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Billing and Claims Analyst Manager (Atwater - Remote)
Available Staff PositionsAtwater, California
Provide direction in the development and support of IT Applications, such as Billing EPIC modules - Charging/Coding/Resolute/Claims. Responsible for managing the day to day activities of Billing Trainer and the assigned Billing and Claims Analyst team and coordinating activities with multiple IT teams to develop, maintain, support, and enhance applications. Support revenue cycle functions by partnering with business owners across the revenue cycle to identify and evaluate processes deficiencies and work towards resolving them. Produces reporting as well as providing analytic analysis of the data to Director of Revenue Cycle and other stakeholders in the organization. This position will report to our Atwater Administrative Office, with ability to work remotely once acclimated to role. Schedule is Monday – Friday, 8:00am – 5:00pm. Compensation : $85,924.80 - $90,221.04 Golden Valley Health Centers offers excellent benefits including Medical: (0 Deductible / $2,000 Individual; $4,000 Family Out-of-Pocket Max), excellent PPO coverages; Dental; Vision; 403(b) with match, FSA plans, gym discounts, and so much more! Essential Duties and Responsibilities Responsible for recruiting and training, supervising and completing performance evaluations for assigned team. Management oversight for projects and efforts including prioritization, resource utilization, timeline development and task completion. Maintain knowledge of assigned Epic and other professional billing and claims configuration management and act as subject matter expert on application(s) functionality. Manage professional billing and claims request. Prioritize, track and resolve end-user support requests with a sense of urgency, problem solve escalated tasks. Manage the planning, design, development, build and/or configuration of applications and Epic’s Resolute Professional Billing applications which include Resolute Professional Billing, Charge Router, General Ledger and other related Epic and third party applications. Review the status of projects and issues on ongoing basis with organization leadership; ensure project timelines are adhered to and implement plans of action as necessary. Work with users to ensure that systems are used effectively and provide direction to improve efficiency. Analyze user requirements, develop and implement systems. Testing – Take responsibility for the integrity of billing application testing activities for assigned team to ensure quality standards are met. Monitor billing application modification requests and ensure best practices are being utilized. Coordinate activities of team and act as a source for direction, training and guidance. Support staff in their accurate determination and resolution of problems that affect users. Partner with billing management, operations and other stakeholders across the organization to identify and address operational issues related to Revenue Cycle performance. Conduct revenue cycle analysis and provides trends to billing and operations management to identify improvement opportunities, enhancement or system automation. In conjunction with billing management, coordinates Revenue Cycle system enhancements, and upgrades with IT, Operations, and other departments as needed. Conduct research and interpret regulations and other requirements to determine charging and billing alternatives and compliance issues in conjunction with operational and billing management. Oversee updates, including but not limited to charge master, sliding fee, contracts, billing edits as new and updated regulatory and contractual requirements are identified. Run, review, interpret, analyze, and validate Revenue Cycle reports. Ensure the integrity of data provided to all areas of the revenue cycle and other areas of the organization is necessary for good decision making. Additional duties and responsibilities as assigned. Min. Qualifications Knowledge of 3rd party and governmental billing requirements/regulations. Knowledge of healthcare reimbursement and billing procedures, HCPCS, CPT and ICD-10 coding, and medical terminology. Excellent analytical, research, communication and organizational skills as well as attention to detail. Ability to analyze and interpret large amounts of data efficiently and effectively. Understanding of the Revenue Cycle in healthcare. Possesses excellent interpersonal skills and can effectively communicate with supervisors, team members and other departments. Ability to work efficiently and effectively with tight deadlines, interruptions and high-work volume. Working knowledge in operating a personal computer, and Microsoft Suite. Valid CA Driver’s License, reliable transportation, acceptable driving record, and liability insurance. Physical Demands Must be able to lift up to 20 pounds occasionally and push up to 50 pounds (on wheels) on rare occasions. Must be able to hear staff on the phone and those who are served in-person, and speak clearly in order to communicate information to clients and staff. Must have vision with or without lenses that is adequate to read memos, a computer screen, personnel forms and clinical and administrative documents. Work Environment The physical environment requires the employee to work indoors, primarily in an office setting. The noise level inside is quiet to average. Use of general office equipment is required on a daily basis. Travel may be required at times. Education/Experience Requirements High school diploma or equivalent. Bachelor's Degree in Healthcare Administration, Business, or related field, preferred. Minimum of five (5) years of billing experience in a healthcare setting. Must obtain certification in assigned Epic application within 6 months of employment. EPIC certification must be continuously maintained. EPIC experience preferred. Previous supervisory experience preferred.

Posted 5 days ago

Office/Billing Manager-logo
Office/Billing Manager
ServproMilpitas, California
SERVPRO of Palo Alto is hiring an Office Manager ! Benefits SERVPRO of Palo Alto offers: Competitive compensation Medical, Vision, Dental Career progression Professional development And more! As the Office Manager , you will be responsible for managing, training, and motivating the SERVPRO® office team. You will oversee all accounting functions, administrative activities, and ensure customer satisfaction. Key Responsibilities Assist in hiring office personnel and ensure employment best practices and compliance Manage the training and development plans for office team Oversee performance management for office team Deliver financial reporting as needed Verify and analyze franchise performance reports Assist with office staffing and compensation plan as needed Position Requirements High school diploma/GED; Associate degree or Bachelor’s degree preferred At least 1 year of management and/or supervisory experience At least 3 year of customer service and/or office-related experience At least 3 years in Xactimate billing for Mitigation related jobs Excellent written and verbal communication skills Exceptional organization and planning capabilities, strong attention to detail Skills/Physical Demands/Competencies This is a role in a fast-paced office environment. Some filing is required which would require the ability to lift files, open filing cabinets, and bending or standing as necessary. Ability to successfully complete a background check subject to applicable law Each SERVPRO® Franchise is Independently Owned and Operated. All employees of a SERVPRO Franchise are hired by, employed by, and under the sole supervision and control of an independently owned and operated Servpro Franchise. Servpro Franchise employees are not employed by, jointly employed by, agents of or under the supervision or control of Servpro Industries, LLC or Servpro Franchisor, LLC (the Franchisor), in any manner whatsoever. All Sample Forms provided by Servpro Industries to Servpro Franchises should be reviewed and approved by the Franchise’s attorney for compliance with Federal, State and Local laws. All Sample Forms are provided for informational purposes and Servpro Franchises may choose whether or not to use them. Flexible work from home options available. Compensation: $73,000.00 - $83,000.00 per year Picture yourself here fulfilling your potential. At SERVPRO ® , you can make a positive difference in people’s lives each and every day! We’re seeking self-motivated, proactive, responsible, and service-oriented teammates to join us in our mission of helping customers in their greatest moments of need by repairing and restoring homes and businesses with an industry-leading level of service. With nearly 2,000 franchises all over the country, finding exciting and rewarding SERVPRO ® career opportunities near you is easy! We look forward to hearing from you. All employees of a SERVPRO® Franchise are hired by, employed by, and under the sole supervision and control of an independently owned and operated SERVPRO® Franchise. SERVPRO® Franchise employees are not employed by, jointly employed by, agents of, or under the supervision or control of Servpro Franchisor, LLC, in any manner whatsoever.

Posted 2 weeks ago

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Billing & Settlement Specialist
Helistar Transportation.Carson, California
Responsibilities Prepare a variety of accounting tasks relating to the documentation, recording, processing and filing of accounting Coordinate and arrange all modes of import/export services for international goods. Communicate with various contacts (customers, vendors, partners, and more) in processing shipments. Expedite clearance and delivery to meet client's requirements, A/R and A/P. Maintain and compile operational information including but not limited to customer/vendor profiles, quotes, and other related data. Provide daily activity reports to management. Review invoices for proper documentation and processing check request. Maintain accurate files and documentation in accordance with company policy. Qualifications Proficient in Korean & English required Attention to detail Strong service-oriented mindset Ability to multi-task Excel skill and MS Word proficiency require Preferred Education and Experience Applications from candidates of all experience levels, including those who may be inexperienced are welcome. High School Diploma or GED Benefits (Full-Time ONLY) Health, Dental, and Vision PPO Insurance Life, STD, LTD Insurance 401(K) Plan 14 Paid Holidays Paid Time Off (Starting 12 days/year) Additional Paid time off (Bereavement, Wedding, Birth of a Child, etc.) Years of Service Awards Education program (Based on Eligibility) The base salary for the position ranges from $50,000 to $60,000 annually, depending on your experience, qualifications, and skill set.

