Billing Representative jobs at Alignment Healthcare - 2394 jobs
Customer Service Representative - Must live in Nevada
Alignment Healthcare 4.7
Billing representative job at Alignment Healthcare
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.
The Regional Concierge Navigator provides outreach and support to all our members, ensuring they have access to the care they deserve. Supports our members to navigate through their health care and benefits. Connects the dots between our provider network, health plan operations, and supplemental vendors. Maintains a high knowledge of the member needs of their respective market and assist our members every step of the way to ensure they are never alone in their healthcare journey and have the highest level of coordinated care. Lays the groundwork for future and ongoing member support. Has familiarity with assigned markets and understands the meaningful contributions to members' healthcare outcomes.
ENERAL DUTIES/RESPONSIBILITIES
1. Provides in-market, specialized member support in respective market or region.
2. Conducts in-market member engagement including Welcome Calls, New Member Onboarding, JSA Scheduling, High Quality PCP and Provider Terms, Product/Vendor Changes, CAHPS Proxy, Disenrollment Quality Assurance, and Proactive Service Recovery
3. Conducts case follow-ups and quality member issue resolution for all cases assigned.
4. Ensures members have access to PCP and specialists to coordinate care.
5. Educates members on gaps in care and assists with scheduling provider appointments.
6. Serves as the patient's liaison throughout the life cycle of the program by addressing program specific quality measures and adhering to company guidelines/standard operating procedures.
7. Makes appropriate and timely patient appointments, reminders, and confirmations and Mails letters and correspondence as needed.
8. Places regular/consistent outreaches to the patient
9. Communicates with PCP with any member updates and requests.
10. Assists with obtaining medical records from any healthcare providers involved in care or hospitals.
11. Helps members with any authorizations and referrals involved in their care plan.
12. Resolves incoming calls concerning members' eligibility, benefits, provider information, clinical, and pharmacy needs; coordinate membership changes such as member's primary care physician and proactively engage member with their wellness plan options.
13. Participates in on-site member engagement activities as needed, such as in-person member meetings, handling lobby calls at a retail or care center location, etc. (subject to change).
14. Other duties as assigned.
Job Requirements:
Experience:
• Required: Minimum 1 year of customer service experience.
• Preferred: High-volume inbound customer service experience, particularly for health plan or Medicare “Member Services” roles in health plan and supplemental benefits preferred. Telemarketing and/or member outreach experience preferred. Specialized experience in escalation or resolution units preferred.
Education:
• Required: High School Diploma or GED.
Specialized Skills:
• Required:
Knowledge of ICD-10 and CPT codes.
Keyboard typing 40+ words per minute.
Ability to help members navigate access to care through Medicare Advantage or HMO, including referrals and authorizations.
Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others.
Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors;
Language Skills: Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of the organization.
Reasoning Skills: Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations.
Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics correctly
Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment.
• Preferred: Bilingual English/Spanish or English/Vietnamese or English/Mandarin. Fluency in written and verbal Spanish, Korean, or Vietnamese, a plus.
Licensure:
• Required: None
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.
Essential Physical Functions:
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.
1 While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
2 The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.
Pay Range: $41,654.00 - $62,482.00
Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.
Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.
*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at ******************************* If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health's talent acquisition team, please email ******************.
$41.7k-62.5k yearly Auto-Apply 60d+ ago
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CSR
Alignment 4.7
Billing representative job at Alignment Healthcare
We are establishing a pool of qualified sub-contractors to fill contract positions as they arise. The ideal candidate must be either black or master black belt and have 10 or more years of experience in working on or leading lean, six sigma or lean six sigma projects. You must have experience working with small to medium size organizations and fully versed in Lean. We are looking to fill anticipated contracts in the Ottawa area. You must apply by July 10th, 2014 and live within the Ottawa area. Contracts are expected some time after September 2014.
Additional Information
All your information will be kept confidential according to EEO guidelines.
$32k-39k yearly est. 60d+ ago
Patient Service Representative
Premier Infusion and Healthcare Services, Inc. 4.0
Torrance, CA jobs
Come Join the Premier Infusion & Healthcare Services Family! At Premier we offer employees stability and opportunities for advancement. Our commitment to our core values of Compassion, Integrity, Respect and Excellence in People applies to our employees, our customers, and the communities we serve. This is a rewarding place to work!
Premier Infusion & Healthcare Services is a preferred post-acute care partner for hospitals, physicians and families in Southern CA. Our rapidly growing home health and infusion services deliver high-quality, cost-effective care that empowers patients to manage their health at home. Customers choose Premier Infusion & Healthcare Services because we are united by a single, shared purpose: We are committed to bettering the quality of life for our patients. This is not only our stated mission but is what truly drives us each and every day. We believe that our greatest competitive advantage, our greatest asset are our employees, our Premier Family in and out of the office sets Premier apart.
PREMIER BENEFITS - For FULL TIME Employees:
● Competitive Pay
● 401K Matching Plan - Up to 4%
● Quarterly Bonus Opportunities
● Medical, Dental & Vision Insurance
● Paid Vacation Time Off
● Paid Holidays
● Referral Incentives
● Employee Assistance Programs
● Employee Discounts
● Fun Company Events
Description of Responsibilities
Intake Department Assistant responsibility is to provide support to the Intake Department through the referral coordination process.
Reporting Relationship
Intake Supervisor
Scope of Supervision
None
Responsibilities include the following:
1. Responsible for transcribing all applicable information from the Intake Referral Form and patient information received from the referral source into the computer system correctly.
2. Handles all faxes incoming to Intake Department and distributes appropriately.
3. Calls referral sources to acknowledge receipt of faxes as applicable.
4. Logs all new referrals according to the current process.
5. Re-verification of insurance and demographics on restart patients as requested.
6. Manages the Intake Department Referral Board which gives visibility of the daily productivity as needed.
7. Enters patients info in CPR+
8. Processes simple referrals as requested such as Picc care orders, Hydrations, Inhalation Solutions, Injectable and basic referrals coming from Home Health.
9. Creates invoices and charges credit cards as applicable.
10. Makes outbound calls to follow up on a patient discharge, follow up on any missing information needed to process a referral such as an H&P, H&W, and address or obtain orders from a hospital or MDs office.
11. Back-up and follows-up on insurance authorizations when necessary.
12. Participate in surveys conducted by authorized inspection agencies.
13. Participate in the pharmacy's Performance Improvement program as requested by the Performance Improvement Coordinator.
14. Participate in pharmacy committees when requested.
15. Participate in in-service education programs provided by the pharmacy.
16. Report any misconduct, suspicious or unethical activities to the Compliance Officer.
17. Perform other duties as assigned by supervisor.
Minimum Qualifications:
Must possess excellent oral and written communication skills, with the ability to express technical issues in “layman” terms. Fluency in a second language is a plus.
Must be friendly professional and cooperative with a good aptitude for customer service and problem solving.
Education and/or Experience:
1. Must have a High School diploma or Graduation Equivalent Diploma (G.E.D.) or Higher.
2. Prior experience in a pharmacy or home health company is of benefit.
3. Prior experience in a consumer related business is also of benefit.
Equal Employment Opportunity (EEO)
It is the policy of Premier Infusion & Healthcare Services to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Premier Infusion & Healthcare Services will provide reasonable accommodations for qualified individuals with disabilities.
$32k-38k yearly est. 5d ago
Insurance Coordinator
Premier Infusion and Healthcare Services, Inc. 4.0
Torrance, CA jobs
Come Join the Premier Infusion & Healthcare Family! At Premier we offer employees stability and opportunities for advancement. Our commitment to our core values of Compassion, Integrity, Respect and Excellence in People applies to our employees, our customers, and the communities we serve. This is a rewarding place to work!
