Billing Representative jobs at Ascension Michigan - 6750 jobs

ABOUT WILLIAMSON HEALTH | Williamson Health is a regional healthcare system based in Williamson County, Tennessee, with more than 2,300 employees across more than 30 locations and more than 860 physicians and advanced care practitioners offering exceptional healthcare across 60-plus specialties and subspecialties close to home. The flagship facility, Williamson Medical Center, which recently opened its new Boyer-Bryan West Tower, offers extensive women's services, state-of-the-art cardiology services, advanced surgical technologies, an award-winning obstetrics and NICU, leading-edge orthopaedics, outpatient imaging services, and distinct comprehensive emergency and inpatient services for both adult and pediatric patients. Other Williamson Health service providers include the Bone and Joint Institute of Tennessee, The Turner-Dugas Breast Health Center, Monroe Carell Jr. Children's Hospital Vanderbilt at Williamson Medical Center, Williamson Health physician practices that are strategically located throughout the community, countywide Emergency Medical Services that include 18 rapid response units, Williamson Health Foundation, and multiple joint venture Vanderbilt Health and Williamson Medical Center Walk-In Clinics in Williamson County. Learn more about our many specialized services at WilliamsonHealth.org. Williamson Health is a system where your talents will be valued and your skillset expanded. We are rooted in our promise to world-class, compassionate care for the residents of Williamson County and surrounding communities, taking exceptional pride in serving our community. We're committed to empowering our employees to work in innovative ways and reserve time and space for curiosity, laughter and creativity. We value and support the diversity and cultural differences among one another and are committed to upholding an inclusive environment that appreciates the uniqueness of all individuals. Our values are at the heart of everything we do: respect for every individual, the health and total well-being of all people, human compassion and integrity. These shape who we are as an organization and are essential for delivering the highest level of culturally competent care and treatment of every patient, family member, visitor, physician and employee. Williamson Health is pleased to offer a comprehensive benefits program, that offers you choice and flexibility, so you can take charge of your physical, financial, and emotional well-being. o Medical, Dental, Vision o PTO o Retirement Matching o Tuition reimbursement o Discount programs o FSA (Flexible Spending Accounts) o Identity Theft Protection o Legal Aid Williamson Health is an equal-opportunity employer and a drug-free workplace. POSITION SUMMARY Provides sterile or high level disinfected equipment and supplies, ready for use, accurately and timely for inpatient and outpatient surgical patient care. POSITION REQUIREMENTS Formal Education / Training: 1. High school graduate or equivalent. 2. Previous CSR experience required. 3. Certified CSR technicians must maintain 10 hours of continuing education (CE) annually. 4. Certification must be attained from either the International Association of Healthcare Central Service Material Management (IAHCSMM) or Certification Board for Sterile Processing and Distribution (CBSPD). 5. Certification must be maintained according to requirements of either the International Association of Healthcare Central Service Material Management (IAHCSMM) or Certification Board for Sterile Processing and Distribution (CBSPD). Workplace Experience: Central Sterilization and Processing. experience in an Inpatient or Outpatient Surgery Environment Equipment and Skills Training: The ability to work well under pressure, to function independently or within a team. Flexibility in applying basic sterile processing knowledge in a variety of settings. Knowledge in the following CSP equipment: surgical equipment, instruments and trays; Pre-Vac and Gravity steam sterilization; low temperature sterilization; surgical instrument washer / disinfector and ultrasonic cleaner, network computer system; computerized surgical Instrument tracking system. Physical Environment: An Inpatient and Outpatient Surgical facility with patient population ranging from less than one year of age> ninety-nine plus years of age. Environmental conditions include possible exposure to anesthetics, radiation, and infectious disease entities. Physical Effort: 1. Requires the ability to communicate in English orally and written. 2. Requires prolonged standing and working for up to twelve hours a day. 3. Constantly required to push/pull objects up to 175 lbs. 4. Requires the ability to lift, position, and transport with assistance up to 250 lbs. 5. Ability to work overtime or late shifts as required by the work load schedule. 6. Weekend / Holiday call rotation required. PERFORMANCE STANDARDS Decontamination Area 1. Adheres to CS decontamination area policies and procedures. Proper wearing of PPE 2. Knowledge of ultrasonic and instrument washer testing and operation. 3. Adheres to CS eye wash station policy & procedures, weekly testing. Instrument Assembly Area 4. Assembles instruments and equipment according to Central Sterilization policies and procedures. 5. Utilizes available resources (Censitrac and OneSource) for the correct sterilization methods. 6. Utilizes proper instrument wrapping techniques and proper peel package of surgical instruments. Sterilization 7. Adheres to CS policies related to all sterilization methods, Steam - prevac /gravity, Vaporized Hydrogen Peroxide. 8. Properly loads sterilization racks and follows CS policies and procedures for sterilization. 9. Monitors chemical and physical sterilization cycle parameters, documents results correctly. Sterile Storage 10. Adheres to storage requirements for sterilized reusable medical equipment. 11. Facilitates a cohesive sterile processing team. Assists with the orientation and training of new personnel, and participates in the development of educational program for co-workers. 12. Participates in quality improvement activities, develops process improvement plans and implementation.

