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Head of Billing

Ascend Partner FirmsBuffalo, New York

About Ascend At Ascend, we understand the struggles that accounting & finance professionals face in traditional public accounting firms - from rigid hierarchies, overwhelming workloads, and the elusive work-life balance. It’s time for a transformative change. We believe your ambition should not be constrained by outdated practices or opaque career paths. Here, you're not just a number; you’re a valued member of a community that supports & celebrates your professional & personal fulfillment. Our mission is to transform the public accounting experience into one where work-life harmony is a reality, and where your career advancement is supported by a nurturing network and comprehensive resources . Ascend empowers entrepreneurial CPAs to reach their goals with an innovative growth model that brings our partner firms into the new age. Backed by private equity from people-focused Alpine Investors, Ascend is building a modern platform for regional accounting firms that enables them to stay independent while having access to resources of a large CPA firm. These resources include growth capital, robust talent acquisition, best-of-breed technology, a catalytic leadership system, shared back-office services, and modernized equity incentives. Founded in January 2023, Ascend attained revenues sufficient to qualify it as a Top 100 U.S. accounting firm within six months of operation. Explore Ascend , where your career soars without sacrificing your quality of life. About Tronconi Segarra & Associates We are a top 3 accounting and advisory firm in Western New York with nearly 140 partners and associates, including 70 CPAs serving clients across the U.S., Canada, Europe, and South & Central America. We serve all industries and have deep expertise in small business, manufacturing, education, e-commerce, aerospace & defense, construction, insurance, professional services, private equity, non-profits, and government entities. Our key services include Tax Advisory services, M&A/Transaction Advisory services, State & Local Tax services, Client Accounting & Advisory Services (CAAS), Audit & Attestation Advisory services. We have many additional services that we specialize in. We strategically partnered with Ascend, an accounting firm platform, in 2025 to expand our footprint and enhance our capabilities and service offerings to our clients. The Team You Will Join At Tronconi Segarra & Associates (TSA), we empower every client to become his or her best and most confident self through the responsible provision of high-quality financial and business services, products and information. Over the years, our clients have told us that our solutions have made a difference in their businesses and given them the confidence to take the next steps – buy or sell a business, expand a plant, open a new branch, hire additional employees, prepare for the next generation to run their business, expand sales to a new country. And we’ve been with them every step of the way, providing the support, services and information they need to reach the next level of success. The Opportunity We’re looking for a hands‑on, systems‑savvy Head of Billing & Financial Management to own TSA’s end‑to‑end billing and accounts receivable (A/R) operations. You will run a disciplined prebill-to-cash process, partner closely with Partners and Billing Managers, and use CCH Axcess Practice to drive accuracy, speed, and profitability in our billing cycle. You’ll also improve cash flow by tightening our DSO and AR aging, modernizing client payment options, and elevating visibility with actionable reporting across the firm. You’ll oversee a small team supporting you across the below responsibilities. How You’ll Help Us Build a Confident Future: Billing Operations & Client Invoicing Own the monthly billing calendar—collect prebills, lead review meetings with engagement leaders, finalize, and post invoices on schedule. Use CCH Axcess tools (e.g., Billing Wizard, Billing Groups, invoice templates/master paragraphs, recurring/progress bills) to standardize and accelerate workflow. Ensure accurate engagement setup (fee arrangements, rates, billing addresses, tax settings) and maintain clean client/billing data for reporting and profitability analysis in Axcess Practice. Publish invoices and oversee payment reconciliation and reporting. WIP, Prebills & Profitability Monitor WIP daily; perform WIP enquiries and filters to surface billable items, scope creep, and budget variances before billing. Recommend writeups/downs with clear rationale; document all adjustments. Track realization and margin trends by client, engagement, partner, and service line; educate teams on drivers and alternatives (e.g., value pricing, fixed fees) to support profitable growth. Publish and monitor monthly billing, invoicing, and collection goals. Collections & Cash Applications Lead collections with a professional, relationship‑oriented approach; segment accounts, set contact cadences, and partner with engagement leaders to resolve disputes quickly. Reduce Days Sales Outstanding (DSO) and AR > 90 days through targeted tactics (e.g., earlier billing milestones, progress billing, clearer terms, modern payment methods). Accounts Payable & Expense Management Own paying, posting, and tracking firm invoices in alignment with our firm budget. Support approving and monitoring submitted expense reports that align with our firm budget. Systems, Data & Process Improvement Be our in‑house CCH Axcess Practice expert—optimize configurations, security roles, and dashboards; champion time entry compliance and month‑end cutoffs to improve data integrity. Standardize firmwide billing SOPs (prebill reviews, approval thresholds, credit memos, reversals) and leverage Axcess features for audit trail and efficiency. Partner with Operations/IT on integrations (e.g., Portal, payments) and continuously improve performance (e.g., large Billing Groups handling, historical references). Own Service Code maintenance, mapping, and transformations to improve reporting clarity. Stakeholder Management & Leadership Partner with the CGO to serve as a trusted advisor to Partners on fee structures and billing strategies; communicate proactively on status, risks, and cash expectations. (Effective pricing and timely billing/collections are key to a healthy practice.) Manage Attorney relationship for AR collections Supervise a small billing/AR team; recruit, coach, and develop talent. Foster a culture of ownership, accuracy, and service. What You Need to Succeed (Required Qualifications): 5+ years of billing/AR leadership in professional services (public accounting preferred). Deep, hands‑on expertise with CCH Axcess™ Practice (time & billing, WIP, prebills, invoices, adjustments, billing groups, reporting). Proven results improving DSO, AR aging, and billing cycle time. Advanced Excel (pivot tables, lookups), strong data hygiene mindset, and comfort with payment tech. Excellent communication and stakeholder management skills; able to navigate partner‑level conversations with clarity and diplomacy, and client AP stakeholders. What Will Give You an Edge (Additional Skills) Exposure to pricing models in CPA firms (hourly, fixed‑fee, value pricing) and their impact on realization/gross margin. Experience with client procurement/e‑billing portals (POs, vendor onboarding) and dispute resolution workflows. Bachelor’s degree in accounting, Finance, or related field. Familiarity with Axcess training resources (e.g., CCH Axcess Practice—Biller curriculum) and release enhancements. Success Measures Billing Timeliness: % of engagements billed on schedule; cycle time from prebill to posting. Cash Flow: DSO and AR aging (e.g., % > 90 days) trending down. Profitability Hygiene: Reduced write‑offs; stronger realization/margin by client/partner/service line; clearer pricing alignment. Data Integrity & Adoption: On‑time time‑entry compliance; minimized exceptions; adoption of standardized invoice templates and billing groups in Axcess. The annual base salary range for this role is $65,000-$85,000. This range includes the anticipated low and high end of TSA’s salary range for this position. Actual compensation may vary based on various factors, including experience, education and/or skill level. At Ascend, we provide a fair and equal employment opportunity for all candidates regardless of race, color, religion, national origin, gender, pregnancy, sexual orientation, gender identity/expression, age, marital status, disability, or any other legally protected characteristic. Ascend hires and promotes individuals solely based on qualifications for the position to be filled and business needs.

