Lead Zuora Billing and Revenue Consultant Remote - US
Twilio 4.5
Remote job
Lead Application Engineer, Zuora Billing and Revenue
Remote - US
Who we are
At Twilio, we're shaping the future of communications, all from the comfort of our homes. We deliver innovative solutions to hundreds of thousands of businesses and empower millions of developers worldwide to craft personalized customer experiences.
Our dedication to remote-first work, and strong culture of connection and global inclusion means that no matter your location, you're part of a vibrant team with diverse experiences making a global impact each day. As we continue to revolutionize how the world interacts, we're acquiring new skills and experiences that make work feel truly rewarding. Your career at Twilio is in your hands.
See yourself at Twilio
Join the team as Twilio's next Lead Application Engineer, Zuora Billing & Revenue
About the job
This position is needed to join our Enterprise Application Development and Operations team. This role will focus on leading, designing, architecting, configuration, development, and testing of Zuora Billing and Revenue-specifically within the Invoice-to-Cash (I2C) and Revenue areas-to support key functions across Finance, Billing, Accounts Receivable (AR), Revenue Recognition and Accounting.
The ideal candidate is a self-starter with a strong analytical mindset, exceptional communication skills, and should be able to lead and conduct design workshops with the business, build a prototype of the system for demos before the start of the development phase. The candidate will partner closely with cross-functional teams including Global Accounting and Billing to drive automation, scalability, and innovation across Twilio's I2C landscape.
Responsibilities
In this role, you'll:
Lead a design, configuration, development, and testing of Zuora solutions focused on Billing, AR, Cash Application, and Revenue processes.
Conduct business workshops to gather and analyze requirements and translate them into effective Zuora solutions.
Partner with process owners to define and benchmark operational KPI and to develop/deliver KPI dashboards and reports by using Zuora object queries and data queries etc
Create system prototypes and demos to validate solutions with stakeholders before development begins.
Lead cross-functional requirement sessions to elicit, document and analyze business requirements and functional specifications. Includes identifying unspoken or conflicting requirements and challenging the norm.
Collaborate with Finance, Billing, and Revenue teams to ensure accurate implementation of business processes.
Integrate Zuora Billing and Revenue with multiple upstream usage systems and downstream accounting platforms like Oracle Fusion, Highradius, Monkey, Salesforce, etc
Perform checks and monitoring the critical processes in production instances and proactively identify the issues and fix them
Make sure team is performing regular KLO operations and stakeholders support with daily activities, Financial close, reconciliations etc
Support QAR, Audit and SOX compliance.
Mentor and lead junior consultants in the team to enable them to make project deliverables.
Qualifications
Twilio values diverse experiences from all kinds of industries, and we encourage everyone who meets the required qualifications to apply. If your career is just starting or hasn't followed a traditional path, don't let that stop you from considering Twilio. We are always looking for people who will bring something new to the table!
Required:
Strong hands-on experience in Zuora Billing and Revenue modules including Product and customer master data management in Zuora
Demonstrated ability to lead the end-to-end implementation lifecycle-from requirements gathering through to testing and deployment.
Solid understanding of Billing and revenue workflows, including integrations with usage load via Mediation, taxation and Invoice presentment
Experience working closely with finance and accounting stakeholders in global organizations.
Excellent interpersonal, verbal, and written communication skills.
Strong time management and organizational skills; able to manage multiple initiatives in parallel.
Should have a good knowledge of change management, Agile methodologies.
Certifications in Zuora Billing and Revenue implementations
Location
This role will be remote, but is not eligible to be hired in San Francisco, CA, Oakland, CA, San Jose, CA, or the surrounding areas.
Travel
We prioritize connection and opportunities to build relationships with our customers and each other. For this role, you may be required to travel occasionally to participate in project or team in-person meetings.
What We Offer
Working at Twilio offers many benefits, including competitive pay, generous time off, ample parental and wellness leave, healthcare, a retirement savings program, and much more. Offerings vary by location.
Compensation
The successful candidate's starting salary will be determined based on permissible, non-discriminatory factors such as skills, experience, and geographic location.
Applications for this role will be accepted on an ongoing basis.
Twilio thinks big. Do you?
We like to solve problems, take initiative, pitch in when needed, and are always up for trying new things. That\'s why we seek out colleagues who embody our values - something we call Twilio Magic. Additionally, we empower employees to build positive change in their communities by supporting their volunteering and donation efforts.
So, if you\'re ready to unleash your full potential, do your best work, and be the best version of yourself, apply now! If this role isn\'t what you\'re looking for, please consider other open positions.
Twilio is proud to be an equal opportunity employer. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, genetic information, political views or activity, or other applicable legally protected characteristics. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law. Additionally, Twilio participates in the E-Verify program in certain locations, as required by law.
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$76k-102k yearly est. 3d ago
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Remote Client Account Specialist
Professional Careers
Remote job
We're looking for candidates with great customer service skills to fill our Remote Customer Service role!
This role is entirely remote and offers full-time/Part time hours with flexibility . We are ready to schedule interviews for this week.
We're seeking someone who is great with people, building relationships, and putting customers first. Our ideal candidate is eager to grow, ready to learn, and loves a fast-paced atmosphere.
Language Requirement: Proficient level English
Preferred experience/skills:
Previous experience in customer service or sales is a plus.
Great communication skills
Ability to listen to and understand customer needs.
Good problem-solving skills
Comfortable working remotely and independently
Willingness to learn and develop new skills.
Ability to adapt to change in a dynamic environment.
If this sounds like you, we'd love to chat!
What You Can Expect:
Flexible schedule
100% Remote position (Work from home)
Hands on training
Life insurance
Health insurance reimbursement
Industry-leading resources and technology
We hope to see your application soon!
$42k-64k yearly est. 6d ago
Healthcare Collections Specialist
Firstsource 4.0
Remote job
Job Title: Healthcare Collections Specialist
Schedule: M-F 8am to 9pm EST
Role Description: The Healthcare Collections Specialist performs specialized collection work. This task is performed on behalf of clients to help in reducing their outstanding accounts receivables
Roles & Responsibilities
* Efficiently navigate multiple software systems while documenting current and confidential account information
* Maintain a confidential and organized remote work environment
* Assist in acquiring and updating debtors' contact information within client systems.
* Handle inbound calls from patients seeking assistance with payment on their outstanding medical/healthcare accounts, offering suggestions for resource acquisition or negotiating payment arrangements compliant with the healthcare provider's guidelines
* Initiate outbound calls to patients who have yet to establish payment or payment arrangements for resolving outstanding medical/healthcare bills, providing assistance and guidance on payment options
* Collaborate effectively in a virtual team environment to meet daily and monthly productivity goals, focusing on call volume and collection targets
* Operate within a virtual work setting, participating in weekly contests and incentives to maintain high motivation and engagement with patients to collect outstanding amounts
Commit to staying up-to-date with collection laws and company compliance requirements, ensuring adherence to the Fair Debt Collection Practices Act (FDCPA) while assisting patients
* Comply with federal laws governing collection practices
* Adhere to the company's established policies and procedures, as detailed in the Employee Handbook and the Employee Code of Conduct
* Demonstrate an understanding of and active participation in the Corporate Compliance Program
* Assist with additional projects as directed by management
Preferred Educational Qualifications
* High school diploma or equivalent is required
Preferred Work Experience
* Collection's experience is preferred
* 6 months customer service experience
Competencies & Skills
* Proficiency in engaging and communicating with patients, colleagues, and management, whether in physical or remote virtual chat settings
* Consistent demonstration of a courteous and professional demeanor
* Self-discipline to remain focused on tasks, even with minimal supervision
* Proactive and innovative approach to fulfilling job responsibilities
* Skillful prioritization of multiple tasks through effective time management and organizational abilities
* Strong PC proficiency, with a typing speed ranging from 30-40 words per minute
About Firstsource
Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services. Firstsource specialises in helping customers stay ahead of the curve through transformational solutions to reimagine business processes and deliver increased efficiency, deeper insights, and superior outcomes.
