Billing specialist jobs in Lafayette, LA

Acadian Client Services has an immediate opening for a full-time Vendor Management Billing Specialist to join their team in Lafayette, LA. Job Location: Lafayette, LA - This position is based in the office, Monday-Friday, 8:00am-5:00pm. This is NOT a Work from Home position. Summary of Duties: The Vendor Management Billing Specialist is responsible for auditing and increasing the quality standards within the revenue cycle department by reviewing claims processes, billing protocols, and write off protocols are followed according to established policies. This position will independently review claims and make recommendations to senior leadership on process improvements or educational opportunities. Essential Functions: Responsible for claim status checks as needed to ensure proper resolution Initiating contact with insurance providers as needed Review and process claim rejections and appeals for research and resolution Monitor payment discrepancies and process payments Review claims for Federal compliance Process incoming correspondence and phone calls specific to the payer type Verification of patient insurance Ensure accuracy of demographic information Other duties and responsibilities as assigned Qualifications: High school diploma or equivalent Previous medical billing experience preferred Proficient in Google, MS Office Suite or related software Possess strong organizational skills Punctual with strong attendance history Ability to adhere to productivity goals, departmental and company guidelines, dress code, policy and procedures Excellent interpersonal skills and time management Maintain highest level of confidentiality All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

JOB TITLE: Patient Access Referral Coordinator DEPARTMENT: Physician Referrals SUPERVISED BY: Chief Nursing Officer/Lead Referral Supervisor requires the employee to know and understand confidentiality and to employ the strictest confidentiality when handling patient information. This position assures successful arrangement and completion of patient referral documents, both internally and externally. EDUCATION, TRAINING AND EXPERIENCE: 1. Minimum of two (2) years of post-high school training in office management or similar course of study and one (1) year of medical office work experience. 2. At least one (1) year of medical terminology. 3. Able to work without supervision. 4. Understand English grammar and office etiquette. 5. Possess clerical skills & able to operate office equipment (e.g. fax, copier, etc.) 6. Demonstrate familiarity with Microsoft office products. 7. Possess Organizational skills and have ability to work under deadlines. 8. Ability to multi-task establishes priorities, works independently and proceeds with objectives without supervision. 9. Clear speech and adequate hearing and vision are necessary to perform functions required in clerical and administrative activities. JOB RESPONSIBILITIES: 1. Answer telephone calls. Uses telephone to make appointments for SWLACH's patients that are referred to other providers for specialty services. Follow up on SWLACHs' referrals to hospitals and other providers. 2. Complete referral forms. Mails and/or faxes forms to designated providers. Copy forms and incorporates them into the tracking system. 3. Notify patients of appointments and provide answers to their questions as appropriate. 4. Maintain a record of all outbound referrals and log them into the tracking system. 5. Receive patient's records/referrals after service and forwards them to Medical Records for scanning. 6. Complete requests for additional information from providers receiving SWLACHS' Referrals. Calls hospitals and physician offices to obtain additional information on referrals to SWLACHS. 7. Assist COO/Referral Supervisor offices with clerical activities. Assist COO with HIPAA activities as required. 8. Assumes additional related functions, when necessary, as assigned. MISSION AND CUSTOMER SERVICE: 1. Demonstrate the Mission and acts in ways that advance the best interest of the customers entrusted to our care. Positively represents SWLA Center for Health Services (SWLA) in the workplace and the community. 2. Present a professional image: apparel and appearance are appropriate according to SWLA department dress code. 3. Demonstrate effective communication and listens attentively to the customer and promptly acts upon requests with consideration for patient privacy. Keep the customer informed about their care and treatment in a comfortable atmosphere. 4. Respect the gifts and talents (the diversity that co-workers bring to their jobs) of each other. Demonstrates effective communication and assists co-workers as necessary. 5. Respect the privacy and confidentiality of the customers we serve, our physicians, coworkers and the community. 6. Practices safe work habits and maintain a safe environment for self, co-workers, patients, and visitors. 7. Work collaboratively to solve problems, improve processes, and develop services. Acts as an advocate for our customers. 8. Complies with organization/department policies and procedures, including but not limited to confidentiality, safety, cooperation/flexibility and attendance. 9. Understands and complies with applicable federal/state laws and Standards of Conduct as related to assigned job duties. 10. Participates in departmental or organizational quality. Continuous performance improvement activity.

Join CareSouth as a Full-Time Patient Engagement Representative and be the welcoming face that guides our patients through their healthcare journey! Located in Plaquemine, this onsite position allows you to engage directly with individuals seeking assistance, making a significant impact in their lives while showcasing your problem-solving skills. You'll thrive in a relaxed, yet high-performance environment that values empathy and innovation. At a competitive pay rate of $13.60 per hour, you'll find fulfillment in helping others in a professional setting surrounded by a forward-thinking team. If you're an office professional eager to contribute to a safe and supportive medical clinic atmosphere, this is the perfect opportunity for you. You can get great benefits such as Medical, Dental, Vision, 401(k), Life Insurance, Flexible Spending Account, and Paid Time Off. Take the first step in your rewarding career today by applying! What does a Patient Engagement Representative do? As a Patient Engagement Representative at CareSouth, you will play a vital role in delivering high-quality, efficient service to our patients. Your commitment to accuracy and completeness in inputting patient information will directly impact the care we provide. This position requires you to engage customers with compassion and empathy, ensuring that every interaction is characterized by a warm smile and attentive service. By actively working to create and maintain a professional and positive patient experience, you will not only enhance patient satisfaction but also foster trust and rapport within our clinic. Join us in making a difference in the lives of those we serve! Does this sound like you? To excel as a Patient Engagement Representative at CareSouth, you must possess a unique blend of skills that ensure seamless interactions with patients. Strong computer skills are essential for efficiently managing patient information and utilizing healthcare software. Excellent verbal and written communication skills will enable you to convey vital information with clarity and compassion. A friendly and welcoming demeanor is crucial, as you will be the first point of contact for our patients. Additionally, exceptional interpersonal communication skills will help you build rapport and trust. The ability to effectively resolve conflicts with empathy and professionalism will ensure a positive experience for all patients. These skills will empower you to thrive in a high-performance environment dedicated to innovative healthcare solutions. Knowledge and skills required for the position are: Must have strong computer skills. Excellent verbal and written communication skills. Be friendly, welcoming and compassionate. Exceptional interpersonal communication skills Must be able to effectively resolve conflicts Get started with our team! If you have these qualities and meet the basic job requirements, we'd love to have you on our team. Apply now using our online application!