Posted 2 weeks ago

Billing Specialist

Trade DeskVentura, CA

The Trade Desk is changing the way global brands and their agencies advertise to audiences around the world. How? With a media buying platform that helps brands deliver a more insightful and relevant ad experience for consumers –– and sets a new standard for global reach, accuracy, and transparency. We are proud of the culture we have built. We value the unique experiences and perspectives that each person brings to The Trade Desk, and we are committed to fostering inclusive spaces where everyone can bring their authentic selves to work every day. So, if you are talented, driven, creative, and eager to join a dynamic, globally-connected team, then we want to talk! What we do: The Trade Desk is seeking a motivated self-starter to join the Worldwide Billing team. The ideal candidate will have solid experience supporting billing-related activities that are recorded timely and accurately. The individual will also assist with billing inquiries and credits. This role will report to the Associate Manager and will be part of a high-caliber Accounting and Finance team. What you'll do: The Trade Desk is seeking a Billing Specialist in Ventura, CA whose tasks include, but are not limited to, the below: Gain a basic understanding of billing principles and be able to generate invoices by performing basic billing analysis and reconciliations to ensure accuracy of billing data while adhering to company policies and standard operating procedures. Ensure all billable activities are accurately captured in the billing process, billing terms and calculations are in accordance with customer agreements. Ensure completion of all assigned billing processes, including month-end and year-end close is completed in line with company deadlines. Prepare and send out custom invoices. Actively work with internal stakeholders (e.g. customer account managers and other internal departments) to resolve customer billing inquiries and process credit memo requests following standard practices within agent ticketing system. Answer billing inquiries from customers, addressing concerns and resolving potential issues. Preparing and analyzing billing reports to monitor trends and identify potential issues. Escalation to the management team when needed to accelerate the resolution. Meet defined department goals and activity metrics. Provide supporting documents and answer follow-up questions related to external audit processes. Participate in special ad-hoc projects, as needed. Who you are: Bachelor's degree with an emphasis in Finance or Accounting or equivalent experience Bring 2+ years’ experience in high volume, fast paced, billing/accounting role, preferably within Technology industry Experience creating Invoices/Credits/Debits across different regions and currencies within an ERP system Strong attention to detail and sense of accountability and ownership Ability to meet deadlines, while maintaining accuracy of information and attention to detail Experience working with Oracle ERP, preferred Alteryx experience, a plus Experience using Microsoft Office including Excel and Word. The ideal candidate should be proficient in Excel Strong interpersonal and communication skills and the capacity to build positive working relationships across the finance function, within different teams and at every level in the organization. Superior ability to communicate to a variety of internal and external stakeholders Ability to juggle multiple high priorities in a fast-paced environment and have a willingness to learn. You share our corporate values of Openness, Grit, Agility, Vision, Generosity, and Full-Heartedness in everything that you do The Trade Desk does not accept unsolicited resumes from search firm recruiters. Fees will not be paid in the event a candidate submitted by a recruiter without an agreement in place is hired; such resumes will be deemed the sole property of The Trade Desk. The Trade Desk is an equal opportunity employer. All aspects of employment will be based on merit, competence, performance, and business needs. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. CO, CA, IL, NY, WA, and Washington DC residents only: In accordance with CO, CA, IL, NY, WA, and Washington DC law, the range provided is The Trade Desk's reasonable estimate of the base compensation for this role. The actual amount may differ based on non-discriminatory factors such as experience, knowledge, skills, abilities, and location. All employees may be eligible to become The Trade Desk shareholders through eligibility for stock-based compensation grants, which are awarded to employees based on company and individual performance. The Trade Desk also offers other compensation depending on the role such as sales-based incentives and commissions. Plus, expected benefits for this role include comprehensive healthcare (medical, dental, and vision) with premiums paid in full for employees and dependents, retirement benefits such as a 401k plan and company match, short and long-term disability coverage, basic life insurance, well-being benefits, reimbursement for certain tuition expenses, parental leave, sick time of 1 hour per 30 hours worked, vacation time for full-time employees up to 120 hours thru the first year and 160 hours thereafter, and around 13 paid holidays per year. Employees can also purchase The Trade Desk stock at a discount through The Trade Desk’s Employee Stock Purchase Plan. The Trade Desk also offers a competitive benefits package. Click here to learn more. Note: Interns are not eligible for variable incentive awards such as stock-based compensation, retirement plan, vacation, tuition reimbursement or parental leave At the Trade Desk, Base Salary is one part of our competitive total compensation and benefits package and is determined using a salary range. The base salary range for this role is $21.06 — $38.61 USD As an Equal Opportunity Employer, The Trade Desk is committed to making our job application process accessible to everyone and to providing reasonable accommodations for applicants with disabilities. If you have a disability or medical condition and require an accommodation for any part of the application or hiring process, please contact us at accommodations@thetradedesk.com You can also contact us using the same email address if you have a disability and need assistance to access our Company website. When contacting us, please provide your contact information and specify the nature of your accessibility issue.

Posted 30+ days ago

Product Support Representative - Tier 1 (RCM/Billing/Healthcare)

Raintree Systems, IncPhoenix, AZ

Associate Product Support Representative (RCM/Billing) Location: Phoenix, AZ / On-Site Department: Customer Support At Raintree, we’re not just shaping the future of therapy technology – we’re creating it. This is your chance to be part of something bigger, where your career will have game-changing, career-defining moments that propel you to new heights. We aim to be the best place for the best people , and we’re looking for ambitious, creative thinkers ready to make an impact. Whether you’re advancing AI solutions or enhancing user experiences, your work here will shape the future of therapy technology while advancing your career alongside dedicated professionals who are as committed to your success as you are. At Raintree, your ideas drive real change, your growth is limitless, and the work you do will touch millions of lives. Ready to ignite your career and leave a lasting legacy? Join us and be part of something extraordinary. An Associate Product Support Representative plays a critical role in the overall client experience. This person is often the face of the company for users experiencing issues or questions with Raintree software. Great support is about earning trust through urgency, consistency, follow-through, and the delivery of high-quality answers. Responsibilities of the role focus on responsiveness, troubleshooting, problem-solving, case management, and client service/communication. They will work closely with clients and other support team members to efficiently identify and solve basic issues. The ideal candidate is skilled at troubleshooting/problem-solving, has a curiosity to learn, and can juggle multiple priorities while putting the client’s needs first. Role responsibilities include but are not limited to the following: Duties and Responsibilities Provide support, technical solutions, and basic how-to guidance to clients on Raintree’s EMR platforms Focus your efforts on quickly developing your knowledge and skills in 1 of 3 core domains (Practice Management, Clinical or Billing/Financial) Provide exceptional customer service – always remain positive and respectful, taking a phone-first approach. Demonstrate top-notch communication skills through empathy and active listening. Use these skills to help gather relevant information and validate to remove ambiguity. Demonstrate exceptional troubleshooting skills to isolate the cause of basic issues and steps to recreate the problem. Expedite Problem-solving by leveraging all tools at your disposal (KB, documentation, screen sharing, test systems, etc.) Leverage critical thinking skills to aid with prioritization, independent decision making, and problem deconstruction abilities. Effectively Manage your cases - Document, Document, Document. Set specific follow-up dates/times w/ the client and meet those commitments. Do what is right, and don’t let your cases get stale. Leverage priority and aging to guide follow-ups and when issues should be escalated. Identify client needs quickly and successfully implement solutions Close the required minimum number of client cases and follow-up on escalated issues Perform new Raintree software upgrades and related tasks as needed Provide timely updates to management on all high priority, high impact issues Identify common challenges and proactively inform ways to improve our product/processes Contribute to Raintree’s knowledge base content, documentation, and training materials Link knowledge articles used to resolve issues to all relevant cases Ensure compliance with company policies, maintaining data security and confidentiality. Client first - own it and figure it out internally. Avoid transferring customers, calls or cases. Beyond great service, your job is to be a top notch Raintree troubleshooter/problem solver. Position Proficiencies and Requirements Bachelor’s degree or relevant experience At least 2 years of software application support experience in a SaaS environment High technical aptitude Proven track record of outstanding client support, troubleshooting and problems solving in a complex, technical environment Medical/Revenue Cycle Management experience preferred Previous SaaS or Healthcare IT company experience preferred Working knowledge of EMR/EHR medical software applications is a plus Must be able to work on a Pacific Time Zone schedule (8am-5pm PT preferred) This position will require a HIPAA compliant environment. A controlled and dedicated workspace will be necessary to be successful. Our Perks Remote Work/Work From Home Paid Time Off/11 Paid Holidays/Year-End Holiday Break Health, Dental, Vision, HSA/FSA 401K with Company Match Disability & Life Insurance Employee Assistance Program Paid Parental Leave About Raintree Systems Raintree is the preeminent platform for enterprise and mid-sized therapy provider organizations. Our award-winning solutions in patient engagement and communications, clinical documentation, revenue cycle management (RCM), and business intelligence are tailored to the needs of physical therapy, occupational therapy, speech therapy, and ABA practices across all treatment settings. Our Core Values We put our Clients First - We are Open and Honest - We are Disciplined, Yet Flexible We love to Solve Problems - We are Committed to Greatness - We are a High Performance Team Raintree Systems 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. Powered by JazzHR

