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Job description COMPANY Trajectory RCS joined the MedHQ family in 2024 after enjoying 10 years as a well-established revenue cycle company with an annual growth rate of 40% to 50% and 150 employees. Together they now serve small hospitals, physician groups, ambulatory surgery, and outpatient centers nationwide by optimizing. healthcare cash flow through integration of both business office processes and clinical documentation. MedHQ, LLC, is a fast growing, leading provider of consulting and technology enabled expert services for outpatient healthcare. With a 97% long-term, client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. The MedHQ RITE Values: Respect, Innovation, Trust, and Energy, permeate all service line offerings with a unique personalized approach balancing exceptional transactional and emotional intelligence, and above all excellent customer service. MedHQ, LLC, is a 2022 Becker’s Top 150 Places to Work in Healthcare company. The MedHQ LLC service line offerings have grown organically over the years, beginning by providing high quality traditional human resource, accounting, and staff credentialing as a Professional Employer Organization, (PEO.) In 2022, MedHQ formed a relationship with 424 Capital, and quickly expanded into a well-rounded, menu services driven financial management company. This robust infusion of expert service line offerings has resulted in MedHQ and MedHQ clients’ efficiencies and growth. The MedHQ, LLC, menu of client services include Advisory, Client Human Resources, Client Accounting, Staff Credentialling, Clinical Staffing, and Revenue Cycle Services. For additional detailed information please review www.medhq.com and www.trajectoryrcs.com We believe our quality of service begins with our quality of team member. We offer exceptional benefits and working environments to exceptional employees. We are seeking a  qualified medical billing and coding specialist.  The qualified candidate will have  3*  or more years of experience in medical billing and coding, be self-motivated, and excellent communicator, positive and detail oriented. Job functions include the following. **Responsibilities:**   **ICD-10 Coding:** Accurately assign ICD-10 diagnosis codes to patient encounters based on medical documentation and coding guidelines. **Claim Submission:** Prepare and submit electronic and paper claims to insurance payers in a timely manner, ensuring compliance with payer requirements and regulations. **Claim Follow-Up:** Monitor claim status, identify and resolve claim rejections, denials, and pending issues to expedite payment processing. **Payment Posting:** Post payments, adjustments, and denials accurately into the billing system, reconciling payments with billed amounts and contractual agreements. **Registration Issue Resolution:** Address and resolve registration-related issues such as insurance verification, demographic updates, and eligibility discrepancies to ensure accurate billing and claims processing. **Appeal Claims:** Analyze denied claims, identify reasons for denials, and prepare and submit appeals to insurance payers for reconsideration. **Reconciliation:** Conduct regular reconciliation of accounts receivable, identifying discrepancies and taking necessary actions to resolve outstanding balances. **Compliance:** Maintain knowledge of current billing regulations, coding guidelines, and payer policies to ensure compliance with industry standards and regulations. **Qualifications:** - Proven experience in medical billing and coding, with a strong understanding of ICD-10 coding guidelines and procedures. - Proficiency in electronic health record (EHR) systems, billing software, and claim submission platforms. - Excellent understanding of insurance billing processes, including claim submission, follow-up, and appeals. - Strong analytical and problem-solving skills, with the ability to identify and resolve billing and coding issues effectively. - Detail-oriented with a high level of accuracy in data entry and documentation. - Effective communication skills, both written and verbal, with the ability to interact professionally with patients, insurance payers, and internal stakeholders. - Certified Professional Coder (CPC) credential or equivalent certification required. FULL TIME BENEFITS Employer sponsored Major Medical Employer sponsored Dental Employer sponsored Vision Accidental Death and Disability insurance Short term disability 4.5% 401K matching Flexible spending account Generous paid time off True opportunity for advancement This job is a remote position. Powered by JazzHR

