Billing specialist jobs in Bartlett, TN

Description for Internal Candidates The Coordinator-Customer Service serves as the first point of contact for patients and visitors. This role involves a variety of administrative and customer service tasks aimed at ensuring a smooth and efficient clinic experience for patients and staff. Coordinates and directs the office activities of the physician practice. May be responsible for financial counseling thus verifying insurance and collecting the appropriate co-pays, co-insurances and past due balances. Will make appointments and appointment reminder phone calls. May be required to perform accurate charge entry. May handle pre-certifications and maintains a professional working relationship with insurance companies. Displays good public relation and communication skills. Responsibilities Verifies insurance, communicates regularly with carriers and other regulatory agencies for reimbursement purposes. Performs daily and monthly close out procedures for internal controls and cash balancing. Maintains working knowledge of insurance co-pays and deductible, and workman's compensation protocols to ensure accurate and compliant billing information. Promotes customer satisfaction while maintaining a positive, professional manner in both verbal and nonverbal communication. Possesses comprehensive knowledge of corporate policies and procedures as they relate to clinic operations. Answers telephones, takes, and directs messages on a timely basis according to the direction and location appropriate to maintain continuous workflow. Seeks help from appropriate sources when needed. Complies with all organizational policies regarding ethical business practices. As necessary, calls patients to obtain payment due or make financial arrangements for scheduled exams. Schedules appointments, gathers demographic and insurance information and enters into the practice management system. Maintains an organized and efficient work environment by keeping files and records neat and orderly to promote a smooth work-flow and to ensure confidentiality. Coordinates resources necessary to input accurate data, both demographic and medical, collect appropriate fees at time of service and assist patient with financial counseling when appropriate. Completes assigned goals. Specifications Experience Minimum Required One (1) year of experience in a physician practice or clinic. Preferred/Desired Education Minimum Required Preferred/Desired Collegiate or medical trade completion. Associates Degree Training Minimum Required Current knowledge of medical terminology. Preferred/Desired Special Skills Minimum Required Excellent customer relations skills. Basic knowledge of Windows applications. Current knowledge of medical terminology.

Country USA State Tennessee City Memphis Descriptions & requirements About the role: The Account Representative role at TQL is an opportunity to build a career with a logistics industry leader that offers an award-winning culture and high earning potential with uncapped commission. More than just an entry level sales role, you will be responsible for supporting and working with an established sales team to identify areas of opportunity with their customers to drive revenue. No experience necessary; you will start your career in an accelerated training program to learn the logistics industry. Once training is complete, you focus on growing new and existing business by presenting TQL customers with our transportation services and handling freight issues 24/7/365. What's in it for you: * $40,000 minimum annual salary * Uncapped commission opportunity * Want to know what the top 20% earn? Ask your recruiter Who we're looking for: * You compete daily in a fast-paced, high-energy environment * You're self-motivated, set ambitious goals and work relentlessly to achieve them * You're coachable, but also independent and assertive in solving problems * You're eager to develop complex logistics solutions while delivering great customer service * College degree preferred, but not required * Military veterans encouraged to apply What you'll do: * Communicate with the sales team and customers as the subject matter expert to build and maintain relationships * Manage projects from start to finish while overseeing daily shipments and resolve issues to ensure pickups and deliveries are on time * Work with the sales team to provide and negotiate competitive pricing * Input, update and manage shipment information in our state-of-the-art systems * Collaborate with the support team to guarantee each shipment is serviced properly * Assist with billing and accounting responsibilities as needed What you need: * Elite work ethic, 100% in-office, expected to go above and beyond * Extreme sense of urgency to efficiently juggle dynamic operations * Strong communication skills with ability to handle conflict * Solution-focused mindset and exceptional customer service * Ability to work with the latest technologies Why TQL: * Certified Great Place to Work with 800+ lifetime workplace award wins * Outstanding career growth potential with a structured leadership track * Comprehensive benefits package * Health, dental and vision coverage * 401(k) with company match * Perks including employee discounts, financial wellness planning, tuition reimbursement and more Where you'll be: 3175 Lenox Park Boulevard, Memphis, Tennessee 38115 Employment visa sponsorship is unavailable for this position. Applicants requiring employment visa sponsorship now or in the future (e.g., F-1 STEM OPT, H-1B, TN, J1 etc.) will not be considered. About Us Total Quality Logistics (TQL) is one of the largest freight brokerage firms in the nation. TQL connects customers with truckload freight that needs to be moved with quality carriers who have the capacity to move it. As a company that operates 24/7/365, TQL manages work-life balance with sales support teams that assist with accounting, and after hours calls and specific needs. At TQL, the opportunities are endless which means that there is room for career advancement and the ability to write your own paycheck. What's your worth? Our open and transparent communication from management creates a successful work environment and custom career path for our employees. TQL is an industry-leader in the logistics industry with unlimited potential. Be a part of something big. Total Quality Logistics is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, genetic information, disability or protected veteran status. If you are unable to apply online due to a disability, contact recruiting at ****************** *

