Job Title: Insurance Authorization & Advocacy Specialist
Department: GAP Advocacy
The GAP Advocate is responsible for managing Out of Network authorizations for clients. This role manages authorizations from initiation through final determination, ensuring timely submission, strategic planning, accurate documentation, and proactive communication with providers, patients, and insurance companies.
Key Responsibilities
Monitor new cases and assess GAP eligibility based on insurance coverage.
Manage GAP cases through all processing stages until final determination.
Review insurance policies to identify coverage gaps and strategize for approvals and overturning denials.
Prepare and finalize GAP letters with accurate coding, complete documentation, and strong justification.
Communicate with patients, providers, and insurers to gather information and secure GAP authorization.
Maintain workflow efficiency and delegate tasks to remote team members as needed.
Provide timely updates and weekly case status reports to supervisors and practices.
Required Skills & Competencies
Problem Solving: Resourceful, able to identify issues and troubleshoot effectively.
Management & Organization: Strong organizational skills; able to prioritize, handle multiple tasks and maintain smooth workflows.
Communication: Professional and respectful communication with internal teams and external contacts.
Critical Thinking: Quick thinker with sound judgment and common sense.
Self-Motivated & Driven: Works independently, takes initiative, and demonstrates a desire to learn.
Tools & Systems
Portals: Salesforce, Quickbase Reports, Power BI
Communication: Microsoft Teams, Email, Phone
Collaboration: Remote team members, Supervisors, Upper Management, Coders, IT, Clients, Insurance, INN doctors, Patients
Benefits
M&D Capital offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program.
Salary
This position offers a salary range of $45,000 to $65,000 annually, commensurate with experience.
$45k-65k yearly 1d ago
Looking for a job?
Let Zippia find it for you.
Billing and Collections Specialist 2
Air Methods 4.7
Billing representative job in Nevada
The Billing and Collections Specialist is responsible for the timely follow-up of claims billed and resolution of accounts. Oversees the account receivables and maintain detailed/accurate account documentation.
Essential Functions and Responsibilities include the following:
Appeal and/or rebill all open, underpaid/unpaid claims thoroughly, accurately, promptly, and with all supporting documentation
Responsible for maintaining and updating payor billing and collection guidelines, fee schedules, etc.
Review, document, and resolve all incoming correspondence, payor calls, and payments; Assist as needed
Report all payor issues and/or denial trends to Lead/Supervisor
May work cross-functionally to complete multiple assignments
Other duties as assigned
Additional Job Requirements
Regular scheduled attendance
Indicate the percentage of time spent traveling - 0%
Subject to applicable laws and Air Method's policies, regular attendance is an essential function of the position. All employees must follow Air Methods' employment practices and policies.
Supervisory Responsibilities
This position has no supervisory responsibilities.
Qualifications
To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. In accordance with applicable laws, Air Methods will provide reasonable accommodations that do not create an undue burden so disabled employees may perform the essential functions of the position.
Education & Experience
High school diploma or general education degree (GED); and three to four years' related experience and/or training; or equivalent combination of education and experience
2-3 years' medical billing and claims reimbursement experience; preferred
Knowledge of all Government, Commercial and Private payers; preferred
Knowledge of medical and billing terminology; required
Knowledge of HIPAA and other industry specific regulations; required
(Internal) Employed as Billing & Collections Specialist I for a minimum of 1 year; exceptions with manager approval
Skills
Strong interpersonal skills and a high degree of collaboration at all levels
Excellent organizational skills, detail oriented, ability to prioritize, multi-task and meet deadlines
Intermediate customer service and phone skills
Excellent problem-solving skills
Computer Skills
Intermediate with Microsoft Office, including Word, Excel and Outlook
Certificates, Licenses, Registrations
None
Air Methods is an EEO/AA employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
Minimum pay USD $17.73/Hr. Maximum Pay USD $21.71/Hr. Benefits
For more information on our industry-leading benefits, please visit our benefits page here.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
$17.7-21.7 hourly Auto-Apply 13d ago
Billing Specialist
Rosendin Electric 4.8
Billing representative job in Las Vegas, NV
Whether you're a recent grad or a seasoned professional, you can experience meaningful career growth at Rosendin. Enjoy a true sense of ownership as you work with a proven industry leader on some of the most exciting and high-profile projects in the nation. We offer a wide range of job opportunities, competitive compensation, full benefits, an Employee Stock Ownership Plan and more.
Why Rosendin?Committed. Innovative. Engaged.
If you're looking to take your career to the next level and work with some of the best and brightest in the industry, we want to hear from you. Since our founding over 100+ years ago, Rosendin has been driven to positively impact the communities where we live and work. We are an organization built on integrity and we have a culture that empowers people, embraces diversity, and inspires everyone to do their best. As one of the largest EMPLOYEE-OWNED electrical contractors in the United States, you will have the unique benefit of being a shareholder at a company that is experiencing tremendous growth and success. When our people succeed and fuel our success, we reward them. We'd love to have you as a shareholder!
YOUR NEXT OPPORTUNITY:
The Billing Specialist is responsible for invoicing assigned accounts, assuring they are submitted timely, accurately, completely, and in accordance with established billing processes or procedures.
WHAT YOU'LL DO:
Researches and resolves invoices that are incomplete and unable to be billed.
Performs timely collection of payment for assigned accounts.
Prepare time & material billings for submission to customers.
Ensure that billing records are accurate and up to date.
Assist in achieving and maintaining corporate goals with respect to billing metrics.
Review data, report and identify issues. Take necessary steps to communicate or resolve the issues with customers and operations teams.
Develop and maintain rapport with billing specialist counterparts at General Contractor or customer to ensure timely payment.
Collect lien releases as required and maintain an accurate and up-to-date log of jobs requiring releases.
Work with A/R Specialist and credit to facilitate collections.
Review billing status of ongoing projects to ensure month-end cutoff dates are met.
Generate and review various reports and reconciliation for the billing department.
Perform general clerical duties including copying, faxing, mailing, and filing.
Interface with project team to investigate and resolve issues to ensure jobs are billed accurately and within the appropriate time frames.
The duties and responsibilities are intended to describe the general nature and scope of work being performed by this position. This is not a complete listing and other duties will be assigned based on the position's role within the business unit.
WHAT YOU BRING TO US:
Bachelor's degree in Accounting, Finance, or business-related field
Minimum 1 year of experience in a billing-related role in a construction setting
Experience with accounting/billing and Cost Plus Billing preferred
Can be a combination of education, training, and relevant experience
WHAT YOU'LL NEED TO BE SUCCESSFUL:
Demonstrate the ability to work closely with operations and other departments in finance as required
Apply and adapt quickly to new invoicing procedures
Attention to detail is necessary; strong analytical skills favored
Proficient in using a computer and Microsoft Office (Outlook, Word, Excel, etc.); Oracle preferred
Prioritize and manage multiple tasks, changing priorities as necessary
Work under pressure and adapt to changing requirements with a positive attitude
Oral and written communication skills as required for the position
Self-motivated, proactive and an effective team player
Interact effectively and professionally with all levels of employees, both management and staff alike, vendors, clients, and others
Proficient in using a computer and Microsoft Office (Outlook, Word, Excel, etc.); Oracle preferred
Prioritize and manage multiple tasks, changing priorities as necessary
Work under pressure and adapt to changing requirements with a positive attitude
Oral and written communication skills as required for the position
Self-motivated, proactive and an effective team player
Interact effectively and professionally with all levels of employees, both management and staff alike, vendors, clients, and others
TRAVEL:
0 %
WORKING CONDITIONS:
General work environment - sitting for extended periods, standing, walking, typing, carrying, pushing, bending. Work is conducted primarily indoors with varying environmental conditions, such as fluorescent lighting and air conditioning.
Noise level is typically low to medium; it can be loud on a job site.
Occasional lifting of up to 30 lbs.
