Billing 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**

Under general supervision, provides support to the administrative operations of a clinical service and works to ensure the best possible patient experience by effectively coordinating services to patients and families. Actively participates in and contributes to departmental and organizational initiatives & projects with a focus on continuous process improvement. Performs various administrative functions requiring in-depth knowledge of programs and services. Provides positive and effective customer service that supports departmental and hospital operations. Recognizes opportunities and recommends process improvement opportunities to enhance operational efficiency while maintaining accuracy. Key Responsibilities: ·Customer Service: Greets, screens, and directs patients, families, and visitors, and provides effective customer service in person and on the phone. ·Registration: Registers new patients, verifies insurance information, and collects co-payments. ·Patient Coordination: Monitors clinic activity, schedules appointments, and assists with patient flow to ensure a positive experience. ·Administrative Tasks: Answers calls, manages calendars, schedules meetings and events, and provides clerical support. ·Records Management: Collects and organizes patient medical records, processes letters, and handles prescription refill requests. ·Technology Use: Utilizes office technology, including phone systems and various software applications, and enrolls patients in the patient portal. ·Process Improvement: Contributes to departmental projects aimed at improving processes and systems. Minimum Qualifications Education: High School Diploma / GED Experience: Internal: Minimum 6 months as a PER; External: Minimum of 6 months relevant healthcare experience This role is eligible for a $2,000 sign on bonus (not eligible for internal candidates and not eligible for former BCH employees who worked here in the past 12 months) Boston Children's Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, childcare and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork. The posted pay range is Boston Children's reasonable and good-faith expectation for this pay at the time of posting. Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.

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

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.

Established in 1980, the Greater Lawrence Family Health Center, Inc. (GLFHC) is a multi-site, mission-driven, non-profit organization employing over 700 staff whose primary focus is providing the highest quality patient care to a culturally diverse population throughout the Merrimack Valley. Nationally recognized as a leader in community medicine (family practice, pediatrics, internal medicine, and geriatrics), GLFHC has clinical sites in Lawrence, Methuen, and Haverhill and is the sponsoring organization for the Lawrence Family Medicine Residency program. GLFHC is currently seeking a Patient Accounts Billing Representative. Follows department and payer processes to ensure all claims are submitted in a timely and accurate manner. Analyzes and reviews outstanding accounts receivables. Prepares appeals and corrected claims within payer guidelines for resubmission in order to maximize reimbursement. Reviews patient eligibility utilizing practice management function or payer websites to determine correct payer to be billed for specific dates of service. Prepares claim data according to department and payer regulations in order to produce a “clean” claim. Prepares, reviews and transmits claims timely to payers, works EDI rejections. Posts charges, payments and denials in practice management system accurately. Works denials and prepares appeals, resubmits claims and performs compliant actions to resolve open accounts receivable. Reports unusual trends to supervisor. Utilizes insurance and practice management online systems to complete all required tasks such as eligibility, claim status and claim correction. Processes insurance and patient refunds as necessary. Answers patient and department calls. Assist in telephone inquiries regarding patient statements. Establish payment arrangements when appropriate. Reconcile all batch totals at day end to ensure accuracy of totals posted and transactions on charge capture. Identify and correct any discrepancies prior to opening any future batch. Qualifications: 1-2 years of medical billing experience, or medical billing certification Knowledge of CPT, ICD10 coding and compliance preferred. Familiar with Medical terminology Combination of education and equivalent experience will be considered. GLFHC offers a great working environment, comprehensive benefit package, growth opportunities and tuition reimbursement.