Job Description EXPERIENCED MEDICAL BILLER/AR SPECIALIST ALSO NEEDED TO PRE-CERT RADIOLOGY AND RADIATION CLAIMS - NEEDED FOR A BUSY SPECIALTY CLINIC. THIS IS A FULL-TIME OFFICE JOB IN LAFAYETTE. EXPERIENCE REQUIRED DESCRIPTION OF SOME OF THE JOB DUTIES: Follows up on claim rejections and denials to ensure appropriate reimbursement for our clients Process assigned AR work lists provided by the manager in a timely manner Write appeals using established guidelines to resolve claim denials with a goal of one contact resolution Identified and resolved denied, non-paid, and/or non-adjudicated claims and billing issues due to coverage issues, medical record requests, and authorizations Recommend accounts to be written off on Adjustment Request Reports address and/or filing rule changes to the manager Check system for missing payments Properly notates patient accounts Review each piece of correspondence to determine specific problems Research patient accounts Reviews accounts and to determine appropriate follow-up actions (adjustments, letters, phone insurance, etc.) Processes and follows up on appeals. Files appeals on claim denials Scan correspondence and index to the proper account Inbound/outbound calls may be required for follow up on accounts Route client calls to the appropriate RCM Respond to insurance company claim inquiries Communicates with insurance companies for status on outstanding claims Job Type: Full-time Benefits: 401(k) 401(k) matching Dental insurance (day one of employment) Health insurance (day one of employment) Paid time off Vision insurance Schedule: Day shift Monday to Friday Experience: ICD-10: 2+ years (Required) Powered by JazzHR vHt0HXZE2B

Essential Duties and Responsibilities: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position. Responsibilities include billing & account follow-up and compliance with all governmental and regulatory agencies. Responsible for billing private insurances, private individuals, and/or Government entities for home medical equipment. Understand and comply with all governmental, regulatory and Viemed billing and compliance regulations/policies including but not limited to Medicare and Medicaid programs. Review of HCFAS and patient invoices for appropriate coding, charges, allowable, co-pays, and supporting documentation. Follow-up with Therapist, Intake Specialist, CSR, and other appropriate parties to collect open billings promptly and to ensure compliance with billing regulations. Identify and report to management payer issues concerning billing. Coordinate all patient information and process paperwork including preparation of file for billing. Establish patient records and record appropriate patient and equipment rental information in each patient's record. Process accounts and maintains appropriate records promptly. All Charts/Tickets should be billed with 48hrs of receiving the paperwork emails. Reports all concerns or issues directly to Intake Manager or Intake Supervisor Qualifications High School Diploma or equivalent One (1) to two (2) years working for a Durable Medical Equipment company or relevant medical office experience preferred. Ability to file, perform billing functions, maintain records, understanding of billing requirements, good typing and telemarketing skills. Basic understandings of medical insurance benefits Basic knowledge of medical billing system preferred. 2-4 years' HME billing. Data entry, accounting, or customer service experience. Skill in establishing and maintaining effective working relationships with other employees, patients, organizations, and the public. Effectively communicate with physicians, patients, insurers, colleagues, and staff Able to read and understand medical documentation effectively. Knowledge and understanding of the same and similar DME equipment. Knowledge and understanding of In-network vs Out of Network, PPO, HMO Thorough understanding and maintaining of medical insurances company's regulations and requirements to include but not limited to Medicare and Medicaid. Working knowledge of CPT, HCPCS & ICD10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits. Learns and maintains knowledge of current patient database & billing system. Up to date with health information technologies and applications Answers telephone politely and professionally. Communicates information to appropriate personnel and management promptly. Establishes and maintains effective communication and good working relationships with co-workers, patients, organizations, and the public. Proficient in Microsoft Office, including Outlook, Word, and Excel Utilizes initiative, strives to maintain steady level of productivity and is self-motivated. Work week is Monday through Friday and candidates will work an agreed-upon shift (current shifts include 7am-4pm, 8am-5pm, 9am-6pm) Possible weekend work or overtime. Access to Protected Health Information (PHI) This position will require the employee to handle Protected Health Information (PHI) for duties related to document and report preparation. Policies and procedures will be strictly adhered to make sure PHI is protected as required by the HIPAA Privacy Rule. Working Conditions This position will work in an office environment. You will be expected to work during normal business hours, which are Monday through Friday, 8:00 a.m. to 5:00 p.m. Please note this job description is not designed to cover and/or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Essential duties and responsibilities may change at any time with or without notice.

