Collections/Accounts Receivable jobs at Broward Health

Broward Health Corporate ISC FTE: 1.000000 Performs patient accounting duties related to collection functions for patient care services provided within a healthcare system in accordance with local, state, and federal regulations. Ensures appropriate and optimal reimbursement and a consistent cash flow. Managed all functions related to business office including collections. Collects for both funded and unfunded payer sources. Education: Essential: * High School Diploma or GED Credentials: Visit us online at ********************* or contact Talent Acquisition Broward Health is proud to be an equal opportunity employer. Broward Health prohibits any policy or procedure which results in discrimination on the basis of race, color, national origin, gender, gender identity or gender expression, pregnancy, sexual orientation, religion, age, disability, military status, genetic information or any other characteristic protected under applicable federal or state law.

At Labcorp, you are part of a journey to accelerate life-changing healthcare breakthroughs and improve the delivery of care for all. You'll be inspired to discover more, develop new skills and pursue career-building opportunities as we help solve some of today's biggest health challenges around the world. Together, let's embrace possibilities and change lives! Billing Coordinator I Labcorp is seeking an entry level Billing Coordinator I to join our team! Labcorp's Revenue Cycle Management Division is seeking individuals whose work will improve health and improve lives. If you are interested in a career where learning and engagement are valued, and the lives you touch provide you with a higher sense of purpose, then Labcorp is the place for you! Responsibilities: Billing Data Entry involved which requires 10 key skills Compare data with source documents and enter billing information provided Research missing or incorrect information Verification of insurance information Ensure daily/weekly billing activities are completed accurately and timely Research and update billing demographic data to ensure prompt payment from insurance Communication through phone calls with clients and patients to resolve billing defects Meeting daily and weekly goals in a fast-paced/production environment Ensure billing transactions are processed in a timely fashion Requirements: High School Diploma or equivalent required Minimum 1 year of previous working experience required Specific work in medical billing, AR.AP, Claims/Insurance will be given priority Previous RCM work experience preferred Alpha-Numeric Data Entry proficiency (10 key skills) preferred REMOTE work: Must have high level Internet speed (50 mbps) connectivity Dedicated work from home workspace Ability to manage time and tasks independently while maintaining productivity Strong attention to detail which requires following Standard Operating Procedures Ability to perform successfully in a team environment Excellent organizational and communication skills; ability to listen and respond Basic knowledge of Microsoft office Extensive computer and phone work Application Window Closes: 12/11/2025 Pay Range: $ 17.75 - $21.00 per hour Shift: Mon-Fri, 9:00am - 6pm Eastern Time All job offers will be based on a candidate's skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data. Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only. For more detailed information, please click here. Rewards and Wellness | Labcorp Labcorp is proud to be an Equal Opportunity Employer: Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law. We encourage all to apply If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at Labcorp Accessibility. For more information about how we collect and store your personal data, please see our Privacy Statement.

Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $20.94 - $33.59 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: any 8hr shift from 6am, 7am, 8am Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5442 Primary Care Pod Ar Union: SHARE (State Healthcare and Research Employees) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for follow-up of complex surgical/procedural/multidisciplinary specialty claims for payments including coding and analyzing claims and claim payments/rejections. I. Major Responsibilities: 1. Contacts insurance companies, while working detailed reports, to secure outstanding payments, i.e. telephone calls, websites, written appeals. 2. Reviews complex rejections in assigned payors and plans to determine validity of rejections and take appropriate action to resolve. 3. Monitors changes in reimbursement policies, including payor fee schedule reconciliation. 4. Performs special projects as assigned by manager or supervisor defining problems, determining work sequence and summarizing findings. 5. Calculates and posts adjustments based on third party reimbursement guidelines and contracts. 6. Makes appropriate payor and plan changes to secondary insurers or responsible parties. 7. Inputs missing data as required and corrects registration and other errors as indicated. Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. High School Diploma Experience/Skills: Required: 1. Two years of previous Revenue Cycle knowledge including PFS, Customer Service, Cash Posting, Financial Assistance, Patient Access, HIM/Coding and/or 3rd party reimbursement. 2. Knowledge of multiple third-party regulations, ICD, CPT and HCPCS coding and modifier assignment. Knowledge of billing and reimbursement practices/requirements of major third-party payors in Massachusetts. 3. Knowledge of medical terminology, anatomy& physiology and disease process. 4. Ability to organize and prioritize work to meet strict deadlines. 5. Computer skills to include mainframe, PC applications and excel. 6. Must be self-motivated, service oriented and have excellent communication skills (written and oral). 7. Physician coding certification is desired. Preferered: 1. Three years of physician or medical billing experience involving complex surgical/procedural/multidisciplinary specialties. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered sedentary. Position requires work indoors in a normal office environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.

Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $19.74 - $30.80 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 8-430 Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5436 Med Specs Ancillary Pod Ar Union: SHARE (State Healthcare and Research Employees) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for follow-up of complex claims for payment. I. Major Responsibilities: 1. Calls insurance companies and utilizes payor web-sites while working detailed reports to secure outstanding payments. 2. Reviews rejections in assigned payors and plans to determine validity of rejection and takes appropriate action to resolve the invoice. 3. Calculates and posts adjustments based on third party reimbursement guidelines and contracts. 4. Makes appropriate payor and plan changes to secondary insurers or responsible parties. 5. Inputs missing data as required and corrects registration and other errors as indicated. Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. High School Diploma Experience/Skills: Required: 1. Previous Revenue Cycle knowledge in one of the following areas including PFS, Customer Service, Cash Posting, Financial Assistance, Patient Access, HIM/Coding and/or 3rd party Reimbursement. 2. Ability to perform assigned tasks efficiently and in timely manner. 3. Ability to work collaboratively and effectively with people. 4. Exceptional communication and interpersonal skills. Preferred: 1. One or more years of experience in health care billing functions. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered sedentary. Position requires work indoors in a normal office environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.

