Account Representative jobs at Beth Israel Lahey Health

**When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.** The Revenue Cycle Denial Analyst is charged with coordinating the analysis and effective resolution of denied claims with the purpose of reducing overall denials and increasing revenue. This includes interpreting payment and denial data down to the line item detail, identifying payer and coding trends, risks, and opportunities, to implement operational or systematic improvements. Essential to this position are strong quantitative, analytical and organizational skills. Excellent communication and interpersonal skills with the ability to effectively interpret, communicate, and educate others. **Job Description:** **Essential Responsibilities:** Responsible for prioritizing and managing to resolution denied claims with third party payers. Research, develop and maintain a solid understanding of payer requirements, including filing limit, claim processing logic, coordination of benefits requirements, patient responsibility and authorization requirements. Ability to triage denied claims to identify those that should be appealed. Responsible for writing timely, comprehensive and compelling appeals to third party payers in order to get denial overturned. Responsible for timely follow up on filed appeals via telephone, writing, or the payer website. Organizes, maintains and updates the access payer database to house the issues that need to be addressed with third party insurers, as well as maintaining an expert knowledge of the history of prior disputes and problems to prevent them from recurrence. Applies findings to internal systems and workflows such as pre-billing edits and system automation. Performs ongoing analysis to determine the root cause of denials and makes well thought out recommendations for workflow, operations or systemic changes. Maintains action plans for improvements. Compiles, maintains and distributes reports to management on success of appeals and root cause analysis. Serves as department resource related to denials and payer requirements. **Required Qualifications:** High School diploma or GED required. Bachelor's degree preferred. 1-3 years related work experience required. Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications. May produce complex documents, perform analysis and maintain databases. **Preferred Qualifications:** 3 -5 years Healthcare related experience. **Competencies:** **Decision Making:** Ability to make decisions that are guided by general instructions and practices requiring some interpretation. May make recommendations for solving problems of moderate complexity and importance. **Problem Solving:** Ability to address problems that are highly varied, complex and often non-recurring, requiring staff input, innovative, creative, and Lean diagnostic techniques to resolve issues. **Independence of Action:** Ability to follow precedents and procedures. May set priorities and organize work within general guidelines. Seeks assistance when confronted with difficult and/or unpredictable situations. Work progress is monitored by supervisor/manager. **Written Communications:** Ability to communicate clearly and effectively in written English with internal and external customers. **Oral Communications:** Ability to comprehend and converse in English to communicate effectively with medical center staff, patients, families and external customers. **Knowledge:** Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations. **Team Work:** Ability to act as a team leader for small projects or work groups, creating a collaborative and respectful team environment and improving workflows. Results may impact the operations of one or more departments. **Customer Service:** Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations. **Physical Nature of the Job:** Sedentary work: Exerting up to 10 pounds of force occasionally in carrying, lifting, pushing, pulling objects. Sitting most of the time, with walking and standing required only occasionally **Pay Range:** $52,749.00 USD - $70,993.00 USD The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. **As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.** **More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.** **Equal Opportunity Employer/Veterans/Disabled**

Pharmaceutical Sales Representative - Veterinary - Flex Time (12 days/mo) Promoveo Health, a leading Pharmaceutical Sales recruiting, and contract sales company has an outstanding position representing one of our strategic clients. Our client is a rapidly growing organization with a very strong presence in the Veterinary Medicine field. This is a position where you will be a W2 employee of Promoveo Health. The Veterinary Sales Representative will be responsible for revenue growth within your specified geographic region. You will be accountable for a sales revenue plan in the clinical (office based) markets. This role requires strong account management and selling skills, as you will be the selling interface between the accounts and the company. The ideal candidate will have: · 5+ years of Veterinary Pharmaceutical Sales either on the Pharmaceutical or Distributor side · Clinical experience calling on Veterinary Practices in this market · Experience calling on and existing relationships with Vets in the area · Excellent interpersonal, communication, teaching and negotiation skills · BS Degree in related discipline Job Expectations: ·Part time position with high management visibility and performance expectations. · Travel - You will be home every night- no overnight travel is required! EOE STATEMENT We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.

Come Join the Premier Infusion & Healthcare Family! At Premier we offer employees stability and opportunities for advancement. Our commitment to our core values of Compassion, Integrity, Respect and Excellence in People applies to our employees, our customers, and the communities we serve. This is a rewarding place to work! Premier Infusion and Healthcare Services is a preferred post-acute care partner for hospitals, physicians and families in Southern CA. Our rapidly growing home health and infusion services deliver high-quality, cost-effective care that empowers patients to manage their health at home. Customers choose Premier Infusion and Healthcare Services because we are united by a single, shared purpose: We are committed to bettering the quality of life for our patients. This is not only our stated mission but is what truly drives us each and every day. We believe that our greatest competitive advantage, our greatest asset are our employees, our Premier Family in and out of the office sets Premier apart. PREMIER BENEFITS - For FULL TIME Employees: ● Competitive Pay ● 401K Matching Plan - Up to 4% ● Quarterly Bonus Opportunities ● Medical, Dental & Vision Insurance ● Employer Paid Life Insurance ● Short Term / Long Term Disability Insurance ● Paid Vacation Time Off ● Paid Holidays ● Referral Incentives ● Employee Assistance Programs ● Employee Discounts ● Fun Company Events JOB DESCRIPTION: BILLER Description of Responsibilities Coordinates and performs business office activities involved with collecting payments for Premier Infusion Care products and follows established procedures for billing. Reporting Relationship Billing Manager Scope of Supervision None Responsibilities include the following: 1. Performs all aspects of billing for commercial insurance companies/ health plans, medical groups, hospitals, hospice facilities, NCPDP, and/or MSO's 2. Bills Medicare for PR-96/204 (denials) required for secondary billing submissions. 3. Follows up on EOB's (explanation of benefits) which includes: - Medicare denials - Billing secondary insurance after Medicare's has denied claims. 4. Calling insurance companies for explanation of denials if questionable. 5. Making corrections on deny claims and re-bills insurance companies. 6. Checks EOB's with contracted fee schedule for accuracy or adjustments as needed. 7. Patient calls for benefit, invoicing, and explanations as needed. 8. Resolves electronic (Office Ally, Novologix, or Emdeon clearing house) report matters. Minimum Qualifications: Effective interpersonal, time management and organizational skills. Office experience preferred. Computer skills that include word processing, and efficient use of the internet and e-mail. Must possess excellent oral and written communication skills, with the ability to express technical issues in “layman” terms. Must be detail oriented Education and/or Experience: Must have a High School diploma or Graduation Equivalent Diploma (G.E.D.) or Higher. At least 1 -2 years of medical or pharmaceutical billing experience or related A/R Knowledge of insurance verification procedures. Proficiency in 10-key preferred. Prior experience in a pharmacy or home health company is of benefit. Prior experience in a consumer related business is also of benefit. Equal Employment Opportunity (EEO) It is the policy of Premier Infusion & Healthcare Services to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Premier Infusion & Healthcare Services will provide reasonable accommodations for qualified individuals with disabilities. Job Type: Full-time Work Location: In person

