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Single Billing Office, Customer Service Specialist, FT, Days,-logo
Single Billing Office, Customer Service Specialist, FT, Days,
Prisma HealthGreenville, South Carolina
Inspire health. Serve with compassion. Be the difference. Job Summary Performs tasks of moderate to difficult complexity relating to both hospital and physician accounts. Handles a large volume of inbound calls. Responsible for also making outbound calls related to self-pay follow up on accounts. Assists patients with requests for information, complaints, and resolving issues. Responsible for data analysis and interpretation throughout all functions of revenue cycle, to determine reasons for denials, non-payment and overpayment, post/balance/correct electronic remittances, billing and follow-up of government payers and specialized accounts, analysis/correction of correct coding guidelines, preparation of accounts for appeal, review/analysis of insurance credit balances and analysis/movement of unapplied, unidentified, undistributed balances. Moderate to difficult levels of evaluation, analysis, decision making required in these roles. Essential Functions Resolves billing concerns, addresses inquiries related to insurance concerns/matters, assist patients with MyChart while simultaneously establishing a rapport with our diverse field of patients. Reviews accounts to determine insurance coverage; obtains and corrects any missing or inaccurate information. Discusses patient responsibility, which includes educating patients on claim processing, deductible, coinsurance, and co-pays. Interacts with patients by making patients aware of payment options such as payment plans and financial assistance as well as how to apply for financial assistance if circumstance warrant. Ability to set up payment plans in MyChart based on patient's personal needs. - 25% Greets patients in a professional and courteous manner. Communicates clearly and professionally in both oral and written communication. Be clear and concise in all communication to ensure patients understand the information that is being communicated to them by the Customer Service Specialist. Maintains a high level of poise and professionalism in dealing with patients. Knows when to escalate a patient service issue real time. Research customer requests or issues, determines if further action is needed, forwards to appropriate party for resolution, and exercises good judgement to determine urgency of patient's need. – 20% Contacts payer and makes hard inquiries on account status if needed. Escalates problem accounts to the appropriate area(s). Documents billing activity on a patient's accounts according to departmental guidelines; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leaders. Properly documents accounts clearly with indicators and activities so that tracking and trending can be prepared for any potential further analysis if needed. – 10% Must be knowledgeable of the entire Revenue Cycle and Epic. – 10% Ensures all work is compliant with privacy, HIPAA, and regulatory requirements. - 10% Participates in general or special assignments and attends all required training. Adheres to policies and procedures as required by Prisma Health and follows all compliant regulatory payer guidance. - 10% Knowledgeable of the job functions required for a A/R Follow-up Representative, Cash Posting Representative, Claims Clearinghouse Representative, Correspondence Representative, Credit Processing Specialist, Denial/Appeals Specialist, Payment Research Specialist and a Quality Assurance Specialist. Should be cross trained and proficient to operate in any of these roles if the need arises. - 10% Answers all incoming calls from Prisma Health patients for both the Columbia and Greenville markets. - 5% Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - High School diploma or equivalent OR post-high school diploma / highest degree earned Experience - 2 years - Billing, bookkeeping, accounting In Lieu Of NA Required Certifications, Registrations, Licenses NA Knowledge, Skills and Abilities NA Work Shift Day (United States of America) Location Patewood Outpt Ctr/Med Offices Facility 7001 Corporate Department 70019935 System Billing Office Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

Posted 3 days ago

Pharmacy Billing Specialist-logo
Pharmacy Billing Specialist
Amber Specialty PharmacyOmaha, Nebraska
Additional Considerations (if any): - At Amber Specialty Pharmacy, our commitment to patient care is unmatched. Enjoy fulfillment in a career where you have the opportunity to make a positive impact on patients with complex and chronic conditions. Monday-Friday (no weekends) Hours: 7 am - 7 pm CST; varied shifts (to equal 40 hours per week) Six paid holidays Must pass post-offer, pre-employment drug background tests as allowed by state, federal, local ordinance, statutes and licensing/accreditation requirements. Amber Specialty Pharmacy Job Title: Pharmacy Billing Specialist Department : Operations FLSA : Non-Exempt General Functions The Pharmacy Billing Specialist ensures accurate insurance information is received and stored. They gather all necessary information to bill electronic NCPDP claims in the appropriate order in the event of multiple payers, review statements to determine accuracy, and navigate financial assistance programs to help patients gain financial support. Communicating with coordinators and co-workers regarding insurance verification and promoting exceptional customer service and professionalism with the community is vital in this position. The Training Billing Specialist is responsible for boosting the competencies of our employees by developing and conducting effective training documents. Indirectly help enhance the employee’s workplace performance with the Company’s core values. Will be performing the training needs assessment and learning materials for the billing team. Reporting Relations Reports to : Lead Pharmacy Billing Specialist Direct Reports : None Primary Responsibilities : Consults with patients to resolve all types of paye r and coverage issues . Contacts the patient, when necessary , to gather insurance and billing information or notify of a delay in processing . Conducts a benefits investigation, updates patient accounts, prescriptions, etc. Collects outstanding patient balances. Processes adjudication rejections, insurance terminations, and insurance changes. Handles patient benefit statement questions to a conclusion . Researches and reviews patient inquiri es on account balances . Knows Amber HIPAA policies and maintains patient confidentiality at all times. Works as a team member with all other departments to verify benefits . Working knowledge of all necessary computer software to perform job duties. Bill claims via electronic NCPDP clearinghouse; cross-trains in Medical billing as time allows . Works claims in the clearinghouse to ensure our payers receive them . Responsible for aiding in accounts receivable by billing claims correctly and getting them to our payers on time . Works with team to achieve C ompany AR goals . Understanding of payer contracts and how claims should be submitted to each payer . Has mastered the requirements of a Pharmacy Billing Specialist so they can train new hires on company policies and procedures , including HIPPA polic i es . Gather and evaluate information from employees and management on previous training to identify strengths, weaknesses , and areas that need improvement . Inform employees on scheduled training and track their progress. Instruct employees to complete a benefit s investigation and update patient accounts, prescriptions, etc. Trains new hires and team s on adjudicating rejections, insurance terminations, and insurance changes . Educates new hires and the team on how to review statements and patient balances . Trains new hires and teams on computer software and programs to perform job duties . Teaches new hires and team the difference between medical and NCPDP billing. Assists in developing SOP and training documents to perform job duties . Monitors new hires and teams on their progress and ensures how to p er form job duties . Assist the Lead Pharmacy Billing Specialist in training needs; document the employee training . Professional Competencies : Proficient with MS Excel, Word, and Outlook . Strong oral, written, organizational and interpersonal skills . Ability to work in a team and with all levels of internal management, staff, outside clients, and vendors . Demonstrated ability to meet tight deadlines . Required Qualifications : Working knowledge of the healthcare industry , specifically the pharmacy industry . One (1) year of experience billing electronic insurance claims , including; Medicaid, Medicare, and Commercial insurance via NCPDP clearinghouse . Experience working with clearinghouses for claim adjudication . Educational Requirements: High school diploma or equivalent . Physical Requirements : Must remain stationary up to 90% of the time The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery, etc., and traverse conferences, meetings, and remote events. Constantly operates a computer and other office productivity machinery, such as a calculator, copy machine, and computer printer. The ability to communicate information and ideas so others will understand. Must be able to exchange accurate information in these situations. The ability to observe details at close range (within a few feet of the observer). Working Conditions : Normal Office Environment. Equipment Used to Perform the Job : Computers, keyboards, mouse, monitors, fax, and/or headsets for phone work. Software specific to the position, including but not limited to Microsoft Outlook and Skype. Must lift and traverse the area to move paper and supplies to use the equipment. Contacts : Frequently interact with co-workers, intradepartmental staff of t he Company, payers, insurance, supplies , managers, leaders, v endors, and customers . Confidentiality : The incumbent must maintain the confidentiality of personal information for the applications and licensing requirements, including any financial, strategic, or proprietary information . The Company does not consider this an exhaustive list of examples and may add or modify as deemed appropriate to the execution of the role. Candidates must be able to pass a pre-employment drug test, background check, and health screening (if applicable). Apply now and join our mission to provide exceptional patient care!