**We are more than a health system. We are a belief system.** We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. ** Summary:** This position submits billings to the appropriate party and follows-up for adjudication and payment of individual claims. He/She communicates with patients, third party payors, guarantors, family members, medical staff and other hospital departments on status of individual claims in order to manage accounts receivable. **Responsibilities And Duties:** Performs accurate review, analysis, and correction of denied and rejected claims. Performs follow-up on unpaid accounts to collect payment. Research correspondence and information from phone calls with payers to ensure accurate account handing. Reviews patient insurance information for accuracy making any necessary updates. Works closely with payer representatives to bring accounts to completion. Reports trends and payer issues to management. **Minimum Qualifications:** High School or GED (Required) **Additional Job Description:** Work requires a high school level of skills, and six to twelve months of previous account processing Experience plus two to three months of time on the job. No Certification , registration or licensure required. Work requires the analytical skills to gather and interpret data in situations where the information or problems are not overly difficult or complex. Work requires the communication skills necessary to exchange information on factual matters, greet visitors, explain Hospital policies, and/or relay patients account information to appropriate personnel. Work is performed in accordance with instructions and procedures but incumbents must organize the work, set priorities, and request occasional exceptions when necessary. **Work Shift:** Day **Scheduled Weekly Hours :** 40 **Department** OPG Physician Billing Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment **Remote Work Disclaimer:** Positions marked as remote are only eligible for work from **Ohio** .

SummaryThe Billing coordinator will review patient medical records and assign codes to diagnoses and procedures performed so the facility can bill insurance and other third-party payers (such as Medicare or Medicaid) as well as the patient.Duties and ResponsibilitiesDetermine patient invoice by capturing services noted in patient chart; clarifying services with physicians.Identify responsible party by examining patient record.Issue invoice by entering service data; calculating charges; mailing invoices.Resolve billing issues by discussing contract with third-party payer; explaining insurance contract with patient; negotiating settlement.Review and evaluation tool for accuracy and adherence of medical encounters to accepted national industry standards, plan benefits and authorization guidelines.Maintain patient and invoice files by entering and adjusting data.Provide billing information by collecting, analyzing, and summarizing third-party billings, accounts pending, and late charges data and trends.Assist with credentialing process for onboarding physician(s).Following up with insurances to ensure physician(s) added to the group contract.Maintain physician credentialing files.Assist with data entry as needed.Assist with patient billing inquiry.Preform other duties as needed.QualificationsEducation/Experience:Must have High School diploma or equivalent.Certified in Medical Billing and CodingExperience with Medicaid and Medicare preferred.MS Office programs experience (Word, Excel, PowerPoint, etc.) At least one year of experience in billing and coding Skills:Experience reporting research results and Analyzing Information Experience using HEDIS measurements Data Entry SkillsThoroughness and attention to detail Use relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards.Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines and standard accepted practices.Ability to work with individuals within and outside the organization, in professional and courteous manner.Demonstrated ability to successfully plan, organize and manage projects. Understand written sentences and paragraphs in work related documents.Organized and able to manage competing priorities.Resourcefulness in problem solving. Actively look for ways to help people.Strong written and verbal communications skills.Strong organizational and interpersonal skills.Excellent customer service skills.Must be highly flexible; able to accommodate changing needs of the department.Knowledge of computerized data management system, statistics principles and the ability to quickly develop in proficiency to meet the demands of the position.Bilingual skills preferred (English/Spanish or English/Creole).

We are looking for a Fully Remote Accounts Receivable specialist who has strong communication and interpersonal skills, ability to work independently and as part of team, extensive experience with appeals and denials, patient collections, good computer skills, along with the ability to multi-task and work in a fast paced environment. Qualified candidates must have 2 years provider side medical billing experience and experience working with major insurance carriers, Medicare and Medicaid. Essential Duties and Responsibilities: * Follow up on unpaid claims within standard billing cycle timeframe * Check each insurance payment for accuracy and compliance with contract discount * Call insurance companies regarding any discrepancy in payments if necessary * Identify and bill secondary or tertiary insurances * Research and appeal denied claims * Answer all patient or insurance telephone inquiries pertaining to assigned accounts. * Set up patient payment plans and work collection accounts Knowledge, Skills, and Abilities * Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid * Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems. * Use of computer systems, software, * Effective communication abilities for phone contacts with insurance payers to resolve issues * Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members * Able to work in a team environment * Problem-solving skills to research and resolve discrepancies, denials, appeals, collections * Knowledge of accounting and bookkeeping procedures * Knowledge of medical terminology likely to be encountered in medical claims * Knowledge of CPT/ICD-10 coding discrepancies The salary range for this position will be commensurate with the candidate's experience and skill level, with final compensation determined based on qualifications and relevant expertise. Comprehensive Benefits Package: Medical, Prescription Drug Coverage, Dental and Vision insurance Wellness Incentive Programs, Nutrition Counseling Low Cost Access to Fitness Centers Headspace ID Theft Insurance Employer Sponsored Health Savings Account (HSA)/ Health Reimbursement Account (HRA) Flexible Spending Account (FSA) Employer Provided Group Term Life & AD&D Short-term Disability Life Assistance Program Commuter/Parking Benefits (where applicable) 401K retirement plan with company match Ancillary insurance options, including fraud, accidental and hospital indemnity LifeMart- Employee Discounts Program Paid Time Off and State Sick Pay (where applicable) FREE Employee Refractive Surgery Program (terms apply)

