Patient Access Representative
Billing representative job in Boise, ID
Job Details Emerald Administration - Boise, ID Full Time High School Diploma / GED Negligible Daytime Customer ServiceDescription
We are searching for a Patient Access Representative to join our team!
Purpose
The Patient Access Representative (PAR) shall be accountable for supporting Full Circle Health's Reception Department to successfully assist patients to navigate the Full Circle Health scheduling process to maximize customer / patient satisfaction and clinical operations.
Schedule - 8:00am - 5:00pm, Monday - Friday daytime shifts.
Who We Are - At Full Circle Health, our vision is that every Idaho community is healthy and thriving through our commitment to outstanding care and the education of tomorrow's healthcare leaders.
Our Guiding Principles - We lead with accessibility, education and compassion on a quest for better. Better health care, better communities, better lives for the people of Idaho.
Open Doors: We welcome all members of the community emphasizing access to care for those with limit choices.
Open Minds: As a Teaching Health Center, we focus on creating an environment of inclusion and learning through our multiple Residency and Fellowship programs across the Treasure Valley.
Open Hearts: Compassionate care is at our core!
Benefit Information
We offer a well-rounded benefits package to include everything you would expect.
Multiple health and dental plans - some as low as $0/pay period!
No cost to employee life insurance, long term disability, employee assistance program, and financial advisors
A variety of other optional benefits
6.5 paid holidays annually and PTO starting at 19 days per year.
Retirement program with match
Qualifications
Education
High School/GED
Experience
2 or more years customer service experience required; previous medical office experience preferred, and previous call center experience preferred.
Other
Our organization is a tobacco-free workplace.
We require immunizations for all staff to include an annual influenza vaccine as a requisite for employment. Newly hired staff who are not able to be vaccinated due to medical reasons or sincerely held religious beliefs must apply for vaccination exemption prior to employment.
Billing Manager
Billing representative job in Boise, ID
Job DescriptionDescription:
Are you experienced in revenue cycle management? Are you a people-first leader ready to drive operational excellence and quality in a fast-paced environment? We need someone with a proactive mindset and a keen eye for both team performance and client satisfaction.
About You
We're looking for an optimistic, people-centered leader to join our team.
Does quickly jumping into every task and working under pressure bring out the best in you?
Are you a forward-thinking person who can dive into the details when needed?
Are you an expert at holding yourself and others accountable to high standards?
Passionate about creating amazing client experiences and exceeding expectations.
About Us
We are a leading provider in healthcare revenue cycle management, dedicated to helping medical practices thrive through efficient, accurate billing and unwavering client service. Our culture values teamwork, accountability, and continuous improvement, attracting professionals who want to make a direct impact on client success in the healthcare industry.
About the Job
In this role you will lead and collaborate with both U.S.-based and overseas team members to ensure seamless operations, shared accountability, and consistent high-quality results. You'll play a hands-on part in delivering timely, precise billing outcomes, while proactively reporting operational issues before they impact our clients.
Key Responsibilities
Ensure daily work volume targets are met and quality standards are upheld. This includes implementing action plans for underperformance.
Proactively monitor operations and report emerging issues to leadership, resolving them before they affect client experience.
Deliver actionable recommendations to leadership, supporting continual improvement and transparency.
TO APPLY:
To help us better understand your work style and potential fit within our team, we invite you to complete a Culture Index survey: ************************************************
Requirements:
Minimum Requirements:
High school diploma
Minimum of 5 years' experience in medical billing
Advanced proficiency in MS Office tools
Experience in eCW or Athena (2-3 years)
Strong understanding of RCM and medical practice operations
This is a hybrid position: two days on-site in office per week, three days remote
Service Billing Representative
Billing representative job in Boise, ID
Job Details 6828 West Melrose Street - Boise, ID Full Time $23.00 - $27.00 Hourly Negligible Day Customer ServiceDescription
The Service Billing Representative is responsible for the prompt and accurate creation and distribution of invoices upon completion of any work order. This position is the main contact person interacting with customers after the completing of the on-site work.
Essential Duties and Functions
Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.
The Service Billing Representative is responsible for the prompt and accurate creation and distribution of invoices upon completion of any work order.
Reviews service work orders in Acumatica for completeness and accuracy to produce invoices in accordance with customer contracts and requirements.
Submit invoices to customers and vendor portals
Identifies and researches discrepancies and communicates with managers and technicians to acquire proper documentation to complete billing process.
Enters cost/billing adjustments when data is missing, incorrect, or changes are requested by approving Service Manager.
Provides continuous improvement feedback to Service Manager on any process or work order gaps/challenges that occur.
Provides support for Customer Service team and other Service Billing areas as needed.
Follows standard practices and procedures.
Ensures quality of work and data into Acumatica.
Reviews daily job logs for work orders that need to be billed.
Qualifications
Required Education and Experience
Education and/or experience equivalent to a high school diploma and 2-3 years of relevant experience in billing/invoicing for time and materials projects/work.
Experience in Construction, Automotive, Field Services, HVAC or Home Security environments preferred.
Additional Qualifications
Communications: Able to read, write and communicate effectively and professionally including active listening skills and the ability to demonstrate empathy. Able to present information and respond to questions from peers, managers, clients, customers, and the general public in a courteous and helpful manner. A customer focus with an emphasis on the quality of the customer experience and a “can do” attitude. Ability to interact effectively at all levels and across diverse cultures.
Math: Able to perform simple addition, subtraction, multiplication and division using standard units of measure and weight.
Reasoning: Able to apply common sense understanding to carry out simple instructions furnished in written, oral, or diagram form. Able to follow instructions and deal with problems involving several concrete variables in standardized situation with only general supervision.
Teamwork/Reliability: Solutions-oriented and able to track and prioritize tasks in a fast-paced environment with several simultaneous projects. Able to follow instructions thoroughly and completely. Able to work with minimal supervision.
Technology: Proficient with word processing/data entry, spreadsheets, use of the internet and email. Able to use Microsoft Office at an advanced level.