We fully comply with the ADA and applicable state law, including considering reasonable accommodation measures that may enable qualified disabled applicants and employees to perform essential functions.
Rosendin Electric is committed to creating a diverse environment and is proud to be an Equal Opportunity Employer. Employment decisions are considered regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, pregnancy, age (over 40), or any other categories protected by applicable federal, state, or local law.
YOU Matter - Our Benefits
ESOP - Employee Stock Ownership
401 K
Annual bonus program based upon performance, profitability, and achievement
17 PTO days per year plus 10 paid holidays
Medical, Dental, Vision Insurance
Term Life, AD&D Insurance, and Voluntary Life Insurance
Disability Income Protection Insurance
Pre-tax Flexible Spending Plans (Health and Dependent Care)
Charitable Giving Match with our Rosendin Foundation
Our success is rooted in our people. We all come together around long-term vision and a sense of shared ownership. As a group, we do whatever it takes to ensure the success of our business…and your career.
Rosendin Electric is committed to creating a diverse environment and is proud to be an Equal Opportunity Employer. Employment decisions are considered regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.
$33k-40k yearly est. Auto-Apply 60d+ ago
Business Office-Billing & Collection Specialist - Full Time
Carsonvalleyhealth
Billing representative job in Gardnerville, NV
To effectively provide billing and collection resources to the organization. To ensure the appropriate billing and collection of all claims the management of accounts receivable and all other aspects of the organization revenue cycle.
POSITION REQUIREMENTS:
Minimum Education:
High School Diploma or equivalent.
Work Experience Required:
Must be proficient with Microsoft Office Suite, PowerPoint, Excel, and Word, and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.
Minimum Work Experience Preferred:
Knowledge of EPIC EHR is desirable.
Knowledge of CMS 1500/UB billing preferred.
Knowledge of the physician practice and hospital revenue cycle preferred.
Knowledge of multiple insurance billing requirements preferred.
1-2 years of billing experience in NV Medicaid, Commercial and Managed Care billing preferred.
Billing and Collection experience preferred.
Knowledge of UB04 Inpatient and Outpatient Medicaid Billing in a Hospital or Healthcare setting preferred.
POSITION ESSENTIAL FUNCTIONS:
Billing
Works with team to ensure the accurate entry of charge data to include appropriate CPT and CD - 9/10 codes.
Works with physicians and other staff to ensure all encounter forms are completed at time of service and coding is accurate and representative of the patient visit.
Accurately sends out bills to third party payers (electronically and via paper) daily.
Ensures all electronic claims have been received on a daily basis.
Work assigned Work Queues to correct errors, ensuring accurate claims and reimbursement on first claim submission.
Audit denials and payment variances to determine root cause and correction as required.
Auditing payment variances ensuring appropriate reimbursement.
Provide specific and in depth contract knowledge to ensure maximum reimbursement of healthcare claims.
Resolve credit balances by reviewing payments, adjustments or transfers correcting the patient account to reflect an accurate account receivable balance.
Work with leadership and other internal departments to improve processes, increase accuracy, create efficiencies and decrease denials to achieve the overall goals of the organization.
Maintain a current knowledge of CPT/HCPCS, CD, DRG, HCFA forms, ability to manipulate and analyze 837 and all other HIPAA transaction sets.
Collections
Accurately track and follow up on all outstanding claims from the third party providers.
Utilize telephone and computer methods to track the status of each claim.
Maintain a portfolio of claims that are followed up each month.
Review Explanation of Benefits on a regular basis to identify denial trends.
Adequately prepare denial reports and train physicians and staff on how to prevent denials through accurate coding.
Contact all patients regarding outstanding balances.
Work with outsourced collection agencies.
Communication
Answers telephones, routes callers, takes messages and provides routine information to callers.
Returns Phone calls in a timely manner.
Relays messages to appropriate staff members.
BENEFITS: If you are scheduled to work part-time at least 20 hours per week and full-time at least 32 hours per week, you are eligible for benefits on the first day of the month following 30 days of employment.
NO STATE INCOME TAX
Hometown Health Medical, EyeMed Vision, Guardian Dental and Flexible Spending Account.
Vanguard 401(k) with match.
Employer paid Care Flight Membership for your household (full-time employees) (A Division of REMSA).
Employer Paid Basic Life and AD&D insurance.
Unum Supplemental Insurance (Critical Illness, Accident, Short Term & Long Term Disability).
Earned Time Off, Sick Leave and Paid Holidays.
Nevada 529 College Fund.
Unum Employee Assistance Program.
Employer paid Credit monitoring and Identity Theft Program through CyberScout.
Tuition Reimbursement, Clinical Ladder* & HRSA Loan Repayment Program* (*for qualifying positions).
Priority Childcare Enrollment with the Boys and Girls Club of Western NV for ages 9 months+.
Paid Volunteer Hours for staff to help in the community.
and More...
CARSON VALLEY HEALTH IS PROUD TO BE RECOGNIZED AS A FINALIST IN THE
"BEST PLACES TO WORK" - NORTHERN NEVADA, 2021, 2022, 2024 & 2025!
WE LOOK FORWARD TO WELCOMING YOU TO OUR TEAM!!
$30k-38k yearly est. Auto-Apply 21d ago
Business Office-Billing & Collection Specialist - Full Time
Washoe Barton Medical Clinic 4.4
Billing representative job in Gardnerville, NV
To effectively provide billing and collection resources to the organization. To ensure the appropriate billing and collection of all claims the management of accounts receivable and all other aspects of the organization revenue cycle.
POSITION REQUIREMENTS:
Minimum Education:
High School Diploma or equivalent.
Work Experience Required:
Must be proficient with Microsoft Office Suite, PowerPoint, Excel, and Word, and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.
Minimum Work Experience Preferred:
Knowledge of EPIC EHR is desirable.
Knowledge of CMS 1500/UB billing preferred.
Knowledge of the physician practice and hospital revenue cycle preferred.
Knowledge of multiple insurance billing requirements preferred.
1-2 years of billing experience in NV Medicaid, Commercial and Managed Care billing preferred.
Billing and Collection experience preferred.
Knowledge of UB04 Inpatient and Outpatient Medicaid Billing in a Hospital or Healthcare setting preferred.
POSITION ESSENTIAL FUNCTIONS:
Billing
Works with team to ensure the accurate entry of charge data to include appropriate CPT and CD - 9/10 codes.
Works with physicians and other staff to ensure all encounter forms are completed at time of service and coding is accurate and representative of the patient visit.
Accurately sends out bills to third party payers (electronically and via paper) daily.
Ensures all electronic claims have been received on a daily basis.
Work assigned Work Queues to correct errors, ensuring accurate claims and reimbursement on first claim submission.
Audit denials and payment variances to determine root cause and correction as required.
Auditing payment variances ensuring appropriate reimbursement.
Provide specific and in depth contract knowledge to ensure maximum reimbursement of healthcare claims.
Resolve credit balances by reviewing payments, adjustments or transfers correcting the patient account to reflect an accurate account receivable balance.
Work with leadership and other internal departments to improve processes, increase accuracy, create efficiencies and decrease denials to achieve the overall goals of the organization.
Maintain a current knowledge of CPT/HCPCS, CD, DRG, HCFA forms, ability to manipulate and analyze 837 and all other HIPAA transaction sets.
Collections
Accurately track and follow up on all outstanding claims from the third party providers.
Utilize telephone and computer methods to track the status of each claim.
Maintain a portfolio of claims that are followed up each month.
Review Explanation of Benefits on a regular basis to identify denial trends.
Adequately prepare denial reports and train physicians and staff on how to prevent denials through accurate coding.
Contact all patients regarding outstanding balances.
Work with outsourced collection agencies.
Communication
Answers telephones, routes callers, takes messages and provides routine information to callers.
Returns Phone calls in a timely manner.
Relays messages to appropriate staff members.
BENEFITS: If you are scheduled to work part-time at least 20 hours per week and full-time at least 32 hours per week, you are eligible for benefits on the first day of the month following 30 days of employment.
