Authorization Specialist remote jobs - 729 jobs

One of our top clients is looking for a team of Patient Access Representatives within a call center environment in Beverly Hills, CA! This person will be responsible for handling about 50+ calls per day for multiple specialty offices across Southern California. This position is fully on-site for 2 - 4 months, then fully remote. Required Skills & Experience HS Diploma 2+ years healthcare call center experience (with an average call time of 5 minutes or less on calls) Proficient with scheduling appointments through an EHR software 2+ years experience scheduling patient appointments for multiple physicians in one practice 40+ WPM typing speed Experience handling multiple phone lines Nice to Have Skills & Experience Proficient in EPIC Experience verifying insurances Basic experience with Excel and standard workbooks Experience in either pain management, dermatology, Neurology, Endocrinology, Rheumatology, or Nephrology. Responsibilities Include: Answering phones, triaging patients, providing directions/parking instructions, contacting clinic facility to notify if a patient is running late, scheduling and rescheduling patients' appointments, verifying insurances, and assisting with referrals/follow up care. This position is on-site until fully trained and passing multiple assessments (typically around 2-4 months of working on-site - depending on performance) where it will then go remote.

Site: The General Hospital Corporation Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Home Base, a Red Sox Foundation and Massachusetts General Hospital program, is dedicated to healing the invisible wounds - including post-traumatic stress, traumatic brain injury, anxiety, depression, co-occurring substance use disorder, family relationship challenges and other issues associated with Military service - for Veterans of all eras, Service Members, Military Families and Families of the Fallen through world-class clinical care, wellness, education, and research. The Home Base Patient Service Coordinator (PSC) serves as a key member of the team that provides superior care and exceptional service to its patients. One critical dimension of this service focuses on patient check-in process and improving the human experience upon our patients' arrival to our practice and throughout the duration of their visit. The Home Base PSC will play an important role in redefining and reinvigorating the patient welcome and check-in experience. The PSC will be the crucial “face and attitude” of this patient-centered practice. While also providing medical scheduling services, the PSC will have the unique opportunity to work within a supportive team setting enabled by systems and technologies that will allow the employee to provide patient care and services at their highest levels. In addition, the PSC will be responsible to assist in special projects when skillset and capacity allow, as deemed appropriate by the Practice Manager. Job Summary Summary Performs both administrative and clinical functions to support smooth and efficient clinical service or practice operations under general supervision. Performs basic clerical work and tasks that are repetitive and routine. Administrative duties related to patient visits including scheduling, check-in, check-out duties. Actual job duties may vary by Department. Does this position require Patient Care? No Essential Functions -Perform routine administrative and clerical duties relating to a clinical service or physician practice office. -Make patient appointments and maintain appointment records. -Greet and assist patients. -Answer telephones, assist callers with routine inquiries, and schedule appointments. -File materials in patient folders and print appointment schedules. -Process patient billing forms and scan documents to patient medical record/LMR. -Call for patient medical records and laboratory test results. -Open and distribute unit mail or faxes. -Type forms, records, schedules, memos, etc., as directed. -Handles, screens and/or takes messages related to prior authorizations, provider questions, prescription refills, and test results. -Acts as "Super User" for scheduling, registration and billing systems. -Provides assistance and training to others in these areas. -May perform more complex or specialized functions (i.e. schedule changes/blocking) at more advanced competency level. Qualifications Education High School Diploma or Equivalent required Can this role accept experience in lieu of a degree? No Licenses and Credentials Certified Medical Administrative Assistant [CMAA] - Data Conversion - Various Issuers preferred Experience office experience 2-3 years required Knowledge, Skills and Abilities - Proficiency with all Office Suite, -Knowledge of office operations and standards and understanding of office procedures including filing, copying, scanning, printing and faxing. - Ability to use phone system and manage more non-routine phone calls and solve routine issues as appropriate. - Communicating effectively in writing as appropriate for the needs of the audience and talking to others to convey information effectively. - Understanding written sentences and paragraphs in work related documents, to correspond and communicate with others clearly and effectively (including composing/editing e-mail, memos and letters), and to take complete and accurate messages. - Managing one's own time and the time of others. - Well organized and good time management skills to manage multiple tasks effectively, follow established protocols, and work within systems. Additional Job Details (if applicable) Physical Requirements Standing Occasionally (3-33%) Walking Occasionally (3-33%) Sitting Constantly (67-100%) Lifting Occasionally (3-33%) 20lbs - 35lbs Carrying Occasionally (3-33%) 20lbs - 35lbs Pushing Rarely (Less than 2%) Pulling Rarely (Less than 2%) Climbing Rarely (Less than 2%) Balancing Occasionally (3-33%) Stooping Occasionally (3-33%) Kneeling Rarely (Less than 2%) Crouching Rarely (Less than 2%) Crawling Rarely (Less than 2%) Reaching Occasionally (3-33%) Gross Manipulation (Handling) Constantly (67-100%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%) Remote Type Hybrid Work Location One Constitution Wharf Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $17.36 - $24.45/Hourly Grade 3 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: The General Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

For ambitious, culturally diverse, curious minds seeking booming careers, Job Duck unlocks and nurtures your potential. We connect you with rewarding, remote job opportunities with US-based employers who recognize and appreciate your skills, allowing you to not just survive but thrive. As a lifestyle company, we ensure that everybody working here has a fantastic time, which is why we've earned the Great Place to Work Certification every year since 2022! Job Description: This role at Job Duck offers the opportunity to support a fast‑paced professional environment where responsiveness and smooth communication truly make a daily impact. The position centers around assisting clients with care, managing incoming calls with a warm and engaging presence, and ensuring that follow‑ups and intakes are handled with clarity and consistency. You will contribute by preparing polished templates, maintaining accurate spreadsheets, and coordinating schedules so operations run seamlessly. A candidate who thrives in this role enjoys interacting with others, communicates with confidence, and stays organized even when navigating multiple software tools at once. If you bring strong English skills and a naturally outgoing approach to your work, you will excel here. • Salary Range: 1,150 USD to 1,220 USD Responsibilities include, but are not limited to: Answering phone calls (approximately 10/day), it can vary Handle scheduling and calendar coordination Support general administrative functions Create and maintain spreadsheets Templates drafting. Client intake and follow-up. Requirements: Strong written and spoken English Excellent grammar and communication skills Responsive and detail‑oriented Comfortable using multiple software platforms simultaneously Outgoing communication style Ability to stay organized while handling varied administrative tasks CRM: Lawmatics VoIP: RingCentral Internal communication: Microsoft Teams Channel, Slack Outlook Work Shift: 9:00 AM - 6:00 PM [EST][EDT] (United States of America) Languages: English, Spanish Ready to dive in? Apply now and make sure to follow all the instructions! Our application process involves multiple stages, and submitting your application is just the first step. Every candidate must successfully pass each stage to move forward in the process. Please keep an eye on your email and WhatsApp for the next steps. A recruiter will be assigned to guide you through the application process. Be sure to check your spam folder as well.