Are you are you a Registered Nurse (RN) who is passionate about MDS? When you join Ciena Health Care Company as a Clinical Reimbursement Specialist, you will share your expertise with the MDS nurses in several facilities. In this role, you will audit and evaluate Medicare compliance and the RAI process in our North Carolina facilities. If you love teaching and communicating with other nurses, this is a great role for you! If you are considering sending an application, make sure to hit the apply button below after reading through the entire description. The successful applicant will live in North Carolina, and have a comprehensive knowledge of Medicare, PDPM, RAI process, quality measures, as well as OBRA regulations. Join us with an attractive benefits offering: Competitive pay Medical, dental, and vision insurance 401K with matching funds Life Insurance Employee discounts Tuition Reimbursement Student Loan Reimbursement Responsibilities: Ensure the RAI process is complete and assessments are complete. Audit Completion of MDS, CAA's and care plans within regulated time frames. Provide teaching as needed for MDS nurses in assessing resident through physical assessment, interview and chart review. Assist MDS nurses in follow up on resident care needs with care givers, including physician, nursing, social services, therapy, dietary, and activity staff. Reviews MDS nurse completion of information from hospital, consults and outside agencies and uses such information in the completion of the assessment and care planning. Requirements: Knowledge of the Resident Assessment Instrument (RAI) process, including the principles the Patient Driven Payment Model is required. Knowledge of regulatory standards and compliance requirements. Registered Nurse RN in the state. 50% travel with some overnight stays possible. Ciena Healthcare We are a provider of skilled nursing, subacute, rehabilitative, and assisted living services dedicated to achieving the highest standards of care in five states including Michigan, Ohio, Virginia, North Carolina, and Indiana. xevrcyc We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them. If you have a passion for improving the lives of those around you and working with others who feel the same way. IND123

Flex Time Dental Sales - Pharmaceutical Sales We are currently recruiting an experienced Dental or Pharmaceutical Sales person to fill a flex time (13 days/month) position. The ideal candidate will hold a Bachelor's degree from an accredited college or university in a Sales related field or be a licensed Dental Hygienist and have 2+ years of sales success in Dental or Pharmaceutical Sales. Our client has the #1 products in the dental market. They are a fortune 500 company that has great product for you to sample/sell and have wonderful marketing materials that we deploy via the iPad. Responsibilities of the Flex Time Dental Sales - Pharmaceutical Sales position Sell and detail products directly to dental professionals Dentists and Hygienists). Call on at least 8 dental offices each day and see the entire office. Deliver 12 or more face to face presentations/day to targeted dentists and hygienists. Conduct lunch and learn sessions with at least one office per day Conduct dental products presentations with a company iPad. Requirements of the Dental Sales - Pharmaceutical Sales position Job Requirements Bachelor's degree from an accredited college or university in Sales related field or Dental Hygiene 2+ years of sales success in Dental or Pharmaceutical Sales Ability to work on a flex time (13 days/month) basis Documented sales success Relationships with dentists in the local market. Compensation The starting annual salary for this position is $30,000.00 Annual performance bonus of $5000. Auto Allowance Company Paid Storage Area Company Paid Iphone and iPad Job Type: Part-time Seniority Level Entry level Industry Pharmaceuticals Employment Type Part-time Job Functions Business DevelopmentSales

Responsible to become a subject matter expert on Medicare Hospice Benefit, VITAS service offerings, disease specific clinical criteria and evidence based medicine. Accountable for set goals and results. Focuses on providing solutions and executing them. Analyzes territory and develops call routing to establish correct targets, reach and frequency for maximal territory growth. Develops sales messaging and strategies that align to the customers' needs to ensure hospice appropriate patients gain access to hospice services. Maintains professional and technical knowledge by reviewing professional publications; establishing personal networks; remaining current with changes in healthcare field in order to understand customer industry. Leverages provided resources and technology as a vehicle for success. Daily use of CRM tool in order to capture needs of customers and strategy for continued hospice utilization. Synchronization of updates is required daily. Leverages sales tools on provided devices as customer visual aids and learning tools to grow knowledge. Effective in professional verbal, written, and electronic communication Maintains professional relationships and collaborates with internal, clinical end of life care team. Attends team meetings on regular basis. Resolves customer feedback by investigating opportunities for development; developing solutions; preparing reports; collaborates on resolutions with program management. Able to apply training and leverage tools and resources when executing strategies with customers with a strong sense of urgency. Open to and proactively applies coaching feedback from direct manager with the intentions on improvement of various skillsets. Timely completion of administrative duties: expense reports, payroll entry, other administrative actions by required times. Perform related duties as required. This position description in no way states or implies that these are the only duties to be performed by the employee occupying this position. Employees will be required to perform any other job-related duties assigned by their supervisor or management. Works cohesively and leverages opportunities with VITAS internal customers: VITAS Medical Director & Team Physicians, Team Managers and overlapping team disciplines, PCAs, Admissions RNs, Sr. Leadership. Attends team meeting at least two times per quarter. Perform related duties as required. This position description in no way states or implies that these are the only duties to be performed by the employee occupying this position. Employees will be required to perform any other job-related duties assigned by their supervisor or management. QUALIFICATIONS Minimum 2 years sales experience or in healthcare services preferred Participated in competitive team environment that involved individual accountably and teamwork Able to demonstrate examples on critical thinking and created solutions Past military service a plus Experience with volunteer organization a plus Hospice experience preferred but, not required Evidence of achieving sales goals within the market and/or demonstrates track record of consistently exceeding corporate goals Strong customer service, sense of urgency and problem solving skills Time Management and Organizational Skills Demonstrated knowledge and successful application of a need satisfaction selling process Ability to manage a territory, to conduct sales calls and to generate sales by building long term business partnerships Strong interpersonal skills within all levels of an organization Expectations: Excellent presentation, negotiation and relationship-building skills Excellent oral and written communication skill Ability to work outside of normal business hours (8-5), evenings and weekends as needed. Ability to navigate within a CRM tool and proficiency in Outlook, Word and Excel-PowerPoint, iOS devices Ability to develop clinical knowledge base to support VITAS sales efforts Integrity and customer focus: ethical, moral conduct, customer services Reliable transportation Able to expense minimal (i.e. lunches, snacks, breakfasts) customer education when approved with expectation of reimbursement from company EDUCATION Bachelor's degree from an accredited college or university or the international equivalent preferred. Other acceptable licenses include: RN, LPN/LVN, SW