Premier Infusion and Healthcare Services is a preferred post-acute care partner for hospitals, physicians and families in Southern CA. Our rapidly growing home health and infusion services deliver high-quality, cost-effective care that empowers patients to manage their health at home. Customers choose Premier Infusion and Healthcare Services because we are united by a single, shared purpose: We are committed to bettering the quality of life for our patients. This is not only our stated mission but is what truly drives us each and every day. We believe that our greatest competitive advantage, our greatest asset are our employees, our Premier Family in and out of the office sets Premier apart.
PREMIER BENEFITS - For FULL TIME Employees:
● Competitive Pay
● 401K Matching Plan - Up to 4%
● Quarterly Bonus Opportunities
● Medical, Dental & Vision Insurance
● Employer Paid Life Insurance
● Short Term / Long Term Disability Insurance
● Paid Vacation Time Off
● Paid Holidays
● Referral Incentives
● Employee Assistance Programs
● Employee Discounts
● Fun Company Events
JOB DESCRIPTION:
Description of Responsibilities
The Insurance Coordinator is responsible for all new referral insurance verification and/or authorization in a timely matter.
Reporting Relationship
Insurance Manager
Responsibilities include the following:
Responsible for insurance verification and/or authorization on patients.
Responsible for audit of information from the Intake Referral Form and patient information received from the referral source entered into the computer system correctly. This includes but is not limited to: demographics, insurance, physician, nursing agency, diagnosis, height, weight, and allergies (when information is available and as applicable).
Re-verification of verification and/or authorization and demographics on all patients.
Participate in surveys conducted by authorized inspection agencies.
Participate in in-service education programs provided by the pharmacy.
Report any misconduct, suspicious or unethical activities to the Compliance Officer.
Perform other duties as assigned by supervisor.
Minimum Qualifications:
Must possess excellent oral and written communication skills, with the ability to express technical issues in “layman” terms. Fluency in a second language is a plus.
Must be friendly professional and cooperative with a good aptitude for customer service and problem solving.
Education and/or Experience:
Must have a High School diploma or Graduation Equivalent Diploma (G.E.D.)
Prior experience in a pharmacy or home health company is preferred.
Prior dental or home infusion experience a plus
Prior experience in a consumer related business is preferred
Equal Employment Opportunity (EEO)
It is the policy of Premier Infusion & HealthCare Services to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Premier Infusion & HealthCare Services will provide reasonable accommodations for qualified individuals with disabilities.
$31k-38k yearly est. 4d ago
Insurance Coordinator (Specialty)
Premier Infusion and Healthcare Services, Inc. 4.0
Torrance, CA jobs
Come Join the Premier Infusion & Healthcare Family! At Premier we offer employees stability and opportunities for advancement. Our commitment to our core values of Compassion, Integrity, Respect and Excellence in People applies to our employees, our customers, and the communities we serve. This is a rewarding place to work!
Premier Infusion and Healthcare Services is a preferred post-acute care partner for hospitals, physicians and families in Southern CA. Our rapidly growing home health and infusion services deliver high-quality, cost-effective care that empowers patients to manage their health at home. Customers choose Premier Infusion and Healthcare Services because we are united by a single, shared purpose: We are committed to bettering the quality of life for our patients. This is not only our stated mission but is what truly drives us each and every day. We believe that our greatest competitive advantage, our greatest asset are our employees, our Premier Family in and out of the office sets Premier apart.
PREMIER BENEFITS - For FULL TIME Employees:
● Competitive Pay
● 401K Matching Plan - Up to 4%
● Quarterly Bonus Opportunities
● Medical, Dental & Vision Insurance
● Employer Paid Life Insurance
● Short Term / Long Term Disability Insurance
● Paid Vacation Time Off
● Paid Holidays
● Referral Incentives
● Employee Assistance Programs
● Employee Discounts
● Fun Company Events
Description of Responsibilities
The Specialty Insurance Coordinator is responsible for all new referral insurance verification and/or authorization in a timely matter.
Reporting Relationship
Director of Operations
Scope of Supervision
None
Responsibilities include the following:
1. Responsible for insurance verification for new and existing specialty patients by phone or using pharmacy software or payer portals.
2. Responsible for insurance re-verification for all specialty restart patients
3. Responsible for insurance re-verification for all specialty patients at the beginning of each month and each new year.
4. Responsible for advanced monitoring expiring authorizations for existing specialty patients
5. Responsible for securing advanced re-authorization for existing specialty patients.
Participate in surveys conducted by authorized inspection agencies.
Participate in the pharmacy's Performance Improvement program as requested by the Performance Improvement Coordinator.
Participate in pharmacy committees when requested.
Participate in in-service education programs provided by the pharmacy.
Report any misconduct, suspicious or unethical activities to the Compliance Officer.
Perform other duties as assigned by supervisor.
Comply with and adhere to the standards of this role as required by ACHC, Board of Pharmacy, Board of Nursing, Home Health Guidelines (Title 22), Medicare, Infusion Nurses Society, NHIA and other regulatory agencies, as applicable.
Minimum Qualifications:
Must possess excellent oral and written communication skills, with the ability to express technical issues in “layman” terms. Fluency in a second language is a plus.
Must be friendly professional and cooperative with a good aptitude for customer service and problem solving.
Education and/or Experience:
Must have a High School diploma or Graduation Equivalent Diploma (G.E.D.)
Prior experience in a pharmacy or home health company is preferred.
Prior experience in a consumer related business is preferred.
Job Type: Full-time
Benefits:
401(k) matching
Dental insurance
Employee assistance program
Health insurance
Paid time off
Vision insurance
Work Location: In person
$31k-38k yearly est. 4d ago
Collection Rep / Billing/Collections / Full-time / Days
Children's Hospital Los Angeles 4.7
Glendale, CA jobs
**NATIONAL LEADERS IN PEDIATRIC CARE** Ranked among the top 10 pediatric hospitals in the nation, Children's Hospital Los Angeles (CHLA) provides the best care for kids in California. Here world-class experts in medicine, education and research work together to deliver family-centered care half a million times each year. From primary to complex critical care, more than 350 programs and services are offered, each one specially designed for children.
The CHLA of the future is brighter than can be imagined. Investments in technology, research and innovation will create care that is personal, convenient and empowering. Our scientists will work with clinical experts to take laboratory discoveries and create treatments that are a perfect match for every patient. And together, CHLA team members will turn health care into health transformation.
Join a hospital where the work you do will matter-to you, to your colleagues, and above all, to our patients and families. The work will be challenging, but always rewarding.
**It's Work That Matters.**
**Overview**
**Schedule:** Day Shift: 1 day on-site, 4 days remote
**Purpose Statement/Position Summary:** The Collection Representative is responsible for the billing and follow-up related to HMO's, PPO's, Medi-Cal, CCS, GHPP, PCCM's Managed Care and outside organizations. Responds to inquiries and resolves problems regarding billing and collection matters.
**Minimum Qualifications/Work Experience:** 1 year experience of hospital Billing and Collections required, including insurance and government payers. Previous experience with facility claims for inpatient and or outpatient billing for commercial and managed care payers. Familiarity with medical billing processes, insurance claims, and understanding of medical coding (such as ICD-10, CPT) is essential. Experience with electronic health record (EHR) systems and billing software is also beneficial. Knowledge of CCS, Medi-Cal, GHPP. The ability to analyze financial documents, identify discrepancies, and resolve billing issues is essential. Strong problem-solving skills help in effectively managing accounts and ensuring timely collections. Meticulous attention to detail is necessary to ensure accuracy in billing and collections. Strong organizational skills are required to manage multiple accounts, prioritize tasks, and meet deadlines efficiently.
**Education/Licensure/Certification:** High school diploma or equivalent. Certificate or degree in healthcare background preferred.
**Pay Scale Information**
$43,680.00-$65,062.00
CHLA values the contribution each Team Member brings to our organization. Final determination of a successful candidate's starting pay will vary based on a number of factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this specific job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs. CHLA looks forward to introducing you to our world-class organization where we create hope and build healthier futures.