Established in 1987, Pacific Medical, Inc. is a distributor of durable medical equipment; specializing in orthopedic rehabilitation, arthroscopic surgery, sports medicine, prosthetics, and orthotics. With the heart of the company dedicated to helping and serving others, we provide our services directly to the patient, medical networks, physician clinics, and offices. We are dedicated to the advancement of patient care through excellent service and product technology. We have an immediate non-remote opportunity to join our growing company. We are currently seeking 3 full-time (M-F 8:00 am-5:00 pm) Patient Collections Specialists for our Tracy, CA office. These individuals will be responsible for the following: * Must be Bilingual (Spanish) * Job Responsibilities: · Contact patients/guarantors to secure payment for services provided based on an aging report with balances. · Contact patients when credit card payments are declined. · Follow up with refund requests. · Document all calls and actions are taken in the appropriate systems. Sets next work date if follow-up is needed. · Confirms/updates with patient/guarantor insurance and patient demographics information. Makes appropriate changes and submits/re-submits claims as indicated. · Establishes a payment arrangement with the patient/guarantor and follow-up on all payment arrangement plans implemented. · Document all patient complaints/disputes and forward them to the appropriate person for follow-up. · Perform other duties as needed. Qualifications/Skills: · Must excel in interpersonal communication, customer service and be able to work both independently and as part of a team. · Must excel in organizational skills. · Must possess strong attention to detail and follow-through skills. · Education, Training, and Experience Required: High School graduate or equivalent. Bilingual (Spanish) Must type 25-45 words per minute. Hourly Rate Pay Range: $17.00 to $19.00 · Annual Range ($35,360.00 to $39,520.00) O/T Rate Pay Range: $25.50 to $28.50 · Example of Annual O/T Range (5 to 10 hours per week @ 50 weeks range $6,375.00 - $14,250+) · Note: Abundance of O/T Available Bonus Opportunity Team Bonus: $0 to $500 per month (increases hourly rate up to $2.88 per hour or up to $6k per year) Profit Bonus: $0 to $500 per month (increases hourly rate up to $2.88 per hour or up $6k per year) Total Compensation Opportunity Examples: Annual Base Pay: $41,735 (Estimate incl. 5 hrs O/T per week, Low-range Production and Profit Bonus after 3 months) Annual Mid-Range Pay: $54,315.00 (Estimate incl. 5 hrs O/T per week, Mid-range Production and Profit Bonus) Annual Top Pay: $57,895.00 (Estimate incl. 5 hrs O/T per week, Max Production and Profit bonus) All Full-Time positions offer the following: Medical, Dental, Vision, ER paid Life for Employee, Voluntary benefits, Medical FSA, Dependent FSA, HSA, 401k, and Financial Wellness planning. Additional Benefits for Full-Time Employees (3 to 4 weeks of Paid Time Off) Holidays: 10 paid holidays per year Vacation Benefit: At completion of 3-month introductory period, vacation accrual up to a max of 40 hours in the first 23 months, at 24 months, accrual up to a max of 80 hours with a rollover balance. Sick Benefit: Sick accrual begins upon date of hire up to a max accrual of 80 hours annually with a max usage of 48 hours annually with a rollover balance.

Reporting to the Accounts Receivable Supervisor, this role supports the operations of the CommunityCare Revenue Cycle Management (RCM) team related to the follow up and resolution of outstanding insurance claims. Goal of the position is to follow up on, investigate and resolve claims that have been submitted to insurance for payment and to create detailed notes that provide insight into the current status of the individual claims. Please note that we currently hire candidates exclusively from the following states: Applicants outside these states will not be considered for employment at this time. Arizona Connecticut Florida Georgia Michigan North Carolina Ohio Texas Responsibilities Essential Functions: Contact insurance carriers on a daily basis to follow up on/collect past due amounts on outstanding medical claims regarding denials or benefit changes. Maintain an accurate, up to date aging of assigned accounts including AR analysis and follow up. Keep educated on billing and medical policies for all payers. Have a working knowledge of In and Out of Network reimbursement processes/methodologies. Create and follow up on appeals needed to protest denials or incorrect payments. Review complex denials/tasks assigned by the payment posting team and resolve accordingly including reviewing refund requests, disputes and appeal as necessary. Work across all RCM departments to get issues related to claims payment resolved. Uphold and ensure compliance and attention to all company policies and procedures as well as the overall mission and values of the organization. Work with AR Supervisor to review/resolve open accounts as assigned. Perform other duties as assigned. Knowledge, Skills and Abilities: High level of skill at building relationships and providing excellent customer service. Ability to utilize computers for data entry, research and information retrieval. Strong attention to detail and accuracy and multitasking. Must have highly developed problem-solving skills. Executes excellent customer service and professionalism when interacting with staff, payers, patients and families to ensure all are treated with kindness and respect. Through leadership and by example, ensures that services are provided in accordance with state and federal regulations, organizational policy, and accreditation/compliance requirements. Acts in accordance with CommUnityCare's mission and values, while serving as a role model for ethical behavior. Promptly identify issues and reports them to their direct supervisor. Maintain regular and predictable attendance. Acts in accordance with CommunityCare's mission and values, while serving as a role model for ethical behavior Manage high volumes of work and organize/maintain a schedule independently. Must be able to effectively monitor steps in claims processing operations. Qualifications Minimum Education: High School Diploma or GED Minimum Experience: 3 years of experience managing Accounts Receivable and performing direct follow up with payers. 1 year experience communicating effectively, both orally and in writing, with insurance payers and internal company communications. 3 years working with medical terminology, ICD10, CPT, HCPCs coding and HIPAA requirements. 2 years of experience with data processing and analytical skills, proficiency in Excel and Microsoft Office Suite as well as medical practice management software and electronic medical records. 3 years of experience working with commercial, government and state insurance payers and their reimbursement policies and procedures. 3 years' experience working complex insurance issues, including assigning correct payer, EOB adjustments and refunds to accounts.