Job Description Candidates must reside within a reasonable driving distance of Lombard, IL. Hours Scheduled: Mon-Thurs 9:30am-6pm/Fridays 8am-5pm QualDerm Partners is the largest multi-state female-founded and owned dermatology network in the U.S., with over 150 locations across 17 states. Our commitment is to educate, protect, and care for your skin while delivering the highest quality dermatological services. We strive to make skin health accessible to all while fostering a rewarding work environment for both our patients and employees. Position Summary: The Remote Central Scheduling Specialist will be responsible for managing and coordinating the scheduling of patient appointments across our various practice locations. This role requires exceptional customer service skills and the ability to handle a high volume of calls while ensuring that each patient feels valued and supported throughout their scheduling experience. Requirements High School Diploma required; Associate's Degree preferred. Minimum of 1 year customer service experience in a healthcare setting preferred. Strong communication and interpersonal skills. Ability to manage multiple tasks efficiently in a fast-paced environment. Proficiency in scheduling software and Microsoft Office applications. Understanding of HIPAA regulations is a plus. Benefits Competitive Pay Medical, dental, and vision 401(k) - The company match is 100% of the first 3%; and 50% of the next 2%; immediately vested Paid Time Off - accrual starts upon hire, plus 6 Paid Holidays and 2 floating days Company paid life insurance and additional coverage available Short-term and long-term disability, accident and critical illness, and identity theft protection plans Employee Assistance Program (EAP) Employee Discounts Employee Referral Bonus Program QualDerm Partners, LLC is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Compensation Range: $17.00 - 19.50 per hour. Final offer will be based on a combination of skills, experience, location, and internal equity.

Remote Sales Insurance Specialist Are you enthusiastic, self-motivated, and eager to learn? Do you thrive in a fast-paced environment and aren't afraid of hard work? If so, we want to hear from you! At Globe Life: The Gelb Group, we are dedicated to protecting the hardworking middle class. As a Virtual Sales Insurance Specialist, you'll embark on a structured 3-6 month training program designed to provide you with in-depth industry knowledge and hands-on experience. You'll gain valuable insights into our history, mission, and vision while developing the skills necessary to excel and grow within our company. What Youll Do: Master the daily operations of the business through hands-on training. Work directly with customers to tailor permanent benefits that meet their family's needs. Build and maintain strong relationships with organizations such as the Police Association, Nurses Association, Firefighters, Postal Workers, Labor Unions, and more. Develop essential skills in communication, leadership, organization, time management, networking, and team building. Learn business logistics and strategies to maximize earnings and profitability. What Were Looking For: Leadership experience is a plus, but not required. A strong willingness to learn and be coachable. Ability to accept and apply constructive feedback. Strong people skills and a great sense of humor! Highly organized and team-oriented. Company Perks & Benefits: Incentive Trips to destinations like Cabo, Tulum, Vegas, and Cancun. 100% Remote Work from anywhere! Weekly training calls to support professional growth. Performance-based weekly pay & bonuses. Health insurance reimbursement. Life insurance & retirement plan. If youre ready to take your career to the next level, apply today with your most up-to-date resume! Its not about where you startits about where you finish! Overview: American Income Life has been a leading provider of life and supplemental benefits for working families since 1951. We have established strong relationships with unions and associations across the United States. As the company grows rapidly, we are now offering remote positions to serve families across all time zones nationwide. This is an entry-level position with a potential annual income ranging from $60,000 to $80,000. Responsibilities: Assist clients by providing information about products and services Address client questions regarding their coverage Continuously develop and maintain an understanding of evolving products and services Regularly review client agreements to identify opportunities for cost-effective improvements Qualifications: Previous experience in customer service, sales, or a related field (not required) Ability to build rapport with clients Strong multitasking and organizational skills Positive, professional demeanor Excellent written and verbal communication skills What We're Looking For: A sharp individual with an entrepreneurial mindset A team player who thrives under pressure Someone with professional communication skills Benefits: Comprehensive hands-on training Weekly pay Performance-based bonuses Commission-based income Residual income opportunities Company-paid trips Remote work flexibility Compensation details: 55000-100000 Yearly Salary PIcba8b86e1c66-31181-38920149

