Billing specialist jobs in Hendersonville, TN

Job Description The Network Billing Manager oversees the daily operations of Coding, Billing, Cash Posting, and Self-Pay teams within the Revenue Cycle Department. This role is responsible for ensuring accurate and timely coding, charge entry, claim submission, payment posting, and follow-up on patient account balances. The Manager coordinates all facets of the revenue cycle to support efficient workflows and exceptional patient account management. The ideal candidate demonstrates professionalism and a commitment to delivering high-quality service to patients, families, staff, and external partners. This role requires adherence to all federal, state, and payer-specific regulations, as well as departmental policies and guidelines. Location for this role is preferred to be in Houston, TX or Franklin, TN. Essential Responsibilities: Plan, supervise, and coordinate daily activities for the Billing, Cash Posting, and Self-Pay teams. Recruit, hire, train, and evaluate staff within areas of responsibility. Oversee supervisory functions, including timekeeping and payroll approval, ensuring compliance with FLSA, Tennessee Department of Labor regulations, and organizational policies. Mentor and develop team members through daily leadership, coaching, performance feedback, workflow education, payer updates, departmental communications, and routine staff meetings. Implement and enforce departmental policies, procedures, and objectives, including internal controls and review processes to ensure consistent and compliant operations. Manage workflow to ensure deadlines are met with available resources. Resolve issues related to electronic claim submission and electronic remittances, working closely with vendors and/or Information Systems. Conduct quarterly audits of coding and charge entry to ensure compliance with legal, regulatory, and administrative requirements. Prepare and present departmental activity reports, keeping Senior Management informed of trends, issues, and opportunities for improvement. Provide guidance on complex billing issues and support special projects as needed. Actively participate in performance improvement initiatives at both individual and organizational levels. Address and resolve external customer concerns in alignment with the company's commitment to exceptional patient care, collaborating with other departments when necessary. Perform additional duties as assigned and in accordance with organizational policies, compliance standards, and continuous improvement initiatives. Education and/or Experience: · Bachelor's degree in Healthcare Related Field or Business preferred; or five (5) years' experience in Healthcare Coding and Billing and Collections. · Minimum three (3) years' experience in a supervisory/management position. Why You'll Love Working Here - Our Amazing Benefits: ???? Comprehensive Health Coverage: Medical, dental, and vision plans for our full-time employees, along with complimentary basic life insurance, Employee Assistance Program, and long-term disability insurance. FREE or low-cost employee only healthcare coverage option is also available. ????️ ????️ ????️ ???? Family Building Support: Take advantage of our comprehensive fertility benefits, adoption assistance, and surrogacy support to help grow your family. ???? Paid Parental Leave: Generous maternity, paternity, and partner leave so you can focus on what matters most. ???? Plenty of Paid Time Off: Start with 18 days of PTO annually and enjoy 11 paid holidays, including one floating holiday to use as you choose! ???? Retirement Ready: Invest in your future with our 401(k) plan, featuring a competitive company match and full vesting after just 2 years. ???? Lifestyle Spending Account: Access a company-funded account to reimburse expenses that boost your physical, financial, and emotional well-being. ???? Health Savings Account (HSA): If eligible, enjoy regular employer contributions to your HSA with every paycheck. ???? Rewards for Connections: Earn extra money with our Employee Referral Program-your network is invaluable! ???? Growth Opportunities: We support your career with continuing education reimbursement and dedicated time off for professional development. ???? Premium Calm Health Subscription: Enjoy a free premium Calm Health app subscription to support your mental wellness. ???? Emotional & Work-Life Support: Through our Employee Assistance Program (EAP) with SupportLinc, you'll have access to emotional well-being and work-life resources whenever you need them. ???? Extra Peace of Mind: Explore additional coverage options including Accident, Critical Illness, Hospital Indemnity, and Pet Insurance, to suit your needs.

The Network Billing Manager oversees the daily operations of Coding, Billing, Cash Posting, and Self-Pay teams within the Revenue Cycle Department. This role is responsible for ensuring accurate and timely coding, charge entry, claim submission, payment posting, and follow-up on patient account balances. The Manager coordinates all facets of the revenue cycle to support efficient workflows and exceptional patient account management. The ideal candidate demonstrates professionalism and a commitment to delivering high-quality service to patients, families, staff, and external partners. This role requires adherence to all federal, state, and payer-specific regulations, as well as departmental policies and guidelines. Location for this role is preferred to be in Houston, TX or Franklin, TN. Essential Responsibilities: * Plan, supervise, and coordinate daily activities for the Billing, Cash Posting, and Self-Pay teams. * Recruit, hire, train, and evaluate staff within areas of responsibility. * Oversee supervisory functions, including timekeeping and payroll approval, ensuring compliance with FLSA, Tennessee Department of Labor regulations, and organizational policies. * Mentor and develop team members through daily leadership, coaching, performance feedback, workflow education, payer updates, departmental communications, and routine staff meetings. * Implement and enforce departmental policies, procedures, and objectives, including internal controls and review processes to ensure consistent and compliant operations. * Manage workflow to ensure deadlines are met with available resources. * Resolve issues related to electronic claim submission and electronic remittances, working closely with vendors and/or Information Systems. * Conduct quarterly audits of coding and charge entry to ensure compliance with legal, regulatory, and administrative requirements. * Prepare and present departmental activity reports, keeping Senior Management informed of trends, issues, and opportunities for improvement. * Provide guidance on complex billing issues and support special projects as needed. * Actively participate in performance improvement initiatives at both individual and organizational levels. * Address and resolve external customer concerns in alignment with the company's commitment to exceptional patient care, collaborating with other departments when necessary. * Perform additional duties as assigned and in accordance with organizational policies, compliance standards, and continuous improvement initiatives. Education and/or Experience: * Bachelor's degree in Healthcare Related Field or Business preferred; or five (5) years' experience in Healthcare Coding and Billing and Collections. * Minimum three (3) years' experience in a supervisory/management position. Why You'll Love Working Here - Our Amazing Benefits: Comprehensive Health Coverage: Medical, dental, and vision plans for our full-time employees, along with complimentary basic life insurance, Employee Assistance Program, and long-term disability insurance. FREE or low-cost employee only healthcare coverage option is also available. Family Building Support: Take advantage of our comprehensive fertility benefits, adoption assistance, and surrogacy support to help grow your family. Paid Parental Leave: Generous maternity, paternity, and partner leave so you can focus on what matters most. Plenty of Paid Time Off: Start with 18 days of PTO annually and enjoy 11 paid holidays, including one floating holiday to use as you choose! Retirement Ready: Invest in your future with our 401(k) plan, featuring a competitive company match and full vesting after just 2 years. Lifestyle Spending Account: Access a company-funded account to reimburse expenses that boost your physical, financial, and emotional well-being. Health Savings Account (HSA): If eligible, enjoy regular employer contributions to your HSA with every paycheck. Rewards for Connections: Earn extra money with our Employee Referral Program-your network is invaluable! Growth Opportunities: We support your career with continuing education reimbursement and dedicated time off for professional development. Premium Calm Health Subscription: Enjoy a free premium Calm Health app subscription to support your mental wellness. Emotional & Work-Life Support: Through our Employee Assistance Program (EAP) with SupportLinc, you'll have access to emotional well-being and work-life resources whenever you need them. Extra Peace of Mind: Explore additional coverage options including Accident, Critical Illness, Hospital Indemnity, and Pet Insurance, to suit your needs.