Winner's Circle - Customer Service
Billing representative job in Boise, ID
Dave & Buster's is different from everywhere else. No two days are ever the same. Time will fly by serving hundreds of people with flexible schedules you can accommodate school or other jobs. Plus, your co-workers are awesome!
Dave & Buster's offers an attractive benefits package for many positions, including medical, dental, vision, 401K, FREE GAMES and more.
POSITION SNAPSHOT: Our Winner's Circle position ensures Guests' initial impressions with Dave & Buster's are positive and welcoming. The Winner's Circle position requires a strong communicator who will guide our Guests through their Midway experience.
NITTY GRITTY DETAILS:
Delivers an unparalleled Guest experience through the best combination of food, drinks and games in an ideal environment for celebrating all out fun.
Keeps immediate supervisor promptly and fully informed of all problems or unusual matters of significance and takes prompt corrective action where necessary or suggests alternative courses of action.
Provides timely and accurate service while managing wait times and communicating information as needed to Guests, Team Members, and Managers.
Greets Guests with a positive attitude and enthusiasm while performing multiple job functions. Smiles and greets Guests upon entering.
Assists the Guest with all requests and answers questions as needed and makes recommendations on items.
Provides game assistance by promptly notifying Support Technicians or Management as needed.
Bids farewell to Guests leaving. Ensures everything was satisfactory and invites Guests to return.
Notifies Manager of any Guest that is perceived to be unhappy.
Practices proper cost controls by accurately weighing tickets and scanning merchandise.
Responsible for stocking, displaying and securing merchandise in all storage areas.
Responsible for the reconciliation of tickets and merchandise inventory.
Conducts merchandise inventory during and after shift, if applicable.
Checks for restocking of necessary supplies. Brings all areas up to standard. Discusses problem areas with Manager.
Reviews the cleanliness and organization of the Winner's Circle. Ensures all plush and shelves are stocked, properly cleaned, and maintained.
Properly positions and set up displays to increase Guest traffic and promote sales.
Assists other Team Members as needed.
Maintains a favorable working relationship with all other company Team Members to foster and promote a cooperative and harmonious working climate that will be conducive to maximum Team Member morale, productivity and efficiency/effectiveness.
Must be at least 16 years of age.
RequirementsSTUFF OUR ATTORNEYS MAKE US WRITE:
The physical demands described here are representative of those that must be met by a Team Member 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 position, the Team Member will regularly be required to:
Be friendly and able to smile frequently.
Work days, nights, and/or weekends as required.
Work in noisy, fast paced environment with distracting conditions.
Read and write handwritten notes.
Lift and carry up to 30 pounds.
Move about facility and stand for long periods of time.
Walk or stand 100% of shift.
Reach, bend, stoop, mop, sweep and wipe frequently.
The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified in this position.
As an equal opportunity employer, Dave & Buster's is dedicated to our policy of nondiscrimination in all aspects of employment, and we comply with all Federal, State and Local laws regarding nondiscrimination.
Dave and Buster's is proud to be an E-Verify Employer where required by law.
Salary
Compensation is from $7.25 - $14 per hour
Salary Range:
7.25
-
14
We are an equal opportunity employer and participate in E-Verify in states where required.
Auto-ApplyMedical Biller
Billing representative job in Boise, ID
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Description
•Shift: M-F 8a-4:30p
California Medi-Cal billing rep position for Boise, ID.
• Medi-Cal billing, UB and/or 1500 claim billing
• The Medical Biller & Follow-Up Representative reviews, researches, and processes claims in accordance with contracts and policies to determine the extent of liability and entitlement, as well as to adjudicate claims as appropriate.
• The core responsibilities will include: coding and processing claim forms; reviewing claims for complete information, correcting and completing forms as needed; accessing information and translating data into information acceptable to the claims processing system; and preparing claims for return to provider/subscriber if additional information in needed.
• Additional follow-up responsibilities include: maintaining all appropriate claims files and following up on suspended claims; assisting, identifying, researching and resolving coordination of benefits, subrogation, and general inquiry issues, then communicating the results; and preparing formal history reviews.
Qualifications
• 2 years of medical billing experience
• Medi-Cal experience
• Medi-Call UB experience required
• Data entry skills
• Healthcare experience preferred
• Knowledge of insurance and governmental programs, regulations and billing processes (e.g., Medicare, Medicaid, Social Security Disability, Champus, Supplemental Security Income Disability, etc.), managed care contracts and coordination of benefits is strongly preferred.
Additional Information
If you are interested, please call, Kurt Hughes at 407-636-7030 ex. 202 and email your resume to me.
The greatest compliment to our business is a referral.
If you know of someone looking for a new opportunity, please pass along my contact information! We offer referral bonuses of up to $100.00 for each placement.
Patient Access Coordinator - Nampa
Billing representative job in Meridian, ID
Job Details Pure Meridian - Meridian, ID Pure Nampa - Nampa, ID Full Time High School $18.00 - $23.00 Hourly Negligible Day Health CareDescription
We are currently seeking an exceptional Patient Access Coordinator (PAC) with a deep commitment to integrity, accountability, and a love for our patients & team. Our regular hours are Monday through Friday, 8 a.m. to 5 p.m., with most weekends and holidays off. In addition to a competitive hourly rate, we offer the following benefits:
• 401(k) Matching
• Health, Vision, and Dental Insurance
• Over 20 days of paid time off annually
Pure Infusion Suites is a fast-growing healthcare start-up, recognized as the fastest-growing company in Utah as of October 2024. We credit our success to our remarkable team, strong purpose, shared values, and a supportive culture that is evident across every location and department. Our mission is to deliver exceptional patient care through individual autonomy, quality time with patients, and meaningful interactions with referring providers. If you are self-directed, honest, and passionate about making a difference, Pure Infusion Suites offers an environment where you can thrive.
If you've been looking for a healthcare position that truly allows you to love on, personally care for, and intentionally work with patients without the chaos of traditional healthcare systems, then Pure is likely what you have been waiting for, we hope you'll keep reading.
