Billing Specialist jobs at AssistRx - 191 jobs

Insurance Verification Specialist
Assistrx 4.2
Billing specialist job at AssistRx
Job Description AssistRx has engineered the perfect blend of technology and talent (you) to provide life sciences companies with an efficient solution to improve patient uptake, visibility and outcomes. Our talented team members provide therapy and healthcare system expertise to help patients achieve better results from care. A growing organization, AssistRx views our people as our strongest asset. Join us as we continue to make a difference.... The purpose of this position is to help patients get access to the medications and therapies that they need. This role works directly with healthcare providers & insurance plans/payers to gather information about a patient's insurance and the coverage provided for a specific pharmaceutical product. The Insurance Verification Specialist will support the healthcare providers addressing questions regarding coding and billing and navigating complex reimbursement issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps navigate the appeals process to access medications. Ensure cases move through the process as required in compliance with company requirements and the organization's defined standards and procedures; in a manner that provides the best level of service and quality Conduct benefit investigations for patients by making outbound phone call to payers to verify patient insurance benefit information, navigate complex reimbursement barriers and seek resources to overcome the barriers Verify patient specific benefits and document specifics including coverage, cost share and access/provider options Identify any coverage restrictions and details on how to expedite patient access Document and initiate prior authorization process and claims appeals Report any reimbursement trends or delays in coverage to management Requirements In-depth understanding and experience with Buy & Bill, Major Medical & Pharmacy Benefit Coverage. 2 to 5 years of benefit investigation involving the analysis and interpretation of insurance coverage 3 to 5 years of experience interacting with healthcare providers in regard to health insurance plan requirements Excellent verbal communication skills and grammar Computer literacy/competence Salesforce system experience preferred Benefits About AssistRx: Voted Top Work Places in Orlando 3 years in a row, AssistRx understands that the key to success is our fantastic team members. AssistRx has engineered the perfect blend of technology and talent to deliver best in class results. We believe that access to specialty therapies transforms lives and is achieved through the powerful combination of our people and technology. Want to know more? Follow us on to find out how our team members are #TransformingLives. Why Choose AssistRx: Work Hard, Play Hard: Preloaded PTO: 100 hours (12.5 days) PTO upon employment, increasing to 140 hours (17.5 days) upon anniversary. Tenure vacation bonus: $1,000 upon 3-year anniversary and $2,500 upon 5-year anniversary. Impactful Work: Join a team that is at the forefront of revolutionizing healthcare by improving patient access to essential medications. Flexible Culture: Many associates earn the opportunity to work a hybrid schedule after 120 days after training. Enjoy a flexible and inclusive work culture that values work-life balance and diverse perspectives. Career Growth: We prioritize a “promote from within mentality”. We invest in our employees' growth and development via our Advance Gold program, offering opportunities to expand skill sets and advance within the organization. Innovation: Contribute to the development of groundbreaking solutions that address complex challenges in the healthcare industry. Collaborative Environment: Work alongside talented professionals who are dedicated to collaboration, learning, and pushing the boundaries of what's possible. Tell your friends about us! If hired, receive a $750 referral bonus! Want to learn more about what employee benefits AssistRx offers? Here are some additional benefits that our employees enjoy! Medical, dental, vision, life, & short-term disability insurance Teledoc services for those enrolled in medical insurance Supportive, progressive, fast-paced environment Competitive pay structure Matching 401(k) with immediate vesting Legal insurance Wondering how we recognize our employees for delivering best in class results? Here are some of the awards that our employees receive throughout the year! #TransformingLives Honor: This quarterly award program is a peer to peer honor that recognizes and highlights some of the amazing ways that our team members are transforming lives for patients on a daily basis. Values Award: This quarterly award program recognizes individuals who exhibit one, or many, of our core company values; Excellence, Winning, Respect, Inspiration, and Teamwork. Vision Award: This annual award program recognizes an individual who has gone above and beyond to support the AssistRx vision to transform lives through access to therapy. AssistRx, Inc. is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors, or any other protected categories protected by federal, state, or local laws. All offers of employment with AssistRx are conditional based on the successful completion of a pre-employment background check. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. Sponsorship and/or work authorization is not available for this position. AssistRx does not accept unsolicited resumes from search firms or any other vendor services. Any unsolicited resumes will be considered property of AssistRx and no fee will be paid in the event of a hire
$28k-33k yearly est. 12d ago

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Patient Experience Representative
Banyan Health Systems 3.7
Cutler Bay, FL jobs
Banyan Health Systems has been serving Miami-Dade and Broward Counties since 1970. We provide quality, individualized care to each of our patients. Our system of integrated health services brings together specialized psychiatric care, primary care, pediatrics, geriatrics, and an extensive program of residential and outpatient substance abuse & behavioral health services under one umbrella. At Banyan Health Systems, we believe when individuals are healthy and strong, our communities are better for it. We are currently looking for individuals who share our mission of integrating primary and behavioral health care while providing access to all individuals. We focus on providing quality and compassionate care in order to assist our patients in living their best life. We are dedicated to the endless pursuit of excellence and treat everyone with dignity, humanity, and respect. If you share these beliefs and want to join us to make a difference, please take some time to read the post below. REESPONSIBILITIES: The Patient Experience Representative is responsible for providing support through our patient-centered approach to deliver integrated information and customer service while providing administrative and clerical support to the specific assigned department. The principal functions of the position identified shall not be considered as a complete description of all the work requirements and expectations that may be inherent in the position. Essential Functions: Welcomes patients and visitors by greeting patients and visitors, in person or on the telephone; answering or referring inquiries to the proper party. Performs general administrative duties as required: preparing letters, memoranda and reports answering telephone, preparing incident reports, photocopying, etc. Works with the treatment team, facilitating interaction and communication between team members for the overall benefit of the person served. Monitor scheduled appointments by calling the client in advance - Optimizes client' satisfaction, provider time, and treatment room utilization by scheduling appointments in person or by telephone. Utilizes automated (or if unavailable, manually) computer software to schedule appointments, take messages for physician visits and services, and effectively communicates such information to the appropriate party per established protocols or rules of client. Assist the physician or registered nurse in each assign clinic by organizing the schedule, preparing forms, calling clients, etc. Education and/ or Experience: High School Degree required / 1 to 2 years of Physician Practice Front Office and Medical Billing, or Hospital Registration or related experience preferred. Ability to work on word processing/internet software is needed for this position. Bilingual : English / Spanish Job Type: Full-time Benefits: Dental insurance Health insurance Life insurance Vision insurance Work Location: In person
$24k-29k yearly est. 3d ago
Insurance Billing Specialist
Wisdom 4.3
New York, NY jobs
