Care Specialist - Justice-Involved ECM
Account specialist job in San Mateo, CA
Care Specialist - Justice-Involved ECM
Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help. Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our patients. We are able to treat a wide range of needs everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals because we know that health requires care for the whole person. Its no wonder 98% of patients report being fully satisfied with Upward Health!
Job Title & Role Description:
The Care Specialist - ECM is responsible for coordinating care for high-complexity patients, mainly working in the field to provide chronic care coordination and support. This role involves direct outreach to patients through phone calls, home visits, and community interactions. The Care Specialist primarily works in patients' homes and communities (90% of the time) and engages in virtual or telephonic support (10% of the time) The Care Specialist will assess patient needs, help set health goals, and ensure that patients receive the appropriate care and resources, with a focus on increasing access to preventative care, reducing emergency room visits, and enhancing self-management. The role requires excellent communication skills, critical thinking, and the ability to work independently and adapt to evolving challenges.
Skills Required:
At least 2 years of relevant work experience as a Community Health Worker, Peer Support Specialist, Medical Assistant, or in a similar role.
High school diploma or GED required.
A valid drivers license and auto liability insurance.
Reliable transportation and the ability to travel within assigned territory or as needed.
Experience in care coordination for individuals with chronic conditions, behavioral health conditions, or with patients experiencing housing insecurities including homelessness.
Strong interpersonal and motivational interviewing skills to build trust and rapport with patients.
Familiarity with trauma-informed care, care coordination, and patient education.
Proficiency in the use of electronic medical records (EMR) systems and basic computer skills.
Technologically savvy and able to manage documentation and data entry effectively.
Ability to work independently in a field-based environment and as part of a team.
Multi-lingual capabilities preferred but not required.
Prior home care or Enhanced Care Management experience a plus.
Community Health Worker certification is a plus.
Key Behaviors:
Adaptability:
Ability to work in dynamic, unstructured environments, pivoting quickly to meet the needs of patients and the organization.
Critical Thinking & Problem Solving:
Demonstrates strong problem-solving skills when assessing patient needs and determining the best course of action.
Motivational Interviewing & Empathy:
Uses motivational interviewing techniques to build rapport, set health goals, and empower patients to take charge of their care.
Relationship Building:
Skilled in establishing trust and fostering strong relationships with patients, families, and team members.
Self-Starter:
Takes initiative to perform outreach, complete assessments, and follow through with care coordination independently.
Organizational Skills:
Excellent at managing time, tasks, and schedules, ensuring that all patient needs are addressed in a timely manner.
Resilience:
Demonstrates resilience in challenging situations and remains focused on the goal of improving patient outcomes despite setbacks.
Cultural Competence:
Demonstrates sensitivity to and understanding of diverse cultural backgrounds, ensuring that care is provided in a culturally inclusive manner.
Commitment to Quality Care:
Shows passion for delivering high-quality care and support to patients, ensuring their well-being and satisfaction.
Competencies:
Care Coordination:
Ability to assess patient needs, coordinate care with interdisciplinary teams, and ensure patients are receiving the appropriate services.
Patient Advocacy:
Supports patients by navigating healthcare systems, advocating for needed resources, and ensuring timely access to care.
Health Education & Communication:
Educates patients about their health conditions, treatments, and the healthcare system in a clear and empathetic manner.
Data Management & Reporting:
Proficient in documenting patient interactions and maintaining accurate, up-to-date records in EMR systems.
Patient Outreach & Engagement:
Proactively reaches out to patients through multiple communication channels, including phone, in-person visits, and community outreach.
Goal Setting & Self-Management:
Works with patients to develop self-care plans, emphasizing shared decision-making and increasing the patients ability to manage their own health.
Collaboration & Teamwork:
Works effectively as part of an interdisciplinary care team to achieve organizational goals and improve patient outcomes.
Crisis Management & Flexibility:
Demonstrates flexibility and adaptability in managing unforeseen challenges, providing support where it is needed most.
Technical Proficiency:
Skilled in using healthcare software applications and systems for accurate data entry and patient management.
Upward Health is proud to be an equal opportunity employer. We are committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position.