Compensation: $20.00 - $24.00 The base compensation range for this role is fixed, with a maximum cap of $24.00. We want to be transparent about this as we continue discussions. Monday-Friday, 8AM-5PM, fully remote Medical Benefits: Health, Vision, & Dental Retirement: 401K & Pension w/ 4% employer contribution PTO: 15 Days Graham Healthcare Group is hiring a Patient Services Coordinator to join our dynamic team! The Patient Services Coordinator is responsible for scheduling the home visits for the field staff and assisting with the coordination of patient care. In addition, the patient services coordinator will accumulate admissions/intake information and communicate with CFSS for possible staffing needs and concerns. This position can work remotely depending on location. Patient Services Coordinator Responsibilities: Works within the HCHB workflow structure as directed Compile the daily schedules of clinical staff. With the direction of the Assistant Clinical Manager, assigns POD clinicians to patients. Assists POD personnel in care coordination of patient/client services. Serves as a liaison between the field staff, patients/clients, and POD personnel. Communicates with CFSS when order approval is holding scheduling Completes all tasks/workflow daily, communicates with ACM regarding any workflow unable to be processed prior to the end of the shift. Process appropriately all visits that have been sent back from clinicians. Weekend rotation as needed Patient Services Coordinator Qualification Requirements: Associate's degree Preferred. At least one (1) year of experience in home health preferred. At least one (1) year of experience in a customer service capacity. Proficient in Microsoft Office suite. Minimum of two years general office experience, with one (1) of those years having been in data entry or word processing functions. Previous Home Health experience preferred About Graham Healthcare Group: As an innovator in an evolving healthcare world, Graham Healthcare Group has been designing business and technology solutions to drive better care, outcomes, and productivity within its own home health and hospice companies for over 20 years. In the last several years, our solutions have been successfully integrated across the healthcare continuum. Join the Graham Healthcare Group and enjoy the following benefits: Competitive Pay: With opportunity for advancement Health and Welfare Benefits: Various medical, dental, and vision insurance options for you and your family to choose from. Supplemental Benefits: Company paid life insurance and disability benefits. Also, pre-tax FSA and HSA plans are offered. Generous PTO Packages. Retirement: Save for your future with our company offered 401k plan and pension. Company-Paid Education Programs: Grow your career by taking advantage of 50% discounts on tuition for selected courses offered by Purdue and Kaplan. Benefits may vary based on your employment status. NOTICE: Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana. By supplying your phone number, you agree to receive communication via phone or text. By submitting your application, you are confirming that you are legally authorized to work in the United States. Graham Healthcare Group is an Equal Opportunity Employer

Pay Range: $21.00 - $25.00 per hour Schedule: Full-time, 5 days/week (8:30 AM - 5:00 PM PST) with weekend rotation or staggered schedule including one fixed weekend day About Us At Seaport Scripps Home Health, our mission is simple yet powerful: to provide LIFE CHANGING SERVICE to our patients and their families. We believe a career in healthcare is one of the noblest professions, and exceptional clinical operations leadership makes home health possible. Our team is committed to delivering superior clinical outcomes and outstanding patient and family satisfaction. Through dedication and compassion, we strive to be the provider of choice in the communities we serve. We foster a culture that values: Celebration of successes and making work enjoyable Highest standards of care and professionalism Continuous learning and growth Respect and empathy for others Innovation and good judgment And most importantly, we put employees first, because we know great care starts with a great team. Job Summary The Authorization Specialist plays a key role in ensuring smooth operations by verifying insurance eligibility, obtaining authorizations, and managing related clerical tasks. This position supports intake processes, maintains accurate clinical records, and fosters positive relationships with providers and referral sources. Key Responsibilities Verify insurance eligibility and confirm payer sources for all referrals Manage the authorization process, including monitoring calls and requests from providers Obtain and provide clinical information needed for authorizations Communicate authorization status to field and scheduling staff Provide backup support to Intake and Scheduling Coordinators Protect patient and organizational confidentiality Maintain knowledge of state, federal, and CHAP documentation regulations Qualifications Minimum 1 year of experience in insurance eligibility and authorizations (home health experience preferred) Knowledge of information systems and corporate business management Familiarity with governmental regulations Strong communication and public relations skills Ability to work independently with organization, flexibility, and cooperation About Seaport Scripps Home Health We are part of the Pennant Group, a nationwide network with 300+ locations. This gives us the stability of a proven healthcare leader while allowing us to operate locally with autonomy and innovation. Our Core Values guide everything we do: Celebration Accountability Passion for Learning Love One Another Intelligent Risk Taking Customer Second Ownership Benefits Competitive compensation Health, dental, vision, life, and disability insurance Pre-tax healthcare and dependent care flexible spending accounts 401(k) plan with generous company match Critical illness benefit Tuition reimbursement Paid time off Employee assistance program Seaport Scripps Home Health is an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sex, national origin, disability, veteran status, or other protected characteristics. The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at ****************************