Come Join the Premier Infusion & Healthcare Family! At Premier we offer employees stability and opportunities for advancement. Our commitment to our core values of Compassion, Integrity, Respect and Excellence in People applies to our employees, our customers, and the communities we serve. This is a rewarding place to work! Premier Infusion and Healthcare Services is a preferred post-acute care partner for hospitals, physicians and families in Southern CA. Our rapidly growing home health and infusion services deliver high-quality, cost-effective care that empowers patients to manage their health at home. Customers choose Premier Infusion and Healthcare Services because we are united by a single, shared purpose: We are committed to bettering the quality of life for our patients. This is not only our stated mission but is what truly drives us each and every day. We believe that our greatest competitive advantage, our greatest asset are our employees, our Premier Family in and out of the office sets Premier apart. PREMIER BENEFITS - For FULL TIME Employees: ● Competitive Pay ● 401K Matching Plan - Up to 4% ● Quarterly Bonus Opportunities ● Medical, Dental & Vision Insurance ● Employer Paid Life Insurance ● Short Term / Long Term Disability Insurance ● Paid Vacation Time Off ● Paid Holidays ● Referral Incentives ● Employee Assistance Programs ● Employee Discounts ● Fun Company Events JOB DESCRIPTION: Description of Responsibilities The Insurance Coordinator is responsible for all new referral insurance verification and/or authorization in a timely matter. Reporting Relationship Insurance Manager Responsibilities include the following: Responsible for insurance verification and/or authorization on patients. Responsible for audit of information from the Intake Referral Form and patient information received from the referral source entered into the computer system correctly. This includes but is not limited to: demographics, insurance, physician, nursing agency, diagnosis, height, weight, and allergies (when information is available and as applicable). Re-verification of verification and/or authorization and demographics on all patients. Participate in surveys conducted by authorized inspection agencies. Participate in in-service education programs provided by the pharmacy. Report any misconduct, suspicious or unethical activities to the Compliance Officer. Perform other duties as assigned by supervisor. Minimum Qualifications: Must possess excellent oral and written communication skills, with the ability to express technical issues in “layman” terms. Fluency in a second language is a plus. Must be friendly professional and cooperative with a good aptitude for customer service and problem solving. Education and/or Experience: Must have a High School diploma or Graduation Equivalent Diploma (G.E.D.) Prior experience in a pharmacy or home health company is preferred. Prior dental or home infusion experience a plus Prior experience in a consumer related business is preferred Equal Employment Opportunity (EEO) It is the policy of Premier Infusion & HealthCare Services to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Premier Infusion & HealthCare Services will provide reasonable accommodations for qualified individuals with disabilities.

Premier Equipment Co., LLC is your trusted source for new and used tractors, attachments, implements, accessories, and parts designed for farm, construction, and landscaping needs. We proudly serve our customers with high-quality products and offer comprehensive services and support for their equipment. Our locations carry leading brands including New Holland, Bush Hog, Stihl, and more. At Premier Equipment, we are dedicated to providing excellent solutions for our customers' agricultural and industrial needs. Role Description This is a full-time, on-site role for a Salesperson located in the Greensboro--Winston-Salem--High Point Area. The Salesperson will be responsible for engaging with customers to determine their equipment needs, recommending products, and providing detailed information about available machinery and parts. Day-to-day tasks include building and maintaining relationships with clients, preparing and presenting quotes, closing sales transactions, and addressing any post-purchase needs or issues. Additionally, the role involves keeping up-to-date with product knowledge and industry trends to better serve our customers. Qualifications Customer service and sales skills, with the ability to understand client needs and build relationships Knowledge of agricultural, construction, and landscaping equipment, or a willingness to learn Communication and interpersonal skills for providing clear product information and closures Organizational skills to manage quotes, transactions, and follow-ups effectively Computer proficiency, including experience with sales systems, CRM tools, and basic office software Strong problem-solving capabilities and a proactive approach to addressing customer concerns Valid driver's license and ability to travel locally for on-site customer visits Experience in equipment sales or the agricultural/construction industry is a plus Bachelor's degree in Business, Agriculture, or a related field is a plus, though not required Benefits Dental Insurance Employee Discount Health Insurance Life Insurance Paid time off Professional development assistance