Job Details Memphis, TN Full Time High School Up to 5% Clinical OperationsDescription “Sanitas is a global healthcare organization expanding across the United States. Our services include primary care, urgent care, nutrition, lab, diagnostic, health care education and resources for our patients. We strive to attract professionals who believe in our mission, vision and are dedicated to the service of our patients and their families creating a memorable experience through compassion, respect, and kindness.” Job Summary The Patient Representative Coordinator serves patients and Medical Location staff by identifying the best method to schedule patients' flow to the clinic based on predetermined appointment arrangements to allow the medical center to serve an adequate number of patients. Essential Job Functions Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Welcomes and greets patients/clients/visitors to the department in a helpful and friendly way; determines the purpose of visit and directs them to appropriate person or department(s). Schedules patient flow to the clinic based on predetermined appointment arrangements to allow the medical center to serve an adequate number of patients. When scheduling appointments, PRC screens patients for updated demographics, new patient visits or update registration and informs patients of adequate information that must be presented at time of visit. Compile and record medical charts, reports, and correspondence. Interview patients to complete insurance and privacy forms. Receive insurance co-pay payments and post amounts paid to patient accounts. Schedule and confirm patient appointments, check-ups and physician referrals. Answer telephones and direct calls to appropriate staff. Ability to work in a fast-paced environment. Protects patient confidentiality, making sure protected health information is secured by not leaving PHI in plain sight and logging off the computer before leaving it unattended. Assist with daily patient flow in areas as needed. Verifies patients by reading patient identification. Maintains safe, secure, and healthy work environment by following standards and procedures; complying with legal regulations. Communicates observations of a patient's status to nurse-in-charge. Responsible for ordering medical supplies according to the department's needs. Able to rotate weekends, holidays, shifts and center location according to company needs. Participates in meetings of staff and department meetings. Shares acquired knowledge and learning. Consistently reports for duty on time. Keeps patient's information private and limits conversation of a personal nature in patient's presence. Degree of teamwork and cooperation with personnel from other departments. Check medical records and follow up obtaining missing results prior to the patient's appointment. Perform other duties as assigned by the supervisor. Qualifications Supervisory Responsibilities This position has no supervisory responsibilities. Required Education High School Graduate or equivalent. Required Experience 1+ years of experience in the medical field. Customer Service skills and training. Any combination of education, training, and experience which demonstrates the ability to perform the duties and responsibilities as described including related work experience. Required Licenses and Certifications N/A Required Knowledge, Skills, and Abilities Basic Computer Skills. Ability to work in a fast-paced environment. Consistently reports for duty on time. Preferred Qualifications 3+ years of experience in customer service and the medical field preferred. Relevant or any other job-related vocational coursework preferred. Financial Responsibilities This position does not currently handle physical money or negotiates contracts. N/A Budget Responsibilities This position does not have budget responsibilities. N/A Languages English Advanced Spanish Preferred Creole Preferred Travel Able to rotate weekends, holidays, shifts and center location according to company needs. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job the employee is regularly required to work standing up, walk, use hands to operate tools and equipment and must be able to exert regularly up to 10 pounds of force, frequently exert 30 pounds of force and occasionally exert 50 pounds of force to constantly perform the essential job functions. The employee will be frequently required to reach with hands and arms, bend, balance, kneel, crouch, crawl, push, and pull. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus. Environmental Conditions Inside: The employee is subject to environmental conditions, protection from weather conditions but not necessarily from temperature changes. The worker is subject to noise; there may be sufficient noise to cause the worker to shout in order to be heard above ambient noise level. Physical/Environmental Activities Please indicate with an X the frequency for the activities that apply to the essential functions of the job based on the chart below. Please select Not Required for physical demands that aren't essential to job performance. Working Condition Not Required Occasionally (1-33%) Frequently (34-66%) Constantly (67-100%) Must be able to travel to multiple locations for work (i.e. travel to attend meetings, events, conferences). X May be exposed to outdoor weather conditions of cold, heat, wet, and humidity. X May be exposed to outdoor or warehouse conditions of loud noises, vibration, fumes, dust, odors, and mists. X Must be able to ascend and descend ladders, stairs, or other equipment. X Subject to exposure to hazardous material. X

