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D logo
Downtown TacomaTacoma, Washington

$20 - $24 / hour

Job Summary: This position is responsible for addressing and resolving complex patient inquiries, concerns, and billing-related issues across various areas including eligibility, claims, denials, appeals, patient balances, collections and financial assistance. Responsible for receiving, responding to, and directing member phone calls and emails. Works under supervision of Billing and AR manager. Requires some knowledge of billing and healthcare field. Work requires meeting the needs of the patients by offering multiple options and solutions. Pay and Benefits: Pay: $19.54 - $23.77 per hour based on relevant experience, skills, and abilities. Benefits Highlights: Generous PTO : Up to 17 days/year for new employees + 9 holidays + rollover 401(k) : 3% automatic employer contribution+ 3% match Annual pay increases Full benefits : Medical, dental, vision, life, disability, mental wellness For more detailed benefits synopsis visit tranow.com/about/careers Location: This role sits out of our TRA Administrative office in Downtown Tacoma, WA. Free, secured parking is included with this role and location. Schedule: 1.0 FTE - 40 hours- Monday- Friday- 8:30AM - 5PM About TRA Medical Imaging TRA Medical Imaging is a premier, physician-owned and physician-led radiology practice with a 100+ year history of serving the communities of the South Puget Sound region. Centered in Tacoma, WA, TRA has a geographic presence extending from Seattle to Olympia. TRA takes pride in diversity and inclusion, a philosophy that aligns well with our Pacific Northwest values. We are led by a progressive group of approximately 100 sub-specialized radiologists who take pride in delivering high-quality, patient-centered care while fostering a practice culture intended to feel more like a family than a corporation. Why Choose TRA Medical Imaging TRA is an independent, stable, and diversified practice with a broad clinical and geographic footprint. Our governance structure is transparent, democratic and equitable with an unwavering commitment to physician leadership and autonomy. As part of that promise, TRA welcomes employee participation and collaboration and is committed to providing personalized professional development opportunities. Our commitment to culture is evidenced by our certification as a great workplace by the independent analysts at Great Place to Work and embodied by our mission statement: Trust our family to care for yours . TRA has been the respected provider of excellence in medical imaging in the South Sound since 1918. Join our team as we write the next 100 years of the TRA story. Want to learn more about TRA’s commitment to patients, employees and our community? Visit https://www.tranow.com/about/careers/ and explore your future with us today! Essential Job Functions: Address complex patient inquiries, questions and concerns in all areas including eligibility, claims, denials, appeals, refunds, authorizations, collections, price quotes, financial assistance and grant matching. Log and track appeals, re-openings and reconsiderations by contacting payers to gather information and communication on the disposition of claims. Resolve billing operational issues; such as missing authorizations, retro-authorizations, front desk error or missing/incomplete information in hospital files. Conduct pertinent research to evaluate and respond to denials in accordance with established regulatory guidelines. Review pending collection accounts and work daily updated as needed from third party collections office. Process updates/changes/corrections in billing system to support an accurate, timely and complete billing process. Receive, respond to, and direct patient phone calls/emails professionally and promptly. Assist patients in setting up alternative payment options when necessary. Work collaboratively with teammates and other departments. Check email throughout the day to provide timely feedback to patient and outpatient office needs. Utilize knowledge of insurance billing, claims processing, ICD-10, CPT and HCPCS coding to effectively carry out your responsibilities. Perform other duties as assigned. Provide available information upon request and escalate issues/complaints as necessary to the Billing and AR Manager. Check work e-mail daily. Maintain confidentiality of all center and patient information at all times, as required by facility policy and HIPAA guidelines. Follow the center exposure controls plan for blood borne and airborne pathogens. Perform all other related duties as assigned. Qualifications: Education/Work Experience High School Diploma or GED required Associates degree or equivalent, minimum 1-year recent work experience in related area preferred Job Knowledge/Skills Knowledge of insurance industry trends, directions, major issues, regulatory considerations and trendsetters. Knowledge and understanding of state and federal laws and regulations affecting insurance practices. Knowledge of activities, practices, and tools for claims adjustment practices. Knowledge of how to locate policy information and how to interpret policy language as it applies to specific claims. Knowledge of specific principles and practices of negotiation and settlement of claims. Knowledge of medical records systems applications. Ability to work effectively in teamwork environment and have respectful behavior while working as a team with co-workers. Must possess excellent verbal communication skills; good organization skills. Ability to demonstrate effective customer service skills. Communicate professionally with other medical facilities, patients, and customers. Ability to manage multiple tasks and carry out instructions effectively. Physical Requirements Work is classified as sedentary in physical requirements. Requires the ability to lift/carry 1-5 pounds frequently, occasionally 10 pounds maximum. Mental Requirements Work requires high attention to detail and the ability to handle mentally stressful situations. The ability to maintain high level of sensitivity towards confidential information is also required. Working/Environmental Conditions Work environment consists of normal office or administrative working conditions.

Posted 2 days ago

Greenberg Traurig logo
Greenberg TraurigPhiladelphia, Pennsylvania
Greenberg Traurig (GT), a global law firm with locations across the world in 15 countries, has an exciting opportunity for a Billing Manager to join our Revenue Management Department. We offer competitive compensation and an excellent benefits package, along with the opportunity to work within a dynamic and collaborative environment within the legal industry. Join our Revenue Management Team as a Billing Manager in our Philadelphia Office. We are seeking a highly skilled and meticulous professional who thrives in a fast-paced, deadline-driven environment. The ideal candidate possesses strong problem-solving and decision-making abilities while ensuring efficiency and accuracy in every task. With a dedicated work ethic and a can-do attitude, you will take initiative and approach challenges with confidence and resilience. Excellent communication skills are essential for collaborating effectively across teams and delivering exceptional service. With a client-focused mindset and an initiative-taking approach, you will play a critical role in driving success, anticipating needs, and providing strategic solutions. If you are someone who values precision, adaptability, and innovation, we invite you to join our team and make a meaningful impact. This role will be based in our Philadelphia office. Regular in-office presence is required for day-to-day operations, as well as for team meetings, training opportunities, and relationship building. The role reports to the Director of Revenue Management. Position Summary The Billing Manager will be responsible for the billing operations of all assigned office(s), ensuring accuracy, efficiency and compliance with client guidelines and firm policies. This role requires the ability to manage both billing and e-billing processes as well as attorney and client communications. The Billing Manager will collaborate with Billing Attorneys and firm management, facilitate smooth billing workflows, and improve overall efficiency. Key Responsibilities Acts as the primary contact for billing matters, providing clear communication to support timely and efficient collections. Direct management and support of the revenue cycle to ensure all billing, including e-billing and collections, are processed accurately, in compliance with client requirements and firm policies. Builds and consistently fosters excellent working relationships with Billing Attorneys and staff and periodically meets with office department heads to provide updates as needed. Be a trusted advisor to both the office and Revenue Management leadership. Supervises, supports, and provides guidance and leadership to the Billing Supervisor and revenue management staff across their respective offices. Collaborates with Revenue Management leadership to review and recommend changes to automate and enhance timeliness, accuracy, and efficiency of billing processes. Monitors key performance indicators related to revenue such as rates, volume discounts and all other billing related functions. Works in partnership with their respective offices to understand aged Accounts Receivable balances, including matters with no activity over a specific threshold. Partners with Billing Attorneys to address escalated billing disputes and helps resolve collection issues efficiently. Collaborates closely with Collection Managers to support the cash cycle and identify billing and collection issues. Builds and strengthens relationships with internal and external clients to ensure their needs and expectations are met. Works with Talent Services on recruiting, new hire training and employee onboarding tasks. Provides additional feedback during staff performance appraisals, develops performance management objectives to address concerns, drives engagement, retention, and separation decisions. Qualifications Skills & Competencies Excellent interpersonal and communication skills (oral and written), professional demeanor, and presentation, executives and firm leadership. Ability to identify and address billing/collection issues promptly and effectively. Strong team building skills; ability to establish and maintain effective working relationships with all levels of the organization and collaborate well in a team. Highly detail oriented with outstanding organizational and follow-up skills; capable of managing tasks efficiently and effectively. Proactive self-starter with outstanding organizational and follow-up skills. Strong analytical and critical thinking skills to make informed business decisions. Ability to multi-task and work under pressure to meet strict deadlines in a fast-paced environment. Demonstrate a commitment to delivering exceptional service to internal and external clients by exceeding expectations; proactively identify and implement innovative solutions. Education & Experience Bachelor's Degree in Accounting, Finance, Business Administration, or related field preferred Minimum of 8 years of Legal Billing and Collections management and/or supervisory experience with advanced knowledge of e-billing required. Extensive experience in effectively and successfully leading teams required. Exceptional computer skills with the ability to learn new software applications quickly. Technology Expert knowledge of Aderant, Elite or 3E highly preferred. Strong knowledge of e-billing platforms such as Ebilling Hub and other third-party e-billing vendors required. Proficiency in Windows-based software, including Word, PowerPoint, Excel, Adobe Acrobat and Outlook. GT is an EEO employer with an inclusive workplace committed to merit-based consideration and review without regard to an individual’s race, sex, or other protected characteristics and to the principles of non-discrimination on any protected basis.

