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Billing Specialist jobs at Acadian Ambulance - 76 jobs

  • Billing Specialist (Medicaid)

    Acadian Ambulance Service 4.3company rating

    Billing specialist job at Acadian Ambulance

    JOP OPENING: Billing Specialist (LA/TN/MS Medicaid) JOB SUMMARY: Responsible for processing and resolving insurance claims. Ensuring proper payment of claims, appealing of denials and resolution of claims. JOB LOCATION: This position is based in the office, located in Lafayette, LA. The hours are Monday-Friday, 8am-5pm. This is NOT a Work From Home position. ESSENTIAL DUTIES AND RESPONSIBILITIES: Responsible for claim status checks as needed to ensure proper resolution Initiating contact with insurance providers as needed Review and process claim rejections and appeals for research and resolution Monitor payment discrepancies and process payments Review claims for Federal compliance Process incoming correspondence and phone calls specific to the payer type Verification of patient insurance Ensure accuracy of demographic information Other duties and responsibilities as assigned QUALIFICATIONS: High school diploma or equivalent Previous medical billing experience preferred Proficient in Google, MS Office Suite or related software Ability to communicate clearly and concisely Ability to establish and maintain working relationships with coworkers and patients Punctual with strong attendance history Ability to adhere to productivity goals, departmental and company guidelines, dress code, policies and procedures Excellent interpersonal skills and time management Maintain highest level of confidentiality 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.
    $32k-39k yearly est. 10d ago
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  • Billing Specialist (Vendor Management)

    Acadian Ambulance Service 4.3company rating

    Billing specialist job at Acadian Ambulance

    Acadian Client Services has an immediate opening for a full-time Vendor Management Billing Specialist to join their team in Lafayette, LA. Job Location: Lafayette, LA - This position is based in the office, Monday-Friday, 8:00am-5:00pm. This is NOT a Work from Home position. Summary of Duties: The Vendor Management Billing Specialist is responsible for auditing and increasing the quality standards within the revenue cycle department by reviewing claims processes, billing protocols, and write off protocols are followed according to established policies. This position will independently review claims and make recommendations to senior leadership on process improvements or educational opportunities. Essential Functions: Responsible for claim status checks as needed to ensure proper resolution Initiating contact with insurance providers as needed Review and process claim rejections and appeals for research and resolution Monitor payment discrepancies and process payments Review claims for Federal compliance Process incoming correspondence and phone calls specific to the payer type Verification of patient insurance Ensure accuracy of demographic information Other duties and responsibilities as assigned Qualifications: High school diploma or equivalent Previous medical billing experience preferred Proficient in Google, MS Office Suite or related software Possess strong organizational skills Punctual with strong attendance history Ability to adhere to productivity goals, departmental and company guidelines, dress code, policy and procedures Excellent interpersonal skills and time management Maintain highest level of confidentiality 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.
    $32k-39k yearly est. 8d ago
  • Billing Specialist

    Emergency Ambulance Service 3.9company rating

    Fishkill, NY jobs

    Billing/Collections Specialist Billing/Collection Agent Full Time Billing / Collections Specialist Full TIME BILLING/COLLECTIONS POSITION AVAILABLE IN FISHKILL, NY LOOKING FOR A RELIABLE CANDIDATE!!!!!!! HOURS: 8AM - 4:30PM Monday through Friday Must be motivated and detail oriented. Must have a strong background in Medicare, insurance and patient collections as well as all other aspects of billing. THIS POSITION IS NOT A REMOTE POSITION, PLEASE CONSIDER CAREFULLY EMAIL RESUME AND SALARY REQUIREMENTS Job Type: Full-time Pay: From $18.00 per hour - $25.00 per hour
    $18-25 hourly 60d+ ago
  • Billing Specialist

    Emergency Ambulance Service Inc. 3.9company rating

    Beacon, NY jobs

    Job Description Billing/Collections Specialist Billing/Collection Agent Full Time Billing / Collections Specialist Full TIME BILLING/COLLECTIONS POSITION AVAILABLE IN FISHKILL, NY LOOKING FOR A RELIABLE CANDIDATE!!!!!!! HOURS: 8AM - 4:30PM Monday through Friday Must be motivated and detail oriented. Must have a strong background in Medicare, insurance and patient collections as well as all other aspects of billing. THIS POSITION IS NOT A REMOTE POSITION, PLEASE CONSIDER CAREFULLY EMAIL RESUME AND SALARY REQUIREMENTS Job Type: Full-time Pay: From $18.00 per hour - $25.00 per hour
    $18-25 hourly 17d ago
  • Remote-Patient Engagement Representative-Bilingual