Wisdom blends industry expertise with advanced technology to make dental practices work better for everyone involved. We believe dentistry is about people, and we exist to make the future of dentistry stronger and more sustainable for dentists, their teams, and the patients they serve. We match administrative teams with expert billers and custom-built technology to take on the heavy lifting of dental billing while maximizing dentists' time in-office, and their bottom line. Coming from a fresh $21M Series A round of funding we are looking for exceptional candidates to help us build a category-defining company. We are a fully distributed, remote-first team with employees across the US. About The Role Our Insurance Billing Specialists focus on keeping insurance billing moving by submitting claims, posting dental insurance payments, and working insurance aging reports for our customers. This work is at the heart of Wisdom's service offerings, and is a large part of what allows us to provide outstanding services to the dental offices we serve. As an Insurance Billing Specialist, you'll: Prepare and submit dental insurance claims promptly and accurately, following up as necessary to ensure prompt payment and resolve any issues or discrepancies with insurance companies Post insurance payments and adjustments to patient accounts, reconciling insurance payments with the PMS and investigating any discrepancies Monitor and manage accounts receivable, ensuring timely collection of outstanding insurance balances and running regular reports on AR to identify trends and areas for improvement Partner directly with offices and insurance companies, acting as their primary point of contact for any insurance-related inquiries and regularly communicating challenges and successes Coordinate with dental offices to ensure accurate coding and documentation for all insurance claims Why Wisdom? Work remotely alongside a fully remote team that knows how to get stuff done, without the pain and drama of in-office work. Flexible hours Support and inclusion no matter your background. Whether you're a seasoned remote biller or you're testing the waters for the first time, we'll set you up with the tools, training, and community support you need to succeed at Wisdom. A better experience for billers. We're building tools and leveraging technology to save you time and let you focus on earning more, faster. We'd Love to Hear From You If You Have At least 5 years of experience in dental insurance claim submission, claim posting, and AR management Must have a minimum of 8 hours per week of availability during standard business hours (Monday-Friday, 8am-5pm CST) Strong knowledge of dental insurance plans, procedures, and coding Exceptional problem-solving skills and the ability to handle complex billing issues with care and a commitment to patient confidentiality and data security Excellent communication, interpersonal, and follow-up skills Proficiency in dental practice management software (e.g., Dentrix, Eaglesoft) and Google Workspaces Wisdom is an equal opportunity employer. We provide employment opportunities without regard to age, race, color, ancestry, national origin, religion, disability, sex, gender identity or expression, sexual orientation, veteran status, or any other protected status in accordance with applicable law.
$42k-54k yearly est. Auto-Apply 60d+ ago
Acute Claims Biller - Follow-up - Meditech
CPSI 4.7
Remote
The Billing & Posting Resolution Representative position is responsible for acting as a liaison for hospitals and clinics using TruBridge Accounts Receivable Management Services. They work closely with TruBridge management and hospital employees in receiving, preparing and posting of receipts for hospital services while ensuring the accuracy in the posting of the receipt, contractual allowance and other remittance amounts. Candidates must be detail oriented with excellent verbal and written communication skills, organizational skills, and time management skills. These Goals and objectives are not to be construed as a complete statement of all duties performed; employees will be required to perform other job related duties as required. Goals and objectives are subject to change. All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate. Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Receives daily receipts that have been balanced and stamped for deposit and verifies receipt total. Research receipts that are not clearly marked for posting. Post payments to the appropriate account and makes notes required for follow-up. Posts zero payments to the appropriate account and makes notes required for follow-up. Maintains log of daily receipts and contractual posted. Processes rejections by either making accounts private or correcting any billing error and resubmitting claims to third-party insurance carriers. Responsible for consistently meeting production and quality assurance standards. Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer. Updates job knowledge by participating in company offered education opportunities. Protects customer information by keeping all information confidential. Processes miscellaneous paperwork. Ability to work with high profile customers with difficult processes. May regularly be asked to help with team projects. 3 years hospital payment posting, including time outside Trubridge. Display a detailed understanding of CAS codes. Post denials to patient accounts with the correct denial reason code. Post patient payments, electronic insurance payments, and manual insurance payments. Balance all payments and contractual daily. Make sure postings balance to the site's bank deposit. Adhere to site specific productivity requirements outlined by management. Serve as a resource for other receipting service specialists. Must be agile and able to easily shift between tasks. May require overtime as needed to ensure the day/month are fully balanced and closed. Assist with backlog receipting projects, such as unresolved situations in Thrive, researching credit accounts, and reconciling unapplied. Minimum Requirements: Education/Experience/Certification Requirements 3 years hospital payment posting, including time outside TruBridge. Computer skills. Experience in CPT and ICD-10 coding. Familiarity with medical terminology. Ability to communicate with various insurance payers. Experience in filing claim appeals with insurance companies to ensure maximum reimbursement. Responsible use of confidential information. Strong written and verbal skills. Ability to multi-task. Preferred Qualifications: Experience working with Meditech or RCM Experience processing UB-04 claim types Prior experience performing follow-ups on denied commercial claims Business Support
$35k-46k yearly est. Auto-Apply 16d ago
Billing Clerk
Collabera 4.5
Phoenix, AZ jobs
Collabera is ranked amongst the top 10 Information Technology (IT) staffing firms in the U.S., with more than $550 million in sales revenue and a global presence that represents approximately 12,000+ professionals across North America (U.S., Canada), Asia Pacific (India, Philippines, Singapore, Malaysia) and the United Kingdom. We support our clients with a strong recruitment model and a sincere commitment to their success, which is why more than 75% of our clients rank us amongst their top three staffing suppliers. Not only are we committed to meeting and exceeding our customer's needs, but also are committed to our employees' satisfaction as well. We believe our employees are the cornerstone of our success and we make every effort to ensure their satisfaction throughout their tenure with Collabera. As a result of these efforts, we have been recognized by Staffing Industry Analysts (SIA) as the “Best Staffing Firm to Work For” for five consecutive years since 2012. Collabera has over 40 offices across the globe with a presence in seven countries and provides staff augmentation, managed services and direct placement services to global 2000 corporations. For consultants and employees, Collabera offers an enriching experience that promotes career growth and lifelong learning. Visit ***************** to learn more about our latest job openings. Awards and Recognitions --Staffing Industry Analysts: Best Staffing Firm to Work For (2016, 2015, 2014, 2013, 2012) --Staffing Industry Analysts: Largest U.S. Staffing Firms (2016, 2015, 2014, 2013) --Staffing Industry Analysts: Largest Minority Owned IT Staffing Firm in the US. Job Description Client: Waste Management Location: 2625 W Grandview Blvd. Phoenix, AZ 85023 Hours of operation: 8 hours a day Office Hours: 6AM-2:00PM Pay Rate: $15.00/ hour on W2 GENERAL FUNCTION: Compiles data and prepares company invoices and bills. II. Essential Duties and Responsibilities include the following. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Other minor duties may be assigned. • Reads computer files or gathers records such as purchase orders, sales tickets, and charge slips, to compile needed data. • Enters information into computer or computes amounts due. • Prepares invoices, listing items or services sold, amounts due, credit terms, and dates of shipment. • Prepares bills of lading and lists weight and serial number of items sold. Prepares shipping labels. • Prepares credit memorandums to indicate returned or incorrectly billed merchandise. Prepares credit forms for customers or finance companies. • Posts transactions to accounting records such as work sheet, ledger, or computer files. Additional Information Shifts vary with the potential for overtime and Saturday hours depending particular site needs. Some initial travel (up to 15%) may be required to assist with centralization efforts.
