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Geico Insurance logo
Geico InsuranceChevy Chase, MD
At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. About the job At GEICO, we are not just an insurance company; we are a technology-driven organization that is transforming the insurance landscape. Our mission is to leverage cutting-edge technology to deliver exceptional experiences for our customers and create innovative solutions that redefine the industry. About The Team The Billing Platform team at GEICO oversees the tools, infrastructure, data, reporting, analytics, and services essential for delivering seamless billing experiences to internal users, end customers, and partners. Our billing platform functions as the backbone for managing financial transactions and customer interactions, enhancing efficiency, accuracy, and customer satisfaction while supporting strategic growth and ensuring compliance. What you will do We are seeking a seasoned Software Engineer with extensive experience in designing, building, and maintaining large-scale applications and distributed systems. You will become an integral part of a team dedicated to managing GEICO's core billing platform. This platform includes a comprehensive array of components such as a core billing engine, invoicing system, commissions management, collections, payment processing, CRM integration, subscription management, credit control and dunning management, along with reporting and analytics. In this role, you will play a pivotal role in re-architecting our platform from the ground up, focusing on enhancing the scalability and efficiency of our systems. Responsibilities: Oversee high-level and low-level designs of one or more sub-systems of the billing platform we are building Be responsible and accountable for the quality, reliability, usability, and performance of the solutions Provide strategic guidance and oversight for multiple billing teams, ensuring alignment with the Platform's technical vision and business objectives Lead the design and development of complex software systems, ensuring they are scalable, maintainable, and meet high-quality standards. This includes evaluating code quality and collaborating with stakeholders to understand and implement project requirements Identify and prioritize technical challenges that may pose risks to business. Develop solutions to address these issues efficiently, ensuring smooth product development Work closely with various departments, including product management and design, to ensure cohesive and successful project delivery. Facilitate effective communication and collaboration across teams to achieve common goals Mentor and guide engineers, fostering a culture of continuous learning and improvement. Provide technical guidance to help team members overcome challenges and make informed decisions Who you are We are looking for someone who meets the minimum requirements to be considered for the role. If you meet these requirements, you are encouraged to apply. The preferred qualifications are a bonus, not a requirement. Minimum Requirements: 8+ years of professional, hands-on software development experience Strong experience in architecting and designing large-scale, complex systems Proficient coding skills in Java, Kotlin, Golang, or similar languages, capable of producing high-performance, production-quality code Experience with a wide range of technologies, including SQL and NoSQL databases, Kafka, Spark, Airflow, or their equivalents Proficient in using cloud computing tools throughout the software development lifecycle, with deep expertise in DevOps, observability, telemetry, and test automation Skilled in collaborating across engineering teams and other functions to build alignment, drive decision-making, and communicate transparently Preferred Qualifications: Experience in the financial technology sector, with a focus on billing, payments, subscription management, and financial reporting Proven track record in designing and implementing workflow engines Education: Bachelor's and/or Master's degree, preferably in CS, or equivalent experience Be Part of Our Journey If you are a passionate technologist looking to make a difference, GEICO Tech is the place for you. Join us and be part of a team that is shaping the future of insurance technology. Together, we will create innovative solutions that improve lives and transform the industry. #LI-MK1 Annual Salary $115,000.00 - $230,000.00 The above annual salary range is a general guideline. Multiple factors are taken into consideration to arrive at the final hourly rate/ annual salary to be offered to the selected candidate. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate's work experience, education and training, the work location as well as market and business considerations. GEICO will consider sponsoring a new qualified applicant for employment authorization for this position. Benefits: As an Associate, you'll enjoy our Total Rewards Program* to help secure your financial future and preserve your health and well-being, including: Premier Medical, Dental and Vision Insurance with no waiting period Paid Vacation, Sick and Parental Leave 401(k) Plan Tuition Assistance Paid Training and Licensures Benefits may be different by location. Benefit eligibility requirements vary and may include length of service. Coverage begins on the date of hire. Must enroll in New Hire Benefits within 30 days of the date of hire for coverage to take effect. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants. Annual Salary $105,000.00 - $230,000.00 The above annual salary range is a general guideline. Multiple factors are taken into consideration to arrive at the final hourly rate/ annual salary to be offered to the selected candidate. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate's work experience, education and training, the work location as well as market and business considerations. At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. Access to additional benefits like mental healthcare as well as fertility and adoption assistance. Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.

Posted 3 days ago

Fox Rothschild logo
Fox RothschildBlue Bell, PA
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

Student Transportation of America logo
Student Transportation of AmericaCoventry, Town of, RI
Job Title: Operations Compliance Supervisor- Transportation Coordinating/Billing Departments Department: Transportation and Billing Reports to: General Manager Work Type: Full-Time, Monday- Friday Salary Range: 60K, based on experience Location: Coventry, RI 02816 Job Summary: At TransPar, exceptional compliance to contracts, SOP's and IOP's as well as federal and state transportation laws, ensures a high level of customer service which is at the heart of our operations. We are looking for a dynamic leader who ideally brings both project management and transportation billing experience to this role. You will wear multiple hats while leading the review and accuracy of all billing efforts as well as leading the operations incident management and compliance efforts. You will collaborate with school administrators, school bus contractors, RIDE personnel, and internal teams to accomplish these tasks. Duties and Responsibilities: Become knowledge in the RIDE student management program and policies and use these tools to provide consistent student management support for the Statewide Transportation Program Coordinate with schools and districts when student or bus staff incidents occur and ensure the necessary steps are taken to resolve each incident. This may include taking calls, sending and responding to emails, and attending virtual or in person meetings Collaborate with schools and districts and parents to develop and ensure compliance with school bus transportation plans for students requiring additional support while riding the school bus Work with Statewide bus vendors management teams when an incident results in bus staff retraining, or route reassignment/removals Request, watch and store video footage provided by the bus vendor to clarify what occurred during an incident and provide these facts to a student's school team Billing related tasks and items such as generating monthly reports pulled from routing software Coordinating with the Accountant and ensuring compliance with the billing timeline Monthly student list and district invoice peer reviews Managing the statewide billing general email and phone line Maintain all student management and billing records Review for accuracy of all transportation payments and maintain an accurate AR report Maintain an accurate contact list of all district stakeholders utilizing the statewide transportation program Work with Accountant to create, update and review annual and quarterly reports such as, cost projections, non-public offset vendor PO's Requirements: High School Diploma or satisfactory completion of any General Education Development (GED) Program 3+ years of experience billing, accounting or a related role Strong background/knowledge in the use of Microsoft Office products, such as Word, Excel, and Outlook. Proficient in developing excel spreadsheets The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. TransPar is an Equal Employment Opportunity (EEO) employer and welcomes all qualified applicants; Returning military are strongly encouraged to apply. Applicants will receive fair and impartial consideration without regard to race, sex, color, national origin, age, disability, veteran status, genetic data, gender identity, sexual orientation, religion or other legally protected status, or any other classification protected by federal, state, or local law. Must be eligible to work in the US without restrictions.

Posted 30+ days ago

A logo
Albany Medical Health SystemAlbany, NY
Department/Unit: Physicians Billing Work Shift: Day (United States of America) Salary Range: $51,755.37 - $77,633.06 This position is a Medical billing position for a Physician Practice. Providing efficient and timely follow up of delinquent and denied accounts from third party payers is an essential part of this role. This position is responsible for securing revenue for services provided by Physicians of Albany Med Health System by completing appeals, phone calls, and account review. Qualifications: High school diploma or GED is required. AAS degree is preferred. Customer service experience required Experience providing phone-based customer service a plus Proficiency in office software including Excel and Word Proficiency utilizing payer websites Ability to work in a team environment Ability to communicate effectively, both verbally and in writing Ability to Multi-task and handle a fast-paced work environment Demonstrate organizational and interpersonal skills Essential Duties and Responsibilities: Reviews charges and data for accuracy and appeals discrepancies in regards to CPT-4 and ICD-10 codes with Insurance Companies Validate and Correct registration and insurance information, notations, correct claim submission Researches and interprets information to efficiently reconcile accounts Review and understand payer policy guidelines regarding billing Follow internal policies and procedures for accurate account review Meet expected production and quality standards Other related duties as assigned Extensive on the job training is provided for this role to ensure knowledge and skills are sufficient to perform required duties and responsibilities. Hours for this position will be Monday through Friday, 8:00am-4:30pm. Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Posted 2 weeks ago

