Billing specialist jobs in Richmond, VA - 120 jobs

Customer Service Representative 1 year Contract Virginia (100% on-site) Provide front-line support to customers by phone and email, resolve inquiries and complaints, maintain accurate service records, and ensure customers receive the correct information or are referred to the appropriate department, all while following company policies and procedures. Responsibilities: In this role you will respond to inbound phone calls and email requests daily with timely, professional service while creating, updating, and maintaining accurate records in the CRM/ticketing system. Resolve customer complaints and issues and escalate when appropriate; provide resources, product and service information, and clear guidance to customers. Triage requests to ensure clients are referred to the correct department, strictly adhering to company policies, procedures, and compliance/privacy standards during all interactions. Meet or exceed service-level targets for response and resolution times and customer satisfaction, document resolutions, and contribute to internal knowledge base articles. Collaborate with cross-functional teams such as operations, billing, and technical support to resolve issues, and identify recurring problems to recommend process improvements. Qualifications: Excellent customer service skills Ability to provide the appropriate service and information or refer clients to another department Clear verbal and written communication skills with a strong command of the English language Strong attention to detail and accurate data entry Ability to work well in a team environment Multitasking skills and strong organizational abilities Ability to remain calm and professional under high-stress situations and de-escalate conflict Computer literacy, including email, web-based tools, and basic office applications; familiarity with CRM/ticketing systems is a plus Experience working in a customer service environment is required

Full-time Description 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 patient 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 Communications Representative I for the Call Center will contribute to the fulfillment of all patient schedules. They play an important role in patient experience within the revenue cycle. They are a welcoming voice for all our patients and set the tone for patient care. KEY RESPONSIBILITIES: Always positive and friendly with patients, co-workers and anyone who calls in to Verifies patient information and confirms insurance information and referral status.?? Obtains and retains knowledge of insurance company participation and requirements including when an authorization is needed, or when a referral is needed. Registers patients correctly in the computer, providing consistency for patient listing and billing information- including name, DOB, address, phone number, email address, insurance Answers general questions for patients following established guidelines. Assists with answering and triaging incoming telephone calls and routing them according Answers and screens telephone calls appropriately and gives non-medical instructions to patients in preparation for their visit to the office. Serves as primary appointment scheduler for all physicians and other resources in clinic, using the provided scheduling guide. Answers questions regarding insurance billing and office financial policies Provides the highest level of customer service to all patients. Ensures confidentiality of medical records and patient information in accordance with HIPAA. Performs regular schedule optimization REQUIREMENTS: High school diploma or equivalent required.? Positive attitude and a love for helping others! Prior experience in a fast-paced medical office and in electronic health record preferred.? 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. Professionalism- Displaying cautious, helpful and ethical behavior. Maintaining composure even under difficult and challenging circumstances. Excellent Communication Skills - written & verbal. Focus on 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 SEES Group LLC. is 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.

SUMMARY DESCRIPTION The Medical Billing Specialist is responsible for entering surgery charges, after review of the operative report. The medical billing specialist may also be assigned other work in the dept as needed. RESPONSIBILITIES Reviews op reports to verify the codes that were authorized were documented. Applies appropriate coding methodology to prevent a bundling denial, which includes using modifiers as needed. If changes are found in the op report or on the change report from the surgery center, it is necessary to work with the surgery scheduler to have the pre-authorization requirements of the new codes verified/updated. Works the missing ticket report for all scheduled surgeries. May be asked to post remits, credit balance report as needed. If there is a discrepancy found while reviewing the op report, it may be necessary to query the physician to clarify the procedure performed via text, email or EMR message. Weekly email is completed to the physicians including ASC president and the Director of Revenue Cycle Management to inquire about incomplete or missing op reports. Works all visit category 4 accounts on the AR within one week of assignment All other duties as assigned. QUALIFICATIONS A high school diploma; Certified Professional Coder, it is necessary to maintain CEU's; Experience in a medical office setting, preferably at least 2 years and preferably with billing functions; Excellent communication and customer service skills; Basic knowledge of keyboard and accurate data entry skills; Technical skills sufficient to be able to run reports and interpret data; A team player who is able to facilitate people working together in a collegial and efficient manner; Ability to communicate clearly in person and/or on the phone and establish/maintain cooperative relationships with patients, physicians and staff; Ability to organize and prioritize tasks effectively; Ability to read, understand and follow oral and written instructions. ENVIRONMENTAL/WORKING CONDITIONS Medical office setting. Well-lit and well-ventilated adequate space. Some exposure to communicable diseases and other conditions common to a clinical environment. PHYSICAL/MENTAL DEMANDS Requires sitting for extensive periods of time. Must be able to view a computer screen for an extended period. Light lifting required up to 15 lbs. Requires manual dexterity sufficient to operate a keyboard, operate a calculator, telephone, copier, and such other equipment, as necessary.