:The Registration Specialist is responsible for assisting patients during the on-site registration and arrival process for scheduled and unscheduled visits as well as completing financial clearance functions. This individual completes the registration for scheduled and unscheduled visits by collecting accurate demographic information, insurance information, and handling patient financial obligation at the time of service. The Registration Specialist I greets and serves patients and internal team members in a professional, friendly, and respectful manner to promote positive encounters. Some travel from site to site, as well as extended hours may be required of a Registration Specialist I based on business needs of the department. Education ▪ Required: High School Diploma or Equivalent Experience ▪ Preferred: 1-2 Years Related Experience Skills ▪ Excellent customer service skills and ability to work with the public and co-workers ▪ Excellent verbal and written communication skills ▪ Able to work independently and collaboratively in a team ▪ Proficient in using computers and computer systems ▪ Ability to multi-task in a fast-paced environment Licensure/Certification/Registration ▪ N/A

:The Registration Specialist is responsible for assisting patients during the on-site registration and arrival process for scheduled and unscheduled visits as well as completing financial clearance functions. This individual completes the registration for scheduled and unscheduled visits by collecting accurate demographic information, insurance information, and handling patient financial obligation at the time of service. This individual is also responsible for financial clearance functions on assigned scheduled accounts during registration downtimes. The Registration Specialist II greets and serves patients and internal team members in a professional, friendly, and respectful manner to promote positive encounters. Some travel from site to site, as well as extended hours may be required of a Registration Specialist II based on business needs of the department. Education ▪ Required: High school diploma or equivalent Experience ▪ Preferred: At least 1-2 years prior registration experience Skills ▪ Proficient in using computers and computer systems ▪ Excellent customer service skills and ability to work with the public and co-workers ▪ Excellent verbal and written communication skills. ▪ Ability to multi-task in a fast-paced environment ▪ Able to work independently and collaboratively in a team Licensure/Certification/Registration ▪ N/A

The Patient Service Rep is responsible for positive patient relations, accurate telephone communication, appointment scheduling, patient registration, payment and co-payment collection and overall providing outstanding customer service to patients through the intake of calls and ability to navigate services throughout Cedars Sinai Medical Network. This position also performs routine duties associated with the collection and maintenance of current patient demographics and insurance information. Job Duties and Responsibilities: + Provides outstanding customer service through the successful intake, prioritizing, and resolution of calls and patient needs for a multi-specialty team. + Greets patients and assist with resolving patient issues or raising patients issues. + Check-in and out patients and collect co-payments/give receipts/reconcile payments. Verifies that patient demographic and insurance data are accurate in CS-Link. + Schedules appointments, complete patient registration, collect patient payments and provides a high standard of patient service. + Assists with the management of physician schedules and finds opportunities for improvement. Handle patient/provider correspondence as instructed. + Process and track referrals and authorizations for various insurance types. + Manages patient care flow and assist with monitoring CS-Link message pools and standard work. + Monitors and assess their own workflow to find opportunities for improvement. + Explains policies, procedures, or services to patients using administrative knowledge + Participates in daily huddles and staff meetings. + Promotes and practice infection prevention standards and all department policies and procedures. **Qualifications** Education: High school diploma or GED preferred. Experience: Two (2) years of experience working as a Patient Service Rep in an outpatient medical office setting preferred. **About Us** Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care, specialized medicine and research. Since 1902, Cedars-Sinai has evolved to meet the needs of one of the most diverse regions in the nation, setting standards in quality and innovative patient care, research, teaching and community service. Today, Cedars- Sinai is known for its national leadership in transforming healthcare for the benefit of patients. Cedars-Sinai impacts the future of healthcare by developing new approaches to treatment and educating tomorrow's health professionals. Additionally, Cedars-Sinai demonstrates a commitment to the community through programs that improve the health of its most vulnerable residents. **About the Team** With a growing number of primary urgent and specialty care locations across Southern California, Cedars-Sinai's medical network serves people near where they live. Delivering coordinated, compassionate healthcare you can join our network of clinicians and physicians to improve the healthcare people throughout Los Angeles and beyond. **Req ID** : 12992 **Working Title** : Patient Service Rep - Internal Medicine (Playa Vista) **Department** : IM - Playa Vista **Business Entity** : Cedars-Sinai Medical Care Foundation **Job Category** : Administrative **Job Specialty** : Admissions/Registration **Overtime Status** : NONEXEMPT **Primary Shift** : Day **Shift Duration** : 8 hour **Base Pay** : $24 - $33 Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law.