Posted 2 days ago

Greenberg Traurig logo
Greenberg TraurigMiami, Florida
Greenberg Traurig (GT), a global law firm with locations across the world in 15 countries, has an exciting opportunity for a Legal Billing Specialist to join our Revenue Management Department. We offer competitive compensation and an excellent benefits package, along with the opportunity to work within a dynamic and collaborative environment within the legal industry. Join our Revenue Management Team as a Legal Billing Specialist in our Miami Office We are seeking a highly skilled and meticulous professional who thrives in a fast-paced, deadline-driven environment. As a Legal Billing Specialist, you will provide end-to-end invoice preparation while ensuring efficiency and accuracy in every task. With a dedicated work ethic and a can-do attitude, you will take initiative and approach challenges with confidence and resilience. Excellent communication skills are essential for collaborating effectively across teams and delivering exceptional service. If you are someone who values precision, adaptability, and innovation, we invite you to join our team and make a meaningful impact. This role will be based in our Miami office. This position reports to the Billing Manager of Revenue Management. The candidate must be flexible to work overtime as needed. Position Summary The Legal Billing Specialist will be responsible for the full life cycle of the invoice preparation process while ensuring that all invoices are accurate, compliant with client requirements, and submitted in a timely manner. This role demands strong analytical abilities, exceptional attention to detail, and excellent communication skills to liaise effectively with attorneys, clients, and administrative staff. Key Responsibilities Edit Prebills via Prebill Viewer and Aderant based on the request from the Billing Attorneys. Generate a high volume of complex client invoices via Aderant. Ensure that all invoices are compliant with the billing guidelines and that all required supporting documentation is compiled prior to submission. Submit ebills via EHub, including all supporting documentation. Monitor and immediately address any invoice rejections, reductions, and those needing appeals. Respond to billing inquiries. Undertakes special projects and ad hoc reports as needed and/or requested. Qualifications Skills & Competencies Excellent interpersonal and communication skills (oral and written), professional demeanor, and presentation. Effectively prioritize workload and adapt to a fast-paced environment. Highly motivated self-starter who can work well under minimal supervision, as well as take a proactive approach in a team setting. Excellent organizational skills and attention to detail, with the ability to manage multiple tasks and deadlines. Strong analytical and problem-solving skills. Takes initiative and uses good judgment; excellent follow-up skills. Must be proactive in identifying billing issues and providing possible solutions. Must have the ability to work under pressure to meet strict deadlines. Ability to establish and maintain positive and effective working relationships within all levels of the firm. Education & Prior Experience Bachelor’s Degree or equivalent experience in Accounting or Finance. Minimum 3+ years of experience as a Legal Biller required. Technology Aderant or Elite/3E preferred, Prebill Viewer, E-billing Hub, Bill Blast. Proficiency in Excel required. GT is an EEO employer with an inclusive workplace committed to merit-based consideration and review without regard to an individual’s race, sex, or other protected characteristics and to the principles of non-discrimination on any protected basis.

Posted 2 days ago

OpenGov logo
OpenGovChicago, Illinois
OpenGov is the leader in AI and ERP solutions for local and state governments in the U.S. More than 2,000 cities, counties, state agencies, school districts, and special districts rely on the OpenGov Public Service Platform to operate efficiently, adapt to change, and strengthen the public trust. Category-leading products include enterprise asset management, procurement and contract management, accounting and budgeting, billing and revenue management, permitting and licensing, and transparency and open data. These solutions come together in the OpenGov ERP, allowing public sector organizations to focus on priorities and deliver maximum ROI with every dollar and decision in sync. Learn about OpenGov’s mission to power more effective and accountable government and the vision of high-performance government for every community at O penGov.com . Job Summary: The Implementation Consultant, Utility Billing will look to drive value to the OpenGov customer and deliver a complete, quick and smooth implementation by utilizing their product knowledge, expertise and making solution recommendations. This role will be responsible for driving a successful customer implementation from start to finish, setting the underlying foundation of their OpenGov platform, while promoting maximum value for their investment in OpenGov. This position requires advanced product knowledge in Municipal Utility Billing solutions, extensive subject matter expertise, and the ability to provide creative and effective solutions. Responsibilities: Drive and manage new customer implementations from start to finish. This includes providing guidance, assistance, and support to customers from the initial data requirements gathering, technical platform configuration, administrator training and all other requirements defined through a customer’s implementation. Be the primary technical point of contact for new customers deploying OpenGov, or those expanding to implement additional functionality. Validate data conversions are accurate and meet project scope requirements. Provide instruction and guidance to clients for proper data review and validation. Create training agendas, client specific process documentation, and other required project documents. Interact directly with government leaders daily, guide them through the process, and empower them to become our advocates and successful administrators of their OpenGov software platform. Understand customer pain points and partner with cross-functional teams to simplify, enhance and automate existing processes that will improve customer workflow. Leverage and continually develop best practices for each data environment and customer vertical to assist in future implementation efficiencies. Compliment key product discussions by gathering and communicating customer feedback and feature requests to ensure OpenGov is a “must-have solution.” Requirements and Preferred Experience 3+ years of professional experience in Municipal Utility Billing, Tax Billing, or related field preferred. Professional experience working in implementation consulting or transferrable work with external clients and/or residents required. Knowledge and experience of ERP software in a local government setting preferred . Ability to provide clear and effective phone support, assistance, and recommendations to build positive relationships with customers. Strong Excel skills, including using Functions/ Formulas to format data such as v-lookup, pivot tables, error- checking, and developing properly formatted reports. Track record of working in a fast-paced environment while balancing internal procedures and process improvements, all while collaborating with team members. Ability to adapt to a rapidly changing product and respond strategically to customer needs. Excellent interpersonal skills including verbal and written communication skill, teamwork, and customer service skills. Occasional travel required (up to 20%). Key Competencies: Advanced problem-solving skills with the ability to evaluate variable factors and adapt new techniques to obtain results. Collaborative approach with team members and a willingness to continuously develop new solutions and processes to ensure our customers’ success. Strong attention to detail in ensuring that system configuration and data conversions are accurate and are completed in a timely manner. Proactive and results-oriented, ensuring successful delivery of customer projects and organizational goals. Commitment to exceptional customer service and continuous improvement. $90k - $120k On target ranges above include base plus a portion of variable compensation that is earned based on company and individual performance. The final compensation will be determined by a number of factors such as qualifications, expertise, and the candidate’s geographical location. Why OpenGov? A Mission That Matters. At OpenGov, public service is personal. We are passionate about our mission to power more effective and accountable government. Government that operates efficiently, adapts to change, and strengthens public trust. Some people say this is boring. We think it’s the core of our democracy. Opportunity to Innovate The next great wave of innovation is unfolding with AI, and it will impact everything—from the way we work to the way governments interact with their residents. Join a trusted team with the passion, technology, and expertise to drive innovation and bring AI to local government. We’ve touched 2,000 communities so far, and we’re just getting started. A Team of Passionate, Driven People This isn’t your typical 9-to-5 job; we operate in a fast-paced, results-driven environment where impact matters more than simply clocking in and out. Our global team of 800+ employees is united in our commitment to challenge the status quo. OpenGov is headquartered in San Francisco and has offices in Atlanta, Boston, Buenos Aires, Chicago, Dubuque, Plano, and Pune. A Place to Make Your Mark We pride ourselves on our performance-based culture, where every employee is encouraged to jump in head-first and take action to help us improve. If you have a great idea, we want to hear it. Excellent performance is recognized and rewarded, and we love to promote from within. Benefits That Work for You Enjoy an award-winning workplace with the benefits to match, including: Comprehensive healthcare options for individuals and families Flexible vacation policy and paid company holidays 401(k) with company match (USA only) Paid parental leave, wellness stipends, and HSA contributions Professional development and growth opportunities A collaborative office environment with weekly catered lunches

Posted 30+ days ago

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Huron Consulting ServicesChicago, Illinois