Posted 4 days ago

Legal Billing Specialist-logo
Legal Billing Specialist
HBS DefaultAtlanta, Georgia
SUMMARY: The Atlanta office of Hall Booth Smith, P.C. seeks an experienced Legal Billing Specialist to perform a variety of billing duties. The successful candidate will exhibit first-hand knowledge of associated e-billing platforms and an ability to process manual invoices. This position will also be responsible for tracking and processing client reductions and appeals. ESSENTIAL DUTIES AND RESPONSIBILITIES: Ensures all functions are performed in accordance with client’s guidelines for both electronic and paper billings. Ensures timely and accurate client billing, including routine and complex billing arrangements. Maintains open lines of communication with Attorneys and Legal Assistants for resolution of billing issues. Reviews and assists set up of timekeepers and rate information on electronic vendor websites. Handles client and attorney inquiries on billings. Proactively documents and verifies accurate billing data in all systems. KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED: Aderant experience is required, and Bill Blast experience is strongly preferred. Experience with electronic billing applications is required, as well as the ability to understand complex billing guidelines and analyze and track both appeals and specialty billing situations. A minimum of three years billing experience in an insurance defense law firm is strongly preferred. Must exhibit a high level of customer service to align with the Firm’s beliefs and values. Strong organizational and time management skills to meet deadlines and multitask to handle various inquiries in a fast-paced environment. Excellent analytical and problem-solving skills with investigative mindset and strong research skills. The above is intended to describe the general content of and requirements for the performance of this job. It is not intended to be construed as an exhaustive statement of essential functions, responsibilities or requirements.

Posted 30+ days ago

Billing Manager – LTL Business-logo
Billing Manager – LTL Business
Roadrunner Transportation ServicesSouth Milwaukee, Wisconsin
Job Description Summary: We are seeking a highly skilled and detail-oriented Billing Manager to oversee and manage the billing operations for our LTL (Less-than-Truckload) business. The Billing Manager will be responsible for ensuring accuracy, efficiency, and timeliness in the invoicing process while collaborating closely with operations, sales, and customer service teams to enhance billing effectiveness. Critical Job Functions: Lead and manage the billing team to ensure accurate and timely invoicing for LTL shipments. Develop, implement, and maintain billing policies, procedures, and controls to ensure compliance with company standards and industry regulations. Monitor and analyze billing data to identify discrepancies, trends, and areas for process improvement. Work closely with operations, sales, and customer service teams to resolve billing disputes and improve overall customer experience. Oversee the rating and auditing process to ensure freight charges are applied correctly. Ensure proper handling of accessorial charges, fuel surcharges, and discounts in the billing process. Maintain a deep understanding of carrier agreements, tariffs, and customer contracts to ensure accurate billing. Implement automation and technology solutions to improve billing accuracy and efficiency. Lead training and development initiatives for the billing team to enhance performance and expertise. Prepare and present billing performance reports to senior leadership, providing insights and recommendations. Ensure compliance with federal, state, and industry regulations governing freight billing. Job Requirements: Bachelor’s degree in Accounting, Finance, Business Administration, or a related field. 5+ years of experience in billing, finance, or accounting, preferably within the LTL, transportation, or logistics industry. 2+ years of experience in a leadership or managerial role. Strong knowledge of LTL freight billing, rating systems, and industry regulations. Experience with TMS (Transportation Management Systems) and billing software. Excellent analytical, problem-solving, and organizational skills. Strong leadership abilities with a proven track record of team management. Proficiency in Microsoft Office, especially Excel, and experience with financial reporting tools. Exceptional attention to detail and accuracy in billing processes. Ability to work in a fast-paced environment and handle multiple priorities effectively. Experience with LTL carriers, tariffs, and freight rating methodologies . Knowledge of EDI billing and automated invoicing solutions . Strong understanding of customer contracts and pricing agreements in transportation. Why Join Us? Be part of a growing and dynamic LTL logistics company. Competitive compensation and benefits package. Opportunity to lead and innovate in billing operations. Collaborative and supportive work environment. If you have a passion for billing accuracy, process optimization, and leadership in the LTL industry, we encourage you to apply and be a key part of our success! Physical Demands and Work Environment: 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. Physical Demands: Moderate physical activity performing non-strenuous daily activities of an administrative nature. While performing the duties of the job, the employee is regularly required to sit, reach/handle items, work with the fingers, and talk and hear others in conversations via the phone or in person. The employee is occasionally required to stand, walk, stoop, kneel, climb, or balance and lift objects up to 50 lbs. Work Environment: The noise level is moderate to high based on general conversation tones, ringing phones and laser printer operation. Splits work time between well-lighted, heated and/or air-conditioned indoor office setting with adequate ventilation and dock setting. Occasional work near moving mechanical parts and toxic or caustic chemicals. Works mostly night/overnight shifts. Compensation: The estimated compensation for this role is $60,000 to $70,000 per year. Benefits: PTO Paid Holidays Medical Insurance Dental Insurance Vision Insurance Life Insurance 401k The above statements reflect the general details necessary to describe the principal functions of the position and are not intended to be all inclusive. The position and any of the requirements listed above are subject to change at any time according to the changing needs of the company. Roadrunner Freight is building something special with great people, a winning culture and a differentiated service offering in the marketplace. Join us today to grow your career! Additional Requirements: Summary: Roadrunner offers more direct long-haul metro-to-metro shipping than any other nationwide Less-than-Truckload (LTL) carrier in the United States. With a nationwide presence, terminals across 40+ markets, and approximately $410 million in revenue in 2023, the company’s Smart Long Haul Network is the preferred choice for shippers looking to move freight quickly and reliably. Roadrunner is expanding and looking for a highly motivated Billing Manager – LTL Business to join our winning team. If you are results driven and looking for a rapidly growing company with high growth and earnings potential, we want to hear from you!

Posted 30+ days ago

Sr. Billing Coordinator -- Allergy and Immunology-logo
Sr. Billing Coordinator -- Allergy and Immunology
Jefferson University PhysiciansPhiladelphia, Pennsylvania
Job Details Obtain billing documentation from physicians and input charges given by physicians. Complete all accounts receivable and claim manager edits. Job Description Responsibilities: Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson. Input charges given by physician; adding modifiers when necessary. Completes all accounts receivable and claims manager edits. Assists patients with billing and insurance related questions. Ensures billing compliance with third party payor requirements and regulations. Education and Experience: High School Diploma or GED required. Minimum of five years of coding experience required. Experience working with accounts receivable and modifiers. Thorough knowledge of medical coding guidelines and regulations including compliance and reimbursement requirements set forth by the Centers for Medicare & Medicaid Services. Working knowledge of medical necessity evaluation claims denials, bundling issues and charge capture. Knowledge of anatomy, physiology and medical terminology. Knowledge of third-party billing and payment requirement, as well as requirement of managed care plans. Work Shift Workday Day (United States of America) Worker Sub Type Regular Primary Location Address 100 S 9th Street, Philadelphia, Pennsylvania, United States of America Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University , home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health , nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years. Jefferson is committed to providing equal educa­tional and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status. Benefits At Jefferson, we offer a comprehensive total rewards package designed to support the health and well-being of our colleagues and their families. It includes a wide range of benefits including competitive pay, health and retirement benefits, life and disability insurance, paid time off, educational benefits, financial and mental health resources and much more. Our diverse benefits offerings ensure you have the coverage and access to services you need to thrive both personally and professionally.

