Billing Specialist jobs at CareSTL Health - 230 jobs

Department Revenue Services Employment Type Full Time Location Any Compass Location Workplace type Fully remote Compensation $17.89 / hour Key Responsibilities Requirements, Skills, Knowledge and Expertise About Compass Health Network About Compass Health Network Compass Health Network is a nonprofit organization dedicated to delivering accessible, high-quality care throughout Missouri. We provide a comprehensive range of integrated services, including behavioral health, substance use treatment, primary care, and dental care. As both a Federally Qualified Health Center (FQHC) and a Community Mental Health Center (CMHC), Compass Health is uniquely positioned to meet the complex and evolving needs of the communities we serve.Our network includes Royal Oaks Hospital and Adapt of Missouri, allowing us to expand our impact and reach across the state. Each part of our organization contributes to our mission: Inspire Hope. Promote Wellness. Adapt of Missouri, a subsidiary of Compass Health Network, has been serving the St. Louis metropolitan area since 1982. While Adapt operates as a for-profit organization, it shares our commitment to providing high-quality, person-centered mental health services. Adapt specializes in community-based support for adults with mental health conditions, focusing on recovery-oriented services such as psychosocial rehabilitation and case management that foster independence and meaningful community engagement. Royal Oaks Hospital serves all acute behavioral health care inpatient needs for children and adolescents 24 hours a day, 7 days a week. Our multi-disciplinary team continually strives to set the standards in patient safety and are committed to providing the highest quality of care. Royal Oaks Hospital believes in the health and wellbeing of our patients and it shows in the care they receive each and every day. Why Join Us?Whether you're joining Compass Health Network or Adapt of Missouri, you'll become part of a dedicated, mission-driven team committed to transforming lives through compassionate, innovative care. We foster a supportive, collaborative environment where your work is valued and your professional growth is encouraged.We offer: Competitive Benefits Opportunities for career advancement Personal and professional development Licensure supervision Tuition reimbursement & scholarships Employee Assistance Program (EAP) Wellness program with Xponential access Generous paid time off and holidays National Health Service Corp loan repayment eligibility* *Please note: While Compass Health Network is eligible for the National Health Service Corps (NHSC) Loan Repayment Program, positions with Adapt of Missouri are not eligible due to its for-profit status. Your Career, Your ImpactWhether you're beginning your career or looking to take the next step, you'll find purpose and opportunity with us. Join a team where your skills and compassion make a meaningful impact-every single day. Ready to make a difference? We'd love to hear from you! Equal Opportunity Statement Compass Health Network is an Equal Opportunity/Affirmative Action Employer and an E-Verify participant.

Job DescriptionDescriptionKeep care moving forward by ensuring every service is accurately supported and billed. is 40 hours weekly. As a Billing Specialist, you'll play an essential role in helping our organization deliver high-quality, accessible care by ensuring timely and accurate billing processes. You'll prepare patient records for billing, submit claims, post payments, and work directly with payers and patients to resolve account questions. This position combines precision and purpose-your attention to detail helps sustain the mission of bringing vital health services to communities across Missouri. This is a full-time, benefit-eligible position. Remote position open to Missouri residents only. This is a great opportunity for someone who enjoys working with data and details, values accuracy and efficiency, and wants to contribute to a mission-based organization that makes a difference in people's lives every day. Key Responsibilities Prepare, submit, and follow up on claims to ensure accurate and timely billing. Post payments, process corrections, and verify insurance coverage and eligibility. Review aging accounts and take appropriate follow-up actions. Manage denials and complete appeals as needed. Maintain current knowledge of payer billing requirements and compliance standards. Communicate clearly and professionally with payers, patients, and coworkers regarding accounts. Generate and manage billing reports as needed. Participate in ongoing training and professional development. Requirements, Skills, Knowledge and ExpertiseHigh School diploma or GED required Work Experience/Training/Additional Requirements: Experience in healthcare receivables preferred Experience with Microsoft Excel preferred Valid Missouri driver's license with agency-established minimum automobile coverage required (remote position with occasional travel for trainings and/or meetings) You'll be a great fit for this role if you: Take pride in accurate, organized, and timely work. Enjoy problem-solving and seeing tasks through to completion. Communicate clearly and professionally in all interactions. Want to support a mission-driven organization that helps people access the care they need.

