Collections Representative jobs at Apria Healthcare

OPEN POSITION:Position: Collections Specialist Department: Patient AccountingLocation: Cass City, MI Hours: Full-Time. Full Benefits. Aspire Rural Health Systems is seeking a Collections Specialist. We are looking for those who have a great attitude to join our dedicated team of healthcare professionals who are constantly striving to provide the highest quality of services for our patients. REQUIREMENTS: Associate degree or 3-5 years' experience in accounts receivable and patient/customer collections. Collections experience in healthcare environment preferred Knowledge and proven experience in billing and collection of patient/customer accounts. Knowledge of basic 3rd party billing, accounts receivable, and data processing. Ability to work independently, prioritize, and manage multiple tasks simultaneously. Demonstrates proficiency and possesses effective communication, interpersonal, and problem-solving skills. RESPONSIBILITIES: Responsible for timely and accurate billing and collection of all patient accounts. Ensure that accurate and complete information appears on the patient statements. Research and resolve open accounts thoroughly and accurately. Follow-up on unpaid patient accounts in a timely manner. Follow up on incorrectly paid claims with billing staff, patient phone calls, and correspondence. Process and post accurate patient account payments and adjustments in a timely manner. Safeguard the public relations of the hospital and clinics by consistent professional conduct and respect for patients. Complete all job responsibilities in a timely manner, consistently meeting all established deadlines. Always maintain patient confidentiality. Understanding of Revenue, CPT, HCPC, and ICD-10 codes " We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law ."

Job Description OPEN POSITION:Position: Collections Specialist Department: Patient AccountingLocation: Cass City, MI Hours: Full-Time. Full Benefits. Aspire Rural Health Systems is seeking a Collections Specialist. We are looking for those who have a great attitude to join our dedicated team of healthcare professionals who are constantly striving to provide the highest quality of services for our patients.REQUIREMENTS: Associate degree or 3-5 years' experience in accounts receivable and patient/customer collections. Collections experience in healthcare environment preferred Knowledge and proven experience in billing and collection of patient/customer accounts. Knowledge of basic 3rd party billing, accounts receivable, and data processing. Ability to work independently, prioritize, and manage multiple tasks simultaneously. Demonstrates proficiency and possesses effective communication, interpersonal, and problem-solving skills. RESPONSIBILITIES: Responsible for timely and accurate billing and collection of all patient accounts. Ensure that accurate and complete information appears on the patient statements. Research and resolve open accounts thoroughly and accurately. Follow-up on unpaid patient accounts in a timely manner. Follow up on incorrectly paid claims with billing staff, patient phone calls, and correspondence. Process and post accurate patient account payments and adjustments in a timely manner. Safeguard the public relations of the hospital and clinics by consistent professional conduct and respect for patients. Complete all job responsibilities in a timely manner, consistently meeting all established deadlines. Always maintain patient confidentiality. Understanding of Revenue, CPT, HCPC, and ICD-10 codes" We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law ."

The Collector II under general supervision and according to established procedures, performs collection activities for assigned accounts. Contacts insurance company representatives by telephone or through correspondence to collect inaccurate insurance payments and penalties according to BSWH Managed Care contracts. Maintains collection files on the accounts receivable system. **ESSENTIAL FUNCTIONS OF THE ROLE** Performs collection activities for assigned accounts. Contacts insurance companies to resolve payment difficulties and penalties owed to BSWH in accordance with Managed Care contracts. Contacts insurance company representatives by telephone or through correspondence to check the status of claims, appeal or dispute payments and penalties. Has knowledge of CPT codes, Contracting, per diems, and other pertinent payment methods in the medical industry. Maintains collection files on the accounts receivable system. Enters detailed records consisting of any pertinent information needed for collection follow-up. Processes accounts for write-off and for legal. Conducts thorough research and manual calculation from Managed Care Rate Grids and Contracts to determine accurate amounts due to BSWH per each individual Insurance Contract. Enters data in Patient Accounting systems and Access database to track and monitor payments and penalties. Prepares legal documents to refer accounts to the Managed Care legal group for accounts deemed uncollectable. Through thorough review ensures that balances on accounts are true and accurate as well as correct any contractual or payment entries. Verify insurance coding to ensure accurate payments. Receives, reviews, and responds to correspondence related to accounts. Takes action as required. **SALARY** The pay range for this position is $16.12 (entry-level qualifications) - $24.17 (highly experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **BENEFITS** Our competitive benefits package includes the following - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level **QUALIFICATIONS** - EDUCATION - H.S. Diploma/GED Equivalent - EXPERIENCE - 2 Years of Experience As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

The Leidos National Security Sector (NSS) is seeking an Open Source Intelligence (OSINT) Collector to provide collection and exploitation of publicly-available information (PAI). Located out of Reston, VA. you will conduct strategic, tactical, and operational exploitation of various publicly available data sources, to include unconventional deep and dark web sources with the purpose of assessing value to our customers' interests. Additionally, you will be responsible for production of complex open source reporting while seeking improvement in methodologies and developing new solutions based on your subject matter expertise in order to create operational efficiencies for the open source intelligence program. As a Chinese-language OSINT Collector, you will research, collect, triage, process, and exploit Chinese language publicly-available information, and then disseminate your findings through well-written reports for an English language audience. Primary Responsibilities Fun stuff you will be doing on the job: Respond to requests for information (RFIs) from customers by collecting open source data, interpreting results, and authoring detailed written reports. Collaborate with your team to publish impactful reporting that answers mission-impactful questions. Identify areas for enhancement to collection and analytics platforms, and participate in acceptance testing. Basic Qualifications Spoken and written fluency in Chinese (any dialect). Must be a US Citizen. Bachelor's Degree and 4 - 8 years of prior relevant experience or Masters with 2 - 6 years of prior relevant experience. Additional years of relevant experience may be acceptable in lieu of a degree. Ability to write reports, format and populate dashboards, and provide context to data. Excellent oral and written communications skills Ability to work independently and as a contributor to a team leading collaboration topics Self-starter with curious mindset and desire to solve problems and learn new skills Strong organizational skills, time-management skills, attention to detail, and strong initiative Significant experience with Boolean logic, natural language processing, social media analytics, data correlation, and data visualizations. Preferred Qualifications You will wow us even more if you have these skills: Proven experience with data science/advanced data analytic techniques, such as using python, R, or other scripting languages Proven experience with statistical data mining techniques The ideal candidate has a demonstrated aptitude for problem solving complex technical issues and thinking outside the box. We are seeking individuals with a mix of technical excellence, intellectual curiosity, communications skills, customer-focus, and operational experience to improve the performance and user adoption of high-end data analytics platforms in partnership with a highly qualified, highly motivated team. Individual must be motivated, self-driven team player who can multi-task and interact well with others and advise/consult with other team members on systems security engineering and software development related issues. Clearance: Must currently possess a minimum TS/SCI Clearance. Ability to obtain a CI polygraph. Current or recent SCI-level access is a significant advantage and preferred. Must be able to pass a polygraph and Subject Interview. At Leidos, the opportunities are boundless. We challenge our staff with interesting assignments that allow them to thrive professionally and personally. For us, helping you grow your career is good business. We're excited to learn more about you, apply today! If you're looking for comfort, keep scrolling. At Leidos, we outthink, outbuild, and outpace the status quo - because the mission demands it. We're not hiring followers. We're recruiting the ones who disrupt, provoke, and refuse to fail. Step 10 is ancient history. We're already at step 30 - and moving faster than anyone else dares. Original Posting:May 9, 2025 For U.S. Positions: While subject to change based on business needs, Leidos reasonably anticipates that this job requisition will remain open for at least 3 days with an anticipated close date of no earlier than 3 days after the original posting date as listed above. Pay Range:Pay Range $73,450.00 - $132,775.00 The Leidos pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.