Reporting to the Accounts Receivable Supervisor, this role supports the operations of the CommunityCare Revenue Cycle Management (RCM) team related to the follow up and resolution of outstanding insurance claims. Goal of the position is to follow up on, investigate and resolve claims that have been submitted to insurance for payment and to create detailed notes that provide insight into the current status of the individual claims. Responsibilities Essential Functions: Contact insurance carriers on a daily basis to follow up on/collect past due amounts on outstanding medical claims regarding denials or benefit changes. Maintain an accurate, up to date aging of assigned accounts including AR analysis and follow up. Keep educated on billing and medical policies for all payers. Have a working knowledge of In and Out of Network reimbursement processes/methodologies. Create and follow up on appeals needed to protest denials or incorrect payments. Review complex denials/tasks assigned by the payment posting team and resolve accordingly including reviewing refund requests, disputes and appeal as necessary. Work across all RCM departments to get issues related to claims payment resolved. Uphold and ensure compliance and attention to all company policies and procedures as well as the overall mission and values of the organization. Work with AR Supervisor to review/resolve open accounts as assigned. Perform other duties as assigned. Knowledge, Skills and Abilities: High level of skill at building relationships and providing excellent customer service. Ability to utilize computers for data entry, research and information retrieval. Strong attention to detail and accuracy and multitasking. Must have highly developed problem-solving skills. Executes excellent customer service and professionalism when interacting with staff, payers, patients and families to ensure all are treated with kindness and respect. Through leadership and by example, ensures that services are provided in accordance with state and federal regulations, organizational policy, and accreditation/compliance requirements. Acts in accordance with CommUnityCare's mission and values, while serving as a role model for ethical behavior. Promptly identify issues and reports them to their direct supervisor. Maintain regular and predictable attendance. Acts in accordance with CommunityCare's mission and values, while serving as a role model for ethical behavior Manage high volumes of work and organize/maintain a schedule independently. Must be able to effectively monitor steps in claims processing operations. Qualifications Minimum Education: High School Diploma or GED Minimum Experience: 3 years of experience managing Accounts Receivable and performing direct follow up with payers. 1 year experience communicating effectively, both orally and in writing, with insurance payers and internal company communications. 3 years working with medical terminology, ICD10, CPT, HCPCs coding and HIPAA requirements. 2 years of experience with data processing and analytical skills, proficiency in Excel and Microsoft Office Suite as well as medical practice management software and electronic medical records. 3 years of experience working with commercial, government and state insurance payers and their reimbursement policies and procedures. 3 years' experience working complex insurance issues, including assigning correct payer, EOB adjustments and refunds to accounts.

Sr. Epic Hospital Billing & Professional Billing Application Analyst, On-site Hybrid, Jacksonville, Baptist Medical Center. Sr. Epic Hospital Billing & Professional Billing Application Analyst acts as a vital link between operations and information technology, ensuring that Epic functions seamlessly. This role demands an understanding of healthcare processes and technical systems specific to the support of compliant billing, as analysts must translate operational needs into system functionality. By doing so, they help maintain system integrity, promote automation and efficiency, and improve user experience across the organization. A significant portion of an analyst's day is devoted to resolving break-fix issues and performing routine maintenance tasks. These activities include troubleshooting issues, applying Epic quarterly updates, working with Epic technical support, and validating workflows to prevent disruptions in billing or follow-up, which also includes support of workflow complementary to the billing process. Much of the coordination and follow-up for these responsibilities is conducted through structured communication channels, including email, Teams chat, and scheduled meetings. Epic billing application analysts also spend time collaborating with cross-functional teams. Their day typically begins with a team huddle-either a weekly group meeting or a smaller session focused on hospital or professional billing with their team lead. Throughout the day, they attend various meetings with operational leaders to clarify requirements and understand pain points from the end-user perspective. For more than 25 years, health care consumers have named Baptist Health the "most preferred healthcare provider" in the region. At Baptist Health, we are proud to be local, providing multigenerational care to our community. We are the hospital Jacksonville trusts most. Our employees can take pride in their Baptist badge, knowing the impact they make on their friends, family, and neighbors. Baptist was recently recognized by Forbes magazine as one of America's top employers for diversity. Baptist Health offers competitive pay & comprehensive benefits packages as well as opportunities for professional growth & advancement. At Baptist Health, we provide an exceptional employment experience where team members can bring their authentic selves and belong to a larger purpose together. By fostering connections with our team members and our community, we offer a fulfilling and personal career. Sr. Epic Hospital Billing & Professional Billing Application Analyst, you will be responsible for: * The role leads complex application initiatives, including project management responsibilities, while mentoring junior analysts and ensuring operational best practices. * Provides technical expertise in the development, implementation and support of highly complex, enterprise wide, cross functional applications, integrated applications and technical projects. * Analyze and translate workflow and documentation requirements for clinical and/or business processes into efficient and effective application systems solutions through collaboration with members of interprofessional care teams, operational leaders, technical team members, and other relevant stakeholders. * Plan, design, develop, validate, test, implement, evaluate, maintain, and provide on-going trouble-shooting and support of comprehensive information system components to meet needs and business requirements. Perform quality assurance and integrated testing of current and newly released vendor functionality to ensure system reliability. * Coordinate projects across applications and develops application specific enhancements and reports in alignment with organizational priorities. * Provide 24/7 support for applications within accountability. * If supporting an Epic application, appropriate EPIC Certification is required within 6 months * Strong understanding of Hospital Billing (HB) and Professional Billing (PB) workflows within the Epic environment * Proficiency in Microsoft 365, with high comfort using Teams and Excel * Ability to map and document workflows using Visio * Background in billing, financial processes, and revenue cycle operations If you are interested in this Full-Time Sr. Epic Hospital Billing & Professional Billing Application Analyst opportunity, please apply now Full/Part Time Full-Time Shift Details Days Education Required Bachelor's Degree or Equivalent Experience Education Preferred Master's Degree Experience * 1-2 years Project Management Experience Required * Knowledge of clinical system applications preferred * Minimum 2 years of related experience required * Epic Certifications in Epic Hospital Billing, Charge Router, HB Claims preferred * Epic optimization preferred * Experience with Epic workflow design sessions, documents operational and system requirements preferred Licenses and Certifications * Certified - EPIC Required * Academy of Health Information Professionals (AHIP) Preferred Or Location Overview Baptist Health, founded in 1955, is North Florida's most comprehensive health care system and the area's only non-profit, mission-driven, locally governed health care provider. Baptist Health has over 200 points of care throughout the Northeast Florida region, including our six award-winning hospitals: Baptist Medical Center Jacksonville, Wolfson Children's Hospital, Baptist Medical Center Beaches, Baptist Medical Center Clay, Baptist Medical Center Nassau and Baptist Medical Center South. The most preferred health care system in the region, Baptist Health also includes 57 primary care offices, as well as home health, behavioral health, pastoral care, rehabilitation services, occupational health and urgent care.