Posted 5 days ago

AR Billing Specialist-logo
AR Billing Specialist
HD Supply ManagementJacksonville, Florida
Job Summary Responsible for the routine maintenance of accounts receivable calculations and records, including cash receipts, claims, overdue invoices, interest charges, refunds, and related items. Maintains vendor compliance and acceptable customer service levels. Major Tasks, Responsibilities, and Key Accountabilities Computes and records interest charges, refunds and similar items and responsible for the accurate preparation of account statements. Performs basic data entry and general research of data within the department systems necessary to update and maintain account information. Supports customer requests for special billing services. Coordinates/follows up with service centers regarding missing COD checks and records and distributes COD checks to customers. Researches unapplied payments, notifies customers, records responses, and processes refund/application requests. Tracks and researches short payments from customers to determine need for rebilling or balance write off. Analyzes exceptions, reviews correspondence for follow-up and routes unresolved items to the appropriate departments. Verifies data entry of account information in multiple systems. Clears and matches account information. Performs clerical functions necessary to support the Accounts Receivable Department. Nature and Scope Refers complex, unusual problems to supervisor. Under general supervision, exercises some judgment in accordance with well-defined policies, procedures, and techniques. Work typically involves regular review of output by a senior coworker or supervisor. None. Work Environment Located in a comfortable indoor area. Any unpleasant conditions would be infrequent and not objectionable. Most of the time is spent sitting in a comfortable position and there is frequent opportunity to move about. On rare occasions there may be a need to move or lift light articles. No travel required. Education and Experience HS Diploma or GED strongly preferred. Specialized skills training/certification may be required. Generally 2-5 years of experience in area of responsibility. Our Goals for Diversity, Equity, and Inclusion We are committed to creating a culture that promotes equity, respect, and advocacy for every HD Supply associate. We value the diversity of our people. Equal Employment Opportunity HD Supply is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.

Posted 1 week ago

EHR Application Analyst II Hospital Billing-logo
EHR Application Analyst II Hospital Billing
Thomas Jefferson UniversityPhiladelphia, Pennsylvania
Job Details EHR Application Analyst II Hospital Billing Job Description PRIMARY FUNCTION : Works with operational stakeholders and IT technical staff to troubleshoot Epic system issues via ticketing system. System optimization projects via data gathering and working with operations and other Epic application teams related to Hospital Billing. ESSENTIAL FUNCTIONS: Demonstrates timely, effective, and efficient troubleshooting of software and workflow issues and defines mitigation plan for resolution Assists in evaluation of operational needs; validates workflows, build, and configuration based on application requirements/ standards and serves as liaison between end users, third parties, and application staff Implement new functionality via system upgrades and special updates Perform testing of application configurations and build in appropriate non-production environments, identifies issues and potential solutions. Provide On-Call coverage for Hospital Billing Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson. OTHER FUNCTIONS AND COMPETENCIES needed in addition to Essential Functions: Understanding the choices involved in application configuration Developing / documenting procedures for implementing system changes and other tasks Serving as a liaison between end users, third parties, and vendors Troubleshooting problems and questions from end users Analysis of application content and negotiation of any user requested modifications Preparing details of specifications as needed EDUCATIONAL/TRAINING REQUIREMENT S : Bachelor’s Degree preferred but not required _________________________________________________________________________ CERTIFICATES, LICENSES, AND REGISTRATION : Relevant application certification(s) required _________________________________________________________________________ EXPERIENCE REQUIREMENTS : 2-3 years working experience in healthcare, information systems, or healthcare IT Work Shift Workday Day (United States of America) Worker Sub Type Regular Primary Location Address 833 Chestnut Street, Philadelphia, Pennsylvania, United States of America Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University , home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health , nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years. Jefferson is committed to providing equal educa­tional and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status. Benefits At Jefferson, we offer a comprehensive total rewards package designed to support the health and well-being of our colleagues and their families. It includes a wide range of benefits including competitive pay, health and retirement benefits, life and disability insurance, paid time off, educational benefits, financial and mental health resources and much more. Our diverse benefits offerings ensure you have the coverage and access to services you need to thrive both personally and professionally.

Posted 5 days ago

Epic Application Analyst - Professional Billing-logo
Epic Application Analyst - Professional Billing
Ovation HealthcareCone Health - Greensboro, NC
Welcome to Ovation Healthcare! At Ovation Healthcare, we've been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions. The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior. We're looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork. Ovation Healthcare's corporate headquarters is located in Brentwood, TN. For more information, visit https://ovationhc.com . JOB SUMMARY Provides technical application support for complex clinical or business applications in the healthcare environment. Includes gathering, analyzing and evaluating user needs, and implementing, optimizing, supporting and troubleshooting clinical or business applications. EDUCATION REQUIREMENTS Bachelor's degree preferred with 3 years' experience in relevant field, or Associate's degree with 8 years' experience in relevant field, or high school diploma with 13 years' experience in relevant field. EXPERIENCE REQUIREMENTS Required: Certification in EPIC Resolute Professional Billing Administration Required: Proven experience with successful project implementations/system support. Preferred: Prior healthcare information systems experience in area of specialty. Strong working knowledge of hospital / ambulatory clinical and/or business workflows. Experience working with electronic medical records and patient charts, or enterprise systems. LICENSURE/CERTIFICATION/LISTING Valid Driver's License | Valid Driver's License For clinical employees: Must maintain licensure appropriate to clinical education and training, without lapse. Must satisfactorily complete required EPIC certification testing. ESSENTIAL JOB FUNCTIONS Thorough understanding of Professional Fee Billing Revenue Cycle Experience building, testing and implementing Resolute Professional Billing functionality. Experience troubleshooting Charge Capture, Charge Review and Claims. Collaborates with internal and external technical and end user groups to ensure applications and other third party systems meet the organization's clinical and business needs when building and implementing the system. Maintains knowledge of new technical concepts and solutions and their application to healthcare. Assists with implementation and support of third party systems. Performs in-depth analysis of end user department workflows, data collection, report details and other technical issues as they relate to design and build decisions. Involves complex qualitative and quantitative analysis on data and information collected as part of application requirement gathering. Understands and translates the business/clinical functionality into system configuration and workflow validations. Plans, prepares, and executes test scripts for application testing, new release testing, integration testing, and user acceptance testing. Documents test results, design, change control, system problems, and internal procedures according to departmental standards. Provides technical application support, triage, and troubleshooting for complex applications. Participates in on-call coverage for off-hours and application validation during scheduled downtimes. Monitors the systems for data quality, efficiency, operation, and data integrity and appropriately escalates issues/problems. Provides the necessary experience and knowledge to ensure all aspects of the application integrate with the other cross functional applications utilized by the organization. KNOWLEDGE, SKILLS AND ABILITIES Ability to multi-task with excellent attention to detail. Superior analytical, problem solving, research and decision-making skills. Proven track record of academic and/or professional success. Knowledge of business or clinical processes and workflows. Strong communication, prioritization and follow up skills. Willingness to address issues and take ownership, knowing when and how to escalate issues. Ability to work independently and with a team in a collaborative environment. Requires proficiency in the use of a computer for tasks such as creating/evaluating workflow diagrams, testing, creating documentation, etc.

Posted 2 weeks ago

Billing Coordinator - Cardiac Surgery-logo
Billing Coordinator - Cardiac Surgery
Brigham and Women's HospitalBoston, MA
Site: The Brigham and Women's Hospital, Inc. 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 Responsible for the day-to-day administration of efficient billing procedures with varying levels of complexity, including the overall initiation and coordination of billing operations relating to billing, fiscal, and revenue procedures. Does this position require Patient Care? No Essential Functions Review, process, and reconcile invoices and billing statements Communicate with customers to resolve billing disputes and discrepancies Prepare and submit customer invoices and maintain billing records Respond to customer inquiries in a timely and professional manner Prepare and submit monthly, quarterly, and annual billing reports Ensure compliance with company billing policies and procedures Maintain up-to-date knowledge of billing regulations and industry standards Qualifications Education High School Diploma or Equivalent required Can this role accept experience in lieu of a degree? No Licenses and Credentials Experience experience in billing, accounts payable or related field 2-3 years required Knowledge, Skills and Abilities- Strong knowledge of billing procedures and regulations.- Excellent attention to detail and accuracy in work.- Strong organizational and time management skills.- Ability to handle confidential information with discretion.- Proficient in Microsoft Office and familiar with billing software.- Ability to work independently and as part of a team.- Ability to work in a fast-paced environment. Additional Job Details (if applicable) Physical RequirementsStanding Occasionally (3-33%) Walking Occasionally (3-33%) Sitting Constantly (67-100%) Lifting Occasionally (3-33%) 20lbs- 35lbs Carrying Occasionally (3-33%) 20lbs- 35lbs Pushing Rarely (Less than 2%) Pulling Rarely (Less than 2%) Climbing Rarely (Less than 2%) Balancing Occasionally (3-33%) Stooping Occasionally (3-33%) Kneeling Rarely (Less than 2%) Crouching Rarely (Less than 2%) Crawling Rarely (Less than 2%) Reaching Occasionally (3-33%) Gross Manipulation (Handling) Constantly (67-100%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision- Far Constantly (67-100%) Vision- Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%) Remote Type Hybrid Work Location 15 Francis Street Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) EEO Statement: The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Posted 4 days ago

