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External logo
ExternalAtlanta, Georgia
Position Summary: PhyNet Dermatology is seeking skilled and motivated Billing Specialists to join our team. If you excel at insurance follow-up, denials management, and claims resolution, we encourage you to apply today. As a Denials Specialist, you will play a critical role in ensuring timely claims resolution and maintaining compliance with payer guidelines. Location: Atlanta, GA Hybrid Work Schedule Work on-site Monday through Wednesday and remotely Thursday and Friday. Essential Functions: To perform effectively in this role, the candidate must fulfill the following duties with or without reasonable accommodations. Monitor commercial, government, and specialty payer claims to ensure timely follow-up and resolution. Maintain a comprehensive understanding of payer guidelines, policies, and requirements related to denials and appeals. Update demographic and account information as needed to ensure clean claim submissions. Meet or exceed productivity and accuracy benchmarks set by management. Review medical records, provider notes, and Explanation of Benefits (EOBs) to facilitate appeals or resolve accounts. Initiate and manage appeals to insurance companies to resolve claims effectively. Handle payer correspondence, ensuring all required information is submitted promptly for claim processing. Analyze claim coding (CPT, ICD-9/10, HCPCS) to ensure accurate billing practices. Conduct detailed account follow-ups, analyze problem accounts, and document resolution efforts. Audit accounts for payment accuracy, contractual adjustments, and patient balances. Identify and report payer trends or recurring issues to management for resolution. Collaborate with patients, physician offices, and insurance companies to obtain additional information for claim processing. Generate patient responsibility statements and utilize insurance websites to address and resolve claims. Ensure proper documentation of all follow-up actions in the accounts receivable system. Maintain regular attendance and demonstrate a strong commitment to teamwork and professionalism. Knowledge, Skills & Responsibilities: Prior experience in denials management and insurance claims follow-up. Hands-on knowledge of HCFA billing and EOB review. Familiarity with payer requirements, denial workflows, and appeals processes. Proficiency in electronic filing systems and general computer skills. Strong attention to detail with the ability to identify and resolve issues accurately. Excellent verbal and written communication skills, with a professional and courteous demeanor. Demonstrated ability to meet productivity expectations while maintaining high-quality work. In-depth understanding of CPT/ICD-9/10 and HCPCS coding. This role requires a proactive, dependable, and detail-oriented individual with the ability to manage multiple tasks in a dynamic healthcare environment. The ideal candidate demonstrates a strong commitment to patient care and operational excellence. Physical and Mental Demands: The physical and mental demands described below are representative of those required to perform this job successfully. Reasonable accommodations may be made for individuals with disabilities: Physical Requirements: Occasionally required to stand, walk, and sit for extended periods. Use hands to handle objects, tools, or controls; reach with hands and arms. Occasionally required to climb stairs, balance, stoop, kneel, bend, crouch, or crawl. Occasionally lift, push, pull, or move up to 20 pounds. Vision Requirements: Close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Note: This job description is intended to provide a general overview of the role. Additional responsibilities may be assigned, or duties modified by the department supervisor based on operational needs.