Top Healthcare Provider Network The 61st Street Service Corporation, provides administrative and clinical support staff for ColumbiaDoctors . This position will support ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast. ColumbiaDoctors practices comprise an experienced group of more than 2,800 physicians, surgeons, dentists, and nurses, offering more than 240 specialties and subspecialties. This position is primarily remote, candidates must reside in the Tri-State area (New York, New Jersey, or Connecticut). Note: There may be occasional requirements to visit the New York or New Jersey office for training, meetings, and other business needs. Opportunity to grow as part of a Revenue Cycle Career Ladder! Job Summary: The Authorization Specialist II is responsible for verifying insurance policy benefit information, and securing payer required authorizations. This position is responsible for obtaining accurate and timely pre-authorizations for professional services prior to the patient s visit, scheduled admission, or immediately following hospital admission. Prior authorizations may include, but are not limited to surgical procedures, outpatient treatments, medications and diagnostic testing (i.e. ultrasounds, labs, radiology, IV therapy, referrals) Job Responsibilities: Verifies insurance coverage via system tools, payer portals (Electronic Query (Real-Time-Eligibility [RTE]/Insurance Payer Portal/Phone). Upon verification of patient's insurance coverage, update changes in the billing system. Confirms provider s participation status with patient s insurance plan/network. Determines payer referral and authorization requirements for professional services. Contacts patient and PCP to secure payer required referral for planned services. Documents referral in practice management system. Researches system notes to obtain missing or corrected insurance or demographic information. Reviews clinical documentation to insure criteria for procedure meets insurance requirements. Initiates authorization and submits clinical documentation as requested by insurance companies. Follows through on pre-certifications until final approval is obtained. Manage faxes, emails, and phone calls in a timely manner. Responds to voicemails and emails within same business day of receipt. Communicates with surgical coordinators regarding authorizations status or denials. Submits appeals in the event of denial of prior authorizations or denial of payment following procedures. Set up peer to peer calls with clinical providers and insurance companies, as needed. Calculate and document patient out of pocket estimates and provide to patient. Assists Supervisor with special projects and/or tasks. Assists Authorization-Referrals Specialist I with complex cases or questions. Serves as back-up to Authorization-Referrals Specialist III. Performs other job duties as assigned. Job Qualifications: Verifies insurance coverage via system tools, payer portals (Electronic Query (Real-Time-Eligibility [RTE]/Insurance Payer Portal/Phone). Upon verification of patient's insurance coverage, update changes in the billing system. Confirms provider s participation status with patient s insurance plan/network. Determines payer authorization requirements for professional services. Researches system notes to obtain missing or corrected insurance or demographic information. Reviews clinical documentation to insure criteria for procedure meets insurance requirements. Initiates authorization and submits clinical documentation as requested by insurance companies. Follows through on pre-certifications until final approval is obtained. Manage faxes, emails, and phone calls. Responds to voicemails and emails. Communicates with surgical coordinators regarding authorizations status or denials. Submits appeals in the event of denial of prior authorizations or denial of payment following procedures. Set up peer to peer calls with clinical providers and insurance companies, as needed. Calculate and document patient out of pocket estimates and provide to patient. Assists Supervisor with special projects and/or tasks. Assists Authorization Specialist I with complex cases or questions. Serves as back-up to Authorization Specialist III. Performs other job duties as assigned. Please note: While this position is primarily remote, candidates must be in a Columbia University approved telework state. There may be occasional requirements to visit the office for meetings or other business needs. Travel and accommodation costs associated with these visits will be the employee's responsibility and not be reimbursed by the company. Job Qualifications: High school graduate or GED certificate is required. A minimum of 1-year experience in a physician s billing or third payer environment. Candidate must demonstrate the ability to understand and navigate managed care eligibility, insurance billing requirements, and obtaining pre-authorizations. Candidate must demonstrate strong customer service and patient focused orientation and the ability to communicate, adapt, and respond to complex situations. Including the ability to diffuse complex situations in a calm and professional manner. Must demonstrate effective communication skills both verbally and written. Ability to multi-task, prioritize, document, and manage time effectively. Functional proficiency in computer software skills (e.g. Microsoft Word, Excel and Outlook, E-mail, etc.) Functional proficiency and comprehension of medical terminology. Experience in Epic and or other electronic billing systems is preferred. Knowledge of medical terminology, diagnosis and procedure coding is preferred. Previous experience in an academic healthcare setting is preferred. Hourly Rate Ranges: $23.69 - $32.00 Note: Our salary offers will fall within these ranges based on a variety of factors, including but not limited to experience, skill set, training and education. 61st Street Service Corporation At 61 st Street Service Corporation we are committed to providing our client with excellent customer service while maintaining a productive environment for all employees. The Service Corporation offers a competitive comprehensive Benefit package to eligible employees; including Healthcare and various other benefits including Paid Time off to promote a healthy lifestyle. We are an equal employment opportunity employer and we adhere to all requirements of all applicable federal, state, and local civil rights laws.

CentralReach is a leading provider of autism and IDD care software for Applied Behavior Analysis (ABA), multidisciplinary therapy, and special education. Trusted by more than 200,000 users, we enable therapy providers, educators, and employers to scale the way they deliver ABA and related therapies with innovative technology, market-leading industry expertise, and world-class customer satisfaction. You will be a part of our incredible CR BillMax team which provides managed billing services to our CentralReach customers, helping them streamline and scale their billing and collections across all the services they provide. This is a hybrid position based in our Ft. Lauderdale, FL office. Team members are expected to work onsite on Tuesdays, Wednesdays, and Thursdays, with the option to work remotely on Mondays and Fridays. Key Responsibilities: Accounts Receivable & Collections Manage client collections and accounts receivable Follow up on insurance-aged Accounts Receivable Track and resolve discrepancies based on partial payments and contractual obligations Claims & Denial Management Review and respond to all claim denials Collect required documentation to facilitate claim processing or appeal Conduct verifications and authorizations as needed Patient Communication & Support Communicate patient financial responsibility clearly and professionally Provide support for other billing-related duties as assigned Team Workflow Adapt quickly to evolving processes in a flexible and fast-paced team environment Leverage technology platforms to improve billing accuracy and efficiency Desired Skills & Experience: 1-3 years of relevant experience Strong proficiency with computers and billing software systems required Well-organized with excellent multitasking and time management skills Clear, confident communicator with a strong customer service mindset Self-motivated with a professional and positive demeanor Ability to remain composed and solution-oriented in high-pressure situations Experience in ABA billing and collections preferred Familiarity with ERA (Electronic Remittance Advice) payment posting preferred An analytical thinker who enjoys problem-solving and process improvement Your success will be measured through key performance indicators (KPIs) such as: Accounts Receivable aging resolution rate Denial overturn rate Timeliness of claim follow-up Contribution to team and department goals aligned with CentralReach's mission. #LI-Hybrid Base Salary Range$44,000-$50,000 USD Backed by Roper Technologies, Inc. (Nasdaq: ROP), and led by award-winning CEO Chris Sullens, CentralReach is entering an exciting phase of growth, innovation, and scale. Recognized as one of the best places to work over 10 times by organizations such as Inc, Built In, and NJBIZ, our culture is centered around impact, inclusion, and flexibility. As a hybrid company with collaborative offices in Ft. Lauderdale, FL; Holmdel, NJ; and Verona, Italy, we foster a workplace where top talent can thrive and make a real difference in the lives of those we serve. We offer competitive compensation, comprehensive health benefits, generous PTO, 401(k) matching, and paid parental leave. Our team members also enjoy hybrid work schedules, career development support, wellness programs, and opportunities to give back through CR Cares™, our community engagement initiative. Be part of a market leader driving the future of care. Explore opportunities at centralreach.com/careers.