Read on to find out what you will need to succeed in this position, including skills, qualifications, and experience. The Application System Analyst II serves as a liaison between system end-users (customers), operational leaders, additional support resources and vendors to design, build and optimize their assigned applications in a timely and high-quality manner. The Systems Analyst II will provide application support and optimization. They work closely with the Service Desk to assist in responding to service requests. The Application System Analyst II must be able to analyze business issues/requirements and workflows and apply their application knowledge to meet operational and organizational needs. Project implementation responsibilities include collaborating with customers contributing to the analysis, testing, and documentation and implementation of medium to high complexity activities of assigned software. This position must possess sufficient detailed healthcare knowledge and systems expertise to implement medium to high complexity assigned application with minimal guidance. The Associate must be a self-motivated individual with exceptional communication and interpersonal skills and the ability to work well in team environments. Responsibilities: Analyze, develop, test, document, educate, implement, support, and maintain or optimize assigned applications, solutions and business processes to meet operational and technical requirements. Collaborates across project borders with other teams. Thinks outside the box and proposes practical solutions to issues. Provides oversight and project management to assigned tasks. Demonstrates a solid/working level of subject matter expertise in providing support to projects, customers, and other teams, while proactively working to improve and obtain new expertise in application/system in assigned areas. Utilizes application training, application web site and application resource materials regularly and effectively and is able guide newer team members in utilizing these resources. Thorough knowledge and understanding of operations, can proactively identify opportunities to enhance customer usability, efficiency and/or experience. Represents user needs and expectations in larger, more complex system updates and enhancements. Provides clear and organized status reporting on key project areas to be used as external communications to stakeholders. Performs working level process and requirement analysis, including process mapping though current flow charts, documents, future needs/plans, requirement elicitation, stakeholder analysis, and specification gathering to deliver cross team solutions. Responsible for completing working level gap analysis, and providing recommendations. Able to clearly articulate complex design, configuration issues to end users and project stakeholders. Maintains relationship with end user leadership post-engagement. Proactively addresses end user conflicts. Contributes to strategy discussions by identifying options with associated pros and cons with team members. Facilitates making timely decisions; makes sound decisions even in the absence of complete information. Recognizes when a quick 80% resolution will suffice. Adhere to organization standards for system configuration and change control. Strong technical proficiency in application-specific design and configuration. Ability to clearly articulate and communicate core design, configuration concepts to end users. Able to independently analyze, design, and configure the application. Able to teach design, configuration concepts to new team members. Collaborate and develop strong relationships with end user communities, customers and business partners. Collaborate with Operational Leaders to focus on standardized best practice workflow processes and content to ensure alignment across all ministries, to create efficiencies, and to ensure optimal operational processes. Coordinates code changes with appropriate vendor related to financial and business application issues. Collaborates with Technical Team to identify and infrastructure related issues that have resulted in application issues. Share industry best practices from vendors with Operational Leaders. Demonstrates increasing technical knowledge of the assigned application including relationships of infrastructure and impact to user if unavailable. Serves as a liaison between business operations and providers, internal information technology, system users and vendors working within the defined project objectives for issue and problem resolution. Follows strict change management processes ensuring proper approval, testing, and validation of system changes. Written documentation delivered to end users and leadership shows consistency and attentive review. Is a team player and able to proactively communicate issues and concepts to project leadership. Associate periodically reviews and auto-corrects his/her skills, habits, work ethic, and behaviors and manages his/her work in an effective and agreeable way among peers. Associate is sensitive and aware of how others perceive them and take care to ensure smooth and effective working relationships and environments. Proactively and independently troubleshoot and resolve moderate incidents and requests without direction. Maintains high standards for quality of work for self and others. Provides oversight and feedback on team member design, configuration and deliverables. Manages medium complexity projects/requests. Collaborates with team members as needed. Proactively evaluates all new release and functionality of applications. Complete in a timely manner assigned courses within Healthstream, other electronic tracking tools for educational related material or attend presentations in person as assigned. Ensure the services that he/she provides contribute to the successful accomplishment of the primary mission of the department. Escalates when SLAs are breached or appropriate vendor action is not occurring. May be required to travel to perform duties. May be required to work additional hours as needed during critical problems. Assist in preparation and conducting of continuing formal or informal training session for users and co-workers. Identifies and seizes new opportunities, displays can-do attitude in good and bad times and steps up to handle tough issues. Performs other duties as assigned. xevrcyc Requirements: Education/Skills Associates or Bachelor's degree preferred with a focus in healthcare, business, or information systems. Ability to present complex data in meaningful method, i.e., charts, graphs Ability to adjust to and implement change Problem Solving skills Multitasking skills Work as a team member Proficient in Microsoft applications including Word, Excel, and PowerPoint Excellent customer service skills Highly effective written and verbal communication and interpersonal skills to establish working relationships that foster optimal quality teamwork and education Strong organizational skills in managing multiple priorities Experience 3+ Years of experience 2+ years within healthcare, business, or information systems Solves moderate incidents without direction Develops new functionality for requests with little direction Works in a team setting, sharing information and assisting other junior level team members Possesses detailed healthcare knowledge and systems expertise Makes decisions regarding own work on primarily routine cases Works under minimal supervision, uses independent judgment requiring analysis of variable factors Collaborates with senior team members to develop approaches and solutions Mentors and may train team members within own functional or application Licenses, Registrations, or Certifications Associated certifications on area of focus, preferred For Epic Analysts: Certified or proficient in assigned Epic module (must be obtained within 6 months of employment date) Certifications or Proficiencies must stay current by maintaining new version training Work Type: Full Time