Children's Hospital Los Angeles (CHLA) is a leader in pediatric and adolescent health both here and across the globe. As a premier Magnet teaching hospital, you'll find an environment that's alive with learning, rooted in care and compassion, and home to thought leadership and unwavering support. CHLA is dedicated to creating hope and building healthier futures - for our patients, as well as for you and your career!
CHLA has been affiliated with the Keck School of Medicine of the University of Southern California since 1932.
At Children's Hospital Los Angeles, our work matters. And so do each and every one of our valued team members. CHLA is an Equal Employment Opportunity employer. We consider qualified applicants for all positions without regard to race, color, religion, creed, national origin, sex, gender identity, age, physical or mental disability, sexual orientation, marital status, veteran or military status, genetic information or any other legally protected basis under federal, state or local laws, regulations or ordinances. We will also consider for employment qualified applicants with criminal history, in a manner consistent with the requirements of state and local laws, including the LA City Fair Chance Ordinance and SF Fair Chance Ordinance.
Qualified Applicants with disabilities are entitled to reasonable accommodation under the California Fair Employment and Housing Act and the Americans with Disabilities Act. Please contact CHLA Human Resources if you need assistance completing the application process.
Our various experiences, perspectives and backgrounds allow us to better serve our patients and create a strong community at CHLA.
Billing/Collections
$43.7k-65.1k yearly 60d+ ago
Collection Rep / Billing/Collections / Full-time / Days
Childrens Hospital Los Angeles 4.7
Glendale, CA jobs
NATIONAL LEADERS IN PEDIATRIC CARE Ranked among the top 10 pediatric hospitals in the nation, Children's Hospital Los Angeles (CHLA) provides the best care for kids in California. Here world-class experts in medicine, education and research work together to deliver family-centered care half a million times each year. From primary to complex critical care, more than 350 programs and services are offered, each one specially designed for children.
The CHLA of the future is brighter than can be imagined. Investments in technology, research and innovation will create care that is personal, convenient and empowering. Our scientists will work with clinical experts to take laboratory discoveries and create treatments that are a perfect match for every patient. And together, CHLA team members will turn health care into health transformation.
Join a hospital where the work you do will matter-to you, to your colleagues, and above all, to our patients and families. The work will be challenging, but always rewarding.
It's Work That Matters.
Overview
Schedule: Day Shift: 1 day on-site, 4 days remote
Purpose Statement/Position Summary: The Collection Representative is responsible for the billing and follow-up related to HMO's, PPO's, Medi-Cal, CCS, GHPP, PCCM's Managed Care and outside organizations. Responds to inquiries and resolves problems regarding billing and collection matters.
Minimum Qualifications/Work Experience: 1 year experience of hospital Billing and Collections required, including insurance and government payers. Previous experience with facility claims for inpatient and or outpatient billing for commercial and managed care payers. Familiarity with medical billing processes, insurance claims, and understanding of medical coding (such as ICD-10, CPT) is essential. Experience with electronic health record (EHR) systems and billing software is also beneficial. Knowledge of CCS, Medi-Cal, GHPP. The ability to analyze financial documents, identify discrepancies, and resolve billing issues is essential. Strong problem-solving skills help in effectively managing accounts and ensuring timely collections. Meticulous attention to detail is necessary to ensure accuracy in billing and collections. Strong organizational skills are required to manage multiple accounts, prioritize tasks, and meet deadlines efficiently.
Education/Licensure/Certification: High school diploma or equivalent. Certificate or degree in healthcare background preferred.
Pay Scale Information
$43,680.00-$65,062.00
CHLA values the contribution each Team Member brings to our organization. Final determination of a successful candidate's starting pay will vary based on a number of factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this specific job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs. CHLA looks forward to introducing you to our world-class organization where we create hope and build healthier futures.
Children's Hospital Los Angeles (CHLA) is a leader in pediatric and adolescent health both here and across the globe. As a premier Magnet teaching hospital, you'll find an environment that's alive with learning, rooted in care and compassion, and home to thought leadership and unwavering support. CHLA is dedicated to creating hope and building healthier futures - for our patients, as well as for you and your career!
CHLA has been affiliated with the Keck School of Medicine of the University of Southern California since 1932.
At Children's Hospital Los Angeles, our work matters. And so do each and every one of our valued team members. CHLA is an Equal Employment Opportunity employer. We consider qualified applicants for all positions without regard to race, color, religion, creed, national origin, sex, gender identity, age, physical or mental disability, sexual orientation, marital status, veteran or military status, genetic information or any other legally protected basis under federal, state or local laws, regulations or ordinances. We will also consider for employment qualified applicants with criminal history, in a manner consistent with the requirements of state and local laws, including the LA City Fair Chance Ordinance and SF Fair Chance Ordinance.
Qualified Applicants with disabilities are entitled to reasonable accommodation under the California Fair Employment and Housing Act and the Americans with Disabilities Act. Please contact CHLA Human Resources if you need assistance completing the application process.
Our various experiences, perspectives and backgrounds allow us to better serve our patients and create a strong community at CHLA.
Billing/Collections
$43.7k-65.1k yearly 21d ago
Remote - Billing Representative I
Mercy Hospitals East Communities 4.1
Remote
Find your calling at Mercy!The BillingRepresentative I position is responsible for the daily electronic submission of claims, paper claims, and the resolution of failed claims on a daily basis. BillingRepresentatives I must be able to accurately and efficiently work a high volume of claim transactions across all lines of service. Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards.Position Details:
Qualifications
Education: High school diploma or GED required
Experience: Two to three years medical billing experience required.
Other: Must have ability to work under stress, meet deadlines, and perform all daily assignments with consistent accuracy. Ability to use logic in determining correct document processing and to read, understand and follow written and oral instructions. Must be detail oriented. Required to maintain strict confidentiality.
Why Mercy?
From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.
Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.
$32k-40k yearly est. Auto-Apply 5d ago
Billing Representative / PBS - Support Services / Full-time / Days
Children's Hospital Los Angeles 4.7
Glendale, CA jobs
**NATIONAL LEADERS IN PEDIATRIC CARE** Ranked among the top 10 pediatric hospitals in the nation, Children's Hospital Los Angeles (CHLA) provides the best care for kids in California. Here world-class experts in medicine, education and research work together to deliver family-centered care half a million times each year. From primary to complex critical care, more than 350 programs and services are offered, each one specially designed for children.
The CHLA of the future is brighter than can be imagined. Investments in technology, research and innovation will create care that is personal, convenient and empowering. Our scientists will work with clinical experts to take laboratory discoveries and create treatments that are a perfect match for every patient. And together, CHLA team members will turn health care into health transformation.
Join a hospital where the work you do will matter-to you, to your colleagues, and above all, to our patients and families. The work will be challenging, but always rewarding.
**It's Work That Matters.**
**Overview**
****This position is Hybrid: 2 days on-site, 3 days remote, with flexibility to vary. Candidates must reside in California.****
**Schedule:** Days
**Purpose Statement/Position Summary:** The BillingRepresentative will collect and submit billing data, enter data into the computer database, locate and resolve routine problems, and track claim and billing activity. Ensure that patient accounts are accurately reviewed and prepared for timely billing. This role involves verifying documentation, confirming payer information, addressing potential claim denials, and collaborating with various departments to ensure seamless billing processes.
**Minimum Qualifications/Work Experience:** 1+ year general clerical experience in performing billing related functions, preferably in a health care facility environment or a physician's office. 1 year of hospital billing experience preferred. Knowledge of payer policies and claim submission processes preferred. Problem-solving skills to identify and address potential billing issues.
**Education/Licensure/Certification:** High School Diploma, GED, or an equivalent combination of related education and work experience.
**Pay Scale Information**
$43,680.00-$59,082.00
CHLA values the contribution each Team Member brings to our organization. Final determination of a successful candidate's starting pay will vary based on a number of factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this specific job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs. CHLA looks forward to introducing you to our world-class organization where we create hope and build healthier futures.