    Tenet Healthcare Corporation 4.5company rating

    Frisco, TX jobs

    The Patient Engagement Representative is responsible for creating a positive patient experience by accurately and efficiently handling day-to-day operations. This is contact center support of patient acquisition and retention strategies, which result from our clients' business to consumer (B2C) marketing efforts related to hospital services and community support. These strategies include physician referral, service line navigation, event management, non-clinical care coordination, and customer service. This is through multi-channel communications, including inbound, outbound, webchats, email, and SMS messaging. The Patient Engagement Representative will utilize probing questions and problem-solving techniques to identify and support the request. The individual is expected to develop a thorough understanding of the assigned function. This includes adherence to department policies and procedures related to demographic verification and call protocols. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Inbound support for patient acquisition and retention strategies executed by our clients. Inbound channels include telephonic, email, and web chats. The majority of the volume is through telephonic responses. Support consists of the following: * Answer inquiry promptly while assuring the correct hospital representation to create positive patient engagement. * Answer inquiry according to designated scripting for the campaign(s). * Identify specific calls to action for non-campaign-specific requests. * Accurately determine eligibility for care coordination and service line navigation. Eligibility is based on client-defined criteria presented to representative through a system-based decision tree program. Provide prep instructions and requirements. * Provide physician referrals in accordance with Stark Law. Provide Safe Harbor Disclaimer and accurately document referral criteria. * Provide event details and secure registration for all attendees. This includes processing fees electronically in multiple payment applications and in a compliant manner, when applicable. * Handle payor contract negotiation calls and data breach calls as needed based on FAQ scripting and follow escalation paths as outlined. * Navigate multiple systems to ensure the proper resolution for the request. * Maintain quality measures by handling inquiries based on protocols; this includes disposition, system-based actions, and capture of demographic data points and consent. * Document and refer unresolved issues to the appropriate department and/or client. * Handle, document, and follow proper escalation protocols for patient complaints in a caring and compassionate manner while maintaining professional guidelines and representing the client's brand. * Handle multi-language calls utilizing interpreter services. * Transfer callers to Post Call Satisfaction Survey. * Maintain productivity levels outlined by meeting expected handle times and after-call work. * Outbound support for patient acquisition and retention strategies executed by our clients. Outbound channels include telephonic, email, SMS, and web chats. Majority of volume is through telephonic responses. Support includes inbound duties outlined above; however, they are initiated through an outbound interaction. In addition to the above, outbound support also includes the following: * Reminder calls for both clinical and non-clinical appointments. Provide all prep instructions, appointment requirements, and any specific hospital protocols. * Provide communication via email based on campaign protocols. This includes aligning to hospital branding guidelines, ensuring accurate and grammatically correct content, and in a professional manner. * Outreach to a targeted population for additional hospital services and upcoming campaigns. This is not telemarketing. Outreach is directed at patients and consumers who have requested to be notified of hospital information, services, and upcoming campaigns. * Generate SMS compliant content through the SMS platform for requests as outlined by protocols and guidelines. * Contact provider offices to validate information for referral purposes, document updates needed, and notify the appropriate department for processing. * Additional support as needed KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Ability to work remotely in a production-driven contact-center environment * Ability to work with multi-channel technologies, including telephonic, web chat, SMS, and email channels. * Must be able to navigate multiple computer systems simultaneously accurately * Must have basic typing ability * Must have a working knowledge of Windows-based computer environment * Must be able to multi-task in a high volume center * Strong written and verbal communication skills * Exceptional customer service skills, including effective and efficient problem solving and analyzing skills * Professional and calming tone of voice with complete command of the English language free of the use of inappropriate grammar * Ability to facilitate conversations with others and establish an understanding of the customer's issue/reason for contact * Ability to perform essential job functions with a high degree of independence, flexibility, and creative problem-solving techniques * Ability to maintain control of the call by de-escalating issues and instilling confidence that the resolution has been found. * Ability to function effectively under the stress of conflicting demands on time and attention and, sometimes, under duress from difficult personalities * Attentive listening skills * Ability to clearly articulate a response to the customer using appropriate voice modulation Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job. * Required: High school diploma or GED * Required: Excellent telephone customer service skills with typing ability and problem solving skills * Required: Working Knowledge of Windows based computer environment * Preferred: Two years of college * Required: Telephone/call center experience * Required: 1-3 years of customer service and or healthcare experience PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Must be able to work in sitting position, use computer and answer telephone for extended period of Time WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Remote position OTHER * Work in a 24/7 environment. Must be able to work weekends and holidays as assigned. Shift bids occur as needed and are based on business needs. As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $14.50 - $21.80 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********
    $14.5-21.8 hourly 20d ago
  • Patient Account Senior Representative - Remote