Established in 1980, the Greater Lawrence Family Health Center, Inc. (GLFHC) is a multi-site, mission-driven, non-profit organization employing over 700 staff whose primary focus is providing the highest quality patient care to a culturally diverse population throughout the Merrimack Valley. Nationally recognized as a leader in community medicine (family practice, pediatrics, internal medicine, and geriatrics), GLFHC has clinical sites in Lawrence, Methuen, and Haverhill and is the sponsoring organization for the Lawrence Family Medicine Residency program. GLFHC is currently seeking a Patient Accounts Billing Representative. Follows department and payer processes to ensure all claims are submitted in a timely and accurate manner. Analyzes and reviews outstanding accounts receivables. Prepares appeals and corrected claims within payer guidelines for resubmission in order to maximize reimbursement. * Reviews patient eligibility utilizing practice management function or payer websites to determine correct payer to be billed for specific dates of service. * Prepares claim data according to department and payer regulations in order to produce a "clean" claim. * Prepares, reviews and transmits claims timely to payers, works EDI rejections. * Posts charges, payments and denials in practice management system accurately. * Works denials and prepares appeals, resubmits claims and performs compliant actions to resolve open accounts receivable. Reports unusual trends to supervisor. * Utilizes insurance and practice management online systems to complete all required tasks such as eligibility, claim status and claim correction. * Processes insurance and patient refunds as necessary. * Answers patient and department calls. Assist in telephone inquiries regarding patient statements. Establish payment arrangements when appropriate. * Reconcile all batch totals at day end to ensure accuracy of totals posted and transactions on charge capture. Identify and correct any discrepancies prior to opening any future batch. Qualifications: * 1-2 years of medical billing experience, or medical billing certification * Knowledge of CPT, ICD10 coding and compliance preferred. * Familiar with Medical terminology * Combination of education and equivalent experience will be considered. GLFHC offers a great working environment, comprehensive benefit package, growth opportunities and tuition reimbursement.

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

JOIN TEAM TRILOGY At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of long-term care, competitive pay, and exceptional benefits, Trilogy offers a work environment where you're supported, appreciated, and empowered to thrive in your career. If you're ready to join a team committed to your success, Trilogy is where you belong and thrive! POSITION OVERVIEW A Business Office Manager is responsible for overseeing the billing, collections and financial operations of the health campus. They handle financial tasks such receiving and depositing payments, making collections calls and issuing letters, discussing payment arrangements with account holders, and working with Medicare, Medicaid and insurance companies on claims and reimbursements. Key Responsibilities * Leads billing and collections for all of the campus payer types. * Establishes and maintains filing systems for accounts receivable and resident information. * Creates and manages the setup of new residents and resident trust accounts in the accounts receivable system. * Maintains census records in the Accounts Receivable system for accurate billing. * Manages monthly billing processes for all payer classes in an accurate and timely manner according to the monthly AR calendar. * Posts payments received appropriately to the correct resident account. * Monitors and collects accounts receivable. Qualifications * High school diploma or GED/HSE preferred * 1-3 years of relevant experience preferred LOCATION US-KY-Lexington The Willows at Fritz Farm 2710 Man O'War Boulevard Lexington KY BENEFITS Our comprehensive Thrive benefits program focuses on your well-being, offering support for personal wellness, financial stability, career growth, and meaningful connections. This list includes some of the key benefits, though additional options are available. * Medical, Dental, Vision Coverage - Includes free Virtual Doctor Visits, with coverage starting in your first 30 days. * Get Paid Weekly + Quarterly Increases - Enjoy weekly pay and regular quarterly wage increases. * Spending & Retirement Accounts - HSA with company match, Dependent Care, LSA, and 401(k) with company match. * PTO + Paid Parental Leave - Paid time off and fully paid parental leave for new parents. * Inclusive Care - No-cost LGBTQIA+ support and gender-affirming care coordination. * Tuition & Student Loan Assistance - Financial support for education, certifications, and student loan repayment. TEXT A RECRUITER Cathy ************** ABOUT TRILOGY HEALTH SERVICES Since our founding in 1997, Trilogy has been dedicated to making long-term care better for our residents and more rewarding for our team members. We're proud to be recognized as one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work. At Trilogy, we embrace who you are, help you achieve your full potential, and make working hard feel fulfilling. As an equal opportunity employer, we are committed to diversity and inclusion, and we prohibit discrimination and harassment 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. NOTICE TO ALL APPLICANTS (WI, IN, OH, MI & KY): for this type of employment, state law requires a criminal record check as a condition of employment. A Business Office Manager is responsible for overseeing the billing, collections and financial operations of the health campus. They handle financial tasks such receiving and depositing payments, making collections calls and issuing letters, discussing payment arrangements with account holders, and working with Medicare, Medicaid and insurance companies on claims and reimbursements. Key Responsibilities * Leads billing and collections for all of the campus payer types. * Establishes and maintains filing systems for accounts receivable and resident information. * Creates and manages the setup of new residents and resident trust accounts in the accounts receivable system. * Maintains census records in the Accounts Receivable system for accurate billing. * Manages monthly billing processes for all payer classes in an accurate and timely manner according to the monthly AR calendar. * Posts payments received appropriately to the correct resident account. * Monitors and collects accounts receivable. Qualifications * High school diploma or GED/HSE preferred * 1-3 years of relevant experience preferred At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of long-term care, competitive pay, and exceptional benefits, Trilogy offers a work environment where you're supported, appreciated, and empowered to thrive in your career. If you're ready to join a team committed to your success, Trilogy is where you belong and thrive!