The Insurance Authorization Specialist will perform daily tasks including: verification of patient eligibility, benefits, reading and understanding clinical notes and/or patient charts, and creating authorizations if needed. Why join our team? Structured career development - our team of industry experts are here to support and work with you to explore your learning potential and career goals 9 Company Paid Holidays Company Paid Parental Leave Earned Time Off (3 weeks) Comprehensive Benefits Program (Medical, Dental and Vision Insurance) Company Paid Life and AD&D Insurance Company Paid Short-Term Disability Insurance Voluntary Long-Term Disability, Accident insurance, ID Theft Insurance, Flexible Spending or Healthcare Savings Account 401K Retirement Plan with competitive employer match Minimum Requirements: Education/Experience/Certification Requirements: Excellent communication (written and oral) and interpersonal skills. Strong organizational, multi-tasking, and time-management skills. Must be detail oriented and able to follow through on issues to resolution. Must be able to act both independently and as a team member. Minimum of two years' experience in authorization department/insurance billing/or similar department. Effective interpersonal and management skills Knowledge of and adherence to regulations set by HIPAA Knowledge and skills necessary to meet individual needs based on physical, psycho-social, educational, safety and other criteria appropriate for each individual patient Organizational and prioritization skills and ability to use time effectively Effective written and verbal communication skills Proficient computer skills Must be able to work in a seated position for extended periods of time Must be able to focus on and read a computer screen for prolonged periods Flexibility to handle a workload that fluctuates and grows with time Preferred Qualifications: Experience with Cerner Initiating authorizations Why join our team? If you join us, you will receive: Work remotely with a work/life balance approach Robust benefits offering, including 401(k) Generous time off allotments 10 paid holidays annually Employer-paid short term disability and life insurance Paid Parental Leave

Were seeking a detail-oriented Booking & Scheduling Specialist to support clients by managing bookings, coordinating schedules, and ensuring every detail is accurate and organized. This fully remote role is ideal for someone who enjoys organization, client communication, and keeping processes running smoothly. What Youll Do: Manage bookings, schedules, and confirmations Communicate with clients to gather details and provide updates Track changes, deadlines, and follow-ups Ensure accuracy and a seamless experience from start to finish What Were Looking For: Strong organizational and communication skills Experience in customer service, scheduling, or coordination (preferred, not required) Comfortable working independently in a remote environment Detail-oriented, dependable, and tech-comfortable Why This Role Stands Out: 100% remote flexibility Training and ongoing support provided Opportunity for growth within a supportive team

Job Title: Client E-Billing Specialist Salary/Payrate: $70K-$90K annually plus a performance based bonus and AWESOME benefits!!! Work Environment: Hybrid (1 day WFH) Term: Permanent / Fulltime Bachelor's degree required: Yes JOB DESCRIPTION #LI-SS1 Our client, an AM Law 100 firm, is looking to hire a Client E-Billing Specialist at their offices in New York City. This is a full time, direct hire role paying an annual salary of $70K to $90K plus a performance-based bonus and excellent benefits package. The position will allow for remote work one day a week. The Client E-Billing Specialist is responsible for the timely submission of a large volume of invoices and ensuring the invoices submitted comply with Clients Guidelines for one of our client's largest clients. Responsibilities may vary over time and are not limited to the below. · Submitting e-bills to clients utilizing BillBlast and various e-billing vendors and verifying successful submission. · Create new e-files using the industry standard Legal Electronic Data Exchange Standard (LEDES) format, etc. · Identify and resolve issues on e-bills submitted and work with billing team to resolve. · Assist internal and external contacts to research and resolve rejected invoices. · Open new matters on vendor sites and monitor status of pending matters. · Submit timekeeper data to clients and e-billing vendors. · Submit budget and accrual information to clients. · Assist billing and collections teams to analyze and resolve client deductions and other issues. · Work with Pricing Department to verify rate arrangements. · Monitor status of invoices e-billed. · Follow up on outstanding e-bills and assist with collection efforts. · Back up the other Client E-Billing Specialist. Minimum Requirements: Minimum of 2 years of legal e-billing experience using various platforms. Aderant experience preferable. Adept with Excel functions including VLOOKUP and PivotTables. Willing to work overtime, as needed. Required Competencies: Extremely organized and able to effectively manage a large volume of work. Attentive to details. Strong analytical skills including the ability to review and interpret reports. Initiative to follow up on e-billing issues. Excellent time management and organizational skills. Excellent communication and interpersonal skills. Ability to establish and maintain effective relationship with clients and colleagues. Must have a desire and dedication to work.

We are recruiting 100 entry level Remote Insurance Verification Representatives in FL, NV, SD, TX, and WY. If you are looking for steady work from home with consistent pay then this is the opportunity for you. To make sure this is a fit for you, please understand: You will be on the phone the entire shift. You will need to overcome simple objections and maintain a positive attitude. You will need to purchase a USB Headset (if you don't already have one). True W2 pay check and direct deposit company (not gimmick 1099 pay) No phone line needed No cellphone needed No driving required No people to meet No packaging materials No shipping No ebay accounts No phone experience needed (but a serious advantage) Company Culture This compant prides itself on empowering their team to be responsible, "show up" on time for their shift(s), and stay focused on their task(s) the whole time. Working from home is a blessing, but it can also be the biggest distraction. That's why they their staff with the utmost respect and expect the same from them. This is a serious opportunity from one of the most modern work from home companies on the planet. They are literally a bunch of people spread out around the country with a common goal of helping select customers complete their car insurance quotes. They skype together all day and everyone supports eachother as a team even though 95% all work from REMOTE locations. This company has been in the online and insurance marketing business for over 3 years now, and the founder has been in this industry for over 10 years now. Compensation $8.25/hr starting or 3$ per lead depending on which is more. Focused and aggressive verifiers make $15-$19 an hour. Scheduling The shifts that are available are 9am-1pm / 1pm-5pm / 5pm-9pm M-F. (Eastern Time). Depending on your location and availability you will be assigned (1) of these shifts temporarily until you are well trained and established. You will start as PART TIME. Once you are established Full time is possible and many reps choose full time. Full on-going success training is provided. (You are NOT required to purchase training materials or anything from them or us.) Again all you need is your own computer, high speed internet, 5 MBPS Download Speeds and 1 MBPS Upload Speeds USB headset.

