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UMass Memorial Health Care logo
UMass Memorial Health CareWorcester, MA

$64,085 - $115,336 / year

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Exempt Hiring Range: $64,084.80 - $115,336.00 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 8-5 Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5452 RI and Charge Capture This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Serves as a Charge Generation Tracker (CGT) and regulatory gatekeeper to ensure compliance with coding and billing guidelines. Reviews all assigned edits within prescribed timeframe and routes to appropriate owner for resolution. Provides regulatory (coding and billing) support to clinical charge capture specialists to address CGT, coding, charge capture and billing questions. Acts as primary resource for providers, clinical and administrative staff for coding questions and research related to revenue enhancement and correct coding. I. Major Responsibilities: Serves as a gatekeeper to ensure that regular and annual CGT updates compliant with third party regulatory and coding billing guidelines and reflect clinical practice. Collaborates with clinical / ancillary departments to facilitate proper use of CGT files as well as synchronization of preference lists and orders in IT applications. Ensures system wide compliance with federal, state and local regulations with regard to charge codes and related information in the CGT. Ensures standardized CGT request processes are followed. Reviews all assigned edits within prescribed timeframe and routes to appropriate owner for resolution. Provides support and guidance to clinical and RI / Charge Capture staff to resolve outstanding edits. Monitors daily edits reports and alerts clinical departments of delinquencies. Provides regulatory (coding and billing) support to clinical charge capture specialists to address CGT, coding, charge capture and billing questions. Utilizes subject matter knowledge to support proper interpretation and analysis of performance report(s). Utilizes reporting and data analysis in combination with standard benchmarks and criteria to identify and follow-up on potential revenue integrity issues. Ensures the CGT structure supports effective capture of all chargeable services based on a thorough knowledge of the regulatory requirements, IT applications and charge capture processes. Provides subject matter knowledge related to the CGT for clinical departments, revenue cycle team, finance, compliance and administrative staff. Provides accurate feedback and documentation to support educational needs. Develops and conducts educational courses and seminars focusing on professional documentation, coding and billing for physicians, clinicians, administrative staff and Professional Billing Central Billing Office (PBCBO) staff. Develops training programs and supporting materials relative to physician coding and billing guidelines and protocols to ensure that specific areas of need are addressed and that all materials comply with applicable rules and regulations. Participates in PBCBO staff training on coding and billing guidelines. Monitors CMS and applicable third party coding and billing publications, and abstracts key information relative to established coding and billing policies and procedures for distribution to UMMMG stakeholders (clinical, administrative, compliance, PFS, finance). Researches third party coding and billing guidelines and ensures timely and accurate compliance with federal, state, local payer requirements as well as UMMMG contracts specific to charging, coding, bundling and unbundling, modifier reporting requirements. Leads annual review process by providing updates regarding CPT, CMS regulatory updates, professional society publications (e.g., ASA) for clinical, administrative, compliance, revenue cycle, and finance. Performs quality audits and reviews of focused patient accounts to identify improvement opportunities in clinical documentation, charge capture and coding. Provides audit feedback to key clinical and revenue cycle stakeholders for continuous improvement. Monitors downtime forms for each billing area. Collaborates with clinical charge capture analyst to ensure that downtime procedure is maintained. Standard Staffing Level Responsibilities: Complies with established departmental policies, procedures and objectives. Attends variety of meetings, conferences, seminars as required or directed. Demonstrates use of Quality Improvement in daily operations. Complies with all health and safety regulations and requirements. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. Maintains, regular, reliable, and predictable attendance. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: Associate's degree. Certification in Professional Coding. (CPC) Certified Professional Coder. EPIC Credentialed in Ambulatory within 12 months of hire date. Experience/Skills: Required: Three to five (3-5) years of work experience related to professional billing and coding. Knowledge of industry standard practices, including CPT / HCPCS codes and third-party reimbursement policies. Knowledge of coding and billing requirements based on third party publications, including Blue Shield, Medicare, Medicaid, commercial insurers and HMOs / PPOs. Strong interpersonal and communication skills required. Ability to speak and present in front of groups required. Detail oriented, strong analytical skills with the ability to multi task and prioritize required. A working knowledge of Microsoft Office applications, ability to develop reports and create presentations. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered sedentary. Position requires work indoors in a normal office environment. On-site work is required based on business need. Travel could be to any UMass office or facility* All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.

Posted 30+ days ago

Geico Insurance logo
Geico InsuranceFalls Church, VA

$100,000 - $215,000 / year

At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. At GEICO, we are not just an insurance company; we are a technology-driven organization that is transforming the insurance landscape. Our mission is to leverage cutting-edge technology to deliver exceptional experiences for our customers and create innovative solutions that redefine the industry. About The Team The Billing Platform team at GEICO oversees the tools, infrastructure, data, reporting, analytics, and services essential for delivering seamless billing experiences to internal users, end customers, and partners. Our billing platform functions as the backbone for managing financial transactions and customer interactions, enhancing efficiency, accuracy, and customer satisfaction while supporting strategic growth and ensuring compliance. What you will do We are seeking a seasoned Software Engineer with extensive experience in designing, building, and maintaining large-scale applications and distributed systems. You will become an integral part of a team dedicated to managing GEICO's core billing platform. This platform includes a comprehensive array of components such as a core billing engine, invoicing system, commissions management, collections, payment processing, CRM integration, subscription management, credit control and dunning management, along with reporting and analytics. In this role, you will play a pivotal role in re-architecting our platform from the ground up, focusing on enhancing the scalability and efficiency of our systems. Responsibilities Oversee high-level and low-level designs of one or more sub-systems of the billing platform we are building Be responsible and accountable for the quality, reliability, usability, and performance of the solutions Provide strategic guidance and oversight for multiple billing teams, ensuring alignment with the Platform's technical vision and business objectives Lead the design and development of complex software systems, ensuring they are scalable, maintainable, and meet high-quality standards (This includes evaluating code quality and collaborating with stakeholders to understand and implement project requirements) Identify and prioritize technical challenges that may pose risks to business Develop solutions to address these issues efficiently, ensuring smooth product development Work closely with various departments, including product management and design, to ensure cohesive and successful project delivery Facilitate effective communication and collaboration across teams to achieve common goals Mentor and guide engineers, fostering a culture of continuous learning and improvement Provide technical guidance to help team members overcome challenges and make informed decisions Who you are We are looking for someone who meets the minimum requirements to be considered for the role. If you meet these requirements, you are encouraged to apply. The preferred qualifications are a bonus, not a requirement. Minimum Requirements 4+ years of professional, hands-on software development experience Strong experience in architecting and designing large-scale, complex systems Proficient coding skills in Java, Kotlin, Golang, or similar languages, capable of producing high-performance, production-quality code Experience with a wide range of technologies, including SQL and NoSQL databases, Kafka, Spark, Airflow, or their equivalents Proficient in using cloud computing tools throughout the software development lifecycle, with deep expertise in DevOps, observability, telemetry, and test automation Skilled in collaborating across engineering teams and other functions to build alignment, drive decision-making, and communicate transparently Preferred Qualifications Experience in the financial technology sector, with a focus on billing, payments, subscription management, and financial reporting Proven track record in designing and implementing workflow engines Education Bachelor's and/or Master's degree, preferably in CS, or equivalent experience This is a Hybrid role based out of the following offices* Palo Alto, CA Dallas, TX Chevy Chase, MD Be Part of Our Journey If you are a passionate technologist looking to make a difference, GEICO Tech is the place for you. Join us and be part of a team that is shaping the future of insurance technology. Together, we will create innovative solutions that improve lives and transform the industry. Annual Salary $100,000.00 - $215,000.00 The above annual salary range is a general guideline. Multiple factors are taken into consideration to arrive at the final hourly rate/ annual salary to be offered to the selected candidate. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate's work experience, education and training, the work location as well as market and business considerations. GEICO will consider sponsoring a new qualified applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. Access to additional benefits like mental healthcare as well as fertility and adoption assistance. Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.