At Curana Health, we're on a mission to radically improve the health, happiness, and dignity of older adults-and we're looking for passionate people to help us do it. As a national leader in value-based care, we offer senior living communities and skilled nursing facilities a wide range of solutions (including on-site primary care services, Accountable Care Organizations, and Medicare Advantage Special Needs Plans) proven to enhance health outcomes, streamline operations, and create new financial opportunities. Founded in 2021, we've grown quickly-now serving 200,000+ seniors in 1,500+ communities across 32 states. Our team includes more than 1,000 clinicians alongside care coordinators, analysts, operators, and professionals from all backgrounds, all working together to deliver high-quality, proactive solutions for senior living operators and those they care for. If you're looking to make a meaningful impact on the senior healthcare landscape, you're in the right place-and we look forward to working with you. For more information about our company, visit CuranaHealth.com. Summary The Billing Cash Specialist is responsible for the accurate and timely posting of payments, adjustments, and denials within the billing system. This role plays a vital part in ensuring the integrity of financial transactions, supporting revenue cycle operations, and maintaining a high level of accuracy in cash reconciliation processes. Essential Duties & Responsibilities * Accurately post payments, adjustments, and denial transactions into the billing system in a timely manner. * Reconcile daily cash receipts and resolve discrepancies to ensure accuracy in patient accounts. * Set up and maintain access to payer web portals and other relevant systems for payment retrieval and verification. * Collaborate with internal teams to research and resolve payment-related issues. * Maintain documentation and audit trails for all payment and adjustment activity. * Support month-end close activities and reporting requirements. * Perform other duties as assigned by supervisor or management. Qualifications * High school diploma or equivalent * Minimum of two years of experience in medical billing or payment reconciliation. * Strong proficiency in Microsoft Excel, Outlook, and internet navigation. * Experience with electronic medical records (EMR) and billing software preferred. * Knowledge of healthcare reimbursement policies and denial codes is a plus. We're thrilled to announce that Curana Health has been named the 147th fastest growing, privately owned company in the nation on Inc. magazine's prestigious Inc. 5000 list. Curana also ranked 16th in the "Healthcare & Medical" industry category and 21st in Texas. This recognition underscores Curana Health's impact in transforming senior housing by supporting operator stability and ensuring seniors receive the high-quality care they deserve.

The Patient Access Representative 1 (PAR1) is responsible for accurately registering inpatients, outpatients, and/or ER patients in the EMR, including validating patient information, verification of insurance coverage, calculation of and collection of patient co-insurance/deductibles/co-pays, authorization for services, and balancing of cash. the PAR1 ensures the patient's experience is best in class and demonstrates effective communication skills with patients and families, physicians, nurses, and insurance companies. The PAR1 is knowledgeable of and compliant with federal and state regulations related to acute-care patient registration. Responsibilities * Registration * Effectively meets customer needs, builds productive customer relationships, and takes responsibility for customer satisfaction and loyalty. Represents the Patient Access department in a professional, courteous manner at ALL times. Asks patients if they may have special needs. Calls patients by name, Greets patients in a courteous and professional manner. Prioritizes and completes registration in a consistent, courteous, professional, accurate and timely manner. * Obtains necessary information from patient, including demographic information, insurance, guarantor, and correctly inputs it into registration software. If patient is already in the system, finds correct patient record and verifies information in the system. * Uses critical thinking skills to evaluate each registration situation to ensure customized registration experience based on individual patient circumstances. Uses knowledge of federal and state laws (EMTALA, HIPAA, Balanced Billing Act, Participating Provider statute, HITECH law, worker's compensation regulations, victims of sexually oriented criminal offenses regulation, 2 midnight rules, ABN's, Patient status requirements, MSPs, and state regulations on notification of out-of-network status) to ensure compliant registration. * Ensures each patient is assigned only one medical record number. * Communicates the purpose of and obtains patient/legal guardian signatures on all necessary hospital documents such as Hospital consent forms, assignment of benefits, patient rights, etc. * Extensively documents each encounter in account notes to ensure successful cross-function communication. * Ensures orders are received and are consistent with tests/procedures. * Monitors the waiting room, facilitates patient flow, and resolves issues regarding orders or missing/conflicting information, to ensure timely and accurate patient registration. * Insurance and Benefits Knowledge * Demonstrates knowledge of insurance plans, including understanding of varying payer rules and requirements related to insurance coverage and prior authorization. * Verifies eligibility (utilizing online eligibility software tools whenever possible) and obtains necessary authorizations for services rendered. * Selects correct insurance plans in the registration software, in the correct order (primary versus secondary). * Has understanding of required forms (including Medicare Secondary Payer Questionnaire) and has ability to explain them to the patient. * Utilizes payment estimator software to calculate patient financial responsibility. Uses critical thinking skills to determine correct data input during the estimate process and to verify accuracy of output. * Determines when patients may be eligible for financial assistance and directs patients to appropriate resources. * Financial Collections * Uses proven customer service techniques and scripting to collect the patient financial obligation, at or before the time of service. Negotiates with patient to ensure a deposit is collected, in accordance with corporate policy and procedure. * Understands and explains the details of the out-of-pocket calculation. * Analyzes documentation/notes on current and previous accounts in order to explain balances to the patient. * Demonstrates knowledge and ability to complete account acknowledgement forms when appropriate. * Collects cash, prints receipts, and balances cash drawers. * Other Duties as Assigned * Performs all other duties as assigned. Qualifications Education: High School diploma or equivalent. Experience: 1 year customer service experience or related certification (e.g. Certified Coder, Certified Medical Assistant) substitutes for 1 year of experience.