Benefits We Offer: + Comprehensive health, prescription, dental, vision, life, and disability plans + Competitive pay rates + Referral opportunities ? Refer a friend & Cash in! + Travel reimbursement and per diem allowances + Employee discounts + Educational opportunities Health Advocates Network was founded based on a shared aspiration to improve the way healthcare staffing is done. We are a company founded by healthcare professionals and built for healthcare professionals. As your true advocates, we will always help you thrive and pave the path forward in your career. Our talented staffing team is committed to providing exceptional customer service, great opportunities with top pay and benefits. From Per Diem to Travel Contracts, miles away or local to you, Health Advocates Network can find you just what you are looking for. Allow us to get you to you next adventure! Health Advocates Network, Inc. is an equal opportunity employer. All qualified applicants shall receive consideration for employment without regard to any legally protected basis under applicable federal, state or local law, except where a bona fide occupational qualification applies. EOE including Veterans/Disability

Communicates with patients, participants and staff to accurately schedule patients for prescribed procedures. Performs clerical and reception duties associated with patient registration. Education, License & Cert: High School Diploma or equivalent is required. Experience: - Customer/patient relations experience required (preferably in a healthcare setting). - At least 1‐year experience in a position requiring frequent and direct in‐person customer contact. - Candidate should have experience in a role that requires: • Strong organizational skills • Excellent verbal communication skills • Frequent keyboarding • Exceptional attention to detail Essential Functions: 1. Creates patient encounters in the EHR for ED, radiology, and outpatient patients. Performs all functions related to the integrity of the EHR (i.e., obtaining general consent for treatment, creating unknown encounters, merging records, scanning, prepared trauma packets) 2. Participates in daily auditing of registration processes. 3. Manages incoming and outgoing telephone calls, Vocera calls, Nurse call system. 4. Collects co‐pays and provides financial guidance related to paying outstanding balances, providing estimate letters for services rendered. 5. Performs the function of Health Information Management department after hours. 6. Participates in ED staff meetings and ED Shared Governance. Other Duties: Other duties as assigned. The pay range for this position is $17.00 - $22.37/hour

We are an equal opportunity employer and 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. Employment is contingent upon successful completion of drug and background screening. Some positions will require a favorable driving record. Join the fastest growing outpatient radiology practice in the Nation- SimonMed Imaging! Our commitment to excellence and improving patient care paired with the best-in-class technology allows us to be an industry leader in the constantly evolving health care environment. Secure your spot now and take advantage of a unique career opportunity to advance your skills while working alongside a dedicated team of board-certified subspecialty radiologists. We can't wait to meet you! As a Physician Account Representative, you will be responsible for building relationships with physicians and office staff, while providing education and customer resources to increase revenue. You will also focus on expanding business potential within the territory and meet & exceed established goals. Call points include neurology, orthopedic, pain, primary care, Ob/Gyn, pediatric, and hospital groups to aggressively grow market share within assigned territory. Essential Functions Self-starter who is able to work within a team environment Career oriented individual, searching for unlimited opportunities Ability to work independently, handle multiple concurrent projects, manage time effectively, and meet deadlines. Prospecting, cold calling, setting appointments. Proven sales record with documentation of consistent sales success Meets and exceeds projected sales goals Develops new business and expands existing business Keeps up to date on the managed health care environment Excellent interpersonal, written, and verbal communication skills Ability to develop and implement new sales strategies and promotions with physicians Addresses client concerns/issue management and call activity in physician practices. Educates customers through presentations, in-services and literature Ambitious, strong work ethic, and open to new ideas Clean driving record and must live within a 30-mile radius of the territory Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time or without notice. Benefits Your health, happiness and future matters! At SimonMed Imaging, we offer medical, vision and dental insurance, 401(k) eligibility, paid holidays plus PTO, Sick Time, opportunity for growth, and much more! Experience 2+ years of sales experience (medical sales experience a strong plus) Education Bachelor's degree required Physical Demands This position may require duties including lifting and carrying up to 40 pounds, sitting for prolonged periods of time, with frequent standing and walking. Good visual and auditory acuity as well as good manual dexterity and the ability to be readily understood are essential. Must be able to work in an environment with multiple deadlines and priorities. Dress Attire Business Casual; Polo with SimonMed Logo; Scrubs as needed

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.

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

Patient Account Specialist Senior- ONSITE Medical Collections & Account Resolution; 3-5 years of experience in a Customer Service call center environment with a focus on healthcare billing/collections or collection agency environment required.

