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Functional SAP Analyst - Order To Cash (Engagement Management And Billing)-logo
Functional SAP Analyst - Order To Cash (Engagement Management And Billing)
EisnerAmperIselin, NJ
Job Description At EisnerAmper, we look for individuals who welcome new ideas, encourage innovation, and are eager to make an impact. Whether you're starting out in your career or taking your next step as a seasoned professional, the EisnerAmper experience is one-of-a-kind. You can design a career you'll love from top to bottom - we give you the tools you need to succeed and the autonomy to reach your goals. EisnerAmper is seeking an experienced IT Business Analyst to collaborate with stakeholders in analyzing technology and operational opportunities in Order to Cash and billing. In this role, you will prioritize and manage the process improvements, enhancements, cross-functional tasks, document process and solution design, and work closely with stakeholders to improve technology capabilities and operational efficiency. Strong analytical and functional skills and knowledge of Professional Services / Accounting firm is essential. The successful candidate will work directly with the Director of SAP team and the Technology Team to ensure alignment on key initiatives. What it Means to Work for EisnerAmper: You will get to be part of one of the largest and fastest growing accounting and advisory firms in the industry You will have the flexibility to manage your days in support of our commitment to work/life balance You will join a culture that has received multiple top "Places to Work" awards We believe that great work is accomplished when cultures, ideas and experiences come together to create new solutions We understand that embracing our differences is what unites us as a team and strengthens our foundation Showing up authentically is how we, both as professionals and a Firm, find inspiration to do our best work What Work You Will be Responsible For: Lead the design and implementation of SAP S/4HANA solutions for Engagement Management and Customer Billing, tailored to the Professional Services industry. Translate complex business models (e.g., time-and-materials, fixed-fee, subscription) into scalable SAP configurations and enhancements. Analyze and optimize current business processes related to client engagements, project billing, and time tracking using SAP best practices. Support the full lifecycle of professional service engagements-from proposal through delivery and invoicing-ensuring integration with FICO, HR, and SD modules. Configure and manage SAP billing scenarios and ensure compliance with accounting standards such as ASC 606 and IFRS 15. Collaborate with cross-functional teams, leading workshops and coordinating with technical teams on integrations with systems like Salesforce, Concur, and HR modules. Develop test plans, execute testing, support UAT, and create end-user training materials and sessions. Act as a primary contact for continuous improvements in the Order to Cash and Billing process, identifying and implementing system enhancements. Basic Qualifications: Bachelor's degree in business, Information Technology, or a related field. An advanced degree is a plus. 5+ years of proven experience as a SAP Functional Analyst, preferably in a technology-driven, solution oriented and software development environment. Preferred/Desired Qualifications: Demonstrated experience leading process workstreams of Sales, Billing or Finance, ensuring timely delivery and stakeholder alignment. Experts with any SAP tools like Signavio, S/4 HANA and Microsoft office tools (MS Word, Excel, PowerPoint) will be preferred but not mandatory. Hands-on experience working in iterative delivery methodologies. Experience with business analysis tools will be helpful. EisnerAmper is proud to be a merit-based employer. We do not discriminate on the basis of veteran or disability status or any protected characteristics under federal, state, or local law. About our Technology Team: Technology is enhancing the ways we operate at every level of the firm, and the EisnerAmper Technology team is the driving force for that. Unlike your average IT team, you won't find us simply administering technology but serving as strategic advocates to deliver solutions that bring measurable, positive changes for all our clients. Because we pivot fast and always embrace new perspectives, we're creating a culture of technology across every department based on value and a true understanding of the business. By serving as partners to leaders throughout the organization, rather than as a resource, our Technology employees are accountable to each other and themselves to create a tangible impact based on results. The way we see it, there is always something new we can start, stop doing, or reimagine. With this mentality, we don't let perfection get in the way of innovation. If you have a theory, you'll have the autonomy to innovate, iterate, and collaborate to see it through. Because to us, there are no bad ideas-only avenues for us to grow as a team and individuals. About EisnerAmper: EisnerAmper is one of the largest accounting, tax, and business advisory firms, with approximately 450 partners and 4,500 employees across the world. We combine responsiveness with a long-range perspective; to help clients meet the pressing issues they face today and position them for success tomorrow. Our clients are enterprises as diverse as sophisticated financial institutions and start-ups, global public firms, and middle-market companies, as well as high net worth individuals, family offices, not-for-profit organizations, and entrepreneurial ventures across a variety of industries. We are also engaged by attorneys, financial professionals, bankers, and investors who serve these clients. Should you need any accommodations to complete this application please email: talentacquisition@eisneramper.com Preferred Location: Iselin

Posted 30+ days ago

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

Posted 1 week ago

Insurance Biller/Professional Billing-logo
Insurance Biller/Professional Billing
South Shore HealthWeymouth, MA
If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number: R-18977 Facility: LOC0014 - 549 Columbian Street549 Columbian StreetWeymouth, MA 02190 Department Name: SHS Patient Accounts Status: Full time Budgeted Hours: 40 Shift: Day (United States of America) The Third-Party Biller/Professional billing will accumulate data from Patient Access and Health Information Management for the purpose of submitting compliant third-party insurance and physician claims. Initiate all collection calls for payment on aged accounts receivable up to the point of self-pay collections. Generates reports for responsible insurance plans and maintains online collection worklists and online claims editing software for maximum efficiency. Ability to decipher reimbursement schemes for assigned insurances to complete the revenue cycle. We are looking for candidates with two years' experience in professional billing. Work Schedule: Monday through Friday, 8:00am- 4:30pm. This position has a hybrid option after 90 days. Key Job Responsibilities: Maintains up-to-date knowledge of all Federal, State and Insurance specific billing regulations, policies, procedures and code sets. Retains knowledge of Hospitals Credit Collection Policy. Notifies manager of any changes that would affect claim submission Evaluates daily claim file using online claim editing software for submission of 1500 claim forms. Initiate claim corrections as defined by insurance regulation and hospital policy. Evaluate unresolved accounts weekly, contact outside departments as needed and submit status to manager weekly to resolve unbillable accounts. Initiate collection of aged accounts receivable through an automated collector work list. Generate reports as needed for collection of aged accounts receivable. Accumulate at the beginning of each month or as requested a listing of unresolved/open accounts with aging greater than 120 days for manager review. Evaluate insurance reimbursement schemes as needed to verify that payments and adjustments have been accurately recorded. Communicate with patients as needed for additional insurance or other information needed in order to process a claim. Generate phone calls or letters as needed to obtain necessary insurance or other related information, prior to an account being placed in self-pay. Obtain proper verification of predefined patient demographic information and maintain documentation in order to verify identity. Technology- Embraces technological solutions to work processes and practices. Uses the API payroll system to enter time worked, sick days, vacations and holidays. Uses Epic to access and run reports. Uses Microsoft Outlook as a communication tool. Access provider web sites for verification of accounts. Safety Awareness- Fosters a "Culture of Safety" through personal ownership and commitment to a safe environment. Successfully answers safety questions in the annual mandatory education packet. Maintains a neat, organized work environment. Adheres to respiratory etiquette guidelines. Other duties as required. Attends and participates in staff meetings, in-service meetings and other activities as related to job performance. Attend seminars, workshops and training sessions offered by providers. Job Requirements: Minimum Education High school graduate or above preferred. Minimum Work Experience 2 years of hospital and/or physicians billing required. Additional Skills, Knowledge, and Abilities: Excel, Word and windows-based computer skills are required Strong analytical skills needed to meet assigned objectives Working knowledge of standardized health care CPT, HCPC and ICD9 coding Competencies Does this employee provide any patient care related services? Yes _ __ No X__ Organizational Competencies Service The extent to which an employee demonstrates an understanding of the organizational and department's service standards and strives to achieve them, treats patients and families with dignity, compassion and respect at all times, and demonstrates courtesy in interactions with members of all departments and disciplines within the Hospital. Teamwork The extent to which an employee acts as a cohesive member of a work team and demonstrates appropriate interactions with all Hospital service providers. Communication Fosters an environment that nurtures collaboration, teamwork and mutual respect through effective communication, and demonstrates positive communication skills evidenced by effective working relationship. Respect For Others Takes actions that indicates a consideration for others and awareness of the impact of one's behavior on others, demonstrates respect for diverse backgrounds of all patients, families, and co-workers, and seeks accommodations. Time and Priority Management Optimizes use of time by efficiently using resources to identify barriers and balance priorities. Efficiently utilizes tools, resources, techniques and/or systems to organize tasks. Balances multiple priorities simultaneously, assuring the timely and accurate completion of each task, while maintaining quality standards. Quality Awareness/Performance Improvement The extent to which an employee demonstrates an understanding of their role in maintaining a commitment to quality. Quality is the consistent provision of safe, effective and satisfying care and services. Safety Awareness Fosters a "Culture of Safety" through personal ownership and commitment to a safe environment. (Department and/or individual performance standards may also be addressed in essential functions of position.) Monday through Friday 8:00am- 4:30pm Responsibilities if Required: Education if Required: License/Registration/Certification Requirements:

Posted 3 weeks ago

Senior Manager, Billing Compliance-logo
Senior Manager, Billing Compliance
AxonScottsdale, AZ
Join Axon and be a Force for Good. At Axon, we're on a mission to Protect Life. We're explorers, pursuing society's most critical safety and justice issues with our ecosystem of devices and cloud software. Like our products, we work better together. We connect with candor and care, seeking out diverse perspectives from our customers, communities and each other. Life at Axon is fast-paced, challenging and meaningful. Here, you'll take ownership and drive real change. Constantly grow as you work hard for a mission that matters at a company where you matter. Your Impact As the Senior Manager of Billing Compliance, you will be a key member of a highly collaborative team that partners with our customers and cross-functional teams including Sales, Quoting, Order Management, Accounting, and Revenue. You'll play a vital role in ensuring billing compliance while identifying opportunities to enhance efficiency and drive operational effectiveness across the organization. A proactive team player who thrives in a fast-paced environment, you work closely with our global team, champion best practices, and step in wherever needed. You maintain a sharp attention to detail while moving quickly, and you apply your problem-solving skills to support business objectives and continuous improvement. What You'll Do Location: Hybrid Presence based near our US Hubs - Scottsdale, Boston, San Francisco, Atlanta, Sterling, Denver, or Seattle Reports to: Senior Director, Order-to-Cash Lead a team of professionals responsible for day-to-day strategic billing operations, compliance and the financial close process Mentor billing analysts with a focus on continuous learning, development and opportunity for growth within the organization and the Company Foster a customer-focused culture, by leading a highly transactional process that delivers technical excellence Develop a deep understanding of the Company's quote-to-cash cycle to design effective controls, optimize billing processes, and partner with Enterprise Applications to implement system fixes, enhancements and new capabilities Leverage data-driven insights to proactively identify opportunities and develop a strategic roadmap that enhances operational efficiency and drives excellence Collaborate cross-functionally, with operations and accounting teams to establish policies and create standard operating procedures that position the organization for scalable growth Ensure internal controls for billing-related processes are properly designed, operating effectively, and documented to ensure SOX compliance Lead the month-end close process in partnership with the accounting team, ensuring timely and accurate journal entries impacting accounts receivable are clearly communicated and properly recorded Perform account reconciliations, fluctuation analysis, and oversee the external audit process Define and publish metrics to measure, monitor, and report on the billing organization's effectiveness Document and maintain policies, including those for the execution of non-standard billing structures and the applicable review and approval criteria Provide audit support for both control and substantive testing What You Bring Bachelor's degree in accounting or finance, or equivalent, CPA license preferred 8+ years of accounting and finance experience, billing and revenue expertise, recent experience with a publicly traded company preferred Expert in US GAAP and ASC 606, preferably applied within the technology industry Excellent written and verbal communication skills with the ability to communicate across all levels of the organization and directly with our customers Advanced skills and expertise in Excel, Salesforce.com, ERP systems, and reporting solutions Collaborative leadership with a growth mindset and solutions-oriented approach who enables continuous system and process improvement through periods of hyper growth Proven ability to identify transformation opportunities within and beyond your core responsibilities, and to collaborate effectively in converting those opportunities to high-impact, scalable solutions Benefits that Benefit You Competitive salary and 401k with employer match Discretionary paid time off Paid parental leave for all Medical, Dental, Vision plans Fitness Programs Emotional & Mental Wellness support Learning & Development programs And yes, we have snacks in our offices Benefits listed herein may vary depending on the nature of your employment and the location where you work. Don't meet every single requirement? That's ok. At Axon, we Aim Far. We think big with a long-term view because we want to reinvent the world to be a safer, better place. We are also committed to building diverse teams that reflect the communities we serve. Studies have shown that women and people of color are less likely to apply to jobs unless they check every box in the job description. If you're excited about this role and our mission to Protect Life but your experience doesn't align perfectly with every qualification listed here, we encourage you to apply anyways. You may be just the right candidate for this or other roles. Important Notes The above job description is not intended as, nor should it be construed as, exhaustive of all duties, responsibilities, skills, efforts, or working conditions associated with this job. The job description may change or be supplemented at any time in accordance with business needs and conditions. Some roles may also require legal eligibility to work in a firearms environment. Axon's mission is to Protect Life and is committed to the well-being and safety of its employees as well as Axon's impact on the environment. All Axon employees must be aware of and committed to the appropriate environmental, health, and safety regulations, policies, and procedures. Axon employees are empowered to report safety concerns as they arise and activities potentially impacting the environment. We are an equal opportunity employer that promotes justice, advances equity, values diversity and fosters inclusion. We're committed to hiring the best talent - regardless of race, creed, color, ancestry, religion, sex (including pregnancy), national origin, sexual orientation, age, citizenship status, marital status, disability, gender identity, genetic information, veteran status, or any other characteristic protected by applicable laws, regulations and ordinances - and empowering all of our employees so they can do their best work. If you have a disability or special need that requires assistance or accommodation during the application or the recruiting process, please email recruitingops@axon.com. Please note that this email address is for accommodation purposes only. Axon will not respond to inquiries for other purposes.

Posted 30+ days ago

Senior Product Owner-Billing-logo
Senior Product Owner-Billing
Infosys LTDHartford, CT
Job Description Infosys is seeking a highly skilled and strategic Senior Product Owner-Billing to lead the development of our Group Premium Billing, Medicare Premium Billing, Accounts Receivables, Premium Reconciliation, and 820 Processing capabilities. This role is critical to ensuring accurate, compliant, and efficient premium billing operations across our health plan offerings. This is a full-time position directly reporting to the Chief Product Officer. This role requires subject matter expertise to create a differentiated product with innovative features. A strong technical background is required for effectively collaborating with the Product Engineering Teams. Key Responsibilities Own the product vision and roadmap for premium billing and reconciliation capabilities, aligning with business goals and regulatory requirements. Build a product that encompasses - Group Billing, Individual Billing, Medicare Billing & reconciliation, Medicaid Billing & Reconciliation, Marketplace Exchange Billing Collaborate with stakeholders across finance, operations, compliance to gather and prioritize requirements. Define and maintain a product backlog with clear, actionable user stories and acceptance criteria. Lead Agile ceremonies including sprint planning, backlog grooming, and reviews with cross-functional teams. Ensure seamless integration with EDI 820 processing, accounts receivable systems, and payment reconciliation workflows. Partner with engineering and QA teams to deliver high-quality, scalable product. Monitor product performance, gather feedback, and iterate to improve user experience and operational efficiency. Required Qualifications The candidate must be located within commuting distance of Tempe, AZ or Richardson, TX or be willing to relocate to this area. This position may require travel in the US. Bachelor's degree or foreign equivalent required from an accredited institution. Will also consider three years of progressive experience in the specialty in lieu of every year of Education. 10 yrs of experience in Information Technology. 5+ years of experience as a Product Owner or Product Manager in the healthcare or health insurance industry. Strong understanding of Technical aspects of Product Development, Solution and Design. Deep understanding of health insurance operations, especially group plans. Proven experience with premium billing systems, Medicare billing, and EDI 820 processing. Strong understanding of accounts receivable, payment reconciliation, and financial workflows. Managing product lifecycle in whole - from ideation, exploration, approval, development, implementation, measurement, and ongoing development. Experience working in Agile/Scrum environments with cross-functional teams. Excellent communication, stakeholder management, and problem-solving skills. Familiarity with HIPAA, ACA, and other healthcare compliance standards. Demonstrated ability to navigate ambiguity and adapt quickly to new technology and processes. Strong business acumen including experience in estimation and pricing, market research. Ability to work with distributed teams in India and US in a Global Delivery model is a must. All applicants authorized to work in the United States are encouraged to apply. Preferred Qualifications Experience with Provider domain, billing cycles, enrollment, eligibility, and claims processing is a plus, not mandatory. Background in finance, accounting, or healthcare IT. Certifications such as CSPO, SAFe PO/PM, or PMI-ACP. Experience with Group Billing, Medicare Advantage or Medicaid billing processes. Ability to provide thought leadership and influence to implement strategic methods. The job entails sitting as well as working at a computer for extended periods of time. Should be able to communicate by telephone, email, or face to face. Travel may be required as per the job requirements.