Posted 2 weeks ago

Amadeus logo
AmadeusPortsmouth, NH
Job Title Director, Hospitality Contract Fulfillment & Billing Global Process Owner Summary of the role: This position is the Global Process Owner of the Contract Fulfilment & Billing processes for Hospitality, acting as entry point and linkage between Finance, Sales Account Management, Financial Service Center (FSC) and other Amadeus Business Units. This role leads all aspects of the Hospitality Billing and its associated processes and connections with other areas of the SLTC process. This individual is responsible for designing, implementing and enforcing policies and procedures, as well as streamlining effective billing processes across the legal entities. In this role you'll: Strategy and direction: Own the End-to-End process, ensuring regular evolution according to best practices, internal/external needs and business priorities Coordination and decision-making role with other Finance and non-Finance related processes / strategic initiatives concerning Contract Fulfilment & Billing Protection of its global & unique nature Act as the senior process domain expert, providing strategic direction and communicating as needed with the user's community. Participate in the validation and approval process for process related KPIs and SLAs together with the Finance Directors and relevant stakeholders where applicable. Support the Finance strategy and operational excellence by participating in strategic decisions regarding the scope of activities, outsourcing of tasks, system evolution and identification of improvement / simplification opportunities Evolution & performance: Monitor the process application in Amadeus companies and its efficiency through regular KPIs and SLAs, and follow up the benefits realization, aligning the processes with the strategic objectives. Monitor adherence of operations both to Template & Support processes Follow-up and maintain the Bluebooks updated, as well as any other relevant process related and functional documentation. Make sure that necessary materials for training regarding global processes is provided to users and available in the corresponding folders/share points. Responsible to validate and maintain all subprocess documentation updated. Ensure that any changes in processes are reflected in the necessary documentation including the communication to the Operations teams. Manage dependencies of documents with other subprocesses of the E2E process or other E2E processes. Arbitrate over improvement opportunities identified by the Operations teams that affect the processes acting as a center of the Demand management process and taking them to the Design Authority as arbitration body. Once these improvement opportunities are validated, participate in the implementation to ensure alignment and quality. Ensure roll-in of Template enhancements is communicated worldwide timely to all the impacted stakeholders. Relationships & governance: Serve as the entry point for the Business, especially with regards to queries, renegotiations or new contractual conditions for strategic customers impacting Contract Fulfilment & Billing. Oversee and approve all deal desk / BID no BID / Non-Standard billing request & Product enhancement requests Serve as the point of contact between the Application Owners (AOs) and/or the Design Authorities Take an active part in the GPO community knowledge sharing and participate in external technical/functional groups to remain up to date with best practices. Maintain a close relation with AOs to remain updated with systems' evolution and ensure testing processes are carried out. Member of the post-migration Design Authority committee that governs/ arbitrates the overall Finance processes evolution and related resources / costs. Member of the monthly Operations team performance reporting meeting (if applicable) About the ideal candidate: University Degree in Business Administration, Accounting, Finance or Economics and/or equivalent work experience 10 years' work experience in a revenue management/billing-related position in a multinational company Previous experience in interacting with Sales Management in the Region Previous experience in team management Previous experience in leading process improvement and documentation. Advanced knowledge of Order to Cash processes Excellent communication skills both verbal and written Experience in influencing and people coordination capabilities Strategic thinking capabilities and business acumen skills Advanced skills in Microsoft Office Suite to include: (V look-up & Pivot Tables) Ability to Travel 10% within the Americas region Locations can be Portsmouth, Chicago, Dallas or Orlando. Portsmouth and Chicago are preferred. What we can offer you: The opportunity to work for one of the world's top leading travel tech companies; a company that originated in technology innovation and sees the world with a technology-first perspective Skills development and opportunities to try new ideas A global diverse work environment Application process: The application process takes no longer than 10 minutes! Create your candidate profile, upload your CV and apply. Are you the one we are looking for? Apply now! #LI-AM2024 Diversity & Inclusion Amadeus is an Equal Employment Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or a related medical condition), ancestry, national origin, age, genetic information, military or veterans status, sexual orientation, gender expression, perception, or identity, marital status, mental or physical disability status, or any other protected federal, state, or local status unrelated to performance of work involved. Amadeus endeavors to make https://jobs.amadeus.com/ accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at accommodations@amadeus.com. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

Posted 4 weeks ago

Clio logo
ClioVancouver, WA

$152,200 - $205,800 / year

Clio is more than just a tech company-we are a global leader that is transforming the legal experience for all by bettering the lives of legal professionals while increasing access to justice. Summary: Clio's suite of products is rapidly expanding, and the needs of our users are diverse and constantly evolving. As Clio has built new products and acquired new companies, our Platform team is responsible for ensuring that all of these products fit cohesively together and interact frictionlessly. The Billing and Licensing team is responsible for building the tools for how we (Clio) bill our customers. Clio has multiple products and a growing number of ways we monetize these different products. We are seeking a highly motivated and technical Senior Product Manager to lead the development and evolution of our Billing and Licensing systems. This role requires two critical skillsets to be successful: 1. Someone who can deeply understand our billing systems today from a technical and product perspective and 2. Someone who can build alignment across a large number of GTM and business stakeholders (Sales, RevOps, Monetization, Marketing, Legal, Finance, etc.). This role can be performed from one of our Canadian offices in a hybrid setting twice per week or remotely from Canada or from the US. Some exceptions may apply. Who you are: Entrepreneurial and ownership mentality: you care about the details and are able to advocate for change even in areas that aren't directly yours (without being a jerk). Think deeply, act quickly. Crystal clear communication: you can distill deeply complex and technical concepts into something our customers and the rest of the business can understand. Outcomes-focused: at every step in the product development process, you are obsessing over how to maximize impact for our customers and the business. Customer-obsessed: you talk to customers all the time (weekly, at least), and understand deeply how they want to get their work done. Collaboration: you're a delightful and effective collaborator with everyone in the business. What you'll work on: As a Senior Product Manager on the Billing and Licensing team at Clio, you will own the strategy and execution for how we will support bill our customers for our product suite. Clio Strategic Product Leadership: Develop and execute a product vision, strategy and roadmap for the Billing and Licensing teams, aligning with Clio's overarching business objectives and customer needs. Depth & Breadth: you will need to understand our customer needs across the whole Clio product suite and then think deeply on how best to solve these issues. Work cross-functionally with other product managers, engineers, designers, and stakeholders to deliver high-quality product changes. Work cross-functionally with many other teams stakeholders to deliver high-quality product changes. Product Development and Lifecycle Management: Oversee the entire product lifecycle from ideation to launch. Use data and customer insights to track key metrics and performance indicators, identifying opportunities for product optimization and continuous improvement. Stakeholder Engagement: Collaborate closely with key stakeholders, including customers and other Clio product teams, to gather insights, feedback, and requirements that inform product development and improvements. Build and maintain strong relationships with internal teams, ensuring alignment across departments and effective communication of product goals and milestones. What you bring: Over 4 years of experience in product management roles within the tech industry, with a proven track record of managing and enhancing complex software products or platforms. Exceptional ability to build strong relationships across the business, drive constructive conversations, and land decisions in ambiguous situations. Experience building technical products. Strong business and metrics focus. Experience conducting user research, gathering feedback, and using data to inform product decisions that enhance the user experience. Proven ability to lead cross-functional teams and collaborate effectively with stakeholders across product, engineering, design, marketing, and sales teams. Excellent communication skills with the ability to influence others and drive product initiatives forward. Growth mindset when it comes to process improvement and new technologies, especially AI Bonus points if you have: Prior founder and entrepreneurial experience What you will find here: Compensation is one of the main components of Clio's Total Rewards Program. We have developed a series of programs and processes to ensure we are creating fair and competitive pay practices that form the foundation of our human and high-performing culture. Some highlights of our Total Rewards program include: Competitive, equitable salary with top-tier health benefits, dental, and vision insurance Hybrid work environment, with expectation for local Clions (Vancouver, Calgary, Toronto, and Dublin) to be in office minimum 2 days per week on our Anchor Days. Flexible time off policy, with an encouraged 20 days off per year. EAP benefits for you and household members, including counseling and online resources 401k matching and Child Education Savings Clioversary recognition program with special acknowledgement at 3, 5, 7, and 10 years The full salary range* for this role is $152,200 to $179,000 to $205,800 USD.Please note salary bands may differ based on location and local currency. Additionally, benefit offerings may differ depending on the employee's location. We aim to hire all candidates between the minimum and the midpoint of the full salary range. We reserve the midpoint to the maximum of the salary band for internal employees who demonstrate sustained high performance and impact at Clio. The final offer amount for this role will be dependent on individual experience and skillset of the candidate. Diversity, Inclusion, Belonging and Equity (DIBE) & Accessibility Our team shows up as their authentic selves, and are united by our mission. We are dedicated to diversity, equity and inclusion. We pride ourselves in building and fostering an environment where our teams feel included, valued, and enabled to do the best work of their careers, wherever they choose to log in from. We believe that different perspectives, skills, backgrounds, and experiences result in higher-performing teams and better innovation. We are committed to equal employment and we encourage candidates from all backgrounds to apply. Clio provides accessibility accommodations during the recruitment process. Should you require any accommodation, please let us know and we will work with you to meet your needs. Learn more about our culture at clio.com/careers Disclaimer: We only communicate with candidates through official @clio.com email addresses.