Fox Rothschild logo
Fox RothschildGreensboro, NC
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

T logo
Trinity Health CorporationHartford, CT
Employment Type: Full time Shift: Day Shift Description: Come join our Worker's Compensation team at Saint Francis Hospital, a member of Trinity Health Of New England! WORK IS ON SITE- LOCAL RESIDENCY REQUIRED Position Purpose Develops a networking relationship with workers' compensation carriers, managed care organizations and employers for the purpose of ensuring timely payment of occupational medicine clinic patient charges. Communicates effectively with clinical operations and administrative personnel concerning the transmission of medical chart documentation for the purposes of bill resubmissions and appeals. Analyzes EOB's (Explanation of Benefits) from payers to determine the accuracy of their reimbursement to the occupational medicine program. What you will do Communicate effectively on a continual basis with the Collections Manager Review EOB denials and identifies denial trends along with solutions for resolution Run accounts receivable aging report to follow up on outstanding insurance payments that need to be reviewed for additional follow up Identify claims that need to be appealed and process appeal in a timely manner Establish working relationship with clinical site personnel for the effective transfer of information Minimum Qualifications WORK IS ON SITE- LOCAL RESIDENCY REQUIRED Minimum High School Graduate or equivalent, college level courses preferred Minimum of three (3) to five (5) years of Accounts Receivable/ Collections experience. Knowledge of workers' compensation claims preferred Experience with insurance follow up, calling insurance carriers, review of EOB's, appeal writing preferred Working knowledge of CPT, HCPC, and ICD-10 codes Position Highlights and Benefits Full time 40hrs M-F days Excellent benefits - starting day 1! Ministry/Facility Information Saint Francis Hospital is committed to exceeding the expectations of our patients and families by providing world-class service in a progressive, people-centered, compassionate health care environment. We are licensed for 617 beds and 65 bassinets, are a major teaching hospital and the largest Catholic hospital in New England. Our Commitment to Diversity and Inclusion Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

Posted 1 week ago

Ovation Healthcare logo
Ovation HealthcareA-Stat Medical Billing - Pawtucket, RI
Duties and Responsibilities: Data Verification: Reviewing and verifying billing data to ensure consistency and accuracy. Accounts Receivable: Managing accounts receivable, tracking payments, and following up on overdue accounts. Discrepancy Resolution: Handling customer inquiries and resolving billing discrepancies promptly. Collaboration: Collaborating with other departments to ensure accurate billing information. Payment Processing: Processing and posting payments received. Insurance Claims: Assisting in the preparation and submission of insurance claims to various carriers, ensuring accuracy and compliance. Compliance: Staying updated on changes in billing regulations and insurance practices. System Updates: Maintaining and updating customer billing records in the system. Client Communication: Communicating with clients to discuss account balances and payment arrangements. Knowledge, Skills, and Abilities: Analytical Skills: Strong analytical abilities for reviewing data and identifying discrepancies. Communication Skills: Excellent written and verbal communication for handling customer inquiries and collaborating with teams. Technical Skills: Proficiency in billing systems and Microsoft Office Suite. Problem-Solving Skills: Ability to identify and resolve billing issues efficiently. Attention to Detail: Accuracy in data entry and record-keeping is crucial. Organization: Managing multiple tasks, prioritizing workload, and meeting deadlines.

Posted 30+ days ago

MaineGeneral Health logo
MaineGeneral HealthAugusta, ME
Job Summary: The Lab Billing Specialist ensures that laboratory billing processes are accurate, efficient, and compliant. This role oversees charge posting, investigates account discrepancies, and works closely with internal teams to maintain high standards of billing accuracy and timely reimbursement. Job Description: Key Responsibilities Oversee billing processes to ensure charges are posted accurately and on time. Investigate and resolve patient account discrepancies; escalate complex cases as necessary. Monitor and optimize billing practices, including coding accuracy, charge reconciliation, and dispute resolution. Collaborate with interdisciplinary teams to analyze and resolve billing challenges, driving improvements in efficiency and reimbursement. Develop and manage billing policies, procedures, and accurate laboratory test catalog information. Qualifications High school diploma or equivalent required; associate's or bachelor's degree in healthcare administration, business, or related field preferred. Prior experience in billing, coding, or revenue cycle management strongly preferred. Strong analytical and organizational skills with attention to detail. Proficiency with billing systems, coding practices, and medical terminology. Excellent communication and problem-solving skills. Certification: Coding Specialist (CCS) through AHIMA preferred. Scheduled Weekly Hours: 40 Scheduled Work Shift: Job Exempt: No Benefits: Supporting all aspects of our employees' wellness - physical, emotional and financial - is a critical component of being a great place to work. With the wide range of benefits and programs available, employees have the resources they need to be well at every stage of life and plan for the future. Physical Wellness: We offer quality health, dental, and vision benefits and wellness programs and resources to provide employees access to resources for a healthy lifestyle and help manage health care costs. Employees have access to industry-leading leave for new parents. A generous earned time plan is offered to all employees - We believe employees need and deserve time away from work to observe holidays, be with family, go on vacation, or simply take care of themselves. Emotional Wellness: When life gets challenging, employees have access to our Employee Assistance Program for employees and anyone in their household. Financial Wellness: An employee discount program is available to all employees for services provided by MaineGeneral Medical Center. Tuition Reimbursement is available to all employees to further develop skills and career. We offer eligible employees up to 2% of eligible pay in 403(b) company-matching contributions plus another 2% in the 401(a) retirement income plan. Three insurance plans are available to protect your family from the sudden loss of income in the event of your death, terminal illness or serious injury from accident. We offer both short-term and long-term disability insurance to replace a portion of your income if you become disabled and cannot work for a period of time. Career Mobility: Helping our employees develop their skills and grow their careers is critical to how we retain our talent and sustain our business. We do this by offering our teammates a variety of leadership-supported programs and learning and development resources for every stage of their professional development. We know that our employees are our most valuable resource - they're how we grow our business and care for our community. Equal Opportunity Employer M/F/Vet/Disability Assistive technologies are available. Application assistance for those requesting reasonable accommodation to the career site is available by contacting HR at (207) 861-3440 .

Posted 2 weeks ago

El Camino Hospital logo
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

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

Posted 30+ days ago

Solera Holdings, Inc logo
Solera Holdings, IncPoznan, OH
Who We Are Solera is a global leader in data and software services that strives to transform every touchpoint of the vehicle lifecycle into a connected digital experience. In addition, we provide products and services to protect life's other most important assets: our homes and digital identities. Today, Solera processes over 300 million digital transactions annually for approximately 235,000 partners and customers in more than 90 countries. Our 6,500 team members foster an uncommon, innovative culture and are dedicated to successfully bringing the future to bear today through cognitive answers, insights, algorithms and automation. For more information, please visit solera.com. The Role We are looking for a person who joins the Billing Team and will support us in our daily tasks. This will be a hybrid position with tasks ranging from data entry, invoicing and cash register applications. What You'll Do Perform the monthly pre-billing and billing run Analyses of pre-billing and billing results Analyses, clarifications and resolutions on errors appearing while billing run Creation of manual invoices and credit notes Generation of quarter, half year and yearly invoices according to data delivered Addressing and resolving customer inquiries and disputes related to billing Answering the clients phone calls; calling back to the customers Performing price increases in the system incl. preparation of yearly price increase Preparation of intercompany invoices Uploading invoices to customer payment portals Providing reports internal and external Customer Acquisition - handling of billing-related activities when a customer is acquired by another entity What You'll Bring Bachelor's degree in finance, Accounting, Business, or a related field (or equivalent work experience). Minimum of 2 years of experience in Account Receivables / Billing / O2C / Order to Cash Proven track record as a Billing specialist (must) Fluent Spanish and English min. B2/C1 (must) Knowledge of other foreign language would be an asset Knowledge of spanish law and regulations regarding billing, taxation, and best practices. MS Office fluency (Word, Excel) Ability to enhance process and controls Very good customer service skills and client-focus attitude Ability to work well under pressure and meet deadlines. Ability to prioritize tasks and work in a fast-paced environment. It is impossible to list every requirement for, or responsibility of, any position. Similarly, we cannot identify all the skills a position may require since job responsibilities and the Company's needs may change over time. Therefore, the above job description is not comprehensive or exhaustive. The Company reserves the right to adjust, add to or eliminate any aspect of the above description. The Company also retains the right to require all employees to undertake additional or different job responsibilities when necessary to meet business needs.