About Us Excelsia Injury Care provides management services to a network of healthcare companies, supporting them in delivering comprehensive rehabilitation, diagnostic, surgical, and pain management services for individuals affected by post-traumatic neuro-musculoskeletal injuries. With 95 locations across Idaho, Illinois, Maryland, Missouri, Nevada, New Jersey, Pennsylvania, Utah, and Virginia, we ensure accessible, high-quality care tailored to each patient's unique needs. Our providers are leaders in personal injury and workers' compensation care, with a proven track record of helping patients recover and reach their maximum recovery potential. Our mission is to restore quality of life through patient-centric care, supporting those injured in motor vehicle or work-related accidents. We take an interdisciplinary approach, ensuring patients receive coordinated care from evaluation through treatment, with the goal of achieving optimal recovery outcomes. Founded on the values of respect and trustworthiness, we are committed to delivering services that adhere to the highest legal, regulatory, and ethical standards. As responsible corporate citizens, we integrate environmental, social, and governance (ESG) considerations into our business practices, ensuring that we positively impact the healthcare companies we serve, our employees, and the communities we reach. Bilingual ability in Spanish and English required. Job Duties Provide administrative support to departmental physicians/supervisor/manager/administrators to include receiving and disseminating of telephone/fax messages in a timely and appropriate manner using clinic and your name Provide consistent support/coverage as needed per departmental policy Direct patients, families, and visitors to appropriate medical treatment areas in a sensitive and caring manner Assist with the distributing of reports, records, and messages maintaining patient and clinic confidentiality Assist with maintaining internal/external supply inventory Maintain on-site presence during business hours Comply with Micro MD and BSO departmental billing functions. Post patient charges and payments Assist Manager by coordinating, reviewing, and preparing clinic charts for patient appointments as per departmental policy Maintain the office in a neat and orderly fashion. Assist in maintaining a safe environment Assist Manager and District Manager in completing request for medical records and any and all requests Maintain charts in proper order, inserting forms and reports in the appropriate location, making certain all forms as well as dictations are completed Copy materials, obtains mail when requested. Initiates, prepares, updates forms, reports, and records on a routine basis Respond to corporate/physician/patient/family/attorney, inter/intra departmental general inquiries and ambiguous situations Utilize QIP principles/techniques for organizational change and systems modification Operate and maintain pertinent office machines/equipment to include fax, computers, copiers, etc. Assist with the collection, sorting and distribution of departmental mail/correspondences/ faxes/phone messages in a timely manner Perform other duties and assignments as directed and/or necessary Interview patients / collects information and enters into computer Ensure patients' paperwork and Micro MD match Verify insurance and documents in computer using account case notes Explain Excelsia Injury Care paperwork to patients and ensure they understand. Witness patient signatures Maintain office in neat and orderly manner Scanning and uploading paperwork to the EHR, if applicable Other duties as assigned Minimum Requirements High school diploma or GED equivalent 6 months+ of medical experience in an administrative physician office setting Previous computer skills to include data entry, Word, Outlook, etc. Additional Skills/Competencies Ability to handle multiple tasks and responsibilities Basic telephone and computer skills Tact and skill in patient management Excellent communication and organizational skills Basic understanding of medical office procedures Ability to effectively interact with doctors, patients and co-workers Ability to triage patients, taking basic vitals (blood pressure, pulse and respiration) Physical/Mental Requirements Sitting, standing, walking, reaching above shoulder length, working with body bent over at waist, working in kneeling position, climbing stairs, climbing ladders, working with arms extended at shoulder length, lifting maximum of 20 lbs. Why work for Excelsia Injury Care? We offer a competitive salary, a great and stable work environment as well as amazing benefit package! Offered Benefits include: Medical, Dental and Vision plans through CareFirst with PPO And HSA options available the first of the month after your hire date. Rich leave benefits including PTO that is accrued starting on your first day of work, 8 company-recognized paid holidays plus a floating holiday, and 5 days of sick leave each calendar year. Employee Assistance Program, Earned Wage Access, and Employee Assistance Fund. Discounts on shopping and travel perks through WorkingAdvantage. 401(k) retirement plan with employer match. Paid training opportunities and Education Assistance Program. Employee Referral Bonus Program Diversity Statement Excelsia Injury Care is an equal opportunity employer. We commit to a policy of nondiscrimination and equal opportunity for all employees and qualified applicants without regard to race, color, religion, creed, gender, pregnancy or related medical conditions, age, national origin or ancestry, physical or mental disability, genetic predisposition, marital, civil union or partnership status, sexual orientation, gender identity, or any other consideration protected by federal, state or local laws.