Fulltime Benefits: Health Insurance, Paid Time Off, Extended Sick Leave, Retirement -403B, hospital matches up to 4%, Employee Pharmacy, Vision Insurance, and Dental Insurance JOB SUMMARY: The Hospital Billing Specialist is responsible to bill all third party payers electronically and is responsible to follow through on an account to a zero balance by following all rules and regulations both local and national in a timely manner. The Hospital Billing Specialist reports to the Billing Specialist Supervisor who then reports to the Director of Financial Services. QUALIFICATIONS: Education: High School graduate with related subjects in general business. Computer knowledge Some experience in billing is desirable. Good customer service skills. Medical Terminology. Licensure/Certification: a.) N/A Work Experience: Minimum 1 yr. hospital billing experience preferred. Three years' experience in collections, customer service and insurance claim processing preferred. Ability to operate various office machines. Strong knowledge of the Medicare/Medicaid regulations as they pertain to billing claims. Be able to work independently and make reasonable decisions while maintaining confidentiality. RESPONSIBILITIES/JOB DUTIES: Working daily reports as assigned. Billing all primary & secondary claims electronically. Maintain minimal unbilled AR at end of every month under $200,000.00 in charges. Work remittance advices for denials and possible re-submission. Follow up with insurance payers on claim resolution. Accounts should be resolved in a timely manner. Communicate and work with all clinical departments to insure proper charging and billing of accounts. Respond to patient phone inquiry as needed. Reconcile the account and understand what the balance consists of (i.e. deductible, co-insurance, co-pay, etc). Review account for all possible sources of payment including third party liability. Process credit balances as assigned by your work group. Work all correspondence and respond promptly and provide requested information to ensure timely resolution. Inform Supervisor of any problems or changes in payer requirements and exercise independent judgment to analyze and report repetitive denials so corrective action can be taken. Provide the best customer service possible. Document in Meditech system any action taken on patient's account. All other assigned duties which may include - sending and following up on appeals, working follow up on insurance companies, ordering claims, & balancing accounts. REQUIRED STAFF COMPETENCIES Demonstrates support for organizational and departmental mission. Supports and demonstrates knowledge of the Strategic Plan and the Hospital Key Initiatives. Fosters and promotes teamwork within department and the organization as a whole. Works to resolves conflicts constructively and in a timely manner. Ability to communicate effectively and simply with every customer and co-worker. Ability to display a positive, courteous and friendly attitude toward all contacts. Ability to build good relationships with others based upon a sustained effort of mutual support toward common goals. Ability to exercise good judgment, reasoning and concentration to detail and to take personal accountability for all actions in carrying out job duties. Is customer focused and committed to Quality and Process Improvement with a strong desire to provide service excellence. Possesses and displays a strong knowledge and understanding of the standards of practice for their position including, if and when applicable, commensurate computer skills; population specific and general competencies; organizational skills, time and project management. Possesses a vigorous and enthusiastic desire to learn and to grow both personally and professionally, and to improve one's skills in order to deliver the best possible care for our customers. WORKING CONDITIONS: General office setting. No exposure to extremes in temperature, lighting or noise. Requires prolonged sitting. Requires frequent keyboarding. Significant time spent looking at computer monitor.

About Jordan Valley Community Health Center: Jordan Valley Community Health Center (JVCHC) is a mission-driven organization dedicated to improving the health of individuals and families in underserved communities. We provide comprehensive healthcare services including primary medical, dental, vision, and behavioral health. Our mission is simple: Improve our community's health through access and relationships. By working collaboratively with partners and continually innovating, JVCHC strives to be a leader in providing essential healthcare for the underserved, ensuring everyone in our community has access to quality healthcare. Job Summary: The Billing Specialist is responsible for providing thorough and accurate collection of patient accounts. The Billing Specialist also aims to provide support for various departments as needed in the attainment of stated goals. In addition, the Billing Specialist will represent the clinic in all initial patient and insurance inquiries dealing with Patient Financial Services issues. Key Responsibilities: Assesses, tracks, and collects on patient account balances. Assist in verifying eligibility for Federally Funded Slide Fee Scale. Performs insurance and billing functions include verifying patient account information to insurance program specifications. Resolve routine patient billing inquiries and problems; follow up on balances due from payers. Ability to understand CDT coding. Electronic billing function, process charges, payments denials and adjustments. Performs insurance denial resolution. Monitors self-pay accounts, assesses need for internal collection action. Monitors collection letter process and sets up acceptable payment plans with patients. Researches old balances and works with patient account representatives to assist patients in accurate and satisfactory recovery of insurance benefits. Send weekly private balance statement/collection letters. Adjust accordingly for documented bankruptcies and NSF check issues. Responsible for maintaining and running the recurring credit card payments. Benefits Overview: Medical and Prescription Drug Coverage: Three comprehensive plan options (Buy-up, Base, and High Deductible) through UnitedHealthcare's Choice Plus network, covering various deductibles and out-of-pocket limits. Includes access to telemedicine services via Teladoc. Health Savings Account (HSA): Available for employees in the High Deductible Plan with employer contributions and tax advantages. Flexible Spending Account (FSA): Options for both healthcare and dependent care FSAs, allowing pre-tax contributions for qualified expenses. Dental and Vision Coverage: Dental insurance through Cigna's DPPO network and vision coverage through EyeMed's Insight network. Retirement Plan: Pre-tax and Roth 403(b) retirement plans with a 5% employer match starting after 30 days of employment. Life and Disability Insurance: Basic Life and AD&D insurance provided at no cost, with the option to purchase additional coverage. Long-term and short-term disability insurance are also available. Employee Assistance Program (EAP): Free confidential support for personal and professional challenges, including counseling and crisis intervention. Additional Voluntary Benefits: Options for critical illness, accident, hospital care, and pet insurance through MetLife. Pay on Demand Available Holidays: Nine paid holidays per year. Health Requirements: All employees are required to provide proof of vaccination for Flu, Hepatitis B and Tuberculosis (TB) as part of our commitment to maintaining a safe and healthy workplace. Application Process: Interested applicants should submit a resume and cover letter through the JVCHC career portal at Careers & Education - Jordan Valley. Applications will be accepted on a rolling basis until the position is filled. Jordan Valley Community Health Center is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status. Requirements Preferred Qualifications: High school diploma or GED. Two years medical office reimbursement experience. ASC experience. Knowledge of reimbursement practices. Knowledge of CDT coding.