Agency Summary: Wingspan Care Group is a nonprofit administrative and management organization that provides a united, community-based network of services so member agencies can focus on mission-related goals. Our innovative model is designed to promote sustainability and advancement among its partner agencies by streamlining operations and eliminating redundancies – resulting in improvements to the delivery of direct service operations. Position Description:   The Accounts Receivable and Medical Billing Manager oversees the entire medical billing and collections process for the Agency, managing a team of billing and AR professionals to ensure accurate claim submissions, timely payments, and efficient revenue cycle operations. This role is responsible for supervising staff, optimizing accounts receivable processes, reducing denials, and ensuring compliance with federal, state, and payer regulations, particularly for Ohio Medicaid, and MCOs. The Manager collaborates with clinical, administrative, and financial teams to maximize reimbursements, minimize write-offs, and support the Agency’s financial goals across five behavioral health agencies. Responsibilities Include: Billing and Claim Management: Oversee the end-to-end medical billing process, including claim submission, follow-up, and payment posting for ~130,000 claims/year (95%+ Medicaid/MCO/Aetna OhioRISE). Ensure accurate and timely submission of claims through clearinghouses, adhering to payer-specific guidelines (e.g., Ohio Medicaid, Aetna OhioRISE, Commercial). Utilize billing software (Netsmart) to streamline claim processing and monitor submission status. Accounts Receivable Management: Monitor and reduce outstanding balances targeting AR days <90. Develop and implement strategies to resolve aged AR. Maintain accurate aging reports, identifying accounts for potential write-offs or other adjustments. Denial Management and Appeals: Oversee denial management processes, ensuring timely appeals, targeting <5% denial rate. Analyze denial trends (e.g., coding errors, authorization issues) and collaborate with Denial Management Specialist and Director of Revenue Cycle to implement preventive measures. Ensure proper handling of Explanation of Benefits (EOBs), Single Case Agreements (SCAs), and Letters of Agreement (LOAs). Staff Supervision and Training: Supervise a team, including AR Specialists, Denial Management Specialists, and Cash Application Specialists, including hiring, training, performance appraisals, and disciplinary actions. Develop and conduct subject matter training on billing, denials, and payer policies (e.g., Medicaid, Aetna OhioRISE), ensuring cross-training for coverage (e.g., vacations). Document workflows and policies to set consistent expectations, supporting new hires and process standardization. Establishes a training manual for existing and new employees to create consistent workflows and standards of performance. Revenue Cycle Optimization: Identify and implement strategies to improve revenue cycle efficiency, reduce unbilled claims, and enhance cash flow. Coordinate with clinical staff to ensure proper documentation, eligibility, and licensure for accurate billing. Assist in month-end close processes, including AR-to-General Ledger reconciliations. Support AR Specialists, Denial Management Specialist, Cash Application Specialist, and AR Support Specialist during high volume and vacancy coverage as needed. Insurance and Payer Relations: Communicate with payers (Medicaid, MCOs, Aetna OhioRISE, commercial) via phone, email, or portals to resolve payment delays, verify benefits, and monitor payments against contracts. Follow up on escalated accounts, processing additional documentation requests and resolving outstanding balances. Stay updated on payer policies, Ohio Medicaid regulations, and behavioral health billing rules to ensure compliance. Follow coding guidelines and payer-specific rules to ensure accurate and ethical coding. Stay current with changes in CMS, AMA, and payer policies. Reporting and Analysis: Prepare and analyze financial reports (e.g., aging, denial, and collection reports), providing insights to the Director of Revenue Cycle, CFO, Executive Directors, and Practice Managers/ Supervisors. Conduct weekly aging report reviews with team leads and meet weekly with the Director of Revenue Cycle to discuss AR status and write-off candidates. Maintain detailed notes on communications with payers, departments, and escalated accounts for continued follow-up and audit readiness. Compliance and Audit Support: Ensure compliance with HIPAA, Ohio Medicaid regulations, and other federal/state laws, maintaining confidentiality of client data. Prepare for and support external audits and accreditation reviews, coordinating with internal leadership as needed or directly with auditors if required. Update and enforce financial policies aligned with company and industry standards. Stakeholder Communication (Agency Leadership): Work with Agency directors to answer AR related questions from Operating Statements using GL and monthly billings as a guide. Monitor and work inquiries into the AR Errors mailbox, responding within 1 business day of receipt and regularly communicating on status of errors as needed. Collaborate with clinical, administrative, and accounting teams to resolve credentialing, contract, or billing issues. Technology and Process Improvement: Leverage billing software (Netsmart), clearinghouses, and payer portals, to automate processes (e.g., 835 posting). Identify process improvement opportunities, implementing best practices to enhance workflow and productivity. Conduct bi-weekly department meetings to discuss trends, payer issues, and training needs. Report at the monthly Revenue Cycle Committee Qualifications: Bachelor’s degree in business administration, finance, accounting, healthcare, or related field preferred; or Associate’s degree with certification in Medical Billing/Health Claims Examining (e.g., CPC, CPB) plus 5+ years of supervisory or above experience. Experience: Minimum 5 years of medical billing, AR management, and collections experience in a healthcare setting, preferably behavioral health. 3+ years in a supervisory or management role, overseeing multi-facility billing operations. Extensive experience with Ohio Medicaid, MCOs, Aetna OhioRISE, and commercial payers. Prior experience with Netsmart software highly desirable. Benefits and Salary:  The salary range is $75,000 - $100,000 per year depending on relevant education, experience, and licensure. At Wingspan, we prioritize our employees and their wellbeing. We provide competitive benefit options to our employees and their families, including domestic partners and pets.  Our offerings include: Comprehensive health and Rx plans, including a zero-cost option Wellness program including free preventative care Generous paid time off and holidays 50% tuition reduction at Case Western Reserve University for the MNO and MSW programs Defined benefit pension plan  403(b) retirement plan with an employer match Pet insurance Employer paid life insurance and long-term disability Employee Assistance Program Support for continuing education and credential renewal Ancillary benefits including: dental, vision, voluntary life, short term disability, hospital indemnity, accident, critical illness Flexible Spending Account for Health and Dependent Care # WCG-ADM-1 Why Work for Us: We value our employees and their commitment to our mission and offer competitive total rewards (benefits and compensation) options to our valued employees and their families, including domestic partners. Our rich options include: Four weeks of paid vacation, twelve paid sick days, ten paid legal holidays, and. up to four religious holidays* Full benefits-eligible, including a zero-cost health plan option, dental, and vision insurance Defined pension plan contribution *Please know that those accruals are based on 40 hours a week, anything below that amount and the days will be prorated accordingly Wingspan Care Group (“Wingspan”) is the not-for-profit parent company of Applewood Centers, Inc., Bellefaire Jewish Children’s Bureau, Bluestone Child & Adolescent Psychiatric Hospital, and Lifeworks. The mission of Wingspan is to provide organizational efficiencies at the operational, administrative, and fiscal levels for its subsidiary agencies so that they may focus on their respective missions. Wingspan is an Equal Opportunity Employer. Wingspan’s policy is not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information, or any other basis protected by applicable federal, state, or local laws. Wingspan also prohibits harassment of applicants or employees based on any of these protected categories. Powered by JazzHR

Fair Haven Community Health Care  FHCHC is a forward-thinking, dynamic, and exciting community health center that provides care for multiple generations at over 143,000 office visits in 21 locations. Overseen by a Board of Directors, the majority of whom are patients themselves, we are proud to offer a wide range of primary and specialty care services, as well as evidence-based patient programs to educate patients in healthy lifestyle choices. As we grow and are able to bring high-quality health care to more areas that need access, we continue to put our patients first in everything we do. The mission of FHCHC is “ To improve the health and social well-being of the communities we serve through equitable, high quality, patient-centered care that is culturally responsive .” For 53 years, we have been a health care leader in our community focused on providing excellent, affordable primary care to all patients, regardless of insurance status or ability to pay. Fair Haven is proud to have a motivated team of professionals who are constantly seeking ways to enhance and improve the health and well-being of all patients.  We believe that everyone should have access to high-quality medical and dental care, regardless of ability to pay. Job purpose Fair Haven prides itself on efficient billing services including the filing of claims, appeals processing, authorizations, and, above all, a great passion for helping individuals obtain treatment. The Billing Specialist/Dental Authorization Coordinator works with the Billing and Dental department verifying benefits for patients and ensuring benefits quoted are accurate and detailed. Duties and responsibilities The Billing Specialist/ Dental Authorization Coordinator maintains the professional reimbursement and collections process for the dental program. Typical duties include but are not limited to: Billing Performs billing and computer functions, including data entry, documentation review and encounter posting Prepares and submits clean claims to various insurance companies either electronically or by paper when necessary Work claims and claim denials to ensure maximum reimbursement for services provided Carrier Authorizations Verifying patients' insurance and obtaining coverage breakdowns Creating ABNs as needed based on coverage Schedule/treatment plan reviews for carrier authorization Obtaining and logging prior authorizations for procedures as mandated by carriers.  Collections (Self-pay) Prepare, review and send patient statements Process and send “collections” letters for outstanding balances Process all returned mail Answer incoming patient billing phone calls, work to resolve patient issues Initiating collection calls and setting up and maintaining payment arrangements Follow collections process as outlined in FHCHC billing guideline Qualifications High School diploma or GED is required. Experience in a dental setting is essential. The ideal candidate will have a minimum of one year of dental authorizations and billing experience; excellent Interpersonal skills, accuracy and attention to detail a must. The selected candidate will have the ability to work in a team environment or independently; to m eet all established deadlines, metrics and assignment goals at all times and have oral and written proficiency in English. Bi-lingual in English and Spanish is highly preferred. He/she must be able to use computer and multi-lined telephones; have an understanding of dental terminology and knowledge and experience in billing and authorization practices specific to Medicaid.   American with Disabilities Requirements: External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job specific functions (listed within each job specific responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case by case basis. Fair Haven Community Health Care is an Equal Opportunity Employer. FHCHC does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need. Powered by JazzHR