Who We Are: SAC Health empowers our patients and their families to live vibrant and healthy lives through culturally responsive, exceptional care. Patient-centered, whole-person care. Our unique, full scope, team-based approach is what makes SAC Health the provider of choice for patients. Top-Tier Patient Satisfaction Scores | Largest Teaching Health Center FQHC | 11 Locations offering 44 Specialties | NCQA Patient-Centered Medical Home Level 3 Certified Multi-Site Approved for NHSC & NCLRP loan forgiveness programs - NHSC/Nurse Corps/STAR/Pediatric Specialty | HPSA Scores: Primary: 17 | Dental: 25 | Mental: 20 What We Are Looking For Under the direction of the Manager, Patient Access, the Supervisor, Patient Access oversees the activities of the Patient Services Representatives to ensure prompt patient services; Provides general supervision and direction for Patient Registration staff in Outpatient Registration. Observes and oversees patient flow, patient check in, patient records availability, and insurance verification, financial qualifications for discount programs, and resolve patient issues that may arise. Assists with the day to day operation of the Front Business Office. Responsible to plan, organize and execute trainings for new and established employees. Keeps up to date with policies and procedures. Schedule: 5 days per week, 8 hours per day, 7:30 am - 4:30 pm, Monday - Friday | Location: Barstow Clinic, Barstow, CA ESSENTIAL FUNCTIONS AND DELIVERABLES Supervise the daily operations of the Patient Service Representative (PSR) Team members to include, but not limited to; tracking, editing, and monitoring time and attendance, counseling, and discipline measures. Provide training for new and existing team members within the PSR Departments on a variety of topics including, but not limited to workflow processes, system information, and system navigation. Effectively mentor and lead team members toward the achievement of department goals. Greet all staff and patients according to the expectations and standards of SAC Health by phone, in person, and or electronic communication. Communicate a positive attitude through pleasant language, tone, and expression while following department guidelines and call standards. Assist with candidate interviews and new hire onboarding processes. Engage team members to identify learning and growth opportunities, while increasing knowledge, competence, and performance. Receive, handle, and document escalations. Manage challenging or sensitive customer scenarios effectively, and proceed with escalation when necessary. Determine appropriate program or payer sources for each patient based on complex criteria including medical services needed, age, income, etc. Support and interview patients requesting the sliding fee scales. Determine the amount of discount by obtaining family size, and income data and utilizing federal poverty guidelines in conjunction with SAC Health's sliding fee schedule. Schedule, cancel, and edit appointments for assigned departments. Verify insurance eligibility on a variety of payer sources when scheduling appointments. Monitor team member's schedule adherence and their work product for quality assurance. Organize safety plan with Patient Access staff and coordinate with facility leadership. Maintain knowledge of what a Federally Qualified Health Center (FQHC) entails and the expectations we hold as a clinic to gather Uniform Data System (UDS) information, as well as Federal Poverty Level (FPL) guidelines. Travel to other SACH clinics as necessary; must have a reliable vehicle, valid driver's license, and auto insurance. Other duties as listed in the official job description. QUALIFICATIONS: Education: High school diploma or equivalent required. Associate degree in Business Administration or Health Administration preferred. Licensure/Certification: As a requirement of this position, you must receive EPIC certification for the module you have been hired into; valid California driver's license, and auto insurance. Patient Service Associate Certifications in any of the following is preferred: Certified Patient Service Associate (CPSA), Certified Medical Office Assistant (CMAA), Certified Healthcare Access Associate (CHAA), Certified Professional in Healthcare Quality (CPHQ), Certified Medical Administrative Assistant (CMAA) or National Healthcareer Association Clinical Medical Assistant Certification Exam (NHA-CCMA). Experience: 2+ years working in healthcare in patient access or call center work environment in a lead role. Community clinic experience preferred. Essential Technical/Motor Skills: Advanced telephone skills and computer competency. The ability to calculate figures and amounts such as discounts and percentages is required. Exceptional grammar skills. Intermediate experience with Microsoft Office Word, Excel, and PowerPoint. Demonstrate a strong, flexible work ethic and high attendance standards. Interpersonal Skills: Must possess the ability to set priorities and procedures for accomplishing work assignments. Able to accept constructive criticism and offer feedback. Demonstrate a commitment to service excellence including, but not limited to professionalism, customer focus, compassion, strong listening skills, and a warm demeanor. Essential Mental Abilities: 2+ years working in healthcare in patient access or call center work environment in a lead role. Community clinic experience preferred. Work Eligibility: Must be legally authorized to work in the United States on a full-time basis. Must not now or in the future require sponsorship for employment visas. EEO: SAC Health is committed to fostering a diverse, equitable and inclusive work environment and is committed to being an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Full Benefits Package Effective on Your First Day! Industry Leading PTO Accrual (accrued per pay period) | Sick Leave | Paid Holidays | Paid Jury Duty, Bereavement | SAC Health Covers approximately 85% of Team Member health premium costs (may vary w/benefit plan selection) | Retirement - up to 8% employer contribution | Continuing Education and Learning Benefits | Annual Mission Trip and much more! Learn More About the Work We Do: SAC Health's Mission: SAC Health's mission is to reflect the healing ministry & love of Jesus Christ through healthcare, education & partnerships that empower our communities to flourish. SAC Health's Core Values: Quality Healthcare - Teamwork - Wholeness -Integrity - Compassion - Excellence - Humble Service - Respect

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

. The Specialized Treatment for Optimized Programming (STOP) Program Area Six connects California Department of Corrections and Rehabilitation inmates and parolees to comprehensive, evidence-based programming and services during their transition into the community, with priority given to those participants who are within their first year of release and who have been assessed to as a moderate to high risk to reoffend. Area Six includes San Diego, Orange, and Imperial counties. STOP subcontracts with detoxification, licensed residential treatment programs, outpatient programs, professional services, and reeentry and recovery housing throughout the program area to assist participants with reentry and recovery resources. The Billing Coordinator is responsible for coordinating receipt of and reviewing Community Based Provider (CBP) subcontractor client data for accuracy and entering and retrieving data from/to the Automated Reentry Management System (ARMS) as needed for the purpose of reconciliation, invoicing and billing. Key Responsibilities Data Entry and Reconciliation Responsibilities: Review outgoing and incoming CBP subcontractor client data for accuracy. Enter data found on the verification form into the STOP database to begin the reconciliation process. When discrepancies are found, coordinate with CBPs and internal departments to resolve and reconcile the discrepancies. Ensure accuracy of all data entered. Billing and Invoicing Responsibilities: Process STOP CBP weekly verifications by extracting from the STOP database, and possibly further verifying in the ARMS database, and forwarding to the CBPs via email (and sometimes fax) for approval. Produce the monthly billing and forward to CBPs for billing authorization and approval. Ensures accuracy of all billing and resolves any discrepancies identified. Act as liaison between Fiscal department and STOP to ensure ease of information flow. Produce invoices for other various services (i.e. transportation, links etc.). Administrative Responsibilities: Produce monthly client and CBP related reports as needed for the California Department of Corrections and Rehabilitation (CDCR), with supervisor review and approval, using the ARMS database. Assure confidentiality of all incoming and outgoing client data. As assigned, performs other clerical tasks. And, other duties as assigned. Education and Knowledge, Skills and Abilities Education and Experience Required: High School Diploma or equivalent. Previous work experience working with spreadsheets. Previous work experience performing data entry. Type 45 wpm. Strong math skills. Desired: Bilingual. AA Degree; Experience may substitute for this on a year-by-year basis. We will consider for employment qualified applicants with arrest and conviction records. In compliance with the California Department of Public Health's mandate, all employees must be able to provide proof of COVID-19 vaccination. Medical and religious exemptions are available. Tag: IND100.

