. 4. Adheres to YMA policies and procedures and Yale Medicine's Mission, Values and Guiding Principles. Actively participates in team and department training and education programs and staff meetings. Establishes and cultivates productive relationships among staff to support a positive team environment and professional interactions. Maintains professional and technical knowledge by participating in educational workshops and reviewing professional publications. 5. May perform other duties as assigned. Required Education and Experience Four years of related work experience, two of them in the same job family at the next lower level, and high school level education; or two years of related work experience and an Associate's degree, or an equivalent combination of experience and education. Required License(s) or Certification(s) Certified Professional Coder Apprentice (CPC-A) through AAPC organization. Must maintain certification through annual education requirements and achieve CPC status within 2 years. Preferred Licenses or Certifications Certified Professional Coder (CPC) Physical Requirements Ability to push, pull, and lift in excess of 20 pounds as well as travel around the medical school campus. Background Check Requirements All candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks based on the position description and job requirements. All offers are contingent upon the successful completion of the background check. For additional information on the background check requirements and process visit "Learn about background checks" under the Applicant Support Resources section of Careers on the It's Your Yale website. Health Requirements Certain positions have associated health requirements based on specific job responsibilities. These may include vaccinations, tests, or examinations, as required by law, regulation, or university policy. Posting Disclaimer The hiring rate of a role is determined in accordance with the provisions outlined in the respective collective bargaining agreement. The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the position. Employees will be assigned specific job-related duties through their hiring department. The University is committed to basing judgments concerning the admission, education, and employment of individuals upon their qualifications and abilities and seeks to attract to its faculty, staff, and student body qualified persons from a broad range of backgrounds and perspectives. In accordance with this policy and as delineated by federal and Connecticut law, Yale does not discriminate in admissions, educational programs, or employment against any individual on account of that individual's sex, sexual orientation, gender identity or expression, race, color, national or ethnic origin, religion, age, disability, status as a special disabled veteran, veteran of the Vietnam era or other covered veteran. Inquiries concerning Yale's Policy Against Discrimination and Harassment may be referred to the Office of Institutional Equity and Accessibility (OIEA). Note Yale University is a tobacco-free campus.

We are a leading not-for-profit provider of post-acute care, long-term healthcare, and senior housing. Because we are a Massachusetts company, from our leadership to our local staff, we live in the communities we serve. Come join a professional, energetic and collaborative team at Integritus Healthcare. You will enjoy excellent health insurance, generous time off and a culture of employee engagement and transparency. Annual salary is 125k-159k. Salary based on experience. The position is responsible for the development of and strategic leadership and tactical implementation of an organizational wide strategy for payer reimbursement, both private (e.g. managed care contracts) and governmental (e.g. Medicare, Medicaid) that result in valued-based purchasing. The candidate MUST have experience in Medicaid billing, regulatory compliance and billing oversight. Must have strong skills in reporting and analysis. Pricing, network access, competitive position and progressive reimbursement methodology strategies must all be developed and implemented in a consistent manner in all the markets. The Director will work to manage existing and develop new participating network contracts to maximize patient access and revenue. Contracting activities include, but not limited to, the identification of opportunities to improve financial and market share performance, analysis, maintenance, negotiation, and renegotiation of all agreements with current and prospective providers of healthcare services. Serves as program manager of the initial contract implementation. Minimum 7 - 10 years of progressive long-term care/healthcare experience and leadership. Significant knowledge in cost structure, various reimbursement methodologies and payment systems, contractual, administrative, insurance, or operations issues related to managed care organizations. Minimum 7 - 10 years leadership experience within the healthcare industry with a focus on performance, previous Director level experience preferred Bachelor's degree from accredited college or university in Business Administration, Finance, or related discipline. Master's Degree preferred.