    Tenet Healthcare Corporation 4.5company rating

    Frisco, TX jobs

    The Accounts Receivable Senior Representative is responsible for all aspects of follow-up activity, to include taking appropriate steps to resolve accounts timely. This candidate should have an increased knowledge of the Revenue Cycle as it relates to the entire life of a patient account from creation to expected payment. Representative will need to effectively follow-up on claim submission and; remittance review for insurance collections, create and pursue disputed balances from both government and non-government entities. Basic knowledge of Commercial, Managed Care, Medicare and Medicaid insurance is preferable. . Participate and assist in special projects as well as provide A/R support to the team. Assist new or existing staff with training or techniques to increase production and quality as well as provide A/R support for the team members that may be absent or backlogged. An effective revenue cycle process is achieved with working as part of a dynamic team and the ability to adapt and grow in an environment where work assignments may change frequently while resolving more complex accounts with minimal or no assistance. Senior Representative must have the ability to work closely with management and team members working an inventory of collectible accounts that bring in revenue and possess the the following: * Conduct telephone calls utilizing a professional demeanor when contacting payors and/or patients in order to obtain collection related information * Basic computer skills to navigate through the various system applications provided for additional resources in determining account actions (may work in multiple systems for clients) * Access payer websites and discern pertinent data to resolve accounts * Utilize all available job aids provided for appropriateness in follow-up processes * Document clear and concise notes in the patient accounting system regarding claim status and any actions taken on an account * Maintain department daily productivity goals in completing a set number of accounts while also meeting quality standards as determined by leadership * Skilled in working with complex medical claim issues * Identify and communicate any issues including system access, payor behavior, account/work-flow inconsistencies or any other insurance collection opportunities * Compile data to substantiate and utilize to resolve payer, system or escalated account issues * Assist new or existing staff with training or techniques to increase production and quality * Provide support for team members that may be absent or backlogged ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. * Researches each account using company patient accounting applications and internet resources that are made available. Conducts appropriate account activity on uncollected account balances with contacting third party payors and/or patients via phone, e-mail, or online. Problem solves issues and creates resolution that will bring in revenue eliminating re-work. Updates plan IDs, adjusts patient or payor demographic/insurance information, notates account in detail, identifies payor issues and trends and and solves re-coup issues. Requests additional information from patients, medical records, and other needed documentation upon request from payors. Reviews contracts and identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed. Takes appropriate action to bring about account resolution timely or opens a dispute record to have the account further researched and substantiated for continued collection. Maintains desk inventory to remain current without backlog while achieving productivity and quality standards. * Perform special projects and other duties as needed. Assists with special projects as assigned, documents findings, and communicates results to leaders. * Recognizes potential delays and trends with payors such as corrective actions and responds to avoid A/R aging. Escalates payment delays/ problem aged account timely to Supervisor. * Compile data to substantiate and utilize to resolve payer, system or escalated account issues. * Assist new or existing staff with training or techniques to increase production and quality as needed. * Participate and attend meetings, training seminars and in-services to develop job knowledge. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Thorough understanding of the revenue cycle process, from patient access (authorization, admissions) through Patient Financial Services (billing, insurance appeals, collections) procedures and policies * Good written and verbal communication skills * Intermediate technical skills including PC and MS Outlook * Strong interpersonal skills * Above average analytical and critical thinking skills * Ability to make sound decisions * Has a full understanding of the Commercial, Managed Care, Medicare and Medicaid collections, Intermediate knowledge of Managed Care contracts, Contract Language and Federal and State requirements for government payors * Advanced knowledge of UB-04 and Explanation of Benefits (EOB) interpretation * Intermediate knowledge of CPT and ICD-9 codes * Advanced knowledge of insurance billing, collections and insurance terminology Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. * High school diploma or equivalent education * 2-5 years experience in Medical/Hospital Insurance related collections * Minimum typing requirement of 45 wpm PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Office/Teamwork Environment * Ability to sit and work at a computer for extended periods of time WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $17.20 - $25.70 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********
    $17.2-25.7 hourly 8d ago
  • Billing Specialist

    Tenet Healthcare Corporation 4.5company rating

    Boca Raton, FL jobs

    Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At Tenet Physician Resources, were seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success. At Tenet Physician Resources, we understand that our greatest asset is our dedicated team of professionals. That's why we offer more than a job - we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include: * Medical, dental, vision, and life insurance * 401(k) retirement savings plan with employer match * Generous paid time off * Career development and continuing education opportunities * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance Note: Eligibility for benefits may vary by location and is determined by employment status * Adheres to and supports the mission, purpose, philosophy, objectives, policies, and procedures of Tenet Physician Resources. * Adheres to the Tenet HIPAA Compliance Plan and the Privacy Standards Confidentiality Agreement. * Registers patients accurately, collects demographic information, verifies insurance eligibility, and enters data into the electronic system. * Accurately enters anesthesia charges in a timely manner and prepares clean claims for submission to commercial, government, and managed care payers. * Reviews and works practice claim edits, and denials to ensure prompt resolution and correction of billing errors. * Collects pre-payments, and reviews delinquent insurance and patient balances to initiate collections. * Responds to billing inquiries and provides clear, courteous communication to patients, providers, and insurance representatives. * Reviews and investigates rejected or denied claims, documenting actions taken and collaborating with the team to prevent recurrence of similar denials. * Answers office phones promptly, returns calls or messages by close of day, and assists patients with billing-related questions or routes calls appropriately. * Additional responsibilities as needed. A non-exempt medical office position responsible for supporting the billing, registration, and financial processes for an anesthesia physician group. This position ensures accurate data entry, charge capture, claim submission, and resolution of billing issues in compliance with Tenet Physician Resources policies and federal regulations. Education High school diploma or GED required. Completion of a medical billing or medical office assistant program preferred. Certification Certification in healthcare management, billing, or administration preferred. Experience Minimum of 2 years of experience working in a medical office or billing department. Prior experience in anesthesia or procedural specialty billing strongly preferred. #LI-WB1 Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********
    $33k-42k yearly est. 22d ago
  • Billing Specialist

    Tenet Healthcare 4.5company rating

    Boca Raton, FL jobs

    A non-exempt medical office position responsible for supporting the billing, registration, and financial processes for an anesthesia physician group. This position ensures accurate data entry, charge capture, claim submission, and resolution of billing issues in compliance with Tenet Physician Resources policies and federal regulations. Education High school diploma or GED required. Completion of a medical billing or medical office assistant program preferred. Certification Certification in healthcare management, billing, or administration preferred. Experience Minimum of 2 years of experience working in a medical office or billing department. Prior experience in anesthesia or procedural specialty billing strongly preferred. #LI-WB1 Adheres to and supports the mission, purpose, philosophy, objectives, policies, and procedures of Tenet Physician Resources. Adheres to the Tenet HIPAA Compliance Plan and the Privacy Standards Confidentiality Agreement. Registers patients accurately, collects demographic information, verifies insurance eligibility, and enters data into the electronic system. Accurately enters anesthesia charges in a timely manner and prepares clean claims for submission to commercial, government, and managed care payers. Reviews and works practice claim edits, and denials to ensure prompt resolution and correction of billing errors. Collects pre-payments, and reviews delinquent insurance and patient balances to initiate collections. Responds to billing inquiries and provides clear, courteous communication to patients, providers, and insurance representatives. Reviews and investigates rejected or denied claims, documenting actions taken and collaborating with the team to prevent recurrence of similar denials. Answers office phones promptly, returns calls or messages by close of day, and assists patients with billing-related questions or routes calls appropriately. Additional responsibilities as needed.
    $33k-42k yearly est. Auto-Apply 27d ago
  • Billing Specialist