Posted 30+ days ago

Medical Billing / Frontdesk

Urogynecology PCAlpharetta, GA

Miklos and Moore Urogynecology is looking for a Receptionist to join our team in our Alpharetta office. The ideal candidate will deliver a professional and qualified first impression to all visitors. This person has excellent communication and customer service skills. He/she has a basic understanding of administrative and clerical procedures/systems and the ability to multitask in a busy environment. Responsibilities: Welcome guests, employees, and clients who arrive at the office and clarify the purpose of their visit, and who they want to see. Answer all phone calls and emails sent to the main office and provide inter-office messages as requested. Schedule new patient appointments, manage medical record requests, and other front office responsibilities. Requirements: A high school diploma is required Proficient with Microsoft Excel, Word, and Outlook Reliable, professional, courteous, and patient Excellent communication and writing skills Miklos and Moore Urogynecology is an upscale international surgical practice dedicated to women's health. Miklos and Moore Urogynecology benefits include paid health and dental insurance, life insurance, 401K, PTO, and first responder cell phone discounts. Powered by JazzHR

Posted 30+ days ago

Medical Billing Manager Odenton MD

HEALTHCARE RECRUITMENT COUNSELORSOdenton, MD

Medical Billing Manager Odenton MD We are looking for an experienced Medical Billing Manager to join our medical group full time in Odenton, MD. Ideally, we are looking for a manager who has experience within privately held medical groups, someone who has real expertise in holding their billing team accountable, being the point person, and is able to regularly report to upper management, running reports and is able to evaluate where our business can improve. Must have experience managing a group of medical billers in a clinic setting (non-hospital based). About us: We are a highly reputable team of medical doctors, compassionate providers/colleagues and support staff and we work hard to help our patients live a pain-free, active lifestyle. We have helped thousands of individuals in the community of Odenton, as well as the surrounding areas. Our philosophy is that everyone deserves a fair chance to enjoy and participate in the things they love, and we are committed to education and research to provide numerous effective treatment options for our patients in need. We have a dynamic, friendly, and compassionate team and we enjoy working together in our welcoming team environment. Primary Responsibilities: Overseeing the day-to-day operation of a medical billing department and staff. Perform Patient and Insurance report analysis and identify any trends or issues that need to be addressed. Communicate trends for improvement of the cashflow with practice' management team and medical providers. Assign and oversee work of billing staff to ensure accuracy and resolving inconsistencies. Ensure billing and coding for all current and new medical service lines are accurate and consistent. Identify compliant, financial billing opportunities. Create SOP's for all tasks. Train and motivate billing and medical staff. Uphold company policies and procedures. Work on and manage insurance AR to resolve outstanding or denied claims. Submit insurance appeals. Complete monthly payment posting reconciliation. Answer patient billing questions and concerns as needed Key Skills: Advance proficiency in Microsoft Office Suite, particularly Excel Assume role of liaison between billing and other departments 5+ years of experience in Revenue Cycle Management Strong familiarity with federal and commercial insurance plans Must have experience managing a group of medical billers in a clinic setting Benefits: Health Insurance Dental and Vision PTO 401k Compensation : $70k plus bonus potential (uncapped) We are looking for a dedicated team player, who has a high level of professionalism and reporting skills to join our amazing team within multiple clinics in Maryland. If this sounds like the opportunity for you, then please contact us! HCRC Staffing Powered by JazzHR

Posted 1 week ago

AR & Progress Billing Specialist

TeamsharesSan Antonio, TX

MGR Accounting Recruiters, a Teamshares Network company, is searching for an AR & Progress Billing Specialist for a client in San Antonio. AR/Progress Billing Specialist (Construction Industry) Are you looking for a rewarding role in the Construction & Extraction industry where attention to detail is key? Do you thrive in a fast-paced environment and enjoy working with numbers? Our client is looking for a highly skilled AR/Progress Billing Specialist to join our team. As an integral part of their organization, you will have the opportunity to work on diverse projects and enhance your billing expertise. Join us and enjoy benefits such as paid time off, dental insurance, health insurance, vision insurance, paid training, and more. Responsibilities: Manage accounts receivable processes Prepare and submit progress billings (AIA) Ensure accurate and timely invoicing Collaborate with internal teams to resolve billing discrepancies Requirements: High attention to detail Proficiency in progress billing for a construction related role Strong communication skills Ability to multitask and prioritize workload

Posted 30+ days ago

Construction Billing Clerk

SMC ContractingWest Palm Beach, FL

Complete Contract Billing by processing pay applications, updating pay app with any billing notes, and creating contract invoices and sending them to contractors. Process invoice registers and forward to project managers, update pay app with any billing notes, and create contract invoices and forward them to contractors. Processing credit memos. Following up on outstanding payments and answering customer queries. Updating accounting records with issued invoices, processed payments, new balances, and customer contact information. Hoot Inspections Storm Water Inspections Process completed job files by ensuring all necessary information has been saved and scanned and forwarding file to Controller for review Powered by JazzHR

Posted 30+ days ago

Manager of Billing & Collections (Payer Relations/Revenue Cycle)

