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Guidehouse logo
GuidehouseRaleigh, NC

$56,000 - $94,000 / year

Job Family: General Coding Travel Required: None Clearance Required: None What You Will Do: Under the direction of the Director of Revenue Integrity, the Revenue Integrity Coding Billing Specialist provides revenue cycle support services through efficient review and timely resolution of assigned Medicare and third-party payer accounts that are subject to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials. This position is 100% remote. Daily duties for this position include: Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific Revenue Integrity Hold Codes in the hospital billing scrubber. Tasks associated with this work include resolving standard billing edits such as: Correct Coding Initiatives (CCI) Medically Unlikely Edits (MUE) Medical Necessity edits Other claim level edits as assigned As needed, review clinical documentation and diagnostic results as appropriate to validate and apply applicable ICD-10, CPT, HCPCS codes and associated coding modifiers. Responsible for daily resolution of assigned claims with Revenue Integrity specific denials in the Guidehouse METRIX℠ system. Ensures coding and billing practices are in compliance with Federal/State guidelines by utilizing various types of authoritative information. Maintains current knowledge of Medicare, Medicaid, and other third-party payer billing compliance guidelines and requirements. Other duties commensurate with skills and experience as determined by the Director of Revenue Integrity. What You Will Need: High School Diploma or equivalent 5+ years of Revenue Integrity experience AAPC or AHIMA coding certification. Experience in ICD-10, CPT and HCPCS Level II Coding. Expertise in determining medical necessity of services provided and charged based on provider/clinical documentation. Knowledge, understanding and proper application of Medicare, Medicaid, and third-party payer UB-04 billing and reporting requirements including resolution of CCI, MUE and Medical Necessity edits applied to claims. Proficiency in determining accurate medical codes for diagnoses, procedures and services performed in the outpatient setting. For example: emergency department visits, outpatient clinic visits, same day surgeries, diagnostic testing (radiology, imaging, and laboratory), and outpatient therapies (physical therapy, occupational therapy, speech therapy, and chemotherapy) Knowledge of current code bundling rules and regulations along with proficiency on issues regarding compliance, and reimbursement under outpatient grouping systems such as Medicare OPPS and Medicaid or Commercial Insurance EAPG's. Knowledge and understanding of hospital charge description master coding systems and structures. Strong verbal, written and interpersonal communication skills. Ability to produce accurate, assigned work product within specified time frames. What Would Be Nice To Have: 5 years' experience in Revenue Integrity Coding and Billing Hospital medical billing and auditing experience Associate's degree #IndeedSponsored #LI- Remote #LI-DNI The annual salary range for this position is $56,000.00-$94,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. What We Offer: Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace. Benefits include: Medical, Rx, Dental & Vision Insurance Personal and Family Sick Time & Company Paid Holidays Position may be eligible for a discretionary variable incentive bonus Parental Leave 401(k) Retirement Plan Basic Life & Supplemental Life Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts Short-Term & Long-Term Disability Tuition Reimbursement, Personal Development & Learning Opportunities Skills Development & Certifications Employee Referral Program Corporate Sponsored Events & Community Outreach Emergency Back-Up Childcare Program About Guidehouse Guidehouse is an Equal Opportunity Employer-Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation. Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco. If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation. All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process. If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse's Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant's dealings with unauthorized third parties. Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Posted 30+ days ago

H logo
HealthNet, Inc.Indianapolis, IN
Description Martindale Brightwood Health Center - 2855 N Keystone Avenue, Suite 100, Indianapolis, IN 46218 Fair Labor Standards Act Classification: Non-Exempt What you'll do as a Billing Specialist at HealthNet: The Billing Specialist at the HealthNet Administration location reviews accounts for assigned payers to reduce accounts receivables and enhance cash flow. The billing specialist follows proper insurance processes, timely follow-up, and resolution of accounts, and provides feedback to management when internal problems resulting in nonpayment of claims are detected. This position is responsible for all aspects of electronic or paper claim submission. Contact patients to make payment plan arrangements. Work with collection agencies to resolve outstanding patient balances. Serve as liaison to third party payers, patients and families, providers and staff and referral sources for communicating billing information. Initiate collection with all insurance carriers on electronically submitted and/or paper claims. Assist with posting mail receipts, Medicare, Medicaid, HMO and PPO payment listings against individual patient accounts. Review third party payment listings and takes appropriate action on accounts in order to avoid account aging. Make recommendations/decisions on account resolution. Review billing for accuracy and completeness. Review and corrects billing and collection problems arising in patient care facilities. Maintain the confidentiality of any patient medical, financial, or personal information and other information records and data to which there is access. When you'll work as a Billing Specialist at HealthNet: Full Time Potential schedule of Monday-Friday 8am-5pm. Job responsibilities listed above is a summary and does not include other tasks requested by Revenue Cycle Manager. Who is HealthNet? https://www.indyhealthnet.org/ HealthNet is a nonprofit 501 (c) (3) organization of community-based health centers located in Indianapolis and Bloomington, IN Since 1968, HealthNet has improved the health status of the neighborhoods it serves by making quality health services accessible to everyone. HealthNet annually provides affordable health care to more than 61,000 individuals through its network of 9 primary care health centers 5 dental clinics, 9 school-based clinics, a mobile health unit, and additional support services. HealthNet's mission is to improve lives with compassionate health care and support services, regardless of ability to pay. Requirements Requirements: (Please, consider applying if you do not meet the list of criteria below. We would love to engage for other possible opportunities or explore your areas of skill a little deeper) What you'll need as a Billing Specialist at HealthNet: Currently not sponsoring for work visa. Requires High School Diploma or GED. Understanding of both Federally Qualified Health Centers and Commercial billing and collections. Certification in coding & billing preferred. Knowledge and understanding of Medicare/Medicaid regulations and billing requirements. Participate in monthly training programs for staff on policies and procedures related to billing and collection, including proper coding, use of sliding fee scales, and financial screening. SET YOURSELF APART: Preferred Qualifications Experience in third party billing/collection with in-depth knowledge of specific third-party payer requirements. Requires working knowledge of medical terminology and basic medical coding practices (UBC; CPT4; HCPCS; ICD-9). Requires knowledge and proper application of remote electronic inquiry systems for Medicare; Medicaid; Blue Cross and/or all other Commercial payers. Requires ability to process adjustment claims to Medicaid and Medicare payers on resolution of credit balance claims. OB/GYN coding experience preferred. Bilingual in Spanish or Burmese preferred, but not required. The skills you'll bring as a Billing Specialist at HealthNet: Strong written and verbal communication skills. Ability to work independently, handle detail and work efficiently and accurately under pressure. Ability to multitask. Ability to handle sensitive patient data and must maintain a high degree of confidentiality. Excellent customer service/listening skills. Reliable transportation required. Why work for HealthNet? Competitive Compensation Medical, Dental, and Vision Plan Short-Term & Long-Term Disability Health Savings Account & Difference Card Available within certain medical plans Flexible Spending Account Life Insurance, AD&D Group Accident, Critical Illness & Hospital Indemnity Domestic Partner Leave Wellness Programs 401k Match Paid Time Off accumulates at start of employment and available to use. Tuition Reimbursement Employee Referral program EQUAL EMPLOYMENT OPPORTUNITY: HealthNet is an Equal Employment Opportunity Employer and employment decisions are made without regard to race, color, sex, religion, national origin, age, disability, sexual orientation, or any other category protected by federal, state, or local law.