Posted 3 weeks ago

Assembly Health logo
Assembly HealthLakewood, New Jersey

$23 - $28 / hour

Become an Assembler! If you are looking for a company that is focused on being the best in the industry, love being challenged, and make a direct impact on our business, then look no further! We are adding to our motivated team that pride themselves on being client-focused, biased to action, improving together, and insistent on excellence and integrity. This is a full-time, non-exempt position reporting to the SNF Billing Manager. What you'll do: Ensure claims are billed on a timely basis Monitor postings and billing to ensure accuracy and compliance with company policies and healthcare regulations Work with commercial insurance, Medicare, Medicaid, HMOs and clients to collect all balances Manage actions related to delinquent accounts and minimizes write-offs Provide technical assistance to staff for training purposes and problem solving Achieve performance goals and objectives (individual or departmental) as established by the manager Manage resources to meet department goals Communicate effectively with all levels of staff Other tasks as needed. What we're looking for: 3-4 years of proven experience as a Medical Biller in the long-term care space. Manage critical deadlines and keen attention to detail Knowledge of Medicare, Medicaid, private insurance, HMOs and hospice billing Knowledge of verifying payor sources and posting ancillaries and payments to various LTC systems. Point-Click-Care (PCC) required. Knowledge of state and federal nursing home guidelines Ability to handle multiple projects, priorities, and tasks independently and as a team, meeting all required deadlines in a busy environment Must be resourceful, persistent and possess excellent problem resolution skills Strong written and verbal communication skills with customer service focused aptitude Detail-oriented individuals who are team players highly self-motivated Sharing our core belief system of Honesty, Candor and Trust is table stakes for joining the family Adaptable to change and willingness to learn different processes—we are Assemblers, after all! Ability to function well in a fast-paced and at times stressful environment. Prolonged periods of sitting at a desk and working at a computer. Ability to lift and carry items weighing up to 10 pounds at times. Why Assembly? Be part of something special! We are growing both organically and through acquisitions. Career growth - your next role with Assembly might not be created yet and we are waiting for your help to chart the way! Ongoing training and development programs An environment that values transparency Virtual and in-person events to connect with your team. Competitive Benefit Packages available, Paid Holidays, and Paid Time Off to enjoy your time away from the office The salary range for this position is $23.00/hr - $28.00/hr Compensation for this role is based on a variety of factors, including but not limited to, skills, experience, qualifications, location, and applicable employment laws. The expected salary range for this position reflects these considerations and may vary accordingly. In addition to base pay, eligible employees may have the opportunity to participate in company bonus programs. We also offer a comprehensive benefits package, including medical, dental, vision, 401(k), paid time off, and more.

Posted 1 week ago

A logo
Acadia ExternalSan Juan, Puerto Rico
FUNCIONES ESENCIALES: Retransmitir los beneficios del seguro y la responsabilidad del paciente al paciente /asegurado de manera profesional, reconociendo ingresos incobrables y generando la documentación adecuada. Solicitar y procesar todas las facturas a terceros pagadores y pacientes, maximizando el reembolso de los servicios prestados para alcanzar los objetivos hospitalarios establecidos. Responsable de la entrada de datos precisa y oportuna de la información demográfica y de seguro del paciente, los cargos, los pagos, los ajustes y otras transacciones a las cuentas de los pacientes, según sea necesario, para incluir tanto al seguro como al paciente por la facturación de los cargos incurridos. Responsable del seguimiento oportuno a las compañías de seguros en la facturación presentada para permitir un flujo de dinero efectivo y eficiente de las cuentas por cobrar del hospital. Revise los registros de admisiones de los ingresos de días anteriores. Verifique el seguro médico según sea necesario e ingrese las admisiones y descargas en el sistema de manera oportuna. Entrada de datos de todos los cargos diarios. Registrar tanto A/R como efectivo. Prepare depósitos bancarios, post efectivo y ajustes a los records de pacientes según sea necesario. Equilibrar el A/R y mantener informes de apoyo según la política del departamento. Recuperar y realizar la facturación electrónica a las compañías de seguros lo más pronto posible. Haga llamadas de seguimiento a las compañías de seguros según sea necesario. OTRAS FUNCIONES: Realizar otras funciones y tareas según le sea asignado. EDUCACIÓN / EXPERIENCIA / HABILIDADES REQUERIDAS: Diploma de secundaria o equivalente requerido. Trabajo de curso universitario adicional preferido. Tres años de experiencia en la oficina de negocios, preferiblemente en un hospital u oficina médica.