The Patient Concierge Representative coordinates and schedule appointments and be a primary point of contact for patients with initial consults/appointments, treatment plans (i.e. infusion, outpatient diagnostic services) for multiple locations and multiple services to include the following: Reviews whether medical records are received, appointment lists or scanned documents are in order to ensure that all documents are available to support complete and thorough evaluation. Interfaces with nursing staff regarding appropriateness of appointment and obtains preauthorization as required. Monitors patient cancellations for appointments, processes cancellations in a timely manner, and where appropriate, utilizes wait lists to offer improved access to the clinics for new and established patients. Provides quality customer service to patients of all ages, their families, visitors, medical staff, clinicians and co-workers, ensuring that everyone will be treated courteously, quickly and with respect. Schedules or reschedules initial consults/appointments, as appropriate, for multiple locations. Performs all aspects of the Patient Access Rep position, as needed.Licensure, Certification, or Registration Requirements for Hire: N/A Licensure, Certification, or Registration Requirements for continued employment: N/A Experience REQUIRED: Minimum of two (2) years of previous patient scheduling/registration work experience in a healthcare setting Strong customer service skills and patient/customer centered focus in positive manner in all situations Experience PREFERRED: Three (3) years' work experience with medical insurance, HMO, managed care, GE/IDX, Cerner order entry; appointment scheduling and medical terminology Education/training REQUIRED: High school graduate or equivalent Education/training PREFERRED: Associates or Bachelor's Degree in Accounting, Finance, Business Administration, Healthcare Administration or closely related field Independent action(s) required: Performs daily activities with minimal supervision. Functions in a self-directed manner to accomplish routine activities. Notifies management, immediately, of issues involving violation of VCUHS policies or procedures. Supervisory responsibilities (if applicable): N/A Additional position requirements: N/A Age Specific groups served: N/A Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting 50-100 lbs. Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive), Repetitive motion Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment, Able to adapt to frequent change Days EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.

Job DescriptionDescription: The Atlantic Vision Partners Way At Atlantic Vision Partners, we want our employees to love coming to work and doing what they love - helping our patients see more clearly! We provide our employees with continued support through: · On-Site Training · Unlimited career growth opportunities within our 45 clinics in Virginia, North Carolina, and Tennessee, · Paid Certified Accreditations, and · Unmatched resources like in-house tools to help serve our patients. Your Mission As a Patient Communication Representative, you will serve as the first line of contact for our community with our practices. You will play a key role in ensuring that patients are greeted on the phone with a kind, courteous, and professional demeanor. You help patients with smooth scheduling. You strive to master the art of great customer service and patient interaction. Come where you can flourish! What You'll Do Answer inbound calls promptly and professionally. Provide information about the eye care services offered, office hours, and other general inquiries. Book and confirm eye exams, consultations, and follow-up appointments based on patient needs and doctor availability. Reschedule or cancel appointments as requested by patients. Accurately enter and update patient information, including contact details and medical history, into the system. Verify and process insurance details, including pre-authorizations if required. Address patient concerns and questions with empathy and professionalism. Resolve any issues related to appointments or services. Document call details and patient interactions in the system. Coordinate with office staff to manage patient flow and ensure smooth operations. Adhere to privacy and confidentiality regulations to protect patient information. Follow office protocols and procedures to maintain high standards of service. Requirements: High school diploma, GED or equivalent certification At least 2 years customer service experience or 2 years of call center experience Experience in a healthcare setting, especially in ophthalmology or optometry, is a plus. Excellent verbal and written communication skills. Ability to convey information clearly and professionally. Strong interpersonal skills with a focus on patient satisfaction. Ability to handle difficult situations and resolve conflicts effectively. Proficiency with computer systems and software, including appointment scheduling software and electronic health records (EHR). Familiarity with telephone systems and standard office equipment. Strong organizational skills with the ability to manage multiple tasks and prioritize effectively. Attention to detail for accurate appointment scheduling and data entry. Ability to troubleshoot issues related to scheduling, patient inquiries, and system problems. Understanding of and adherence to privacy regulations and confidentiality standards, especially concerning patient information. Ability to work collaboratively with other team members and healthcare professionals. Willingness to adapt to changes in procedures, schedules, and patient needs.