Ole Ben Franklin Mitsubishi is hiring for a Title/Billing Clerk in our business office located in Oak Ridge, TN.   The Title/Billing Clerk processes car deals, verifies costs, and prepares legal transfer of documents for the DMV. Essential Duties & Responsibilities: • Prepare tax and title documents. • Submit all legal transfer documents to the DMV. • Receive and process paperwork from the F&I department. • Prepare payoff checks for new vehicles and trade-ins. • Post vehicle sales and purchases. • Input inventory control information. • Prepare trade-in vehicle jackets. • Ensure that name and address filed are updated on an ongoing basis. Onsite training will be provided along with, competitive pay, benefits, and a company matched 401k.  We are a high volume dealership and all applicants should be highly organized, detail oriented, and have the ability to multi-task.  Highly driven, team-oriented individuals encouraged to apply. Powered by JazzHR

Sea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State. Sea Mar proudly serves all persons without regard to race, ethnicity, immigration status, gender, or sexual orientation, and regardless of ability to pay for services. Sea Mar's network of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social, and educational services. We are recruiting for the following position(s): Billing Specialist I, II or III - Posting #26048 Hourly Rate: $20.00 - $21.75 Position Summary: Full-time Billing Specialist available immediately for our Federal Way Billing Department. Main responsibilities include: ensuring accurate and timely processing of all third party insurance, Medicaid, Medicare, Private Pay, and special programs. This position will require that candidate take a billing test. The test will determine what level of expertise or what level of billing the candidate is at. It will also determine what pay the candidate will be making based on the test score. This position requires a comprehensive understanding of accounts receivable management in a healthcare setting.  This position requires strong working knowledge of managed care plans, insurance carriers, referrals and pre-certification procedures.  Also required is a strong working knowledge of CPT, ICD-9, ICD-10, HCPCS, modifiers, coding and documentation guidelines.  Strong customer service, organizational and communication skills are essential to this position.  In addition, strict adherence to write-off policies, refund policies and other accounts receivable policies as outlined in the Procedure Manual is required.   This position requires an ability to prioritize multiple tasks simultaneously in an occasionally stressful environment.  Also required are general computer skills, typing skills and a working knowledge of Medicare Compliance, OSHA and HIPAA. Responsibilities include:        Posting payments, adjustments, processing denial, bi-monthly re-bill, follow up with insurance companies on accounts not paid, and collections of private past-due accounts. Qualifications: Experience with ICD-10, CPT and CDT coding, both dental and medical terminology preferred. Applicant must be proficient in Excel, Word, and Ten-key by touch. Healthcare billing experience required. Excellent verbal and written communications skills are a must. Excellent Customer service required. Must be able to resolve client billing problems in a timely manner. Must have the ability to add subtract, multiply and divide in all units of measure using whole numbers, common factions and decimals. Bilingual English/Spanish a plus. What We Offer: Sea Mar offers talented and motivated people the opportunity to work in a dynamic and growing community health organization. Working at Sea Mar Community Health Centers is more than just a job, it’s a fulfilling career with opportunity for advancement. The fringe benefits surpass most companies. For example, Full-time employees working 30 hours or more, receive an excellent benefit package of: Medical Dental Vision Prescription coverage Life Insurance Long Term Disability EAP (Employee Assistance Program) Paid-time-off starting at 24 days per year + 10 paid Holidays. We also offer 401(k)/Retirement options and an exciting opportunity to work in a culturally diverse environment.  How to Apply: To apply for this position, complete the online application and click SUBMIT or APPLY NOW. If you have any questions regarding the position, email Aaron Palmer, Billing Director, at AaronPalmer@seamarchc.org. Sea Mar is an Equal Opportunity Employer Posted on 01/30/2024 External candidates may apply after 02/02/2024 This position is represented by Office and Professional Employees International Union (OPEIU). Please visit our website to learn more about us at www.seamar.org.  You may also apply through our Career page at https://www.seamar.org/jobs-general.html Powered by JazzHR

Summary: This position develops, builds, and modifies Epic Research Billing and related applications. Writes documentation specifications, fact-finding and analyzes results and proposes solutions or recommendations. Builds, configures and/or modifying applications using existing application tools. This role performs complex analysis, design, development, testing and support services for Epic applications. Leads and monitors midsize to large scale projects within multiple functional departments. Responsibilities: • Leads and monitors midsize to large scale projects within multiple functional departments. • Performs complex designs, implements, maintains, and provides ongoing optimization and support for Epic clinical applications. • Performs workflow assessments, capture business needs, and analyze internal systems to determine functional requirements for optimal utilization of Epic applications. • Works within cross-functional team and with end-users to achieve application integration to meet clinical needs. • Performs builds, upgrades, and system enhancements as needed. • Supports applications throughout all phases of implementation. • Delivers post-implementation training, support, troubleshooting, and maintenance. • Configures vendor applications and products. • Maintains system documentation and develops system specifications and procedures. • Defines and documents user requirements. • Applies project planning and project management methodologies. • Coordinates and leads short duration projects; monitoring project process, progress and results. • Develops test plans, prepares test data and performs system testing. • Provides on-site user support during implementations. • Takes on-call for system application support at scheduled times. • Audits data entered by end users. • Troubleshoots and tracks issues and problems. • Applies systems development methodology to solve problems. • Handles multiple assignments simultaneously. Required Job Qualifications: • Bachelor’s degree. • 5 years of Epic application experience. • An Associate degree and seven (7) years of Epic application experience will be accepted in lieu of a Bachelor’s. • Epic certification(s). • Demonstrated ability to effectively utilize system tools to meet functionality needs of users including proficiency withinformation systems technology such as Microsoft Office Products. • Experienced planning and organizing day-to-day activities, effectively managing more than one task, and meeting established deadlines. •Experienced in leading projects, providing expert consultative guidance and direction on change initiatives, effectivelydedicating time across more than one project, and meeting established deadlines. •Experience leading meetings between business stakeholders, technical resources, and third parties for business requirementsand technical solutions. • Experienced working with a diverse, multi-disciplinary team, and interacting with all levels of the organization. • Detail oriented, strong analytical, organizational, and problem-solving skills. • Excellent oral and written communication skills with technical and clinical audiences. • Ability to troubleshoot, research, and solve technically challenging problems involving integrated systems. Powered by JazzHR