Under general supervision, is responsible for posting both insurance and patient payments to the respective accounts. The payment poster works with patient account representatives to correctly input individual payments and adjustments for each location. This is not a remote position. Responsibilities May include any and/or all of the following: 1. Review, process, post, and balance batches when posting insurance and patient payments. Must be comfortable handling electronic funds transfers (EFTs), credit card information, and paper checks. Along with payments for electronic remittance advices (ERAs) and paper explanations of benefits (EOBs). 2. Evaluate and post payments for denials, adjustments, and deductibles. 3. Reconcile ERAs to daily deposit summary 4. Assist patient account representatives to ensure proper posting to their accounts 5. Ensures legal compliance by following company policies, procedures, guidelines, as well as state and federal insurance regulations 6. Protects operations by keeping claims information confidential 7. Updates job knowledge by participating in educational opportunities, reading professional publications, maintaining personal networks, and participating in professional organizations 8. Accomplishes organization goals by accepting ownership for accomplishing new and different requests by exploring opportunities that add value to job accomplishments 9. Performs other duties as assigned Qualifications MINIMUM QUALIFICATIONS Education and experience equivalent to: • High school diploma or general education degree (GED) • A minimum of 1 year of medical insurance experience is required. • A minimum of 1 year of related experience and/or training in the fields of data entry and payment processing and posting is preferred • Excellent computer and filing skills are required and strong working knowledge of Microsoft Excel is required. • Excellent typing proficiency and 10-key by touch is required QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. KNOWLEDGE, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS • Verbal and written communication skills • Ability to respond to questions in a tactful and professional manner • Ability to manage time wisely and maintain organization • Ability to interpret accounts and records • Ability to document workflow • Understand anesthesia coding • Interpersonal/human relations skills • Customer service skills • Ability to maintain confidentiality and accuracy COMMUNICATION • Provide information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person • Works with coworkers to obtain required information on a timely basis and to solve outstanding issues, as appropriate • Promotes and contributes positively to the teamwork of the department by assisting coworkers, contributing ideas and problem-solving with co-workers • Communicate with people outside the organization, representing LifeLinc, the public, government, and other external stakeholders • Attend meetings as needed LANGUAGE SKILLS • Must be able to read and write English • Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals • Ability to write routine reports and correspondence for the needs of the audience • Ability to effectively present information in one-on-one and small group situations to supervisors and other employees of the organization • Able to work in a team-oriented environment MATHEMATICAL SKILLS • Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals • Ability to compute rate, ratio, and percent REASONING ABILITY • Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists • Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form • Ability to recognize when something is wrong or is likely to go wrong and react accordingly to the situation COMPUTER SKILLS • To perform this job successfully, an individual should have excellent computer literacy skills • Must be skilled in MS Word and Excel • Typing proficiency HIPAA • Ensures and adheres to strict confidentiality when handling patient information, according to the HIPAA Privacy Act and hospital policy and procedure regarding confidentiality. • Complies with all information security practices. • Has knowledge of and adheres to all compliance regulations, policies, and procedures. • Takes required annual HIPAA compliance training. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit; use hands to type and use a computer mouse; and talk or hear. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

Authorization Denial Specialist ensures that chemotherapy (specialty group) and other infusions/radiation therapy/radiology/ surgical services meet medical necessity and appropriateness per insurance medical policies/ FDA/NCCN guidelines. Initiates and coordinates pre-certifications/prior authorizations per payer guidelines prior to services being rendered and completes the Insurance verification process. Reviews clinical information and supporting documentation for outpatient or Part B services authorization denials to determine and perform retro authorizations, reconsiderations, or appeal actions to defend the revenue. Performs other duties as assigned. Job Responsibilities • Obtain and review treatment/therapy plan orders for medical necessity and appropriateness according to insurance medical policy/FDA/NCCN guidelines and requirements. • Research insurance company medical policies, medical literature, and compendiums to determine eligibility for services. Utilize multiple healthcare websites • Responsible for tracking, obtaining, and extending authorizations from various carriers in a timely manner • Responsible for completing the Insurance Verification process • Works closely with physicians and clinic staff obtain authorizations to promote positive patient outcomes, timely treatment, and positive reimbursement • Understands and complies with regulatory requirements by specific insurance companies and facilitates compliance by maintaining awareness of guidelines and ensuring compliance through communication and documentation to appropriate staff. • Reviews, assesses and evaluates all authorization denial communications received in order to optimize reimbursement. Requirements, Preferences and Experience Education Preferred : Associates degree or 2 years of college level courses. Minimum : Skill in communicating clearly and effectively using standard English in written, oral, and verbal format to achieve high productivity and efficiency. Skill to write legibly and record information accurately as necessary to perform job duties. Experience Preferred : 5 years of business experience in a healthcare environment with at least 3 years payer specific experience. Minimum : 3 years clinical experience in a clinical care setting. Pre-certification experiences desired. Special Skills Preferred : Education Minimum Required 3 - 5 years of business experience in a healthcare environment with 2 of those years being in a clinical setting. Preferred/Desired 5 years of business experience in a healthcare environment with at least 3 years payer specific experience. 3 years clinical experience in a clinical care setting Pre-certification experience desired. Education Minimum Required Skill in communicating clearly and effectively using standard English in written, oral, and verbal format to achieve high productivity and efficiency. Skill to write legibly and record information accurately as necessary to perform job duties. Strong organizational skills. Ability to type and/or key correctly Preferred/Desired Associates degree or 2 years of college level courses. Training Minimum Required Requires critical thinking and judgement. Preferred/Desired Must demonstrate the ability to appropriately use standard criteria established by payers. Special Skills Excellent customer service and communication skills. Ability to speak, articulate, and be understood clearly. Minimum Required Ability to read and understand medical policies, compendiums, LCDs, and FDA guidelines. Must be able to multitask and be flexible. Advance computer literacy skills and problem-solving skills. Ability to deal with confrontational issues and high stress situations with patients, family, and physicians. Minimum : Knowledge of oncology pre-certification requirements and guidelines. Licensure, Registration, Certification Preferred : Pharmacy Tech, CHAA, RHIT, LPN, RN About Baptist Memorial Health Care At Baptist, we owe our success to our colleagues, who have both technical expertise and a compassionate attitude. Every day they carry out Christ's three-fold ministry-healing, preaching, and teaching. And we reward their efforts with compensation and benefits packages that are highly competitive in the Mid-South health care community. For two consecutive years, Baptist has won a Best in Benefits award for offering the best benefit plans compared with their peer groups. Winners are chosen based on plan designs, premiums, and the results of a Benefits Benchmarking Survey. At Baptist, We Offer: Competitive salaries Paid vacation/time off Continuing education opportunities Generous retirement plan Health insurance, including dental and vision Sick leave Service awards Free parking Short-term disability Life insurance Health care and dependent care spending accounts Education assistance/continuing education Employee referral program Category: Finance and Accounting Type: Non-Clinical Work Type: Full Time Work Schedule: Days Location: US: Memphis, TN Located in the Memphis, TN area