Posted 3 weeks ago

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Medical Billing Specialist - Follow up & Collections III/IV
PHI HealthPhoenix, Arizona
Specialist, Med Billing - Follow-Up & Collections IV Join Our Life-Saving Team and take advantage of a sign on bonus up to $7,500! Are you ready to elevate your career to new heights? PHI Health is looking for dynamic, driven individuals to join our team. We are committed to providing top-tier emergency medical services with unmatched speed and efficiency, saving lives when every second counts. By supporting our mission from the ground, you will play a crucial role in orchestrating the seamless operations that keep our advanced fleet soaring and our patients safe. With PHI Health you’ll collaborate with the best minds in the industry, driving initiatives that enhance our services and expand our reach to those who need it most. If you're passionate about making a difference and thrive on challenges, PHI Health offers an extraordinary opportunity to impact lives and develop your professional career in a meaningful way. Who We Are: PHI Health is the leading air ambulance provider in the United States. With an unmatched safety record and the best aviation, medical and communication specialists in the field, we set the standard in the air medical industry. We transport more than 22,000 patients each year from our more than 80 bases across the country, all while offering services and outreach education to local communities and leading healthcare systems. Our mission is simple: move communities to health while maintaining the highest standard of safety, period. Job Summary: Under the direction and supervision of the Team Operational Coordinator (TOC), the Follow Up & Collections III position performs all collection tasks as assigned utilizing collection processes with a high level of knowledge, skills, abilities, and experience. The follow-up position will assume duties as a collector but not limited, to manage patient accounts from the point of resubmission through final resolution. Identify and address denials by writing appeal letters and ensure account balances are correct based on payer contract terms. Possess and maintain knowledge of payer specific rules and guideline related to collection requirements. Perform necessary follow-up to obtain the appropriately owed reimbursement for services in a timely fashion. Responsibilities Include: Acts as a patient advocate to obtain additional information and support for claims processing or to discuss outstanding patient balance with options available for balance resolution. Analyze adverse billing, collections, and payer trends and report/present to management to include suggested solutions. Assist with special projects related to payer issues or overall collections shortfalls. Contact insurances in an assertive, consistent and knowledgeable manner in order to obtain timely payments. This includes escalation of issue to supervisors and/or grievance departments. Categorize and quantify payer payment issues for resolution and reporting to management. Demonstrate and maintain consistent customer focus in the face of adversity and change both internally and externally. Demonstrate the ability to contact insurances in a consistent and knowledgeable manner in order to obtain timely payments, this includes escalation of issue to supervisors. Demonstrates understanding of payer fee schedules, enrollment requirements along with PHI payer and facility contracts. Demonstrates, performs an understanding of insurance collections to include payment in full (negotiation) offers, overpayment reviews and approvals, next action on correspondence, insurance types, insurance classes, in compliance with PHI's billing policies and procedures. Draft correspondence to patients and payers including 1st level appeals for technical denials, and identify accounts to refer to Appeals Department for escalation. Handle patient calls in support of collections activities to include financial review for charity program, payment plans, negotiation of discounts and proper resolution of patient complaints. Maintaining a professional relationship and effectively communicating with first responders, facilities, PHI agencies, entities, insurers, attorneys and patient's Must demonstrate positive teaming, effective cooperation in all communication within established team and throughout the entire PFS department. Organize and prioritize work to support production goals utilizing on-line tools and required systems and software. Participate in increasing responsibility through ongoing training and expansion of duties. Perform financial screening for payment in full (negotiation) offers, setting up payment plans and PHI's charity program in compliance with PHI's billing policies and procedures for appropriate next required action. Perform in-depth account review such as skip tracing, correspondence research, secondary claims billing, payment review, contractual adjustments and modify insurances/demographic information in compliance with PHI's billing policies and procedures for appropriate next required action. Perform, identify, collect and confirm insurance coverage to include obtaining prior authorization, third party liability and coordinator of benefits. Possess a good working knowledge of HCPCS, CPT, ICD-9, ICD10 codes, medical terminology and clinical documentation. Provide leadership and act as a resource for management to assist, train and provide support to the PFS Billing Staff Research, evaluate and communicate to the team, payer specific billing policies, guidelines and statutory regulations for insurance and collection follow-up. Respond, monitor and track claims and correspondence and prioritize work accordingly to maintain and meet productions standards. Review and evaluate any patient account for appropriate handling – regardless of age, status or payer. Review and interpret explanation of benefits to determine contractual compliance, accuracy of payment received, true patient responsibility, status of denied or reduction of service coverage and follow up appropriately. Take direction, coordinate projects and prioritize assignments on individual basis, as well as on a departmental/team level. Understand billing requirements for all payers and participate in ensuring claims are accurate prior to submission; train staff on billing requirements for new and established payers. Understand insurance regulations and guidelines to include CMS guidelines in order to effectively discuss outstanding claims with payers related to slow payments, underpayments, denials and to ensure claims are processed compliantly and paid appropriately. Comply with Company HS&E policy and procedures. Responsible for supporting company Safety Management Systems activities. Understand and provide visible support of Destination Zero Other duties and responsibilities as assigned. Schedule/Location: Phoenix, AZ 5 & 2 The Successful Candidate Will Have: Must have completed high school diploma (or GED equivalent) and have previous experience in medical billing/collections with a progressive increase in complexity and responsibilities. Must have knowledge of general office procedures using office equipment. Must have PC skills and demonstrated proficiency in Microsoft Office Word, Excel and medical billing software. Must have prior experience with email and using the web. Some college preferred. Must be able to pass a pre-placement drug test and background screen. This position is designated Safety Sensitive for purposes of the Arizona Medical Marijuana Act. Compensation and Benefits: Regular pay scale applies Our Core Competencies: Safe. We are absolute in our belief in the tenets of Destination Zero and that Zero is not only achievable, but the only acceptable outcome. Efficient. We are focused on outcomes that are smart and responsible by making the best use of our resources to maximize overall productivity and achieve sustainable profitability as a high performing organization. Quality. We are committed to ensuring excellent organizational performance which produces sustainable and reliable outcomes. Service. We are dedicated to the service of our customers, our communities and each other. Behavioral Competencies: Drive & Energy – The ability to maintain a fast pace and continue to produce during exhausting circumstances. Functional & Technical Expertise – Allows the individual to add organizational value through unique expertise and serve as a resource to the organization within his/her area of expertise High Standards – Sets the stage for continuous improvements, the adoption of best practices and ultimately influences organizational standards. Initiative – Takes a proactive approach and takes action without being prompted. Integrity – Acts ethically and honestly and applies those standards of behavior to daily work activities. The PHI Health Advantage: For more than 40 years, our company has been providing critical air medical transport services across the country. As an organization, we outfit each aircraft we fly with the most advanced technology, subject our crews to the most rigorous protocols and training and pioneer the most-forward thinking safety program in the country. Everything that we do comes back to the safety of our crew and our patients. Our accident rate is well below the national average and we were the first to receive the Vision Zero Aviation Safety Award. This belief has guided us towards a number of industry firsts and has given us the highest safety rating in the industry. DISCLAIMER The above Statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed, as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. PHI, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws

Posted 30+ days ago

Patient Accounts Billing Representative-logo
Patient Accounts Billing Representative
Greater Lawrence Family Health CenterMethuen, Massachusetts
Established in 1980, the Greater Lawrence Family Health Center, Inc. (GLFHC) is a multi-site, mission-driven, non-profit organization employing over 700 staff whose primary focus is providing the highest quality patient care to a culturally diverse population throughout the Merrimack Valley. Nationally recognized as a leader in community medicine (family practice, pediatrics, internal medicine, and geriatrics), GLFHC has clinical sites in Lawrence, Methuen, and Haverhill and is the sponsoring organization for the Lawrence Family Medicine Residency program. GLFHC is currently seeking a Patient Accounts Billing Representative. Follows department and payer processes to ensure all claims are submitted in a timely and accurate manner. Analyzes and reviews outstanding accounts receivables. Prepares appeals and corrected claims within payer guidelines for resubmission in order to maximize reimbursement. Reviews patient eligibility utilizing practice management function or payer websites to determine correct payer to be billed for specific dates of service. Prepares claim data according to department and payer regulations in order to produce a “clean” claim. Prepares, reviews and transmits claims timely to payers, works EDI rejections. Posts charges, payments and denials in practice management system accurately. Works denials and prepares appeals, resubmits claims and performs compliant actions to resolve open accounts receivable. Reports unusual trends to supervisor. Utilizes insurance and practice management online systems to complete all required tasks such as eligibility, claim status and claim correction. Processes insurance and patient refunds as necessary. Answers patient and department calls. Assist in telephone inquiries regarding patient statements. Establish payment arrangements when appropriate. Reconcile all batch totals at day end to ensure accuracy of totals posted and transactions on charge capture. Identify and correct any discrepancies prior to opening any future batch. Qualifications: Experience 1-2 years of medical billing experience, or medical billing certification Knowledge of CPT, ICD10 coding and compliance preferred. Familiar with Medical terminology Combination of education and equivalent experience will be considered. GLFHC offers a great working environment, comprehensive benefit package, growth opportunities and tuition reimbursement.

Posted 3 weeks ago

Sr. Software Engineer II - Billing-logo
Sr. Software Engineer II - Billing
DoubleVerifyNew York, NY
Senior Software Engineer II Position Overview  We are seeking an experienced software engineer to join our talented full-stack team responsible for enabling clients to successfully activate and operate DoubleVerify’s rich suite of products. You’ll develop scalable and reliable backend services fueling DV 's client-facing user interfaces and operational processes. We are a tech company at heart, addressing complex challenges and innovating to use the best technology and practices for the task at hand on a daily basis. ​The team is a cross-company focal point and user experience oriented, and as such you’ll be closely coordinating and working with multiple development, product, and client services teams. This position is full-time and located in our New York City headquarters offices offering a hybrid work model from office and remote. What you will do: Design and develop robust microservices built with .NET Core, and Python, integrated within the team and provide APIs for multiple internal teams. Independently establish requirements on large-scale features with product managers, and establish technical requirements with partnering engineering teams. Research new technologies and adapt them within the systems. Design, implement, and optimize databases tables and processes. Test and optimize code developed both by you and by other team members. Continuously release features using automated deployment tools and framework through Infra-As-Code. Work in a fast-paced, agile environment, collaborating with team members and Product Managers on a daily basis and participating in product meetings. Implement application observability to enhance code integrity and support throughout the development and release processes. Provide code reviews and system design for senior team members Who you are: You have at least 6 years of backend software engineering experience with C# or a similar language. You are familiar with all aspects of SDLC ; you know what the best practices are and follow them in your work. You provide mentoring to experienced mid-level engineers. You collaborate with non-technical stakeholders. You collaborate with cross-departmental engineering teams. You are experienced with Infrastructure as Code (IaC) and CI /CD ( e.g. Gitlab CI /CD, terraform, vault) focused on automating deployments and optimizing processes. Strong experience with both relational and non-relational databases ( e.g. MongoDb, MS SQLServer) You have built high-performance large-scale distributed systems You are familiar with modern microservice architecture and web-based/REST API’s. Strong experience with containerization (Docker/k8s) and Kafka. Experience and understanding of frontend/UI development is a plus. Familiarity with the AdTech industry is not required, but is a big plus. The successful candidate’s starting salary will be determined based on a number of non-discriminating factors, including qualifications for the role, level, skills, experience, location, and balancing internal equity relative to peers at DV. The estimated salary range for this role based on the qualifications set forth in the job description is between $107,000 - $212,000. This role will also be eligible for bonus/commission (as applicable), equity, and benefits. The range above is for the expectations as laid out in the job description; however, we are often open to a wide variety of profiles, and recognize that the person we hire may be more or less experienced than this job description as posted. Not-so-fun fact:   Research  shows that while men apply to jobs when they meet an average of 60% of job criteria, women and other marginalized groups tend to only apply when they check every box. So if you think you have what it takes but you’re not sure that you check every box, apply anyway!  

Posted 3 weeks ago

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

Posted 1 week ago

Billing Operations Manager-logo
Billing Operations Manager
ChiefNew York, New York
About us: Chief is a private network of the most powerful women executives in business. Our mission is to maximize the leadership impact of our members. Our network represents more than 10,000 companies including 77% of the Fortune 100, and nearly 40% of our members are in the C-Suite. Chief has been recognized as one of TIME ’s 100 Most Influential Companies and one of Fast Company ’s Most Innovative Companies. Membership to Chief provides access to a vetted community of senior women executives and valuable insights that shape their leadership. The experience is digital and in-person, allowing members to build connections, engage in compelling discussions, and access resources in ways that are most meaningful to them. Our offerings range from executive coaching and executive education to thoughtful in-person and virtual programming and events that guide leaders through the most pressing topics in business. We have members across the United States with clubhouse locations in NYC, LA, Chicago, San Francisco, and Washington, DC. Founded in 2019, Chief is backed by renowned investors including CapitalG, General Catalyst, Inspired Capital, and Primary Ventures. Our network brings women in leadership together to share their ideas, insight, and influence, and the power of what we’re doing is felt by every member of our team. Our workplace is built on being real and respectful. We help grow careers, maintain our team’s wellbeing, and give everyone a seat at the table. We build teams where diverse voices, identities, perspectives, and experiences are represented and celebrated. Read more about working at Chief: https://chief.com/careers . About the Role: We are seeking a Billing Manager to join the Finance Team. You will be the first line of communication with our members on all billing-related questions, support our internal teams with billing requests, develop strategic initiatives to optimize collections, and serve as the primary escalation point for complex billing matters. Reporting to the Controller, you will be responsible for ensuring accurate invoicing, efficient collections, and an exceptional member experience. This role offers an exciting opportunity to drive process transformation and make a significant impact in a mission-driven company. The ideal candidate will have demonstrated experience managing billing operations in a SaaS/membership environment, with a proven track record of implementing system improvements and leading teams to excellence. This strategic leader excels at cross-functional collaboration, process optimization, and balancing operational demands with long-term objectives. What you’ll do: Manage and resolve member billing inquiries via Service Cloud Lead a high performing and collaborative team that is a key partner to the organization Partner with Sales and Member Success teams to align billing practices with business objectives Maintain accurate billing system data and resolve discrepancies Record payments to member accounts and lead outstanding payment collection efforts Coordinate and prepare documents in conjunction with our vendor registration process Challenge the “status quo” by proposing process improvements to streamline billing operations Collaborate with the B2B team to review enterprise contracts to ensure accurate & timely invoicing Support with any system initiatives that impact billing operations Establish KPIs and reporting frameworks to monitor billing efficiency, accuracy, and team performance Drive continuous improvement initiatives to enhance billing processes, reduce errors, and improve member satisfaction Serve as the escalation point for complex billing inquiries and collaborate with senior leadership on strategic solutions Direct the development and implementation of billing policies, procedures, and controls Collaborate with Finance leadership on revenue recognition, forecasting, and reporting Lead billing system integration efforts during any new product launches Develop and maintain comprehensive documentation of billing operations, ensuring compliance with financial controls Provide strategic insights to leadership on billing trends, challenges, and opportunities What you’ve done and enjoy doing: Experience with high-volume billing operations with preferred experience in the technology / SaaS / membership space Strong interpersonal and communication skills (both written and verbal) with experience in customer service Experience implementing or optimizing billing systems and processes to support business scalability Demonstrated ability to analyze complex billing data and translate insights into strategic recommendations Excellence in stakeholder management, with proven success collaborating across departments at senior levels Strong financial acumen with the ability to connect billing operations to broader finance objectives Proven organizational skills, with a high attention to detail, critical thinking skills, and a strong personal commitment to meeting deadlines Experience with Salesforce and Chargebee is a plus Passion for the Company’s mission, positioning and brand -- to empower women in business and spark change from the top Why You'll Want to Work Here: Competitive salary and equity Flexible vacation policy 20 weeks of paid gender neutral parental leave Full medical, dental, and vision packages, 401(k) Opportunity to work for a startup focused on driving real change for women in business Opportunity to create and attend inspiring experiences and events with leaders of the industry Access to our ongoing virtual Chief member exclusive content, including workshops, thought leadership, and iconic speakers While we’re committed to remaining compliant and adhering to mandates, for us, pay transparency is more than a consideration of what’s lawful and unlawful but rather, an opportunity to disclose what’s required, and what we think is a fair and equitable compensation framework. At Chief, we want to hire, develop, and retain the best talent, making Chief a top destination to accelerate your career. Our compensation framework is a key part of our vision, and we continually revisit and invest in our philosophy and framework to ensure we remain competitive and relevant, on a quest to achieve our vision. The pay transparency mandates, as well as our own policies and practices, are a means of narrowing the gender pay gap and fostering an engaged and positive working environment that builds trust, on our mission to change the face of leadership. The base salary for this role is: $115,000 Chief participates in the E-Verify Program in certain locations, as required by law. https://assets.chief.com/careers/e-verify.pdf https://assets.chief.com/careers/right-to-work-poster.pdf