Reporting to the Accounts Receivable Supervisor, this role supports the operations of the CommunityCare Revenue Cycle Management (RCM) team related to the follow up and resolution of outstanding insurance claims. Goal of the position is to follow up on, investigate and resolve claims that have been submitted to insurance for payment and to create detailed notes that provide insight into the current status of the individual claims. Responsibilities Essential Functions: * Contact insurance carriers on a daily basis to follow up on/collect past due amounts on outstanding medical claims regarding denials or benefit changes. * Maintain an accurate, up to date aging of assigned accounts including AR analysis and follow up. * Keep educated on billing and medical policies for all payers. * Have a working knowledge of In and Out of Network reimbursement processes/methodologies. * Create and follow up on appeals needed to protest denials or incorrect payments. * Review complex denials/tasks assigned by the payment posting team and resolve accordingly including reviewing refund requests, disputes and appeal as necessary. * Work across all RCM departments to get issues related to claims payment resolved. * Uphold and ensure compliance and attention to all company policies and procedures as well as the overall mission and values of the organization. * Work with AR Supervisor to review/resolve open accounts as assigned. * Perform other duties as assigned. Knowledge, Skills and Abilities: * High level of skill at building relationships and providing excellent customer service. * Ability to utilize computers for data entry, research and information retrieval. * Strong attention to detail and accuracy and multitasking. * Must have highly developed problem-solving skills. * Executes excellent customer service and professionalism when interacting with staff, payers, patients and families to ensure all are treated with kindness and respect. * Through leadership and by example, ensures that services are provided in accordance with state and federal regulations, organizational policy, and accreditation/compliance requirements. * Acts in accordance with CommUnityCare's mission and values, while serving as a role model for ethical behavior. * Promptly identify issues and reports them to their direct supervisor. * Maintain regular and predictable attendance. * Acts in accordance with CommunityCare's mission and values, while serving as a role model for ethical behavior * Manage high volumes of work and organize/maintain a schedule independently. * Must be able to effectively monitor steps in claims processing operations. Qualifications Minimum Education: * High School Diploma or GED Minimum Experience: * 3 years of experience managing Accounts Receivable and performing direct follow up with payers. * 1 year experience communicating effectively, both orally and in writing, with insurance payers and internal company communications. * 3 years working with medical terminology, ICD10, CPT, HCPCs coding and HIPAA requirements. * 2 years of experience with data processing and analytical skills, proficiency in Excel and Microsoft Office Suite as well as medical practice management software and electronic medical records. * 3 years of experience working with commercial, government and state insurance payers and their reimbursement policies and procedures. * 3 years' experience working complex insurance issues, including assigning correct payer, EOB adjustments and refunds to accounts.

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. Summary: This position submits medical billing to the appropriate party, works insurance edits/errors, follows-up on adjudication of claims, works payer rejections and denials. This position primarily communicates with payers but may also have communication with patients, family members, guarantors, hospital departments, physician practices regarding information needed or to obtain status of insurance claims. Responsibilities And Duties: Performs accurate review, analysis, and correction of denied and rejected claims. Performs follow-up on unpaid accounts to collect payment. Research correspondence and information from phone calls with payers to ensure accurate account handing. Reviews patient insurance information for accuracy making any necessary updates. Works closely with payer representatives to bring accounts to completion. Reports trends and payer issues to management. Minimum Qualifications: High School or GED (Required) Additional Job Description: SPECIALIZED KNOWLEDGE The position requires a high school level of skills plus at least 1 year experience with similar work. No certification or licensure required. The job requires analytical skills to gather and interpret data where the information or problems are not overly difficult or complex. This work also requires clear communication and organizational skills to prioritize and meet deadlines as needed. Work Shift: Day Scheduled Weekly Hours : 40 Department Marion Patient Accounts Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment Remote Work Disclaimer: Positions marked as remote are only eligible for work from Ohio.