$90,000 - $125,000 / year

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you’ll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise. Join our team as the expert you are now and create your future. Manages teams within revenue cycle operations of Huron Managed Service’s Domestic Business Office. Responsible for motivating staff to achieve the highest levels to meet organizational goals for customer service, operational and financial performance. Reports directly to the Revenue Cycle Director.The Manager is responsible for managing performance, which encompasses operational performance, financial performance, and cost efficiency. The manager is a critical member of HMS’ domestic leadership team, who is expected to design and execute on strategic priorities, in addition to managing day-to-day revenue cycle operations. The ideal candidate is dynamic and has the ability to quickly implement special projects and initiatives. ESSENTIAL BUSINESS FUNCTIONS: Knows, understands, incorporates, and demonstrates the Huron mission, vision, and values in behaviors, practices, and decisions Provides guidance and direction to teams in order to achieve optimal area performance and staff productivity goals as part of the revenue cycle process of HMS Business Office Ensures staffs carry out duties and responsibilities in an effective manner, which in turn promotes maximized reimbursement based upon services delivered Identifies and implements solutions to problems and issues affecting teams Focuses efforts of staffs on proactive practices, which includes coordinating with other departments as necessary to resolve issues and reviewing and responding to all mail correspondence in a timely and efficient manner Identifies and participates in continuous quality improvement initiatives in order to streamline processes Participates in the redesign of processes and systems to improve service, data integrity, and staff productivity/quality to achieve departmental goals and process outcomes Reviews and tracks trends and makes recommendations for problem and issue resolutions based upon staff findings; reports findings to leadership Prepares service level metrics and explanatory summaries for leadership Evaluates potential new staff and makes recommendations for hiring Assists with identifying training needs and coordinating with department trainer to develop and conduct training programs, including on-the-job training. Assists with establishing performance standards. Monitors and tracks staff activities against established performance standards and provides immediate feedback to achieve performance improvement Develops and conducts meaningful performance appraisals. Identifies staff performance issues, i.e., absenteeism, tardiness, etc. and conducts appropriate counseling/disciplinary sessions. Develops and documents improvement plan identifying necessary training and development for staff in order to achieve superior performance through formal education, competency reviews, classroom training, on the job training and coaching. Adheres to all department and organization policies, procedures, and best practices Maintains working knowledge of applicable Federal, State, and local laws and regulations Completes other duties as needed and assigned CORE QUALIFICATIONS: Current permanent U.S. work authorization required Bachelor's degree required Must possess a comprehensive knowledge of revenue cycle functions and systems, as normally obtained through an Bachelor's degree in Business or Healthcare Administration or a related field, and minimum of five (5) years of experience within the area of revenue management, specifically experience with Account Billing, Follow-up, Charge Integrity, Insurance Verification or other functions related to revenue cycle activities or an equivalent combination of education and experience. Experience in a complex multi-entity healthcare organization or large complex revenue cycle services preferred. Epic Medical Billing experience required Exhibits supervisory skills that emphasize team building and strong leadership with the ability to provide clear oversight and coordination of department services, while also functioning as an individual contributor. Supervisory or team leader experience preferred. Strong written and verbal communication skills. Ability to communicate effectively and work with all levels of staffs to expedite revenue cycle processes while supporting customer service. Effective critical thinking and problem-solving skills. Ability to analyze data and prepare related reports and summaries. Strong organizational skills supervising direct reporting relationships. Proficiency in Microsoft Office, including Outlook, Word, PowerPoint, and Excel Must act in accordance with Huron mission, vision, and values Work Environment: This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Physical Demands: This role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction though video/audio conference calls and possible use of a headset with microphone; very rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time. The estimated salary range for this job is $90,000- $125,000. The range represents a good faith estimate of the range that Huron reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes and required travel. This job is also eligible to participate in Huron’s annual incentive compensation program, which reflects Huron’s pay for performance philosophy and Huron’s benefit plans which include medical, dental and vision coverage and other wellness programs. The salary range information provided is in accordance with applicable state and local laws regarding salary transparency that are currently in effect and may be implemented in the future. Position Level Manager Country United States of America

Posted 2 weeks ago

Friendly Chevrolet logo
Friendly ChevroletDallas, Texas
Do you want to work at one of the busiest automotive dealerships in the region where your employer treats you like a member of the family? Friendly Chevrolet, the #1 Volume Family-Owned Chevy Dealership in Dallas has an immediate opening for an EXPERIENCED Billing Clerk . 3+ Years Automotive Experience Preferred. General Job Description Great attention to detail, responsible for collaborating with the finance and sales departments to ensure deals are billed properly. Duties and Responsibilities Log Retail and Fleet Deals Pull Inventory Jackets Incentives Finalize and Bill all Retail and Fleet Deals Clean and Maintain Schedules as Assigned Maintain Wholesale Inventory Process Dealer Trades Benefits Starting Pay Based on Experience Health insurance Dental Insurance Vision Insurance Life Insurance Paid Time Off 401(K) Matching Profit Sharing Referral Program Family Owned and Operated for Over 69 Years Advancement Opportunities Drug Free Environment This is a TRUE CAREER Opportunity. Come Grow with us. 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. Apply Today to schedule your interview. Friendly Chevrolet 2754 N. Stemmons Freeway Dallas, TX 75207

Posted 3 days ago

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Pinnacle CareerOldsmar, Florida
Are you looking to make a difference in patients’ lives with a company that values your expertise? Join us in our mission of delivering compassionate healthcare where it matters most–at home. Pinnacle Home Care, Florida’s largest Medicare-certified home health provider, has been delivering high-quality, patient-centered care for over two decades, and we’re looking for a Home Health Billing Professional to join our award-winning team. Key Responsibilities Submit and manage Medicare home health claims in DDE FISS, including NOAs and final claims under PDGM. Work RTP, T, S, and R status queues daily - research, correct, and resubmit until paid. Verify eligibility and benefits using 270/271 or payer portals and resolve HETS eligibility mismatches. Track and resolve reason codes and edits (e.g., U532F, 38107, 34931, facility/provider edits, duplicate and overlap issues). Reconcile remittances and post payments and adjustments from 835s - escalate variances and denials. Manage Managed Care and commercial claims through payer portals and clearinghouses - correct and resubmit as needed. Partner with Clinical Intake, Coding, QA, and Clinical Ops to ensure billable readiness: signed orders, OASIS locked, visit notes complete, therapy thresholds if applicable, homebound, and medical necessity documentation. Monitor and prevent late NOAs - document cause codes and request exceptions when appropriate. Work denials and ADRs - compile records, create index sheets, and submit timely responses. Maintain organized worklists, aging, and follow-up notes with clear next actions. Protect PHI and follow CMS guidance, payer policies, and internal SOPs. Qualifications 3+ years of home health billing experience with hands-on DDE FISS. Strong knowledge of PDGM billing, NOA rules, LUPA, PEP, outlier logic, condition and occurrence codes, revenue codes, and TOBs 322/329. Fluency with RTP research and correction in DDE - comfortable with HIQA/HIQH inquiry and claim history. Experience with EDI transactions: 837I, 835, 276/277. Working knowledge of MACs (CGS, Palmetto, Noridian or equivalent) and major Managed Care portals. Detail orientation, urgency, and pride in clean claim submission. Clear written documentation on every account touched. Why Choose Pinnacle? Growth & Stability : Over two decades as Florida’s largest home health agency. Ongoing Professional Development : Free Continuing Education Units (CEUs) to support licensure and career advancement. Competitive Benefits & Perks : Including Daily Pay (work today, get paid tomorrow!) and an employee referral program where you can earn rewards. Recognized Excellence : Ranked as a USA Today Top Workplace. Supportive & Fun Culture : Join a collaborative, forward-thinking team that values both professional excellence and personal fulfillment. Pinnacle promotes an inclusive environment and is an equal opportunity employer. We prohibit discrimination or harassment based on race, religion, age, gender, national origin, disability, veteran status, or other legally protected characteristics. Be part of a company that empowers clinicians to make a difference in the lives of over 10,000 patients across Florida every day. Apply now!