NO STATE INCOME TAX
Hometown Health Medical, EyeMed Vision, Guardian Dental and Flexible Spending Account.
Vanguard 401(k) with match.
Employer paid Care Flight Membership for your household (full-time employees) (A Division of REMSA).
Employer Paid Basic Life and AD&D insurance.
Unum Supplemental Insurance (Critical Illness, Accident, Short Term & Long Term Disability).
Earned Time Off, Sick Leave and Paid Holidays.
Nevada 529 College Fund.
Unum Employee Assistance Program.
Employer paid Credit monitoring and Identity Theft Program through CyberScout.
Tuition Reimbursement, Clinical Ladder* & HRSA Loan Repayment Program* (*for qualifying positions).
Priority Childcare Enrollment with the Boys and Girls Club of Western NV for ages 9 months+.
Paid Volunteer Hours for staff to help in the community.
and More...
CARSON VALLEY HEALTH IS PROUD TO BE RECOGNIZED AS A FINALIST IN THE
"BEST PLACES TO WORK" - NORTHERN NEVADA, 2021, 2022, 2024 & 2025!
WE LOOK FORWARD TO WELCOMING YOU TO OUR TEAM!!
$31k-36k yearly est. Auto-Apply 21d ago
Billing Representative III (Hospital Billing Authorizations) - Las Vegas, Nevada
NYU Langone Health
Billing representative job in Las Vegas, NV
We have an exciting opportunity to join our team as a BillingRepresentative III. Under general direction the BillingRepresentative III performs advanced billing and financial clearance functions including claims management, complex denial resolution, insurance authorizations, precertifications, and patient cost estimates. This role provides support to staff with escalated issues and participates in training and process improvement efforts.
Job Responsibilities:
Perform billing tasks assigned by management which may include data entry, claim review, charge review, accounts receivable follow-up, or other related responsibilities.
Provide input on system edits, processes, policies, and billing procedures to ensure maximization of revenues.
Perform daily tasks in assigned work queues and according to manager assignments.
Identify payer, provider credentialing, and/or coding issues and address them with management.
Follow workflows provided in training classes and request additional training as needed.
Utilize CBO Pathways as guide for determining actions needed to resolve unpaid or incorrectly paid claims and/or for authorizing procedures in assigned workqueue(s) using payer websites, billing system information and training within expected timeframe.
Review reports to identify revenue opportunities, unpaid claims, delays in obtaining authorizations/financial clearance.
Adhere to general practices and departmental guidelines on compliance issues and patient confidentiality.
Communicate with providers, patients, coders, or other responsible persons to ensure that claims are correctly processed by third party payers.
Work following operational policies and procedures, and regulatory requirements.
Participate in workgroups and meetings. Attend all required training classes. Escalate issues to management as needed. Maintain confidentiality.
Read and apply policies and procedures to make appropriate decisions.
Coordinate functions and work cooperatively with others.
Responsible for assisting other billingrepresentatives with difficult and escalated issues.
Assist department supervisor with special projects and staff training.
Appeal complex denials through review of payer policies, coding, contracts, and medical records. Utilize subject matter experts as needed.
Cross cover other areas in the office as assigned by management including Accounts Receivable/Denials, Customer Service or Authorizations.
Other related duties as assigned.
Patient Experience and Access
Drives consistency in every patient and colleague encounter by embodying the core principles of our Billing Department Service Strategy CARES (Connect, Align, Respond, Ensure, and Sign-Off)
Greets patients warmly and professionally, stating name and role, and clearly communicates each step of the care/interaction as appropriate
Works collaboratively with colleagues and site management to ensure a positive experience and timely resolution for all patient interactions and inquiries whether in person, by phone or via electronic messaging.
Proactively anticipates patient needs, and participates in service recovery by applying the LEARN model (Listen, Empathize, Apologize, Resolve, Notify), and escalates to leadership as appropriate.
Shares ideas or any observed areas of opportunity, to improve patient experience and patient access, with appropriate leadership. (i.e. ways to optimize provider schedules, how to minimize delays, increase employee engagement, etc.)
Partners with internal and external team members to support collaboration and promote a positive patient experience.
Takes a proactive approach in ensuring that practice staff are fully versed in the Access Agreement gold standard principles.
Minimum Qualifications:
To qualify you must have a High School Diploma or GED. Experience in medical billing, accounts receivable, insurance, or related duties; Knowledge of CPT and ICD10; medical billing software; English usage, grammar and spelling; basic math; 3 years experience in a similar role. Light, accurate keyboarding skills required. Prefer that candidates type 35 words per minute (wpm) or greater on the typing assessment that will be administered prior to onboarding.
Personal Characteristics:
Strong verbal and written communication skills, with the ability to collaborate across departments.
Strong critical thinking and effective listening skills
Professional demeanor and positive attitude required
Time management skills required
Ability to develop and maintain effective working relationships with peers, other staff and leadership
Qualified candidates must be able to effectively communicate with all levels of the organization.
NYU Langone Nevada provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents. At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it's developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family.
NYU Langone Nevada is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online.
View Know Your Rights: Workplace discrimination is illegal.
$30k-37k yearly est. 17d ago
PATIENT ACCESS REP I
Carson-Tahoe Regional Health Care 4.6
Billing representative job in Carson City, NV
US:NV:Carson City Patient Registration Part Time Variable Shift About Carson Tahoe Health CTH is a not-for-profit healthcare system with 240 licensed acute care beds, fully accredited by the Center for Improvement in Healthcare Quality (CIHQ). CTH was voted 5th most beautiful hospital in the nation nestled among the foothills of the Sierra Nevada in North Carson City and only a short drive away from world-famous Lake Tahoe & Reno. We serve a population of over 250,000 and feature two hospitals, two urgent cares, an emergent care center, outpatient services and a provider network with 19 regional locations.
Summary
Responsible for the accuracy and integrity of the patient registration/demographic information obtained during each patient encounter. Responsible for collection of copays/deductibles as identified. Ensures the completion of all documents required at point of patient access. The population served by this position consists of all age groups.
Qualifications
Required:
* Minimum of one (1) year of direct customer service experience
* Strong verbal and written communication and interpersonal skills.
Preferred:
* High school diploma or equivalent.
* Working knowledge of medical terminology and formal training in related areas
Top 5 Reasons to Live in Carson City, Nevada
* Live, work and play in one of the most beautiful regions in the world
* Enjoy an array of outdoor activities world class skiing, golf, camping, mountain biking, hiking, water skiing, kayaking, hunting and fishing
* Just next door is Beautiful Lake Tahoe
* We are minutes from Reno known as the 'biggest little city in the world' - Fine dining, nightlife, shopping and home to the University of Nevada Reno.
* Family friendly atmosphere with affordable housing & excellent school system
Our Benefits
* No State Income Tax
* Medical, Dental, Vision, FSA, Telehealth
* Paid Time Off, Mental Health, and Volunteer Days
* 100% Vested 401K & Roth with Company Contribution
* Tuition Reimbursement
* Referral Bonuses
* On Site Education & Certification Programs
* Base Wage Increases for Relevant Advanced Degrees
* Free Calm App Subscription
$31k-36k yearly est. 13d ago
Premium Billing Specialist
Selecthealth
Billing representative job in Las Vegas, NV
The Premium Billing Specialist provides front-line support to Select Health Individual members and employer groups by assisting with billing and enrollment inquiries through phone and other communication channels. This role utilizes a general understanding of processes and policy requirements to help collect documentation, guide customers, and ensure accurate data entry in designated systems. While handling payments and navigating enrollment systems, the specialist maintains confidentiality and adheres to compliance standards to deliver a dependable and customer-focused experience.