California pay range
$24-$27 USD
Upward Health Benefits
Upward Health Core Values
Upward Health YouTube Channel
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Medical Billing Manager
Account specialist job in San Diego, CA
Rady Children's Physician Management Services (RCPMS) offers exciting opportunities for qualified candidates to join our rapidly growing organization. We are a wholly owned subsidiary of Rady Children's Hospital and Health Center with just over 500 employees. RCPMS supports primary care pediatricians with 29 office locations throughout San Diego and Southern Riverside Counties.
RCPMS seeks a friendly, motivated, and experienced individual for our open PFS Manager position. This is a Full-Time position. Hours of operation are Monday through Friday, 8:00am to 5:00pm. On site.
SUMMARY
The Manager, Patient Financial Services (PFS) provides oversight of patient billing and collection within billing operations under the direction of the Director of Patient Financial Services. Monitors work processes and identifies/implements process improvement opportunities. The Manager, PFS oversees and evaluates Patient Financial Services staff, monitors and ensures compliance with Federal, State and industry standards and regulations, prioritizes and maintains timely turnaround, serves as resource for billing issues, performs periodic audits, and acts as the primary contact for escalated customer service concerns.
EDUCATION AND EXPERIENCE
High school diploma or equivalent
Minimum of 5 years supervisory and leadership experience in medical billing office environment
Epic experience preferred
QUALIFICATIONS
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.
For full-time positions RCPMS offers the full scope of benefits, a competitive compensation package and opportunities for professional growth.
Employee Benefits include but are not limited to:
Student Loan Repayment
Tuition Assistance Program
Medical, Dental & Vision Coverage
Matching 401k
Paid Time Off & Paid Holidays
Employee Assistance Program
Group Life and AD&D Insurance
If you want to work with a great group of people, we invite you to join us in promoting the health of children within our communities.
For full-time positions RCPMS offers the full scope of benefits, a competitive compensation package and opportunities for professional growth.
Rady Children's Physician Management Services is proud to be an Equal Opportunity Employer.
To be considered, please submit a resume and cover letter.
The reasonably expected salary range for this position is between $89,120.00-$120,000.00 a year depending on qualifications including education and relevant experience.
Customer Support Specialist
Account specialist job in San Francisco, CA
Responsible for handling all walk-in customers by responding to inquiries for all lines of business. Primary duties may include, but are not limited to: Receives and verifies premium payments. Assists customers with information required to make decisions on health care coverage that best meets their needs by explaining benefits and rates for all policies. Researches and responds to walk-in customer concerns. Accepts premium payments and prepares written receipts. Assists customers in the selection of health care coverage that best suits their needs. Assist customers in making policy change decisions that result in retained business. Identify complex and unusual inquiries that may cause problems; document and submit problem reports for resolution; tracks trends and problems that directly impact company performance. Provide feedback to appropriate areas to improve service. Acts as liaison between customer and operating units. Assists with research of executive inquiries. Requires HS diploma or equivalent and a minimum of 5 years of operations or customer service experience; or any combination of education and experience which would provide an equivalent background. Life and Health License preferred. Bi-lingual required in some locations. Prior sales experience preferred.
Call Center Specialist
Account specialist job in Alhambra, CA
REMOTE
Shift Schedule: Shifts can vary between 6:45 AM and 11:00 PM. The most common shifts are:
11:00 AM - 7:30 PM
12:00 PM - 8:30 PM
2:30 PM - 11:00 PM
Weekend and holiday shifts follow the same structure. If scheduled on a weekend, employees will receive two days off during the week.
Position Details:
This is an entry-level role that requires answering 75+ calls per day and managing after-hours calls to providers.
Serves as primary point of contact for access to USC academic medical centers and USC Health Sciences Campus. Answers,
screens and directs incoming and outgoing telephone calls, electronic messages and other web-based communications using a
call management system. Responds to basic inquires and refers other inquires to appropriate medical personnel. Contacts and
distributes messages to medical personnel using a variety of electronic methods including text, voice and email systems. The
Patient Access Liaison I may schedule and confirm initial and follow-up medical appointments as needed.
Billing Clerk
Account specialist job in Fremont, CA
Duration - 6 Month Contract to Hire
Pay $30-32/hr
Job Summary: As an A/R and Billing Clerk, you will manage all aspects of customer invoicing and payments. This is a crucial role for the accounting team, responsible for generating accurate invoices, processing payments, and maintaining precise customer account records. You will report directly to the Accounting Manager and serve as a key support for the department.
Key Responsibilities:
Invoice and Billing: Generate and distribute invoices based on sales orders, process credit memos and back orders, and handle customer credit card transactions.