Department FPG Administration Now Hiring Medical Assistants to join our team at various provider offices with First Physician's Group (FPG). Offices are located in the Sarasota, Bradenton, Lakewood Ranch, North Port, Gulf Gate, Nokomis and Venice areas: Family Medicine Pediatrics Internal Medicine OB/Gyn ENT (ear nose and throat) GI Neurology Endocrinology Laryngology Pulmonology Dermatology Cardioloyg Orhopedics Urology Plastics *Medical Assistant job title in our FPG offices is Clinical Care Coordinator I Pay Range = $20.00/hr-$28.20/hr *Pay rates offered are based on years of Medical Assistant experience (and equity with others on the team). Opportunities for New Grad and Experienced Medical Assistants! Individualized orientation/training Specialized training in patient management for a wide range of healthcare services Required Qualifications Requires current certification as a Certified Medical Assistant (CMA) by: -American Association of Medical Assistants (AAMA), -National Healthcare Association (NHA) -National Center for Competency Testing (NCCT) OR Registered Medical Assistant (RMA) by: -American Medical Technologists (AMT) -Nationally Registered Certified Medical Assistant (NRCMA) -National Association for Health Professionals (NAHP); OR a certified EMT. Note: Experienced medical assistants with a minimum of one (1) to two (2) years of experience, and with a certification from a certifying agency not noted above, or without certification, agrees to register with one of the currently accepted agencies for MA Certification and schedule a test date within 6 months from date of hire. Test for certification may be beyond the six (6) month date. Certification must be received and presented to HR within 12 months of date of hire. - Requires Basic Life Support/CPR certification; or must be obtained within thirty (30) days of hire/transfer date - Must be from American Heart Association or American Red Cross. Preferred Qualifications - Prefer one (1) year of clinical experience in an outpatient physician's office practice. - Prefer experience with electronic practice management and electronic health record programs. - Prefer the ability to demonstrate self-direction and initiative. - Prefer demonstrated knowledge of electronic practice management and electronic health records software along with skill in all Microsoft office software programs (Word, Excel, Outlook, and Power Point). Mandatory Education High School Diploma, GED or Certificate *All positions are Monday - Friday. *8-hour shifts. *Day shift only. *No weekends or holidays! The Benefits of High-Quality Care: • Paid Time Off (PTO) Start earning PTO on day one of employment • Tuition Reimbursement • Discounted medical, prescription, dental, vision plans both full and part time • Flexible Spending Accounts (pre-tax dollars) • Life Insurance • Disability Insurance for those who quality (both short and long term) • Retirement savings Plan: 403b • Discounted Child care & Before and After school Program and Summer Camp! (Sarasota Campus) • Free Parking • On Campus discounted dining • Free Wellness Screening • Wellness Programs • Referral Programs • Advancement and growth opportunities for those hard-working and high performers! • Work side by side with our amazing team players! Employment Screening Requirements As part of Sarasota Memorial Health Care System's commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse.

Company DescriptionAt Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better? Job Description Performs charge capture for all procedures completed in the Bronchoscopy suite. This includes: Audit of CPT codes associated with each procedure Confirmation of supplies used and verification of alignment with operative notes Assists patients with billing and insurance related matters including communicating with patients regarding balances owed and other financial issues and facilitating collection of balances owed. Educates patients about financial assistance opportunities, insurance coverage, treatment costs, and clinic billing policies and procedures. Collaborates closely with physicians and technicians to understand treatment plans and determine costs associated with these plans; Works closely with the staff on managed care and referral related issues; communicates findings to patients. Coordinates the pre-certification process with the clinical staff as it relates to procedures in the Bronchoscopy Suite and Operating Rooms Handles billing inquiries received via telephone or via written correspondence. Responsible for thoroughly investigating and understanding financial resources or programs that may be available to patients and educating staff and patients about these programs. Conducts precertification for appropriate tests or procedures and facilitates the process with managed care and the clinical team. Documents all information and authorization numbers in Epic and acts as a liaison for follow-up related to precertification. Performs activities and responds to patient inquiries related to billing follow-up. Requests necessary charge corrections. Identifies patterns of billing errors and works collaboratively with department manager and outside entity to improve processes as needed. Provides guidance regarding clinical documentation to optimize charges and RVUs Confirms coding accuracy based on clinical documentation and reviews common errors or misses with physicians and leadership. The Billing Coordinator reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Billing Coordinator is responsible for processing charges, payments and/or adjustments for all services rendered at all NM Corporate Health Clinics. Researches and follows- up on all outstanding accounts. Answers all calls regarding charges and claims, providing exceptional customer service to all callers. Possesses extensive knowledge of coding, billing, insurance and collections procedures and coordinates the accounts receivable functions. Performs weekly claims, monthly late bills and patient statement runs and reviews accounts to be placed with an outside collection agency. RESPONSIBILITIES: Department Operations Ensures patient demographic and billing/insurance information is kept current in the computer application. Documents all patient and company contacts. Reviews daily clinic schedules and tracks receipt of documentation to assure completeness of charge capture. Ensures notes are is placed in systems, clearly identifying steps taken, according to established procedures. Works with patients/clients to establish payment plans according to predetermined procedures. Handles all incoming customer service calls in a professional and efficient manner. Provides exceptional service to all customers, guarantors, patients, internal and external contacts. Prepares itemized bill upon request; explains charges, payments and adjustments. Produces a clear and understandable statement to individuals on any outstanding account balance. Responsible for timely submission of accurate bills and invoices to clients, patients and insurance companies. Ensures timely posting of all charges, payments, denials and write-offs to the appropriate account, maintaining the highest level of quality for each transaction processed within 48 hours of receipt. Responsible for balancing each payment and adjustment batch with reconciliation report and bank account deposits after completion. Ensures compliant follow up procedures are followed, to third party payers regarding outstanding accounts receivables. Run outstanding A/R reports, follow-up on unpaid claims or balances with insurance companies, patients, and collection agency, as defined by department. Perform daily systematic review of accounts receivable to ensure all accounts ready to be worked are completed. Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation. Denials and appeals follow-up including root cause analysis to reduce/prevent future denials. Reviews, prepares and sends pre-collection letters as defined by department procedures. Identifies and sends accounts to outside collection agency. Prepares and distributes reports that are required by finance, accounting, and operations. Handles all work in an accurate and timely manner, consistently meets or exceeds productivity standards, quality standards, department goals and deadlines established by the team. Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices. Identify opportunities for process improvement and submit to management. Demonstrate proficient use of systems and execution of processes in all areas of responsibilities. Communication and Teamwork Fosters and maintains positive relationships with the Corporate Health team, Human Resources, NM employees and physicians. Provides courteous and prompt customer service. Answers the telephone in a courteous professional manner, directs calls and takes messages as appropriate. Checks for messages and returns calls. Demonstrates teamwork by helping co-workers within and across departments. Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others. Communicates appropriately and clearly to physicians, manager, nursing staff, front office staff, and employees. Maintains a good working relationship within the department. Organizes time and department schedule well. Demonstrates a positive attitude. Service Excellence Displays a friendly, approachable, professional demeanor and appearance. Partners collaboratively with the functional areas across Northwestern Medicine in support of organizational and team objectives. Fosters the development and maintenance of a cohesive, high-energy, collaborative, and quality-focused team. Supports a “Safety Always” culture. Maintaining confidentiality of employee and/or patient information. Sensitive to time and budget constraints. Other duties as assigned. Qualifications Required: High school graduate or equivalent. Strong Computer knowledge, data entry skills in Microsoft Excel and Word. Thorough understanding of insurance billing procedures, ICD-10, and CPT coding. 3 years of physician office/medical billing experience. Ability to communicate clearly and effectively, both orally and in writing, at all levels within and outside the organization. Ability to work independently. Preferred: 3 years of physician office/medical billing experience in Corporate Health/Occupational Health a plus. CPC (Certified Professional Coder) or R (Registered Medical Coder) Certificate a plus. Additional Information Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act. Artificial Intelligence Disclosure Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more. Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.