$58k-83k yearly est. 60d+ ago
Accounting / Billing Specialist
Collabera 4.5
Phoenix, AZ jobs
Collabera is the largest minority-owned Information Technology (IT) staffing firm in the U.S., with more than $525 million in sales revenue and a global presence that represents approximately 10,000 professionals across North America (U.S., Canada), Asia Pacific (India, Philippines, Singapore, Malaysia) and the United Kingdom. We support our clients with a strong recruitment model and a sincere commitment to their success, which is why more than 75% of our clients rank us amongst their top three staffing suppliers. Not only are we committed to meeting and exceeding our customer's needs, but we are committed to our employees' satisfaction as well. We believe our employees are the cornerstone of our success and we make every effort to ensure their satisfaction throughout their tenure with Collabera. As a result of these efforts, we have been recognized by Staffing Industry Analysts (SIA) as the “Best Staffing Firm to Work For” for four consecutive years since 2012. With over forty offices globally and a presence in seven countries, Collabera provides staff augmentation, managed services and direct placement services to Global 2000 Corporations. Collabera is ranked amongst the top 10 IT staffing firms in the U.S., and for the past 24 years we have continued to grow rapidly year after year. For consultants and employees, Collabera offers an enriching experience that promotes career growth and lifelong learning. Visit ***************** to learn more about our latest job openings. Awards and Recognitions --Staffing Industry Analysts: Best Staffing Firm to Work For (2015, 2014, 2013, 2012) --Staffing Industry Analysts: Largest U.S. Staffing Firms (2015, 2014, 2013) --Staffing Industry Analysts: Largest Minority Owned IT Staffing Firm in the US. Job Description Job Summary: · Entry level position in the consolidated billing center responsible for compiling data and preparing company invoices and bills. · Processes and generates billing for assigned Market Area's including all lines of business. · Creates invoices, transmits file to print vendors, and post billing transactions. · Compiles, validates and maintains generated revenue reports. · Creates and mails manual invoices. Works with various departments regarding dispute resolution of accounts. · Researches and resolves customer issues. Creates and processes adjustments. Processes customer refund request. · Researches, resolves and manages customer credit balance reports. · Revenue reporting and month-end system close processing. · Maintains and reviews bill cycles. Reviews and maintains various billing reports. · Ensures all billing transactions are SOX compliant. · Duties specific to Landfill and Transfer Station billing as required · Daily reconciliation of scale system to MAS and PMT. · Calculates and keys into MAS manual ticket entries for various landfills related to non Fast-lane charges. · Balances payments interfaced in MAS by WMSC to charges on all COD landfill accounts and research any discrepancies for resolution. · Daily reviews and approval of Daily Cash Reconciliation Reports from individual landfills for accuracy and SOX compliance. Additional Information To know more about this opportunity, please contact: Saswato Chatterjee ************
$58k-83k yearly est. 60d+ ago
Billing Clerk
Collabera 4.5
Phoenix, AZ jobs
Collabera is the largest minority-owned Information Technology (IT) staffing firm in the U.S., with more than $525 million in sales revenue and a global presence that represents approximately 10,000 professionals across North America (U.S., Canada), Asia Pacific (India, Philippines, Singapore, Malaysia) and the United Kingdom. We support our clients with a strong recruitment model and a sincere commitment to their success, which is why more than 75% of our clients rank us amongst their top three staffing suppliers. Not only are we committed to meeting and exceeding our customer's needs, but we are committed to our employees' satisfaction as well. We believe our employees are the cornerstone of our success and we make every effort to ensure their satisfaction throughout their tenure with Collabera. As a result of these efforts, we have been recognized by Staffing Industry Analysts (SIA) as the “Best Staffing Firm to Work For” for four consecutive years since 2012. With over forty offices globally and a presence in seven countries, Collabera provides staff augmentation, managed services and direct placement services to Global 2000 Corporations. Collabera is ranked amongst the top 10 IT staffing firms in the U.S., and for the past 24 years we have continued to grow rapidly year after year. For consultants and employees, Collabera offers an enriching experience that promotes career growth and lifelong learning. Visit ***************** to learn more about our latest job openings. Awards and Recognitions --Staffing Industry Analysts: Best Staffing Firm to Work For (2015, 2014, 2013, 2012) --Staffing Industry Analysts: Largest U.S. Staffing Firms (2015, 2014, 2013) --Staffing Industry Analysts: Largest Minority Owned IT Staffing Firm in the US. Job Description I. Job Summary Entry level position in the consolidated billing center responsible for compiling data and preparing company invoices and bills. II. Essential Duties and Responsibilities include the following. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Other minor duties may be assigned. • Processes and generates billing for assigned Market Area's including all lines of business. • Creates invoices, transmits file to print vendors, and post billing transactions. • Compiles, validates and maintains generated revenue reports. • Creates and mails manual invoices. • Works with various departments regarding dispute resolution of accounts. • Researches and resolves customer issues. • Creates and processes adjustments. • Processes customer refund request. • Researches, resolves and manages customer credit balance reports. • Revenue reporting and month-end system close processing. • Maintains and reviews bill cycles. • Reviews and maintains various billing reports. Qualifications The requirements listed below are representative of the qualifications necessary to perform the job. A. Education and Experience • Required: High school diploma or equivalent and one year prior experience in Billing, Accounts Receivable, other positions in Accounting/Finance field or one year prior experience working for Waste Management. • Preferred: Two or more years of experience in Billing, Accounts Receivable or other positions in Accounting/Finance field B. Certificates, Licenses, Registrations or Other Requirements None required. C. Other Knowledge, Skills or Abilities Required • Must possess basic computer skills in a MS Office/Windows environment, including a proficiency in date entry, ten-key and MS Excel. D. Other Knowledge, Skills or Abilities • Strong ability to work well with people, under pressure and with stringent time restraints. • Must have quick problem solving ability. • Good organizational and multitasking skills and the ability to prioritize work and time. • Requires good communication skills, both verbal and written. • Ability to maintain good working relationships with coworkers and customers. Additional Information To know more about this position, please contact: Lalaine Agulto ************** *******************************
$58k-83k yearly est. Easy Apply 60d+ ago
Medical Billing Specialist
Blue Star Partners 4.5
Orlando, FL jobs