OUR CORE VALUES
We live by four core values that define our culture and guide our hiring:
• People-obsessed
• Passionate
• Builder
• Grateful
THE JOB
In this role, you'll be responsible for calling, scheduling, and welcoming patients into our clinic for their biologic infusions. You will also work with our referring practices and the local Market Executive to coordinate care, orders, and documentation to quickly and efficiently bring patients to Pure. Our patients are referred by specialty physicians for treatment of autoimmune disorders or primary deficiencies that only infusions can address. These patients need a space that fosters comfort, peace, and healing. We provide a white-glove, concierge-level experience, which you can see reflected in our patient reviews. In addition to scheduling, you'll work closely with patients and staff to ensure every detail of the patient's visit goes smoothly.
THE IDEAL CANDIDATE
We're seeking driven individuals who care deeply for our patients and want to be part of building something exceptional. Ideal candidates will:
• Demonstrate honesty, integrity, and excellent communication skills with patients, colleagues, and referring practices.
• Excel in customer service skills in both phone and in-person settings (medical environment experience preferred).
• Be tech-savvy and comfortable with various software applications.
• Be comfortable working in a fast-paced environment and taking on multiple roles.
• Collaborate seamlessly with nurses and other team members virtually
REQUIREMENTS
• High school diploma or equivalent
• Proficiency in CRM and EMR software systems
• BLS Certification within 30 days of hire
• Eligibility to meet U.S. employment requirements
WHY JOIN US?
At Pure Infusion Suites, you'll find a role where your impact on patients' lives is direct and meaningful every single day. If this resonates with you, we can't wait to meet you.
Thank you for considering a career with Pure Infusion Suites. We look forward to the opportunity to work together!
Sr. Specialist, Account Management
Billing representative job in Boise, ID
**_What Account Management contributes to Cardinal Health_** Account Management is responsible for cultivating and maintaining on-going customer relationships with an assigned set of customers. Provides new and existing customers with the best possible service and recommendations in relation to billing inquiries, service requests, improvements to internal and external processes, and other areas of opportunity. Provides product service information to customers and identifies upselling opportunities to maintain and increase income streams from customer relationships.
**_Responsibilities_**
+ Oversee assigned Medical Products and or Lab Distribution customer(s) as it pertains to supply chain health and general service needs
+ Bridge relationships between the customer's supply chain team and internal Cardinal Health teams to ensure flawless service
+ Support customer expectations and requirements through proactive account reviews, and regular engagement and review of key initiatives
+ Prevent order disruption to customer through activities such as: elimination of potential inventory issues, substitution maintenance, core list review, and product standardization and conversions
+ Resolve open order issues by reviewing open order and exception reports, analyzing trends, and partnering with customer to take alternative actions as needed
+ Advocate for customer and partner across Cardinal Health servicing teams to bring rapid and effective resolution to customer's issues, requests and initiatives
+ Track, measure, and report key performance indicators monthly
+ Build and maintain long-term trusted relationships with customer to support retention and growth of the account
**_Qualifications_**
+ Bachelor's degree or equivalent work experience, preferred
+ 2-4 years professional experience; direct customer facing experience preferred
+ Customer service, pricing and/or collections experience a plus
+ Strong command of MS Office applications (Excel, PowerPoint, Word and Outlook)
+ Demonstrated ability to work in a fast-paced, collaborative environment
+ Highly motivated, creative, able to operate effectively within a team
+ Strong communication skills
**_What is expected of you and others at this level_**
+ Applies working knowledge in the application of concepts, principles, and technical capabilities to perform varied tasks
+ Works on projects of moderate scope and complexity
+ Identifies possible solutions to a variety of technical problems and takes actions to resolve
+ Applies judgment within defined parameters
+ Receives general guidance may receive more detailed instruction on new projects
+ Work reviewed for sound reasoning and accuracy
**Anticipated salary range:** $57,000-81,600
**Bonus eligible** : No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close** : 12/17/2025 *if interested in opportunity, please submit application as soon as possible
_The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity._
\#LI-LH3
\#LI-Remote
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Billing Specialist
Billing representative job in Boise, ID
Hawley Troxell is seeking a full-time Billing Specialist to join our Boise office. This position will provide accurate and timely completion of billing as assigned, ensuring that all tasks are done in accordance with Firm or client billing guidelines or polices. This department is cross-functional and therefore this position will share, at times, other responsibilities within the finance department. Hawley Troxell offers full benefits, including 401(k) with matching and profit sharing, and competitive wages (DOE). EOE.
Requirements
Qualifications:
* 2+ years of billing experience required
* Strong Microsoft Office skills, particularly with Excel and Outlook
* Strong oral and written communication skills including the ability to interact with all levels of staff and attorneys
* Experience with electronic billing utilizing various vendor websites
* Must be customer service oriented with strong problem solving skills
* Must be detailed oriented and possess strong organizational skills
* Ability to work under pressure and handle multiple tasks simultaneously
* Ability to work overtime, as needed in order to fulfill the firm's goals
Responsibilities:
* Process invoices utilizing paperless proformas making edits as necessary and ensuring all billing information is correct and received by client per guidelines
* Review aged unbilled WIP and provide status updates to Billing Supervisor
* Provide expense detailed back-up to accompany invoices as required
* Process and send out monthly statements to clients and follow-up on Accounts Receivable
* Assist with special projects as needed
* Assist in responding timely to general billing inquiries directed by all levels of management, staff, attorneys and clients
Billing Specialist
Billing representative job in Meridian, ID
Full-time Description
At Functional Medicine of Idaho (FMI), we are committed to helping people thrive by providing personalized, integrative healthcare that addresses the root causes of health concerns. Our mission is to empower individuals at every stage of life, guiding them toward optimal well-being. We focus on delivering comprehensive, patient-centered care rooted in the latest research and compassionate service. At FMI, we value collaboration, innovation, and empathy, and are dedicated to offering the best functional and integrative medicine in the communities we serve. Join our team and be part of transforming healthcare while making a meaningful impact.