The Leidos National Security Sector (NSS) is seeking an Open Source Intelligence (OSINT) Collector to provide collection and exploitation of publicly-available information (PAI). Located out of Reston, VA. you will conduct strategic, tactical, and operational exploitation of various publicly available data sources, to include unconventional deep and dark web sources with the purpose of assessing value to our customers' interests. Additionally, you will be responsible for production of complex open source reporting while seeking improvement in methodologies and developing new solutions based on your subject matter expertise in order to create operational efficiencies for the open source intelligence program. As a Chinese-language OSINT Collector, you will research, collect, triage, process, and exploit Chinese language publicly-available information, and then disseminate your findings through well-written reports for an English language audience. Primary Responsibilities Fun stuff you will be doing on the job: * Respond to requests for information (RFIs) from customers by collecting open source data, interpreting results, and authoring detailed written reports. Collaborate with your team to publish impactful reporting that answers mission-impactful questions. * Identify areas for enhancement to collection and analytics platforms, and participate in acceptance testing. Basic Qualifications * Spoken and written fluency in Chinese (any dialect). * Must be a US Citizen. * Bachelor's Degree and 4 - 8 years of prior relevant experience or Masters with 2 - 6 years of prior relevant experience. Additional years of relevant experience may be acceptable in lieu of a degree. * Ability to write reports, format and populate dashboards, and provide context to data. * Excellent oral and written communications skills * Ability to work independently and as a contributor to a team leading collaboration topics * Self-starter with curious mindset and desire to solve problems and learn new skills * Strong organizational skills, time-management skills, attention to detail, and strong initiative * Significant experience with Boolean logic, natural language processing, social media analytics, data correlation, and data visualizations. Preferred Qualifications You will wow us even more if you have these skills: * Proven experience with data science/advanced data analytic techniques, such as using python, R, or other scripting languages * Proven experience with statistical data mining techniques The ideal candidate has a demonstrated aptitude for problem solving complex technical issues and thinking outside the box. We are seeking individuals with a mix of technical excellence, intellectual curiosity, communications skills, customer-focus, and operational experience to improve the performance and user adoption of high-end data analytics platforms in partnership with a highly qualified, highly motivated team. Individual must be motivated, self-driven team player who can multi-task and interact well with others and advise/consult with other team members on systems security engineering and software development related issues. Clearance: * Must currently possess a minimum TS/SCI Clearance. * Ability to obtain a CI polygraph. * Current or recent SCI-level access is a significant advantage and preferred. * Must be able to pass a polygraph and Subject Interview. At Leidos, the opportunities are boundless. We challenge our staff with interesting assignments that allow them to thrive professionally and personally. For us, helping you grow your career is good business. We're excited to learn more about you, apply today! If you're looking for comfort, keep scrolling. At Leidos, we outthink, outbuild, and outpace the status quo - because the mission demands it. We're not hiring followers. We're recruiting the ones who disrupt, provoke, and refuse to fail. Step 10 is ancient history. We're already at step 30 - and moving faster than anyone else dares. Original Posting: May 9, 2025 For U.S. Positions: While subject to change based on business needs, Leidos reasonably anticipates that this job requisition will remain open for at least 3 days with an anticipated close date of no earlier than 3 days after the original posting date as listed above. Pay Range: Pay Range $73,450.00 - $132,775.00 The Leidos pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.

The Leidos National Security Sector (NSS) is seeking an Open Source Intelligence (OSINT) Collector to provide collection and exploitation of publicly-available information (PAI). Located out of Reston, VA. you will conduct strategic, tactical, and operational exploitation of various publicly available data sources, to include unconventional deep and dark web sources with the purpose of assessing value to our customers' interests. Additionally, you will be responsible for production of complex open source reporting while seeking improvement in methodologies and developing new solutions based on your subject matter expertise in order to create operational efficiencies for the open source intelligence program. As a Chinese-language OSINT Collector, you will research, collect, triage, process, and exploit Chinese language publicly-available information, and then disseminate your findings through well-written reports for an English language audience. **Primary Responsibilities** Fun stuff you will be doing on the job: + Respond to requests for information (RFIs) from customers by collecting open source data, interpreting results, and authoring detailed written reports. Collaborate with your team to publish impactful reporting that answers mission-impactful questions. + Identify areas for enhancement to collection and analytics platforms, and participate in acceptance testing. **Basic Qualifications** + Spoken and written fluency in Chinese(any dialect). + Must be a US Citizen. + Bachelor's Degree and 4 - 8 years of prior relevant experience or Masters with 2 - 6 years of prior relevant experience. Additional years of relevant experience may be acceptable in lieu of a degree. + Ability to write reports, format and populate dashboards, and provide context to data. + Excellent oral and written communications skills + Ability to work independently and as a contributor to a team leading collaboration topics + Self-starter with curious mindset and desire to solve problems and learn new skills + Strong organizational skills, time-management skills, attention to detail, and strong initiative + Significant experience with Boolean logic, natural language processing, social media analytics, data correlation, and data visualizations. **Preferred Qualifications** You will wow us even more if you have these skills: + Proven experience with data science/advanced data analytic techniques, such as using python, R, or other scripting languages + Proven experience with statistical data mining techniques The ideal candidate has a demonstrated aptitude for problem solving complex technical issues and thinking outside the box. We are seeking individuals with a mix of technical excellence, intellectual curiosity, communications skills, customer-focus, and operational experience to improve the performance and user adoption of high-end data analytics platforms in partnership with a highly qualified, highly motivated team. Individual must be motivated, self-driven team player who can multi-task and interact well with others and advise/consult with other team members on systems security engineering and software development related issues. **Clearance:** + **Must currently possess a minimum TS/SCI Clearance.** + Ability to obtain a CI polygraph. + Current or recent SCI-level access is a significant advantage and preferred. + Must be able to pass a polygraph and Subject Interview. **At Leidos, the opportunities are boundless. We challenge our staff with interesting assignments that allow them to thrive professionally and personally. For us, helping you grow your career is good business. We're excited to learn more about you, apply today!** If you're looking for comfort, keep scrolling. At Leidos, we outthink, outbuild, and outpace the status quo - because the mission demands it. We're not hiring followers. We're recruiting the ones who disrupt, provoke, and refuse to fail. Step 10 is ancient history. We're already at step 30 - and moving faster than anyone else dares. **Original Posting:** May 9, 2025 For U.S. Positions: While subject to change based on business needs, Leidos reasonably anticipates that this job requisition will remain open for at least 3 days with an anticipated close date of no earlier than 3 days after the original posting date as listed above. **Pay Range:** Pay Range $73,450.00 - $132,775.00 The Leidos pay range for this job level is a general guideline onlyand not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law. **About Leidos** Leidos is an industry and technology leader serving government and commercial customers with smarter, more efficient digital and mission innovations. Headquartered in Reston, Virginia, with 47,000 global employees, Leidos reported annual revenues of approximately $16.7 billion for the fiscal year ended January 3, 2025. For more information, visit ************** . **Pay and Benefits** Pay and benefits are fundamental to any career decision. That's why we craft compensation packages that reflect the importance of the work we do for our customers. Employment benefits include competitive compensation, Health and Wellness programs, Income Protection, Paid Leave and Retirement. More details are available at **************/careers/pay-benefits . **Securing Your Data** Beware of fake employment opportunities using Leidos' name. Leidos will never ask you to provide payment-related information during any part of the employment application process (i.e., ask you for money), nor will Leidos ever advance money as part of the hiring process (i.e., send you a check or money order before doing any work). Further, Leidos will only communicate with you through emails that are generated by the Leidos.com automated system - never from free commercial services (e.g., Gmail, Yahoo, Hotmail) or via WhatsApp, Telegram, etc. If you received an email purporting to be from Leidos that asks for payment-related information or any other personal information (e.g., about you or your previous employer), and you are concerned about its legitimacy, please make us aware immediately by emailing us at ***************************** . If you believe you are the victim of a scam, contact your local law enforcement and report the incident to the U.S. Federal Trade Commission (******************************* . **Commitment to Non-Discrimination** All qualified applicants will receive consideration for employment without regard to sex, race, ethnicity, age, national origin, citizenship, religion, physical or mental disability, medical condition, genetic information, pregnancy, family structure, marital status, ancestry, domestic partner status, sexual orientation, gender identity or expression, veteran or military status, or any other basis prohibited by law. Leidos will also consider for employment qualified applicants with criminal histories consistent with relevant laws. REQNUMBER: R-00159058 All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. Leidos will consider qualified applicants with criminal histories for employment in accordance with relevant Laws. Leidos is an equal opportunity employer/disability/vet.