Job Title: Medical Billing Specialist Period: 07/12/2024 to 12/16/2024 - possibility of extension Hours/Week: 40 hours (Hours over 40 will be paid at Time and a Half) Rate: $23-$25/hour Contract Type: W-2 Scope of Services: The Medical Billing Specialist is a pivotal member of our team, ensuring that the company meets its monthly financial goals. This role requires a diverse skill set and competencies to effectively communicate, negotiate, analyze, and resolve issues with payers and patients while adhering to HIPAA and PHI regulatory requirements. Role, Responsibilities, and Deliverables: Assure compliance with HIPAA, PHI regulatory, and related policies and practices throughout all phases of client information processing. Report any compliance issues to the Director of Operations promptly. Coordinate the insurance verification process and ensure clients understand their co-pay responsibilities. Follow up as necessary to facilitate the collection of co-pays. Gather credit card or other payment processing information from clients as necessary and enter it into the system for payment processing. Manage the entry of client information into the computer system in a timely manner. Contact referral sources, customers, and/or clients to obtain missing information needed to set up clients for service, ensuring accuracy and completeness. Confirm all sales orders in the system and ensure that all required documentation (e.g., proof of delivery, signed prescriptions, signed acknowledgment forms) is on file before submitting claims for payment. Follow up on missing sales orders and reconcile billing questions regularly until payment status is complete. Submit claims (electronic and paper) to payers in a timely manner. Correct and resubmit front-end and back-end rejected claims as needed. Ensure all cash is posted to the correct account promptly. Follow up and collect payments due to the organization by generating invoices and following up with clients and/or payers. Stay updated on current regulatory guidelines and reimbursement information to ensure accurate billing and reimbursement. Perform other duties/projects as assigned by management, including customer service support, processing, resolving, and logging customer inquiries. Key Skills and Competencies: Attention to detail, ensuring accuracy in all tasks. Excellent communication and listening skills. Proficient in documenting accounts with detail and critical thinking. Ability to read an explanation of benefits (EOB). Strong analytical skills for effective collections management. Familiarity with various tools and systems used in medical billing. Proven problem-solving skills to overcome challenges in the billing process. Exceptional customer service skills to maintain positive relationships with customers and payers. Effective time management to prioritize tasks and meet deadlines. Excellent attendance record. Education & Experience: Minimum of 2 years of experience in medical billing or a related field. Proficiency in medical billing software systems such as [insert specific software names]. Demonstrated understanding of HIPAA and PHI regulatory requirements. Experience in coordinating insurance verification processes and managing co-pay collections. Proven track record of accurately entering and managing client information in computer systems. Familiarity with claim submission processes and experience in correcting and resubmitting rejected claims. Strong communication skills with the ability to effectively interact with clients, payers, and internal teams. Prior experience in handling customer inquiries and providing excellent customer service. Ability to work independently and as part of a team in a fast-paced environment. Previous training or certification in medical billing or a related field is a plus. JOB CODE: ABOJP00035558
$23-25 hourly 60d+ ago
Medical Billing Specialist
Blue Star Partners LLC 4.5
Orlando, FL jobs
Job Description Job Title: Medical Billing Specialist Period: 07/12/2024 to 12/16/2024 - possibility of extension Hours/Week: 40 hours (Hours over 40 will be paid at Time and a Half) Rate: $23-$25/hour Contract Type: W-2 Scope of Services: The Medical Billing Specialist is a pivotal member of our team, ensuring that the company meets its monthly financial goals. This role requires a diverse skill set and competencies to effectively communicate, negotiate, analyze, and resolve issues with payers and patients while adhering to HIPAA and PHI regulatory requirements. Role, Responsibilities, and Deliverables: Assure compliance with HIPAA, PHI regulatory, and related policies and practices throughout all phases of client information processing. Report any compliance issues to the Director of Operations promptly. Coordinate the insurance verification process and ensure clients understand their co-pay responsibilities. Follow up as necessary to facilitate the collection of co-pays. Gather credit card or other payment processing information from clients as necessary and enter it into the system for payment processing. Manage the entry of client information into the computer system in a timely manner. Contact referral sources, customers, and/or clients to obtain missing information needed to set up clients for service, ensuring accuracy and completeness. Confirm all sales orders in the system and ensure that all required documentation (e.g., proof of delivery, signed prescriptions, signed acknowledgment forms) is on file before submitting claims for payment. Follow up on missing sales orders and reconcile billing questions regularly until payment status is complete. Submit claims (electronic and paper) to payers in a timely manner. Correct and resubmit front-end and back-end rejected claims as needed. Ensure all cash is posted to the correct account promptly. Follow up and collect payments due to the organization by generating invoices and following up with clients and/or payers. Stay updated on current regulatory guidelines and reimbursement information to ensure accurate billing and reimbursement. Perform other duties/projects as assigned by management, including customer service support, processing, resolving, and logging customer inquiries. Key Skills and Competencies: Attention to detail, ensuring accuracy in all tasks. Excellent communication and listening skills. Proficient in documenting accounts with detail and critical thinking. Ability to read an explanation of benefits (EOB). Strong analytical skills for effective collections management. Familiarity with various tools and systems used in medical billing. Proven problem-solving skills to overcome challenges in the billing process. Exceptional customer service skills to maintain positive relationships with customers and payers. Effective time management to prioritize tasks and meet deadlines. Excellent attendance record. Education & Experience: Minimum of 2 years of experience in medical billing or a related field. Proficiency in medical billing software systems such as [insert specific software names]. Demonstrated understanding of HIPAA and PHI regulatory requirements. Experience in coordinating insurance verification processes and managing co-pay collections. Proven track record of accurately entering and managing client information in computer systems. Familiarity with claim submission processes and experience in correcting and resubmitting rejected claims. Strong communication skills with the ability to effectively interact with clients, payers, and internal teams. Prior experience in handling customer inquiries and providing excellent customer service. Ability to work independently and as part of a team in a fast-paced environment. Previous training or certification in medical billing or a related field is a plus.