Posted 1 week ago

Scribd logo
ScribdSan Francisco, California

$167,000 - $260,500 / year

About The Company: At Scribd (pronounced “scribbed”), our mission is to spark human curiosity. Join our team as we create a world of stories and knowledge, democratize the exchange of ideas and information, and empower collective expertise through our four products: Everand, Scribd, Slideshare, and Fable. We support a culture where our employees can be real and be bold; where we debate and commit as we embrace plot twists; and where every employee is empowered to take action as we prioritize the customer. When it comes to workplace structure, we believe in balancing individual flexibility and community connections. It’s through our flexible work benefit, Scribd Flex, that employees – in partnership with their manager – can choose the daily work-style that best suits their individual needs. A key tenet of Scribd Flex is our prioritization of intentional in-person moments to build collaboration, culture, and connection. For this reason, occasional in-person attendance is required for all Scribd employees, regardless of their location. So what are we looking for in new team members? Well, we hire for “GRIT”. The textbook definition of GRIT is demonstrating the intersection of passion and perseverance towards long term goals. At Scribd, we are inspired by the potential that this can unlock, and ask each of our employees to pursue a GRIT-ty approach to their work. In a tactical sense, GRIT is also a handy acronym that outlines the standards we hold ourselves and each other to. Here’s what that means for you: we’re looking for someone who showcases the ability to set and achieve G oals, achieve R esults within their job responsibilities, contribute I nnovative ideas and solutions, and positively influence the broader T eam through collaboration and attitude. About the Team The Payments & Billing team at Scribd powers our subscription revenue engine by delivering the systems that manage billing lifecycles, global payment processing, and financial reliability across Scribd, Everand, Slideshare, and Fable. Our focus areas include payment processing at scale, invoicing, reconciliation, fraud prevention, compliance, and support for international currencies and payment methods. We partner closely with Product, Finance, Risk, and Platform Engineering to ensure that millions of readers worldwide can reliably access our services every day. What You’ll Do Lead the technical architecture and implementation of Scribd’s payments and billing systems, the backbone of our subscription business. Design, build, and operate backend services that power subscription payments at global scale. Own billing lifecycle, global payments, invoicing, reconciliation, and financial reliability—integrating with multiple providers (Stripe, Adyen, Braintree) and supporting international currencies and local methods. Ensure compliance and security of financial systems through PCI DSS, tokenization, encryption, and secure data handling. Foster a culture of technical excellence while driving scalable, resilient, and observable financial systems that enable teams to move fast, simplify complexity, and deliver revenue with confidence Modernize legacy systems and eliminate technical debt to improve velocity and scalability. Partner with Product, Finance, Risk, Platform, and Analytics to deliver secure, reliable financial flows, leveraging data, metrics, and telemetry to uncover trends, resolve anomalies, and guide the team with clarity and foresight. Mentor engineers, shape cross-team technical strategy, and tackle some of the hardest scaling and security challenges in the company. We’re Looking for Someone Who Has 8+ years of backend engineering experience, with deep expertise in building and scaling distributed systems for financial or mission-critical workloads. Brings a strong foundation in data modeling, transactional consistency, and high-throughput architectures, with hands-on SQL (e.g., MySQL, PostgreSQL) and familiarity with NoSQL and caching. Is skilled in observability and reliability practices: defining SLOs, implementing metrics/alerts, debugging distributed systems, and leading incident response. Has strong coding ability in at least one modern backend language such as Ruby (preferred), Java, Go, or Python, with a focus on clean, maintainable, and secure code. Has a proven track record of technical leadership: setting architectural direction, mentoring engineers, and driving large-scale migrations or modernization efforts. Communicates clearly and collaborates across product, finance, risk, and platform teams, influencing both technical and business decisions. Contributes to cross-team initiatives (mentoring, architecture review groups, knowledge sharing) that shape Scribd’s engineering culture. It’s a Plus If You Has strong coding ability in Ruby. Have deep experience designing and operating payment or billing systems. Have integrated with major payment service providers (Stripe, Adyen, Braintree, PayPal) and managed multi-currency or local payment methods. Bring knowledge of compliance and security standards (PCI DSS, encryption, tokenization). Understand fraud prevention strategies (chargebacks, retries, card fingerprinting, abuse detection). Have led large-scale migrations between payment providers or billing systems with minimal customer impact. --- At Scribd, your base pay is one part of your total compensation package and is determined within a range. Our pay ranges are based on the local cost of labor benchmarks for each specific role, level, and geographic location. San Francisco is our highest geographic market in the United States. In the state of California, the reasonably expected salary range is between $167,000 [minimum salary in our lowest geographic market within California] to $260,500 [maximum salary in our highest geographic market within California]. In the United States, outside of California, the reasonably expected salary range is between $137,500 [minimum salary in our lowest US geographic market outside of California] to $247,500 [maximum salary in our highest US geographic market outside of California]. In Canada, the reasonably expected salary range is between $175,000 CAD[minimum salary in our lowest geographic market] to $231,500 CAD[maximum salary in our highest geographic market]. We carefully consider a wide range of factors when determining compensation, including but not limited to experience; job-related skill sets; relevant education or training; and other business and organizational needs. The salary range listed is for the level at which this job has been scoped. In the event that you are considered for a different level, a higher or lower pay range would apply. This position is also eligible for a competitive equity ownership, and a comprehensive and generous benefits package. Working at Scribd, inc. Are you currently based in a location where Scribd is able to employ you? Employees must have their primary residence in or near one of the following cities. This includes surrounding metro areas or locations within a typical commuting distance: United States : Atlanta | Austin | Boston | Dallas | Denver | Chicago | Houston | Jacksonville | Los Angeles | Miami | New York City | Phoenix | Portland | Sacramento | Salt Lake City | San Diego | San Francisco | Seattle | Washington D.C. Canada : Ottawa | Toronto | Vancouver Mexico : Mexico City Benefits, Perks, and Wellbeing at Scribd *Benefits/perks listed may vary depending on the nature of your employment with Scribd and the geographical location where you work. Healthcare Insurance Coverage (Medical/Dental/Vision): 100% paid for employees 12 weeks paid parental leave Short-term/long-term disability plans 401k/RSP matching Onboarding stipend for home office peripherals + accessories Learning & Development allowance Learning & Development programs Quarterly stipend for Wellness, WiFi, etc. Mental Health support & resources Free subscription to the Scribd Inc. suite of products Referral Bonuses Book Benefit Sabbaticals Company-wide events Team engagement budgets Vacation & Personal Days Paid Holidays (+ winter break) Flexible Sick Time Volunteer Day Company-wide Employee Resource Groups and programs that foster an inclusive and diverse workplace. Access to AI Tools:We provide free access to best-in-class AI tools, empowering you to boost productivity, streamline workflows, and accelerate bold innovation. Want to learn more about life at Scribd? www.linkedin.com/company/scribd/life We want our interview process to be accessible to everyone. You can inform us of any reasonable adjustments we can make to better accommodate your needs by emailing accommodations@scribd.com about the need for adjustments at any point in the interview process. Scribd is committed to equal employment opportunity regardless of race, color, religion, national origin, gender, sexual orientation, age, marital status, veteran status, disability status, or any other characteristic protected by law. We encourage people of all backgrounds to apply, and believe that a diversity of perspectives and experiences create a foundation for the best ideas. Come join us in building something meaningful.