The Collector II under general supervision and according to established procedures, performs collection activities for assigned accounts. Contacts insurance company representatives by telephone or through correspondence to collect inaccurate insurance payments and penalties according to BSWH Managed Care contracts. Maintains collection files on the accounts receivable system. **ESSENTIAL FUNCTIONS OF THE ROLE** Performs collection activities for assigned accounts. Contacts insurance companies to resolve payment difficulties and penalties owed to BSWH in accordance with Managed Care contracts. Contacts insurance company representatives by telephone or through correspondence to check the status of claims, appeal or dispute payments and penalties. Has knowledge of CPT codes, Contracting, per diems, and other pertinent payment methods in the medical industry. Maintains collection files on the accounts receivable system. Enters detailed records consisting of any pertinent information needed for collection follow-up. Processes accounts for write-off and for legal. Conducts thorough research and manual calculation from Managed Care Rate Grids and Contracts to determine accurate amounts due to BSWH per each individual Insurance Contract. Enters data in Patient Accounting systems and Access database to track and monitor payments and penalties. Prepares legal documents to refer accounts to the Managed Care legal group for accounts deemed uncollectable. Through thorough review ensures that balances on accounts are true and accurate as well as correct any contractual or payment entries. Verify insurance coding to ensure accurate payments. Receives, reviews, and responds to correspondence related to accounts. Takes action as required. **SALARY** The pay range for this position is $16.12 (entry-level qualifications) - $24.17 (highly experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **BENEFITS** Our competitive benefits package includes the following - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level **QUALIFICATIONS** - EDUCATION - H.S. Diploma/GED Equivalent - EXPERIENCE - 2 Years of Experience As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Position: Billing Specialist Department: Patient Financial Services Location: Cass City, MI Hours: Full Time. Days. Full Benefits. Aspire Rural Health System is hiring an Billing Specialist! We're looking for individuals with a positive attitude to join our dedicated team of healthcare professionals committed to delivering the highest quality of service to both our patients and employees. QUALIFICATIONS: High School education or equivalent At least 1 year of hospital and/or physician billing or a billing certificate/ associate degree. Knowledge in UB-04, 1500 billing, CPT Coding, HCPC Coding, ICD-10 Coding and Revenue Coding, Data Processing, Accounts Receivable Collections, Excel, Word, and other office equipment RESPONSIBILITIES: Responsible for timely and accurate billing of all patient/customer accounts. Ensure accurate and complete information appears on UB 04 and 1500 claims and the electronic billing system. Research and resolve open accounts thoroughly and accurately. Submit appeal letters to insurance companies, follow up on unpaid or incorrectly paid claims, patient phone calls, and correspondence. Prepares accurate account payments and adjustments when indicated on the patient/customer account file. Understand the Rev Codes, CPT, HCPC, and ICD-10 Codes. " We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law ."

Are you looking for an opportunity to work in a caring and community focused environment? At Covenant Community Care, we are a faith based non-profit, Federally Qualified Health Center serving the communities of Detroit in our clinics that offer integrated medical, dental and counseling healthcare services. We have an immediate opening for a Full-time Dental Biller. Job Description: Our team members perform various day-to-day patient account functions for our Dental program. Under supervision of Dental Billing Manager, the Dental Biller performs patient and third-party billing, remittance advice and payment processing, problem resolution, statement processing, old balance review, and account inquiry. Responsibilities: * Reviews encounters to ensure accuracy and completeness prior to claims submission, taking the necessary action to correct charge entry errors by contacting the provider of services, front desk staff, or reviewing charts for proper codes. * Corrects and rebills clearinghouse-initiated rejections. * Posts third party payments and denials. * Appeals and rebills third party denials. * Follows-up on outstanding A/R. * Frequently works various queues within medical practice management software to correct registration, charge entry, and ledger errors. * Matches patient payments for prepaid services to appropriate charges in practice management software. * Processes and mails monthly patient statements. * Assists patients with resolution of account balance discrepancies. * Using a retrospective eligibility report, identifies and rebills accounts found with active coverage. Administrative / Accounts Receivable * Reconciles the self-pay payments between the bank statements and practice management software. Inter-Departmental Coordination * Provides feedback to front staff and/or clinic managers regarding registration error trends. * Participates in training the clinical and administrative staff on billing functions, such as insurance eligibility verification and patient payment posting. Required Qualifications: To perform this job successfully, an individual must be able to perform each of the above responsibilities satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or work style required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * High school diploma or equivalent * Experience in the use and review of electronic health records is a requirement. * Thorough understanding of the health care revenue cycle Preferred Qualification: * Experience with Dentrix (EHR) is ideal, not mandatory * Related coursework in accounting, billing, and coding is highly desired. * Working knowledge of Medicaid and commercial billing regulations Position Criteria: * Teamwork-- Must be able to work independently and collaboratively within a team environment * Problem Sensitivity-- The ability to tell when something is wrong or is likely to go wrong and identify optimal solutions. Excellent problem solving skills * Active Listening-- Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times. * Service Orientation -- Actively looking for ways to help people. * Speaking-- Talking to others to convey information effectively. Able to communicate and interact with co-workers. * Time Management-- Managing one's own time and the time of others. Ability to multi-task and meet deadlines * Required Language: English; Spanish fluency a plus Job Type: Full-time At Covenant we offer our employees: * Comprehensive Benefit program * Vacation, Sick, and Personal time (VSP) * Paid holidays * 401K * Life insurance, long term and short term disability Candidates must successfully complete a criminal background check and TB test as part of the hiring process.