Grace HealthCorbin, KY

Payer Relations Manager Summary: Management position responsible to assist the Director with planning, directing and coordinating the overall functions of the medical billing and coding office to ensure a health revenue cycle is sustained while improving patient, physician, and other customer relations. The position requires strong managerial, leadership, and business office skills, including critical thinking and the ability to produce and present detailed billing activity reports. ESSENTIAL DUTIES AND RESPONSIBILITIES: Maintain a proficient working knowledge of CMS-FQHC billing and collection regulations, HRSA Compliance Manual, KY Medicaid FQHC Regulation and CLIA regulations. Ensure the activities of the Grace Health billing team (not limited to: Billing Work Queues, Follow up on Accounts Receivables, Manual Charge Entry, Refunds, Payment Posting, and Unapplied Credits) are performed in a manner consistent with the department’s processes and are completed in a timely manner. Assist in the development, implementation, and sustainability of operating policy and procedures . Oversee hiring and supervision of personnel including work allocation, training, problem resolution, cross training and performance evaluation . Collaborate with Payers, ACO, Director of Quality and other Leaders to ensure processes are established to maximize Pay for Performance outcomes . Audit billing and collection processes to monitor and improve billing and collections operations and provide specific feedback as indicated; examples may include audits of new providers, new services, payers, hospital location, PPS rates, timeliness of A/R f/u, etc. Facilitate compliance audits when concerns are identified as well as coordinate ongoing compliance audits such as Consolidated Claims, VFC, or Annual Wellness Visits; work with leadership to ensure process improvement is implemented as indicated and refunds are issued if an overpayment is identified. Monitor compliance with timely submission of charges, lead efforts to address gaps, escalate gaps to CEO and CFO as indicated . Collaborate with Leadership to submit required reporting, such as cost report information and the quarterly Medicare Credit Balance report. Monitor and report outcome metrics to billing staff and leadership . Review and interpret operational data, including lag days, un-submitted charges, days in A/R, credit balance amounts . Demonstrate proficiency and expertise with the functions within the Electronic Health Record, Epic; maximize the utilization of the system’s functions and reporting . Communicate concerns related to the Revenue Cycle to appropriate leadership and help develop process improvement as needed always ensuring sustainability . Work on special assigned projects . Participate in professional development activities and maintain professional certification as applicable . Ensure thorough communication and exceptional customer service with internal and external customers. Timely F/U with all patients inquires . Other duties may be assigned. OTHER ESSENTIAL DUTIES and RESPONSIBILITIES: Grace Health recognizes that managing patient care is a team effort that involves clinical and non-clinical staff. All employees must embrace a team-based approach to patient care and understand that each role is important to our success. Team members must demonstrate excellent team communication and coordination to provide quality patient care. Care coordination includes communicating with community organizations, health plans, facilities, and specialists. Care team members understand and embrace the concept of population management and proactively address the needs of patients and families served by this practice. Team members must demonstrate skill and knowledge related to effective communication with vulnerable patient populations. Team members must participate in Continuous Quality Improvement activities within the organization to ensure patients receive high quality care. All team members will be involved in the process of improving quality incomes. Team members will participate in the review and evaluation processes of practice performance and help to identify opportunities for improvement. Team members will participate in Grace Health's advocacy program. GENERAL DUTIES: Follows policies and procedures of the office, including administrative, clinical, quality assurance, and personnel . Maintain good attendance (daily, meetings, and other assignment tasks) . Maintain timely documentation of all work assignments . Maintain patient confidentiality . Routinely keep supervisor informed about attendance and job assignment. Flexible in being able to multitask . Work effectively and at an efficient pace . Work cooperatively with providers, administration, and peers QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to assist in advancing Grace Health’s mission and to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. SKILLS: Excellent organizational, analytical and decision-making skills . Effective leadership and managerial skills . Exceptional customer service skills; must be able to establish and maintain effective working relationships with employees and other Grace Health leader. Effective written and oral communication skills . Highly organized work habits with ability to prioritize . Exceptional computer skills, including knowledge of the EMR/PM and Excel. EDUCATION and/or EXPERIENCE: Bachelor’s Degree in related field . Minimum of three (3) years of experience in a health care setting . Management experience preferred. PHYSICAL DEMANDS: 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. While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; sit; and use hands to finger, handle, or feel objects, tools, or controls. The employee is occasionally required to reach with hands and arms; stoop, kneel, crouch, or crawl; and taste or smell. The employee must occasionally lift and /or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. WORK ENVIRONMENT: Grace Health is a faith-based, federally qualified community health center (FQHC). We provide primary health services to underserved, underinsured, and uninsured individuals in the southeastern Kentucky region. Our mission is “to show the love and share the truth of Jesus Christ to southeastern Kentucky, thorough access to compassionate, high quality, primary health care for the whole person” regardless of ability to pay. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is occasionally exposed to wet and/or humid conditions, fumes or airborne particles, and toxic or caustic chemicals. The noise level in the work environment is usually moderate. Grace Health 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. Powered by JazzHR

Posted 30+ days ago

Medical Billing & Front Office Specialist Tampa (on-site)

Clinical Professional ConnectionsOdessa, FL

Requirements: Medical Billing Certifification (preferred) using TherapyNotes -EMR A high school diploma is required Proficient with Microsoft Office Suite Reliable, professional, courteous and patient Excellent communication and writing skills Able to work 4 day work week Salary: Depending on experience $18-25/hour or a salary based of $30-42K annuallyHealth benefits (will be discussed if needed)PTO and vacation The ideal candidate will deliver a professional and qualified first impression to all visitors. This person has excellent communication and customer service skills. He/she has a basic understanding of administrative and clerical procedures/systems and the ability to multitask in a busy environment. Responsibilities: Guest services – Welcome patientswho arrive at the office, answer all phone calls and emails sent to the main office and provide inter-office messages as requested. Administration – Send out and receive mail, documents, supplies and packages. Distribute items to mailboxes and offices as requested. File and keep good records. Maintain office supplies and reorder as needed. Maintain an organized filing system. Manage a schedule for those needing support and schedule appointments as required. Medical Billing/Authorizations - Prepare medical billing claims to insurance company and do authorizations. Powered by JazzHR

Posted 4 weeks ago

Billing Specialist

Topaz HRBardonia, NY

Company Overview We are the premier pharmacy partner for long-term-care communities that share their commitment and priority to patient-care first. We have transformed the conventional medication management process by being high-touch and patient -focused. We work tirelessly to streamline the often-disjointed communication process between the integral stakeholders in the medication ordering and administration life-cycle. How they accomplish this, is by simplifying processes, educating and communicating frequently. Our comprehensive technology solutions and breadth of pharmaceutical products and services allow us to be nimble and creative in offering the right service everyone of their unique customer needs. We understand our customers’ needs and have the industry’s highest standards with strict adherence to federal and state regulations. Position Overview We are seeking a meticulous and detail-oriented Billing Specialist experienced in pharmacy billing, with knowledge of Durable Medical Equipment (DME) claims processing under Medicare Part B for residents in assisted living facilities. The ideal candidate will possess extensive knowledge of Medicare guidelines, documentation compliance, claim submission, and follow-up to ensure timely reimbursement and minimal claim denials. Location: Bardonia, NY Reports To: Billing Department Schedule: Onsite Employment Type: Full-Time Salary Range: $50,000 - $65,000 USD/Annually Key Responsibilities Prepare and submit DME claims to Medicare Part B, ensuring accuracy and full compliance with regulatory requirements. Verify patient eligibility and insurance coverage, with attention to assisted living facility billing requirements. Ensure all documentation meets Medicare standards. Track, monitor, and proactively follow up on outstanding claims, denials, and payment discrepancies. Manage collections for patient and insurance accounts, including monitoring aging reports, identifying delinquent accounts, and prioritizing collection efforts. Review, reconcile, and resolve billing discrepancies or disputes promptly to ensure accurate patient invoices. Collaborate with billing and accounts receivable teams to address invoicing errors or issues impacting collections. Maintain accurate and organized billing records and reports for internal audits. Stay current on Medicare Part B policies and changes affecting DME billing. Communicate professionally with facility staff, patients, and families regarding billing inquiries and payment arrangements. Physical Demands The physical demands and work environment described here are representative of those an employee encounters while performing the essential functions of this job. Primarily office-based with extended periods of sitting, computer usage, and phone communication. Regular handling of documentation and participation in meetings. Qualifications Minimum of 1-3 years of collections experience in DME and pharmacy billing, specifically with Medicare Part B. Strong knowledge of HCPCS codes, insurance verification processes, and claims management/processing. Experience working with assisted living facilities or similar long-term care environments required. Proficiency with medical billing software and Electronic Health Records (EHR) systems. Excellent attention to detail, problem-solving, and organizational skills. Strong communication skills for working with patients, families, and facility staff. Compensation The published salary range is used as a guide to provide prospective candidates with a level of compensation that is competitive with today’s market. The salary range for this position is a good faith estimate that allows for flexibility to align with various levels of experience, education, and performance. EEO Statement Topaz HR is an Equal Opportunity Employer and we do not discriminate on the basis of race, religion, gender, national origin, age, disability, or any other status protected by applicable law. We value and are committed to creating an inclusive environment for all employees. Please Note: Topaz HR is conducting this search on behalf of one of our clients. The employer's name will be disclosed during the interview process, and all hiring decisions will be made directly by the client. Powered by JazzHR