Posted 30+ days ago

CONTACT GOVERNMENT SERVICES logo
CONTACT GOVERNMENT SERVICESBaltimore, MD

$91,800 - $132,600 / year

Senior Billing Supervisor Employment Type: Full-Time, Mid-Level Department: Financial CGS is seeking a Senior Billing Specialist to join our team supporting our mission. This position will entail a wide range of duties including being responsible for the effective hands-on coordination and management of the e-billing and payment cycle workflow related to payment posting, charge corrections, monthly reconciling of payments to bank deposits for the Firm's offices and other duties as assigned. CGS brings motivated, highly skilled, and creative people together to solve the government's most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Skills and attributes for success: Ensures accurate observance of e-billing requirements and processes. Prepares monthly, semi-monthly and ad-hoc billing reports for internal and external clients. Ensures timely invoice submission to clients, based on established timelines. Creates and distributes ad hoc operational and billing reports to management as requested. Works with Controller and Accounting Department to identify, review and recommend changes to automate or enhance timeliness, accuracy, and efficiency of billing processes. Supports internal and external auditors as requested. Supervises e-billing and receivables staff. Evaluates e-billing and receivables staff skill levels, recommends any necessary training/changes. Provides feedback to staff performance appraisals, develops performance management objectives to address concerns, drives engagement and retention; participates in team hiring and separation decisions. Delegates assignments and projects to staff as appropriate Qualifications: Demonstrated ability to work well, be influential and articulate initiatives, projects, results, and analyses to senior leadership and staff, including presenting ideas in a clear, succinct manner. High attention to detail, outstanding organizational skills and the ability to manage time effectively. Excellent interpersonal and communication skills (oral and written), professional demeanor and presentation. Analytical with strong problem-solving skills, takes initiative and uses good judgment, excellent follow-up skills. Work efficiently with the ability to multi-task and set priorities while maintaining and delivering the highest quality work product accurately. Position also requires the ability to work under pressure to meet strict deadlines, adapt to a fast paced high pressure environment to achieve business goals and objectives. Ability to work both independently and as part of a cross-functional, collaborative team. Bachelor's Degree or equivalent experience in Accounting, Finance, or related field preferred. Five years of legal billing/receivables experience and in-depth knowledge of accounting principles and billing software; Advanced experience in e-billing. Two years of supervisory experience in similar role and ability to assume a leadership role. Advanced knowledge of MS Applications to include Excel, Outlook, and Access. Our Commitment: Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client's specific needs. We are committed to solving the most challenging and dynamic problems. For the past seven years, we've been growing our government-contracting portfolio, and along the way, we've created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work. Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and delivering the best quality to our consumers mending those relations for years to come. We care about our employees. Therefore, we offer a comprehensive benefits package. Health, Dental, and Vision Life Insurance 401k Flexible Spending Account (Health, Dependent Care, and Commuter) Paid Time Off and Observance of State/Federal Holidays Contact Government Services, LLC is an Equal Opportunity Employer. Applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Join our team and become part of government innovation! Explore additional job opportunities with CGS on our Job Board: https://cgsfederal.com/join-our-team/ For more information about CGS please visit: https://www.cgsfederal.com or contact: Email: [email protected] #CJ $91,800 - $132,600 a year We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Posted 30+ days ago

Peterson Machinery Co. logo
Peterson Machinery Co.Hillsboro, OR
It's your time, make it matter. At Peterson, we partner with our customers to build the future. For over 85 years, our peoples' work has shaped the communities where we live, where we raise our families, and where we thrive. Peterson's legacy permeates every aspect of our communities. From roads and bridges, back-up power at hospitals, fire-fighting, concerts and moving goods; we are everywhere you look. At Peterson, you don't just have a career, you have a purpose. Our family-oriented environment is built on safety, winning, growth, and professional achievement. Hiring and developing exceptional people is critical to our continued success. We have high standards for a good reason: our people represent Peterson, our family, our brand, and our values. You have high expectations too. You are exceptionally motivated, have outstanding skills, and want your work to matter. Peterson offers competitive wages, generous benefits, and promotional opportunities at a family-owned and operated business. It's time to use your skills and passion to do work that matters! Job Description Peterson Power Systems has a need for a Generator Sales Billing Specialist at our Hillsboro, OR location. SUMMARY The Billing Specialist manages the full billing process by preparing accurate invoices, maintaining client accounts, and updating charges and payments. This role verifies billing data for accuracy, handles customer inquiries to resolve discrepancies promptly, identifies and implements process improvements to increase efficiency, and ensures accurate, organized, and consistent record keeping of all billing activities. ESSENTIAL JOB FUNCTIONS The following reflects management's definition of essential functions for this job but does not restrict the tasks that may be assigned. Management may assign or reassign the functions to this job at any time due to reasonable accommodation or other reasons. Job functions include the following. Other duties may be assigned. Generate and issue accurate invoices for generator sales, installation, and maintenance services to data center clients. Review sales contracts, purchase orders, and service agreements to ensure billing aligns with negotiated terms. Track project milestones and coordinate with sales and operations teams to ensure timely billing Monitor accounts receivable and follow up on outstanding balances. Reconcile billing discrepancies and resolve clients' billing-related inquiries professionally. Maintain detailed billing records and customer account data in enterprise resource planning (ERP) systems. Support internal and external audits with required documentation. Ensure compliance with company billing policies, industry billing standards, and client-specific billing requirements. Use electronic billing system to approve and code vendor invoices. Maintain client accounts; update charges, payments, and overages; and track account balances. Identify and implement process improvements to enhance efficiency and accuracy in the billing process. Collaborate with Accounting department on sales promotions, inventory documentation, and vendor cost calculations. Collaborate with Credit department on unpaid invoices and ensure alignment between customer account data and resale documentation. and reporting. Assist with month-end close processes, including revenue recognition. Assist with ordering equipment and other sales coordination functions as directed. Maintain punctual, regular, and predictable attendance. QUALIFICATIONS Bachelor's degree in Accounting, Finance, or other closely related field and a minimum of three (3) years of directly related experience in billing and/or accounting, preferably in a heavy industrial or business-to-business (B2B) environment; or an equivalent combination of education and work experience. Proficiency in accounting software and Microsoft Excel Strong attention to detail and organizational skills Excellent communication and customer service skills Ability to manage multiple priorities and meet deadlines in a dynamic environment Familiarity with generator sales, service contracts, or construction billing is highly preferred Experience with ERP systems and CRM platforms is preferred Knowledge of project-based billing and revenue recognition is preferred Understanding of data center industry billing practices is preferred Familiarity with tax implications related to equipment sales and services is preferred #INDjobs Peterson Power Systems, Inc. is committed to equal employment opportunity and affirmative action. Minorities, females, veterans, and individuals with disabilities are encouraged to apply. A drug screen and background check is required.

Posted 30+ days ago

A logo
Albany Medical Health SystemAlbany, NY

$38,938 - $50,619 / year

Department/Unit: Patient Billing Service Work Shift: Day (United States of America) Salary Range: $38,937.60 - $50,618.88 This is a medical billing position. Providing efficient and timely follow up of delinquent and denied accounts from third party payers is an essential part of this role. This position is responsible for securing revenue for services provided by hospital of Albany Med Health System by competing appeals, phone calls, and account review. Qualifications: High school diploma or GED is required. AAS degree is preferred. Knowledge in billing codes and EDI requirements. Knowledge of electronic claims processing and edits. Excellent decision-making skills, detail oriented, and have the ability to submit factual, timely and compelling appeal letters to payors regarding payment variances and denials. Able to communicate effectively and successfully with team members, providers, contractors, payors, and their Leadership group daily. Able to successfully balance the demands of a wide range of duties when given general direction, based upon standards, policies, and procedures. Essential Duties and Responsibilities: Use of payor websites for eligibility verification. Work with payors to resolve underpayments, overpayments, rejections & denials. Reviewing and replying to correspondence relating to the outstanding receivables and identifying and/or escalating billing issues to their manager in a timely manner. Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Posted 30+ days ago