Posted 2 weeks ago

Billing System Administrator-logo
Billing System Administrator
Strata NetworksRoosevelt, Utah
Wage: $75k - $85k annually Key Responsibilities: Manage and maintain the organization's billing platform, ensuring accuracy, compliance, and timeliness of all billing activities. Develop and maintain complex SQL scripts for data extraction, transformation, reporting, and troubleshooting billing discrepancies. Collaborate with Finance, IT, and Customer Service teams to align billing processes with business requirements. Lead initiatives to improve automation, efficiency, and accuracy of the billing system and related financial reporting. Analyze billing data to identify trends, issues, and opportunities for optimization. Ensure compliance with applicable accounting standards, internal controls, and audit requirements. Oversee testing and implementation of system upgrades or changes. Generate and maintain documentation for billing processes, workflows, and system configurations. Qualifications: Required: Bachelor’s degree in Accounting, Finance, Information Systems, or a related field. Advanced proficiency in MSSQL including complex queries, database backup/recovery, and performance tuning. Strong understanding of accounting principles and revenue recognition. Excellent analytical and problem-solving skills. Preferred: Experience in the telecommunications industry , including billing models for usage-based and subscription services. Familiarity with ERP systems and integration with billing platforms. Experience with reporting tools such as SSRS, Power BI, or Crystal Reports. Skills & Competencies: Strong attention to detail and high level of accuracy. Ability to manage multiple projects and meet deadlines. Excellent communication and interpersonal skills. Strong organizational and documentation abilities. Ability to work independently and collaboratively across departments. Why STRATA Networks? STRATA Networks is more than just Utah’s largest independent telecommunications provider—we are an innovative leader shaping the future of connectivity. For nearly 70 years, STRATA has delivered exceptional service and solutions to our communities, powered by a team of nearly 300 passionate professionals. Based in Roosevelt, Utah, we’ve fueled local economic growth and empowered residents with advanced technology, including: The fastest broadband internet in the Uintah Basin. Nationwide wireless coverage. Advanced TV options and more. We’re proud to bridge the digital divide for both urban and rural areas, connecting communities across Utah with state-of-the-art fiber optic infrastructure. Join STRATA and be part of a team driving innovation and making a difference! Apply now to become part of a collaborative team that values accuracy, innovation, and growth. This is your chance to contribute to critical infrastructure projects and grow with a company that invests in its people.

Posted 3 weeks ago

Project Accountant – Billing Specialist-logo
Project Accountant – Billing Specialist
Chen Moore and AssociatesFort Lauderdale, Florida
About Us Founded in 1986, Chen Moore and Associates (CMA), Inc. has grown into a highly regarded multi-disciplinary firm. CMA’s areas of expertise include utility infrastructure, roadway, site development, electrical, planning, landscape architecture, and construction engineering services for both private and public sector clients. CMA prides itself on working to be part of the fabric of the community. We are leaders in community service and the profession. Our staff and our activities are centered around making the community we work in a better place to live. CMA promotes a fun and flexible work environment, taking pride in the quality of our work. CMA promotes a team-oriented approach, both inside and outside of the office. CMA’s headquarters are in Fort Lauderdale with regional offices in Miami, West Palm Beach, Orlando, and Jacksonville. The firm also has satellite and/or project offices in Atlanta, Gainesville, Jupiter, Knoxville, Port St. Lucie, Raleigh, Sarasota, Tallahassee, and Tampa. CMA currently employs over one hundred and thirty (150) professionals, which affords our valued clients a top-level service. CMA is hiring a Project Accountant – Billing Specialist for our Corporate Office. Candidates should be able to efficiently plan and organize workload, demonstrate success working with a team of professionals, a commitment to quality, good communication skills, and a positive work ethic. Responsibilities Process corporate billing through a monthly cycle Review contracts and ensure projects are properly set up in the billing system. Ensure that billing is set up to meet Revenue Recognition and other Accounting Policies Reviewing budgets to contracts, purchase order, rates and subconsultant invoices Prepare and disseminate appropriate pre-bills/financial documents Communication and process improvements with co-workers and project managers across offices and departments Issue various reports, as well as other administrative tasks including filing, scanning, and copying Assist CFO and co-workers in any relevant matters and accounting tasks Address and solve client and subconsultant questions and issues in a timely manner Monitor customer websites for acceptance of submitted invoices. Resolving any rejections or issues Proven experience in high volume complex billing and carry out invoicing procedures via mail, electronic delivery, and web billing Ensure all clients remain informed on their outstanding debts and deadline Manage Accounts Receivable & Collection Communicate directly with clients regarding billing concerns, requirements and back-up documentation Work across departments to research and resolve escalated customer disputes and exceptions on billings Qualifications 5+ years of accounting experience in the engineering field Proficiency with Deltek Vision and/or Vantagepoint Proficiency with Microsoft Office products, including advanced skills in Excel Outstanding organizational skills and able to meet deadlines Strong sense of urgency, project responsibility and initiative Ability to work independently and as part of a team Excellent verbal, written and interpersonal skills Effective at demonstrating good judgment and initiative to make sound business decisions based on multiple data sources. CMA's High Standard of Professionalism Chen Moore and Associates is a company which is unique in its commitment to quality. We are proud of our high standard of professionalism and the quality of service provided to our clients. We strive to establish a sense of pride and loyalty in our employees by maintaining a tradition of excellence in our work and a sense of family in our culture. We also aim to provide an environment that inspires and promotes individuals to reach the full extent of their potential and to continue in their personal “Search for Excellence.” We offer a career opportunity rather than a job – an opportunity that will take our employees as far as they want it to go. You will find that both the management and employees of CMA are dedicated to high achievement and genuinely concerned about employee job satisfaction. In order for us to maintain high standards of excellence, we endeavor to have the finest personnel and only acquire those whom we consider to not only meet the high standards we set for ourselves as a firm, but those who will also blend with the firm culture. Your success is important to all of us. Chen Moore and Associates is a Great Place to Work! Named "Top 500 Design Firm" nationally by ENR Named ‘Best Places to Work For’ nationally by the Zweig Group in the Multidiscipline Firm Category from 2008-2010 and 2014–2025. Named to the ‘Hot Firm’s List’ nationally by the Zweig Group from 2007-2011, 2014, 2016-2025. CMA is regularly recognized as a ‘Best Firm to Work For’ by the South Florida Business Journal, Civil + Structural Engineer, ENR Southeast, and various local branches of the American Society of Civil Engineers. OUR BENEFITS include: Medical, Vision and Dental Insurance Life and AD&D Insurance Voluntary Life with Dependent Coverage Short-Term and Long-Term Disability Paid time off and paid holidays Flexible Spending Accounts with Debit Card Voluntary Plans (Supplement Health, Critical Illness/Cancer, Accident) 401(k) Plan – Competitive Employer Match Supplemental benefits Flexible work schedules Continuing education Mentorship programs Professional societies Community engagement Cell phone We thank all applicants for their interest; however, only those selected for an interview will be contacted. Chen Moore and Associates is committed to creating a diverse environment and is proud to be an Equal Opportunity Employer. We invite resumes from all interested parties including women, minorities, veterans and persons with disabilities.