Fahrenheit Advisors has been retained by our Industrial Recycling client, Gillies Creek, to assist in the search and selection of an Accounts Receivable Specialist based in North Richmond, Virginia. Purpose To ensure timely and accurate collection of customer payments, maintain healthy cash flow, and minimize outstanding receivables through proactive communication, follow-up, and reporting. Core Responsibilities Accounts Receivable Management Review and monitor the Aged Receivables Report weekly from Sage. Contact all customers with balances over 90 days past due via phone and email unless directed otherwise by management. Prioritize collection efforts based on invoice aging and balance size (see “Prioritization Process” below). Record all customer interactions and payment commitments in the designated A/R tracker or within Sage. Post and apply customer payments accurately to corresponding invoices. Forward any credit memos, adjustments, or deposit confirmations to the accounting team for reconciliation. Invoice Processing & Customer Accounts Export/Import Mastec invoices weekly (Monday through Sunday range). Receive EFT/ACH deposits, checks and credit card payments, ensuring proper documentation of deposit ticket IDs, dates, and amounts. Set up new customer accounts only after approved credit applications. Maintain up-to-date and accurate customer contact information in Sage and ScaleIt. Reporting Requirements Submit a Weekly A/R Report every Friday summarizing: Total amount collected - outstanding balances by aging category - Notes on high-risk or unresponsive accounts - Escalations or customer disputes Maintain clear, updated records of all contact attempts, commitments, and follow-ups. The Customer Contact Follow-Up Spreadsheet may also be submitted weekly or upon request as part of her reporting documentation. Collaboration & Accountability Work collaboratively with the sales and operations teams to ensure clear communication with customers. Maintain professionalism in all communications and act as the primary point of contact for payment-related matters. Proactively identify any recurring collection issues or discrepancies and present potential solutions to management. Performance Indicators Reduction in overall 90+ day receivables balance Timeliness of customer follow-up and adherence to 2-day policy Accuracy of posting and reconciliation Completeness of weekly reporting and maintenance of follow-up spreadsheet

The Company: Pulmonary Associates of Richmond (PAR) has been around since 1974. That's 50 years of serving the greater Richmond community. We specialize in pulmonary medicine, sleep disorders and research. Our staff cares about our patients and delivers the utmost excellence in quality care and customer service. The Position: PAR seeking three dynamic and enthusiastic full-time AR Billing Specialists for the Boulders location, to perform all aspects of the revenue cycle, and other tasks related to medical billing claims for the practice. Job Responsibilities Revenue Cycle Process. Apply Private Payer Policies. Apply Government Payer Policies. Follow up on Claim Statuses. Resolve Claim Denials. Submit Appeals. Daily Analysis and Resolution of outstanding insurance accounts receivable. Post Payments and Adjustments Manage Collections Knowledge of CPT, ICD-10-CM, and HCPCS Level II Coding Guidelines Complete daily tasks: responding to insurance representatives. Charge entry. Assist Billing Director with daily workload as time permits. Perform other duties as assigned by provider, supervisor, or member of Administration - for example, cross trained to improve the revenue cycle. Qualifications High School Diploma or equivalent. One year of medical billing experience in a medical practice or one year of customer service experience is preferred. Benefits 401(k) Dental insurance Employee assistance program Employee discount Flexible spending accounts Employee referral program Health insurance Employer Paid Life insurance and LTD. Paid time off Vision insurance Physical / Mental Demands Sitting for long periods of time as well as occasional standing and walking. Manual dexterity for using a computer keyboard and office machines. Ability to view computer screens for long periods. Pulmonary Associates of Richmond is an Equal Opportunity Employer.

What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers. We're always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! The Accounts Receivable Specialist is responsible for managing a portfolio of customer accounts, including account maintenance and reconciliation activities. The role includes responsibility for follow-up with agents, business partners and direct insureds on questions involving specific billings and payments to facilitate accurate cashflow. Performance must be maintained as prescribed in Performance Goals outlined by Accounts Receivable team Supervisor or Manager within the Specialty Division of Markel. Balance customer accounts while communicating effectively with internal and external business partners Perform reconciliation of unapplied cash to open receivables, offsetting transactions, and initiating disbursements where applicable Reviews agent, broker, and customer payment discrepancies to determine origin Initiates appropriate action based on analysis working with Underwriting and agents, brokers, and customers to approve payment terms and resolve disputes Effectively and efficiently handle customer service inquiries via multiple channels Understanding and expertise to execute on assigned Performance Goals via following prescribed training guidelines Achieve prescribed productivity standards Achieve prescribed accuracy standards Contribute to team meeting service level standards set forth by department leadership Maintain a professional working relationship with colleagues at Markel #LI-Hybrid US Work Authorization US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future. Who we are: Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world. We're all about people | We win together | We strive for better We enjoy the everyday | We think further What's in it for you: In keeping with the values of the Markel Style, we strive to support our employees in living their lives to the fullest at home and at work. We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees' needs at all stages of life. All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance. We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave. Are you ready to play your part? Choose ‘Apply Now' to fill out our short application, so that we can find out more about you. Caution: Employment scams Markel is aware of employment-related scams where scammers will impersonate recruiters by sending fake job offers to those actively seeking employment in order to steal personal information. Frequently, the scammer will reach out to individuals who have posted their resume online. These "job offers" include convincing offer letters and frequently ask for confidential personal information. Therefore, for your safety, please note that: All legitimate job postings with Markel will be posted on Markel Careers. No other URL should be trusted for job postings. All legitimate communications with Markel recruiters will come from Markel.com email addresses. We would also ask that you please report any job employment scams related to Markel to ***********************. Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Should you require any accommodation through the application process, please send an e-mail to the ***********************. No agencies please.