ABOUT US: Ethos Risk Services is a leading insurance claims investigation and medical management company committed to providing better data that translates into better decision-making for our clients. We are at the forefront of innovation in our space, and our success is driven by a dynamic team passionate about delivering exceptional services to our customers. JOB SUMMARY: Our dynamic Ethos team is seeking a full-time Cash Application Specialist to join our Finance team. This role is responsible for strengthening cash flow by ensuring timely and accurate posting of payments in a high-volume, service-based, multi-entity environment. You will work closely with Billing, Collections, and other Finance team members to quickly resolve issues, reduce Days Sales Outstanding (DSO), and maintain a clean and current A/R subledger. KEY RESPONSIBILITIES: Payment Posting: Accurately post daily cash (checks, ACH, wires, credit cards) in Microsoft Dynamics 365 Business Central with correct customer, invoice, and dimension coding. Remittance Reconciliation: Retrieve and reconcile remittances (lockbox files, customer portals, emailed advices) and resolve unapplied cash quickly. Dispute Resolution: Research and clear deductions, chargebacks, and short-pays; prepare supporting documentation for approvals or write-offs. Document Management: Maintain finance documents on the shared drive for accuracy and accessibility. Finance Support: Assist with other finance duties as needed. Daily Reporting: Use Excel (lookups) to verify and produce cash application files. Audit Trail: Maintain copies of remittances and proper receipt documentation for bank deposits. Master Data Maintenance: Keep customer master data current (contacts, remit info, terms, portals). Process Improvement: Follow and improve SOPs and internal controls around cash handling, application, and write-offs. Month-End Close: Support cash cut-off, reconciliations, and assist with external audits. QUALIFICATIONS: Education: High school diploma or equivalent required; Associate's or Bachelor's degree in Accounting, Finance, or related field preferred. Experience: 1+ years of hands-on cash application or accounts receivable experience (required). Experience with Microsoft Dynamics 365 Business Central (or a similar ERP system) is highly desirable. Skills Proficiency with Microsoft Excel (lookups, reconciliations, reporting). Strong attention to detail with the ability to manage a high volume of accounts and meet deadlines. Excellent customer service and communication skills, with clear written documentation and professional follow-through. Ability to work independently while collaborating effectively with cross-functional teams. WORKING CONDITIONS: This role is eligible for work-from-home/remote or in office environment in our Broussard, LA office. Constant operation of a computer and other office productivity machinery, such as a calculator, copy machine/printer. Frequent communication via telephone and in person with clients, customers and co-workers. Ethos Risk Services is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic.

Job DescriptionWorking knowledge of computers and other standard office equipment including data entry/ Key board skills Ability to retain information. Excellent Customer Service skills Good verbal and written communication skills Attention to DetailAbility to multi-task and be accurate Team work oriented skills cooperating well with other members of team. Empathetic and Listening SkillsHandle emergency or crisis situations with ease May be required to work irregular hours Must be able to function under physical and mental stress

Job Details SHC-Lafayette - LAFAYETTE, LADescription About Us At SUN Behavioral Health, we are dedicated to providing exceptional behavioral health services that make a meaningful difference in the lives of individuals and families. Our mission is to deliver compassionate care and innovative solutions that promote recovery and well-being. Everything we do is rooted in integrity, collaboration, and a commitment to excellence. Position Summary The Accounts Receivable Coordinator plays a vital role in ensuring the accuracy and efficiency of financial operations within our Corporate Billing Office. This position is responsible for processing and monitoring incoming payments, verifying and posting receipts, and preparing invoices and bank deposits. By maintaining precise records and supporting revenue cycle processes, you help us sustain the financial health that allows us to serve our communities. Key Responsibilities Verify, classify, compute, post, and record Accounts Receivable data; resolve discrepancies and analyze write-off requests for uncollectable revenue. Monitor accounts and incoming payments to ensure accurate posting. Access and distribute daily deposits from all applicable banks; research and resolve deposits without corresponding payment details; prepare weekly deposits for multiple entities. Maintain and troubleshoot credit card processing systems. Respond to and resolve billing issues and inquiries. Perform other duties as assigned. Knowledge, Skills & Abilities Strong understanding of revenue cycle, collections, payment posting, and medical billing. Familiarity with Medicare, Medicaid, and third-party payers. Ability to calculate, post, and manage accounting figures accurately and efficiently. Proficiency in practice management and billing systems. Excellent communication and interpersonal skills for working with staff, patients, and payer organizations. Strong problem-solving skills and attention to detail. Requirements Education: High school diploma or equivalent required; BS in Finance, Accounting, or Business Administration preferred. Experience: Minimum of 1 year of related experience required. Travel: None. We Offer Competitive Compensation Medical, Dental, and Vision Insurance Company-Paid Short-Term Disability and Optional Long-Term Disability Insurance Paid Time Off Opportunities for collaboration and professional development A #jobthatmatters improving the lives of people in your community Equal Employment Opportunity SUN Behavioral Health is committed to the principle of Equal Employment Opportunity for all employees and applicants. We ensure equal opportunity without consideration of race, color, religion, national origin, age, sex, marital status, sexual orientation, or disability in accordance with local, state, and federal laws. Americans with Disabilities Act Applicants and employees who are or become disabled must be able to perform essential job functions with or without reasonable accommodation. Reasonable accommodations will be determined on a case-by-case basis in accordance with applicable law.