Benefits
401(k) with Employer Match
Dental Insurance
Employee Assistance Program
Health Insurance
Life Insurance
Vision Insurance
Paid Time Off
Employee Discounts on Wellness services, Supplements, & more!
Role and Responsibilities
We are seeking a highly resilient and organized Billing Specialist with excellent communication skills to join our team. This role plays a key part in the billing process, working closely with patients, providers, and insurance companies to ensure smooth financial operations.
Manage billing functions for 20+ providers, ensuring compliance with billing regulations including policies, processes, and procedures using CPT and ICD-10 CM diagnosis codes, and applying appropriate modifiers as needed.
Ensure accurate and timely follow-up and resolution of all accounts receivable, managing A/R to meet and maintain cash collection metrics and goals.
Maximize facility reimbursement by understanding payer contracts and ensuring correct payments are received.
Accurately post payments from insurance and patients, and work on denials from insurance companies.
Review patient accounts to collect outstanding balances.
Communicate effectively with patients regarding insurance, billing, and payment plans.
Handle reimbursement issues for contracted and non-contracted insurance, including HMO, PPO, EPO, POS, Worker's Compensation, self-pay, and third-party payers.
Explain insurance Explanation of Benefits (EOBs) to patients and ensure they understand their financial responsibilities.
Qualifications and/or Work Experience Requirements
High School Diploma (required)
Minumum 1 year of experience in medical billing (preferred)
1 year of experience in collections and patient accounts receivable
Ability to read and interpret Explanation of Benefits (EOBs)
Strong multitasking abilities and attention to detail
Self-starter with the ability to work in a team environment
Flexible and adaptable to changes in processes
Preferred Skills
Strong organizational and communication skills
Ability to manage multiple tasks efficiently
Proficiency in EMR systems and billing software
Equal Opportunity Employer
Functional Medicine of Idaho is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, age, sex, marital status, national origin, ancestry, disability, handicap or veteran status.
Requirements
FMIHIGHP
Salary Description $18.50-$19.75/hour
Billing Specialist
Billing representative job in Meridian, ID
Responsible for managing accurate, timely completion and submission of all the billing, collections, and accounts receivable functions for agency(s).
DUTIES & RESPONSIBILITIES
Ensures reimbursement through efficient billing and collections operations and effective accounts receivable management.
Provides oversight and approval of claims audits and processing. Conducts final billing audit and issues assignments to pre-billing team when findings require further documentation.
Ensures that billing and patient accounts record systems are maintained in accordance with generally accepted accounting principles and in compliance with state, federal and Joint Commission regulations.
Maintains comprehensive working knowledge of payer contracts and ensures that payers are billed according to contract provisions. Represents and acts on behalf of agency in resolving conflicts with payers.
Advises Executive Director in matters of accepting/declining problematic payers.
Maintains comprehensive working knowledge of government billing regulations including Medicare and Medicaid regulations and serves as a resource for appropriate agency personnel.
Monitors aged accounts receivables and resubmit bills to overdue accounts, submits seriously overdue accounts to collection agencies for collection, and prepares bad debt reports for weekly meetings.
Gathers, collates, and reports key billing information to billing team. Works with Executive Leadership Team in strategizing monthly, quarterly and annual goals for optimized billing efficiency.
Collaborates with the Executive Director in successfully reconciling the billing system reports with the general ledger.
Reconciles Medicare quarterly reports produced by the fiscal intermediary with the billing information system, and prepares the annual Medicare cost report for Executive Director review.
Supervises the use of the billing information system and maintains a comprehensive working knowledge of the system including upgrades and enhancements.
Supervises and reconciles cash receipts and bank deposits according to policy.
Establishes and maintains positive working relationships with patients, family members, payers and referral sources
Protects the confidentiality of patient and agency information through effective controls and direct supervision of billing operations.
The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.
JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities)
Associate's degree in Accounting, Business Administration or related field, Bachelor's degree preferred.
At least three years' experience in health care billing and collections management preferably in home care operations. Billing information systems knowledge required.
Knowledge of corporate business management, governmental regulations and
Joint Commission standards.
Ability to exercise discretion and independent judgment and demonstrate good communication, negotiation, and public relations skills.
Demonstrated capability to accurately manage detailed information.
Able to deal tactfully with patients, family members, referral sources and payers.
Demonstrates autonomy, assertiveness, flexibility and cooperation in performing job responsibilities.
The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at ****************************
Auto-ApplyPatient Registration - Bilingual Preferred
Billing representative job in Mountain Home, ID
Job Description
We're different. In a good way. In communities like ours, co-workers and patients are our friends and neighbors. Sometimes they are family. And we take care of each other like family. If you're tired of the typical workplace grind, we have something very different in store for you. Reasonable hours, a devoted team, a commitment to improvement, and believing in the value of every person - whether employee or patient - are just a few of the qualities for which we're known.
We're a human potential company
. Join us and experience the difference of the Desert Sage Way. We can't wait to meet you.
Desert Sage Health Centers believes in patient-focused care delivered through a caring team of competent and caring health care professionals. As a Patient Centered Medical Home (PCMH), Desert Sage Health Centers prides itself in the quality of care it delivers to more than 6,400 annual patients at three health center site locations. Our integrated system emphasizes prevention, healthy living and is designed to reduce health care disparities and avoid unnecessary trips to emergency rooms or other more costly forms of care.
Desert Sage Health Centers is currently recruiting an energetic full time Bilingual Patient Registration team member who is self motivated, energetic, and approaches customer service with a smile first, for our front desk patient registration department! The right person must able to multi task, schedule patient appointments by phone and in person, maintain files, tracking systems and data collection activities. If this sounds like you, then please apply!
Starting Wage: $17.05/hour (DOE)
Actual compensation will be based on experience and qualifications.
Benefits include paid holidays, vacation, health and dental insurance.
Responsibilities:
Greets and welcomes all patients/visitors to the clinic in a courteous, helpful and friendly manner.
Determines purpose of visit or phone calls and directs patients/visitors/callers to appropriate area.