Job Title Service Order Solutions Audit/Billing Order Closure Job Description Service Order Solutions Audit/Billing Order Closure: Ensure the smooth operation of the Service business, by ensuring accuracy and timeliness of case/work order closure, invoices, and cost assignment to customer contracts where appropriate. Your role: Manage daily que, workflow, and process customer quotes/purchase orders accurately and efficiently within outlined KPIs and SLAs. Audit cases, support reporting, and ensure timely revenue recognition and service order closure. Communicate with internal and external customers to resolve issues and provide excellent service. Collaborate across departments, maintain data integrity, and address quoting errors / discrepancies. Contribute to team goals, participate in training, and drive process improvements with a positive, adaptable attitude. You're the right fit if: Minimum 2 years of experience in Billing and Invoicing, Accounts Receivable/Payable, Contract Management or equivalent. High School Diploma, Vocational Education required 1+ years' experience in an administrative position with experience in order processing/order entry or related experience (preferred). You must be able to successfully perform the following minimum Physical, Cognitive and Environmental job requirements with or without accommodation for this position. Experienced in using PCs and Microsoft Office, with strong organizational, time management, and effective oral and written communication skills. How we work together We believe that we are better together than apart. For our office-based teams, this means working in-person at least 3 days per week. Onsite roles require full-time presence in the company's facilities. Field roles are most effectively done outside of the company's main facilities, generally at the customers' or suppliers' locations. This is an office-based role. About Philips We are a health technology company. We built our entire company around the belief that every human matters, and we won't stop until everybody everywhere has access to the quality healthcare that we all deserve. Do the work of your life to help the lives of others. Learn more about our business. Discover our rich and exciting history. Learn more about our purpose. Learn more about our culture. Philips Transparency Details The hourly pay range for this position in Nashville, TN is $18.39 to $29.42, plus overtime eligibility. The actual base pay offered may vary within the posted ranges depending on multiple factors including job-related knowledge/skills, experience, business needs, geographical location, and internal equity. In addition, other compensation, such as an annual incentive bonus, sales commission or long-term incentives may be offered. Employees are eligible to participate in our comprehensive Philips Total Rewards benefits program, which includes a generous PTO, 401k (up to 7% match), HSA (with company contribution), stock purchase plan, education reimbursement and much more. Details about our benefits can be found here. At Philips, it is not typical for an individual to be hired at or near the top end of the range for their role and compensation decisions are dependent upon the facts and circumstances of each case. Additional Information US work authorization is a precondition of employment. The company will not consider candidates who require sponsorship for a work-authorized visa, now or in the future. Company relocation benefits will not be provided for this position. For this position, you must reside in or within commuting distance to Nashville, TN. This requisition is expected to stay active for 45 days but may close earlier if a successful candidate is selected or business necessity dictates. Interested candidates are encouraged to apply as soon as possible to ensure consideration. Philips is an Equal Employment and Opportunity Employer including Disability/Vets and maintains a drug-free workplace.

Title: Dental Billing Specialist I Department: Operations Status: Non-Exempt Position Classification/Category: Clerical Level: N/A Location: Float through CRCHC Sites Hourly Pay Range: Reports To: Dental Operations Manager Direct Reports: N/A Summary of Position Under the direct supervision of the Dental Operations Manager, the Dental Billing Specialist I is responsible for timely and accurate billing of all dental claims, insurance information, patient charges, and payments. The Dental Billing Specialist will work on a team in various aspects of dental billing and third-party provider credentialing. This individual should be resourceful, exceptionally detail-oriented and organized to be successful in this role. Having the ability to focus as well as shift gears as needed when handling competing priorities is required. The Dental Billing Specialist may serve in a support role within dental registration duties as needed. Minimum Qualifications Ability to read, write and comprehend the English language. Communicates effectively. Must be able to sit and stand for long periods of time. Ability to effectively maintain confidentiality of records and communicate with all levels of personnel. Experience: One year of clerical experience in an office setting; preferably dental office Additional skills required: Requires excellent organizational, problem solving and critical thinking skills. Strong basic computer skills required. Able to maintain confidentiality and work collaboratively in a team environment. Travel required: None. Additional skills preferred: Bilingual in Spanish and English Education: High school diploma or GED. Associate's degree preferred. Certification(s)/Licensure: N/A Physical Requirements: The physical demands described here represent those that must be met by an employee to successfully perform the essential functions of this job. Repetitive movement of hands and fingers - typing and/or writing. Occasional standing, walking, stooping, kneeling, or crouching. Reach with hands and arms. Talk and hear. Key Responsibilities Experience in dental, medical billing and AR oversight/investigation is required for this role. Assist patients with billing questions. Answer incoming phone calls. Claims filing related to dental and medical. Accurately and efficiently posting/applying payments. Complete Dental requests for all CRCHC locations in terms of prior authorizations and referrals. Review patient chart for records requiring updating and perform necessary updates. Create patient claim, collect payment, and document payment in electronic health record. Troubleshooting and follow through for open issues related to unidentified payments, insurance retractions and payment discrepancies. Matina internal provider spreadsheet to ensure all information is accurate and logins are available. Assisting in researching and resolving claim denials, patient refunds, and collections follow-up. Compose messages to provider/staff regarding patient communication. Maintain a clean, neat, and well-organized work area. Verification of patient insurance plans. Entering insurance plan information in practice management software. Participate in quality improvement activities by initiating or contributing to monitoring, measuring, analyzing, improving and/or controlling program goals, objectives and/or services. Perform other duties as assigned.