$23-25 hourly 29d ago
Collections Specialist (Entry Level & Intermediate Experience)
Aston Carter 3.7
Phoenix, AZ jobs
Job Title: Collections SpecialistJob Description As a Collections Specialist, you will manage the Accounts Receivable Aging report for assigned locations and subsidiaries, handling escalated accounts and invoices that require a higher level of collection. This role involves direct communication with customers through calls and emails, preparation of collection letters, and liaising with attorneys as needed. You will recommend accounts for third-party collection or write-off and communicate with the Collections Manager regarding the status of past-due accounts. Additionally, you will monitor and resolve financial discrepancies, maintain account notes, and update ERP systems with current information. Responsibilities + Manage AR Aging reports for assigned locations and subsidiaries. + Handle escalated accounts and invoices through direct communication with customers. + Prepare collection letters and request attorney involvement as needed. + Recommend accounts for third-party collection or write-off. + Communicate with the Collections Manager about past due accounts. + Monitor and resolve financial discrepancies. + Maintain notes on accounts to reflect collection efforts. + Work returned statements to collect outstanding debt and update contact information. + Ensure the security and privacy of customer information. + Perform other related duties as assigned. Essential Skills + Proficient in collection, customer service, and handling Aging reports. + Experience with Excel and conducting collection calls. + At least two years of experience in collection and credit work. + Excellent verbal and written communication skills. + Proficiency in Microsoft Office Suite or related software. + Experience with ERP systems. + Ability to work independently and as part of a team in a fast-paced environment. + Basic understanding of statistics and data analysis. + Familiarity with state and federal collection laws, including the Fair Debt Collection Practices Act and the Fair Credit Reporting Act. Additional Skills & Qualifications + High school diploma or equivalent required. + Bachelor's or associate's degree preferred but not required. Work Environment This position is fully remote. The work hours start between 8-9 AM and require an 8-hour workday with an unpaid lunch break. Job Type & Location This is a Contract to Hire position based out of Phoenix, AZ. Pay and Benefits The pay range for this position is $20.00 - $30.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Dec 31, 2025. About Aston Carter: Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing double diamond winner for both client and talent service. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email astoncarteraccommodation@astoncarter.com (%20astoncarteraccommodation@astoncarter.com) for other accommodation options.
$20-30 hourly 13d ago
Billing Coordinator
Lancesoft 4.5
Dodge City, KS jobs
Job Title: Billing Coordinator II Duration: 5+ Months Job Details: Job Band: Support Staff Job Family Name: TRANSPORTATION & LOGISTICS Job Subfamily: T&L Operations Job Purpose and Impact: The Billing Coordinator II will combine logistics and accounting expertise to coordinate with the shipping department to bill out customer loads. In this role, you will work and interact with suppliers, manufacturers and exporters. Key Accountabilities: Responsible for collection of information and weights. Accountable for proper and accurate billing procedures and also error follow up. Collaborate with the team and provide back up for other positions as necessary. Handle moderately complex clerical, administrative, technical or customer support issues under general supervision, while escalating more complex issues to appropriate staff. Other duties as assigned Minimum Qualifications: High school diploma, secondary education level or equivalent Ten key and keyboarding experience Ability to perform under pressure within a controlled environment, and communicate effectively with internal and external customers. Minimum of two years of related work experience Other minimum qualifications may apply Prior Beneficial Experiences: Experience working independently where good judgement was required Key Behaviors: Anticipates and adopts innovations in business-building digital and technology applications. Plans and prioritizes work to meet commitments aligned with organizational goals. Holds self and others accountable to meet commitments. Skills and Experiences to Be Gained: Logistics operations knowledge Basic accounting knowledge
$60k-82k yearly est. 3d ago
Billing Specialist
Access Medical Laboratories 3.3
North Palm Beach, FL jobs
The Billing Specialist plays a vital role in ensuring the financial health of the organization by creating invoices, processing payments, and effectively communicating with clients. Responsibilities: Generate and enter new invoices in QuickBooks Review billing information for accuracy and client details Addressing client inquiries regarding invoices Processing payments and reconciling the appropriate accounts Monitoring accounts receivable Updating billing software or systems with new customer information, pricing data, or billing terms Processing payments for supplies Additional tasks may be assigned at any time by the supervisor Skills & Qualifications: High School Diploma Proficient in QuickBooks 3+ years of experience in Billing (preferred) Advanced in Microsoft Office; experience using medical software is preferred Excellent written and oral communication skills Attention to detail with a strong mathematical aptitude Organizational skills Ability to meet deadlines and manage time appropriately Strong customer service skills to meet of mission of providing high customer satisfaction Ability to work in fast paced environment
$28k-41k yearly est. 20d ago
Billing Specialist
Lightedge Solutions 3.3
Lenexa, KS jobs