We are trusted brand custodians and long-term partners to 100+ leading brands with presence in the US, UK, Philippines, India and Mexico. Our 'rightshore' delivery model offers solutions covering complete customer lifecycle across Healthcare, Telecommunications & Media and Banking, Financial Services & Insurance verticals.
Our clientele includes Fortune 500 and FTSE 100 companies
$28k-35k yearly est. 2d ago
Billing Specialist
Open Mind Health 3.8
Remote job
DESCRIPTION BILLING SPECIALIST
REPORTS TO: CHIEF OPERATING OFFICER
We are a collaborative team of mind-body-spirit experts who provide innovative, evidence-guided, and virtual care to help people heal and thrive in the real world today. Open Mind Health provides virtual psychiatry, talk therapy, and complementary modalities such as hypnotherapy to enhance wellbeing and personal evolution in a coordinated care plan.
We have developed customized Wellness Tracks for all people to address Core Symptoms, Core Life Domains, and Diverse Populations, including LGBTQ+, Veterans, and people of color. Artificial Intelligence-guided ongoing assessment and evaluation uses targeted approaches to realize optimal outcomes for clients. Visit us at openmindhealth.com.
Open Mind Health providers seek to understand the whole person in their encounters with clients, evaluate areas of strength and opportunity, and develop a comprehensive and accountable plan that brings clients to a state of balance, with ultimately progressive movement in their personal evolution. Our concept brings our various healing modalities as appropriate, including medication management, therapy, and complementary & alternative approaches to help our clients live their best lives.
Founded in 2021, Open Mind Health has expanded rapidly to provide services virtually in over 22 states and expects to offer services nationally by the end of 2024. Individuals who thrive in an environment of excitement, expansion, and innovation will likely find a home at Open Mind Health. This is an opportunity to join a fast-growing behavioral health startup, demonstrate your skills and abilities, and position yourself for career growth.
ABOUT THE ROLE
This position will own the coding and billing functions within Open Mind Health and will coordinate with others to assure error-free and appropriate RCM submissions to enable timely cash flow for the company. The lead will also engage in timely follow-up to billing disputes, claim denials, and any other intervening issue that has the potential to interrupt the flow of claims and subsequent payer remittances. This individual will also collaborate with client liaison representatives to offer insights and feedback on encounter readiness and closure processes to identify and rectify errors. Working as a team, the goal is to enable client-provider encounters that are expertly coordinated from end-to-end with zero defects in the spirit of Kaizen (continuous improvement).
JOB RESPONSIBILITIES
Review completed encounters on an ongoing basis and submit to RCM or via other billing portals as required.
Communicate errors and coach/cheerlead others to identify recurrent issues in an effort to prevent them.
Track no-show appointments on spreadsheet and respond to processing directions based on comments by clinical leadership.
Communicate with insurance companies/referrers/payers to inquire regarding status of payments.
Bill for client responsibility amounts by credit card or invoice, for copays, deductibles, and no-show charges.
Meet bi-weekly with representatives from RCM vendor to ascertain payment flow and address any issues.
Works with and familiarizes self with the practices and policies of assigned insurance carriers.
Work with outsourced collections company to optimize past due receivables.
Uses personal computer to communicate by telephone, fax, email, text, EHR message.
Owns the client experience from end-to-end for groups of clients covered by specific health insurance carriers.
Other tasks and responsibilities as assigned.
PREFERRED QUALIFICATIONS, ATTRIBUTES, & REQUIREMENTS
Post-secondary education at AA or beyond is desirable. Medical office certification is preferred.
Two plus years working in a healthcare setting, preferably in behavioral/mental health working directly with patients/clients and with electronic health records (EHR) systems such as CharmHealth.
Experience working directly with major insurance carriers.
Demonstrated billing and coding experience and knowledge, and familiarity with revenue cycle management.
Excellent people skills to work with clients, payers, and colleagues.
Exceptional time management and attention to detail.
Ability to independently self-direct activities in a high-volume remote work environment.
Excellent problem-solving skills and demonstrable critical thinking abilities.
High orientation to continuous improvement.
Familiarity with Zoho CRM and Zoho Voice.
Knowledge of ICD-10 and CPT codes and terminology.
Experience working remotely with minimal supervision but with ongoing monitoring.
Has worked with a variety of payer portals including Aetna, Blue Cross Blue Shield, Optum, United, Kaiser Permanente, and more.
Maturity and integrity when handling confidential information, including sensitive HIPAA-governed client information, including the ability to respond to legal information requests and client service inquiries.
Knowledge of Microsoft Excel, Word, and Outlook.
Excellent written and verbal communication skills.
Personal computer with functional camera and audio, second monitor, and reliable high-speed internet (no mobile phone tethering permitted).
Private and noise- and people-free work environment within the home.
WHAT THE JOB OFFERS
Competitive pay in the range of $15-$18 per hour depending on experience.
10 days PTO per year, with increasing PTO allotment after two years of service.
10 paid statutory holidays per year.
2 days Compassion & Civics PTO to cover bereavement, voting, family care.
Employer health care contribution.
Dental and vision plan.
401(k) plan.
$50 per month technology stipend.
A culture of caring, compassion, and accountability.
Opportunities for career growth and personal evolution.
*** Benefit descriptions are for full-time employees only - part-time employees may only receive partial or pro-rated versions of these benefits.
*** A high volume of billing processing and interactions occur on a daily basis, and as such, the company uses intermittent workflow monitoring audits to ensure productivity.
$15-18 hourly Auto-Apply 60d+ ago
Experienced Legal Billing Coordinator - Remote
Friedman Vartolo LLP
Remote job
Job Description
The Company
Friedman Vartolo LLP is a fast-growing, New York-based law firm specializing in real estate and default services, with over 300 employees across six states. While our legal expertise sets us apart, it's our mindset that drives us forward. We bring a fresh, fast-paced energy that drives our momentum and shapes how we approach every challenge.
We are a company that chooses to dig deeper, solving problems at the root instead of settling for surface fixes. Here, there are no passengers because every individual adds value, owns outcomes, and moves the firm forward. With an underdog mentality, we embrace constant elevation, always sharpening, always climbing, and never coasting. When challenges come, we row together and lean in as one team to get the job done, no matter what.
The Position
Friedman Vartolo LLP is seeking an experienced Legal Billing Coordinator to join its accounting department. The Billing Coordinator ensures the Firm tracks and collects billable fees and costs consistently and correctly. This position supports the day-to-day operations of the firm by ensuring the Firm charges its clients appropriately and collects payments in a timely manner. In this role, you will be requesting and receiving fee approvals from clients, invoicing, reviewing case management system activity, and handling general billing inquires.
This position requires accurate and reliable managing of financial records and processing business transactions. Strong attention to detail and organizational skills are essential. A strong degree of computer knowledge is required.