    Tenet Healthcare Corporation 4.5company rating

    Houston, TX jobs

    Fuel your passion for patient-centered care and elevate your medical career in our thriving physician office. Join our collaborative team, where every day brings new opportunities to make a meaningful impact on the well-being of our community. At Tenet Physician Resources, we understand that our greatest asset is our dedicated team of professionals. That's why we offer more than a job - we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include: * Medical, dental, vision, and life insurance * 401(k) retirement savings plan with employer match * Generous paid time off * Career development and continuing education opportunities * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance Note: Eligibility for benefits may vary by location and is determined by employment status * Enter charges in a timely manner. * File claims and run/work audit trails daily * Process ERAs, payments, and adjustments * Balance daily activity * Prepare and send Batch Cover Sheet to Director and accounting * Ensure that front office staff properly collects copays and balances due at time of service by auditing patient financial data up to 2 days before visit * Review/work delinquent insurance and patient balances Work credit balances * Run reports as requested by management or accounting Support billing and collections functions of the medical practice. Education Required: High school diploma/GED required Preferred: Completion billing or coding program Experience Required: Must have a minimum of 2 years of experience working in medical billing #LI-JK1 Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********
    $35k-43k yearly est. 22d ago
  • Billing Specialist

    Tenet Healthcare Corporation 4.5company rating

    Delray Beach, FL jobs

    Embark on a rewarding career with Tenet Physician Resources. If you are a compassionate healthcare professional eager to contribute to patient care, this is your opportunity where your skills make a difference every day. Join us in delivering exceptional healthcare with a personal touch. At Tenet Physician Resources, we understand that our greatest asset is our dedicated team of professionals. That's why we offer more than a job - we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include: * Medical, dental, vision, and life insurance * 401(k) retirement savings plan with employer match * Generous paid time off * Career development and continuing education opportunities * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance Note: Eligibility for benefits may vary by location and is determined by employment status * Adheres to and supports the mission, purpose, philosophy, objectives, policies, and procedures of Tenet Physician Resources. * Adheres to the Tenet HIPAA Compliance Plan and the Privacy Standards Confidentiality Agreement. * Registers patients accurately, collects demographic information, verifies insurance eligibility, and enters data into the electronic system. * Accurately enters anesthesia charges in a timely manner and prepares clean claims for submission to commercial, government, and managed care payers. * Reviews and works practice claim edits, and denials to ensure prompt resolution and correction of billing errors. * Collects pre-payments, and reviews delinquent insurance and patient balances to initiate collections. * Responds to billing inquiries and provides clear, courteous communication to patients, providers, and insurance representatives. * Reviews and investigates rejected or denied claims, documenting actions taken and collaborating with the team to prevent recurrence of similar denials. * Answers office phones promptly, returns calls or messages by close of day, and assists patients with billing-related questions or routes calls appropriately. * Additional responsibilities as needed. A non-exempt medical office position responsible for supporting the billing, registration, and financial processes for an anesthesia physician group. This position ensures accurate data entry, charge capture, claim submission, and resolution of billing issues in compliance with Tenet Physician Resources policies and federal regulations. Education High school diploma or GED required. Completion of a medical billing or medical office assistant program preferred. Certification Certification in healthcare management, billing, or administration preferred. Experience Minimum of 2 years of experience working in a medical office or billing department. Prior experience in anesthesia or procedural specialty billing strongly preferred. #LI-WB1 Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********
    $33k-42k yearly est. 43d ago
  • Billing Specialist I

    Community Health System 4.5company rating

    Naples, FL jobs

    As a Billing Specialist at Physician's Regional Medical Group you'll join a team and be a part of a culture that's dedicated to providing top quality care to our patients. Our full-time employees enjoy a robust benefits package which may include health insurance, 401(k), licensure/certification reimbursement, tuition reimbursement, and student loan assistance for eligible roles. Job Summary The Billing Specialist I is responsible for performing insurance claim processing, billing, and follow-up to ensure timely and accurate reimbursement. This position serves as the primary contact for insurance companies and other payers, researching and resolving claim issues while maintaining compliance with billing regulations and organizational policies. The Billing Specialist I works closely with internal teams, including clinic staff and coding professionals, to optimize billing operations and support revenue cycle efficiency. Essential Functions * Submits and processes claims accurately and efficiently, ensuring compliance with payer requirements and company policies. * Communicates with insurance companies, patients, and other stakeholders to resolve billing inquiries and maintain account status. * Reviews and reconciles credit balances, reclassifies revenue, and processes adjustments per transaction coding guidelines. * Monitors and resolves claim denials and rejections, identifying trends and implementing corrective actions. * Reviews and corrects claim filing edits based on payer requirements and electronic health record (EHR) system alerts. * Maintains accurate documentation of all billing actions in the practice management system. * Gathers, updates, and communicates billing policy changes, ensuring accessibility of up-to-date reference materials. * Collaborates with management, clinic staff, and coding teams to ensure proper billing and collection procedures. * Assists patients and insurance representatives with billing-related questions while maintaining professionalism. * Ensures compliance with HIPAA regulations and maintains confidentiality of patient financial and medical information. * Performs other duties as assigned. * Complies with all policies and standards. Qualifications * Associate Degree in a healthcare related field preferred or * Technical School for Medical Billing or Coding preferred * 0-2 years of experience in medical billing, insurance claims processing, or revenue cycle management required Knowledge, Skills and Abilities * Knowledge of medical billing processes, insurance claim procedures, and payer policies. * Strong understanding of healthcare revenue cycle operations and reimbursement methodologies. * Proficiency in electronic health records (EHR) and practice management systems (e.g., Athena, Cerner, Ingenious Med). * Ability to interpret explanation of benefits (EOBs), identify billing discrepancies, and take corrective action. * Excellent communication and interpersonal skills to interact with patients, providers, and payers professionally. * Strong analytical and problem-solving abilities to research and resolve billing issues. * Attention to detail and ability to manage multiple tasks while meeting deadlines. * Working knowledge of HIPAA regulations and the importance of maintaining patient confidentiality. Licenses and Certifications * CPB- Certified Medical Biller issued by AAPC preferred or * Certified Medical Insurance Specialist (CMIS) issued by PMI preferred This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for any employer.
    $26k-33k yearly est. 14d ago
  • Billing Specialist I