Yale University logo
Yale UniversityNew Haven, CT

$68,000 - $120,500 / year

Working at Yale means contributing to a better tomorrow. Whether you are a current resident of our New Haven-based community- eligible for opportunities through the New Haven Hiring Initiative or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome. Discover your opportunities at Yale! Salary Range $68,000.00 - $120,500.00 Overview Yale Center for Clinical Investigations (YCCI) is seeking a highly motivated and detail-oriented University Service Provider (USP) Data Analyst and Billing Specialist. This position will be responsible for analyzing data from various YCCI service lines, with a specific focus on accurately reconciling and charging study-specific fees for tasks completed by these service lines to the respective study accounts. The ideal candidate will have a strong background in data analysis and financial management, along with exceptional analytical skills. Experience in using multiple data tracking systems, including Workday, Salesforce, and OnCore, is preferred. Key Responsibilities Data Analysis: Collect and analyze data from various university service providers related to services utilized by different departments and study accounts. Develop and implement data collection systems, data analytics, and other strategies that optimize statistical efficiency and quality. Interpret data, analyze results using statistical techniques, and provide ongoing reports. Billing and Reconciliation: Prepare and process billing based on the services rendered to different departments and study accounts, ensuring accuracy and timeliness. Monthly study invoice generation and submission to DBOs/PIs for research service billing, and track through to approval within stated timelines. Post-approval, execute transactions to move internal revenue for cost recovery for services rendered by YCCI resources (Workday). Reconcile discrepancies between service provider data and billing statements, and resolve billing issues through investigation and communication with the service providers and study teams. Maintain accurate financial records in shared directories. Respond to study team inquiries within 24 hours of receipt. Resolve and document DBO/PI service billing inquiries and escalate as needed to ensure timelines are met. Financial Reporting: Generate financial reports and statements to assist in future budget preparation, forecasting, and financial planning. Provide detailed and summary reports on the utilization of services, billing patterns, and budget variance analysis. Collaborate with the finance and accounting teams to support overall financial management and auditing processes. Stakeholder Communication: Serve as the primary point of contact between university departments, study account holders, and service providers for billing and data-related inquiries. Facilitate regular meetings with stakeholders to discuss utilization, billing discrepancies, and account reconciliations. Process Improvement: Identify opportunities for process improvements in data collection, billing procedures, and reconciliation techniques. Work with IT and other departments to develop and implement systems enhancements that streamline data analysis and billing processes. Special Projects: Support and coordinate the annual USP rate setting process in collaboration with functional area leads of YCCI. Support and coordinate new, amended, and annual renewals of YCCI service agreements with department DBOs and PIs and maintain related files. Required Skills and Abilities Strong analytical and quantitative skills with proficiency in financial modeling and data analysis. Excellent oral and written communication skills, with the ability to adapt communication style to various audiences. Advanced computer skills, particularly in Microsoft Excel, Word, and other relevant software. Ability to manage multiple priorities, meet deadlines, and operate effectively in a fast-paced environment. Demonstrated ability to work independently and as part of a team, showing initiative and problem-solving abilities. Preferred Skills and Abilities Bachelor's degree in Accounting, Finance, Data Science, Business Administration, or a related field. Minimum of 3 years of experience in data analysis, financial management, or billing. Minimum of 2 years' experience in invoicing, collecting, and reconciliation of clinical trial study accounts. Proficiency with data analysis tools and software preferred (e.g., Excel, OnCore, Workday and Salesforce). Strong analytical skills with the ability to collect, organize, analyze, and disseminate significant amounts of information with attention to detail and accuracy. Excellent verbal and written communication skills. Ability to work collaboratively and independently in a team-oriented environment. Knowledge of university financial systems and policies is an asset. Principal Responsibilities Financial Modeling and Forecasting. Provides technical analysis to determine present and future financial performance. Organizes information from a variety of sources for use in analyzing future plans and forecasts. Collaborates with all levels of management, both internally and externally, to gather, analyze, summarize, prepare, and present recommendations regarding financial plans and other complex financial matters. Researches and evaluates information to resolve issues and makes recommendations. Develops and/or executes complex financial models. 2. Financial Analysis and Reporting. Analyzes and synthesizes information and designs and creates accurate and timely reports. Designs financial reporting to meet the compliance needs of internal and external users. Extracts and consolidates data from multiple sources. 3. Financial Methods and Systems. Contributes to the planning and improvement of practices, processes and systems. Collaborates with all levels of internal and external contacts to carry out department goals. Provides a high level of service that cultivates and maintains strong working relationships and communicates effectively; takes ownership and accountability for timeliness, accuracy and relationship management. 4. Strategic Resource. Translates department finance goals into objectives. Identifies and raises potential financial opportunities, issues, risks, ideas and solutions. Identifies the appropriate stakeholders to include in consultations, communications, approvals or buy-ins for designing and implementing changes. 5. Compliance and Risk Management. Establishes, implements and/or maintains strong internal controls in areas of assigned responsibility to provide reasonable assurance of effective and appropriate resource use, accurate financial information, and adherence to contractual obligations and agreements, policies, procedures, and external regulatory requirements. 6. Mentors, leads and/or supervises staff. 7. May perform other duties as assigned. Required Education and Experience Bachelor's degree in Accounting, Business, Economics or Finance and four years of related experience or an equivalent combination of education and experience. Demonstrated application of financial, accounting and economic concepts. Job Posting Date 12/15/2025 Job Category Professional Bargaining Unit NON Compensation Grade Administration & Operations Compensation Grade Profile Manager; Program Leader (24) Time Type Full time Duration Type Staff Work Model Remote Location 2 Church Street South, New Haven, Connecticut Background Check Requirements All candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks based on the position description and job requirements. All offers are contingent upon the successful completion of the background check. For additional information on the background check requirements and process visit "Learn about background checks" under the Applicant Support Resources section of Careers on the It's Your Yale website. Health Requirements Certain positions have associated health requirements based on specific job responsibilities. These may include vaccinations, tests, or examinations, as required by law, regulation, or university policy. Posting Disclaimer Salary offers are determined by a candidate's qualifications, experience, skills, and education in relation to the position requirements, along with the role's grade profile and current internal and external market conditions. The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the position. Employees will be assigned specific job-related duties through their hiring department. The University is committed to basing judgments concerning the admission, education, and employment of individuals upon their qualifications and abilities and seeks to attract to its faculty, staff, and student body qualified persons from a broad range of backgrounds and perspectives. In accordance with this policy and as delineated by federal and Connecticut law, Yale does not discriminate in admissions, educational programs, or employment against any individual on account of that individual's sex, sexual orientation, gender identity or expression, race, color, national or ethnic origin, religion, age, disability, status as a special disabled veteran, veteran of the Vietnam era or other covered veteran. Inquiries concerning Yale's Policy Against Discrimination and Harassment may be referred to the Office of Institutional Equity and Accessibility (OIEA). Note Yale University is a tobacco-free campus.

Posted 3 weeks ago

CONTACT GOVERNMENT SERVICES logo
CONTACT GOVERNMENT SERVICESPhiladelphia, PA

$91,800 - $132,600 / year

Senior Billing Supervisor Employment Type: Full-Time, Mid-Level Department: Financial CGS is seeking a Senior Billing Specialist to join our team supporting our mission. This position will entail a wide range of duties including being responsible for the effective hands-on coordination and management of the e-billing and payment cycle workflow related to payment posting, charge corrections, monthly reconciling of payments to bank deposits for the Firm's offices and other duties as assigned. CGS brings motivated, highly skilled, and creative people together to solve the government's most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Skills and attributes for success: Ensures accurate observance of e-billing requirements and processes. Prepares monthly, semi-monthly and ad-hoc billing reports for internal and external clients. Ensures timely invoice submission to clients, based on established timelines. Creates and distributes ad hoc operational and billing reports to management as requested. Works with Controller and Accounting Department to identify, review and recommend changes to automate or enhance timeliness, accuracy, and efficiency of billing processes. Supports internal and external auditors as requested. Supervises e-billing and receivables staff. Evaluates e-billing and receivables staff skill levels, recommends any necessary training/changes. Provides feedback to staff performance appraisals, develops performance management objectives to address concerns, drives engagement and retention; participates in team hiring and separation decisions. Delegates assignments and projects to staff as appropriate Qualifications: Demonstrated ability to work well, be influential and articulate initiatives, projects, results, and analyses to senior leadership and staff, including presenting ideas in a clear, succinct manner. High attention to detail, outstanding organizational skills and the ability to manage time effectively. Excellent interpersonal and communication skills (oral and written), professional demeanor and presentation. Analytical with strong problem-solving skills, takes initiative and uses good judgment, excellent follow-up skills. Work efficiently with the ability to multi-task and set priorities while maintaining and delivering the highest quality work product accurately. Position also requires the ability to work under pressure to meet strict deadlines, adapt to a fast paced high pressure environment to achieve business goals and objectives. Ability to work both independently and as part of a cross-functional, collaborative team. Bachelor's Degree or equivalent experience in Accounting, Finance, or related field preferred. Five years of legal billing/receivables experience and in-depth knowledge of accounting principles and billing software; Advanced experience in e-billing. Two years of supervisory experience in similar role and ability to assume a leadership role. Advanced knowledge of MS Applications to include Excel, Outlook, and Access. Our Commitment: Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client's specific needs. We are committed to solving the most challenging and dynamic problems. For the past seven years, we've been growing our government-contracting portfolio, and along the way, we've created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work. Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and delivering the best quality to our consumers mending those relations for years to come. We care about our employees. Therefore, we offer a comprehensive benefits package. Health, Dental, and Vision Life Insurance 401k Flexible Spending Account (Health, Dependent Care, and Commuter) Paid Time Off and Observance of State/Federal Holidays Contact Government Services, LLC is an Equal Opportunity Employer. Applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Join our team and become part of government innovation! Explore additional job opportunities with CGS on our Job Board: https://cgsfederal.com/join-our-team/ For more information about CGS please visit: https://www.cgsfederal.com or contact: Email: [email protected] #CJ $91,800 - $132,600 a year We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Posted 30+ days ago