The Medical Billing Specialist for Nurse Practitioners is responsible for processing and mailing/transmitting claims, tracking claims, monitoring authorization and eligibility of payor benefits, managing the collections process and posting cash receipts. ESSENTIAL JOB DUTIES: To perform this job, an individual must accomplish each essential function satisfactorily, with or without a reasonable accommodation. * Extract and verify billing information from medical records * Ensuring collection of past due balances; follow up as needed * Ensure all patient demographic and insurance is accurate prior to submitting claims to insurance companies * Answer patient account inquiries; assists establish alternative payment plans when necessary * Maintain patient account records; settle third party payer issues as required * Receive and review Daily Reconciliation Review (DAR) document for accuracy; enter charges into Practice Management System (PMS) * Prepare and review patient statements prior to release through PMS * Ensure timely filing of all Medicare, Medicaid, and third-party insurance claims * Balance daily charges; reconcile with reports within PMS * Collaborate with revenue cycle manager and payers on denials/rejections * Work closely with practice representatives to ensure proper insurance verifications and authorizations are obtained * Other duties as assigned JOB REQUIREMENTS: * Comply with applicable legal requirements, standards, policies and procedures including but not limited those within the Corporate Compliance Program, Corporate Code of Conduct, HIPAA, and Federal False Claims Act * Report concerns and suspected incidences of non-compliance immediately to the Chief Compliance Officer * Communicate professionally with patients and guarantors regarding balances or account information * Participate in required orientation and training programs * Cooperate with monitoring and audit functions and investigations * Participate in process improvement responsibilities * Meet productivity goals * Successful completion of required training * Handle multiple priorities effectively REQUIRED SKILLS: * Problem solving skills to manage a variety of concrete variables * Effective verbal and written communication skills * Ability to interpret instruction presented in variety of situations * Strong organizational skills; ability to manage multiple projects simultaneously * Proficiency with Microsoft Word, Excel, PowerPoint, and Internet Explorer * Ten key speed and accuracy EQUAL OPPORTUNITY EMPLOYER This Organization is an equal opportunity employer. We do not discriminate based on race, color, religion, sex, handicap, disability, age, marital status, sexual orientation, national origin, veteran status, or any other characteristic(s) protected by federal, state, and local laws. This Organization will make reasonable accommodations for qualified individuals with disabilities should a request for an accommodation be made. A key part of this policy is to provide equal employment opportunity regarding all terms and conditions of employment and in all aspects of a person's relationship with the Organization including recruitment, hiring, promotions, upgrading positions, conditions of employment, compensation, training, benefits, transfers, discipline, and termination of employment.

Phoenix Healthcare Services is a leader in reliable, customer service based revenue cycle management services. We work hard at fostering a corporate culture of excellence and trust among clients and employees. In 2008, we set out to change the world of Revenue Cycle Management. We started as a medical billing company, and have since evolved as an integrated data-driven RCM solution for laboratories, physicians, therapists, and other healthcare-related professionals. We didn't stop there as we wanted to continue to stand out from the crowd and offer our clients propriety custom system agnostic performance dashboards. With a exceptional client satisfaction history, an 8,000+ payer enrollment track record across all 50 states, and a 98 percent clean claim rate, we're quickly growing and looking for the right candidate to join our team. Job Overview: Title: Assistant Billing Specialist - Urgent Care Schedule: Monday - Friday Location: Remote Experience: Minimum of Three years Travel required: None Primary Responsibilities: - Review and submit claims. - Accurately post EOB's. - Prepare and mail patient statements and collect balances. - Research and follow up aging claims. - Maintain a high level of customer service. - Maintain current knowledge of industry standards and regulations. - Create and analyze practice management reports. - Monitor trends and KPIs. - Conduct all job functions in compliance with HIPAA and industry regulations. - Consistently demonstrate extensive attention to detail. Requirements: - A minimum of three years of experience in medical billing and collections required; certification from a nationally recognized organization such as AAPC or AMBA is required. - Current knowledge of coding, billing and reimbursement for commercial insurance, Medicaid and Medicare. - Thorough understanding of ERAs and EOBs, and the ability to effectively communicate by phone and in writing with insurers and patients. - Ability to provide a positive customer service experience to clients, guest, and patients. - Consistently demonstrate extensive attention to detail, organization and multi-taking skills. - Strong Microsoft Excel skills. - Self-motivated and team player. Perks: We highly value and invest in our staff. We truly believe by putting the interest our staff members first, they will in turn take great care of our clients. That's why we're committed to continually investing in our staff and making Phoenix Healthcare Services a positive and fun working environment. Some of the benefits our staff members enjoy: Competitive wage and salary Paid time off (PTO) Health Insurance Dental Insurance Life Insurance