Posted 30+ days ago

General Atomics logo
General AtomicsSan Diego, CA
Job Summary General Atomics (GA), and its affiliated companies, is one of the world's leading resources for high-technology systems development ranging from the nuclear fuel cycle to remotely piloted aircraft, airborne sensors, and advanced electric, electronic, wireless and laser technologies. We currently have an exciting opportunity for a Senior Project Accountant in our Accounting Department located in Torrey Pines (San Diego, CA). DUTIES AND RESPONSIBILITIES: Under general supervision with regular review for accuracy, reviews contracts and prepares customer invoices for Cost Reimbursable, Fixed Fee, T&M and Progress Payment contracts in a government contracting (Aerospace/Defense and commercial) environment. Records journal entries (revenue, billed and unbilled accounts receivable) and supports other month end close processes. Ensures revenue recognition is in compliance with US GAAP and applicable company policies. Completes project and account reconciliations. Prepares and supports government final and quick close-out invoices. Supports government and financial audits. Coordinates and participates in the research and analysis of accounting and financial data. Compiles data and prepares a variety of highly complex reports. May present findings to professional staff and/or management. Provides excellent customer service and works closely with the Contracts and Finance departments. Assures Company compliance with Financial Accounting Standards, Cost Accounting Standards, Federal Acquisition Regulations, and disclosed Company practices. Recommends improvements and/or changes to processing methods and techniques. Contributes to and ensures the accuracy of accounting data, transactions, and reports. Ensures accounting files and records are accurate and up to date. Performs special projects as assigned. We recognize and appreciate the value and contributions of individuals with diverse backgrounds and experiences and welcome all qualified individuals to apply. Job Category Finance/Accounting Travel Percentage Required 0% - 25% Full-Time/Part-Time Full-Time Salary State California Pay Range Low 89,180 City San Diego Clearance Required? No Pay Range High 155,825 Recruitment Posting Title Government Project Accountant - Revenue and Billing Job Qualifications Typically requires a bachelor's or master's degree in accounting, finance or related discipline along with eight or more years of progressive experience in accounting with a bachelor's degree or six or more years of experience with a master's degree. Equivalent professional experience may be substituted in lieu of education. Billing experience with Cost Reimbursable, Fixed Fee, T&M and Progress Payments in a government contracting environment. Records journal entries and supports other month end close processes. Must demonstrate an understanding of generally accepted accounting principles (GAAP), cost accounting standards (CAS), and FAR. SAP experience is strongly preferred. Ability to identify issues, analyze and interpret data and develop solutions to a variety of complex problems. Excellent analytical, verbal and written communication skills to accurately document, report, and present findings Must be able to organize, schedule, and coordinate work assignments to meet deadlines. Must be customer service focused. Knowledge of MS Office and strong working knowledge of Excel. Ability to work independently and as part of a team. Ability to work extended hours as required. US Citizenship Required? Yes Experience Level Senior (8+ years) Relocation Assistance Provided? No Workstyle Hybrid

Posted 30+ days ago

Burr & Forman LLP logo
Burr & Forman LLPColumbia, SC
At Burr & Forman LLP, we have a foundational commitment to our clients, colleagues, and communities. The firm is currently hiring for a full-time billing accountant in the Birmingham or Mobile, AL; Orlando or Tampa, FL; or Columbia, SC office. When you join our team, you will benefit from the experience of interesting, pivotal work in a friendly and professional environment. We invest in our people to be sure we have the talent necessary to meet our clients' legal needs and advance their business objectives. If you are interested in joining a highly-collaborative, growth-minded organization, consider applying today. KEY CONTRIBUTIONS Prepare client pre-bills, edit time narratives, and process write-offs and adjustments. Review client specific billing requirements; incorporate requirements into invoicing; and audit invoices for compliance with such requirements. Troubleshoot and resolve billing inquiries and disputes. Distribute final invoices including submission of bills electronically through established third party portals. Review, research, and resolve client overpayments. Create and distribute designated billing reports and metrics. Perform other duties as needed. THE ESSENTIALS An associate's degree or equivalent, preferably with a degree in accounting, plus one year of accounting or billing experience; or three years related experience and/or training; or equivalent combination of education and experience. Experience in a legal or professional services environment and with Aderant Expert software preferred. Highly organized, detail-orientated, proactive and a team player who takes ownership. Balance competing priorities and work effectively in a fast-paced environment, exercising patience and professionalism during stressful situations. Strong verbal and written communication skills Proficiency in MS Word and MS Excel. A satisfactory credit history is required. ADDITIONAL INFORMATION Burr & Forman LLP provides a wide range of benefits designed to support our employees and families including comprehensive health insurance, dental and vision insurance, group term life and disability insurance, a 401(k) retirement plan and retirement planning services, paid time off, and free wellness and mental health services among other benefits. The salary range for this position reflects a reasonable estimate of the range of compensation. Actual compensation is based on a number of factors, including but not limited to, education, work experience, geographic location, skills and competencies, industry knowledge, job responsibilities, market considerations and other business considerations. Equal Opportunity Employer Burr & Forman is an equal opportunity employer and is committed to recruiting, hiring, developing, and promoting lawyers and staff without regard to age, race, color, religion, sex, gender, national origin, sexual orientation, military and protected veteran status, gender identity or expression, transgender status, sex stereotyping, pregnancy, genetic information, disability, or any other protected characteristic. Please view Equal Employment Opportunity, E-Verify, and other related posters at www.burr.com/careers/working-at-burr.

Posted 30+ days ago

Washington University in St. Louis logo
Washington University in St. LouisWest County - St. Louis, MO
Scheduled Hours 40 Position Summary Obtains insurance information, referral forms and counsels patients on financial assistance when seen in department for services. Job Description Primary Duties & Responsibilities: Obtains insurance information from patients and counsels alternative ways for financial assistance. Registers all new patients and assists with form completion. Reviews schedule for new patients and makes updates when necessary. Calls patients with appointment time reminders; obtains insurance information and referral forms. Explains billing process to patients; answers incoming inquiries from patients and third-party payers. Explains billing process to other staff; assists with basic account maintenance activities. Assists patients with insurance questions regarding the billing process. Assists staff with sending out reminder cards and other scheduling duties. Performs other duties as assigned. Working Conditions: Job Location/Working Conditions: Normal office environment. Patient care setting. Physical Effort: Typically sitting at desk or table. Repetitive wrist, hand or finger movement. Equipment: Office equipment. The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time. Required Qualifications Education: High school diploma or equivalent high school certification or combination of education and/or experience. Certifications: The list below may include all acceptable certifications and issuers. More than one credential or certification may be required depending on the role. Basic Life Support- American Heart Association, Basic Life Support- American Red Cross Work Experience: Billing Systems And Third-Party Claims And/Or Medical Office Setting, Related Customer Service (3 Years) Skills: Not Applicable Driver's License: A driver's license is not required for this position. More About This Job Required Qualifications: Basic Life Support certification must be obtained within one month of hire date. Basic Life Support certification (Online BLS certifications, those without a skills assessment component, are not sufficient to meet the BLS requirements). Preferred Qualifications: Demonstrated interpersonal skills. Working knowledge of insurance and financial options. Preferred Qualifications Education: No additional education beyond what is stated in the Required Qualifications section. Certifications: No additional certification beyond what is stated in the Required Qualifications section. Work Experience: No additional work experience beyond what is stated in the Required Qualifications section. Skills: Customer Service, Effective Written Communication, Epic EHR, Financial Information, Insurance, Interpersonal Communication, Interpersonal Relationships, Medical Billing and Coding, Medical Insurance Claims, Office Organization, Organizing, Professional Etiquette, Scheduling, Team Collaboration Grade C06-H Salary Range $17.34 - $25.40 / Hourly The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget. Questions For frequently asked questions about the application process, please refer to our External Applicant FAQ. Accommodation If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request. All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship. Pre-Employment Screening All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening. Benefits Statement Personal Up to 22 days of vacation, 10 recognized holidays, and sick time. Competitive health insurance packages with priority appointments and lower copays/coinsurance. Take advantage of our free Metro transit U-Pass for eligible employees. WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%. Wellness Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more! Family We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We've got you covered. WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us. For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/ EEO Statement Washington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups. It is the University's policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information. Washington University is dedicated to building a community of individuals who are committed to contributing to an inclusive environment - fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply.