T logo
Telecare Corp.Santa Ana, CA

$21 - $24 / hour

Telecare's mission is to deliver excellent and effective behavioral health services that engage individuals in recovering their health, hopes, and dreams. Telecare continues to advance cultural diversity, humility, equity, and inclusion at all levels of our organization by hiring mental health peers, BIPOC, LGBTQIA+, veterans, and all belief systems. Shifts Available: Full-Time | 8:30AM - 5:00PM Expected starting wage range is $21.00 - $24.11. Telecare applies geographic differentials to its pay ranges. The pay range assigned to this role will be based on the geographic location from which the role is performed. Starting pay is commensurate with relevant experience above the minimum requirements. POSITION SUMMARY The Billing Specialist is responsible for all billing related tasks including collection of billing data, data entry into County IRIS, running reports and reconciliation of data. ESSENTIAL FUNCTIONS Demonstrate the Telecare mission, purpose, values and beliefs in everyday language and contact with the internal and external stakeholders Enters members served information, enrollment, eligibility information and billing data into County IRIS Reconciles Caminar data to County IRIS data to ensure that all services have been billed accurately and within required timeframes Performs computer interface (uploads) of data to Corporate office Updates Health Benefit eligibility verification for all members served on a monthly basis Assists Business Office Manager with all aspects of payroll preparation, accounts payable, and invoice research Assists the Business Office Manager with private insurance billing, verifying coverage and mailing bills Verifies benefit status on new members served Duties and responsibilities may be added, deleted and/or changed at the discretion of management. QUALIFICATIONS Required: One (1) year of general office experience High school diploma or a G.E.D. The ability to work with minimum supervision, set work priorities and function as a self-starter This position is contingent upon successful completion and receipt of acceptable results of the applicable post-offer physical examination, 2-step PPD test for tuberculosis, passing applicable criminal background clearances, excluded party sanctions, and degree or license verification If the position requires driving, a motor vehicle clearance and proof of auto insurance is required prior to hire. Additional regulatory, contractual or local requirements may apply Must be at least 18 years of age Must be CPR, Crisis Prevention Institute (CPI), and First Aid certified on date of employment or within 60 days of employment and maintain current certification throughout employment All opportunities at Telecare are contingent upon successful completion and receipt of acceptable results of the applicable post-offer physical examination, 2-step PPD test for tuberculosis, acceptable criminal background clearances, excluded party sanctions, and degree or license verification. If the position requires driving, valid driver license, a motor vehicle clearance and proof of auto insurance is required at time of employment and must be maintained throughout employment. Additional regulatory, contractual or local requirements may apply SKILLS Data entry experience and knowledge of spreadsheets, word processing and database software. EOE AA M/F/V/Disability If job posting references any sign-on bonus internal applicants and applicants employed with Telecare in the previous 12 months would not be eligible.

Posted 30+ days ago

A logo
Albany Medical Health SystemAlbany, NY

$38,938 - $50,619 / year

Department/Unit: Physicians Billing Work Shift: Day (United States of America) Salary Range: $38,937.60 - $50,618.88 This position is a Medical billing position for a Physician Practice. Providing efficient and timely follow up of delinquent and denied accounts from third party payers is an essential part of this role. This position is responsible for securing revenue for services provided by Physicians of Albany Med Health System by completing appeals, phone calls, and account review. Qualifications: High school diploma or GED is required. AAS degree is preferred. Customer service experience required Experience providing phone-based customer service a plus Proficiency in office software including Excel and Word Proficiency utilizing payer websites Ability to work in a team environment Ability to communicate effectively, both verbally and in writing Ability to Multi-task and handle a fast-paced work environment Demonstrate organizational and interpersonal skills Essential Duties and Responsibilities: Reviews charges and data for accuracy and appeals discrepancies in regards to CPT-4 and ICD-10 codes with Insurance Companies Validate and Correct registration and insurance information, notations, correct claim submission Researches and interprets information to efficiently reconcile accounts Review and understand payer policy guidelines regarding billing Follow internal policies and procedures for accurate account review Meet expected production and quality standards Other related duties as assigned Extensive on the job training is provided for this role to ensure knowledge and skills are sufficient to perform required duties and responsibilities. Hours for this position will be Monday through Friday, 8:00am-4:30pm. Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Posted 30+ days ago

Elara Caring logo
Elara CaringOklahoma City, OK
At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right Time, in the Right Place. Job Description: Billing Specialist - Remote Delivering the right care, at the right time, in the right place is the mission that drives Elara Caring, and that starts with the right people. We have extraordinary employees with a passion and enthusiasm to exceed the expectations of each patient we serve, each visit, every day-and that could include you. Elara Caring is looking for a passionate Billing Specialist to join our elite team of healthcare professionals and make a difference, one patient at a time. Why Join the Elara Caring mission? Supportive, collaborative environment Unique, rewarding opportunity caring for patients in their homes Competitive compensation Comprehensive onboarding and mentorship Opportunities for advancement and growth Medical, dental, and vision benefits, 401K and paid-time off for full-time staff. What is Required? Associates Degree preferred 5 years of billing experience in an appropriate clinical care setting or home health environment preferred Positive attitude Dedication to quality patient care Strong communication skills Reliable transportation to perform job duties Apply with Elara Caring today! This is not a comprehensive list of all job duties; a full job description will be provided. We value the unique skills of veterans and military spouses. We encourage applications from military veterans and their families. Elara Caring provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex (including pregnancy, childbirth or related medical conditions), race, color, age (40 and older), national origin, religion, disability, genetic information, marital status, sexual orientation, gender identity, gender reassignment, protected veteran status, or any other basis prohibited under applicable federal, state or local law. Elara Caring participates in E-Verify and we will provide the Federal Government with your Form I-9 information to confirm that you are authorized to work in the United States. Employers like Elara Caring can only use E-Verify once you have accepted the job offer and completed the Form I-9. At Elara Caring, pay and compensation are determined by a variety of factors, including education, job-related knowledge, skills, training, and experience. Our compensation structure reflects the cost of labor across different U.S. geographic markets, and may vary based on location. This is not a comprehensive list of all job responsibilities and requirements; upon request, a job description can be provided. If you are an individual with a disability and are unable or limited in your ability to use or access our career site as a result of your disability, you may request reasonable accommodations by reaching out to recruiting@elara.com.

Posted 2 weeks ago

Washington University in St. Louis logo
Washington University in St. LouisSaint Louis, MO

$25 - $38 / hour

Scheduled Hours 40 Position Summary Performs advanced coding and appeal activities; investigates payer issues; responsible for timely filing of appeals to insurance companies; handles charge corrections. Job Description Primary Duties & Responsibilities: Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment. Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-9 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required. Assists with efforts to increase physician awareness of documentation requirements. Prepares case reports and initiates follow-up for billing process. Working Conditions: Job Location/Working Conditions: Normal office environment. Remote work but required to come in the office at least once a month or as needed. Physical Effort: Typically sitting at desk or table. Equipment: Office equipment. The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time. Required Qualifications Education: A diploma, certification or degree is not required. Certifications: The list below may include all acceptable certifications and issuers. More than one credential or certification may be required depending on the role. Certified Coding Associate (CCA)- American Health Information Management Association (AHIMA), Certified Coding Specialist (CCS)- American Health Information Management Association (AHIMA), Certified Coding Specialist- Physican based (CCS-P)- American Health Information Management Association (AHIMA), Certified Professional Coder (CPC)- American Academy of Professional Coders (AAPC), Certified Professional Coder- Apprentice (CPC-A)- American Academy of Professional Coders (AAPC), Certified Professional Coder- Hospital (CPC-H)- American Academy of Professional Coders (AAPC), Certified Professional Coder- Hospital Apprentice (CPC-H-A)- American Academy of Professional Coders (AAPC), Registered Health Information Administrator (RHIA)- American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT)- American Health Information Management Association (AHIMA) Work Experience: No specific work experience is required for this position. Skills: Not Applicable Driver's License: A driver's license is not required for this position. More About This Job Required Qualifications: Must have one of the following coding credentials: AHIMA (CCA, CCS, or CCS-P); AAPC (CPC, CPC-A, CPC-H, CPC-H-A, or one of the AAPC specialty-specific coding credentials (the specialty-specific credential is only valid for that employee's department). Preferred Qualifications: Previous coding experience or experience equivalent to an associate's degree in a related field. Knowledge of ICD-10 and CPT coding. Preferred Qualifications Education: Associate degree- Medical Coding & Billing Certifications: No additional certification unless stated elsewhere in the job posting. Work Experience: No additional work experience unless stated elsewhere in the job posting. Skills: Computer Systems, ICD-10 Procedure Coding System, Medical Billing and Coding, Medical Terminology Grade C10-H Salary Range $25.30 - $37.94 / Hourly The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget. Questions For frequently asked questions about the application process, please refer to our External Applicant FAQ. Accommodation If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request. All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship. Pre-Employment Screening All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening. Benefits Statement Personal Up to 22 days of vacation, 10 recognized holidays, and sick time. Competitive health insurance packages with priority appointments and lower copays/coinsurance. Take advantage of our free Metro transit U-Pass for eligible employees. WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%. Wellness Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more! Family We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We've got you covered. WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us. For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/ EEO Statement Washington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups. It is the University's policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information. Washington University is dedicated to building a community of individuals who are committed to contributing to an inclusive environment - fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply.