Bayview Physicians Group is a rapidly growing outpatient multi-specialty medical group, that strongly believes the doctor-patient relationship is the cornerstone of quality healthcare. We staff more than 600 positions in the Hampton Roads area. Individuals who possess excellent customer service skills, strong collegial relationships, and the desire to promote a positive work environment are encouraged to apply. We offer a competitive benefits package to our full-time employees and we are always accepting applications from qualified candidates. Duties & Responsibilities: Reviewing and addressing occupational health claims to ensure proper payments are received according to the payers' contract Reviewing unprocessed claims within the payers' timely filing limits for resubmission of claims for payment Researching Eligibility of Benefits (EOB) to verify correct payment and adjustments are posted to patient accounts Researching Eligibility of Benefits (EOB) to determine if unpaid balances need to be appealed to the appropriate Worker's Compensation Committee Researching denied claims or claims with no response to determine proper follow up steps be take to obtain payment Correcting registrations on Worker's Compensation accounts and refiling claims Addressing account inquiries and/or update requests in a timely manner Establishing and maintaining a working relationship with payer representatives to ensure proper claim filing and reimbursement Effectively communicate trends or issues to the appropriate staff Maintains confidentiality in regards to patient account status and the financial affairs of the clinic/corporation Regular and reliable attendance Presents to work on time as scheduled Perform other duties as assigned by supervisor Posting occupational health and worker's compensation payments Answer client inquiries via phone and email daily Qualifications: High school graduate or equivalent Minimum of 1-year previous medical experience required Supervisory Responsibilities: None

Hart Medical Equipment provides a full range of home care products and support services based on individual needs. We strive to conduct our patient care operation with the highest standards. We are a nationally accredited, premier provider of home medical equipment and supplies. Status: Full Time Location: Grand Blanc, MI Hart Medical Equipment offers a competitive salary and benefits package. EOE SUMMARY: Coordinates insurance and billing related activities associated with the care of service provided to the customers of the company. ESSENTIAL DUTIES AND RESPONSIBILITIES: Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions. Enter charges accurately and expeditiously to ensure proper records handling and fast payment responses. Initiate private pay collections after insurance cancellation, denial or other issue. Obtaining referrals and pre-authorizations as well as eligibility and verification of benefit when required. Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing. Following up on unpaid claims within standard billing cycle timeframe. Checking each insurance payment for accuracy and compliance with contract discount. Identifying and billing secondary or tertiary insurances. Maintain accuracy of tables as well as inform management with rate changes. Check to see if claims remain unpaid and follow up with patients and insurance companies to determine the cause of the delay and to keep the billing cycle on track. Look into claims that are denied and research how to modify the claim to ensure it is processed correctly at maximum reimbursement. Answer inquiries made by patients, insurance companies, or fellow employees regarding assigned accounts, the billing process or the appeals process. This includes reviewing for accuracy, completeness, and obtaining missing information. Maintain complete understanding and knowledge of all reimbursement requirements for assigned payer as well as general knowledge for payers outside of those assigned. Communicate policy changes/issues to management so information can be communicated out to other areas of company. Liaise between payers/provider representatives when necessary. Uphold positive attitude towards tasks and co-workers, as well as a commitment to teamwork throughout the billing team and the organization. Serves as troubleshooter for accounts receivable problems and as back-up troubleshooter for complete system. Other duties as requested by Management. QUALIFICATIONS To perform this job successfully, an individual must be professional, proactive and positive with internal and external customers and coworkers. The requirements listed below are representative of the knowledge, skill, and/or ability required. Education and/or Experience High school diploma or general education degree (GED). Minimum of six (6) months in a medical related field and/or training; or equivalent combination of education and experience. Skills & Abilities Excellent interpersonal, written and verbal communication skills. Attention to detail Good data entry skills Proficiency with computers, with strong typing skills. Good organization skills Language Skills Proficient English (verbal, written) PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, talk and hear. The employee is occasionally required to stand and walk. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision. All employees are required to work in a safe manner. WORK ENVIRONMENT The work environment 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. Office environment Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. By submitting an application, you are agreeing to the terms of Hart's Application Acknowledgement and Agreement found at ********************************************** IRB Medical Equipment LLC, dba Hart Medical Equipment, is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, national origin, citizenship age, disability genetic information, height, weight, marital or veteran status or any other protected status in accordance with the requirements of applicable federal state and local laws. Hart Medical Equipment also provides reasonable accommodation for individuals with disabilities in accordance with applicable law.

This position is responsible for billing patient services covered by Medicaid, Medicare, and other third-party payers. This position functions as a liaison between patients, third-party payers, physicians, clinics, and HCHN staff regarding billing. Works under the direction of the Director of Revenue Cycle Management or designee who assigns diverse billing duties and responsibilities. General responsibilities * Able to perform accounts receivable collection activities timely and accurately including prioritizing subtasks. * Utilize monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days. * Accurately post all insurance payments by line item. * Communicates practice management system issues with the Billing Supervisor to ensure claims are processed accurately and timely* * Collects on outstanding claims from third-party payers according to department benchmarks. * Works on special billing projects as assigned by the Billing Supervisor in conjunction with other billing responsibilities. * Contact appropriate departments and eligibility systems to obtain necessary information for billing purposes. * Responds efficiently and accurately to denials received. Ensures necessary information is obtained and resubmitted as quickly as possible. * Documents the practice management system to reflect the current billing status of each patient account to ensure an audit trail of all account activity. * Accurately documents reasons for denials that cannot be re-billed, and communicates such information to Billing Supervisor for follow-up. * Processes patient, payer, and employee interactions within the guidelines set for the department. * Responds professionally and timely to patient calls and third-party payer calls. * Meets professional behavior expectations as evidenced by compliance with the following standards: * Meets all attendance and punctuality requirements to ensure proper coverage and quality service * Professional and appropriate dress as required by the position * Demonstrates an ability to resolve interpersonal and professional conflicts appropriately * Ability to formulate decisions and make judgments that are demanding and interpretative * Keeps all matters related to the organization confidential in compliance with confidentiality policy * Performs other duties as assigned related to revenue cycle management. 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. * While performing the duties of this job, the employee is regularly required to talk or hear. * The employee frequently is required to stand, walk, sit; use hands to handle or feel; reach with hands and arms; and stoop, kneel, or crouch. * The employee may occasionally lift and/or move up to 25 pounds. * Specific vision requirements include the ability to see at close range. * Fine hand manipulation.

