Account Representative Builder Segment
Billing representative job in Sacramento, CA
Account Representative Builder Segment is responsible for uncompromisingly upholding the visions, values and objectives as stated in the Burlingame Industries VVO handbook.
EAGLE ACCOUNT REPRESENTATIVE BUILDERS (ARB) PRIMARY FUNCTIONS:
Communication:
• ARB is expected to returns calls and respond to internal and external requests in a timely fashion
• ARB is expected to utilize CRM to record all sales activities, share successes and challenges, post reports as requested and maintain current account and contact list
• ARB is required to utilize cell phone in “hands free” mode only
• ARB is forbidden from texting or emailing while driving
Performance and Skills Development Expectations:
• ARB must read, understand and sign the latest Eagle Quota Development and Monthly Commission Program Summary and Acknowledgement form.
• ARB is expected to achieve the assigned annual sales volume (squares) targets as established by Regional Sales or Regional Segment Manager
• ARB is expected to achieve the assigned annual average selling price (ASP) targets as assigned by Regional Sales Manager or Regional Segment Manager
• ARB is expected to achieve the assigned annual components sales volume targets as assigned by Regional Sales or Regional Segment Manager
• ARB is expected to write and successfully implement an annual Territory Sales/Business Plan inclusive of strategic account initiatives as agreed with Regional Sales or Segment Manager
• ARB should be a self-starter that consistently exhibits strong time management skills
• ARB is expected to engage in social capital while maintaining expenses within assigned budget
• ARB is expected to develop a thorough understanding of industry dynamics including but not limited to the competitive landscape of the entire sloped roofing segment
• ARB is expected to develop a thorough understanding that the asphalt shingle industry is our primary competitor that currently comprises 95% of the sloped roofing market and represents our biggest opportunity for the growth of the tile roofing industry and our company
• ARB must be capable of making “Blue Ocean” (new business conversion) cold calls towards the goal of expanding Eagle's customer base, as well as maintaining and growing existing customers.
• ARB is responsible for completing all assigned tasks on time, with full ownership and responsibility.
Pricing Integrity:
• ARB must follow and comply with latest issued price and discount matrix for the volume builder segment as determined and issued by VP of National Accounts or VP of Sales and Marketing. Any deviations must be pre-approved.
Intangibles:
• ARB must demonstrate a “can do” positive attitude towards internal and external customers
• ARB must be driven to succeed
• ARB should be computer literate and willing to learn and utilize the latest tools designed to enhance the productivity and professionalism of his/her position.
• ARB must possess a strong desire to learn and is expected to develop extensive knowledge of the building and roofing industry (from sales, manufacturing to installation) including but not limited to the TRI manual certification class. Training will be provided both from co-workers as well as outside vendor partners.
• ARB will maintain an element of professionalism when confronted with petty competitive banter, complaints from customers, suppliers, distributors or when dealing with uncomfortable situations.
ESSENTIAL FUNCTIONS OF AN ACCOUNT REPRESENTATIVE BUILDERS:
To include but not limited to the following:
• ARB will assume primary responsibility for all communication with regional and national builder accounts and the volume roofing contractor accounts that service regional and national builders
• ARB must be willing to travel occasionally and represent Eagle at industry trade functions
• ARB should plan to spend approximately 80% of his/her selling time in the field maintaining and growing the customer base.
• ARB must be willing to gradually develop reputation as industry roof tile expert, thereby increasing his/her value to our customers and establishing Eagle as their brand of choice.
• ARB is required to attend monthly sales meeting or any meeting as directed by the Sales Manager.
• ARB is required to submit monthly forecast to Regional Sales Manager as directed.
• ARB is required to respond to all complaints within 24 hours. Respond to complaint for resolution within 48 hours of notification of complaint. Coordinate the resolution and expedite the complaint form and necessary paperwork to complete the issue. Alert management immediately to any situation that could potentially cost more than $1000 to settle.
• ARB must be willing to accept any and all requests from management to undertake any project, task or challenge. These assignments are to be fully completed by taking ownership of and completing each on time.
• ARB position requires the operation of a Company vehicle for which they must have and maintain a clean driving record and a valid driver's license for purposes of insurability with our carrier and to maintain continued employment.
Education and/ or Experience:
Bachelor's degree (B.A.) from four-year college or university, or 5 to 10 years of related experience and/or training; or equivalent combination of education and experience is a plus, but is not required
Physical Requirements:
Must be able to sit for extended periods of time operating company vehicle. Must be able to pick up, carry and lift 20-40 lbs. of tile, sample boxes, brochure boxes. Requires repetitive use of hands and use of devices such as phone, computer, and hand tools for the building and set-up of displays. Requires being on feet for extended periods of time during presentations or at industry trade shows.
Language Skills:
Ability to read, analyze and interpret complex documents. Ability to respond effectively to the most sensitive inquiries or complaints. Ability to prepare and make effective speeches on controversial or complex topics to management and or professional organizations or customers.
Reasoning Ability
Ability to define problems, collect data, establish facts and draw valid conclusions. Ability to interpret an extensive variety of technical instructions.
Communication:
Must possess the communication skills, both verbal and written, needed to relay information to all other employees in a professional, positive and constructive manner, such that all communiqué is clear, concise and conclusive.
Teamwork:
Must work harmoniously with all personnel, including all other departments, and follow all company rules, regulations and procedures associated with professional sales/marketing methods and requirements.
If you meet the qualifications submit your resume for review.
Customer Service Representative
Billing representative job in Sacramento, CA
Customer Service Specialist
Sacramento, CA (onsite)
$20-22/hr
Do you have at least one year of customer service experience either from a call center or in retail? Do you have excellent communication skills and able to work in a fast paced environment? We are looking for a customer service professional for a new job opportunity in Sacramento, CA. If you are looking to join a great team and learning opportunities we encourage you to apply today!