Posted 30+ days ago

Yale University logo
Yale UniversityNew Haven, CT

$65,000 - $101,000 / year

Working at Yale means contributing to a better tomorrow. Whether you are a current resident of our New Haven-based community- eligible for opportunities through the New Haven Hiring Initiative or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome. Discover your opportunities at Yale! Salary Range $65,000.00 - $101,000.00 Overview Reporting to the Director of Operations at the Yale Cancer Center Clinical Trials Office, the Research Billing Compliance Analyst is the primary liaison with the centralized hospital and professional billing offices. This role receives charges from these two offices for review and determination of appropriate billing designations, ensuring alignment with Medicare (CMS) regulations and institutional policies. The analyst maintains detailed records, monitors trends and risk areas, and communicates findings to relevant stakeholders. Collaborating with clinical research staff, investigators, vendors, and administrators, the analyst supports policy development and process improvements to enhance billing compliance. Additional responsibilities include resolving billing discrepancies, staying current with federal regulations and best practices, and serving as a key resource and liaison for clinical trial billing. The analyst also contributes robust documentation and follow-up related to clinical trials billing within the Clinical Trial Management System. Required Skills and Abilities: Demonstrated ability with using clinical trial systems, protocol tracking and reporting. Advanced knowledge and experience with clinical trial regulatory documents such as protocols, informed consent documents, Medicare Coverage Analysis (MCA), and Clinical Trial Agreements (CTA). Outstanding verbal, written, communication and organizational skills, exceptional attention to detail, well-developed analytical and problem-solving skills, demonstrated superior customer service abilities and outstanding time management skills. Ability to possess sound, independent judgement, with ability to prioritize and handle many tasks simultaneously in a complex, fast-paced environment. Ability to work independently and effectively with a wide range of individuals. Strong computer skills required, including strong competency in Microsoft Office programs (Word, Excel, PowerPoint, etc.). Preferred Education/Experience: Experience working with oncology clinical trials; CPC certification Principal Responsibilities Primary responsibilities include the completion of risk assessments on all MQT trials with billable services. The level of risk is determined utilizing the CTMS (OnCore) risk assessment tool as well as the clinical trial documentation and information provided within the study's protocol. Once the risk assessment is complete and all trials scored, random selection of the highest risk trials will be assessed and reviewed for accurate research billing compliance and proper medical documentation. 2. Medical documentation, coding and billing will be evaluated for accurate ICD-10, CPT-4, HCPC and modifier placement in compliance with University and government regulations. 3. Identify potential clinical research charges not specifically defined in research protocols. Work collaboratively with the Office of Sponsored Projects to determine proper documentation alignment including but not limited to the informed consent forms, research protocols, clinical trial agreement and trials finalized budget. 4. Review all billable services/encounters for designated studies utilizing OnCore and Epic. Communicate and supply YNHHS Compliance department with ongoing reviews and assist with any information requested in order to ensure accurate and consistent billing for both professional and hospital charges. 5. Evaluate findings, identify system control weaknesses and in conjunction with department management, assist in the development of a corrective action plan for Principal Investigator and study team. Assist in the implementation and follow up of all corrective action changes. 6. Maintain accurate logs, including spreadsheets, of all ongoing investigations. Enter all review findings in the OnCore registry database Identify and analyze any trends and report findings to the Associate Director, Research Billing Compliance. 7. Assist in the conduction of research training sessions with Principal Investigators and research related study teams and personnel. Provide subject matter expertise and input on areas where education is needed. Assist in the development of training materials and programs for research billing compliance, including but not limited to accurate coding, documentation billing and regulatory guidelines. 8. Conduct data analysis. Generate reports using OnCore reporting tools to identify trends and problem areas for focus of internal reviews. 9. Assist and support with the ongoing implementation of the Research Billing Compliance Program as well as knowledge retention and maintenance of the Yale School of Medicine's Research Billing Compliance Plan, operations and procedures. 10. Stay abreast of best practice coding and billing initiatives as well as all pertinent regulatory changes. Maintain CPC designation by obtaining necessary CEUs on an annual basis. Required Education and Experience Bachelor's Degree in Health or Business Administration or a related field and 3 years of experience working directly with clinical research charge review and billing or an equivalent combination of education and experience. Job Posting Date 12/02/2025 Job Category Professional Bargaining Unit NON Compensation Grade Clinical & Research Compensation Grade Profile Research Billing Compliance Analyst (23) Time Type Full time Duration Type Staff Work Model Remote Location 221 Whitney Ave, New Haven, Connecticut Background Check Requirements All candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks based on the position description and job requirements. All offers are contingent upon the successful completion of the background check. For additional information on the background check requirements and process visit "Learn about background checks" under the Applicant Support Resources section of Careers on the It's Your Yale website. Health Requirements Certain positions have associated health requirements based on specific job responsibilities. These may include vaccinations, tests, or examinations, as required by law, regulation, or university policy. Posting Disclaimer Salary offers are determined by a candidate's qualifications, experience, skills, and education in relation to the position requirements, along with the role's grade profile and current internal and external market conditions. The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the position. Employees will be assigned specific job-related duties through their hiring department. The University is committed to basing judgments concerning the admission, education, and employment of individuals upon their qualifications and abilities and seeks to attract to its faculty, staff, and student body qualified persons from a broad range of backgrounds and perspectives. In accordance with this policy and as delineated by federal and Connecticut law, Yale does not discriminate in admissions, educational programs, or employment against any individual on account of that individual's sex, sexual orientation, gender identity or expression, race, color, national or ethnic origin, religion, age, disability, status as a special disabled veteran, veteran of the Vietnam era or other covered veteran. Inquiries concerning Yale's Policy Against Discrimination and Harassment may be referred to the Office of Institutional Equity and Accessibility (OIEA). Note Yale University is a tobacco-free campus.

Posted 30+ days ago

Brook Lane logo
Brook LaneHagerstown, MD
Manager, Patient Financial Services - Physician Billing Meritus Health | Hagerstown, MD Meritus Health is seeking an experienced Manager of Physician Patient Billing to lead our physician billing operations. This is a high-impact leadership role where you'll oversee billing processes, drive revenue cycle performance, and ensure patients receive a seamless financial experience. What You'll Do Lead and mentor a team of billing professionals, fostering growth and accountability Oversee charge entry, claims submission, payment posting, and account reconciliation Ensure compliance with HIPAA, Medicare, Medicaid, and payer requirements Partner with revenue cycle teams to improve collections and reduce A/R days Resolve patient billing inquiries with empathy and professionalism Analyze financial reports to identify trends and implement improvements Leverage billing software and EHR systems (Epic experience preferred) What We're Looking For Associate's degree or equivalent combination of education and experience 5+ years in physician billing/revenue cycle management, including 3+ years in leadership Strong technical skills in billing software, EHR systems, and Microsoft Office Suite Proven ability to analyze complex data and make informed decisions Excellent communication skills with physicians, staff, and patients Demonstrated success in leading and motivating high-performing teams Why Meritus Health? Join a mission-driven healthcare organization committed to exceptional patient care Lead a team where your work directly impacts patient satisfaction and financial success Grow your career in a supportive environment with opportunities to innovate Be part of a respected health system with strong community roots Apply today to lead with purpose and help shape the future of patient financial services at Meritus Health. Caring for Our Team We offer a comprehensive benefits package to support our employees' well-being and professional growth. Benefits include health, dental, and vision insurance available starting the first day of the month following 30 days of employment, along with life insurance, short and long-term disability coverage. Paid Time Off begins accruing from day one, and we also provide a 401k plan, an education assistance program, and an employee assistance program. Additionally, employees working evening, night, or weekend shifts may be eligible for a shift differential, adding even more value to your role. Happy to Help At Meritus, we believe in a collaborative and caring work environment. Interactions are an opportunity to learn, listen and to be there for one another. Therefore, we provide warm welcomes, hospitality-driven closures, and are always Happy to Help.

Posted 30+ days ago

General Motors logo
General MotorsWarren, MI
Job Description Location: Hybrid: This role is categorized as hybrid. This means the successful candidate is expected to report to Warren, MI, three times per week, at minimum. About the Role Join GM's Digital Products Engineering team and help shape the future of our billing platform. You'll lead Zuora integration, architect scalable batch processing systems, and enhance onboarding experiences for millions of OnStar customers. This is a hands-on technical leadership role where you'll design, build, and optimize cloud-native solutions on Azure, working with modern frameworks and event-driven architectures. What You'll Do Lead design and development of billing platform features and Zuora integration. Architect resilient batch processing systems for high-volume financial transactions. Enhance OnStar onboarding flows for seamless customer experiences. Drive migration of services to Azure using cloud-native best practices. Build microservices and event-driven systems leveraging Kafka. Collaborate with product, business, and engineering teams to deliver scalable solutions. Write clean, testable code across front-end and back-end components. Mentor junior developers and champion engineering best practices. Required Qualifications Bachelor's degree in CS or equivalent experience. 5+ years in full-stack development with enterprise integrations (Zuora or similar). Strong experience with batch processing and financial systems. Hands-on Azure migration and cloud architecture expertise. Proficiency in Java, Spring Boot, Node.js, JavaScript/TypeScript, React/Angular. Experience with microservices, Kafka, and relational/NoSQL databases. Solid understanding of testing frameworks (JUnit, Jest, Cypress). Preferred Qualifications Strong preference for experience with Shopify Prior experience with billing systems or financial applications. Familiarity with Liquid or Hydrogen frameworks. Strong leadership and mentoring skills. Additional Information: GM DOES NOT PROVIDE IMMIGRATION-RELATED SPONSORSHIP FOR THIS ROLE. DO NOT APPLY FOR THIS ROLE IF YOU WILL NEED GM IMMIGRATION SPONSORSHIP NOW OR IN THE FUTURE. THIS INCLUDES DIRECT COMPANY SPONSORSHIP, ENTRY OF GM AS THE IMMIGRATION EMPLOYER OF RECORD ON A GOVERNMENT FORM, AND ANY WORK AUTHORIZATION REQUIRING A WRITTEN SUBMISSION OR OTHER IMMIGRATION SUPPORT FROM THE COMPANY (e.g., H-1B, OPT, STEM OPT, CPT, TN, J-1, etc.) This job may be eligible for relocation benefits. About GM Our vision is a world with Zero Crashes, Zero Emissions and Zero Congestion and we embrace the responsibility to lead the change that will make our world better, safer and more equitable for all. Why Join Us We believe we all must make a choice every day - individually and collectively - to drive meaningful change through our words, our deeds and our culture. Every day, we want every employee to feel they belong to one General Motors team. Benefits Overview From day one, we're looking out for your well-being-at work and at home-so you can focus on realizing your ambitions. Learn how GM supports a rewarding career that rewards you personally by visiting Total Rewards resources. Non-Discrimination and Equal Employment Opportunities (U.S.) General Motors is committed to being a workplace that is not only free of unlawful discrimination, but one that genuinely fosters inclusion and belonging. We strongly believe that providing an inclusive workplace creates an environment in which our employees can thrive and develop better products for our customers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, national origin, citizenship status, religion, age, disability, pregnancy or maternity status, sexual orientation, gender identity, status as a veteran or protected veteran, or any other similarly protected status in accordance with federal, state and local laws. We encourage interested candidates to review the key responsibilities and qualifications for each role and apply for any positions that match their skills and capabilities. Applicants in the recruitment process may be required, where applicable, to successfully complete a role-related assessment(s) and/or a pre-employment screening prior to beginning employment. To learn more, visit How we Hire. Accommodations General Motors offers opportunities to all job seekers including individuals with disabilities. If you need a reasonable accommodation to assist with your job search or application for employment, email us or call us at 800-865-7580. In your email, please include a description of the specific accommodation you are requesting as well as the job title and requisition number of the position for which you are applying.