Full-time Description Jordan Valley Community Health Center (JVCHC) is a mission-driven organization dedicated to improving the health of individuals and families in underserved communities. We provide comprehensive healthcare services including primary medical, dental, vision, and behavioral health. Our mission is simple: Improve our community's health through access and relationships. By working collaboratively with partners and continually innovating, JVCHC strives to be a leader in providing essential healthcare for the underserved, ensuring everyone in our community has access to quality healthcare. Job Summary: The Billing Specialist is responsible for providing thorough and accurate collection of patient accounts. The Billing Specialist also aims to provide support for various departments as needed in the attainment of stated goals. In addition, the Billing Specialist will represent the clinic in all initial patient and insurance inquiries dealing with Patient Financial Services issues. Key Responsibilities: Assesses, tracks, and collects on patient account balances. Assist in verifying eligibility for Federally Funded Slide Fee Scale. Performs insurance and billing functions include verifying patient account information to insurance program specifications. Resolve routine patient billing inquiries and problems; follow up on balances due from payers. Ability to understand CDT coding. Electronic billing function, process charges, payments denials and adjustments. Performs insurance denial resolution. Monitors self-pay accounts, assesses need for internal collection action. Monitors collection letter process and sets up acceptable payment plans with patients. Researches old balances and works with patient account representatives to assist patients in accurate and satisfactory recovery of insurance benefits. Send weekly private balance statement/collection letters. Adjust accordingly for documented bankruptcies and NSF check issues. Responsible for maintaining and running the recurring credit card payments. Benefits Overview: Medical and Prescription Drug Coverage: Three comprehensive plan options (Buy-up, Base, and High Deductible) through UnitedHealthcare's Choice Plus network, covering various deductibles and out-of-pocket limits. Includes access to telemedicine services via Teladoc. Health Savings Account (HSA): Available for employees in the High Deductible Plan with employer contributions and tax advantages. Flexible Spending Account (FSA): Options for both healthcare and dependent care FSAs, allowing pre-tax contributions for qualified expenses. Dental and Vision Coverage: Dental insurance through Cigna's DPPO network and vision coverage through EyeMed's Insight network. Retirement Plan: Pre-tax and Roth 403(b) retirement plans with a 5% employer match starting after 30 days of employment. Life and Disability Insurance: Basic Life and AD&D insurance provided at no cost, with the option to purchase additional coverage. Long-term and short-term disability insurance are also available. Employee Assistance Program (EAP): Free confidential support for personal and professional challenges, including counseling and crisis intervention. Additional Voluntary Benefits: Options for critical illness, accident, hospital care, and pet insurance through MetLife. Pay on Demand Available Holidays: Nine paid holidays per year. Health Requirements: All employees are required to provide proof of vaccination for Flu, Hepatitis B and Tuberculosis (TB) as part of our commitment to maintaining a safe and healthy workplace. Application Process: Interested applicants should submit a resume and cover letter through the JVCHC career portal at Careers & Education - Jordan Valley. Applications will be accepted on a rolling basis until the position is filled. Jordan Valley Community Health Center is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status. Requirements Preferred Qualifications: High school diploma or GED. Two years medical office reimbursement experience. ASC experience. Knowledge of reimbursement practices. Knowledge of CDT coding.

Uses coded data to produce and submit claims to insurance companies. Works directly with patients, healthcare insurance carriers and clinical staff to ensure revenue cycle integrity. Reviews and appeals unpaid or denied claims in a timely manner. Verifies patient insurance eligibility. Acts as a patient account representative. Handles collections and unpaid accounts Manages accounts receivable reporting. Manages month end procedures and processes. Ability to enroll providers with healthcare payers using ECHO software. 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. Education and/or experience: High school diploma or equivalent. Billing and coding certification or equivalent of two years' experience in medical billing and coding. Must be able to operate a PC in a Windows environment. Able to type or keyboard 45 wpm preferred and ability to operate a calculator proficiently. Familiarity with CPT and ICD10 coding systems and medical terminology is required. Able to enroll/credential Providers using ECHO software. Additional Information Job Type: Full time Monday- Friday

Uses coded data to produce and submit claims to insurance companies. Works directly with patients, healthcare insurance carriers and clinical staff to ensure revenue cycle integrity. Reviews and appeals unpaid or denied claims in a timely manner. Verifies patient insurance eligibility. Acts as a patient account representative. Handles collections and unpaid accounts Manages accounts receivable reporting. Manages month end procedures and processes. Ability to enroll providers with healthcare payers using ECHO software. 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. Education and/or experience : High school diploma or equivalent. Billing and coding certification or equivalent of two years' experience in medical billing and coding. Must be able to operate a PC in a Windows environment. Able to type or keyboard 45 wpm preferred and ability to operate a calculator proficiently. Familiarity with CPT and ICD10 coding systems and medical terminology is required. Able to enroll/credential Providers using ECHO software. Additional Information Job Type: Full time Monday- Friday