Key Responsibilities
Handle 30-50 calls per day in a timely and professional manner.
Provide inbound telephone coverage and answer general product/service questions.
Place outbound calls for scheduling, follow-ups, and lead generation.
Accurately enter and update customer data in the system.
Research and resolve service requests, warranty issues, and complaints.
Promote company products/services and qualify leads.
Maintain compliance with company policies and safety standards.
Qualifications
Education: High school diploma or equivalent required.
Experience: Minimum 1 year of customer service experience; call center experience preferred.
Strong communication and interpersonal skills.
Computer proficiency with accurate data entry abilities.
Ability to work in a fast-paced, results-driven environment.
Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits, and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.
Equal Opportunity Employer/Veterans/Disabled
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to *******************************************
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance
If you have the qualifications above and are interested in this opportunity - please apply today! If you are curious what else is available, please review the LHH website!
Billing Specialist
Billing representative job in Dixon, CA
Key Responsibilities: * Order Confirmation & Claim Preparation: Process and confirm orders, ensuring claims are accurately prepared and submitted. * Cash Posting: Post payments and update accounts in a timely and accurate manner. * Patient Support: Address any patient inquiries regarding billing, ensuring clear communication and prompt issue resolution.
* Accounts Receivable Management: Work on stop/held accounts to ensure timely billing for rental items.
* Meet Department Goals: Achieve performance metrics and goals set by the department to maintain operational efficiency.
* Collaboration with Teams: Regularly communicate with Billing and Insurance team leads to report progress and trends
Pay: $17.00 hour
Benefits:
* BCBS Medical
* BCBS Vision
* Dental Insurance
* 401K
* PTO Benefits
Homecare Billing Coordinator
Billing representative job in Elk Grove, CA
Job DescriptionBenefits:
401(k) matching
Bonus based on performance
Dental insurance
Health insurance
Paid time off
Training & development
Vision insurance
JOB OVERVIEW:
We are seeking a skilled and experienced Billing Coordinator to join our team at Your Home Assistant. As a Billing Coordinator, you will play a crucial role in completing complex activities associated with maintaining accurate and complete billing and accounts receivable records. Review appropriate reports to ensure billing data accuracy. Resolve billing discrepancies regularly. Ensure eligibility is verified regularly and accurately maintained and followed up accordingly to prevent lost revenue.
RESPONSIBILITIES:
Work within the scope of the position, in coordination with management, to meet the needs of our patients, families and professional colleagues.
Accurately enter patient/customer billing data and charge accordingly
Ensure that all potential payers have been identified, verified, and entered accurately into the computer system prior to submission of billing and within deadlines per company policies and procedures.
Ensure that insurance-related documentation is secured, completed, reviewed, accurate, and submitted per company and state requirements. This includes election, certifications, and authorization-related documentation required for billing.
Maintain tracking tools and diaries to ensure that all necessary information is secured for timely accurate payment. Alert appropriate management team members regarding late or missing documents required for billing.
Perform and ensure regular review and resolve discrepancies of accounts receivables according to Company procedures, policy, internal controls, and payer requirements.
Establish and maintain positive working relationships with patient/clients, payors, and other customers. Maintain the confidentiality of patient/client and agency information at all times.
Assure for compliance with local, state and federal laws, Medicare regulations, and established company policies and procedures, including published manuals and responsibility matrixes
Meet or exceed delivery of Company Service Standards in a consistent fashion.
Interact with all staff in a positive and motivational fashion supporting the Companys mission.
Conduct all business activities in a professional and ethical manner.
The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents will be requested to perform job-related tasks other than those stated in this description.
QUALIFICATIONS
Minimum age requirement of 18.
High School graduate or GED required.
Two years experience in healthcare data entry, preferably in homecare
Cal-Aim, Tri-west, Long Term Care Insurance experience preferred
Two-year degree in accounting or equivalent insurance/bookkeeping preferred
Strong computer skills, including Word, Excel, and PowerPoint.
Strong analytical skills, organized work habits and proven attention to detail.
Excellent communication skills, ability to work independently and in a team environment.
Good customer relation skills.
Ability, flexibility and willingness to learn and grow as the company expands and changes.
Demonstrated leadership ability to initiate duties as required.
Plan, organize, evaluate, and manage PC files and Microsoft Office.
Compliance with accepted professional standards and practices.
Ability to work within an interdisciplinary setting.
Satisfactory references from employers and/or professional peers.
Satisfactory criminal background check.
Self-directed with the ability to work with little supervision.
Flexible and cooperative in fulfilling all obligations.
Job Type: Full-time
Benefits:
401(k) matching
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance
Schedule:
8 hour shift
Day shift
Monday to Friday
Ability to Relocate:
Elk Grove, CA 95758: Relocate before starting work (Required)
Work Location: In person
Medical Billing Specialist
Billing representative job in Carmichael, CA
**About Us:** Summit Orthopedic Specialists is a leading orthopedic practice specializing in knees, hips, and shoulders. We are committed to "Saving Lifestyles" by providing high-quality patient care in a collaborative and dynamic work environment.
**Position Overview:**
We are seeking a detail-oriented Medical Billing Specialist to join our team at Summit Orthopedic Specialists. The ideal candidate has medical office experience and a strong background in medical billing, insurance claims processing, and patient account management. Prior experience in an orthopedic medical office is a plus. This role is critical to ensuring accurate and timely billing, optimizing reimbursement, and providing exceptional service to patients and insurance providers.
**Key Responsibilities:**
- Process and submit insurance claims accurately and efficiently.
- Manage claim denials and follow up to ensure proper reimbursement.
- Collect and process patient payments and virtual credit card payments.
- Reconcile unapplied credit balances and explanation of benefits (EOBs).
