Medicare Hospice Billing & Collection Specialist
Ohio jobs
will be remote, but some in-office hours are possible.
Candidate will ideally reside in Ohio.
Looking for at least 5 years experience in hospice billing or Medicare billing and knowledge of DDE. Someone who can bill Medicare and has an understanding of room and board. This person could have hospice and/or long term care experience.
As a Hospice/Palliative Care Patient Account Specialist, you will perform daily billing and collection operations for Hospice and Palliative Care Revenue Cycle Department. The Hospice/Palliative Care Patient Account Specialists ensures that the patient accounts are handled in compliance with Interim Healthcare's policy and regulatory standards.
What we offer our Hospice/Palliative Care Patient Account Specialist:
Competitive pay and benefits
FT, 8:30 am - 5pm, M-F. Remote with some possible in office hours.
Daily Pay option available
Excited to hear more? Apply below.
Working at Interim HealthCare means a career unlike any other. With integrity at the center of all we do, we know that when we support you and your community, you'll change lives every day.
As a Hospice/Palliative Care Patient Account Specialist, you will:
Initiate and maintain complete and accurate patient billing records along with maintaining confidentiality of Interim Healthcare patient billing records to ensure regulatory compliance with state and federal laws. Identifies and implements system enhancements, as it relates to industry trends to improve overall performance and outcomes.
Accurate cash posting and balance monies received from insurance plans by the end of each month. Track and process all over-payments/under-payments to ensure collection of balances owed/received are precise and appropriate. Always maintain proper payment of all state/federal revenues to ensure the correct rates have been paid. This is a federal regulation that must be followed.
Accurately process payments to Nursing Facilities for patients with Medicaid coordinating all admissions, deaths, bed hold days, transfers, and discharges. Bills all insurance plans for denials and/or collection of payments while maintaining timely filing of all insurance plans. Maintains a positive relationship working cooperatively with nursing homes, health information department, accounts payable department and other providers to maintain quality service, quick response time and ensure accurate payments. It is important to sustain positive relationships which are crucial to developing future referrals to the organization.
Review of monthly aging for trouble spots and past due accounts along with running month-end billing process and reconciliation improve flow of cash to organization. Monitors and maintains days in AR at or below 60-90 days to ensure cash flow. This is evidenced by a monthly review of AR with a success rate of 90%. Reporting any issues to Regional Hospice/Palliative Care Revenue Cycle Manager.
To qualify for a Hospice/Palliative Care Patient Account Specialist with us:
• Associate degree (Bachelor's Degree preferred) in related field required or equivalent education, training, and experience.
• Minimum 3-5 years' experience in hospice billing or Medicare billing
• Recent experience working with popular hospice/palliative billing software.
Knowledge of DDE is a must.
At Interim HealthCare Home Care, we know that being our best is non-negotiable - that's why we treat your family like our own. We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace. From our unmatched referral response times to our focus on quality improvement, the most beautifully complicated time of your life is our life's work.
We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
#RMC
Member Support Representative
Barberton, OH jobs
The Member Support Representative is considered the “front line” of the ministry in assisting members with general inquiries by phone and email. This entry-level role is ideal for candidates who enjoy engaging with people, are servant-minded, and can provide compassionate and professional support. In addition to answering questions and resolving issues, the position also provides opportunities to minister to members through prayer and spiritual encouragement.
WHAT WE OFFER
Compensation based on experience.
Faith and purpose-based career opportunity!
Fully paid health benefits
Retirement and Life Insurance
12 paid holidays PLUS birthday
Lunch is provided DAILY.
Professional Development
Paid Training
ESSENTIAL JOB FUNCTIONS
Respond to member inquiries via phone and email promptly, with time sensitivity and professionalism.
Verify and update member information accurately in CHM's systems.
Log and track all interactions in the member management system (Gift Manager or CRM).
Follow standard operating procedures (SOPs) when handling common inquiries.
Provide accurate information about CHM guidelines, membership, billing, and processes.
Attract prospects by answering questions, giving suggestions, and making recommendations to obtain membership when appropriate.
Review and assess member concerns, escalating to management when necessary.
Handle escalated or emotional calls with empathy, offering prayer or spiritual encouragement when appropriate.
Meet established performance standards (e.g., call volume, response time, member satisfaction).
Participate in team meetings, training sessions, and development opportunities to stay current with CHM policies and systems.
Protect member confidentiality and comply with HIPAA and organizational privacy standards.
Thrive in a collaborative team environment and contribute positively to overall team goals.
Uphold the mission, vision, values, and service standards of CHM in every interaction.
Maintain a professional demeanor at all times.
Perform other job duties as assigned by management.
QUALIFICATIONS & EXPERIENCE REQUIREMENTS
Required: High School Diploma or equivalent.
Preferred: Some college coursework in business, communications, or related field; or 1-2 years of customer service experience.
Proficiency in Microsoft Office programs (Word, Excel, Outlook).
Ability to operate a PC and navigate information systems/applications (Gift Manager or similar CRM software).
Experience using routine office equipment (fax, copier, printers, multi-line telephones, etc.).
Strong verbal and written communication skills, with active listening ability.
Strong organizational, analytical, and problem-solving skills.
Ability to manage workload, multi-task, and adapt to changing priorities.
Patience, empathy, and conflict-resolution skills for handling sensitive or difficult calls.
CORE COMPETENCIES
Interpersonal Communication
Servant Leadership Mindset
Teamwork & Collaboration
Conflict Resolution
Detail Orientation & Accuracy
Adaptability & Flexibility
PERFORMANCE EXPECTATIONS
Maintain accuracy and efficiency in all member records updates.
Meet or exceed department standards for call and email response times.
Consistently achieve high member satisfaction scores.
Demonstrate reliability, accountability, and professionalism in all duties.
WORK ENVIRONMENT & PHYSICAL REQUIREMENTS
Standard schedule: Monday-Friday, 9:00 AM-5:00 PM (with flexibility for ministry needs).
Office-based environment with regular phone and computer use.
Ability to sit at a desk and use a computer/phone for extended periods.
Manual dexterity for typing and handling office equipment.
About Christian Healthcare Ministries
Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other's medical bills. The mission of CHM is to glorify God, show Christian love, and experience God's presence as Christians share each other's medical bills.
Billing Representative II, Remote
Somerville, MA jobs
Site: Mass General Brigham Incorporated 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.
Job Summary
Summary:
Responsible for maintenance of accurate billing records of complex customer and/or patient accounts, process payments and adjustments, and communicate with customers to answer questions or provide information.
Does this position require Patient Care? No
Essential Functions:
Interact with internal and external customers to gather support data to ensure billing accuracy and work through billing discrepancies
* Addresses issues of a more complex nature and support junior staff by answering day to day questions
* Process payments and maintain up-to-date billing records
* Reprocessing insurance denials and submitting all necessary documentation for payment
* Maintain accurate billing records and files
* Collaborate with other departments to resolve billing and payment issues
* May prepare monthly and quarterly billing reports for management review
Qualifications
Education
High School Diploma or Equivalent required
Experience in billing, finance or collections 2-3 years required
Knowledge, Skills and Abilities
* Strong attention to detail.
* Excellent interpersonal, written and verbal communication skills.