Job Description Job Summary: Obtains authorizations and referrals for surgical procedures and offsite diagnostic imaging. Creates medical and dental surgical estimates. Qualifications & Additional Characteristics: Strong interpersonal skills. The ability to relate effectively with physicians and staff, as well as outside business associates at multiple levels. Computer literate and knowledge of practice management software, insurance, and billing software. Epic knowledge preferred. Use of appropriate e-mail and internet practice applications. Basic knowledge of insurance pre-authorization process. Understanding of Managed Care contractual policies. Knowledge of CPT and ICD-10-CM coding. Oral maxillofacial surgery preferred. Responsibilities include, but are not limited to, the following: Ensures insurance carrier documentation requirements are met for pre-authorizations as it pertains to procedural and/or surgery needs. Initiates expedited reviews with payers when necessary to ensure authorization is in place prior to, or at the time of service, and communicates late notifications or risk of no auth situation to Surgery Schedulers as soon as identified. Researches and develops resources that create timely and efficient workflow. Routinely monitors cases pending or not yet started/complete, being attentive to payer specific processing time. Maintains excellent communication and positive rapport with all points of contact both internally and externally. Documents pertinent discussions and details of correspondence in all applicable systems to provide tracking and point of reference. Properly handle denied authorization cases and seek resolution through involved parties. Create medical and dental surgical estimates based on health insurance coverage. Attend all Billing Department and staff meetings. Education and Experience Requirements: High school degree or equivalent Degree and/or training in medical billing and coding Minimum of three years in the health care field Strong background and experience in understanding patient accounts as to private pay, health insurance, billing, and collection processes. Independent medical coding experience a must; Certified Medical Coder a plus. Typical Physical Demands: Work may require sitting for long periods of time, stooping, bending, and stretching. This position requires manual dexterity sufficient to operate a keyboard, computer, telephone, calculator, copier, and such other office equipment, as necessary. Employee must have normal range of hearing and eyesight. Position also requires viewing computer screens and typing for long periods of time and working in a fast-paced environment. Typical Working Conditions: Work is performed in a billing area and involves frequent contact with patients, insurance carriers and physicians. Work may be stressful at times. Monday - Friday 8am - 5pm Option to work remotely 2x per week after 90 day probationary period.

Agilent is seeking a proactive and detail-oriented Federal Government Billing Specialist to join our Customer Operations Center (COpC). This position plays a key role in supporting the Order Management process by ensuring accurate and compliant billing for federal contracts. The ideal candidate will manage complex invoices in accordance with FAR, DFARS, CAS, and other agency-specific billing requirements, while maintaining operational excellence and compliance across all transactions. Working within the COpC, this role partners closely with cross-functional teams across Agilent, including Credit and Collections, Revenue team, Sales and other COpC teams, to ensure timely and compliant billing. The Specialist will also support internal and external audits, uphold high standards of data accuracy, and contribute to continuous improvement initiatives within the Customer Operations Center. Key Responsibilities * Prepare and submit invoices via federal platforms (WAWF, IPP, Tungsten, etc.). * Review contract terms and funding modifications for billing accuracy. * Monitor unbilled receivables and resolve holds or rejections. * Collaborate with Contracts, Project Management, Accounting, and other COpC teams. * Maintain billing documentation and support audits (DCAA, DCMA). * Assist with month-end close activities and revenue reconciliation. * Ensure compliance with federal regulations and company policies. * Provide excellent customer service to government agencies and internal teams. * Manage portal invoicing based on agency-specific requirements to prevent rework and ensure timely payment. * Act as liaison with the collections team to resolve issues and ensure billing integrity. Additional Information This is a complex role requiring adaptability, attention to detail, and a customer-focused mindset. You'll thrive in a fast-paced, diverse environment where ownership and collaboration are key. Schedule: Flexibility required; occasional overtime and late hours on the last working day of each month Qualifications Required Qualifications * Associate's or Bachelor's degree in Accounting, Finance, or related field (or equivalent experience). * 2+ years of experience in federal billing or government contract accounting. * Familiarity with FAR/DFARS and federal audit processes. * Proficiency in Microsoft Excel and ERP systems (SAP, Oracle, Deltek). * Strong communication, organizational, and time management skills. * Ability to work independently and manage multiple priorities. Preferred Qualifications * Experience with DCAA-compliant accounting systems. * Knowledge of indirect rate structures and cost allocations. * Prior experience in a government contractor environment. * SAP/CRM experience. * Proficiency in Microsoft Office Suite (Outlook, Excel, Word, PowerPoint, OneNote). Additional Details This job has a full time weekly schedule. It includes the option to work remotely. Applications for this job will be accepted until at least January 15, 2026 or until the job is no longer posted. The full-time equivalent pay range for this position is $28.27 - $44.17/hr plus eligibility for bonus, stock and benefits. Our pay ranges are determined by role, level, and location. Within the range, individual pay is determined by work location and additional factors, including job-related skills, experience, and relevant education or training. During the hiring process, a recruiter can share more about the specific pay range for a preferred location. Pay and benefit information by country are available at: ************************************* Agilent Technologies, Inc. is an Equal Employment Opportunity and merit-based employer that values individuals of all backgrounds at all levels. All individuals, regardless of personal characteristics, are encouraged to apply. All qualified applicants will receive consideration for employment without regard to sex, pregnancy, race, religion or religious creed, color, gender, gender identity, gender expression, national origin, ancestry, physical or mental disability, medical condition, genetic information, marital status, registered domestic partner status, age, sexual orientation, military or veteran status, protected veteran status, or any other basis protected by federal, state, local law, ordinance, or regulation and will not be discriminated against on these bases. Agilent Technologies, Inc., is committed to creating and maintaining an inclusive in the workplace where everyone is welcome, and strives to support candidates with disabilities. If you have a disability and need assistance with any part of the application or interview process or have questions about workplace accessibility, please email job_******************* or contact ***************. For more information about equal employment opportunity protections, please visit ********************************* Travel Required: No Shift: Day Duration: No End Date Job Function: Customer Service