Children's Hospital Los Angeles (CHLA) is a leader in pediatric and adolescent health both here and across the globe. As a premier Magnet teaching hospital, you'll find an environment that's alive with learning, rooted in care and compassion, and home to thought leadership and unwavering support. CHLA is dedicated to creating hope and building healthier futures - for our patients, as well as for you and your career!
CHLA has been affiliated with the Keck School of Medicine of the University of Southern California since 1932.
At Children's Hospital Los Angeles, our work matters. And so do each and every one of our valued team members. CHLA is an Equal Employment Opportunity employer. We consider qualified applicants for all positions without regard to race, color, religion, creed, national origin, sex, gender identity, age, physical or mental disability, sexual orientation, marital status, veteran or military status, genetic information or any other legally protected basis under federal, state or local laws, regulations or ordinances. We will also consider for employment qualified applicants with criminal history, in a manner consistent with the requirements of state and local laws, including the LA City Fair Chance Ordinance and SF Fair Chance Ordinance.
Qualified Applicants with disabilities are entitled to reasonable accommodation under the California Fair Employment and Housing Act and the Americans with Disabilities Act. Please contact CHLA Human Resources if you need assistance completing the application process.
Our various experiences, perspectives and backgrounds allow us to better serve our patients and create a strong community at CHLA.
PBS - Support Services
$43.7k-59.1k yearly 22d ago
Billing Representative / PBS - Support Services / Full-time / Days
Childrens Hospital Los Angeles 4.7
Glendale, CA jobs
NATIONAL LEADERS IN PEDIATRIC CARE Ranked among the top 10 pediatric hospitals in the nation, Children's Hospital Los Angeles (CHLA) provides the best care for kids in California. Here world-class experts in medicine, education and research work together to deliver family-centered care half a million times each year. From primary to complex critical care, more than 350 programs and services are offered, each one specially designed for children.
The CHLA of the future is brighter than can be imagined. Investments in technology, research and innovation will create care that is personal, convenient and empowering. Our scientists will work with clinical experts to take laboratory discoveries and create treatments that are a perfect match for every patient. And together, CHLA team members will turn health care into health transformation.
Join a hospital where the work you do will matter-to you, to your colleagues, and above all, to our patients and families. The work will be challenging, but always rewarding.
It's Work That Matters.
Overview
This position is Hybrid: 2 days on-site, 3 days remote, with flexibility to vary. Candidates must reside in California.
Schedule: Days
Purpose Statement/Position Summary: The BillingRepresentative will collect and submit billing data, enter data into the computer database, locate and resolve routine problems, and track claim and billing activity. Ensure that patient accounts are accurately reviewed and prepared for timely billing. This role involves verifying documentation, confirming payer information, addressing potential claim denials, and collaborating with various departments to ensure seamless billing processes.
Minimum Qualifications/Work Experience: 1+ year general clerical experience in performing billing related functions, preferably in a health care facility environment or a physician's office. 1 year of hospital billing experience preferred. Knowledge of payer policies and claim submission processes preferred. Problem-solving skills to identify and address potential billing issues.
Education/Licensure/Certification: High School Diploma, GED, or an equivalent combination of related education and work experience.
Pay Scale Information
$43,680.00-$59,082.00
CHLA values the contribution each Team Member brings to our organization. Final determination of a successful candidate's starting pay will vary based on a number of factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this specific job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs. CHLA looks forward to introducing you to our world-class organization where we create hope and build healthier futures.
Children's Hospital Los Angeles (CHLA) is a leader in pediatric and adolescent health both here and across the globe. As a premier Magnet teaching hospital, you'll find an environment that's alive with learning, rooted in care and compassion, and home to thought leadership and unwavering support. CHLA is dedicated to creating hope and building healthier futures - for our patients, as well as for you and your career!
CHLA has been affiliated with the Keck School of Medicine of the University of Southern California since 1932.
At Children's Hospital Los Angeles, our work matters. And so do each and every one of our valued team members. CHLA is an Equal Employment Opportunity employer. We consider qualified applicants for all positions without regard to race, color, religion, creed, national origin, sex, gender identity, age, physical or mental disability, sexual orientation, marital status, veteran or military status, genetic information or any other legally protected basis under federal, state or local laws, regulations or ordinances. We will also consider for employment qualified applicants with criminal history, in a manner consistent with the requirements of state and local laws, including the LA City Fair Chance Ordinance and SF Fair Chance Ordinance.
Qualified Applicants with disabilities are entitled to reasonable accommodation under the California Fair Employment and Housing Act and the Americans with Disabilities Act. Please contact CHLA Human Resources if you need assistance completing the application process.
Our various experiences, perspectives and backgrounds allow us to better serve our patients and create a strong community at CHLA.
PBS - Support Services
$43.7k-59.1k yearly 21d ago
Billing & Collections Manager (BOM)
Trilogy Health Services 4.6
Indianapolis, IN jobs
JOIN TEAM TRILOGY At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of long-term care, competitive pay, and exceptional benefits, Trilogy offers a work environment where you're supported, appreciated, and empowered to thrive in your career. If you're ready to join a team committed to your success, Trilogy is where you belong and thrive!
POSITION OVERVIEW
A Business Office Manager is responsible for overseeing the billing, collections and financial operations of the health campus. They handle financial tasks such receiving and depositing payments, making collections calls and issuing letters, discussing payment arrangements with account holders, and working with Medicare, Medicaid and insurance companies on claims and reimbursements.
Key Responsibilities
* Leads billing and collections for all of the campus payer types.
* Establishes and maintains filing systems for accounts receivable and resident information.
* Creates and manages the setup of new residents and resident trust accounts in the accounts receivable system.
* Maintains census records in the Accounts Receivable system for accurate billing.
* Manages monthly billing processes for all payer classes in an accurate and timely manner according to the monthly AR calendar.
* Posts payments received appropriately to the correct resident account.
* Monitors and collects accounts receivable.
Qualifications
* High school diploma or GED/HSE preferred
* 1-3 years of relevant experience preferred
LOCATION
US-IN-Indianapolis
Arlington Place Health Campus
1635 N Arlington Avenue
Indianapolis
IN
BENEFITS
Our comprehensive Thrive benefits program focuses on your well-being, offering support for personal wellness, financial stability, career growth, and meaningful connections. This list includes some of the key benefits, though additional options are available.
* Medical, Dental, Vision Coverage - Includes free Virtual Doctor Visits, with coverage starting in your first 30 days.
* Get Paid Weekly + Quarterly Increases - Enjoy weekly pay and regular quarterly wage increases.
* Spending & Retirement Accounts - HSA with company match, Dependent Care, LSA, and 401(k) with company match.
* PTO + Paid Parental Leave - Paid time off and fully paid parental leave for new parents.
* Inclusive Care - No-cost LGBTQIA+ support and gender-affirming care coordination.
* Tuition & Student Loan Assistance - Financial support for education, certifications, and student loan repayment.
TEXT A RECRUITER
Heidy **************
ABOUT TRILOGY HEALTH SERVICES
Since our founding in 1997, Trilogy has been dedicated to making long-term care better for our residents and more rewarding for our team members. We're proud to be recognized as one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work. At Trilogy, we embrace who you are, help you achieve your full potential, and make working hard feel fulfilling. As an equal opportunity employer, we are committed to diversity and inclusion, and we prohibit discrimination and harassment based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
NOTICE TO ALL APPLICANTS (WI, IN, OH, MI & KY): for this type of employment, state law requires a criminal record check as a condition of employment.
A Business Office Manager is responsible for overseeing the billing, collections and financial operations of the health campus. They handle financial tasks such receiving and depositing payments, making collections calls and issuing letters, discussing payment arrangements with account holders, and working with Medicare, Medicaid and insurance companies on claims and reimbursements.