* Proficient in Microsoft Office Excel and other relevant billing software.
* Ability to prioritize and manage multiple tasks simultaneously.
* Ability to work independently and as part of a team.
* Ability to work in a fast-paced environment.
Additional Job Details (if applicable)
Remote Type
Remote
Work Location
399 Revolution Drive
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$19.42 - $27.74/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:
Mass General Brigham Incorporated 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.
Auto-ApplyAssociate District Account Representative - Northern California
Remote
The Company
Dexcom Corporation (NASDAQ DXCM) is a pioneer and global leader in continuous glucose monitoring (CGM). Dexcom began as a small company with a big dream: To forever change how diabetes is managed. To unlock information and insights that drive better health outcomes. Here we are 25 years later, having pioneered an industry. And we're just getting started. We are broadening our vision beyond diabetes to empower people to take control of health. That means personalized, actionable insights aimed at solving important health challenges. To continue what we've started: Improving human health.
We are driven by thousands of ambitious, passionate people worldwide who are willing to fight like warriors to earn the trust of our customers by listening, serving with integrity, thinking big, and being dependable. We've already changed millions of lives and we're ready to change millions more. Our future ambition is to become a leading consumer health technology company while continuing to develop solutions for serious health conditions. We'll get there by constantly reinventing unique biosensing-technology experiences. Though we've come a long way from our small company days, our dreams are bigger than ever. The opportunity to improve health on a global scale stands before us.
Meet the team:
At Dexcom, we empower people to take control of health. Dexcom is a pioneer and global leader in continuous glucose monitoring (CGM). Since 1999, Dexcom has developed innovative technology that has transformed how people manage diabetes. Dexcom has done this through sensor and software innovation to meet the unique needs of people with diabetes, their caregivers, and health care professionals. Dexcom has also led innovative work to ensure CGM technology can be accessible for more and more people.
The Dexcom Remote Sales Representative will be assigned a district/territory comprised of potential Health Care Professional (HCP) customers. This individual will be responsible for bringing awareness about CGM systems and promoting the use of Dexcom products by providing support services and solutions to HCPs. The Dexcom Sales Representative will communicate with prospects using a suite of technologies including, but not limited to, telephone, SMS, Email, MarketingCloud journeys, video conferencing, etc.
Where you come in:
You will support company initiatives within the district/territory virtually as well as in person to bring awareness to the benefits of Dexcom CGM to Healthcare Providers in your district. (HCP calls, programs, TBM support)
You will provide education and training on Dexcom products to relevant HCPs in innovative ways
You will achieve quarterly sales goals and meet Key Performance Indicator Metrics as designated by your management team
You will increase the Dexcom market share and hit district/territory targets in line with company expectations by utilizing the services and support from across the company in accordance with the Dexcom values and culture
You will utilize company CRM to identify business development opportunities, track activities, and configure digital face-to-face presentations
It is preferred that you are experienced using a CRM tool in the medical device or pharmaceutical industry, and have a passion for helping those with diabetes.
You must live within the District's territory defined in the job title to be able to attend meetings, events, or development opportunities
What makes you successful:
Customer, Patient, and Industry Knowledge
You will maintain an up-to-date understanding of the Dexcom customer and diabetes industry, market conditions and trends, healthcare regulations, and competitor activities
You will maintain an understanding of all the Dexcom customer types, segments, and the patient's experience (including unmet needs, drivers, and barriers)
You will attend industry trade shows and events to promote Dexcom products and services - some travel may be required
You will partner closely with sales management and professionals at Dexcom to create and follow a cohesive customer engagement plan
Therapy Area and Product Knowledge
You will maintain comprehensive and up-to-date Dexcom product knowledge and a thorough understanding of diabetes. Undertake and regularly pass clinical and product knowledge assessments
You will implement sales and marketing initiatives throughout the customer base according to company priorities/strategy and customer needs, including the launching of new products and services
You will differentiate between Dexcom products, services, and applications against competitor brands and product lines
Business Planning and Administration
You will prioritize and execute cycle and Quarterly objectives
You will analyze district/territory-level market share and other appropriate sales data to optimize efficiency to meet or exceed goals and objectives consistently
You will ensure correct and up-to-date information is communicated to customers
You will complete all call reporting within specified deadlines
Selling
You will conduct high volume outbound cold and warm calls daily to meet product awareness goals.
You will execute call objectives appropriate to the customer's segment and specific needs, including sampling, clarity training, education programs, etc.
You will connect and engage with prescribers and HCPs in individual and group set-ups to help customers discover, clarify, and verbalize their needs and those of their patients and identify gaps
You will act as a reliable resource for information on how Dexcom products and services can meet expressed and uncovered needs
As appropriate, you will utilize the Dexcom sales process with each customer to identify priority opportunities and to capture progress to date
You will drive recommendations of Dexcom products across the district/territory to achieve growth targets
Administration
You will complete daily, weekly, and monthly administration as required
You will maintain the CRM system as directed by the Sales Manager
You will capture email and register HCPs for marketing journeys
You will ensure all internal training courses/regulatory requirements are completed as directed
You will attend team meetings and actively participate with territory/district team events
What you'll get:
A front row seat to life changing CGM technology. Learn about our brave #dexcomwarriors community.
A full and comprehensive benefits program.
Growth opportunities on a global scale.
Access to career development through in-house learning programs and/or qualified tuition reimbursement.
An exciting and innovative, industry-leading organization committed to our employees, customers, and the communities we serve.
Travel Required:
15-25%
Experience and Education:
Typically requires a Bachelors degree and 0-2 years previous experience.
Please note: The information contained herein is not intended to be an all-inclusive list of the duties and responsibilities of the job, nor are they intended to be an all-inclusive list of the skills and abilities required to do the job. Management may, at its discretion, assign or reassign duties and responsibilities to this job at any time. The duties and responsibilities in this job description may be subject to change at any time due to reasonable accommodation or other reasons. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, or protected veteran status and will not be discriminated against on the basis of disability. Dexcom's AAP may be viewed upon request by contacting Talent Acquisition at ****************************.
If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact Dexcom Talent Acquisition at ****************************.
View the OFCCP's Pay Transparency Non Discrimination Provision at this link.
Meritain, an Aetna Company, creates and publishes the Machine-Readable Files on behalf of Dexcom. To link to the Machine-Readable Files, please click on the URL provided: ***************************************************** Code=MERITAIN_I&brand Code=MERITAINOVER/machine-readable-transparency-in-coverage?reporting EntityType=TPA_19874&lock=true
To all Staffing and Recruiting Agencies: Our Careers Site is only for individuals seeking a job at Dexcom. Only authorized staffing and recruiting agencies may use this site or to submit profiles, applications or resumes on specific requisitions. Dexcom does not accept unsolicited resumes or applications from agencies. Please do not forward resumes to the Talent Acquisition team, Dexcom employees or any other company location. Dexcom is not responsible for any fees related to unsolicited resumes/applications.
Salary:
$22.21 - $37.01
Auto-ApplyAccount Service Representative (Columbus, Ohio)
Worthington, OH jobs
We're not just a workplace - we're a Great Place to Work certified employer!