- Verify patient insurance coverage and eligibility.
- Answer billing queue calls and voicemails, assisting patients with billing inquiries.
- Maintain compliance with HIPAA, coding guidelines, and insurance policies.
- Collaborate with teammates to ensure proper documentation and coding.
**Qualifications:**
- Experience working in a medical office is required; orthopedic experience is a plus.
- Experience working with Athena (EMR system) is a plus.
- Understanding of CPT, ICD-10, and HCPCS coding.
- Strong attention to detail and ability to work in a fast-paced environment.
- Excellent communication and problem-solving skills.
- Ability to maintain patient confidentiality and adhere to HIPAA regulations.
**Why Join Summit Orthopedic Specialists?**
- Competitive salary and benefits package.
- A supportive and collaborative team environment.
- Opportunities for professional growth and development.
- Be part of a practice that values quality patient care and innovation.
Coordinator, Denial Management Professional Billing
Billing representative job in Fairfield, CA
At NorthBay Health, the Coordinator, Denial Management is responsible for the monitoring, analytics, reporting, and coordination of pro-fee health care claims denials and underpayments. The incumbent will work with the PFS division, practice operations, providers, and other facility staff to create reports, monitor trends, and provide feedback and/or training, as well as corrective oversight for billing, coding, and contracts as determined based on claim denials, edits, and underpayments. The purpose of obtaining appropriate reimbursement under contract or related government fee schedule.
Qualifications
Education: Associate's degree preferred, or an equivalent combination of education and/or at least 3 years of related experience.
Licensure/Certification: All new hires will be required to complete the HFMA Certified Revenue Cycle Representative (CRCR) training course within the first nine (9) months of employment. Membership, training, and certification costs will be sponsored by the employer.
Experience
5 years of experience in professional/hospital billing, with in-depth knowledge of CPT, ICD, and HCPCS coding.
Understanding of payer contracts, payment structures, and federal/state regulations.
Proficiency with compliance laws and collection laws.
Skills
Excellent oral and written communication skills.
Proficiency in PC applications and Microsoft Office Suite, especially Excel.
Strong analytical skills with attention to detail.
Skilled in training and providing education to staff.
Strong organizational skills.
Interpersonal Skills
Demonstrates the True North values. The True North values are a set of value-based behaviors that are to be consistently demonstrated and role modeled by all employees that work at NorthBay Health. The True North values principles consist of Nurture/Care, Own It, Respect Relationships, Build Trust and Hardwire Excellence.
Ability to prioritize tasks and communicate delays effectively.
Communicate clearly across all organizational levels.
Collaborate effectively with team members for professional communication and inclusion.
Compensation: $32 to $39 per hour based on years of experience doing the duties of this role.
Auto-ApplySenior Billing Risk and Systems Analyst
Billing representative job in Concord, CA
AssetMark is a leading wealth management platform dedicated to empowering independent financial advisors. Our mission is to enable financial advisors to make a profound difference in the lives of their clients. Over 10,000 advisors rely on AssetMark for our investment solutions, innovative technology, advanced services and expertise to help them grow their businesses.
The Job/What You'll Do:
We are searching for someone to bring a continuous improvement and controllership mindset to a growing asset management company. The right candidate will be a proven self-starter with an owner/operator mentality who must bring strong ownership and accountability to our organization. The successful candidate will bring a strong technology, risk, audit, and compliance mindset, excellent oral and written communication skills, and a passion for excellence.
The Senior Billing Risk and Systems Analyst is responsible for conducting audits, strengthening control frameworks, and performing risk assessments to ensure the accuracy, completeness, and integrity of billing processes. This role collaborates closely with the Billing Implementation Manager, Billing Operations, and Product & Engineering teams to drive improvement projects, automate manual processes, and enhance operational efficiency within billing and revenue operations. Additionally, the Senior Billing Risk and Systems Analyst supports M&A integration, provides actionable insights to improve client experience and mitigate organizational risk, and fosters a strong risk-aware culture across the organization.
This is a full-time position in our Concord, CA office with a hybrid work schedule.
Responsibilities:
Lead pre-billing audits to ensure the accuracy of billing inputs into the billing system
Monitor and fix daily billing import errors
Complete quarterly audits to validate the accuracy and reasonableness of custodial partner billing.
Maintain data integrity and accuracy within the billing system and reports
Oversee end-to-end controls to ensure the completeness and accuracy of all billing activities in the billing system
Conduct ongoing risk assessments, identifying key risks and recommending appropriate control measures
Oversee the effectiveness of risk controls, monitor performance, and implement improvements as needed
Promote a strong risk-aware culture through consistent communication, training, and best practices
Partner with the Billing Implementation Manager in billing improvement initiatives and defect fixes, ensuring they are properly prioritized, thoroughly tested, and successfully implemented
Support the Billing Operations Manager and the Billing Implementation Manager on mergers & acquisitions and consolidation projects within the AssetMark billing system
Collaborate with cross-functional teams to identify operational, financial, regulatory, and reputational risks
Facilitate comprehensive reviews of client experience cases, identify root causes and trends, and provide actionable recommendations to Platform Revenue leaders
Knowledge, Skills, and Abilities:
Strong aptitude for rapidly understanding and mastering new technologies or systems
Prior external or internal audit experience
Deep knowledge of the TAMP industry, particularly platform-based or advisory fee/management fee structures
Knowledge of financial services regulatory requirements preferred
Ability to articulate clear messages and concise instructions through oral and written communication
Strong prioritization and organizational skills
Proven ability to build cross-functional relationships, especially with Sales, Legal, and Finance teams.
Ability to manage multiple priorities and work with a high degree of independence and accountability.