Employment Type: Full Time Benefits: M/D/V, Life Ins., 401(k) Columbia, Missouri JOB SCOPE: Under direct supervision is responsible for all claim submissions, which includes verifying accuracy of charges and patient demographic information on claim detail. Responsible for timely follow-up with patients and third party payors. Supports and adheres to The US Oncology Compliance Program, to include the Code of Ethics and Business Standards. The US Oncology Network is a thriving organization that fosters forward-thinking, advancement opportunities, and an inspired work environment. We continuously look for top talent who will continue to propel our organization in the right direction and celebrate new successes! Come join our team in the fight against cancer! About US Oncology The US Oncology Network is one of the nation's largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care. For more information, visit ******************* We extend an extremely competitive offering of benefits to employees, including Medical Health Care, Dental Care, Vision Plan, 401-K with a matching component, Life Insurance, Short-term and Long-term disability, and Wellness & Perks Programs. Responsibilities ESSENTIAL DUTIES AND RESPONSIBILITIES: * Collects and reviews all patient insurance information needed to complete the billing process. * Completes all necessary insurance forms (i.e. HCFA 1500, Blue Cross/Blue Shield, UMWA, Medical Assistance, Medicare, etc.) to process the proper billing information in a timely manner as required by all third party payors. * Transmits daily all electronic claims to third party payors. * Researches and resolves any electronic claim delays within 24 hours of exception report print date. * Submits all paper claims and supporting documentation as required by payors. * Files all claims, documentation, etc. in patient financial files. * Resolves patient complaints and requests regarding insurance billing and initiates accurate account adjustment. * Follows all billing problems to conclusion. * Resubmits insurance claims as required. Reports any trends/delays to supervisor. * Processes any necessary insurance/patient correspondence. Mails accurate statements to patients within 24 hours of print date. * Provides all necessary documentation (on or with HCFA1500) required to expedite payments. * This includes demographic, authorization/referrals, UPIN number, and referring doctors. * Submits claims within 24 hours of print date. Obtains appropriate medical records, with patient and/or responsible party authorization on file, as they relate to the billing process. * Maintains confidentiality in regards to patient account status and the financial affairs of clinic/corporation. * Communicates effectively to payors and/or claims clearinghouse to ensure accurate and timely electronically filed claims as per department guidelines. Qualifications MINIMUM QUALIFICATIONS: * High school graduate or equivalent. * Position is entry level and requires 0-3 years experience in a medical business office setting. * Proficiency with computer systems and MicroSoft Office (Word and Excel) required. * Demonstrate knowledge of CPT coding and HCPS coding application. * Must be able to verbally communicate clearly and utilize the appropriate and correct terminology. * Must successfully complete required e-learning courses within 90 days of occupying position. PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range. WORK ENVIRONMENT: The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. Work will involve in-person interaction with co-workers and management and/or clients. Work may require minimal travel by automobile to office sites.

The Billing Representative is responsible for the timely submission of hospital or professional claims to Payers including but not limited to Medicare, Medicaid, Managed Medicare, Managed Medicaid, Managed Care, Commercial, Workers Compensation and Champus/Tricare. **Salary** _The pay range for this position is $31,616(entry-level qualifications) - $45,424(highly experienced). The specific rate will depend upon the successful candidate's specific qualifications and prior experience._ **ESSENTIAL FUNCTIONS OF THE ROLE** Perform code and demographic audits on paper and electronic claims for accuracy utilizing the billing scrubber, payer edits and custom edits. Communicate specific problems or concerns to Manager as appropriate. Review electronic claims transmission reports and resolves electronic claims submission (ECS) rejections by making corrections in system, and resubmitting for payment. Request or post charge corrections and appropriate credit and debit adjustments to patient accounts. Correct patient demographic information when new/correct information is received. Review claims for accuracy and completeness and obtain any missing information. Work rejected claims utilizing compliant and ethical billing practices. Identify and bill secondary or tertiary insurances as needed. Performs other duties as assigned or requested. **KEY SUCCESS FACTORS** **BENEFITS** Our competitive benefits package includes the following - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level **QUALIFICATIONS** - EDUCATION - H.S. Diploma/GED Equivalent - EXPERIENCE - Less than 1 Year of Experience As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Job DescriptionBilling Clerk Specialist Employment Type: Full-Time, Non-Exempt Salary Range: $16.42 - 18.82 The Billing Clerk Specialist - Responsibly for working as part of the Billing Office Team to ensure that all essential and non-essential billing functions are completed timely and proficiently. Essential Functions: 1. Accurately verify, add, and change coverages for clients as needed 2. Create and send claims for assigned coverages daily 3. Post payments and ERAs daily 4. Monitor payments and adjustments on assigned coverages 5. Identify problems/errors on denied/rejected claims, research, and rework appropriately 6. Send out client statements and posting of client payments 7. Successfully resolve consumer billing questions 8. Must maintain A/R at an acceptable level as assigned by supervisor 9. Assist co-workers in solving billing problems 10. Ability to train new employees 11. Enroll and maintain clients enrolled in CIMOR as assigned 12. Must provide coverage for all billing team members when needed Minimum Required Qualifications High school diploma with an emphasis on business courses. Must have a strong attention to detail, decision making, and problem solving skills. Must have a least 1 year of experience working in medical billing office. Valid driver's license for current state of residence, meeting agency MVR standards, and current auto insurance. Why Join Community Counseling Center? Real Impact. Real People. Real Growth. Be part of a team that's been changing lives since 1974 - and still growing strong. ✅ Perks & Benefits Include: Generous PTO - 24 paid days off your first year Celebrate You - enjoy your birthday as a paid day off 7 Paid Holidays Comprehensive Insurance Options - health, dental, vision + more Retirement with Auto-Enrollment Eligible for Public Service Loan Forgiveness (PSLF) Referral Bonuses A mission-driven, inclusive workplace that values YOU Learn more about Community Counseling Center on our website! Community Counseling Center is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status or any other characteristic protected by law. CCC will consider requests for reasonable accommodations for qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA). If you need a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, etc., please contact ********************* to speak with us about your needs.