Posted 3 weeks ago

Billing Specialist-logo
Billing Specialist
ServproLos Angeles, California
Billing Specialist A National Water & Fire Damage Restoration Company in the greater Los Angeles area is looking for an experienced Billing Specialist. Knowledge in working with a Water & Fire Damage Restoration Company preferred, but not required. Qualifications · Experience in Accounts Receivable (MUST) · Knowledge or experience Invoicing in QuickBooks · Comfortable dealing with numbers and the processing of financial information · Excellent knowledge of MS Office (particularly Excel) and QuickBooks · Results-driven, high degree of attention to detail and ability to multitask · Written and verbal communication skills are very important · Experience in service industry environment a plus but not a must, willing to train the right individual · Ability to successfully complete a background check subject to applicable law Position Responsibilities will include (but not limited to): · The Billing Specialist is responsible for timely and accurate invoicing and collections activities. · Billing Specialist provides financial and administrative support by invoicing jobs in Production and Reconstruction departments. · Maintain and update records of invoices and receipts for each job file. · You will manage the entire process of initial job invoicing all the way through accounts receivables. · Communicate with previous clients and customers to request payment and arrange payment plans. · Collect payment from customers and accurately record it into QuickBooks. · Complete and review accuracy of job file documentation and job file checklist for completed and paid jobs. Compensation: $17.00 per hour Picture yourself here fulfilling your potential. At SERVPRO ® , you can make a positive difference in people’s lives each and every day! We’re seeking self-motivated, proactive, responsible, and service-oriented teammates to join us in our mission of helping customers in their greatest moments of need by repairing and restoring homes and businesses with an industry-leading level of service. With nearly 2,000 franchises all over the country, finding exciting and rewarding SERVPRO ® career opportunities near you is easy! We look forward to hearing from you. All employees of a SERVPRO® Franchise are hired by, employed by, and under the sole supervision and control of an independently owned and operated SERVPRO® Franchise. SERVPRO® Franchise employees are not employed by, jointly employed by, agents of, or under the supervision or control of Servpro Franchisor, LLC, in any manner whatsoever.

Posted 2 weeks ago

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Law Firm Billing Specialist
Akerman LLPTampa, Florida
Founded in 1920, Akerman is recognized as one of the country’s premier law firms, with more than 700 lawyers in 25 offices throughout the United States. Akerman is seeking a Billing Specialist to join the firm’s Financial Services Department. We have adopted a hybrid workplace environment. This hybrid position is required to work in the office at least 2 days per week. The Billing Specialist will coordinate and administer all facets of client account analysis and billing. A minimum of five (5) years' legal billing experience in a law firm setting or a professional services environment is strongly preferred. Requirements: Experience with electronic third-party billing applications Ability to understand complex billing guidelines Ability to analyze and track e-bills that require appeals due to deductions and specialty legal billing Proficiency with Microsoft Office Suite; specifically, Microsoft Word and Excel Proficiency in the use of legal billing software applications Ability to process high volume billing and handle challenges in a professional manner Ability to prioritize and work efficiently under pressure Must have excellent interpersonal skills Candidate must have the ability and willingness to work extended hours when necessary to meet client and firm deadlines. We offer an excellent compensation and benefits package. Please submit your resume, cover letter, and salary requirements. EOE #LI-PT1

Posted 1 week ago

Technical Lead-Billing Revenue Management (BRM)-logo
Technical Lead-Billing Revenue Management (BRM)
VerizonMiami, Florida
When you join Verizon You want more out of a career. A place to share your ideas freely — even if they’re daring or different. Where the true you can learn, grow, and thrive. At Verizon, we power and empower how people live, work and play by connecting them to what brings them joy. We do what we love — driving innovation, creativity, and impact in the world. Our V Team is a community of people who anticipate, lead, and believe that listening is where learning begins. In crisis and in celebration, we come together — lifting our communities and building trust in how we show up, everywhere & always. Want in? Join the #VTeamLife. What you’ll be doing... We are seeking an experienced Technical Lead with expertise in Oracle Billing and Revenue Management (BRM). The ideal candidate will possess strong technical skills, leadership qualities, and a deep understanding of BRM implementations, customizations, and integrations. The ideal candidate will possess extensive experience in Oracle BRM implementation, customization, and support, along with strong leadership capabilities to guide our technical team in delivering innovative solutions for our Business. Responsibilities: Leading the design, development, and implementation of Oracle BRM solutions. Collaborating with stakeholders to gather requirements and translate them into technical specifications. Overseeing the technical team, providing mentorship and guidance in best practices for Oracle BRM. Developing and maintaining system architecture and design documentation. Ensuring the performance, reliability, and scalability of BRM solutions. Troubleshooting and resolving technical issues related to the BRM system. Staying updated on Oracle BRM enhancements and industry trends to ensure the organization is leveraging the latest features. Coordinating with cross-functional teams to ensure seamless integration of BRM with other systems (e.g., CRM, ERP). Conducting code reviews and enforcing coding standards and best practices. Creating and executing test plans and oversee user acceptance testing. Ensuring comprehensive documentation of system architecture, designs and processes. Providing technical training and support to team members and end-users. What we’re looking for... You’ll need to have: Bachelor's degree or four or more years of work experience. Six or more years of relevant experience required, demonstrated through one or a combination of work and/or military experience, or specialized training. Experience with Oracle BRM architecture, data model, and configuration. Experience with scripting languages (e.g., Shell, Perl) and SQL. Even better if you have one or more of the following: Experience with AWS, PL/SQL, and database performance tuning. Knowledge of Agile methodologies and project management tools. Strong communication and interpersonal skills, with the ability to work effectively with technical and non-technical stakeholders. If Verizon and this role sound like a fit for you, we encourage you to apply even if you don’t meet every “even better” qualification listed above. Where you’ll be working In this hybrid role, you'll have a defined work location that includes work from home and a minimum eight assigned office days per month that will be set by your manager. Scheduled Weekly Hours 40 Equal Employment Opportunity Verizon is an equal opportunity employer. We evaluate qualified applicants without regard to veteran status, disability or other legally protected characteristics. Benefits and Compensation Our benefits are designed to help you move forward in your career, and in areas of your life outside of Verizon. From health and wellness benefit options including: medical, dental, vision, short and long term disability, basic life insurance, supplemental life insurance, AD&D insurance, identity theft protection, pet insurance and group home & auto insurance. We also offer a matched 401(k) savings plan, stock incentive programs, up to 8 company paid holidays per year and up to 6 personal days per year, parental leave, adoption assistance and tuition assistance, plus other incentives, we’ve got you covered with our award-winning total rewards package. Depending on the role, employees have the opportunity to receive compensation in the form of premium pay such as overtime, shift differential, holiday pay, allowances, etc. Newly hired employees receive up to 15 days of vacation per year, which grows with additional service. For part-timers, your coverage will vary as you may be eligible for some of these benefits depending on your individual circumstances. The salary will vary depending on your location and confirmed job-related skills and experience. This is an incentive based position with the potential to earn more. For part-time roles, your compensation will be adjusted to reflect your hours. The annual salary range for the location(s) listed on this job requisition based on a full-time schedule is: $120,500.00 - $231,000.00.