Full-Time Position separated into the following types: Contract Billing, Service T&M Billing, 3rd Party/Misc Sales Billing, and Route Delivery Billing Reports to Billing Manager SKILL SET Prior Accounts Receivable experience preferred of a mid-sized company Prior background preferred of distribution or manufacturing Excellent Communicator - Customers, Associates, Numerous Management Levels Excellent Research Skills and Detail Oriented Flexible Demeanor - Works well with different personalities Organized and efficient, must be able to manage tasks in multiple branch environment Software - JD Edwards & PC (Excel, Work, Outlook) RESPONSIBILITIES Service Time and Material Billing Clerk Must have excellent research skills Daily process invoice and research as needed to bill service performed on assigned accounts Daily review and or audit service calls/tickets on assigned accounts Work closely with Service Managers and or Collections to resolve disputed service Provide various reports to management as needed ICEE offers its Employees: Paid holidays, sick time and Paid vacation Birthday Holiday (Must be used within Employee Birthday Month) Medical, Dental, Vision Insurance Employee Stock Purchase Program Life Insurance 401 (k) Plan

**Discover a more connected career** A successful Billing Specialist shall coordinate with billing personnel, project supervisors, and project analysts, and customer to set up, maintain, report, invoice, and closeout multiple projects. Organize and develop the materials/labor units from new Purchase Orders into a job/contract for our billing system. Manage lien waivers, permits, and material reconciliation as required for closeout packages. Communicate with ECC customers on progress, closeout, and accounts receivable related items. At a minimum, the position requires a good working knowledge of general office functions; proficient in the use of word processing and spreadsheet software with emphasis on Microsoft and/or Google; ability to use a computer and other office related equipment; ability to read, understand, interpret, input, and analyze data. **Connecting you to great benefits** + Weekly Paychecks + Paid Time Off, Parental Leave, and Holidays + Insurance (including medical, prescription drug, dental, vision, disability, life insurance) + 401(k) w/ Company Match + Stock Purchase Plan + Education Reimbursement + Legal Insurance + Discounts on gym memberships, pet insurance, and much more! **What you'll do** + Completion of high-level tasks in support of an assigned department/project + Receive, organize, file, and maintain documents and/or data for an assigned department/project + Communicate with employees, contractors, vendors, and/or customers to assist assigned department/project + Read, interpret, and input data in support of an assigned department/project **What you'll need** + 2 years of related work experience + Proficient in the use of office hardware and software (PCs, Tablets, Printers, Copiers, Microsoft, Google, etc.) + Excellent Customer Service skills and strong English language skills both oral and written + Authorized to work in the United States + Successful completion of pre-employment drug screen, background, and motor vehicle record check **Why grow your career with us** Your career here is more than just a job - it's your pathway to opportunity. Our hands-on training, supportive environment, and responsive leadership connect you to work with purpose. Our commitment to you extends beyond professional development to a safety-first culture that ensures you can do what you do best, with peace of mind. **Building stronger solutions together** Our company is an equal-opportunity employer - we are committed to providing a work environment where everyone can thrive, grow, and feel connected. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

Diana Health is a high-growth network of modern women's health practices. We are on a mission to set a new standard of care that inspires, empowers, and supports women to live healthier, more fulfilling lives. We partner directly with hospitals and align incentives across stakeholders using integrated care teams, smart technology, and a designed care experience that is good for patients and good for providers. The result is an individualized, comprehensive care program that puts women in the driver's seat of their own health and provides them with the information and compassionate care they need to reach their health goals. We are an interdisciplinary team joined together by our shared commitment to transform women's health. Come join us! Role Description We are looking for a Receptionist / Patient Representative driven to create an delightful customer service experience from the moment a client steps through our doors while ensuring the smooth operation of a growing women's health practice. You are warm, welcoming, attentive, outgoing, customer service and detail-oriented, organized, and eager to tackle challenges with empathy and creativity. You are eager to leave a smile on the patient's face after they interact with you and are willing to go above and beyond to create a wonderful experience. What you'll do You are the first person our clients see when they walk through the door. You provide a warm, welcoming face of the practice, greeting and supporting clients from our welcome desk. You: Provide warm and friendly client interactions Take care of client check in and out, answering questions and disseminating information to appropriate team members as necessary Provide waiting area tours to new clients, orienting them to our space, making them feel welcome and at home Ensure paperwork, consents, and insurance information is collected and complete Managing the client schedule: You know the schedule front to back / inside and out, and can work through schedule efficiencies based on the flow of the day as well as client and provider needs You anticipate schedule needs days and weeks in advance You schedule client appointments in real-time as well as those made through our online platform Insurance, payment, and billing : Perform verification of benefit checks with insurance companies Manage and collect client copays and payment balances Discuss and set up payment plans with client Front of the house management: Work with the team to ensure the office is ready, set up, and prepared for the day Collaborate on inventory, keeping the office pristine, and other tasks as they arise Manage phone triage as necessary, coordinating between team members Qualifications Customer service and hospitality experience strongly preferred and highly desirable Bachelor's Degree preferred or High School Diploma/GED w/ 2+ years experience in a related field Proficiency with Google Suite or Microsoft Office Products Strong computer skills; preferred familiarity with EMRs Tendency to organize and create structure in a fast-paced, dynamic environment Attributes You love interacting with people, practicing excellent communication and interpersonal skills You enjoy being the “face” of a clinic or business and representing the brand via an extremely positive, friendly and helpful attitude You are exceptional at managing many tasks and do not feel overwhelmed by multitasking You focus on the details and are able to organize and prioritize them along the way You obsess over growth and process improvement and love learning new tools, processes and systems to aid in continual improvement You thrive in highly collaborative, fast-paced environments Benefits Competitive compensation Health; dental & vision, with an HSA/FSA option 401(k) with employer match Paid time off Paid parental leave Diana Health Culture Having a growth mindset and striving for continuous learning and improvement Positive, can do / how can I help attitude Empathy for our team and our clients Taking ownership and driving to results Being scrappy and resourceful