Responsibilities
Request and receive approval from clients to bill excess fees
Create invoices for work performed by attorneys and paralegals in accordance with established Firm guidelines and client directives
Thoroughly review case management system to ensure accurate billing of work completed
Prepare invoices for submission to clients by reviewing and attaching necessary supporting documents such as third party receipts, bills, court filings, fee approvals
Communicate with attorneys and paralegals to ensure timely and accurate billing
Assist in resolving billing inquiries and issues
Maintain detailed, accurate and up to date billing records
Review and prioritize unbilled fees and costs based on case activity and client deadlines
Work independently on assigned workload but also be able to collaborate with team members
Assist managers with other billing, A/R and A/P tasks as needed
Requirements
2+ years of default services legal billing experience
Comfortable working with numbers
Proficient with Microsoft Excel and other Office applications
Superior organizational, resourcefulness, multi-tasking and time management skills
Excellent written and verbal communication skills
Ability to determine areas of weakness and find creative solutions to improve efficiency
Experience in legal billing or foreclosure default processing a plus
Compensation/Benefits
We offer a compensation package that will be commensurate with experience and a competitive benefits package including medical, dental, vision, flex spending, 401k and gym/fitness membership reimbursement.
ADA Compliance
Consistent with the Americans with Disabilities Act (ADA), it is the policy of Friedman Vartolo to provide reasonable accommodations when requested by a qualified applicant or candidate with a disability, unless such accommodation would cause an undue hardship for Friedman Vartolo. If you require a reasonable accommodation to complete a job application, pre-employment testing, a job interview or to otherwise participate in the hiring process, please contact Recruitment at ******************************* to request an accommodations.
Location
This position can be remote.
Job Posted by ApplicantPro
$41k-60k yearly est. 5d ago
Billing Coordinator
Joseph, Hollander & Craft LLC
Remote job
Job DescriptionDescription:
Joseph, Hollander & Craft LLC has an immediate opening for an experienced Billing Coordinator to join our team. The ideal candidate will be highly organized and able to provide excellent internal and external customer service in addition to providing billing & collections assistance to our attorneys utilizing current billing techniques, software and equipment. Accuracy and attention to detail is required. Excellent communication, organizational skills, ability to manage multiple projects simultaneously, participation in on-going learning and development, and demonstration of initiative are essential in this role. Must have a working knowledge of Microsoft Word, Excel and Outlook.
Job Duties:
Completes all data entry and client file management tasks including: conflict checking, setting up and maintain client files; scanning, uploading and coding client related materials for incorporation into electronic client file using document management system (DMS).
Generates client prebills using legal billing & collections software and collaborating with attorneys to ensure invoice accuracy prior to submission of final invoices and revising as directed.
Communicates directly with clients via telephone, e-mail, and U.S. mail to address account related questions and collections efforts.
Processes and posts client payments to the firm's accounting software consistent with IOLTA trust rules and guidelines.
Monitors and reports the status of accounts receivable to individual attorneys and management, which includes monthly meetings and report generation, followed by preparation and submission of collections correspondence and/or collections calls.
Other tasks as assigned
Job Type: Full-time
Pay: $23 - $30 per hour depending on years of experience
Benefits:
Dental Insurance
Health Insurance
Vision Insurance
Pediatric Dental & Vision Insurance
Life Insurance
Employee Assistance Program (EAP)
Long Term Disability Insurance
Short Term Disability Insurance
Flexible Benefit Spending Plan (Section 125)
401(k) with Firm Matching
Free Parking
Paid Holidays
Paid Time Off
Discounted Legal Services
Pet-friendly Workplace
Work Location: In person in our Overland Park office
Work Remotely: Position is compatible with firm's limited Telecommuting / Remote Work Program; employees are eligible to participate after 90 days of full-time employment subject to program guidelines.
Requirements:
Requirements: One to two years of experience working in a fast-paced legal environment providing billing support and assistance to attorneys and billing/finance team utilizing billing & collections software required. Experience in e-billing is a plus. Experience preparing budgets and submitting invoices in Legal Electronic Data Exchange Standard (LEDES) format using third party electronic billing portals, such as Legal-X, Legal Tracker, TyMetrix, eVoucher, and Legal exchange is a plus. Experience using Tabs3 modules, including TABS and TaskBill, is also a plus.
Maintains client confidence by keeping client/attorney information confidential.
Represents the firm in a professional way by communicating and obtaining information from clients, colleagues, and case teams. Follows up on delegated assignments; knowing when to act and when to refer matters to attorney or supervisor.
Demonstrates diligence and commitment to meeting all deadlines and maintaining composure in high-stress or hectic scenarios.
Exhibits commitment to teamwork by establishing and maintaining good working relationships with clients, attorneys and office colleagues.
Demonstrates proficiency in use of a personal computer, all relevant software, tools and applications and other common office and business equipment, including copy and fax machines, scanners, printers, etc.
$23-30 hourly 23d ago
Billing Coordinator
Media Works 3.8
Remote job
Job DescriptionSalary: $23/hr
Billing Coordinator
Media Works LTD, a highly-respected, fast paced, energetic strategic media agency in Baltimore, MD is looking to fill the role of Billing Coordinator/Invoicing Specialist. We deliver digital and offline media solutions for brands across the country.
We are looking for a Invoicing Specialist to assist with managing media bills and work with agency account teams to collect client media invoices, check for accuracy and submit for payment. This role will also include basic administrative assistant responsibilities.
Essential Duties/Responsibilities:
Checking media invoices for accuracy and submitting for payment within strict monthly deadlines
Accountable for checking all details of invoices, finding any discrepancies and bringing them to the attention of other team members
Communicate openly with account teams status of invoice packets
Administrative responsibilities including answering phones and sorting and delivering mail and packages
Other duties as assigned
Experience, Education and Skills:
Ability to prioritize and handle multiple tasks in a fast paced work environment
Experience with Microsoft Office Tools with proficiency in Microsoft Excel
Excellent written and verbal communication skills
Ability to work independently and on a team
Strong attention to detail and simple math skills
Associates degree preferred but not required
Experience in automotive billing or title processing a plus.
Media Works is an Equal Opportunity Employer. Qualified applicants, please send resume and cover letter.
Job Type: Full-time
Salary: $20-23/hr
Expected hours: 37.5 per week
Benefits:
401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance
Work from home
$20-23 hourly 19d ago
Diversified Billing Specialist-Remote
Mayo Clinic Health System 4.8
Remote job
Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.
Benefits Highlights
* Medical: Multiple plan options.
* Dental: Delta Dental or reimbursement account for flexible coverage.
* Vision: Affordable plan with national network.
* Pre-Tax Savings: HSA and FSAs for eligible expenses.
* Retirement: Competitive retirement package to secure your future.
Responsibilities
The Diversified Billing Specialist is primarily responsible for supporting the activities of Mayo Clinic Ambulance Billing. Also responsible for collecting specific patient account information through the use of automated system, focusing on each account, one customer at a time. Responds to and resolves a variety of accounts, billing and payment issues from patients/customers on specific types of accounts. Uses excellent customer service and interpersonal skills when interacting with patients and customers. Makes appropriate decisions that require individual and/or team analysis, reasoning and problem solving. Interprets, applies, and communicates Mayo Clinic policies regarding medical and financial aspects of patient care to assure optimal reimbursement for both the patient and Mayo Clinic Ambulance.