Posted 2 weeks ago

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Client Manager - Medical Billing Remote
Anova CareMississippi State, Mississippi
Description Summary: Anova Care, a leading provider of home care and home health services, is seeking experienced Physical Therapists (PTs) to join our rapidly expanding home health program in the Denver metro area.We are looking for a dynamic and client-focused Client Manager to become a key part of our growing team. If you are passionate about driving financial success for healthcare providers and thrive in a collaborative, fast-paced environment, we want to hear from you! Why Join Us? Be a vital part of a company that values integrity, innovation, and client success. Work remotely with a flexible schedule and excellent benefits Engage in meaningful work that directly impacts the financial health of healthcare practices. Your Role: As a Client Manager , you will be the trusted advisor for our clients, helping them navigate financial performance, revenue cycle management, and strategic growth opportunities. Your ability to analyze key performance indicators and collaborate with Operations will drive efficiencies and improve outcomes for our clients. What You’ll Do: Guide clients through onboarding , ensuring a smooth and supportive transition within the first 90 days. Provide exceptional day-to-day service , serving as the primary point of contact for client accounts. Develop strategic partnerships by conducting quarterly account reviews and offering insights on financial trends, revenue enhancement, and best practices. Analyze revenue cycle data to identify trends, variances, and areas for improvement. Perform root cause analysis on denied claims and implement corrective actions in collaboration with departments. Prepare financial reports detailing revenue performance, payer reimbursement rates, and claims processing outcomes. Foster strong, professional relationships with clients to ensure their ongoing success and satisfaction. What We’re Looking For: Education: Bachelor’s degree in Finance, Accounting, Healthcare Administration, or a related field. Experience: At least 3 years in revenue cycle analysis, billing, claims processing, or financial analysis within a healthcare setting. Technical Skills: Proficiency in revenue cycle management tools, advanced Excel skills, and familiarity with billing software and revenue management systems. Industry Knowledge: Understanding of billing regulations, reimbursement guidelines, and claims management best practices. Soft Skills: Strong communication, collaboration, analytical, and problem-solving abilities with keen attention to detail. Preferred Experience in: Acute, LTAC, Ambulatory, DME, Testing, Imaging, or Pharmacy medical billing, client relationship management, and data analytics. What We Offer: Competitive Salary: $70,000 - $100,000 per year Comprehensive Benefits Package: 401(k) with matching Flexible schedule Flexible spending account Health, dental, and vision insurance Generous paid time off Remote Work Opportunity: Enjoy the flexibility to work from home or work hybrid/in office if located near Birmingham, Alabama Expected Work Schedule and Hours Available: Monday through Friday, 7:30am-5pm Central Time Job Type: Full-time Pay: $70,000.00 - $100,000.00 per year Benefits: 401(k) 401(k) matching Dental insurance Health insurance Paid time off Vision insurance Schedule: Monday to Friday Experience: Medical billing: 3 years (Required) Work Location: Remote

Posted 1 week ago

Billing & Office Administrator-logo
Billing & Office Administrator
ServproSouthaven, Mississippi
Benefits: 401(k) 401(k) matching Dental insurance Health insurance Paid time off Vision insurance We are seeking a highly organized and detail-oriented Billing & Office Administrator to join our team. This role will help manage our financial records and administrative operations and is ideal for someone who thrives in a dynamic environment, enjoys wearing multiple hats, and is eager to contribute to a well-run, efficient office. Key Responsibilities Billing Responsibilities Assist the accounting team by gathering necessary accounting documents from the field Provide billing support for all operations (i.e. generate invoices, ensure billing details are accurate, etc.) Track employee expense reimbursements Maintain organized digital and physical records of financial transactions to track cost Track subcontract expenses and billing Office Administration Responsibilities Oversee day-to-day office operations to ensure a productive work environment Support the field operations personnel with all travel-related inquiries (i.e. booking travel, tracking whereabouts, etc.) Assist with field operations personnel inquiries, billing, and general office coordination Track travel and per-dem payments for employees Responsible for asset management tracking (i.e. vehicle maintenance schedule, supply inventory, etc.) Answering billing-related calls from subcontractors Maintain and resolve any payment-related inquiries promptly Ensure timely and accurate processing of customer payments Qualifications Proven experience as an Office Manager or in a similar administrative role. Strong understanding of billing, accounts payable, and general accounting principles. Proficiency in QuickBooks or similar accounting software and Excel is preferred. Time and Material billing experience highly preferred Experience in commercial construction or related industry is a plus. Excellent organizational skills with a keen attention to detail. Strong communication skills, both written and verbal. Ability to work independently as well as part of a team in a fast-paced environment. Skills/Physical Demands/Competencies This is a role in a fast-paced office environment. Some filing is required which would require the ability to lift files, open filing cabinets, and bending or standing as necessary. Ability to successfully complete a background check subject to applicable law. Compensation: $60,000.00 - $85,000.00 per year Picture yourself here fulfilling your potential. At SERVPRO ® , you can make a positive difference in people’s lives each and every day! We’re seeking self-motivated, proactive, responsible, and service-oriented teammates to join us in our mission of helping customers in their greatest moments of need by repairing and restoring homes and businesses with an industry-leading level of service. With nearly 2,000 franchises all over the country, finding exciting and rewarding SERVPRO ® career opportunities near you is easy! We look forward to hearing from you. All employees of a SERVPRO® Franchise are hired by, employed by, and under the sole supervision and control of an independently owned and operated SERVPRO® Franchise. SERVPRO® Franchise employees are not employed by, jointly employed by, agents of, or under the supervision or control of Servpro Franchisor, LLC, in any manner whatsoever.

Posted 2 weeks ago

Billing Clerk - Smithtown-logo
Billing Clerk - Smithtown
Smithtown ToyotaSmithtown, New York
Smithtown Toyota & Smithtown Kia located on Jericho Turnpike in Smithtown is seeking to hire a Part Time Auto Biller. 20 hours per week evening shift until 6:30pm and occasional Saturday hours. This position has the potential to become full time in the future. Experience is preferred but we will train the right candidate. We are seeking to hire a candidate that has the following skills: Knowledge of DMV & Verifi Reliable,dependable and a team player Positive attitude with a high-energy personality Excellent organizational and follow-up skills Automate experience is preferred but not mandatory Responsibilities will include but are not limited to: Billing all new and preowned retail and lease deals Stocking in vehicles Process DMV work through the Partnering system. Process out of state transactions Other office duties as assigned by management We will provide you with a salary between $24-$26 per hour based on your level of experience For further information on this opportunity, please fill out the form below. and attach your resume. We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Posted 1 day ago

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Medical Billing Specialist
American Family Care Ladera RanchLake Forest, California
Benefits/Perks Great small business work environment Flexible scheduling Paid vacation, health insurance, dental insurance, retirement benefit, and more! Company Overview American Family Care (AFC) is one of the largest primary and urgent care companies in the U.S. providing services seven days a week on a walk-in basis. Our state-of-the-art centers focus on the episodic treatment of acute illnesses and injuries, workers' compensation, and occupational medicine. Each location is equipped with an onsite lab and in-house x-ray capability. AFC is the parent company of AFC Franchising, LLC (AFCF). This position works directly with a franchised business location. The specific job duties and benefits can vary between franchises. Candidates Must Have: At least 2 years of experience in medical practice billing with exposure to working with denials, appeals, insurance collections, and related follow-up Working knowledge of Local and National Coverage Determinations and payor policies, and how to use them Must have ICD-10 and CPT coding assessment skills, CPC certification is preferred Strong proficiency in MS Office applications (Word, Excel, PowerPoint), and computerized billing systems is required. A patient-first, mission-oriented mindset Duties: Organize and prioritize all incoming claims and denials. Evaluate medical claims and coverage policy documentation to determine validity for an appeal. Responsible for ensuring and monitoring the effectuation of all decisions as a result of the follow-up of unpaid/denied claims with insurance carriers. Responsible for adhering to health care billing procedures, documentation, regulations, payment cycles, and standards. Work accounts to resolution. Collection from patients and insurances. Works collaboratively and effectively with all other departments and functions to maximize operational efficiency and service and ensure consistency in addressing appeals issues. Work independently to identify and resolve complex client problems. Work with leadership to develop appropriate policies and procedures. Maintain current knowledge of healthcare billing laws, rules and regulations, and developments. Comply with all applicable HIPAA policies and procedures and maintain confidentiality. Compensation: $18.00 - $23.00 per hour PS: It’s All About You! American Family Care has pioneered the concept of convenient, patient-centric healthcare. Today, with more than 250 clinics and 800 in-network physicians caring for over 6 million patients a year, AFC is the nation's leading provider of urgent care, accessible primary care, and occupational medicine. Ranked by Inc. magazine as one of the fastest-growing companies in the U.S., AFC's stated mission is to provide the best healthcare possible, in a kind and caring environment, while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient. If you are looking for an opportunity where you can make a difference in the lives of others, join us on our mission. We invite you to grow with us and experience for yourself the satisfying and fulfilling work that the healthcare industry provides. Please note that a position may be for a company-owned or franchise location. Each franchise-owned and operated location recruits, hires, trains, and manages their own employees, sets their own employment policies and procedures, and provides compensation and benefits determined by that franchise owner. Company-owned locations provide a comprehensive benefits package including medical, dental, vision, disability, life insurance, matching 401(k), and more. We are an Equal Opportunity Employer.