Employment Type: Full-Time, Non-Exempt Salary Range: $16.42 - 18.82 The Billing Clerk Specialist - Responsibly for working as part of the Billing Office Team to ensure that all essential and non-essential billing functions are completed timely and proficiently. Essential Functions: 1. Accurately verify, add, and change coverages for clients as needed 2. Create and send claims for assigned coverages daily 3. Post payments and ERAs daily 4. Monitor payments and adjustments on assigned coverages 5. Identify problems/errors on denied/rejected claims, research, and rework appropriately 6. Send out client statements and posting of client payments 7. Successfully resolve consumer billing questions 8. Must maintain A/R at an acceptable level as assigned by supervisor 9. Assist co-workers in solving billing problems 10. Ability to train new employees 11. Enroll and maintain clients enrolled in CIMOR as assigned 12. Must provide coverage for all billing team members when needed Minimum Required Qualifications * High school diploma with an emphasis on business courses. * Must have a strong attention to detail, decision making, and problem solving skills. * Must have a least 1 year of experience working in medical billing office. * Valid driver's license for current state of residence, meeting agency MVR standards, and current auto insurance. Why Join Community Counseling Center? Real Impact. Real People. Real Growth. Be part of a team that's been changing lives since 1974 - and still growing strong. Perks & Benefits Include: * Generous PTO - 24 paid days off your first year * Celebrate You - enjoy your birthday as a paid day off * 7 Paid Holidays * Comprehensive Insurance Options - health, dental, vision + more * Retirement with Auto-Enrollment * Eligible for Public Service Loan Forgiveness (PSLF) * Referral Bonuses * A mission-driven, inclusive workplace that values YOU Learn more about Community Counseling Center on our website! Community Counseling Center is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status or any other characteristic protected by law. CCC will consider requests for reasonable accommodations for qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA). If you need a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, etc., please contact ********************* to speak with us about your needs.

Our Mission To improve the health of the communities we serve through contemporary, innovative, quality healthcare solutions. About Us - Patient Accounts * Vital part of our revenue cycle. * Our team consists of over fifty professionals that assure reimbursement for the valued services our clinical team provides. * On a monthly basis they take approximately 13,000 phone calls, generate 65,000 statements and bill approximately 57,000 claims. Schedule: Full time Days (40hrs/week) What You'll Do Responsible for billing and collections of accounts assigned, assures account resolution in a timely manner. Assignment may include but is not limited to; posting of charges and payments, submitting clean claims, contact with external and internal customers to assure compliant billing, charge capture and payment posting. Preferred Requirements Business office experience High School graduate or equivalent school or work experience Freeman Perks and Programs * For eligible full time and part time employees Freeman offers a wide variety of career opportunities, a great work culture and generous benefits, most starting day one! * Health, vision, dental insurance * Retirement with employer match * Wellness program with discounts to Health Insurance or Cash Bonus with Participation * Milestone payments with longevity of employment * Paid time off (PTO) or Flex time off (FTO) * Extended Sick pay * Learning Center designated only for Freeman Family members * Payroll deduction at different locations such as The Daily Grind, Freeman Gift Shop, Cafeteria, etc. #LI-DNI

Tutera Senior Living & Health Care Are you a Medicare Billing Professional seeking an exciting new career opportunity? Look no further! Tutera Senior Living & Health Care is seeking rockstars to join our team! If you are dedicated and compassionate, WE WANT YOU! What Will You Do in This Role? We are seeking an experienced and detail-oriented Medicare Billing Specialist with expertise in Skilled Nursing Facility (SNF) billing. The ideal candidate will be responsible for the accurate and timely submission of Medicare claims, ensuring compliance with all CMS regulations, and following up on payments and denials. This role plays a critical part in the financial health of our facility and requires deep knowledge of Medicare Part A and B, PDPM, and MDS integration. Key Responsibilities: • Prepare, review, and submit Medicare Part A & B claims for skilled nursing residents. • Ensure timely and accurate billing in accordance with CMS and SNF-specific guidelines. • Verify resident insurance eligibility, including benefits and coverage under Medicare. • Monitor and reconcile claims for proper payment, and identify/resolve any discrepancies. • Track, appeal, and resolve denied or rejected claims efficiently. • Collaborate with MDS coordinators to ensure billing aligns with clinical documentation under PDPM. • Maintain current knowledge of Medicare regulations, SNF billing codes, and HIPAA compliance. • Communicate with Medicare MACs, community staff, and insurance providers as needed. • Generate aging reports and assist in collection efforts when required. • Support audits and provide documentation for compliance reviews. Do You Have What It Takes? A fire and passion for working with seniors A flexible, fun, and energetic personality Must possess detailed knowledge of Illinois Medicaid regulations Must have prior experience with managing complex billing scenarios High school diploma, or equivalent, required Associate or bachelor's degree in a related field preferred Must have a minimum of 3-5 years of prior experience in billing in a LTC/SNF setting Extensive knowledge of billing procedures for all payer types, including Medicare, Medicaid, private insurance, and others required Proficiency with billing software and electronic medical record (EMR) systems required Must be able to work well with others in a team environment Proficiency in Microsoft Word, Excel, and Outlook required Professional image in both appearance and behavior Excellent written and oral communication skills Why is Tutera THE Employer of Choice? Tutera Senior Living & Health Care is guided by one single purpose: To live the YOUNITE philosophy in every decision, every day. Based on genuine respect, YOUNITE is how we get to know residents and team members on a personal level. By asking about our employees' and residents' unique needs and preferences, we actively listen and then deliver. Do you want to work for a company where you are the driving force behind every decision made? Tutera offers stability; our family-owned company was founded in 1985! Tutera offers a competitive starting wage and amazing benefits! We take care of you so you can be a rockstar at work and at home! Tutera Senior Living & Health Care is dedicated to growing and developing our Tutera rockstars. Through Tutera University, every employee has the opportunity to learn new skills and become the best they can be! Apply today and let us show you how we are inspired by you. Equal Opportunity Employer. The wage and benefit information provided in this listing is subject to change. Benefits eligibility criteria must be met to enroll in available benefits. Benefits How Can You Benefit? Financial Literacy Classes with Payactiv Health Insurance Dental Insurance Vision Insurance Life Insurance Accident Insurance Critical Illness Insurance Cancer Insurance Short Term and Long Term Disability 401(k) with Matching Contributions Tuition Reimbursement Paid Time Off Holiday Pay Birthday Day Off Exclusive Tutera Perks Advancement Opportunities & More! Job ID 2026-15178