Posted 1 week ago

D
Sr. Software Engineer I - Billing
DoubleVerify, IncNew York, NY
Senior Software Engineer I Position Overview We are seeking an experienced software engineer to join our talented full-stack team responsible for enabling clients to successfully activate and operate DoubleVerify's rich suite of products. You'll develop scalable and reliable backend services fueling DV's client-facing user interfaces and operational processes. We are a tech company at heart, addressing complex challenges and innovating to use the best technology and practices for the task at hand on a daily basis. The team is a cross-company focal point and user experience oriented, and as such you'll be closely coordinating and working with multiple development, product, and client services teams. This position is full-time and located in our New York City headquarters offices offering a hybrid work model from office and remote. What you will do: Design and develop robust microservices built with .NET Core, and Python, integrated within the team and provide APIs for multiple internal teams. Independently establish requirements on large-scale features with product managers, and establish technical requirements with partnering engineering teams. Research new technologies and adapt them within the systems. Design, implement, and optimize databases tables and processes. Test and optimize code developed both by you and by other team members. Continuously release features using automated deployment tools and framework through Infra-As-Code. Work in a fast-paced, agile environment, collaborating with team members and Product Managers on a daily basis and participating in product meetings. Implement application observability to enhance code integrity and support throughout the development and release processes. Provide code reviews and system design for senior team members Who you are: You have at least 4 years of backend software engineering experience with C# or a similar language. You are familiar with all aspects of SDLC; you know what the best practices are and follow them in your work. You provide mentoring to experienced mid-level engineers. You collaborate with non-technical stakeholders. You collaborate with cross-departmental engineering teams. You are experienced with Infrastructure as Code (IaC) and CI/CD ( e.g. Gitlab CI/CD, terraform, vault) focused on automating deployments and optimizing processes. Strong experience with both relational and non-relational databases ( e.g. MongoDb, MS SQLServer) You have built high-performance large-scale distributed systems You are familiar with modern microservice architecture and web-based/REST API's. Strong experience with containerization (Docker/k8s) and Kafka. Experience and understanding of frontend/UI development is a plus. Familiarity with the AdTech industry is not required, but is a big plus. The successful candidate's starting salary will be determined based on a number of non-discriminating factors, including qualifications for the role, level, skills, experience, location, and balancing internal equity relative to peers at DV. The estimated salary range for this role based on the qualifications set forth in the job description is between [$99,000- $197,000]. This role will also be eligible for bonus/commission (as applicable), equity, and benefits.

Posted 1 week ago

E
Billing Specialist
Epiq Systems, Inc.Phoenix, AZ
It's fun to work at a company where people truly believe in what they are doing! Job Description: The Billing Specialist is responsible for preparing timely and accurate billings for external clients. This individual is responsible for assisting in the design, implementation and deployment of policies and procedures, as well as streamlining current billing processes. The successful candidate will be customer, creative and solution oriented, while delivering timely and high-quality results and able to pursue multiple concurrent initiatives. The scheduled hours of this shift is Monday to Friday - 5:00p.m to 2:00a.m RESPONSIBILITIES Distribute prebills/drafts for review Review of narratives prior to attorney review Mark up prebill for changes - time transfers, splits, and other adjustments Attorney prebill/draft markups input to Aderant Submit / Follow-up on approvals for Write-offs, Deferrals, etc. Follow up on inclusion or exclusion of expenses JOB REQUIREMENTS Knowledge of customer contractual arrangements Ability to understand complex pricing methods Excellent attention to detail Work well in a cross-functional matrix environment Positive attitude and strong customer focus Advanced Excel skills required Strong problem solving and analysis skills Excellent communication skills (verbal, written, presentation) Ability to thrive in a fast-paced business environment Legal billing and Aderant experience required Hybrid schedule takes effect after 90 days of employment and amount of days are based on tenure. The Compensation range for this role is 21.23 to 25.00 USD per hour and may be eligible for an annual bonus. Actual compensation within that range will be dependent upon the individual's location, skills, experience and qualifications. #INDHP Click here to learn about Epiq's Benefits. If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us! It is Epiq's policy to comply with all applicable equal employment opportunity laws by making all employment decisions without unlawful regard or consideration of any individual's race, religion, ethnicity, color, sex, sexual orientation, gender identity or expressions, transgender status, sexual and other reproductive health decisions, marital status, age, national origin, genetic information, ancestry, citizenship, physical or mental disability, veteran or family status or any other basis protected by applicable national, federal, state, provincial or local law. Epiq's policy prohibits unlawful discrimination based on any of these impermissible bases, as well as any bases or grounds protected by applicable law in each jurisdiction. In addition Epiq will take affirmative action for minorities, women, covered veterans and individuals with disabilities. If you need assistance or an accommodation during the application process because of a disability, it is available upon request. Epiq is pleased to provide such assistance and no applicant will be penalized as a result of such a request. Pursuant to relevant law, where applicable, Epiq will consider for employment qualified applicants with arrest and conviction records.

Posted 30+ days ago

Principal SAP ISU Billing Consultant-logo
Principal SAP ISU Billing Consultant
Infosys LTDMiami, FL
Job Description Infosys is seeking Principal SAP ISU Billing Consultant As a Principal Consultant, you will be a key player in the consulting team that helps discover and define the problem statement, evaluates the solution options, and makes recommendations. You will plan the activities of configuration, configure the product as per the design, conduct conference room pilots and will assist in resolving any queries related to requirements and solution design. You will conduct solution/product demonstrations, POC/Proof of Technology workshops and prepare effort estimates which suit the customer budgetary requirements and are in line with organization's financial guidelines. You will also support knowledge transfer with the objective of providing value-adding consulting solutions that enable our clients to meet the changing needs of the global landscape. Basic Qualifications: Bachelor's degree or foreign equivalent required from an accredited institution. Will also consider three years of progressive experience in the specialty in lieu of every year of education. At least 11 years of experience with Information Technology. Location for this position is Miami, FL. This position may require travel and/or relocation. All applicants authorized to work in the United States are encouraged to apply. Preferred Qualifications: Atleast 11 years of experience in application maintenance & implementation projects, primarily in ISU Projects from SAP ISU Billing and Invoicing area Experience across Electricity, Gas & Water Utilities industries across UK, North America & Europe regions Experience with CRM -ISU Integration Experience in end-to-end implementation and support projects Client facing experience. Should be able to drive a team consisting of junior functional and technical resources. Experience in setup of Rate Structure and Billing Schema, Price management Experience in analyzing issue in Billing & Invoicing process. Experience in RTP. Good Experience Invoice Layout & Bill Print Setup of Billing Master Data/Tariff Structure for Metered/Unmetered Installations Integration with Device Management, Finance & SD module SAP Industry Solution->SAP Utilities (SAP ISU)->SAP IS-UTILITIES Billing and Invoicing (SAP ISU BILLING) The job entails sitting as well as working at a computer for extended periods of time. Should be able to communicate by telephone, email, or face to face.