Site: The General Hospital Corporation Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Home Base, a Red Sox Foundation and Massachusetts General Hospital program, is dedicated to healing the invisible wounds - including post-traumatic stress, traumatic brain injury, anxiety, depression, co-occurring substance use disorder, family relationship challenges and other issues associated with Military service - for Veterans of all eras, Service Members, Military Families and Families of the Fallen through world-class clinical care, wellness, education, and research. The Home Base Patient Service Coordinator (PSC) serves as a key member of the team that provides superior care and exceptional service to its patients. One critical dimension of this service focuses on patient check-in process and improving the human experience upon our patients' arrival to our practice and throughout the duration of their visit. The Home Base PSC will play an important role in redefining and reinvigorating the patient welcome and check-in experience. The PSC will be the crucial "face and attitude" of this patient-centered practice. While also providing medical scheduling services, the PSC will have the unique opportunity to work within a supportive team setting enabled by systems and technologies that will allow the employee to provide patient care and services at their highest levels. In addition, the PSC will be responsible to assist in special projects when skillset and capacity allow, as deemed appropriate by the Practice Manager. Job Summary Summary Performs both administrative and clinical functions to support smooth and efficient clinical service or practice operations under general supervision. Performs basic clerical work and tasks that are repetitive and routine. Administrative duties related to patient visits including scheduling, check-in, check-out duties. Actual job duties may vary by Department. Does this position require Patient Care? No Essential Functions * Perform routine administrative and clerical duties relating to a clinical service or physician practice office. * Make patient appointments and maintain appointment records. * Greet and assist patients. * Answer telephones, assist callers with routine inquiries, and schedule appointments. * File materials in patient folders and print appointment schedules. * Process patient billing forms and scan documents to patient medical record/LMR. * Call for patient medical records and laboratory test results. * Open and distribute unit mail or faxes. * Type forms, records, schedules, memos, etc., as directed. * Handles, screens and/or takes messages related to prior authorizations, provider questions, prescription refills, and test results. * Acts as "Super User" for scheduling, registration and billing systems. * Provides assistance and training to others in these areas. * May perform more complex or specialized functions (i.e. schedule changes/blocking) at more advanced competency level. Qualifications Education High School Diploma or Equivalent required Can this role accept experience in lieu of a degree? No Licenses and Credentials Certified Medical Administrative Assistant [CMAA] - Data Conversion - Various Issuers preferred Experience office experience 2-3 years required Knowledge, Skills and Abilities * Proficiency with all Office Suite, * Knowledge of office operations and standards and understanding of office procedures including filing, copying, scanning, printing and faxing. * Ability to use phone system and manage more non-routine phone calls and solve routine issues as appropriate. * Communicating effectively in writing as appropriate for the needs of the audience and talking to others to convey information effectively. * Understanding written sentences and paragraphs in work related documents, to correspond and communicate with others clearly and effectively (including composing/editing e-mail, memos and letters), and to take complete and accurate messages. * Managing one's own time and the time of others. * Well organized and good time management skills to manage multiple tasks effectively, follow established protocols, and work within systems. Additional Job Details (if applicable) Physical RequirementsStanding Occasionally (3-33%) Walking Occasionally (3-33%) Sitting Constantly (67-100%) Lifting Occasionally (3-33%) 20lbs - 35lbs Carrying Occasionally (3-33%) 20lbs - 35lbs Pushing Rarely (Less than 2%) Pulling Rarely (Less than 2%) Climbing Rarely (Less than 2%) Balancing Occasionally (3-33%) Stooping Occasionally (3-33%) Kneeling Rarely (Less than 2%) Crouching Rarely (Less than 2%) Crawling Rarely (Less than 2%) Reaching Occasionally (3-33%) Gross Manipulation (Handling) Constantly (67-100%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%) Remote Type Hybrid Work Location One Constitution Wharf Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $17.36 - $24.45/Hourly Grade 3 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: The General Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

At Globe Life we are committed to empowering our employees with the support and opportunities they need to succeed at every stage of their career. We take pride in fostering a caring and innovative culture that enables us to collectively grow and overcome challenges in a connected, collaborative, and mutually respectful environment that calls us to Make Tomorrow Better. Role Overview: Could you be our next Part-Time Insurance Verification Specialist? Globe Life is looking for a Part-Time Insurance Verification Specialist to join the team! In this role, you will verify life and health insurance applications directly with potential customers. This is a vital part of our Company's New Business and Underwriting process. The information you verify and gather directly affects whether the Company will decline or issue a policy. This is a remote / work-from-home position. What You Will Do: Make outbound calls to potential customers to verify and document required information to finalize applications for underwriting assessment. Use the Quality Assurance database and conduct appropriate assessments on what additional customer information or verification is needed. Clearly explain the application process to potential customers. Accurately complete additional paperwork as needed. Maintain appropriate levels of communication with management regarding actions taken within the Quality Assurance database. Transfer calls to the appropriate department as needed. Successfully meet the minimum expectation for departmental key performance indicators (K.P.I's). Be enlisted in special projects that encompass making numerous outbound calls, recording activities requested by/from customers, etc. What You Can Bring: Minimum typing requirement of 35 wpm. Bilingual English and Spanish preferred Superior customer service skills required - friendly, efficient, good listener. Proficient use of the computer, keyboard functions, and Microsoft Office. Ability to multitask and work under pressure. Knowledge of medical terminology and spelling is a plus. Excellent organization and time management skills. Must be detail-oriented. Have a desire to learn and grow within the Company. Applicable To All Employees of Globe Life Family of Companies: Reliable and predictable attendance of your assigned shift. Ability to work full-time and/or part-time based on the position specifications.