"They made it easier for me to live, breathe, eat, and stay clean. Without them, I'd be waiting somewhere, waiting for someone to give me a chance to live..." - Client from Telecare What You Will Do to Change Lives The Billing Specialist is responsible for all billing related tasks including collection of billing data, data entry into County IRIS, running reports and reconciliation of data. Shifts Available: Full-Time: 9:00 AM - 5:30 PM | Monday - Friday Expected starting wage range is $21.05 - $25.38. Telecare applies geographic differentials to its pay ranges. The pay range assigned to this role will be based on the geographic location from which the role is performed. Starting pay is commensurate with relevant experience above the minimum requirements. What You Bring to the Table (Must Have) One (1) year of general office experience High school diploma or a G.E.D. The ability to work with minimum supervision, set work priorities and function as a self-starter This position is contingent upon successful completion and receipt of acceptable results of the applicable post-offer physical examination, 2-step PPD test for tuberculosis, passing applicable criminal background clearances, excluded party sanctions, and degree or license verification If the position requires driving, a motor vehicle clearance and proof of auto insurance is required prior to hire. Additional regulatory, contractual or local requirements may apply Must be at least 18 years of age Must be CPR, Crisis Prevention Institute (CPI), and First Aid certified on date of employment or within 60 days of employment and maintain current certification throughout employment All opportunities at Telecare are contingent upon successful completion and receipt of acceptable results of the applicable post-offer physical examination, 2-step PPD test for tuberculosis, acceptable criminal background clearances, excluded party sanctions, and degree or license verification. If the position requires driving, valid driver license, a motor vehicle clearance and proof of auto insurance is required at time of employment and must be maintained throughout employment. Additional regulatory, contractual or local requirements may apply What's In It For You* Paid Time Off: For Full Time Employee it is 16.7 days in your first year Nine Paid Holidays & Shift differentials for hourly staff (6% for PM Shift, 10% for Overnight Shift). Weekend Shift differentials for hourly staff (5% for Weekend AM Shift, 11% for Weekend PM Shift, 15% for Weekend Overnight Shift) Free CEUs, free Supervision for BBS Associate License, coaching, and mentorship Online University Tuition Discount and Company Scholarships Medical, Vision, Dental Insurance, 401K, Employee Stock Ownership Plan For more information visit: https://www.telecarecorp.com/benefits Join Our Compassionate Team Telecare's mission is to deliver excellent and effective behavioral health services that engage individuals in recovering their health, hopes, and dreams. Telecare continues to advance cultural diversity, humility, equity, and inclusion at all levels of our organization by hiring mental health peers, BIPOC, LGBTQIA+, veterans, and all belief systems. Sausal Creek is a voluntary program providing a safe, respectful environment where adults (age 18+), who are residents of Alameda County in crisis can receive mental health services. EOE AA M/F/V/Disability May vary by location and position type Full Job Description will be provided if selected for an interview. If job posting references any sign-on bonus internal applicants and applicants employed with Telecare in the previous 12 months would not be eligible.