    Community Health Systems 4.5company rating

    Naples, FL jobs

    As a **Billing Specialist** at **Physician's Regional Medical Group** you'll join a team and be a part of a culture that's dedicated to providing top quality care to our patients. Our full-time employees enjoy a robust benefits package which may include **health insurance, 401(k), licensure/certification reimbursement, tuition reimbursement, and student loan assistance for eligible roles.** **Job Summary** The Billing Specialist I is responsible for performing insurance claim processing, billing, and follow-up to ensure timely and accurate reimbursement. This position serves as the primary contact for insurance companies and other payers, researching and resolving claim issues while maintaining compliance with billing regulations and organizational policies. The Billing Specialist I works closely with internal teams, including clinic staff and coding professionals, to optimize billing operations and support revenue cycle efficiency. **Essential Functions** + Submits and processes claims accurately and efficiently, ensuring compliance with payer requirements and company policies. + Communicates with insurance companies, patients, and other stakeholders to resolve billing inquiries and maintain account status. + Reviews and reconciles credit balances, reclassifies revenue, and processes adjustments per transaction coding guidelines. + Monitors and resolves claim denials and rejections, identifying trends and implementing corrective actions. + Reviews and corrects claim filing edits based on payer requirements and electronic health record (EHR) system alerts. + Maintains accurate documentation of all billing actions in the practice management system. + Gathers, updates, and communicates billing policy changes, ensuring accessibility of up-to-date reference materials. + Collaborates with management, clinic staff, and coding teams to ensure proper billing and collection procedures. + Assists patients and insurance representatives with billing-related questions while maintaining professionalism. + Ensures compliance with HIPAA regulations and maintains confidentiality of patient financial and medical information. + Performs other duties as assigned. + Complies with all policies and standards. **Qualifications** + Associate Degree in a healthcare related field preferred or + Technical School for Medical Billing or Coding preferred + 0-2 years of experience in medical billing, insurance claims processing, or revenue cycle management required **Knowledge, Skills and Abilities** + Knowledge of medical billing processes, insurance claim procedures, and payer policies. + Strong understanding of healthcare revenue cycle operations and reimbursement methodologies. + Proficiency in electronic health records (EHR) and practice management systems (e.g., Athena, Cerner, Ingenious Med). + Ability to interpret explanation of benefits (EOBs), identify billing discrepancies, and take corrective action. + Excellent communication and interpersonal skills to interact with patients, providers, and payers professionally. + Strong analytical and problem-solving abilities to research and resolve billing issues. + Attention to detail and ability to manage multiple tasks while meeting deadlines. + Working knowledge of HIPAA regulations and the importance of maintaining patient confidentiality. **Licenses and Certifications** + CPB- Certified Medical Biller issued by AAPC preferred or + Certified Medical Insurance Specialist (CMIS) issued by PMI preferred This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for any employer. Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
    $26k-33k yearly est. 60d+ ago
  • Billing Specialist I