Posted 30+ days ago

Medical Billing Manager

Purple Ink LLCCarmel, IN

Are you looking for mission-driven work? Do you want to join a collaborative team where your financial expertise fuels a nonprofit’s mission? Are you r eady to make a measurable impact in a role that blends leadership, compliance, and compassion? If so, this might be the role for you! Our client, The Children’s TherAplay Foundation, Inc. is a mission driven organization with a team of dedicated employees who work enthusiastically and collaboratively to support the children they serve. If you are interested in being a part of their growing organization, we want to share more information with you!The Medical Billing Manager is a vital member of the clinic operations team and oversees all aspects of the organization’s billing and revenue cycle functions, including claims processing, accounts receivable, payor relations, and compliance with billing regulations. This role is essential to sustaining the financial health of their programs while upholding their commitment to affordable, accessible care. BENEFITS: Health, Dental, Vision Flexible scheduling with 1 day work from home Paid time off Paid holidays Health savings account 401(k) matching Disability insurance Employee assistance program KEY RESPONSIBILITIES: Revenue Cycle Management Manage full-cycle medical billing operations, including coding oversight, claim submission, payment posting, follow-ups, and denial management. Ensure timely and accurate submission of claims to commercial insurance, Medicaid, and other payors. Manage patient balances and collections and work in partnership with families to ensure a smooth payment collection process. Monitor aged receivables and implement effective follow-up strategies to maximize collections. Compliance & Audit Ensure compliance with federal, state, and payer-specific billing regulations and HIPAA. Maintain and update billing policies and procedures. Assist in preparation for audits and respond to audit requests as needed. Data, Reporting & Analysis Track and analyze billing performance metrics, preparing monthly and quarterly reports for leadership. Identify trends in claim denials and recommend solutions to improve collection rates and minimize errors. Collaborate with leadership on revenue forecasting and planning. Participate in month end financial reconciliation with EMR and QuickBooks. Team Leadership & Collaboration Supervise billing team. Train and support clinical and administrative staff on billing-related processes. Act as liaison with payors and patients to resolve complex billing issues. Proactively identify areas in the medical billing department where process improvements can be made to improve clinic operation KPI’s. Ensure patient confidentiality and integrity through HIPAA compliance. Establish and maintain positive working relationships with coworkers, patients, family members, payors, and referral sources. Manages the A/R aging and payment reports monthly to identify trends and underpayments; investigate causes and take appropriate steps towards resolution using professional judgment. REQUIRED EXPERIENCE: Associate’s or Bachelor’s degree in Business, Health Administration, or related field required. Minimum 3–5 years of experience in medical billing, with at least 2 years in a supervisory or lead role. Strong knowledge of CPT, ICD-10, HCPCS coding, and electronic billing systems. Experience with nonprofit healthcare organizations or community health centers a plus. Familiarity with Medicaid, Medicare, and managed care payors. Proficient with billing software, Quickbooks, and Microsoft Excel; experience with Practice Perfect would be helpful. Strong attention to detail, problem-solving, and organizational skills. Excellent interpersonal and communication skills. Many of our clients utilize E-Verify as part of their employment process. E-Verify is an internet-based system operated by the Department of Homeland Security (DHS) in partnership with the Social Security Administration (SSA) that allows participating employers to electronically verify the employment eligibility of their newly hired employees in the United States PURPLE INK OPERATES AS AN EQUAL OPPORTUNITY EMPLOYER #IND Powered by JazzHR

Posted 1 week ago

Dental Billing Specialist

Comfort Dental - Citadel CrossingCOLORADO SPRINGS, CO

Location: Colorado Springs, CO Position Type: Full-Time Salary: $18 - $24 per hour depending on experience Job Summary: We are seeking a detail-oriented, reliable, and experienced Dental Billing Specialist to join our team. The ideal candidate will be responsible for managing patient billing processes, checking out patients, collecting co-payments, filing insurance claims, and ensuring accurate and timely reimbursements. This full-time position offers competitive pay between $18 and $24 per hour, depending on experience and qualifications. Key Responsibilities: Billing and Claims Management: Process and submit dental insurance claims accurately and in a timely manner. Verify patient insurance coverage and benefits. Follow up on unpaid claims and handle claim denials or rejections. Post payments and adjustments to patient accounts. Patient Account Management: Generate and send patient statements. Manage patient billing inquiries and resolve discrepancies. Set up payment plans for patients as needed. Ensure accuracy in patient account records. Compliance and Documentation: Maintain patient confidentiality and comply with HIPAA regulations. Keep up-to-date with changes in insurance policies and billing codes. Document all billing and payment activities thoroughly. Communication and Coordination: Liaise with dental office staff and insurance companies to resolve billing issues. Communicate effectively with patients regarding their billing questions and concerns. Assist in other administrative duties as needed. Qualifications: High school diploma or equivalent; additional education or certification in medical/dental billing is a plus. Minimum of 1 year of experience in dental billing or a related field. Proficient in dental billing software and electronic health records (EHR) systems (Dentrix a plus). Strong understanding of dental insurance policies, billing codes, and reimbursement procedures. Excellent attention to detail and organizational skills. Strong communication and customer service skills. Ability to work independently and as part of a team. Benefits: Competitive hourly wage ($18 - $24 per hour) based on experience and qualifications. Health, dental, and vision insurance. Paid time off (PTO) and holidays. Retirement plan options. Opportunities for professional development and growth. How to Apply: Interested candidates are invited to submit their resume and a cover letter outlining their relevant experience. We are an equal opportunity employer and encourage all qualified candidates to apply. We look forward to welcoming a new member to our team who is dedicated to providing excellent service and support to our patients and staff. Powered by JazzHR