Billing Processor-logo
Billing Processor
Kta-Tator, Inc.Pittsburgh, PA
Follow this link for a realistic job preview and videos of what it's like to work at KTA! KTA-Tator, Inc. (KTA) is a 100% employee-owned materials engineering firm, internationally recognized as a leading expert in corrosion protection and asset integrity. KTA's hallmark services include coatings failure analysis, forensic laboratory investigations, and independent laboratory testing of coatings performance, among a much broader array of integrated service offerings. Join the KTA team! We're on the lookout for a detail-oriented and self-motivated Billing Processor. This position is based out of the corporate office in Findlay Township with the opportunity for a hybrid work schedule once fully onboarded. The Billing Processor is a part of an energetic team responsible for creating and processing customer invoices, assuring cash flow by: Preparing customer invoices in an accurate and timely manner in accordance with ERP project setup, client contract and company procedures; Interacting with billing supervisor/senior billing processor and project managers to assure project invoicing terms are being adhered, including allowable reimbursements, man hours, and project limits; Verifying the internal consistency, completeness, and mathematical accuracy of accounting documents; and Identifying proper accounts and items to be posted. Our Ideal Candidate: High School Diploma/GED equivalent with 3+ years of accounting office experience Government billing experience (preferred) Understanding of accounting fundamentals and software, including general ledger impact Knowledge of government invoicing forms, electronic invoicing, and comprehension of contract language Excellent technical, written, and oral communication skills Mathematical, problem solving, and analytical skills Experience utilizing the Microsoft Office Suite (especially Excel), Oracle NetSuite or similar ERP/accounting software experience (preferred) Physical requirements: Close vision, ability to adjust focus, hearing, and speaking. We are proud to be a 100% employee-owned company. KTA is a casual, friendly workplace, where all employees are treated with dignity and respect. We are proud to be an employee-owned company voted a 2024 Top Workplace in Pittsburgh! KTA is a company run with family-inspired values and ethics, where diverse perspectives, experiences, and capabilities are embraced and valued. The employees of KTA are dedicated to making each other, the company and our clients successful. We believe that serving our clients as we want to be served results in long lasting business relationships. We are committed to helping you take your career to a new and exciting level. At KTA, you'll work, learn from, and become one of the best in the industry. KTA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state, or local law. KTA is a Standing Firm Company. Elzly Technology Corporation (Elzly) is a wholly-owned subsidiary of KTA-Tator, Inc. (KTA). Links: Know Your Rights: Workplace Discrimination is Illegal The Family and Medical Leave Act Pay Transparency Nondiscrimination Provision Notice of E-Verify Participation E-Verify Right to Work We strive to make this site accessible to any and all users. If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center and application process as a result of your disability or if you have Equal Employment Opportunity questions. To request an accommodation, please contact us at info@kta.

Posted 1 week ago

Billing/Scheduling Associate II - Pediatrics Central Administration-logo
Billing/Scheduling Associate II - Pediatrics Central Administration
Washington University In St. LouisSaint Louis, MO
Scheduled Hours 40 Position Summary Obtains insurance information and referral forms and counsels patients on financial assistance over the phone. Schedules and registers patients over the phone or by email, with no patient contact. Job Description Primary Duties & Responsibilities: Obtains insurance information from patients and counsels alternative ways for financial assistance. Communicates with physicians and clinical staff to assist with scheduling urgent or referred patient scheduling calls/requests. Provides patient scheduling services to include collecting demographics and insurance registration. Reviews schedule for new patients and makes updates when necessary. Calls patients with appointment time reminders; obtains insurance information and referral forms. Processes internal physician referrals for clinical care. Explains billing process to patients, answers incoming inquiries from patients and third-party payers. Works with others to solve moderately complex problems. Explains billing process to other staff; assists with basic account maintenance activities. Assists patients with insurance questions regarding the billing process. Assists staff with sending out reminder cards and other scheduling duties. Works Relatient patient reminder system results and contacts patients or makes scheduling changes. May make daily edits and temporary changes to provider scheduling templates based on physician input. Performs other duties as assigned. Working Conditions: Job Location/Working Conditions Normal office environment. Physical Effort Typically sitting at desk or table. Repetitive wrist, hand or finger movement. Equipment Office equipment. The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time. Required Qualifications Education: High school diploma or equivalent high school certification or combination of education and/or experience. Certifications: No specific certification is required for this position. Work Experience: Relevant Experience (3 Years) Skills: Not Applicable Driver's License: A driver's license is not required for this position. More About This Job WashU seeks highly motivated individuals who are able to perform duties in a manner consistent with our core mission and guiding principles. Preferred Qualifications Education: No additional education beyond what is stated in the Required Qualifications section. Certifications: No additional certification beyond what is stated in the Required Qualifications section. Work Experience: No additional work experience beyond what is stated in the Required Qualifications section. Skills: Billing Systems, Customer Service, Epic EHR, Financial Information, Insurance, Interpersonal Communication, Medical Office Support, Microsoft Excel, Microsoft Office, Microsoft Word, Organizing, Prioritization, Scheduling, Third Party Claims Grade G06-H Salary Range $17.87 - $27.06 / Hourly The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget. Questions For frequently asked questions about the application process, please refer to our External Applicant FAQ. Accommodation If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request. All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship. Pre-Employment Screening All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening. Benefits Statement Personal Up to 22 days of vacation, 10 recognized holidays, and sick time. Competitive health insurance packages with priority appointments and lower copays/coinsurance. Take advantage of our free Metro transit U-Pass for eligible employees. WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%. Wellness Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more! Family We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We've got you covered. WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us. For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/ EEO Statement Washington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups. It is the University's policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information. Washington University is dedicated to building a community of individuals who are committed to contributing to an inclusive environment - fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply.

Posted 30+ days ago

Senior Billing Supervisor-logo
Senior Billing Supervisor
Contact Government ServicesFort Smith, AR
Senior Billing Supervisor Employment Type:Full-Time, Mid-Level /p> Department: Financial CGS is seeking a Senior Billing Specialist to join our team supporting our mission. This position will entail a wide range of duties including being responsible for the effective hands-on coordination and management of the e-billing and payment cycle workflow related to payment posting, charge corrections, monthly reconciling of payments to bank deposits for the Firm's offices and other duties as assigned. CGS brings motivated, highly skilled, and creative people together to solve the government's most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Skills and attributes for success: Ensures accurate observance of e-billing requirements and processes. Prepares monthly, semi-monthly and ad-hoc billing reports for internal and external clients. Ensures timely invoice submission to clients, based on established timelines. Creates and distributes ad hoc operational and billing reports to management as requested. Works with Controller and Accounting Department to identify, review and recommend changes to automate or enhance timeliness, accuracy, and efficiency of billing processes. Supports internal and external auditors as requested. Supervises e-billing and receivables staff. Evaluates e-billing and receivables staff skill levels, recommends any necessary training/changes. Provides feedback to staff performance appraisals, develops performance management objectives to address concerns, drives engagement and retention; participates in team hiring and separation decisions. Delegates assignments and projects to staff as appropriate Qualifications: Demonstrated ability to work well, be influential and articulate initiatives, projects, results, and analyses to senior leadership and staff, including presenting ideas in a clear, succinct manner. High attention to detail, outstanding organizational skills and the ability to manage time effectively. Excellent interpersonal and communication skills (oral and written), professional demeanor and presentation. Analytical with strong problem-solving skills, takes initiative and uses good judgment, excellent follow-up skills. Work efficiently with the ability to multi-task and set priorities while maintaining and delivering the highest quality work product accurately. Position also requires the ability to work under pressure to meet strict deadlines, adapt to a fast paced high pressure environment to achieve business goals and objectives. Ability to work both independently and as part of a cross-functional, collaborative team. Bachelor's Degree or equivalent experience in Accounting, Finance, or related field preferred. Five years of legal billing/receivables experience and in-depth knowledge of accounting principles and billing software; Advanced experience in e-billing. Two years of supervisory experience in similar role and ability to assume a leadership role. Advanced knowledge of MS Applications to include Excel, Outlook, and Access. Our Commitment: Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client's specific needs. We are committed to solving the most challenging and dynamic problems. For the past seven years, we've been growing our government-contracting portfolio, and along the way, we've created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work. Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and delivering the best quality to our consumers mending those relations for years to come. We care about our employees. Therefore, we offer a comprehensive benefits package. Health, Dental, and Vision Life Insurance 401k Flexible Spending Account (Health, Dependent Care, and Commuter) Paid Time Off and Observance of State/Federal Holidays Contact Government Services, LLC is an Equal Opportunity Employer. Applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Join our team and become part of government innovation! Explore additional job opportunities with CGS on our Job Board: https://cgsfederal.com/join-our-team/ For more information about CGS please visit: https://www.cgsfederal.com or contact: Email: info@cgsfederal.com $91,800 - $132,600 a year