Customer Accounts: Create and maintain new and existing customer accounts, ensuring all billing information and tax codes are accurate and up-to-date.
Payment Processing: Receive and apply payments from various channels (ACH, wire, credit card, cash) to customer accounts, resolving any discrepancies to ensure accurate balances.
Reporting & Communication: Prepare weekly aging reports for management review, generate cash application activity reports, and communicate with customers to resolve billing issues or clarify payment details.
Department Support: Work collaboratively with other departments like shipping and customer service, assist with year-end archiving, and perform other accounting tasks as needed.
Qualifications:
Education: Post-secondary education in accounting or a related field.
Experience: A minimum of 2+ years of related experience is preferred.
Skills:
Proficiency in accounting software and MS Office (especially Excel, Outlook, and Word).
Strong understanding of basic accounting principles.
Excellent data entry skills with a high degree of attention to detail.
Solid customer service and communication abilities.
Knowledge of tax regulations related to billing.
Additional Requirements:
Must be reliable and able to maintain a consistent attendance record.
Excellent time management skills and the ability to multitask and prioritize effectively.
Comfortable working independently while also being a flexible and supportive team member.
This role requires prolonged periods of sitting and working on a computer.
Customer Success Specialist
Account specialist job in San Francisco, CA
Do you love developing and nurturing great relationships?
As an N2S Customer Success Specialist, you will be responsible for managing and growing our Fortune 500 accounts, understanding their staffing requirements, and ensuring the successful placement of qualified candidates. You will play a crucial role in building strong client relationships and contributing to the growth and success of N2S
Location: Remote from Bay Area, SFC, CA
Qualifications:
Must have 3-5 years of overall experience in the Staffing & Recruiting Industry with hands on recruiting experience and exposure of client communication preferably with LifeSciences or IT MSP clients.
Strong understanding of working with VMS and MSP based accounts.
Any experience working with a Hybrid/Offshore delivery model will be a plus.
Proven experience in staffing, recruiting & client communication, supporting client/ MSP programs from a supplier side.
Strong interpersonal and communication skills.
Excellent negotiation and problem-solving abilities.
Excellent reputation and relationship-building skills.
Ability to work in a fast-paced, target-driven environment.
Must be a self driven and highly motivated individual.
Proficiency in using applicant tracking systems (ATS) and other relevant software.
Key Responsibilities:
Be the single point of contact for our Fortune 500 clients
Build long-term client partnerships to understand their challenges and provide solution.
Maximize market share with a client to make us their trusted staffing supplier.
Qualify new job orders and work with the delivery lead for better coverage and support.
Present candidates to Hiring Managers and follow up for feedback .
Coordinate with Client to schedule candidate interviews and onboarding.
Coordinate with recruiting team including screening, orientation, and placement of candidates.
Use CRM/ATS (Job Diva) to manage activities.
Constant communication with clients to build rapport and to obtain critical information including, job descriptions, referrals, and business leads.
Additional Requirements:
Must be open to travel across the country, especially locally, and support clients from their offices.
Availability to work outside regular office hours, if needed.
Benefits of working at N2S:
Uncapped Commissions
100% Contribution to Health/Dental/Vision
Customs Specialist - Team Lead
Account specialist job in San Francisco, CA
📌 Job Title: Customs Entry Team Lead
🕒 Full-Time | On-site
A global leader in transport and logistics is seeking a Customs Entry Team Lead to oversee import compliance operations and support a high-performing customs brokerage team.
This is a great opportunity for an experienced customs professional ready to step into a leadership role, contribute to international trade compliance, and help drive operational excellence across global supply chains.