Posted 30+ days ago

Coding & Billing Specialist-logo
Coding & Billing Specialist
FoundcareWest Palm Beach, FL
Apply Job Type Full-time Description PRIMARY PURPOSE: A Coding & Billing Specialist is responsible for reviewing patient medical records, accurately assigning diagnosis and procedure codes (ICD-10 and CPT) based on established coding guidelines, ensuring compliance with federal and state regulations, and contributing to the accurate billing and reimbursement of healthcare services provided to patients, requiring a current Certified Professional Coder (CPC) certification. Requirements PRIMARY PURPOSE: A Coding & Billing Specialist is responsible for reviewing patient medical records, accurately assigning diagnosis and procedure codes (ICD-10 and CPT) based on established coding guidelines, ensuring compliance with federal and state regulations, and contributing to the accurate billing and reimbursement of healthcare services provided to patients, requiring a current Certified Professional Coder (CPC) certification. RESPONSIBILITIES: Thoroughly review patient medical records, including physician notes, lab results, imaging studies, and operative reports to extract relevant clinical information for coding. Accurately assign ICD-10 diagnosis codes and CPT procedure codes based on the patient's medical condition and procedures performed, following established coding guidelines and regulations. Ensure the correct sequencing and application of codes, considering modifiers, when necessary, to accurately reflect the complexity of the patient's medical case. Stay updated on current coding guidelines, regulations, and industry changes to maintain compliance with federal and state healthcare laws. Identify any missing or unclear documentation in medical records and communicate with healthcare providers to clarify information for accurate coding. Participate in internal quality audits to monitor coding accuracy and identify areas for improvement. Collaborate with in the billing department to ensure timely and accurate submission of claims to insurance companies. REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES: Comprehensive understanding of medical terminology and anatomy. High level of accuracy and meticulous attention to detail to ensure correct coding. Ability to analyze medical records and interpret clinical information to assign appropriate codes. Effective communication with healthcare providers to clarify documentation and address coding inquires. Ability to work effectively, both independently and with a team Ability to handle confidential information with discretion. WORK ENVIRONMENT: Full-time, hybrid position (combination of in-office and remote work) PHYSICAL REQUIREMENTS: Ability to endure short, intermittent, and/or long periods of sitting and/or standing in performance of job duties. Ability to occasionally to travel to off-site locations and attend meetings, workshops, seminars plus travel to other departments and conference rooms. MINIMUM QUALIFICATIONS: Current Certified Professional Coder (CPC) certification from the American Academy of Professional Coders (AAPC). At least 1 year of medical coding experience Familiarity with electronic health records (EHR) systems and Epic coding software. BENEFITS: Medical, Dental, Vision, Life, STD/LTD Retirement plan with Company match Generous Paid Time Off Company-Paid Holidays Opportunities for professional growth Career Advancement

Posted 3 weeks ago

Senior Billing Analyst-logo
Senior Billing Analyst
Element Fleet Management Corp.Baltimore, MD
Get started on an exciting career at Element! Element employees make a difference in the lives of others every day. We are re-defining the fleet management industry to be people first, then business - delivering on our promise of a superior client experience. This takes hard work and innovation, and we need more like-minded people on our team. What We Need We are looking for a Senior Analyst, Strategic Client Billing, to join Element Fleet Management. As the largest pure-play fleet manager in the world, we provide unmatched products and services and solutions to our clients. At Element, employees play a critical role in delivering value to customers and ensuring an exceptional client experience. We are committed to the success of our clients, employees, and investors by fostering a culture where every employee can make a difference! Are You: Inquisitive and results driven? Client centric and able to effectively partner cross-functionally? As the Senior Analyst, Strategic Client Billing, you will be contributing to the Billing organization by effectively supporting the Armada team, ensuring that the billing process is efficient and accurate. The role requires attention to detail and managing deadlines on a scheduled cadence. A Day in the Life Assists BPS staff when needed to ensure accurate outcomes Work cross-functionally with IT and Operations to develop new products and solutions, or resolution to system created variances Execute, review, and analyze outputs from multiple billing validation models Support and deliver on SOC-1 compliance requirements for related processes Provide analysis and reporting support during Monthly billing process and Month-End Reporting Retrieve and analyze data using Excel and other data management/BI systems Work with team to ensure billing is accurate prior to invoice creation Create reports to support the management of the process Provide recommendations and collaboratively ensure operational ownership across business teams Responsible for daily audit reporting, reconciling daily reports Consult and resolve any issues relating to client process, billing, and corrections with the Billing team and clients if required Work with Billing team to ensure projects are identified and scope potential process or technology improvement opportunities Requirements Bachelor's degree or equivalent business experience 5 years of finance and data analysis Experience in leasing industry, billing, financial operations, or customer facing finance roles desired Strong organizational skills (ability to prioritize and close, project management capabilities) Identify and ask probing questions, gather data, identify options/solutions to a problem or issue General business knowledge and skills; sound financial knowledge Demonstrate proper judgement regarding decision making, self-reliance and problem resolution Able to balance multiple deadlines and competing priorities Ability to implement and adapt to change effectively Strong customer service and relationship skills Advanced Microsoft Excel knowledge and data skills, including look ups, Pivot Tables, DBeaver, Power Query, and SQL (preferred experience and aptitude with Alteryx, but willing to train) The hiring base salary range for this position is $75,500 to $103,800 annually. Actual compensation within this range will be dependent upon the individual's knowledge, skills, experience, equity with other team members, and alignment with market data. Please note that the disclosed salary range is solely for candidates hired to perform work within this geographic location. Candidates hired to work in other locations will be subject to the pay range associated with that location. What's in it for You A culture of innovation, empowerment, decision-making, and accountability Comprehensive health and welfare benefits that serve the needs of you and your family and foster a culture of wellness Additional benefits and amenities, including paid time-off programs (vacation, sick leave, and holidays) Applicants will be required to undergo a background check only if and after a conditional offer of employment has been extended. Element Fleet Management and its wholly owned subsidiaries are an equal opportunity employer committed to diversity, equity, inclusion, and belonging. We are pleased to consider all qualified applicants for employment without regard to race, color, religion, gender identity, age, sex, sexual orientation, disability, national origin, Aboriginal/Native American status, protected veterans' status or any other legally-protected factors. Disability-related accommodations during the application and interview process are available upon request. Should you require an accommodation with our hiring process please send an email to talentacquisition@elementcorp.com or call (800) 665-9744. Know Your Rights: Workplace discrimination is illegal

Posted 30+ days ago

Billing Specialist (Entry-Level)-logo
Billing Specialist (Entry-Level)
Katapult NetworkRochester, MN
Job description Katapult Network is designed to help college graduates with zero to two years of professional experience find their next professional career opportunity. We focus on helping recent college graduates, with no experience, get access to full-time, entry-level opportunities with some of the Nation's top employers. Our clients include ground-breaking start-up companies and well-established billion-dollar organizations who want to find their next generation of talent. The Job: We are currently recruiting for an entry-level Billing Specialist. This position is responsible for overseeing the billing process for customers. This can include processing payments, maintaining organized financial records, and calculating bill totals. Recent college graduates and entry-level talent are encouraged to apply. What You Will Be Doing As A Billing Specialist: Create charts and graphs, using computer spreadsheets, to illustrate technical reports Search financial statements for payment errors or inconsistencies Create invoices and billing materials to be sent to customers Input payment history, upcoming payment information, or other financial information Calculate and track company financial statements Collaborate with customers, third-party institutions, and other team members to resolve billing errors and inconsistencies Find financial solutions for customers who may need payment assistance Help with new projects, report results to Senior Leadership Our Ideal Billing Specialist Candidate Has: Communication - express ideas clearly in both written and verbal correspondence, listen effectively, and share information appropriately with persons inside and outside the organization Organizing and planning - develop specific goals and benchmarks to prioritize, organize and accomplish your work in a timely manner Analytical thinking - determine the essential function of each task in a detailed, goal-driven manner with strong multitasking abilities Office software acumen - comfortable with a wide variety of software including, but not limited to Microsoft Suite, Google applications, and relevant databases. Salesforce experience desired Mathematical reasoning - facility with numbers, the proven ability to calculate, post, and manage figures and records, and the ability to choose the right mathematical methods to solve a problem Requirements To Be A Billing Specialist: Bachelor's degree Katapult Network is an equal opportunity employer and celebrates diversity in all of its forms. People of all identities and backgrounds are encouraged to apply. We're social! Follow us on: Instagram: @katapultnetwork ( https://www.instagram.com/katapultnetwork/ ) Facebook: https://www.facebook.com/KatapultNetwork/ LinkedIn: Other"> https://www.linkedin.com/compa ... Job Type: Full-time Pay: $40,000.00 - $50,000.00 per year Benefits: 401(k) 401(k) matching Dental insurance Disability insurance Flexible spending account Health insurance Health savings account Life insurance Paid sick time Paid time off Parental leave Vision insurance Work Location: In person