    Community Health Systems 4.5company rating

    Naples, FL jobs

    As a Billing Specialist at Physician's Regional Medical Group you'll join a team and be a part of a culture that's dedicated to providing top quality care to our patients. Our full-time employees enjoy a robust benefits package which may include health insurance, 401(k), licensure/certification reimbursement, tuition reimbursement, and student loan assistance for eligible roles. Job Summary The Billing Specialist I is responsible for performing insurance claim processing, billing, and follow-up to ensure timely and accurate reimbursement. This position serves as the primary contact for insurance companies and other payers, researching and resolving claim issues while maintaining compliance with billing regulations and organizational policies. The Billing Specialist I works closely with internal teams, including clinic staff and coding professionals, to optimize billing operations and support revenue cycle efficiency. Essential Functions Submits and processes claims accurately and efficiently, ensuring compliance with payer requirements and company policies. Communicates with insurance companies, patients, and other stakeholders to resolve billing inquiries and maintain account status. Reviews and reconciles credit balances, reclassifies revenue, and processes adjustments per transaction coding guidelines. Monitors and resolves claim denials and rejections, identifying trends and implementing corrective actions. Reviews and corrects claim filing edits based on payer requirements and electronic health record (EHR) system alerts. Maintains accurate documentation of all billing actions in the practice management system. Gathers, updates, and communicates billing policy changes, ensuring accessibility of up-to-date reference materials. Collaborates with management, clinic staff, and coding teams to ensure proper billing and collection procedures. Assists patients and insurance representatives with billing-related questions while maintaining professionalism. Ensures compliance with HIPAA regulations and maintains confidentiality of patient financial and medical information. Performs other duties as assigned. Complies with all policies and standards. Qualifications Associate Degree in a healthcare related field preferred or Technical School for Medical Billing or Coding preferred 0-2 years of experience in medical billing, insurance claims processing, or revenue cycle management required Knowledge, Skills and Abilities Knowledge of medical billing processes, insurance claim procedures, and payer policies. Strong understanding of healthcare revenue cycle operations and reimbursement methodologies. Proficiency in electronic health records (EHR) and practice management systems (e.g., Athena, Cerner, Ingenious Med). Ability to interpret explanation of benefits (EOBs), identify billing discrepancies, and take corrective action. Excellent communication and interpersonal skills to interact with patients, providers, and payers professionally. Strong analytical and problem-solving abilities to research and resolve billing issues. Attention to detail and ability to manage multiple tasks while meeting deadlines. Working knowledge of HIPAA regulations and the importance of maintaining patient confidentiality. Licenses and Certifications CPB- Certified Medical Biller issued by AAPC preferred or Certified Medical Insurance Specialist (CMIS) issued by PMI preferred This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for any employer.
    $26k-33k yearly est. Auto-Apply 14d ago
  • Billing Specialist

    Tenet Healthcare 4.5company rating

    Tomball, TX jobs

    Support billing and collections functions of the medical practice. Education Required: High school diploma/GED required Preferred: Completion billing or coding program Experience Required: Must have a minimum of 2 years of experience working in medical billing #LI-JK1 Enter charges in a timely manner. File claims and run/work audit trails daily Process ERAs, payments, and adjustments Balance daily activity Prepare and send Batch Cover Sheet to Director and accounting Ensure that front office staff properly collects copays and balances due at time of service by auditing patient financial data up to 2 days before visit Review/work delinquent insurance and patient balances Work credit balances Run reports as requested by management or accounting
    $35k-43k yearly est. Auto-Apply 22d ago
  • Billing Specialist - Clinics

    Community Health Systems 4.5company rating

    Hattiesburg, MS jobs

    As a Billing Specialist I, you'll join a team and be a part of a culture that's dedicated to providing top quality care to our patients. Our full-time employees enjoy a robust benefits package which may include health insurance, 401(k), licensure/certification reimbursement, tuition reimbursement, and student loan assistance for eligible roles. Job Summary The Billing Specialist I is responsible for performing insurance claim processing, billing, and follow-up to ensure timely and accurate reimbursement. This position serves as the primary contact for insurance companies and other payers, researching and resolving claim issues while maintaining compliance with billing regulations and organizational policies. Essential Functions Submits and processes claims accurately and efficiently, ensuring compliance with payer requirements and company policies. Communicates with insurance companies, patients, and other stakeholders to resolve billing inquiries and maintain account status. Reviews and reconciles credit balances, reclassifies revenue, and processes adjustments per transaction coding guidelines. Monitors and resolves claim denials and rejections, identifying trends and implementing corrective actions. Reviews and corrects claim filing edits based on payer requirements and electronic health record (EHR) system alerts. Maintains accurate documentation of all billing actions in the practice management system. Gathers, updates, and communicates billing policy changes, ensuring accessibility of up-to-date reference materials. Collaborates with management, clinic staff, and coding teams to ensure proper billing and collection procedures. Assists patients and insurance representatives with billing-related questions while maintaining professionalism. Ensures compliance with HIPAA regulations and maintains confidentiality of patient financial and medical information. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications 0-2 years of experience in medical billing, insurance claims processing, or revenue cycle management required Knowledge, Skills and Abilities Knowledge of medical billing processes, insurance claim procedures, and payer policies. Strong understanding of healthcare revenue cycle operations and reimbursement methodologies. Proficiency in electronic health records (EHR) and practice management systems (e.g., Athena, Cerner, Ingenious Med). Ability to interpret explanation of benefits (EOBs), identify billing discrepancies, and take corrective action. Excellent communication and interpersonal skills to interact with patients, providers, and payers professionally. Strong analytical and problem-solving abilities to research and resolve billing issues. Attention to detail and ability to manage multiple tasks while meeting deadlines. Working knowledge of HIPAA regulations and the importance of maintaining patient confidentiality. Licenses and Certifications CPB- Certified Medical Biller issued by AAPC preferred or Certified Medical Insurance Specialist (CMIS) issued by PMI preferred This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for an employer.
    $32k-39k yearly est. Auto-Apply 14d ago
  • Billing Specialist - Clinics