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

The Cellular Therapies Donor Services Specialist facilitates allogeneic donor identification and collection processes on behalf of adult and pediatric patients undergoing a stem cell transplant or other Cellular Therapy, including standard of care and clinical research therapies. This position is responsible for initiating and managing the search for suitable donors, coordinating donor testing and collection, donor product acquisition, and ensuring a smooth and effective process for both the donor and recipient. The role requires collaboration with multidisciplinary care teams, and donor registry organizations, as well as attention to detail, organization, problem-solving and effective communication. The specialist is responsible for the analytical, logistical, and administrative aspects of donor services, ensuring compliance with regulatory standards and supporting overall operations of the Cellular Therapy department. **The Cellular Therapies Donor Services Specialist position is a full time position, Monday through Friday with some on-call required. The position is hybrid, requiring 2 to 3 days on-site at the Longwood Medical area.** **DFCI guidelines state that employees must reside in New England: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, or Vermont.** Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals. + Identify suitable donor options for patients through family and/or donor registries, including domestic and international sources. Assess patient needs, therapy plan, and timing to ensure alignment with donor plan. + Responsible for comprehensive understanding of HLA donor search algorithms and other non-HLA factors, such as ABO, age and CMV status. + Analyze donor searches and apply current donor selection algorithms and strategies. + Responsible for the facilitation of the work up, collection, and acquisition of the stem cell product. + Perform product labeling verifications and courier hand off for donor registry. + Serve as donor advocate and primary point of contact for potential donors, providing ongoing support throughout the process. + Manage donor evaluations, including medical assessments and laboratory testing. + Provide comprehensive education to donors about the donation process, potential risks, and benefits. + Register donors in EMR and assign appropriate insurance coverage for accurate billing. + Conduct donor health screening (advanced). Collect donors' medical health history information and assess medical conditions and non-medical factors to determine further donor participation. + Manage donor testing (blood typing, HLA typing, and physical exams) to assess suitability. + Coordinate and schedule bone marrow or stem cell collection procedures, working with multidisciplinary care teams and donor registries. + Monitor the status of the donor collection process, ensuring that all necessary documentation and regulatory compliance requirements are met. + Attend Bone Marrow Harvest Procedures to ensure all procedures and documentation are competed accurately. + Ensure all necessary donor documentation is submitted and processed in a timely manner. + Manage the analytical, logistical, and administrative Donor Services operations of allogeneic donor cellular therapies. + Utilize critical thinking and solution-based approaches to address situations and navigate the nuances of each individual case. + Act as the liaison between transplant center, donor registries, donors, recipients, facilities, and the clinical transplant team. + Develop timetables with the clinical team to support the patient and donor's progress through complex therapies. + Provide timely updates via email or in weekly clinical review meetings to the transplant team regarding donor status including progress, challenges, and adjustments. + Ensure compliance with all regulatory bodies (e.g., FDA, AABB, FACT, NMDP) related to donor screening, collection, and processing. + Collaborate with multidisciplinary teams to optimize outcomes and support operational improvements efforts. + Maintain databases and systems related to donor information, ensuring accuracy and confidentiality. + Triage cases in a time sensitive manner, which may be subject to emergency contact of clinical team. **Minimum Education:** + Associates Degree required. **Minimum Experience:** + 2 years of experience in a patient care, healthcare administration, or clinical operations role in a complex healthcare environment required. **Preferred Qualifications:** + Bachelor's Degree in Healthcare Administration, Health Sciences or similar field strongly preferred **KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:** + Knowledge of FACT, NMDP & DFCI donor testing requirements and procedures, as well as donor suitability and eligibility. + Comprehensive knowledge of HLA typing, HLA antibody and donor search algorithms. + Excellent verbal and written communication skills to effectively interact with healthcare professionals, patients, and donors. + Demonstrated ability to work in highly regulated environments, following strict guidelines, such as clinical trials or complex medical systems. + Ability and willingness to work effectively in a collaborative interdisciplinary team model. + Must be detail-oriented with strong problem solving and decision-making skills. + Strong organizational and time-management skills, with the ability to manage multiple tasks simultaneously in a fast-paced environment. + Compassionate and empathetic approach when engaging with donors and their families. + Knowledge of regulatory guidelines related to bone marrow donation and transplant processes. + Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint). + Ability to always maintain confidentiality and professionalism. + Willingness to engage in efforts to support an inclusive culture and workplace. + Proficient in DFCI/BWH/CHB clinical systems as applicable to the position. **PATIENT CONTACT:** Yes - all ages. **Pay Transparency Statement** The hiring range is based on market pay structures, with individual salaries determined by factors such as business needs, market conditions, internal equity, and based on the candidate's relevant experience, skills and qualifications. For union positions, the pay range is determined by the Collective Bargaining Agreement (CBA) $30.58 - $36.20 At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are equally committed to diversifying our faculty and staff. Cancer knows no boundaries and when it comes to hiring the most dedicated and diverse professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply. Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other characteristics protected by law. **EEOC Poster**