Posted 30+ days ago

Acrisure logo
AcrisureSan Diego, California

$25 - $27 / hour

Job Description SUMMARY: SBMA, a third-party administrator, is an affordable ACA-compliant benefits provider to thousands of employers. Their goal is to simplify the complexity of providing employee benefits. SBMA is different because of its personal service, implementation speed, and innovative benefits coverage approach. The Billing Specialist plays a vital role in our finance department by ensuring accurate and timely billing processes. Primary responsibilities of the role include generating invoices, processing payments, and maintaining billing records. Qualified candidates must have excellent numerical skills, strong attention to detail, and the ability to work independently while adhering to strict deadlines. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. RESPONSIBILITIES AND DUTIES (including but not limited to): Invoice Generation: Prepare and distribute accurate and timely invoices to customers based on established billing cycles or project milestones. Billing Data Management: Maintain billing records, update customer information, and ensure the accuracy and completeness of billing data in the company's billing system. Payment Processing: Receive and process payments from customers, ensuring proper allocation of payments to outstanding invoices. Billing Inquiries: Respond to customer inquiries regarding billing statements, payment terms, and outstanding balances in a timely and professional manner. Billing Discrepancies: Investigate and resolve billing discrepancies or disputes by collaborating with internal teams, such as sales or customer service, and working directly with customers to resolve any issues. Account Reconciliation: Reconcile customer accounts regularly to ensure accuracy and resolve any discrepancies between billing records and payments received. Compliance and Documentation: Ensure compliance with company policies and accounting regulations while maintaining proper documentation of billing activities, adjustments, and communications. Reporting: Prepare regular reports summarizing billing activities, outstanding balances, and any significant issues or trends for management review. Process Improvement: Identify opportunities for process improvements to enhance billing efficiency, accuracy, and customer satisfaction. Propose and implement changes as approved. Cross-functional Collaboration: Collaborate with other departments to gather necessary information, address inquiries, and improve overall billing processes. This description is not meant to be all-inclusive and may be modified from time to time at the discretion of management. REQUIRED EDUCATION AND EXPERIENCE: High school diploma or equivalent. Proven experience in a billing or accounting role, demonstrating strong numerical and data entry skills. PREFERRED EDUCATION AND EXPERIENCE: Bachelor's degree in accounting or finance preferred. Familiarity with billing software and accounting systems is preferred. KNOWLEDGE, SKILLS AND ABILITIES: Knowledge of relevant accounting principles, regulations, and billing best practices. Proficiency in Microsoft Office suite, particularly Excel Excellent attention to detail and accuracy, with the ability to identify errors and resolve discrepancies. Strong organizational and time management skills to meet billing deadlines and handle multiple tasks simultaneously. Effective communication skills, both written and verbal, to interact with internal teams and external customers professionally. Problem-solving and analytical skills to investigate and resolve billing issues and disputes. Ability to maintain confidentiality and handle sensitive financial information securely. Pay Details: The base compensation range for this position is $25 - $27. This range reflects Acrisure's good faith estimate at the time of this posting. Placement within the range will be based on a variety of factors, including but not limited to skills, experience, qualifications, location, and internal equity. Acrisure is committed to employing a diverse workforce. All applicants will be considered for employment without attention to race, color, religion, age, sex, sexual orientation, gender identity, national origin, veteran, or disability status. California residents can learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy available at www.Acrisure.com/privacy/caapplicant . To Executive Search Firms & Staffing Agencies: Acrisure does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered Acrisure’s property, and Acrisure will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting Acrisure’s Human Resources Talent Department.