Qualifications
High school education or equivalent.
Previous ambulance billing certification or experience preferred.
Qualified candidates must be customer focused, service oriented and possess strong skills in: team building, communications, decision making, problem solving, interaction, coping and versatility. Knowledge of PC Windows, Microsoft Word, and Excel, medical terminology, and Health Quest systems helpful. Knowledge of Medicare, Medical Assistance and Insurance processes and procedures. Keyboarding experience, 40 wpm preferred.
Healthcare Financial Management Association (HFMA) Certification Preferred.
* This position is a 100% remote work. Individual may live anywhere in the US.
This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.
Exemption Status
Nonexempt
Compensation Detail
$23.69 -$31.98 / hour
Benefits Eligible
Yes
Schedule
Full Time
Hours/Pay Period
80
Schedule Details
Monday-Friday 8am-4:30pm CST
Weekend Schedule
N/A
International Assignment
No
Site Description
Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is.
Equal Opportunity
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the 'EOE is the Law'. Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.
Recruiter
Ronnie Bartz
Unlock Your Potential: Join TEWS and Solve the Talent Equation for Your Career
REMOTE OPPORTUNITY!
We are seeking an experienced and adaptable Hospital Patient Billing Specialist - TRICARE to play a key role in ensuring patient accounts are accurately processed!
Pay: $17-$20/hour, depending on experience
Contract Length: Minimum of 6 months, with strong possibility to extend
EQUIPMENT REQUIREMENT: MUST HAVE ACCESS TO LAPTOP AND MONITORS!
Minimum Requirements
EPIC and hospital patient accounting or revenue cycle experience required
Experience billing or following up on TRICARE or government payer claims strongly preferred
Knowledge of hospital billing workflows, claim edits, and AR follow-up
Strong attention to detail and customer service skills
Ability to manage multiple accounts and meet follow-up timelines
Key Responsibilities
Submit and follow up on hospital claims for TRICARE
Resolve claim edits, rejections, and bill holds to ensure timely reimbursement
Manage assigned account work queues, including DNB, claim edits, and payer no-response
Communicate with TRICARE, other payers, and patients to resolve billing issues
Review electronic payer error reports and correct claims as needed
Document all account activity accurately in the billing system
Why Join Us?
Opportunity to join a mission-driven team in a fast-paced, evolving healthcare environment
Strong focus on professional development and internal career growth
TEWS has opportunities with leading companies for professionals at all career stages, whether you're a seasoned consultant, recent graduate, or transitioning into a new phase of your career, we are here to help.
$17-20 hourly 1d ago
Billing Coordinator
Avispl
Remote job
Provide billing support to our project accountants and regional operations and finance teams. Ensure accurate and prompt submission of billing requests to reduce uncollectible receivables. Maintain professional and timely communication with both internal and external customers regarding the status of projects throughout the invoicing process.
Essential Duties and Responsibilities
Collaborate with project accountants to receive and manage financial workflow tasks.
Identify, validate, and submit accurate billing requests in accordance with contract terms.
Collect and verify all necessary documentation to ensure the timely release of payment.
Review billing requirements for each job, ensuring compliance with contract specifications.
Monitor unbilled reports to minimize unbilled revenue, ensuring all entries are accurate and up-to-date.
Coordinate between project accountants and revenue operations on billing and related financials to ensure timely invoicing with the objective of increasing incoming cash flow.
Assist with account reconciliations as needed.
Perform other duties as assigned.
Skills and Abilities
Ability to balance multiple tasks with changing priorities.
Ability to work and think independently and to meet deadlines.
Strong organizational skills and excellent attention to detail.
Must have clear and professional communication skills (written and oral) both internally and externally.
Ability to negotiate conflict and maintain constructive working relationships with people at all levels of the organization
Ability to handle sensitive and confidential information.
Education and/or Experience
A minimum of a High School Diploma or equivalent is required. Bachelors in Accounting/ Finance/Business or related field is preferred.
Accounting experience preferably in a construction or government contracting environment.
Intermediate to advanced proficiency in Microsoft Excel and other Microsoft Office applications.
Experience in the AV industry is a plus.
Working Environment
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. This job operates in a professional office environment. This role uses standard office equipment such as computers, headsets etc.
MORE ABOUT US
AVI-SPL is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, disability status, or membership in any other group protected by federal, state, or local law. AVI-SPL is an AA/Disabled/Veteran Protected Employer VEVRAA Federal Contractor.
AVI-SPL reserves the right to alter work hours and work location as necessary. Work hours may vary based on client requirements and may include travel to various locations in support of the account.
Pay Type
Min Base
Max Base
Hourly
$20.19/hr
$26.44/hr
This pay range represents the base salary for this position. Actual compensation within the range will depend on a variety of factors including but not limited to experience, skills, and location.
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$20.2-26.4 hourly Auto-Apply 60d+ ago
Billing Coordinator II (Remote)
Halo 4.6
Remote job
Job DescriptionDescription:
We are HALO! We connect people and brands to create unforgettable, meaningful, and lasting experiences that build brand engagement and loyalty for our over 60,000 clients globally. Our nearly 2,000 employees and 1,000 Account Executives located in 40+ sales offices across the United States are the reason HALO is the global leader in branded merchandise, uniform programs, and recognition and incentive solutions.
HALO is looking for a Billing Coordinator II who will be responsible for managing the accuracy and timeliness of billing processes, including reviewing and resolving pricing discrepancies, maintaining consistent invoicing practices, and supporting both internal and external stakeholders. This role requires strong problem-solving skills, attention to detail, and the ability to work independently while managing multiple priorities.
*** This role is Remote, with Central Time work hours. ***
Responsibilities
Review and resolve pricing discrepancies between customer orders and vendor invoices in collaboration with Order Processing team.
Serve as a direct point of contact for customers and assigned Account Executives to address billing-related inquiries.
Maintain consistency by ensuring 90% of invoicing occurs within the 0-14 day time frame.
Escalate orders to leadership as necessary to ensure timely invoicing.
Attend team meetings and provide insights on trends, resolution steps, and exceptions.
Prepare, update, and maintain Excel spreadsheets as needed.
Communicate effectively with Account Executives to resolve billing issues and provide one-touch resolution where possible.
Exercise autonomy to diagnose customer situations and make sound decisions on prioritization to meet deadlines.
Apply knowledge of sales orders, including cost, sell commission margins, and adjustments.
Review freight charges and accurately apply or remove them as needed.
Independently manage order holds and release workflows.
Adapt to specific workflows that may vary depending on the team assignment.
Requirements:
2+ years of experience in B2B and/or B2C Billing, Accounts Payable, Accounts Receivable.
Strong computer skills, including proficiency in Microsoft Word, Excel, Outlook and Teams
Experience in working in NetSuite and SharePoint is highly preferred
Excellent typing (40 WPM) and 10-key data entry skills (8,000 KPM).
Strong verbal and written communication skills.
Demonstrated ability to manage time effectively, prioritize tasks, and meet deadlines.
Ability to multi-task and perform well under pressure.
Positive and professional demeanor with a strong customer service orientation.
Proven problem-solving and critical thinking capabilities.
Flexibility to work both independently and in a team environment.
Willingness to work overtime when required.
Ability to independently manage the invoicing process with minimal supervision.
Preferred Skills
Previous experience working directly with customers or sales teams in a billing or finance-related environment.