Posted 1 week ago

Sea Mar Community Health Centers logo
Sea Mar Community Health CentersFederal Way, WA

$20 - $22 / hour

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

Posted 30+ days ago

T logo
Trinity Health CorporationFarmington Hills, MI

$15 - $23 / hour

Employment Type: Full time Shift: Description: POSITION PURPOSE 100% Work Onsite- Walker, Michigan (Pay Range: $15.0165-$22.5248) Performs the day-to-day correspondence activities within the Hospital and/or Medical Group revenue operations ($3-5B NPR) of a Patient Business Services (PBS) location. Serves as part of a team of correspondence colleagues at a PBS location responsible for sorting and distributing incoming correspondence, performing address updates, and scanning documents into the document imaging system. This position reports directly to a Manager. ESSENTIAL FUNCTIONS Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions. Collects, organizes and scans patient and insurance correspondence, insurance vouchers/explanation of benefits and other relevant documentation into Onbase or similar application based on the Health Ministry. Conducts appropriate indexing with PNC Correspondence into correct folders within Onbase or similar application, redacts and indexes correspondence to multiple accounts within OnBase as needed. Sorts and date-stamps all incoming correspondence (fax, email, postal mail), distributing correspondence to appropriate resources in a timely, accurate manner. Reviews all returned mail, researches and corrects the information (name and address) in the patient accounting system as appropriate. Updates the mailing envelope with the correct information and resubmits for mailing. Assists in large copy and mail productions. Sorts outgoing correspondence to ensure cost effective postage. Provides support for the Billing & Follow-Up teams by printing UB04's and sends medical records by Certified Mail. Unpacks and stocks supply orders that arrive to the Patient Business Service Center, keeps inventory on a routine basis regarding supplies and envelopes, follows appropriate process for reorder. May prepare special reports as directed by the manager to document billing and follow-up services (e.g., Incoming correspondence volume, returned mail status, document imaging status, etc.). May serve as relief support, if the work schedule or workload demands assistance to departmental personnel. May also be chosen to serve as a resource to train new employees. Cross training in various functions is expected to assist in the smooth delivery of departmental services. Other duties as needed and assigned by the manager. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health's Organizational Integrity Program, Code of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior. MINIMUM QUALIFICATIONS High school diploma and a minimum of one (1) year work experience within a hospital or clinic environment, an insurance company, managed care organization or other financial service setting, performing mailroom and document imaging functions or an equivalent combination of education and experience. Data entry skills (50-60 keystrokes per minutes). Excellent communication (verbal and writing) and organizational abilities. Interpersonal skills are necessary in dealing with internal and external customers. Accuracy, attentiveness to detail and time management skills. Basic understanding of Microsoft Office Microsoft Office, including Outlook, Word, PowerPoint, and Excel. To successfully accomplish the essential job functions of this position, the incumbent will be required to work independently, read, write, and operate keyboard and telephone effectively. Must be comfortable operating in a collaborative, shared leadership environment. Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health. PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS Must be able to set and organize own work priorities, and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles. Excellent problem solving skills are essential. This position requires the ability to comprehend and retain information that can be applied to work procedures to achieve appropriate service delivery. The greatest challenge in this position is to ensure that mailroom and document imaging activities are performed promptly and in an accurate manner to assist in order to reduce potential financial loss to the patient and the Ministry Organization. Position operates in an office environment. Work area is well-lit, temperature controlled and free from hazards. The incumbent is subject to eyestrain due to the many hours spent looking at a CRT screen. The noise level is low to moderate. Completion of regulatory/mandatory certifications and skills validation competencies preferred. Must possess the ability to comply with Trinity Health policies and procedures. Our Commitment to Diversity and Inclusion Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

Posted 30+ days ago

DLA Piper logo
DLA PiperWashington, DC

$149,276 - $237,355 / year

DLA Piper is, at its core, bold, exceptional, collaborative and supportive. Our people are the backbone, heart and soul of our firm. Wherever you are in your professional journey, DLA Piper is a place you can engage in meaningful work and grow your career. Let's see what we can achieve. Together. Summary The Sr. Manager Legal Billing Operations, working in collaboration with and in support of the firm's strategic initiatives, oversees and leads the Client Account Managers and is responsible for the overall daily operations of multiple Client Accounts team. As a Sr. Manager Legal Billing Operations, you will be responsible for ensuring that managerial staff receive the training, mentoring and coaching necessary to meet the overall billing and business objectives of the firm. You will continually analyze the current billing business processes and make recommendations for improvement based on solid performance metrics. You will test new systems and support upgrades and enhancements. Location This position can sit in any of our US office locations and offers a hybrid work schedule. Responsibilities Monitors the daily billing operations of the team. Ensures managerial workloads and Biller level assignments are completed in a timely manner and meet the expectations of the attorneys and clients. Continually tracks metrics for multiple billing teams and makes adjustments to the operations of the team as needed. Responsible for ensuring a group of billing teams meet or exceeds performance standards and metrics. Analyzes business processes and billing book assignments to ensure the most effective processes and balanced workloads are in place. Develops process/workflow/workload improvements based on analysis. Provides appropriate training to ensure that managers are properly implementing and adhering to billing processes such that policies are applied consistently across the department. Develops training materials and delivers training to staff, either in person or using electronic tools. Reviews performance on a continual basis. Coaches and trains managerial and billing staff throughout the year. Completes individual performance reviews and conducts the annual review with the employee. Fields billing inquiries and questions on a daily basis. Interact with clients, attorneys and staff on a daily basis. Helps resolve billing issues, including account analysis, and assists attorneys with processing and collection of invoices. Participates and supports project management initiatives. May be responsible for managing a specific project to include project planning, development and execution. Plans and facilitate group meetings. Prepares agendas and captures/tracks important discussion items. Serves as subject-matter expert for a group of managers. Responds to inquiries and process escalations posed by attorneys, practice groups or other team members. Continually researches and remains current on best practices. Identifies, documents, and communicates system and procedural issues across departments. Liaises with leads in other departments to develop best practices and implement solutions. Provides leadership to and manages a team of business professionals to include coaching, mentoring and professional development. Responsible for providing performance feedback on a regular basis. Other duties as assigned. Desired Skills Experience with Aderant plus any e-Billing applications is required. Experience with Business Intelligence software and reporting is highly preferred. Advanced proficiency with Excel is required. Must have excellent analytical skills and be comfortable charting large data sets and summarizing trends. Strong communication and interpersonal skills required to interact with staff and timekeepers. Must be a strategic, creative and innovative thinker. Must be team-oriented and have ability to work effectively and collaboratively in a fast-paced environment which may require long hours to meet workload needs. Must have strong attention to detail. Ability to troubleshoot and resolve complex problems required. Must have proven analytical skills. Has ability to work independently and is able to take direction well. Has ability to lead and manage a diverse team and provide training and guidance to ensure consistent application of billing procedures across the team. Must exercise sound judgment and decision-making skills. Minimum Education Bachelor's degree in Business, Economics, Finance, Accounting, or similar field. Preferred Education Master's degree in Finance, Accounting or similar field. Minimum Years of Experience 8 years of experience working in managerial capacity in a complex billing function in an AM Law 200 law firm with at least two years minimum of second-tier management (managing other managers overseeing a billing/invoicing team.) Essential Job Expectations While the specific job requirements of a DLA Piper position may vary depending upon scope of the job and area of specialty, there are certain universal requirements that are expected of all DLA Piper employees, which include but are not limited to: Effectively communicate, verbally and in writing, with clients, lawyers, business professionals, and third parties. Produce deliverables, answer phone calls, and reply to correspondence in an efficient and responsive manner. Provide timely, accurate, and quality work product. Successfully meet deadlines, expectations, and perform work duties as required. Foster positive work relationships. Comply with all firm policies and practices. Engage in both physical and sedentary activity, such as (a) working at a computer for extended periods of time, including on-screen reading and typing; (b) participating in digital/virtual conference calls; (c) participating in meetings as needed. Ability to work under pressure and manage competing demands in a fast-paced environment. Perform all other duties, tasks or projects as assigned. Our employees are expected to embrace and uphold our firm values as a part of our DLA Piper culture. We are committed to excellence in how we represent our clients and develop our people. Physical Demands Sedentary work: Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. Work Environment The individual selected for this position may have the opportunity for a hybrid work arrangement comprised of remote and in-office work, the requirement for which will be determined in coordination with the hiring manager or supervisor and may be modified in the firm's discretion in the future. Disclaimer The purpose of this job description is to provide a concise statement of the work elements and to organize and present the information in a standardized way. It is not intended to describe all the elements of the work that may be performed by every individual in this classification, nor should it serve as the sole criteria for personnel decisions and actions. The job duties, requirements, and expectations for this position may be modified at the Firm's discretion at any time. This job description does not change the at-will nature of employment. Application Process Applicants must apply directly online instead of sending application materials via email. Accommodation Reasonable accommodations may be made upon request to permit individuals with a disability to perform the essential functions and responsibilities of the position or to participate in the job selection process. If you have a request for an accommodation during the application process, please contact careers@us.dlapiper.com. Agency applications will not be considered. No immigration sponsorship is available for this position. The firm's expected hiring range for this position is $149,276-$237,355 per year depending on the candidate's geographic market location. The compensation offered for employment will also be dependent on other factors including the candidate's experience, skills, educational and professional background, and overall qualifications. We offer a comprehensive package of benefits including medical/dental/vision insurance, and 401(k). #LI-SB1 #LI-Hybrid DLA Piper is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job applicant poster viewing center.