Posted 30+ days ago

Louisiana Machinery Company logo
Louisiana Machinery CompanyBossier City, LA
Description POWER UP YOUR CAREER WITH LOUISIANA CAT Louisiana Cat has been proud to represent Caterpillar for 4 continuous generations in the state of Louisiana. We have been providing our customers with the highest quality Cat equipment, service, and parts since 1933. We serve to build and power our community for a better future. We are always searching for high energy, ambitious candidates who are ready to join our team. You can build your future here! THE OPPORTUNITY We are searching for a SERVICE BILLING CLERK to join our growing operations at our Bossier City, Louisiana location. YOU The Service Billing Clerk is responsible for the clerical processes and office tasks of the Service Department. The Service Billing Clerk will interact with customers in person, over the telephone, and by email regarding requests of the Service Department. YOUR CONTRIBUTION Assist with general operations of the Service Department. Responsible for all documentation pertaining to work orders, work in progress, invoicing, reporting, and timekeeping. YOUR VALUE Develop strong organizational skills, strong time management skills, and the ability to multi-task. Increase customer service standards created by Louisiana Cat. MOST IMPORTANT QUALIFICATIONS General computer skills required, knowledge of Excel preferred. Preference will be given to applicants with related training and/or experience. Associate's degree a plus, but not required. JOB FACTS SCHEDULE: Monday Friday from 8am- 5:00pm LOUISIANA CAT BENEFITS Health, Dental, Vision, $50,000 Company Funded Life Policy (if enrolled in Health) Short- and Long-Term Disability Insurance Voluntary Accident, Critical Illness, Hospital Indemnity, Cancer, Supplemental Life and additional voluntary policies 401K Plan with Company Match Paid Holidays & Vacation Technician Tool Loan Program up to $2,000 Safety Boot / Safety Prescription Glasses Allowances Employee Discounts Credit Union Technician Career Development Program- Shop & Field Service Training SAFETY IN ALL WE DO We require strict compliance with PPE (personal protective equipment) safety regulations. We maintain compliance with all Federal, State and Local safety and company regulations. All employees must follow all Company Health, Safety & Environmental (HSE) procedures. Louisiana Cat is a drug-free workplace, including marijuana and THC products. WHY PEOPLE JOIN LOUISIANA CAT We are dedicated to fostering a safe and meaningful work environment that empowers our employees and customers. We are known for creating lasting partnerships, guided by our strong company values, customer experience culture and safety standards. We are committed to the long-term growth and success of both our employees and customers. We have energy, focus and passion delivering results because what we do impacts our customers each and every day. We work across Construction, Electrical Power, Industrial, Marine Engines and Oil & Gas industries. We invest in training and development programs for our employees to build their toolkit and career paths here at Louisiana Cat. We offer competitive pay and benefits, paid holidays and vacation, employee incentive programs and 401(k) company match programs. WHO WE ARE We are a growing organization focused on creating a positive impact on our employees, customers and communities in which we operate. We seek out employees who are inspired by our values, thrive in a collaborative environment, and want to become a part of a dynamic company backed by 90+ years of success. We have 23 locations across Louisiana and the Gulf South with Corporate HQ located in Reserve, LA and Power Systems HQ located in New Iberia, LA. ADDITIONAL INFORMATION Louisiana Cat (Louisiana Machinery Co, LLC) and its affiliates are an Equal Opportunity Employer (EEO). All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age (40 and over), national origin, disability, or status as a protected veteran. We proudly hire U.S. Veterans. Louisiana Cat (Louisiana Machinery Co., LLC) uses E-Verify and complies with I-9 employment eligibility requirements of all new hires. Click here for your rights: click here for more information Equal Employment Opportunity Know Your Rights: Workplace Discrimination is Illegal: click here for more information Pay Transparency Nondiscrimination Provision: click here for more information Louisiana Cat (Louisiana Machinery Co, LLC) and its affiliates are drug-free workplaces and post-offer, pre-employment process includes background check, drug/alcohol screen, and if applicable for the role, pre-employment physical/fit for duty assessments.