Schedule
Full time, in office
Monday-Friday 8:30am-5:00pm PT, with rotating Saturday shift: 8:00am-2:00pm PT (will work 1-2x Saturdays a month, depending on coverage)
Training period:
Two weeks paid training
Training hours: Monday-Friday 8:00am-4:30pm PT
Busiest time of the year- Open Enrollment (mid-December through end of February). During this time each year, we have blackout dates for PTO and some mandatory OT (up to 1-2 hours, depending on business needs).
The Premium Billing Specialist position
is responsible for providing superior customer service primarily over the phone by assisting members with their insurance premiums and researching or resolving any discrepancies with their billing.
The Entry pay for this position is $19.85 and may go up a little depending on experience.
Essential Functions
Provide exceptional customer support to Select Health Individual members through inbound calls and live chat.
Coordinates with employer group representatives to reconcile basic account adjustments and facilitate accurate payment processing.
Respond to inquiries and provide clear guidance on billing, enrollment, and account-related processes.
Partner with internal departments to troubleshoot and resolve billing and enrollment concerns.
Process member payments in accordance with established financial controls and compliance protocols.
Assist members and agents in navigating enrollment platforms and accessing documentation while ensuring data privacy and regulatory compliance.
Maintain accurate and detailed records of customer interactions and account updates.
Evaluates member accounts to determine reinstatement eligibility and calculates outstanding payment requirements in alignment with billing policies and plan guidelines.
Reviews and validates peer-submitted reinstatement requests to ensure accuracy, completeness, and alignment with established billing and enrollment standards.
Adhere to internal policies and state/federal regulatory requirements.
Consistently meet or exceed performance metrics including productivity, accuracy, and customer satisfaction.
Skills
Professional Phone Communication
Health Plan Eligibility Knowledge
Secure Payment Processing
Accounts Receivable
Written and Verbal Communication
Customer Experience Excellence
Data Privacy and Confidentiality
Documentation and Recordkeeping
Digital Literacy and System Navigation
Typing Speed and Accuracy
Proficiency in Microsoft Office Suite (Excel, Outlook, Teams)
Stress Management and Resilience
Task Prioritization
Active Listening Techniques
Time and Workflow Management
Qualifications
Minimum Qualifications
Proven experience in a customer-facing role, preferably in healthcare or insurance.
Strong proficiency in CRM systems and data entry, with attention to detail.
Excellent communication and interpersonal skills across multiple channels.
Demonstrated ability to multi-task, prioritize, and manage time in a fast-paced environment.
Effective problem-solving skills and ability to remain calm under pressure.
Preferred Qualifications
Background in healthcare finance or enrollment operations, including AP/AR, eligibility verification, or payroll.
Experience with process optimization and negotiation.
Strong organizational and analytical skills, including data collection and reporting.
Physical Requirements
Ability to read and interpret digital and printed materials, assess customer needs, and identify relevant tools and resources.
Frequent verbal communication with team members and customers, requiring clear speech and active listening.
Manual dexterity for computer use and equipment handling, including typing and navigating software platforms.
Location:
Central Office - Las Vegas
Work City:
Las Vegas
Work State:
Nevada
Scheduled Weekly Hours:
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$19.85 - $30.21
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here.
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.
$29k-39k yearly est. Auto-Apply 2d ago
Medical Billing Specialist (Claims + Payment Posting)
Advantixx RCM
Billing representative job in Las Vegas, NV
We are seeking a detail-oriented and experienced Medical Billing Specialist (Claims + Payment Posting) to support our revenue cycle operations by ensuring accurate claims submission, timely follow-up, proper payment posting, and resolution of billing issues.
This role focuses primarily on processing claims, managing rejections/denials, posting payments (ERAs/EOBs), handling adjustments, and maintaining accurate patient and payer balances. The ideal candidate is highly organized, understands payer rules, and can manage multiple claims and payment workflows efficiently.
KEY RESPONSIBILITIES
Claims Submission & Follow-Up
- Prepare, review, and submit clean claims electronically and/or via paper when needed.
- Verify that charges, modifiers, diagnosis codes, and provider information are accurate prior to submission.
- Monitor claim status through clearinghouse and payer portals.
- Resolve rejected claims quickly by correcting errors and resubmitting.
- Work denials and underpayments by identifying root cause and initiating corrections or appeals.
- Follow up on unpaid claims and aging accounts to reduce A/R days.
- Coordinate with clinical/admin teams to obtain missing documentation needed for billing.
Payment Posting & Reconciliation
- Post insurance payments accurately using ERAs (electronic remittance advice) and manual EOBs.
- Post patient payments and properly apply to the correct claim/encounter.
- Review payment variances and ensure contractual adjustments and write-offs are applied correctly.
- Process refunds, recoupments, and payment reversals when necessary.
- Ensure accurate account balances and assist with reconciliation reports.
- Maintain proper documentation and notes for all payment actions.
Patient Billing Support (as needed)
- Assist with patient statements, patient balance inquiries, and payment plans (if applicable).
- Identify secondary coverage opportunities and coordinate COB (coordination of benefits).
Billing Compliance & Documentation
- Maintain compliance with payer billing requirements, HIPAA, and company policies.
- Ensure supporting documentation is correct and available for audits.
- Maintain accurate tracking logs and workflow documentation.
Collaboration & Process Improvement
- Work closely with credentialing, authorizations, scheduling, and clinical teams to prevent billing issues.
- Identify trends in denials and rejections and communicate recurring issues to management.
- Support implementation of billing workflow improvements to increase efficiency and accuracy.
Requirements
REQUIRED QUALIFICATIONS
- 2+ years of medical billing experience (claims and payment posting required).
- Strong understanding of claims lifecycle, clearinghouse processes, and payer portals.
- Experience working with ERAs, EOBs, CPT/ICD-10/HCPCS coding concepts, modifiers, and adjustments.
- Familiarity with Medicare, Medicaid, and commercial insurance billing rules.
- Strong attention to detail and ability to manage high-volume tasks.
- Proficiency with EHR/PM systems and Microsoft Office (Excel preferred).
PREFERRED QUALIFICATIONS
- Experience in home health, home care, primary care, behavioral health, DME, or multi-specialty billing.
- Experience with authorizations, eligibility verification, and secondary billing.
- Billing certification preferred (CPB, CPC, CBCS, or equivalent).
- Bilingual (English/Spanish) is a plus.
SKILLS & COMPETENCIES
- Strong analytical skills and ability to resolve billing/payment discrepancies
- Excellent organization and time management
- Strong written and verbal communication
- Ability to work independently and meet deadlines
- Strong customer service skills when dealing with patients and payers
- Team-oriented and proactive problem-solving mindset
WHAT SUCCESS LOOKS LIKE IN THIS ROLE
- Accurate and timely claims submissions with low rejection rates
- Fast and accurate payment posting with minimal discrepancies
- Reduced aging A/R and improved collections performance
- Strong documentation and compliance with payer requirements
- Clear communication and teamwork to prevent recurring billing issues
$29k-39k yearly est. 12d ago
Billing Specialist
Quality Medical Imaging 4.6
Billing representative job in Las Vegas, NV
Job DescriptionDescription:
It's not your same old repetitive billing experience. You haven't experienced billing in it's most interesting form until you have taken on the challenge of being a Medical Billing Specialist in the mobile medical billing environment. Challenge yourself to work in a setting that will challenge all you know.
Quality Medical Imaging, a state-of-the-art provider of Digital X-rays Ultrasounds is currently hiring. We have been in business since 2001 and we are looking for talented people to join our team! We are currently recruiting for full time Billing Specialist.
The Billing Specialist is responsible for processing and collecting all insurance claims and assist patients with inquiries regarding their health care insurance coverage. This is an exciting opportunity for someone that is interested in having exposure to all aspects of medical billing.
Duties and Responsibilities
Prepares and submits clean claims by either paper or electronically in a timely manner to various insurance providers.
Tracks and follows up on delinquent insurance collections and denials.
Prepares and reviews patient statements for accuracy.
Maintains and works accounts receivable report for billing.
Identifies and resolves patient billing complaints.