🔍 Key Responsibilities
Mentor a team of entry writers handling customs documentation and clearance
Ensure compliance with U.S. Customs regulations and international trade laws
Review and approve complex customs entries, including HTS classification and valuation
Communicate with government agencies, carriers, and clients to resolve clearance issues
Maintain accurate records and ensure audit readiness
Monitor regulatory changes and implement best practices within the team
Collaborate cross-functionally with operations, freight, and compliance teams
✅ Ideal Background
3+ years in customs brokerage or import/export operations
In-depth knowledge of U.S. customs regulations, ACE, and HTS classification
Experience leading or mentoring a team (formal or informal)
Strong attention to detail, organizational skills, and ability to manage deadlines
Proficient with Microsoft Office and customs brokerage platforms (Cargowise)
Customs Broker License is a plus
Experience with a wide range of commodities preferred
💼 What's Offered
Competitive compensation
Career growth in a global logistics environment
Exposure to a wide range of industries and complex customs scenarios
A collaborative, fast-paced, and supportive work culture
Medical Billing Specialist
Account specialist job in Livermore, CA
Handling inbound calls related to billing statement inquiries
• Following up on outstanding patient balances
• Interpreting EOBs (Explanation of Benefits)
Strong medical billing and insurance knowledge
• Experience with customer service in a healthcare setting
• Resolving unpaid accounts efficiently while meeting quality and productivity standards
Customs Specialist
Account specialist job in La Mirada, CA
The Customs Entry Writer is responsible for preparing and filing accurate U.S. Customs entries for imported goods, ensuring compliance with all CBP, FDA, USDA, and other Partner Government Agency (PGA) regulations. The role requires strong knowledge of import documentation, Harmonized Tariff classification, valuation, and partner agency release procedures, particularly for commodities regulated by the FDA (Food and Drug Administration) and USDA (U.S. Department of Agriculture).
Key Responsibilities
Prepare, review, and submit customs entries through ACE/ABI systems in compliance with CBP, FDA, and USDA requirements.
Classify products accurately under the Harmonized Tariff Schedule (HTSUS) and determine applicable duties, taxes, and fees.
Handle entries involving FDA-regulated commodities (food, medical devices, cosmetics, pharmaceuticals) and USDA-regulated products (plants, produce, agricultural commodities, animal-based goods).
Coordinate with freight forwarders, importers, and vendors to obtain complete and compliant import documentation (commercial invoice, packing list, bill of lading, etc.).
Verify admissibility and ensure all necessary licenses, permits, and certificates obtained for FDA/USDA releases.
Communicate with FDA and USDA officers as needed to resolve holds, exams, and document requests.
Maintain up-to-date knowledge of current import regulations, changes in tariff codes, and partner government agency procedures.
Track and monitor entry status from filing through final release and delivery.
Assist in preparing Post Summary Corrections (PSC), protests, and other compliance filings as required.
Support internal and external audits by providing entry documentation and compliance records.
Maintain accurate data entry and filing systems for all import transactions.
Qualifications & Skills
Minimum 2-5 years of experience as a Customs Entry Writer or Import Specialist.
Direct experience handling FDA and USDA-regulated shipments required.
Working knowledge of ACE/ABI, CargoWise, Descartes, or Fresa systems preferred.
Familiarity with HTS classification, valuation, drawback, and bonded warehouse procedures.
Strong understanding of U.S. import regulations, CFR Title 19, and PGA coordination.
Excellent attention to detail, accuracy, and organizational skills.
Strong communication and problem-solving abilities when dealing with CBP, FDA, and USDA authorities.
Licensed Customs Broker credential is an advantage but not required.
Education
Associate's or Bachelor's degree in International Business, Supply Chain, or related field preferred.
Relevant certification or formal training in import/export compliance is a plus.
Work Environment
Office-based.
Requires ability to work in a fast-paced, deadline-driven logistics environment with attention to compliance and accuracy.
Customs Specialist
Account specialist job in Milpitas, CA
Aivres is a leading global data center and cloud computing solutions provider committed to delivering innovative technologies that propel the world's leading industries to new frontiers. We deliver and deploy robust, performance-optimized, purpose-built platforms to major data centers around the globe.
Responsibilities
Responsible for the customs clearance of imported goods, including air and sea shipments, delivered to American companies from overseas.
Responsible for the customs clearance of goods, including air and sea shipments, delivered by American companies for export overseas.
Handling exceptions in customs clearance for American companies' imports and exports, as well as dealing with customs cases.
Responsible for customs compliance management in the United States and other areas, ensuring compliance in overseas customs operations. This includes, but is not limited to, customs code classification, import and export compliance access, customs valuation, rules of origin application, and effective management of customs clearance agents.
Proficient use of U.S. customs codes, trade preference policies, and relevant tax regulations. Conduct tariff analysis and product classification audits for imports and exports, utilizing legal and compliant tariff preference regulations to reasonably reduce tariff costs while ensuring compliance. Provide business analysis and decision-making basis.
Participate in the management of customs clearance agents and other suppliers, promote the daily customs operation management of American companies, continuously improve and enhance cost-effectiveness.