Posted 4 days ago

Babylon Dental Care logo
Babylon Dental CareWest Babylon, New York

$25 - $28 / hour

Benefits: 401(k) 401(k) matching Competitive salary Dental insurance Paid time off Training & development Dental Insurance Collections & Billing Specialist "Treating people like family for over 41 years and creating an experience that exceeds an expectation" Become a part of the dynamic and vibrant team at Babylon Dental Care, where the focus extends beyond dental care to making a profound impact on our community and enhancing the lives of our patients. As a foundational provider of general, specialty dental services, and Sleep/Airway Disorder treatments, Babylon Dental Care is recognized for its commitment to excellence, compassion, and unmatched patient care. We are currently seeking a Dental Insurance Collections & Billing Specialist to infuse new energy into our Insurance and Finance teams. Our Gateway Plaza location in Patchogue, NY is a welcoming and warm environment, intentionally designed to promote collaboration and foster creativity. The intention of this role is to create everyday service success, while offering opportunities for growth and advancement, if desired by the professional. Why Babylon Dental Care? A Caring Legacy: Step into a role where your work directly contributes to a legacy of exceptional dental care and community service. Privately owned, we honor all who want to serve. Collaborative Practice Environment: Enjoy an environment created to foster and motivate all to learn the basics of service. Our team works together to help one another serve our patients with the highest quality of care. We recognize and appreciate the wholehearted professional you feel called to be. Growth and Development: At Babylon Dental Care, your professional development is paramount. We invest in each team member's growth, ensuring that your career flourishes with us. What you can expect: A fast-paced, challenging, and exciting work atmosphere where everyone is focused on making you successful and happy in your role. Training! We will train you to become a great Insurance Collections & Billing Specialist and our (very unique) Global Training program allows you to see how/what all departments do to support you in your role. Some of our Insurance Collections & Billing Specialists have moved into roles as Front Desk Team Leads, Insurance Department Team Leads, Hygiene Coordinator Team Leads, and even Practice Administrators. We give plenty of support and we’re with you every step of the way! You start your BDC journey with a 15 day Global Training and your own Ambassador to walk you through it all. Our intention during the beginning days is to introduce you to BDC's entire service, culture mindset and give you customized and or individualized training needed to master your role as an Insurance Coordinator. What we will ask of you: Commitment to Babylon Dental Care and the patients we serve. Teamwork and a willingness to learn every day! This role can be your stepping stone to success and professional growth within our practice! The sky’s the limit! Our Insurance & Financial departments are very busy so we need someone who is: Reliable and team orientated. Out of the box thinker and collaborative to support our growth. Empathic and compassionate. High level of professional presence. Ability to multi-task in a fast paced environment. Open to learn all about technologies that will enhance our patient care and service. Self motivated, takes initiative without constant direction. Calm under pressure, strong communicator. Strong Mathematical skills. We expect you to be personally responsible for being on-time and present for every shift you work and always willing to go the extra mile for our patients! Knowledge of Dentrix Ascend (or other dental software) would be helpful in setting you up for success, but not mandatory. Ability and open to learn our dental software. Strong Dental Insurance knowledge is required for the most success in this role.Here’s an example of what a Dental Insurance Billing & Collections Specialist might do in a day: Review A/R reports monthly for all accounts (private pay and insurance) for accuracy. Follow up with patients and/or adjust A/R accounts as needed to rectify accounts. Refer any insurance issues on the A/R to the insurance team. Approach insurance department team with any questions about balances after insurance pays claim(s); make necessary notes to account. Review balances sent from insurance department after they enter mail and EBT payments daily; research to ascertain if appropriate to send statement to patient/guarantor and send if appropriate. Send accurate billing statements every thirty (30) days to all patients with balances. Start contacting all patients, preferably via phone, with outstanding balances of more than forty-five (45) old; continue contacting at regular intervals and maintain detailed records of all such contact attempts.· Enter notes in patient account about any issues. When all reasonable collection attempts have failed, refer accounts to collection agency or attorney as needed (approval of Practice Administrator and/or COO required). Process and enter payments into patient ledger when collected as the result of collection call. Produce report for next-day patients with balances and put explanation of balance in patient’s appointment. Accept and resolve all calls from patients regarding billing questions. Check e-mails frequently to maintain communication with patients and teams. Review refund requests sent by staff; approve in conjunction with one other team member of financial team (or an administrator) Work collaboratively with the entire practice to meet or exceed monthly goals so all can receive their check exercise bonus! All other tasks as deemed necessary by the administration team and/or COO. Minimal Qualifications: Education: High school or equivalent (Required). College degree preferred. Babylon Dental Care Perks: Competitive Compensation: Earn $25 to $28 per hour, reflective of your skills and dedication. Comprehensive Benefits: Enjoy paid holidays, personal time off, sick time (as per NYS law), health insurance options available, a $2500 dental credit for your own dental needs within the Practices and a 401K with employer match. Monthly team bonus opportunities are extended. Most benefits start after your probationary period of 90 days. You start accruing sick time from day one, as per NYS and the Practice extends PTO within year one. Professional Growth: Opportunities for learning and advancement in a supportive environment that values innovation and hard work. Are you ready to make a tangible difference in people's lives, contribute to a meaningful legacy, and grow your career in a supportive and dynamic environment? If so, Babylon Dental Care is waiting for you. Join us in our mission to not just care for smiles, but to create them, within our community and our team. Apply today and embark on a journey where your work truly matters. Visit our website to learn more about our organization and the exciting opportunity to be part of a team that is dedicated to providing exceptional dental care and exceeding patient expectations. Also, get a firsthand view of what it’s like to be a member of our team by watching video interviews with our team members on Youtube.com/BabylonDentalCareGSB We look forward to meeting you! Compensation: $25.00 - $28.00 per hour At Babylon Dental Care , we don’t just strive for excellence—we redefine it. Our goal is to be a Category of One dental practice—where the patient experience is elevated to a level so exceptional that we stand apart from all other dental practices. This isn’t just a workplace; it’s a community where we challenge, support, and inspire each other to be the best versions of ourselves. We Don’t Just Hire Employees—We Invest in Careers Whether you’re starting at the front desk, assisting chairside, or managing patient relationships, we offer continuous training, leadership development, and mentorship to help you grow. OUR CORE VALUES TEAMWORK We create a culture of teamwork in which staff members willingly help one another reach their potential for the greater good of BDC and our patients. GROWTH MINDSET We foster an environment that welcomes and supports creativity and intelligence, allowing the individual and company to continually grow and improve. SERVING We are committed to serving our patients and one another with genuine respect in a warm and inviting atmosphere. QUALITY our focus is a commitment to excellence in all that we do resulting in superior quality of service. OVER DELIVER We are passionate about giving more in value to our patients, our community, and our practice that what we expect in return. ETHICAL We trust one another to be ethical and act with honesty and integrity at all times. FUN Smile, laugh, and bring positive energy to our jobs.

Posted 2 weeks ago

SimplePractice logo
SimplePracticeLos Angeles, California

$65,000 - $80,000 / year

About Us At SimplePractice, we are improving access to quality care by equipping health and wellness clinicians with all the tools they need to thrive in private practice. More than 250,000 providers trust SimplePractice to build their business through our industry-leading software with powerful tools that simplify every part of practice management. From admin work to clinical care, our suite of innovative solutions work together to reduce administrative burden—empowering solo and small group practitioners to thrive alongside their clients. Recognized by MedTech Breakthrough as the Best Practice Management Solution Provider in 2024 and the Digital Health Awards in 2023, SimplePractice is proud to pave the future of health tech. The Role We are seeking a tenacious and driven Sales Representative to join our team. Reporting to the Director of Business Development, the ideal candidate will be responsible for prospecting leads, closing deals, and establishing a robust pipeline. The role requires adaptability to thrive in a continuously evolving department/organization, exceptional communication skills both verbally and in writing, full-cycle sales experience, a background in healthcare technology, and a proven track record of successfully closing deals. Responsibilities Coordinate with marketing to identify potential leads and prospects within behavioral health private practices. Build and maintain relationships with key decision-makers and stakeholders. Develop and execute effective sales strategies to meet and exceed sales targets. Collaborate with internal teams, including Marketing and Product, to ensure alignment in sales efforts. Utilize Hubspot (CRM) software to track leads, manage opportunities, and forecast sales projections. Provide ongoing sales support and assistance to prospective customers, ensuring their needs are met and issues are addressed promptly. Stay abreast of industry trends, competitor activities, and market developments to capitalize on opportunities and mitigate risks. Prepare and deliver compelling presentations and proposals to prospective customers. Negotiate contract terms and pricing agreements to close deals successfully. Monitor and report on sales performance metrics, identifying areas for improvement and implementing action plans as needed. Desired Skills & Experience Bachelor's degree in Business Administration, Marketing, or related field. Proven track record of at least 3 years in B2B sales, preferably within the healthcare technology industry (experience with revenue cycle management is preferred). Strong understanding of sales principles and techniques, including prospecting, lead generation, and closing. Excellent communication skills, with the ability to articulate ideas clearly and persuasively both verbally and in writing. Demonstrated ability to work effectively in a fast-paced, continuously evolving environment. Results-oriented mindset with a focus on achieving and exceeding sales targets and objectives. Familiarity with CRM software and proficient in Google Suite applications. Ability to build and maintain strong relationships with prospective customers and internal stakeholders. Highly organized with strong time management and prioritization skills. Flexibility to travel as needed for customer meetings and industry events. Base Compensation Range $65K to $80K + commissions Base salary is one component of total compensation. Employees may also be eligible for an annual bonus, equity or commission. Some roles may also be eligible for overtime pay. The above represents the expected base compensation range for this job requisition. Ultimately, in determining your pay, we’ll consider many factors including, but not limited to, skills, experience, qualifications, geographic location, and other job-related factors. Benefits We offer a competitive benefits program including: Medical, dental, vision, life & disability insurance 401(k) plan with company match Flexible Time Off (FTO), wellbeing days, paid holidays, and summer Fridays Mental health resources Paid parental leave & Backup Care Tuition reimbursement Employee Resource Groups (ERGs) California Job Applicant Privacy Notice Thank you for your interest in opportunities at SimplePractice LLC (“SimplePractice” or “us” or “we” or “our”). Please note that when you submit your resume or application materials to us for employment purposes, you are subject to the SimplePractice California Job Applicant Privacy Notice . For more information about our privacy practices, please contact us at privacy@simplepractice.com .