Posted 30+ days ago

W logo
Washington University in St LouisTown and Country, Missouri

$17 - $25 / hour

Scheduled Hours 40 Position Summary Obtains insurance information and 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 Education: No additional education unless stated elsewhere in the job posting. Certifications: No additional certification unless stated elsewhere in the job posting. Work Experience: No additional work experience unless stated elsewhere in the job posting. Skills: 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 / HourlyThe 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 2 days ago

Southern 441 Toyota logo
Southern 441 ToyotaWest Palm Beach, Florida
Job Summary: We are Growing!!!! Automotive Dealership is seeking an Experienced Automotive Billing Clerk to join our team. If you're looking for a fast-paced, professional, and positive environment that rewards hard working, reliable, and team-oriented individuals, this is the right place for you! Why Work for this company?! Most talented Management team in the Southeast which is committed to assisting all salespeople with all facets of the sales and service process Competitive compensation package Comprehensive and continual training in all departments Transparent and achievable career progression opportunities Benefits: Medical Dental Vision Short & long-term disability and life insurance 401K Key Responsibilities: Receive and process paperwork from the F&I Department. Post vehicle sales and purchases. Prepare checks for payoffs, referrals, refunds, etc. Costing and finalizing deals to accounting. Prepare, submit and monitor funding of bank contracts. Review assigned schedules weekly and make JV corrections with Controller approval. Effectively present information to customers or dealership personnel. Maintain reports and/or logs of daily new and used deal activity. Work under pressure in a fast paced , high volume atmosphere. Ability to multitask. Perform various other accounting responsibilities and business requirements as assigned Qualifications : Must have past Automotive billing experience Experience with Reynolds and Reynolds highly preferred Detailed Oriented Computer literacy with experience using Microsoft Excel Professional personal appearance Must submit to a pre-employment background check Must have good attitude