Other international trade, import and export-related tasks, interpretation, analysis, and implementation of overseas regional customs policies, among other responsibilities.
Qualifications
Bachelor's degree or above
Preferred majors include International Trade, Finance, Logistics Management, etc.
Minimum of 3 years of professional work experience in the relevant field
Qualification certificates related to import and export is a preferred
Familiar with knowledge of import and export operations, laws and regulations in the business area, and understanding of relevant business interfaces upstream and downstream in the system, as well as their relationship with the system
Strong organizational and coordination abilities, interpersonal skills, communication skills, and planning and execution abilities
Excellent problem analysis, positioning, and solving abilities
Proficient in the use of common office software
Bilingual in mandarin is preferred
EEO Statement
Aivres is an Equal Opportunity Employer and embraces diversity in our employee population. It is the policy of Aivres to provide equal opportunity to all qualified applicants and employees without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or special disabled veteran, marital status, pregnancy, genetic information, or any other legally protected status.
Billing Specialist
Account specialist job in Irvine, CA
An employer in the Orange County area is seeking a Billing/Intake Specialist. The role requires onsite training in Ontario for the first 3 days of their assignment, moving to a hybrid role post training. The first month after the 3 day training will require the consultant to be on-site in Orange County a few days a week, moving to once a week on site after they are caught up to speed in the role. The Billing/Intake Specialist serves as a critical link between administrative operations and client care. This role is responsible for managing the intake process, ensuring accurate billing, and maintaining ongoing communication with caregivers. The ideal candidate combines strong organizational and analytical skills, a strong background working as a billing specialist in healthcare field, and empathy and excellent interpersonal communication. The specialist will assist with intake coordination, billing & claims management, and interacting with caregivers, serving as the primary point of contact regarding billing inquiries and documentation.
REQUIRED SKILLS AND EXPERIENCE
4 - 6 years of recent healthcare billing/intake experience Knowledge of medical billing codes and insurance processes. Strong Customer Service skills (will be on the phone with caregivers to assist regarding billing related inquiries) Strong soft skills: independent problem-solving skills, experience working in a high-volume environment while maintaining the ability to remain
Customer Account Representative
Account specialist job in San Fernando, CA
Pacific Acquisitions is growing in Woodland Hills! We are a marketing and sales firm and we are expanding our market reach! Our team is a very sports-minded and goal-oriented group and is looking to add eager and success-driven individuals.
Our Customer Account Rep brings our national clients to a local level, making products and services more accessible to potential new customers. In this entry-level position, you will be interacting daily with customers face-to-face in local retail settings and are responsible for presenting the promotion most relevant to each potential customer. You'll focus on new account acquisition as well as maintaining current accounts. This position is perfect for someone looking to advance their career in business, marketing, and sales. If you want to further your leadership and communication skills you've come to the right place!
Customer Account Representative Responsibilities:
Engage on a face-to-face level with potential new customers
Acquire new customer accounts
Resolve any issues that arise with current accounts
Take customer information accurately
Track daily and weekly sales goals
Qualifications:
Strong communication and people skills
Positive, professional, and goal-driven attitude
Reliable and organized with good time management
Comfortable speaking with customers and building relationships
Basic computer and data entry skills
Previous sales or customer service experience is a plus (but not required)
Works well in a fast-paced, team-oriented environment
Willing to learn and grow within the company
Customer Account Representative Benefits:
Weekly pay
Paid training
Growth opportunities
Travel opportunities
Hands-on mentorship
Customs Specialist
Account specialist job in Lakewood, CA
Worldwide Logistics Inc. is looking for an Import Customs Logistics professional or Customs Entry Writer. In this position you will work within our Customs Brokerage Department to make each US import shipment or entry a success.