Performs various collections including contacting patients by phone and correcting and resubmitting claims to third-party payers.
Responsible for posting payments and adjusting accounts per company billing guidelines.
Maintains strictest confidentiality and adheres to all HIPAA guidelines and regulations.
Adheres to Medicare and Medicaid guidelines.
Works with insurance providers to expedite the collection process and ensure any pre-authorization requirements are met.
Reviews accounts for possible assignment and makes recommendation to the Billing Supervisor and prepares information for the collection agency.
Responsible for facility billing.
Responsible for processing refunds to insurance carriers. Notifies VP of refunds and creates adjustments on accounts.
Responsible for return mail. Working with facilities, patients, and insurance websites to obtain correct information.
Responsible for verifying insurance coverage on claims prior to submitting to carriers.
Assists intake Department on insurance questions relative to orders or insurance verification
Performs other related duties as assigned.
Requirements:
Medical Billing Certification along with:
Three to five years of experience working with various aspects of medical billing. Ability to interpret and use ICD-10 and CPT codes.
Knowledge of basic accounting principles.
Experience working in excel.
Excellent verbal and written communication skills.
Excellent customer service skills.
The ability to independently work on projects and manage time.
Excellent attention to detail.
$30k-38k yearly est. 6d ago
Premium Billing Specialist
Intermountain Health 3.9
Billing representative job in Las Vegas, NV
The Premium Billing Specialist provides front-line support to Select Health Individual members and employer groups by assisting with billing and enrollment inquiries through phone and other communication channels. This role utilizes a general understanding of processes and policy requirements to help collect documentation, guide customers, and ensure accurate data entry in designated systems. While handling payments and navigating enrollment systems, the specialist maintains confidentiality and adheres to compliance standards to deliver a dependable and customer-focused experience.
**Schedule**
+ Full time, in office
+ Monday-Friday 8:30am-5:00pm PT, with rotating Saturday shift: 8:00am-2:00pm PT (will work 1-2x Saturdays a month, depending on coverage)
+ Training period:
+ Two weeks paid training
+ Training hours: Monday-Friday 8:00am-4:30pm PT
+ _Busiest time of the year-_ **_Open Enrollment (mid-December through end of February)._** _During this time each year,_ **_we have blackout dates for PTO and some mandatory OT_** **_(up to 1-2 hours, depending on business needs)._**
+ **_The Premium Billing Specialist position_** _is responsible for providing superior customer service primarily over the phone by assisting members with their insurance premiums and researching or resolving any discrepancies with their billing._
+ _The Entry pay for this position is_ **_$19.85_** _and may go up a little depending on experience._
**Essential Functions**
+ Provide exceptional customer support to Select Health Individual members through inbound calls and live chat.
+ Coordinates with employer group representatives to reconcile basic account adjustments and facilitate accurate payment processing.
+ Respond to inquiries and provide clear guidance on billing, enrollment, and account-related processes.
+ Partner with internal departments to troubleshoot and resolve billing and enrollment concerns.
+ Process member payments in accordance with established financial controls and compliance protocols.
+ Assist members and agents in navigating enrollment platforms and accessing documentation while ensuring data privacy and regulatory compliance.
+ Maintain accurate and detailed records of customer interactions and account updates.
+ Evaluates member accounts to determine reinstatement eligibility and calculates outstanding payment requirements in alignment with billing policies and plan guidelines.
+ Reviews and validates peer-submitted reinstatement requests to ensure accuracy, completeness, and alignment with established billing and enrollment standards.
+ Adhere to internal policies and state/federal regulatory requirements.
+ Consistently meet or exceed performance metrics including productivity, accuracy, and customer satisfaction.
**Skills**
+ Professional Phone Communication
+ Health Plan Eligibility Knowledge
+ Secure Payment Processing
+ Accounts Receivable
+ Written and Verbal Communication
+ Customer Experience Excellence
+ Data Privacy and Confidentiality
+ Documentation and Recordkeeping
+ Digital Literacy and System Navigation
+ Typing Speed and Accuracy
+ Proficiency in Microsoft Office Suite (Excel, Outlook, Teams)
+ Stress Management and Resilience
+ Task Prioritization
+ Active Listening Techniques
+ Time and Workflow Management
**Qualifications**
Minimum Qualifications
+ Proven experience in a customer-facing role, preferably in healthcare or insurance.
+ Strong proficiency in CRM systems and data entry, with attention to detail.
+ Excellent communication and interpersonal skills across multiple channels.
+ Demonstrated ability to multi-task, prioritize, and manage time in a fast-paced environment.
+ Effective problem-solving skills and ability to remain calm under pressure.
Preferred Qualifications
+ Background in healthcare finance or enrollment operations, including AP/AR, eligibility verification, or payroll.
+ Experience with process optimization and negotiation.
+ Strong organizational and analytical skills, including data collection and reporting.
**Physical Requirements**
+ Ability to read and interpret digital and printed materials, assess customer needs, and identify relevant tools and resources.
+ Frequent verbal communication with team members and customers, requiring clear speech and active listening.
+ Manual dexterity for computer use and equipment handling, including typing and navigating software platforms.
**Location:**
Central Office - Las Vegas
**Work City:**
Las Vegas
**Work State:**
Nevada
**Scheduled Weekly Hours:**
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$19.85 - $30.21
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here (***************************************************** .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.
$29k-34k yearly est. 3d ago
Collection Specialist/ Bilingual English and Spanish
Capital Credit
Billing representative job in Las Vegas, NV
Join a team of collections specialists. Use effective collection strategies to minimize delinquencies and improve collection rates. Effectively communicate to establish and maintain relationships with our customer base. Clearly communicate with other staff members and management.
Report unresolved issues to supervisor and management. Compensation: $22.00 - $27.00 per hour
About Capital Credit LLC CapitalCredit is a subprime finance company engaged in acquiring sub-prime auto receivables from both franchised and independent automobile dealers which have entered into contracts with purchasers of typically used, but some new, cars and light trucks. CapitalCredit then services the receivables it acquires. CapitalCredit commenced operations in Tennessee in 2013. It conducts most of its business in the Southeastern United States. CAREERS Capital Credit LLC is a great place to work. We are growing and expanding within our existing office locations and are always looking for underwriters and collectors. If you are a talented person, with a great work ethic, who wants to work in a fast paced, friendly work environment, or a vendor who would like to do business with us, please take a look at our current openings.
$22-27 hourly Auto-Apply 60d+ ago
Collections Specialist
Raymond West 4.3
Billing representative job in Reno, NV
Raymond West is looking for a detailed Collections Specialist to join our Accounts Receivable team! As a Collections Specialist, you will establish professional working relationships with customers to facilitate the timely resolution of past due account balances. You will notify or locate customers with delinquent accounts and take the necessary steps to recover payments, primarily using the Billtrust system.
Raymond West is committed to providing our customers with end-to-end warehouse solutions. We bring you our industry-leading expertise in lift trucks, racking, conveyor, dock and door, rentals, parts, and service. Our customers trust us to provide the right supply chain solutions and services to keep their business up and running.
Duties and Responsibilities:
Contact customers via phone or email to determine reasons for past due payments.
Work in Billtrust to reduce past-due balances by following built-in account steps.
Review delinquent accounts and initiate collection actions based on due dates.
Report credit risks or bad debt information immediately to the manager.
Identify unapplied credits on a timely basis and clear against outstanding receivables.
Participate in Account Past Due meetings and report on delinquent accounts.
Process credit card transactions as needed.
Create follow-up schedules for past due accounts and send required statements.
Notify the manager of customer disputes within 24 hours and work towards resolution.
Handle customer calls and assist with collection inquiries.
Maintain accurate records in the company database and follow department procedures.
Required Skills/Abilities:
Strong customer service experience and mindset.
Excellent verbal and written communication skills.
Strong computer skills with proficiency in Microsoft Office and similar software.
Ability to manage a high volume of customer calls and emails (25-90/day).