Posted 30+ days ago

Faith Technologies logo
Faith TechnologiesMenasha, Wisconsin
You’ve discovered something special. A company that cares. Cares about leading the way in construction, engineering, manufacturing and renewable energy. Cares about redefining how energy is designed, applied and consumed. Cares about thoughtfully growing to meet market demands. And ─ as “one of the Healthiest 100 Workplaces in America” ─ is focused on the mind/body/soul of team members through our Culture of Care . The Billing Specialist is responsible for generating several different types of invoices and billings. Works closely with Project Managers and Coordinators to ensure invoices are processed in an accurate and timely manner. The ideal candidate must be proficient in the use of a PC and Microsoft Office Suite, and have accurate data entry and proofreading skills (7,000 to 11,000 kph preferred). MINIMUM REQUIREMENTS Education:Associate Degree in Accounting Experience: 1 to 2 years of accounting experience, construction billing experience preferred. Travel: 0% Work Schedule: This position works between the hours of 7 AM and 5 PM, Monday- Friday. Overtime may be required. Must be able to work at home and have access to a printer and scanner. Ability to become and maintain a notary certification within 6 months of employment. Knowledge of Viewpoint is preferred. Microsoft Suite knowledge with intermediate Microsoft Excel skills is preferred. KEY RESPONSIBILITIES Review contract specifications to determine all pertinent billing and compliance information. Work closely with assigned Project Managers and Project Coordinators to generate monthly billings in addition to several other related tasks. Prepare AIA (G702-G703) contract billings. Prepare billing forms, lien waivers, and 2nd tier lien releases as required. Invoice GMP (Guaranteed Maximum Price) contracts and compile invoice cost backup associated with each billing. Work with various customer’s billing portals. Have general knowledge of sales & use tax to ensure tax is billed correctly to customers. Assist with change orders. Act as liaison between internal and external customers to resolve billing issues. Prioritize, organize, and multi-task to meet multiple deadlines that are within company expectations. Work with sensitive materials and information. Problem solve and meet daily challenges. Perform other related duties as required and assigned. The job description and responsibilities described are intended to provide guidelines for job expectations and the employee's ability to perform the position described. It is not intended to be construed as a comprehensive list of all functions, responsibilities, skills or abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. How Does FTI Give YOU the Chance to Thrive? If you’re energized by new challenges, FTI provides you with many opportunities. Joining FTI opens doors to redefine what’s possible for your future. Once you’re a team member, you’re supported and provided with the knowledge and resources to achieve your career goals with FTI. You’re officially in the driver’s seat of your career, and FTI’s career development and continued education programs give you opportunities to position yourself for success. FTI is a “merit to the core” organization. We recognize and reward top performers, offering competitive, merit-based compensation, career path development and a flexible and robust benefits package. Benefits are the Game-Changer We provide industry-leading benefits as an investment in the lives of team members and their families. You’re invited to review the full list of FTI benefits available to regular/full-time team members. Start here. Grow here. Succeed here. If you’re ready to learn more about your career with FTI, apply today! Faith Technologies, Inc. is an Equal Opportunity Employer – veterans/disabled.

Posted 2 weeks ago

Pavion logo
PavionChantilly, Virginia
Pavion Connects and Protects by providing innovative fire, security, and communication integration solutions to customers across 70+ U.S. locations and 22 countries. We bring industry-leading expertise to clients in enterprise, healthcare, education, government, data center, and retail industries. As a global leader, Pavion specializes in the design, installation, service, and maintenance of cutting-edge fire alarm systems, critical communications, video surveillance, access control, and advanced AV technologies. Our mission is to bring clarity and transformation to safety, security, and communication through integral technology and radical service. With a commitment to safety, reliability, and operational excellence, Pavion ensures scalable, future-ready solutions tailored to meet and exceed our clients’ needs. Learn more at www.pavion.com Pavion and our family of companies are seeking a talented and motivated Sr Billing Manager to join our shared services team. We are seeking a highly organized and experienced Senior Billing Manager to oversee and optimize the billing operations of our fire, security, and integration systems business. This role is critical in ensuring accurate and timely billing for installation projects, service contracts, and recurring monitoring fees. The ideal candidate will bring a strong understanding of project-based billing, customer contracts, and industry-specific compliance requirements. Primary Responsibilities: Oversee the end-to-end billing process, ensuring accuracy, timeliness, and compliance with internal policies and external regulations. Manage, coach, and develop a billing team, including assigning tasks, setting performance goals, and providing ongoing feedback. Partner with sales, customer success, legal, and finance to resolve billing discrepancies and support customer satisfaction. Ensure compliance with GAAP and any other applicable revenue recognition standards. Review and understand complex customer contracts and billing arrangements to ensure proper invoicing terms. Monitor and report on key billing metrics (e.g., billing cycle time, error rates, aging reports). Identify opportunities for process improvement and lead automation initiatives to scale operations efficiently. Coordinate with IT and finance systems teams to enhance billing systems (e.g., MicroSoft Business Central, NetSuite, Salesforce, Zuora, etc.). Support audits (internal and external) with billing and revenue-related documentation. Ensure billing processes align with organizational goals and SOX compliance where applicable. Basic Qualifications: Bachelor’s degree in Accounting, Finance, or related field 5+ years of progressive billing or revenue operations experience, with at least 2 years in a managerial or leadership role. Must have AIA billing experience Strong understanding of billing systems and ERP platforms (Microsoft Business Central, NetSuite, SAP, Oracle, etc.). Familiarity with SaaS billing, AIA billing, or subscription billing preferred. Excellent leadership, organizational, and communication skills. High attention to detail with the ability to analyze and resolve complex billing issues. Strong project management skills and ability to drive change in a fast-paced environment. Preferred Qualifications: Experience in a high-growth or technology company. Working knowledge of ASC 606 and revenue recognition principles. Experience leading system implementations or upgrades. Disclaimer: This job description should not be construed to imply that these requirements are the exclusive standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as may be required. The employer has the right to revise this job description at any time. The job description is not be construed as a contract for employment. Pavion is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.

Posted 4 days ago

BTI Solutions logo
BTI SolutionsRichardson, Texas
Why work with us? Proven people. Everyone on our team has earned a CPC (Certified Personnel Consultant) or CTS (Certified Temporary Staffing Specialist) accreditation from the National Association of Personnel Services. We are experts at staffing and recruiting with more than 16 years of experience serving employers. Proven process. Our approach to staffing isn’t just a little bit different; it’s a whole different ball game. While most staffing firms emphasize transactional services (taking and filling job orders), BTI Solutions focuses on providing more strategic solutions. By acting as workforce consultants, we are able to find innovative and intelligent strategies for improving productivity, meeting project deadlines, improving hiring quality, decreasing turnover, and reducing total labor costs. Our recruiting and candidate assessment process assures the highest quality matches between job seeker and employer, so you will get people who not only have the right qualifications but who also have the appropriate personality fit for your organization. Proven results. More than anything, the biggest difference with BTI Solutions is the one that matters most: bottom-line results. 95% client satisfaction rate – measures client satisfaction vs. expectations. Our clients have worked with us for over 10 years , on average. BTI Solutions counts 4 Global Telecommunication companies as clients. Client referrals are BTI Solutions’ largest source of new clients. Google Review 4.4, Facebook Review 4.8 Korean Bilingual Billing Coordinator Job Overview: We are seeking a detail-oriented and organized Accountant Assistant to support our accounting department. The successful candidate will assist with various accounting tasks, ensuring accuracy and efficiency in financial reporting and record-keeping. Key Responsibilities: 1. Data Entry and Record Keeping: • Assist in maintaining accurate financial records and ledgers. • Input data into accounting software with precision. • Organize and file financial documents. 2. Support Accounting Functions: • Help prepare financial reports and statements. • Assist in account reconciliations. • Support month-end and year-end closing processes. 3. Invoice and Expense Management: • Process accounts payable and receivable. • Assist in managing expense reports. • Ensure timely payment of invoices. 4. Administrative Support: • Provide administrative support to the accounting team. • Schedule meetings and appointments as needed. • Handle correspondence and communications. 5. Other Duties: • Perform other related duties as assigned. Qualifications: • Previous experience in an accounting or administrative role is a plus. • Proficiency in MS Office, especially Excel. • Familiarity with accounting software (e.g., QuickBooks, SAP) is advantageous. • Excellent organizational and multitasking skills. • Strong attention to detail and accuracy. • Good communication skills, both written and verbal. Working Conditions: • Full-time position. • Standard office hours, with some flexibility required.