**Remote Hours: Monday - Friday, 7:00 AM - 3:30 PM PST (or based on business need)** **_What Accounts Receivable Specialist contributes to Cardinal Health_** Account Receivable Specialist is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims, following up on unpaid and denied claims, posting payments, managing accounts receivable, assisting patients with payment plans, and maintaining accurate and confidential patient records in compliance with regulations like HIPAA. + Demonstrates knowledge of financial processes, systems, controls, and work streams. + Demonstrates experience working collaboratively in a finance environment coupled with strong internal controls. + Possesses understanding of service level goals and objectives when providing customer support. + Demonstrates ability to respond to non-standard requests from vendors and customers. + Possesses strong organizational skills and prioritizes getting the right things done. **_Responsibilities_** + Submitting medical documentation/billing data to insurance providers + Researching and appealing denied and rejected claims + Preparing, reviewing, and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing cycle time frame + Calling insurance companies regarding any discrepancy in payment if necessary + Reviewing insurance payments for accuracy and completeness **_Qualifications_** + HS, GED, bachelor's degree in business related field preferred, or equivalent work experience preferred + 2 + years' experience as a Medical Biller or within Revenue Cycle Management preferred + Strong knowledge of Microsoft Excel + Ability to work independently and collaboratively within team environment + Able to multi-task and meet tight deadlines + Excellent problem-solving skills + Strong communication skills + Familiarity with ICD-10 coding + Competent with computer systems, software and 10 key calculators + Knowledge of medical terminology **_What is expected of you and others at this level_** + Applies basic concepts, principles, and technical capabilities to perform routine tasks + Works on projects of limited scope and complexity + Follows established procedures to resolve readily identifiable technical problems + Works under direct supervision and receives detailed instructions + Develops competence by performing structured work assignments **Anticipated hourly range:** $22.30 per hour - $32 per hour **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **Application window anticipated to close:** 10/5/2025 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************

Summary: The Accounts Receivable Coordinator manages incoming payments, properly tracking and entering them into a database to maintain accurate records. Essential Duties and Responsibilities Maintaining bookkeeping databases and spreadsheets, updating information as needed Communicating with clients and customers to request and arrange payments Recording and tracking payments in databases Creating reports and balance sheets that document overall profits and losses Updating client accounts based on payment or contact information Respond to internal and external inquiries related to Accounts Receivables. Follow and comply with all safety policies. Additional duties as assigned. QUALIFICATIONS To perform the job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education/ and or Experience: * 3-5 years of related experience. * Highly proficient in all Microsoft Office programs. * Excellent communication (written and oral) and personal interaction skills required. * Very strong organizational skills required. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Lifting (25-50 pounds), Office environment WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Office Environment

**$1,000 Sign On Bonus for offers accepted by February 28, 2026. Terms and Conditions apply** The Patient Access Representative provides quality customer service to patients of all ages, their families, visitors, medical staff, clinicians and co-workers, ensuring that everyone will be treated courteously, quickly and with respect. This position establishes and maintains an environmental control plan, coordinates materials management for the department, assists in monitoring clinic activities and provides supervision of clerical activities. The Patient Access Representative handles all business functions in an assigned area to include reception, scheduling and registering patients for appointments and/or procedures. This position also secures the appropriate patient information; ensures that registration data is correct and accurate; validates insurance eligibility, enters information into appropriate systems and collects co-pay (if applicable), and assists with financial counseling and financial clearance, as necessary. Licensure, Certification, or Registration Requirements for Hire: N/A Licensure, Certification, or Registration Requirements for continued employment: N/A Experience REQUIRED: Previous experience with computers, Microsoft Office software and navigating the Internet. Previous experience keyboarding with the ability to type 40 words per minute. Experience PREFERRED: Work experience with medical insurance, HMO, managed care, electronic medical billing/order entry/registration systems, and appointment scheduling. Previous work experience in a healthcare setting and knowledge of medical terminology. Education/training REQUIRED: High school graduate or GED Education/training PREFERRED: Associate's or Bachelor's Degree in Accounting, Finance, Business Administration, Healthcare Administration or closely related field from an accredited program. Independent action(s) required: Able to perform daily activities with minimal supervision: being self directed in the accomplishment of routine activities. Issues that involve violation of VCUHS policy or procedures that involve conflicts of a sensitive nature, or that would be considered unusual in nature are to be brought to the attention of the clinical coordinator or designee promptly as would be warranted by the immediacy of the issue. Performs daily activities with minimal supervision. Notifies supervisor of issues involving violation of VCUHS policies or procedures. Functions in a self-directed manner to accomplishments of routine activities. Supervisory responsibilities (if applicable): N/A Additional position requirements: Depending on assignment, may be required to work off-shifts and/or weekend and holidays. Incumbents may be considered essential depending on departmental assignment. Age Specific groups served: All Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting less than 20 lbs. Lifting 50-100 lbs. Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive) Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment, Able to adapt to frequent change EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.