The salary range for this position is $21.28 - $27.66 (Hourly Rate) Placement within the salary range is dependent on several factors such as relevant work experience and internal equity. For positions represented by a labor union, placement within the salary range is guided by the rules outlined in the collective bargaining agreement. We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section located at jobs.nm.org/benefits to learn more. Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine. We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service. Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment. Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional, and financial well-being. Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups. From discovery to delivery, come help us shape the future of medicine. Benefits: * $10,000 Tuition Reimbursement per year ($5,700 part-time) * $10,000 Student Loan Repayment ($5,000 part-time) * $1,000 Professional Development per year ($500 part-time) * $250 Wellbeing Fund per year ($125 for part-time) * Matching 401(k) * Excellent medical, dental and vision coverage * Life insurance * Annual Employee Salary Increase and Incentive Bonus * Paid time off and Holiday pay Description * Performs charge capture for all procedures completed in the Bronchoscopy suite. This includes: * Audit of CPT codes associated with each procedure * Confirmation of supplies used and verification of alignment with operative notes * Assists patients with billing and insurance related matters including communicating with patients regarding balances owed and other financial issues and facilitating collection of balances owed. * Educates patients about financial assistance opportunities, insurance coverage, treatment costs, and clinic billing policies and procedures. * Collaborates closely with physicians and technicians to understand treatment plans and determine costs associated with these plans; Works closely with the staff on managed care and referral related issues; communicates findings to patients. * Coordinates the pre-certification process with the clinical staff as it relates to procedures in the Bronchoscopy Suite and Operating Rooms * Handles billing inquiries received via telephone or via written correspondence. * Responsible for thoroughly investigating and understanding financial resources or programs that may be available to patients and educating staff and patients about these programs. * Conducts precertification for appropriate tests or procedures and facilitates the process with managed care and the clinical team. Documents all information and authorization numbers in Epic and acts as a liaison for follow-up related to precertification. * Performs activities and responds to patient inquiries related to billing follow-up. * Requests necessary charge corrections. * Identifies patterns of billing errors and works collaboratively with department manager and outside entity to improve processes as needed. * Provides guidance regarding clinical documentation to optimize charges and RVUs * Confirms coding accuracy based on clinical documentation and reviews common errors or misses with physicians and leadership. The Billing Coordinator reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Billing Coordinator is responsible for processing charges, payments and/or adjustments for all services rendered at all NM Corporate Health Clinics. Researches and follows- up on all outstanding accounts. Answers all calls regarding charges and claims, providing exceptional customer service to all callers. Possesses extensive knowledge of coding, billing, insurance and collections procedures and coordinates the accounts receivable functions. Performs weekly claims, monthly late bills and patient statement runs and reviews accounts to be placed with an outside collection agency. RESPONSIBILITIES: Department Operations * Ensures patient demographic and billing/insurance information is kept current in the computer application. Documents all patient and company contacts. * Reviews daily clinic schedules and tracks receipt of documentation to assure completeness of charge capture. * Ensures notes are is placed in systems, clearly identifying steps taken, according to established procedures. * Works with patients/clients to establish payment plans according to predetermined procedures. * Handles all incoming customer service calls in a professional and efficient manner. Provides exceptional service to all customers, guarantors, patients, internal and external contacts. * Prepares itemized bill upon request; explains charges, payments and adjustments. Produces a clear and understandable statement to individuals on any outstanding account balance. * Responsible for timely submission of accurate bills and invoices to clients, patients and insurance companies. * Ensures timely posting of all charges, payments, denials and write-offs to the appropriate account, maintaining the highest level of quality for each transaction processed within 48 hours of receipt. * Responsible for balancing each payment and adjustment batch with reconciliation report and bank account deposits after completion. * Ensures compliant follow up procedures are followed, to third party payers regarding outstanding accounts receivables. * Run outstanding A/R reports, follow-up on unpaid claims or balances with insurance companies, patients, and collection agency, as defined by department. * Perform daily systematic review of accounts receivable to ensure all accounts ready to be worked are completed. * Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation. * Denials and appeals follow-up including root cause analysis to reduce/prevent future denials. * Reviews, prepares and sends pre-collection letters as defined by department procedures. * Identifies and sends accounts to outside collection agency. * Prepares and distributes reports that are required by finance, accounting, and operations. * Handles all work in an accurate and timely manner, consistently meets or exceeds productivity standards, quality standards, department goals and deadlines established by the team. * Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices. * Identify opportunities for process improvement and submit to management. * Demonstrate proficient use of systems and execution of processes in all areas of responsibilities. Communication and Teamwork * Fosters and maintains positive relationships with the Corporate Health team, Human Resources, NM employees and physicians. * Provides courteous and prompt customer service. Answers the telephone in a courteous professional manner, directs calls and takes messages as appropriate. Checks for messages and returns calls. * Demonstrates teamwork by helping co-workers within and across departments. Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others. * Communicates appropriately and clearly to physicians, manager, nursing staff, front office staff, and employees. Maintains a good working relationship within the department. Organizes time and department schedule well. Demonstrates a positive attitude. Service Excellence * Displays a friendly, approachable, professional demeanor and appearance. * Partners collaboratively with the functional areas across Northwestern Medicine in support of organizational and team objectives. * Fosters the development and maintenance of a cohesive, high-energy, collaborative, and quality-focused team. * Supports a "Safety Always" culture. * Maintaining confidentiality of employee and/or patient information. * Sensitive to time and budget constraints. * Other duties as assigned. Qualifications Required: * High school graduate or equivalent. * Strong Computer knowledge, data entry skills in Microsoft Excel and Word. * Thorough understanding of insurance billing procedures, ICD-10, and CPT coding. * 3 years of physician office/medical billing experience. * Ability to communicate clearly and effectively, both orally and in writing, at all levels within and outside the organization. * Ability to work independently. Preferred: * 3 years of physician office/medical billing experience in Corporate Health/Occupational Health a plus. * CPC (Certified Professional Coder) or R (Registered Medical Coder) Certificate a plus. Equal Opportunity Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act. Artificial Intelligence Disclosure Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more. Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.