Ability to assess and minimize risk to organization
Outstanding Customer Focus - seeing the “bigger” picture and the ability to always identify what is in the best interest of the client and the firm
Education & Experience:
Bachelor's degree or equivalent experience required
5+ years' financial services experience required
Compensation: The Base Salary range for this position is between $90,000-$100,000.
This information reflects a base salary range that AssetMark reasonably expects to pay for the position based on a number of factors which may include job-related knowledge, skills, education, experience, and actual work location. This position will also be eligible for additional variable incentive compensation and competitive benefits.
Candidates must be legally authorized to work in the US to be considered. We are unable to provide visa sponsorship for this position.
#LI-CR1
#LI-hybrid
Who We Are & What We Offer:
We are AssetMark, a company on the move, shaping the future of financial services. Growth is in our DNA. Every day, we combine technology, insight, and collaboration to create new possibilities for advisors, for our people and for our investors. At AssetMark your ideas matter; they're heard, valued, and drive meaningful change. Join a team that sets new standards and creates space for you to thrive and do your best work.
Our Mission
Our mission is simple: to help our 10,500+ financial advisors make a meaningful difference in their clients' lives. We do this by combining powerful technology, holistic support, and expert consulting to help advisors run stronger, more efficient businesses. Backed by a comprehensive suite of investment solutions and a trust company that boasts of $150B+ AUM, our platform empowers advisors to deliver exceptional service and an outstanding client experience.
Our Values
Heart. Client Success. Integrity. Respect. Excellence. Our values are how we show up every day.
We believe in:
Leading with Heart, in truly making a difference in the lives of others: teammates, clients, investors and communities.
Obsessing over Client Success, bringing a relentless focus on what matters to clients that sets us apart and creates loyal, lasting relationships.
Unyielding Integrity, doing what's right, always. Even when it's hard.
Collective Respect, in being authentic, inclusive and valuing all voices while winning together.
Operating with Excellence, in learning fast, continuously improving, innovating and collaborating to find new and better solutions.
These values shape our culture, guide our decisions, and define what it means to be part of the AssetMark family.
Our Culture & Benefits
Our culture brings our mission and values to life. Here, we do what's right, embrace diverse ideas, and innovate together. We also offer a wide range of benefits to support you and your family-because thriving at work starts with thriving in life.
Flex Time or Paid Time Off and Sick Time Off
401K - 6% Employer Match
Medical, Dental, Vision - HDHP or PPO
HSA - Employer contribution (HDHP only)
Volunteer Time Off
Career Development / Recognition
Fitness Reimbursement
Hybrid Work Schedule
As an Equal Opportunity Employer, AssetMark is committed to building a diverse and inclusive workplace where everyone feels valued.
Auto-ApplyMedical Billing Manager
Billing representative job in Folsom, CA
Benefits:
401(k) matching
Competitive salary
Dental insurance
Health insurance
Paid time off
Vision insurance
Employment Type: Full Time; On-site
Hours: 8:00 am 4:30 pm
Pay Range: $38.50-$39.00 based on experience
Job Summary: Our orthopedic spine practice is seeking an experienced Medical Billing Manager with 10+ years in medical billing and advanced expertise in Athena EHR/Practice Management. This role oversees the full revenue cycle, manages the billing team, and ensures accurate, timely reimbursement in a high-volume specialty environment.
Minimum Experience/Education Qualifications:
10+ years of medical billing experience, including leadership or supervisory roles.
Extensive Athena EHR/Practice Management experience (required).
Strong knowledge of CPT, ICD-10, HCPCS, and orthopedic/spine billing.
Proven ability to improve revenue cycle performance and reduce AR aging.
Strong analytical skills with ability to generate and interpret revenue and financial reports.
Excellent communication, leadership, and problem-solving skills.
Knowledge of general office systems, including telephone systems, Microsoft Products (MS Outlook, Meister, MS Teams, G-Suite, Email, Word), copier, fax, scanner, and computer.
Ability to multitask
Ability to exercise the utmost discretion in protecting non-public and or sensitive patient health information (PHI), including but not limited to patient financial data, patient personal and health records, and other proprietary information.
Performs other duties as assigned by management
This job description is not intended to be inclusive of all responsibilities, duties, or skills required for the position and is subject to review and update at any time, per the needs of the practice.
Preferred Experience:
AAPC/AHIMA certification (CPC, CPB, etc.).
Previous experience in an orthopedic or surgical specialty
practice.
Benefits:
401(k) & 401(k) matching
Medical, Dental & Vision Insurance
Paid Time Off
Service Billing Assistant
Billing representative job in Sacramento, CA
Job Description
Mark III Construction is seeking a Service Billing Assistant to support its MEP Service company, M3 Service. The Service Billing Assistant will work closely with Service administrative staff, managers, and customers to ensure that invoices are issued with accuracy while under tight timelines. This position provides an opportunity to be part of a team within a dynamic industry and a quickly-growing company. The successful applicant will be exposed to multiple aspects of the business through the course of his/her daily activities.
Position hours would be 20-30 hours per week M - F
Requirements
Collaboration with Operations team including dispatchers, account managers, service managers, sales personnel and company leadership
Prepare and issue billings for service agreements and quoted work in line with company goals and client expectations
Update GL accounts in Sage 300
Receive and process purchase orders aligning with vendor payment requirements
Securing, preparing and delivering forms in line with client requirements
Responding promptly to customer requests and providing solutions issues as they arise
Identifying billing roadblocks and escalating as needed
Data Entry
Prioritizing tasks based on varying customer and company deadlines
Participating in continuous improvement initiatives
Other duties as assigned based upon skill, knowledge, and interest
Outcomes
For invoices within Billing's control, maintain an average monthly billing turnaround time of 5 days.
Achieve an overall monthly average billing turnaround time of 10 days.