The Cellular Therapies Donor Services Specialist facilitates allogeneic donor identification and collection processes on behalf of adult and pediatric patients undergoing a stem cell transplant or other Cellular Therapy, including standard of care and clinical research therapies. This position is responsible for initiating and managing the search for suitable donors, coordinating donor testing and collection, donor product acquisition, and ensuring a smooth and effective process for both the donor and recipient. The role requires collaboration with multidisciplinary care teams, and donor registry organizations, as well as attention to detail, organization, problem-solving and effective communication. The specialist is responsible for the analytical, logistical, and administrative aspects of donor services, ensuring compliance with regulatory standards and supporting overall operations of the Cellular Therapy department. The Cellular Therapies Donor Services Specialist position is a full time position, Monday through Friday with some on-call required. The position is hybrid, requiring 2 to 3 days on-site at the Longwood Medical area. DFCI guidelines state that employees must reside in New England: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, or Vermont. Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals. Responsibilities * Identify suitable donor options for patients through family and/or donor registries, including domestic and international sources. Assess patient needs, therapy plan, and timing to ensure alignment with donor plan. * Responsible for comprehensive understanding of HLA donor search algorithms and other non-HLA factors, such as ABO, age and CMV status. * Analyze donor searches and apply current donor selection algorithms and strategies. * Responsible for the facilitation of the work up, collection, and acquisition of the stem cell product. * Perform product labeling verifications and courier hand off for donor registry. * Serve as donor advocate and primary point of contact for potential donors, providing ongoing support throughout the process. * Manage donor evaluations, including medical assessments and laboratory testing. * Provide comprehensive education to donors about the donation process, potential risks, and benefits. * Register donors in EMR and assign appropriate insurance coverage for accurate billing. * Conduct donor health screening (advanced). Collect donors' medical health history information and assess medical conditions and non-medical factors to determine further donor participation. * Manage donor testing (blood typing, HLA typing, and physical exams) to assess suitability. * Coordinate and schedule bone marrow or stem cell collection procedures, working with multidisciplinary care teams and donor registries. * Monitor the status of the donor collection process, ensuring that all necessary documentation and regulatory compliance requirements are met. * Attend Bone Marrow Harvest Procedures to ensure all procedures and documentation are competed accurately. * Ensure all necessary donor documentation is submitted and processed in a timely manner. * Manage the analytical, logistical, and administrative Donor Services operations of allogeneic donor cellular therapies. * Utilize critical thinking and solution-based approaches to address situations and navigate the nuances of each individual case. * Act as the liaison between transplant center, donor registries, donors, recipients, facilities, and the clinical transplant team. * Develop timetables with the clinical team to support the patient and donor's progress through complex therapies. * Provide timely updates via email or in weekly clinical review meetings to the transplant team regarding donor status including progress, challenges, and adjustments. * Ensure compliance with all regulatory bodies (e.g., FDA, AABB, FACT, NMDP) related to donor screening, collection, and processing. * Collaborate with multidisciplinary teams to optimize outcomes and support operational improvements efforts. * Maintain databases and systems related to donor information, ensuring accuracy and confidentiality. * Triage cases in a time sensitive manner, which may be subject to emergency contact of clinical team. Qualifications Minimum Education: * Associates Degree required. Minimum Experience: * 2 years of experience in a patient care, healthcare administration, or clinical operations role in a complex healthcare environment required. Preferred Qualifications: * Bachelor's Degree in Healthcare Administration, Health Sciences or similar field strongly preferred KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED: * Knowledge of FACT, NMDP & DFCI donor testing requirements and procedures, as well as donor suitability and eligibility. * Comprehensive knowledge of HLA typing, HLA antibody and donor search algorithms. * Excellent verbal and written communication skills to effectively interact with healthcare professionals, patients, and donors. * Demonstrated ability to work in highly regulated environments, following strict guidelines, such as clinical trials or complex medical systems. * Ability and willingness to work effectively in a collaborative interdisciplinary team model. * Must be detail-oriented with strong problem solving and decision-making skills. * Strong organizational and time-management skills, with the ability to manage multiple tasks simultaneously in a fast-paced environment. * Compassionate and empathetic approach when engaging with donors and their families. * Knowledge of regulatory guidelines related to bone marrow donation and transplant processes. * Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint). * Ability to always maintain confidentiality and professionalism. * Willingness to engage in efforts to support an inclusive culture and workplace. * Proficient in DFCI/BWH/CHB clinical systems as applicable to the position. PATIENT CONTACT: Yes - all ages. Pay Transparency Statement The hiring range is based on market pay structures, with individual salaries determined by factors such as business needs, market conditions, internal equity, and based on the candidate's relevant experience, skills and qualifications. For union positions, the pay range is determined by the Collective Bargaining Agreement (CBA) $30.58 - $36.20 At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are equally committed to diversifying our faculty and staff. Cancer knows no boundaries and when it comes to hiring the most dedicated and diverse professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply. Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other characteristics protected by law. EEOC Poster

Aeroflow Health - Mom & Baby Billing Coordinator (Remote) Schedule: Monday to Friday, 8-5 (EST) Aeroflow Health is made up of creative and talented associates who are transforming the home medical equipment industry. Our patient-centric business model is founded on innovation through technology and cutting-edge delivery platforms. We have grown to be a leader in the home medical equipment segment of the healthcare industry, are among the fastest-growing healthcare companies in the country and recognized on Inc. 5000's list of fastest-growing companies in the U.S. As Aeroflow has grown, our needs to curate an amazing employee environment and experience have grown as well. We're working hard to ensure that Aeroflow remains a premier employer in Western North Carolina by making constant improvements to our office spaces, thus bettering the everyday lives of the employees that work so hard to service our patients. The Opportunity The Mom and Baby division specializes in providing maternity related medical equipment billed through insurance. This position will be responsible for resolving claims that have been rejected by insurance and will assist with developing improvements to our collections processes. Your Primary Responsibilities Resolve incoming rejections for the Mom & Baby division Analyze rejection data and insurance payment trends to identify patterns, trends, and the root cause Correct claim data as per payer requirements (e.g., modifiers, diagnosis codes, HCPCS, NPI, etc.) Maintain detailed records of all rejection cases, resolutions, and follow-up actions Verify eligibility, coverage, and authorization when needed to prevent future denials Assist with other projects for claims that have been denied or rejected Collaborate with our billing team and leadership Employee has an individual responsibility for knowledge of and compliance with laws, regulations, and policies. Compliance is a condition of employment and is considered an element of job performance Maintain HIPAA/patient confidentiality Regular and reliable attendance as assigned by your schedule Other job duties assigned Skills for Success Relentless Curiosity: Proactively seeks out opportunities for process improvements. Entrepreneurial: Identifies and acts on new opportunities with a willingness to take calculated risks. Obsession to Learn: Actively seeks out opportunities to learn and grow and identifies areas for self-improvement. Confidently Humble: Freely admits knowledge gaps and seeks help from team members, and regularly solicits feedback. Strategic: Makes decisions and takes actions with a broader organizational impact. Transformative: Constantly seeks ways to improve and actively pursues growth opportunities. Tech-Savvy: Keeps up to date with modern technology and regularly develops and refines processes within the team. Commitment to People Development: Shows passion for developing talent through regular training and mentoring. Relationship Focused: Proactively builds relationships across the organization. Required Qualifications: High school diploma or GED Ability to understand difference between HCPCS, CPT, and ICD-10 codes Familiarity with payer portals, EDI systems, and clearinghouses Ability to multi-task Exposure to Google suite, Microsoft platforms What Aeroflow Offers Competitive Pay, Health Plans with FSA or HSA options, Dental, and Vision Insurance, Optional Life Insurance, 401K with Company Match, 12 weeks of parental leave for birthing parent/ 4 weeks leave for non-birthing parent(s), Additional Parental benefits to include fertility stipends, free diapers, breast pump, Paid Holidays, PTO Accrual from day one, Employee Assistance Programs and SO MUCH MORE!! Here at Aeroflow, we are proud of our commitment to all of our employees. Aeroflow Health has been recognized both locally and nationally for the following achievements: Family Forward Certified Great Place to Work Certified Inc. 5000 Best Place to Work award winner HME Excellence Award Sky High Growth Award If you've been looking for an opportunity that will allow you to make an impact, and an organization with unlimited growth potential, we want to hear from you! Aeroflow Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