Responsible for the daily completion of both cliams edit, denial, and no response billing functions for timely follow up. Handles internal and external questions to completion. Understands both paper and electronic claims as well as client invoice billing. Performs other duties as assigned. Responsibilities Handles telephone communication with patients, insurance companies and other BMG clinic or BMG Foundation personnel. Bills, collects and submits all insurance and TPA claims according to payer guidelines, and established procedures and workflows Reviews and/or processes all credit balances from supplied reports. Works all insurance denials, via paper and/or electronic in work queues. Monitors and processes all assigned electronic and/or paper claim status. i.g. claim edit and no response work queues. Completes assigned goals Specifications Experience Minimum Required Experience in the healthcare setting or educational coursework. Preferred/Desired One or more years of government and/or commercial billing and collections in a physician or hospital setting. Education Minimum Required High School Dipolma or GED Preferred/Desired Certification in medical billing or course work. Associates degree in Business, Finance, or related field. Training Minimum Required Basic computer and keyboarding skills. Preferred/Desired MS Office and advanced phone system experience. Knowledge of insurance billing and collections guidelines, including payer systems such as FFS. Experience with Epic. Effective verbal and written communication skills. Effective customer service skills. Special Skills Minimum Required Preferred/Desired Licensure Minimum Required Preferred/Desired

About ServiceMax Maintenance At ServiceMax Maintenance, we pride ourselves on delivering reliable, high-quality maintenance solutions for our clients. Our team is dedicated to efficiency, accuracy, and excellence in service. We are looking for a detail-oriented experienced Biller to join our finance team and play a key role in ensuring accurate and timely billing operations. Position Summary The Biller will be responsible for managing and overseeing the billing cycle, ensuring accuracy in invoices, monitoring accounts receivable, and supporting junior billing staff. This role requires strong organizational skills, excellent attention to detail, and the ability to collaborate with both internal teams and external clients to resolve billing issues. Key Responsibilities Oversee the end-to-end billing process, ensuring accuracy and compliance with company policies. Prepare and issue invoices for maintenance services in a timely manner. Review work orders, contracts, and service records to verify billable charges. Monitor accounts receivable and follow up on outstanding balances. Identify and resolve discrepancies in billing or payments with clients. Assist in month-end and year-end closing processes related to billing. Train, mentor, and support junior billing staff as needed. Generate billing reports and provide analysis to management. Collaborate with operations and customer service teams to address client inquiries. Ensure compliance with accounting standards and internal controls. Qualifications Associate's or Bachelor's degree in Accounting, Finance, or related field (preferred). 5+ years of billing, accounting, or accounts receivable experience (service industry experience a plus). Strong knowledge of billing systems and accounting software (e.g., QuickBooks, NetSuite, or similar). Advanced proficiency in Microsoft Excel and other Office applications. Excellent attention to detail, accuracy, and organizational skills. Strong communication and problem-solving abilities. Ability to work independently and meet deadlines. Experience mentoring or training junior staff preferred. What We Offer Competitive salary and benefits package. A supportive and collaborative team environment. Paid time off and company holidays.