Posted today

Almost Family logo
Almost FamilyBend, Oregon

$27 - $30 / hour

Bend, OR Description of the Role: Almost Family is seeking a highly skilled and experienced Billing Manager to lead our financial operations and ensure the seamless management of all billing and invoicing processes. This key leadership role requires a strategic thinker with a meticulous eye for detail, exceptional organizational skills, and a proven ability to lead a team. The ideal candidate will be responsible for overseeing the entire billing lifecycle, optimizing procedures, and maintaining the highest standards of accuracy and compliance. This is a critical position that will directly impact on our financial health and our ability to provide reliable, compassionate care to clients in Oregon and Colorado. Responsibilities: Lead and manage the end-to-end billing and invoicing process for all services. Oversee and reconcile billing statements to ensure accuracy and resolve complex discrepancies. Serve as the primary point of contact for billing inquiries from clients, management, and third-party payers. Ensure all billing practices are compliant with relevant regulations, including those for Medicaid, Veterans Administration, and other payers. Collaborate with the financial team on reporting, audits, and financial analysis. Train, mentor, and coordinate with all staff assisting with billing functions to foster a cohesive and efficient team. Develop and implement strategies to optimize billing procedures and improve collections. Maintain comprehensive and accurate billing records and documentation. Requirements: Bachelor’s degree in accounting, finance, or a related field, or equivalent professional experience. Minimum of 3-5 years of experience in billing or accounting, with at least 1-2 years in a managerial or leadership capacity. Demonstrated expertise in the in-home care industry and a strong understanding of billing regulations. Proficiency with billing software, with specific knowledge of MMIS, eXPRS, and WellSky highly preferred. Highly proficient in MS Office or Google applications. Exceptional attention to detail, with strong leadership, organizational, and time management skills. Proven ability to work independently, lead a team, and collaborate effectively across departments. Excellent written and verbal communication skills. This position is an on-site role in Bend, OR. Benefits: Highly competitive compensation of $27 - $30 per hour. Health, dental, and vision insurance with an employer supplement. Paid time off. Company-provided training and professional development opportunities. About the Company: At Almost Family, we are a trusted provider of reliable and affordable in-home care services across Oregon and Colorado. Our dedicated staff is committed to providing personalized attention and making a meaningful difference in the lives of our clients. Join our team of dedicated professionals and help us continue to provide exceptional care.

Posted today

Charlie Health logo
Charlie HealthNashville, TN

$45,000 - $52,500 / year

Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they’re met with barriers to care. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported. Charlie Health exists to change that. Our mission is to connect the world to life-saving behavioral health treatment. We deliver personalized, virtual care rooted in connection—between clients and clinicians, care teams, loved ones, and the communities that support them. By focusing on people with complex needs, we’re expanding access to meaningful care and driving better outcomes from the comfort of home. As a rapidly growing organization, we're reaching more communities every day and building a team that’s redefining what behavioral health treatment can look like. If you're ready to use your skills to drive lasting change and help more people access the care they deserve, we’d love to meet you. About the Role The purpose of this position is to ensure all services delivered at Charlie Health are entered timely into the billing system and accurately submitted to insurance payers for reimbursement. This role is the first step in receiving reimbursement from payers so this candidate should possess a keen attention to detail, strong data review and analytics skills, and experience in finding root cause issues that will improve overall reimbursement from payers. Our team is composed of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. We are looking for a candidate who is inspired by our mission and excited by the opportunity to build a business that will impact millions of lives in a profound way. Responsibilities Enter patient demographics, insurance information, and charges into the billing system for all services performed with a high level of accuracy Quickly identify and resolve account errors, claim rejections, and system issues that may cause reimbursement complications Identify trends and root causes related to inaccurate insurance billing, and report to leadership Collaboration across teams, contributing specialized billing knowledge to help minimize errors and increase clean claims percentages, accurate reimbursement from payers, and increase revenue Reconciling various billing reports and make appropriate claim corrections, identify system gaps in reporting, and audit submitted claims for potential errors Investigate escalated insurance billing inquiries and inaccuracies and take appropriate action to resolve the account Requirements 3+ years of charge entry and billing experience, preferably in behavioral health Strict attention to details Knowledge of payer specific billing requirements Organizational skills Experience in navigating clearinghouses Highly organized and able to track workflows through various tools Proficiency in Microsoft office required Knowledge of medical billing practices, office policies and procedures Familiar with CPT, ICD-9, and ICD-10 Excellent written and verbal communication skills Ability to maintain a high level of integrity and confidentiality of medical information Able to work a hybrid schedule of 4 days per week in our Nashville office and located within 75 minutes' commuting distance of the office Benefits Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here . Additional Information Please note that this role is not available to candidates in Alaska, Maine, Washington DC, New Jersey, California, New York, Massachusetts, Connecticut, Colorado, Washington State, Oregon, or Minnesota. The expected base pay for this role will be between $45,000 and $52,500 per year at the commencement of employment. However, base pay will be determined on an individualized basis and will be impacted by location and years of experience. Further, base pay is only part of the total compensation package, which, depending on the position, may also include incentive compensation, discretionary bonuses, other short and long-term incentive packages, and other Charlie Health-sponsored benefits. #LI-HYBRID Our Values Connection: Care deeply & inspire hope. Congruence: Stay curious & heed the evidence. Commitment: Act with urgency & don’t give up. Please do not call our public clinical admissions line in regard to this or any other job posting. Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Charlie Health, please go directly to our Careers Page: https://www.charliehealth.com/careers/current-openings. Charlie Health will never ask you to pay a fee or download software as part of the interview process with our company. In addition, Charlie Health will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All communications with Charlie Health Talent and People Operations professionals will only be sent from @charliehealth.com email addresses. Legitimate emails will never originate from gmail.com, yahoo.com, or other commercial email services. Recruiting agencies, please do not submit unsolicited referrals for this or any open role. We have a roster of agencies with whom we partner, and we will not pay any fee associated with unsolicited referrals. At Charlie Health, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people. Charlie Health applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation. By submitting your application, you agree to receive SMS messages from Charlie Health regarding your application. Message and data rates may apply. Message frequency varies. You can reply STOP to opt out at any time. For help, reply HELP.