Knowledge of sales order processes, commission structures, and margin adjustments.
Experience identifying billing trends and proposing process improvements.
Experience in Freight billing.
Compensation: The estimated hourly range for this position is between $16.00 - $20.00 an hour. Please note that this pay range serves as a general guideline and reflects a broad spectrum of labor markets across the US. While it is uncommon for candidates to be hired at or near the top of the range, compensation decisions are influenced by various factors. At HALO, these include, but are not limited to, the scope and responsibilities of the role, the candidate's work experience, location, education and training, key skills, internal equity, external market data, and broader market and business considerations.
Benefits: At HALO, we offer benefits that support all aspects of your life, helping you find a work-life balance that's right for you. Our comprehensive benefits include nationwide coverage for Medical, Dental, Vision, Life, and Disability insurance, along with additional Voluntary Benefits. Prepare for your financial future with our 401(k) Retirement Savings Plan, Health Savings Accounts (HSA), and Flexible Spending Accounts (FSA).
Application Information: To apply to this opportunity, click the APPLY button at the top right or very bottom of the screen to complete our online application. A resume is optional, so you may choose to upload and have the application prefill with your information. There are 5 sections to complete in total, including General information, Work History, Education, Compliance, and optional demographic questions. Once you have successfully submitted your application, you will receive a submission confirmation email from our system.
Application Deadline: Applications are reviewed and processed only when there is a specific need or opportunity, rather than on a fixed schedule or at a set deadline. Because they are reviewed on an as-needed basis, a job posting will be removed once the position has been filled or is no longer available.
More About HALO:
At HALO, we energize our clients' brands and amplify their stories to capture the attention of those who matter most. That's why over 60,000 small- and mid-sized businesses partner with us, making us the global leader in the branded merchandise industry.
Career Advancement: At HALO, we're passionate about promoting from within. Internal promotions have been key to our exponential growth over the past few years. With so many industry leaders at HALO, you'll have the opportunity to accelerate your career by learning from their experience, insights, and skills. Plus, you'll gain access to HALO's influential global network, leadership opportunities, and diverse perspectives.
Culture: We love working here, and we're confident you will too. At HALO, you'll experience a culture of ingenuity, inclusion, and relentless determination. We push the limits of possibility and imagination by staying curious, humble, and bold breaking through yesterday's limits. Diversity fuels our creativity, and we thrive when each of us contributes to an inclusive environment based on respect, dignity, and equity. We hold ourselves to a high standard of excellence with a commitment to results and supporting one another with accountability, transparency, and dependability.
Recognition: At HALO, your success is our success. You can count on us to celebrate your wins. Colleagues across the company will join in recognizing your milestones and nominating you for awards. Over time, you'll accumulate recognition that can be converted into gift cards, trips, concert tickets, and merchandise from your favorite brands.
Flexibility: Many of our roles offer hybrid work options, and we pride ourselves on flexible schedules that help you balance professional and personal demands. We believe that supporting our customers is a top priority and trust that you and your manager will collaborate to create a schedule that achieves this goal.
HALO is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We insist on an environment of mutual respect where equal employment opportunities are available to all applicants without regard to race, color, religion, sex, pregnancy (including childbirth, lactation and related medical conditions), national origin, age, physical and mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military and veteran status, and any other characteristic protected by applicable law. Inclusion is a core value at HALO and we seek to recruit, develop and retain the most talented people.
HALO participates in E-Verify. Please see the following notices in English and Spanish for important information: E-Verify Participation and Right to Work.
$16-20 hourly 27d ago
Medical Billing Specialist Remote
Cardinal Health 4.4
Remote job
The Medical Billing Specialist is responsible for accurately coding fertility diagnostic ,treatment services and surgical procedures, submitting insurance claims, and managing the billing process for a fertility practice or healthcare facility. They ensure compliance with healthcare regulations and maximize revenue by optimizing reimbursement.
General Summary of Duties:
Responsible for gathering charge information, coding, entering into data base
complete billing process and distributing billing information. Responsible for
processing and filing insurance claims and assists patients in completing
insurance forms.
Essential Functions:
o Prepare and submit insurance claims accurately and in a timely manner.
o Verify patient insurance coverage and eligibility for fertility services( treatments and surgical procedures).
o Review and address coding-related denials and discrepancies.
o Researches all information needed to complete billing process including getting charge information from physicians.
o Assists in the processing of insurance claims
o Processes all insurance provider's correspondence, signature, and insurance forms.
o Assists patients in completing all necessary forms, to include payment arrangements made with patients. Answers patient questions and concerns.
o Keys charge information into entry program and produces billing.
o Processes and distributes copies of billings according to clinic policies.
o Records payments for entry into billing system.
o Follows-up with insurance companies and ensures claims are paid/processed.
o Resubmits insurance claims that have received no response or are not on file.
o Works with other staff to follow-up on accounts until zero balance.
o Assists error resolution.
o Maintains required billing records, reports, files.
o Research return mail.
o Maintains strictest confidentiality.
o Other duties as assigned
o Identify opportunities to optimize revenue through accurate coding and billing practices.
o Assist in developing strategies to increase reimbursement rates and reduce claim denials.
Benefits:
Offers nationally competitive compensation and benefits. Our benefits program provides a comprehensive array of services to our employees including, but not limited to health insurance (Primarily covered by the company), paid time off, retirement contributions (401k), & flexible spending account
$34k-41k yearly est. 60d+ ago
Authorization and Billing Coordinator
Bamf Health Inc.
Remote job
Join BAMF Health, where you're not just part of a team; you're at the forefront of a revolution in Theranostics, changing lives for the better. As a member of our global team, you'll contribute to pioneering technology and deliver top-tier patient care.
Located in the heart of downtown Grand Rapids, our cutting-edge global headquarters resides within the state-of-the-art Doug Meijer Medical Innovation Building. Step into our modern and spacious facilities, where innovation thrives and collaboration knows no bounds.
Join us in our mission to make Theranostics accessible and affordable for all, and be part of something truly remarkable at BAMF Health.
The Authorization and Billing Coordinator is responsible for obtaining and verifying insurance and benefit information, including pre-authorizations, referrals, and pre-certifications, in coordination with referring providers. This role reviews scheduled services against payer medical policies to ensure medical necessity and appropriate documentation. Serves as a key resource for patients regarding financial responsibilities, providing cost estimates, collecting payments, establishing payment plans, and referring to assistance programs as needed. Manages an assigned segment of patient balances, addresses front-end payer denials, and collaborates with patients, providers, and payers to ensure timely and accurate processing of authorizations and billing.
Verification: Confirm insurance coverage and benefits, including pre-authorization requirements. Review patient accounts for outstanding balances and provide required forms (e.g., ABN, GFR) per policy.
Authorization Requests: Process authorization requests, ensuring all documentation is complete and accurate. Review CPT and ICD-10 codes for medical necessity based on payer policies.
Financial Counseling: Answer patient billing questions and provide information on available financial or community assistance resources.
Patient Balances: Manage assigned patient balances, including handling phone calls, setting up payment plans, and addressing account inquiries.
Communication: Communicate effectively with patients, providers, and payers via phone, in person, or electronically, delivering excellent customer service.
Documentation: Accurately document account activities, including authorizations, payment plans, denials, approvals, and related communications.
Compliance: Follow all company policies, payer guidelines, and regulatory requirements. Maintain HIPAA compliance and uphold patient privacy and confidentiality.