Posted 2 weeks ago

S
Billing Specialist
Simon EyeWilmington, DE
Simon Eye and Center for Advanced Eye Care are partner practices with a combined 27 Optometrists, 8 Ophthalmologists, and 150 staff serving patients across the state of Delaware and in Pennsylvania with locations in West Chester and Bucks County. We are aligned to ensure our communities can access patient-centered, medically oriented full service eyecare delivered in convenient locations with friendly, knowledgeable doctors and staff. As a Billing Specialist, you will be responsible for the insurance billing and collections functions for multiple Simon Eye locations. Your success in this position will be driven by your ability to complete billing and/or accounts receivable follow-up with payers while achieving the expected quality and productivity requirements. What You'll Do: Review, prepare, and transmit claims using electronic and paper claim processing Daily submission of claims Follow up on unpaid claims meeting the standard billing cycle time frame Post insurance payments and review for accuracy Contact insurance companies in regards to discrepancies Investigate and appeal denied claims Identify and resolve billing issues Continual account review monitoring insurance trends and report findings to manager Ability to work autonomously, self starter Effective communication skills and ability to work collaboratively in a team environment Have strong organizational skills and manage time well Must maintain HIPAA confidentiality of patients Additional tasks as requested What You'll Need: Two plus years of medical / healthcare billing experience required. Knowledge of Medical and Optometric insurance claim forms including ICD10 and CPT codes. Experience reading and understanding explanation of benefits and the contractual adjustments. Strong initiative to solve problems while paying close attention to detail. Ability to work in office

Posted 1 week ago

E-Billing Specialist-logo
E-Billing Specialist
Fox RothschildGreenville, SC
As a member of the Accounting Department, the Electronic Billing (E-Billing) Specialist is responsible for processing client bills, answers billing inquiries and assists in the monitoring and follow-up of related billing functions. ESSENTIAL FUNCTIONS: Submit invoices through the e-billing system and document progress within the eHub and eBilling Tracker. Reviews newly opened client matters for assigned attorneys to determine if matters are available through e-billing websites. Monitor e-billing daily - for new invoices and rejections; review daily new timekeeper report for new timekeepers that may need to be submitted for approval. Ensures successful submissions of e-billed clients and assist with the resolution of any rejections. Assist attorneys, Client Service Specialists, and clients with day-to-day e-billing questions and concerns. Verifies that client setup, rates, and billing requirements are correct in the eBilling system. As required, submits rate requests to related vendor sites. Provide updates regarding invoice status to Client Billing Manager. Ensures that all tasks are done in accordance with Firm and client billing guidelines and policies. Work closely with supervisor and managers to resolve any e-billing or client e-billing issues. Submit invoices though the e-billing system and document progress within BillBlast, Ebilling Portal. Responsible for the submission of monthly/quarterly accruals as required. Provide updates regarding invoice status to Billing Supervisors/Director of Billing. ADDITIONAL FUNCTIONS: Other accounting duties and special projects as assigned. QUALIFICATIONS (EXPERIENCE, KNOWLEDGE, SKILLS AND ABILITIES): Education: Bachelors' degree in Accounting, Financial Analysis, Management or related field preferred. High school diploma or equivalent required. Experience: Minimum of five (5) years' e-billing experience in a law firm (preferred) or other professional services organization required. Knowledge, Skills, & Abilities: Ability to utilize various vendor websites and BillBlast system for electronic billing. Previous experience with 3E or Elite accounting system strongly preferred. Excellent customer service skills. Must be self-motivated, very detail oriented, highly organized and reliable, have the ability to multi-task with a high volume of work and work well independently as well as in a team environment. Ability to prioritize and take initiative to assist as needed. Strong oral and written communication skills and accuracy are a must. Must be proactive, work well under pressure and excel in a fast-paced environment. Professional and courteous communication with clients, attorneys, paralegals and staff are a must. Demonstrated experience using related accounting computer systems and Microsoft Office Suite, including Outlook, Word and Excel. WORK ENVIRONMENT & PHYSICAL DEMANDS: This job operates in a clerical, office setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. PHYSICAL REQUIREMENTS Sedentary work: Exertion of physical strength to lift, carry, push, pull, or otherwise move objects up to 10 pounds. Work involves sitting most of the time. Walking and standing is often necessary in carrying out job duties. VISUAL ACUITY Worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. DISCLAIMER Fox Rothschild LLP is under no obligation to provide sponsorship for this position. Applicants must be currently authorized to work in the United States on a full-time basis now and in the future. The above is intended to describe the general content of and requirements for the performance of this job. It is not a contract or employment agreement and is not to be construed as an exhaustive statement of all functions, responsibilities, or requirements the employee may be required to perform, and the employee may be required to perform additional duties. Additionally, management reserves the right to review and revise the job description at any time. Employment with the firm is at-will. Employees must be able to satisfactorily perform all of the essential functions of the position with or without a reasonable accommodation. If an accommodation request would cause an undue hardship or a safety concern, the individual may not be eligible for the position. Equal Opportunity Employer - vets, disability

Posted 30+ days ago

Patient Account Rep - Prof Billing - FT - Days - Physician Services-logo
Patient Account Rep - Prof Billing - FT - Days - Physician Services
El Camino HospitalMountain View, CA
El Camino Health is committed to hiring, retaining and growing the best and brightest professionals who will carry our mission and vision forward. We are proud of our reputation in the community: One built on compassion, innovation, collaboration and delivering high-quality care. Come join the team that makes this happen. Applicants MUST apply for position(s) by submitting a separate application for each individual job posting number they are interested in being considered for. FTE 1 Scheduled Bi-Weekly Hours 80 Work Shift Day: 8 hours Job Description Unit Specific Duties Listed Below Billing Ensures claims are billed timely and accurately using the Hospital Claims Scrubber Tool and billing system. Resolves claim edits. Collaborates with departments to resolve applicable claim errors. Reports all unbilled claim information and issues that may delay billing to Management to ensure there is no adverse effect on Hospital Cash Collections or Accounts Receivable. Customer Service Receives and processes correspondence and phone or online inquiries from patients, payers or any other third party in a timely and professional manner. Resolves patient billing inquiries and processes patient payments over the phone or in person. Follow Up Follows up on unpaid and denied claims for account resolution. Resolves accounts by contacting managed care entities, other third party payer organizations or patients to facilitate timely payments. Performs research and makes determination of appropriate actions for payment resolution. Writes and submits appeals for denied claims. Keeps informed of managed care and contractual arrangements to resolve accounts by managed care payers. Assigns root causes to denials based on research. Payment Posting Posts daily cash and adjustments for Hospital and Professional billing. Resolves undistributed payments and performs cash reconciliation. Reports all payment issues to Management to ensure there is no adverse effect on Hospital Cash Collections or Accounts Receivable. Self Pay Credit Balances Resolves credit balances that are due to patients. Audits and reconciles accounts to confirm credit balance and submits refunds in a timely manner. Qualifications High School Diploma or equivalent. One year related work experience in a Hospital, Physician, or other healthcare setting. Strong verbal and written communication skills. Works in a collaborative and team manner. Efficient organizational skills and effective reasoning, problem solving and critical thinking skills. Excellent typing skills. Ability to multi-task and demonstrate effective time management. Preferred knowledge and use of Microsoft Products: Outlook, Word & Excel. Strong attention to detail. Ability to process a high volume of work. Unit Specific Qualifications Billing Knowledge of medical terminology and billing. Prior experience with facility billing or a similar role. Understands Medicare, Medi-Cal, HMO, PPO and 3rd party rules and regulations. Customer Service Prior experience in a customer service setting. Preferred knowledge of health insurance coverages. Follow Up Experience with claim processing and denial follow up and resolution. Knowledge of insurance appeal writing. Basic knowledge of contracting. Understands Medicare, Medi-Cal, HMO, PPO and 3rd party rules and regulations. Payment Posting Preferred cash and adjustment posting background with regards to quality control of payments and transactions to financial system. 10-key preferred. Self Pay Credit Balances 10-key preferred. Knowledge of basic accounting practices and procedures. License/Certification/Registration Requirements None required Ages of Patients Served This position will serve all age groups. Salary Range: $32.45 - $48.68 USD Hourly The Physical Requirements and Working Conditions of this job are available. El Camino Health will provide reasonable accommodations to qualified individuals with a disability if that will allow them to perform the essential functions of a job unless doing so creates an undue hardship for the hospital, or causes a direct threat to these individuals or others in the workplace which cannot be eliminated by reasonable accommodation. Sedentary Work - Duties performed mostly while sitting; walking and standing at times. Occasionally lift or carry up to 10 lbs. Uses hands and fingers. - (Physical Requirements-United States of America) An Equal Opportunity Employer: El Camino Health seeks and values a diverse workforce. The organization is an equal opportunity employer and makes employment decisions on the basis of qualifications and competencies. El Camino Health prohibits discrimination in employment based on race, ancestry, national origin, color, sex, sexual orientation, gender identity, religion, disability, marital status, age, medical condition or any other status protected by law. In addition to state and federal law, El Camino Health also follows all applicable fair and equitable employment policies from the County of Santa Clara.