**Title: Utilization Management Representative III** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. _Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law._ The **Utilization Management Representative III** is responsible for coordinating cases for precertification and prior authorization review. **How you will make an impact:** + Responsible for providing technical guidance to UM Reps who handle correspondence and assist callers with issues concerning contract and benefit eligibility for requested continuing pre-certification and prior authorization of inpatient and outpatient services outside of initial authorized set. + Assisting management by identifying areas of improvement and expressing a willingness to take on new projects as assigned. + Handling escalated and unresolved calls from less experienced team members. + Ensuring UM Reps are directed to the appropriate resources to resolve issues. + Ability to understand and explain specific workflow, processes, departmental priorities and guidelines. + May assist in new hire training to act as eventual proxy for Ops Expert. + Exemplifies behaviors embodied in the 5 Core Values. + Associates in this role are expected to have the ability to multi-task, including handling calls, texts, facsimiles, and electronic queues, while simultaneously taking notes and speaking to customers. + Proficient in maintaining focus during extended periods of sitting and handling multiple tasks in a fast-paced, high-pressure environment; strong verbal and written communication skills, both with virtual and in-person interactions. + Attentive to details, critical thinker, and a problem-solver. + Demonstrates empathy and persistence to resolve caller issues completely. + Comfort and proficiency with digital tools and platforms to enhance productivity and minimize manual efforts. + Associates in this role will have a structured work schedule with occasional overtime or flexibility based on business needs, including the ability to work from the office as necessary. + Performs other duties as assigned. **Minimum Requirements** + HS diploma or GED + Minimum of 3 years of experience in customer service experience in healthcare related setting; or any combination of education and experience which would provide an equivalent background. + Medical terminology training required. For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Certain contracts require a Master's degree. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

SUMMARY DESCRIPTION The Medical Billing Specialist is responsible for entering surgery charges, after review of the operative report. The medical billing specialist may also be assigned other work in the dept as needed. RESPONSIBILITIES Reviews op reports to verify the codes that were authorized were documented. Applies appropriate coding methodology to prevent a bundling denial, which includes using modifiers as needed. If changes are found in the op report or on the change report from the surgery center, it is necessary to work with the surgery scheduler to have the pre-authorization requirements of the new codes verified/updated. Works the missing ticket report for all scheduled surgeries. May be asked to post remits, credit balance report as needed. If there is a discrepancy found while reviewing the op report, it may be necessary to query the physician to clarify the procedure performed via text, email or EMR message. Weekly email is completed to the physicians including ASC president and the Director of Revenue Cycle Management to inquire about incomplete or missing op reports. Works all visit category 4 accounts on the AR within one week of assignment All other duties as assigned. QUALIFICATIONS A high school diploma; Certified Professional Coder, it is necessary to maintain CEU's; Experience in a medical office setting, preferably at least 2 years and preferably with billing functions; Excellent communication and customer service skills; Basic knowledge of keyboard and accurate data entry skills; Technical skills sufficient to be able to run reports and interpret data; A team player who is able to facilitate people working together in a collegial and efficient manner; Ability to communicate clearly in person and/or on the phone and establish/maintain cooperative relationships with patients, physicians and staff; Ability to organize and prioritize tasks effectively; Ability to read, understand and follow oral and written instructions. ENVIRONMENTAL/WORKING CONDITIONS Medical office setting. Well-lit and well-ventilated adequate space. Some exposure to communicable diseases and other conditions common to a clinical environment. PHYSICAL/MENTAL DEMANDS Requires sitting for extensive periods of time. Must be able to view a computer screen for an extended period. Light lifting required up to 15 lbs. Requires manual dexterity sufficient to operate a keyboard, operate a calculator, telephone, copier, and such other equipment, as necessary.