Key Responsibilities
* Leads billing and collections for all of the campus payer types.
* Establishes and maintains filing systems for accounts receivable and resident information.
* Creates and manages the setup of new residents and resident trust accounts in the accounts receivable system.
* Maintains census records in the Accounts Receivable system for accurate billing.
* Manages monthly billing processes for all payer classes in an accurate and timely manner according to the monthly AR calendar.
* Posts payments received appropriately to the correct resident account.
* Monitors and collects accounts receivable.
Qualifications
* High school diploma or GED/HSE preferred
* 1-3 years of relevant experience preferred
At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of long-term care, competitive pay, and exceptional benefits, Trilogy offers a work environment where you're supported, appreciated, and empowered to thrive in your career. If you're ready to join a team committed to your success, Trilogy is where you belong and thrive!
$49k-70k yearly est. Auto-Apply 31d ago
Billing Specialist
Viemed Healthcare Inc. 3.8
Dixon, CA jobs
Key Responsibilities: * Order Confirmation & Claim Preparation: Process and confirm orders, ensuring claims are accurately prepared and submitted. * Cash Posting: Post payments and update accounts in a timely and accurate manner. * Patient Support: Address any patient inquiries regarding billing, ensuring clear communication and prompt issue resolution.
* Accounts Receivable Management: Work on stop/held accounts to ensure timely billing for rental items.
* Meet Department Goals: Achieve performance metrics and goals set by the department to maintain operational efficiency.
* Collaboration with Teams: Regularly communicate with Billing and Insurance team leads to report progress and trends
Pay: $17.00 hour
Benefits:
* BCBS Medical
* BCBS Vision
* Dental Insurance
* 401K
* PTO Benefits
$17 hourly 50d ago
Billing Coordinator - Stop Area Six
Healthright 360 4.5
San Diego, CA jobs
.
The Specialized Treatment for Optimized Programming (STOP) Program Area Six connects California Department of Corrections and Rehabilitation inmates and parolees to comprehensive, evidence-based programming and services during their transition into the community, with priority given to those participants who are within their first year of release and who have been assessed to as a moderate to high risk to reoffend. Area Six includes San Diego, Orange, and Imperial counties. STOP subcontracts with detoxification, licensed residential treatment programs, outpatient programs, professional services, and reeentry and recovery housing throughout the program area to assist participants with reentry and recovery resources.
The Billing Coordinator is responsible for coordinating receipt of and reviewing Community Based Provider (CBP) subcontractor client data for accuracy and entering and retrieving data from/to the Automated Reentry Management System (ARMS) as needed for the purpose of reconciliation, invoicing and billing.
Key Responsibilities
Data Entry and Reconciliation Responsibilities: Review outgoing and incoming CBP subcontractor client data for accuracy. Enter data found on the verification form into the STOP database to begin the reconciliation process. When discrepancies are found, coordinate with CBPs and internal departments to resolve and reconcile the discrepancies. Ensure accuracy of all data entered.
Billing and Invoicing Responsibilities: Process STOP CBP weekly verifications by extracting from the STOP database, and possibly further verifying in the ARMS database, and forwarding to the CBPs via email (and sometimes fax) for approval. Produce the monthly billing and forward to CBPs for billing authorization and approval. Ensures accuracy of all billing and resolves any discrepancies identified. Act as liaison between Fiscal department and STOP to ensure ease of information flow. Produce invoices for other various services (i.e. transportation, links etc.).
Administrative Responsibilities: Produce monthly client and CBP related reports as needed for the California Department of Corrections and Rehabilitation (CDCR), with supervisor review and approval, using the ARMS database. Assure confidentiality of all incoming and outgoing client data. As assigned, performs other clerical tasks.
And, other duties as assigned.
Education and Knowledge, Skills and Abilities
Education and Experience Required:
High School Diploma or equivalent.
Previous work experience working with spreadsheets.
Previous work experience performing data entry.
Type 45 wpm.
Strong math skills.
Desired:
Bilingual.
AA Degree; Experience may substitute for this on a year-by-year basis.
We will consider for employment qualified applicants with arrest and conviction records.
In compliance with the California Department of Public Health's mandate, all employees must be able to provide proof of COVID-19 vaccination. Medical and religious exemptions are available.
Tag: IND100.
$45k-55k yearly est. Auto-Apply 60d+ ago
Spec, Patient Account
Hillrom 4.9
Houston, TX jobs
This is where your work makes a difference.
At Baxter, we believe every person-regardless of who they are or where they are from-deserves a chance to live a healthy life. It was our founding belief in 1931 and continues to be our guiding principle. We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond.
Our Baxter colleagues are united by our Mission to Save and Sustain Lives. Together, our community is driven by a culture of courage, trust, and collaboration. Every individual is empowered to take ownership and make a meaningful impact. We strive for efficient and effective operations, and we hold each other accountable for delivering exceptional results.
Here, you will find more than just a job-you will find purpose and pride.
Your role at Baxter
THIS IS WHERE you build trust to achieve results…
As the Patient Account Specialist for our Bardy Diagnostics division, you will be responsible for assisting with Inquiry Management through phone, email, and online interactions with patients, healthcare teams, sales, and several internal teams. You will be responsible for investigating inquiries to determine an appropriate course of action to solve, triage or escalate the inquiry in question. This includes research, utilizing publicly available and company provided resources and systems, conducting thorough patient account review(s), and performing the necessary tasks or actions ensuring a timely and effective first-time resolution.
Your team
Bardy Diagnostics, Inc. (“BardyDx”) is an innovator in digital health and remote patient monitoring, with a focus on providing the most diagnostically accurate and patient-friendly cardiac and vital signs patch monitors in the industry.
We're a friendly, collaborative group of people who push each other to do better every day. We find outstanding strategies to close deals and expand our skills by challenging ourselves and others. Whether out in the field with a partner or solving challenges with your territory team, you always have camaraderie and support to help accomplish your goals.
What you'll be doing
Quickly build rapport over the phone while exuding a positive upbeat demeanor.
Investigate and validate payer coverage policies and requirements as needed.
Responsible for Inquiry Management providing timely and accurate resolution of requests or complaints received. Utilization of multiple platforms and systems, in an efficient manner allowing prompt investigation and identification of the root cause of the issue, while providing accurate first-time resolution that is in alignment with our AR Days as denied by Departmental KPIs.
Review patient accounts quickly and accurately assessing and identifying customer needs to determine appropriate course of action as defined by Baxter policies and guidelines.
Ensure accuracy of patient information on file to establish timely and accurate claims processing, promptly identifying and solving all claim errors that result in delayed adjudication.
Identify payer trends and establish payer-specific strategies to overcome reimbursement challenges.
Establish and maintain positive partnerships with sales, and other internal and external Cardiology Healthcare teams.
What you'll bring
High school diploma or equivalent required.
2+ years of healthcare related experience in revenue cycle, with focus around eligibility and benefit verification, authorizations, claims submission and denial management.
Cardiology related experience, a plus.
Knowledge of Federal, State, and Local regulations, guidelines, and standards, including knowledge of HIPAA rules and regulations.
CPT and ICD-10 coding experience.
Third-party payer experience.
Experience with medical record reviews to identify and ensure medical necessity.
Proficiency in Microsoft Office Software.
Strong critical thinking and effective problem-solving skills.
Exceptional written, verbal, and interpersonal communications.
The ability to handle time and prioritize critical priorities.
Baxter is committed to supporting the needs for flexibility in the workplace. We do so through our flexible workplace policy which includes a minimum of 3 days a week onsite. This policy provides the benefits of connecting and collaborating in-person in support of our Mission.
We understand compensation is an important factor as you consider the next step in your career. At Baxter, we are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices. The estimated base salary for this position is $41,600 to $57,200 annually. The estimated range is meant to reflect an anticipated salary range for the position. We may pay more or less than the anticipated range based upon market data and other factors, all of which are subject to change. Individual pay is based upon location, skills and expertise, experience, and other relevant factors. For questions about this, our pay philosophy, and available benefits, please speak to the recruiter if you decide to apply and are selected for an interview.
Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa at this time.
US Benefits at Baxter (except for Puerto Rico)
This is where your well-being matters. Baxter offers comprehensive compensation and benefits packages for eligible roles. Our health and well-being benefits include medical and dental coverage that start on day one, as well as insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance. Financial and retirement benefits include the Employee Stock Purchase Plan (ESPP), with the ability to purchase company stock at a discount, and the 401(k) Retirement Savings Plan (RSP), with options for employee contributions and company matching. We also offer Flexible Spending Accounts, educational assistance programs, and time-off benefits such as paid holidays, paid time off ranging from 20 to 35 days based on length of service, family and medical leaves of absence, and paid parental leave. Additional benefits include commuting benefits, the Employee Discount Program, the Employee Assistance Program (EAP), and childcare benefits. Join us and enjoy the competitive compensation and benefits we offer to our employees. For additional information regarding Baxter US Benefits, please speak with your recruiter or visit our Benefits site: Benefits | Baxter
Equal Employment Opportunity
Baxter is an equal opportunity employer. Baxter evaluates qualified applicants without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity or expression, protected veteran status, disability/handicap status or any other legally protected characteristic.
Know Your Rights: Workplace Discrimination is Illegal
Reasonable Accommodations
Baxter is committed to working with and providing reasonable accommodations to individuals with disabilities globally. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application or interview process, please click on the link here and let us know the nature of your request along with your contact information.
Recruitment Fraud Notice
Baxter has discovered incidents of employment scams, where fraudulent parties pose as Baxter employees, recruiters, or other agents, and engage with online job seekers in an attempt to steal personal and/or financial information. To learn how you can protect yourself, review our Recruitment Fraud Notice.
$41.6k-57.2k yearly Auto-Apply 34d ago
Associate Billing and Collections Representative - Eligibility
Providence Health & Services 4.2
Lubbock, TX jobs
Under the direction of the Central Business Office Director and the direct supervision of the Manager and/or Supervisor, the Associate Billing and Collections Representative is responsible for ensuring correct coding initiatives are met for clean claim submission and correction of claim billed and collected on behalf of Covenant. This individual addresses claim edits, files all claims on either a UB-04 (RHC) or 1500 (835/837 file formats) and completes follow-up on outstanding accounts. In addition, this individual identifies functional issues and reports them to the appropriate leader.
Providence caregivers are not simply valued - they're invaluable. Join our team at Covenant Medical Group and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required qualifications:
+ Experience in computer applications.
Preferred qualifications:
+ 1 year Health care business office experience or related field.
+ 3 years Medical billing and medical terminology.
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our mission of caring for everyone, especially the most vulnerable in our communities.
About Providence
At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the Team
Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care. Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers.
PCN is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon; Swedish Medical Group in Washington's greater Puget Sound area, Pacific Medical Centers in western Washington; Kadlec in southeast Washington; Providence's St. John's Medical Foundation in Southern California; Providence Medical Institute in Southern California; Providence Facey Medical Foundation in Southern California; Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and eastern New Mexico.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 398015
Company: Covenant Jobs
Job Category: Billing/Collections
Job Function: Revenue Cycle
Job Schedule: Full time
Job Shift: Day
Career Track: Admin Support
Department: 8002 CMG ELIGIBILITY
Address: TX Lubbock 2215 Nashville Ave
Work Location: Covenant Medical Grp-Nashville Ave
Workplace Type: On-site
Pay Range: $14.20 - $21.28
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
$14.2-21.3 hourly Auto-Apply 60d+ ago
Billing & Collections Manager (BOM)
Trilogy Health Services 4.6
Jasper, IN jobs
JOIN TEAM TRILOGY At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of long-term care, competitive pay, and exceptional benefits, Trilogy offers a work environment where you're supported, appreciated, and empowered to thrive in your career. If you're ready to join a team committed to your success, Trilogy is where you belong and thrive!
POSITION OVERVIEW
A Business Office Manager is responsible for overseeing the billing, collections and financial operations of the health campus. They handle financial tasks such receiving and depositing payments, making collections calls and issuing letters, discussing payment arrangements with account holders, and working with Medicare, Medicaid and insurance companies on claims and reimbursements.
Key Responsibilities
* Leads billing and collections for all of the campus payer types.
* Establishes and maintains filing systems for accounts receivable and resident information.
* Creates and manages the setup of new residents and resident trust accounts in the accounts receivable system.
* Maintains census records in the Accounts Receivable system for accurate billing.
* Manages monthly billing processes for all payer classes in an accurate and timely manner according to the monthly AR calendar.
* Posts payments received appropriately to the correct resident account.
* Monitors and collects accounts receivable.
Qualifications
* High school diploma or GED/HSE preferred
* 1-3 years of relevant experience preferred
LOCATION
US-IN-Jasper
St. Charles Health Campus
3150 St Charles Street
Jasper
IN
BENEFITS
Our comprehensive Thrive benefits program focuses on your well-being, offering support for personal wellness, financial stability, career growth, and meaningful connections. This list includes some of the key benefits, though additional options are available.
* Medical, Dental, Vision Coverage - Includes free Virtual Doctor Visits, with coverage starting in your first 30 days.
* Get Paid Weekly + Quarterly Increases - Enjoy weekly pay and regular quarterly wage increases.
* Spending & Retirement Accounts - HSA with company match, Dependent Care, LSA, and 401(k) with company match.
* PTO + Paid Parental Leave - Paid time off and fully paid parental leave for new parents.
* Inclusive Care - No-cost LGBTQIA+ support and gender-affirming care coordination.
* Tuition & Student Loan Assistance - Financial support for education, certifications, and student loan repayment.
TEXT A RECRUITER
April **************
ABOUT TRILOGY HEALTH SERVICES
Since our founding in 1997, Trilogy has been dedicated to making long-term care better for our residents and more rewarding for our team members. We're proud to be recognized as one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work. At Trilogy, we embrace who you are, help you achieve your full potential, and make working hard feel fulfilling. As an equal opportunity employer, we are committed to diversity and inclusion, and we prohibit discrimination and harassment based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
NOTICE TO ALL APPLICANTS (WI, IN, OH, MI & KY): for this type of employment, state law requires a criminal record check as a condition of employment.
A Business Office Manager is responsible for overseeing the billing, collections and financial operations of the health campus. They handle financial tasks such receiving and depositing payments, making collections calls and issuing letters, discussing payment arrangements with account holders, and working with Medicare, Medicaid and insurance companies on claims and reimbursements.
Key Responsibilities
* Leads billing and collections for all of the campus payer types.
* Establishes and maintains filing systems for accounts receivable and resident information.
* Creates and manages the setup of new residents and resident trust accounts in the accounts receivable system.
* Maintains census records in the Accounts Receivable system for accurate billing.
* Manages monthly billing processes for all payer classes in an accurate and timely manner according to the monthly AR calendar.
* Posts payments received appropriately to the correct resident account.
* Monitors and collects accounts receivable.
Qualifications
* High school diploma or GED/HSE preferred
* 1-3 years of relevant experience preferred
At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of long-term care, competitive pay, and exceptional benefits, Trilogy offers a work environment where you're supported, appreciated, and empowered to thrive in your career. If you're ready to join a team committed to your success, Trilogy is where you belong and thrive!
$47k-67k yearly est. Auto-Apply 7d ago
Business Office-Billing & Collection Specialist - Full Time
Carson Valley Health 4.4
Gardnerville, NV jobs
Job Description
Business Office-Billing & Collection Specialist - Full Time
To effectively provide billing and collection resources to the organization. To ensure the appropriate billing and collection of all claims the management of accounts receivable and all other aspects of the organization revenue cycle.