Position Title: Billing Specialist Position Summary The Billing Specialist's primary function includes the invoicing function and customer billing resolution. This position participates in multi-faceted dispute resolution situations which require specialized problem solving skills and knowledge of company processes and procedures to effectively manage and resolve. This position will report directly to the Billing Supervisor. This is a hands-on role with specific responsibility to process invoices monthly. This position will ensure assigned workload is on track and will provide feedback to the Billing Supervisor as required. Responsibilities Ensure timely and accurate invoices are sent to customers on a monthly basis Process updates for customer invoices as needed including installs, disconnects and renewals Coordinate with internal groups (sales, legal, customer service, collections, finance) to resolve issues Review contracts to ensure invoices align with support Calculate and set up correct discounted billing Prepare check requests for reimbursements to customers Ability to utilize CRM (Customer Relationship Management) tool Ability to work independently and within tight deadlines Submit customer invoices to portals Complete ad hoc projects and other duties as assigned by the Billing Manager Contributes to team effort by accomplishing related deliverables as needed Participate in audits as appropriate to ensure the audit coordinator has all required information Expectations Must have strong general knowledge of billing and collections process cycles Must possess strong written and verbal communication skills with the ability to articulate challenges and professionally present actions and solutions, along with excellent customer service skills. Ability to utilize ERP systems, such as CRM (Customer Relationship Management) and Oracle. Education/Certifications 4-year college degree preferred, but not required in Accounting, Business, or equivalent experience. Experience/Minimum Requirements 4 plus years of experience in an Accounting/Finance environment Experience billing of customer sales required Experience with data entry and process-oriented functions, including Microsoft Excel Organizational Relationship Reports to: Supervisor Billing Title(s) of direct reports N/A

Position Type : Full time Type Of Hire : Experienced (relevant combo of work and education) Education Desired : General Equivalency Diploma Travel Percentage : 0% Job Description The world of finance moves fast. At FIS, we're faster. We empower our teams to learn, grow, and make an impact-in their careers and communities. If you're looking for a role where you can contribute meaningfully and develop professionally, we'd like to know: Are you FIS? About the Role As a Billing Specialist II, you'll play a key role in supporting our internal billing operations. This is a non-client-facing position focused on high-volume data entry and invoice preparation using internal systems and physical documentation. You'll work closely with internal teams to ensure accurate and timely billing. Location: Onsite - San Antonio, TX Schedule: Monday-Friday, 8:00 AM-5:00 PM CST | 1 Saturday/month (post-training) What You'll Be Doing Reviewing and compiling data from internal applications and physical paperwork Entering large volumes of billing data into internal systems Preparing invoices, credit memos, and billing documentation Processing billing transactions and ensuring accuracy Supporting monthly billing cycles and assisting with reconciliations Collaborating with internal departments to resolve discrepancies What You Bring Strong data entry skills and attention to detail Ability to work independently and meet firm deadlines Comfortable working with physical paperwork and digital systems Basic accounting knowledge is a must Organized, dependable, and results-oriented Previous experience in a billing, finance, or administrative role is a plus Education & Experience High school diploma or equivalent required Associate's or Bachelor's degree in Accounting, Finance, or related field preferred What We Offer You A flexible and collaborative work environment Opportunities for professional development and growth Competitive salary and benefits A chance to be part of a global leader in fintech innovation Privacy Statement FIS is committed to protecting the privacy and security of all personal information that we process in order to provide services to our clients. For specific information on how FIS protects personal information online, please see the Online Privacy Notice. EEOC Statement FIS is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, genetic information, national origin, disability, veteran status, and other protected characteristics. The EEO is the Law poster is available here supplement document available here For positions located in the US, the following conditions apply. If you are made a conditional offer of employment, you will be required to undergo a drug test. ADA Disclaimer: In developing this job description care was taken to include all competencies needed to successfully perform in this position. However, for Americans with Disabilities Act (ADA) purposes, the essential functions of the job may or may not have been described for purposes of ADA reasonable accommodation. All reasonable accommodation requests will be reviewed and evaluated on a case-by-case basis. Sourcing Model Recruitment at FIS works primarily on a direct sourcing model; a relatively small portion of our hiring is through recruitment agencies. FIS does not accept resumes from recruitment agencies which are not on the preferred supplier list and is not responsible for any related fees for resumes submitted to job postings, our employees, or any other part of our company. #pridepass

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