    Community Health System 4.5company rating

    Hattiesburg, MS jobs

    As a Billing Specialist I, you'll join a team and be a part of a culture that's dedicated to providing top quality care to our patients. Our full-time employees enjoy a robust benefits package which may include health insurance, 401(k), licensure/certification reimbursement, tuition reimbursement, and student loan assistance for eligible roles. Job Summary The Billing Specialist I is responsible for performing insurance claim processing, billing, and follow-up to ensure timely and accurate reimbursement. This position serves as the primary contact for insurance companies and other payers, researching and resolving claim issues while maintaining compliance with billing regulations and organizational policies. Essential Functions * Submits and processes claims accurately and efficiently, ensuring compliance with payer requirements and company policies. * Communicates with insurance companies, patients, and other stakeholders to resolve billing inquiries and maintain account status. * Reviews and reconciles credit balances, reclassifies revenue, and processes adjustments per transaction coding guidelines. * Monitors and resolves claim denials and rejections, identifying trends and implementing corrective actions. * Reviews and corrects claim filing edits based on payer requirements and electronic health record (EHR) system alerts. * Maintains accurate documentation of all billing actions in the practice management system. * Gathers, updates, and communicates billing policy changes, ensuring accessibility of up-to-date reference materials. * Collaborates with management, clinic staff, and coding teams to ensure proper billing and collection procedures. * Assists patients and insurance representatives with billing-related questions while maintaining professionalism. * Ensures compliance with HIPAA regulations and maintains confidentiality of patient financial and medical information. * Performs other duties as assigned. * Maintains regular and reliable attendance. * Complies with all policies and standards. Qualifications * 0-2 years of experience in medical billing, insurance claims processing, or revenue cycle management required Knowledge, Skills and Abilities * Knowledge of medical billing processes, insurance claim procedures, and payer policies. * Strong understanding of healthcare revenue cycle operations and reimbursement methodologies. * Proficiency in electronic health records (EHR) and practice management systems (e.g., Athena, Cerner, Ingenious Med). * Ability to interpret explanation of benefits (EOBs), identify billing discrepancies, and take corrective action. * Excellent communication and interpersonal skills to interact with patients, providers, and payers professionally. * Strong analytical and problem-solving abilities to research and resolve billing issues. * Attention to detail and ability to manage multiple tasks while meeting deadlines. * Working knowledge of HIPAA regulations and the importance of maintaining patient confidentiality. Licenses and Certifications * CPB- Certified Medical Biller issued by AAPC preferred or * Certified Medical Insurance Specialist (CMIS) issued by PMI preferred This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for an employer.
    $32k-39k yearly est. 14d ago
  • Billing Specialist - Clinics

    Community Health Systems 4.5company rating

    Hattiesburg, MS jobs

    As a Billing Specialist I, you'll join a team and be a part of a culture that's dedicated to providing top quality care to our patients. Our full-time employees enjoy a robust benefits package which may include health insurance, 401(k), licensure/certification reimbursement, tuition reimbursement, and student loan assistance for eligible roles. **Job Summary** The Billing Specialist I is responsible for performing insurance claim processing, billing, and follow-up to ensure timely and accurate reimbursement. This position serves as the primary contact for insurance companies and other payers, researching and resolving claim issues while maintaining compliance with billing regulations and organizational policies. **Essential Functions** + Submits and processes claims accurately and efficiently, ensuring compliance with payer requirements and company policies. + Communicates with insurance companies, patients, and other stakeholders to resolve billing inquiries and maintain account status. + Reviews and reconciles credit balances, reclassifies revenue, and processes adjustments per transaction coding guidelines. + Monitors and resolves claim denials and rejections, identifying trends and implementing corrective actions. + Reviews and corrects claim filing edits based on payer requirements and electronic health record (EHR) system alerts. + Maintains accurate documentation of all billing actions in the practice management system. + Gathers, updates, and communicates billing policy changes, ensuring accessibility of up-to-date reference materials. + Collaborates with management, clinic staff, and coding teams to ensure proper billing and collection procedures. + Assists patients and insurance representatives with billing-related questions while maintaining professionalism. + Ensures compliance with HIPAA regulations and maintains confidentiality of patient financial and medical information. + Performs other duties as assigned. + Maintains regular and reliable attendance. + Complies with all policies and standards. **Qualifications** + 0-2 years of experience in medical billing, insurance claims processing, or revenue cycle management required **Knowledge, Skills and Abilities** + Knowledge of medical billing processes, insurance claim procedures, and payer policies. + Strong understanding of healthcare revenue cycle operations and reimbursement methodologies. + Proficiency in electronic health records (EHR) and practice management systems (e.g., Athena, Cerner, Ingenious Med). + Ability to interpret explanation of benefits (EOBs), identify billing discrepancies, and take corrective action. + Excellent communication and interpersonal skills to interact with patients, providers, and payers professionally. + Strong analytical and problem-solving abilities to research and resolve billing issues. + Attention to detail and ability to manage multiple tasks while meeting deadlines. + Working knowledge of HIPAA regulations and the importance of maintaining patient confidentiality. **Licenses and Certifications** + CPB- Certified Medical Biller issued by AAPC preferred or + Certified Medical Insurance Specialist (CMIS) issued by PMI preferred This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for an employer. Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
    $32k-39k yearly est. 13d ago
  • Collections Specialist I - Medicaid (REMOTE)