POSITION REQUIREMENTS:
Minimum Education:
High School Diploma or equivalent.
Work Experience Required:
Must be proficient with Microsoft Office Suite, PowerPoint, Excel, and Word, and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.
Minimum Work Experience Preferred:
Knowledge of EPIC EHR is desirable.
Knowledge of CMS 1500/UB billing preferred.
Knowledge of the physician practice and hospital revenue cycle preferred.
Knowledge of multiple insurance billing requirements preferred.
1-2 years of billing experience in NV Medicaid, Commercial and Managed Care billing preferred.
Billing and Collection experience preferred.
Knowledge of UB04 Inpatient and Outpatient Medicaid Billing in a Hospital or Healthcare setting preferred.
POSITION ESSENTIAL FUNCTIONS:
Billing
Works with team to ensure the accurate entry of charge data to include appropriate CPT and CD - 9/10 codes.
Works with physicians and other staff to ensure all encounter forms are completed at time of service and coding is accurate and representative of the patient visit.
Accurately sends out bills to third party payers (electronically and via paper) daily.
Ensures all electronic claims have been received on a daily basis.
Work assigned Work Queues to correct errors, ensuring accurate claims and reimbursement on first claim submission.
Audit denials and payment variances to determine root cause and correction as required.
Auditing payment variances ensuring appropriate reimbursement.
Provide specific and in depth contract knowledge to ensure maximum reimbursement of healthcare claims.
Resolve credit balances by reviewing payments, adjustments or transfers correcting the patient account to reflect an accurate account receivable balance.
Work with leadership and other internal departments to improve processes, increase accuracy, create efficiencies and decrease denials to achieve the overall goals of the organization.
Maintain a current knowledge of CPT/HCPCS, CD, DRG, HCFA forms, ability to manipulate and analyze 837 and all other HIPAA transaction sets.
Collections
Accurately track and follow up on all outstanding claims from the third party providers.
Utilize telephone and computer methods to track the status of each claim.
Maintain a portfolio of claims that are followed up each month.
Review Explanation of Benefits on a regular basis to identify denial trends.
Adequately prepare denial reports and train physicians and staff on how to prevent denials through accurate coding.
Contact all patients regarding outstanding balances.
Work with outsourced collection agencies.
Communication
Answers telephones, routes callers, takes messages and provides routine information to callers.
Returns Phone calls in a timely manner.
Relays messages to appropriate staff members.
BENEFITS:
If you are scheduled to work part-time at least 20 hours per week and full-time at least 32 hours per week, you are eligible for benefits on the first day of the month following 30 days of employment.
NO STATE INCOME TAX
Hometown Health Medical, EyeMed Vision, Guardian Dental and Flexible Spending Account.
Vanguard 401(k) with match.
Employer paid Care Flight Membership for your household (full-time employees) (A Division of REMSA).
Employer Paid Basic Life and AD&D insurance.
Unum Supplemental Insurance (Critical Illness, Accident, Short Term & Long Term Disability).
Earned Time Off, Sick Leave and Paid Holidays.
Nevada 529 College Fund.
Unum Employee Assistance Program.
Employer paid Credit monitoring and Identity Theft Program through CyberScout.
Tuition Reimbursement, Clinical Ladder* & HRSA Loan Repayment Program* (*for qualifying positions).
Priority Childcare Enrollment with the Boys and Girls Club of Western NV for ages 9 months+.
Paid Volunteer Hours for staff to help in the community.
and More...
CARSON VALLEY HEALTH IS PROUD TO BE RECOGNIZED AS A FINALIST IN THE
"BEST PLACES TO WORK" - NORTHERN NEVADA, 2021, 2022, 2024 & 2025!
WE LOOK FORWARD TO WELCOMING YOU TO OUR TEAM!!
Mon thru Fri; 8am to 4:30pm
$31k-36k yearly est. 30d ago
Business Office-Billing & Collection Specialist - Full Time
Washoe Barton Medical Clinic 4.4
Gardnerville, NV jobs
To effectively provide billing and collection resources to the organization. To ensure the appropriate billing and collection of all claims the management of accounts receivable and all other aspects of the organization revenue cycle.
POSITION REQUIREMENTS:
Minimum Education:
High School Diploma or equivalent.
Work Experience Required:
Must be proficient with Microsoft Office Suite, PowerPoint, Excel, and Word, and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.
Minimum Work Experience Preferred:
Knowledge of EPIC EHR is desirable.
Knowledge of CMS 1500/UB billing preferred.
Knowledge of the physician practice and hospital revenue cycle preferred.
Knowledge of multiple insurance billing requirements preferred.
1-2 years of billing experience in NV Medicaid, Commercial and Managed Care billing preferred.
Billing and Collection experience preferred.
Knowledge of UB04 Inpatient and Outpatient Medicaid Billing in a Hospital or Healthcare setting preferred.
POSITION ESSENTIAL FUNCTIONS:
Billing
Works with team to ensure the accurate entry of charge data to include appropriate CPT and CD - 9/10 codes.
Works with physicians and other staff to ensure all encounter forms are completed at time of service and coding is accurate and representative of the patient visit.
Accurately sends out bills to third party payers (electronically and via paper) daily.
Ensures all electronic claims have been received on a daily basis.
Work assigned Work Queues to correct errors, ensuring accurate claims and reimbursement on first claim submission.
Audit denials and payment variances to determine root cause and correction as required.
Auditing payment variances ensuring appropriate reimbursement.
Provide specific and in depth contract knowledge to ensure maximum reimbursement of healthcare claims.
Resolve credit balances by reviewing payments, adjustments or transfers correcting the patient account to reflect an accurate account receivable balance.
Work with leadership and other internal departments to improve processes, increase accuracy, create efficiencies and decrease denials to achieve the overall goals of the organization.
Maintain a current knowledge of CPT/HCPCS, CD, DRG, HCFA forms, ability to manipulate and analyze 837 and all other HIPAA transaction sets.
Collections
Accurately track and follow up on all outstanding claims from the third party providers.
Utilize telephone and computer methods to track the status of each claim.
Maintain a portfolio of claims that are followed up each month.
Review Explanation of Benefits on a regular basis to identify denial trends.
Adequately prepare denial reports and train physicians and staff on how to prevent denials through accurate coding.
Contact all patients regarding outstanding balances.
Work with outsourced collection agencies.
Communication
Answers telephones, routes callers, takes messages and provides routine information to callers.
Returns Phone calls in a timely manner.
Relays messages to appropriate staff members.
BENEFITS:
If you are scheduled to work part-time at least 20 hours per week and full-time at least 32 hours per week, you are eligible for benefits on the first day of the month following 30 days of employment.
NO STATE INCOME TAX
Hometown Health Medical, EyeMed Vision, Guardian Dental and Flexible Spending Account.
Vanguard 401(k) with match.
Employer paid Care Flight Membership for your household (full-time employees) (A Division of REMSA).
Employer Paid Basic Life and AD&D insurance.
Unum Supplemental Insurance (Critical Illness, Accident, Short Term & Long Term Disability).
Earned Time Off, Sick Leave and Paid Holidays.
Nevada 529 College Fund.
Unum Employee Assistance Program.
Employer paid Credit monitoring and Identity Theft Program through CyberScout.
Tuition Reimbursement, Clinical Ladder* & HRSA Loan Repayment Program* (*for qualifying positions).
Priority Childcare Enrollment with the Boys and Girls Club of Western NV for ages 9 months+.
Paid Volunteer Hours for staff to help in the community.
and More...
CARSON VALLEY HEALTH IS PROUD TO BE RECOGNIZED AS A FINALIST IN THE
"BEST PLACES TO WORK" - NORTHERN NEVADA, 2021, 2022, 2024 & 2025!
WE LOOK FORWARD TO WELCOMING YOU TO OUR TEAM!!