Gastro Health is seeking a Full-Time Insurance Collections Specialist to join our team! Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours. This role offers: A great work/life balance No weekends or evenings - Monday thru Friday Paid holidays and paid time off Rapidily growing team with opportunities for advancement Competitive compensation Benefits package Duties you will be responsible for: Provides Liaison between the providers of health care services, the patient, or other responsible persons, and revenue sources, to ensure the correctness of charges, a current record of all transactions, and account resolution Maintains active communications with insurance carriers and third-party carriers until account is paid. Negotiates payment of current and past due accounts by direct telephone and written correspondence. Updates patient account information Monitors and identifies payer denial trends and problem accounts; communicates patterns to supervisor. Runs a monthly aging report based on DOS and current A/R to identify accounts that require follow up. Manage all assigned worklist on a daily basis for assigned insurances. Utilize collection techniques to resolve accounts according to company's policies and procedures. Report any coding related denial to the Coding Specialist. Performs other duties including but limited to faxing information as required, generating retroactive authorization requests, and verifying medical eligibility. Conducts necessary research to ensure proper reimbursement of claims. Assist with special projects assigned by Billing Manager or Supervisor Minimum Requirements High school diploma or GED equivalent. At least 2 years' experience in insurance collections. Knowledge of medical terminology utilized in medical collections and billing (CPT, ICD-10, HCPCS) Knowledge with letters of appeal. Intermediate experience with Microsoft Excel and Office products is required. Experience with HMO, PPO, and Medicare insurances. Must be able to read, interpret, and apply regulations, policies and procedures We offer a comprehensive benefits package to our eligible employees: 401(k) retirement plans with employer Safe Harbor Harbor Non-Elective Contributions of 3% Discretionary profit-sharing contributions of up to 4% Health insurance Employer contributions to HSAs and HRAs Dental insurance Vision insurance Flexible spending accounts Voluntary life insurance Voluntary disability insurance Accident insurance Hospital indemnity insurance Critical illness insurance Identity theft insurance Legal insurance Paid time off Discounts at local fitness clubs Discounts at AT&T Additionally, Gastro Health participates in a program called Tickets at Work that provides discounts on concerts, travel, movies, and more. Gastro Health is the one of the largest gastroenterology multi-specialty groups in the United States, with over 130+ locations throughout the country. Our team is composed of the finest gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals. We are always looking for individuals that share our mission to provide outstanding medical care and an exceptional healthcare experience. We offer a comprehensive benefits package to our eligible employees. Gastro Health is proud to be an Equal Opportunity Employer. We do not discriminate based on race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We thank you for your interest in joining our growing Gastro Health team!

Cancer Specialists of North Florida is recruiting for an experienced A/R & Authorization Specialist for our busy Radiation Department. This is not a remote position. The A/R & Authorization specialist holds a dual role and is responsible for obtaining and recording all authorizations needed for radiation treatment and services in addition to following up on Accounts Receivable for the Radiation department. On the A/R side, this position is responsible for contacting insurance companies for non-payment of claims, submitting medical records as requested by the carrier, and overseeing and handling collections on patient accounts, as well as other related and assigned tasks. Essential duties and responsibilities include the following: Run schedules to see if there are any radiation add-ons that require authorization Call insurance companies for authorization obtainment and information Coordinate with the physicist in updating any necessary changes to authorization requests Retrieve written authorizations from insurance websites and portals Enter authorizations and approvals in Mosaiq, and notate in Reg Overlay and in QCLs Coordinate with physicians for peer-to-peer reviews, as required Verify medical guidelines with insurance policies Notate patient accounts with any pertinent information relating to authorizations Perform review of patient accounts to ensure accuracy and timely payment per protocol Demonstrate the ability to deal with patients and insurance companies in a professional manner regarding sensitive financial matters and recapture unpaid balances Receive and resolve patient billing complaints and questions; initiates adjustments as necessary; follow up on all zero payment explanations of benefits and extend all options to obtain claim payments Respond to all insurance company requests and provide information in a prompt and professional manner Review EOBs (remittances) to ensure proper reimbursement of claims and report any problems, issues, or payer trends to supervisor Interpret fee schedules and have ability to utilize to ensure proper payment receipt Prepare adjustment requests with appropriate documentation and submit to supervisor Work multiple A/R reports as provided by supervisor within specified timeframe Request necessary information from site(s) and pertinent staff. Ability to follow up to assure receipt of information Submit patient and insurance refunds for processing Work credit balance reports for insurance and patient accounts Work insurance and patient aging reports Work correspondent letters from insurance companies requesting medical records Maintain confidentiality regarding patient account status and the financial affairs of clinic and company Attend seminars/meetings as needed All other duties as assigned Full-time position Location Address: 7751 Belfort Parkway, Jacksonville, FL 32256 Education and Experience: High School Diploma or Equivalent Minimum of two years of authorization and/or accounts receivable follow-up preferably in a medical and/or oncology setting Compensation and Benefits: Salary is commensurate with experience and qualifications Cancer Specialists of North Florida is an "EEO Employer” and “Drug Free Workplace”