Posted 30+ days ago

Winters Healthcare logo
Winters HealthcareWinters, CA
Billing Manager Hours per week: Full time at 32 hours per week* Note: As of June 23, 2025, Full-Time employment is 32 hours per week for an organizational wide pilot.* Primary location: Winters, CA We are on the lookout for an experienced Billing Manager to join our team! If you are viewing this posting on an external recruitment website, please visit and apply directly on our careers page at: https://wintershealth.bamboohr.com/careers/119?source=aWQ9MTc%3D As the Billing Manager at Winters Healthcare, if you were in this role, you would be the subject matter expert on all things billing, coding, and credentialing within a Federally Qualified Health Center (FQHC). Reporting directly to the Director of Finance, you'll oversee and support a small but mighty billing team of two, while also working closely with providers, department managers, HR, and leadership. Your day-to-day will have varying functions such as reviewing and submitting claims, resolving denials, and ensuring clean billing across medical, dental, behavioral health, and pharmacy services. You will support the billing team with complex issues, and resolve patient billing issues in a professional and courteous manner. You will be responsible for initiating training and mentorship for your direct team, as well as for providers organization wide. Other important pieces include billing and coding efficiencies, EHR optimization (Ochin Epic) in conjunction with our Medical and Dental Director, as well as perform occasional internal audits for ensuring regulation compliance. You will also play a critical role in credentialing by partnering with the HR team and incoming providers, as well as our board of directors (for CMS application), to complete payer applications and ensure contracts are current and compliant. Beyond daily billing operations, you will collaborate with the Director of Finance on Sliding Fee Scale (SFS) oversight and support organizational initiatives that improve financial health and operational efficiency. This role is ideal for someone with proven billing and coding expertise, strong leadership skills, a collaborative mindset, and a passion for leveraging technology and training to strengthen both team performance and patient access to care. Essential Functions: Oversee and manage the billing department to ensure accurate and timely submission of claims to commercial, government, and program payers. Lead the full billing cycle, including charge posting, claim submission, payment posting, follow-up, denial management, and collections. Monitor contracts with private and public payers to ensure accuracy and compliance. Respond to billing questions from patients, staff, and insurance companies; resolve complaints and complex issues in a professional and courteous manner. Manage all aspects of credentialing and re-credentialing for medical, dental, behavioral health, and pharmacy providers in accordance with HRSA/BPHC requirements and payer standards. Process and complete credentialing requests for commercial and government payers. Maintain up-to-date provider database, credentialing files, and related records. Coordinate with billing team, providers, department managers and leads to resolve denials or authorization issues related to provider credentials. Monitor changes in legislation, payer requirements, and industry standards; ensure compliance with regulatory frameworks such as PPS and APM. Lead, mentor, and support the billing team by providing training, resources, and guidance to handle complex billing tasks. Promote a culture of collaboration, accountability, and continuous improvement. Qualifications: Associate's degree and/or Billing and Coding certification Minimum of 3 years' experience in medical and/or dental billing within a health center, including insurance contracting and provider credentialing Proficiency in CPT, HCPCS, and ICD-10 coding systems, with strong knowledge of Medicare, Medi-Cal, Denti-Cal, commercial insurance plans, PPS, APM, and FQHC program requirements Experience leading billing, coding, and collections across multiple service lines (medical, dental, behavioral health, pharmacy). Skilled in electronic health records (OCHIN Epic preferred) and billing systems Bilingual in Spanish (speak, read, write) preferred Compensation and Benefits: Effective June 23, 2025 annual equivalent salary range is $70,700 - $90,400 for 32 hrs/week* and depends on experience and qualifications. Paid Time Off, holidays, Wellness Days (1 per week during pilot) Medical, dental, vision, life insurance- 90% paid for employees, and 50% paid for dependents. 401K retirement match program- 3% match Hours: 32 hours / week with a tentative schedule of Tuesday-Friday 8am- 5:00pm (open to earlier or later start). We are also open to part-time candidates. Note: working 24 hours or more/ week qualifies for full health insurance benefits. Beginning June 23, 2025, Winters Healthcare will launch an organization-wide pilot program, redefining full-time status as 32 hours per week.* Location: Winters, CA 1 day/ week preferred at our Esparto facility Full job description below: Summary of Duties: The Billing Manager, under the general supervision of the Director of Finance, is responsible for the oversight and effectiveness of the organization's billing, coding, and credentialing functions. This position ensures timely and accurate claim processing, training of billing staff and employees, provider credentialing and re-credentialing, management of insurance contracts, and regulatory compliance. The Billing Manager takes a proactive approach in staying up to date on industry trends, health center program regulations, payer requirements, and overall billing and coding compliance. As the billing manager, you are responsible for managing and overseeing the billing department. You are to ensure appropriate contracts are up to date with private and public insurance payers, while also acting as a resource for staff and patients with regards to questions on billing for services and insurance coverage. You will participate in the development and implementation of financial and billing policies and procedures, and perform occasional billing audits to monitor, improve efficiency and maintain compliance of billing processes. In addition, as a medical and dental biller, employee is responsible for collecting, posting, and managing account payments as well as submitting claims and following up with insurance payers, patients, and state, federal and county managed plans. Essential Functions: Billing & Revenue Cycle Management Oversee and manage the billing department to ensure accurate and timely submission of claims to commercial, government, and program payers. Lead the full billing cycle, including charge posting, claim submission, payment posting, follow-up, denial management, and collections. Monitor contracts with private and public payers to ensure accuracy and compliance. Respond to billing questions from patients, staff, and insurance companies; resolve complaints and complex issues in a professional and courteous manner. Review accounts for potential collections and make recommendations to Director of Finance. When applicable, review and manage delinquent accounts, establishing payment plan when necessary. Conduct periodic billing audits to monitor compliance, improve efficiency, and support quality improvement efforts. Prepare and submit regular billing and productivity reports. Ensure sliding fees are followed and calculated annually Works with billing staff to enter contracted rates into the billing system. Reviews contracts to ensure contract fees are entered correctly. Credentialing & Contracting Manage all aspects of credentialing and re-credentialing for medical, dental, behavioral health, and pharmacy providers in accordance with HRSA/BPHC requirements and payer standards. Process and complete credentialing requests for commercial and government payers. Maintain up-to-date provider database, credentialing files, and related records. Coordinate with billing team, providers, department managers and leads to resolve denials or authorization issues related to provider credentials. Monitor changes in legislation, payer requirements, and industry standards; ensure compliance with regulatory frameworks such as PPS and APM. Manage and maintain contracts and applications with insurance companies and government payers. Leadership & Team Development Lead, mentor, and support the billing team by providing training, resources, and guidance to handle complex billing tasks. Promote a culture of collaboration, accountability, and continuous improvement. Act as a liaison across departments, providers, and external agencies to ensure effective communication and resolution of billing and credentialing matters. Support organizational quality improvement, performance improvement initiatives, and participate in related interagency meetings and projects. Collaborate with the Director of Finance to review and refine policies and procedures to ensure the effectiveness of the revenue cycle/AR. Other Duties Support staff with project-based work and administrative tasks as assigned. Participate in continuing education, professional development, and required staff meetings. Uphold patient confidentiality and ensure compliance with HIPAA and organizational policies. Join and attend CPCA Billing Manager Peer Network meetings Other duties as assigned HRSA: Health Resources & Services Administration; BPHC: Bureau of Primary Health Care Minimum Requirements: Education and Work Experience Associates Degree from an accredited university, and/or Billing and Coding certification Three years of experience as a medical and/or dental biller in a health center, Experience with insurance contracting and provider credentialing (CVO experience is a plus) Working knowledge of CPT, HCPCS, & ICD-10 coding systems; HRSA and FQHC program and credentialing requirements; or Any similar combination of education and experience Knowledge, Skills and Abilities: Fluency in Spanish (speak, read, and write) is a plus! Strong knowledge of Medicare, Medi-Cal, Denti-Cal, and commercial insurance plans. Proficiency with electronic health records (OCHIN Epic preferred), medical/dental coding, and billing systems. Understanding of FQHC regulations, encounter rates, and payment systems. Demonstrated ability to lead billing, coding, and collections operations across multiple service lines (medical, dental, behavioral health, pharmacy). Exceptional leadership, communication, and problem-solving skills. Strong organizational and critical thinking abilities; detail-oriented with high emotional intelligence. Proficiency in Microsoft Office Suite and health information technology (Epic, eClinicalWorks, Open Dental). Demonstrated ability to build effective relationships with patients, staff, and external partners. Commitment to confidentiality, HIPAA compliance, and ethical best practices. Other Requirements: Authorization and consent for Winters Healthcare to investigate candidate's background with a consumer report for employment purposes, to evaluate candidate/ employee for employment, promotion, reassignment, or retention as an employee Additional Desired Qualifications: Strong interest in Health Information Technology and ability to master OCHIN Epic EHR and associated reporting software. Proven leadership skills with strong collaborative and teaching skills with staff and patients Previous experience with Federally Qualified Health Centers (FQHC), low income or medically underserved populations preferred Physical Demands: While performing the duties and tasks of this job, the employee is regularly required to stand; walk; work on irregular surfaces; reach with hands and arms; use hands to finger, handle or feel objects, tools, or controls; talk or hear; and taste or smell. The employee is occasionally required to sit and stoop, kneel, crouch, bend, squat, twist or crawl. This job requires physical effort and the ability to place or retrieve items at below waist level may be required. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision and depth perception, and the ability to adjust focus. The employee occasionally may be required to transfer patients to and from a wheelchair. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Environmental/ Working Conditions: The environment is a standard office environment. Regular office hours are Monday through Friday. Occasionally, evenings, weekends and overtime may be required. Office hours may be changed as business needs dictate. The working environment characteristics described here are representative of those an employee may encounter while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job. While performing the duties of this job, the employee is occasionally exposed to toxic or caustic chemicals, required to work near moving mechanical parts and sharp instruments, and may be at risk of electrical shock. The noise level in the work environment is usually moderate. Operating hours: Monday, Tuesday, and Thursday: 8:00 am- 8:00pm, and Wednesday and Friday: 8:00 am- 5:00 pm Hours: This position is 32 hours per week with a proposed schedule of Tuesday- Friday 8:00 am to 5:00 pm; occasional evenings may be required, and 1-2 additional evenings throughout the year to attend the Board of Directors meeting as requested. Actual working hours may vary.