Essential Duties and Responsibilities: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position. * Responsibilities include billing & account follow-up and compliance with all governmental and regulatory agencies. * Responsible for billing private insurances, private individuals, and/or Government entities for home medical equipment. * Understand and comply with all governmental, regulatory and Viemed billing and compliance regulations/policies including but not limited to Medicare and Medicaid programs. * Review of HCFAS and patient invoices for appropriate coding, charges, allowable, co-pays, and supporting documentation. * Follow-up with Therapist, Intake Specialist, CSR, and other appropriate parties to collect open billings promptly and to ensure compliance with billing regulations. * Identify and report to management payer issues concerning billing. * Coordinate all patient information and process paperwork including preparation of file for billing. * Establish patient records and record appropriate patient and equipment rental information in each patient's record. * Process accounts and maintains appropriate records promptly. * All Charts/Tickets should be billed with 48hrs of receiving the paperwork emails. * Reports all concerns or issues directly to Intake Manager or Intake Supervisor Qualifications * High School Diploma or equivalent * One (1) to two (2) years working for a Durable Medical Equipment company or relevant medical office experience preferred. * Ability to file, perform billing functions, maintain records, understanding of billing requirements, good typing and telemarketing skills. * Basic understandings of medical insurance benefits * Basic knowledge of medical billing system preferred. * 2-4 years' HME billing. Data entry, accounting, or customer service experience. * Skill in establishing and maintaining effective working relationships with other employees, patients, organizations, and the public. * Effectively communicate with physicians, patients, insurers, colleagues, and staff * Able to read and understand medical documentation effectively. * Knowledge and understanding of the same and similar DME equipment. * Knowledge and understanding of In-network vs Out of Network, PPO, HMO * Thorough understanding and maintaining of medical insurances company's regulations and requirements to include but not limited to Medicare and Medicaid. * Working knowledge of CPT, HCPCS & ICD10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits. * Learns and maintains knowledge of current patient database & billing system. * Up to date with health information technologies and applications * Answers telephone politely and professionally. Communicates information to appropriate personnel and management promptly. * Establishes and maintains effective communication and good working relationships with co-workers, patients, organizations, and the public. * Proficient in Microsoft Office, including Outlook, Word, and Excel * Utilizes initiative, strives to maintain steady level of productivity and is self-motivated. * Work week is Monday through Friday and candidates will work an agreed-upon shift (current shifts include 7am-4pm, 8am-5pm, 9am-6pm) * Possible weekend work or overtime. Access to Protected Health Information (PHI) * This position will require the employee to handle Protected Health Information (PHI) for duties related to document and report preparation. Policies and procedures will be strictly adhered to make sure PHI is protected as required by the HIPAA Privacy Rule. Working Conditions * This position will work in an office environment. You will be expected to work during normal business hours, which are Monday through Friday, 8:00 a.m. to 5:00 p.m. Please note this job description is not designed to cover and/or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Essential duties and responsibilities may change at any time with or without notice.

Acadian Client Services has an immediate opening for a full-time Billing Specialist (Medicare HMO) to join their team in Lafayette, LA. Job Location: Lafayette, LA - This position is based in the office. The hours are Monday-Friday, 8am-5pm. Summary of Duties: Responsible for processing and resolving insurance claims. Ensuring proper payment of claims, appealing of denials and resolution of claims. Essential Functions: Responsible for claim status checks as needed to ensure proper resolution Initiating contact with insurance providers as needed Review and process claim rejections and appeals for research and resolution Monitor payment discrepancies and process payments Review claims for Federal compliance Process incoming correspondence and phone calls specific to the payer type Verification of patient insurance Ensure accuracy of demographic information Other duties and responsibilities as assigned Qualifications: High school diploma or equivalent Previous medical billing experience preferred Proficient in Google, MS Office Suite or related software Ability to communicate clearly and concisely Ability to establish and maintain working relationships with coworkers and patients Punctual with strong attendance history Ability to adhere to productivity goals, departmental and company guidelines, dress code, policies and procedures Excellent interpersonal skills and time management Maintain highest level of confidentiality All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