Posted 30+ days ago

Yale University logo
Yale UniversityNew Haven, CT

$31+ / hour

Working at Yale means contributing to a better tomorrow. Whether you are a current resident of our New Haven-based community- eligible for opportunities through the New Haven Hiring Initiative or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome. Discover your opportunities at Yale! Hourly Range 31.05 Overview Under the direction of Yale Medicine Administration (YMA) Coding and Billing, the Coding and Billing Assistant 1 is responsible for reviewing all aspects of charge submission for patient clinical services based on coding, documentation review, quality assurance, and compliance guidelines. Reviews charge submissions for compliance with established coding guidelines, all YMA policies and protocols, third party reimbursement policies, Federal payer regulations, and HIPAA guidelines. Performs effective workflow processes to file complete, accurate and timely billing of professional charges, while maintaining productivity to meet lag day expectations. May review and analyze documented medical services to verify accurate documentation and coding of services performed. Required Skills and Abilities 1. General or intermediate knowledge of ICD-10, CPT, HCPCs and modifier coding, medical terminology, human anatomy, and digital coding resources and software. Ability to analyze and interpret evaluation and management documentation guidelines as well as procedures and applicable coding guidelines. 2. Demonstrated ability with an electronic health record and practice application systems, electronic data entry, and web-based applications and websites. Intermediate proficiency with MS Word, Excel, Outlook (emails and calendars). 3. Demonstrated knowledge of Federal payer regulations, third party payers, HIPAA rules, reimbursement policies and procedures. Proven ability to interpret and apply guidelines. 4. Demonstrated strong interpersonal, verbal and written communication skills. Ability to effectively communicate with team members to resolve questions regarding collaboration and assignments. Communicate effectively with providers, following escalation processes with analytics team and manager. 5. Demonstrated ability to work independently; organize and prioritize own work with minimal supervision; ability to work in a fast-paced environment meeting timely deadlines while maintaining productivity and quality standards. Ability to work effectively as a team member with common goals. Preferred Education, Experience and Skills Experience within an academic medical environment or large multi-specialty practice; CPC certification preferred. Principal Responsibilities Performs work queue resolution of medical billing charge sessions by reviewing clinical documentation to confirm diagnostic (ICD-10) and procedural (CPT/HCPCS) codes and modifiers, based on charge review edits for Yale Medicine patient clinical services filed to charge review work queues. May perform manual charge entry for non-Epic services. With an ability to navigate within the Professional Billing applications, ensures that all charge review edits are appropriately resolved in charge review work queues utilizing claim judgement and critical thinking skills. Draws valid conclusions to support decisions. 2. May verify all information required to submit a clean claim including provider, place of service, date of service, bill area, all codes and special billing procedures that may be defined by a payer, contract or YMA. Ensures compliance with Teaching Physician guidelines within an academic medical practice. 3. Pends charge sessions to seek corrective action for services not meeting documentation requirements in accordance with YMA policies and procedures. May identify that a provider should be contacted to clarify or amend a medical record, following communication and escalation procedures. May modify clinician's selection. 4. Adheres to YMA policies and procedures and Yale Medicine's Mission, Values and Guiding Principles. Actively participates in team and department training and education programs and staff meetings. Establishes and cultivates productive relationships among staff to support a positive team environment and professional interactions. Maintains professional and technical knowledge by participating in educational workshops and reviewing professional publications. 5. May perform other duties as assigned. Required Education and Experience Four years of related work experience, two of them in the same job family at the next lower level, and high school level education; or two years of related work experience and an Associate's degree, or an equivalent combination of experience and education. Required License(s) or Certification(s) Certified Professional Coder Apprentice (CPC-A) through AAPC organization. Must maintain certification through annual education requirements and achieve CPC status within 2 years. Preferred Licenses or Certifications Certified Professional Coder (CPC) Physical Requirements Ability to push, pull, and lift in excess of 20 pounds as well as travel around the medical school campus. Background Check Requirements All candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks based on the position description and job requirements. All offers are contingent upon the successful completion of the background check. For additional information on the background check requirements and process visit "Learn about background checks" under the Applicant Support Resources section of Careers on the It's Your Yale website. Health Requirements Certain positions have associated health requirements based on specific job responsibilities. These may include vaccinations, tests, or examinations, as required by law, regulation, or university policy. Posting Disclaimer The hiring rate of a role is determined in accordance with the provisions outlined in the respective collective bargaining agreement. The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the position. Employees will be assigned specific job-related duties through their hiring department. The University is committed to basing judgments concerning the admission, education, and employment of individuals upon their qualifications and abilities and seeks to attract to its faculty, staff, and student body qualified persons from a broad range of backgrounds and perspectives. In accordance with this policy and as delineated by federal and Connecticut law, Yale does not discriminate in admissions, educational programs, or employment against any individual on account of that individual's sex, sexual orientation, gender identity or expression, race, color, national or ethnic origin, religion, age, disability, status as a special disabled veteran, veteran of the Vietnam era or other covered veteran. Inquiries concerning Yale's Policy Against Discrimination and Harassment may be referred to the Office of Institutional Equity and Accessibility (OIEA). Note Yale University is a tobacco-free campus.