Posted 30+ days ago

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American Family Care Ladera RanchLadera Ranch, California

$18 - $23 / hour

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

Posted 30+ days ago

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Guardian Pharmacy Services ManagementPhoenix, Arizona

$21 - $24 / hour

Phoenix, Arizona, United States of America Extraordinary Care. Extraordinary Careers. With one of the nation’s largest, most innovative long-term care pharmacy services providers, there is no limit to the growth of your career. Saliba’s Extended Care Pharmacy, a member of the Guardian family of pharmacies, has an exciting opportunity for you to join our rapidly growing team in Phoenix, Arizona . Why Saliba’s Extended Care Pharmacy ? We’re reimagining medication management and transforming care. Who We Are and What We’re About: Our core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered. We offer an opportunity to learn and grow your career in a fast-paced, diverse, and inclusive environment. If you are looking for a challenging, team-oriented environment in which you can put your expertise to work, then this is the place for you. Details: Schedule: Mon- Fri, 11:30 am- 8:00 pm (Training Hours Differ) Pay: $21.00 - $24.00 Pharmacy Technician Certification Required Location: Saliba's Pharmacy- 925 E Covey Lane, Phoenix, AZ 85024 Responsible for processing customer bills and insurance claims in an accurate and timely manner. This includes assisting with all daily and month-end billing functions, procedures and reporting. Provides excellent customer service to patients, caregivers, medical providers and insurance carriers. ATTRIBUTES REQUIRED: Work Ethic/Integrity – must possess intrinsic drive to excel coupled with values in line with company philosophy. Relational – ability to build relationships with business unit management and become “trusted advisor.” Strategy and Planning – ability to think ahead, plan and manage time efficiently. Problem Solving – ability to analyze causes and solve problems at functional level. Team Oriented – ability to work effectively and collaboratively with all team members. ESSENTIAL JOB FUNCTIONS (include the following): Research and establish patient eligibility coverage with insurance providers including private individuals and/or government entities. Reverify benefit coverage criteria as needed for claims follow up. Accurately enters and/or updates patient/insurance information into billing system. Maintain and continually audit patient files and corresponding documentation necessary to defend third party audits and ensure payer and company compliance. Accurately enter patient information into the pharmacy system. Provide assistance and timely response to all billing customer inquiries via phone or electronic communications. Research and resolve patient billing issues regarding insurance eligibility, coverage, and related benefits. Uses working knowledge to troubleshoot and resolve customer service issues. Provide guidance and support to resident or responsible party by running Medicare plan comparisons during open enrollment and special enrollment periods. Proactively review patient profiles, drug regimens and insurance coverage to evaluate options to save resident money. Responsible for completion of daily census, admit, discharge, and room changes for the facilities assigned. Process patient payments, returns, and credits. Transmit individual credit card payments as needed. May pursue payment from delinquent accounts and make payment arrangements. Research, identify and organize requested audit documentation in timely manner. Perform prescription claims adjudication including communication with insurance companies regarding rejected claims, eligibility, prior authorizations or other issues as needed. Make corrections as needed and rebill claims as necessary. Through prior experience and cross training, demonstrate knowledge and understanding in pharmacy facility billing requirements (Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances) and working/functional knowledge of other pharmacy departmental functions Exercise proficiency in the utilization of pharmacy information systems to meet operational needs and regulatory requirements. This includes using pharmacy systems to process prior authorizations, resolve rejections, produce various reports as necessary, and complete billing functions in a timely manner and with a high degree of accuracy. Consistently meet pharmacy's established accuracy and productivity levels. Follow all applicable government regulations including HIPAA. Work as a collaborative team member to meet the service goals of the pharmacy. Other essential functions and duties may be assigned as needed. EDUCATION AND/OR CERTIFICATIONS: High School Diploma or GED required. Pharmacy Technician license/certification/registration per state requirements; National Certification preferred (PTCB) may be required (pharmacy specific). SKILLS AND QUALIFICATIONS: 2 + years related experience including a minimum of 6 months billing experience in long term care or retail setting. Advanced computer skills; pharmacy information system experience required Ability to work independently and deliver to deadlines. Great attention to detail and accuracy Ability to excel in a fast-paced, team-oriented environment working on multiple tasks simultaneously, while adhering to strict deadlines Quality minded; motivated to seek out errors and inquire about inaccuracies. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the job. The noise level in the work environment is usually low to moderate. Due to the collaborative nature of the business and the need to service customers, the employee must be able to interact effectively with others in an office environment, manage conflict, and handle stressful situations and deadlines. Requires desk work in office environment. Ability to work flexible hours. What We Offer: Emotional well-being and physical health are important, which is why our employees receive a generous benefits package and a work culture that supports our core value of, “Treat others as you would like to be treated.” Compensation & Financial Competitive pay 401(k) with up to 3.5% company match (1) Family, Health & Insurance Benefits ( 1), (2) Multiple health plan options including copay (FSA-eligible) and HSA eligible plans Wellness Incentive Program Dental and Vision plans Company-paid basic life, AD&D and long-term disability coverage Optional employee, spouse, and child life/AD&D insurance Optional accident, critical illness, and short-term disability coverage Dependent Care Flexible Spending Accounts Employee Assistance Program (EAP) Time Off Paid holidays and sick days Generous vacation benefits based on years of service (1) Eligibility begins the first of the month following 30 days of employment (2) Full-time employees only, excluding EAP which is available to all Guardian employees The Guardian Difference Our clients require pharmacy services that aren’t “cookie cutter.” That’s why every Guardian pharmacy is locally operated and empowered with the autonomy to tailor their business to meet their clients’ needs. Our corporate support offices, based in Atlanta, Ga., provide services such as human resources, business intelligence, legal, and marketing to promote the success of each Guardian location. Regardless of your role at Guardian, your voice and talents matter. Because healthcare is an ever-changing industry, we encourage innovative thinking, intellectual curiosity, and diverse viewpoints to ensure we stay competitive in today’s dynamic business environment. At Guardian, we are dedicated to fostering and advancing a diverse and inclusive workforce. Join us to discover what your best work truly looks like.

Posted 2 weeks ago

DEX Imaging logo
DEX ImagingTampa, Florida

$20 - $22 / hour

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

Posted 1 week ago

DMOS Orthopaedic Centers logo
DMOS Orthopaedic CentersWest Des Moines, Iowa
Our Patient Account Representative team is growing! As a Patient Account Representative, you will work office hours to file, follow up on work comp insurance claims throughout the entire filing process, and apply/adjust payments for services. Every day you will work alongside our administrative team and patient account representatives to create seamless billing experience for employers and payers. You will help answer questions related to work comp claims filed. After on-site training (up to 90 days) is complete and competency in DMOS process is established, this position works from home. You have the ability to come into the office on short notice. This position is a full-time Monday through Friday position. At this time, we can only accommodate remote workers within the state of Iowa. To thrive in this role, you must have a working knowledge of the billing process and have some work comp claims experience to provide seamless billing experience to employers and payers, which directly impacts our patients. Here’s What You Can Expect Acting as the employer's contact for insurance payments on employee injury claims after the employee's surgery or appointment. Review claims payments and make any necessary adjustments before closing the claim file. Act as the contact for work comp insurance payments and questions about claims filed. Be able to work remotely as a part of a small, close-knit team of professionals you can rely on who works alongside to create an experience we can be proud of. What We’re Looking For Calm. Ability to communicate calmly and provide professional support to employer, patient and payer questions on incoming claims or payments. Curiosity. You practice the art of listening, asking clarifying questions, and avoiding interrupting others. Independent workers. You know how to keep yourself focused and when to ask for help. Why DMOS? Reliable schedule with no on-call hours. Friendly, fun and dedicated peers. Outstanding 401(k) with an annual company profit sharing contribution (even if you don’t participate in the match program). Health, dental, and vision insurance including 6 paid holidays and a generous PTO accrual program for full time staff to earn up to 22 days a year. We’ll celebrate 70 years of orthopedic care in 2025! Apply today by viewing our opportunities from the https://www.dmos.com/about/careers page. Qualified candidates will hear from our recruiting team within 2 business days of a completed application to start the selection process. DMOS is a privately held medical facility. Candidates who receive a conditional offer of employment at DMOS will be required to complete a criminal background check, federal background checks, education verification, reference checks, and an initial TB test. Please Note: DMOS values your privacy. DMOS will not ask a candidate for private personal information, such as a social security number/date of birth, until after an offer is accepted. DMOS will not contact candidates through any other site outside of UKG or @DMOS email addresses. DMOS does not contact candidates through Indeed. Please do not respond to Indeed requests for DMOS. You may email HumanResources@DMOS.com for more questions.