Job DescriptionDescription: Medical Billing Specialist Eye Specialty Group is seeking a full-time Billing Specialist who wants to make a difference. The Billing Specialist manages all RCM aspects for patient accounts, including benefit verification, obtaining authorizations, coding, claim submission, payment posting, and claim follow-up. This position requires a thorough understanding of the revenue cycle process. This position will work in a hybrid capacity (part of the week remote and part of the week in the office at 825 Ridge Lake Blvd., Memphis, TN 38120). Essential Skills/Responsibilities: Obtains benefit verifications, pre-certifications, and prior authorizations Responds to all inquiries, billing denials, other correspondence and phone requests in an efficient, timely, and effective manner. Secures needed medical documentation required or requested by insurances. Completes RCM related tasks in Practice Management Software. Processes claims, both electronic and hard copy ensuring a timely turnaround. Researches account balances and monitors claims for missing information, accuracy and authorization numbers and ensures appropriate collection activity is initiated. Notifies Revenue Cycle Management Team if any billing issues are found. Creates provider appeals, re-determinations, re-considerations, etc. according to payer policies. Corrects electronic claim rejections/denials; forwards errors to appropriate person when necessary. Answers patient calls and questions. Documents any patient out-of-pocket costs based on verification of primary and secondary insurances. Reviews transactions for account credits or adjustments as necessary. Manages unbilled encounters, rejected claims, and rebill reports daily. Maintains current knowledge of Billing and Coding requirements and changes for all insurances. Supports and trains as needed for Payment Posting, Coding, and Insurance questions. Handles any discrepancies with the lockbox vendors and RCM vendors. Processes returned checks. Establishes and maintains Collections process, by monitoring A/R reports and other RCM related reports. Manages no show reporting for all practices and locations, and fee collection. Posts data for death certificates and processes all bankruptcy letters making adjustments as necessary. Reports any payments received by the practice for accounts at the collection agency to the agency. Posts patient and insurance payments and refunds. Posts charges for clinic and surgery center within 24-hours of chart finalization. Completes all compliance training requested by company and required by law. Adheres to HIPAA compliance plan. Communicates internally with all ESG/PASCH/PPMS staff. Travels to all clinical locations as needed. All other duties as assigned. Requirements: Job Specifications/Competencies: Education/Training: High school diploma or general education degree (GED); OR one year coding/billing experience and/or training; OR equivalent combination of education and experience. General knowledge of third-party payers, collection laws, and procedures preferred. Skills: · Ability to read, analyze, and interpret practice and payer policies and guidelines/regulations/laws. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public. · Demonstrated excellence in verbal and written communication. · Demonstrated knowledge of Third-Party payers and collection law procedures. · Good interpersonal and customer service skills. · Critical thinking skills for identifying problems and resolutions in a fast-paced environment. · Ability to calculate figures and amounts such as discounts, interest, commissions, percentages. · Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical or complex instructions and deal with several abstract and concrete variables. Attributes: · Represents practice in a positive and professional manner. · Punctual. · Team Player; willingness to help other staff, and resourceful. · Attention to detail while multi-tasking. · Diplomacy and confidentiality with patients and staff · Strong work ethic · Initiative/Self-Motivation · Effective communicator Physical Requirements: · Ability to sit/stand/walk as the job requires for long periods of time, as well as, climb/balance, lift, push/pull and stoop/crouch as needed. · Ability to operate office equipment requiring the use of one hand. · Ability to work in a moderate noise level clinic. E/O/E