Posted 3 weeks ago

Klaviyo logo
KlaviyoBoston, MA
Why You Should Join the Billing Team: The Billing team at Klaviyo is at the heart of how we deliver value to our customers and drive revenue for the business. We're responsible for everything from pricing and payments to product entitlements. Our systems ensure customers are billed accurately and have access to the features they've selected. As Klaviyo expands globally and launches new product offerings, our team plays a pivotal role in enabling speed, flexibility, and scale across the company. As an Lead Software Engineer on this team, you'll lead a group of engineers focused on building internal platforms that empower teams across Klaviyo to self-serve product packaging, entitlements, and billing logic. You'll oversee work to build a pricing and packaging platform, and to build scalable infrastructure that supports international growth. This is a hands-on leadership role where you'll contribute to code, design, and strategy. Your work will directly enable faster product launches, better customer experiences, and improved business outcomes. How You Will Make a Difference: Lead a team of engineers building a new internal pricing and billing platform Own Klaviyo's 3rd party payment and billing integrations and expand payment capabilities Build scalable systems to support international markets and payment flexibility Contribute directly to architecture and code, driving best practices and quality Collaborate with cross-functional teams to unlock product revenue opportunities Grow and mentor engineers while helping shape the future of billing at Klaviyo Transform workflows by putting AI at the center, building smarter systems and ways of working from the ground up. Who You Are: 8+ years of engineering experience with strong backend skills (Python or similar) Comfortable coding and reviewing complex systems - this is a hands-on role Experience with fullstack development (React familiarity is a plus) Proven experience with third-party APIs, especially Stripe or payment systems Skilled in system design and scaling infrastructure using AWS Experience building developer platforms or internal tooling is a strong plus Clear communicator and collaborative team player You've already experimented with AI in work or personal projects, and you're excited to dive in and learn fast. You're hungry to responsibly explore new AI tools and workflows, finding ways to make your work smarter and more efficient. Technologies We Use: Python, Django React, TypeScript Stripe API, RESTful integrations AWS, Terraform, Redis, MySQL Location: This is a hybrid role based in Boston, with 3 days in office and 2 days remote per week. We use Covey as part of our hiring and / or promotional process. For jobs or candidates in NYC, certain features may qualify it as an AEDT. As part of the evaluation process we provide Covey with job requirements and candidate submitted applications. We began using Covey Scout for Inbound on April 3, 2025. Please see the independent bias audit report covering our use of Covey here

Posted 30+ days ago

Sentara Healthcare logo
Sentara HealthcareVirginia Beach, VA
City/State Virginia Beach, VA Work Shift First (Days) Overview: Premium Billing Specialist Position Status: Full-time, Day Shift Position Location: On-site in Virginia Beach. After successful completion of training will have the opportunity to work from home 2 days a week. Standard Working Hours: 8:00AM to 5:00PM Sentara Park Office, Virginia Beach Responsible for accurately balancing and reconciling health plan accounts receivables. Maintaining and updating spreadsheets with current accounts payable and receivable data, verifying the accuracy of billing information, and making necessary corrections. Key responsibilities include posting payments, generating monthly reports, managing collections, and maintaining regular correspondence with various groups to ensure accurate and timely financial transactions. Education High school diploma or equivalent Certification/Licensure No specific certification or licensure requirements Experience 1 year of related experience in billing and accounts receivables Benefits: Caring For Your Family and Your Career Medical, Dental, Vision plans Adoption, Fertility and Surrogacy Reimbursement up to $10,000 Paid Time Off and Sick Leave Paid Parental & Family Caregiver Leave Emergency Backup Care Long-Term, Short-Term Disability, and Critical Illness plans Life Insurance 401k/403B with Employer Match Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education Student Debt Pay Down - $10,000 Reimbursement for certifications and free access to complete CEUs and professional development Pet Insurance Legal Resources Plan Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission "to improve health every day," this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

Posted 3 weeks ago

Geico Insurance logo
Geico InsuranceBaltimore, MD

$110,000 - $230,000 / year

At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. At GEICO, we are not just an insurance company; we are a technology-driven organization that is transforming the insurance landscape. Our mission is to leverage cutting-edge technology to deliver exceptional experiences for our customers and create innovative solutions that redefine the industry. About The Team The Billing Platform team at GEICO oversees the tools, infrastructure, data, reporting, analytics, and services essential for delivering seamless billing experiences to internal users, end customers, and partners. Our Billing Platform functions as the backbone for managing financial transactions and customer interactions, enhancing efficiency, accuracy, and customer satisfaction while supporting strategic growth and ensuring compliance. What you will do We are seeking a Staff Backend Software Engineer with extensive experience in designing, building, and maintaining large-scale applications and distributed systems. You will become an integral part of a team dedicated to managing GEICO's core billing platform. This platform includes a comprehensive array of components such as a core billing engine, invoicing system, commissions management, collections, payment processing, CRM integration, subscription management, credit control and dunning management, along with reporting and analytics. In this role, you will play a pivotal role in re-architecting our platform from the ground up, focusing on enhancing the scalability and efficiency of our systems. Responsibilities Oversee high-level and low-level designs of one or more sub-systems of the billing platform we are building Be responsible and accountable for the quality, reliability, usability, and performance of the solutions Provide strategic guidance and oversight for multiple billing teams, ensuring alignment with the Platform's technical vision and business objectives Lead the design and development of complex software systems, ensuring they are scalable, maintainable, and meet high-quality standards. (This includes evaluating code quality and collaborating with stakeholders to understand and implement project requirements) Identify and prioritize technical challenges that may pose risks to business - developing solutions to address these issues efficiently, ensuring smooth product development Work closely with various departments, including product management and design, to ensure cohesive and successful project delivery Facilitate effective communication and collaboration across teams to achieve common goals Mentor and guide engineers, fostering a culture of continuous learning and improvement Provide technical guidance to help team members overcome challenges and make informed decisions Who you are We are looking for someone who meets the minimum requirements to be considered for the role. If you meet these requirements, you are encouraged to apply. The preferred qualifications are a bonus, not a requirement. Minimum Requirements 8+ years of professional, hands-on software development experience Strong experience in architecting and designing large-scale, complex systems Proficient coding skills in Java, Golang, or similar languages, capable of producing high-performance, production-quality code. Experience with a wide range of technologies, including SQL and NoSQL databases, Kafka, Spark, Airflow, or their equivalents Proficient in using cloud computing tools throughout the software development lifecycle, with deep expertise in DevOps, observability, telemetry, and test automation Skilled in collaborating across engineering teams and other functions to build alignment, drive decision-making, and communicate transparently Preferred Qualifications Experience in the financial technology sector, with a focus on billing, payments, subscription management, and financial reporting Proven track record in designing and implementing workflow engines Education Bachelor's and/or Master's degree, preferably in CS, or equivalent experience Be Part of Our Journey If you are a passionate technologist looking to make a difference, GEICO Tech is the place for you. Join us and be part of a team that is shaping the future of insurance technology. Together, we will create innovative solutions that improve lives and transform the industry. Annual Salary $110,000.00 - $230,000.00 The above annual salary range is a general guideline. Multiple factors are taken into consideration to arrive at the final hourly rate/ annual salary to be offered to the selected candidate. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate's work experience, education and training, the work location as well as market and business considerations. GEICO will consider sponsoring a new qualified applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. Access to additional benefits like mental healthcare as well as fertility and adoption assistance. Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.