Job DescriptionBenefits: 401(k) matching Bonus based on performance Dental insurance Health insurance Paid time off Training & development Vision insurance JOB OVERVIEW: We are seeking a skilled and experienced Billing Coordinator to join our team at Your Home Assistant. As a Billing Coordinator, you will play a crucial role in completing complex activities associated with maintaining accurate and complete billing and accounts receivable records. Review appropriate reports to ensure billing data accuracy. Resolve billing discrepancies regularly. Ensure eligibility is verified regularly and accurately maintained and followed up accordingly to prevent lost revenue. RESPONSIBILITIES: Work within the scope of the position, in coordination with management, to meet the needs of our patients, families and professional colleagues. Accurately enter patient/customer billing data and charge accordingly Ensure that all potential payers have been identified, verified, and entered accurately into the computer system prior to submission of billing and within deadlines per company policies and procedures. Ensure that insurance-related documentation is secured, completed, reviewed, accurate, and submitted per company and state requirements. This includes election, certifications, and authorization-related documentation required for billing. Maintain tracking tools and diaries to ensure that all necessary information is secured for timely accurate payment. Alert appropriate management team members regarding late or missing documents required for billing. Perform and ensure regular review and resolve discrepancies of accounts receivables according to Company procedures, policy, internal controls, and payer requirements. Establish and maintain positive working relationships with patient/clients, payors, and other customers. Maintain the confidentiality of patient/client and agency information at all times. Assure for compliance with local, state and federal laws, Medicare regulations, and established company policies and procedures, including published manuals and responsibility matrixes Meet or exceed delivery of Company Service Standards in a consistent fashion. Interact with all staff in a positive and motivational fashion supporting the Companys mission. Conduct all business activities in a professional and ethical manner. The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents will be requested to perform job-related tasks other than those stated in this description. QUALIFICATIONS Minimum age requirement of 18. High School graduate or GED required. Two years experience in healthcare data entry, preferably in homecare Cal-Aim, Tri-west, Long Term Care Insurance experience preferred Two-year degree in accounting or equivalent insurance/bookkeeping preferred Strong computer skills, including Word, Excel, and PowerPoint. Strong analytical skills, organized work habits and proven attention to detail. Excellent communication skills, ability to work independently and in a team environment. Good customer relation skills. Ability, flexibility and willingness to learn and grow as the company expands and changes. Demonstrated leadership ability to initiate duties as required. Plan, organize, evaluate, and manage PC files and Microsoft Office. Compliance with accepted professional standards and practices. Ability to work within an interdisciplinary setting. Satisfactory references from employers and/or professional peers. Satisfactory criminal background check. Self-directed with the ability to work with little supervision. Flexible and cooperative in fulfilling all obligations. Job Type: Full-time Benefits: 401(k) matching Dental insurance Health insurance Life insurance Paid time off Vision insurance Schedule: 8 hour shift Day shift Monday to Friday Ability to Relocate: Elk Grove, CA 95758: Relocate before starting work (Required) Work Location: In person