Posted 30+ days ago

SimplePractice logo
SimplePracticeLos Angeles, CA

$46,000 - $58,000 / year

About Us At SimplePractice, we are improving access to quality care by equipping health and wellness clinicians with all the tools they need to thrive in private practice. More than 250,000 providers trust SimplePractice to build their business through our industry-leading software with powerful tools that simplify every part of practice management. From admin work to clinical care, our suite of innovative solutions work together to reduce administrative burden-empowering solo and small group practitioners to thrive alongside their clients. Recognized by MedTech Breakthrough as the Best Practice Management Solution Provider in 2024 and the Digital Health Awards in 2023, SimplePractice is proud to pave the future of health tech. The Role We are seeking a tenacious and driven Sales Representative to join our team. Reporting to the Director of Business Development, the ideal candidate will be responsible for prospecting leads, closing deals, and establishing a robust pipeline. The role requires adaptability to thrive in a continuously evolving department/organization, exceptional communication skills both verbally and in writing, full-cycle sales experience, a background in healthcare technology, and a proven track record of successfully closing deals. Responsibilities Coordinate with marketing to identify potential leads and prospects within behavioral health private practices. Build and maintain relationships with key decision-makers and stakeholders. Develop and execute effective sales strategies to meet and exceed sales targets. Collaborate with internal teams, including Marketing and Product, to ensure alignment in sales efforts. Utilize Hubspot (CRM) software to track leads, manage opportunities, and forecast sales projections. Provide ongoing sales support and assistance to prospective customers, ensuring their needs are met and issues are addressed promptly. Stay abreast of industry trends, competitor activities, and market developments to capitalize on opportunities and mitigate risks. Prepare and deliver compelling presentations and proposals to prospective customers. Negotiate contract terms and pricing agreements to close deals successfully. Monitor and report on sales performance metrics, identifying areas for improvement and implementing action plans as needed. Desired Skills & Experience Bachelor's degree in Business Administration, Marketing, or related field. Proven track record of at least 3 years in B2B sales, preferably within the healthcare technology industry (experience with revenue cycle management is preferred). Strong understanding of sales principles and techniques, including prospecting, lead generation, and closing. Excellent communication skills, with the ability to articulate ideas clearly and persuasively both verbally and in writing. Demonstrated ability to work effectively in a fast-paced, continuously evolving environment. Results-oriented mindset with a focus on achieving and exceeding sales targets and objectives. Familiarity with CRM software and proficient in Google Suite applications. Ability to build and maintain strong relationships with prospective customers and internal stakeholders. Highly organized with strong time management and prioritization skills. Flexibility to travel as needed for customer meetings and industry events. Base Compensation Range $46K to $58K + commissions Base salary is one component of total compensation. Employees may also be eligible for an annual bonus, equity or commission. Some roles may also be eligible for overtime pay. The above represents the expected base compensation range for this job requisition. Ultimately, in determining your pay, we'll consider many factors including, but not limited to, skills, experience, qualifications, geographic location, and other job-related factors. Benefits We offer a competitive benefits program including: Medical, dental, vision, life & disability insurance 401(k) plan with company match Flexible Time Off (FTO), wellbeing days, paid holidays, and summer Fridays Mental health resources Paid parental leave & Backup Care Tuition reimbursement Employee Resource Groups (ERGs) California Job Applicant Privacy Notice Thank you for your interest in opportunities at SimplePractice LLC ("SimplePractice" or "us" or "we" or "our"). Please note that when you submit your resume or application materials to us for employment purposes, you are subject to the SimplePractice California Job Applicant Privacy Notice. For more information about our privacy practices, please contact us at privacy@simplepractice.com.

Posted 30+ days ago

UnitedHealth Group Inc. logo
UnitedHealth Group Inc.Owensboro, KY

$71,200 - $127,200 / year

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. As the manager of acute billing and accounts receivable, you will be responsible for the daily operations for billing and collecting functions. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Assists with developing specific department goals, standards, and objectives which directly support the strategic plan and vision of the organization Manages staff relations including performance management, staff satisfaction, and conflict management Performs and oversees scheduling, recruitment, and payroll Monitors department budgets, regulatory compliance, department contracts, and vendor relations Determines and justifies needs for systems, equipment, supply purchases, monitors usage, and oversees proper working order and/or stock supplies Supports special projects and business analysis as requested Implements Revenue Cycle Management principles which includes effective billing procedures, edit and denial management, transaction posting, and financial analysis and reporting Directs the Financial Analyst to provide metrics to improve department workflow productivity and analyze operations and financial data You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: 4+ years of experience in billing 4+ years of revenue cycle experience in denial / appeal mitigation 3+ years of experience collecting, organizing, and analyzing data to produce actionable reports highlighting recommendations on improvements and solutions 2+ years of supervisory experience Ability to commute to Owensboro, KY Preferred Qualifications: Epic experience All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Posted 30+ days ago

Washington University in St. Louis logo
Washington University in St. LouisSaint Louis, MO

$21 - $31 / hour

Scheduled Hours 40 Position Summary Serves as the lead to Patient Billing / Services Representatives; plans, organizes, gives direction, and assists in aspects of the front desk/scheduling team; coordinates office functions and performs specialized/technical duties with minimal supervision; serves as a liaison between consumers (staff, patients, healthcare professionals and general public) and advocates patients' needs. Job Description Primary Duties & Responsibilities: Monitors the performance of the staff areas to ensure quality care and compliance with practice standards. Monitors and observes to ensure appointments are scheduled appropriately in accordance with departmental procedures to include scheduling transactions, registration review, pre-arrival processes and HIPAA acknowledgement notification and documentation using department-approved monitoring tools. Works with physician and/or appropriate personnel to appropriately triage patient phone calls, tasks and e-mails as needed. Assists in management of providers' schedules, scheduling templates and master schedules according to physician protocols and management direction. Assists in coordination of training, interoffice activities, schedules, programs, distribution of policy/procedure changes and related administrative needs; serves as primary trainer for new procedures and to new staff members in conjunction with manager. Assists in coordination of staff vacations, schedules and coverage. Assists with staff timesheets and distribution of accruals. Plans, schedules and/or carries out orientation program and staff training/development for established and new personnel under guidance of management. Coordinates ordering and monitoring of supplies, equipment, mail and related operational services as needed. Maintains required skills/competencies and participates in in-services, staff programs, continuing education and cross-training programs according to established standards. Complies with OSHA, state and federal regulatory sources/standards. Acts as backup for staff during peak times, vacations, illnesses. Prepares custom reports as directed by management. Participates in quality improvement activities to ensure appropriate clinical outcomes. Incorporates the Fish Philosophy and Principles into daily job activities. May provide Medical Assistant services to the department (MA certification required) as needed. 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. 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. Assessment Based Recognition (ABR)- American Association of Medical Assistants (AAMA), Basic Life Support- American Heart Association, Basic Life Support- American Red Cross, Certified Medical Assistant- American Association of Medical Assistants (AAMA), Certified Medical Assistant- American Medical Technologists (AMT), Certified Medical Assistant- National Healthcareer Association (NHA), Certified Pharmacy Technician- Illinois Department of Financial and Professional Regulation, Certified Pharmacy Technician- Missouri Division of Professional Registration, Certified Pharmacy Technician- National Healthcareer Association (NHA), Certified Pharmacy Technician- Pharmacy Technician Certification Board , Pharmacist Technician- Illinois Department of Financial and Professional Regulation, Pharmacist Technician- Missouri Board of Pharmacy, Pharmacist Technician- Missouri Division of Professional Registration, Pharmacist Technician- Pharmacy Technician Certification Board , Registered Medical Assistant (RMA)- American Association of Medical Assistants (AAMA), Registered Medical Assistant- American Medical Technologists (AMT), Registered Medical Assistant- National Healthcareer Association (NHA) Work Experience: Billing Systems And Third-Party Claims And/Or Medical Office Setting, Related Customer Service (4 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). Registered/Certified Medical Assistant or successfully achieve Medical Assistant registration/certification or pass assessment-based recognition (ABR) exam or Pharmacy Technician licensure within 6 months of hire date or within a shorter time frame if noted by hiring manager. 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: Communication, Computer Literacy, Confidential Data Handling, Data Entry, Decision Making, Epic EHR, Fast-Paced Environments, Interpersonal Communication, Managed Care, Medical Terminology, Multitasking, Office Equipment, Organizing, Stress Management, Telephone Communications, Working Independently Grade C08-H Salary Range $20.57 - $30.84 / Hourly The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget. Questions For frequently asked questions about the application process, please refer to our External Applicant FAQ. Accommodation If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request. All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship. Pre-Employment Screening All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening. Benefits Statement Personal Up to 22 days of vacation, 10 recognized holidays, and sick time. Competitive health insurance packages with priority appointments and lower copays/coinsurance. Take advantage of our free Metro transit U-Pass for eligible employees. WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%. Wellness Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more! Family We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We've got you covered. WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us. For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/ EEO Statement Washington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups. It is the University's policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information. Washington University is dedicated to building a community of individuals who are committed to contributing to an inclusive environment - fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply.