Posted 1 week ago

RCS Billing Support Specialist-logo
RCS Billing Support Specialist
Raymond JamesSaint Petersburg, Florida
Job Description Job Summary The Operations & Billing Support Specialist plays a crucial role in ensuring the smooth and efficient operation of business processes for the RIA & Custody Services (RCS) division within Raymond James. Under limited supervision, this role will be the subject matter expert for operational processes and data quality related to billing expenses to RCS clients. Responsibilities include preparing and implementing unique pricing schedules for all RIA’s and introducing broker dealers on the RCS platform, supporting fee collection across multiple systems, and executing a QA process to ensure billing accuracy. This role requires a high degree of analytical thinking to identify and propose workflow improvements. Key Responsibilities Coordinate and execute complex operational tasks focused on billing and data. Prepare and implement client-specific pricing schedules across multiple systems. Support RCS Division Management, RCS Service, RCS Finance, and RCS Client Engagement teams in responding to questions related to client billing. Troubleshoot and resolve operational and billing issues promptly. Maintain accurate records and documentation of billing and operational activities including contractual pricing schedules for all clients. Collaborate with cross-functional teams to improve processes and workflows. Monitor and report on key performance indicators (KPIs) to ensure operational efficiency. Support the implementation of new systems, technologies, and QA processes. Ensure appropriate documentation and departmental tools are created and maintained (e.g., job procedures, job aids, training materials). Participate in special projects as assigned. All other duties as assigned. Knowledge Of Custody and clearing platform operations and practices. Billing systems and financial operations in a broker-dealer environment. Contract pricing structures and fee schedules. Operational systems and processes within financial services. Data analysis tools such as Excel, SQL, Tableau, or Power BI (preferred). Skills Strong analytical and problem-solving skills. High attention to detail and accuracy in data handling. Proficiency in Excel and familiarity with SQL or BI tools. Excellent verbal and written communication skills. Strong organizational and time management abilities. Ability to proactively identify, take ownership of, and resolve systemic and operational issues. Skilled in cultivating and maintaining effective working relationships. Abilities Thrive in a fast-paced, results-driven environment with a proactive mindset. Promote effective coordination across multiple departments and functional areas. Quickly grasp new concepts and adapt to changing environments and priorities. Work independently and collaboratively within a team. Manage multiple tasks simultaneously while maintaining high quality standards. Education & Previous Experience Bachelor’s degree in a related field and three(3) to six(6) years of relevant experience, or an equivalent combination of education and relevant work experience. Proven experience in an operations support or billing-related role within financial services is preferred. Education Bachelor’s, Bachelor’s: Business Administration, Bachelor’s: Finance Work Experience General Experience - 3 to 6 years Certifications Securities Industry Essentials Exam (SIE) - Financial Industry Regulatory Authority (FINRA) Travel Less than 25% Workstyle Hybrid At Raymond James our associates use five guiding behaviors (Develop, Collaborate, Decide, Deliver, Improve) to deliver on the firm's core values of client-first, integrity, independence and a conservative, long-term view. We expect our associates at all levels to: • Grow professionally and inspire others to do the same • Work with and through others to achieve desired outcomes • Make prompt, pragmatic choices and act with the client in mind • Take ownership and hold themselves and others accountable for delivering results that matter • Contribute to the continuous evolution of the firm At Raymond James – as part of our people-first culture, we honor, value, and respect the uniqueness, experiences, and backgrounds of all of our Associates. When associates bring their best authentic selves, our organization, clients, and communities thrive. The Company is an equal opportunity employer and makes all employment decisions on the basis of merit and business needs. #LI-JM1

Posted 1 week ago

Premium Billing Reconciliation Specialist -- Remote or Hybrid-logo
Premium Billing Reconciliation Specialist -- Remote or Hybrid
ExternalLittle Rock, Arkansas
When it comes to making a meaningful difference in the lives of our customers and employees, USAble Life is always ready. We are a diverse group of individuals working together to go the extra mile. Through our DEI initiatives, employees feel empowered to bring their talents and voice to our culture. Our passion for delivering the best products is matched only by our passion for our people. We are committed to making a meaningful difference in the lives of others which extends beyond our office walls. USAble Life has a long tradition of supporting our communities, and we’re proud of the fact that our employees share that commitment. We have been recognized as a “Best Places to Work” in Arkansas, Florida, and Hawaii. You’ll be rewarded with opportunities for personal and professional development and opportunities for advancement. This, coupled with our engaging culture and a comprehensive benefits package, ensures we are committed to our employees. Check out how we make a meaningful difference in the lives of others! https://player.vimeo.com/video/518665804 What We Offer You: A culture that values employees and celebrates, empowers, and inspires a diverse workforce Outstanding comprehensive benefits package PTO provided at date of hire 11 paid holidays 401(k) with up to 6% match; fully vested from day 1 Remote opportunities with company-provided equipment Team-oriented, collaborative group of peers Career advancement opportunities Tuition Reimbursement Employee Assistance Program Inclusion Council and Employee Resource Groups Recharge Days and Volunteer Time Off This is a multi-level position. This is a remote position. Life Takes You Places! Are you ready to join us? Compensation: The starting base salary range for a Premium Billing Reconciliation Specialist I is $38,000 to $47,000. Actual salaries will vary by geographic location and are based on factors such as candidate’s qualifications, experience, skills, competencies, and internal equity. In addition to base compensation, this role is eligible for an annual incentive plan based on company performance and individual performance. Overview: A Premium Billing Reconciliation Specialist performs a wide range of accounting and analytical functions related to reconciling individual and group premium payments for Life, Supplemental and Disability insurance policies.. This is not a traditional billing or accounts receivable role compromised of sending invoices and matching payments. Every insurance premium payment presents a new puzzle and requires a high level of analytical and reconciliation skills to solve it. A Premium Billing Reconciliation Specialist I will: Reconcile and process premium billings and balances daily reports. Maintain and research premium suspense Generate premium refunds and correspondence. Perform member and group terminations Perform member level reconciliations Essentials Duties: Analyze, process and accurately reconcile and post group payments in a timely manner. Analyze and research suspense on the groups to ensure premiums are posted correctly. Complete payment audits for groups in MS Excel. Achieve acceptable quality and productivity benchmarks by multi-tasking in high volume environment on a daily basis. Have excellent written communication skills, strong product knowledge and procedure expertise. Work collaboratively with internal customers to meet established departmental service level goals. May perform other duties as assigned based on department needs. Required Knowledge, Skills, and Abilities: Ability to perform complex reconciliation and administrative research in servicing system Ability to analyze financial premium data and communicate results. Outstanding research and reconciliation skills 10-key skills Intermediate MS Excel skills to include spreadsheet formatting, formulas, pivot tables, and VLOOKUPs Excellent verbal and written communication skills and ability to compose professional correspondence Excellent analytical and critical thinking skills Ability to maintain attention to detail Ability to maintain a low error rate Ability to prioritize, multi-task, and meet tight deadlines Ability to handle confidential information Required Education and Experience: High School Diploma or Equivalent 2- 4 years working in general accounting with understanding of related concepts and practices, Experience in a role requiring heavy research and reconciliation Preferred Education and Experience: Life, Supplemental and Disability insurance premium experience LOMA 280 & 290; FLMI Bachelors degree or some college course work USAble Life subscribes to a policy of equal employment opportunity and does not discriminate against any employee or applicant because of race, color, age, sex, gender identity or expression, sexual orientation, religion, national origin, disability, veteran status, or marital status. We are actively seeking to create a diverse work environment because teams are stronger with different perspectives and experiences. Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time. #USAL1