Posted 6 days ago

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The Law Office of Bryan FaganDallas, Texas
Description The Account Representative at the Law Office of Bryan Fagan is the primary point of contact for existing clients and is responsible for ensuring high levels of engagement, satisfaction, and retention. This role demands a proactive approach to client relationship management, including regular communication, conflict resolution, upsell opportunities, and cross-functional collaboration to meet client needs. A critical focus includes ensuring contract compliance, financial accountability, and full transparency with clients during key legal milestones.An outstanding candidate will demonstrate excellent communication skills and a knack for working with numbers. Account Representative Responsibilities: Client Relationship Management Serve as the dedicated liaison for active clients throughout the lifecycle of their case or engagement. Build and maintain strong relationships with clients by offering support, solutions, and timely updates. Conduct scheduled check-ins to assess client satisfaction and address concerns proactively. Meet with clients at designated stages of their case—such as mediations, depositions, arbitrations, and trial—to ensure transparency, preparedness, and understanding of both legal and financial expectations. Engage in heavy client communication using multiple channels, including verbal (calls and meetings), written (emails, letters), and texting, using platforms like Clio, client portals, and secure messaging tools. Account Oversight & Communication Monitor all assigned client accounts to ensure legal service delivery is on track. Maintain and update financial information and case milestones across various platforms, including Clio, Google Sheets, and internal systems. Ensure accurate documentation of all client interactions in CRM and case management systems. Maintain high client engagement through personalized communication, case status updates, and milestone celebrations. Requirements Account Representative/Collections (Billing Department) Requirements: 2+ years of experience in customer service, client success, or account management (preferably handling collection/client relations in legal, financial, or professional services) Strong verbal and written communication skills across phone, email, and text platforms Proficient in CRM and productivity tools including Clio, Google Sheets, and internal case management platforms Demonstrated ability to manage multiple accounts and prioritize effectively Proficient in Excel Benefits 401(k) Dental insurance Health insurance Life insurance Vision insurance Schedule: 8 hour shift 40-hour work week Weekends as needed Equal Opportunity Statement: We recognize that diverse experiences, perspectives and backgrounds enable us to be an even stronger company and workplace. Not only will you be welcome here, your unique thoughts and opinions will be encouraged, celebrated and deeply valued.

Posted 3 weeks ago

Olsson logo
OlssonOmaha, Nebraska
Company Description We are Olsson, a team-based, purpose-driven engineering and design firm. Our solutions improve communities, and our people make it possible. Our most meaningful asset is our people, and we are dedicated to providing an environment where they can continue to learn, grow, and thrive. Our entrepreneurial spirit is what has allowed us — and will continue to allow us — to grow. The result? Inspired people, amazing designs, and projects with purpose. Job Description: As a Billing Coordinator, you will be responsible for client billings, accounts receivable, general ledger posting, and reconciling accounts. You will utilize Deltek Vantagepoint accounting software (previous experience would be helpful). This position will require knowledge of spreadsheets and ability to communicate well with Olsson teams and clients. Qualifications: You are passionate about: Working collaboratively with others Having ownership in the work you do Using your talents to positively affect communities You bring to the team: Strong communication skills. Ability to contribute and work well on a team. 3+ years of billing/accounting experience. Associate’s degree in Accounting, Finance, Business, or a related area is preferred. Proficient with Microsoft Excel. Highly organized and detail oriented #LI-AF1 Additional Information Olsson is a nationally recognized, employee-owned firm specializing in planning and design, engineering, field services, environmental, and technology. Founded in 1956 on the very mindset that drives us today, we’re here to improve communities by making them more sustainable, better connected, and more efficient. Simply put, we work to leave the world better than we found it. As an Olsson employee, you’ll receive our traditional benefits package (health care, vision, dental, paid time off, etc.), plus you’ll: Engage in work that has a positive impact on communities Receive an excellent 401(k) match Participate in a wellness program promoting balanced lifestyles Benefit from a bonus system that rewards performance Have the possibility for flexible work arrangements Please note: The benefits listed above apply to full-time employees. If you're applying for an internship, you can learn more about internship-specific offerings and experiences at Olsson by visiting https://www.olsson.com/internships . Olsson is an Equal Opportunity Employer. We encourage qualified minority, female, veteran, and disabled candidates to apply and be considered for open positions. We do not discriminate against any applicant for employment or any employee because of race, color, religion, national origin, sex, sexual orientation, gender identity, gender, disability, age, military status, or other protected status. Olsson understands the importance of privacy and is committed to protecting job applicants’ personal information. Pursuant to the California Consumer Privacy Act, as amended by the California Privacy Rights Act (collectively, the “CCPA”), this notice explains Olsson’s practices regarding the collection, use, and disclosure of personal information for job applicants residing in California. Please read this Notice carefully to understand our privacy practices. For more information about the types of information we collect and how we use it in connection with your general access and use of our website, please review our general California Privacy Notice here .

Posted 3 days ago

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Pennant ServicesNashville, Tennessee

$55,000 - $65,000 / year

JOB SUMMARY Leading their Cluster’s operations in providing world-class best practices for billing, cash collections, and accounts receivable functions for the Cluster’s Home Health & Hospice agencies. Collaborating with the Pennant Service Center, Revenue Cycle System Resources, and Revenue Cycle Portfolio Leaders in developing, monitoring, and maintaining those world-class best practices for their Cluster. Partnering with other billers, RC Portfolio Leaders, and Service Center RC Systems Resources within the Home Health & Hospice Segment in shared ownership to ensure a world class AR function across the [Text Wrapping Break]organization. DUTIES & RESPONSIBILITIES Creates accountability for billing and collection efforts and procedures for Billers and Billing Managers. Provides front-line support to Billers and Billing Managers, including day-to-day questions and issues, agency-specific collections efforts, and active billing when needed; provides tools to monitor processes and issues. Provides coverage for billers in the event of short-term or unexpected absences. Partners with cluster Executive Directors and/or AR Market Leaders to provide training to Billers and Billing Managers. After the training delivery, continue to monitor processes to ensure best practices are followed. Establishes and maintains positive and collaborative working relationships with AR Service Center Resources, Billers/Billing Managers, other AR Market Leaders, payors, and referral sources. Maintains a comprehensive working knowledge of payor contracts and ensures that payors are billed according to contract provisions. Represents and acts on behalf of the agency to resolve conflicts with payers. Maintains a comprehensive working knowledge of government billing regulations, including Medicare and Medicaid regulations, and serves as a resource for agency personnel. Partners with cluster Executive Directors and/or AR Market Leaders, Billers/Billing Managers in payor projects promptly. Monitors and audits for adequate Billing Notes are crucial to providing Audit Trail support to document issues addressed, aid in justifying appeals, and ensure audit compliance. Attends Cluster BAM meetings to identify systemic issues in AR practices, workflow, or system configuration and supports standardized best practices among agencies. Monitors aged accounts receivable and related metrics to ensure agencies meet established targets and actively assists in achieving targets. Reviews manual revenue adjustments for proper documentation and timely submission. Assists billers with errors when reconciling cash receipts and bank deposits as needed. Ensures that billing and patient account record systems are maintained in accordance with generally accepted accounting principles and in compliance with state, federal, and accreditation requirements. Protects the confidentiality of patient and agency information through effective controls and combined efforts with billing operations. The above statements are only meant to be a representative summary of the major duties and [Text Wrapping Break]responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities) At least three years’ experience in health care billing and collections management, preferably in home health and/or hospice operations, and within the Cornerstone Health organization. Ability to exercise discretion and independent judgment and demonstrate good communication, negotiation, and public relations skills. Demonstrated capability to manage detailed information accurately. Able to work tactfully and collaboratively with colleagues, peers, service center personnel, referral sources, and payers. Demonstrates ingenuity, autonomy, assertiveness, flexibility, and cooperation in performing job responsibilities. Compensation : $55,000 - $65,000 Type : Full Time Location : Cornerstone Service Center - Nashville, TN (Hybrid) Why Join Us At Pennant Services, we don’t just manage—we lead like owners . Our unique culture is built around empowerment, accountability, and growth. We invest in people who are ready to build and own their impact. What sets us apart: Opportunity for stock ownership Empowered, flat leadership model supported by centralized resources A work-life balance that supports personal well-being Full benefits package: medical, dental, vision, 401(k) with match Generous PTO, holidays, and professional development A culture built around our core values—CAPLICO: Customer Second Accountability Passion for Learning Love One Another Intelligent Risk Taking Celebrate Ownership About Pennant Pennant Services supports over 180 home health, hospice, senior living, and home care agencies across 14 states. Our Service Center model allows local leaders to lead, while we provide the centralized clinical, HR, IT, legal, and compliance support they need to succeed. Learn more at: www.pennantgroup.com #Hybrid Pennant Service Center 1675 E. Riverside Drive, Suite 150 Eagle, ID 83616 The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.