General Information: Job title: Collection Specialist Schedule: Full-time, 80 hours per pay period; scheduled between 8:00am and 7:00pm Weekend Requirement: No weekends Holiday Requirement: No holidays As a Collections Specialist you will work with patients and family members to secure payment for all Self-pay balances including deductibles, copays and coinsurance amounts applied by insurance carriers. You will also update patient demographic information and necessary insurance information needed to comply with billing requirements, and work with Bad Debt Collection Agencies to ensure timely and accurate accounting of balances. You will provide exceptional customer service while ensuring compliance with legal and regulatory guidelines. Your efforts will directly support timely revenue recovery and positive customer experiences. Position Responsibilities: Outbound Collections: Make outbound calls to individuals or representatives of estates to collect outstanding debts, particularly those involving deceased accounts, in accordance with company policies and legal requirements. Account Management: Maintain and regularly review a personal queue of assigned accounts, performing timely follow-ups, reviewing account statuses, and updating customer records. Negotiation & Payment Arrangements: Conduct professional and empathetic conversations to establish payment plans with firm deadlines; negotiate repayment options to meet collection goals. Customer Service & Issue Resolution: Provide excellent customer service by addressing inquiries, resolving billing disputes, and offering appropriate payment solutions. Estate & Probate Handling: Conduct fact-finding to locate estate information and identify potential sources of payment; review and manage probate cases and attend court proceedings as necessary. Collaboration & Reporting: Work with external collection agencies to coordinate the transfer of accounts to bad debt and ensure timely follow-up; maintain accurate documentation of all collection efforts and financial statuses. Compliance: Adhere to all applicable legal and regulatory requirements governing debt collection practices, including those specific to deceased debt and probate. General Support: Assist patients or customers with billing questions and perform other duties as assigned. Position Requirements: High school diploma or equivalent required. Associate Degree or equivalent business experience preferred. 3+ years of related work experience required. Experience working in the medical industry preferred. Exceptional accuracy and attention to detail required. Knowledge, Skills, & Abilities Intermediate proficiency with computers is required. Experience with billing/collections required. Knowledge of electronic medical records systems, healthcare portals, and collections software. Must have exceptional customer service skills. Self-starter with excellent interpersonal communication and problem-solving skills. Why Mile Bluff Medical Center? Mile Bluff Medical Center is a place where people come first. Our team is comprised of caring, patient-centered professionals serving pediatric through geriatric populations in our rural community. Our not-for-profit organization prides itself on providing state-of-the-art healthcare services, a positive work environment, and a team where employees feel valued and supported. Mile Bluff is an independent organization that offers competitive wages, great benefits and the opportunity for growth. Mile Bluff makes decisions for its employees and patients locally without relying on a large health system in another community. Mauston Location Description With a population of 4,500, Mauston maintains a small town feel while being surrounded by unique recreational and cultural experiences. Located on the Lemonweir River and next door to Wisconsin's second and fourth largest lakes, Petenwell and Castle Rock Lake, our community finds you surrounded by natural wonder, wildlife and a rich variety of outdoor recreation. Mauston is centrally located in southwestern Wisconsin on Interstate 90-94, approximately 73 miles to Madison, 140 miles to Milwaukee, and 215 miles to each Chicago and Minneapolis.

Job Description FUNCTION/OVERVIEW: This position will focus on accuracy in reviewing and assessing insurance denials or returned claims. Must be able to communicate with insurance companies and clients from a resolution based perspective. This communication should be focused on acquired knowledge, insurance carrier guidelines, company policies & procedures, research and collection efforts. In addition to following up on claims, the collection specialist will be responsible for sending out medical records and writing appeals for denials to the insurance companies. PRIMARY DUTIES/RESPONSIBILITIES: Promote the mission, values and vision of the organization. Provide excellent customer service for clients; practices confidentiality and privacy protocols in accordance with HIPAA requirements. Accurately and thoroughly enters data / notes into the electronic system for follow up. Assists with follow up on claims processed to ensure payment to the agency. Works directly with payers to verify client eligibility and client payment responsibility including co-pays, deductibles, co-insurance, and/or out of pocket maximums. Assists as needed with follow-up on insurance denials, appeals, and reconsiderations. Assists as needed with all billing tasks and functions related to insurance, grant, and client billing. Responsible for investigating insurance rejected claims and the re-processing of denied claims and/or appeals of denied or underpaid claims. Identify denial patterns, as well as notifying senior management of payment delay issues. Contacts insurance companies regarding outstanding accounts. QUALIFICATIONS REQUIRED: High School Diploma or GED equivalent with combination of education and work experience, required; Bachelor's degree, preferred. Minimum of two (2) years' experience in Substance abuse Billing, Coding and Collections. Knowledge of Third Party payers, billing requirements and reimbursement methods; knowledge of medical terminology. Knowledge of claims reimbursement and collection efforts for the field of Substance Abuse treatment. Relevant computer software and hardware applications proficiency - Word, Excel, PowerPoint, Outlook, Electronic Medical Records, Billing Systems and/or other scheduling applications; KIPU preferred, Collaborate MD SKILLS: Strong communication skills, both written and verbal. Ability to work independently, as well as part of a team. Manage multiple tasks and set priorities. Ability to handle highly sensitive and confidential information. Ability to work in a fast-paced, high-energy environment. Excellent interpersonal and customer-facing skills. Ability to work accurately, with attention to detail.