Posted 30+ days ago

Senior Billing Supervisor-logo
Senior Billing Supervisor
Contact Government ServicesFayetteville, NC
Senior Billing Supervisor Employment Type:Full-Time, Mid-Level /p> Department: Financial CGS is seeking a Senior Billing Specialist to join our team supporting our mission. This position will entail a wide range of duties including being responsible for the effective hands-on coordination and management of the e-billing and payment cycle workflow related to payment posting, charge corrections, monthly reconciling of payments to bank deposits for the Firm's offices and other duties as assigned. CGS brings motivated, highly skilled, and creative people together to solve the government's most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Skills and attributes for success: Ensures accurate observance of e-billing requirements and processes. Prepares monthly, semi-monthly and ad-hoc billing reports for internal and external clients. Ensures timely invoice submission to clients, based on established timelines. Creates and distributes ad hoc operational and billing reports to management as requested. Works with Controller and Accounting Department to identify, review and recommend changes to automate or enhance timeliness, accuracy, and efficiency of billing processes. Supports internal and external auditors as requested. Supervises e-billing and receivables staff. Evaluates e-billing and receivables staff skill levels, recommends any necessary training/changes. Provides feedback to staff performance appraisals, develops performance management objectives to address concerns, drives engagement and retention; participates in team hiring and separation decisions. Delegates assignments and projects to staff as appropriate Qualifications: Demonstrated ability to work well, be influential and articulate initiatives, projects, results, and analyses to senior leadership and staff, including presenting ideas in a clear, succinct manner. High attention to detail, outstanding organizational skills and the ability to manage time effectively. Excellent interpersonal and communication skills (oral and written), professional demeanor and presentation. Analytical with strong problem-solving skills, takes initiative and uses good judgment, excellent follow-up skills. Work efficiently with the ability to multi-task and set priorities while maintaining and delivering the highest quality work product accurately. Position also requires the ability to work under pressure to meet strict deadlines, adapt to a fast paced high pressure environment to achieve business goals and objectives. Ability to work both independently and as part of a cross-functional, collaborative team. Bachelor's Degree or equivalent experience in Accounting, Finance, or related field preferred. Five years of legal billing/receivables experience and in-depth knowledge of accounting principles and billing software; Advanced experience in e-billing. Two years of supervisory experience in similar role and ability to assume a leadership role. Advanced knowledge of MS Applications to include Excel, Outlook, and Access. Our Commitment: Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client's specific needs. We are committed to solving the most challenging and dynamic problems. For the past seven years, we've been growing our government-contracting portfolio, and along the way, we've created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work. Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and delivering the best quality to our consumers mending those relations for years to come. We care about our employees. Therefore, we offer a comprehensive benefits package. Health, Dental, and Vision Life Insurance 401k Flexible Spending Account (Health, Dependent Care, and Commuter) Paid Time Off and Observance of State/Federal Holidays Contact Government Services, LLC is an Equal Opportunity Employer. Applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Join our team and become part of government innovation! Explore additional job opportunities with CGS on our Job Board: https://cgsfederal.com/join-our-team/ For more information about CGS please visit: https://www.cgsfederal.com or contact: Email: info@cgsfederal.com $91,800 - $132,600 a year

Posted 30+ days ago

Senior Billing Supervisor-logo
Senior Billing Supervisor
Contact Government ServicesAllentown, PA
Senior Billing Supervisor Employment Type:Full-Time, Mid-Level /p> Department: Financial CGS is seeking a Senior Billing Specialist to join our team supporting our mission. This position will entail a wide range of duties including being responsible for the effective hands-on coordination and management of the e-billing and payment cycle workflow related to payment posting, charge corrections, monthly reconciling of payments to bank deposits for the Firm's offices and other duties as assigned. CGS brings motivated, highly skilled, and creative people together to solve the government's most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Skills and attributes for success: Ensures accurate observance of e-billing requirements and processes. Prepares monthly, semi-monthly and ad-hoc billing reports for internal and external clients. Ensures timely invoice submission to clients, based on established timelines. Creates and distributes ad hoc operational and billing reports to management as requested. Works with Controller and Accounting Department to identify, review and recommend changes to automate or enhance timeliness, accuracy, and efficiency of billing processes. Supports internal and external auditors as requested. Supervises e-billing and receivables staff. Evaluates e-billing and receivables staff skill levels, recommends any necessary training/changes. Provides feedback to staff performance appraisals, develops performance management objectives to address concerns, drives engagement and retention; participates in team hiring and separation decisions. Delegates assignments and projects to staff as appropriate Qualifications: Demonstrated ability to work well, be influential and articulate initiatives, projects, results, and analyses to senior leadership and staff, including presenting ideas in a clear, succinct manner. High attention to detail, outstanding organizational skills and the ability to manage time effectively. Excellent interpersonal and communication skills (oral and written), professional demeanor and presentation. Analytical with strong problem-solving skills, takes initiative and uses good judgment, excellent follow-up skills. Work efficiently with the ability to multi-task and set priorities while maintaining and delivering the highest quality work product accurately. Position also requires the ability to work under pressure to meet strict deadlines, adapt to a fast paced high pressure environment to achieve business goals and objectives. Ability to work both independently and as part of a cross-functional, collaborative team. Bachelor's Degree or equivalent experience in Accounting, Finance, or related field preferred. Five years of legal billing/receivables experience and in-depth knowledge of accounting principles and billing software; Advanced experience in e-billing. Two years of supervisory experience in similar role and ability to assume a leadership role. Advanced knowledge of MS Applications to include Excel, Outlook, and Access. Our Commitment: Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client's specific needs. We are committed to solving the most challenging and dynamic problems. For the past seven years, we've been growing our government-contracting portfolio, and along the way, we've created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work. Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and delivering the best quality to our consumers mending those relations for years to come. We care about our employees. Therefore, we offer a comprehensive benefits package. Health, Dental, and Vision Life Insurance 401k Flexible Spending Account (Health, Dependent Care, and Commuter) Paid Time Off and Observance of State/Federal Holidays Contact Government Services, LLC is an Equal Opportunity Employer. Applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Join our team and become part of government innovation! Explore additional job opportunities with CGS on our Job Board: https://cgsfederal.com/join-our-team/ For more information about CGS please visit: https://www.cgsfederal.com or contact: Email: info@cgsfederal.com $91,800 - $132,600 a year