Responsibilities:
File Importer Security Filing (ISF)
File Customs Entry
Daily tracking and tracing of customer shipments
Communicating with ocean / air carriers, truckers, warehouses for arranging shipments and follow up on shipment updates
Accurate and complete documentation preparation
Compliance with timeliness of Customs entry and ISF Filings and other Customs regulations
Maintain thorough communication with client and overseas offices throughout shipment process
Arranging payments to vendors for services rendered
Utilizing Customs Brokerage management software for filing and document generation
Maintaining reports online or in Excel if required by the account
Working in conjunction with other staff to complete required import service
Complete accurate profit and loss analysis for each shipment
Requirements:
Strong attention to detail and accuracy
Good communication with teammates, supervisor and clients
Ability to multi-task, prioritize, and manage time effectively
Aptitude to work independently on daily tasks
Capacity to critically analyze a problem and generate possible solutions independently and cooperatively
Preferred Skills
At least 1 year at US Customs Brokerage
Experience as customs broker entry writer
Experience with Customs or ISF filings
Familiar with US imports
Familiar with Customs Requirements of Partner Government Agencies
What you'll get in return:
Competitive base salary
Medical, dental and vision insurance for employees
401K Program to help you invest into your future
Flexible vacation time to promote a healthy work-life balance
Account Specialist - URGENT
Account specialist job in Los Angeles, CA
A growing and creative beauty e-commerce company is URGENTLY seeking a temp to hire a TEMP Account Specialist to cover a 6month leave. The opportunity offers a casual work environment, team collaboration and to work with one of the number one beauty companies.
This role is in office three days a week Mon - Wed in office, so local candidates only please.
Qualified Candidates MUST Have:
2+ years of order processing
Netsuite is a MUST
Intermediate MS Excel
EDI experience preferred
Experience with EDI transmissions, managing discrepancies for over 200 retail stores
Setting up new customers in Netsuite system
Able to work closely with "gifting" orders for events and influencers
Must come from CPG industry, beauty preferred
Processing a high volume of invoices
Detail oriented, organized and deadline driven
This is a temp role $33-35/hr
Full JD available upon request.
Looking to hire ASAP! If this sounds like you, please apply ASAP! No relocation offered.
Patient Advocate and Accounts Receivable Specialist
Account specialist job in Berkeley, CA
Machaon Diagnostics is a clinical reference laboratory and contract research organization (CRO) that focuses on diagnosing, treating, and monitoring hemostatic and thrombotic conditions, complement-mediated disorders, and rare genetic diseases. Our mission is to save more lives with lab tests. Originating from a collaboration of four laboratory scientists, the team now includes clinicians, scientists, consultants, and technologists with over 400+ years of collective expertise. We provide esoteric and routine testing services to a broad clientele, including community hospitals, university medical centers, clinics, commercial laboratories, and research facilities, as well as biotechnology, pharmaceutical, and medical device companies. Our primary goal is to deliver high-quality testing with industry-leading speed.
Role Description
This is a full-time, on-site role located in Berkeley, CA for a Patient Advocate and Accounts Receivable Specialist. The responsibilities include managing patient accounts, advocating for patient needs, handling customer service inquiries, and managing cases. Additionally, the role involves critical thinking and effective communication in a medical setting. The specialist will work closely with patients, healthcare providers, and internal teams to ensure the best possible outcomes for those requiring our diagnostic services.
Patient Advocacy, Insurance Billing & Sponsored Testing Coordination (Outpatient Focus)
· Enroll patients in sponsored testing programs and coordinate the delivery of outpatient samples to the laboratory for urgent testing.
· Submit claims to insurance providers accurately and promptly. Maintain consistent communication with and advocacy for patients.
· Obtain authorizations from insurance entities and provide good faith estimates to patients when necessary.
· Communicate test requirements, billing processes and available programs to healthcare providers via phone and email.
Client Account Management and Onboarding (Insurance) Institutional Focus
Coordinate the onboarding of new clients and healthcare agencies that send testing to Machaon Diagnostics.
· Ensure accurate setup of client accounts, including correct contact information for billing, purchase order details and banking information when necessary.
· Verify that invoices and other documentation are routed to the appropriate contacts.
· Collaborate with the laboratory team to determine billing status for incoming samples.
Revenue Cycle & Accounts Receivable
· Receiving payments into invoices/processing checks.
· Follow up on past-due invoices and communicate with clients to resolve outstanding balances.
· Provide test cost information and billing details to healthcare providers upon request.
· Participate in ad hoc projects and cross-functional initiatives as assigned to support business operations and continuous improvements to Finance department processes.
Experience Requirements
· Demonstrate an empathetic and patient-focused approach in all activities and interactions.
· Excellent written and oral communication skills. Extensive experience communicating by phone is highly preferred. Attention to detail is imperative in this role.
· Ability to multitask, show initiative, work in a fast-paced environment, and always be solutions oriented.