At Axium Healthcare Pharmacy, Inc., we believe in a better quality of life for patients and their healthcare partners when treating and managing the most complex conditions. We believe in relationships that make life easier, and where a helping hand and better clinical, economical, and overall health outcomes are always within reach, 24 x 7 x 365. Our mission is simple. We aim to partner with and guide our patients to their best possible outcomes. Our longstanding vision is to help our patients and healthcare providers reach and create a better path to treating and managing complex conditions, making their lives easier and giving them hope for a healthier future. Specialty pharmacy is not a new concept. In fact, Axium did not invent specialty pharmacy. But, we did invent a better way to do it. We do it through a combination of clinical expertise, nationwide reach and the delivery of committed, caring, unmatched service and support for everyone, every time with no excuses. And, we've been doing it for years. We invite you to ask us what we can do for you. Our answer to you will almost always be: “Yes, we do.” Established in 2000 and based in Lake Mary, Florida, Axium is a nationwide clinical specialty pharmacy that makes life easier for those managing chronic disease and complex therapies by offering a helping hand and a better path to therapy management. We are licensed and permitted to operate in all 50 states and Puerto Rico, and specialize in providing patients, physicians, nurses, health plans, and other health care providers and partners with injectable and oral brand-name products. Our focus is to “Improve outcomes one relationship at a time,” and we achieve this through an experienced patient care team of doctors of pharmacy, registered nurses, reimbursement specialists, and dedicated patient care coordinators; all of whom deliver the highest level of comprehensive care and clinical support with every prescription. Job Description The Reimbursement Collection Specialist I is responsible for collecting outstanding receivables from insurance companies, patients and physicians. ESSENTIAL DUTIES AND RESPONSIBILITIES: Include the following. Other duties may be assigned. Ensures timely follow-up on all assigned claims to secure timely payment Works with payers to determine reasons for denials, corrects and reprocesses claims for payment in a timely manner Reduces claims in the over 90-day categories Collects “Patient Responsibility” from the patient Accurately documents all transactions with carriers and patients regarding the financial status of claims and documents progressive collection efforts into the appropriate collection notes in all required computer systems Completes timely follow-up as required by department guidelines Demonstrates successful collection meetings by adhering to all collection guidelines and rules Mails, faxes or emails all appropriate collections correspondence Receives incoming calls related to the Billing/Collections Department Identifies uncollectible accounts and acquires approval for Bad-Debt Write/off Maintains relationships with insurance companies Generates and prepares patients statements and review them for accuracy prior to mailing Utilizes the Internet for Insurance claims status Assists with external audits Be willing to cross-train and fill-in in other areas within the department Works in an efficient and cohesive group environment Supports group and management efforts Completes daily, weekly and monthly tasks as required by department standards Qualifications QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions. EDUCATION and/or EXPERIENCE: High School Diploma or equivalent Associates Degree from college preferred or Certificate from a technical school for billing. Two years related experience in a healthcare environment and/or training; or equivalent combination of education and experience. LANGUAGE SKILLS: Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to our patients, intermediary, carriers and internal customers. MATHEMATICAL SKILLS: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rates, ratios, and percentages. REASONING ABILITY: Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to assess and resolve problems involving a few concrete variables in standardized situations. COMPUTER and INTERNET SKILLS: Working knowledge of Outlook and Microsoft Word. The ability to create and populate simple Excel spreadsheets. Ability to navigate the web for the purpose of collections. 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 will be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and talk and hear. The employee is occasionally required to stand; walk; use hands to finger; handle or feel; and reach with hands and arms. Specific vision abilities required by this job include close vision, ability to adjust focus. The ability to perform heavy data entry or other computer function which requires extensive keyboard use. The ability to lift and move for short distances boxes or files with a weight not to exceed 25 pounds. 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 will be made to enable individuals with disabilities to perform the essential functions. Must be able to work in an environment of open-space cubicles where the noise level is usually quiet. OTHER SKILLS THAT APPLY: Diplomacy Professionalism Filing Organizing Planning Multi-tasking Additional Information All your information will be kept confidential according to EEO guidelines.

At Axium Healthcare Pharmacy, Inc., we believe in a better quality of life for patients and their healthcare partners when treating and managing the most complex conditions. We believe in relationships that make life easier, and where a helping hand and better clinical, economical, and overall health outcomes are always within reach, 24 x 7 x 365. Our mission is simple. We aim to partner with and guide our patients to their best possible outcomes. Our longstanding vision is to help our patients and healthcare providers reach and create a better path to treating and managing complex conditions, making their lives easier and giving them hope for a healthier future. Specialty pharmacy is not a new concept. In fact, Axium did not invent specialty pharmacy. But, we did invent a better way to do it. We do it through a combination of clinical expertise, nationwide reach and the delivery of committed, caring, unmatched service and support for everyone, every time with no excuses. And, we've been doing it for years. We invite you to ask us what we can do for you. Our answer to you will almost always be: “Yes, we do.” Established in 2000 and based in Lake Mary, Florida, Axium is a nationwide clinical specialty pharmacy that makes life easier for those managing chronic disease and complex therapies by offering a helping hand and a better path to therapy management. We are licensed and permitted to operate in all 50 states and Puerto Rico, and specialize in providing patients, physicians, nurses, health plans, and other health care providers and partners with injectable and oral brand-name products. Our focus is to “Improve outcomes one relationship at a time,” and we achieve this through an experienced patient care team of doctors of pharmacy, registered nurses, reimbursement specialists, and dedicated patient care coordinators; all of whom deliver the highest level of comprehensive care and clinical support with every prescription. Job Description The Reimbursement Collection Specialist I is responsible for collecting outstanding receivables from insurance companies, patients and physicians. ESSENTIAL DUTIES AND RESPONSIBILITIES: Include the following. Other duties may be assigned. Ensures timely follow-up on all assigned claims to secure timely payment Works with payers to determine reasons for denials, corrects and reprocesses claims for payment in a timely manner Reduces claims in the over 90-day categories Collects “Patient Responsibility” from the patient Accurately documents all transactions with carriers and patients regarding the financial status of claims and documents progressive collection efforts into the appropriate collection notes in all required computer systems Completes timely follow-up as required by department guidelines Demonstrates successful collection meetings by adhering to all collection guidelines and rules Mails, faxes or emails all appropriate collections correspondence Receives incoming calls related to the Billing/Collections Department Identifies uncollectible accounts and acquires approval for Bad-Debt Write/off Maintains relationships with insurance companies Generates and prepares patients statements and review them for accuracy prior to mailing Utilizes the Internet for Insurance claims status Assists with external audits Be willing to cross-train and fill-in in other areas within the department Works in an efficient and cohesive group environment Supports group and management efforts Completes daily, weekly and monthly tasks as required by department standards Qualifications QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions. EDUCATION and/or EXPERIENCE: High School Diploma or equivalent Associates Degree from college preferred or Certificate from a technical school for billing. Two years related experience in a healthcare environment and/or training; or equivalent combination of education and experience. LANGUAGE SKILLS: Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to our patients, intermediary, carriers and internal customers. MATHEMATICAL SKILLS: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rates, ratios, and percentages. REASONING ABILITY: Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to assess and resolve problems involving a few concrete variables in standardized situations. COMPUTER and INTERNET SKILLS: Working knowledge of Outlook and Microsoft Word. The ability to create and populate simple Excel spreadsheets. Ability to navigate the web for the purpose of collections. 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 will be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and talk and hear. The employee is occasionally required to stand; walk; use hands to finger; handle or feel; and reach with hands and arms. Specific vision abilities required by this job include close vision, ability to adjust focus. The ability to perform heavy data entry or other computer function which requires extensive keyboard use. The ability to lift and move for short distances boxes or files with a weight not to exceed 25 pounds. 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 will be made to enable individuals with disabilities to perform the essential functions. Must be able to work in an environment of open-space cubicles where the noise level is usually quiet. OTHER SKILLS THAT APPLY: Diplomacy Professionalism Filing Organizing Planning Multi-tasking Additional Information All your information will be kept confidential according to EEO guidelines.