Proudly certified as a Great Place to Work, we are dedicated to creating a supportive and inclusive environment. At Sonic Healthcare USA, we emphasize teamwork and innovation. Check out our job openings and advance your career with a company that values its team members!
JOB DESCRIPTION
Position: Account Service Representative (ASR) - Columbus, Ohio
Position Summary: Account Service Representatives are positions assigned to the Sales Department in Toledo, OH. Each representative is tasked with territory management of an existing territory. In order to fully service their territory, each ASR will be provided a list of accounts specific to their territory. Managing such accounts shall consist of assessment of service needs, financial assessment, and overall growth of each account.
Principle Responsibilities:
Territory management of a specific territory. To comply with all policies and procedures of the company. Follow up on a timely basis to all client and employee requests. Insure proper documentation and materials are accurately completed. Perform financial assessments of existing accounts. Develop Organic Growth within assigned territory. Communicate effectively and professionally with internal and external employees.
Scope: It is imperative that each ASR manage their time appropriately and efficiently. Much of their time will be spent building relationships and communicating client's issues to the operations department. It is the responsibility of each ASR to manage the financial relationship as well as service aspects of each client within the assigned territory.
Education: College degree in Business Management and or Marketing preferred but not required.
Experience: Previous outside service management in the medical field of 2 years preferred but not required.
Skills: The ability to communicate effectively orally and written. All ASR's are to manage their time efficiently and complete their pending paperwork accurately and timely.
Scheduled Weekly Hours:
40
Work Shift:
Job Category:
Sales
Company:
Sonic Healthcare USA, Inc
Sonic Healthcare USA is an equal opportunity employer that celebrates diversity and is committed to an inclusive workplace for all employees. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, age, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
Auto-ApplyBilling Coordinator - CTI Pulmonology and Thoracic Surgery (hybrid)
Chicago, IL jobs
Company DescriptionAt Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better?
Job Description
Performs charge capture for all procedures completed in the Bronchoscopy suite. This includes:
Audit of CPT codes associated with each procedure
Confirmation of supplies used and verification of alignment with operative notes
Assists patients with billing and insurance related matters including communicating with patients regarding balances owed and other financial issues and facilitating collection of balances owed.
Educates patients about financial assistance opportunities, insurance coverage, treatment costs, and clinic billing policies and procedures.
Collaborates closely with physicians and technicians to understand treatment plans and determine costs associated with these plans; Works closely with the staff on managed care and referral related issues; communicates findings to patients.
Coordinates the pre-certification process with the clinical staff as it relates to procedures in the Bronchoscopy Suite and Operating Rooms
Handles billing inquiries received via telephone or via written correspondence.
Responsible for thoroughly investigating and understanding financial resources or programs that may be available to patients and educating staff and patients about these programs.
Conducts precertification for appropriate tests or procedures and facilitates the process with managed care and the clinical team. Documents all information and authorization numbers in Epic and acts as a liaison for follow-up related to precertification.
Performs activities and responds to patient inquiries related to billing follow-up.
Requests necessary charge corrections.
Identifies patterns of billing errors and works collaboratively with department manager and outside entity to improve processes as needed.
Provides guidance regarding clinical documentation to optimize charges and RVUs
Confirms coding accuracy based on clinical documentation and reviews common errors or misses with physicians and leadership.
The Billing Coordinator reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
The Billing Coordinator is responsible for processing charges, payments and/or adjustments for all services rendered at all NM Corporate Health Clinics. Researches and follows- up on all outstanding accounts. Answers all calls regarding charges and claims, providing exceptional customer service to all callers. Possesses extensive knowledge of coding, billing, insurance and collections procedures and coordinates the accounts receivable functions. Performs weekly claims, monthly late bills and patient statement runs and reviews accounts to be placed with an outside collection agency.
RESPONSIBILITIES:
Department Operations
Ensures patient demographic and billing/insurance information is kept current in the computer application. Documents all patient and company contacts.
Reviews daily clinic schedules and tracks receipt of documentation to assure completeness of charge capture.
Ensures notes are is placed in systems, clearly identifying steps taken, according to established procedures.
Works with patients/clients to establish payment plans according to predetermined procedures.
Handles all incoming customer service calls in a professional and efficient manner. Provides exceptional service to all customers, guarantors, patients, internal and external contacts.
Prepares itemized bill upon request; explains charges, payments and adjustments. Produces a clear and understandable statement to individuals on any outstanding account balance.
Responsible for timely submission of accurate bills and invoices to clients, patients and insurance companies.
Ensures timely posting of all charges, payments, denials and write-offs to the appropriate account, maintaining the highest level of quality for each transaction processed within 48 hours of receipt.
Responsible for balancing each payment and adjustment batch with reconciliation report and bank account deposits after completion.
Ensures compliant follow up procedures are followed, to third party payers regarding outstanding accounts receivables.
Run outstanding A/R reports, follow-up on unpaid claims or balances with insurance companies, patients, and collection agency, as defined by department.
Perform daily systematic review of accounts receivable to ensure all accounts ready to be worked are completed.
Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation.
Denials and appeals follow-up including root cause analysis to reduce/prevent future denials.
Reviews, prepares and sends pre-collection letters as defined by department procedures.
Identifies and sends accounts to outside collection agency.
Prepares and distributes reports that are required by finance, accounting, and operations.
Handles all work in an accurate and timely manner, consistently meets or exceeds productivity standards, quality standards, department goals and deadlines established by the team.
Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices.
Identify opportunities for process improvement and submit to management.
Demonstrate proficient use of systems and execution of processes in all areas of responsibilities.
Communication and Teamwork
Fosters and maintains positive relationships with the Corporate Health team, Human Resources, NM employees and physicians.
Provides courteous and prompt customer service. Answers the telephone in a courteous professional manner, directs calls and takes messages as appropriate. Checks for messages and returns calls.
Demonstrates teamwork by helping co-workers within and across departments. Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others.
Communicates appropriately and clearly to physicians, manager, nursing staff, front office staff, and employees. Maintains a good working relationship within the department. Organizes time and department schedule well. Demonstrates a positive attitude.
Service Excellence
Displays a friendly, approachable, professional demeanor and appearance.
Partners collaboratively with the functional areas across Northwestern Medicine in support of organizational and team objectives.
Fosters the development and maintenance of a cohesive, high-energy, collaborative, and quality-focused team.
Supports a “Safety Always” culture.
Maintaining confidentiality of employee and/or patient information.
Sensitive to time and budget constraints.
Other duties as assigned.
Qualifications
Required:
High school graduate or equivalent.
Strong Computer knowledge, data entry skills in Microsoft Excel and Word.
Thorough understanding of insurance billing procedures, ICD-10, and CPT coding.
3 years of physician office/medical billing experience.
Ability to communicate clearly and effectively, both orally and in writing, at all levels within and outside the organization.
Ability to work independently.
Preferred:
3 years of physician office/medical billing experience in Corporate Health/Occupational Health a plus.
CPC (Certified Professional Coder) or R (Registered Medical Coder) Certificate a plus.
Additional Information
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Billing Specialist (On-site/Hybrid)
Providence, RI jobs
Under the general direction of the Manager of Revenue Cycle, performs a variety of functions related to patient accounts to ensure the financial stability of the organization.