Duties and Responsibilities: Extensive understanding of billing guidelines for UB/1500 claims and a deep understanding of each claim field requirement. Maintain a list of split billing requirements by payer and add to the team crosswalk and keep abreast of any payer changes. The billing specialist should be well versed in Payer portal appeal uploads and assist with providing the internal team feedback when necessary. Import claims from host system into claims processing system when required. Review claims that are pended for edits and resolve. Prepare and submit accurate claims for patient services, ensuring compliance with third party payer guidelines and regulations. Review patient accounts and reconcile payments with secondary payers and review remittance advice, ensuring all payments are posted correctly and outstanding balances are addressed before filing the secondary payer. Ensure all billing and collection practices are compliant with CMS regulations, HIPAA, and company policies. Maintain accurate records of all claims and ensure proper documentation in the patient account system. Meet daily productivity and quality standards as assigned. Work with internal departments, such as patient financial services, finance, and billing, to address any issues or disputes affecting patient accounts. Assist management in maintaining or reducing account receivable (AR) days to meet industry standards and improve organizational cash flows. Knowledge, Skills, and Abilities: Proven experience in third party insurance billing, collections, or patient accounts, preferably in a healthcare setting. In-depth knowledge of billing codes, guidelines, and regulations. Familiarity with electronic health record (EHR) systems, billing software, and remittance advice processing. Strong communication skills, with the ability to explain Medicare billing details and resolve patient concerns effectively. Ability to handle sensitive information and maintain confidentiality in accordance with HIPAA regulations. Detail-oriented with strong organizational skills and the ability to manage multiple accounts simultaneously. Problem-solving abilities, particularly regarding billing discrepancies and denied claims.

Westlawn Surgery Centeris Hiring a Payment Poster No weekends, no call, no Holidays! Welcome to Westlawn Surgery Center! Westlawn Surgery Center is a brand-new, single-specialty facility located in Murfreesboro, TN, featuring three operating rooms and one procedure room. We are dedicated to providing top-quality care to our community. Become part of an innovative, patient-centered team that is shaping the future of orthopedic surgery! Ready to make an impact? Apply today and grow with us! Payment Poster at Westlawn Surgery Center Responsible for posting insurance and patient payments in PAS, adjusting account write offs as necessary per the explanation of benefits, forwarding appeals to the collectors, requesting refunds as needed, posting refunds in the PAS when processed, and entering approved account adjustments to accounts. Qualifications * High School education and/or equivalent; * one year of related experience or training or equivalent combination of education and experience. What We Offer As an organization, one way we care for our communities and each other is by providing a comprehensive benefits package that includes: * Medical, dental, vision, and prescription coverage * Life and AD&D coverage * Availability of short- and long-term disability * Flexible financial benefits including FSAs and HSAs * 401(k) and access to retirement planning * Paid holidays and vacation Who We Are At USPI, we create relationships that create better care. We partner with physicians and healthcare systems to provide first-class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner. USPI is committed to, and proud of, our inclusive culture. An inclusive culture, in our view, is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population. #LI-SB1 #USP-123

PART Time, Entry Level - GREAT way to get hands on experience! Plenty of opportunities for growth within! Hours: Monday & Wednesday, 8a-430p 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.

Job Description At Crossbridge Hospice, we believe a job is a good fit when the role aligns with your personal values, reflects your interests, utilizes your strengths, and provides opportunities for development and growth. At Crossbridge Hospice, we are committed to cultivating a workplace where people feel empowered to thrive. By matching individuals with roles that resonate with their purpose and aspirations, we foster a community driven by authenticity, innovation, and shared growth. We believe that when people bring their whole selves to work, remarkable things happen-for our teams, our patients and their families, and the communities we serve. The role The Intake & Authorization Specialist serves as a vital liaison between local site leadership and payors. This role is responsible for coordinating and processing all new referrals, incoming transfers, and both initial and ongoing authorizations. Key responsibilities include verifying insurance coverage, accurately entering patient demographic and billing information, and submitting insurance authorization requests promptly and precisely in accordance with payor requirements. Key Competencies Customer-Centric Mindset: Demonstrates a strong commitment to delivering exceptional service and support to patients and internal stakeholders. Organizational & Prioritization Skills: Effectively manages multiple tasks and deadlines in a fast-paced environment. Problem Solving: Identifies issues proactively and implements practical solutions. Solution-Focused Approach: Maintains a forward-thinking attitude, focusing on outcomes and continuous improvement. Duties & Responsibilities Verifies and accurately interprets patient benefits via online portals or telephone Timely and accurately enters all demographic, billing and authorization information in the electronic medical record system Completes all necessary tasks required to submit, re-submit or finalize pending authorizations within payor guideline; subsequently updates billing system with relevant changes to authorization details Complete all intake and authorization related workflow tasks as required Tracks and follows up on all re-authorizations in same manner as initial authorization Responds to all email and phone requests in a timely and professional manner Serve as the subject matter expert for insurance authorization and verification Complete and submit Medicaid enrollment forms for Hospice Medicaid patients Maintain high-level confidentiality to sensitive data, HIPAA, etc. Required Skills Familiar with multi-state insurance verification and authorization requirements. Ability to research and maintain requirements when needed. Ability to interpret insurance and clinical records and related documentation for purpose of obtaining authorizations Organizational and time management skills, as evidence by capacity to prioritize multiple tasks Clear understanding in Microsoft Excel and Outlook Ability to work in fast paced environment Strong accountability to team environment Work independently and exercise sound judgement in interactions with physician, payors, and patients and their families if required Education/Training Required: High School Diploma 3 years of experience related to healthcare registration, intake, insurance verification and/or billing Education/Training Preferred: Additional coursework in healthcare administration, billing or medical terminology Knowledge of clinical terminology and coding General understanding of revenue cycle with an emphasis on billing, coding, charge capture and reimbursement Internal Contacts: Office Leadership Billing External Contacts: Insurance Companies Supervision Provided by this Tile: Authorization Manager

Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us! You'll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness. Full suite of health insurance, life insurance and retirement plans are available and vary by employment status. Part and Full Time Benefits Eligibility Medical, Dental, Vision insurance 401(k) Associate assistance program Employee discounts Referral program Early access to earned wages for hourly associates (outside of CA) Optional voluntary benefits including ID theft protection and pet insurance Full Time Only Benefits Eligibility Paid Time Off Paid holidays Company provided life insurance Adoption benefit Disability (short and long term) Flexible Spending Accounts Health Savings Account Optional life and dependent life insurance Optional voluntary benefits including accident, critical illness and hospital indemnity Insurance, and legal plan Tuition reimbursement Base pay in range will be determined by applicant's skills and experience. Role is also eligible for team based bonus opportunities. Temporary associates are not benefits eligible but may participate in the company's 401(k) program. Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply. To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year. The application window is anticipated to close within 30 days of the date of the posting. Education and Experience High school diploma or general education degree (GED) and minimum of one to three years related experience. Additional education may be substituted for years of experience requirement on a year-for-year basis up to 2 years. Associate's or Bachelor's Degree preferred. Prior experience billing Medicare and insurance claims is required. Must have proficiency in Microsoft office including Excel and Word. Prior experience with PCC and Waystar, and experience in SNF billing is preferred. Certifications, Licenses, and Other Special Requirements None Management/Decision Making Makes standard and routine decisions based on detailed guidelines with limited independent judgment. Problems are generally solved with clear, detailed guidelines or by reporting them to a supervisor. Knowledge and Skills Has a basic level of skill and can follow written or verbal instructions. Has basic technical skills to complete a few repetitive and well-defined duties. Has a basic knowledge of the organization in order to answer basic questions. Full understanding of billing-related computer systems. Knowledge of insurance payers. Proficiency in computers to include Microsoft Word and Excel. Ability to organize daily activities within the office to promote timely and efficient transmission of information. Strong communication and customer service skills. Effective interpersonal and organizational skills accompanied with the ability to work with a high level of volume and detail. Ensures adherence to HIPAA and all laws pertaining to confidentiality. Physical Demands and Working Conditions Standing Walking Sitting Use hands and fingers to handle or feel Reach with hands and arms Talk or hear Ability to lift: Up to 10 pounds Vision Requires interaction with co-workers, residents or vendors Brookdale is an equal opportunity employer and a drug-free workplace. Responsible for verifying skilled nursing patient set up in PointClickCare (PCC), billing, and follow-up of skilled nursing Medicare, Managed Care, Medicaid, and coinsurance claims through clearing house, online portals, and via phone. Also provides related customer service for communities and/or patients. Perform quality assurance checks of patient information in PCC. Bill initial and/or adjusted skilled nursing (SNF) claims for Managed Care, Medicare, Medicare copy claims, Benefit exhaust, no pays, Medicaid, and Coinsurance through Waystar clearing house, fax, or online portals. Billing SNF Private Pay statements thorough Waystar. Create and bill carve out and high cost drug claims. Performa revenue input, claim creation, billing, and follow-up of immunization charges to Medicare and Manage Care. Maintain familiarity with current and past contracts with Managed Care companies. Follow up on past due revenue for Medicare, Managed Care, Coinsurance, and Medicaid accounts. Maintain knowledge of past due revenue for monthly calls with communities and Finance Director. Support communities with PCC, Medicare/Insurance, contract, and patient account questions that may arise. Follow up on all SNF credit accounts to determine if refund or escheatment is due or PCC adjustment is needed. Process write off and refunds via Service Now and PCC. Perform month end closing of divested communities in PCC. Track all claims for monthly billing deadlines. Provides support for other team members as needed. This job description represents an overview of the responsibilities for the above referenced position. It is not intended to represent a comprehensive list of responsibilities. An associate should perform all duties as assigned by his/her supervisor.

Job DescriptionDescription: ABOUT US: Our focus is to provide our patients with the best healthcare experience through innovation, professionalism, and compassionate care. Our physicians and staff share our passion for patient-centric care and are knowledgeable, skilled, and empathetic to our patients' needs. We continuously look for ways to improve our patient's experience through data analytics, patient surveys, and feedback. Our commitment to patient care is also investing in our employees through ongoing continuing education and training. POSITION SUMMARY: The Patient Account Communication Representative is responsible for providing clear, compassionate, and accurate communication to patients regarding their accounts, billing statements, insurance coverage, and payment options. This role requires strong interpersonal skills, attention to detail, and a commitment to resolving inquiries efficiently and professionally. The representative serves as a liaison between patients, billing departments, and insurance providers. KEY RESPONSIBILITIES: Respond to patient inquiries via phone, email, and in-person regarding billing statements, insurance claims, and account balances. Review and explain charges, payments, and adjustments on patient accounts. Assist patients with understanding insurance benefits, coverage limitations, and out-of-pocket costs. Set up payment plans and provide financial counseling when appropriate. Document all communications and actions taken in the patient's account. Collaborate with billing, collections, and clinical teams to resolve account discrepancies. Ensure compliance with HIPAA and organizational policies. Escalate complex issues to supervisors or appropriate departments. Maintain a professional and empathetic tone in all patient interactions. Participate in training and quality improvement initiatives. REQUIREMENTS: High school diploma or equivalent; associate's degree or healthcare-related certification preferred. Minimum of 2 years of experience in medical billing, patient accounts, or customer service in a healthcare setting. Strong understanding of insurance processes, billing codes, and patient financial responsibilities. Excellent verbal and written communication skills. Proficiency in EHR systems and billing software. Ability to handle sensitive information with discretion and professionalism. Commitment to patient satisfaction and continuous improvement. KNOWLEDGE, SKILLS, AND ABILITIES: Patient Experience - Understanding and anticipate the patient's needs. Proactively strives to exceed our patient's expectations and provide ongoing education and communication. Proactive- Keep others informed. Ask for help when needed, brings any challenges or concerns to leadership. Analytical mind- capable of out-of-the-box thinking to solve problems. Professionalism- Displaying cautious, helpful and ethical behavior. Maintaining composure even under difficult and challenging circumstances. Excellent Communication Skills - written & verbal. Focus on becoming an active listening to better understand the needs of co-workers and patients. Drive for Results - Strives for improving the patient experience by committing to continuous improvement and doing above and beyond for optimal outcomes. Focus on Efficiency - Utilizes technology, innovation, and process improvements to continuously improve efficiency and effectiveness. Teamwork- Participates as a team member and establishes strong working relationships with teammates and across the organization. Celebrates Change- Receptive to new ideas and responds to changes with flexibility and optimism. Forward-thinking attitude - Consider how your actions and behavior influence or affect others, and how will this impact your future growth in the company. Continues Learning and Improvement- Acknowledges own strengths and development needs and works to strengthen capabilities. OWNERSHIP SKILLS: Help foster a positive workplace environment that encourages accountability, collaboration and transparency. Self-awareness; understanding your learning style and personality traits. Focus on your strengths rather than your weaknesses. Pride in one's work by asking questions when needed, providing feedback and completed job tasks in a timely manner. Aligning job responsibilities and projects with the company's goal and mission. Pro-active measures in daily work that anticipates problems and develops solutions. Ask for clarification when needed. Work in an organized and structured environment to minimize stress during busy workdays. Confidence to express ideas and solutions during meetings or projects. Openness to other employee's opinions and feedback. Establish performance goals and align personal interest and career aspiration with new tasks and responsibilities. Offer solutions to problems rather than presenting issues. Ask for constructive feedback regarding job performance. Share responsibility for actively maintaining "workload items" for clinical and support buckets. PHYSICAL REQUIREMENT: Exerting up to twenty-five pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. Repetitive motion. Substantial movements (motions) of the wrists, hands, and/or fingers. Have close visual acuity to perform an activity including viewing a computer terminal, extensive reading, interpretation, etc. Must possess the physical, mental, and cognitive skills needed to complete essential tasks, including abilities such as learning, remembering, focusing, categorizing, and integrating information for comprehension, problem-solving, and timely decision-making. Must be able to be stationary for prolonged periods of time COGNITIVE REQUIREMENT: Executes tasks independently. Learns and memorizes tasks. Maintains concentration/focus on tasks. Performs task in a demanding environment requiring multi-task and prioritize work. Must be comfortable working and interacting with large groups of people daily. BENEFITS & PERKS: Generous PTO allowance Holiday Pay Health, Dental & Vision Life Insurance Short-term disability Long-term disability 401k with discretionary match Uniform Allowance (clinic only) Professional Development We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any characteristic protected by law. Requirements:

Job DescriptionLoews Hotels & Co is a leading owner and operator of luxury hotels with a portfolio consisting of 26 hotels and resorts in the United States. Located in major city centers and resort destinations from coast to coast, the Loews portfolio features one-of-a-kind properties that go beyond Four Diamond standards and embrace their ”uniquely local” community in order to curate exciting, approachable and local travel experiences for guests. Who We Are: Founded in 1960, Loews Hotels & Co operates iconic hotels and resorts across the U.S. Together, our diverse and welcoming teams craft exceptional experiences in iconic destinations. Growth and belonging start here; you'll be valued for who you are and the goals you have. Whether your next career chapter involves making memories for guests or supporting our properties in our Corporate Office, every role-from Guest Services to Finance, Culinary to IT-offers opportunities to grow and make a meaningful impact. Creating a Team Member experience where you belong no matter what race, age, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status that makes you, you is a daily focus for us. What We Offer: Competitive health & wellness benefits, 401(k) & company match Paid Sick Days, Vacation, and Holidays, Paid Bereavement Pet Insurance and Paid Pet Bereavement Training & Development opportunities, career growth Tuition Reimbursement Team Member Hotel Rates, other discounts, perks and more What We're Looking For: The Cash Application Specialist is an integral contributor to the accounts receivable process in a high volume financial shared services environment supporting an exciting collection of hotel properties across North America. This team member supports the Credit and Billing Services team responsible for the timely and accurate applications of payments, remittance account reconciliation activities, payment postings, account adjustments, portal updates and resolution, research and rebilling accounts as needed. Achievement of aggressive performance targets while delivering extraordinary customer service to our hotel teams and clients is of utmost importance. The Cash Application Specialist reports to the Travel Partner Billing Services Manager. The Cash Application Specialist will report to the Credit Services Manager. Who You Are: A relationship builder with a dynamic approach to developing connections A continually curious forward thinker who loves to find creative solutions A team builder with the ability to establish a strong following Comfortable with taking the lead in a variety of settings Collaborator who excels in an exciting, ever-evolving environment Veterans and military spouses encouraged to apply What You'll Do: Upholds all company and industry standards pertaining to PCI compliance, guest confidentiality, and accounting best practices. Posts and applies payments in hotel's property management system as specified on remittances daily as they are received. Reconciles remittance information to incoming payments, prepare written communication to clients on discrepancies and host meetings as necessary to ensure timely resolution internally and externally. Use reminders and escalations process until resolved. Performs daily audit across all bank deposits/properties to ensure all payments received have been posted or applied accurately and timely to accounts receivable ledger. Researches and resolves missing or discrepant charges to ensure highest levels of billing accuracy including performing any rebills when applicable. Collaborates with other Credit and Billing Services and hotel team members to resolve payment issues (both posting and application of payment). Assists with client portal registration and sub-systems for invoice and payment activities. Collaborates with Training Manager, STAR Trainers and Department Manager on continuous improvement projects and initiatives. Accountable for achievement of metrics and targets associated with the position. May be required to work varying schedules to reflect business needs Required to attend all training sessions and meetings Ability to perform ”Physical Requirements” as explained below Other duties as assigned Your Experience Includes: Minimum 6 months of billing and accounting experience. HS Diploma or GED equivalent preferred 1-2 years customer-facing work experience in hospitality or finance environment Ability to work cooperatively with others, maintain confidentiality, and communicate effectively both written and verbally Ability to organize workload, adapt quickly to change, and deliver under the pressure of deadlines Ability to perform both standard and intermediate spreadsheet functions using Microsoft Office Loews Hotels & Co is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and pregnancy-related conditions), gender identity or expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, genetic information, or any other characteristic protected by applicable federal, state or local laws and ordinances.