Performs intake duties including explaining various forms.
Updates and verifies demographic information for established patients to include: addresses, phone numbers, insurance benefits, and emergency contact.
Registers new patients.
Promptly check-in patients arriving for their appointments, monitors time waiting (no more than 10 minutes).
Participate in morning huddles with clinical and/or dental staff to prepare for work day to include needs for interpretation, available appointments, triage and ensuring that schedules are at capacity for each day and next day.
Determine timeframe for appointment requests for new and established patients utilizing standards of scheduling protocol and the degree of patient's medical needs.
Monitor and update ‘Eligibility and Phone' reports.
Efficiently reschedules return appointments and assess patient for satisfaction of visit.
Maintain knowledge of the current standard scheduling and tools.
Offer and/or update sliding scale discount to every patient (no insurance, under-insured and insured, & Medicare) information for eligibility for discounted services.
Explains the 340B medication program to patients and verifies 340B information is up-to-date and accurate on an annual basis.
Collect monies and payments from patients for office visits and any fees due at time of service (TOS) during “check-in” for patient's visit.
Direct medication refill requests to the clinical support staff via patient case in electronic health computer system.
Knowledge on how to problem-solve various situations that occur in the medical, behavioral health and/or dental electronic health record system related to the patient's statement, demographics and insurance information.
Maintain cash box balancing at the beginning and end of each day.
Knowledge of policy on setting patients up on payment plans as assigned.
Works in collaboration with Patient Accounts to problem-solve accounts, as appropriate.
Maintains strict patient confidentiality at all times.
Clean and maintain work space, lobby area, computers, printers, and photocopiers on a regular basis according to equipment maintenance procedures.
Awareness/acceptance of cultural competency aspects and sensitivity.
On a rotating basis with other staff work occasional evenings and Saturdays as applicable.
Assist in training new patient registration staff as necessary.
Ability and transportation to rotate between three health center locations as needed.
Requirements:
Must have high school diploma or equivalent.
Experience in primary care is preferred.
Strong verbal communication skills. Courteous and empathic personality.
Ability to operate electronic health computers/keyboard and phone system.
Ability to work under pressure and handle multiple tasks.
Prefer at least one-year public contact experience.
Ability to maintain confidentiality per the Privacy Act.
Possess good judgment about handling clinical emergencies and behavioral problems.
If you are self motivated, compassionate and ready to give back to your community, and have the necessary training, come join our team!
Desert Sage Health Centers 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.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
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Bi-lingual Early Stage Collector (Spanish) - $500 Sign-on Bonus
Billing representative job in Boise, ID
WE ARE HIRING!
We are seeking a customer-focused individual to join our team as a Bi-lingual Early Stage Loan Counselor (Spanish)! You will play a crucial role in providing exceptional customer service and assistance to borrowers who are past due on their home loan payments, helping them achieve financial capacity and continued homeownership.
Why Work with Us?
At our organization, we are dedicated to improving lives and strengthening Idaho communities. We believe that housing opportunities, self-sufficiency, and economic development are the pillars of progress. Our commitment to our team is unwavering, and we consider our employees our greatest priority. We offer competitive compensation packages, comprehensive health benefits, and abundant opportunities for professional development and growth. It's no wonder we have been recognized as one of the "Best Places to Work" in Idaho for a decade. Join us and be part of a professional and mission-driven organization that makes a meaningful impact on the lives of Idahoans.
In This Role, You Will:
Engage with borrowers through phone calls, providing personalized support and guidance to prevent mortgage delinquency
Negotiate payment arrangements and follow up on returned payments to keep borrowers on track
Educate and counsel borrowers on financial options and resources
Administer early stage account collections and ensure compliance with regulatory requirements
Stay up-to-date on industry regulations, including FDCPA, RESPA, and FCRA
Identify borrowers for home retention programs and schedule property inspections to assess condition
Resolve delinquency through collection efforts and borrower assistance programs
Work in a team environment to meet and exceed performance metrics
Other duties as assigned
Requirements
Must be fluent in Spanish
Strong verbal communication skills and the ability to build trust with borrowers over the phone
Excellent organizational and critical thinking skills to prioritize tasks and meet deadlines in a fast-paced call center environment
Self-motivated with a sense of urgency and a passion for helping others
Ability to handle multiple tasks with high attention to detail and analytical skills to maximize results
1 to 3 years of experience in mortgage collections, loan processing, loan closing, or loan servicing (or a combination of education and experience in related fields)
Comfortable working in a call center environment with both inbound and outbound calls
Knowledge of mortgage industry regulations and compliance
Salary Description $20.25
Patient Access Specialist
Billing representative job in Emmett, ID
Job Details Emmett, ID Emmett, ID Full Time AnyDescription
Patient Access Specialist
Department: Business Office/Clinics
Level I Supervisor's Title: Revenue Cycle Manager/Clinic Managers
Level I - General Front Desk, Clinic or Hospital
A. Position Summary: Responsible for registering patients efficiently and accurately, greeting patients and visitors in person or by phone, and verifying insurance eligibility.
B. Principle Functions and Responsibilities:
Registers all patients for both acute and ambulatory settings.
Coordinates night quick admit registration from hardcopy form to permanent computer records.
Monitors patient census and notifies appropriate Department Manager of admission status.
Pre-registers any necessary patient accounts and maintains those preregister accounts by completing them after patient arrives or is discharged.
Responsible for scanning all patient registration forms into electronic medical record system.
Maintains standing orders for Laboratory patients.
Receives notification of patient discharges from nursing station and enters discharges into computer.
Collects and processes copays, deductibles, and co-insurance payments from patients via in-person or over the phone.
Processes incoming mail and distributes to appropriate departments. For payments received via mail, logs patient account numbers on checks, and places remittance slips in the daily folder.
Responsible for scanning patient insurance remits into appropriate file folders.
Responsible for occasional duties of monitoring and organizing incoming faxes and print jobs related to the hospital-wide copy and fax machines.
Maintains positive and effective relations with co-workers, other departments, patients, and visitors.