Sea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State. Sea Mar proudly serves all persons without regard to race, ethnicity, immigration status, gender, or sexual orientation, and regardless of ability to pay for services. Sea Mar's network of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social, and educational services. We are recruiting for the following position(s): Billing Specialist I, II or III - Posting #26048 Hourly Rate: $20.00 - $21.75 Position Summary: Full-time Billing Specialist available immediately for our Federal Way Billing Department. Main responsibilities include: ensuring accurate and timely processing of all third party insurance, Medicaid, Medicare, Private Pay, and special programs. This position will require that candidate take a billing test. The test will determine what level of expertise or what level of billing the candidate is at. It will also determine what pay the candidate will be making based on the test score. This position requires a comprehensive understanding of accounts receivable management in a healthcare setting. This position requires strong working knowledge of managed care plans, insurance carriers, referrals and pre-certification procedures. Also required is a strong working knowledge of CPT, ICD-9, ICD-10, HCPCS, modifiers, coding and documentation guidelines. Strong customer service, organizational and communication skills are essential to this position. In addition, strict adherence to write-off policies, refund policies and other accounts receivable policies as outlined in the Procedure Manual is required. This position requires an ability to prioritize multiple tasks simultaneously in an occasionally stressful environment. Also required are general computer skills, typing skills and a working knowledge of Medicare Compliance, OSHA and HIPAA. Responsibilities include: Posting payments, adjustments, processing denial, bi-monthly re-bill, follow up with insurance companies on accounts not paid, and collections of private past-due accounts. Qualifications: Experience with ICD-10, CPT and CDT coding, both dental and medical terminology preferred. Applicant must be proficient in Excel, Word, and Ten-key by touch. Healthcare billing experience required. Excellent verbal and written communications skills are a must. Excellent Customer service required. Must be able to resolve client billing problems in a timely manner. Must have the ability to add subtract, multiply and divide in all units of measure using whole numbers, common factions and decimals. Bilingual English/Spanish a plus. What We Offer: Sea Mar offers talented and motivated people the opportunity to work in a dynamic and growing community health organization. Working at Sea Mar Community Health Centers is more than just a job, it's a fulfilling career with opportunity for advancement. The fringe benefits surpass most companies. For example, Full-time employees working 30 hours or more, receive an excellent benefit package of: Medical Dental Vision Prescription coverage Life Insurance Long Term Disability EAP (Employee Assistance Program) Paid-time-off starting at 24 days per year + 10 paid Holidays. We also offer 401(k)/Retirement options and an exciting opportunity to work in a culturally diverse environment. How to Apply: To apply for this position, complete the online application and click SUBMIT or APPLY NOW. If you have any questions regarding the position, email Aaron Palmer, Billing Director, at [email protected]. Sea Mar is an Equal Opportunity Employer Posted on 01/30/2024 External candidates may apply after 02/02/2024 This position is represented by Office and Professional Employees International Union (OPEIU). Please visit our website to learn more about us at www.seamar.org. You may also apply through our Career page at https://www.seamar.org/jobs-general.html

Employment Type: Full time Shift: Description: POSITION PURPOSE 100% Work Onsite- Walker, Michigan (Pay Range: $15.0165-$22.5248) Performs the day-to-day correspondence activities within the Hospital and/or Medical Group revenue operations ($3-5B NPR) of a Patient Business Services (PBS) location. Serves as part of a team of correspondence colleagues at a PBS location responsible for sorting and distributing incoming correspondence, performing address updates, and scanning documents into the document imaging system. This position reports directly to a Manager. ESSENTIAL FUNCTIONS Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions. Collects, organizes and scans patient and insurance correspondence, insurance vouchers/explanation of benefits and other relevant documentation into Onbase or similar application based on the Health Ministry. Conducts appropriate indexing with PNC Correspondence into correct folders within Onbase or similar application, redacts and indexes correspondence to multiple accounts within OnBase as needed. Sorts and date-stamps all incoming correspondence (fax, email, postal mail), distributing correspondence to appropriate resources in a timely, accurate manner. Reviews all returned mail, researches and corrects the information (name and address) in the patient accounting system as appropriate. Updates the mailing envelope with the correct information and resubmits for mailing. Assists in large copy and mail productions. Sorts outgoing correspondence to ensure cost effective postage. Provides support for the Billing & Follow-Up teams by printing UB04's and sends medical records by Certified Mail. Unpacks and stocks supply orders that arrive to the Patient Business Service Center, keeps inventory on a routine basis regarding supplies and envelopes, follows appropriate process for reorder. May prepare special reports as directed by the manager to document billing and follow-up services (e.g., Incoming correspondence volume, returned mail status, document imaging status, etc.). May serve as relief support, if the work schedule or workload demands assistance to departmental personnel. May also be chosen to serve as a resource to train new employees. Cross training in various functions is expected to assist in the smooth delivery of departmental services. Other duties as needed and assigned by the manager. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health's Organizational Integrity Program, Code of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior. MINIMUM QUALIFICATIONS High school diploma and a minimum of one (1) year work experience within a hospital or clinic environment, an insurance company, managed care organization or other financial service setting, performing mailroom and document imaging functions or an equivalent combination of education and experience. Data entry skills (50-60 keystrokes per minutes). Excellent communication (verbal and writing) and organizational abilities. Interpersonal skills are necessary in dealing with internal and external customers. Accuracy, attentiveness to detail and time management skills. Basic understanding of Microsoft Office Microsoft Office, including Outlook, Word, PowerPoint, and Excel. To successfully accomplish the essential job functions of this position, the incumbent will be required to work independently, read, write, and operate keyboard and telephone effectively. Must be comfortable operating in a collaborative, shared leadership environment. Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health. PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS Must be able to set and organize own work priorities, and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles. Excellent problem solving skills are essential. This position requires the ability to comprehend and retain information that can be applied to work procedures to achieve appropriate service delivery. The greatest challenge in this position is to ensure that mailroom and document imaging activities are performed promptly and in an accurate manner to assist in order to reduce potential financial loss to the patient and the Ministry Organization. Position operates in an office environment. Work area is well-lit, temperature controlled and free from hazards. The incumbent is subject to eyestrain due to the many hours spent looking at a CRT screen. The noise level is low to moderate. Completion of regulatory/mandatory certifications and skills validation competencies preferred. Must possess the ability to comply with Trinity Health policies and procedures. Our Commitment to Diversity and Inclusion Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

Working at Yale means contributing to a better tomorrow. Whether you are a current resident of our New Haven-based community- eligible for opportunities through the New Haven Hiring Initiative or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome. Discover your opportunities at Yale! Hourly Range 31.05 Overview Under the direction of Yale Medicine Administration (YMA) Coding and Billing, the Coding and Billing Assistant 1 is responsible for reviewing all aspects of charge submission for patient clinical services based on coding, documentation review, quality assurance, and compliance guidelines. Reviews charge submissions for compliance with established coding guidelines, all YMA policies and protocols, third party reimbursement policies, Federal payer regulations, and HIPAA guidelines. Performs effective workflow processes to file complete, accurate and timely billing of professional charges, while maintaining productivity to meet lag day expectations. May review and analyze documented medical services to verify accurate documentation and coding of services performed. Required Skills and Abilities 1. General or intermediate knowledge of ICD-10, CPT, HCPCs and modifier coding, medical terminology, human anatomy, and digital coding resources and software. Ability to analyze and interpret evaluation and management documentation guidelines as well as procedures and applicable coding guidelines. 2. Demonstrated ability with an electronic health record and practice application systems, electronic data entry, and web-based applications and websites. Intermediate proficiency with MS Word, Excel, Outlook (emails and calendars). 3. Demonstrated knowledge of Federal payer regulations, third party payers, HIPAA rules, reimbursement policies and procedures. Proven ability to interpret and apply guidelines. 4. Demonstrated strong interpersonal, verbal and written communication skills. Ability to effectively communicate with team members to resolve questions regarding collaboration and assignments. Communicate effectively with providers, following escalation processes with analytics team and manager. 5. Demonstrated ability to work independently; organize and prioritize own work with minimal supervision; ability to work in a fast-paced environment meeting timely deadlines while maintaining productivity and quality standards. Ability to work effectively as a team member with common goals. Preferred Education, Experience and Skills Experience within an academic medical environment or large multi-specialty practice; CPC certification preferred. Principal Responsibilities Performs work queue resolution of medical billing charge sessions by reviewing clinical documentation to confirm diagnostic (ICD-10) and procedural (CPT/HCPCS) codes and modifiers, based on charge review edits for Yale Medicine patient clinical services filed to charge review work queues. May perform manual charge entry for non-Epic services. With an ability to navigate within the Professional Billing applications, ensures that all charge review edits are appropriately resolved in charge review work queues utilizing claim judgement and critical thinking skills. Draws valid conclusions to support decisions. 