​​​​ Overview The Senior Billing Manager position will manage and oversee the complete utility billing cycle, from onboarding to monthly recurring billing for multifamily real estate customers. We are eeking a detail-oriented professional to manage billing operations. In this role, you will assist with various tasks to ensure monthly billing accuracy and completeness for both residents and clients. Your efforts will contribute to the timely and efficient processing of all billing activities and client management. Who We Are Billee Technologies Inc. is a Dallas-based SaaS startup revolutionizing utility billing for multifamily apartment communities. Our intuitive, cloud-based platform streamlines operations, eliminates inefficiencies, and increases NOI for property owners and operators. At Billee, we are more than just a technology company. We are a team of innovators and problem solvers. Led by seasoned technology leaders, we challenge traditional providers by offering smarter, more efficient solutions to the market. Our culture is the foundation of our success. We believe in empowering and developing our people, ensuring they thrive both professionally and personally. Our core values define how we work and what we stand for: Win Together  – We believe in collaboration and collective success. When one of us wins, we all win. Lead with Integrity  – We hold ourselves accountable, operate with transparency, and always do what we say we'll do. Relentless Determination  – We tackle challenges head-on, with persistence and decisive action. Bold Voices  – We encourage open dialogue and foster a culture where every voice matters. Stay Curious  – We are lifelong learners, always seeking new ways to innovate, improve, and grow. Job Overview As the Senior Billing Manager, you will be responsible for managing the process for handling invoices, ensuring compliance with Service Level Agreements (SLAs) while maintaining high accuracy. You will also manage the onboarding process and guide the team in analyzing and implementing both new and existing resident billing accounts, ensuring accurate generation in alignment with billing cycles and regulatory standards. Additionally, you will oversee resident billing, ensuring accurate generation according to billing cycles and regulatory requirements. Your role will involve addressing and resolving exceptions, identifying opportunities for process improvement, and optimizing billing workflows to enhance efficiency and minimize errors. You will investigate and resolve billing discrepancies, working closely with relevant departments to ensure timely corrections. You will also be responsible for recommending, implementing, and testing updates and enhancements to improve billing operations. Furthermore, you will manage client escalations, proactively identify ways to enhance the customer experience, provide internal training and support on billing procedures and best practices, and work collaboratively with internal teams. Collaboration with sales, customer success, and operations teams on all billing-related matters will also be part of your responsibilities, including vendor accounts payable. Overall, you will play a crucial role in ensuring the efficiency and accuracy of the billing operations within the company. Requirements To excel in this role, you should have at least five years of experience in Billing Operations, with a keen eye for detail, strong analytical skills, outstanding communication and interpersonal abilities. This role requires a proactive and adaptable approach to work, the ability to work well under pressure, manage tasks independently, learn quickly, and meet tight deadlines. Bachelor’s degree in Business Administration, Operations Management, or related field; Proven experience in a senior management role, with a track record of driving business growth, product efficiency, and operational excellence. Strong leadership and communication skills to effectively lead and inspire a team. Exceptional analytical and problem-solving abilities to identify and address operational challenges. Ability to thrive in a fast-paced technology focused startup environment and adapt to changing priorities. Knowledge of industry best practices and trends in operations management. Compensation & Benefits Competitive salary + performance-based bonuses. Health, dental, and vision insurance. 401(k) Paid time off and flexible work arrangements. Professional development opportunities. Opportunity for earned equity. Powered by JazzHR

About Us: Quality Correctional Care is an Indiana-based company that proudly serves as the medical and mental health provider in 70+ county jail facilities. Our mission is to provide excellent care to individuals who find themselves incarcerated or detained in local correctional facilities. We pride ourselves on creating a collaborative and supportive professional team that allows motivated employees to thrive. Every day we live our commitment to our core values of Advocacy, Courtesy, Efficiency, and Safety. If you are an individual who entered this field with the passion and drive to help individuals in serious need, a position on our team offers an exciting opportunity to have a meaningful impact on patients’ lives. Administrative Assistant Mandatory Functions: The primary function of this position is to provide necessary support to other team members with the common goal of providing excellent patient care and service to our clients. QCC expects all team members to carry themselves in a manner consistent with our Core Values of Advocacy, Courtesy, Efficiency, and Safety. This essential and respected position on our team will allow a motivated and enthusiastic individual to make meaningful contributions to the team’s shared mission and vision. As a valued member of the team, your perspectives and contributions will be crucial to furthering the meaningful and rewarding care we provide to patients and clients. An individual in this position will be expected to recognize and understand how their work contributes to QCC’s larger mission and vision. Administrative Assistant Requirements: High level of motivation and commitment to QCC's mission and core values 2 Years Administrative Assistant Experience 2 Years Data Entry 1 Year of Medical Billing REQUIRED Administrative Assistant Location: Muncie Indiana Administrative Assistant Job Type : Full-time, 8-4:30 M-F Administrative Assistant Benefits: 401(k) 401(k) matching Dental insurance Disability insurance Employee assistance program Health insurance Health savings account Life insurance Paid time off Referral program Retirement plan Vision insurance Powered by JazzHR