This is a full-time, 40 hours/week position (Monday-Friday), at our Providence location: 110 Elm St., Providence, RI.
PRINCIPLE DUTIES AND RESPONSIBILITIES:
Applies the Brown Physicians Inc. values of patient care priority, dignity, collaboration, integrity and quality in support of the Brown Physicians Inc. mission to deliver compassionate, high-quality patient care, research excellence and outstanding physician education. Is responsible for knowing and acting in accordance with the Brown Physicians Inc. Compliance Program and Code of Conduct.
Practices the Brown Physicians Inc. Customer Service Standards.
Maintain current knowledge of federal and state regulations regarding medical billing practices.
Act as a resource to practice management and providers.
Maintain knowledge of all applications including eClinical Works, Epic, Microsoft Word, Excel and on-line payer verifications/claims status.
Submissions of claims to third party payers; ensure clean claim rates with submissions.
Identify trends within the Accounts Receivable
Verifies completeness and accuracy of all claims prior to submission.
Timely follow up on insurance claim denials, exceptions or exclusions.
Utilize monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days.
Refund processing for third party payors and patients.
Research and analyze payments for discrepancies to companies and individuals
Accurately post all insurance and patient payments. Reading and interpreting insurance explanation of benefits.
Make necessary arrangements for medical records requests, completion of additional information requests, etc. as requested by insurance companies.
Respond to inquiries from insurance companies, patients and providers.
Maintain patient confidentiality.
Demonstrate flexibility to perform duties wherever volume deems it necessary within the billing area.
BASIC KNOWLEDGE:
A technical understanding of reimbursement policies and procedures of various third-party payor and medical assistance programs to ensure billing procedures are compliant.
Interpersonal skills to exchange information with patients, internal and external clients.
Understand the basic reporting and balancing.
Analytical ability to research and resolve billing problems, trending and to prepare statistical reports depicting billing activity.
Knowledge of insurance guidelines
Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.
Provide feedback to Brown Physicians Inc. practices surrounding error trends with demographics, eligibility, and etc.
EXPERIENCE:
High school diploma, GED
Three -five years of progressively more responsible third-party payor billing.
WORKING CONDITIONS AND PHYSICAL REQUIREMENTS:
Work is performed in a typical office setting requiring extended periods of sitting, standing and walking. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
INDEPENDENT ACTION:
Work is performed under general supervision, with some independent judgment exercised in determining priorities.
SUPERVISORY RESPONSIBILITY:
None.
Employees are required to be vaccinated against Covid as a condition of employment, subject to accommodation for medical exemptions.
We value a diverse, talented workplace and seek colleagues who strive to better understand systemic barriers as it affects patient care and our academic institutions. Brown Physicians, Inc. welcomes nominations and applications from all individuals with varied experiences, perspectives, abilities, identities, and backgrounds to enrich our clinical, research, training and service missions.
Auto-ApplyPatient Account Representative-Hybrid
Fort Myers, FL jobs
AQUA Dermatology is Florida's largest and most comprehensive full-service skin care provider in the Southeast, offering medical, surgical, and cosmetic dermatology, plastic surgery, vein care, and radiation oncology. The Patient Account Representative position is responsible for taking incoming and making outgoing calls to patients and insurance companies to resolve account balances. Essential duties: account review, customer service and billing. Positions will perform any and all related duties assigned. This job operates in a clerical office setting.
Responsibilities:
* Complete all business-related requests and correspondence from patients and insurance companies.
* Complete all assigned projects in a timely manner.
* Assist clients and patients in all requested tasks.
* Communicate to management, areas of concern or areas of improvement.
* Performs various collection actions including the following and reporting of delinquent accounts to the collection agency.
* Posts payments and prepares daily deposit.
* Research and respond to all patient inquiries received by telephone and mail.
* Update patient demographic information and initiate account adjustments.
* Try to resolve account balances to zero prior to accounts being forwarded to an outside agency for collections.
* Other duties as assigned.
Other
* This is a full-time position.
* Hybrid position
* Days and hours of work are Monday through Friday, 8:00 AM to 4:30 PM. Evening & Weekend work may be requested as job duties demand.
* Participates in educational activities and attends department staff meetings.
* Conducts oneself in accordance with company policies and procedures.
* Maintains strict confidentiality, adhering to all HIPAA guidelines.
Skills
* Ability to operate basic office equipment and multi-line telephone system.
* General understanding of professional fee billing processes and procedures.
* Proficient in analyzing statistical data.
* Dependability in both production and attendance
* attention to detail.
* Excellent oral and written communication skills.
* Good organizational, analytical and time management skills
* Ability to exercise initiative, judgment, and decision-making skills.
* Ability to establish effective working relationships with providers, staff and the public.
Hybrid Schedule:
* 4 days a week remote and 1 day a week in office
We offer competitive salaries and benefits:
* Medical, Dental, and Vision are available after 30 days of hire
* Short-term disability and life insurance, and many ancillary options.
* 401 (k) available after 90 days of hire
* Excellent growth and advancement opportunities
* Discounts on services
Founded in 1998, AQUA Dermatology is the Southeast's premier dermatology practice with over 110 locations throughout Alabama, Florida, and Georgia. Our established practices and experienced physicians offer patients the highest quality outcomes and an exceptional patient experience. From common rashes to skin cancer treatments and plastic surgery procedures to an array of vein treatments, no case is beyond our experience and expertise.
Accounts Receivable Representative III (Remote)
Remote
Principal Duties and Responsibilities:
Coordinates, monitors, and manages the follow-up on unpaid claims. Ensures follow-up and reimbursement appeals of unpaid and inappropriately paid claims.
Identifies, researches, and ensures timely processing of billing errors and corrections as they relate to claims. Actively participates in problem identification and resolution and coordinates resolutions between appropriate parties.
Ability to communicate and collaborate effectively with other internal as well as external resources to achieve desired results and resolve issues.
Review and work all daily correspondence. Appeals denied claims via mail, telephone, or websites. Perform audits on accounts when needed to review for accuracy.
Update accounts with information obtained through correspondence and telephone. When necessary, contacts patients, referring providers or a hospital to obtain better insurance information, authorization, or updated patient demographics to assist with collections.
Completes appropriate account maintenance by ensuring that the correct statement groups, financial class, and payer codes. Accurately documents all follow up on the account to ensure there is an accurate record of the steps taken to collect on an account.
Pitches in to help the completion of the daily AR Representative 2 workload to support AR team productivity and outcome measures.
Meets the current productivity standard which include both quantity and quality metrics.
Maintains a working knowledge and understanding of CPT and ICD-10 codes. Keeps current with health care practices and laws and regulations related to claims collections.
Performs other job-related duties within the job scope as requested by Management.
The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and should not be considered a detailed description of all the work requirements that may be inherent to the position.
Position Qualifications:
Education:
High school diploma or equivalent certification required
Associate degree or equivalent from a two-year college preferred; or equivalent combination of education & experience.