**$1,000 Sign On Bonus for offers accepted by November 30, 2025. Terms and Conditions apply** The Patient Access Representative provides quality customer service to patients of all ages, their families, visitors, medical staff, clinicians and co-workers, ensuring that everyone will be treated courteously, quickly and with respect. This position establishes and maintains an environmental control plan, coordinates materials management for the department, assists in monitoring clinic activities and provides supervision of clerical activities. The Patient Access Representative handles all business functions in an assigned area to include reception, scheduling and registering patients for appointments and/or procedures. This position also secures the appropriate patient information; ensures that registration data is correct and accurate; validates insurance eligibility, enters information into appropriate systems and collects co-pay (if applicable), and assists with financial counseling and financial clearance, as necessary. Licensure, Certification, or Registration Requirements for Hire: N/A Licensure, Certification, or Registration Requirements for continued employment: N/A Experience REQUIRED: Previous experience with computers, Microsoft Office software and navigating the Internet. Previous experience keyboarding with the ability to type 40 words per minute. Experience PREFERRED: Work experience with medical insurance, HMO, managed care, electronic medical billing/order entry/registration systems, and appointment scheduling. Previous work experience in a healthcare setting and knowledge of medical terminology. Education/training REQUIRED: High school graduate or GED Education/training PREFERRED: Associate's or Bachelor's Degree in Accounting, Finance, Business Administration, Healthcare Administration or closely related field from an accredited program. Independent action(s) required: Able to perform daily activities with minimal supervision: being self directed in the accomplishment of routine activities. Issues that involve violation of VCUHS policy or procedures that involve conflicts of a sensitive nature, or that would be considered unusual in nature are to be brought to the attention of the clinical coordinator or designee promptly as would be warranted by the immediacy of the issue. Performs daily activities with minimal supervision. Notifies supervisor of issues involving violation of VCUHS policies or procedures. Functions in a self-directed manner to accomplishments of routine activities. Supervisory responsibilities (if applicable): N/A Additional position requirements: Depending on assignment, may be required to work off-shifts and/or weekend and holidays. Incumbents may be considered essential depending on departmental assignment. Age Specific groups served: All Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting less than 20 lbs. Lifting 50-100 lbs. Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive) Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment, Able to adapt to frequent change Rotating EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.

What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers. We're always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! The Accounts Receivable Specialist is responsible for managing a portfolio of customer accounts, including account maintenance and reconciliation activities. The role includes responsibility for follow-up with agents, business partners and direct insureds on questions involving specific billings and payments to facilitate accurate cashflow. Performance must be maintained as prescribed in Performance Goals outlined by Accounts Receivable team Supervisor or Manager within the Specialty Division of Markel. * Balance customer accounts while communicating effectively with internal and external business partners * Perform reconciliation of unapplied cash to open receivables, offsetting transactions, and initiating disbursements where applicable * Reviews agent, broker, and customer payment discrepancies to determine origin * Initiates appropriate action based on analysis working with Underwriting and agents, brokers, and customers to approve payment terms and resolve disputes * Effectively and efficiently handle customer service inquiries via multiple channels * Understanding and expertise to execute on assigned Performance Goals via following prescribed training guidelines * Achieve prescribed productivity standards * Achieve prescribed accuracy standards * Contribute to team meeting service level standards set forth by department leadership * Maintain a professional working relationship with colleagues at Markel #LI-Hybrid US Work Authorization US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future. Who we are: Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world. We're all about people | We win together | We strive for better We enjoy the everyday | We think further What's in it for you: In keeping with the values of the Markel Style, we strive to support our employees in living their lives to the fullest at home and at work. * We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees' needs at all stages of life. * All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance. * We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave. Are you ready to play your part? Choose 'Apply Now' to fill out our short application, so that we can find out more about you. Caution: Employment scams Markel is aware of employment-related scams where scammers will impersonate recruiters by sending fake job offers to those actively seeking employment in order to steal personal information. Frequently, the scammer will reach out to individuals who have posted their resume online. These "job offers" include convincing offer letters and frequently ask for confidential personal information. Therefore, for your safety, please note that: * All legitimate job postings with Markel will be posted on Markel Careers. No other URL should be trusted for job postings. * All legitimate communications with Markel recruiters will come from Markel.com email addresses. We would also ask that you please report any job employment scams related to Markel to ***********************. Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Should you require any accommodation through the application process, please send an e-mail to the ***********************. No agencies please.

** **Hours: Monday - Friday, 8:00 AM - 4:30 PM EST (or based on business need)** **_What Accounts Receivable Specialist contributes to Cardinal Health_** Account Receivable Specialist is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims, following up on unpaid and denied claims, posting payments, managing accounts receivable, assisting patients with payment plans, and maintaining accurate and confidential patient records in compliance with regulations like HIPAA. + Demonstrates knowledge of financial processes, systems, controls, and work streams. + Demonstrates experience working collaboratively in a finance environment coupled with strong internal controls. + Possesses understanding of service level goals and objectives when providing customer support. + Demonstrates ability to respond to non-standard requests from vendors and customers. + Possesses strong organizational skills and prioritizes getting the right things done. **_Responsibilities_** + Submitting medical documentation/billing data to insurance providers + Researching and appealing denied and rejected claims + Preparing, reviewing, and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing cycle time frame + Calling insurance companies regarding any discrepancy in payment if necessary + Reviewing insurance payments for accuracy and completeness **_Qualifications_** + HS, GED, bachelor's degree in business related field preferred, or equivalent work experience preferred + 2 + years' experience as a Medical Biller or within Revenue Cycle Management preferred + Strong knowledge of Microsoft Excel + Ability to work independently and collaboratively within team environment + Able to multi-task and meet tight deadlines + Excellent problem-solving skills + Strong communication skills + Familiarity with ICD-10 coding + Competent with computer systems, software and 10 key calculators + Knowledge of medical terminology **_What is expected of you and others at this level_** + Applies basic concepts, principles, and technical capabilities to perform routine tasks + Works on projects of limited scope and complexity + Follows established procedures to resolve readily identifiable technical problems + Works under direct supervision and receives detailed instructions + Develops competence by performing structured work assignments **Anticipated hourly range:** $22.30 per hour - $28.80 per hour **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **Application window anticipated to close:** 1/16/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************