Title: Medical Billing Specialist (Candidates must live in Michigan or plan to relocate.) Hours: Typical schedule is 8:00AM-5:00PM, Monday-Friday (After training, there is the potential to work 4 10's) Work Environment: Remote (Will be expected to report to above address for training and come onsite for meetings as requested.) About Us Orthopaedic Associates of Michigan (OAM) is proud to be West Michigan's most established orthopaedic practice. Our physicians and team members provide exceptional, individualized care for patients of all ages. As the most comprehensive independent provider of musculoskeletal care in the region, we provide total care from diagnosis, to treatment, and all the way through rehabilitation. Patients at OAM will have access to our Specialized Surgeons, Physical and Occupational Therapists, MRI and X-ray services, and orthopaedic bracing. Patients are also able to receive care from our Bone Health Clinic, OAM Now Urgent Orthopaedic Care Clinic, and Surgery Center at MidTowne - all of which are committed to optimizing their treatment outcomes. Our teams work together to maximize and adjust treatment quickly and easily, resulting in a smoother, faster recovery for patients. From neck to toe, and from traumatic injuries to chronic conditions, patients will receive compassionate care that will allow them to embrace their full potential. Patient goals are our goals - we will restore their health so they are functioning as fully as possible in the activities they love at home, work, and in everyday life. Position Summary As the Billing Specialist at OAM, you will be responsible for managing the administrative responsibilities of billing insurance and processing payments for the practice, which includes office visits, surgeries, injections, x-rays, etc.. You will work closely with patients and third-party billers to ensure that all claims have been processed correctly and paid in a timely matter. A detail-oriented and analytical mindset will be key to helping you succeed in this role. Essential Responsibilities Answer incoming calls to the billing department in a prompt and courteous manner. Research account balances for patients and assist with payment resolution. Verify patients' insurance coverage and update any changes in their charts. Process refund forms for overpaid accounts. Communicate with payers to appeal payments that do not match contractual agreements. Identify, track, and resolve overdue insurance balances using NextGen tasking system. Post all payments by line item in a timely and accurate manner. Balance transactions at the completion of each batch. Identify all payments and rejections that weren't processed correctly or according to contract for further action. Resubmit insurance claims as necessary with all supporting documentation. Create secondary claims in NextGen and forward the explanation of benefits to insurance claims processing staff. Print and forward all EOB's that have been identified as not paid per contract or require additional information and research to appropriate insurance collectors. Prepare and submit professional appeal letters to insurance payers on claims rejected or paid incorrectly. Work with insurance companies to identify payments that were received without explanation of benefits or are not identifiable. Respond to inquiries from insurance carriers. Manage relationships with staff from assigned insurance carriers. Maintain patient confidentiality; comply with HIPAA and compliance guidelines established by the practice. Performs other duties or functions as assigned. Required & Preferred Qualifications Education, Training, and Experience: Required: 1+ years of medical billing experience. Experience working in EMR/EHR systems and third-party payment portals. High School Diploma/GED Preferred: Bachelor's degree in business or related field. Experience working with PT, OT, and DME. Experience working in NextGen. Specific Skills, Knowledge, and Abilities: Excellent verbal and written communication skills. Ability to easily and efficiently pull reports from various computer applications. Integral knowledge of accounts receivable and point-of-service patient collections. Knowledge of CPT/ICD-10 coding. Ability to multitask and remain detail-oriented when working in fast-paced environment. Microsoft Office and Windows based applications knowledge. Motor, Sensory, and Physical Requirements: Ability to sit for long periods of time. Manual dexterity required to operate modern office equipment. Occasional bending, stooping, lifting (of up to 50 lbs), and reaching may be required. Normal or correctable range of hearing and eyesight. Remote Requirements: Clearly defined workspace equipped with desk, chair, surge protector, and high speed internet. Employee agrees that OAM equipment will not be used by anyone other than the employee and only for business related work. The employee will not make any changes to security or administrative settings on OAM equipment. The employee understands that all tools and resources provided by the company shall remain the property of the company at all times. The employee will report any internet or power outages to supervisor and make appropriate temporary work arrangements for completing work duties.

In this vital role, the Dental Billing Specialist will be responsible for managing the complete billing process, ensuring accurate and timely submission of claims, and optimizing revenue cycle management. Your expertise will help streamline operations, improve cash flow, and enhance patient satisfaction by providing clear communication and efficient billing services. This position offers an exciting opportunity to utilize your medical billing skills in a fast-paced, patient-focused environment dedicated to delivering exceptional dental care. Who We Are: Central City Health (CCH) has been serving the under-housed and at-risk population in metro Detroit since 1972, by providing integrated healthcare services. Our services include primary and pediatric care, dental care, behavioral and SUD care, supportive housing, and community re-entry services, to name a few. In 2024, our President/CEO, Dr. Kimberly Farrow-Felton received the esteemed Healthcare Hero Award from Crain's Detroit Business honoring her exceptional contributions to the health and well-being of our community. Our Mission: To achieve wellness in the community by providing an array of primary and behavioral health care, housing, and substance abuse services with dignity and respect. Our Core Values: CCH is guided by a set of values in fulfilling our mission. Some of our values include: * An environment that supports health and recovery. * Person centered principles in the delivery of care. * An environment characterized by cultural sensitivity, integrity, teamwork and trust. * A commitment to service excellence and continuous quality improvement. * Persons served take both an active part in their treatment and the organization. * An atmosphere of welcoming and accessibility to people seeking our services that assures "no wrong door." You Get: * 14 Paid Holidays Annually. * 18 PTO Days (less than 1 Year; 27 Days on 1st Year Anniversary). * Benefit Coverage after 30 Days: Medical/Dental/Vision/Short-term Disability. * Company-Paid Life Insurance. * Retirement Savings 403(b). * Tuition Reimbursement. * Continuing Education Allowance Job Summary: In this vital role, the Dental Billing Specialist will be responsible for managing the complete billing process, ensuring accurate and timely submission of claims, and optimizing revenue cycle management. Your expertise will help streamline operations, improve cash flow, and enhance patient satisfaction by providing clear communication and efficient billing services. This position offers an exciting opportunity to utilize your medical billing skills in a fast-paced, patient-focused environment dedicated to delivering exceptional dental care. Responsibilities: * Prepare and submit dental insurance claims using electronic medical record. * Review patient records to verify coverage details, and eligibility. * Apply appropriate coding standards and other medical coding conventions. * Reconcile payments received from insurance companies and patients. * Follow up on unpaid or denied claims through effective medical collections. * Maintain detailed and organized medical records related to billing transactions. * Communicate proactively with insurance providers to resolve claim issues. * Assist patients with billing inquiries, payment plans, and explanation of benefits. * Stay updated on changes in medical billing regulations and coding updates. Education & Experience: * Proven experience in medical billing within a dental or healthcare setting. * Strong knowledge of CPT coding, ICD-9/ICD-10 coding systems. * Experience working with EMR systems and EHR platforms for accurate data entry. * Solid understanding of medical terminology, medical records management. * Excellent communication skills for interacting with insurance companies. * Ability to analyze claims data critically to identify discrepancies. * Knowledge of medical collection procedures. "This is an outline of the primary responsibilities of this position. As with everything in life, things change. The tasks and responsibilities can be changed, added to, removed, amended, deleted, and modified at any time by the organization. CCH is an Equal Opportunity Employer committed to a culturally diverse workforce. We are committed to providing an inclusive environment based on mutual respect for all candidates and team members. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, height, weight, marital status, gender identity expression, disability status, protected veteran, or other legally protected status by state or federal law. At CCH the health and safety of our employees is our top priority. Vaccination has been proven to play a critical role in combating COVID-19. As a result, CCH prefers that employees are fully vaccinated against COVID-19; however, it is not required." If you are interested, please email your resume to **************************