Posted 30+ days ago

Epic Hospital Billing Analyst

Healthlink AdvisorsMelbourne, FL

Key Responsibilities Ticket Backlog Management Analyze, troubleshoot, and resolve a backlog of Epic HB support tickets. Prioritize tickets based on financial impact, compliance requirements, and patient care considerations. Provide detailed resolution notes and clear communication to ticket requesters. System Support & Optimization Deliver application support for Epic Resolute HB, focusing on workflows such as charge capture, claim generation, billing edits, remittance processing, and patient statements. Identify root causes of recurring issues and recommend long-term fixes. Perform build/configuration changes, regression testing, and validation of system updates or patches. Collaboration & Escalation Work closely with patient financial services, revenue integrity, and IT to ensure seamless resolution of billing issues. Act as a subject matter expert (SME) for hospital billing functions within Epic. Escalate systemic or high-priority issues to leadership and coordinate with Epic or third-party vendors. Training & Documentation Support end-users by explaining billing functionality and workflow best practices. Document recurring issues, system fixes, and workflow improvements. Share knowledge with fellow analysts to prevent recurrence and ensure team-wide alignment. Qualifications Required Current Epic Resolute Hospital Billing certification 2+ years of direct experience supporting Epic HB in a production environment. Strong knowledge of hospital revenue cycle workflows, including charge capture, billing edits, claim submission, and payment posting. Proven experience resolving Epic tickets in a post-live support setting. Strong analytical and troubleshooting skills with attention to detail. Preferred Experience managing and reducing large ticket backlogs. Familiarity with related Epic modules (e.g., Resolute PB, Prelude, Cadence, or Grand Central). Knowledge of payer billing requirements, compliance standards, and hospital finance operations. Excellent communication skills and ability to collaborate with both technical teams and end-users. Powered by JazzHR

Posted 1 week ago

Customer Service- Medical Billing Department

Bayview Physicians GroupChesapeake, VA

Job Type Full-time Full Job Description Bayview Physicians Group is a rapidly growing outpatient multi-specialty medical group, that strongly believes the doctor-patient relationship is the cornerstone of quality healthcare. We staff more than 600 positions in the Hampton Roads area. Individuals who possess excellent customer service skills, strong collegial relationships, and the desire to promote a positive work environment are encouraged to apply. We offer a competitive benefits package to our full time employees and we are always accepting applications from qualified candidates. On the job training is available for the right candidate. Duties & Responsibilities: Answer multi-line phones Provide exceptional customer service to Bayview Patients calling in to make a payment or have questions about their bills Take payments over the phone Update patient information and data entry Review patient balance due accounts Navigate in the Electronic Health Record Resolve patient concerns or disputes regarding their bill Work Accounts Receivable Qualifications: General customer service experience Ability to communicate effectively orally and in writing. Excellent telephone skills. Must demonstrate the ability to work as a team. Must demonstrate a positive attitude, and helpful demeanor. General knowledge of standard office equipment such as computers, fax machine, photo copier, etc. General medical office experience a plus Education and/or Experience: Minimum of 1 year previous customer service experience Call center experience a plus Previous medical front desk experience a plus Organization is willing to train the right candidate Powered by JazzHR

Posted 1 week ago

Clerical Assistant, ED Billing

LogixHealthBedford, MA

Location: On-Site in Bedford, MA This Role: As a Clerical Assistant in ED Billing at LogixHealth, you will perform general clerical tasks in the Billing Operations department . You’ll contribute to our fast-paced, collaborative environment and will bring your expertise to facilitate payment of Emergency Department Physician medical claims . The ideal candidate will have strong technical skills, excellent interpersonal communication, and a desire to learn. Key Responsibilities: Review accounts in the self-pay category and make determination to send to collections Process all incoming returned mail from patients Mail out all paper claims generated by the staff on a daily basis Attach primary EOBs to secondary claims Attach medical records to claims Qualifications: To perform this job successfully, an individual must be able to perform each Key Responsibility satisfactorily. The following requirements are representative of the knowledge, skills, and/or ability required to perform this job successfully. Reasonable accommodation may be made to enable individuals with disabilities to perform the duties. Required: Ability to work in a fast-paced environment Proficiency with MS 365 including Teams, Word, Excel, and Outlook Excellent written and verbal communication skills Preferred: One to two years related billing experience Benefits at LogixHealth: We offer a comprehensive benefits package including health, dental and vision, 401(k), PTO, paid holidays, life and disability insurance, on-site fitness center and company-wide social events. About LogixHealth: At LogixHealth we provide expert coding and billing services that allow physicians to focus on providing great clinical care. LogixHealth was founded in the 1990s by physicians to service their own practices and has grown to become the nation’s leading provider of unsurpassed software-enabled revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for clients in 40 states. Since our first day, we have had a clear vision of a better healthcare system and have continually evolved to get there. In addition to providing expert revenue cycle services, we utilize proprietary software to provide valuable financial, clinical, and other data insights that directly improve the quality and efficiency of patient care. At LogixHealth, we’re committed to Making intelligence matter through our pillars of Physician-Inspired Knowledge, Unrivaled Technology and Impeccable Service. To learn more about us, visit our website https://www.logixhealth.com/. Powered by JazzHR

Posted 30+ days ago

Medical Billing SpecialistNot a Remote Position

National Health TransportMiami, FL

Summary: Ambulance Medical Billing Specialist is responsible for billing and collection processes for National Health Transport's ambulance trips. Ambulance Medical Billing Specialist answers inquiries from insurance companies, patients, and processes claims accordingly. Essential duties and responsibilities : Promotes, develops, and fosters the mission, vision, and values of National Health Transport Inc. Provides the highest level of customer service to a wide variety of internal and external customers Manage and maintain National Health Transport Inc. billing processes. File complaints with the appropriate payer or their governing authority. Identify and separate denials by code and payer Follow through with payers correspondence in a timely manner. Review account status routinely as required for each payer type; minimum of 20 days. Identify recurring denials and make necessary system changes to resolve them. Assist customers with their account information. File supplement or secondary insurance upon request of the patient. Work with Respond Billing software to ensure the most efficient billing process. Directs patient complaints to the Billing Operations Supervisor for completion and filing. Manages workload in an ethical manner and within the intent of federal, state, and local laws and in alignment within National Health Transports Billing Protocols and Procedures. Performs other duties as assigned. Required Qualifications: High School Graduate/GED Medical coding training and experience Familiar with Medicare/Medicaid laws and billing Certified Ambulance Coder helpful Ambulance Industry experience helpful Compensation: $15.00 - $18.50 hourly Required Shifts/Schedule: Hours must be flexible to meet the demands of the office, but would generally be 8:00am-4:30pm, Monday through Friday. This position is not remote. Note: This description indicates, in general terms, the type and level of work performed and responsibilities held by the team member(s). Duties described are not to be interpreted as being all-inclusive or specific to any individual team member. No Third Party Agencies or Submissions Will Be Accepted. Our company is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. DFWP Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients. Any and all information may change without notice. We reserve the right to solely determine applicant suitability. By your submission you agree to all terms herein. Powered by JazzHR

Posted 30+ days ago

Billing & Accounting Specialist

AD SolutionsOrlando, FL

AD Solutions is a Business Solutions Equipment and Service Provider with headquarters in Orlando, Florida. We are seeking a detail-oriented and organized Junior Accountant to join our team. The ideal candidate will have a strong understanding of accounting principles and practices, excellent numerical skills, and the ability to work independently and as part of a team. Responsibilities: Reconcile bank statements and credit card transactions monthly. Assist with monthly analysis, reconciliations, and resolutions for GL accounts Reconcile discrepancies by collecting and analyzing account information. Prepares Journal Entries and make necessary corrections Provide support for formal month-end and year-end close processes Assist in maintaining chart of accounts and keeping books up to date and secure Collaborate with other team members to complete duties as needed Maintain Accounts Receivable ledger Maintain and Reconcile A/R aging report on weekly basis Reconcile purchase orders and AP Aging Report Other duties as assigned Preferred Qualifications: Minimum of 3-5 years' experience in bookkeeping/accounting. Firm understanding of basic accounting principles and basic accounting tasks Basic Excel skills are a plus. Experience in Quickbooks, Sage or NetSuite is required A high school diploma is required An associate's degree is a plus #ads #nowhiring #adsgivesback Powered by JazzHR