Generates estimates of procedures/services/visits for patients.
Attends meetings and completes assigned trainings as required.
On occasion, may be required to work holidays, overtime, night or weekend shifts.
Required to cross-train in all registration areas and will rotate to work a shift in each area at least once per quarter.
Answers multi-line phones and/or serves as switchboard operator for all incoming calls; transfers to appropriate areas, when necessary.
Validates prior authorization information from external providers.
Notifies appropriate staff/department of patient arrival for STAT procedures or exams.
Calls patients for appointment reminders for upcoming appointments (typically, next day appointments).
Schedules patients according to provider scheduling preferences.
May occasionally assist with registration audits and corrections.
Performs other duties as assigned or requested.
Qualifications
C. Position Qualifications:
Minimum Education: High school diploma or equivalent.
Minimum Experience and Skills: Prior experience in a hospital business office or admitting office.
Demonstrated proficiency in terms of computer-based word processing, spread sheet and database management.
Ability to operate a hospital-wide telephone switchboard. Data entry and customer service experience a plus.
Certification, Registration or Licensure: None required
Physical Requirements (level I & II):
A. Sitting and working at a computer, walking,
B. Lifting, reaching, hand eye coordination, speaking.
C. Must be able to read, write, and speak English clearly.
Working Conditions (level I & II):
A. Primarily works in an office setting.
B. Potential exposure to patient elements in general.
C. Blood Borne Pathogens - potential exposure to blood, body fluids or tissues.
Cash Posting Specialist
Billing representative job in Eagle, ID
Leading their Cluster's operations in providing world-class best practices for cash collections and reconciliation for the Cluster's Home Health & Hospice agencies.
Collaborating with the Revenue Cycle Portfolio Leaders in developing, monitoring, and maintaining those world-class best practices for their Cluster.
Partnering with other billers, Revenue Cycle Portfolio Leaders, and Service Center AR Resources within the Home Health & Hospice Segment in shared ownership to ensure a world-class AR function across the organization.
DUTIES & RESPONSIBILITIES
Creates accountability for collection efforts and procedures for Executive Directors and Revenue Cycle Portfolio Leaders.
Provides coverage for cash posters in the event of short-term or unexpected absences.
Partners with cluster Executive Directors and/or Revenue Cycle Portfolio Leaders to provide training to Cash Posters.
Establishes and maintains positive and collaborative working relationships with Portfolio Billers and Collectors.
Maintains a comprehensive working knowledge of payor contracts and ensures that payors are collecting according to contract provisions.
Maintains a comprehensive working knowledge of government billing regulations, including Medicare and Medicaid regulations, and serves as a resource for agency personnel.
Partners with cluster Executive Directors and/or AR Market Leaders, as well as Billers/Billing Managers, on payor projects in a timely manner.
Attends Agency BAM meetings to identify and report on Collections received.
Review, research, and post various types of funds daily
Prepare cash reports and reconcile daily
Resolve discrepancies by coordinating with internal teams
Research and clear all unidentified cash accounts monthly
Manage automated payment files and handle exceptions
JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities)
At least three years' experience in health care billing and collections management, preferably in home health and/or hospice operations.
Ability to exercise discretion and independent judgment and demonstrate good communication, negotiation, and public relations skills.
Demonstrated capability to manage detailed information accurately.
Able to work tactfully and collaboratively with colleagues, peers, service center personnel, referral sources, and payers.
Demonstrates ingenuity, autonomy, assertiveness, flexibilit,y and cooperation in performing job responsibilities.
Additional Information We are committed to providing a competitive Total Rewards Package that meets our employees' needs. From a choice of medical, dental, and vision plans to retirement savings opportunities through a 401(k) plan with company match and various other benefits, we offer a comprehensive benefits package. We believe in great work, and we celebrate our employees' efforts and accomplishments both locally and companywide, recognizing people daily through our Moments of Truth Program. In addition to recognition, we believe in supporting our employees' professional growth and development. We provide employees a wide range of free e-courses through our Learning Management System as well as training sessions and seminars.
Compensation: Based on experience.
Type: Full Time
Location: Remote
Why Join Us
At Pennant Services, we don't just manage-we lead like owners. Our unique culture is built around empowerment, accountability, and growth. We invest in people who are ready to build and own their impact.
What sets us apart:
Opportunity for stock ownership
Empowered, flat leadership model supported by centralized resources
A work-life balance that promotes personal well-being
Complete benefits package: medical, dental, vision, 401(k) with match
Generous PTO, holidays, and professional development
A culture built around our core values-CAPLICO:
Customer Second
Accountability
Passion for Learning
Love One Another
Intelligent Risk Taking
Celebrate
Ownership
About Pennant
Pennant Services supports over 180 home health, hospice, senior living, and home care agencies across 14 states. Our Service Center model enables local leaders to lead, while we provide centralized support for clinical, HR, IT, legal, and compliance needs, empowering them to succeed.
Learn more at: ********************
#Remote
Pennant Service Center
1675 E. Riverside Drive, Suite 150
Eagle, ID 83616
The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://********************.
Auto-ApplyPatient Access Representative - Nampa
Billing representative job in Nampa, ID
Job Details Nampa South Family Medicine - Nampa, ID Full Time High School Diploma / GED Negligible Daytime Customer ServiceDescription
We are searching for a Patient Access Representative to join our team!
Purpose
The Patient Access Representative (PAR) shall be accountable for supporting Full Circle Health's Reception Department to successfully assist patients to navigate the Full Circle Health scheduling process to maximize customer / patient satisfaction and clinical operations.
Schedule - 8:00am - 5:00pm, Monday - Friday daytime shifts.
Who We Are - At Full Circle Health, our vision is that every Idaho community is healthy and thriving through our commitment to outstanding care and the education of tomorrow's healthcare leaders.
Our Guiding Principles - We lead with accessibility, education and compassion on a quest for better. Better health care, better communities, better lives for the people of Idaho.
Open Doors: We welcome all members of the community emphasizing access to care for those with limit choices.