The Lead Billing Specialist Tier I oversees daily billing operations, resolves complex claims and denials, and ensures accurate, efficient, and compliant processes. Serving as a key resource for staff, this role provides training, guidance, and customer support while addressing inquiries from patients, payers, and internal teams. Additionally, the role monitors performance through reporting and drives improvements that strengthen overall revenue cycle efficiency. CORE RESPONSIBILITIES: Supervise and manage billing: Oversee daily billing activities, ensure processes are efficient, accurate, and follow company policies. Claim resolution: Handle complex claims, denials, and unpaid balances, including managing appeals. Problem-solving: Investigate and resolve billing questions and problems for staff, patients, and payers. Reporting and audit: Prepare and review reports to monitor billing performance and identify areas for improvement. Customer service: Provide support and communicate with patients and staff regarding billing inquiries. Training and support: Serve as a resource for other billers and departments, providing guidance and training on billing processes and workflow improvements. COMPETENCIES: Collaborative Displays willingness to make decisions, resolve conflict and delegate work assignments in a timely manner. Adapts to change, takes responsibility for own actions to advance team goals. Speaks and writes clearly and persuasively in formal and informal presentations. Actively participates in meetings and demonstrates effective listening skills with an open and collaborative mindset. Solicits input from appropriate stakeholders, explains reasoning for decisions, and uses strong interpersonal skills to communicate and influence others. Gives recognition to others for results. Solid Character Balances team and individual responsibilities while assessing own strengths and weaknesses. Exhibits objectivity and openness to others' views. Welcomes feedback, build positive team spirit, support all team members. Develop alternative solutions, support and share expertise with other team members while building positive morale. Demonstrates knowledge of company policies and treats people with respect. Works ethically and with integrity, to uphold organizational values. Keeps commitments, shows respect and sensitivity for cultural differences. Educate others on the value of diversity, promote a positive work environment where all feel free to contribute. Organizational Support Completes administrative tasks correctly and on time and develops strategies to achieve organizational goals and values. Supports affirmative action and respect diversity, understands organization's strengths and weaknesses, analyzes market and competition, and identifies external threats and opportunities while adapting strategy to changing conditions. Prioritizes and plans work activities while understanding business implications of decisions. Demonstrates accuracy and thoroughness within approved budget and displays original thinking and creativity. Displays knowledge of market and competition that aligns with strategic goals. Meets challenges with resourcefulness, generates suggestions for improving work, develops innovative approaches and ideas. Displays passion and optimism while exhibiting confidence in self and others. Inspires respect and trust while motivating others to perform well and influencing actions and opinions of others. Coordinates projects, develops workable implementation plans, includes staff in planning, decision making, and process improvement. Communicates and completes changes and progress of projects on time and on budget while managing project team activities to overcome resistance. Makes self-available to staff, provides regular performance feedback. Develops individual team member skills and encourages growth. Safety and Security Promote safety precautions and security measures to ensure the safety of both staff and patients. Adheres to data security guidelines, including appropriate use of EMR systems and IT resources. TYPICAL WORKING CONDITIONS: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. TYPICAL PHYSICAL DEMANDS: While performing the duties of this job, the employee is regularly required to use hands for use of a PC as well as other office equipment. The employee is frequently required to stand, walk; sit and talk and use hearing to listen. The employee is occasionally required to reach with hands and arms, stoop and kneel. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, color vision, and ability to adjust focus. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. QUALIFICATIONS: CPC or CPB certification preferred. Experience with payer appeals processes. Knowledge of FQHC policies and requirements. Exceptional customer service skills. Strong analytical skills. EDUCATION/EXPERIENCE/CERTIFICATIONS/LICENSES: Must have a minimum of a high school diploma. Associate Degree in Business with emphasis in Accounting/Finance from an accredited college or university in addition to two years of experience; or equivalent combination of education and experience is preferred. Prefer knowledge of the EPIC system and relevant third-party liability (TPL) and government websites (e.g., CHAMPS, C-SNAP, Connex, Medicare DDE, Availity, and HMO Medicaid sites used by FHC). Working knowledge of ICD-10, HCPCS, and CPT is also preferred. Knowledge of FQHC or RHC billing rules and regulations. Family Health Center has the right to modify the duties and functions of the job description based on the needs of the organization.