2469 Enterprise Road Clearwater, FL 33763 Accounts Receivable Specialist Status: Full-time FLSA: Non-exempt Rate of Pay: $16.65/hr Join a Mission. Build a Career. Make an Impact. At the YMCA of the Suncoast, we strengthen the foundations of community through youth development, healthy living, and social responsibility. Our Finance team plays a vital role in supporting that mission - ensuring that every dollar is accounted for and helps maximize our impact. We are seeking an Accounts Receivable Accountant who is detail-oriented, collaborative, and motivated by meaningful work. If you enjoy numbers, accuracy, and supporting programs that make a difference in your community, we want to meet you. What You'll Do - Post daily revenues from branches and programs - Record ACH deposits and electronic payments - Record contributions received through Philanthropy - Reconcile anticipated vs. actual membership and third-party revenues - Perform daily banking review and support cash flow reporting - Prepare bank reconciliations (operating and money market accounts) - Support month-end close and balance sheet reconciliations - Maintain accuracy of A/R financial activity - Enter invoices and match receipts/packing slips - Assist with AP automation workflows and approvals - Support insurance compliance tracking (COIs, W-9s, contracts) - Process designated reimbursements - Maintain document storage and records retention access - Assist with YMCA-specific calculations, including YUSA dues What You Bring - Associate or Bachelor's degree in Accounting, Finance, or related field (preferred) - 1-2 years of accounting experience, especially in A/R or general accounting - Familiarity with A/P data entry and invoice workflows (preferred) - Strong Excel and general technology skills - High attention to detail and ability to manage deadlines - A collaborative spirit and alignment with YMCA values Why Work for the YMCA of the Suncoast? - Comprehensive benefits (health, dental, vision, retirement) - Generous PTO and paid holidays - Free or discounted YMCA membership and programs - Professional development and training opportunities - A values-driven culture centered on community impact Ready to Make a Difference? If you're looking for a meaningful accounting role - and the opportunity to support programs that strengthen families and communities - we'd love to hear from you. Apply today and help us continue building a healthier, stronger YMCA of the Suncoast community. EOE/DFWP Please note: This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.

Job Description FUNCTION/OVERVIEW: This position will focus on accuracy in reviewing and assessing insurance denials or returned claims. Must be able to communicate with insurance companies and clients from a resolution based perspective. This communication should be focused on acquired knowledge, insurance carrier guidelines, company policies & procedures, research and collection efforts. In addition to following up on claims, the collection specialist will be responsible for sending out medical records and writing appeals for denials to the insurance companies. PRIMARY DUTIES/RESPONSIBILITIES: Promote the mission, values and vision of the organization. Provide excellent customer service for clients; practices confidentiality and privacy protocols in accordance with HIPAA requirements. Accurately and thoroughly enters data / notes into the electronic system for follow up. Assists with follow up on claims processed to ensure payment to the agency. Works directly with payers to verify client eligibility and client payment responsibility including co-pays, deductibles, co-insurance, and/or out of pocket maximums. Assists as needed with follow-up on insurance denials, appeals, and reconsiderations. Assists as needed with all billing tasks and functions related to insurance, grant, and client billing. Responsible for investigating insurance rejected claims and the re-processing of denied claims and/or appeals of denied or underpaid claims. Identify denial patterns, as well as notifying senior management of payment delay issues. Contacts insurance companies regarding outstanding accounts. QUALIFICATIONS REQUIRED: High School Diploma or GED equivalent with combination of education and work experience, required; Bachelor's degree, preferred. Minimum of two (2) years' experience in Substance abuse Billing, Coding and Collections. Knowledge of Third Party payers, billing requirements and reimbursement methods; knowledge of medical terminology. Knowledge of claims reimbursement and collection efforts for the field of Substance Abuse treatment. Relevant computer software and hardware applications proficiency - Word, Excel, PowerPoint, Outlook, Electronic Medical Records, Billing Systems and/or other scheduling applications; KIPU preferred, Collaborate MD SKILLS: Strong communication skills, both written and verbal. Ability to work independently, as well as part of a team. Manage multiple tasks and set priorities. Ability to handle highly sensitive and confidential information. Ability to work in a fast-paced, high-energy environment. Excellent interpersonal and customer-facing skills. Ability to work accurately, with attention to detail.