Posted 30+ days ago

Senior Engineer I - Billing-logo
Senior Engineer I - Billing
DigitalOceanSeattle, WA
Dive in and do the best work of your career at DigitalOcean. Journey alongside a strong community of top talent who are relentless in their drive to build the simplest scalable cloud. If you have a growth mindset, naturally like to think big and bold, and are energized by the fast-paced environment of a true industry disruptor, you'll find your place here. We value winning together-while learning, having fun, and making a profound difference for the dreamers and builders in the world. We are looking for a Senior Engineer I who is passionate about building scalable, intuitive, and reliable billing solutions. As a Senior Engineer I on the Billing Engineering Team at DigitalOcean, you will join a dynamic team dedicated to revolutionizing cloud computing and delivering a seamless, trustworthy billing experience to our customers. You'll report to the Engineering Manager of Billing Engineering and work closely with teams across Finance, Product, and Engineering to ensure that our billing platform remains accurate, transparent, and highly available. The ideal candidate is deeply empathetic toward customers, embraces continuous learning, and is driven to build simple yet powerful billing systems. What You'll Do: Design, build, and maintain scalable services, APIs, and workflows that support DigitalOcean's billing platform. Collaborate with cross-functional teams to define and implement new billing features, ensuring financial accuracy and compliance. Leverage technologies such as Go, gRPC, Kubernetes, Kafka, Grafana, Temporal, MySQL, and Redis. Create tooling and self-service capabilities to empower internal stakeholders and streamline processes. Contribute to continuous improvements in CI/CD workflows, performance, and developer experience within the billing ecosystem. What You'll Add to DigitalOcean: Proven experience in designing, building, and maintaining scalable, highly performant systems. Strong proficiency in Go (Golang); experience with Ruby is a plus. Solid understanding of distributed systems and microservice architecture, especially with Docker, Kubernetes, gRPC, Kafka, and MySQL. Familiarity with modern CI/CD pipelines, testing frameworks, and observability best practices. Excellent collaboration and communication skills, with a passion for cross-functional teamwork. A growth mindset and a customer-first attitude, with a track record of learning and adapting continuously. Why You'll Like Working for DigitalOcean We innovate with purpose. You'll be a part of a cutting-edge technology company with an upward trajectory, who are proud to simplify cloud and AI so builders can spend more time creating software that changes the world. As a member of the team, you will be a Shark who thinks big, bold, and scrappy, like an owner with a bias for action and a powerful sense of responsibility for customers, products, employees, and decisions. We prioritize career development. At DO, you'll do the best work of your career. You will work with some of the smartest and most interesting people in the industry. We are a high-performance organization that will always challenge you to think big. Our organizational development team will provide you with resources to ensure you keep growing. We provide employees with reimbursement for relevant conferences, training, and education. All employees have access to LinkedIn Learning's 10,000+ courses to support their continued growth and development. We care about your well-being. Regardless of your location, we will provide you with a competitive array of benefits to support you from our Employee Assistance Program to Local Employee Meetups to flexible time off policy, to name a few. While the philosophy around our benefits is the same worldwide, specific benefits may vary based on local regulations and preferences. We reward our employees. The salary range for this position is $145,000 - $170,000 based on market data, relevant years of experience, and skills. You may qualify for a bonus in addition to base salary; bonus amounts are determined based on company and individual performance. We also provide equity compensation to eligible employees, including equity grants upon hire and the option to participate in our Employee Stock Purchase Program. We value diversity and inclusion. We are an equal-opportunity employer, and recognize that diversity of thought and background builds stronger teams and products to serve our customers. We approach diversity and inclusion seriously and thoughtfully. We do not discriminate on the basis of race, religion, color, ancestry, national origin, caste, sex, sexual orientation, gender, gender identity or expression, age, disability, medical condition, pregnancy, genetic makeup, marital status, or military service. This is a remote role #LI-Remote