Health Insurance Verification Specialist | Atos Medical-US | New Berlin, WI This position is remote but requires you to be commutable to New Berlin, WI for orientation and training/employee events as needed. Join a growing company with a strong purpose! Do you want to make a difference for people breathing, speaking and living with a neck stoma? At Atos Medical, our people are the strength and key to our on-going success. We create the best customer experience and thereby successful business through our 1200 skilled and engaged employees worldwide. About Atos Medical Atos Medical is a specialized medical device company and the clear market and technology leader for voice and pulmonary rehabilitation for cancer patients who have lost their voice box. We design, manufacture, and sell our entire core portfolio directly to leading institutions, health care professionals and patients. We believe everyone should have the right to speak, also after their cancer. That's why we are committed to giving a voice to people who breathe through a stoma, with design solutions and technologies built on decades of experience and a deep understanding of our users. Atos Medical has an immediate opening for a Health Insurance Verification Specialist in the Insurance Department. Summary The Health Insurance Verification Specialist will support Atos Medical's mission to provide a better quality of life for laryngectomy customers by assisting with the attainment of our products through the insurance verification process and reimbursement cycle. A successful Health Insurance Verification Specialist in our company uses client information and insurance management knowledge to perform insurance verifications, authorizations, pre-certifications, and negotiations. The Health Insurance Verification Specialist will analyze and offer advice to our customers regarding insurance matters to ensure a smooth order process workflow. They will also interact and advise our internal team members on schedules, decisions, and potential issues from the Insurance payers. Essential Functions Act as an advocate for our customers in relation to insurance benefit verification. Obtain and secure authorization, or pre-certifications required for patients to acquire Atos Medical products. Verifies the accuracy and completeness of patient account information. Ensures information obtained is complete and accurate, applying acquired knowledge of Medicare, Medicaid, and third party payer requirements/on-line eligibility systems. Contacts insurance carriers to obtain benefit coverage, policy limitations, authorization/notification, and pre-certifications for customers. Follows up with physician offices, customers and third-party payers to complete the pre-certification process. Requests medical documentation from providers not limited to nurse case reviewers and clinical staff to build on claims for medical necessity. Collaborates with internal departments to provide account status updates, coordinate the resolution of issues, and appeal denied authorizations. Answer incoming calls from insurance companies and customers and about the insurance verification process using appropriate customer service skills and in a professional, knowledgeable, and courteous manner. Educates customers, staff and providers regarding referral and authorization requirements, payer coverage, eligibility guidelines, documentation requirements, and insurance related changes or trends. Verifies that all products that require prior authorizations are complete. Updates customers and customer support team on status. Assists in coordinating peer to peer if required by insurance payer. Notifies patient accounts staff/patients of insurance coverage lapses, and self-pay patient status. May notify customer support team if authorization/certification is denied. Maintains knowledge of and reference materials of the following: Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization and a list of current accepted insurance plans. Inquire about gap exception waiver from out of network insurance payers. Educate medical case reviewers at Insurance Companies about diagnosis and medical necessity of Atos Medical products. Obtaining single case agreements when requesting an initial authorization with out of network providers. This process may entail the negotiation of pricing and fees and will require knowledge of internal fee schedules, out of network benefits, and claims information. Complete all Insurance Escalation requests as assigned and within department guidelines for turn around time. Maintains reference materials for Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization and a list of current accepted insurance plans. Other duties as assigned by the management team. Basic Qualifications High School Diploma or G.E.D Experience in customer service in a health care related industry. Preferred Qualifications 2+ years of experience with medical insurance verification background Licenses/Certifications: Medical coding and billing certifications preferred Experience with following software preferred: Salesforce, SAP, Brightree, Adobe Acrobat Knowledge Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization and a list of current accepted insurance plans. Additional Benefits Flexible work schedules with summer hours Market-aligned pay 401k dollar-for-dollar matching up to 6% with immediate vesting Comprehensive benefit plan offers Flexible Spending Account (FSA) Health Savings Account (HSA) with employer contributions Life Insurance, Short-term and Long-term Disability Paid Paternity Leave Volunteer time off Employee Assistance Program Wellness Resources Training and Development Tuition Reimbursement Atos Medical, Inc. is an Equal Opportunity/Affirmative Action Employer. Our Affirmative Action Plan is available upon request at ************. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Equal Opportunity Employer Veterans/Disabled. To request reasonable accommodation to participate in the job application, please contact ************. Founded in 1986, Atos Medical is the global leader in laryngectomy care as well as a leading developer and manufacturer of tracheostomy products. We are passionate about making life easier for people living with a neck stoma, and we achieve this by providing personalized care and innovative solutions through our brands Provox , Provox Life™ and Tracoe. We know that great customer experience involves more than first-rate product development, which is why clinical research and education of both professionals and patients are integral parts of our business. Our roots are Swedish but today we are a global organization made up of about 1400 dedicated employees and our products are distributed to more than 90 countries. As we continue to grow, we remain committed to our purpose of improving the lives of people living with a neck stoma. Since 2021, Atos Medical is the Voice and Respiratory Care division of Coloplast A/S 56326 #LI-AT

The Medical Billing Specialist is responsible for accurately coding fertility diagnostic ,treatment services and surgical procedures, submitting insurance claims, and managing the billing process for a fertility practice or healthcare facility. They ensure compliance with healthcare regulations and maximize revenue by optimizing reimbursement. General Summary of Duties: Responsible for gathering charge information, coding, entering into data base complete billing process and distributing billing information. Responsible for processing and filing insurance claims and assists patients in completing insurance forms. Essential Functions: o Prepare and submit insurance claims accurately and in a timely manner. o Verify patient insurance coverage and eligibility for fertility services( treatments and surgical procedures). o Review and address coding-related denials and discrepancies. o Researches all information needed to complete billing process including getting charge information from physicians. o Assists in the processing of insurance claims o Processes all insurance provider's correspondence, signature, and insurance forms. o Assists patients in completing all necessary forms, to include payment arrangements made with patients. Answers patient questions and concerns. o Keys charge information into entry program and produces billing. o Processes and distributes copies of billings according to clinic policies. o Records payments for entry into billing system. o Follows-up with insurance companies and ensures claims are paid/processed. o Resubmits insurance claims that have received no response or are not on file. o Works with other staff to follow-up on accounts until zero balance. o Assists error resolution. o Maintains required billing records, reports, files. o Research return mail. o Maintains strictest confidentiality. o Other duties as assigned o Identify opportunities to optimize revenue through accurate coding and billing practices. o Assist in developing strategies to increase reimbursement rates and reduce claim denials. Benefits: Offers nationally competitive compensation and benefits. Our benefits program provides a comprehensive array of services to our employees including, but not limited to health insurance (Primarily covered by the company), paid time off, retirement contributions (401k), & flexible spending account