Posted 30+ days ago

F logo
Fox CorporationLos Angeles, CA

$128,000 - $165,000 / year

OVERVIEW OF THE COMPANY Fox Corporation Under the FOX banner, we produce and distribute content through some of the world's leading and most valued brands, including: FOX News Media, FOX Sports, FOX Entertainment, FOX Television Stations and Tubi Media Group. We empower a diverse range of creators to imagine and develop culturally significant content, while building an organization that thrives on creative ideas, operational expertise and strategic thinking. JOB DESCRIPTION The FOX direct-to-consumer (DTC) platform is a new, forward-looking initiative within Tubi Media Group that brings FOX's unparalleled content portfolio including news, sports, and entertainment directly to consumers through an innovative subscription streaming service. Led by a highly experienced team with deep backgrounds across media, technology, streaming, and content, and fully supported by Fox Corporation, this venture blends entrepreneurial spirit with strong media expertise. Our vision is to create a unified, modern viewing experience that prioritizes the consumer and integrates live and on-demand content across multiple platforms. At the intersection of advanced technology and trusted storytelling, this is a rare opportunity to help shape the future of streaming during a transformative time in media. We are building a world-class team to bring that vision to life, and we're just getting started. ABOUT THE ROLE As the Senior Product Manager for Payments & Billing, you will lead the FOX One strategy across commerce touchpoints and play a key role in building secure, seamless, and user-friendly billing experiences for our subscribers. This senior-level position owns the product vision for payments infrastructure and drives innovation that improves conversion, reduces churn, and increases lifetime value. You will be responsible for shaping the entire billing journey-from the moment a user subscribes to ongoing account management and renewals. You will guide end-to-end product development by defining strategy, writing clear product briefs, identifying opportunities through research and data, and partnering with cross-functional teams including design, engineering, finance, and analytics. Your work will directly influence subscriber growth and retention on a high-impact streaming platform. A SNAPSHOT OF YOUR RESPONSIBILITIES Lead the product strategy and roadmap for FOX One's billing and payments systems Drive new features that enhance subscriber conversion, retention, and payment flexibility Develop product briefs and align discovery efforts across design, engineering, and finance Design intuitive subscription workflows including checkout, plan management, and payment recovery Own third-party billing vendor relationships and oversee integration and compliance Ensure platform compliance with tax regulations, payment standards, and privacy requirements Define and monitor KPIs including churn, billing success rate, and lifetime value Apply market insights and user feedback to refine and optimize the billing experience WHAT YOU WILL NEED 6 to 8 years of product management experience, with at least 3 years focused on billing, payments, or commerce systems Deep understanding of transactional UX, payment flows, and subscription lifecycle management Proven ability to define product strategy and deliver scalable solutions across multiple platforms Experience working with third-party vendors, platform teams, and regulatory requirements Strong analytical mindset with experience tracking KPIs like churn, LTV, and conversion Excellent cross-functional leadership skills and ability to align stakeholders across tech and business units Skilled in writing clear product requirements and leading complex projects from concept to launch Passion for building trustworthy, frictionless experiences for paid digital products NICE TO HAVE, BUT NOT A DEALBREAKER Experience in subscription-based media, streaming, or direct-to-consumer services Familiarity with international tax/payment systems and billing compliance Exposure to fraud detection, chargeback resolution, or revenue recovery tools Understanding of customer lifecycle marketing linked to billing and renewal events #Ll-KD1 #Ll-Hybrid We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, gender identity, disability, protected veteran status, or any other characteristic protected by law. We will consider for employment qualified applicants with criminal histories consistent with applicable law. Pursuant to state and local pay disclosure requirements, the pay rate/range for this role, with final offer amount dependent on education, skills, experience, and location is $128,000.00-165,000.00 annually. This role is also eligible for various benefits, including medical/dental/vision, insurance, a 401(k) plan, paid time off, and other benefits in accordance with applicable plan documents. Benefits for Union represented employees will be in accordance with the applicable collective bargaining agreement. View more detail about FOX Benefits.

Posted 30+ days ago

Erlanger Health logo
Erlanger HealthChattanooga, TN
Erlanger Health hires employees for telecommuting/remote positions in the following states: AL, AZ, GA, FL, IN, KY, LA, MD, M I, MS, MO, NC, NV, OH, PA, SC, TN, TX, VA, WI, WY Job Summary: The revenue integrity supervisor is a critical role responsible for optimizing professional services revenue, identifying potential revenue leakage while ensuring compliance in charging and billing practices within the healthcare system. Through a combination of data analytics, and process improvement techniques, this role will support the accurate capture of charges, identifying meaningful opportunities to improve and work closely with physician leadership and partnering with compliance to provide education and training. This position will also provide ongoing communication through reports & regular presentations as well as handling intake of requests and potential improvement opportunities. Supervises the revenue integrity team to ensure complete, compliant, and timely professional services charge description master updates for the health system. Leads and supervises the revenue integrity projects related to integration of new specialties or changes in workflow that impact multiple departments. Plans, coordinates, monitors, and manages the workflows ensuring effective and efficient daily operations of the Revenue Integrity team. Provides training and education to employed and contract billable providers regarding charge selection/entry and documentation requirements. Ensures billable charges are captured and oversees data analytics and management reporting. General Duties: Charging Optimization: Conducts prospective and retrospective reviews/audits of charge capture practices in the clinical departments. Reports findings, provide education to both providers and charge capture support staff. Coordinates charge capture improvement tools in collaboration with Revenue Cycle IT teams. Reports on potential compliance issues for further analysis and follow-up to the compliance department. CDM Optimization: Works to ensure a compliant CDM. Works with existing tools to evaluate CDM requests with focus on regulatory coding, compliance, and adherence to Erlanger internal guidelines regarding CDM maintenance, standard naming conventions and pricing integrity. Department Education: In collaboration with the compliance department and coding department, provides education to clinical department staff, physicians, APP�s, and coder regarding CPT codes, HCPCS codes, revenue codes and modifiers and their compliant use. Project Management: Leads projects to improve revenue capture, increase inefficiencies in the charge capture process, and reduce provider burden with the charging process. Financial Analysis: Performs basic financial analysis to report the impact of charge capture practice changes and corrections to current practice. Issue resolution: Through the combination of EPIC WQ�s, external edit platforms, and ongoing evaluation, identifies charging issues and works to identify solutions. Plans, coordinates, monitors, and manages the workflows for Revenue Integrity. Investigate trends and education to employed and contract billable providers regarding charge capture, charge reconciliation, and billing/coding guidelines. Assist clinical departments with the deployment and continuous performance improvement efforts, for accurate and compliant charge capture and revenue reporting and analysis and reduce revenue leakage. Identifies relevant regulatory and contractual terms and maintains standardization among CDM and charge capture processes through the Health System. Knowledge, Skills & Abilities: Proficient in hospital and professional revenue cycle operations. Expert in analyzing revenue data to identify trends and opportunities with the capacity to communicate findings effectively to varied audiences. Ability to analyze revenue data and identify trends and opportunities and the ability to present such data to a variety of audiences. Adopts a philosophy consistent with Erlanger Health's Mission, Vision, and Values, and models these standards. Strong interpersonal skills facilitate seamless communication with the clinical staff, and faculty. Solid understanding of coding conventions and current third-party payer rules and regulations. Current knowledge of third-party payer rules and regulations. Knowledge of management and supervision and the ability to organize staff work. Knowledge and understanding of computers to confidently monitor and obtain information from electronic medical records and database systems. Ability to work independently and demonstrate problem-solving skills. Ability to apply critical thinking skills to complex issues and situations. Knowledge and understanding of the requirements for complete medical records per Erlanger Health Bylaws, rules and regulations, DNV, Federal, State, and regulatory body regulations. Demonstrates command of written and telephone communication skills. Ability to maintain confidentiality and adhere to federal, state, HIPAA, and hospital policy in regard to privacy of patient health information. Organizational skills to effectively demonstrate ability to prioritize during job performance. Knowledge of window operating systems, Microsoft Office products, Electronic Health Record System, Document Imaging System and office equipment. Education: Required: High school graduate or equivalent. CPI Annual/Biannual training if applicable. Must have working-level knowledge of the English language, including reading, writing, and speaking English. Preferred: Associates or Bachelor's degree in business administration, Finance, or related field Experience: Required: 5 years� experience in management of clinical billing or healthcare experience required with extensive knowledge of ICD-10-CM and CPT coding principles. Good organizational, written, and verbal communication skills. Preferred: N/A Position Requirement(s): License/Certification/Registration Required: Certified Professional Coder (CPC), or Certified Outpatient Coder (COC), or Certified Coding Specialist, or Registered Health Information Technician (RHIT), or Registered Health Information Administrator. Preferred: Certified Revenue Integrity/Cycle as RCMS, or CHRI, or CRCS. '274096