2. May verify all information required to submit a clean claim including provider, place of service, date of service, bill area, all codes and special billing procedures that may be defined by a payer, contract or YMA. Ensures compliance with Teaching Physician guidelines within an academic medical practice. 3. Pends charge sessions to seek corrective action for services not meeting documentation requirements in accordance with YMA policies and procedures. May identify that a provider should be contacted to clarify or amend a medical record, following communication and escalation procedures. May modify clinician's selection. 4. Adheres to YMA policies and procedures and Yale Medicine's Mission, Values and Guiding Principles. Actively participates in team and department training and education programs and staff meetings. Establishes and cultivates productive relationships among staff to support a positive team environment and professional interactions. Maintains professional and technical knowledge by participating in educational workshops and reviewing professional publications. 5. May perform other duties as assigned. Required Education and Experience Four years of related work experience, two of them in the same job family at the next lower level, and high school level education; or two years of related work experience and an Associate's degree, or an equivalent combination of experience and education. Required License(s) or Certification(s) Certified Professional Coder Apprentice (CPC-A) through AAPC organization. Must maintain certification through annual education requirements and achieve CPC status within 2 years. Preferred Licenses or Certifications Certified Professional Coder (CPC) Physical Requirements Ability to push, pull, and lift in excess of 20 pounds as well as travel around the medical school campus. Background Check Requirements All candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks based on the position description and job requirements. All offers are contingent upon the successful completion of the background check. For additional information on the background check requirements and process visit "Learn about background checks" under the Applicant Support Resources section of Careers on the It's Your Yale website. Health Requirements Certain positions have associated health requirements based on specific job responsibilities. These may include vaccinations, tests, or examinations, as required by law, regulation, or university policy. Posting Disclaimer The hiring rate of a role is determined in accordance with the provisions outlined in the respective collective bargaining agreement. The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the position. Employees will be assigned specific job-related duties through their hiring department. The University is committed to basing judgments concerning the admission, education, and employment of individuals upon their qualifications and abilities and seeks to attract to its faculty, staff, and student body qualified persons from a broad range of backgrounds and perspectives. In accordance with this policy and as delineated by federal and Connecticut law, Yale does not discriminate in admissions, educational programs, or employment against any individual on account of that individual's sex, sexual orientation, gender identity or expression, race, color, national or ethnic origin, religion, age, disability, status as a special disabled veteran, veteran of the Vietnam era or other covered veteran. Inquiries concerning Yale's Policy Against Discrimination and Harassment may be referred to the Office of Institutional Equity and Accessibility (OIEA). Note Yale University is a tobacco-free campus.

We are a leading not-for-profit provider of post-acute care, long-term healthcare, and senior housing. Because we are a Massachusetts company, from our leadership to our local staff, we live in the communities we serve. Come join a professional, energetic and collaborative team at Integritus Healthcare. You will enjoy excellent health insurance, generous time off and a culture of employee engagement and transparency. Annual salary is 125k-159k. Salary based on experience. The position is responsible for the development of and strategic leadership and tactical implementation of an organizational wide strategy for payer reimbursement, both private (e.g. managed care contracts) and governmental (e.g. Medicare, Medicaid) that result in valued-based purchasing. The candidate MUST have experience in Medicaid billing, regulatory compliance and billing oversight. Must have strong skills in reporting and analysis. Pricing, network access, competitive position and progressive reimbursement methodology strategies must all be developed and implemented in a consistent manner in all the markets. The Director will work to manage existing and develop new participating network contracts to maximize patient access and revenue. Contracting activities include, but not limited to, the identification of opportunities to improve financial and market share performance, analysis, maintenance, negotiation, and renegotiation of all agreements with current and prospective providers of healthcare services. Serves as program manager of the initial contract implementation. Minimum 7 - 10 years of progressive long-term care/healthcare experience and leadership. Significant knowledge in cost structure, various reimbursement methodologies and payment systems, contractual, administrative, insurance, or operations issues related to managed care organizations. Minimum 7 - 10 years leadership experience within the healthcare industry with a focus on performance, previous Director level experience preferred Bachelor's degree from accredited college or university in Business Administration, Finance, or related discipline. Master's Degree preferred.