Posted today

Billing Assistant

Covenant Case Management ServicesAlbemarle, NC

Covenant Case Management Services is seeking a detail-oriented and experienced Billing Assistant to oversee our billing processes and ensure the financial health of our organization. This role is crucial in managing Medicaid billing and collections while supporting our mission to deliver quality services to our clients. What You Will Do | Responsibilities Oversee the preparation, submission, and tracking of claims for Medicaid services, ensuring compliance with state and federal regulations. Proactively monitor claims status and resolve any issues related to denials, rejections, and authorization challenges. Manage the accounts receivable process, including invoicing, collections, and follow-up on outstanding payments to maximize cash flow. Process encounters, billing charges, and correct demand and non-demand billing discrepancies. Communicate regularly with clients and insurers to address billing inquiries and payment discrepancies. Track and report on accounts receivable aging, analyzing trends and developing strategies to improve collection rates. Generate detailed financial reports related to billing, collections, and revenue management on a monthly and quarterly basis. Maintain accurate and organized records of all billing activities, communications, and financial transactions. Work closely with case managers, administrative staff, and other team members to ensure accurate billing for services rendered to clients. Identify opportunities for process improvements within the billing department and propose solutions to enhance efficiency and accuracy. Participate in professional development opportunities to enhance skills and knowledge in billing and finance. Provide orientation and training to new staff regarding billing processes and software. What We Are Looking For | Qualifications Experience: Minimum of 5 years of experience in billing, accounts payable, and accounts receivable, preferably within the healthcare or social services sector. Skills: Strong analytical and problem-solving abilities, effective communication, and interpersonal skills. Resources: Proficiency in billing software and Microsoft Office Suite (Excel, Word, Outlook); experience with electronic health record (EHR) systems is a plus. Knowledge: Strong expertise in Medicaid billing processes, including knowledge of CPT/HCPCS coding and documentation requirements. Physical Requirements: Ability to work well in a fast-paced environment while multi-tasking and meeting deadlines. What We Are Looking For | Education & Licenses Bachelor’s degree in Accounting, Finance, Business Administration, or a related field preferred; Associate’s degree or High School diploma with relevant experience considered. Location | Travel Hybrid work environment with on-site requirements. Covenant Rewards for You | Benefits Generous Total Rewards Plan – including health insurance, 401k match, and career benefits Diverse and inclusive community focused on growth, compassionate care, and a supportive work environment Powered by JazzHR

Posted today

Automotive Billing Clerk

Valley NissanLongmont, Colorado

Our Goal at Valley Nissan Mitsubishi is to create an exceptional environment for our customers and employees for the continual well-being and growth of everyone involved. We are all working together to build a stronger and better dealership and community in which to work and live. By working together in a spirit of cooperation and teamwork, our dealership will be unsurpassed for its quality, integrity, and service. We are looking for Automotive Deal Billing Clerk with experience to join our team. WE OFFER: Medical & Dental Insurance Paid Vacation Closed Sundays Great work environment Wonderful company culture RESPONSIBILITIES: Ensure proper billing of all vehicles sold Process title work on traded in vehicles and sold vehicles Process payments to floor plan institutions Research and resolve any discrepancies with the billing process REQUIREMENTS: 5 years experience of automotive billing experience High school diploma or equivalent We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Posted 30+ days ago

Legal E-Billing Administrator

Goodwin ProcterLos Angeles, District of Columbia

Join Goodwin’s Global Operations Team, and make a real impact on a global scale. At Goodwin, we work with some of the world’s most successful and innovative investors, entrepreneurs and disruptors in the life sciences, private equity, real estate, technology and financial industries, and where they converge. As part of the Global Operations Team – all business professionals at the firm – you’ll collaborate with colleagues from varied backgrounds and experiences, fostering an environment where cross-functional learning, networking, and collaboration are at the core of what we do. Here, we’re not just supporting a law firm; we’re partnering with attorneys and clients to deliver cutting-edge solutions in high-stakes litigation and dispute resolution, world-class regulatory compliance and advisory services, and complex transactions. Our commitment to integrity, ingenuity, agility, and ambition drives us, and we’re proud to have been recognised as the “Best Business Team” by The American Lawyer. This is your opportunity to grow professionally in a dynamic, global environment, surrounded by forward-thinking peers. As an E-Billing Administrator, you will support the E-Billing Manager and team with all aspects of client electronic billing platform changes and on-boarding. Your responsibilities will include managing e-billing processes, services, and procedures to ensure accurate and timely entries into the firm’s billing system, while delivering exceptional customer service. What You’ll Do: Assist in appeals of reduced and short paid invoices researching e-billing sites. Assist with electronic on-boarding tasks, including client matter setup and mapping, timekeeper entry and mapping and rate updates/maintenance across various e-billing platforms. Troubleshoot e-billing-related issues and provide support to Billing Department team members. Handle overflow e-billing invoice submissions. Transmit electronic billing, evaluate e-billing processes and procedures, and implement necessary system changes. Record and maintain accurate phase, task, and billing codes. Coordinate special client billing requests with E-Billing management. Collaborate with the Pricing and Project Management team to approve and implement special rate arrangements. Respond promptly to requests submitted in the E-billing inbox. Prepare client and/or attorney analyses as needed. Work with billers and collection coordinators on e-billing short-pays and appeals. Preform tasks as needed. Who You Are : 3-5 years of legal billing experience; appealing invoices a plus. Proficiency with financial/billing software; Aderant Expert billing system experience is preferred. Experience with electronic billing transmission on various e-billing platforms; BillBlast experience is preferred. Ability to adhere to and apply billing department policies and procedures. Strong communication skills, with the ability to interact professionally and tactfully with all levels of the firm. High level of customer service in a fast-paced environment. Ability to manage a high volume of tasks with attention to detail and prioritize effectively. Proficiency in MS Office, with strong knowledge of Excel preferred. #LI-MS1 Benefits and More At Goodwin, you will discover your next career opportunity with a rewarding compensation package and comprehensive benefits, including: Flexible work arrangements and hybrid work schedule Health, dental, and vision insurance Life and disability insurance Retirement & Savings Plan Emergency back-up child and adult care Paid vacation, sick time off, and holidays Professional development and career advancement opportunities Employee recognition and reward programs Employee wellness and assistance programs Employee discounts and perks Consistent with the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance an arrest and conviction record will not automatically disqualify a qualified applicant from consideration. Consistent with the SF Fair Chance Ordinance, an arrest and conviction record will not automatically disqualify a qualified applicant from consideration. G oodwin Procter LLP is an equal opportunity employer. This means that Goodwin Procter LLP considers applicants for employment, and makes employment decisions without unlawful discrimination on the basis of race, color, gender, gender identity or expression, age, religion, national origin, citizenship status, disability, medical condition, genetic information, marital status, sexual orientation, military or veteran status, or other legally protected status. To request a reasonable accommodation to participate in the job application or interview process in the US, contact the Benefits Department by email or by phone at 617-570-1800. To request any disability or neurodivergence related accommodations to participate in the job application or interview process in the UK or Germany, please email the Recruiting Department. Any information you provide will be in the strictest confidence, and only used for the purpose of providing the accommodations needed. Requesting accommodations will not adversely affect the outcome of your application. This position is eligible for overtime: Yes The Target Salary Range For This Position Varies By Location And Is Commensurate With Relevant Experience: $70,000.00 - $75,000.00. This Role Is Hybrid 3 Days A Week Onsite.