POSITION OVERVIEW: ProTrain is currently recruiting for an experienced Live Online instructor with experience teaching Medical Billing & Coding. Candidates must have experience teaching in a classroom or/and in a synchronous environment, as well as have a minimum of 3 years in Medical Billing & Coding. This is a part time; contracted teaching position to begin immediately. Future classes will be available to the right candidate. Course Day/Time: Mondays & Wednesdays or Tuesdays & Thursdays, 7PM - 10PM ET WHAT YOU WILL DO: Live Online instructor Describe the role of the Certified Medical Billing Specialist Describe the origin of medical language. Analyze the component parts of a medical term. List and define basic prefixes, suffixes, and combining forms. Use basic prefixes, suffixes, and combining forms to build medical terms. Explain common rules for proper medical term formation, pronunciation, and spelling. Assess the responsibilities assigned to insurance billing and coding specialists and electronic claims processors. Describe the health care delivery system. Explain the responsibilities of the billing and coding specialist to protect patient rights under HIPAA. Demonstrate a basic understanding of the anatomy and physiology of body systems and related medical terminology in order to properly process clean claims. Utilize the ICD‐10-CM manual, including V codes, E codes, and the Neoplasm and Hypertension tables. Demonstrate a basic understanding of the ICD-10-CM and ICD-10-PCS Utilize the CPT manual and the various guidelines. Demonstrate diagnostic and procedural coding. Describe basic guidelines for submitting insurance claims. Explain the difference between clean, pending, rejected, incomplete, and invalid claims. Identify solutions for denied and rejected paper and electronic claims. Identify when a paper claim can and cannot be used. Explain the relationship of transactions and security with electronic data. Communicate (verbally and non‐verbally) effectively and appropriately in the workplace. REQUIRED QUALIFICATIONS: Minimum 3-5 years teaching experience Teaching certification preferred Minimum 3 years in related field of study Must adhere to weekly class schedule WHAT WE OFFER: Competitive Salary Flexible, Part-time hours Faculty Development WHY PROTRAIN? Founded in 2004, ProTrain offers quality classroom and online training. We provide a CE-Turnkey Solution and partnership opportunities for institutions of higher learning to provide programs to various verticals such as Military Tuition Assistance (TA), Military Spouses (MyCAA), Wounded Warriors, Veterans, Unemployed (WIA), Corporate and Individuals. ProTrain is an affordable solution for students seeking to prepare for an in-demand career that will help move them and America forward to achieve the goal of Education 2 Employment! Personal Training Assessment Managers will work with you throughout the entire process before, during and after to assist with the student’s program of study. At ProTrain, we realize that learning is a commitment that we are all making to have a better future. Our clients’ needs (partners and students) are paramount. We are committed to your success and ours, one student at a time. ProTrain is an Equal Opportunity Employer. For more information, visit us at www.ProTrainEDU,org Powered by JazzHR

Pappageorge Haymes Partners (PH) is seeking a professional Billing Specialist to join our team. The ideal candidate is an organized self-starter with strong attention to detail, a problem-solving mindset, and the ability to work independently. Familiarity with professional services environments is preferred. Job Responsibilities: Project Billing & Financial Administration: Manage monthly draft billing using Interactive billing, ensuring all deadlines are met Run financial reports and process project billing in alignment with contract terms and approved rate schedules Generate project reports for Project Managers, ensuring accuracy of calculations and data Set up new projects, including reviewing contract terms, preparing project budget worksheets, and closing out completed projects Process time and expense transfers within or between projects Review employee timesheets for billing accuracy Make labor and timesheet adjustments as needed after timesheets are posted Review preliminary invoices for labor accuracy, billing rates, fee maximums, and necessary reclassifications Project Coordination & Client Communication: Communicate effectively with Project Managers regarding contract terms, billing guidelines, and additional services Distribute draft invoices to Project Managers for review and coordinate follow-up Prepare Change Order Forms and assist in reviewing contract documentation to ensure billing compliance Handle client and contractor inquiries related to project billing and accounting records Experience: 3+ years of experience in project accounting or billing, ideally in professional services Proficient in MS Office, including Word and Excel Strong analytical and reporting capabilities Highly organized with strong attention to detail and a proactive, problem-solving mindset Ability to quickly learn and adapt to customized accounting systems and internal processes Able to manage competing deadlines and adapt to shifting priorities Familiar with project-based accounting principles and procedures Self-directed and dependable, with the ability to work independently A comprehensive benefits package is offered, including: Employer-paid health insurance  Employer-paid life insurance and long-term disability Dental and vision insurance 401(k) with employer match Employee Stock Ownership Plan (ESOP) Paid vacation and personal days Discretionary performance bonus Salary is based on qualifications and experience. The anticipated range for this position is $60,000 – $80,000. Powered by JazzHR

SAGA Diagnostics is an innovative multi-national life sciences company at the forefront of pioneering diagnostic solutions. Our proprietary MRD testing platform helps patients, oncologists, clinical researchers and drug developers to confidently detect residual disease post-curative intent therapy and monitor response to therapy with unprecedented sensitivity, specificity and turn-around time. Headquartered in Morrisville, NC, SAGA Diagnostics’ accomplished team comprises the industry’s most seasoned liquid biopsy experts, united in a shared promise to patients to detect and intercept molecular residual disease as early as possible, for every patient. We are seeking an experienced Sr Director, Patient Billing to implement, lead and optimize our payor/patient billing operations. This role will oversee all aspects of billing, payor contract management, reimbursement optimization, and revenue integrity while ensuring compliance with federal and state regulations. The ideal candidate will have extensive experience working with Medicare, Medicaid, and commercial payors, as well as managing pre-authorization and appeals processes. This role will also be responsible for managing revenue cycle management systems, such as XiFIN, and developing a high-performance team to drive efficiency and financial performance. Key Responsibilities Revenue Cycle Management · Lead all aspects of revenue cycle operations, including patient relations, billing, collections, claims processing, and denials management. · Oversee the implementation, maintenance, and optimization of revenue cycle management systems (e.g., XiFIN) to ensure streamlined operations and accurate financial reporting. · Develop and implement revenue cycle policies and procedures to enhance efficiency, minimize denials, and maximize reimbursements while maintaining compliance with applicable laws and regulations. · Monitor key performance indicators (KPIs) to assess revenue cycle performance and implement corrective actions as needed. Payor Relations & Contracting · Establish and maintain strong relationships with government and commercial payors to optimize reimbursement rates and contract terms. · Contribute to negotiations and contract management with payors, ensuring compliance with regulatory and operational requirements. · Stay informed of evolving payor policies and reimbursement trends, proactively adjusting strategies to align with industry changes. Pre-Authorization & Appeals Management · Oversee and improve pre-authorization workflows to ensure timely approvals and minimize delays in reimbursement. · Develop and manage an efficient appeals process to challenge incorrect denials and recover lost revenue. · Collaborate with internal teams to ensure proper documentation and compliance with payor requirements. Leadership & Team Development · Build and mentor a high-performing revenue cycle management team, fostering a culture of accountability and excellence. · Provide leadership and professional development opportunities to enhance team skills and industry knowledge. · Work cross-functionally with finance, compliance, operations, and clinical teams to support organizational goals. Requirements Qualifications & Experience · Bachelor’s degree in healthcare administration, finance, business, or a related field (Master’s degree preferred). · Minimum 10+ years of experience in revenue cycle management, billing, and payor relations within a diagnostic or healthcare setting. · Expertise in working with Medicare, Medicaid, and commercial insurance payors. · Extensive knowledge of pre-authorization and appeals processes. · Strong proficiency in revenue cycle management systems, such as XiFIN. · Demonstrated ability to negotiate contracts and manage relationships with payors. · Proven leadership skills with experience in building and developing high-performance teams. · In-depth knowledge of healthcare regulations, reimbursement methodologies, and industry trends. · Excellent analytical, problem-solving, and communication skills. Benefits • Competitive Compensation and company wide benefits plan • Opportunities for career advancement and professional development. • A collaborative and innovative work environment dedicated to improving oncology outcomes. SAGA Diagnostics is an equal opportunity employer, fully committed to achieving a diverse and inclusive workplace that embraces and encourages applicants of every background.  The company’s policy regarding equal employment opportunity means that all decisions regarding recruitment, hiring, benefits, wage and salary administration, scheduling, disciplinary action and termination will be made without unlawful discrimination on the basis of sex, gender, race, color, age, national origin, religion, disability, medical condition, genetic information, marital status, sexual orientation, gender identity or expression, citizenship status, pregnancy or maternity, veteran status, or any other status protected by applicable federal, state or local law. If you require reasonable accommodation in completing an application, interviewing, or otherwise participating in the employee selection process, please direct your inquiries to hr@sagadiagnostics.com. SAGA Diagnostics is a participant in the E-Verify program, learn more about the program and review our required disclosures  here  and  here . 