The Accounts Receivable Coordinator - Collections is responsible for all functions related to collections in the Accounting department, to include: collection calls, correspondence, account review and customer service. Who We Are: GEODIS specializes in unlocking business value in a complex world, ensuring seamless movement of goods worldwide. As a global third-party logistics provider (3PL), we power A Better Way to Deliver for the world's top brands and manufacturers. Fuel your career with GEODIS and discover endless growth opportunities. Your role on the team: Creates and implements new collection processes to increase efficiency Provides customer service regarding collection issues Processes and reviews account adjustments Resolves client discrepancies Processes short payments Monitors and maintains assigned accounts, to include: customer calls, account adjustments, small balance write off, customer reconciliations and processing credit memos Reduces delinquency for assigned accounts Communicates and follows up effectively regarding customer accounts on a timely basis Establishes and maintains effective and cooperative working relationships with internal and external customers Provides weekly and monthly reporting to direct supervisor Provides monthly Delinquency notices Processes and reports on monthly credit memos Assumes responsibility for high volume phone calls to assigned delinquent customers Reconciles customer disputes as they pertain to payment of outstanding balances that are due Provides excellent and considerate customer service to internal and external customers Other duties as required and assigned What you need: (requirements) Experience High school diploma or GED (General Education Diploma) equivalency Minimum 1 to 2 years related experience; or an equivalent combination of education and experience High volume, corporate collections experience preferred Accounts Receivable experience preferred Knowledge of billing and collections procedures PC literate with experience with Microsoft Outlook, Word and Excel What you gain from joining our team: Free telemedical access to doctors and therapists through First Stop Health is available on the first day of employment! Access wages early with the Rain financial wellness app Health, dental, and vision insurance after 30 days of employment 401k match Paid maternity and parental leave Access to career development, employee resource groups, and mentorship programs Employee discounts Access to employee perks like fitness class discounts and free access to a relaxation and meditation app Free financial wellness programs Daycare discount program Opportunities to volunteer and give back to your community. + more! Join our Team! Visit our website at workat GEODIS.com and chat with our virtual recruiter, Sophie, to fast-track your way to an interview. OR Text DELIVER to 88300 to Apply1

The AR Specialist is responsible for billing and follow-up of accounts according to documented procedures. Includes but is not limited to: following up on claim status, billing and re-billing of claims, credit balance resolution, denial management, following up on aging accounts, and maintaining up to date account information. Essential Responsibilities: Monitors claim status and records in system daily for commercial insurance billing. Ensure timely collection of outstanding A/R and perform a variety of clerical and accounting functions to resolve billing issues of submitted claims Review EOBs, assist in verifying patient coverage if needed, and assist with patient billing inquiries through a billing queue Conducting outbound calls to insurance companies and/or patients to reconcile account issues and outstanding account balances Facilitates and initiates appeals to insurance companies for higher payments and other appeals as needed. Handles correspondence from payers to ensure all information required for claim processing is provided. Review and resolve credit balances or unassigned money remaining on an account. Provides customer service and follow through on account questions. Assists with Special Projects as needed. Education and/or Experience: High School Diploma or equivalent; college preferred 1-3 yrs of experience with Receivables /collections in a healthcare setting is required Strong telephonic communication skills Why You'll Love Working Here - Our Amazing Benefits: 🌟 Comprehensive Health Coverage: Medical, dental, and vision plans for our full-time employees, along with complimentary basic life insurance, Employee Assistance Program, and long-term disability insurance. FREE or low-cost employee only healthcare coverage option is also available. 👨 👩 👧 👠Family Building Support: Take advantage of our comprehensive fertility benefits, adoption assistance, and surrogacy support to help grow your family. 🤱 Paid Parental Leave: Generous maternity, paternity, and partner leave so you can focus on what matters most. 🌴 Plenty of Paid Time Off: Start with 18 days of PTO annually and enjoy 11 paid holidays, including one floating holiday to use as you choose! 💼 Retirement Ready: Invest in your future with our 401(k) plan, featuring a competitive company match and full vesting after just 2 years. 💳 Lifestyle Spending Account: Access a company-funded account to reimburse expenses that boost your physical, financial, and emotional well-being. 💚 Health Savings Account (HSA): If eligible, enjoy regular employer contributions to your HSA with every paycheck. 🙌 Rewards for Connections: Earn extra money with our Employee Referral Program-your network is invaluable! 📚 Growth Opportunities: We support your career with continuing education reimbursement and dedicated time off for professional development. 🧘 Premium Calm Health Subscription: Enjoy a free premium Calm Health app subscription to support your mental wellness. 💡 Emotional & Work-Life Support: Through our Employee Assistance Program (EAP) with SupportLinc, you'll have access to emotional well-being and work-life resources whenever you need them. 🐾 Extra Peace of Mind: Explore additional coverage options including Accident, Critical Illness, Hospital Indemnity, and Pet Insurance, to suit your needs.