Requirements
At least 1 years' experience performing administrative duties, customer service and/or basic accounting (preferred)
Proficient in Microsoft Office Suite
Experience with Build Ops (or other) commercial management software and/or Sage 300 software a plus
Willingness to learn and grow in a dynamic environment
Excellent verbal and written communication skills
Team player
Positive attitude
Dependability and flexibility
Benefits
Retirement Plan (401k, IRA)
Life Insurance (Basic, Voluntary & AD&D
Paid Time Off (Vacation, Sick & Public Holidays)
Family Leave (Maternity, Paternity)
Training & Development
On Site Gym
Salary Range: $20 - $25 per hour DOE
Dental Billing Coordinator - Gregory G. Olsen, DDS, FOSIC
Billing representative job in Folsom, CA
Apply Description
Billing Coordinator Folsom Oral Surgery and Implant Center - Folsom, CA
Proudly supported by Mosaic Dental Collective
Dr. Gregory G. Olsen, DDS, FOSIC, part of the Mosaic Dental Collective, is looking for a friendly, organized, and people-focused Billing Coordinator to join our team in Folsom, CA. If you're the kind of person who loves connecting with others, enjoys staying organized, and can bring great energy to each day-you'll feel right at home here.
As the first smile patients see and the voice that sets the tone, you'll be an essential part of making every visit smooth and welcoming. Our front office runs on teamwork, communication, and positivity-and with the support of Mosaic Dental Collective, you'll have everything you need to thrive and grow in your career.
Schedule: Monday-Friday
Pay: $22-$27/hr, depending on experience
What You'll Do
Verify patient insurance eligibility and coverage
Submit insurance claims
Follow up on unpaid or denied claims and file appeals as needed
Post insurance and patient payments; handle adjustments and refunds
Generate patient statements and manage accounts receivable
Communicate with patients regarding balances, payment plans, and billing questions
Other front office duties
What We're Looking For
2+ years dental billing/insurance coordinating experience
Specialty experience is a plus!
A strong communicator who's helpful, kind, and patient-focused
Comfortable with scheduling software
Attention to detail and a love for keeping things organized
Someone who's team-oriented and excited to contribute
Why You'll Love It Here
Competitive pay and full benefits (medical, dental, vision, 401k)
Paid time off and holidays
A relaxed, respectful work environment where you're truly valued
Career growth opportunities with Mosaic's support and resources
A role where your people skills and positive spirit really matter
This isn't just a desk job-it's a chance to be part of a place where care, connection, and community come first. If that sounds like you, let's chat.
**If interested, please reach out to Andrea Iobst at *********************************
Note: This job description is intended to convey information essential to understanding the scope of the Front Office Coordinator position. It is not exhaustive and may be subject to change or modification to meet the needs of the dental practice
.
Easy ApplyDental Billing Coordinator - Gregory G. Olsen, DDS, FOSIC
Billing representative job in Folsom, CA
Billing Coordinator Folsom Oral Surgery and Implant Center - Folsom, CA Proudly supported by Mosaic Dental Collective Dr. Gregory G. Olsen, DDS, FOSIC, part of the Mosaic Dental Collective, is looking for a friendly, organized, and people-focused Billing Coordinator to join our team in Folsom, CA. If you're the kind of person who loves connecting with others, enjoys staying organized, and can bring great energy to each day-you'll feel right at home here.
As the first smile patients see and the voice that sets the tone, you'll be an essential part of making every visit smooth and welcoming. Our front office runs on teamwork, communication, and positivity-and with the support of Mosaic Dental Collective, you'll have everything you need to thrive and grow in your career.
Schedule: Monday-Friday
Pay: $22-$27/hr, depending on experience
What You'll Do
* Verify patient insurance eligibility and coverage
* Submit insurance claims
* Follow up on unpaid or denied claims and file appeals as needed
* Post insurance and patient payments; handle adjustments and refunds
* Generate patient statements and manage accounts receivable
* Communicate with patients regarding balances, payment plans, and billing questions
* Other front office duties
What We're Looking For
* 2+ years dental billing/insurance coordinating experience
* Specialty experience is a plus!
* A strong communicator who's helpful, kind, and patient-focused
* Comfortable with scheduling software
* Attention to detail and a love for keeping things organized
* Someone who's team-oriented and excited to contribute
Why You'll Love It Here
* Competitive pay and full benefits (medical, dental, vision, 401k)
* Paid time off and holidays
* A relaxed, respectful work environment where you're truly valued
* Career growth opportunities with Mosaic's support and resources
* A role where your people skills and positive spirit really matter
This isn't just a desk job-it's a chance to be part of a place where care, connection, and community come first. If that sounds like you, let's chat.
If interested, please reach out to Andrea Iobst at *********************************
Note: This job description is intended to convey information essential to understanding the scope of the Front Office Coordinator position. It is not exhaustive and may be subject to change or modification to meet the needs of the dental practice.
Easy ApplyBilling Follow Up Associate
Billing representative job in Roseville, CA
Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.
Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.
Job Summary:
Communicates with patients, government agencies and third party payers to gather, process and record information to receive appropriate reimbursement. Communicates with departments for charge information, coding updates, and other information for claim appeals. Completes billing and collection processes and prepares for distribution to appropriate sources. Reviews unpaid claims and obtain necessary information to resolve reimbursements. Works on routine assignments within defined parameters, established guidelines and precedents. Follows established procedures and receives daily instructions on work.
Job Requirements:
Education and Work Experience:
* High School Education/GED or equivalent: Preferred
* Associate's/Technical Degree or equivalent combination of education/related experience: Preferred
* Medical billing and collections experience: Preferred
Essential Functions:
* Reviews, corrects and submits claims to payers. Applies developing/basic working knowledge and experience to the job.
* Reviews unpaid accounts, initiates correct actions to collect the accounts, and follows up on action to assure expected results is achieved.