· Bilingual (English/Spanish) is highly valued. Demonstrate the ability to effectively communicate with all patients, clients, providers, and fellow employees.
· Demonstrate high degree of integrity, enthusiasm, and initiative daily.
Constant adherence to HIPAA compliance and patient confidentiality requirements
Education Requirements
Required:
Bachelor's degree or equivalent in healthcare administration, business, or finance-related field preferred.
Minimum 2 years of experience in patient coordination, billing, receivables, and client services in a healthcare setting.
Proficiency with medical billing, including CPT codes, payer portals, EOBs, and healthcare billing workflows.
Proficiency with Microsoft Office and data entry/reporting.
Preferred:
Experience in a laboratory or diagnostic testing setting.
Experience with sponsored testing and other financial assistance programs.
Experience in high leverage collections.
Insurance Specialist
Account specialist job in Petaluma, CA
Join the Mitch White Agency, a trusted North Bay insurance firm serving the community for over 40 years. We pride ourselves on exceptional client service and a collaborative team culture.
About the Role:
Provide top-notch customer service for personal lines insurance clients
Address client inquiries and resolve issues promptly
Maintain accurate records and support team goals
Collaborate with team members to deliver outstanding service
Generate new business
Qualifications:
Farmer's Insurance Experience (preferred)
Active California P&C License (highly preferred)
1+ years in personal lines service or sales (preferred)
Excellent communicator and highly organized
Proactive problem solver with strong attention to detail
Dedicated to delivering exceptional client experiences
Why Mitch White Insurance Agency?
Supportive
Team-focused environment
Opportunities for professional growth and development
Accounts Payable Processor
Account specialist job in Irvine, CA
Immediate need for a talented Accounts Payable Processor. This is a 04+ Months Contract opportunity with long-term potential and is located in Irvine CA (Onsite). Please review the job description below and contact me ASAP if you are interested.
Job ID:25-90493
Pay Range: $25 - $30/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:
Process monthly field
Invoices for specific projects and/or divisions.
Assists in reviewing check run.
Weekly, help accomplish weekly deadlines.
Working hours, M-F either 8:00-5:00/8:30-5:30/9:00-6:00
Key Requirements and Technology Experience:
Skills-Accounts Payable, Invoicing experience and Excel
Microsoft office
Good communication skills.
Organized and detail oriented.
Ability to follow instructions.
AP experience is helpful, Oracle 1
JDE, Concur experience is a plus. This
Position is entry level, we will train.
Our client is a leading Construction Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here.
Collection Specialist
Account specialist job in San Leandro, CA
Software Guidance & Assistance, Inc., (SGA), is searching for a Collection Specialist for a Contract assignment with one of our premier Healthcare clients in San Leandro, CA. Responsibilities : The PFS Collection Specialist is responsible for all aspects reviewing payer contracts, claims and performing third party collection activity for hospital services.
Responsible for all aspects of follow up and collections on insurance balances, including making telephone calls, accessing payer websites. Identify issues or trending and provide suggestions for resolution. Accurately and thoroughly documents the pertinent collection activity performed. Review the account information and necessary system applications to determine the next appropriate work activity. Verify claims adjudication utilizing appropriate resources and applications. Initiate telephone or letter contact to patients to obtain additional information as needed. Perform appropriate follow-up functions, including manual re-submissions as well as electronic attachments to payers. Manage and maintain desk inventory, complete reports, and resolve high priority and aged inventory.
Participate and attend meetings, training seminars and in-services to develop job knowledge. Participate in the monthly, quarterly and annual performance evaluation process with Supervisor. Respond timely to emails and telephone messages as appropriate. Communicate issues to management, including payer, system or escalated account issues.
Maintains information or operational records; screens reports for completeness and mathematical accuracy; list, abstracts, or summarizes data; compiles routine report from a variety of sources.
May, as a secondary responsibility, interpret abstracts, orders, notes, invoices, permits, licenses, etc.; computes and receives fees when the amount is not in question or is readily obtainable from fixed schedules; posts data; and prepares reports in accordance with pre-determined forms and procedures.
Prepares documents for collection of revenues from third party payer programs; checks and verifies charge rates for services; reconciles account balances and verifies payments.
Reviews billing documents to assure program compliance for Medicare, Medi-Cal, Mental Health, and insurance programs; assures that all appropriate medical documentation is submitted timely.
Required Skills:
High school diploma or equivalent education.