Posted 3 weeks ago

C logo
Columbia Valley Community Health CenterWenatchee, WA
Job Specific Competencies Via electronic work lists, user generated reports or as directed by management, follows up on unresolved claims in a timely fashion. Includes claims with no response, pended or denied. Identifies rejected claims files, researches reject reason(s) and resolves affected claims errors. Resubmits files as needed to ensure receipt of clean claims. Assists system vendor with appeal requests, or processes appeals directly with payer for denied claims as dictated by department policy. When claims are denied for coding related reasons, effectively utilizes coding software and/or books to confirm coding accuracy in order to resolve claims with the payer. May seek assistance from clinic coders. Ensures claims have correct insurance information and are billed to insurances timely. Prepares and finalizes insurance claims for batch processing and submission to system vendor, clearinghouse or direct to payer. Ensures insurance coverage records are complete and accurate for patient accounts. Verifies insurance coverage via electronic means or by phone when required. Makes corrections as needed. Contacts patients or insured members to resolve insurance coverage discrepancies. Confirms receipt of batch claims by insurance, system vendor or clearinghouse via electronic means or by phone. Monitors files for acceptance by same as dictated by department policy (normally within 48 hours). Processes secondary and tertiary insurance claims, electronically or via paper, as dictated by department and payer policy. Receives and posts electronic or manual insurance payments and adjustments in a timely fashion. Resolves unidentified or problem payments according to department policy. Is sure to balance payments posted with remittance or EOB prior to completion. Receives, researches and processes insurance and patient correspondence. Processes adjustments and requests approval for write-off of balances as dictated by department policy. Is careful to use correct adjustment or payment codes for processing and reporting needs. Understands, utilizes and properly posts industry standard claims and remittance codes (CARC and RARC). Communicates with accounting department, via spreadsheets, regarding processed or pending payments for cash reconciliation purposes. Thoroughly researches insurance credit balances and processes adjustments or refunds as needed and dictated by department policy. Identifies trends in causes of credit balances as works with the appropriate CVCH departments (Patient Services, Billing, etc.) to prevent credit balances. Is responsible to remain current with general billing guidelines, reimbursement rules and regulations. For assigned payers, is responsible to remain current with their specific guidelines by reading payer publications and reviewing their websites. Understands FQHC billing nuances to ensure accurate coding and maximum reimbursement for related services. Attends conferences, seminars and webinars as requested to remain current on billing related policies. Maintains accurate, complete and auditable billing records in accordance with CVCH policy and procedures. Appropriately and thoroughly documents patient accounts and/or claims with each action taken and each contact made to resolve the claim or account balance. Scans appropriate documents for electronic storage purposes, according to department policy. Builds and maintains positive relationships with payers, clinical department staff, corporate compliance, etc. Participates with claims resolution meetings, projects or problem-solving processes for assigned payers. Utilizing approved methods, communicates incorrect application of insurance coverage or benefits with clinic department staff members. Meets with clinical departments as needed or requested to provide updates regarding insurance coverage or benefit application concerns. Participates with educational activities with clinical departments, corporate compliance, etc. to ensure lines of communication among departments remains open and positive. Assists providers, staff and insurance payer representatives with insurance and billing inquiries in a friendly and professional manner. Other responsibilities may include: Completes and follows up on credentialing and re-credentialing of providers with appropriate insurance companies. Provides information as needed for production reporting and to ensure job standards are consistently met or exceeded. Assists with internal audits by providing requested information and participating in review finding discussions regarding insurance processing performance. Submits to remedial training if substandard performance is identified through such audits. Assists co-workers and management with special projects related to claims or A/R clean-up efforts. To ensure uninterrupted service, participates in cross-training efforts and provides coverage for insurance processing and follow-up needs with non-assigned payers. Actively participates in departmental and/or organizational process improvement (lean) initiatives. Notifies management of audit requests by insurance payers and complies with requests in a timely manner. Performs other duties as assigned by management. Engages in training Patient Services and Call Center Agent's to meet organizational needs. Performs complex holds to resolve denials and performs higher level tasks. General Duties and Responsibilities Performs other duties and tasks as assigned by supervisor. Expected to meet attendance standards and work the hours necessary to perform the essential functions of the job. Conforms to safety policies, general housekeeping practices. Demonstrates sound work ethics, flexible, and shows dedication to the position and the community. Demonstrates a positive attitude, is respectful, and possesses cultural awareness and sensitivity toward clients and co-workers. Keeps customer service and the mission of the organization in mind when interacting with all clients, co-workers, and others. Employees are expected to embrace, support and promote the core values of respect, integrity, trust, compassion and quality which align with the CVCH mission statement through their actions and interactions with all patients, staff, and others. Conforms to CVCH policies and Joint Commission and HIPAA regulations Job Specifications Education: High School graduate or equivalent Certification/Licensure: None Experience: 3 years billing experience in a healthcare setting preferred. Strongly prefer knowledge of diagnosis and procedural coding, medical terminology and insurance billing guidelines, fluent with industry X12 and ANSI guidelines, proficient with claims adjustment reason and remark codes (CARC and RARC), FQHC certification or billing experience. Language Skills: English required. Essential Technical/Motor Skills: Knowledge of computer applications and equipment related to work. Must have basic computer and keyboarding skills and have the ability to enter data within company's computer system to include strong knowledge in MS Word/Excel; must demonstrate manual dexterity. Exhibit strong customer service skills, strong process improvement background. Interpersonal Skills: Strong interpersonal and communication skills and the ability to work effectively with other staff and management. Demonstrated skill in developing and maintaining productive work teams. Ability to demonstrate personal integrity in all interactions. Essential Physical Requirements: This job is performed mostly in a typical inside, office environment. Essential physical requirements of this job include: light physical effort; repetitive motions of wrists, hands, and/or fingers; standing, walking, lifting, reaching, kneeling, bending, stooping, pushing, and pulling; frequent sitting; lifting and/or moving items up to 50 pounds, with assistance as needed; ability to read forms and computer screens and to read correspondence and other documents. Essential Mental Abilities: Ability to make decisions in line with state and federal regulations; ability to read, comprehend, and analyze documents, regulations, and policies; ability to prepare and submit complete and succinct documents necessary to the job. Ability to assess and evaluate, have attention to detail. Knowledge of auditing and compliance procedures, quality assurance and improvement practices, understanding of the elements of sponsored clinical protocols including consent forms, and reporting requirements. Problem solving and analytical skills are required with a heavy emphasis on detailed analysis of information to support actions. Essential Sensory Requirements: Essential sensory requirements include the ability to: read computer keyboard, monitor, and documents; prepare and analyze documents; read extensively; see, recognize, receive and convey detailed information orally, by telephone and in person; convey accurate and detailed instructions by speaking to others in person and by telephone. Exposure to Hazards: Worker is subject to inside environmental conditions on a frequent basis with moderate noise. Typical working conditions found in most administrative work areas. Worker has contact with consumers and other staff and may be exposed to medical conditions presented by them. Blood/Fluid Exposure Risk Category III Tasks involve no greater exposure to blood, body fluids, or tissues than would be encountered by a visitor. Category I tasks are not a condition of employment. Age Specific Competency Position does not involve patient care. Position will demonstrate general knowledge and skill to effectively communicate and provide safety measures to all life cycles. Telecommuting Position eligible for Partial Telecommuting Benefits Coverage below based on a 1.0 FTE; Medical, Dental, Paid Leave, Holidays are prorated based on FTE Benefit: Coverage: Effective: Medical Premera (Self Insured) Preferred Provider Employee covered - $60.00 per month Dependents covered - please refer to the benefits Guide 2025 for rates First of the month following the first date of employment. Dental Washington Dental Employee covered- 100% Dependents covered- 50% First of the month following the first date of employment. Paid Leave 120 hours- Year 1 136 hours- Year 2 Each year after that employee will accrue 8 hours of PTO each year, on their anniversary date, until they reach a maximum of 208 hours at 10+ years. Paid Leave may be used immediately for sick leave and after 3 months employment for vacation. Maximum accrual cap of 320 hours; hours in excess of 320 hours will automatically transfer into the employees EIB. Extended Illness Bank (EIB) Allows for maximum accrual of 200 hours PTO hours in excess of 320 will transfer into EIB. Employees are eligible to use EIB hours after at least 3 consecutive scheduled working days of PTO (max 24 hours) which have been used for a personal illness and/or a qualifying event under FMLA or the WA Family Care Act. Holidays 88 hours related to: New Year's Day Memorial Day 4th of July Labor Day Thanksgiving Day Day after Thanksgiving Christmas Eve Christmas Day 3 Diversity Days Holidays are calculated as 8-hour days if full time, 1.0 FTE, and paid based on the calendar year (January 1 through December 31). Holiday hours will be added to the employee's timecard automatically. If an employee is part-time, as documented in our HR/Payroll system, Holiday hours will be pro-rated. If an employee starts after the calendar year has begun, holiday hours will be prorated based on remaining holidays in the calendar year and diversity days will be prorated as outlined below: Jan 1- April 30: 3 diversity days (24 hours if 1.0 FTE) May 1 - August 31: 2 diversity days (16 hours if 1.0 FTE) Sept 1 - Dec 31: 1 diversity day (8 hours if 1.0 FTE) Please refer to the Paid Leave policy for additional details. 403(b) Retirement Plan Lincoln Financial 150% CVCH match up to 3% of the employee's contribution Immediately. Vesting schedule: 20% at 2 years, 50% at 3 years, 60% at 4 years, and 100% at 5 years. Employee Assistance Program Mutual of Omaha Free short-term counseling for employee and family Immediately. Call 800-316-2796 Long-term Disability Mutual of Omaha Employee Only (variable) First of the month following the first date of employment. Benefit: Coverage: Effective: Basic Term Life Mutual of Omaha Employee Only (1x annual salary, up to $200,000) First of the month following the first date of employment. Group Accidental Death and Dismemberment (AD&D) Mutual of Omaha Employee Only (1x annual salary, up to $200,000) First of the month following the first date of employment. Supplemental Term Life Mutual of Omaha Employee / Spouse / Dependent(s) First of the month following the first date of employment. Voluntary AD&D Mutual of Omaha Employee / Family First of the month following the first date of employment. Health Reimbursement Arrangement RedQuote Reimbursement for out of pocket expenses for services received at CVCH (medical, dental, and prescription) by employees and their dependents enrolled in our medical plan. Up to $750 per family per year. First of the month following the first date of employment. Flex Plan: Medical RedQuote Flex Plan: Maximum $3,300 per year Direct Deposit available First of the month following the first date of employment. Flex Plan: Dependent Care RedQuote Flex Plan: Maximum $5,000 per year Direct Deposit available First of the month following the first date of employment. AFLAC Supplemental insurance - cafeteria plan First of the month following the first date of employment. Wellness Stipend CVCH will reimburse staff up to $30 per month for a local gym membership OR CVCH will reimburse up to $150 per year for a subscription type workout program service (i.e.: Beachbody on Demand, Les Mills, etc.) Immediately. Once employee has submitted invoice to HR/Payroll department. Cell Phone Discounts Discounted monthly access fees Discounted select accessories and special equipment Available for personal cell phones, currently in place with AT&T & Verizon Benefit: Coverage: Effective: Tuition Reimbursement For approved courses, the cost of tuition, books, and lab fees may be reimbursed at 75% of the actual costs up to a maximum of: $4,000 for an Associate's degree, vocational, technical, or certification program $6,000 for a Bachelor's degree $8,000 for a Master's degree Upon approval; regular employees who work at least 20 hours per week, have successfully passed their evaluation period and are in good standing may apply. Employees must agree to work for a period of two (2) years from the date of receipt of tuition reimbursement and obtain satisfactory completion of approved courses or Challenge Exams. Compensation: $21.06 to $30.27 (DOE)