Posted 30+ days ago

Billing Specialist-logo
Billing Specialist
Excela HealthGreensburg, PA
Essential Job Functions Prepare invoices and perform collections work on assigned patient accounts to increase cash flow and minimize patient accounts receivable. Meet the month-end closing deadlines by ensuring that all data entry is correctly inputted into the system Work with the Manager, Revenue Cycle to develop, implement, and maintain a standard accounts receivable month-end close schedule. Assist in development, revision, and implementation of policies and procedures for accounts receivable. Prepare and distribute regular reports which measure performance in relation to the goals established for third party collections. Participate in regular accounts receivable meetings with the Manager, Revenue Cycle to assist in defining collection strategies as they relate to particular accounts. Adhere to Fair Debt Collection Practices Act guidelines. Help to facilitate strong two-way communications between Direct Care team and the business office to promote efficient workflow. Provide financial responsibility estimates. Discuss payment and financial assistance options with patients. Respond timely to billing inquiries. Monitor and report on individual productivity to assist in the evaluation of one's ability to organize and plan daily work to meet outcome-based criteria set by Management. Identify barriers to billing such as lack of correct documentation, face to face requirements, and authorizations ahead of any deadlines to ensure resolution. Home Health/Hospice/Private Duty billing for private insurers, managed care and Medicare. Electronic submission of claims for non-Medicare payers and Manual submission. Apply payments to proper accounts. Customer focus on the needs and consider customer in decision-making process to ensure customer satisfaction. Greet the customer in a polite and professional manner whether it is on the phone, or face to face. Receive customer and or answer telephone calls for customer courteously, determine needs and respond appropriately. Respond to customer issues (intradepartmental, interdepartmental and patient based) timely and to the satisfaction of the customer. Identify and take appropriate action in situations when it is necessary to obtain appropriate documentation for further advancement in the adjudication process of accounts, i.e. Patient Assistance Program, third party payer appeals, re-pricing worksheets, nursing home calendars, etc. Motivate and influence and persuade others to build commitment. Act as a role model for peers by striving for excellence, display a positive attitude and actively support the team concept. Monitor and report on individual productivity to assist in the evaluation of one's ability to organize and plan daily work to meet outcome-based criteria set by Management. Volunteer to work additional hours or offer to contribute to ongoing/special assignments outside the scope of their own specific functions. Communicate and provide constructive feedback and clearly express ideas. Communicate with lead or management all issues that impact the accurate, timely and complete accomplishment of all assigned tasks. Identify and communicate to lead or manager recommendations for process improvement. Document all accounts quickly and accurately to ensure a thorough record of actions taken and dispositions made. Accept and incorporate changes into daily activities. Possess functional knowledge of systems and revenue cycle in order to adequately assist customers and reduce the unnecessary transfer of work flows. Perform verifications by various modes, telephone/fax, website on-line access and/or internet access. Interpret and communicate insurance benefits/provisions to staff as it relates to home care billing. Verify and generate daily visits and patient charges. Perform necessary follow through to complete transactions of visits. Notify case managers of outstanding authorizations. Process the claim forms (paper and electronic) in timely and accurate manner. Provide follow through with manager on billing issues as they arise. Notify appropriate staff of any insurance changes or problems in the process as they arise. Process patient and insurance payments and contractual adjustments to patient accounts accurately and timely. Ensure correct reimbursement is paid according to the contracts/fee scheduled for both in and out of network payers. Apply payments to proper accounts. Enter authorizations under appropriate insurance and case manager. Enter information in a timely and accurate manner. Include all filing pertaining to patient's admission to home care, palliative or hospice. Print in a timely manner and forward to case managers. Verify accuracy of request and notify staff if additional information is needed. Complete outstanding orders. Respond to inquiries and requests for additional information from third party payers. Work closely with Intake staff to discuss and resolve authorization issues. Notify Social Worker of patients with no insurance coverage. Bill for medical record requests. Cognitive ability to function and concentrate on the essential and specialty functions of the job at a high level. Achieves thoroughness and accuracy when accomplishing an essential or specialty function of the job. Ability to think and concentrate for an entire shift. Other duties as assigned. Required Qualifications High School Diploma or GED. Strong leadership ability, good organizational skills, independent and critical thinking skills, and sound judgment. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Preferred Qualifications Accounting/Billing Experience in Healthcare setting. License, Certification & Clearances PA Act 34 Pennsylvania Access to Criminal History Clearance. Supervisory Responsibilities This position has no direct supervisory responsibilities, but does serve as a coach and mentor for other positions in the department. Position Type/Expected Hours of Work Regular, consistent, on-site and timely attendance. Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between Excela Health locations. AAP/EEO Excela Health is an Equal Opportunity Employer. It is the policy of Excela Health to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants, without regard to race, color, religion, sex, national origin, age, marital status, non-job related disability, veteran status, or genetic information, or any other protected class. Excela Health will conform to the spirit as well as the letter of all applicable laws and regulations. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below. Work Environment: Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential- Absolute Necessity. Marginal- Minimal Necessity. Constantly- 5.5 to 8 hours or more or 200 reps/shift. Frequently- 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally- 0.25 to 2.5 hours or 2-32 reps/shift. Rarely- Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat X Extreme Cold X Heights X Confined Spaces X Extreme Noise(>85dB) X Mechanical Hazards X Use of Vibrating Tools X Operates Vehicle (Company) X Operates Heavy Equipment X Use of Lifting/Transfer Devices X Rotates All Shifts X 8 Hours Shifts X X 10-12 Hours Shifts X On-Call X Overtime (+8/hrs/shift; 40/hr/wk) X X Travel Between Sites X X Direct Patient Care X Respirator Protective Equipment X Eye Protection X Head Protection (hard hat) X Hearing Protection X Hand Protection X Feet, Toe Protection X Body Protection X Latex Exposure X X Solvent Exposure X Paint (direct use) Exposure X Dust (sanding) Exposure X Ethylene Oxide Exposure X Cytotoxic (Chemo) Exposure X Blood/Body Fluid Exposure X Chemicals (direct use) Exposure X Mist Exposure X Wax Stripper (direct use) X Non-Ionizing Radiation Exposure X Ionizing Radiation Exposure X Laser Exposure X Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential- Absolute Necessity. Marginal- Minimal Necessity. Constantly- 5.5 to 8 hours or more or 200 reps/shift. Frequently- 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally- 0.25 to 2.5 hours or 2-32 reps/shift. Rarely- Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) X X Sitting X X Walking X X Climbing Stairs X Climbing Ladders X Standing X X Kneeling X Squatting (Crouching) X Twisting/Turning X Keyboard/Computer Operation X X Gross Grasp X X Fine Finger Manipulation X X Hand/Arm Coordination X X Pushing/Pulling(lbs. of force) X Carry X Transfer/Push/Pull Patients X Seeing Near w/Acuity X X Feeling (Sensation) X Color Vision X X Hearing Clearly X X Pulling/Pushing Objects Overhead X Reaching Above Shoulder Level X Reaching Forward X X Lifting Floor to Knuckle X Lifting Seat Pan to Knuckle X Lifting Knuckle to Shoulder X Lifting Shoulder to Overhead X When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.

Posted 2 weeks ago

Pharmacy Billing Exception Handler-logo
Pharmacy Billing Exception Handler
AlixaRxEden Prairie, MN
Essential Duties Provide prescription price quotes to nursing centers and prescriber's representatives Process short orders and partial fill prescriptions billing from pharmacy production Manage refill-to-soon rejections process Process combine prescription billing (same drug with multiple doses) Process and manage prior authorization and non-covered prescription orders Handles prescription test claims About AlixaRx Come join us and help make a difference in the world of long-term patient care! AlixaRx was founded in 2011 with a mission to transform medication management in long-term, post-acute and other healthcare settings. We were born from a need to improve patient outcomes, reduce costs, and improve efficiencies. AlixaRx was developed through collective input from nurses, pharmacists, and physicians to provide safety, access, and savings to long-term and post-acute care facilities. With the use of proprietary dispensing technology and innovative clinical pharmacy services, AlixaRx services more than 20,000 patients across the nation. Our mission is to deliver pharmacy services through innovative technology that improve patient outcomes, reduce costs, and improve efficiencies. Job Types: Full-time Part-time Benefits Offered: Medical Dental Vision 401k Flexible spending account (FSA) Health Savings Account (HSA) Employee Assistance Program (EAP) Paid Time Off (PTO) Basic Life Insurance (paid by AlixaRx) Basic Accident Death & Dismemberment (AD&D) (paid by AlixaRx) Short Term Disability (paid by AlixaRx) Long Term Disability (paid by AlixaRx) Schedules Available: 8 hour shift Day shift Holidays Monday to Friday Overtime Weekend availability Education: High School Diploma or equivalent Licensure: National Pharmacy Technician Certification preferred or as required by state of practice State licensure or registration as a Pharmacy Technician as required by state of practice

Posted 30+ days ago

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

Posted 3 weeks ago

Billing Specialist-logo
Billing Specialist
Harris CompaniesLas Vegas, NV
The purpose of your role as a Billing Specialist As a Billing Specialist, you will be responsible for preparing accurate and timely customer billings. Requires top level customer support and analytical problem-solving skills. This is a hybrid-remote position, based out of our corporate headquarters in St. Paul, MN or a Harris regional office location. GMP Billing: Prepare and process GMP billing for construction projects, ensuring compliance with contract terms and conditions. Monitor and track project costs, ensuring they align with the GMP and that all costs are accurately billed. Prepare and submit monthly progress billings and maintain backup documentation for internal and external audits. Review, process, and prepare invoices for submission to clients, including supporting documentation such as subcontractor invoices, change orders, and material costs. Ensure all billing information is correct, complete, and in compliance with client contracts. Manage retention, lien waivers, and other construction-specific billing requirements. Monitor project progress and costs against the GMP budget, identifying potential discrepancies and communicating with project teams to resolve issues. Participate in periodic audits of billing processes to ensure accuracy and adherence to best practices. Collaborate with project managers to accurately prepare, adjust and verify pre-bill documents before invoicing. Prepare timely and accurate AIA progress and other billings, and enter data accurately into systems and jobs. Deliver outstanding customer service to both internal and external customers, as well as other members of the Accounting team, to answer invoicing questions or manage related issues. Assist with contract preparation, review and pre-qualifications and change orders Troubleshoot and resolve complex customer issues. Act as an escalation point for internal and external customers. Assist with special projects, billing / collection research and ad hoc analysis as needed. Organizational Support and Process Improvement: Lead or participate in cross-functional projects, to work through initiatives, streamline processes to increase accuracy and efficiency. Establish and enforce accounting policies and procedures, ensuring proper internal controls exist. Ensure written documentation of daily / weekly duties of applicable collection processes and procedures. What we're looking for in you Bachelor's degree in Accounting or related, or equivalent years of experience 6+ years of proficient understanding of accounting/billing procedures/techniques 6+ years of prior experience in GMP billings Advanced Excel skills (VLOOKUP's and pivot tables) Knowledge of Accounts Payable supporting construction operations and job cost Your life at Harris As one of the country's leading mechanical contractors, Harris offers you the best of both worlds: the stability, resources and opportunities of a national company, and the team culture, creative spirit and customer loyalty of a local business. If you thrive on variety and new challenges, we want to meet you! From stadiums to manufacturing facilities, power plants to hospitals, concert halls to classrooms, we handle projects of all sizes and complexity from multiple regional locations across the country. Harris Benefits + Compensation Medical, dental, vision, and life insurance 401K with company match Vacation time, sick time, and paid holidays Paid Parental leave Short-Term Incentive Plan Visit our Careers Page for additional benefits details: https://www.harriscompany.com/careers/employee-benefits-at-a-glance Pay Range: $29.61 - $44.42 per hour