Posted 2 weeks ago

Commerce Bank logo
Commerce BankKansas City, MO

$82,000 - $96,500 / year

About Working at Commerce Building a career here is more than just steps on a ladder. It's about helping people find financial safety and success, helping businesses thrive, and making sure people and their money are taken care of. And our commitment doesn't stop there. Our culture is about our people, the ones in our communities and the ones that work with us. Here, you'll find opportunities to grow and learn, to connect with others, and build relationships with the people around you. You'll have the space and resources to grow into the best version of yourself. Because our number one investment is you. Creating an award-winning culture doesn't come easy. And after 160 years, we know Commerce Bank is only at its best when our people are. If this sounds interesting to you, keep reading and let's talk. Compensation Range Annual Salary: $82,000.00 - $96,500.00 (Amount based on relevant experience, skills, and competencies.) About This Job The main purpose of this role is to oversee billing of corporate customers for services. Additionally, this manager will oversee corporate account and healthcare setups. The role manages a wide range of functions within departments with very little overlap. Essential Functions Communicate job expectations, planning, monitoring, and evaluating employee contributions Manage department audits and ensure all SOX controls are being met Evaluate monthly expenses, manage department metrics and analyze budget variances Communicate customer issues with Operations team and devise ways of improving the customer experience, including resolving problems and complaints Responsible for ensuring accurate billing for corporate customers by opening accounts, processing refunds and payments, exception pricing updates, and monthly rate calculations Lead, mentor and motivate team members to implement the department strategy and manage department workflow with guidance on departmental projects/issues, and provide coaching and development opportunities appropriate to each direct report's individual needs Perform all necessary management functions, including hiring, evaluations, annual increase allocations and disciplinary action as required Communicate decisions, priorities, and relevant information to team members effectively Support budget management, planning and expenditure Perform other duties as assigned Knowledge Skills & Abilities Required Strong knowledge business and management principles, including knowledge of best practices Strong critical thinking skills with the ability to apply discretion and sound judgement to solve problems efficiently and effectively Ability to drive results and balance management of organizational risk and meeting goals of the business Strong leadership skills with ability to motivate team members and foster a positive team environment that gives way to collaboration and unified goals Outstanding interpersonal and relationship building skills with the ability to effectively communicate with all levels of the company, clearly expressing ideas and concepts both verbally and in writing Ability to remain adaptable and resilient to all situations with an optimistic outlook and cast a positive shadow that is aligned with our culture and Core Values Intermediate level proficiency with Microsoft Word, Excel and Outlook Education & Experience Bachelor's degree or equivalent combination of education and experience required 6+ years customer service and bank operations experience required 3+ years leadership/supervisory experience required Hybrid Schedule: In office 2 days per week For individuals applying, assigned and/or hired to work in areas with pay transparency requirements, Commerce is required by law to include a reasonable estimate of the compensation range for some roles. This compensation range is for the Manager, Customer Setups, Billing & Healthcare Monitoring job and contemplates a wide range of factors that are considered in making compensation decisions, including but not limited to location, skill sets, education, relevant experience and training, licensure and certifications, and other business and organizational needs. The disclosed range estimate has not been adjusted for any applicable differentials (geographic, bilingual, or shift) that could be associated with the position or where it is filled. At Commerce, compensation decisions are dependent on the facts and circumstances of each situation. A reasonable estimate of the current base pay is $82,000 to $96,500 annually. #LI-Hybrid The candidate selected for this position may be eligible for the following employment benefits: employer sponsored health, dental, and vision insurance, 401(k), life insurance, paid vacation, and paid personal time. In addition, we offer career development, education assistance, and voluntary supplemental benefits. Click here to learn more. Location: 922 Walnut St, Kansas City, Missouri 64106 Time Type: Full time

Posted 4 weeks ago

UMass Memorial Health Care logo

Professional Billing- Coding/Education Specialist - Remote

UMass Memorial Health CareWorcester, MA

$64,085 - $115,336 / year

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Job Description

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account.

Exemption Status:

Exempt

Hiring Range:

$64,084.80 - $115,336.00

Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations.

Schedule Details:

Monday through Friday

Scheduled Hours:

8-5

Shift:

1 - Day Shift, 8 Hours (United States of America)

Hours:

40

Cost Center:

99940 - 5452 RI and Charge Capture

This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.

Everyone Is a Caregiver

At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.

Serves as a Charge Generation Tracker (CGT) and regulatory gatekeeper to ensure compliance with coding and billing guidelines. Reviews all assigned edits within prescribed timeframe and routes to appropriate owner for resolution. Provides regulatory (coding and billing) support to clinical charge capture specialists to address CGT, coding, charge capture and billing questions. Acts as primary resource for providers, clinical and administrative staff for coding questions and research related to revenue enhancement and correct coding.

I. Major Responsibilities:

  1. Serves as a gatekeeper to ensure that regular and annual CGT updates compliant with third party regulatory and coding billing guidelines and reflect clinical practice.

  2. Collaborates with clinical / ancillary departments to facilitate proper use of CGT files as well as synchronization of preference lists and orders in IT applications.

  3. Ensures system wide compliance with federal, state and local regulations with regard to charge codes and related information in the CGT.

  4. Ensures standardized CGT request processes are followed.

  5. Reviews all assigned edits within prescribed timeframe and routes to appropriate owner for resolution.

  6. Provides support and guidance to clinical and RI / Charge Capture staff to resolve outstanding edits.

  7. Monitors daily edits reports and alerts clinical departments of delinquencies.

  8. Provides regulatory (coding and billing) support to clinical charge capture specialists to address CGT, coding, charge capture and billing questions.

  9. Utilizes subject matter knowledge to support proper interpretation and analysis of performance report(s).

  10. Utilizes reporting and data analysis in combination with standard benchmarks and criteria to identify and follow-up on potential revenue integrity issues.

  11. Ensures the CGT structure supports effective capture of all chargeable services based on a thorough knowledge of the regulatory requirements, IT applications and charge capture processes.

  12. Provides subject matter knowledge related to the CGT for clinical departments, revenue cycle team, finance, compliance and administrative staff.

  13. Provides accurate feedback and documentation to support educational needs.

  14. Develops and conducts educational courses and seminars focusing on professional documentation, coding and billing for physicians, clinicians, administrative staff and Professional Billing Central Billing Office (PBCBO) staff.

  15. Develops training programs and supporting materials relative to physician coding and billing guidelines and protocols to ensure that specific areas of need are addressed and that all materials comply with applicable rules and regulations.

  16. Participates in PBCBO staff training on coding and billing guidelines.

  17. Monitors CMS and applicable third party coding and billing publications, and abstracts key information relative to established coding and billing policies and procedures for distribution to UMMMG stakeholders (clinical, administrative, compliance, PFS, finance).

  18. Researches third party coding and billing guidelines and ensures timely and accurate compliance with federal, state, local payer requirements as well as UMMMG contracts specific to charging, coding, bundling and unbundling, modifier reporting requirements.

  19. Leads annual review process by providing updates regarding CPT, CMS regulatory updates, professional society publications (e.g., ASA) for clinical, administrative, compliance, revenue cycle, and finance.

  20. Performs quality audits and reviews of focused patient accounts to identify improvement opportunities in clinical documentation, charge capture and coding.

  21. Provides audit feedback to key clinical and revenue cycle stakeholders for continuous improvement.

  22. Monitors downtime forms for each billing area.

  23. Collaborates with clinical charge capture analyst to ensure that downtime procedure is maintained.

Standard Staffing Level Responsibilities:

  1. Complies with established departmental policies, procedures and objectives.

  2. Attends variety of meetings, conferences, seminars as required or directed.

  3. Demonstrates use of Quality Improvement in daily operations.

  4. Complies with all health and safety regulations and requirements.

  5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors.

  6. Maintains, regular, reliable, and predictable attendance.

  7. Performs other similar and related duties as required or directed.

All responsibilities are essential job functions.

II. Position Qualifications:

License/Certification/Education:

Required:

  1. Associate's degree.

  2. Certification in Professional Coding. (CPC) Certified Professional Coder.

  3. EPIC Credentialed in Ambulatory within 12 months of hire date.

Experience/Skills:

Required:

  1. Three to five (3-5) years of work experience related to professional billing and coding.

  2. Knowledge of industry standard practices, including CPT / HCPCS codes and third-party reimbursement policies.

  3. Knowledge of coding and billing requirements based on third party publications, including Blue Shield, Medicare, Medicaid, commercial insurers and HMOs / PPOs.

  4. Strong interpersonal and communication skills required. Ability to speak and present in front of groups required.

  5. Detail oriented, strong analytical skills with the ability to multi task and prioritize required.

  6. A working knowledge of Microsoft Office applications, ability to develop reports and create presentations.

Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.

Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents.

III. Physical Demands and Environmental Conditions:

Work is considered sedentary. Position requires work indoors in a normal office environment.

  • On-site work is required based on business need. Travel could be to any UMass office or facility*

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.

As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.

If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.

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