    Community Health Systems 4.5company rating

    Franklin, TN jobs

    The Collections Specialist I - Medicaid is responsible for performing collection follow-up on outstanding insurance balances, identifying claim issues, and ensuring timely resolution in compliance with government and managed care contract terms. This role requires effective communication with insurance payers, documentation of account activity, and adherence to applicable regulations to support revenue cycle operations. As a Collections Specialist I at Community Health Systems (CHS) - SSC Nashville, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision, insurance, and 401k. **Essential Functions** + Performs follow-up on outstanding insurance balances within the required timeframe, obtaining payment confirmation or required documentation. + Documents all actions taken on accounts within the appropriate system, ensuring a clear and traceable resolution process. + Makes the required number of outbound calls to insurance payers while maintaining professional and courteous communication. + Handles and resolves incoming correspondence within five days of receipt, updating the system with relevant information. + Analyzes assigned accounts using AS400, Meditech, Accurint, Cerner, directory assistance, and credit reports to maximize collection efforts. + Processes inbound and outbound calls professionally, providing exceptional customer service while resolving outstanding balances. + Ensures proper application of account dispositions and follows self-pay policies and procedures. + Adheres to all local, state, and federal laws and regulations, including FDCPA, TCPA, FCRA, CFPB, PCI, UDAAP, and HIPAA compliance standards. + Performs other duties as assigned. + Maintains regular and reliable attendance. + Complies with all policies and standards. **Qualifications** + H.S. Diploma or GED required + Associate Degree in Business, Finance, Healthcare Administration, or a related field preferred + 0-2 years of experience in medical collections, accounts receivable, billing, or healthcare revenue cycle operations required + Experience working with insurance follow-up, claim resolution, and payer communication in a healthcare setting preferred **Knowledge, Skills and Abilities** + Strong understanding of medical collections processes, payer reimbursement policies, and insurance claim resolution. + Proficiency in electronic medical record (EMR) systems, patient accounting systems, and collections software. + Knowledge of insurance contracts, denials management, and accounts receivable workflows. + Excellent problem-solving and analytical skills to research and resolve outstanding claims. + Effective verbal and written communication skills to interact with insurance payers, patients, and internal teams. + Strong attention to detail with the ability to document account activity accurately. + Ability to work independently in a fast-paced environment while meeting productivity and quality standards. + Knowledge of regulatory compliance, including HIPAA, FDCPA, and applicable healthcare finance laws. We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. The Shared Services Center - Nashville provides business office support functions like billing, insurance follow-up, call center customer service, data entry and more for hospitals and healthcare providers. But we're not only about work. We know employing a skilled and engaged team of professionals is vitally important to our success, so we make sure to offer competitive benefits, recognition programs, professional development opportunities and a fun and engaging team environment. Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers. Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
    $28k-32k yearly est. 12d ago
  • Collections Specialist I - Managed Medicare (REMOTE)

    Community Health Systems 4.5company rating

    Franklin, TN jobs

    The Collections Specialist I - Managed Medicare is responsible for performing collection follow-up on outstanding insurance balances, identifying claim issues, and ensuring timely resolution in compliance with government and managed care contract terms. This role requires effective communication with insurance payers, documentation of account activity, and adherence to applicable regulations to support revenue cycle operations. **Essential Functions** + Performs follow-up on outstanding insurance balances within the required timeframe, obtaining payment confirmation or required documentation. + Documents all actions taken on accounts within the appropriate system, ensuring a clear and traceable resolution process. + Makes the required number of outbound calls to insurance payers while maintaining professional and courteous communication. + Handles and resolves incoming correspondence within five days of receipt, updating the system with relevant information. + Analyzes assigned accounts using AS400, Meditech, Accurint, Cerner, directory assistance, and credit reports to maximize collection efforts. + Processes inbound and outbound calls professionally, providing exceptional customer service while resolving outstanding balances. + Ensures proper application of account dispositions and follows self-pay policies and procedures. + Adheres to all local, state, and federal laws and regulations, including FDCPA, TCPA, FCRA, CFPB, PCI, UDAAP, and HIPAA compliance standards. + Performs other duties as assigned. + Maintains regular and reliable attendance. + Complies with all policies and standards. **Qualifications** + H.S. Diploma or GED required + Associate Degree in Business, Finance, Healthcare Administration, or a related field preferred + 0-2 years of experience in medical collections, accounts receivable, billing, or healthcare revenue cycle operations required + Experience working with insurance follow-up, claim resolution, and payer communication in a healthcare setting preferred **Knowledge, Skills and Abilities** + Strong understanding of medical collections processes, payer reimbursement policies, and insurance claim resolution. + Proficiency in electronic medical record (EMR) systems, patient accounting systems, and collections software. + Knowledge of insurance contracts, denials management, and accounts receivable workflows. + Excellent problem-solving and analytical skills to research and resolve outstanding claims. + Effective verbal and written communication skills to interact with insurance payers, patients, and internal teams. + Strong attention to detail with the ability to document account activity accurately. + Ability to work independently in a fast-paced environment while meeting productivity and quality standards. + Knowledge of regulatory compliance, including HIPAA, FDCPA, and applicable healthcare finance laws. Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
    $28k-32k yearly est. 3d ago
  • Billing Specialist (Medicare HMO)

    Acadian Ambulance Service 4.3company rating

    Billing specialist job at Acadian Ambulance

    Acadian Client Services has an immediate opening for a full-time Billing Specialist (Medicare HMO) to join their team in Lafayette, LA. Job Location: Lafayette, LA - This position is based in the office. The hours are Monday-Friday, 8am-5pm. Summary of Duties: Responsible for processing and resolving insurance claims. Ensuring proper payment of claims, appealing of denials and resolution of claims. Essential Functions: Responsible for claim status checks as needed to ensure proper resolution Initiating contact with insurance providers as needed Review and process claim rejections and appeals for research and resolution Monitor payment discrepancies and process payments Review claims for Federal compliance Process incoming correspondence and phone calls specific to the payer type Verification of patient insurance Ensure accuracy of demographic information Other duties and responsibilities as assigned Qualifications: High school diploma or equivalent Previous medical billing experience preferred Proficient in Google, MS Office Suite or related software Ability to communicate clearly and concisely Ability to establish and maintain working relationships with coworkers and patients Punctual with strong attendance history Ability to adhere to productivity goals, departmental and company guidelines, dress code, policies and procedures Excellent interpersonal skills and time management Maintain highest level of confidentiality 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.
    $32k-39k yearly est. 14d ago

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