ABOUT US: U.S. Multimodal Group (USMMG) is a company that specializes in providing comprehensive transportation and logistics solutions. The company operates across various modes of transport including truckload and intermodal, offering a seamless and integrated service to ensure efficient and timely delivery of goods. Its expertise lies in coordinating and managing complex logistics operations, catering to diverse client needs with customized solutions. By leveraging advanced technology, strategic planning, and a vast network of resources, U.S. Multimodal aims to optimize supply chains, reduce operational costs, and enhance overall customer service in the transportation sector. JOB SUMMARY: U.S. Multimodal is seeking a hands-on and experienced USMMG is seeking a detail-oriented and proactive Accounts Receivable Coordinator to support the financial operations of the organization. This role will be responsible for customer collections, receiving and reviewing customer payment, entering them into the company's accounting system and ensuring timely cash reconciliation. The ideal candidate will thrive in a fast-paced environment, demonstrate strong problem-solving abilities, and collaborate effectively with cross-functional teams. This job is on-site full-time in Franklin, TN. There is no relocation assistance for this opportunity. Must be legally authorized to work in the United States. Employment eligibility will be verified through E-Verify, and a background check is required. KEY RESPONSIBILITIES: Process incoming payments, including checks, electronic transfers, and credit card transactions, ensuring accurate application to customer accounts. Reconcile daily cash receipts with bank statements and accounting system records to identify and resolve discrepancies. Generate and distribute customer invoices promptly, verifying accuracy and completeness of billing information. Communicate with customers in a timely manner regarding overdue accounts, sending reminders, and negotiating payment arrangements. Investigate and resolve billing disputes or payment discrepancies by collaborating with sales, customer service, and other departments Perform additional duties as assigned. QUALIFICATIONS: Bachelor's degree in accounting or related field or equivalent experience in lieu of degree is required. 3+ years of relevant accounting experience; or an equivalent combination of education and experience Proficiency in Microsoft Office Suite, especially Excel, Word, and Outlook Strong attention to detail and accuracy with documentation and reports Strong Customer Service Skills Ability to manage priorities in a fast-paced, evolving environment Excellent communication, time management, and problem-solving skills Capable of analyzing problems and creating solutions with minimal guidance Work Environment & Physical Demands: Regular, predictable attendance is required Must comply with organizational policies, procedures, and confidentiality requirements Primarily sedentary work performed in a temperature-controlled office setting Must be able to sit for extended periods and use standard office equipment for approximately 8 hours a day. WHAT WE OFFER: Offering a competitive salary (based on experience). Competitive commission plan. Benefits include; PTO, Paid Holidays, medical, dental, visions, company paid Life and Long-term disability, and additional options. Company offers a 401(k) program and company match for eligible employees. Opportunities for career advancement and continued professional development. A dynamic, exciting, and mission-driven work environment. Equal Opportunity Statement: U.S. Multimodal is an Equal Opportunity Employer and we are committed to fostering a safe and friendly workplace. All qualified individuals are encouraged to apply.

The Client Bill Representative is responsible for overseeing client billing functions within PathGroup revenue cycle for assigned accounts. This role ensures the accuracy and integrity of client invoices, payment posting, and account reconciliation processes. The Senior Client Bill Specialist serves as a subject matter expert for client billing workflows, assists with escalated client issues, and supports process optimization to improve cash flow and client satisfaction. JOB RESPONSIBILITIES ESSENTIAL FUNCTIONS: Ensure accurate and timely creation of client account and billing rules in the billing system for new and updated client bill agreements. Provide prompt, courteous, and professional customer service to all internal and external clients. Analyze and resolve client invoice related concerns in a timely manner. Monitor client aging and drive collection activities for past-due accounts and provide escalation support to management as needed. Research and lead resolution pertaining to client bill questions, billing discrepancies, pricing variances, and account disputes in collaboration with internal and external teams. Review and reconcile client accounts, ensuring all adjustments, credits, and payments are accurately applied. Recommend and assist in the implementation of improvements to billing policies, workflows, and system configurations. Perform all job responsibilities in alignment with the industry's best security practices and regulatory guidelines to protect the confidentiality, integrity, and availability of protected health information and other sensitive company data. Must be familiar with and abide by the Corporate Compliance Program and all Corporate policies, including the Privacy and Security policies. NON-ESSENTIAL FUNCTIONS: Work with other departments within PathGroup and subsidiaries. Nothing in the job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Other duties as assigned.

Welcome to Ovation Healthcare! At Ovation Healthcare (formerly QHR Health), we've been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions. The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior. We're looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare, you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork. Ovation Healthcare's corporate headquarters is located in Brentwood, TN. For more information, visit ****************** Summary: The Specialist, Billing is responsible for managing the daily billing and ensuring timely accurate clean claims, claim reviews and resolves billing daily claim edits and ensuring compliance with Insurance billing policies and regulations. Duties and Responsibilities: Extensive understanding of billing guidelines for UB/1500 claims and a deep understanding of each claim field requirement. Maintain a list of split billing requirements by payer and add to the team crosswalk and keep abreast of any payer changes. The billing specialist should be well versed in Payer portal appeal uploads and assist with providing the internal team feedback when necessary. Import claims from host system into claims processing system when required. Review claims that are pended for edits and resolve. Prepare and submit accurate claims for patient services, ensuring compliance with third party payer guidelines and regulations. Review patient accounts and reconcile payments with secondary payers and review remittance advice, ensuring all payments are posted correctly and outstanding balances are addressed before filing the secondary payer. Ensure all billing and collection practices are compliant with CMS regulations, HIPAA, and company policies. Maintain accurate records of all claims and ensure proper documentation in the patient account system. Meet daily productivity and quality standards as assigned. Work with internal departments, such as patient financial services, finance, and billing, to address any issues or disputes affecting patient accounts. Assist management in maintaining or reducing account receivable (AR) days to meet industry standards and improve organizational cash flows. Knowledge, Skills, and Abilities: Proven experience in third party insurance billing, collections, or patient accounts, preferably in a healthcare setting. In-depth knowledge of billing codes, guidelines, and regulations. Familiarity with electronic health record (EHR) systems, billing software, and remittance advice processing. Strong communication skills, with the ability to explain Medicare billing details and resolve patient concerns effectively. Ability to handle sensitive information and maintain confidentiality in accordance with HIPAA regulations. Detail-oriented with strong organizational skills and the ability to manage multiple accounts simultaneously. Problem-solving abilities, particularly regarding billing discrepancies and denied claims. Work Experience, Education and Certificates: Experience utilizing Payer portals, client systems and clearing house requirements 3-5 years of experience as a primary biller in hospital Business Office. Medical Terminology, ICD-10, CPT and DRG knowledge a preferred, knowledge of third-party Insurance payer guidelines High school diploma or equivalent; additional training in medical billing is a plus. Working Conditions and Physical Requirements: Work from home and remote location with a stable internet connection, a quiet and dedicated workspace free of distractions, and access to necessary office equipment. The ability to have daily communication with team members, management, and clients through email, phone calls, video meetings and other collaborative tools. Primarily requires sitting at a desk for extended period. Proper lighting and ergonomics shole be maintained to reduce eye strain. Travel Requirements: None