JOB TITLE: Patient Access Referral Coordinator DEPARTMENT: Physician Referrals SUPERVISED BY: Chief Nursing Officer/Lead Referral Supervisor requires the employee to know and understand confidentiality and to employ the strictest confidentiality when handling patient information. This position assures successful arrangement and completion of patient referral documents, both internally and externally. EDUCATION, TRAINING AND EXPERIENCE: 1. Minimum of two (2) years of post-high school training in office management or similar course of study and one (1) year of medical office work experience. 2. At least one (1) year of medical terminology. 3. Able to work without supervision. 4. Understand English grammar and office etiquette. 5. Possess clerical skills & able to operate office equipment (e.g. fax, copier, etc.) 6. Demonstrate familiarity with Microsoft office products. 7. Possess Organizational skills and have ability to work under deadlines. 8. Ability to multi-task establishes priorities, works independently and proceeds with objectives without supervision. 9. Clear speech and adequate hearing and vision are necessary to perform functions required in clerical and administrative activities. JOB RESPONSIBILITIES: 1. Answer telephone calls. Uses telephone to make appointments for SWLACH's patients that are referred to other providers for specialty services. Follow up on SWLACHs' referrals to hospitals and other providers. 2. Complete referral forms. Mails and/or faxes forms to designated providers. Copy forms and incorporates them into the tracking system. 3. Notify patients of appointments and provide answers to their questions as appropriate. 4. Maintain a record of all outbound referrals and log them into the tracking system. 5. Receive patient's records/referrals after service and forwards them to Medical Records for scanning. 6. Complete requests for additional information from providers receiving SWLACHS' Referrals. Calls hospitals and physician offices to obtain additional information on referrals to SWLACHS. 7. Assist COO/Referral Supervisor offices with clerical activities. Assist COO with HIPAA activities as required. 8. Assumes additional related functions, when necessary, as assigned. MISSION AND CUSTOMER SERVICE: 1. Demonstrate the Mission and acts in ways that advance the best interest of the customers entrusted to our care. Positively represents SWLA Center for Health Services (SWLA) in the workplace and the community. 2. Present a professional image: apparel and appearance are appropriate according to SWLA department dress code. 3. Demonstrate effective communication and listens attentively to the customer and promptly acts upon requests with consideration for patient privacy. Keep the customer informed about their care and treatment in a comfortable atmosphere. 4. Respect the gifts and talents (the diversity that co-workers bring to their jobs) of each other. Demonstrates effective communication and assists co-workers as necessary. 5. Respect the privacy and confidentiality of the customers we serve, our physicians, coworkers and the community. 6. Practices safe work habits and maintain a safe environment for self, co-workers, patients, and visitors. 7. Work collaboratively to solve problems, improve processes, and develop services. Acts as an advocate for our customers. 8. Complies with organization/department policies and procedures, including but not limited to confidentiality, safety, cooperation/flexibility and attendance. 9. Understands and complies with applicable federal/state laws and Standards of Conduct as related to assigned job duties. 10. Participates in departmental or organizational quality. Continuous performance improvement activity.

At Curana Health, we're on a mission to radically improve the health, happiness, and dignity of older adults-and we're looking for passionate people to help us do it. As a national leader in value-based care, we offer senior living communities and skilled nursing facilities a wide range of solutions (including on-site primary care services, Accountable Care Organizations, and Medicare Advantage Special Needs Plans) proven to enhance health outcomes, streamline operations, and create new financial opportunities. Founded in 2021, we've grown quickly-now serving 200,000+ seniors in 1,500+ communities across 32 states. Our team includes more than 1,000 clinicians alongside care coordinators, analysts, operators, and professionals from all backgrounds, all working together to deliver high-quality, proactive solutions for senior living operators and those they care for. If you're looking to make a meaningful impact on the senior healthcare landscape, you're in the right place-and we look forward to working with you. For more information about our company, visit CuranaHealth.com. Summary The Billing Cash Specialist is responsible for the accurate and timely posting of payments, adjustments, and denials within the billing system. This role plays a vital part in ensuring the integrity of financial transactions, supporting revenue cycle operations, and maintaining a high level of accuracy in cash reconciliation processes. Essential Duties & Responsibilities Accurately post payments, adjustments, and denial transactions into the billing system in a timely manner. Reconcile daily cash receipts and resolve discrepancies to ensure accuracy in patient accounts. Set up and maintain access to payer web portals and other relevant systems for payment retrieval and verification. Collaborate with internal teams to research and resolve payment-related issues. Maintain documentation and audit trails for all payment and adjustment activity. Support month-end close activities and reporting requirements. Perform other duties as assigned by supervisor or management. Qualifications High school diploma or equivalent Minimum of two years of experience in medical billing or payment reconciliation. Strong proficiency in Microsoft Excel, Outlook, and internet navigation. Experience with electronic medical records (EMR) and billing software preferred. Knowledge of healthcare reimbursement policies and denial codes is a plus. We're thrilled to announce that Curana Health has been named the 147 th fastest growing, privately owned company in the nation on Inc. magazine's prestigious Inc. 5000 list. Curana also ranked 16 th in the “Healthcare & Medical” industry category and 21 st in Texas. This recognition underscores Curana Health's impact in transforming senior housing by supporting operator stability and ensuring seniors receive the high-quality care they deserve.

What Makes Us Different? At FMOL Health, we offer you so much more than just a job in the healthcare industry. We offer career opportunities for people who have a calling to share their gifts and talents as part of our healing ministry. As a Catholic hospital, we are here to create a spirit of healing. We offer you something special - the chance to do God's work by helping to serve people in need throughout our community, every day. Job Summary Responsible for accurately registering patients in EMR including validating patient information, verification of insurance coverage, collection of required payments and ensuring the patient's experience is best in class. Minimum Requirements Experience: 6 months experience in a customer service/front desk role or a graduate of a front office/medical office program. Bachelor's degree may substitute for experience. Education: High School or equivalent Skills: Professional demeanor, excellent customer service skills, ability to multi-task, critical thinking, demonstrated computer literacy, ability to learn and demonstrate proficiency in Epic during the introductory period. Apply now! Here, you are more than an employee. You are a team member, a co-worker, our friend and part of our family. Our healthcare team is working together to heal this community one patient at a time! Responsibilities Job Function: * Customer Service/Patient Flow * Accurately and efficiently registers patients in Epic; monitors and manages the flow of patients through the clinic utilizing imitative to ensure the patient experience is best in class. * Monitors patient schedules and reviews accounts to determine the patient's financial responsibility on account balance and arranges payment plans to collect. Assists patients with access to government and community resources to enhance their access to health care services. * Works closely with physicians, nurse practitioners and nursing staff to ensure that referrals to other providers/services/facilities are completed in accordance with payor requirements in a timely manner. * Facilitates the patient's access to information including but not limited to MyChart access. * Accurately updates patient's records as needed. * Accurately enters and updates charges as necessary. * Clinic Operations * Actively supports clinic, hospital and health system initiatives related to improvement in the day-to-day operations. * Manages cash in accordance with established policies and procedures to ensure that payments are accurately credited to the patients' accounts and cash is maintained in a secure manner. * Meets site collection goals. * Performance Excellence * Actively supports the organizations performance excellence initiatives. * Performs duties in a manner that results in improved patient outcomes and patient satisfaction scores. * Actively supports the organizations Culture of Excellence utilizing initiative to make suggestions that would improve the patient's experience and the environment of care. * Provides quality training and orientation for other Team Members when assigned. * Other Duties As Assigned * Performs other duties as assigned or requested. Qualifications Experience: 6 months experience in a customer service/front desk role or a graduate of a front office/medical office program. Bachelor's degree may substitute for experience. Education: High School or equivalent Skills: Professional demeanor, excellent customer service skills, ability to multi-task, critical thinking, demonstrated computer literacy, ability to learn and demonstrate proficiency in Epic during the introductory period.