The Lead Billing Specialist Tier I oversees daily billing operations, resolves complex claims and denials, and ensures accurate, efficient, and compliant processes. Serving as a key resource for staff, this role provides training, guidance, and customer support while addressing inquiries from patients, payers, and internal teams. Additionally, the role monitors performance through reporting and drives improvements that strengthen overall revenue cycle efficiency. CORE RESPONSIBILITIES: Supervise and manage billing: Oversee daily billing activities, ensure processes are efficient, accurate, and follow company policies. Claim resolution: Handle complex claims, denials, and unpaid balances, including managing appeals. Problem-solving: Investigate and resolve billing questions and problems for staff, patients, and payers. Reporting and audit: Prepare and review reports to monitor billing performance and identify areas for improvement. Customer service: Provide support and communicate with patients and staff regarding billing inquiries. Training and support: Serve as a resource for other billers and departments, providing guidance and training on billing processes and workflow improvements. COMPETENCIES: Collaborative Displays willingness to make decisions, resolve conflict and delegate work assignments in a timely manner. Adapts to change, takes responsibility for own actions to advance team goals. Speaks and writes clearly and persuasively in formal and informal presentations. Actively participates in meetings and demonstrates effective listening skills with an open and collaborative mindset. Solicits input from appropriate stakeholders, explains reasoning for decisions, and uses strong interpersonal skills to communicate and influence others. Gives recognition to others for results. Solid Character Balances team and individual responsibilities while assessing own strengths and weaknesses. Exhibits objectivity and openness to others' views. Welcomes feedback, build positive team spirit, support all team members. Develop alternative solutions, support and share expertise with other team members while building positive morale. Demonstrates knowledge of company policies and treats people with respect. Works ethically and with integrity, to uphold organizational values. Keeps commitments, shows respect and sensitivity for cultural differences. Educate others on the value of diversity, promote a positive work environment where all feel free to contribute. Organizational Support Completes administrative tasks correctly and on time and develops strategies to achieve organizational goals and values. Supports affirmative action and respect diversity, understands organization's strengths and weaknesses, analyzes market and competition, and identifies external threats and opportunities while adapting strategy to changing conditions. Prioritizes and plans work activities while understanding business implications of decisions. Demonstrates accuracy and thoroughness within approved budget and displays original thinking and creativity. Displays knowledge of market and competition that aligns with strategic goals. Meets challenges with resourcefulness, generates suggestions for improving work, develops innovative approaches and ideas. Displays passion and optimism while exhibiting confidence in self and others. Inspires respect and trust while motivating others to perform well and influencing actions and opinions of others. Coordinates projects, develops workable implementation plans, includes staff in planning, decision making, and process improvement. Communicates and completes changes and progress of projects on time and on budget while managing project team activities to overcome resistance. Makes self-available to staff, provides regular performance feedback. Develops individual team member skills and encourages growth. Safety and Security Promote safety precautions and security measures to ensure the safety of both staff and patients. Adheres to data security guidelines, including appropriate use of EMR systems and IT resources. TYPICAL WORKING CONDITIONS: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. TYPICAL PHYSICAL DEMANDS: While performing the duties of this job, the employee is regularly required to use hands for use of a PC as well as other office equipment. The employee is frequently required to stand, walk; sit and talk and use hearing to listen. The employee is occasionally required to reach with hands and arms, stoop and kneel. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, color vision, and ability to adjust focus. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. QUALIFICATIONS: CPC or CPB certification preferred. Experience with payer appeals processes. Knowledge of FQHC policies and requirements. Exceptional customer service skills. Strong analytical skills. EDUCATION/EXPERIENCE/CERTIFICATIONS/LICENSES: Must have a minimum of a high school diploma. Associate Degree in Business with emphasis in Accounting/Finance from an accredited college or university in addition to two years of experience; or equivalent combination of education and experience is preferred. Prefer knowledge of the EPIC system and relevant third-party liability (TPL) and government websites (e.g., CHAMPS, C-SNAP, Connex, Medicare DDE, Availity, and HMO Medicaid sites used by FHC). Working knowledge of ICD-10, HCPCS, and CPT is also preferred. Knowledge of FQHC or RHC billing rules and regulations. Family Health Center has the right to modify the duties and functions of the job description based on the needs of the organization.

The Lead Billing Specialist Tier I oversees daily billing operations, resolves complex claims and denials, and ensures accurate, efficient, and compliant processes. Serving as a key resource for staff, this role provides training, guidance, and customer support while addressing inquiries from patients, payers, and internal teams. Additionally, the role monitors performance through reporting and drives improvements that strengthen overall revenue cycle efficiency. CORE RESPONSIBILITIES: Supervise and manage billing: Oversee daily billing activities, ensure processes are efficient, accurate, and follow company policies. Claim resolution: Handle complex claims, denials, and unpaid balances, including managing appeals. Problem-solving: Investigate and resolve billing questions and problems for staff, patients, and payers. Reporting and audit: Prepare and review reports to monitor billing performance and identify areas for improvement. Customer service: Provide support and communicate with patients and staff regarding billing inquiries. Training and support: Serve as a resource for other billers and departments, providing guidance and training on billing processes and workflow improvements. COMPETENCIES: Collaborative Displays willingness to make decisions, resolve conflict and delegate work assignments in a timely manner. Adapts to change, takes responsibility for own actions to advance team goals. Speaks and writes clearly and persuasively in formal and informal presentations. Actively participates in meetings and demonstrates effective listening skills with an open and collaborative mindset. Solicits input from appropriate stakeholders, explains reasoning for decisions, and uses strong interpersonal skills to communicate and influence others. Gives recognition to others for results. Solid Character Balances team and individual responsibilities while assessing own strengths and weaknesses. Exhibits objectivity and openness to others' views. Welcomes feedback, build positive team spirit, support all team members. Develop alternative solutions, support and share expertise with other team members while building positive morale. Demonstrates knowledge of company policies and treats people with respect. Works ethically and with integrity, to uphold organizational values. Keeps commitments, shows respect and sensitivity for cultural differences. Educate others on the value of diversity, promote a positive work environment where all feel free to contribute. Organizational Support Completes administrative tasks correctly and on time and develops strategies to achieve organizational goals and values. Supports affirmative action and respect diversity, understands organization's strengths and weaknesses, analyzes market and competition, and identifies external threats and opportunities while adapting strategy to changing conditions. Prioritizes and plans work activities while understanding business implications of decisions. Demonstrates accuracy and thoroughness within approved budget and displays original thinking and creativity. Displays knowledge of market and competition that aligns with strategic goals. Meets challenges with resourcefulness, generates suggestions for improving work, develops innovative approaches and ideas. Displays passion and optimism while exhibiting confidence in self and others. Inspires respect and trust while motivating others to perform well and influencing actions and opinions of others. Coordinates projects, develops workable implementation plans, includes staff in planning, decision making, and process improvement. Communicates and completes changes and progress of projects on time and on budget while managing project team activities to overcome resistance. Makes self-available to staff, provides regular performance feedback. Develops individual team member skills and encourages growth. Safety and Security Promote safety precautions and security measures to ensure the safety of both staff and patients. Adheres to data security guidelines, including appropriate use of EMR systems and IT resources. TYPICAL WORKING CONDITIONS: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. TYPICAL PHYSICAL DEMANDS: While performing the duties of this job, the employee is regularly required to use hands for use of a PC as well as other office equipment. The employee is frequently required to stand, walk; sit and talk and use hearing to listen. The employee is occasionally required to reach with hands and arms, stoop and kneel. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, color vision, and ability to adjust focus. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. QUALIFICATIONS: CPC or CPB certification preferred. Experience with payer appeals processes. Knowledge of FQHC policies and requirements. Exceptional customer service skills. Strong analytical skills. EDUCATION/EXPERIENCE/CERTIFICATIONS/LICENSES: Must have a minimum of a high school diploma. Associate Degree in Business with emphasis in Accounting/Finance from an accredited college or university in addition to two years of experience; or equivalent combination of education and experience is preferred. Prefer knowledge of the EPIC system and relevant third-party liability (TPL) and government websites (e.g., CHAMPS, C-SNAP, Connex, Medicare DDE, Availity, and HMO Medicaid sites used by FHC). Working knowledge of ICD-10, HCPCS, and CPT is also preferred. Knowledge of FQHC or RHC billing rules and regulations. Family Health Center has the right to modify the duties and functions of the job description based on the needs of the organization.