Appeals: Assist with preparing and submitting appeals for denied authorizations, including supporting documentation and follow-up. Request retro-authorizations when applicable.
Customer Service: Demonstrate active listening and empathy in resolving or escalating concerns. Serve as a liaison between patients, clinical teams, and billing staff to ensure clear and accurate communication.
Basic Qualifications:
High School Diploma or GED required
2 years working in a health care setting required
1 year acquired prior authorization, registration, or professional billing required
Preferred Qualifications:
Associate or bachelor's degree in a related field preferred
Patient Access, billing and/or medical coding prior training preferred
3 years working in prior authorization, registration, or professional billing preferred
Radiology scheduling & authorization experience preferred
Certification in billing and/or coding preferred
Schedule Details:
Employment Status: Full time (1.0 FTE)
Weekly Scheduled Hours: 40
Hours of work: 8:00 a.m. and 4:30 p.m.
Days worked: Monday - Friday (Remote position, with occasional onsite meetings and training required)
At BAMF Health, our top priority is patient care. To ensure we are able to drive a Bold Advance Medical Future, we offer a well-rounded benefit package to care for our team members and their families. Highlights include:
Employer paid High Deductible Health Plan with employer HSA contribution
Flexible Vacation Time
401(k) Retirement Plan with generous employer match
Several benefit options including, but not limited to; dental, vision, disability, life, supplemental coverages, legal and identity protection
Disclaimer
BAMF Health provides equal opportunities to all employees 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.
BAMF Health will reasonably accommodate qualified individuals with a disability so that they can perform the essential functions of a job unless doing so causes a direct threat to these individuals or others in the workplace and the threat cannot be eliminated by reasonable accommodation or if the accommodation creates an undue hardship to BAMF Health.
BAMF Health is an Equal Opportunity Employer and will not accept or tolerate discrimination or harassment against any applicant, employee, intern, or volunteer based upon the following characteristics: race, color, religion, creed, national origin, ancestry, sex, age, qualified mental or physical disability or handicap, sexual orientation, gender identity/expression, transgender status, genetic information, pregnancy or pregnancy-related status, marital status, veteran status, military service, any application for any military service, or any other category or class protected by applicable federal, state, or local laws.
$35k-48k yearly est. Auto-Apply 7d ago
Billing Specialist - Infusion Pharmacy / Remote
Brightspring Health Services
Remote job
Our Company
Amerita
Amerita, Inc. is a leading provider in home Infusion therapy. We are looking for a Billing Specialist to join our Revenue Cycle Management team as we grow to be one of the top home infusion providers in the country. The Billing Specialist will report to the Billing Manager and work in our Centennial, CO office.
Amerita is an entrepreneurial-founded company and a wholly owned subsidiary of PharMerica. The home infusion market is positioned for rapid growth driven by the aging population, increase in chronic diseases, robust pipeline of infusible drugs coming to market, and an industry shift from hospital delivery settings to lower-cost, high-quality alternative providers such as Amerita.
As a core member of the Billing team, you will be responsible for a broad range of billing processes related to managing the Ready to Bill unbilled revenue. We will help you achieve your goals through continuous professional development and regular career progression discussions.
Schedule: 40 hours per week - Hybrid or Remote
We Offer:
• Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts
• Supplemental Coverage - Accident, Critical Illness and Hospital Indemnity Insurance
• 401(k) Retirement Plan
• Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability
• Employee Discounts
• Tuition Reimbursement
• Paid Time Off & Holidays
Responsibilities
As a Billing Specialist, you will...
Ensure daily accomplishments work towards company goals for cash collections and Accounts Receivable over 90 days, Ready to Bill under 14 days, weekly and month-end close processes and other departmental goals as outlined.
Understand and adhere to state and federal regulations and company policies regarding compliance, integrity, patient privacy and ethical billing practices.
Manage the Ready to Bill queue on a daily basis; perform Quality Assurance to ensure accurate and timely creation of new claims and generic invoices; ensure submitted claims meet payer guidelines.
Process confirmed tickets in "unworked" status within 48 hours of confirmation date; assign appropriate status to ensure proper handling by branch and billing personnel; make necessary demographic changes to reduce rejections of submitted electronic and paper claims.
Work "resolved" unbilled tickets within 24 hours to "ready" or next status for resolution.
Conduct billing utilizing most efficient resources to secure timely payment of open claims or invoices, giving priority to electronic solutions.
Participate in branch Ready to Bill conference calls.
Identify patterns of non-compliance by branch staff in completing patient registration, supporting billing documentation and delivery tickets.
Review delivery tickets for accuracy and complete claims per payer-specific guidelines.
Submit secondary billing in a timely mannerwith appropriate supporting documentation per payer specific guidelines to ensure expected revenue is allowed.
Research websites of assigned payers to bill for payer updates and shares updates accordingly.
Communicate consistently and professionally with other Amerita employees.
Work within specified deadlines and stressful situations.
Work overtime when necessary to meet department goals and objectives.
Qualifications
High School Diploma/GED or equivalent required; some college a plus
A minimum of 3 to 4 years experience in medical billing with a working knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement; home infusion experience a plus
Must have experience auditing documentation to insure compliance with payer requirements
Working knowledge of automated billing systems, experience with CPR+ preferred
Working knowledge and application of metric measurements, basic accounting practices, ICD-9, CPT and HCPCS coding
Solid Microsoft Office skills, typing 40 wpm and proficiency with 10-key calculator
Ability to independently obtain and interpret information
Strong verbal and written communication skills
About our Line of Business Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit ****************** Follow us on Facebook, LinkedIn, and X.
Salary Range USD $20.00 - $22.00 / Hour
$20-22 hourly Auto-Apply 6d ago
Billing Specialist for Global Professional Services firm
Vertical Careers
Remote job
As a Billing Coordinator, you will be responsible for maintaining and managing the client and matter master billing file for assigned practice offices at the firm. You will ensure that all data is correct and that all master billing files are processed accurately and timely. You will interface with attorneys, legal secretaries, and accounting personnel to ensure that client agreements are followed in accordance with billing policies and procedures. You will manage the workflow of client matter rate changes and new matter set-ups, while accomplishing these and other critical functions:
Managing the workflow of client rate change and set-ups in their assigned region. Opening new client matters and validating Conflicts data for accuracy and completeness. Following up for missing or incomplete data.
Evaluating and inputting the appropriate billing and exception rates in to the Elite billing system.
Coordinating with attorneys, legal secretaries, and accounting personnel regarding the receipt of required data, supporting documentation, and approvals in accordance with billing policies and procedures.
Maintaining and managing client and matter accounts, billing files, and record archives.
Maintaining the timely workflow of the Master File process. Following up with the practice offices to ensure all matter maintenance are accurately and timely processed.
Providing Master File support and guidance to practice offices.
Verifying and opening all client matter master set ups including billing rates and exception rate hierarchies. Providing guidance to Master File Maintenance Specialists regarding all client matter master set-ups.
Confirming client arrangements for special rate needs.
Ensuring the file set up is done appropriately.
Providing day-to-day customer support via telephone and emails to all levels of employees at the practice office.
Completing projects on various issues when needed.
Promoting effective work practices, working as a team member, and showing respect for co-workers.