Posted 30+ days ago

Supervisor, Customer Billing And Support - US And Canada-logo
Supervisor, Customer Billing And Support - US And Canada
Ingredion Inc,Tulsa, OK
About Ingredion: Join Ingredion, where innovation impacts lives worldwide! Without even realizing it, you've experienced our work in your favorite chocolate, your pet's food, the paper you write on, and your everyday snacks. As a global powerhouse across more than 60 industries, we harness the potential of natural ingredients to transform lives. Whether you're just starting your career or bringing years of experience, there's a place for you here to make a real difference. Be part of our team that values a wide range of perspectives and is committed to shaping a better world with every product we create. LOCATION: Tulsa, OK WORKPLACE TYPE: Hybrid Ingredion is seeking a Supervisor, Customer Billing and Support responsible for leading the Customer Billing and Support team for our Tulsa Location supporting primarily the Americas (United States & Canada). The Supervisor will be responsible for helping execute the Order to Invoice Operations strategy in the US/Canada region to ensure delivery of high-quality service to our Customers, aligned to Ingredion's Customer Experience commitments (responsive, empathetic, proactive, and innovative). Role will report to our Associate Manager, Customer Contract Pricing and Billing and will have 5 direct reports. This role is essential in supervising the Customer Billing and Support team with the focus of supporting timely and accurate Customer Billing activities to drive improved Customer Experience while mitigating invoicing risks. The Supervisor will also manage projects, support employee career development, and serve as a point of escalation to troubleshoot and quickly resolve Customer issues. This role will be making decisions while supporting the Commercial and Customer Service teams and identifying and implementing processes to increase effectiveness, productivity, and efficiency of the department. This position requires a strong customer service focus, the ability to promptly resolve business issues, and strong aptitude to evaluate data effectively. This position is critical to maintaining and expanding relationships with Ingredion's Customers and Business Partners. What will you do: Supervise Tulsa SSC Customer Billing and Support Team: Oversee, guide, and direct the end-to-end delivery of Order to Invoice operational services supporting the US and Canada region to ensure efficient operations and timely and accurate delivery and billing. Supervise Contract Billing and Support team in day-to-day operations Expand and improve Billing automation activities Manage all aspects of ongoing activities and deadlines Support internal customer inquiries escalated as needed with a sense of urgency Hire, Train and Develop Team, especially in the areas of technology capabilities and skills Develop Capability and Skill development plans Provide training to new employees and system users on Policies, SoPs, and Controls Maintain high level of Customer Service Strong ability to set clear goals and manage a high performing team Enable Order to Invoice Operations Strategy: Collaborate with the Associate Manager, Customer Contract Pricing and Support and Sr. Manager Order to Cash to enhance Order to Invoice Operations strategies aligned with the business needs, Customer experience, and the work and workforce at Ingredion. Collaborate with Key Business Partners and report on monthly performance Identify issues and process improvements for Steering committee review Continually implement enhancements to further improve and streamline processes, including proper testing and communication to Leadership Suggest adjustments to improve data quality and processing efficiency, including enhancements to the import and export of data between various applications Monitor SLAs and Reporting: Ensure adherence to Service Level Agreements, produce and review reports on performance, and identify and track any system, process, or performance issues. Escalate issues as necessary for timely resolution. Ensure that all risk mitigating controls are completed and addressed weekly Conduct all daily, weekly, and monthly activities to drive compliance to policies Support audits and work with Team on remediations as required Enforce and maintain SOX compliance for policies and procedures Assist with month-end and year-end close activities as needed Project Management: Demonstrated ability to manage multiple projects simultaneously, ensuring delivery of targeted results. Employee Development: Support the career development of employees in the Tulsa SSC Order to Invoice Team. Assess training needs, coach for performance improvement, and facilitate additional assignments and rotations to deepen employees' understanding of Financial Operations processes. What will you Bring: Education: Bachelor's degree in business-related field, preferred Contract Pricing and Billing Expertise: Advanced knowledge of the policies, procedures, and controls of Customer Contract Pricing and Billing, including a minimum of two (2) years of Order to Invoice value chain experience with at least one (1) year in a Supervisory role. Demonstrated technical skills with a high level of operational excellence. Computer Proficiency: Strong computer skills including SAP, Salesforce, Microsoft Word, Excel (advanced), PowerPoint, and experience with new technologies to drive automation Team Management: Ability to manage team members to achieve departmental goals. Proven skill in promoting harmonious working relationships in a team environment. Business Acumen: Solid understanding of business and financial concepts. Who you are: Design Thinking Skills: Strong systems knowledge and passion for advancing technology integration to automate processes with proven technology expertise within the Order to Invoice value chain. Analytical Skills: Proven ability to independently analyze complex problems, research complex issues, draw appropriate conclusions, and develop and implement innovative solutions. Influencing Skills: Exhibit influencing skills and collaborate effectively across multiple levels of the enterprise to produce positive business outcomes with Customers and internal Business Partners. Adaptability and Flexibility: Adapt and remain flexible in dealing with evolving business needs. Effectively manage ambiguity. Prioritization and Time Management: Ability to prioritize and manage competing requests and priorities. Talent Culture: Promote a talent culture that values superior talent, drives performance, coaches transparently, and builds strong teams globally. Continuous improvement attitude to seek out and implement best practices, lead projects, and meet all deadlines. Results Focus: Highly organized with a high degree of attention to detail. Push to drive personal and organizational results, make timely decisions, and benefit Ingredion globally. Communications: Excellent communication, customer service and organizational skills. Exhibit a positive attitude and willingness to interact with Customers and Executive level Business Partners. Presentation skills necessary to effectively communicate, update, persuade and facilitate discussions with all levels of Management. Why Join Ingredion? Discover why Ingredion is the ideal place to advance your career with our exceptional rewards and benefits package designed to help you thrive. Create the future with us and enjoy: Total Rewards Package- Competitive salary and performance-based pay recognizing your contributions to our success Comprehensive Benefits & Wellness Support- Health, long-term savings, and resources for your physical, mental, and emotional well-being Flexible Work Arrangements- We value flexibility to support you both professionally and personally Career Growth- Learning, training, and development opportunities, including tuition reimbursement Employee Recognition Program- A culture of real-time appreciation, with personalized recognition rewards globally Employee Discount Program- Provides exclusive discounts on everyday products, services, and travel #LI-BS1 We are an equal opportunity employer and value diversity at our company. Ingredion seeks to provide a work environment that is free from harassment and discrimination. We will not tolerate any form of discrimination based on race, color, religion, age, gender, gender identity, gender expression, national origin, ancestry, handicap or disability-mental or physical-marital status, sexual orientation, veteran status, disability resulting from military service, or any other classification protected by law ("protected classifications"). We are committed to establishing and maintaining a work environment where everyone is treated with dignity and respect. Ingredion provides accommodations to job applicants with disabilities throughout the hiring process. If a job applicant requires an accommodation during the application process or through the selection process, we will work with the applicant to meet the job applicant's accommodation needs. Relocation Available: No Pay Range: $74,240.00-$98,986.67 Annual This pay range is not a guarantee of compensation or salary. Final base salary will be determined based on several factors which may include but are not limited to responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data and applicable bargaining agreement (if any). Incentive Compensation: As a part of the total compensation package, this role may be eligible for the Ingredion Annual Incentive Plan or a role-specific commission/bonus. Benefits: Full-time roles are eligible for our comprehensive benefits package which includes medical, dental and vision coverage as well as a 401(k) plan with an competitive company match.

Posted 30+ days ago

Account Resolution Coordinator - Professional Billing-logo
Account Resolution Coordinator - Professional Billing
Children's Healthcare Of AtlantaNorth Atlanta, GA
Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs). Work Shift Day Work Day(s) Shift Start Time Shift End Time Worker Sub-Type Regular Children's is one of the nation's leading children's hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We're committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children's. Job Description Meets all department collection and follow-up performance expectations. Completes assigned work in a timely fashion and reports any issues or obstacles to lead collector or patient accounts supervisor to ensure swift resolution. Identifies payor trends proactively in relation to zero payment, payment variance, billing, and denials. Works closely with other collectors and lead collectors in completing claims billing and follow-up collection activities. Completes projects as requested by patient accounts manager or patient accounts supervisor. Adheres to company and department attendance, basic work requirements, and other policies and procedures. Experience 1 year of experience in insurance billing or collections, with a general knowledge of hospital business office functions Preferred Qualifications Experience with Insurance Denials and Follow up's Accounts Receivable experience preferred Some college 2 years of experience in insurance billing and/or collections, with a general knowledge of hospital business office functions Knowledge of key Children's Healthcare of Atlanta patient accounting applications, e.g., Epic Resolute, Dentrix Dental, Clearinghouse, or comparable system Education High school diploma or equivalent Certification Summary No professional certifications required Knowledge, Skills, and Abilities Knowledge of third-party requirements and policies, including Medicaid, Managed Care, Blue Cross Blue Shield, care management organizations, health maintenance organizations, preferred provider organizations, commercial payors, and self-pay Must have excellent telephone communication and customer service skills Excellent written and verbal communications skills Familiar with medical terminology, including diagnosis and procedure codes Must be able to meet department/individual goals Must be able to type 45 words per minute Must be able to operate personal computer-based systems, including working knowledge of word processing, spreadsheet, and billing software Job Responsibilities Performs daily billing of claims to third-party insurance following the guidelines of the UB04 and HCFA 1500 manual. Ensures that special billing needs by payor are performed to prevent denial of claims and delay in payment. Prepares and submits all final bill claims, secondary claims, rebills, and late charges on a daily basis, maintaining a current status. Performs routine follow-up on unpaid insurance claims, taking appropriate action to resolve problems causing delay in reimbursement. Documents all telephone and correspondent communications with third-party payors and guarantors thoroughly via online activity codes. Prioritizes and works proactively on accounts in assigned work queue to ensure all accounts are submitted in a timely manner. Complies with department workflows and routines. Contacts guarantors and other insured parties when additional information is needed and takes appropriate action to resolve any delay in reimbursement. Works correspondence daily, including adding Medicaid eligibility to self-pay and commercial accounts. Works returned mail on high-dollar accounts and correspondences from third-party payors. Takes appropriate action to resolve all insurance, bad debt, and/or self-pay unpaid balances. Children's Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law. Primary Location Address 1575 Northeast Expy NE Job Family Patient Financial Services