Medical Billing Specialist *Onsite - Las Colinas, TX If you are looking for a high level of growth opportunity within an organization that positively impacts lives, please join our team! Serenity is a rapidly growing Healthcare Tech company that is committed to creating the finest patient experience. We are seeking an experienced Medical Billing Specialist for our Lehi, UT office. The ideal candidate will have a strong background in medical billing, with the skills necessary to improve our current billing procedures and reduce A/R days. The primary responsibility in this role is to provide insurance payer follow-up and ensure that claims are paid according to contracts.   Daily Responsibilities   Follow up on denied, underpaid, and overpaid mental health claims  Write appeals using established company guidelines to resolve claim denials.  Identify trends causing slow payments.  Meet quality and production standards set by Serenity.  Maintain good working relationship with the billing team   Additional duties as assigned.  Qualifications    Strong people skills  Comfortable being on the phone for extended periods of time.  Experience with Microsoft Suite of office products  Ability to handle multiple tasks concurrently.  Excellent oral and written communication  Desire to learn and understand new concepts.   Benefits   Competitive pay $17-$20/hr (DOE)  Medical, Dental, and Vision insurance- Serenity covers 90% of your insurance premium for you and your dependents.   Life/short term disability insurance  Flexible spending account  Paid time off  10 Major holidays off   401k  Office lunches   Who We Are   Serenity is committed to creating the finest customer experience. Using innovative technology, we enable patients to take back their lives. Established in 2017, Serenity is a healthcare start-up in high-growth mode with multiple sites in Arizona, Colorado, Utah, Nevada, Texas and Florida. We believe people should live their best lives, and mental health is a substantial segment of total well-being. We bring the same passion we have for improving our patient’s lives to providing a work experience that will help you do your best work, enjoy the time you invest at work, and succeed in life outside of work. We take our people and culture seriously and make it a priority to invest in both.  

The medical billing specialist is responsible for managing the billing process across multiple clinical services, while ensuring accurate and timely invoicing, claims processing and client payments. This role also supports reporting processes for the clinical services.   Responsibilities Accurately prepare and submit claims/invoices to insurance companies and third-party payers, ensuring that all charges are accurate and comply with the company policies. Responsible for handling incoming payments, recording transactions, and monitoring accounts to ensure timely payments. Reconcile accounts to maintain accurate financial records and resolve claim denials, rejections, and underpayments. Ensure compliance with federal, state, and payer-specific billing regulations. Serve as the point of contact for billing inquiries, addressing questions and resolving issues related to claims and payments. When necessary collaborate with coding, clinical, and administrative staff to resolve billing discrepancies. Maintain up-to-date knowledge of billing codes and payer guidelines. Provide monthly accounts receivable reports. Maintain current enrollment in the state Medicaid program to support billing for all agency services. Assist with the credentialing (paneling) process for Cana Counseling therapists. Maintain the master list of credentialed therapists and accepted insurance providers. Other duties as assigned. Requirements Education High school diploma or GED required. Certification, Registration, or License Medical Billing/Coding certificate from a recognized program preferred. Experience Minimum of five years of experience in medical billing and collections required. Skills and Abilities Proficiency in Excel and other Microsoft Office products. Technical capability. Ten-key by touch and ability to operate general office equipment. Familiarity with medical billing software systems preferred. Communication Daily interaction with internal and external stakeholders. Exposures Work is performed in a controlled office environment with minimal exposure to noise, dust, or odors. Physical Demands Work Type: Light – exerting up to 20 lbs occasionally, 10 lbs frequently. Mobility: Minimal movement required; may work in a multilevel building with stairs. Posture: Sitting for extended periods (up to two hours); minimal stooping or bending. Reaching: Occasional overhead and horizontal reaching. Vision & Hearing: Adequate to perform essential functions; frequent auditory and verbal communication. Coordination & Dexterity: Frequent use of hands and moderate equipment operation. Right To Work E-Verify Participation Powered by JazzHR

Responsibilities: Establishing, fostering, and maintaining professional and collaborative relationships with attorneys, staff, and clients to ensure compliance with both attorney and client specifications, managing all billing and collections processes from engagement to collections with tact, diplomacy, and effective negotiation skills. Primarily handling complex billing arrangements which may include client-level billing and collections. Training and mentoring billing specialists. Verifying rates with the rate analysts, reviewing, and implementing the outside counsel guidelines, monitors fee caps, tier discounts, and matter budgets; setting up and monitoring alerts; communicating with the firm’s Billing & Intake Committee regarding discounts, write-downs, and write-offs. Managing the prebill to the final bill process; ensuring that billing attorneys receive accurate prebills and that they return their prebills in a timely manner; submitting finalized bills/eBills in appropriate template format, adhering to the attorney and client specifications; and confirming the final bills have been submitted to the client and are posted in the accounting system. Collaborating with the eBilling Coordinators for new client account set-ups with eBilling requirements; collaborating with Accounting Systems Administrator to update appropriate fields according to client billing guidelines; submitting invoices electronically, taking accountability for successful submission, and troubleshooting issues; and proactively following-up regarding acceptance and timely payment of eBills. Communicating directly with clients as requested or as established, including following-up on collections and contacting clients as needed.  Concisely communicating arrangements with attorneys and clients on their matters; providing clients with requested information on any special billing and or collection arrangements.  Responding to all inquiries relating to same. Responding to inquiries relating to accruals, audits, and payment reports; recommending solutions based on billing trends relating to realization; and preparing ad hoc reports upon request. Requirements Four-year college degree preferred. Equivalent experience considered. Prior law experience in a law firm environment required. Prior law firm billing experience with strong proficiency in Excel, Word and Outlook. Aderant experience is a plus.