Posted 1 week ago

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Billing & Collections Specialist
NuVasive Clinical Services MonitoringColumbia, Maryland
NuVasive Clinical Services, a subsidiary of Globus Medical Inc., is a leading provider of intraoperative neuromonitoring (IOM) services to surgeons and healthcare facilities. IOM technology gives those in the operating room real-time insight into the nervous system, which can help surgeons reduce surgical risk by providing critical information and alerts throughout the procedure. Position Summary: The Billing and Collections Specialist is responsible for posting and applying payments and denials to patient accounts, maintaining unapplied funds log, and completing daily reconciliation. Essential Functions: Comply with all applicable company policies and procedures. Receives payment and/or credits or denials that pertain to patient accounts and applies them accordingly. Obtains payment detail for payments received if none was provided with payment. Applies offset payments to patient accounts when they are received. Download, process, and post electronic payments daily. Maintains daily reports, such as the Payment Posting Report, to be reconciled on a weekly basis with the Finance Department ensuring all payments deposited have been posted. Adheres to the letter and spirit of the company Code of Conduct, the AdvaMed Code, MedTech Code, and all other company policies Ensures Compliance with applicable governmental laws, rules, and regulations, both in the United States and internationally, by completing introductory and annual training and maintaining knowledge of compliance as it applies to your role Represents the company in a professional manner and uphold the highest standards of ethical business practices and socially responsible conduct in all interactions with other employees, customers, suppliers, and other third parties Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions. Qualifications: High school diploma or equivalent required. Medical billing and cash applications experience preferred. Data entry and or accounting experience required. Effective verbal and written communication skills. Knowledge of telephone, computer, and medical billing systems preferred. Must be detailed oriented. Must be able to work independently with minimal supervision and maintain confidentiality. Physical Demands : Ability to sit for long periods of time, 6-8 hours per day in front of computer screen Our Values : Our Life Moves Us philosophy is built on four values: Passionate About Innovation, Customer Focused, Teamwork, and Driven. Passionate about Innovation : Improving patient care by delivering advanced technology to our customers is at the core of what we do. We are passionate ab our role in improving the lives of patients by continuously developing better solutions. Customer Focused : We listen to our customers’ needs and respond with a sense of urgency. Teamwork : Working together, anything is possible. We value every person on our team and treat each other with respect. We are accountable to one another and support each other. Together, we make each other stronger. Driven : We pursue our mission with energy and passion. We are nimble, results-oriented and decisive. We overcome obstacles that arise in our quest to deliver solutions that will improve the lives of our customers and patients. Equal Employment Opportunity : Globus Medical is an equal opportunity employer. All applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, age, disability, marital status, pregnancy, national origin or citizenship. We are committed to a diverse workforce. We value all employees’ talents and support an environment that is inclusive and respectful. Other Duties : Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Posted 2 weeks ago

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Billing and Claims Analyst Manager (Atwater - Remote)
Available Staff PositionsAtwater, California

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Job Description

Provide direction in the development and support of IT Applications, such as Billing EPIC modules - Charging/Coding/Resolute/Claims. Responsible for managing the day to day activities of Billing Trainer and the assigned Billing and Claims Analyst team and coordinating activities with multiple IT teams to develop, maintain, support, and enhance applications. Support revenue cycle functions by partnering with business owners across the revenue cycle to identify and evaluate processes deficiencies and work towards resolving them. Produces reporting as well as providing analytic analysis of the data to Director of Revenue Cycle and other stakeholders in the organization.

This position will report to our Atwater Administrative Office, with ability to work remotely once acclimated to role. Schedule is Monday – Friday, 8:00am – 5:00pm.

Compensation: $85,924.80 - $90,221.04

Golden Valley Health Centers offers excellent benefits including Medical: (0 Deductible / $2,000 Individual; $4,000 Family Out-of-Pocket Max), excellent PPO coverages; Dental; Vision; 403(b) with match, FSA plans, gym discounts, and so much more!

Essential Duties and Responsibilities    

  • Responsible for recruiting and training, supervising and completing performance evaluations for assigned team.
  • Management oversight for projects and efforts including prioritization, resource utilization, timeline development and task completion.
  • Maintain knowledge of assigned Epic and other professional billing and claims configuration management and act as subject matter expert on application(s) functionality.
  • Manage professional billing and claims request. Prioritize, track and resolve end-user support requests with a sense of urgency, problem solve escalated tasks.
  • Manage the planning, design, development, build and/or configuration of applications and Epic’s Resolute Professional Billing applications which include Resolute Professional Billing, Charge Router, General Ledger and other related Epic and third party applications.
  • Review the status of projects and issues on ongoing basis with organization leadership; ensure project timelines are adhered to and implement plans of action as necessary.
  • Work with users to ensure that systems are used effectively and provide direction to improve efficiency.
  • Analyze user requirements, develop and implement systems.
  • Testing – Take responsibility for the integrity of billing application testing activities for assigned team to ensure quality standards are met.
  • Monitor billing application modification requests and ensure best practices are being utilized.
  • Coordinate activities of team and act as a source for direction, training and guidance.
  • Support staff in their accurate determination and resolution of problems that affect users.
  • Partner with billing management, operations and other stakeholders across the organization to identify and address operational issues related to Revenue Cycle performance.
  • Conduct revenue cycle analysis and provides trends to billing and operations management to identify improvement opportunities, enhancement or system automation.
  • In conjunction with billing management, coordinates Revenue Cycle system enhancements, and upgrades with IT, Operations, and other departments as needed.
  • Conduct research and interpret regulations and other requirements to determine charging and billing alternatives and compliance issues in conjunction with operational and billing management.
  • Oversee updates, including but not limited to charge master, sliding fee, contracts, billing edits as new and updated regulatory and contractual requirements are identified.
  • Run, review, interpret, analyze, and validate Revenue Cycle reports. Ensure the integrity of data provided to all areas of the revenue cycle and other areas of the organization is necessary for good decision making.
  • Additional duties and responsibilities as assigned.

Min. Qualifications        

  • Knowledge of 3rd party and governmental billing requirements/regulations.
  • Knowledge of healthcare reimbursement and billing procedures, HCPCS, CPT and ICD-10 coding, and medical terminology.
  • Excellent analytical, research, communication and organizational skills as well as attention to detail.
  • Ability to analyze and interpret large amounts of data efficiently and effectively.
  • Understanding of the Revenue Cycle in healthcare.
  • Possesses excellent interpersonal skills and can effectively communicate with supervisors, team members and other departments.
  • Ability to work efficiently and effectively with tight deadlines, interruptions and high-work volume.
  • Working knowledge in operating a personal computer, and Microsoft Suite.
  • Valid CA Driver’s License, reliable transportation, acceptable driving record, and liability insurance.

Physical Demands

  • Must be able to lift up to 20 pounds occasionally and push up to 50 pounds (on wheels) on rare occasions.
  • Must be able to hear staff on the phone and those who are served in-person, and speak clearly in order to communicate information to clients and staff.
  • Must have vision with or without lenses that is adequate to read memos, a computer screen, personnel forms and clinical and administrative documents.

Work Environment

The physical environment requires the employee to work indoors, primarily in an office setting.  The noise level inside is quiet to average.  Use of general office equipment is required on a daily basis.  Travel may be required at times.

Education/Experience Requirements    

  • High school diploma or equivalent.
  • Bachelor's Degree in Healthcare Administration, Business, or related field, preferred.
  • Minimum of five (5) years of billing experience in a healthcare setting.
  • Must obtain certification in assigned Epic application within 6 months of employment. EPIC certification must be continuously maintained.
  • EPIC experience preferred.
  • Previous supervisory experience preferred.   

 

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