Lightedge is an enterprise-grade cloud services and colocation company focused on the needs of businesses and their critical IT requirements. If you want to take your skills to the next level by joining an industry leader, this is an excellent opportunity for you! Lightedge is seeking a detail-oriented Billing Specialist to join our accounting team. The ideal candidate will have 3-5 years of relevant experience in handling billing and month end accounting tasks. The Billing Specialist is responsible for all billing processes related to invoice and payment collections and maintaining customer relationships by serving as a point of contact for all customer billing needs. The ideal candidate is motivated, excited to learn new technologies and is a self-starter. This position reports to the Revenue Assurance Manager and works closely with all departments.Responsibilities Handle monthly billing and invoicing processes, including reviewing monthly invoices, making manual adjustments and incorporating data to be billed from multiple systems. Communicate and collaborate with various departments to understand unique billing processes, resolve billing issues, and help answer general customer questions. Provide excellent customer service via email or phone to our contracted clients. Work with customers directly to collect past due balances. Apply payments in the billing system to customer accounts. Provide customers with account reconciliations to resolve billing and payment discrepancies. Understand the quote to bill process and resolve errors as needed. Gather customer information to get an understanding of their business needs and establish rapport. Research and resolve issues using available resources. Stay current with system information, changes, and updates. Education and Experience Bachelor's or Associate's degree in Accounting, Finance, or related field is a plus. 3-5 years of experience in billing, accounts receivable, accounting or related finance role. Experience with NetSuite & Salesforce preferred. Ability to work in excel. Detail-oriented with a high level of accuracy in data entry and analysis. Strong communication skills and ability to work cross-functionally with Sales, Accounting and other teams. Ability to work within a team environment. Highly motivated and passionate about daily tasks as well as overall company initiatives. Excellent written and verbal communication skills Strong organizational skills and the ability to think critically. Applicants must be authorized to work in the United States without the need for visa sponsorship now or in the future.
$29k-40k yearly est. Auto-Apply 60d+ ago
Billing Specialist
Lightedge 3.3
Lenexa, KS jobs
Job DescriptionLightedge is an enterprise-grade cloud services and colocation company focused on the needs of businesses and their critical IT requirements. If you want to take your skills to the next level by joining an industry leader, this is an excellent opportunity for you! Lightedge is seeking a detail-oriented Billing Specialist to join our accounting team. The ideal candidate will have 3-5 years of relevant experience in handling billing and month end accounting tasks. The Billing Specialist is responsible for all billing processes related to invoice and payment collections and maintaining customer relationships by serving as a point of contact for all customer billing needs. The ideal candidate is motivated, excited to learn new technologies and is a self-starter. This position reports to the Revenue Assurance Manager and works closely with all departments.Responsibilities Handle monthly billing and invoicing processes, including reviewing monthly invoices, making manual adjustments and incorporating data to be billed from multiple systems. Communicate and collaborate with various departments to understand unique billing processes, resolve billing issues, and help answer general customer questions. Provide excellent customer service via email or phone to our contracted clients. Work with customers directly to collect past due balances. Apply payments in the billing system to customer accounts. Provide customers with account reconciliations to resolve billing and payment discrepancies. Understand the quote to bill process and resolve errors as needed. Gather customer information to get an understanding of their business needs and establish rapport. Research and resolve issues using available resources. Stay current with system information, changes, and updates. Education and Experience Bachelor's or Associate's degree in Accounting, Finance, or related field is a plus. 3-5 years of experience in billing, accounts receivable, accounting or related finance role. Experience with NetSuite & Salesforce preferred. Ability to work in excel. Detail-oriented with a high level of accuracy in data entry and analysis. Strong communication skills and ability to work cross-functionally with Sales, Accounting and other teams. Ability to work within a team environment. Highly motivated and passionate about daily tasks as well as overall company initiatives. Excellent written and verbal communication skills Strong organizational skills and the ability to think critically. Applicants must be authorized to work in the United States without the need for visa sponsorship now or in the future. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
$29k-40k yearly est. 17d ago
Billing Specialist
Lightedge Solutions 3.3
Des Moines, IA jobs
Lightedge is an enterprise-grade cloud services and colocation company focused on the needs of businesses and their critical IT requirements. If you want to take your skills to the next level by joining an industry leader, this is an excellent opportunity for you! Lightedge is seeking a detail-oriented Billing Specialist to join our accounting team. The ideal candidate will have 3-5 years of relevant experience in handling billing and month end accounting tasks. The Billing Specialist is responsible for all billing processes related to invoice and payment collections and maintaining customer relationships by serving as a point of contact for all customer billing needs. The ideal candidate is motivated, excited to learn new technologies and is a self-starter. This position reports to the Revenue Assurance Manager and works closely with all departments.Responsibilities Handle monthly billing and invoicing processes, including reviewing monthly invoices, making manual adjustments and incorporating data to be billed from multiple systems. Communicate and collaborate with various departments to understand unique billing processes, resolve billing issues, and help answer general customer questions. Provide excellent customer service via email or phone to our contracted clients. Work with customers directly to collect past due balances. Apply payments in the billing system to customer accounts. Provide customers with account reconciliations to resolve billing and payment discrepancies. Understand the quote to bill process and resolve errors as needed. Gather customer information to get an understanding of their business needs and establish rapport. Research and resolve issues using available resources. Stay current with system information, changes, and updates. Education and Experience Bachelor's or Associate's degree in Accounting, Finance, or related field is a plus. 3-5 years of experience in billing, accounts receivable, accounting or related finance role. Experience with NetSuite & Salesforce preferred. Ability to work in excel. Detail-oriented with a high level of accuracy in data entry and analysis. Strong communication skills and ability to work cross-functionally with Sales, Accounting and other teams. Ability to work within a team environment. Highly motivated and passionate about daily tasks as well as overall company initiatives. Excellent written and verbal communication skills Strong organizational skills and the ability to think critically. Applicants must be authorized to work in the United States without the need for visa sponsorship now or in the future.