Qualifications:
A Bachelor's degree, preferably in Accounting or a related field
A minimum of four (4) years of experience in general accounting practices
A minimum of three (3) years of experience in area involving billing processes and practices
Prior experience with Elite Billing system
As Billing Coordinator, you will be expected to apply your organizational and communication skills while displaying a positive, high-energy attitude. The successful Billing Coordinator must have knowledge of basic accounting principles, and the ability to comprehend and accurately perform mathematical functions. The ideal candidate will have well-developed and professional interpersonal skills, ability to work in a team environment with a customer service focus, and analytical skills needed to correctly comprehend and communicate data. The Coordinator must have knowledge and proficiency in PC Applications. The successful candidate will have the ability to handle confidential and sensitive information with the appropriate discretion.
As the global outbreak of COVID-19 continues to unfold, firm has taken precautions to help protect our people, clients, and the communities where we live and work. This includes a temporary shift to remote working for the majority of our lawyers and staff. The Billing Coordinator will likely start remotely while the firm continues to evaluate the situation.
$32k-44k yearly est. 46d ago
ABA Billing Specialist (REMOTE) - (Texas ONLY) Must have Central Reach Experience
Little Spurs Pediatric Urgent Care
Remote job
ABA Billing Specialist (REMOTE) - (Texas ONLY) Must have Central Reach Experience Status: Full-time, non-exempt
Billing Specialist (REMOTE)
Status: Full Time
Join us at Little Spurs! (Overview):
Little Spurs Autism Centers is seeking an experienced ABA biller to join our dynamic team. Under general direction, the billing specialist will exercise independent judgement while adhering to established policies and procedures, regulations, and best practices.
What You Need (Qualifications):
To perform this job successfully, and individual must be able 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 job functions.
High school diploma or equivalent required; Associates or bachelor's degree in Finance, Accounting, Business Administration, or related field preferred
3 + years of billing and coding experience in ABA therapy specialty.
Must possess in-depth knowledge of medical billing; experience with pediatric billing preferred
Experience with robust practice management/EMR system, preferably Central Reach and Waystar.
The Perks (Benefits):
Medical, Dental & Vision Benefits available employee, spouse, and dependents
Voluntary Short-Term & Long-Term Disability & Voluntary Life Insurance (Employee, Spouse, Children).
401k with 4% company match on 5% employee contribution.
Holiday pay (Closed Thanksgiving and Christmas); shorter holiday hours.
80 hours of PTO accumulated through the year; available for rollover
More PTO accrued after three and five years of service
Free in-house medical care for employee and dependent children
Employee recognition and appreciation programs
Professional Development Opportunities
REQURIED SKILLS AND ABILITIES:
Comprehensive knowledge of coding, billing, processes and requirements
Knowledge of local payers, to include billing and claims resolution processes
Knowledge in physician practice technology as it relates to creating, transmitting and collecting claims
Knowledge of physiology, anatomy, neurology and medical terminology.
Ability to communicate clearly both written and verbally.
Ability to work independently with detail and accuracy.
Excellent interpersonal communication skills
Ability to act with discretion, tact, and professionalism in all situations.
Ability to work in a remote or hybrid work environment.
Ability to work well within a team dynamic.
Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)
Ability to use a fax machine, copier and a scanner
Must have a passion for Revenue Cycle and a positive mindset
Bilingual a plus!
We use E-Verify
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:
Performs all necessary tasks to provide overall direction and support in billing, accounts receivable and related areas.
Responsible for managing the charge capture, coding, billing and billing edits.
Responsible for coordinating with providers and Regional Medical Directors to create efficient, accurate templates and automated charging/billing processes
Analyze trends, impacting charges, coding, and collections and take appropriate action to realign staff and revise policies.
Analyze billing and claims for accuracy and completeness and submit claims to proper insurance entities and follow up on any issues.
Ensures that the correct coding and compliance guidelines are being adhered to.
Maintains systems, policies & procedures to ensure compliance with all contractual obligations of payers.
Responsible for monitoring reimbursements.
Responsible for staying familiar with federal and state regulations and company policies.
Effectively communicates to employees and hold yourself accountable for meeting those same expectations.
Assists with staff communication providing updates, resolving issues, setting goals and maintaining standards.
Assists with work allocation and problem resolution.
Assists with month end reports
Performs other related duties as assigned.
The Nitty Gritty (Your Day to Day):
Performs appropriate billing/payment posting functions as assigned.
Follows up on unpaid or improperly paid claims as necessary.
Reviews and monitors select accounts within the accounts receivable system.
Determines and performs appropriate collection efforts to resolve accounts, to include follow-up online, by phone and written correspondence.
Effectively applies protocol in company EMR: Invoice Balance Responsibility/Applies Invoice Status correctly.
Builds claims and applies knowledge of medical terminology, ICD/CPT codes to complete daily
Corrects denied submission and denied claims in a timely manner and notes invoice accordingly.
Submits claims electronically and by paper.
Assist with telephone inquiries and billing questions promptly, with professionalism and courtesy.
Generates and reviews patient statements effectively and ensures appropriate collection correspondence is sent and documented per protocol.
We offer competitive benefits which include: Medical, Dental, Vision, Life, Disability, PTO, Holiday Pay and Retirement Savings Account (401k).
$28k-38k yearly est. 60d+ ago
Medical Billing Specialist (Payment Poster)
Us Fertility
Remote job
Enjoy what you do while contributing to a company that makes a difference in people's lives. Shady Grove Fertility, one of the premier fertility centers in the United States, continually seeks experienced, compassionate, and dynamic team players who are committed to delivering exceptional patient care to join our growing practice. The work we do building families offers stimulation, challenge, and personal reward. If you're looking for a new opportunity to work in a fast-paced, professional environment where your talent contributes to changing people's lives, then we want to talk to you.
We have an immediate opening for a full-time Payment Poster. This position will be working remote M-F 8am-5pm.
This position is responsible and accountable for all aspects of payments received in the CBO Online and offices. This includes, but is not limited to, posting insurance and patient payments to appropriate accounts from US Mail, EFT and Credit card Vendor, researching and obtaining explanation of benefits for the department, setting up ERA/EFT for practice and reviewing and correcting patients accounts under the direction of a senior staff member.
How You'll Contribute:
We always do whatever it takes, even if it isn't specifically our "job." In general, the Payment Poster responsible for:
Ensures all ERA and EFTs are set up appropriately for each practice.
Follow up with Insurance companies on enrollment status.
Create Logins and obtain access to all payor portals.
Ensure all US mail is scanned into the appropriate folders in a timely manner.
Ensures all ERA's are downloaded from the Practice Management clearing house and or individual payor portals.
Handles calling insurance companies to obtain missing explanation of benefits
Post daily explanation of benefits and patient payments to patient accounts utilizing electronic payment posting software.
Post all patient payments to patient accounts via credit card, EFT, and US mail
Investigate and resolve discrepancies
Knowledge of insurance contract requirements and US Fertility Financial programs
Review and make corrections to patients accounts to ensure patient satisfaction
Reconcile daily work to bank deposit
Apply denials and deductibles to patients account per electronic remittance
Work on Q&A functions prior to month end and assist other department functions as a back up
Post insurance, patient, collection and miscellaneous payments to practice management system
Post complicated EOB's with forwarding balances, recoupments and overpayment recovery
Maintains patient confidence and protects operations by keeping information confidential.