Experience:
3 to 5 years of health care claims reimbursement and denial resolution experience
Knowledge of Major Commercial (Aetna, BCBS, Cigna, UHC) as well as Medicare/Medicaid payer guidelines
Knowledge, Skills, Abilities:
Strong computer skills (including MS Word and Excel)
Ability to maintain accuracy while working on multiple tasks in a fast-paced environment under low-to moderate supervision
Excellent verbal and written communication skills, including professional telephone etiquette
Ability to ensure confidentiality of sensitive information and maintain HIPAA compliance
Dependable in both production and attendance
Exceptional organization and time management skills
Total Rewards
Generous benefits package, including:
Paid Time Off
Health, life, vision, dental, disability, and AD&D insurance
Flexible Spending Accounts/Health Savings Accounts
401(k)
Leadership and professional development opportunities
EEO Statement
North American Partners in Anesthesia is an equal opportunity employer.
Auto-ApplyAccounts Receivable Represenative II (Remote)
Remote
Under the direct supervision of the Collections Supervisor or Manger, the Accounts Receivable Representative II is responsible for effective and efficient accounts receivable management of assigned payers. Collections efforts on outstanding accounts include telephone contact with payers, work collection reports and correspondence, audit accounts, appeal denied claims as necessary, update accounts as necessary, identify carrier related denial trends and meet departmental productivity standards. Accounts Receivable Representative 2 will also coordinate the transfer of patient responsibility and work accounts that require additional insurance collection follow-up.
Principal Duties and Responsibilities
Reviews, evaluates, and forwards manual paper claims to payers that do not accept electronic claims or that require special handling
Document's billing activity on the patient account; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leaders
Reviews claims for accuracy and coordinates with ancillary departments as needed to provide information for audits and/or record reviews
Based on electronic payers' error reports, makes appropriate corrections to optimize the electronic claims submission process
Pursues prompt follow-up efforts on aged accounts, which may involve helping to formulate written appeals
Accurately documents all follow up on the account to ensure there is an accurate record of the steps taken to collect on an account.
Monitors claim rejections for trends and issues; reports these findings to the lead biller and other departmental leaders
Practices excellent customer service skills by answering patient and third-party questions and/or addressing billing concerns in a timely and professional manner
Assists in reviewing and/or resolving credit balances
Participates in general or special assignments and attends required training
The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and should not be considered a detailed description of all the work requirements that may be inherent to the position.
Position Qualifications
Education:
High school diploma or equivalent certification required
Associate degree preferred
Experience:
2 to 4 years of customer service and/or business office experience preferred in a medical setting
Knowledge of basic patient accounting processes and healthcare terminology strongly preferred
Knowledge, Skills, Abilities:
Strong computer skills (including MS Word and Excel)
Ability to maintain accuracy while working on multiple tasks in a fast-paced environment under low-to moderate supervision
Excellent verbal and written communication skills, including professional telephone etiquette
Ability to ensure confidentiality of sensitive information and maintain HIPAA compliance
Dependable in both production and attendance
Exceptional organization and time management skills
Total Rewards
Generous benefits package, including:
Paid Time Off
Health, life, vision, dental, disability, and AD&D insurance
Flexible Spending Accounts/Health Savings Accounts
401(k)
Leadership and professional development opportunities
EEO Statement
North American Partners in Anesthesia is an equal opportunity employer.
Auto-ApplyMedical Invoicing Specialist
Houston, TX jobs
Job Title: Invoicing Specialist Job Type: Full-Time, Hybrid Schedule Reports To: A/R Manager
Pay: $19.00 - $20.00 per hour. Benefits: Full-time employees are eligible for competitive benefits, including health/vision/dental, 3 weeks PTO, 9 paid holidays, and a matching 401k plan.
Schedule: Monday - Friday, 8:00 AM to 5:00 PM. Ability to WFH Mondays and Fridays after 90-day probationary period.
Job Summary:
We are on the hunt for a detail-savvy, invoice-wrangling guru to join our team as an invoicing specialist.
Your mission (should you choose to accept it):
Tame the data monster: Navigate through mountains of data like a pro, organizing, analyzing, and mastering data sets.
Invoice with Flair: Ensure every invoice is accurate, timed to perfection, and compliant, because precision + speed = 💰 efficiency!
Champion the AR Cycle: You'll play a vital role in making sure payments flow smoothly, keeping cash flow fabulous for everyone.
Detail Detective: You catch tiny inconsistencies before anyone else sees them (your eagle eye keeps us on point).
A “BIG picture” visionary: You're someone who steps back to see how invoicing fits into the greater business narrative: anticipating trends, suggesting smarter workflows, and always thinking about the “why” beyond line items.
Why you will love it here:
We are a mission-driven company where we put people over profits. Patients are 100% our purpose!
Love spreadsheets? You'll get a front row seat to organized chaos (your everyday playground).
Your work fuels our business! Each clean invoice helps the company thrive, so your impact will be felt everywhere.
Every day is a new challenge, every entry a new clue. You're the Sherlock Holmes of Skilled Nursing Facility (AKA: SNF) invoicing.
You will work alongside a small team that appreciates your expertise and celebrates your victories.
Who you basically are:
A detail-obsessed spreadsheet nerd (in the best way).
A finance-savvy individual with SNF or healthcare invoicing experience.
A cross-checking marvel who knows how to catch, reflect, and correct.
A master of efficiency (your organizational skills are next level).
Feeling called to transform SNF billing into a smooth, well-oiled machine? If organizing data and crafting precision perfect invoices lights you up, we can't wait to meet you!
Key Responsibilities:
Census retrieval and some interpretation.
Ad hoc reporting from LIMS (Laboratory Information Management System) to retrieve raw data and build reports.
Prepare and upload CSV and Standard Driver sheets into LIMS and RCM software.
Prepare and submit invoices for diagnostic services to skilled nursing facilities (SNF) and other contracted clients according to contract terms.
Collaborate with internal team members and SNF administrators, admissions teams, and finance staff to resolve billing discrepancies.
Assist in month-end closing activities, including invoice reconciliation and AR reporting.
Identify and implement process improvements for invoicing efficiency and accuracy.
Manage shared email inbox.
Other duties as assigned by management.
Qualifications:
Proficiency in Microsoft Excel (intermediate to advanced) and Outlook.
Excellent attention to detail and problem-solving skills.
Ability to meet deadlines, demonstrate urgency, prioritize tasks, and work both independently and collaboratively.
Strong verbal and written communication skills.
Preferred Qualifications:
Knowledge of HIPAA and healthcare compliance standards.
Experience working with multi-facility organizations or third-party billing companies.
2+ years billing/invoicing experience, preferably in a Skilled Nursing Facility, long-term care, or healthcare setting.
1+ years working in a LIS or LIMS. (Laboratory Information System)
Familiarity with applicable Skilled nursing facility (SNF) billing systems (e.g., PointClickCare, MatrixCare, Netsmart, or similar).
Bachelor's degree.
We are an Equal Opportunity Employer and are committed to providing reasonable accommodations to individuals with disabilities. If you require accommodations during the application or interview process, please contact ***********************.
Monday-Friday 8:00am-5:00pm; 1 Sunday a month for month-end support
Ability to work from home after 90 days on Monday & Friday
Works within the company's corporate office
Auto-ApplyPatient Account Representative
Saint Paul, MN jobs
1.0 FTE (40 hrs/wk); Monday - Friday, business hours. This position requires initial on-site training at the River Park Plaza location in St. Paul, and then will transition to a remote working role. However, the selected candidate must reside in Minnesota or Wisconsin and have the ability to work onsite in St. Paul, MN as needed.