The ED Patient Access Rep registers patients in the Emergency Department by securing appropriate patient and insurance information; ensuring that registration data is correct and accurate; validating insurance eligibility and entering information into appropriate systems. The ED Patient Access Rep provides quality customer services to patient of all ages, their families, visitors, medical staff, clinicians and co-workers ensuring that everyone is treated courteously, quickly and with respect. Licensure, Certification, or Registration Requirements for Hire: N/A Licensure, Certification, or Registration Requirements for continued employment: N/A Experience REQUIRED: N/A Experience PREFERRED: Previous work experience in a healthcare setting and knowledge of medical terminology Experience with medical insurance, HMO, managed care Experience with appointment scheduling/registration Education/training REQUIRED: (Note: work experience may be considered in lieu of credentials not required by law with HR approval.Work experience must be specific to role) High School Diploma or equivalent Education/training PREFERRED: Post high school education in healthcare or business related coursework Independent action(s) required: Ability to perform daily activities with minimal supervision. Functions in a self-directed manner in the accomplishment of routine activities. Issues that involve violation of VCUHS policies and procedures, involve conflicts of a sensitive nature or that would be considered unusual in nature are to be brought to the attention of the immediate supervisor immediately. Job duties may include the access to and/or contact with medications and related supplies. Supervisory responsibilities (if applicable): N/A Additional position requirements: Incumbents are required to cover three shifts, weekends and holidays as scheduled and are considered essential personnel and expected to report to work as assigned. Age Specific groups served: All Physical Requirements (includes use of assistance devices as appropriate): Physical Lifting less than 20 lbs. Activities:Prolonged standing,Prolonged sitting,Frequent bending,Walking(distance),Climbing (steps, ladder,other),Repetitive motion Mental/Sensory:Strong recall:Reasoning,Problem solving,Hearing,Speak clearly,Write legibly,Logical thinking Emotional: Fast pace environment,Steady pace,Able to handle multiple priorities,Frequent and intensecustomer interactions, Noisy environment,Able to adapt to frequent change Days EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.

Job DescriptionSUMMARY DESCRIPTION The Medical Billing Specialist is responsible for entering surgery charges, after review of the operative report. The medical billing specialist may also be assigned other work in the dept as needed. RESPONSIBILITIES Reviews op reports to verify the codes that were authorized were documented. Applies appropriate coding methodology to prevent a bundling denial, which includes using modifiers as needed. If changes are found in the op report or on the change report from the surgery center, it is necessary to work with the surgery scheduler to have the pre-authorization requirements of the new codes verified/updated. Works the missing ticket report for all scheduled surgeries. May be asked to post remits, credit balance report as needed. If there is a discrepancy found while reviewing the op report, it may be necessary to query the physician to clarify the procedure performed via text, email or EMR message. Weekly email is completed to the physicians including ASC president and the Director of Revenue Cycle Management to inquire about incomplete or missing op reports. Works all visit category 4 accounts on the AR within one week of assignment All other duties as assigned. QUALIFICATIONS A high school diploma; Certified Professional Coder, it is necessary to maintain CEU's; Experience in a medical office setting, preferably at least 2 years and preferably with billing functions; Excellent communication and customer service skills; Basic knowledge of keyboard and accurate data entry skills; Technical skills sufficient to be able to run reports and interpret data; A team player who is able to facilitate people working together in a collegial and efficient manner; Ability to communicate clearly in person and/or on the phone and establish/maintain cooperative relationships with patients, physicians and staff; Ability to organize and prioritize tasks effectively; Ability to read, understand and follow oral and written instructions. ENVIRONMENTAL/WORKING CONDITIONS Medical office setting. Well-lit and well-ventilated adequate space. Some exposure to communicable diseases and other conditions common to a clinical environment. PHYSICAL/MENTAL DEMANDS Requires sitting for extensive periods of time. Must be able to view a computer screen for an extended period. Light lifting required up to 15 lbs. Requires manual dexterity sufficient to operate a keyboard, operate a calculator, telephone, copier, and such other equipment, as necessary.