Posted 30+ days ago

Southwest Human Development logo
Southwest Human DevelopmentPhoenix, AZ
A positive future for every child Southwest Human Development is Arizona's largest nonprofit dedicated to early childhood development. The first five years of life are the most critical in a child's development. At Southwest Human Development, our services improve lives and help families by supporting young children and their caregivers during this important time. Your skills, experience, and passion are needed at one of the nation's largest nonprofits dedicated to early childhood development. Join our team and experience a long-term career which brings joy and satisfaction in knowing you make a difference. We offer over 40 programs and services to more than 140,000 children. Why choose us? Make an impact in a child's life by promoting child health and development. Be rewarded with a rich benefits package, including medical, dental, vision, and wellness plans, 401(k) matching every paycheck, and generous paid time off. Opportunities for continued professional growth and development. Supportive and collaborative work environment. Job title: Billing & Attendance Tracking Assistant- Part-Time In this role you will: Support the accurate and timely processing of childcare subsidies, QF scholarships, and Head Start attendance documentation. Ensure records are complete, current, and compliant with federal, state, and agency requirements. Act as the primary point of contact for routine communication with subsidy funding agencies. Support daily and weekly attendance reconciliation to help maintain fiscal accuracy and prevent reimbursement delays.\ What it takes: High school diploma or equivalent required. AA in Business Administration or related field preferred. 1 year experience in administrative support, customer service, or early childhood settings. 2-year experience with childcare subsidies or attendance tracking preferred. Familiarity with childcare subsidies or attendance tracking preferred Proficiency with data entry, Microsoft Office, and database systems. Strong attention to detail and the ability to follow structured processes. Ability to manage multiple tasks, meet deadlines, and maintain accurate records. Valid Arizona Fingerprint Clearance Card- OR - must qualify for a valid Arizona Level One Fingerprint Clearance Card DES Criminal Affidavit Required AZ DHS Criminal History Affidavit Required FPC DPS Verification Required SWHD takes the health and safety of our employees and the communities we serve very seriously. We strongly believe vaccination is a critical safety measure to protect each of us and the communities we serve. COVID vaccinations have proven to be highly effective at protecting people from getting COVID-19 or from getting severely ill from it. Learn more! Our core values embody Southwest Human Development's commitment to services that uplift the lives of children, families and other care providers, and the communities in which they live. These values are intended to guide the professional development, ethical conduct, and skilled practice of all our staff, whatever their specific role within the agency. All staff are valued as making essential contributions to strengthening the foundation that Arizona's children need for a great start in life. Learn more about our values and benefits here.

Posted 30+ days ago

C logo
Connext CareOswego, NY

$16 - $18 / hour

Apply Description Basic Function: To accurately collect and input billing data into the computer system Principal Accountabilities: Enter patient charges into the practice management system Ensure patient and insurance information accurately into the practice management system Verify and obtain insurance eligibilities for all patient visits Verify billing charges with the chart note to make sure all charges match the coding guidelines and all procedures are billed correctly Communicate questions in a task to providers regarding documentation and/or billing charges Print and work Open Encounter Report daily Work Credit Balance report and Aging reports Be able to provide estimates, predeterminations and/or outreach Complete and send out Medicaid threshold forms Must be able to use the CPT and/or CDT coding book Act as a backup for the Dental Billing or Billing Representative-payment poster Reconcile and close receipts and charges to daily journal, computer generated reports to ensure accuracy Assist in the training of Dental or Billing staff Assist management in compiling necessary information for audits, both internal and those required by outside entities. Other duties and responsibilities as may be requested by supervisor and/or management Cross training for posting explanation of benefits Post daily Time of Service, collection, slide, daily logs and/or incoming payments Contact insurance companies to follow up on delinquent claims Follow up on denied claims by sending claim status requests to appropriate insurance companies Process claims for service via websites of insurance companies. Requirements High school graduate or GED Must have the ability to maintain the knowledge of coding guidelines Verbal and written communication skills, office applications preferred Demonstrate proper judgment and decision making skills Comply with the organizations code of conduct, safety rules and adheres to all company policies Must be willing to and demonstrate the ability to cooperate, work, and communicate with coworkers, supervisors, and visitors to our facility in an ethical, effective and professional manner Must demonstrate computer proficiency with Microsoft Suite and the practice management system Must possess the ability to display compassion and work well in stressful situations Must be keenly aware of the importance of confidentiality in all aspects of the position Upgrade to a higher level from Billing Rep. to Specialist to Senior would depend on length of employment, current work performance, how many insurances one is taking on and accuracy in completing in a timely fashion Salary Description $15.50-$18.00/hour Depending on Experience

Posted 30+ days ago

Whitley Penn logo
Whitley PennFort Worth, TX
Whitley Penn, a leading CPA and Consulting firm, is looking for a Billing Coordinator to join our team. The Billing Coordinator will play a key role in processing executive billings while ensuring accuracy, timeliness, and high-quality output. The ideal candidate is a self-starter and team player who can communicate effectively with clients and professionals at all levels. This position requires strong attention to detail and the ability to thrive in a fast-paced professional environment. JOB DETAILS: Title: Billing Coordinator Classification: Full-time; Non-exempt Department: Revenue and Practice Management (RPM) Location: Fort Worth Office Expectations/Hours: In-office position; general work schedule is Monday-Friday, 8am to 5pm with overtime, as needed. How We Work Whitley Penn has become one of the region's most distinguished and fastest growing public accounting firms by providing exceptional service that reaches far beyond traditional accounting. We believe in working in collaborative teams with an emphasis on open-door policy and encouraging entrepreneurial thinking. We learn, innovate, and succeed by sharing knowledge, embracing diversity, and working together. We are all part of the same family and each person matters. We are more than just a job. How Will You Make an Impact? Process executive billings accurately and meet departmental deadlines Reconcile billing, work-in-process (WIP), and accounts receivable Maintain accurate and up-to-date client records Draft internal and external correspondence as needed Support weekly and monthly reporting requirements Manage large projects as assigned to meet department needs Collaborate with team members to maintain client database Assist with data entry and other administrative tasks as required How Will You Get Here? 3-4 years of combined billing and administrative experience Prior professional service billing a plus High degree of efficiency with Microsoft Word and Excel Excellent verbal and written communication skills Possess strong organizational skills with exceptional attention to detail and follow-through Strong time management skills and ability to manage multiple tasks Must be flexible and able to prioritize duties in response to demands of the day-to-day activities of the department Possess a positive attitude and outlook in a fast-paced environment Ability to communicate effectively with individuals at all levels of the organization Must be able to work independently as well as in a collaborative team environment Capable of maintaining strict confidentiality Ability to work overtime as workload requires. Why Should You Apply? Firm Paid Medical Insurance (Free Employee Only Coverage on 2 of 3 plans) Voluntary Dental and Vision Insurance 17 Annual Firm holidays, with extended breaks around July 4th and year end Generous PTO for Non-Exempt Team Members Paid Maternity and Parental Leave 401(k) with Profit Sharing Discretionary Bonus Program Health & Wellness Program Pet Insurance Whitley Penn is proud to be an equal opportunity workplace. We recruit, employ, train, compensate, and promote without regard to on age, race, creed, gender, color, religion, national origin, sexual orientation, gender identity, veteran status, disability or any other basis protected by applicable federal, state, or local law. Whitley Penn is a participant in E-Verify please follow the link to review disclosure notifications: https://www.dropbox.com/s/olsr5xgsgxsntu3/E-Verify%20Notices.pdf?dl=0 . All employment is decided on the basis of qualifications, merit, and business need. #LI-ONSITE #LI-CB1 #LI-DNP