Mon thru Fri; 8am to 4:30pm
$31k-36k yearly est. Auto-Apply 59d ago
Business Office-Billing & Collection Specialist - Full Time
Washoe Barton Medical Clinic 4.4
Gardnerville, NV jobs
To effectively provide billing and collection resources to the organization. To ensure the appropriate billing and collection of all claims the management of accounts receivable and all other aspects of the organization revenue cycle.
POSITION REQUIREMENTS:
Minimum Education:
High School Diploma or equivalent.
Work Experience Required:
Must be proficient with Microsoft Office Suite, PowerPoint, Excel, and Word, and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.
Minimum Work Experience Preferred:
Knowledge of EPIC EHR is desirable.
Knowledge of CMS 1500/UB billing preferred.
Knowledge of the physician practice and hospital revenue cycle preferred.
Knowledge of multiple insurance billing requirements preferred.
1-2 years of billing experience in NV Medicaid, Commercial and Managed Care billing preferred.
Billing and Collection experience preferred.
Knowledge of UB04 Inpatient and Outpatient Medicaid Billing in a Hospital or Healthcare setting preferred.
POSITION ESSENTIAL FUNCTIONS:
Billing
Works with team to ensure the accurate entry of charge data to include appropriate CPT and CD - 9/10 codes.
Works with physicians and other staff to ensure all encounter forms are completed at time of service and coding is accurate and representative of the patient visit.
Accurately sends out bills to third party payers (electronically and via paper) daily.
Ensures all electronic claims have been received on a daily basis.
Work assigned Work Queues to correct errors, ensuring accurate claims and reimbursement on first claim submission.
Audit denials and payment variances to determine root cause and correction as required.
Auditing payment variances ensuring appropriate reimbursement.
Provide specific and in depth contract knowledge to ensure maximum reimbursement of healthcare claims.
Resolve credit balances by reviewing payments, adjustments or transfers correcting the patient account to reflect an accurate account receivable balance.
Work with leadership and other internal departments to improve processes, increase accuracy, create efficiencies and decrease denials to achieve the overall goals of the organization.
Maintain a current knowledge of CPT/HCPCS, CD, DRG, HCFA forms, ability to manipulate and analyze 837 and all other HIPAA transaction sets.
Collections
Accurately track and follow up on all outstanding claims from the third party providers.
Utilize telephone and computer methods to track the status of each claim.
Maintain a portfolio of claims that are followed up each month.
Review Explanation of Benefits on a regular basis to identify denial trends.
Adequately prepare denial reports and train physicians and staff on how to prevent denials through accurate coding.
Contact all patients regarding outstanding balances.
Work with outsourced collection agencies.
Communication
Answers telephones, routes callers, takes messages and provides routine information to callers.
Returns Phone calls in a timely manner.
Relays messages to appropriate staff members.
BENEFITS: If you are scheduled to work part-time at least 20 hours per week and full-time at least 32 hours per week, you are eligible for benefits on the first day of the month following 30 days of employment.
NO STATE INCOME TAX
Hometown Health Medical, EyeMed Vision, Guardian Dental and Flexible Spending Account.
Vanguard 401(k) with match.
Employer paid Care Flight Membership for your household (full-time employees) (A Division of REMSA).
Employer Paid Basic Life and AD&D insurance.
Unum Supplemental Insurance (Critical Illness, Accident, Short Term & Long Term Disability).
Earned Time Off, Sick Leave and Paid Holidays.
Nevada 529 College Fund.
Unum Employee Assistance Program.
Employer paid Credit monitoring and Identity Theft Program through CyberScout.
Tuition Reimbursement, Clinical Ladder* & HRSA Loan Repayment Program* (*for qualifying positions).
Priority Childcare Enrollment with the Boys and Girls Club of Western NV for ages 9 months+.
Paid Volunteer Hours for staff to help in the community.
and More...
CARSON VALLEY HEALTH IS PROUD TO BE RECOGNIZED AS A FINALIST IN THE
"BEST PLACES TO WORK" - NORTHERN NEVADA, 2021, 2022, 2024 & 2025!
WE LOOK FORWARD TO WELCOMING YOU TO OUR TEAM!!
$31k-36k yearly est. Auto-Apply 21d ago
Billing & Collections Manager (BOM)
Trilogy Health Services 4.6
Hanover, IN jobs
JOIN TEAM TRILOGY At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of long-term care, competitive pay, and exceptional benefits, Trilogy offers a work environment where you're supported, appreciated, and empowered to thrive in your career. If you're ready to join a team committed to your success, Trilogy is where you belong and thrive!
POSITION OVERVIEW
A Business Office Manager is responsible for overseeing the billing, collections and financial operations of the health campus. They handle financial tasks such receiving and depositing payments, making collections calls and issuing letters, discussing payment arrangements with account holders, and working with Medicare, Medicaid and insurance companies on claims and reimbursements.
Key Responsibilities
* Leads billing and collections for all of the campus payer types.
* Establishes and maintains filing systems for accounts receivable and resident information.
* Creates and manages the setup of new residents and resident trust accounts in the accounts receivable system.
* Maintains census records in the Accounts Receivable system for accurate billing.
* Manages monthly billing processes for all payer classes in an accurate and timely manner according to the monthly AR calendar.
* Posts payments received appropriately to the correct resident account.
* Monitors and collects accounts receivable.
Qualifications
* High school diploma or GED/HSE preferred
* 1-3 years of relevant experience preferred
LOCATION
US-IN-Hanover
Thornton Terrace Health Campus
188 Thornton Road
Hanover
IN
BENEFITS
Our comprehensive Thrive benefits program focuses on your well-being, offering support for personal wellness, financial stability, career growth, and meaningful connections. This list includes some of the key benefits, though additional options are available.
* Medical, Dental, Vision Coverage - Includes free Virtual Doctor Visits, with coverage starting in your first 30 days.
* Get Paid Weekly + Quarterly Increases - Enjoy weekly pay and regular quarterly wage increases.
* Spending & Retirement Accounts - HSA with company match, Dependent Care, LSA, and 401(k) with company match.
* PTO + Paid Parental Leave - Paid time off and fully paid parental leave for new parents.
* Inclusive Care - No-cost LGBTQIA+ support and gender-affirming care coordination.
* Tuition & Student Loan Assistance - Financial support for education, certifications, and student loan repayment.
TEXT A RECRUITER
Jill **************
ABOUT TRILOGY HEALTH SERVICES
Since our founding in 1997, Trilogy has been dedicated to making long-term care better for our residents and more rewarding for our team members. We're proud to be recognized as one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work. At Trilogy, we embrace who you are, help you achieve your full potential, and make working hard feel fulfilling. As an equal opportunity employer, we are committed to diversity and inclusion, and we prohibit discrimination and harassment based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
NOTICE TO ALL APPLICANTS (WI, IN, OH, MI & KY): for this type of employment, state law requires a criminal record check as a condition of employment.
A Business Office Manager is responsible for overseeing the billing, collections and financial operations of the health campus. They handle financial tasks such receiving and depositing payments, making collections calls and issuing letters, discussing payment arrangements with account holders, and working with Medicare, Medicaid and insurance companies on claims and reimbursements.
Key Responsibilities
* Leads billing and collections for all of the campus payer types.
* Establishes and maintains filing systems for accounts receivable and resident information.
* Creates and manages the setup of new residents and resident trust accounts in the accounts receivable system.
* Maintains census records in the Accounts Receivable system for accurate billing.
* Manages monthly billing processes for all payer classes in an accurate and timely manner according to the monthly AR calendar.
* Posts payments received appropriately to the correct resident account.
* Monitors and collects accounts receivable.
Qualifications
* High school diploma or GED/HSE preferred
* 1-3 years of relevant experience preferred
At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of long-term care, competitive pay, and exceptional benefits, Trilogy offers a work environment where you're supported, appreciated, and empowered to thrive in your career. If you're ready to join a team committed to your success, Trilogy is where you belong and thrive!