Posted 30+ days ago

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Convergint CareerCarrollton, Texas
Convergint is looking for a full-time, enthusiastic, results driven and forward-thinking Service Billing Coordinator to join our amazing culture. In this role, you will answer, respond to, and meet the needs of all incoming customer service calls by handling these calls in a professional, efficient, effective and timely manner ensuring Convergint Technologies becomes the customers’ first choice for service. This role provides coordination of service with technicians, sub-contractors and customers within designated CTC location. As a Service Billing Coordinator, you are a part of a dynamic team that allows you to grow as Convergint grows. For information about how we use your personal information, please see our Colleague & Applicant Privacy Notice, available on convergint.com/careers. Who You Are You have a passion for providing world-class service to customers, colleagues and communities. You are a person of integrity with a commitment to growth, accountability and delivering results. You want to join an organization with a positive culture that embraces equal opportunity and allows everyone to be the best version of themselves at work and home. You want to grow with us and deliver results as an exceptional Service Billing Coordinator. Who We Are With 20-years of proven growth and exceptional performance, our mission is to be our customer’s best service provider. We realize the importance of diversity in achieving that goal. Our company was built upon a solid foundation of 10 Values and Beliefs which drive our unmatched culture, making us the #1 global, serviced-based systems integrator in the industry. We take great pride in protecting the lives and assets of our customers and their communities with the solutions we provide. What you’ll do with “Our Training and Your Experience” Convergint's greatest strength is our people! Every colleague is encouraged to participate in our Recruit Awesome People program, helping us grow Convergint by promoting our colleague-first culture and referring top talent to the Talent Acquisition Team and hiring managers. Processes completed work order tickets and invoices according to CTC guidelines and customer playbook. Completes service contract (including maintenance and software support CSPs) renewal and invoicing process. Ensures internal records of contract SOW are clearly defined and managed for each customer. Attends weekly planning sessions and conducts weekly service paperwork reconciliation. Works with Service Manager to help manage annual preventative maintenance/inspection list and coordinate technician schedule to accommodate. Handle incoming customer calls including service dispatching (backup to dispatch Service Coordinator), tracking and scheduling of calls, call status tracking and call changes, entering new sites, modifying existing sites and handling general enquiries. May provide support and backup for other areas of the business. May handle calls after hours. May participate in quality assurance calls/inquiries to customers as needed. May provide Service Quotes to customers with the assistance of the supervisor. Completes projects and special assignments by determining priorities, managing time, and making adjustments to plans. Performs other duties and responsibilities as requested or required. What You’ll Need Exceptional telephone and personal customer service skills and ability to work under pressure. Excellent Microsoft Outlook, Excel, and Word skills. Basic financial knowledge and skills—ability to understand basic financials such as accounts receivable/payable, purchase orders, work orders, etc. Solid organizational skills and the ability to handle multiple projects tasks simultaneously. Excellent attention to detail. Strong verbal, written and interpersonal communication skills. Strong flexibility to adapt to changing priorities and direction in a dynamic work environment. Shows initiative – regularly engages in proactive behavior and looks for opportunities. Strong ability to facilitate a collaborative working environment for customers and team members. Company Benefits Convergint fosters a supportive, accessible, and inclusive environment in which all individuals are able to realize their maximum potential within the company. We offer a variety of programs and exceptional benefits: 10 Company Holidays and Paid Time Off starting at 13 days annually Fun & Laughter Day Off Medical, Dental & Vision Plan Life insurance & Disability Plan Wellness Program 401K Matching Plan Colleague Assistance Program Tuition reimbursement Competitive salary and compensation plan Vehicle reimbursement plan or company vehicle Corporate Social Responsibility Day Cell phone reimbursement (if applicable) Paid parental leave Requirements: Education: College degree, trade school or equivalent experience Diploma and/or certificate in Business Administration or related office experience Preferred Experience: (but not required): Dispatch and customer service training Previous call center, dispatch, or administrative experience Experience in a construction industry environment Convergint is an Equal Opportunity Employer. Visit our Convergint careers site to learn more about the company and the exciting opportunities available.

Posted 2 weeks ago

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Billing and Patient Services Representative

Downtown TacomaTacoma, Washington

$20 - $24 / hour

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Job Description

Job Summary:

This position is responsible for addressing and resolving complex patient inquiries, concerns, and billing-related issues across various areas including eligibility, claims, denials, appeals, patient balances, collections and financial assistance.  Responsible for receiving, responding to, and directing member phone calls and emails. Works under supervision of Billing and AR manager. Requires some knowledge of billing and healthcare field. Work requires meeting the needs of the patients by offering multiple options and solutions.

Pay and Benefits:

Pay: $19.54 - $23.77 per hour based on relevant experience, skills, and abilities.

Benefits Highlights:

  • Generous PTO: Up to 17 days/year for new employees + 9 holidays + rollover
  • 401(k): 3% automatic employer contribution+ 3% match
  • Annual pay increases
  • Full benefits: Medical, dental, vision, life, disability, mental wellness
  • For more detailed benefits synopsis visit tranow.com/about/careers

Location: This role sits out of our TRA Administrative office in Downtown Tacoma, WA. Free, secured parking is included with this role and location. 

Schedule: 1.0 FTE - 40 hours- Monday- Friday- 8:30AM - 5PM

About TRA Medical Imaging

TRA Medical Imaging is a premier, physician-owned and physician-led radiology practice with a 100+ year history of serving the communities of the South Puget Sound region. Centered in Tacoma, WA, TRA has a geographic presence extending from Seattle to Olympia. TRA takes pride in diversity and inclusion, a philosophy that aligns well with our Pacific Northwest values.

We are led by a progressive group of approximately 100 sub-specialized radiologists who take pride in delivering high-quality, patient-centered care while fostering a practice culture intended to feel more like a family than a corporation.

Why Choose TRA Medical Imaging

TRA is an independent, stable, and diversified practice with a broad clinical and geographic footprint. Our governance structure is transparent, democratic and equitable with an unwavering commitment to physician leadership and autonomy. As part of that promise, TRA welcomes employee participation and collaboration and is committed to providing personalized professional development opportunities.

Our commitment to culture is evidenced by our certification as a great workplace by the independent analysts at Great Place to Work and embodied by our mission statement: Trust our family to care for yours. TRA has been the respected provider of excellence in medical imaging in the South Sound since 1918. Join our team as we write the next 100 years of the TRA story.

Want to learn more about TRA’s commitment to patients, employees and our community? Visit https://www.tranow.com/about/careers/ and explore your future with us today!

Essential Job Functions:

  1. Address complex patient inquiries, questions and concerns in all areas including eligibility, claims, denials, appeals, refunds, authorizations, collections, price quotes, financial assistance and grant matching.
  2. Log and track appeals, re-openings and reconsiderations by contacting payers to gather information and communication on the disposition of claims.
  3. Resolve billing operational issues; such as missing authorizations, retro-authorizations, front desk error or missing/incomplete information in hospital files.
  4. Conduct pertinent research to evaluate and respond to denials in accordance with established regulatory guidelines.
  5. Review pending collection accounts and work daily updated as needed from third party collections office.
  6. Process updates/changes/corrections in billing system to support an accurate, timely and complete billing process.
  7. Receive, respond to, and direct patient phone calls/emails professionally and promptly.
  8. Assist patients in setting up alternative payment options when necessary.
  9. Work collaboratively with teammates and other departments.
  10. Check email throughout the day to provide timely feedback to patient and outpatient office needs.
  11. Utilize knowledge of insurance billing, claims processing, ICD-10, CPT and HCPCS coding to effectively carry out your responsibilities.
  12. Perform other duties as assigned.
  13. Provide available information upon request and escalate issues/complaints as necessary to the Billing and AR Manager.
  14. Check work e-mail daily.
  15. Maintain confidentiality of all center and patient information at all times, as required by facility policy and HIPAA guidelines.
  16. Follow the center exposure controls plan for blood borne and airborne pathogens.
  17. Perform all other related duties as assigned.

Qualifications:

Education/Work Experience

  • High School Diploma or GED required
  • Associates degree or equivalent, minimum 1-year recent work experience in related area preferred

Job Knowledge/Skills

  • Knowledge of insurance industry trends, directions, major issues, regulatory considerations and trendsetters.
  • Knowledge and understanding of state and federal laws and regulations affecting insurance practices.
  • Knowledge of activities, practices, and tools for claims adjustment practices.
  • Knowledge of how to locate policy information and how to interpret policy language as it applies to specific claims.
  • Knowledge of specific principles and practices of negotiation and settlement of claims.
  • Knowledge of medical records systems applications.
  • Ability to work effectively in teamwork environment and have respectful behavior while working as a team with co-workers.
  • Must possess excellent verbal communication skills; good organization skills.
  • Ability to demonstrate effective customer service skills.
  • Communicate professionally with other medical facilities, patients, and customers.
  • Ability to manage multiple tasks and carry out instructions effectively.

Physical Requirements

Work is classified as sedentary in physical requirements. Requires the ability to lift/carry 1-5 pounds frequently, occasionally 10 pounds maximum.

Mental Requirements

Work requires high attention to detail and the ability to handle mentally stressful situations. The ability to maintain high level of sensitivity towards confidential information is also required.

Working/Environmental Conditions

Work environment consists of normal office or administrative working conditions.

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