Posted 30+ days ago

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

Posted 30+ days ago

N logo
North Valley School - SonomaPomona, CA

$70,304 - $93,735 / year

This position will be providing regional support to the San Bernardino and Riverside counties Job Summary: Under the direction of the Senior Billing Manager, the Billing Manager is responsible for coordinating the alignment of billing process and systems across their assigned sites and the Agency. The Billing Manager is a primary contact for the Executive Director and must be able to effectively partner to ensure billing is completed accurately and on time. Essential Functions: Partners with the Executive Director and the Revenue Manager to effectively provide billing services by County. Partners with regional, site and fiscal leaders to create alignment and efficiency of billing processes across regions and Agency when appropriate. Supervises, directs and develops the billing supervisors at each assigned site. Supports the implementation of new billing processes and systems across the Agency. Creates and facilitates billing trainings based on business needs. Minimum Required Education and Experience: Associates degree in a business-related field. Two years of additional experience supervising billing functions can be substituted for the Associates degree. Three years of administrative support experience including one year of supervising billing functions. Position/Program Requirements: Must possess a valid California driver's license, personal automobile insurance and driving record that meets the standards outlined in the Agency's Personnel Policy: Motor Vehicle Operating Standards. Must be physically and mentally fit in accordance with the Agency's Personnel Policy: Physical Fitness Standards and Examinations. Must be willing to complete a Tuberculosis (TB) test and drug screening test. Must complete a personal background investigation conducted by the State of California. Physical Requirements: Have an adequate range of body motion and mobility to work in a residential, office or outdoor environment including standing and walking (even and uneven surfaces), alternating between standing and sitting for extended periods of time, bending, kneeling, twisting, reaching balancing and occasional carrying and lifting up to 25 pounds occasionally, and up to 10 pounds frequently. Must be able to sit for prolonged periods of time in a vehicle for traveling to recreational activities, home visits, DCFS and court locations which may be up to 100 miles driving distance. Compensation: Salary Range: $70,304 - $93,735 DOE Benefits: Low-cost Medical, Dental and Vision Life Insurance plan for employee and family 8 Paid Holidays, PTO and Sick pay Retirement Savings Plan (403B) 100% Employer Funded Retirement Plan Employee Assistance Program Mileage Reimbursement Working Advantage Discount Program Verizon Wireless Discount Tuition Assistance Employee Referral Bonus Program Hybrid Schedule

Posted 3 weeks ago

The Scion Group logo
The Scion GroupChicago, IL
Your Opportunity Scion is paving a path in student living and we're seeking a talented Utility Billing Specialist to join us in executing our vision. This position will focus on managing the resident utility billing process for all of Scion's communities. This Utility Billing Specialist will complete monthly resident utility billing while providing customer service support for utility inquiries as well as serve as liaison between communities and our utility expense management partner. The Utility Billing Specialist is a critical thinker, that excels in a fast-paced, agile, corporate environment, who is comfortable with quickly re-prioritizing. This role demands an eye for detail, well-honed organizational skills, strong problem solving and analytical skills, and a commitment to excellence. This position is based out of our Chicago HQ and is fully on-site. Your Responsibilities Acts as liaison between utility expense management partners and Communities. Partners with UEM provider to ensure timely receipt of utility bills and coordinate payment of all utility bills Analyzes utility data to identify anomalies such as high or low usage and works together with community teams to determine the cause. Completes timely and accurate monthly resident billing in accordance with state and local regulations Troubleshoots issues that may occur to ensure bills are sent in a timely manner Provides customer support for utility related inquires. Participates in industry and company trainings to stay current on system requirements. Reports on data as requested. The responsibilities listed above may not be all inclusive. What We Require College graduate with one year of utility billing experience. Proficient in Microsoft Office. Strong Microsoft Excel skills. Works well independently and as a member of various teams. Handles multiple, complex projects, with minimal guidance, prioritizes effectively, and meets deadlines. Values and fosters a sensitive and supportive approach to a diverse working and living environment. Operational Details Job location is based at Scion's Chicago corporate headquarters. Working hours consist of standard daytime business hours. The Scion Group LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, religion, creed, national origin, color, gender, sex, sexual orientation, gender identity or expression, age, physical or mental disability (as long as the employee/applicant is otherwise qualified for the job with or without a reasonable accommodation), genetic information, HIV/AIDS status, marital status, uniformed service, veteran status, pregnancy or other legally protected status or category under federal or state law. The Scion Group LLC complies with applicable state and local laws governing nondiscrimination in employment in all locations in which the Company has properties. This policy applies to all terms and conditions of employment, including hiring, placement, promotion, termination, layoff, recall, transfers, leaves of absence, compensation, training and other terms and conditions of employment. The Scion Group LLC is committed to the principles of equal employment opportunities. IND-B #wearehiring #werehiring

Posted 2 weeks ago

A logo
Albany Medical Health SystemAlbany, NY

$38,938 - $50,619 / year

Department/Unit: Physicians Billing Work Shift: Day (United States of America) Salary Range: $38,937.60 - $50,618.88 This position is a Medical billing position for a Physician Practice. Providing efficient and timely follow up of delinquent and denied accounts from third party payers is an essential part of this role. This position is responsible for securing revenue for services provided by Physicians of Albany Med by completing appeals, phone calls, and account review. This position is a Medical billing position for a Physician Practice. Providing efficient and timely follow up of delinquent and denied accounts from third party payers is an essential part of this role. This position is responsible for securing revenue for services provided by Physicians of Albany Med by completing appeals, phone calls, and account review. Qualifications: High school diploma or GED is required. AAS degree is preferred. Customer service experience required Experience providing phone-based customer service a plus Proficiency in office software including Excel and Word Proficiency utilizing payer websites Ability to work in a team environment Ability to communicate effectively, both verbally and in writing Ability to Multi-task and handle a fast-paced work environment Demonstrate organizational and interpersonal skills Essential Duties and Responsibilities: Reviews charges and data for accuracy and appeals discrepancies in regards to CPT-4 and ICD-10 codes with Insurance Companies Validate and Correct registration and insurance information, notations, correct claim submission Researches and interprets information to efficiently reconcile accounts Review and understand payer policy guidelines regarding billing Follow internal policies and procedures for accurate account review Meet expected production and quality standards Other related duties as assigned Extensive on the job training is provided for this role to ensure knowledge and skills are sufficient to perform required duties and responsibilities. Hours for this position will be Monday through Friday, days. Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Posted 30+ days ago