What You'll Bring:
Associate degree in accounting, business, healthcare or medical billing certificate. High School Diploma acceptable with 3+ year of medical billing hands on experience
Minimum 1-year specialized experience with medical billing certificate, or minimum 3 years' experience without billing certificate.
Ability to access, input, and retrieves information from a computer. Medical software program experience required.
Knowledge of office procedure and office machines (i.e. computer, fax, copier, etc.).
Proficiency in a variety of computer software applications in word processing, spreadsheets, database, and presentation software (MSWord, Excel, PowerPoint, OneNote, Office 365).
Ability to demonstrate good judgment.
Ability to communicate accurately and concisely.
Ability to remain calm and poised under stress.
Computer proficiency required.
Financial background.
Excellent interpersonal skills and ability to work as part of a multi-disciplinary team and maintain effective working relationships.
Strong customer service and results orientation; highly responsive to requests.
Excellent verbal & written communication skills.
Excellent interpersonal, and organizational skills.
Ability to maintain the highest level of confidentiality.
Flexibility and willingness to learn at all times.
Excellent multi-tasking abilities.
More important than the best skills, however, is the right person. Employees who embrace our mission, vision, and core values are highly successful.
What We Offer:
Competitive pay + bonus
Comprehensive training
Medical, dental, vision, and 401(k) matching
Generous paid time off and holidays
Retirement plan
Tuition assistance
Ability to make an impact in the communities we serve
At US Fertility, we promote and develop individual strengths in order to help staff grow personally and professionally. Our core values - Empathy, Patient Focus, Integrity, Commitment, and Compassion (EPICC) - guide us daily to work hard and enjoy what we do. We're committed to growing our practice and are always looking to promote from within. This is an ideal time to join our team!
To learn more about our company and culture, visit here.
How To Get Started:
To have your resume reviewed by someone on our Talent Acquisition team, click on the “Apply” button. Or if you happen to know of someone who might be interested in this position, please feel free to share the job description by clicking on an option under “Share This Job” at the top of the screen.
$31k-40k yearly est. 60d+ ago
Pediatric Medical Billing Specialist - Full-Time
Altus Pediatric Billing
Remote job
Work from home and set your own schedule?
At Altus, we want to hire the BEST pediatric billers and know that the key is being a great place to work. We know that life doesn't always support a 9-5 job and allow our team members to set the schedule that works best for their lives.
Do you have a favorite yoga class on Thursday mornings?
Schedule a 2 hour break on Thursdays.
Like to work early but need an hour break in the morning to get the kids to school?
Work 6:00-7:30, get the kids to school and come back at 8:30.
Not a morning person?
Set your schedule to work at 10:00 each day.
We are looking for experienced pediatric billers who understand that delivering exceptional client service is much more than just submitting claims and posting payments. We need people who will tirelessly research denied claims and work hard to make sure every patient visit is paid every single time. We have a reputation for always going above and beyond for our client collections and need great billers to help us exceed expectations!
Job requirements:
At least 2 years of medical billing experience, preferably in pediatrics.
EMR experience
Knowledge of the full life cycle of a claim
To apply, fill out a job application. For those who meet our current open positions, we will send a brief assessment.
To learn more about us, visit our website at ***************************** - be sure to check out the team page and read about our amazing billers!
Please note we hire for positions based on client needs and different EMR experience. Please don't be discouraged if we don't reach out right away. We get new client inquiries all the time and grow our team as we add new clients.
Job Type: Full-time
$28k-37k yearly est. Auto-Apply 60d+ ago
Bill Review Negotiation Specialist
Ethos Risk Services
Remote job
ABOUT US:
Ethos Risk Services is a leading insurance claims investigation and medical management company committed to providing better data that translates into better decision-making for our clients. We are at the forefront of innovation in our space, and our success is driven by a dynamic team passionate about delivering exceptional services to our customers.
JOB SUMMARY:
Our dynamic Ethos Medical Management Team is growing and seeking a full-time Bill Review Negotiation Specialist (REMOTE) to ensure accuracy and cost savings within our Workers' Compensation bill review process. This position is responsible for reviewing, auditing, and negotiating medical bills in compliance with state fee schedules and customer guidelines. The ideal candidate is detail-oriented, skilled in negotiations, and committed to providing excellent customer service while maintaining confidentiality and accuracy.
KEY RESPONSIBILITIES:
Contact and negotiate with medical providers to secure additional savings through signed agreements.
Review, audit, and process Workers' Compensation medical bills using industry-standard methodologies (Medicare, UCR, and state fee schedules).
Maintain accurate records of negotiations and provider interactions.
Research and interpret state fee schedules, customer guidelines, and regulations.
Process reconsiderations and disputed bills in a timely and accurate manner.
Provide high-quality customer service and resolve inquiries efficiently.
Maintain strict confidentiality and compliance with company policies and industry regulations.
Perform other related duties as assigned.
QUALIFICATIONS:
Education: High school diploma or equivalent required. Associate degree or higher preferred.
Experience:
Minimum of 3 to 5 years of experience in medical bill review, with a minimum of 1 year of experience in customer service required. An equivalent combination of education and experience is required.
Knowledge of CPT, ICD-10, and HCPCS coding required.
Experience with Conduent Strataware software, or other comparable platforms, preferred.
Skills:
Strong oral and written communication skills.
Proven negotiation and customer service abilities.
Proficient with Microsoft Office Suite and other computer applications.
Excellent organizational skills with the ability to multi-task.
Team player with strong interpersonal skills.
Discretion, confidentiality, and attention to detail.
Licensing/Certification:
Certification in medical coding or medical terminology preferred but not required.
WORKING CONDITIONS:
This position is 100% remote, with required availability during standard business hours. This role requires a dedicated workspace with reliable internet. The role involves prolonged periods of sitting, operating a computer, and communicating via phone and email.
Ethos Risk Services is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristics.
$28k-37k yearly est. 50d ago
Billing Specialist Billing Specialist
Garber Electrical Contractors
Remote job
The Billing Specialist will support the Billing team to ensure proper invoicing to the customer along with excellent customer service. Duties/Responsibilities:
• Be conscious of providing the best service to the Customer, Salesmen, Project Managers
and Foreman
• Attend divisional schedule meetings
• Projects as needed with Billing Team Manager, Administrative Director, and
Management
• Maintain customer billings in a timely manner and accurately.
• Support division with administrative duties
• Perform billing for work order and contract projects along with customer required
paperwork
• Maintain the schedule for the scheduling meetings
• Set up remote work orders as needed
• Perform as a back up for CSR
• Greet customers by telephone and front desk visitors
• Any other duties that might be assigned
Required Skills/Abilities:
• Excellent verbal and written communication skills.
• Servant Leadership qualities.
• Knowledge of accounts receivable
• Excellent organizational skills and attention to detail.
• Analytical and problem-solving skills with the ability to create forecasts based on
financial data.
• Proficient with accounting software.
• Proficient with Microsoft Office Suite
Education and Experience:
At least two years of related accounts receivable experience required.
Show leadership qualities
Physical Requirements:
Prolonged periods of sitting at a desk and working on a computer.
Must be able to lift up to 10 pounds at a time.
Schedule:
Monday - Friday 8:00-4:30
Flexibility to work overtime when necessary
Company Culture:
Purpose: To empower people through Christian Values to create a better life.
Vision: To be the innovative leader in electrical and building technology throughout the communities we serve.
Mission: By inspiring our people to provide enjoyable customer solutions with confidence and reliability.