Open Minds: As a Teaching Health Center, we focus on creating an environment of inclusion and learning through our multiple Residency and Fellowship programs across the Treasure Valley.
Open Hearts: Compassionate care is at our core!
Benefit Information
We offer a well-rounded benefits package to include everything you would expect.
Multiple health and dental plans - some as low as $0/pay period!
No cost to employee life insurance, long term disability, employee assistance program, and financial advisors
A variety of other optional benefits
6.5 paid holidays annually and PTO starting at 19 days per year.
Retirement program with match
Qualifications
Education
High School/GED
Experience
2 or more years customer service experience required; previous medical office experience preferred, and previous call center experience preferred.
Other
Our organization is a tobacco-free workplace.
We require immunizations for all staff to include an annual influenza vaccine as a requisite for employment. Newly hired staff who are not able to be vaccinated due to medical reasons or sincerely held religious beliefs must apply for vaccination exemption prior to employment.
Medical Biller
Billing representative job in Boise, ID
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Description
•Shift: M-F 8a-4:30p
California Medi-Cal billing rep position for Boise, ID.
• Medi-Cal billing, UB and/or 1500 claim billing
• The Medical Biller & Follow-Up Representative reviews, researches, and processes claims in accordance with contracts and policies to determine the extent of liability and entitlement, as well as to adjudicate claims as appropriate.
• The core responsibilities will include: coding and processing claim forms; reviewing claims for complete information, correcting and completing forms as needed; accessing information and translating data into information acceptable to the claims processing system; and preparing claims for return to provider/subscriber if additional information in needed.
• Additional follow-up responsibilities include: maintaining all appropriate claims files and following up on suspended claims; assisting, identifying, researching and resolving coordination of benefits, subrogation, and general inquiry issues, then communicating the results; and preparing formal history reviews.
Qualifications
• 2 years of medical billing experience
• Medi-Cal experience
• Medi-Call UB experience required
• Data entry skills
• Healthcare experience preferred
• Knowledge of insurance and governmental programs, regulations and billing processes (e.g., Medicare, Medicaid, Social Security Disability, Champus, Supplemental Security Income Disability, etc.), managed care contracts and coordination of benefits is strongly preferred.
Additional Information
If you are interested, please call, Kurt Hughes at 407-636-7030 ex. 202 and email your resume to me.
The greatest compliment to our business is a referral.
If you know of someone looking for a new opportunity, please pass along my contact information! We offer referral bonuses of up to
$100.00
for each placement.
Billing Specialist
Billing representative job in Boise, ID
Full-time Description
Hawley Troxell is seeking a full-time Billing Specialist to join our Boise office. This position will provide accurate and timely completion of billing as assigned, ensuring that all tasks are done in accordance with Firm or client billing guidelines or polices. This department is cross-functional and therefore this position will share, at times, other responsibilities within the finance department. Hawley Troxell offers full benefits, including 401(k) with matching and profit sharing, and competitive wages (DOE). EOE.
Requirements
Qualifications:
• 2+ years of billing experience required
• Strong Microsoft Office skills, particularly with Excel and Outlook
• Strong oral and written communication skills including the ability to interact with all levels of staff and attorneys
• Experience with electronic billing utilizing various vendor websites
• Must be customer service oriented with strong problem solving skills
• Must be detailed oriented and possess strong organizational skills
• Ability to work under pressure and handle multiple tasks simultaneously
• Ability to work overtime, as needed in order to fulfill the firm's goals
Responsibilities:
• Process invoices utilizing paperless proformas making edits as necessary and ensuring all billing information is correct and received by client per guidelines
• Review aged unbilled WIP and provide status updates to Billing Supervisor
• Provide expense detailed back-up to accompany invoices as required
• Process and send out monthly statements to clients and follow-up on Accounts Receivable
• Assist with special projects as needed
• Assist in responding timely to general billing inquiries directed by all levels of management, staff, attorneys and clients
Representative II, Accounts Receivable
Billing representative job in Boise, ID
Schedule: Monday - Friday, 8:00am - 4:30pm **_What Contract and Billing contributes to Cardinal Health_** Contracts and Billing is responsible for finance related activities such as customer and vendor contract administration customer and vendor pricing, rebates, billing (including drop-ships), processing chargebacks and vendor invoices and developing and negotiating customer and group purchasing contracts.
+ Demonstrates knowledge of financial processes, systems, controls, and work streams.
+ Demonstrates experience working collaboratively in a finance environment coupled with strong internal controls.
+ Possesses understanding of service level goals and objectives when providing customer support.
+ Demonstrates ability to respond to non-standard requests from vendors and customers.
+ Possesses strong organizational skills and prioritizes getting the right things done.
**The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as dictated below with guidance and support from AR & Billing leadership teams.**
**_Responsibilities_**
+ Processes claims: investigates insurance claims; and properly resolves by follow-up & disposition.
+ Verifies patient eligibility with secondary insurance company when necessary.
+ Bills supplemental insurances including all Medicaid states on paper and online.
+ Mails all paper claims.
+ Acts as a subject matter expert in claims processing.
+ Manages billing queue as assigned in the appropriate system.
+ Manages and resolves complex insurance claims, including appeals and denials, to ensure timely and accurate reimbursement.
+ Processes denials & rejections for re-submission (billing) in accordance with company policy, regulations, or third-party policy.
+ More challenging claim cases
+ Investigates and updates the system with all information received from secondary insurance companies.
+ Ensures that all information given by representatives is accurate by cross referencing with the patient's account, followed by using honest judgement in any changes that may need to be made.
+ Processes denials & rejections for re-submission (billing) in accordance with company policy, regulations, or third party policy.
+ Updates patient files for insurance information, Medicare status, and other changes as necessary or required.
+ Keeps email inbox requests up to date at all times; checks for new messages on an hourly basis.
+ Mentors new hires; assists
+ Assists management and team lead with motivating and coaching employees to succeed as needed.
+ Maintains accurate and detailed notes in the company system.