Posted 30+ days ago

Billing Associate-logo
Billing Associate
Spot FreightIndianapolis, IN
Today's logistics marketplace is an ever-changing landscape where you can make your mark. Spot gives you the tools to tackle industry challenges for our partners. Here, initiative, drive, and teamwork form the basis for a rewarding, fast-paced career. About The Role: Collaborating closely with the Sales Team and Billing Teams, the Billing Associate reports to the Billing Team Lead and/or Billing Manager and is responsible for completing the full invoicing process of their assigned customer accounts. The position strives to guarantee timely and accurate billing of Spot's customers. Responsibilities: Complete full invoicing / billing cycle of assigned customer accounts Guarantee invoices are sent to Spot's customers timely and accurately Ensure billing settings within customer profiles are correct and functioning properly Develop, update and improve billing SOPs for each assigned customer account on an ongoing basis Input status updates for tracking of orders missing information or documentation required for invoicing, taking necessary action to fulfill the requirements Collaborate closely with the sales teams and collections team to address and resolve issues that result in rejected or delayed payment of invoices Successfully navigate customer TMS platforms / payment portals and input data, upload invoices, PODs, receipts, etc. for payment processing Qualifications: Candidates should have an accounting, finance, business management, or similar background. You will be highly detail oriented, possess strong communication and organization skills, and excel in a fast paced, high-volume environment. Associate's degree required, bachelor's degree preferred 2+ years of previous accounts receivable / billing experience in a fast paced, high-volume position in lieu of a degree Prior logistics industry experience a plus Intermediate to advanced computer knowledge required Must be able to sit at a desk for extended periods Full time, in office position Skills: Ability to thrive in a fast-paced environment Strong communication, analytical and writing skills Strong organization and attention to detail Adaptability, multi-tasking ability, sense of urgency Intermediate knowledge of Microsoft Excel (formatting, vlookup, pivot tables, etc.) Heavy focus on customer service and collaboration Ability to work autonomously, with an emphasis on time management and ability to meet deadlines Understanding of accounting terms, processes, functions, and compliance Data analysis and problem solving Benefits: 401(k) and employer matching Life Insurance Health, Dental, Vision Insurance Short & Long-Term Disability Paid Time Off (PTO) Employee Assistance Program Paid Parental Leave Paid Holidays Employee Recognition Programs Health Savings Account (HSA) #LI-ZH1 Spot is built on relationships, combining 24/7 support with a proven, passionate, and dedicated team of logistics professionals. You can reach your true potential through the unlimited opportunities we offer. When you put in the effort, show initiative, solve problems, and build lasting client relationships, you earn respect and rewards. You'll also be a key component to the success of an industry leader. At Spot, we've never lost the entrepreneurial spirit that provides the foundation for our success. Spot Freight, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type 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. Spot Freight is committed to working with and providing reasonable accommodation to individuals with disabilities. If, because of a disability, you need a reasonable accommodation, please contact our Human Resources team to notify us of your request. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Posted 6 days ago

Correspondence Billing Specialist - Remote-logo
Correspondence Billing Specialist - Remote
LabCorpBurlington, NC
At Labcorp, you are part of a journey to accelerate life-changing healthcare breakthroughs and improve the delivery of care for all. You'll be inspired to discover more, develop new skills and pursue career-building opportunities as we help solve some of today's biggest health challenges around the world. Together, let's embrace possibilities and change lives! Correspondence Billing Specialist The person in this position is responsible for evaluation and processing of internal and external client and patient correspondence. By utilizing various systems (mPower, LCBS, LCLS, Mobius, Artiva etc.) to review and assist with determination of transfers, adjustments and next action for follow up. Age of correspondence can vary, along with complexity of research required. Clear, accurate, concise, and complete communication is required due to the variety of internal and external customers that requests are received from. Responsibilities: Review Correspondence request to send invoices, transfer, make adjustments, research and make claim and/or invoice updates in billing system Composing email communications to Internal and External customers in a clear and professional manner, providing updates and additional information needed for follow up Adaptability: feel comfortable with a changing environment such as changing duties, priorities and SOPs Run status checks on large spreadsheet invoice/claim correction files to verify that all updates are completed; noting missing information that needs to be shared back with the customer to complete request Follow Approved SOP's to update and provide necessary information to resolve correspondence request Requirements: Requires a High School Diploma or equivalent 2+ years directly applicable experience. Required (such as correspondence, Patient Billing customer service or Healthcare Billing) Labcorp current Healthcare Billing Specialist experience strongly preferred Prefer previous medical billing or accounts receivables experience preferred Other desirable Knowledge/Skills: Ability to work and learn in a fast environment Excellent organizational and communication skills Strong correspondence skills Knowledge of Microsoft Office; especially Excel Labcorp Healthcare Billing systems and processes knowledge Why should I become a Correspondence Billing Specialist at Labcorp? Generous paid time off! Medical, Vision and Dental Insurance Options! Flexible Spending Accounts! 401k and Employee Stock Purchase plans! No Charge Lab Testing! Fitness Reimbursement Program! And many more incentives Application Window closes: 6-17-25 Pay Range: $15-17.00/hr (State minimum wages apply if higher) Shift: Monday-Friday; 8:00am-5:00pm (EST) All job offers will be based on a candidate's skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data. Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only. For more detailed information, please click here. Labcorp is proud to be an Equal Opportunity Employer: Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law. We encourage all to apply If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at Labcorp Accessibility. For more information about how we collect and store your personal data, please see our Privacy Statement.

Posted 4 days ago

Billing Supervisor-logo
Billing Supervisor
Contact Government ServicesWilliamsport, PA
Billing Supervisor Employment Type:Full-Time, Mid-Level /p> Department: Financial CGS is seeking a Billing Specialist to join our team supporting our mission. This position will entail a wide range of duties including being responsible for the effective hands-on coordination and management of the e-billing and payment cycle workflow related to payment posting, charge corrections, monthly reconciling of payments to bank deposits for the Firm's offices and other duties as assigned. CGS brings motivated, highly skilled, and creative people together to solve the government's most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Skills and attributes for success: Ensures accurate observance of e-billing requirements and processes. Prepares monthly, semi-monthly and ad-hoc billing reports for internal and external clients. Ensures timely invoice submission to clients, based on established timelines. Creates and distributes ad hoc operational and billing reports to management as requested. Works with Controller and Accounting Department to identify, review and recommend changes to automate or enhance timeliness, accuracy, and efficiency of billing processes. Supports internal and external auditors as requested. Supervises e-billing and receivables staff. Evaluates e-billing and receivables staff skill levels, recommends any necessary training/changes. Provides feedback to staff performance appraisals, develops performance management objectives to address concerns, drives engagement and retention; participates in team hiring and separation decisions. Delegates assignments and projects to staff as appropriate Qualifications: Demonstrated ability to work well, be influential and articulate initiatives, projects, results, and analyses to senior leadership and staff, including presenting ideas in a clear, succinct manner. High attention to detail, outstanding organizational skills and the ability to manage time effectively. Excellent interpersonal and communication skills (oral and written), professional demeanor and presentation. Analytical with strong problem-solving skills, takes initiative and uses good judgment, excellent follow-up skills. Work efficiently with the ability to multi-task and set priorities while maintaining and delivering the highest quality work product accurately. Position also requires the ability to work under pressure to meet strict deadlines, adapt to a fast paced high pressure environment to achieve business goals and objectives. Ability to work both independently and as part of a cross-functional, collaborative team. Bachelor's Degree or equivalent experience in Accounting, Finance, or related field preferred. Five years of legal billing/receivables experience and in-depth knowledge of accounting principles and billing software; Advanced experience in e-billing. Two years of supervisory experience in similar role and ability to assume a leadership role. Advanced knowledge of MS Applications to include Excel, Outlook, and Access. Our Commitment: Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client's specific needs. We are committed to solving the most challenging and dynamic problems. For the past seven years, we've been growing our government-contracting portfolio, and along the way, we've created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work. Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and delivering the best quality to our consumers mending those relations for years to come. We care about our employees. Therefore, we offer a comprehensive benefits package. Health, Dental, and Vision Life Insurance 401k Flexible Spending Account (Health, Dependent Care, and Commuter) Paid Time Off and Observance of State/Federal Holidays Contact Government Services, LLC is an Equal Opportunity Employer. Applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Join our team and become part of government innovation! Explore additional job opportunities with CGS on our Job Board: https://cgsfederal.com/join-our-team/ For more information about CGS please visit: https://www.cgsfederal.com or contact: Email: info@cgsfederal.com $71,400 - $91,800 a year