JOIN TEAM TRILOGY At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of long-term care, competitive pay, and exceptional benefits, Trilogy offers a work environment where you're supported, appreciated, and empowered to thrive in your career. If you're ready to join a team committed to your success, Trilogy is where you belong and thrive! POSITION OVERVIEW A Business Office Manager is responsible for overseeing the billing, collections and financial operations of the health campus. They handle financial tasks such receiving and depositing payments, making collections calls and issuing letters, discussing payment arrangements with account holders, and working with Medicare, Medicaid and insurance companies on claims and reimbursements. Key Responsibilities * Leads billing and collections for all of the campus payer types. * Establishes and maintains filing systems for accounts receivable and resident information. * Creates and manages the setup of new residents and resident trust accounts in the accounts receivable system. * Maintains census records in the Accounts Receivable system for accurate billing. * Manages monthly billing processes for all payer classes in an accurate and timely manner according to the monthly AR calendar. * Posts payments received appropriately to the correct resident account. * Monitors and collects accounts receivable. Qualifications * High school diploma or GED/HSE preferred * 1-3 years of relevant experience preferred LOCATION US-KY-Lexington The Willows at Hamburg 2531 Old Rosebud Road Lexington KY BENEFITS Our comprehensive Thrive benefits program focuses on your well-being, offering support for personal wellness, financial stability, career growth, and meaningful connections. This list includes some of the key benefits, though additional options are available. * Medical, Dental, Vision Coverage - Includes free Virtual Doctor Visits, with coverage starting in your first 30 days. * Get Paid Weekly + Quarterly Increases - Enjoy weekly pay and regular quarterly wage increases. * Spending & Retirement Accounts - HSA with company match, Dependent Care, LSA, and 401(k) with company match. * PTO + Paid Parental Leave - Paid time off and fully paid parental leave for new parents. * Inclusive Care - No-cost LGBTQIA+ support and gender-affirming care coordination. * Tuition & Student Loan Assistance - Financial support for education, certifications, and student loan repayment. TEXT A RECRUITER Cathy ************** ABOUT TRILOGY HEALTH SERVICES Since our founding in 1997, Trilogy has been dedicated to making long-term care better for our residents and more rewarding for our team members. We're proud to be recognized as one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work. At Trilogy, we embrace who you are, help you achieve your full potential, and make working hard feel fulfilling. As an equal opportunity employer, we are committed to diversity and inclusion, and we prohibit discrimination and harassment 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. NOTICE TO ALL APPLICANTS (WI, IN, OH, MI & KY): for this type of employment, state law requires a criminal record check as a condition of employment. A Business Office Manager is responsible for overseeing the billing, collections and financial operations of the health campus. They handle financial tasks such receiving and depositing payments, making collections calls and issuing letters, discussing payment arrangements with account holders, and working with Medicare, Medicaid and insurance companies on claims and reimbursements. Key Responsibilities * Leads billing and collections for all of the campus payer types. * Establishes and maintains filing systems for accounts receivable and resident information. * Creates and manages the setup of new residents and resident trust accounts in the accounts receivable system. * Maintains census records in the Accounts Receivable system for accurate billing. * Manages monthly billing processes for all payer classes in an accurate and timely manner according to the monthly AR calendar. * Posts payments received appropriately to the correct resident account. * Monitors and collects accounts receivable. Qualifications * High school diploma or GED/HSE preferred * 1-3 years of relevant experience preferred At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of long-term care, competitive pay, and exceptional benefits, Trilogy offers a work environment where you're supported, appreciated, and empowered to thrive in your career. If you're ready to join a team committed to your success, Trilogy is where you belong and thrive!