JOB TITLE: Patient Engagement Specialist DEPARTMENT: Quality REPORTS TO: Director of Population Health FLSA STATUS: Exempt REVISION DATES: 01/29/19 The Patient Engagement Specialist supports and participates in the Patient Centered Medical Home (PCMH) concepts of care coordination and team-based care. The Patient Engagement Specialist will assess, plan, implement, coordinate, monitor, and evaluate healthcare options and services with the goal of increasing the likelihood of improvement to the health status of identified populations across the practice. In addition, this job is responsible for stratifying patient populations, applying the appropriate engagement tactics to support the stratified population to close care gaps, promote wellness screenings, ultimately minimizing potential health risks. KEY RESPONSIBILITIES Collect data on quality metrics and track as required for improvement efforts the assigned patient population listed below: * Hypertension * Diabetes * Asthma * Pediatrics * Behavioral Health * Women's Health * HIV * Dental Participate in process/quality improvement initiatives to achieve targets as defined by organizational goals and objectives Directs outreach to targeted patients with the goal of meeting identified goals and targets for the stratified population Track activities, outreach efforts, and care results and tracks in appropriate database Makes multiple attempts to reach patients in specific patient populations and sets goals within scope of the engagement process Creates and cultivates relationships in specific patient populations Gathers and manages quantitative and qualitative patient data using Electronic Health Records, population registries, and evidenced-based assessment tools Provide data management, coordination, and patient outreach as needed for specific target patient populations Use internal and external resources (such as claims, Managed Care Organization patient registries, referrals, and pharmacy data) to identify accurate, successful modes of communication with unreachable or hard-to-reach members Respond to inquiries from the practice regarding outcomes of outreach calls to patients Identify, document, and mitigates patient barriers to improved outcomes Prepares and submits reports on the progress of engagement efforts as directed Other duties as required JOBS THIS POSITION DIRECTLY SUPERVISES If no supervisory duties, leave blank. POSITION REQUIREMENTS Education: Bachelor's degree preferred Experience: * One to two years working in a healthcare setting and working with the underserved * Working knowledge of basic medical terms * Knowledge of and use Microsoft Word and Microsoft Excel * Proficient in data management and reporting Licenses or Certifications: Certified Medical Assistant (CMA) certification Mental Requirements Level 1 - Requires some concentration and normal attention. Generally, once the job is learned, the tasks can be performed more or less automatically. Level 2 - Requires high periods of concentration intermittently and normal attention. Generally, even once the job is learned, tasks will require normal attention to deal with recurring variables. X Level 3 - Requires a high level of concentration and high level of attention intermittently. Generally, the approach to tasks may be consistent, but the number of steps required and/or the number of variables involved creates the possibility of errors unless the incumbent pays close attention. Physical Requirements Activity Approximate % of Time Comments Sitting 50% At phone/desk/computer a great deal of time. Standing 25% Talking to patients and doctors Walking 25% Walking through the clinic to engage patients in waiting room, treatment rooms, etc… Walking to engage with the various care teams in the clinic 100% Approximate percentage of time spent lifting, pulling and/or pushing: 5% Maximum number of pounds required (with or without assistance): 30 lbs. Types of objects the incumbent is required to lift/pull/push. Machines and Equipment Used: Machines, Equipment, Tools Approximate % of Time Degree of Hand:Eye Coordination Required 1. Computer Varies Normal 2. Telephone Varies Normal 3. Photocopier, fax machine Varies Normal Approximate percentage of time incumbent spends in "on-the-job" travel, excluding commuting to regular work location: Between 5% - 30%, depending on specific work assignment. Working Conditions Typical office environment on day-to-day basis; regular exposure patients or family members that may be emotionally unstable; exposure to patients with infectious disease or contagious illness

Business Billing and Reimbursement Specialist Visa GC/Citizen Division Healthcare Contract 2 Months Qualifications Description Follows standard operating procedures to edit, bill and collect payment on basic outstanding claims in pursuit of reducing the company's accounts receivable. Requires basic knowledge of the billing and collection processes and general supervision for routine work. ESSENTIAL FUNCTIONS · Prepares and reviews claims to ensure billing accuracy according to payor requirements, including but not limited to codes, modifiers, pricing, dates and authorizations · Pursues collection activities to obtain reimbursement from payers and/or patients · Frequent follow up with payers and/or patients on outstanding accounts · Escalates delinquent and/or complex claims to Lead Reimbursement Specialist for appropriate action. QUALIFICATIONS · HS Degree (or equivalent) · Prior Reimbursement (Billing/Collection) experience preferred · PC Skills including Microsoft Outlook, Excel, Word and Internet · Detail oriented and strong organizational skills · Self-starter and team player · Focus on quality and service · Demonstrated ability to meet multiple deadlines and manage a heavy workload · Integrity to handle sensitive or confidential information is critical. If you are available and interested then please reply me with your “ Current Chronological Resume” and call me on ************** . Additional Information Thanks & Regards, Ranadheer Murari | Team Recruitment | Mindlance, Inc. | W : ************ *************************