The Billing Specialist works as part of the administrative team and is responsible for assisting patients with billing inquiries, processing payments, and several other aspects of billing and financial duties within the organization. Essential Duties and Responsibilities: 1. Assists patients with billing questions, problems in person or on the phone. Follow up on all calls, documenting as necessary. 2. Reconciles LabCorp Bills to ensure proper allocation of funds. 3. Working through the RPI LabCorp dx code online and an Excel spreadsheet. 4. Researches and processes patient refunds and/or credit balances. 5. Performs payment posting. 6. Responsible for working through Medicaid pending claims. 7. Evaluates accounts for collections activities. 8. Processes return mail and notes patient accounts of needed updates. 9. Responsible for cleaning up and monitoring old billing alerts on accounts. 10. Works through claim/action errors for coding corrections needed. 11. Maintains and assists all Patient Assistant Specialist staff with passwords and logins for insurance-related websites. 12. Ensures confidential information gained through job performance is kept confidential. 13. Must demonstrate good internal and external customer service skills. 14. Follows the supervisor's instructions. 15. Physical attendance is an essential element of the job and necessary to perform the essential functions of the Billing Specialist. 16. Performs other duties as assigned. Other Functions: 1. Staff members will abide by the Code of Conduct as documented in the Corporate Compliance Manual. 2. Must demonstrate a personal and professional commitment to Johnson Health Center and its mission. 3. Treats all patients and staff with dignity and respect, mindful of the cultural differences of the diverse population we serve. 4. Management may modify, add, or remove any job functions as necessary, or as changing organizational needs require. JHC Core Values: Staff members must actively demonstrate dedication and commitment to the core values of JHC. 1. Respect - We value and respect each patient, their family, ourselves, and each other. Every individual associated with Johnson Health Center will be treated with dignity and respect. We value and respect people's differences, show empathy to our patients, their families and each other, and work collectively to build Johnson Health Center as a health center and an employer of choice. 2. Integrity - We are committed to doing the right thing every time. Our actions reflect our commitment to honesty, openness, truthfulness, accuracy and ethical behavior. We are accountable for the decisions we make and the outcome of those decisions. 3. Excellence - We will pursue excellence each and every day in activities that foster, teamwork, quality improvement, patient care, innovation, and efficiencies. At Johnson Health Center, our medical, dental, pharmacy, behavioral health, front desk and administrative teams are passionately committed to the highest quality of care for our patients. We continually seek out ways to enhance the patient experience and promote an environment of continuous quality improvement. 4. Innovation - We value creativity, flexibility, and continuous improvement efforts. We are advocates and instruments of positive change, encouraging employees to engage in responsible risk-taking and working to make a difference. Out of the box thinking enables us to build on successes and learn from failures. 5. Teamwork - We understand that teamwork is the essence of our ability to succeed. We work across functional boundaries for the good of the organization. Our collaborative approach ensures participation, learning and respect and serves to improve the quality of patient care. By focusing on a team-based approach, the expertise of each Johnson Health Center employee is leveraged to optimize the patient experience. Qualifications: 1. High School diploma or equivalent. 2. Previous billing experience required. 3. Must be self-motivated with well-developed organizational skills and computer experience, including, but not limited to, Word, Excel, and database functions. 4. Must possess strong communication skills; works well with external organizations and employees. Physical Demand and Working Environment: Fast-paced office setting with travel to other offices often. Lifting and/or exerting force up to 15 pounds occasionally, with frequently moving of objects. Work requires speaking, sitting, bending, walking, standing, hearing, and stooping, kneeling, and repetitive motion with certain activities. 10 hours of constant computer usage. OSHA low-risk position. EOE/M/F/D/V

The Billing Specialist works as part of the administrative team and is responsible for assisting patients with billing inquiries, processing payments, and several other aspects of billing and financial duties within the organization. Essential Duties and Responsibilities: 1. Assists patients with billing questions, problems in person or on the phone. Follow up on all calls, documenting as necessary. 2. Reconciles LabCorp Bills to ensure proper allocation of funds. 3. Working through the RPI LabCorp dx code online and an Excel spreadsheet. 4. Researches and processes patient refunds and/or credit balances. 5. Performs payment posting. 6. Responsible for working through Medicaid pending claims. 7. Evaluates accounts for collections activities. 8. Processes return mail and notes patient accounts of needed updates. 9. Responsible for cleaning up and monitoring old billing alerts on accounts. 10. Works through claim/action errors for coding corrections needed. 11. Maintains and assists all Patient Assistant Specialist staff with passwords and logins for insurance-related websites. 12. Ensures confidential information gained through job performance is kept confidential. 13. Must demonstrate good internal and external customer service skills. 14. Follows the supervisor's instructions. 15. Physical attendance is an essential element of the job and necessary to perform the essential functions of the Billing Specialist. 16. Performs other duties as assigned. Other Functions: 1. Staff members will abide by the Code of Conduct as documented in the Corporate Compliance Manual. 2. Must demonstrate a personal and professional commitment to Johnson Health Center and its mission. 3. Treats all patients and staff with dignity and respect, mindful of the cultural differences of the diverse population we serve. 4. Management may modify, add, or remove any job functions as necessary, or as changing organizational needs require. JHC Core Values: Staff members must actively demonstrate dedication and commitment to the core values of JHC. 1. Respect - We value and respect each patient, their family, ourselves, and each other. Every individual associated with Johnson Health Center will be treated with dignity and respect. We value and respect people's differences, show empathy to our patients, their families and each other, and work collectively to build Johnson Health Center as a health center and an employer of choice. 2. Integrity - We are committed to doing the right thing every time. Our actions reflect our commitment to honesty, openness, truthfulness, accuracy and ethical behavior. We are accountable for the decisions we make and the outcome of those decisions. 3. Excellence - We will pursue excellence each and every day in activities that foster, teamwork, quality improvement, patient care, innovation, and efficiencies. At Johnson Health Center, our medical, dental, pharmacy, behavioral health, front desk and administrative teams are passionately committed to the highest quality of care for our patients. We continually seek out ways to enhance the patient experience and promote an environment of continuous quality improvement. 4. Innovation - We value creativity, flexibility, and continuous improvement efforts. We are advocates and instruments of positive change, encouraging employees to engage in responsible risk-taking and working to make a difference. Out of the box thinking enables us to build on successes and learn from failures. 5. Teamwork - We understand that teamwork is the essence of our ability to succeed. We work across functional boundaries for the good of the organization. Our collaborative approach ensures participation, learning and respect and serves to improve the quality of patient care. By focusing on a team-based approach, the expertise of each Johnson Health Center employee is leveraged to optimize the patient experience. Qualifications: 1. High School diploma or equivalent. 2. Previous billing experience required. 3. Must be self-motivated with well-developed organizational skills and computer experience, including, but not limited to, Word, Excel, and database functions. 4. Must possess strong communication skills; works well with external organizations and employees. Physical Demand and Working Environment: Fast-paced office setting with travel to other offices often. Lifting and/or exerting force up to 15 pounds occasionally, with frequently moving of objects. Work requires speaking, sitting, bending, walking, standing, hearing, and stooping, kneeling, and repetitive motion with certain activities. 10 hours of constant computer usage. OSHA low-risk position. EOE/M/F/D/V