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

Key Responsibilities: * Order Confirmation & Claim Preparation: Process and confirm orders, ensuring claims are accurately prepared and submitted. * Cash Posting: Post payments and update accounts in a timely and accurate manner. * Patient Support: Address any patient inquiries regarding billing, ensuring clear communication and prompt issue resolution. * Accounts Receivable Management: Work on stop/held accounts to ensure timely billing for rental items. * Meet Department Goals: Achieve performance metrics and goals set by the department to maintain operational efficiency. * Collaboration with Teams: Regularly communicate with Billing and Insurance team leads to report progress and trends Pay: $17.00 hour Benefits: * BCBS Medical * BCBS Vision * Dental Insurance * 401K * PTO Benefits

. 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.

Ambulance Billing Specialist -Full Time We are seeking a highly organized and detail-oriented individual to join our team as a Billing Specialist. The successful candidate will be responsible for Billing Ambulance Claims. The ideal candidate will have strong communication skills, a customer service mindset, and the ability to work independently in a fast-paced environment. Responsibilities: Accurately assign appropriate codes to ambulance services based on documentation and coding guidelines. Ensure timely and accurate submission of claims to insurance providers and other payers. Review and correct any billing errors to minimize claim denials. Review and monitor status on submitted claims to ensure the claims have been successfully received by the payors Contact healthcare providers to obtain necessary documentation or clarification regarding claims Update patient accounts and follow up with patients regarding outstanding balances or insurance coverage Stay current with healthcare regulations and guidelines related to medical claims Provide excellent customer service to patients, healthcare providers, and insurance companies Perform additional assignments and special projects based on business need at the direction of the Manager Qualifications: High school diploma Minimum of 2 years of experience in ambulance claims billing, medical claims processing or related field Knowledge of medical terminology, CPT/HCPCS codes, and ICD-10 coding Understanding of insurance coverages, fee schedules, and regulations Proficiency in Microsoft Office and experience using healthcare billing software Strong attention to detail and ability to multitask in a fast-paced environment Excellent written and verbal communication skills Ability to work independently and as part of a team Customer service mindset and ability to handle sensitive or confidential information Adaptability and a willingness to take on additional tasks and responsibilities as needed. Knowledge of international payment and invoicing processes is a plus. 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 Ambulance Billing Specialist -Full Time We are seeking a highly organized and detail-oriented individual to join our team as a Billing Specialist. The successful candidate will be responsible for Billing Ambulance Claims. The ideal candidate will have strong communication skills, a customer service mindset, and the ability to work independently in a fast-paced environment. Responsibilities: Accurately assign appropriate codes to ambulance services based on documentation and coding guidelines. Ensure timely and accurate submission of claims to insurance providers and other payers. Review and correct any billing errors to minimize claim denials. Review and monitor status on submitted claims to ensure the claims have been successfully received by the payors Contact healthcare providers to obtain necessary documentation or clarification regarding claims Update patient accounts and follow up with patients regarding outstanding balances or insurance coverage Stay current with healthcare regulations and guidelines related to medical claims Provide excellent customer service to patients, healthcare providers, and insurance companies Perform additional assignments and special projects based on business need at the direction of the Manager Qualifications: High school diploma Minimum of 2 years of experience in ambulance claims billing, medical claims processing or related field Knowledge of medical terminology, CPT/HCPCS codes, and ICD-10 coding Understanding of insurance coverages, fee schedules, and regulations Proficiency in Microsoft Office and experience using healthcare billing software Strong attention to detail and ability to multitask in a fast-paced environment Excellent written and verbal communication skills Ability to work independently and as part of a team Customer service mindset and ability to handle sensitive or confidential information Adaptability and a willingness to take on additional tasks and responsibilities as needed. Knowledge of international payment and invoicing processes is a plus. 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.