* Meets or exceeds productivity and quality performance expectations.
* Reviews unpaid accounts and initiate collection action for past due and denied claims. Calculates write-offs and debit/credit adjustments.
* Provides general office support as needed.
* Performs other job-related duties as assigned.
Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
Adventist Health participates in E-Verify. Visit ******************************************** for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.
Auto-ApplyBilling Rep II
Billing representative job in Rancho Cordova, CA
Job Summary and Responsibilities As our Billing Rep, you will help our patients and providers streamline the billing and insurance process so they can focus on patient care and financial well-being. Every day you will review and process patient accounts, insurance claims, and payment postings. You will be expected to ensure accurate and timely billing, follow up on denied claims, and maintain patient confidentiality.
To be successful in this role, you must have strong attention to detail, knowledge of medical billing and coding, and experience with healthcare insurance.
Job Requirements
* High School Diploma or GED
* 3 years experience working in healthcare Rev Cycle or a Professional Medical Office
* Knowledge of physician billing regulations
* Understanding of professional claims and billing procedures
* Knowledge of Federal and State regulations applicable to Government and Insurance Collections
* Excellent written and verbal communication skills
* Working knowledge of computers and demonstrated proficiency in using e-mail systems, Internet and MS office software applications with emphasis in Word and Excel
Preferred
* Associates Other Healthcare Administration or related field
* 5 years experience working in healthcare Rev Cycle or a Professional Medical Office
* 1 year experience with IDX Practice management system and Cerner EHR
* Knowledge of physician billing regulations
* Understanding of professional claims and billing procedures
* Knowledge of Google Suite
Where You'll Work
Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospitals and care centers in California, Arizona and Nevada. Today, Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services to the many communities we serve. As Dignity Health Medical Foundation continues to grow and establish new premier care centers, we provide increasing support and investment in the latest technologies, finest physicians and state-of-the-art medical facilities. We strive to create purposeful work settings where staff can provide great care, while advancing in knowledge and experience through challenging work assignments and stimulating relationships. Our staff is well-trained and highly skilled, qualities that are vital to maintaining excellence in care and service.
Pharmacy Billing Clerk
Billing representative job in Sacramento, CA
Job Description
Pharmacy Billing Clerk - Sacramento, CA
Compensation: $18 - $22 Hourly
Overview: Nexus HR is looking for a Pharmacy Billing Clerk with strong experience working in a fast-paced Long-Term Care and Assisted Living pharmacy in Sacramento.
About the Job:
The Pharmacy Billing Clerk is responsible for efficiently managing billing operations. This role involves processing claims, posting payments, following up on balances, and maintaining strong communication with patients and facility staff.
Duties and Responsibilities:
Accurately prepare, submit, and track insurance claims for medications dispensed to long-term care and institutional patients.
Verify insurance eligibility, prepare and submit claims, and post payments accurately.
Generate statements of accounts and follow up on unpaid balances with patients and facility staff.
Handle billing inquiries, explain charges, and collect payments professionally.
Resolve denied claims by coordinating with insurance providers or PBMs.
Maintain accurate billing records and prepare reports as needed.
Perform general administrative tasks, including MS Word & Excel, email correspondence, and managing office supplies.
Qualifications:
High school diploma or equivalent required; Associate degree in healthcare administration, accounting, or related field preferred.
Minimum 1 year of pharmacy billing.
In-depth knowledge of insurance requirements.
Strong proficiency in Pharmacy Management Software (IPS - Intelligent Pharmacy Software ), Point of Sale (QS1), and Microsoft Suite; or comparable software/s.
Excellent analytical, organizational, and problem-solving skills.
Strong communication skills with the ability to interact professionally with healthcare providers and facility staff.
High attention to detail and accuracy in data entry and financial reconciliation.
Qualifications:
Dental, Vision, and Health Insurance
PTO and Sick Leave
401k
Senior Specialist, Account Management
Billing representative job in Sacramento, CA
**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 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 in related field, or equivalent work experience, preferred**
**2-4 years of customer management experience, preferred**
**Strong knowledge of MS Office applications (Excel, PowerPoint, Word and Outlook), preferred**
**Demonstrated ability to work in a fast-paced, collaborative environment, preferred**
**Highly motivated and able to work effectively within a team, preferred**
**Strong communication skills with the ability to build solid relationships. preferred**
**Ability to travel to customer locations, as needed is preferred**
**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:** $57,000.00 - $81,600.00
**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:** 1/17/2026 *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
_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 (***************************************************************************************************************************
Account Specialist/Sr. Account Specialist (Underwriter/Sr.), Inland Marine
Billing representative job in Woodland, CA
What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers. We're always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs.
Join us and play your part in something special!
The primary purpose of this position is to underwrite new business and renewals in a profitable manner and according to authority level and established guidelines, and participate in special projects having an impact on the business. Assigned larger and more important agents/brokers. Utilize underwriting tools to determine accurate classifications, rates, and premium charges. Understand state laws, including cancellation and non-renewal, within assigned territory to properly transact business within each state. Knowledgeable in coverage forms and policy language; appropriate utilization of forms and exclusions. Assist with resolving premium audit disputes within assigned agents/brokers. Able to provide coaching to others.
What you'll be doing:
* Profitably underwrite existing wholesale and retail inland marine business and new business to include reviewing, analyzing, accepting, and declining risks;
* Proactively communicate with regional managers and national inland marine product line leaders on individual accounts, current and proposed producers;
* Inform business decisions by making recommendations concerning operations, systems and procedures;
* Review submissions and identify exposure and risk from information provided;
* Review terms, conditions and pricing;
* Implement corrective measures on renewal accounts as needed;
* Provide training or technical assistance to department underwriting staff;
* Monitor producers for profitability and production.