Posted 3 weeks ago

Implementation Project Manager - Communications Customer Care & Billing Software-logo
Implementation Project Manager - Communications Customer Care & Billing Software
NiscBismarck, ND
About NISC NISC develops and implements enterprise-level and customer-facing software solutions for over 960+ utilities and broadbands across North America. Our mission is to deliver technology solutions and services that are Member-focused, quality driven and valued priced. We exist to serve our Members and help them serve their communities through our innovative software products, services and outstanding customer support. NISC has been ranked in ComputerWorld's Best Places to Work for twenty-two years, and we are looking for qualified individuals to join our Team. Position Overview In the position, you will be responsible for performing software implementations for Member/Customers and managing implementation projects. You will provide application support to customers and validate the accuracy of their converted data. Utilizing your customer service and critical thinking skills, you will train personnel on all aspects of the application and answer questions on the functions/usage of the Customer Care and Billing (CC&B) product via telephone, e-mail, remote, or on-site. For more information on Communications CC&B, click here. Work Schedule Hybrid (after an initial training period) from one of our three office locations: Cedar Rapids, IA Lake Saint Louis, MO Mandan, ND Hybrid Schedule: Minimum of working 3 day per week out of an office location and ability to work up to all 5 days a week from an office location. Required Days from an Office Location: Tuesday and Wednesday - the third required day will be up to the candidate and their supervisor to choose. Primary Responsibilities Assist and perform in coordinating basic software implementation project plans. Present and share software application usage information and best practices with Member/Customers as it relates to assigned project plan. Assist in validating and verifying the accuracy of converted data. Assist and provide application support throughout the project lifecycle. Assist with basic level conversion analysis. Prepare Change Requests (CRs) and follow up through resolution. Perform after hours call support as assigned. Commitment to NISC's Statement of Shared Values. Other duties as assigned. Knowledge, Skills & Abilities Preferred Basic level knowledge of business-related software applications and services. Basic level knowledge of the Utility or Telecom industries. Basic level knowledge of Project Management processes and theory. Basic verbal and written communication skills. Basic level presentation and training skills. Excellent telephone/email etiquette and an ability to deal effectively with Member/Customers. Basic research and problem-solving skills with a strong attention to detail. Basic level ability to organize and prioritize. Basic level ability to set and manage internal and external Member/Customer expectations. Ability to analyze data and draw meaningful business conclusions relevant to Project Management. Basic level ability to demonstrate initiative and accountability. Basic level ability to multi task and time manage. Moderate level ability to demonstrate professionalism. Basic level ability to troubleshoot. Basic level understanding of change management best practices. Basic level knowledge of Utility/Telecom software and software integrations. Ability to travel as often as necessary, generally around 10-20% a year, to meet the goals and objectives of the position. Education Preferred Bachelor's Degree in a business-related field or equivalent experience. Minimum Physical Requirements The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Employees must be able to see, speak, and hear, to operate computer keyboards or office equipment, and are required to stand, walk, and sit. Disclaimer Management may modify this job description by assigning or reassigning duties and responsibilities at any time.

Posted 1 week ago

EisnerAmper logo
Functional SAP Analyst - Order To Cash (Engagement Management And Billing)
EisnerAmperIselin, NJ

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Job Description

Job Description

At EisnerAmper, we look for individuals who welcome new ideas, encourage innovation, and are eager to make an impact. Whether you're starting out in your career or taking your next step as a seasoned professional, the EisnerAmper experience is one-of-a-kind. You can design a career you'll love from top to bottom - we give you the tools you need to succeed and the autonomy to reach your goals.

EisnerAmper is seeking an experienced IT Business Analyst to collaborate with stakeholders in analyzing technology and operational opportunities in Order to Cash and billing. In this role, you will prioritize and manage the process improvements, enhancements, cross-functional tasks, document process and solution design, and work closely with stakeholders to improve technology capabilities and operational efficiency. Strong analytical and functional skills and knowledge of Professional Services / Accounting firm is essential. The successful candidate will work directly with the Director of SAP team and the Technology Team to ensure alignment on key initiatives.

What it Means to Work for EisnerAmper:

  • You will get to be part of one of the largest and fastest growing accounting and advisory firms in the industry

  • You will have the flexibility to manage your days in support of our commitment to work/life balance

  • You will join a culture that has received multiple top "Places to Work" awards

  • We believe that great work is accomplished when cultures, ideas and experiences come together to create new solutions

  • We understand that embracing our differences is what unites us as a team and strengthens our foundation

  • Showing up authentically is how we, both as professionals and a Firm, find inspiration to do our best work

What Work You Will be Responsible For:

  • Lead the design and implementation of SAP S/4HANA solutions for Engagement Management and Customer Billing, tailored to the Professional Services industry.

  • Translate complex business models (e.g., time-and-materials, fixed-fee, subscription) into scalable SAP configurations and enhancements.

  • Analyze and optimize current business processes related to client engagements, project billing, and time tracking using SAP best practices.

  • Support the full lifecycle of professional service engagements-from proposal through delivery and invoicing-ensuring integration with FICO, HR, and SD modules.

  • Configure and manage SAP billing scenarios and ensure compliance with accounting standards such as ASC 606 and IFRS 15.

  • Collaborate with cross-functional teams, leading workshops and coordinating with technical teams on integrations with systems like Salesforce, Concur, and HR modules.

  • Develop test plans, execute testing, support UAT, and create end-user training materials and sessions.

  • Act as a primary contact for continuous improvements in the Order to Cash and Billing process, identifying and implementing system enhancements.

Basic Qualifications:

  • Bachelor's degree in business, Information Technology, or a related field. An advanced degree is a plus.

  • 5+ years of proven experience as a SAP Functional Analyst, preferably in a technology-driven, solution oriented and software development environment.

Preferred/Desired Qualifications:

  • Demonstrated experience leading process workstreams of Sales, Billing or Finance, ensuring timely delivery and stakeholder alignment.

  • Experts with any SAP tools like Signavio, S/4 HANA and Microsoft office tools (MS Word, Excel, PowerPoint) will be preferred but not mandatory.

  • Hands-on experience working in iterative delivery methodologies.

  • Experience with business analysis tools will be helpful.

EisnerAmper is proud to be a merit-based employer. We do not discriminate on the basis of veteran or disability status or any protected characteristics under federal, state, or local law.

About our Technology Team:

Technology is enhancing the ways we operate at every level of the firm, and the EisnerAmper Technology team is the driving force for that. Unlike your average IT team, you won't find us simply administering technology but serving as strategic advocates to deliver solutions that bring measurable, positive changes for all our clients.

Because we pivot fast and always embrace new perspectives, we're creating a culture of technology across every department based on value and a true understanding of the business. By serving as partners to leaders throughout the organization, rather than as a resource, our Technology employees are accountable to each other and themselves to create a tangible impact based on results.

The way we see it, there is always something new we can start, stop doing, or reimagine. With this mentality, we don't let perfection get in the way of innovation. If you have a theory, you'll have the autonomy to innovate, iterate, and collaborate to see it through. Because to us, there are no bad ideas-only avenues for us to grow as a team and individuals.

About EisnerAmper:

EisnerAmper is one of the largest accounting, tax, and business advisory firms, with approximately 450 partners and 4,500 employees across the world. We combine responsiveness with a long-range perspective; to help clients meet the pressing issues they face today and position them for success tomorrow.

Our clients are enterprises as diverse as sophisticated financial institutions and start-ups, global public firms, and middle-market companies, as well as high net worth individuals, family offices, not-for-profit organizations, and entrepreneurial ventures across a variety of industries. We are also engaged by attorneys, financial professionals, bankers, and investors who serve these clients.

Should you need any accommodations to complete this application please email: talentacquisition@eisneramper.com

Preferred Location:

Iselin

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