Responsibilities: Assist the E-Billing Manager and E-Billing team with all electronic on-boarding needs to include, client matter setup and mapping, timekeeper entry and mapping, diversity submission as required, and rate updates/maintenance in the various e-billing platforms utilized by the firm clients Transmit electronic billing via Ebilling Hub and various e-billing sites Responsible for recording and maintaining accurate phase, task, and billing codes Assist with bill preparation for more sophisticated e-bills and/or on-demand requirements as available (both manual & electronic) Maintaining and adding timekeepers to restricted lists in Time Entry software Send weekly reports to the Billing Team for un-submitted invoices and rejected invoices. Prepare invoices for usage of various e-billing sites Coordinate special client billing requests with E-Billing Manager Coordinate approval and implementation of special rate arrangements in collaboration with the Pricing and Project Management team and the Billing Compliance team Requirements 3+ years experience working in a professional services environment, law firm billing experience preferred. Experience with financial/billing software packages and Finance/Accounting organizational operations. Elite billing system experience preferred. Experience with electronic billing transmission on a variety of e-billing platforms, eBillingHub experience preferred. Ability to adhere and apply billing department policies and procedures. Proficiency in MS Office; strong knowledge of Excel required.

Are you driven by innovation and looking to thrive in a fast-paced, growing environment? Join us at Calabrio and be part of our dynamic team! Help us in reshaping the landscape of customer experience – where every interaction becomes an opportunity, and every insight drives meaningful change.  Introducing Calabrio – The trailblazers in customer experience intelligence! Revolutionizing the way organizations connect with their customers, we empower businesses to elevate every interaction to new heights. Our cutting-edge cloud platform, coupled with AI-driven analytics tools, unlocks the true essence of customer sentiment, turning data into actionable insights with lightning speed.  We are looking for a Collections and Billings Analyst who will drive the collections and billings processes for reseller partners and customers, primarily in North America. The ideal candidate will have a background in accounting, finance, or business administration and high-growth global environment. This is a great opportunity for someone who is results driven and organized with strong communication skills. What you’ll be doing: Reach out to customers to inquire about past-due payments Proactively manage billing requirements per customer contracts Collaborate across the organization to research and resolve customer inquiries Follow-up with customers and reseller partners on outstanding issues Follow billing policies and procedures to execute complex billing activities Update and maintain status reporting for past due accounts Other projects as assigned We’re looking for: Ability to drive the collections and billings functions and achieve results Organization and prioritization of time and workload Follow-up with customers and partners to ensure issue resolution Collaboration across teams to research and resolve issues Timely and clear communication across multiple formats Requirements BA/BS degree in Accounting, Finance, or a related business field or equivalent experience 2+ years of collection experience Proficient with Microsoft Excel SaaS/software/technology experience preferred Experience with Workday and Salesforce.com preferred Benefits You've learned about what you'll be doing, here's what benefits you'll be getting when you join Calabrio:  Global team recognized for their passion for innovation.  Innovative product culture and project exposure.  Training and development from industry-leading experts.  Cutting edge benefit programs that include: 401(k) & matching; Medical, Dental, Vision Insurance; Disability & Life Insurance; Flextime Off, Paid Holidays, & Parental Leave; Tuition Reimbursement.  We offer market competitive pay and benefits based upon the candidate’s skills, experience, and qualifications. Salary for this position is targeted at $60,000 annually. Calabrio has 300 Global Partners, more than 2.25 million agents, and over 7,000 customers worldwide. We’ve been doing this for more than two decades and have been recognized by leading independent third parties such as Gartner, Forrester, and G2 Crowd as a leader and visionary. ​ Thanks to the hard work and dedication of every Calabrio team member, we have been recognized by the Star Tribune Top Workplace for 9 years in a row, a 2022 certified Great Place to Work UK, named one of BC’s Top Employers for 2023, and recognized as a top 50 fast-growth company by Minneapolis/St Paul Business Journal.    We recognize diversity comes in many forms, to foster an inclusive hiring experience any applicants who qualify under the Americans with Disabilities Act, as amended, or applicable state law, who are unable to comply with Calabrio’s application process due to their disability may be eligible for a reasonable accommodation. Request for accommodation in the application process can be made by emailing talentacquisition@calabrio.com . An applicant requesting an accommodation may be required to provide support for the requested accommodation. Calabrio will only share information concerning an applicant’s requested accommodation with those individuals who have a specific need to know such information.  Ready for Exponential Career Opportunities? Apply now 

A law firm is seeking a full-time Billing Specialist to join their team. This person will be responsible for full cycle billing from the preparation of prebills through final invoices. Responsibilities Managing the prebill to final bill process; assuring partnerseceive and return accurate prebills in a timely manner. Finalizing and submitting bills/eBills in an appropriate template that conforms to the client requirements. Confirming final bills have been submitted to the client and posted in the accounting system. Producing closing bills on demand. Collaborating with the eBilling team for set-up of new clients for eBilling requirements. Submitting invoices electronically, taking accountability for successful submission and troubleshooting issues. Proactively following-up regarding acceptance of eBills. Verifying billing rates with the Rates team, reviewing and instituting the outside counsel guidelines to include: monitoring fee caps, tier discounts and matter budgets; communicating with BIC and management regarding discounts, write-downs and write-offs. Responding to inquiries relating to accruals, audits and payments. Maintaining updated prebill status reports and monitoring billing figures on a daily basis. Ensuring management of client trust accounts, accurate payment allocation and unapplied fund resolution throughout the life cycle of assigned portfolio. Keeping partners updated with available, unapplied and trust funds and apply when appropriate. Requirements • Bachelor’s degree in Accounting, Finance or Business discipline preferred. • Law firm or professional services background preferred. • Expertise in Microsoft Office, specifically Excel. • Aderant Expert or Elite Enterprise (3E) experience preferred. • Talent for delivering client service through teamwork. • Ability to exchange information and to present ideas, report facts and other information clearly and concisely. • Strong initiative to proactively increase value to the position. • Flexibility to work additional hours as necessary.