+ Adapts quickly to frequent process changes and improvements.
+ Is reliable, engaged, and provides feedback as to improve processes and policies.
+ Attends all department, team, and weekly company meetings as required.
+ Appropriately routes incoming calls when necessary.
+ Meets company quality Meets patient service quality standards.
**_Qualifications_**
+ 2-3 years of experience, preferred
+ High School Diploma, GED or equivalent work experience, preferred
**_What is expected of you and others at this level_**
+ Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments
+ In-depth knowledge in technical or specialty area
+ Applies advanced skills to resolve complex problems independently
+ May modify process to resolve situations
+ Works independently within established procedures; may receive general guidance on new assignments
+ May provide general guidance or technical assistance to less experienced team members
**Anticipated hourly range:** $15.00 - $22.57/hour
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 11/30/2025 *if interested in opportunity, please submit application as soon as possible.
_The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity._
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Billing Specialist
Billing representative job in Meridian, ID
Job DescriptionDescription:
At Functional Medicine of Idaho (FMI), we are committed to helping people thrive by providing personalized, integrative healthcare that addresses the root causes of health concerns. Our mission is to empower individuals at every stage of life, guiding them toward optimal well-being. We focus on delivering comprehensive, patient-centered care rooted in the latest research and compassionate service. At FMI, we value collaboration, innovation, and empathy, and are dedicated to offering the best functional and integrative medicine in the communities we serve. Join our team and be part of transforming healthcare while making a meaningful impact.
Benefits
401(k) with Employer Match
Dental Insurance
Employee Assistance Program
Health Insurance
Life Insurance
Vision Insurance
Paid Time Off
Employee Discounts on Wellness services, Supplements, & more!
Role and Responsibilities
We are seeking a highly resilient and organized Billing Specialist with excellent communication skills to join our team. This role plays a key part in the billing process, working closely with patients, providers, and insurance companies to ensure smooth financial operations.
Manage billing functions for 20+ providers, ensuring compliance with billing regulations including policies, processes, and procedures using CPT and ICD-10 CM diagnosis codes, and applying appropriate modifiers as needed.
Ensure accurate and timely follow-up and resolution of all accounts receivable, managing A/R to meet and maintain cash collection metrics and goals.
Maximize facility reimbursement by understanding payer contracts and ensuring correct payments are received.
Accurately post payments from insurance and patients, and work on denials from insurance companies.
Review patient accounts to collect outstanding balances.
Communicate effectively with patients regarding insurance, billing, and payment plans.
Handle reimbursement issues for contracted and non-contracted insurance, including HMO, PPO, EPO, POS, Worker's Compensation, self-pay, and third-party payers.
Explain insurance Explanation of Benefits (EOBs) to patients and ensure they understand their financial responsibilities.
Qualifications and/or Work Experience Requirements
High School Diploma (required)
Minumum 1 year of experience in medical billing (preferred)
1 year of experience in collections and patient accounts receivable
Ability to read and interpret Explanation of Benefits (EOBs)
Strong multitasking abilities and attention to detail
Self-starter with the ability to work in a team environment
Flexible and adaptable to changes in processes
Preferred Skills
Strong organizational and communication skills
Ability to manage multiple tasks efficiently
Proficiency in EMR systems and billing software
Equal Opportunity Employer
Functional Medicine of Idaho is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, age, sex, marital status, national origin, ancestry, disability, handicap or veteran status.
Requirements:
FMIHIGHP
Billing Specialist
Billing representative job in Emmett, ID
Job Details Emmett, ID EMMETT, ID Full Time DayDescription
Billing Specialist
Department: Business Office
Supervisor's Title: Revenue Cycle Manager
Process primary and secondary claims electronically or paper format with complete information to reduce denials and maximize reimbursement. Works claim scrubber edits, denials, and accounts receivable reports. Payment posting. Files appeals. Communicates effectively with patients regarding accounts and insurance issues. Reconciles patient accounts prepares adjustments for review.
Principal Functions and Responsibilities:
Follows established departmental policies and procedures, objectives, and Quality Improvement and Safety programs.
Responsible for payer specific caseload(s) i.e. Medicaid, Commercial, etc.
Interprets and explains to patients/guarantors their associated charges, services, and hospital policies regarding payment both insurance and private responsibility.
Serves as relief for Admitting Clerk and Emergency Registration when needed.
Electronically bills primary payers. Files secondary claims. Reconstructs claims when necessary or insurance information becomes available.
Makes written and/or verbal inquires to payers to reconcile patient accounts.
Works denied claims, A/R reports, and corrections in a timely manner to assure maximum reimbursement.
Works accounts with payer credits and prepares information for Business Office Manager to review.
Prepares accounts for adjustments i.e. insurance, timeliness issues.
Enhances professional growth and development through participation in educational programs, current literature, in-service meeting, and workshops.
Attends meetings as required.
Maintain positive and effective relations with co-workers, other departments, patients and visitors.
Identify and communicate to Lead Biller opportunities for system or process improvement.
Perform other duties as assigned.
On occasion may be required to work overtime or weekend shifts.
Maintain confidentiality in matters relating to patient/family.
Provide information to patients and families to reduce anxiety and convey an attitude of acceptance, sensitivity and caring.
Maintain professional relationships and convey relevant information to other members of the healthcare team within the facility and any applicable referral agencies.
Qualifications
Minimum Education: High School diploma or equivalent.
Minimum Experience and Skills: At least 1-year billing experience in a hospital or clinic setting and general knowledge and understanding in the following areas:
CPT, ICD-9 and ICD-10 codes, revenue codes
Follow up for all insurance payers
Knowledge of UB and HCFA billing
Critical Access Hospital (CAH) and Rural Health Clinic
Effective communications with co-workers, insurance companies, etc.
Working Conditions:
Works in office setting and with patients. Potential exposure to patient elements in general.
Blood Borne Pathogens - potential exposure to blood, body fluids or tissues.
Physical Requirement: Sitting and working at a computer keyboard, walking, lifting, reaching, hand eye coordination, speaking.