Minimum Hiring Wage: From $18.89 per hour Job Details: Schedule Hours: Monday - Friday, Day Shift Job Description: A Brief Overview Coordinates and assists in the reimbursement for services provided. Accurately files insurance claims for the purpose of settling claims with insurance carriers. Resolves discrepancies in accounting records, resolves credits, verifies accuracy of all billing data, and corrects identified errors. Handles electronic billing functions which includes electronically filing claims and maintaining the electronic filing system. Prepares itemized statements, bills, or invoices; and records amounts due for services rendered. Keeps records of supporting documents. Contacts patient to obtain or relay account information. Collect information from policyholders to verify accuracy of information on claim forms, company records, and related documents. Update existing policies and company records to reflect requested changes from policyholders and insurance company representatives. Follows-up on outstanding accounts, making proper notations in the billing software. Work denials, follow appeal processes, and refile claims following through to completion. Investigate and resolve any billing discrepancies or insurance-related issues, working closely with insurance providers, patients, and internal teams. Maintain knowledge of current government and/or carrier regulations relevant to industry. Performs data entry, adding, calculating, and operation of computers, equipment, and billing software. What you will do Prepare insurance claim forms and related documents and review them for accuracy and completeness. Follow-up on rejected, unpaid and denied claims until claims are paid or only self-pay balance remains. Investigate and resolve any billing discrepancies or insurance-related issues, working closely with insurance providers, patients, and internal teams. Reconcile accounts and maintain accurate balances. Perform AR follow up on aging accounts. Transmit claims for payment or further investigation. Contact insured or other involved persons to obtain missing information or resolve billing issues. Review insurance policy to determine coverage. Research payer websites, using computers to enter, access, search, and retrieve data. Provide customer service, such as assisting with inquiries and billing requests. Monitor for missing information, authorization/control numbers. Qualifications: Qualifications H.S. Diploma or General Education Degree (GED) Required 1-3 years Experience working with computers Required 1-3 years Customer service experience Preferred 1-3 years General office or clerical experience. Preferred Knowledge of principles and processes for providing customer service. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction. Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, designing forms, and other office procedures and terminology. Preferred knowledge in Microsoft Office including Word, Excel, and Outlook Knowledge to use electronic equipment and computer applications specific to the job. Possesses excellent time management and organizational skills. Possesses problem solving skills Ability to communicate effectively and document information accurately. Communicating effectively in writing as appropriate for the needs of the audience. The ability to read and understand information and ideas presented in writing. Ability to maintain confidentiality and discretion. The ability to communicate information and ideas in speaking so others will understand. The ability to listen to and understand information and ideas presented through spoken words and sentences. The ability to speak clearly so others can understand you, as well as the ability to read, write and understand the English language. Knowledge of arithmetic. Teaching others how to do something Benefits: We are excited to offer an aggressive compensation and benefits package for qualifying positions, which includes: Competitive base pay Matching retirement programs Health, Dental and Vision plans Health Savings and Flexible Spending Accounts Employee discounts including car rental, cell-phone plans Employer-paid, Long-Term Disability, Life, and AD&D Paid time off (PTO) Education Assistance Program Employee Assistance Program Employee Referral Bonus Program Discounted cafeteria meals Paid Parental Leave Employee Service Recognition program Voluntary plans including: Life, AD&D, Short-Term Disability, Critical Illness, Accident, Insurance, and Hospital Indemnity Great River Health and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.

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