ABOUT US: Ethos Risk Services is a leading insurance claims investigation and medical management company committed to providing better data that translates into better decision-making for our clients. We are at the forefront of innovation in our space, and our success is driven by a dynamic team passionate about delivering exceptional services to our customers. JOB SUMMARY: Our dynamic Ethos team is seeking a full-time A/R Collections Specialist to join our team. This role is responsible for managing accounts receivable and ensuring timely payments from clients. Our ideal candidate is extremely detail-oriented with strong problem-solving skills, excellent communication, and the ability to stay organized, we encourage you to apply. KEY RESPONSIBILITIES: Portfolio Ownership: Manage an assigned A/R aging portfolio; prioritize outreach, document customer contacts, and drive resolution on past-due balances. Dispute Resolution: Coordinate resolution of short-pays, pricing discrepancies, and missing documentation with Billing, Operations, and Sales. Credit Decisions: Recommend credit holds/releases, payment plans, and terms adjustments in line with company policy; escalate high-risk items promptly. Deduction Handling: Research and clear deductions, chargebacks, and short-pays; prepare documentation for approvals or write-offs. Aging Reports: Maintain and distribute A/R aging schedules, collection notes, unapplied cash reports, and DSO/CEI dashboards. Data Analysis: Use Excel (lookups, pivots) and Power BI to analyze trends, identify root causes, and address client-specific issues. Master Data Maintenance: Keep customer master data up-to-date (contacts, remit info, terms, portals). Process Improvement: Follow and enhance SOPs and internal controls for cash collections, invoice corrections, and write-offs. Month-End Support: Assist with cash cut-off, unapplied review, reconciliations, and provide documentation for external audits. QUALIFICATIONS: Education: High school diploma is required. Associate's or Bachelor's degree preferred. Experience: 3+ years of experience in collections, customer service, sales, or finance required, industry experience preferred. Ability to multitask, prioritize, and problem-solve. Proficiency in Excel and Microsoft Office Suite. Strong organizational skills and attention to detail. WORKING CONDITIONS: This role is eligible for work-from-home/remote or in office environment in our Broussard, LA office. Constant operation of a computer and other office productivity machinery, such as a calculator, copy machine/printer. Frequent communication via telephone and in person with clients, customers and co-workers. Ethos Risk Services is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic.

* Obtains patient demographic and health insurance information; collects co-pay(s) when appropriate. * Verifies and records insurance benefits with the ability to understand and provide insurance breakdowns. * If required by payer(s), obtains prior authorization &/or follows up on authorization daily. * Able to read through and understand medical documentation effectively * Resolves Front Collections accounts as well as documenting within computer system appropriately. * Establishes and maintains effective communication and good working relationships with patients/family, physicians' offices, and other internal teams for the patient's benefit. * Performs other clerical tasks as needed, such as * Answering patient/Insurance calls * Faxing and Emails * Communicates appropriately and clearly to Manager/Supervisor, and other superiors. Reports all concerns or issues directly to Revenue Cycle Manager and Supervisor * Other responsibilities and projects as assigned. Requirements: * High School Diploma or equivalent. * Learns and maintains knowledge of current patient database and billing system * Verifying Insurance for all products * Understand Insurance benefit breakdown of deductibles and co-ins * Understand Insurance Medical and Payment Policies * Knowledge of Explanation of Benefits from insurance companies * General knowledge of government, regulatory billing and compliance regulations/policies for Medicare & Medicaid * Working knowledge of CPT and ICD-10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits. * Enough knowledge of policies and procedures to accurately answer questions from internal and external customers. * Utilizes initiative while maintaining set levels of productivity with consistent accuracy. Experience: * 2-4 Years in DME or Medical Office experience preferred. * Minimum of 1 year of insurance verification or authorizations required. Skills: * Superior organizational skills. * Proficient in Microsoft Office, including Outlook, Word, and Excel. * Attention to detail and accuracy. * Effective/professional communication skills (written and oral)