Ability to manage time efficiently and follow documented processes.
Positive attitude, strong work ethic, and ability to work independently.
Basic understanding of accounting principles.
Preferred Skills/Abilities:
Experience working with Billtrust or similar cloud-based systems (a plus).
Strong reconciliation skills.
Ability to handle multiple tasks and prioritize work.
Education/Experience:
High school diploma or equivalent.
1-2 years of office experience.
Basic accounting knowledge is required.
Working Hours:
Monday through Friday: 7:30 a.m. to 4:30 p.m. (1-hour lunch)
or
8:00 a.m. to 4:30 p.m. (30-minute lunch)
Pay Range:
The hourly range for this position is $21.00 - $25.00. The specific pay offered to a candidate may be influenced by a variety of factors including but not limited to the candidate's relevant experience, education, and work location.
Qualified candidates must be able to pass a pre-employment physical and drug screen.
Raymond West provides medical, dental, vision, 401k with company match, flexible spending accounts, disability insurance, life insurance, personal time off, holiday pay and a great team to work with!
Check us out at ******************** Raymond West has a great group of loyal and hardworking employees who help us maintain our exemplary level of sales and service.
Apply on-line via the submit resume button provided.
We are an equal opportunity employer and encourage all qualified persons to apply. We encourage qualified military veterans and persons with disabilities to submit their resume online. We will consider qualified applicants with criminal histories in accordance with the FCO. We are a drug free company.
This contractor and subcontractor shall abide by the requirements of 41 CFR §§ 60-1.4(a), 60-300.5(a) and 60-741.5(a). These regulations prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on their race, color, religion, sex, or national origin. Moreover, these regulations require that covered prime contractors and subcontractors take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, protected veteran status or disability.
$21-25 hourly 3d ago
Collections Specialist
Raymondhandlingsolutionsecc
Billing representative job in Reno, NV
Raymond West is looking for a detailed Collections Specialist to join our Accounts Receivable team! As a Collections Specialist, you will establish professional working relationships with customers to facilitate the timely resolution of past due account balances. You will notify or locate customers with delinquent accounts and take the necessary steps to recover payments, primarily using the Billtrust system.
Raymond West is committed to providing our customers with end-to-end warehouse solutions. We bring you our industry-leading expertise in lift trucks, racking, conveyor, dock and door, rentals, parts, and service. Our customers trust us to provide the right supply chain solutions and services to keep their business up and running.
Duties and Responsibilities:
Contact customers via phone or email to determine reasons for past due payments.
Work in Billtrust to reduce past-due balances by following built-in account steps.
Review delinquent accounts and initiate collection actions based on due dates.
Report credit risks or bad debt information immediately to the manager.
Identify unapplied credits on a timely basis and clear against outstanding receivables.
Participate in Account Past Due meetings and report on delinquent accounts.
Process credit card transactions as needed.
Create follow-up schedules for past due accounts and send required statements.
Notify the manager of customer disputes within 24 hours and work towards resolution.
Handle customer calls and assist with collection inquiries.
Maintain accurate records in the company database and follow department procedures.
Required Skills/Abilities:
Strong customer service experience and mindset.
Excellent verbal and written communication skills.
Strong computer skills with proficiency in Microsoft Office and similar software.
Ability to manage a high volume of customer calls and emails (25-90/day).
Ability to manage time efficiently and follow documented processes.
Positive attitude, strong work ethic, and ability to work independently.
Basic understanding of accounting principles.
Preferred Skills/Abilities:
Experience working with Billtrust or similar cloud-based systems (a plus).
Strong reconciliation skills.
Ability to handle multiple tasks and prioritize work.
Education/Experience:
High school diploma or equivalent.
1-2 years of office experience.
Basic accounting knowledge is required.
Working Hours:
Monday through Friday: 7:30 a.m. to 4:30 p.m. (1-hour lunch)
or
8:00 a.m. to 4:30 p.m. (30-minute lunch)
Pay Range:
The hourly range for this position is $21.00 - $25.00. The specific pay offered to a candidate may be influenced by a variety of factors including but not limited to the candidate's relevant experience, education, and work location.
Qualified candidates must be able to pass a pre-employment physical and drug screen.
Raymond West provides medical, dental, vision, 401k with company match, flexible spending accounts, disability insurance, life insurance, personal time off, holiday pay and a great team to work with!
Check us out at ******************** Raymond West has a great group of loyal and hardworking employees who help us maintain our exemplary level of sales and service.
Apply on-line via the submit resume button provided.
We are an equal opportunity employer and encourage all qualified persons to apply. We encourage qualified military veterans and persons with disabilities to submit their resume online. We will consider qualified applicants with criminal histories in accordance with the FCO. We are a drug free company.
This contractor and subcontractor shall abide by the requirements of 41 CFR §§ 60-1.4(a), 60-300.5(a) and 60-741.5(a). These regulations prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on their race, color, religion, sex, or national origin. Moreover, these regulations require that covered prime contractors and subcontractors take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, protected veteran status or disability.
$21-25 hourly 3d ago
Collections Specialist
Raymondwestsouth
Billing representative job in Reno, NV
Raymond West is looking for a detailed Collections Specialist to join our Accounts Receivable team! As a Collections Specialist, you will establish professional working relationships with customers to facilitate the timely resolution of past due account balances. You will notify or locate customers with delinquent accounts and take the necessary steps to recover payments, primarily using the Billtrust system.
Raymond West is committed to providing our customers with end-to-end warehouse solutions. We bring you our industry-leading expertise in lift trucks, racking, conveyor, dock and door, rentals, parts, and service. Our customers trust us to provide the right supply chain solutions and services to keep their business up and running.
Duties and Responsibilities:
Contact customers via phone or email to determine reasons for past due payments.
Work in Billtrust to reduce past-due balances by following built-in account steps.
Review delinquent accounts and initiate collection actions based on due dates.
Report credit risks or bad debt information immediately to the manager.
Identify unapplied credits on a timely basis and clear against outstanding receivables.
Participate in Account Past Due meetings and report on delinquent accounts.
Process credit card transactions as needed.
Create follow-up schedules for past due accounts and send required statements.
Notify the manager of customer disputes within 24 hours and work towards resolution.
Handle customer calls and assist with collection inquiries.
Maintain accurate records in the company database and follow department procedures.
Required Skills/Abilities:
Strong customer service experience and mindset.
Excellent verbal and written communication skills.
Strong computer skills with proficiency in Microsoft Office and similar software.
Ability to manage a high volume of customer calls and emails (25-90/day).
Ability to manage time efficiently and follow documented processes.
Positive attitude, strong work ethic, and ability to work independently.
Basic understanding of accounting principles.
Preferred Skills/Abilities:
Experience working with Billtrust or similar cloud-based systems (a plus).
Strong reconciliation skills.
Ability to handle multiple tasks and prioritize work.
Education/Experience:
High school diploma or equivalent.
1-2 years of office experience.
Basic accounting knowledge is required.
Working Hours:
Monday through Friday: 7:30 a.m. to 4:30 p.m. (1-hour lunch)
or
8:00 a.m. to 4:30 p.m. (30-minute lunch)
Pay Range:
The hourly range for this position is $21.00 - $25.00. The specific pay offered to a candidate may be influenced by a variety of factors including but not limited to the candidate's relevant experience, education, and work location.
Qualified candidates must be able to pass a pre-employment physical and drug screen.
Raymond West provides medical, dental, vision, 401k with company match, flexible spending accounts, disability insurance, life insurance, personal time off, holiday pay and a great team to work with!
Check us out at ******************** Raymond West has a great group of loyal and hardworking employees who help us maintain our exemplary level of sales and service.
Apply on-line via the submit resume button provided.
We are an equal opportunity employer and encourage all qualified persons to apply. We encourage qualified military veterans and persons with disabilities to submit their resume online. We will consider qualified applicants with criminal histories in accordance with the FCO. We are a drug free company.