FULL Time, Entry Level - GREAT way to get hands on experience! Plenty of opportunities for growth within! Hours: Sat-Wed, 8am - 4:30pm and healthcare setting, up to date immunizations are required. We are a leading provider of transformational outsourcing solutions and services spanning the customer lifecycle across the Healthcare industry. At Firstsource Solutions USA, LLC, our employees are there for the moments that matter for customers as they navigate some of the biggest, most challenging, nerve-racking, and rewarding decisions of their lives. Dealing with healthcare challenges is hard enough but the added burden of not knowing how much that care will cost or having a means to pay for it often creates additional stress and anxiety. It's times like these when our teams are there to help guide these patients and their families through the complex eligibility and payment process. At Firstsource Solutions USA, LLC., we take the burden away from the patient and their family allowing them to focus on their health when they need to most. Afterwards, we work with patients to identify insurance eligibility, help them navigate their financial responsibilities and introduce ways to achieve financial well-being through payment arrangement options. Our Firstsource Solutions USA, LLC teams are with patients all the way, providing support and assistance all the while seeing first-hand the positive impact of their work through the emotions of relief and joy of the patients. Join our team and make a difference! The Patient Financial Advocate is responsible to screen patients on-site at hospitals for eligibility assistance programs either bedside or in the ER. This includes providing information and reports to client contact(s), keeping them current on our progress. Essential Duties and Responsibilities: Review the hospital census or utilize established referral method to identify self-pay patients consistently throughout the day. Screen those patients that are referred to Firstsource for State, County and/or Federal eligibility assistance programs. Initiate the application process bedside when possible. Identifies specific patient needs and assist them with an enrollment application to the appropriate agency for assistance. Introduces the patients to Firstsource services and informs them that we will be contacting them on a regular basis about their progress. Provides transition, as applicable, for the backend Patient Advocate Specialist to develop a positive relationship with the patient. Records all patient information on the designated in-house screening sheet. Document the results of the screening in the onsite tracking tool and hospital computer system. Identifies out-patient/ER accounts from the census or applicable referral method that are designated as self-pay. Reviews system for available information for each outpatient account identified as self-pay. Face to face screen patients on site as able. Attempts to reach patient by telephone if unable to screen face to face. Document out-patient/ER accounts when accepted in the hospital system and on-site tracking tool. Outside field work as required to include Patient home visits to screen for eligibility of State, County, and Federal programs. Other Duties as assigned or required by client contract Additional Duties and Responsibilities: Maintain a positive working relationship with the hospital staff of all levels and departments. Report any important occurrences to management as soon as possible (dramatic change in the number or type of referrals, etc.) Access information for the Patient Advocate Specialist as needed (discharge dates, balances, itemized statements, medical records, etc.). Keep an accurate log of accounts referred each day. Meet specified goals and objectives as assigned by management on a regular basis. Maintain confidentiality of account information at all times. Maintain a neat and orderly workstation. Adhere to prescribed policies and procedures as outlined in the Employee Handbook and the Employee Code of Conduct. Maintain awareness of and actively participate in the Corporate Compliance Program. Educational/Vocational/Previous Experience Recommendations: High School Diploma or equivalent required. 1 - 3 years' experience of medical coding, medical billing, eligibility (hospital or government) or other pertinent medical experience is preferred. Previous customer service experience preferred. Must have basic computer skills. Working Conditions: Must be able to walk, sit, and stand for extended periods of time. Dress code and other policies may be different at each healthcare facility. Working on holidays or odd hours may be required at times. Benefits including but not limited to: Medical, Vision, Dental, 401K, Paid Time Off. We are an Equal Opportunity Employer. All qualified applicants are considered for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by federal, state or local law.

A client/employer of Insight Global is searching for a Billing Specialist to join their team. This person ensures accurate and timely customer invoicing by calculating charges, taxes, discounts, and fees using spreadsheets and approved tools. This role validates billing data, enters it into invoicing systems, and supports automation efforts to improve billing efficiency and accuracy. Responsibilities May Include: -Review billing inputs and documents for accuracy and completeness. -Manually compute charges, taxes, and credits using templates and models. -Confirm rates, service volumes, discounts, and tax codes per contracts and regulations. -Input billing data into invoicing systems to produce correct invoices. -Reconcile billing records with source systems and resolve discrepancies. -Keep thorough documentation of billing calculations and approvals. -Work with Sales, Operations, and Accounting to ensure billing accuracy. -Identify manual billing tasks suitable for automation. -Assist technical teams in developing and testing automation solutions. -Participate in month-end closing and reporting activities. -Continuously assess and suggest improvements to billing processes and controls. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to ********************.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: **************************************************** Skills and Requirements -Proficient in using spreadsheets for billing calculations and data validation. -Skilled in operating invoicing and billing systems. -Detail-oriented in maintaining billing records and audit trails. -Effective in cross-functional communication with Sales, Operations, and Accounting. -Proficiency in the following tools/technologies: Insomnia, Splunk, Power BI, GCP Query -Zuora Knowledge

Kelly Services is looking to hire several Site Logistics Operators/Material Handlers in Knoxville, TN for an industry leading chemical company. For this opportunity, you could be placed as a Chemical Finished Product Operator or a Polymers Packaging/Warehousing/Shipping Operator on a long-term, indefinite assignment. You will be working with chemicals and should be comfortable doing such - either with previous experience or the willingness to learn. Due to business expansion, one of our top clients in Memphis, TN is seeking multiple experienced Insurance Specialists!! Shift: Monday through Friday 8:00 am to 5:00 pm Start date: Tuesday, 9/5/17 Pay Rate: 13.50 per hour Job Description: The primary function/purpose of this job is dedicated to meeting the expectations and requirements of internal and external customers by obtaining required patient, payer and physician documentation, verifying insurance benefits, completing shipments and documenting all transactions in the system. As necessary, the specialists may also perform quality audits and negotiate pricing. This position requires highly developed interpersonal and communication skills to successfully interact with patients, pharma, physicians and payers to complete the verification process. Minimum Qualifications: Formal Education and/or Training High school diploma or GED required, bachelor's degree preferred Years of Experience: 2-3 years of relevant working experience to include one year of health care experience with medical insurance knowledge and terminology Computer or Other Skills: Intermediate data entry skills and working knowledge of Microsoft Office Knowledge and Abilities: Extensive knowledge of client products and services a must Experience, training, and coaching less experienced staff with patience to explain details and processes repeatedly. Excellent phone presentation and communication skills Demonstrated ability to handle challenging customers in a professional manner Ability to adapt in a dynamic work environment and make decisions with minimal supervision Advanced problem solving skills Ability to work collaboratively with other departments to resolve issues with innovative solutions Additional Information All your information will be kept confidential according to EEO guidelines.