Posted 30+ days ago

Head of Billing

Ascend Partner FirmsBuffalo, New York

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Job Description

About Ascend

At Ascend, we understand the struggles that accounting & finance professionals face in traditional public accounting firms - from rigid hierarchies, overwhelming workloads, and the elusive work-life balance. It’s time for a transformative change. We believe your ambition should not be constrained by outdated practices or opaque career paths. Here, you're not just a number; you’re a valued member of a community that supports & celebrates your professional & personal fulfillment. Our mission is to transform the public accounting experience into one where work-life harmony is a reality, and where your career advancement is supported by a nurturing network and comprehensive resources.

Ascend empowers entrepreneurial CPAs to reach their goals with an innovative growth model that brings our partner firms into the new age. Backed by private equity from people-focused Alpine Investors, Ascend is building a modern platform for regional accounting firms that enables them to stay independent while having access to resources of a large CPA firm. These resources include growth capital, robust talent acquisition, best-of-breed technology, a catalytic leadership system, shared back-office services, and modernized equity incentives.

Founded in January 2023, Ascend attained revenues sufficient to qualify it as a Top 100 U.S. accounting firm within six months of operation. Explore Ascend, where your career soars without sacrificing your quality of life.

About Tronconi Segarra & Associates

We are a top 3 accounting and advisory firm in Western New York with nearly 140 partners and associates, including 70 CPAs serving clients across the U.S., Canada, Europe, and South & Central America. We serve all industries and have deep expertise in small business, manufacturing, education, e-commerce, aerospace & defense, construction, insurance, professional services, private equity, non-profits, and government entities. Our key services include Tax Advisory services, M&A/Transaction Advisory services, State & Local Tax services, Client Accounting & Advisory Services (CAAS), Audit & Attestation Advisory services. We have many additional services that we specialize in. We strategically partnered with Ascend, an accounting firm platform, in 2025 to expand our footprint and enhance our capabilities and service offerings to our clients.

The Team You Will Join

At Tronconi Segarra & Associates (TSA), we empower every client to become his or her best and most confident self through the responsible provision of high-quality financial and business services, products and information. Over the years, our clients have told us that our solutions have made a difference in their businesses and given them the confidence to take the next steps – buy or sell a business, expand a plant, open a new branch, hire additional employees, prepare for the next generation to run their business, expand sales to a new country. And we’ve been with them every step of the way, providing the support, services and information they need to reach the next level of success.

The Opportunity

We’re looking for a hands‑on, systems‑savvy Head of Billing & Financial Management to own TSA’s end‑to‑end billing and accounts receivable (A/R) operations. You will run a disciplined prebill-to-cash process, partner closely with Partners and Billing Managers, and use CCH Axcess Practice to drive accuracy, speed, and profitability in our billing cycle. You’ll also improve cash flow by tightening our DSO and AR aging, modernizing client payment options, and elevating visibility with actionable reporting across the firm. You’ll oversee a small team supporting you across the below responsibilities.

How You’ll Help Us Build a Confident Future:

Billing Operations & Client Invoicing

Own the monthly billing calendar—collect prebills, lead review meetings with engagement leaders, finalize, and post invoices on schedule. Use CCH Axcess tools (e.g., Billing Wizard, Billing Groups, invoice templates/master paragraphs, recurring/progress bills) to standardize and accelerate workflow.
Ensure accurate engagement setup (fee arrangements, rates, billing addresses, tax settings) and maintain clean client/billing data for reporting and profitability analysis in Axcess Practice.
Publish invoices and oversee payment reconciliation and reporting.

WIP, Prebills & Profitability

Monitor WIP daily; perform WIP enquiries and filters to surface billable items, scope creep, and budget variances before billing. Recommend writeups/downs with clear rationale; document all adjustments.
Track realization and margin trends by client, engagement, partner, and service line; educate teams on drivers and alternatives (e.g., value pricing, fixed fees) to support profitable growth.
Publish and monitor monthly billing, invoicing, and collection goals.

Collections & Cash Applications

Lead collections with a professional, relationship‑oriented approach; segment accounts, set contact cadences, and partner with engagement leaders to resolve disputes quickly.
Reduce Days Sales Outstanding (DSO) and AR > 90 days through targeted tactics (e.g., earlier billing milestones, progress billing, clearer terms, modern payment methods).

Accounts Payable & Expense Management

Own paying, posting, and tracking firm invoices in alignment with our firm budget.
Support approving and monitoring submitted expense reports that align with our firm budget.

Systems, Data & Process Improvement

Be our in‑house CCH Axcess Practice expert—optimize configurations, security roles, and dashboards; champion time entry compliance and month‑end cutoffs to improve data integrity.
Standardize firmwide billing SOPs (prebill reviews, approval thresholds, credit memos, reversals) and leverage Axcess features for audit trail and efficiency.
Partner with Operations/IT on integrations (e.g., Portal, payments) and continuously improve performance (e.g., large Billing Groups handling, historical references).
Own Service Code maintenance, mapping, and transformations to improve reporting clarity.

Stakeholder Management & Leadership

Partner with the CGO to serve as a trusted advisor to Partners on fee structures and billing strategies; communicate proactively on status, risks, and cash expectations. (Effective pricing and timely billing/collections are key to a healthy practice.)
Manage Attorney relationship for AR collections
Supervise a small billing/AR team; recruit, coach, and develop talent. Foster a culture of ownership, accuracy, and service.

What You Need to Succeed (Required Qualifications):

5+ years of billing/AR leadership in professional services (public accounting preferred).
Deep, hands‑on expertise with CCH Axcess™ Practice (time & billing, WIP, prebills, invoices, adjustments, billing groups, reporting).
Proven results improving DSO, AR aging, and billing cycle time.
Advanced Excel (pivot tables, lookups), strong data hygiene mindset, and comfort with payment tech.
Excellent communication and stakeholder management skills; able to navigate partner‑level conversations with clarity and diplomacy, and client AP stakeholders.

What Will Give You an Edge (Additional Skills)

Exposure to pricing models in CPA firms (hourly, fixed‑fee, value pricing) and their impact on realization/gross margin.
Experience with client procurement/e‑billing portals (POs, vendor onboarding) and dispute resolution workflows.
Bachelor’s degree in accounting, Finance, or related field.
Familiarity with Axcess training resources (e.g., CCH Axcess Practice—Biller curriculum) and release enhancements.

Success Measures

Billing Timeliness: % of engagements billed on schedule; cycle time from prebill to posting.
Cash Flow:DSO and AR aging (e.g., % > 90 days) trending down.
Profitability Hygiene: Reduced write‑offs; stronger realization/margin by client/partner/service line; clearer pricing alignment.
Data Integrity & Adoption: On‑time time‑entry compliance; minimized exceptions; adoption of standardized invoice templates and billing groups in Axcess.

The annual base salary range for this role is $65,000-$85,000. This range includes the anticipated low and high end of TSA’s salary range for this position. Actual compensation may vary based on various factors, including experience, education and/or skill level.

At Ascend, we provide a fair and equal employment opportunity for all candidates regardless of race, color, religion, national origin, gender, pregnancy, sexual orientation, gender identity/expression, age, marital status, disability, or any other legally protected characteristic. Ascend hires and promotes individuals solely based on qualifications for the position to be filled and business needs.

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