Posted 30+ days ago

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

Posted 30+ days ago

ConvaTec logo
ConvaTecMassapequa, NY
About Convatec Pioneering trusted medical solutions to improve the lives we touch: Convatec is a global medical products and technologies company, focused on solutions for the management of chronic conditions, with leading positions in Advanced Wound Care, Ostomy Care, Continence Care, and Infusion Care. With more than 10,000 colleagues, we provide our products and services in around 90 countries, united by a promise to be forever caring. Our solutions provide a range of benefits, from infection prevention and protection of at-risk skin, to improved patient outcomes and reduced care costs. Convatec's revenues in 2024 were over $2 billion. The company is a constituent of the FTSE 100 Index (LSE:CTEC). To learn more please visit http://www.convatecgroup.com Job Description Summary Billing & Invoicing work is focused on designing and ensuring compliance with billing and invoicing processes including: Information verification (e.g., ensure accuracy of billing information, negotiated terms and compliance with current legislation) Monitoring customer accounts (e.g., ensure payments made on time, report on overdue accounts, etc.) Resolving billing discrepancies (e.g., investigate and resolve billing & invoicing errors, recommend process improvements to avoid future errors, etc.) May include collections activities Job Description Requires basic knowledge of job procedures and tools obtained through work experience and may require vocational or technical education. May require the following proficiency: Works under moderate supervision. Problems are typically of a routine nature but may at times require interpretation or deviation from standard procedures. Communicates information that requires some explanation or interpretation. Key Responsibilities: Responsible for claim review and submission to Medicare, Medicaid, commercial and private insurance payers. Verifies accuracy and completeness of all required information prior to submission. Follows up with insurance companies on unpaid or rejected claims. Resolves issues and resubmits claims. Reads and interprets insurance explanation of benefits. Maintains specialized knowledge in insurance processes and guidelines, including authorizations and limitations. Investigates insurance claim denials, exceptions, or exclusions. Takes necessary action to resolve claim and payer issues in an effort to recover proper reimbursement. Provides customer service relating to all billing inquiries and complaints. Able to explain insurance processes, benefits, and exclusions. Follows HIPAA guidelines in handling customer information. Performs other billing duties as requested by the Billing Supervisor, Billing Manager, or Director of Billing. Qualifications/Education: Must have a high school diploma, college degree preferred, not required. Six months to one year of related experience and/or training; or equivalent combination of education and experience. Proficient in use of computers and software including, but not limited to: practice management software, word processing and spreadsheet applications. Detail oriented with ability to multi-task. Manages one's own time with minimal supervision. Strong mathematics and problem-solving skills. Seeks and shares pertinent information related to insurance or internal processes. Communicates effectively both verbally and in writing to convey and receive information. Use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems. Self-evaluates performance to make improvements or take corrective action. Consider the relative costs and benefits of potential actions to choose the most appropriate one. Use equipment, facilities, and materials appropriately as needed to do certain work. This position must commit to 9 months in the role before applying for alternative roles within the organization. Exceptions must be approved by Department leadership. Physical Demands Regularly required to sit, stand, walk, and occasionally bend and move about the facility. Infrequent light physical effort required. Occasional lifting under 10 lbs. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Working Conditions Work performed in an office environment, Special Factors This role can be performed remotely. Beware of scams online or from individuals claiming to represent Convatec A formal recruitment process is required for all our opportunities prior to any offer of employment. This will include an interview confirmed by an official Convatec email address. If you receive a suspicious approach over social media, text message, email or phone call about recruitment at Convatec, do not disclose any personal information or pay any fees whatsoever. If you're unsure, please contact us at careers@Convatec.com. Equal opportunities Convatec provides equal employment opportunities for all current employees and applicants for employment. This policy means that no one will be discriminated against because of race, religion, creed, color, national origin, nationality, citizenship, ancestry, sex, age, marital status, physical or mental disability, affectional or sexual orientation, gender identity, military or veteran status, genetic predisposing characteristics or any other basis prohibited by law. Notice to Agency and Search Firm Representatives Convatec is not accepting unsolicited resumes from agencies and/or search firms for this job posting. Resumes submitted to any Convatec employee by a third party agency and/or search firm without a valid written and signed search agreement, will become the sole property of Convatec. No fee will be paid if a candidate is hired for this position as a result of an unsolicited agency or search firm referral. Thank you. Already a Convatec employee? If you are an active employee at Convatec, please do not apply here. Go to the Career Worklet on your Workday home page and View "Convatec Internal Career Site - Find Jobs". Thank you!