Payer Relations ManagerSummary: Management position responsible to assist the Director with planning, directing and coordinating the overall functions of the medical billing and coding office to ensure a health revenue cycle is sustained while improving patient, physician, and other customer relations. The position requires strong managerial, leadership, and business office skills, including critical thinking and the ability to produce and present detailed billing activity reports. ESSENTIAL DUTIES AND RESPONSIBILITIES: Maintain a proficient working knowledge of CMS-FQHC billing and collection regulations, HRSA Compliance Manual, KY Medicaid FQHC Regulation and CLIA regulations. Ensure the activities of the Grace Health billing team (not limited to: Billing Work Queues, Follow up on Accounts Receivables, Manual Charge Entry, Refunds, Payment Posting, and Unapplied Credits) are performed in a manner consistent with the department's processes and are completed in a timely manner. Assist in the development, implementation, and sustainability of operating policy and procedures. Oversee hiring and supervision of personnel including work allocation, training, problem resolution, cross training and performance evaluation. Collaborate with Payers, ACO, Director of Quality and other Leaders to ensure processes are established to maximize Pay for Performance outcomes. Audit billing and collection processes to monitor and improve billing and collections operations and provide specific feedback as indicated; examples may include audits of new providers, new services, payers, hospital location, PPS rates, timeliness of A/R f/u, etc. Facilitate compliance audits when concerns are identified as well as coordinate ongoing compliance audits such as Consolidated Claims, VFC, or Annual Wellness Visits; work with leadership to ensure process improvement is implemented as indicated and refunds are issued if an overpayment is identified. Monitor compliance with timely submission of charges, lead efforts to address gaps, escalate gaps to CEO and CFO as indicated. Collaborate with Leadership to submit required reporting, such as cost report information and the quarterly Medicare Credit Balance report. Monitor and report outcome metrics to billing staff and leadership. Review and interpret operational data, including lag days, un-submitted charges, days in A/R, credit balance amounts. Demonstrate proficiency and expertise with the functions within the Electronic Health Record, Epic; maximize the utilization of the system's functions and reporting. Communicate concerns related to the Revenue Cycle to appropriate leadership and help develop process improvement as needed always ensuring sustainability. Work on special assigned projects. Participate in professional development activities and maintain professional certification as applicable. Ensure thorough communication and exceptional customer service with internal and external customers. Timely F/U with all patients inquires. Other duties may be assigned. OTHER ESSENTIAL DUTIES and RESPONSIBILITIES: Grace Health recognizes that managing patient care is a team effort that involves clinical and non-clinical staff. All employees must embrace a team-based approach to patient care and understand that each role is important to our success. Team members must demonstrate excellent team communication and coordination to provide quality patient care. Care coordination includes communicating with community organizations, health plans, facilities, and specialists. Care team members understand and embrace the concept of population management and proactively address the needs of patients and families served by this practice. Team members must demonstrate skill and knowledge related to effective communication with vulnerable patient populations. Team members must participate in Continuous Quality Improvement activities within the organization to ensure patients receive high quality care. All team members will be involved in the process of improving quality incomes. Team members will participate in the review and evaluation processes of practice performance and help to identify opportunities for improvement. Team members will participate in Grace Health's advocacy program. GENERAL DUTIES: Follows policies and procedures of the office, including administrative, clinical, quality assurance, and personnel. Maintain good attendance (daily, meetings, and other assignment tasks). Maintain timely documentation of all work assignments. Maintain patient confidentiality. Routinely keep supervisor informed about attendance and job assignment. Flexible in being able to multitask. Work effectively and at an efficient pace. Work cooperatively with providers, administration, and peers QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to assist in advancing Grace Health's mission and to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. SKILLS: Excellent organizational, analytical and decision-making skills. Effective leadership and managerial skills. Exceptional customer service skills; must be able to establish and maintain effective working relationships with employees and other Grace Health leader. Effective written and oral communication skills. Highly organized work habits with ability to prioritize. Exceptional computer skills, including knowledge of the EMR/PM and Excel. EDUCATION and/or EXPERIENCE: Bachelor's Degree in related field. Minimum of three (3) years of experience in a health care setting. Management experience preferred. PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; sit; and use hands to finger, handle, or feel objects, tools, or controls. The employee is occasionally required to reach with hands and arms; stoop, kneel, crouch, or crawl; and taste or smell. The employee must occasionally lift and /or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. WORK ENVIRONMENT: Grace Health is a faith-based, federally qualified community health center (FQHC). We provide primary health services to underserved, underinsured, and uninsured individuals in the southeastern Kentucky region. Our mission is “to show the love and share the truth of Jesus Christ to southeastern Kentucky, thorough access to compassionate, high quality, primary health care for the whole person” regardless of ability to pay. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is occasionally exposed to wet and/or humid conditions, fumes or airborne particles, and toxic or caustic chemicals. The noise level in the work environment is usually moderate. Grace Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Guardian Angel Senior Services is a family-owned Home Care Agency in business for 22 years. Our growing company is looking for support in our Fiscal Department. Basic FunctionThe Billing Specialist is responsible for all aspects of billing, payroll, grant report entry, and ensuring operational effectiveness by implementing new technologies. Additional miscellaneous tasks, and projects, as needed. Responsibilities: Serve as primary biller for assigned Aging Services Access Points Create/Save/Upload billing reports/Files Investigate and correct, when applicable. pre-billing errors. Confirm all reports balance prior to creating files for submission Create billing claims and correspondence. Working with Wellsky on a regular basis Make corrections on billing spreadsheet, coversheet, Generations and Wellsky, when able, e-mail appropriate staff for assistance with remaining errors Run Timesheets E-mail error log and coversheet to ASAP Continuously follow up on error correction progress Confirm Generations Billing report equals final billing numbers from ASAP or Wellsky Service delivery report Save final Service Delivery Report to appropriate ASAP file Provide consulting services on matters related to billing. Always maintains the confidentiality of patient and organization information. Qualifications Ability to work independently, while meeting company deadlines Ability to manage multiple projects, prioritize, and multi-task Commitment to completing tasks Excel at operating in fast paced environments Excellent people skills, open to direction and collaborative work style Must have strong verbal and written communication skills Knowledge of QuickBooks a plus Other Skills: Technical Communication Customer Relations Customer Service Diplomacy Filing MS Office Negotiations Organization Planning Professionalism Project Management Presentation QuickBooks Time Management Typing Skills Sales Education/Training Experience Prior home care experience required. Prior billing / payroll experience required.Apply Today! Submit Resume for Consideration Guardian Angel Senior Services is an Equal Opportunity Employer. We do not discriminate against race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, or genetic information.