Ophthalmic Consultants if Boston is currently looking for  Authorization  Billing Specialists to join our team in Plymouth.   These specialists provide administrative and billing support to the Retina team and serves as a responsive, accurate resource for providers and clinical staff as to coverage of various treatment options. Develops and maintains strong rapport with providers and clinical staff to ensure effective collaboration, communication, and mutual trust. The work schedule is Monday through Friday 8-4:30PM and can be fully onsite or a hybrid schedule once trained.   Examples of Duties: · Maintains accurate, up-to-date understanding of payer policies for Retina injectable medications, including policy changes as they occur. · Consistently maintains an effective tracking tool for active Prior Authorizations (PA) and their expirations dates to anticipate PAs that need renewal. · Proactively submits PA requests and appropriate supporting documentation as needed for upcoming appointments with sufficient lead time so that PA can be obtained prior to patients’ appointments. · Submits urgent PA requests as needed, e.g., in the event of adding on patients. · Effectively communicates with “challenging” insurance companies to ensure prior approval and coverage. · Consistently and methodically saves PA approval to patient record in Epic and updates Permanent Comments field in Epic to communicate to provider and clinic team the status of PA approval. · Promptly and effectively addresses denied PAs to ensure approval is ultimately obtained. · Reviews periodic reports for outstanding patient balances to identify the need for connecting patients with copay support services. · Registers commercially insured patients with manufacturer copay support services · Registers Medicare and Medicare Advantage patients with foundation copay support services · Orders specialty pharmacy (SP) medication, as required, and carefully communicates with clinic team the related billing procedures for SP. · Manages and reviews the daily EPIC schedule, utilizing the Day in Accounts Receivable (DAR) to ensure that all scheduled retina/procedure appointments are verified for coverage, drug, authorization, and balance. Performance Requirements: · Knowledge of organizational policies, procedures, and systems · Ability to exercise initiative, problem solving and decision making. · Must be highly organized, accurate, and proactive, with strong reasoning ability. · Excellent written and verbal communication skills. · Familiar with retinal diseases, the symptoms, and treatments strongly preferred/required (?) · Knowledgeable about retinal medications and therapies, e.g., class of drug, approved indications, off label usage, risks, benefits, and alternatives strongly preferred. · Able to read and understand ophthalmic/retina office notes including exam documentation, assessment, and plan, and to understand provider’s decision-making based on the documentation. · Prior experience with standard operations of insurance companies; verification of benefits/coverage including prior authorization (PA), claims, approvals, denials, appeals, letters of medical necessity, peer-to-peer discussions, buy-and-bill vs. specialty pharmacy processes, co-pays, deductibles, and payer coverage policies, etc. · Familiar with medication manufacturers’ portals/hubs and how to use them. · Familiar with required injection paperwork including consent forms, manufacturers’ portal registration forms, ABNs and NEIBs, etc. · Strong working knowledge with properly coding services, procedures, diagnosis, and treatments (ICD10 and CPT coding) · Communicate with patients to discuss procedures, insurance coverage, prior authorization and assisting patients with various questions. · Assist Billing management with implementing production, productivity, quality, resolving problems and identifying billing system improvements. · Updates job knowledge by participating in educational opportunities; reading professional publications, payer webinars. · Maintains strictest discretion and confidentiality. · Other duties as assigned. Education and Experience: · Associate degree in Business Administration or equivalent Medical Billing Experience. · Bachelor’s degree preferred. · 3+ years of medical billing experience. · Prior experience in ophthalmology strongly preferred. · Previous experience with Epic required.   OCB offers industry leading benefits including the 401(k) and great medical and dental benefits.  To find out more about OCB, please visit our website at www.eyeboston.com OCB is an Equal Opportunity Employer. Powered by JazzHR

Fair Haven Community Health Care  FHCHC is a forward-thinking, dynamic, and exciting community health center that provides care for multiple generations at over 143,000 office visits in 21 locations. Overseen by a Board of Directors, the majority of whom are patients themselves, we are proud to offer a wide range of primary and specialty care services, as well as evidence-based patient programs to educate patients in healthy lifestyle choices. As we grow and are able to bring high-quality health care to more areas that need access, we continue to put our patients first in everything we do. The mission of FHCHC is “ To improve the health and social well-being of the communities we serve through equitable, high quality, patient-centered care that is culturally responsive .” For 53 years, we have been a health care leader in our community focused on providing excellent, affordable primary care to all patients, regardless of insurance status or ability to pay. Fair Haven is proud to have a motivated team of professionals who are constantly seeking ways to enhance and improve the health and well-being of all patients.  We believe that everyone should have access to high-quality medical and dental care, regardless of ability to pay. Job purpose Fair Haven prides itself on efficient billing services including the filing of claims, appeals processing, authorizations, and, above all, a great passion for helping individuals obtain treatment. The Billing Specialist/Dental Authorization Coordinator works with the Billing and Dental department verifying benefits for patients and ensuring benefits quoted are accurate and detailed. Duties and responsibilities The Billing Specialist/ Dental Authorization Coordinator maintains the professional reimbursement and collections process for the dental program. Typical duties include but are not limited to: Billing Performs billing and computer functions, including data entry, documentation review and encounter posting Prepares and submits clean claims to various insurance companies either electronically or by paper when necessary Work claims and claim denials to ensure maximum reimbursement for services provided Carrier Authorizations Verifying patients' insurance and obtaining coverage breakdowns Creating ABNs as needed based on coverage Schedule/treatment plan reviews for carrier authorization Obtaining and logging prior authorizations for procedures as mandated by carriers.  Collections (Self-pay) Prepare, review and send patient statements Process and send “collections” letters for outstanding balances Process all returned mail Answer incoming patient billing phone calls, work to resolve patient issues Initiating collection calls and setting up and maintaining payment arrangements Follow collections process as outlined in FHCHC billing guideline Qualifications High School diploma or GED is required. Experience in a dental setting is essential. The ideal candidate will have a minimum of one year of dental authorizations and billing experience; excellent Interpersonal skills, accuracy and attention to detail a must. The selected candidate will have the ability to work in a team environment or independently; to m eet all established deadlines, metrics and assignment goals at all times and have oral and written proficiency in English. Bi-lingual in English and Spanish is highly preferred. He/she must be able to use computer and multi-lined telephones; have an understanding of dental terminology and knowledge and experience in billing and authorization practices specific to Medicaid.   American with Disabilities Requirements: External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job specific functions (listed within each job specific responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case by case basis. Fair Haven Community Health Care is an Equal Opportunity Employer. FHCHC does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need. Powered by JazzHR