Posted 30+ days ago

O logo
Organon & CoPlymouth Meeting, PA
Job Description The Position We are seeking a highly skilled and experienced professional to join our team as the MedTech Billing & Coding Contract Specialist. This role is essential in developing and implementing strategies that support billing, coding, and reimbursement processes across diverse healthcare settings, including hospitals today and midwifery practices and birth centers in the future. The ideal candidate will possess deep expertise in facility and healthcare provider reimbursements by payer type, including commercial, Medicare, and Medicaid. The role will also support the development of a contracting strategy for the MedTech business. Responsibilities Billing and Coding Acumen: Develop and enhance billing and coding knowledge across different settings of care, ensuring accurate and efficient physician billing. Reimbursement Expertise: Serve as an expert in facility and healthcare provider reimbursements by payer type, including commercial, Medicare, and Medicaid. Serve as an expert on DRG hospital and provider reimbursement. Customer Engagement: Provide customer-facing support to troubleshoot billing, coding, and reimbursement challenges, ensuring high levels of satisfaction and resolution. Contract Strategy Development: Lead the development of contracting strategies to optimize financial performance and compliance. Strong understanding of CMS rules, stark law, anti-kickbacks in medical device space. In addition, the role will support contract analytics and execution support efforts. Resource Development: Create and maintain reimbursement resources to support internal teams and external partners. Payer Marketing: Develop and implement marketing strategies to enhance payer relationships and reimbursement outcomes. Health Economics: Develop health economics strategies and resources with focus on reduction in healthcare costs, revenue cycle management, cost avoidance, and cost consequence analysis. Systems Expertise: proficiency in reimbursement and billing systems such as Epic and Cerner. Required Education, Experience and Skills Bachelor's degree in healthcare administration, business, or a related field (Master's preferred). Professional certifications suggest certified professional coder (CPC, certified revenue cycle representative (CRCR), or certified healthcare financial professional (CHFP) preferred. Extensive experience in billing, coding, and reimbursement processes. In-depth knowledge of inpatient and maternal health settings. Proven track record in strategy development and resource creation. Strong background in payor access, contracting, value-based modeling, and contract analytics. Experience in payer marketing and relationship management. Leadership: Demonstrated ability to lead and inspire teams to achieve strategic goals. Collaboration: Strong collaborative skills to work effectively with cross-functional teams and external partners. Customer Engagement: Excellent customer engagement skills to address and resolve billing and reimbursement issues. Analytics: Expertise in evaluating customer and contract performance data to identify and deliver recommendations to business leaders. Minimum of five (5) years of experience in a similar role within the healthcare industry. Strong analytical and problem-solving skills. Excellent communication and interpersonal skills. Ability to travel up to 25% of the time. OGNPPH Who We Are: Organon delivers ingenious health solutions that enable people to live their best lives. We are a $6.5 billion global healthcare company focused on making a world of difference for women, their families and the communities they care for. We have an important portfolio and are growing it by investing in the unmet needs of Women's Health, expanding access to leading biosimilars and touching lives with a diverse and trusted portfolio of health solutions. Our Vision is clear: A better and healthier every day for every woman. US and PR Residents Only For more information about personal rights under Equal Employment Opportunity, visit: EEOC Poster EEOC GINA Supplement OFCCP EEO Supplement OFCCP Pay Transparency Rule Organon is an Equal Opportunity Employer. We are committed to fostering a culture of inclusion, innovation, and belonging for all employees and job applicants. We ensure all employment practices are conducted without regard to race, color, religion, sex, sexual orientation, age, gender identity or gender expression, national origin, disability, veteran status, or any other characteristic protected by state or federal law. Search Firm Representatives Please Read Carefully Organon LLC., does not accept unsolicited assistance from search firms for employment opportunities. All CVs / resumes submitted by search firms to any employee at our company without a valid written search agreement in place for this position will be deemed the sole property of our company. No fee will be paid in the event a candidate is hired by our company as a result of an agency referral where no pre-existing agreement is in place. Where agency agreements are in place, introductions are position specific. Please, no phone calls or emails. Applicable to United States Positions Only: Under various U.S. state laws, Organon is required to provide a reasonable estimate of the salary range for this job. Final salary determinations take a number of factors into account including, but not limited to, primary work location, relevant skills, education level, and/or prior work experience. The applicable salary range for this position in the U.S. is stated below. Benefits offered in the U.S. include a retirement savings plan, paid vacation and holiday time, paid caregiver/parental and medical leave, and health benefits including medical, prescription drug, dental, and vision coverage in accordance with the terms and conditions of the applicable plans. Annualized Salary Range (US) $103,100.00 - $175,300.00 Please Note: Pay Ranges are Specific to local market and therefore vary from country to country Employee Status: Regular Relocation: No relocation VISA Sponsorship: No Travel Requirements: Organon employees must be able to satisfy all applicable travel and credentialing requirements, including associated vaccination prerequisites. 25% Flexible Work Arrangements: Not Specified Shift: Not Indicated Valid Driving License: Yes Hazardous Material(s): Number of Openings: 1

Posted 30+ days ago

Geico Insurance logo

Staff Software Engineer, Backend Engineering - Billing Platform (Remote)

Geico InsuranceChevy Chase, MD

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Job Description

At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.

Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose.

When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.

At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.

About the job

At GEICO, we are not just an insurance company; we are a technology-driven organization that is transforming the insurance landscape. Our mission is to leverage cutting-edge technology to deliver exceptional experiences for our customers and create innovative solutions that redefine the industry.

About The Team

The Billing Platform team at GEICO oversees the tools, infrastructure, data, reporting, analytics, and services essential for delivering seamless billing experiences to internal users, end customers, and partners. Our billing platform functions as the backbone for managing financial transactions and customer interactions, enhancing efficiency, accuracy, and customer satisfaction while supporting strategic growth and ensuring compliance.

What you will do

We are seeking a seasoned Software Engineer with extensive experience in designing, building, and maintaining large-scale applications and distributed systems. You will become an integral part of a team dedicated to managing GEICO's core billing platform. This platform includes a comprehensive array of components such as a core billing engine, invoicing system, commissions management, collections, payment processing, CRM integration, subscription management, credit control and dunning management, along with reporting and analytics. In this role, you will play a pivotal role in re-architecting our platform from the ground up, focusing on enhancing the scalability and efficiency of our systems.

Responsibilities:

  • Oversee high-level and low-level designs of one or more sub-systems of the billing platform we are building

  • Be responsible and accountable for the quality, reliability, usability, and performance of the solutions

  • Provide strategic guidance and oversight for multiple billing teams, ensuring alignment with the Platform's technical vision and business objectives

  • Lead the design and development of complex software systems, ensuring they are scalable, maintainable, and meet high-quality standards. This includes evaluating code quality and collaborating with stakeholders to understand and implement project requirements

  • Identify and prioritize technical challenges that may pose risks to business. Develop solutions to address these issues efficiently, ensuring smooth product development

  • Work closely with various departments, including product management and design, to ensure cohesive and successful project delivery. Facilitate effective communication and collaboration across teams to achieve common goals

  • Mentor and guide engineers, fostering a culture of continuous learning and improvement. Provide technical guidance to help team members overcome challenges and make informed decisions

Who you are

We are looking for someone who meets the minimum requirements to be considered for the role. If you meet these requirements, you are encouraged to apply. The preferred qualifications are a bonus, not a requirement.

Minimum Requirements:

  • 8+ years of professional, hands-on software development experience

  • Strong experience in architecting and designing large-scale, complex systems

  • Proficient coding skills in Java, Kotlin, Golang, or similar languages, capable of producing high-performance, production-quality code

  • Experience with a wide range of technologies, including SQL and NoSQL databases, Kafka, Spark, Airflow, or their equivalents

  • Proficient in using cloud computing tools throughout the software development lifecycle, with deep expertise in DevOps, observability, telemetry, and test automation

  • Skilled in collaborating across engineering teams and other functions to build alignment, drive decision-making, and communicate transparently

Preferred Qualifications:

  • Experience in the financial technology sector, with a focus on billing, payments, subscription management, and financial reporting

  • Proven track record in designing and implementing workflow engines

Education:

  • Bachelor's and/or Master's degree, preferably in CS, or equivalent experience

Be Part of Our Journey

If you are a passionate technologist looking to make a difference, GEICO Tech is the place for you. Join us and be part of a team that is shaping the future of insurance technology. Together, we will create innovative solutions that improve lives and transform the industry.

#LI-MK1

Annual Salary

$115,000.00 - $230,000.00

The above annual salary range is a general guideline. Multiple factors are taken into consideration to arrive at the final hourly rate/ annual salary to be offered to the selected candidate. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate's work experience, education and training, the work location as well as market and business considerations.

GEICO will consider sponsoring a new qualified applicant for employment authorization for this position.

Benefits:

As an Associate, you'll enjoy our Total Rewards Program* to help secure your financial future and preserve your health and well-being, including:

  • Premier Medical, Dental and Vision Insurance with no waiting period
  • Paid Vacation, Sick and Parental Leave
  • 401(k) Plan
  • Tuition Assistance
  • Paid Training and Licensures
  • Benefits may be different by location. Benefit eligibility requirements vary and may include length of service.

Coverage begins on the date of hire. Must enroll in New Hire Benefits within 30 days of the date of hire for coverage to take effect.

The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled.

GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.

Annual Salary

$105,000.00 - $230,000.00

The above annual salary range is a general guideline. Multiple factors are taken into consideration to arrive at the final hourly rate/ annual salary to be offered to the selected candidate. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate's work experience, education and training, the work location as well as market and business considerations.

At this time, GEICO will not sponsor a new applicant for employment authorization for this position.

The GEICO Pledge:

Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs.

We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives.

Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels.

Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.

As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers.

Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future.

  • Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being.
  • Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance.
  • Access to additional benefits like mental healthcare as well as fertility and adoption assistance.
  • Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year.

The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled.

GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.

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