Geico Insurance logo
Geico InsuranceWashington, DC

$110,000 - $230,000 / year

At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. At GEICO, we are not just an insurance company; we are a technology-driven organization that is transforming the insurance landscape. Our mission is to leverage cutting-edge technology to deliver exceptional experiences for our customers and create innovative solutions that redefine the industry. About The Team The Billing Platform team at GEICO oversees the tools, infrastructure, data, reporting, analytics, and services essential for delivering seamless billing experiences to internal users, end customers, and partners. Our billing platform functions as the backbone for managing financial transactions and customer interactions, enhancing efficiency, accuracy, and customer satisfaction while supporting strategic growth and ensuring compliance. What you will do We are seeking a lead Backend Software Engineer with extensive experience in designing, building, and maintaining large-scale applications and distributed systems. You will become an integral part of a team dedicated to managing GEICO's core billing platform. This platform includes a comprehensive array of components such as a core billing engine, invoicing system, commissions management, collections, payment processing, CRM integration, subscription management, credit control and dunning management, along with reporting and analytics. In this role, you will play a pivotal role in re-architecting our platform from the ground up, focusing on enhancing the scalability and efficiency of our systems. Responsibilities Oversee high-level and low-level designs of one or more sub-systems of the billing platform we are building Be responsible and accountable for the quality, reliability, usability, and performance of the solutions Provide strategic guidance and oversight for multiple billing teams, ensuring alignment with the Platform's technical vision and business objectives Lead the design and development of complex software systems, ensuring they are scalable, maintainable, and meet high-quality standards. This includes evaluating code quality and collaborating with stakeholders to understand and implement project requirements Identify and prioritize technical challenges that may pose risks to business. Develop solutions to address these issues efficiently, ensuring smooth product development Work closely with various departments, including product management and design, to ensure cohesive and successful project delivery. Facilitate effective communication and collaboration across teams to achieve common goals Mentor and guide engineers, fostering a culture of continuous learning and improvement. Provide technical guidance to help team members overcome challenges and make informed decisions Who you are We are looking for someone who meets the minimum requirements to be considered for the role. If you meet these requirements, you are encouraged to apply. The preferred qualifications are a bonus, not a requirement. Minimum Requirements 8+ years of professional, hands-on software development experience Strong experience in architecting and designing large-scale, complex systems Proficient coding skills in Java, Kotlin, Golang, or similar languages, capable of producing high-performance, production-quality code Experience with a wide range of technologies, including SQL and NoSQL databases, Kafka, Spark, Airflow, or their equivalents Proficient in using cloud computing tools throughout the software development lifecycle, with deep expertise in DevOps, observability, telemetry, and test automation Skilled in collaborating across engineering teams and other functions to build alignment, drive decision-making, and communicate transparently Preferred Qualifications Experience in the financial technology sector, with a focus on billing, payments, subscription management, and financial reporting Proven track record in designing and implementing workflow engines Education Bachelor's and/or Master's degree, preferably in CS, or equivalent experience This is a HYBRID role working out of the following offices: Palo Alto, CA Dallas, TX Chevy Chase, MD Be Part of Our Journey If you are a passionate technologist looking to make a difference, GEICO Tech is the place for you. Join us and be part of a team that is shaping the future of insurance technology. Together, we will create innovative solutions that improve lives and transform the industry. #LI-MK1 Annual Salary $110,000.00 - $230,000.00 The above annual salary range is a general guideline. Multiple factors are taken into consideration to arrive at the final hourly rate/ annual salary to be offered to the selected candidate. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate's work experience, education and training, the work location as well as market and business considerations. GEICO will consider sponsoring a new qualified applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. Access to additional benefits like mental healthcare as well as fertility and adoption assistance. Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.

Posted 30+ days ago

A logo
Albany Medical Health SystemAlbany, NY

$38,938 - $50,619 / year

Department/Unit: Physicians Billing Work Shift: Day (United States of America) Salary Range: $38,937.60 - $50,618.88 This is a medical billing position for a physicians practice. Providing efficient and timely follow up of delinquent and denied accounts from third party payers is an essential part of this role. This position is responsible for securing revenue for services provided by physicians of Albany Med by competing appeals, phone calls, and account review. Qualifications: High school diploma or GED is required. AAS degree is preferred. Customer service experience required Experience providing phone-based customer service a plus Proficiency in office software including Excel and Word Proficiency utilizing payer websites Ability to work in a team environment Ability to communicate effectively, both verbally and in writing Ability to Multi-task and handle a fast-paced work environment Demonstrate organizational and interpersonal skills Essential Duties and Responsibilities: Reviews charges and data for accuracy and appeals discrepancies in regards to CPT-4 and ICD-10 codes with Insurance Companies Validate and Correct registration and insurance information, notations, correct claim submission Researches and interprets information to efficiently reconcile accounts Review and understand payer policy guidelines regarding billing Follow internal policies and procedures for accurate account review Meet expected production and quality standards Other related duties as assigned Extensive on the job training is provided for this role to ensure knowledge and skills are sufficient to perform required duties and responsibilities. Hours for this position will be Monday through Friday, 8:00am - 4:30pm. Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Posted 30+ days ago

Guidehouse logo

Revenue Integrity Coding Billing Specialist (Remote)

GuidehouseRaleigh, NC

$56,000 - $94,000 / year

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Job Description

Job Family:

General Coding

Travel Required:

None

Clearance Required:

None

What You Will Do:

  • Under the direction of the Director of Revenue Integrity, the Revenue Integrity Coding Billing Specialist provides revenue cycle support services through efficient review and timely resolution of assigned Medicare and third-party payer accounts that are subject to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials. This position is 100% remote.

Daily duties for this position include:

  • Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific Revenue Integrity Hold Codes in the hospital billing scrubber. Tasks associated with this work include resolving standard billing edits such as:

  • Correct Coding Initiatives (CCI)

  • Medically Unlikely Edits (MUE)

  • Medical Necessity edits

  • Other claim level edits as assigned

  • As needed, review clinical documentation and diagnostic results as appropriate to validate and apply applicable ICD-10, CPT, HCPCS codes and associated coding modifiers.

  • Responsible for daily resolution of assigned claims with Revenue Integrity specific denials in the Guidehouse METRIX℠ system.

  • Ensures coding and billing practices are in compliance with Federal/State guidelines by utilizing various types of authoritative information.

  • Maintains current knowledge of Medicare, Medicaid, and other third-party payer billing compliance guidelines and requirements.

  • Other duties commensurate with skills and experience as determined by the Director of Revenue Integrity.

What You Will Need:

  • High School Diploma or equivalent

  • 5+ years of Revenue Integrity experience

  • AAPC or AHIMA coding certification.

  • Experience in ICD-10, CPT and HCPCS Level II Coding.

  • Expertise in determining medical necessity of services provided and charged based on provider/clinical documentation.

  • Knowledge, understanding and proper application of Medicare, Medicaid, and third-party payer UB-04 billing and reporting requirements including resolution of CCI, MUE and Medical Necessity edits applied to claims.

  • Proficiency in determining accurate medical codes for diagnoses, procedures and services performed in the outpatient setting. For example: emergency department visits, outpatient clinic visits, same day surgeries, diagnostic testing (radiology, imaging, and laboratory), and outpatient therapies (physical therapy, occupational therapy, speech therapy, and chemotherapy)

  • Knowledge of current code bundling rules and regulations along with proficiency on issues regarding compliance, and reimbursement under outpatient grouping systems such as Medicare OPPS and Medicaid or Commercial Insurance EAPG's.

  • Knowledge and understanding of hospital charge description master coding systems and structures.

  • Strong verbal, written and interpersonal communication skills.

  • Ability to produce accurate, assigned work product within specified time frames.

What Would Be Nice To Have:

  • 5 years' experience in Revenue Integrity Coding and Billing

  • Hospital medical billing and auditing experience

  • Associate's degree

#IndeedSponsored

#LI- Remote #LI-DNI

The annual salary range for this position is $56,000.00-$94,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

  • Medical, Rx, Dental & Vision Insurance

  • Personal and Family Sick Time & Company Paid Holidays

  • Position may be eligible for a discretionary variable incentive bonus

  • Parental Leave

  • 401(k) Retirement Plan

  • Basic Life & Supplemental Life

  • Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

  • Short-Term & Long-Term Disability

  • Tuition Reimbursement, Personal Development & Learning Opportunities

  • Skills Development & Certifications

  • Employee Referral Program

  • Corporate Sponsored Events & Community Outreach

  • Emergency Back-Up Childcare Program

About Guidehouse

Guidehouse is an Equal Opportunity Employer-Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.

If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse's Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant's dealings with unauthorized third parties.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

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