Tutera Senior Living & Health Care Are you a Billing Professional seeking an exciting new career opportunity? Look no further! Tutera Senior Living & Health Care is seeking rockstars to join our team! If you are dedicated and compassionate, WE WANT YOU! What Will You Do in This Role? As a Billing Specialist, you will be responsible for managing and executing all billing functions within our skilled nursing facilities, with a particular emphasis on Illinois Medicaid billing. This role requires a comprehensive understanding of all payer types and the ability to ensure accurate and timely billing processes. Your responsibilities will include, but are not limited to; billing operations, claims management, documentation and reporting, collaboration and communication, and regulatory compliance. Do You Have What It Takes? A fire and passion for working with seniors A flexible, fun, and energetic personality Must possess detailed knowledge of Illinois Medicaid regulations Must have prior experience with managing complex billing scenarios High school diploma, or equivalent, required Associate or bachelor's degree in a related field preferred Must have a minimum of 3-5 years of prior experience in billing in a LTC/SNF setting Extensive knowledge of billing procedures for all payer types, including Medicare, Medicaid, private insurance, and others required Proficiency with billing software and electronic medical record (EMR) systems required Must be able to work well with others in a team environment Proficiency in Microsoft Word, Excel, and Outlook required Professional image in both appearance and behavior Excellent written and oral communication skills Why is Tutera THE Employer of Choice? Tutera Senior Living & Health Care is guided by one single purpose: To live the YOUNITE philosophy in every decision, every day. Based on genuine respect, YOUNITE is how we get to know residents and team members on a personal level. By asking about our employees' and residents' unique needs and preferences, we actively listen and then deliver. Do you want to work for a company where you are the driving force behind every decision made? Tutera offers stability; our family-owned company was founded in 1985! Tutera offers a competitive starting wage and amazing benefits! We take care of you so you can be a rockstar at work and at home! Tutera Senior Living & Health Care is dedicated to growing and developing our Tutera rockstars. Through Tutera University, every employee has the opportunity to learn new skills and become the best they can be! Apply today and let us show you how we are inspired by you. Equal Opportunity Employer. The wage and benefit information provided in this listing is subject to change. Benefits eligibility criteria must be met to enroll in available benefits. Benefits How Can You Benefit? Financial Literacy Classes Employee Assistance Program offering Mental Health Resources, Legal Guidance, Financial Information, and more! Child Care Discount Health Insurance Dental Insurance Vision Insurance Life Insurance Accident Insurance Critical Illness Insurance Cancer Insurance Short-Term and Long-Term Disability 401(k) with Matching Contributions Tuition Reimbursement Paid Time Off / Flex Time Off Birthday Day Off Exclusive Tutera Perks Advancement Opportunities Job ID 2026-15106

Job Title: Billing Specialist Department: Billing Department Employment Type: Part-time Shift: Monday - Friday, 8 hours weekly Are you detail-oriented and adept at managing databases and financial records? Join our team at Centerstone as a Billing Specialist! In this role, you'll oversee the in-house database, ensure accuracy of billing records, and collaborate with various departments to streamline billing processes. As a Billing Specialist, you'll be responsible for maintaining accurate billing records, reconciling invoices, and submitting billable services to relevant agencies. The ideal candidate will have strong communication skills, attention to detail, and proficiency in database management and financial software. Kirksville, MO offers a variety of events and activities to choose from. Whether it's visiting the state park, stopping by the farmers market, being engaged in the college and universities, or enjoying community events and businesses. Kirksville is a community driven hub with a high quality of life. Join us in making a difference in the lives of our clients and advancing your career! Position Perks & Benefits: * Numerous opportunities for professional growth and ongoing development * A warm and supportive working environment where we celebrate you and your success. * A healthy work-life balance that allows you to thrive both personally and professionally. * The chance to collaborate with talented and dedicated colleagues who share your passion for making a meaningful, positive impact in the lives of others. Key Responsibilities: * Database Mastery: Oversee the in-house database, ensuring up-to-date entry of all group logs, transfers, discharges, and clinical reviews, serving as the gatekeeper of accurate and comprehensive data. * Billing Accuracy: Review clients' billable services, meticulously monitoring the accuracy of procedure codes, package authorizations, and limits of services, ensuring transparency and compliance in billing practices. * Efficient Coordination: Request and track Clinical Reviews from designated program staff, ensuring timely entry of requests and seamless coordination between departments. * Admissions Precision: Collaborate with Admissions Specialist to ensure accuracy of admission entry into databases, facilitating smooth transitions for clients into our care programs. * Financial Oversight: Monitor funding sources and complete Medicaid status reviews at admission, transfer, and discharge, safeguarding financial sustainability and maximizing resources for client care. * Audit Excellence: Conduct daily, weekly, and monthly audits to check for overlaps in billable services, maintaining integrity and accuracy in financial records. * Financial Reconciliation: Reconcile invoicing for the Accounting Department, including balancing services, client fees, and patient responsibility, ensuring financial transparency and accountability. * Database Integrity: Post client fee deductions and non-posted services from invoice into the internal database, maintaining the integrity of financial records and ensuring accurate reporting. * Billing Submission: Submit billable services to DMH and Medicaid through batch processing based on established cycles and deadlines, optimizing efficiency in reimbursement processes. * Claim Review: Review claim confirmations and make corrections as necessary, ensuring accuracy and completeness in billing submissions. * Adaptability and Initiative: Hand-key services into the database each billing cycle if unable to submit through the batch process, demonstrating flexibility and initiative to ensure timely and accurate billing. * Timely Reporting: Deliver timely reports to designated recipients regarding client admissions, discharges, and billable services, providing valuable insights for decision-making and planning. * Innovative Solutions: Assist with the development of new in-house computerized billing systems and client demographic databases, contributing to continuous improvement and innovation in billing processes. * Team Collaboration: Perform other duties as assigned by the Billing Supervisor or Executive Team members, contributing to the success and growth of the organization through teamwork and collaboration. Education and/or Experience Qualifications: * High School diploma with courses in typing and business practices. * At least three (3) years of experience in a secretarial or bookkeeping position, including two (2) years of experience with computers. Additional Qualifications: * Considerable knowledge in preparation of all medical claims in billing and electronic billing software. * Ability to obtain necessary documentation. * Superior communication and customer service skills. * Excellent 10-key and alphanumeric data entry skills with attention to detail. * Proficiency in common word processing, spreadsheet, database, and web-based applications. Position Perks & Benefits: Paid time off: full-time employees receive an attractive time off package to balance your work and personal life Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more Top-notch training: initial, ongoing, comprehensive, and supportive Career mobility: advancement opportunities/promoting from within Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness Brightli is on a Mission: A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients. As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission-driven organization dedicated to cultivating an authentic workplace. We are an Equal Employment Opportunity Employer. Brightli is a Smoke and Tobacco Free Workplace.