Job DescriptionGuardian Angel Senior Services is a family-owned Home Care Agency in business for 22 years. Our growing company is looking for support in our Fiscal Department. Basic FunctionThe Billing Specialist is responsible for all aspects of billing, payroll, grant report entry, and ensuring operational effectiveness by implementing new technologies. Additional miscellaneous tasks, and projects, as needed. Responsibilities: Serve as primary biller for assigned Aging Services Access Points Create/Save/Upload billing reports/Files Investigate and correct, when applicable. pre-billing errors. Confirm all reports balance prior to creating files for submission Create billing claims and correspondence. Working with Wellsky on a regular basis Make corrections on billing spreadsheet, coversheet, Generations and Wellsky, when able, e-mail appropriate staff for assistance with remaining errors Run Timesheets E-mail error log and coversheet to ASAP Continuously follow up on error correction progress Confirm Generations Billing report equals final billing numbers from ASAP or Wellsky Service delivery report Save final Service Delivery Report to appropriate ASAP file Provide consulting services on matters related to billing. Always maintains the confidentiality of patient and organization information. Qualifications Ability to work independently, while meeting company deadlines Ability to manage multiple projects, prioritize, and multi-task Commitment to completing tasks Excel at operating in fast paced environments Excellent people skills, open to direction and collaborative work style Must have strong verbal and written communication skills Knowledge of QuickBooks a plus Other Skills: Technical Communication Customer Relations Customer Service Diplomacy Filing MS Office Negotiations Organization Planning Professionalism Project Management Presentation QuickBooks Time Management Typing Skills Sales Education/Training Experience Prior home care experience required. Prior billing / payroll experience required.Apply Today! Submit Resume for Consideration Guardian Angel Senior Services is an Equal Opportunity Employer. We do not discriminate against race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, or genetic information. Powered by JazzHR L50Hq1yBr9

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.