Posted 30+ days ago

Billing Supervisor-logo
Billing Supervisor
Contact Government ServicesAllentown, PA
Billing Supervisor Employment Type:Full-Time, Mid-Level /p> Department: Financial CGS is seeking a Billing Specialist to join our team supporting our mission. This position will entail a wide range of duties including being responsible for the effective hands-on coordination and management of the e-billing and payment cycle workflow related to payment posting, charge corrections, monthly reconciling of payments to bank deposits for the Firm's offices and other duties as assigned. CGS brings motivated, highly skilled, and creative people together to solve the government's most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Skills and attributes for success: Ensures accurate observance of e-billing requirements and processes. Prepares monthly, semi-monthly and ad-hoc billing reports for internal and external clients. Ensures timely invoice submission to clients, based on established timelines. Creates and distributes ad hoc operational and billing reports to management as requested. Works with Controller and Accounting Department to identify, review and recommend changes to automate or enhance timeliness, accuracy, and efficiency of billing processes. Supports internal and external auditors as requested. Supervises e-billing and receivables staff. Evaluates e-billing and receivables staff skill levels, recommends any necessary training/changes. Provides feedback to staff performance appraisals, develops performance management objectives to address concerns, drives engagement and retention; participates in team hiring and separation decisions. Delegates assignments and projects to staff as appropriate Qualifications: Demonstrated ability to work well, be influential and articulate initiatives, projects, results, and analyses to senior leadership and staff, including presenting ideas in a clear, succinct manner. High attention to detail, outstanding organizational skills and the ability to manage time effectively. Excellent interpersonal and communication skills (oral and written), professional demeanor and presentation. Analytical with strong problem-solving skills, takes initiative and uses good judgment, excellent follow-up skills. Work efficiently with the ability to multi-task and set priorities while maintaining and delivering the highest quality work product accurately. Position also requires the ability to work under pressure to meet strict deadlines, adapt to a fast paced high pressure environment to achieve business goals and objectives. Ability to work both independently and as part of a cross-functional, collaborative team. Bachelor's Degree or equivalent experience in Accounting, Finance, or related field preferred. Five years of legal billing/receivables experience and in-depth knowledge of accounting principles and billing software; Advanced experience in e-billing. Two years of supervisory experience in similar role and ability to assume a leadership role. Advanced knowledge of MS Applications to include Excel, Outlook, and Access. Our Commitment: Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client's specific needs. We are committed to solving the most challenging and dynamic problems. For the past seven years, we've been growing our government-contracting portfolio, and along the way, we've created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work. Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and delivering the best quality to our consumers mending those relations for years to come. We care about our employees. Therefore, we offer a comprehensive benefits package. Health, Dental, and Vision Life Insurance 401k Flexible Spending Account (Health, Dependent Care, and Commuter) Paid Time Off and Observance of State/Federal Holidays Contact Government Services, LLC is an Equal Opportunity Employer. Applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Join our team and become part of government innovation! Explore additional job opportunities with CGS on our Job Board: https://cgsfederal.com/join-our-team/ For more information about CGS please visit: https://www.cgsfederal.com or contact: Email: info@cgsfederal.com $71,400 - $96,900 a year

Posted 30+ days ago

Prisma Health logo
Single Billing Office, Customer Service Specialist, FT, Days,
Prisma HealthGreenville, South Carolina
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Job Description

Inspire health. Serve with compassion. Be the difference.

Job Summary

Performs tasks of moderate to difficult complexity relating to both hospital and physician accounts. Handles a large volume of inbound calls. Responsible for also making outbound calls related to self-pay follow up on accounts. Assists patients with requests for information, complaints, and resolving issues.
Responsible for data analysis and interpretation throughout all functions of revenue cycle, to determine reasons for denials, non-payment and overpayment, post/balance/correct electronic remittances, billing and follow-up of government payers and specialized accounts, analysis/correction of correct coding guidelines, preparation of accounts for appeal, review/analysis of insurance credit balances and analysis/movement of unapplied, unidentified, undistributed balances. Moderate to difficult levels of evaluation, analysis, decision making required in these roles.

Essential Functions

  •  Resolves billing concerns, addresses inquiries related to insurance concerns/matters, assist patients with MyChart while simultaneously establishing a rapport with our diverse field of patients. Reviews accounts to determine insurance coverage; obtains and corrects any missing or inaccurate information. Discusses patient responsibility, which includes educating patients on claim processing, deductible, coinsurance, and co-pays. Interacts with patients by making patients aware of payment options such as payment plans and financial assistance as well as how to apply for financial assistance if circumstance warrant. Ability to set up payment plans in MyChart based on patient's personal needs. - 25%

  • Greets patients in a professional and courteous manner. Communicates clearly and professionally in both oral and written communication. Be clear and concise in all communication to ensure patients understand the information that is being communicated to them by the Customer Service Specialist. Maintains a high level of poise and professionalism in dealing with patients. Knows when to escalate a patient service issue real time. Research customer requests or issues, determines if further action is needed, forwards to appropriate party for resolution, and exercises good judgement to determine urgency of patient's need. – 20%

  • Contacts payer and makes hard inquiries on account status if needed. Escalates problem accounts to the appropriate area(s). Documents billing activity on a patient's accounts according to departmental guidelines; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leaders. Properly documents accounts clearly with indicators and activities so that tracking and trending can be prepared for any potential further analysis if needed. – 10%

  • Must be knowledgeable of the entire Revenue Cycle and Epic. – 10%

  • Ensures all work is compliant with privacy, HIPAA, and regulatory requirements. - 10%

  • Participates in general or special assignments and attends all required training. Adheres to policies and procedures as required by Prisma Health and follows all compliant regulatory payer guidance. - 10%

  • Knowledgeable of the job functions required for a A/R Follow-up Representative, Cash Posting Representative, Claims Clearinghouse Representative, Correspondence Representative, Credit Processing Specialist, Denial/Appeals Specialist, Payment Research Specialist and a Quality Assurance Specialist. Should be cross trained and proficient to operate in any of these roles if the need arises. - 10%

  • Answers all incoming calls from Prisma Health patients for both the Columbia and Greenville markets. - 5%

  • Performs other duties as assigned.

Supervisory/Management Responsibilities

  • This is a non-management job that will report to a supervisor, manager, director or executive.

Minimum Requirements

  • Education - High School diploma or equivalent OR post-high school diploma / highest degree earned

  • Experience - 2 years - Billing, bookkeeping, accounting


In Lieu Of

  • NA

Required Certifications, Registrations, Licenses

  • NA
     

Knowledge, Skills and Abilities

  • NA

Work Shift

Day (United States of America)

Location

Patewood Outpt Ctr/Med Offices

Facility

7001 Corporate

Department

70019935 System Billing Office

Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.