This contractor and subcontractor shall abide by the requirements of 41 CFR §§ 60-1.4(a), 60-300.5(a) and 60-741.5(a). These regulations prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on their race, color, religion, sex, or national origin. Moreover, these regulations require that covered prime contractors and subcontractors take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, protected veteran status or disability.
$21-25 hourly 3d ago
Collection Specialist
Micone Staffing
Billing representative job in Reno, NV
Job Description We are seeking experienced collectors that have a firm grasp of the FDCPA. Qualified candidates must be self-motivated, possess good phone and communication skills, empathy towards others, and looking for a career not just a job. Our average collector makes $50K per year which is a base pay and commission. Our agents take 80% inbound and make 20% outbound calls. We pay for 100% of the employee's medical, vision and dental and 50% of all dependents.
We provide a 401K, paid holidays and sick time.
We're located in Class A office space in the heart of downtown Reno.
Most of our outbound contact is digital so we're looking for people who can take a call, negotiate a payoff and treat consumers with the utmost respect.
Not only do we require our agents to abide by the law, but we also require that they treat every consumer with respect and dignity, just how you would expect to be treated if the tables were turned.
.
$50k yearly 60d+ ago
Billing Specialist
Rosendin 4.8
Billing representative job in Las Vegas, NV
Job Description
Whether you're a recent grad or a seasoned professional, you can experience meaningful career growth at Rosendin. Enjoy a true sense of ownership as you work with a proven industry leader on some of the most exciting and high-profile projects in the nation. We offer a wide range of job opportunities, competitive compensation, full benefits, an Employee Stock Ownership Plan and more.
Why Rosendin?Committed. Innovative. Engaged.
If you're looking to take your career to the next level and work with some of the best and brightest in the industry, we want to hear from you. Since our founding over 100+ years ago, Rosendin has been driven to positively impact the communities where we live and work. We are an organization built on integrity and we have a culture that empowers people, embraces diversity, and inspires everyone to do their best. As one of the largest EMPLOYEE-OWNED electrical contractors in the United States, you will have the unique benefit of being a shareholder at a company that is experiencing tremendous growth and success. When our people succeed and fuel our success, we reward them. We'd love to have you as a shareholder!
YOUR NEXT OPPORTUNITY:
The Billing Specialist is responsible for invoicing assigned accounts, assuring they are submitted timely, accurately, completely, and in accordance with established billing processes or procedures.
WHAT YOU'LL DO:
Researches and resolves invoices that are incomplete and unable to be billed.
Performs timely collection of payment for assigned accounts.
Prepare time & material billings for submission to customers.
Ensure that billing records are accurate and up to date.
Assist in achieving and maintaining corporate goals with respect to billing metrics.
Review data, report and identify issues. Take necessary steps to communicate or resolve the issues with customers and operations teams.
Develop and maintain rapport with billing specialist counterparts at General Contractor or customer to ensure timely payment.
Collect lien releases as required and maintain an accurate and up-to-date log of jobs requiring releases.
Work with A/R Specialist and credit to facilitate collections.
Review billing status of ongoing projects to ensure month-end cutoff dates are met.
Generate and review various reports and reconciliation for the billing department.
Perform general clerical duties including copying, faxing, mailing, and filing.
Interface with project team to investigate and resolve issues to ensure jobs are billed accurately and within the appropriate time frames.
The duties and responsibilities are intended to describe the general nature and scope of work being performed by this position. This is not a complete listing and other duties will be assigned based on the position's role within the business unit.
WHAT YOU BRING TO US:
Bachelor's degree in Accounting, Finance, or business-related field
Minimum 1 year of experience in a billing-related role in a construction setting
Experience with accounting/billing and Cost Plus Billing preferred
Can be a combination of education, training, and relevant experience
WHAT YOU'LL NEED TO BE SUCCESSFUL:
Demonstrate the ability to work closely with operations and other departments in finance as required
Apply and adapt quickly to new invoicing procedures
Attention to detail is necessary; strong analytical skills favored
Proficient in using a computer and Microsoft Office (Outlook, Word, Excel, etc.); Oracle preferred
Prioritize and manage multiple tasks, changing priorities as necessary
Work under pressure and adapt to changing requirements with a positive attitude
Oral and written communication skills as required for the position
Self-motivated, proactive and an effective team player
Interact effectively and professionally with all levels of employees, both management and staff alike, vendors, clients, and others
Proficient in using a computer and Microsoft Office (Outlook, Word, Excel, etc.); Oracle preferred
Prioritize and manage multiple tasks, changing priorities as necessary
Work under pressure and adapt to changing requirements with a positive attitude
Oral and written communication skills as required for the position
Self-motivated, proactive and an effective team player
Interact effectively and professionally with all levels of employees, both management and staff alike, vendors, clients, and others
TRAVEL:
0 %
WORKING CONDITIONS:
General work environment - sitting for extended periods, standing, walking, typing, carrying, pushing, bending. Work is conducted primarily indoors with varying environmental conditions, such as fluorescent lighting and air conditioning.
Noise level is typically low to medium; it can be loud on a job site.
Occasional lifting of up to 30 lbs.
We fully comply with the ADA and applicable state law, including considering reasonable accommodation measures that may enable qualified disabled applicants and employees to perform essential functions.
Rosendin Electric is committed to creating a diverse environment and is proud to be an Equal Opportunity Employer. Employment decisions are considered regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, pregnancy, age (over 40), or any other categories protected by applicable federal, state, or local law.
YOU Matter - Our Benefits
ESOP - Employee Stock Ownership
401 K
Annual bonus program based upon performance, profitability, and achievement
17 PTO days per year plus 10 paid holidays
Medical, Dental, Vision Insurance
Term Life, AD&D Insurance, and Voluntary Life Insurance
Disability Income Protection Insurance
Pre-tax Flexible Spending Plans (Health and Dependent Care)
Charitable Giving Match with our Rosendin Foundation
Our success is rooted in our people. We all come together around long-term vision and a sense of shared ownership. As a group, we do whatever it takes to ensure the success of our business and your career.
Rosendin Electric is committed to creating a diverse environment and is proud to be an Equal Opportunity Employer. Employment decisions are considered regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.
$33k-40k yearly est. 6d ago
Business Office-Billing & Collection Specialist - Full Time
Washoe Barton Medical Clinic 4.4
Billing representative job in Gardnerville, NV
To effectively provide billing and collection resources to the organization. To ensure the appropriate billing and collection of all claims the management of accounts receivable and all other aspects of the organization revenue cycle.
POSITION REQUIREMENTS:
Minimum Education:
High School Diploma or equivalent.
Work Experience Required:
Must be proficient with Microsoft Office Suite, PowerPoint, Excel, and Word, and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.
Minimum Work Experience Preferred:
Knowledge of EPIC EHR is desirable.
Knowledge of CMS 1500/UB billing preferred.
Knowledge of the physician practice and hospital revenue cycle preferred.
Knowledge of multiple insurance billing requirements preferred.
1-2 years of billing experience in NV Medicaid, Commercial and Managed Care billing preferred.
Billing and Collection experience preferred.
Knowledge of UB04 Inpatient and Outpatient Medicaid Billing in a Hospital or Healthcare setting preferred.
POSITION ESSENTIAL FUNCTIONS:
Billing
Works with team to ensure the accurate entry of charge data to include appropriate CPT and CD - 9/10 codes.
Works with physicians and other staff to ensure all encounter forms are completed at time of service and coding is accurate and representative of the patient visit.
Accurately sends out bills to third party payers (electronically and via paper) daily.
Ensures all electronic claims have been received on a daily basis.
Work assigned Work Queues to correct errors, ensuring accurate claims and reimbursement on first claim submission.
Audit denials and payment variances to determine root cause and correction as required.
Auditing payment variances ensuring appropriate reimbursement.
Provide specific and in depth contract knowledge to ensure maximum reimbursement of healthcare claims.