The Collection Specialist is responsible for collections of outstanding private invoices from the existing client base, resolving customer billing problems and reducing accounts receivable delinquency. This position will report to the Revenue Cycle Manager and is located out of our Somerville, MA. office. Collections Specialist Responsibilities: Resolve insurance related billing issues with patients and/or insurance carriers Handling of high call volume Serve as primary representative for patient inquiries/calls Communicate effectively both orally and in writing Respond to customer inquiries, resolve client discrepancies, process and review account adjustments Demonstrate superior customer service skills and problem solving, which includes assisting the patient with alternative payment options and payment plans Possess basic understanding of government and commercial insurance and Credit & Collections policies Identify the need and request rebills to insurance Handle highly confidential information with complete discretion Maintain confidentiality of patient information while on the phone or in-person Work aged invoices utilizing various reports and the collection module using Zoll Rescue Net Alert Revenue Cycle Manager about potential problems that could affect collections Meet productivity goals/benchmarks as set and communicated by the manager Utilize available sources to obtain updated info and reissue correspondence Additional projects and responsibilities may be assigned permanently or on an as needed basis Collections Specialist Qualifications: Working knowledge of Microsoft Office, including Excel, Word is a must Strong communication, problem solving and analytical skills required Acute attention to detail and the ability to work in a fast-paced, team-oriented environment with a focus on communication required Outstanding customer service and phone skills Previous collections or customer service experience a plus Knowledge of HIPPA and healthcare policies a plus High School diploma or GED required Fluent in Spanish a plus, but not required Must be positive and maintain professional demeanor at all times Familiarity with Medicaid and Medicare guidelines Ambulance billing experience a plus 3-5 years Accounts Receivable follow up experience About Cataldo Since 1977, Cataldo Ambulance Service, Inc. has continually distinguished ourselves as a leader in providing routine and emergency medical services. As the needs of the community and the patient change, we continue to introduce innovative programs to ensure the highest level of care is available to everyone in the areas we serve. Cataldo is the largest private EMS provider and private ambulance service in Massachusetts. In addition to topping 50,000 emergency medical transportations annually through 911 contacts with multiple cities, we partner with some of Massachusetts top medical facilities to provide non-emergency medical ambulance and wheelchair transportation services. We are also an EMS provider to specialty venues like Fenway Park, TD Garden, and DCU Center. While Cataldo began as an ambulance service company, we continue to grow through innovation and expand the services we offer to the local communities. As a public health resource, Cataldo offers training and education to the healthcare and emergency medical community through the Cataldo Education Center. This includes certification training for new employees as well as the training needed for career advancement. Through our partnerships with health systems, hospitals, managed care organizations, and others, we continue to provide in-home care through the state's first and largest Mobile Integrated Health program, SmartCare. We also have delivered more than 1.7 million Covid-19 vaccines and continue to operate testing and vaccination sites throughout the state of Massachusetts.

Job Description The Collection Specialist is responsible for collections of outstanding private invoices from the existing client base, resolving customer billing problems and reducing accounts receivable delinquency. This position will report to the Revenue Cycle Manager and is located out of our Somerville, MA. office. Collections Specialist Responsibilities: Resolve insurance related billing issues with patients and/or insurance carriers Handling of high call volume Serve as primary representative for patient inquiries/calls Communicate effectively both orally and in writing Respond to customer inquiries, resolve client discrepancies, process and review account adjustments Demonstrate superior customer service skills and problem solving, which includes assisting the patient with alternative payment options and payment plans Possess basic understanding of government and commercial insurance and Credit & Collections policies Identify the need and request rebills to insurance Handle highly confidential information with complete discretion Maintain confidentiality of patient information while on the phone or in-person Work aged invoices utilizing various reports and the collection module using Zoll Rescue Net Alert Revenue Cycle Manager about potential problems that could affect collections Meet productivity goals/benchmarks as set and communicated by the manager Utilize available sources to obtain updated info and reissue correspondence Additional projects and responsibilities may be assigned permanently or on an as needed basis Collections Specialist Qualifications: Working knowledge of Microsoft Office, including Excel, Word is a must Strong communication, problem solving and analytical skills required Acute attention to detail and the ability to work in a fast-paced, team-oriented environment with a focus on communication required Outstanding customer service and phone skills Previous collections or customer service experience a plus Knowledge of HIPPA and healthcare policies a plus High School diploma or GED required Fluent in Spanish a plus, but not required Must be positive and maintain professional demeanor at all times Familiarity with Medicaid and Medicare guidelines Ambulance billing experience a plus 3-5 years Accounts Receivable follow up experience About Cataldo Since 1977, Cataldo Ambulance Service, Inc. has continually distinguished ourselves as a leader in providing routine and emergency medical services. As the needs of the community and the patient change, we continue to introduce innovative programs to ensure the highest level of care is available to everyone in the areas we serve. Cataldo is the largest private EMS provider and private ambulance service in Massachusetts. In addition to topping 50,000 emergency medical transportations annually through 911 contacts with multiple cities, we partner with some of Massachusetts top medical facilities to provide non-emergency medical ambulance and wheelchair transportation services. We are also an EMS provider to specialty venues like Fenway Park, TD Garden, and DCU Center. While Cataldo began as an ambulance service company, we continue to grow through innovation and expand the services we offer to the local communities. As a public health resource, Cataldo offers training and education to the healthcare and emergency medical community through the Cataldo Education Center. This includes certification training for new employees as well as the training needed for career advancement. Through our partnerships with health systems, hospitals, managed care organizations, and others, we continue to provide in-home care through the state's first and largest Mobile Integrated Health program, SmartCare. We also have delivered more than 1.7 million Covid-19 vaccines and continue to operate testing and vaccination sites throughout the state of Massachusetts.