$29k-39k yearly est. Auto-Apply 60d+ ago
Billing Specialist
Lightedge 3.3
Des Moines, IA jobs
Job DescriptionLightedge is an enterprise-grade cloud services and colocation company focused on the needs of businesses and their critical IT requirements. If you want to take your skills to the next level by joining an industry leader, this is an excellent opportunity for you! Lightedge is seeking a detail-oriented Billing Specialist to join our accounting team. The ideal candidate will have 3-5 years of relevant experience in handling billing and month end accounting tasks. The Billing Specialist is responsible for all billing processes related to invoice and payment collections and maintaining customer relationships by serving as a point of contact for all customer billing needs. The ideal candidate is motivated, excited to learn new technologies and is a self-starter. This position reports to the Revenue Assurance Manager and works closely with all departments.Responsibilities Handle monthly billing and invoicing processes, including reviewing monthly invoices, making manual adjustments and incorporating data to be billed from multiple systems. Communicate and collaborate with various departments to understand unique billing processes, resolve billing issues, and help answer general customer questions. Provide excellent customer service via email or phone to our contracted clients. Work with customers directly to collect past due balances. Apply payments in the billing system to customer accounts. Provide customers with account reconciliations to resolve billing and payment discrepancies. Understand the quote to bill process and resolve errors as needed. Gather customer information to get an understanding of their business needs and establish rapport. Research and resolve issues using available resources. Stay current with system information, changes, and updates. Education and Experience Bachelor's or Associate's degree in Accounting, Finance, or related field is a plus. 3-5 years of experience in billing, accounts receivable, accounting or related finance role. Experience with NetSuite & Salesforce preferred. Ability to work in excel. Detail-oriented with a high level of accuracy in data entry and analysis. Strong communication skills and ability to work cross-functionally with Sales, Accounting and other teams. Ability to work within a team environment. Highly motivated and passionate about daily tasks as well as overall company initiatives. Excellent written and verbal communication skills Strong organizational skills and the ability to think critically. Applicants must be authorized to work in the United States without the need for visa sponsorship now or in the future. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
$29k-39k yearly est. 17d ago
Billing Specialist
Array Tech 4.6
Chandler, AZ jobs
We are looking for a meticulous and experienced Billing Specialist to join our team. This role is essential for ensuring accurate and timely billing for our projects, which often involve complex contracts and are based on the percentage of project completion. Key Job Responsibilities: Read and interpret complex contracts to accurately calculate and generate invoices to customers based on project milestones and unique billing criteria. Generate ancillary billing documents as required by project contract. Read, complete, and manage lien waivers as required. Ensure all billing activities comply with company policies and relevant regulations. Maintain project spreadsheets with accuracy and attention to detail. Maintain customer/project files with updated documents. Email invoices/billing documents to customers and follow up on customer inquiries. Communicate with customers' accounts payable departments via email and phone to address invoicing questions or concerns. Work closely with project managers, finance, and legal teams to ensure billing accuracy and resolve any discrepancies. Effectively contribute to and engage in both team meetings and cross-functional collaborations. Review, create and edit Excel reports. Qualifications: Minimum 5 years of billing experience, preferably in the construction or solar industry. Competent in Excel with Pivot tables, match formulas and finance-based applications. Strong understanding of contract terms and conditions. Proficiency in reading and completing lien waivers. Ability to analyze reports for accuracy. Attention to details and strong organizational skills. Excellent communication skills, both written and verbal. Ability to work independently and as part of a team. Notary (if not currently, willing to become one) Preferred qualifications: Associate's degree SAP Experience #LI-KB1 At Array Tech, Inc., we strive to lead with our culture, and believe that our people are a key enabler of our future state. Our total rewards philosophy supports Array's ability to attract, develop, and retain our employees. We offer competitive compensation, benefits and wellness programs that align with the local markets where we do business. Array Tech, Inc. offers equal employment opportunity without regard to race, color, gender, age, creed, sex, religion, national origin, disability (physical or mental), marital status, citizenship, ancestry, sexual orientation, gender identity, and gender expression, or any other legally protected status.
$37k-47k yearly est. Auto-Apply 39d ago
Billing Specialist
Array Technologies 4.6
Chandler, AZ jobs
We are looking for a meticulous and experienced Billing Specialist to join our team. This role is essential for ensuring accurate and timely billing for our projects, which often involve complex contracts and are based on the percentage of project completion. Key Job Responsibilities: * Read and interpret complex contracts to accurately calculate and generate invoices to customers based on project milestones and unique billing criteria. * Generate ancillary billing documents as required by project contract. * Read, complete, and manage lien waivers as required. * Ensure all billing activities comply with company policies and relevant regulations. * Maintain project spreadsheets with accuracy and attention to detail. * Maintain customer/project files with updated documents. * Email invoices/billing documents to customers and follow up on customer inquiries. * Communicate with customers' accounts payable departments via email and phone to address invoicing questions or concerns. * Work closely with project managers, finance, and legal teams to ensure billing accuracy and resolve any discrepancies. * Effectively contribute to and engage in both team meetings and cross-functional collaborations. * Review, create and edit Excel reports. Qualifications: * Minimum 5 years of billing experience, preferably in the construction or solar industry. * Competent in Excel with Pivot tables, match formulas and finance-based applications. * Strong understanding of contract terms and conditions. * Proficiency in reading and completing lien waivers. * Ability to analyze reports for accuracy. * Attention to details and strong organizational skills. * Excellent communication skills, both written and verbal. * Ability to work independently and as part of a team. * Notary (if not currently, willing to become one) Preferred qualifications: * Associate's degree * SAP Experience #LI-KB1 At Array Tech, Inc., we strive to lead with our culture, and believe that our people are a key enabler of our future state. Our total rewards philosophy supports Array's ability to attract, develop, and retain our employees. We offer competitive compensation, benefits and wellness programs that align with the local markets where we do business. Array Tech, Inc. offers equal employment opportunity without regard to race, color, gender, age, creed, sex, religion, national origin, disability (physical or mental), marital status, citizenship, ancestry, sexual orientation, gender identity, and gender expression, or any other legally protected status.