What we're looking for:
* Four-year college degree preferred;
* Minimum of 3 years current dual distribution (wholesale and retail) inland marine experience;
* Demonstrated technical knowledge and skills reflective of progression of positions of increasing responsibility;
* Experience in the wholesale channel with established producer relationships;
* Demonstrated marketing and relationship building skills;
* Excellent oral and written communication skills;
* Strong analytical and organizational skills;
* Team player that enjoys a flexible and spontaneous business environment;
* Up to 25% travel in the West US.
#LI-Hybrid
#LI-AB
US Work Authorization
US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future.
Pay information:
The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, demonstrated competencies, geographic location, and other factors. The base salary range for the Account Specialist is $74k - $102k with a 20% bonus, the Sr. Account Specialist position is $104k - $143k/year with a 25% bonus potential.
Who we are:
Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world.
We're all about people | We win together | We strive for better
We enjoy the everyday | We think further
What's in it for you:
In keeping with the values of the Markel Style, we strive to support our employees in living their lives to the fullest at home and at work.
* We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees' needs at all stages of life.
* All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance.
* We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave.
Are you ready to play your part?
Choose 'Apply Now' to fill out our short application, so that we can find out more about you.
Caution: Employment scams
Markel is aware of employment-related scams where scammers will impersonate recruiters by sending fake job offers to those actively seeking employment in order to steal personal information. Frequently, the scammer will reach out to individuals who have posted their resume online. These "job offers" include convincing offer letters and frequently ask for confidential personal information. Therefore, for your safety, please note that:
* All legitimate job postings with Markel will be posted on Markel Careers. No other URL should be trusted for job postings.
* All legitimate communications with Markel recruiters will come from Markel.com email addresses.
We would also ask that you please report any job employment scams related to Markel to ***********************.
Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law.
Should you require any accommodation through the application process, please send an e-mail to the ***********************.
No agencies please.
Auto-ApplySenior Billing Risk and Systems Analyst
Billing representative job in Concord, CA
AssetMark is a leading wealth management platform dedicated to empowering independent financial advisors. Our mission is to enable financial advisors to make a profound difference in the lives of their clients. Over 10,000 advisors rely on AssetMark for our investment solutions, innovative technology, advanced services and expertise to help them grow their businesses.
The Job/What You'll Do:
We are searching for someone to bring a continuous improvement and controllership mindset to a growing asset management company. The right candidate will be a proven self-starter with an owner/operator mentality who must bring strong ownership and accountability to our organization. The successful candidate will bring a strong technology, risk, audit, and compliance mindset, excellent oral and written communication skills, and a passion for excellence.
The Senior Billing Risk and Systems Analyst is responsible for conducting audits, strengthening control frameworks, and performing risk assessments to ensure the accuracy, completeness, and integrity of billing processes. This role collaborates closely with the Billing Implementation Manager, Billing Operations, and Product & Engineering teams to drive improvement projects, automate manual processes, and enhance operational efficiency within billing and revenue operations. Additionally, the Senior Billing Risk and Systems Analyst supports M&A integration, provides actionable insights to improve client experience and mitigate organizational risk, and fosters a strong risk-aware culture across the organization.
This is a full-time position in our Concord, CA office with a hybrid work schedule.
Responsibilities:
* Lead pre-billing audits to ensure the accuracy of billing inputs into the billing system
* Monitor and fix daily billing import errors
* Complete quarterly audits to validate the accuracy and reasonableness of custodial partner billing.
* Maintain data integrity and accuracy within the billing system and reports
* Oversee end-to-end controls to ensure the completeness and accuracy of all billing activities in the billing system
* Conduct ongoing risk assessments, identifying key risks and recommending appropriate control measures
* Oversee the effectiveness of risk controls, monitor performance, and implement improvements as needed
* Promote a strong risk-aware culture through consistent communication, training, and best practices
* Partner with the Billing Implementation Manager in billing improvement initiatives and defect fixes, ensuring they are properly prioritized, thoroughly tested, and successfully implemented
* Support the Billing Operations Manager and the Billing Implementation Manager on mergers & acquisitions and consolidation projects within the AssetMark billing system
* Collaborate with cross-functional teams to identify operational, financial, regulatory, and reputational risks
* Facilitate comprehensive reviews of client experience cases, identify root causes and trends, and provide actionable recommendations to Platform Revenue leaders
Knowledge, Skills, and Abilities:
* Strong aptitude for rapidly understanding and mastering new technologies or systems
* Prior external or internal audit experience
* Deep knowledge of the TAMP industry, particularly platform-based or advisory fee/management fee structures
* Knowledge of financial services regulatory requirements preferred
* Ability to articulate clear messages and concise instructions through oral and written communication
* Strong prioritization and organizational skills
* Proven ability to build cross-functional relationships, especially with Sales, Legal, and Finance teams.
* Ability to manage multiple priorities and work with a high degree of independence and accountability.
* Ability to assess and minimize risk to organization
* Outstanding Customer Focus - seeing the "bigger" picture and the ability to always identify what is in the best interest of the client and the firm
Education & Experience:
* Bachelor's degree or equivalent experience required
* 5+ years' financial services experience required
Compensation: The Base Salary range for this position is between $90,000-$100,000.
This information reflects a base salary range that AssetMark reasonably expects to pay for the position based on a number of factors which may include job-related knowledge, skills, education, experience, and actual work location. This position will also be eligible for additional variable incentive compensation and competitive benefits.
Candidates must be legally authorized to work in the US to be considered. We are unable to provide visa sponsorship for this position.
#LI-CR1
#LI-hybrid
Who We Are & What We Offer:
AssetMark's mission is centered around helping financial advisors make a difference in the lives of their clients. To help them do that, we aim to provide advisors with holistic support. We offer compelling technology that facilitates a better client experience, consulting services that ensure advisors' businesses are running at their best and a comprehensive suite of investment solutions. AssetMark's platform empowers advisors to provide the highest level of service possible to their clients.