Purpose of Position:
This position provides support for recovering back-end revenue by ensuring timely and accurate processing of patient accounts to both third party payors and patients/guarantors. Promotes and maintains professional and positive patient and family experience as the last impression of the organization.
Claims Processing: Responsible for resolving front end claim edits to ensure accurate and timely clean claim submission to third party payors for adjudication.
Account Follow-Up: Follows up on outstanding patient accounts to clarify reason or delayed and/or delinquent processing and resolving technical denials to ensure accurate and timely processing in order to reconcile outstanding balances.
Additional responsibilities are defined as those specific duties relating to the various revenue cycle functions as assigned by the Revenue Cycle Practice Manager, Team Goals, and Organizational job performance standards.
Compensation & Benefits:
The hourly wage for this opportunity is $21.00/hour to $30.27/hour, with a median wage of $25.22/hour. Pay is dependent on several factors including relevant work experience, education, certification & licensure, and internal equity. Hourly pay is just one part of the compensation package for employees. Gillette supports career progression and offers a competitive benefits package that includes a retirement savings match, tuition and certification reimbursement, paid time off, and health and wellness benefits for 0.5 FTE and above.
Core Responsibilities and Duties:
Claims Processing
Knowledge of commercial and government payor regulatory requirements, timely filing guidelines and payment methodology
Knowledge of claim forms - UB04, HCFA 1500, etc.
Ability to research and resolve claim edits to release clean and timely claims for processing
Provides feedback to analysts and/or leader when barriers arise in resolving claim edits preventing claims to release
Meets and maintains quality and productivity metrics as well as Gillette CARES values as set by the department
Account Follow-Up
Knowledge of and ability to accurately read EOB's
Knowledge of CARC/RARC codes
Demonstrates understanding and ability to apply patient account policies and procedures
Follow up on claims submitted to payors for adjudication to ensure claim has been received and in process for payment or denial within 30-45 days of claim submission
Follow up on delinquent accounts after 30 days of no response with payors by calling and/or utilizing payor portals for clarification on delays
Files corrected claims when necessary using correct bill types/submission codes
Works with peers and analysts as necessary to resolve claim issues
Works with analysts and other departments to file claim appeals
Processes hospital receivables in a timely and accurate manner
Performs basic maintenance of patient accounts in EMR system as necessary
Assessment of outstanding balances for assigned accounts to determine proper course of action for obtaining payment and reconciling balance.
Meets and maintains quality and productivity metrics as well as Gillette CARES values as set by the department
Technology, Policies and Procedures
Demonstrates competency in organizational systems including: Cerner Revenue Cycle, Change Healthcare, eDOCS, online resources and other relevant technology
Adheres to all organization and department policies, guidelines, and workflows to eliminate errors in practice
Adheres to organization and department attendance policy
Independently completes annual training as assigned
Completes self-assessment timely and with contributing comments
Completes 80% of peer feedback for direct peers
Qualifications:
Required:
High School Diploma/ GED
1 -3 years' experience in customer service, administrative or healthcare setting
Preferred:
Advanced education (Associate or Bachelors)
2+ years of medical billing or coding experience that includes exposure to payor
DME Billing Experience
Knowledge, Skills and Abilities:
Knowledge & understanding of medical terminology
Knowledge & understanding of commercial insurance carriers and standard insurance forms
Strong computer aptitude including knowledge of Microsoft Office (Word, Excel, Outlook)
Demonstrated strength in customer service, organization, attention to detail and the ability to work independently
Demonstrated ability to work and problem solve in a collaborative manner within the department and organization
Demonstrated ability to multi-task and respond quickly/reprioritize changing needs
At Gillette Children's, we foster a culture where every team member feels a sense of belonging and purpose. We are dedicated to building an environment where all feel welcomed, respected, and supported. Our values are embedded at the heart of our culture. We act first from love, embrace the bigger picture, and work side-by-side with our patients, families, and colleagues to help every child create their own story. Together, we work to ensure patients of all backgrounds and abilities reach their full potential.
Gillette Children's is an equal opportunity employer and will not discriminate against any employee or applicant for employment because of an individual's race, color, creed, sex, religion, national origin, age, disability, marital status, familial status, genetic information, status with regard to public assistance, sexual orientation or gender identity, military status or any other class protected by federal, state or local laws.
Gillette Children's is a global beacon of care for patients with brain, bone and movement conditions that start in childhood. Our research, treatment and supportive technologies enable every child to lead a full life defined by their dreams, not their diagnoses.
To learn more about working at Gillette Children's, please visit ******************************************
Gillette Children's participates in the U.S. Department of Homeland Security (DHS) E-Verify program which is an internet-based employment eligibility verification system operated by the U.S. Citizenship and Immigration Services. If E-Verify cannot confirm that you are authorized to work, Gillette will give you written instructions and an opportunity to contact DHS or the Social Security Administration (SSA) to resolve the issue before Gillette takes any further action. Please visit ************************* for further details regarding e-verify.
Federal Government Billing Specialist
Wilmington, NC jobs
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 December 16, 2025 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 *************************************** Required: NoShift: DayDuration: No End DateJob Function: Customer Service
Auto-ApplyCollection Specialist
Frisco, TX jobs
Full-time Description
Soleo Health is seeking a Collection Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care!
Home infusion therapy experience required.
Soleo Health Perks:
Competitive Wages
Flexible schedules
401(k) with a match
Referral Bonus
Annual Merit Based Increases
No Weekends or Holidays!
Affordable Medical, Dental, and Vision Insurance Plans
Company Paid Disability and Basic Life Insurance
HSA and FSA (including dependent care) options
Paid Time Off!
Education Assistant Program
The Position:
The Collection Specialist is responsible for a broad range of collection processes related to medical accounts receivable in support of multiple site locations. The Collections Specialist will proactively work assigned accounts to maximize accurate and timely payment. Responsibilities include:
Researches all balances on the accounts receivable and takes necessary collection actions to resolve in a timely manner
Researches assigned correspondence; takes necessary action to resolve requests
Routinely reviews and works correspondence folder requests in a timely manner
Makes routine collection calls on outstanding claims
Identifies billing errors, short payments, unpaid claims, cash application issues and resolves accordingly
Ability to identify potential risk, write offs and status appropriately and report and escalate to management on as identified
Researches refund requests received by payers and statuses refund according to findings
Documents detailed notes in a clear and concise fashion in Company software system
Identifies issues/trends and escalates to Manager when assistance is needed
Provides exceptional Customer Service to internal and external customers
Ensures compliance with federal, state, and local governments, third party contracts, and company policies
Must be able to communicate well with branch, management, patients and insurance carriers
Ability to perform account analysis when needed
Answering phones/taking patient calls regarding balance questions
Using portals and other electronic tools
Ensure claims are on file after initial submission
Identifies, escalates, and prepares potential payor projects to management and company Liaisons
Write detailed appeals with supporting documentation
Keep abreast of payor follow up/appeal deadlines
Submits secondary claims
Schedule:
M-F 830am-5pm
Requirements
Previous Home Infusion and Specialty Pharmacy experience required
1-3 years or more of strong collections experience
High school diploma or equivalent; an associate degree in finance, accounting, or a related field is preferred
Knowledge of HCPC coding and medical terminology
CPR+ systems experience preferred
Excellent math and writing skills
Excellent interpersonal, communication and organizational skills
Ability to prioritize, problem solve and multitask
Word, Excel and Outlook experience
About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference!