$37k-47k yearly est. 38d ago
Associate Collections Specialist
Jeppesen 4.8
Hialeah, FL jobs
Company: Boeing Distribution, Inc. Boeing Global Services, Consumables & Expendables (C&E) Distribution Business is looking for a Financial Support Specialist/Associate Collections Specialist (Level B) to join our team in Miami, FL Manage multiple accounts for collections, including customer calls and complex customer reconciliations. Develop and implement specific regional customer strategies toward goal of clearing customers past due balances. Partners with Sales, Contracts and Boeing subsidiaries, (as needed) on development of plans on more complex customer accounts/transactions ensuring One Boeing through strategy and execution. Identify & manage high risk customers by developing and implementing business risk and collection strategy to minimize risk exposure. Lead and support negotiations to resolve customer account receivable issues. Support invoicing issues and dispute resolution, performance, risk assessment and management of Customer accounts. Manages data maintenance and data integrity. Coordinates with and provides recommendations. Monitor potential collection issues and resolution of discrepancies. Prepares and presents financial metrics & strategic action plans to senior and executive leadership. Exercise signature authority and document financial transactions. Monitors, reconciles and ensures transactions are in compliance of contractual commitments and identify contractual and financial risks Manages changes to commitments in response to changes in the business environment and customer/product requirements. Ensures compliance with business commitments, company policies, laws and regulations. Prioritize a wide range of complex issues and opportunities. Provides technical and operational guidance to peers, BDSI programs, business units and management. Basic Qualifications (Required Skills/Experience): 2+ years of related work experience 2+ years of experience with Microsoft Excel using formulas, VLookup, pivot tables, charts, filters and linking worksheets Experience with Microsoft Office Products like Outlook, Excel, PowerPoint and Word Experience working on cross functional teams and high transactional volume Experience with basic ERP system such as SAP S/4 HANA Preferred Qualifications (Desired Skills/Experience): Bachelor's Degree in Accounting, Finance, Business or a related field Working knowledge of accounting theory Drug Free Workplace: Boeing is a Drug Free Workplace where post offer applicants and employees are subject to testing for marijuana, cocaine, opioids, amphetamines, PCP, and alcohol when criteria are met as outlined in our policies . Credit Check: This position will require a credit check. Total Rewards & Pay Transparency: At Boeing, we strive to deliver a Total Rewards package that will attract, engage and retain the top talent. Elements of the Total Rewards package include competitive base pay and variable compensation opportunities. The Boeing Company also provides eligible employees with an opportunity to enroll in a variety of benefit programs, generally including health insurance, flexible spending accounts, health savings accounts, retirement savings plans, life and disability insurance programs, and several programs that provide for both paid and unpaid time away from work. The specific programs and options available to any given employee may vary depending on eligibility factors such as geographic location, date of hire, and the applicability of collective bargaining agreements. Pay is based upon candidate experience and qualifications, as well as market and business considerations. Summary pay range: $35,000 - $50,000. Nonexempt/hourly position Language Requirements: Not Applicable Education: Not Applicable Relocation: Relocation assistance is not a negotiable benefit for this position. Export Control Requirement: This position must meet U.S. export control compliance requirements. To meet U.S. export control compliance requirements, a “U.S. Person” as defined by 22 C.F.R. §120.62 is required. “U.S. Person” includes U.S. Citizen, U.S. National, lawful permanent resident, refugee, or asylee. Safety Sensitive: This is not a Safety Sensitive Position. Security Clearance: This position does not require a Security Clearance. Visa Sponsorship: Employer will not sponsor applicants for employment visa status. Contingent Upon Award Program This position is not contingent upon program award Shift: Shift 1 (United States of America) Stay safe from recruitment fraud! The only way to apply for a position at Boeing is via our Careers website. Learn how to protect yourself from recruitment fraud - Recruitment Fraud Warning Boeing is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status or other characteristics protected by law. EEO is the law Boeing EEO Policy Request an Accommodation Applicant Privacy Boeing Participates in E - Verify E-Verify (English) E-Verify (Spanish) Right to Work Statement Right to Work (English) Right to Work (Spanish)
$35k-50k yearly Auto-Apply 11d ago
Insurance Verification Specialist
Assistrx 4.2
Billing specialist job at AssistRx
AssistRx has engineered the perfect blend of technology and talent (you) to provide life sciences companies with an efficient solution to improve patient uptake, visibility and outcomes. Our talented team members provide therapy and healthcare system expertise to help patients achieve better results from care. A growing organization, AssistRx views our people as our strongest asset. Join us as we continue to make a difference.... The purpose of this position is to help patients get access to the medications and therapies that they need. This role works directly with healthcare providers & insurance plans/payers to gather information about a patient's insurance and the coverage provided for a specific pharmaceutical product. The Insurance Verification Specialist will support the healthcare providers addressing questions regarding coding and billing and navigating complex reimbursement issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps navigate the appeals process to access medications. Ensure cases move through the process as required in compliance with company requirements and the organization's defined standards and procedures; in a manner that provides the best level of service and quality Conduct benefit investigations for patients by making outbound phone call to payers to verify patient insurance benefit information, navigate complex reimbursement barriers and seek resources to overcome the barriers Verify patient specific benefits and document specifics including coverage, cost share and access/provider options Identify any coverage restrictions and details on how to expedite patient access Document and initiate prior authorization process and claims appeals Report any reimbursement trends or delays in coverage to management Requirements In-depth understanding and experience with Buy & Bill, Major Medical & Pharmacy Benefit Coverage. 2 to 5 years of benefit investigation involving the analysis and interpretation of insurance coverage 3 to 5 years of experience interacting with healthcare providers in regard to health insurance plan requirements Excellent verbal communication skills and grammar Computer literacy/competence Salesforce system experience preferred Benefits Supportive, progressive, fast-paced environment Competitive pay structure Matching 401(k) with immediate vesting Medical, dental, vision, life, & short-term disability insurance AssistRx, Inc. is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors, or any other protected categories protected by federal, state, or local laws. All offers of employment with AssistRx are conditional based on the successful completion of a pre-employment background check. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. Sponsorship and/or work authorization is not available for this position. AssistRx does not accept unsolicited resumes from search firms or any other vendor services. Any unsolicited resumes will be considered property of AssistRx and no fee will be paid in the event of a hire
$28k-33k yearly est. Auto-Apply 60d+ ago