AssetMark's culture is driven by our mission and connected by our values; Heart, Integrity, Excellence and Respect. You will join a team that lives these values every day by doing the best and what is right in all we do and encouraging different ideas for continual success and innovation. Additionally, we offer a wide range of benefits to meet the needs of our team members and their families.
* Flex Time Off or Paid Time/Sick Time Off
* 401K - 6% Employer Match
* Medical, Dental, Vision - HDHP or PPO
* HSA - Employer contribution (HDHP only)
* Volunteer Time Off
* Career Development / Recognition
* Fitness Reimbursement
* Hybrid Work Schedule
As an Equal Opportunity Employer, AssetMark is committed to building a diverse and inclusive workplace where everyone feels valued.
Auto-ApplyService Billing Assistant
Billing representative job in Sacramento, CA
Mark III Construction is seeking a Service Billing Assistant to support its MEP Service company, M3 Service. The Service Billing Assistant will work closely with Service administrative staff, managers, and customers to ensure that invoices are issued with accuracy while under tight timelines. This position provides an opportunity to be part of a team within a dynamic industry and a quickly-growing company. The successful applicant will be exposed to multiple aspects of the business through the course of his/her daily activities.
Position hours would be 20-30 hours per week M - F
Requirements
Collaboration with Operations team including dispatchers, account managers, service managers, sales personnel and company leadership
Prepare and issue billings for service agreements and quoted work in line with company goals and client expectations
Update GL accounts in Sage 300
Receive and process purchase orders aligning with vendor payment requirements
Securing, preparing and delivering forms in line with client requirements
Responding promptly to customer requests and providing solutions issues as they arise
Identifying billing roadblocks and escalating as needed
Data Entry
Prioritizing tasks based on varying customer and company deadlines
Participating in continuous improvement initiatives
Other duties as assigned based upon skill, knowledge, and interest
Outcomes
For invoices within Billing's control, maintain an average monthly billing turnaround time of 5 days.
Achieve an overall monthly average billing turnaround time of 10 days.
Requirements
At least 1 years' experience performing administrative duties, customer service and/or basic accounting (preferred)
Proficient in Microsoft Office Suite
Experience with Build Ops (or other) commercial management software and/or Sage 300 software a plus
Willingness to learn and grow in a dynamic environment
Excellent verbal and written communication skills
Team player
Positive attitude
Dependability and flexibility
Benefits
Retirement Plan (401k, IRA)
Life Insurance (Basic, Voluntary & AD&D
Paid Time Off (Vacation, Sick & Public Holidays)
Family Leave (Maternity, Paternity)
Training & Development
On Site Gym
Salary Range: $20 - $25 per hour DOE
Auto-ApplySr. Billing Follow Up Associate
Billing representative job in Roseville, CA
Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.
Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.
Job Summary:
Communicates with patients, government agencies and third party payers to gather, process and record information to receive appropriate reimbursement. Communicates with departments for charge information, coding updates, and other information for claim appeals. Completes billing and collection processes and prepares for distribution to appropriate sources. Review unpaid claims and obtain necessary information to resolve reimbursements. Acts as a resource for billing follow up associates for more complex claims. Checks own works and possibly the work of others.
Job Requirements:
Education and Work Experience:
* High School Education/GED or equivalent: Preferred
* Associate's/Technical Degree or equivalent combination of education/related experience: Preferred
* Two years' billing experience: Preferred
Essential Functions:
* Reviews, corrects and submits claims to payers.
* Reviews unpaid accounts, initiates correct actions to collect the accounts, and follows up on action to assure expected results is achieved.
* Performs follow-up of denials and/or errors and generates re-bills. Consistently meets or exceeds productivity and quality performance expectations.
* Assists/supports staff as needed as a resource/lead person with office duties and functions each day
* Provides general office support as needed.
* Performs other job-related duties as assigned.
Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
Adventist Health participates in E-Verify. Visit ******************************************** for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.
Auto-ApplyPharmacy Billing Clerk
Billing representative job in Sacramento, CA
Pharmacy Billing Clerk - Sacramento, CA
Compensation: $18 - $22 Hourly
Overview: Nexus HR is looking for a Pharmacy Billing Clerk with strong experience working in a fast-paced Long-Term Care and Assisted Living pharmacy in Sacramento.
About the Job:
The Pharmacy Billing Clerk is responsible for efficiently managing billing operations. This role involves processing claims, posting payments, following up on balances, and maintaining strong communication with patients and facility staff.
Duties and Responsibilities:
Accurately prepare, submit, and track insurance claims for medications dispensed to long-term care and institutional patients.
Verify insurance eligibility, prepare and submit claims, and post payments accurately.
Generate statements of accounts and follow up on unpaid balances with patients and facility staff.
Handle billing inquiries, explain charges, and collect payments professionally.
Resolve denied claims by coordinating with insurance providers or PBMs.
Maintain accurate billing records and prepare reports as needed.
Perform general administrative tasks, including MS Word & Excel, email correspondence, and managing office supplies.
Qualifications:
High school diploma or equivalent required; Associate degree in healthcare administration, accounting, or related field preferred.
Minimum 1 year of pharmacy billing.
In-depth knowledge of insurance requirements.
Strong proficiency in Pharmacy Management Software (IPS - Intelligent Pharmacy Software ), Point of Sale (QS1), and Microsoft Suite; or comparable software/s.
Excellent analytical, organizational, and problem-solving skills.
Strong communication skills with the ability to interact professionally with healthcare providers and facility staff.
High attention to detail and accuracy in data entry and financial reconciliation.
Qualifications:
Dental, Vision, and Health Insurance
PTO and Sick Leave
401k