Soleo's Core Values:
Improve patients' lives every day
Be passionate in everything you do
Encourage unlimited ideas and creative thinking
Make decisions as if you own the company
Do the right thing
Have fun!
Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture.
Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor.
Keyword: accounts receivable, collection, specialty pharmacy, now hiring, hiring immediately
Salary Description $19-$23 Per Hour
Patient Collections Specialist (on-site)
Tracy, CA jobs
Established in 1987, Pacific Medical, Inc. is a distributor of durable medical equipment; specializing in orthopedic rehabilitation, arthroscopic surgery, sports medicine, prosthetics, and orthotics. With the heart of the company dedicated to helping and serving others, we provide our services directly to the patient, medical networks, physician clinics, and offices. We are dedicated to the advancement of patient care through excellent service and product technology.
We have an immediate non-remote opportunity to join our growing company. We are currently seeking 2 full-time (M-F 8:00 am-5:00 pm)
Patient Collections Specialist
for our Tracy, CA office. These individuals will be responsible for the following:
Job Responsibilities:
· Contact patients/guarantors to secure payment for services provided based on an aging report with balances.
· Contact patients when credit card payments are declined.
· Follow up with refund requests.
· Document all calls and actions are taken in the appropriate systems. Sets next work date if follow-up is needed.
· Confirms/updates with patient/guarantor insurance and patient demographics information. Makes appropriate changes and submits/re-submits claims as indicated.
· Establishes a payment arrangement with the patient/guarantor and follow-up on all payment arrangement plans implemented.
· Document all patient complaints/disputes and forward them to the appropriate person for follow-up.
· Perform other duties as needed.
Qualifications/Skills:
· Must excel in interpersonal communication, customer service and be able to work both independently and as part of a team.
· Must excel in organizational skills.
· Must possess strong attention to detail and follow-through skills.
· Education, Training, and Experience
Required:
- High School graduate or equivalent.
- Must type 25-45 words per minute.
Hourly Rate Pay Range: $17.00 to $19.00
· Annual Range ($35,360 to $39,520)
O/T Rate Pay Range: $25.50 to $28.50
· Example of Annual O/T Range (5 to 10 hours per week @ 50 weeks range $6,375.00 - $14,250.00)
· Note: Abundance of O/T Available
Bonus Opportunity
Team Bonus: $0 to $500 per month (increases hourly rate up to $2.88 per hour or up to $6k per year)
Profit Bonus: $0 to $500 per month (increases hourly rate up to $2.88 per hour or up $6k per year)
Total Compensation Opportunity Examples:
Annual Base Pay: $41,735.00 (Estimate incl. 5 hrs O/T per week, Low-range Team and Profit Bonus after 3 months)
Annual Mid-Range Pay: $54,315.00 (Estimate incl. 5 hrs O/T per week, Mid-range Team and Profit Bonus)
Annual Top Pay: $57,895.00 (Estimate incl. 5 hrs O/T per week, Max Team and Profit bonus)
All Full-Time positions offer the following: Medical, Dental, Vision, ER paid Life for Employee, Voluntary benefits, Medical FSA, Dependent FSA, HSA, 401k, and Financial Wellness planning.
Additional Benefits for Full-Time Employees (3 to 4 weeks of Paid Time Off)
Holidays: 10 paid holidays per year
Vacation Benefit: At completion of 3-month introductory period, vacation accrual up to a max of 40 hours in the first 23 months, at 24 months, accrual up to a max of 80 hours with a rollover balance.
Sick Benefit: Sick accrual begins upon date of hire up to a max accrual of 80 hours annually with a max usage of 48 hours annually with a rollover balance.
Auto-ApplyBilling Coordinator
Akron, OH jobs
**REM Community Services** **,** a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person has the right to live well, and everyone deserves to have a fulfilling career. You'll join a mission-driven team and create relationships that motivate us all every day. Join us today, and experience a career well lived.
**Billing Coordinator**
**Full Time - Wage 16.75/ hourly**
**OUR MISSION AND PERFORMANCE EXPECTATIONS**
The MENTOR Network is a mission driven organization dedicated first and foremost to the children and adults we serve and support. The Network expects all employees to be mindful of this mission, and to perform their job to its fullest, and as stated in their job description.
**SUMMARY**
The Funds Specialist is a full time position and is considered nonexempt and paid hourly. The Funds Specialist is responsible for overseeing the maintenance and protection of individual funds for an assigned state or region. The Funds Specialist monitors implementation of individual fund policies and procedures, audits individuals' accounts, reviews reconciliations and reports mismanagement or abuse of individual funds. The Funds Specialist may perform Representative Payee duties and payee account transactions for the individuals served. The Funds Specialist works at the state or regional office.
**ESSENTIAL JOB FUNCTIONS**
To perform this job successfully, an individual must be able to satisfactorily perform each essential function listed below:
**Money Management Services and Bank Accounts**
+ Coordinates and manages funds in alignment with money management plans and financial transaction consents.
+ Performs Representative Payee Designee duties, as assigned.
+ Administers pre-paid bank card programs, as applicable.
+ Tracks and records deposited funds for beneficiaries and deposits payments when necessary.
+ Assists with opening irrevocable burial trusts, special needs trusts, etc. and coordinates handling of individual funds in the event of death.
+ Completes routine and end of year tax filing for applicable persons served.
**Financial Transactions, Registers, and Supporting Documentation**
+ Reviews and processes routine personal spending and special requests for funds, promptly recording on corresponding transaction registers or ledgers.
+ Maintains records of expenditures, including original receipts and signatures.
+ Makes payments on behalf of persons served, including room and board, rent, utilities, medical co-payments and others.
+ Follows policy and procedure when issuing checks from individual fund accounts.
**Account Reconciliation, Audits, and Recordkeeping**
+ Reconciles transaction registers to funds source (ledgers/etc.) at least monthly or more frequently, as applicable.
+ Reviews transaction registers to verify accuracy of transactions register balances by reviewing starting and ending balances, deposits, expenditures, cash count, and bank card or account balance verification.
+ Brings questions or inconsistencies to the primary money manager (or other party if this person is suspected) for resolution.
+ When an external party is Representative Payee, maintains records and shares them with the external Representative Payee, as indicated.
**Reporting**
+ Conducts routine reviews of account balances and, as indicated, completes high balance alert notifications and takes steps to avoid exceeding asset limits to maintain eligibility.
+ Assists with reporting combined asset and account information to benefit entities (e.g., Social Security Administration).
+ Assists with collecting and organizing documents for external audits of Representative Payee Accounts.
+ Promptly reports suspected misuse of funds or property, as required by applicable policy and procedures.
**Other**
+ Performs other related duties and activities as required.
**SUPERVISORY RESPONSIBILITIES**
+ None
**Minimum Knowledge and Skills required by the Job**
_The requirements listed below are representative of the knowledge, skill, and/or abilities required to perform the job:_
**_Education and Experience:_**
+ High school diploma/GED required Associates degree in related field preferred with account management experience preferred.