JOB TITLE: Patient Access Referral Coordinator DEPARTMENT: Physician Referrals SUPERVISED BY: Chief Nursing Officer/Lead Referral Supervisor requires the employee to know and understand confidentiality and to employ the strictest confidentiality when handling patient information. This position assures successful arrangement and completion of patient referral documents, both internally and externally. EDUCATION, TRAINING AND EXPERIENCE: 1. Minimum of two (2) years of post-high school training in office management or similar course of study and one (1) year of medical office work experience. 2. At least one (1) year of medical terminology. 3. Able to work without supervision. 4. Understand English grammar and office etiquette. 5. Possess clerical skills & able to operate office equipment (e.g. fax, copier, etc.) 6. Demonstrate familiarity with Microsoft office products. 7. Possess Organizational skills and have ability to work under deadlines. 8. Ability to multi-task establishes priorities, works independently and proceeds with objectives without supervision. 9. Clear speech and adequate hearing and vision are necessary to perform functions required in clerical and administrative activities. JOB RESPONSIBILITIES: 1. Answer telephone calls. Uses telephone to make appointments for SWLACHs patients that are referred to other providers for specialty services. Follow up on SWLACHs referrals to hospitals and other providers. 2. Complete referral forms. Mails and/or faxes forms to designated providers. Copy forms and incorporates them into the tracking system. 3. Notify patients of appointments and provide answers to their questions as appropriate. 4. Maintain a record of all outbound referrals and log them into the tracking system. 5. Receive patients records/referrals after service and forwards them to Medical Records for scanning. 6. Complete requests for additional information from providers receiving SWLACHS Referrals. Calls hospitals and physician offices to obtain additional information on referrals to SWLACHS. 7. Assist COO/Referral Supervisor offices with clerical activities. Assist COO with HIPAA activities as required. 8. Assumes additional related functions, when necessary, as assigned. MISSION AND CUSTOMER SERVICE: 1. Demonstrate the Mission and acts in ways that advance the best interest of the customers entrusted to our care. Positively represents SWLA Center for Health Services (SWLA) in the workplace and the community. 2. Present a professional image: apparel and appearance are appropriate according to SWLA department dress code. 3. Demonstrate effective communication and listens attentively to the customer and promptly acts upon requests with consideration for patient privacy. Keep the customer informed about their care and treatment in a comfortable atmosphere. 4. Respect the gifts and talents (the diversity that co-workers bring to their jobs) of each other. Demonstrates effective communication and assists co-workers as necessary. 5. Respect the privacy and confidentiality of the customers we serve, our physicians, coworkers and the community. 6. Practices safe work habits and maintain a safe environment for self, co-workers, patients, and visitors. 7. Work collaboratively to solve problems, improve processes, and develop services. Acts as an advocate for our customers. 8. Complies with organization/department policies and procedures, including but not limited to confidentiality, safety, cooperation/flexibility and attendance. 9. Understands and complies with applicable federal/state laws and Standards of Conduct as related to assigned job duties. 10. Participates in departmental or organizational quality. Continuous performance improvement activity.

Curana Health is a provider of value-based primary care services for the senior living industry, including skilled nursing facilities, assisted & independent living communities, Memory Care units, and affordable senior housing sites. Our 1,000+ clinicians serve more than 1,500 senior living community partners across 34 states, and Curana participates in various innovative CMS programs (including owned-and-operated Accountable Care Organizations and Medicare Advantage plans). With rapid year-over-year growth since our founding in 2021, Curana is setting a new standard in innovative care delivery for seniors with high-risk, complex clinical needs, many of whom have been historically underserved by the healthcare system. Our mission: To radically improve the health, happiness and dignity of senior living residents. Summary We are seeking a highly motivated and detail-oriented Accounts Receivable Specialist to join our finance team. As an essential member of the finance department, the Accounts Receivable Specialist will be responsible for managing and processing accounts receivable transactions, ensuring timely and accurate collection of outstanding invoices, and maintaining strong relationships with our clients. The ideal candidate should possess excellent organizational skills, a keen eye for detail, and exceptional communication abilities to work collaboratively with internal teams and external customers. Essential Duties & Responsibilities Prepares, posts, verifies, and records customer payments and transactions related to accounts receivable. Creates invoices according to company practices; submits invoices to customers. Maintains and updates customer files, including name or address changes, mergers, or mailing attentions. Drafts correspondence for standard past-due accounts and collections, identifies delinquent accounts by reviewing files, and contacts delinquent accountholders to request payment. Creates reports regarding the current status of customer accounts as requested. Researches customer discrepancies and past-due amounts with the assistance of the Collections Manager and other staff. Collaborates with the Collections Manager to reconcile accounts receivable Assists in generating monthly billing statements based on the general ledger. Copies, files, and retrieves materials for accounts receivable as needed. Relays changes of information to appropriate employees. Performs other related duties as assigned. Qualifications Excellent verbal and written communication skills. Proficient in Microsoft Office Suite or related software as well as other accounting software programs. Ability to operate related office equipment, such as computers, 10-key calculator, and copier. Ability to work independently and in a fast-paced environment. Ability to anticipate work needs and interact professionally with customers. Excellent organizational skills and attention to detail. Education and Experience High school diploma or equivalent required; Associate's or Bachelor's degree in Accounting preferred. At least two years of related experience required. We're thrilled to announce that Curana Health has been named the 147th fastest growing, privately owned company in the nation on Inc. magazine's prestigious Inc. 5000 list. Curana also ranked 16th in the “Healthcare & Medical” industry category and 21st in Texas. This recognition underscores Curana Health's impact in transforming senior housing by supporting operator stability and ensuring seniors receive the high-quality care they deserve.