. 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.

Billing Coordinator: Latrobe, PA

Job DescriptionDescription: The Billing and Eligibility Coordinator plays a key role in supporting the accuracy, timeliness, and efficiency of billing and authorization processes across all Haymarket Center service lines. This position bridges the work of the Client Benefits Navigators and the Revenue Cycle team to ensure client eligibility, authorizations, and billing data are complete and aligned prior to claim submission. The Coordinator ensures billing operations run smoothly across behavioral health, residential, and FQHC programs, while maintaining compliance with payer and regulatory requirements. This position requires strong attention to detail, coordination across departments, and a proactive approach to identifying and resolving billing or eligibility issues. Requirements: Education, Work Experience and Skills Required; · Associate's degree required, Bachelor's degree in Healthcare Administration, Accounting, or related field preferred. · Minimum 2 years of experience in healthcare billing, revenue cycle, or insurance verification. · Experience in behavioral health, FQHC, or Medicaid/MCO billing highly preferred. · Working knowledge of healthcare billing, insurance verification, and revenue cycle operations (Medicaid and MCO experience preferred). · Familiarity with electronic health record systems (NextGen preferred) and billing/clearinghouse platforms. · Understanding of payer authorization and eligibility requirements for behavioral health and primary care services. · Strong attention to detail, organizational skills, and ability to manage multiple tasks and deadlines. · Effective communication and collaboration skills across departments. · Ability to maintain confidentiality and exercise discretion with sensitive information. · Proficiency in Microsoft Excel and basic data tracking or reporting.

Heritage Medical Associates is one of the largest independent, multi-specialty physician groups in Middle Tennessee. Founded on the principle of providing exceptional, patient-centered care, we serve communities across three counties with over a dozen convenient clinic locations in Middle Tennessee. Our commitment to clinical excellence, operational integrity, and compassionate care makes us a trusted name in healthcare delivery. What You will Do: The Buy and Bill Coordinator is responsible for managing all aspects of the "buy and bill" process for specialty medications and other infused and injected products. This involves overseeing purchasing, inventory management, vendor/GPO relationships, rebates, reimbursement trends and financial analysis. With coordination with the Infusion manager, they play a crucial role in ensuring efficient operations, timely patient access to medications, accurate reimbursement and a profitable service line. Work You Will Do: Lead end-to-end procurement and inventory control Optimize purchasing and rebates across contracts Primary liaison to vendors and the GPO Monitor quarterly pricing and reimbursement updates Track industry shifts and biosimilar options; guide conversions Provide concise financial analysis and decision-ready reporting What is Necessary: Essential: 2+ years of experience in a medical office or specialty pharmacy handling buy-and-bill processes. Proficiency in relevant software, including billing and inventory management systems, and Microsoft Office. 2+ years of experience in healthcare billing, accounting, or a related field with specific experience in buy-and-bill being advantageous. Demonstrated EMR and billing software knowledge (e.g., eClinicalWorks, AllScripts). EPIC experience preferred. Strong communication, organizational, analytical, and problem-solving skills, with attention to detail. Ability to work independently and manage multiple tasks. High school diploma or equivalent required. A billing or pharmacy tech certification may be substituted in lieu of a degree. Preferred: Associate's degree in a related field. Experience in rheumatology, neurology, allergy or other infusion-heavy specialties. Leadership experience Prior experience negotiating with drug vendors or GPOs. Certified Professional Biller (CPB) or Certified Pharmacy Technician (CPhT) a plus. Knowledge of medical terminology and coding is helpful. Why the Work Matters: The Buy and Bill Coordinator is essential to the financial success of any product administration to patients through various service lines providing such services. Through navigating an ever-increasingly complicated world and a close working relationship with the Business office, Infusion manager and clinical staff, this position will be vital in managing the front-end financial aspects of a growing buy and bill practice. This work reflects our core values-trust, collaboration, problem-solving, and accountability-while continuously improving how we deliver exceptional patient care.