Posted 3 days ago

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A/R Billing Specialist - Atlanta, GA

ExternalAtlanta, Georgia

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Job Description

Position Summary:

PhyNet Dermatology is seeking skilled and motivated Billing Specialists to join our team. If you excel at insurance follow-up, denials management, and claims resolution, we encourage you to apply today. As a Denials Specialist, you will play a critical role in ensuring timely claims resolution and maintaining compliance with payer guidelines.

Location:

Atlanta, GA

Hybrid Work ScheduleWork on-site Monday through Wednesday and remotely Thursday and Friday.

Essential Functions:

To perform effectively in this role, the candidate must fulfill the following duties with or without reasonable accommodations.

  • Monitor commercial, government, and specialty payer claims to ensure timely follow-up and resolution.
  • Maintain a comprehensive understanding of payer guidelines, policies, and requirements related to denials and appeals.
  • Update demographic and account information as needed to ensure clean claim submissions.
  • Meet or exceed productivity and accuracy benchmarks set by management.
  • Review medical records, provider notes, and Explanation of Benefits (EOBs) to facilitate appeals or resolve accounts.
  • Initiate and manage appeals to insurance companies to resolve claims effectively.
  • Handle payer correspondence, ensuring all required information is submitted promptly for claim processing.
  • Analyze claim coding (CPT, ICD-9/10, HCPCS) to ensure accurate billing practices.
  • Conduct detailed account follow-ups, analyze problem accounts, and document resolution efforts.
  • Audit accounts for payment accuracy, contractual adjustments, and patient balances.
  • Identify and report payer trends or recurring issues to management for resolution.
  • Collaborate with patients, physician offices, and insurance companies to obtain additional information for claim processing.
  • Generate patient responsibility statements and utilize insurance websites to address and resolve claims.
  • Ensure proper documentation of all follow-up actions in the accounts receivable system.
  • Maintain regular attendance and demonstrate a strong commitment to teamwork and professionalism.

Knowledge, Skills & Responsibilities:

  • Prior experience in denials management and insurance claims follow-up.
  • Hands-on knowledge of HCFA billing and EOB review.
  • Familiarity with payer requirements, denial workflows, and appeals processes.
  • Proficiency in electronic filing systems and general computer skills.
  • Strong attention to detail with the ability to identify and resolve issues accurately.
  • Excellent verbal and written communication skills, with a professional and courteous demeanor.
  • Demonstrated ability to meet productivity expectations while maintaining high-quality work.
  • In-depth understanding of CPT/ICD-9/10 and HCPCS coding.

This role requires a proactive, dependable, and detail-oriented individual with the ability to manage multiple tasks in a dynamic healthcare environment. The ideal candidate demonstrates a strong commitment to patient care and operational excellence.

Physical and Mental Demands:

The physical and mental demands described below are representative of those required to perform this job successfully. Reasonable accommodations may be made for individuals with disabilities:

  • Physical Requirements:
    • Occasionally required to stand, walk, and sit for extended periods.
    • Use hands to handle objects, tools, or controls; reach with hands and arms.
    • Occasionally required to climb stairs, balance, stoop, kneel, bend, crouch, or crawl.
    • Occasionally lift, push, pull, or move up to 20 pounds.
  • Vision Requirements:
    • Close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

Note:This job description is intended to provide a general overview of the role. Additional responsibilities may be assigned, or duties modified by the department supervisor based on operational needs.

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Submit 10x as many applications with less effort than one manual application.

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