Job Title: Billing Specialist Department: Financial Services Employment Type: Full-time Shift: Monday - Friday, 9:00 A.M. - 5:00 P.M. Are you detail-oriented and adept at managing databases and financial records? Join our team at Centerstone as a Billing Specialist! In this role, you'll oversee the in-house database, ensure accuracy of billing records, and collaborate with various departments to streamline billing processes. As a Billing Specialist, you'll be responsible for maintaining accurate billing records, reconciling invoices, and submitting billable services to relevant agencies. The ideal candidate will have strong communication skills, attention to detail, and proficiency in database management and financial software. Kirksville, MO offers a variety of events and activities to choose from. Whether it's visiting the state park, stopping by the farmers market, being engaged in the college and universities, or enjoying community events and businesses. Kirksville is a community driven hub with a high quality of life. Join us in making a difference in the lives of our clients and advancing your career! Position Perks & Benefits: * Employee benefits package - health, dental, vision, retirement, life, & more * Competitive 401(k) Retirement Savings Plan - up to 5% match for Part-Time and Full-Time employees * Company-paid basic life insurance * 29 Days of PTO for Full-Time employees * Emergency Medical Leave Program * Flexible Spending Accounts - healthcare and dependent child-care * Health & Wellness Program * Employee Assistance Program (EAP) * Employee Discount Program * Mileage Reimbursement (When applicable) Key Responsibilities: * Database Mastery: Oversee the in-house database, ensuring up-to-date entry of all group logs, transfers, discharges, and clinical reviews, serving as the gatekeeper of accurate and comprehensive data. * Billing Accuracy: Review clients' billable services, meticulously monitoring the accuracy of procedure codes, package authorizations, and limits of services, ensuring transparency and compliance in billing practices. * Efficient Coordination: Request and track Clinical Reviews from designated program staff, ensuring timely entry of requests and seamless coordination between departments. * Admissions Precision: Collaborate with Admissions Specialist to ensure accuracy of admission entry into databases, facilitating smooth transitions for clients into our care programs. * Financial Oversight: Monitor funding sources and complete Medicaid status reviews at admission, transfer, and discharge, safeguarding financial sustainability and maximizing resources for client care. * Audit Excellence: Conduct daily, weekly, and monthly audits to check for overlaps in billable services, maintaining integrity and accuracy in financial records. * Financial Reconciliation: Reconcile invoicing for the Accounting Department, including balancing services, client fees, and patient responsibility, ensuring financial transparency and accountability. * Database Integrity: Post client fee deductions and non-posted services from invoice into the internal database, maintaining the integrity of financial records and ensuring accurate reporting. * Billing Submission: Submit billable services to DMH and Medicaid through batch processing based on established cycles and deadlines, optimizing efficiency in reimbursement processes. * Claim Review: Review claim confirmations and make corrections as necessary, ensuring accuracy and completeness in billing submissions. * Adaptability and Initiative: Hand-key services into the database each billing cycle if unable to submit through the batch process, demonstrating flexibility and initiative to ensure timely and accurate billing. * Timely Reporting: Deliver timely reports to designated recipients regarding client admissions, discharges, and billable services, providing valuable insights for decision-making and planning. * Innovative Solutions: Assist with the development of new in-house computerized billing systems and client demographic databases, contributing to continuous improvement and innovation in billing processes. * Team Collaboration: Perform other duties as assigned by the Billing Supervisor or Executive Team members, contributing to the success and growth of the organization through teamwork and collaboration. Education and/or Experience Qualifications: * High School diploma with courses in typing and business practices. * At least three (3) years of experience in a secretarial or bookkeeping position, including two (2) years of experience with computers. Additional Qualifications: * Considerable knowledge in preparation of all medical claims in billing and electronic billing software. * Ability to obtain necessary documentation. * Superior communication and customer service skills. * Excellent 10-key and alphanumeric data entry skills with attention to detail. * Proficiency in common word processing, spreadsheet, database, and web-based applications. Position Perks & Benefits: Paid time off: full-time employees receive an attractive time off package to balance your work and personal life Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more Top-notch training: initial, ongoing, comprehensive, and supportive Career mobility: advancement opportunities/promoting from within Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness Brightli is on a Mission: A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients. As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission-driven organization dedicated to cultivating an authentic workplace. We are an Equal Employment Opportunity Employer. Preferred Family Health Care is a Smoke and Tobacco Free Workplace.