EPIC back-end experience
Minimum Experience: One year of experience in a Revenue Cycle area within the Alameda Health System; OR the equivalent of two years' experience, performing medical billing/collections or medical accounts receivable functions in a healthcare insurance related environment.
Intermediate computer skills including thorough understanding of the EHR system, Microsoft Office (Word, Outlook, Excel, PowerPoint).
Intermediate knowledge of UB-04 and Explanation of Benefits (EOB) interpretation.
Intermediate knowledge of CPT and ICD-10 codes.
Intermediate knowledge of insurance claims and insurance terminology.
Act in an appropriate and professional manner as defined by the company's Standards of Behavior, Policy and Procedures, and Scope of Services.
Role model AHS Standards of Behavior.
Current office administrative practices and procedures.
Correct business English, including spelling, grammar and punctuation.
Use independent judgment and initiative within established policies and procedures.
Establish and maintain effective working relationships with a variety of individuals from various socioeconomic, ethnic and cultural backgrounds.
Should have a good understanding of payer contract language, and how to apply language to reimbursements.
Excellent communication skills, both written and verbal.
Preferred Skills:
3-5 years of experience in a hospital business environment performing billing and/or collections. No certification requirement however someone with a strong background in collection and patient accounting (medical billing).
SGA is a technology and resource solutions provider driven to stand out. We are a women-owned business. Our mission: to solve big IT problems with a more personal, boutique approach. Each year, we match consultants like you to more than 1,000 engagements. When we say let's work better together, we mean it. You'll join a diverse team built on these core values: customer service, employee development, and quality and integrity in everything we do. Be yourself, love what you do and find your passion at work. Please find us at ******************* .
SGA is an Equal Opportunity Employer and does not discriminate on the basis of Race, Color, Sex, Sexual Orientation, Gender Identity, Religion, National Origin, Disability, Veteran Status, Age, Marital Status, Pregnancy, Genetic Information, or Other Legally Protected Status. We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, and our services, programs, and activities. Please visit our company EEO page to request an accommodation or assistance regarding our policy.
Patient Account Representative
Account specialist job in Torrance, CA
COMPLETELY ONSITE, 5 DAYS A WEEK (NO REMOTE OR HYBRID ALLOWED)!!
Required Skills & Experience
- Experience as a Patient Account Representative.
- Experience in insurance or self pay.
- HS Diploma or GED
- Any EMR/EHR software and Excel proficiency
Nice to Have Skills & Experience
- Experience in Cerner or Paropresumptive
Job Description
An employer is looking for a Patient Account Rep in the Self Pay department. This person will assist patients with their self-pay medical bills, handling inquiries, processing payments, and managing outstanding balances. They also work to resolve any issues related to billing and collections. This individual will also be doing back office work, reviewing accounts, doing audits, assist with processing financial assistance applications, and jump on the phone queue when calls are high.
Schedule: M-F, currently a 6 month contract with the potential to extend/convert
Collections Specialist - SARDC5652915
Account specialist job in Redwood City, CA
The Collections Specialist is responsible for ensuring timely customer collections in alignment with agreed payment terms. This self-motivated role involves performing Business-to-Business (B2B) collections while collaborating closely with management and the Sales team to maintain consistent customer service and achieve company financial goals. The position focuses on enforcing payment terms, improving Days Sales Outstanding (DSO), and ensuring accuracy in documentation and communication.
Key Responsibilities:
Perform B2B collections to ensure customer payments are received according to agreed payment terms.
Improve Days Sales Outstanding (DSO) performance in line with monthly and yearly company goals.
Contact all past-due accounts promptly and enforce payment terms.
Collaborate with customers to arrange payment schedules for upcoming and overdue invoices.
Promote and assist customers in converting payments to ACH/Check and encourage electronic invoicing.
Update and maintain accurate account information, ensuring all contact and billing details are current.
Identify and resolve invoice discrepancies efficiently to ensure timely payment.
Communicate with management, Sales, and field personnel regarding problem accounts or payment issues to achieve shared goals.
Required Skills:
Proven ability to perform B2B collections in a fast-paced, goal-driven environment.
Strong communication and collaboration skills with both internal teams and customers.
Excellent attention to detail with accurate and consistent documentation practices.
Self-motivated and results-oriented with the ability to work independently.
Proficiency with MS Office applications (Excel, Outlook, Word).
Strong organizational and time management skills.