Job DescriptionBenefits: Simple IRA Bonus based on performance Competitive salary Flexible schedule Opportunity for advancement Paid time off Training & development ROLE DESCRIPTION: As Account Representative - State Farm Agent Team Member for Phillip Gooch - State Farm Agent, you are vital to our daily business operations and customers success. You grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services. Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team. RESPONSIBILITIES: Provide information about insurance products and services. Assist customers with policy applications and renewals. Handle customer inquiries and provide timely responses. Maintain accurate records of customer interactions. QUALIFICATIONS: Communication and interpersonal skills. Detail-oriented and able to multitask. Experience in customer service or sales preferred.

Job DescriptionBenefits: Bonus based on performance Competitive salary Flexible schedule Opportunity for advancement Paid time off Training & development ROLE DESCRIPTION: As Account Representative - State Farm Agent Team Member for Wesley Channels - State Farm Agent, you are vital to our daily business operations and customers success. You grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services. Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team. RESPONSIBILITIES: Provide information about insurance products and services. Assist customers with policy applications and renewals. Handle customer inquiries and provide timely responses. Maintain accurate records of customer interactions. QUALIFICATIONS: Communication and interpersonal skills. Detail-oriented and able to multitask. Experience in customer service or sales preferred.

Job DescriptionBenefits: License reimbursement Salary Plus Commission Bonus based on performance Competitive salary Flexible schedule Health insurance Opportunity for advancement Paid time off Training & development ROLE DESCRIPTION: As Account Representative - State Farm Agent Team Member for Leslie Johnson - State Farm Agent, you are vital to our daily business operations and customers success. You grow our agency through meaningful client relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services. Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team. RESPONSIBILITIES: Provide information about insurance products and services. Assist clients with policy applications and renewals. Handle client inquiries and provide timely responses. Maintain accurate records of client interactions. QUALIFICATIONS: Strong communication and interpersonal skills. Detail-oriented and able to multitask. Experience in customer service or sales preferred

Job DescriptionBenefits: Bonus based on performance Competitive salary Flexible schedule Health insurance Opportunity for advancement Paid time off Training & development ROLE DESCRIPTION: As Account Representative - State Farm Agent Team Member for Misty Rosser-White - State Farm Agent, you are vital to our daily business operations and customers success. You grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services. Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team. RESPONSIBILITIES: Provide information about insurance products and services. Assist customers with policy applications and renewals. Handle customer inquiries and provide timely responses. Maintain accurate records of customer interactions. QUALIFICATIONS: Communication and interpersonal skills. Detail-oriented and able to multitask. Experience in customer service or sales preferred.

Job DescriptionBenefits: Licensing paid by agency Bonus based on performance Competitive salary Paid time off Training & development 401(k) Flexible schedule Health insurance Opportunity for advancement ROLE DESCRIPTION: As an Account Representative for Heath Johnson State Farm Insurance Agency, you are vital to our daily business operations and customers success. You grow our agency through meaningful client relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services. Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team. RESPONSIBILITIES: Establish customer relationships and follow up with customers, as needed. Provide prompt, accurate, and friendly customer service. Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Promote successful and long-lasting customer relations. QUALIFICATIONS: Experience in sales (outside sales or inside sales representative, retail sales associate, or telemarketing) preferred Experiencing managing client relationships preferred Interest in marketing products and services based on customer needs Excellent communication skills - written, verbal, and listening Dedicated to customer service Able to anticipate customer needs Able to effectively relate to a customer

Job DescriptionBenefits: 401(k) matching Bonus based on performance Competitive salary Flexible schedule Health insurance Opportunity for advancement Paid time off Training & development ROLE DESCRIPTION: As Account Representative - State Farm Agent Team Member for Ruby Williams - State Farm Agent, you are vital to our daily business operations and customers success. You grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services. Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team. RESPONSIBILITIES: Provide information about insurance products and services. Assist customers with policy applications and renewals. Handle customer inquiries and provide timely responses. Maintain accurate records of customer interactions. QUALIFICATIONS: Communication and interpersonal skills. Detail-oriented and able to multitask. Experience in customer service or sales preferred.