Resolve credit balances by reviewing payments, adjustments or transfers correcting the patient account to reflect an accurate account receivable balance.
Work with leadership and other internal departments to improve processes, increase accuracy, create efficiencies and decrease denials to achieve the overall goals of the organization.
Maintain a current knowledge of CPT/HCPCS, CD, DRG, HCFA forms, ability to manipulate and analyze 837 and all other HIPAA transaction sets.
Collections
Accurately track and follow up on all outstanding claims from the third party providers.
Utilize telephone and computer methods to track the status of each claim.
Maintain a portfolio of claims that are followed up each month.
Review Explanation of Benefits on a regular basis to identify denial trends.
Adequately prepare denial reports and train physicians and staff on how to prevent denials through accurate coding.
Contact all patients regarding outstanding balances.
Work with outsourced collection agencies.
Communication
Answers telephones, routes callers, takes messages and provides routine information to callers.
Returns Phone calls in a timely manner.
Relays messages to appropriate staff members.
BENEFITS:
If you are scheduled to work part-time at least 20 hours per week and full-time at least 32 hours per week, you are eligible for benefits on the first day of the month following 30 days of employment.
NO STATE INCOME TAX
Hometown Health Medical, EyeMed Vision, Guardian Dental and Flexible Spending Account.
Vanguard 401(k) with match.
Employer paid Care Flight Membership for your household (full-time employees) (A Division of REMSA).
Employer Paid Basic Life and AD&D insurance.
Unum Supplemental Insurance (Critical Illness, Accident, Short Term & Long Term Disability).
Earned Time Off, Sick Leave and Paid Holidays.
Nevada 529 College Fund.
Unum Employee Assistance Program.
Employer paid Credit monitoring and Identity Theft Program through CyberScout.
Tuition Reimbursement, Clinical Ladder* & HRSA Loan Repayment Program* (*for qualifying positions).
Priority Childcare Enrollment with the Boys and Girls Club of Western NV for ages 9 months+.
Paid Volunteer Hours for staff to help in the community.
and More...
CARSON VALLEY HEALTH IS PROUD TO BE RECOGNIZED AS A FINALIST IN THE
"BEST PLACES TO WORK" - NORTHERN NEVADA, 2021, 2022, 2024 & 2025!
WE LOOK FORWARD TO WELCOMING YOU TO OUR TEAM!!
Mon thru Fri; 8am to 4:30pm
$31k-36k yearly est. Auto-Apply 58d ago
Medical Billing Specialist (Claims + Payment Posting)
Advantixx RCM
Billing representative job in Las Vegas, NV
Job DescriptionDescription:
We are seeking a detail-oriented and experienced Medical Billing Specialist (Claims + Payment Posting) to support our revenue cycle operations by ensuring accurate claims submission, timely follow-up, proper payment posting, and resolution of billing issues.
This role focuses primarily on processing claims, managing rejections/denials, posting payments (ERAs/EOBs), handling adjustments, and maintaining accurate patient and payer balances. The ideal candidate is highly organized, understands payer rules, and can manage multiple claims and payment workflows efficiently.
KEY RESPONSIBILITIES
Claims Submission & Follow-Up
- Prepare, review, and submit clean claims electronically and/or via paper when needed.
- Verify that charges, modifiers, diagnosis codes, and provider information are accurate prior to submission.
- Monitor claim status through clearinghouse and payer portals.
- Resolve rejected claims quickly by correcting errors and resubmitting.
- Work denials and underpayments by identifying root cause and initiating corrections or appeals.
- Follow up on unpaid claims and aging accounts to reduce A/R days.
- Coordinate with clinical/admin teams to obtain missing documentation needed for billing.
Payment Posting & Reconciliation
- Post insurance payments accurately using ERAs (electronic remittance advice) and manual EOBs.
- Post patient payments and properly apply to the correct claim/encounter.
- Review payment variances and ensure contractual adjustments and write-offs are applied correctly.
- Process refunds, recoupments, and payment reversals when necessary.
- Ensure accurate account balances and assist with reconciliation reports.
- Maintain proper documentation and notes for all payment actions.
Patient Billing Support (as needed)
- Assist with patient statements, patient balance inquiries, and payment plans (if applicable).
- Identify secondary coverage opportunities and coordinate COB (coordination of benefits).
Billing Compliance & Documentation
- Maintain compliance with payer billing requirements, HIPAA, and company policies.
- Ensure supporting documentation is correct and available for audits.
- Maintain accurate tracking logs and workflow documentation.
Collaboration & Process Improvement
- Work closely with credentialing, authorizations, scheduling, and clinical teams to prevent billing issues.
- Identify trends in denials and rejections and communicate recurring issues to management.
- Support implementation of billing workflow improvements to increase efficiency and accuracy.
Requirements:
REQUIRED QUALIFICATIONS
- 2+ years of medical billing experience (claims and payment posting required).
- Strong understanding of claims lifecycle, clearinghouse processes, and payer portals.
- Experience working with ERAs, EOBs, CPT/ICD-10/HCPCS coding concepts, modifiers, and adjustments.
- Familiarity with Medicare, Medicaid, and commercial insurance billing rules.
- Strong attention to detail and ability to manage high-volume tasks.
- Proficiency with EHR/PM systems and Microsoft Office (Excel preferred).
PREFERRED QUALIFICATIONS
- Experience in home health, home care, primary care, behavioral health, DME, or multi-specialty billing.
- Experience with authorizations, eligibility verification, and secondary billing.
- Billing certification preferred (CPB, CPC, CBCS, or equivalent).
- Bilingual (English/Spanish) is a plus.
SKILLS & COMPETENCIES
- Strong analytical skills and ability to resolve billing/payment discrepancies
- Excellent organization and time management
- Strong written and verbal communication
- Ability to work independently and meet deadlines
- Strong customer service skills when dealing with patients and payers
- Team-oriented and proactive problem-solving mindset
WHAT SUCCESS LOOKS LIKE IN THIS ROLE
- Accurate and timely claims submissions with low rejection rates
- Fast and accurate payment posting with minimal discrepancies
- Reduced aging A/R and improved collections performance
- Strong documentation and compliance with payer requirements
- Clear communication and teamwork to prevent recurring billing issues
$29k-39k yearly est. 23d ago
Bilingual Collection Specialist
Capital Credit
Billing representative job in Las Vegas, NV
Benefits/Perks
Careers Advancement Opportunities
Flexible Scheduling
Competitive Compensation
Job SummaryWe are seeking a Collection Specialist to join our team. In this role, you will monitor accounts to identify outstanding payments and communicate with clients regarding the collection of those funds. The ideal candidate has excellent negotiation and interpersonal skills and the ability to work with limited supervision. Proficient in Spanish helpful. Responsibilities
Review accounts to discover overdue payments
Research client information and historical data on accounts
Communicate with clients regarding overdue accounts
Collection arrangements with past due customers
Maintain accurate documentation of account status and collection efforts
Report on collection activity and present to management
Qualifications
High school diploma/GED required
Previous experience as a Collection Specialist or in a similar position
Understanding of collection techniques
Knowledge of debt collection laws and regulations
Familiarity with Microsoft Office, Excel, and computer databases
Ability to work well under pressure
Excellent communication and negotiation skills
Able to communicate in English and Spanish
Compensation: $22.00 - $25.00 per hour
About Capital Credit LLC CapitalCredit is a subprime finance company engaged in acquiring sub-prime auto receivables from both franchised and independent automobile dealers which have entered into contracts with purchasers of typically used, but some new, cars and light trucks. CapitalCredit then services the receivables it acquires. CapitalCredit commenced operations in Tennessee in 2013. It conducts most of its business in the Southeastern United States. CAREERS Capital Credit LLC is a great place to work. We are growing and expanding within our existing office locations and are always looking for underwriters and collectors. If you are a talented person, with a great work ethic, who wants to work in a fast paced, friendly work environment, or a vendor who would like to do business with us, please take a look at our current openings.