+ Proficiency in accounting, intermediate to advanced computer skills and applications preferred.
**_Certificates, Licenses, and Registrations:_**
+ Current driver's license, car registration and auto insurance if driving on the behalf of the Company.
**_Physical Requirements:_**
+ **Light work.** Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.If the use of arm and/or leg controls requires exertion of forces greater than that for sedentary work and the worker sits most of the time, the job is rated for light work.
**AMERICANS WITH DISABILITIES ACT STATEMENT**
External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job functions either unaided or with assistance of a reasonable accommodations to be determined on a case by case basis via the interactive process.
Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face.
We've made this our mission for more than 50 years. And today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve all over the U.S.
_As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law._
Accounts Representative - Grand Lake Physician Practice Biller
Saint Marys, OH jobs
Hours of Job
Full Time - Onsite
Monday through Friday 8:00 a.m. - 4:30 p.m.
No weekends or holidays required.
Duties and Key Responsibilities
Processes and follows-up on all assigned Physician Practice locations insurance claims until proper reimbursement is received.
Monitors and reviews all denials and unpaid claims and take appropriate corrective action as necessary
Utilize telephone and various carrier websites as research tools to expedite resolution for issues
Review carrier manuals and websites for any new procedures implemented by carrier that are impacting claims
Consistently meet established completion times for claims/assignments
Makes all necessary corrections on claims for submission.
Processes mail and explanation of benefits in timely manner
Processes hard-copy billing, documenting amount and date sent on office's information system.
Performs other duties as assigned.
Requirements
Typing, basic math calculations, computer oriented, and good verbal skills.
Able to work without direct supervision, work well in a group setting.
Ability to work independently with excellent time management skills.
Ability to recall details and health insurance procedures/processes.
Education/Certifications
High School Diploma or equivalent
Experience
Previous experience is preferred but not required.
Grand Lake Health System provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. GLHS complies with applicable state and local laws governing nondiscrimination in employment in all of our locations. In addition, Grand Lake Health System is an At-Will Employment employer.
Accounts Representative - Medicare Biller
Saint Marys, OH jobs
Hours of Job
Full-time employment onsite. 8:00 a.m. - 4:30 p.m.
No Holidays or Weekends Required
Duties and Key Responsibilities
Processes and follows up on all Medicare claims until proper reimbursement is received.
Works denials in a timely manner and files corrected claims and/or appeals when necessary.
Processes hard copy claims when applicable
Processes mail and explanation of benefits related to Medicare accounts.
Processes all Medicare claims according to carrier guidelines.
Makes all necessary corrections on Medicare claims for submission.
Works under the supervision of the Patient Accounts Manager.
Requirements
Typing, basic math calculations, computer oriented, and good verbal skills.
Able to work without direct supervision, work well in a group setting.
Ability to work independently with excellent time management skills.
Ability to recall details and Health Insurances procedures/ processes.
Education/Certifications
High School graduate
Experience
Previous experience is preferred, but not required.
Grand Lake Health System provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. GLHS complies with applicable state and local laws governing nondiscrimination in employment in all of our locations. In addition, Grand Lake Health System is an At-Will Employment employer.
Medical Billing Representative
Akron, OH jobs
CHC is a non-profit social service agency in the Akron area whose mission is to treat, inspire, support and empower individuals and families impacted by the disease of addiction. CHC has been a critical part of Ohio's efforts to treat and prevent substance use disorders since 1974.
We are currently looking for a full time Medical Billing Representative to work in our busy addiction treatment center, Monday through Friday. The Billing Representative's duties include:
Intake admissions
Work claim denials
Process corrected claims
Work with payers to resolve unpaid claims and ensure reimbursement of highest allowable revenue per contract
Follow-through on claim status
Problem solving
Account reconciliation
Minimum Requirements: High School Diploma or equivalent, at least 2 years in similar position. Must have strong computer skills with knowledge of modern office practices, procedures and equipment and be detail oriented. Must have experience in all facets of Medicare, Medicaid and insurance billing (electronic). Why you would love it here
Medical, dental and vision benefits for employees working 30+ hours weekly!
32 paid days off per year! (holidays, vacation, personal and sick days!)
Referral Bonuses!
403b, with company match after one year!
Professional licensure fee reimbursement!
Company Sponsored Training Opportunities - based on position
Employee Assistance Program (including Health Management, Family Support and Financial Advice/Assistance)!
CHC is an Equal Opportunity Employer and Provider of Services.
We are a non-smoking facility.
Insurance Collections Specialist
Cincinnati, OH jobs
Gastro Health is seeking a Full-Time Insurance Collections Specialist to join our team!
Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours.
This role offers:
A great work/life balance
No weekends or evenings - Monday thru Friday
Paid holidays and paid time off
Rapidily growing team with opportunities for advancement
Competitive compensation
Benefits package
Duties you will be responsible for:
Provides Liaison between the providers of health care services, the patient, or other responsible persons, and revenue sources, to ensure the correctness of charges, a current record of all transactions, and account resolution
Maintains active communications with insurance carriers and third-party carriers until account is paid.
Negotiates payment of current and past due accounts by direct telephone and written correspondence.
Updates patient account information
Monitors and identifies payer denial trends and problem accounts; communicates patterns to supervisor.
Runs a monthly aging report based on DOS and current A/R to identify accounts that require follow up.
Manage all assigned worklist on a daily basis for assigned insurances.
Utilize collection techniques to resolve accounts according to company's policies and procedures.
Report any coding related denial to the Coding Specialist.
Performs other duties including but limited to faxing information as required, generating retroactive authorization requests, and verifying medical eligibility.
Conducts necessary research to ensure proper reimbursement of claims.
Assist with special projects assigned by Billing Manager or Supervisor
Minimum Requirements
High school diploma or GED equivalent.
At least 2 years' experience in insurance collections.
Knowledge of medical terminology utilized in medical collections and billing (CPT, ICD-10, HCPCS)
Knowledge with letters of appeal.
Intermediate experience with Microsoft Excel and Office products is required.
Experience with HMO, PPO, and Medicare insurances.
Must be able to read, interpret, and apply regulations, policies and procedures
We offer a comprehensive benefits package to our eligible employees:
Medical
Dental
Vision
Spending Accounts
Life / AD&D
Disability
Accident
Critical Illness
Hospital Indemnity
Legal
Identity Theft
Pet
401(k) retirement plan with Non-Elective Safe Harbor employer contribution for eligible employees
Discretionary profit-sharing with employer contributions of 0% - 4% for eligible employees
Additionally, Gastro Health participates in a program called Tickets at Work that provides discounts on concerts, travel, movies, and more.
Interested in learning more? Click here to learn more about the location.
Gastro Health is the one of the largest gastroenterology multi-specialty groups in the United States, with over 130+ locations throughout the country. Our team is composed of the finest gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals. We are always looking for individuals that share our mission to provide outstanding medical care and an exceptional healthcare experience. We offer a comprehensive benefits package to our eligible employees.
Gastro Health is proud to be an Equal Opportunity Employer. We do not discriminate based on race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
We thank you for your interest in joining our growing Gastro Health team!