Job Title: Billing Specialist Department: Billing Department Employment Type: Full-time Shift: Monday - Friday, 9:00 A.M. - 5:00 P.M. Are you detail-oriented and adept at managing databases and financial records? Join our team at Centerstone as a Billing Specialist! In this role, you'll oversee the in-house database, ensure accuracy of billing records, and collaborate with various departments to streamline billing processes. As a Billing Specialist, you'll be responsible for maintaining accurate billing records, reconciling invoices, and submitting billable services to relevant agencies. The ideal candidate will have strong communication skills, attention to detail, and proficiency in database management and financial software. Kirksville, MO offers a variety of events and activities to choose from. Whether it's visiting the state park, stopping by the farmers market, being engaged in the college and universities, or enjoying community events and businesses. Kirksville is a community driven hub with a high quality of life. Join us in making a difference in the lives of our clients and advancing your career! Position Perks & Benefits: * Employee benefits package - health, dental, vision, retirement, life, & more * Competitive 401(k) Retirement Savings Plan - up to 5% match for Part-Time and Full-Time employees * Company-paid basic life insurance * 29 Days of PTO for Full-Time employees * Emergency Medical Leave Program * Flexible Spending Accounts - healthcare and dependent child-care * Health & Wellness Program * Employee Assistance Program (EAP) * Employee Discount Program * Mileage Reimbursement (When applicable) Key Responsibilities: * Database Mastery: Oversee the in-house database, ensuring up-to-date entry of all group logs, transfers, discharges, and clinical reviews, serving as the gatekeeper of accurate and comprehensive data. * Billing Accuracy: Review clients' billable services, meticulously monitoring the accuracy of procedure codes, package authorizations, and limits of services, ensuring transparency and compliance in billing practices. * Efficient Coordination: Request and track Clinical Reviews from designated program staff, ensuring timely entry of requests and seamless coordination between departments. * Admissions Precision: Collaborate with Admissions Specialist to ensure accuracy of admission entry into databases, facilitating smooth transitions for clients into our care programs. * Financial Oversight: Monitor funding sources and complete Medicaid status reviews at admission, transfer, and discharge, safeguarding financial sustainability and maximizing resources for client care. * Audit Excellence: Conduct daily, weekly, and monthly audits to check for overlaps in billable services, maintaining integrity and accuracy in financial records. * Financial Reconciliation: Reconcile invoicing for the Accounting Department, including balancing services, client fees, and patient responsibility, ensuring financial transparency and accountability. * Database Integrity: Post client fee deductions and non-posted services from invoice into the internal database, maintaining the integrity of financial records and ensuring accurate reporting. * Billing Submission: Submit billable services to DMH and Medicaid through batch processing based on established cycles and deadlines, optimizing efficiency in reimbursement processes. * Claim Review: Review claim confirmations and make corrections as necessary, ensuring accuracy and completeness in billing submissions. * Adaptability and Initiative: Hand-key services into the database each billing cycle if unable to submit through the batch process, demonstrating flexibility and initiative to ensure timely and accurate billing. * Timely Reporting: Deliver timely reports to designated recipients regarding client admissions, discharges, and billable services, providing valuable insights for decision-making and planning. * Innovative Solutions: Assist with the development of new in-house computerized billing systems and client demographic databases, contributing to continuous improvement and innovation in billing processes. * Team Collaboration: Perform other duties as assigned by the Billing Supervisor or Executive Team members, contributing to the success and growth of the organization through teamwork and collaboration. Education and/or Experience Qualifications: * High School diploma with courses in typing and business practices. * At least three (3) years of experience in a secretarial or bookkeeping position, including two (2) years of experience with computers. Additional Qualifications: * Considerable knowledge in preparation of all medical claims in billing and electronic billing software. * Ability to obtain necessary documentation. * Superior communication and customer service skills. * Excellent 10-key and alphanumeric data entry skills with attention to detail. * Proficiency in common word processing, spreadsheet, database, and web-based applications. Position Perks & Benefits: Paid time off: full-time employees receive an attractive time off package to balance your work and personal life Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more Top-notch training: initial, ongoing, comprehensive, and supportive Career mobility: advancement opportunities/promoting from within Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness Brightli is on a Mission: A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients. As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission-driven organization dedicated to cultivating an authentic workplace. We are an Equal Employment Opportunity Employer. Brightli is a Smoke and Tobacco Free Workplace.

Responsible for handling initial third-party payer billing (Medicare and managed care) for the purpose of reimbursement of services, cash receipts posting and other month-end charge entry duties; Upholds the philosophy, core values and goals of the organization and ensures that the Christian Mission of EverTrue is realized - “ Older Adults Living Life to the Fullest ”. Responsibilities 1. Initial billing of skilled nursing facility/Anywhere Care claims to third party payers (Medicare, Managed Care, Commercial Insurance) or vendor Medicaid claims (Medicaid, Managed Care Medicaid and Medicaid Hospice) for multiple EverTrue sites, utilizing electronic claims submission 2. Ensures claims are received, and if returned to provider, resubmitted in a timely manner 3. Bills coinsurance claims where the primary insurance pays without issue; Refers more complex or past-due claims to the Senior Billing Specialist as needed 4. Posts cash receipts to Accounts Receivable (A/R) for third-party payer payments 5. May be responsible for filing of Medicare no-pay, benefit exhaust and information claims 6. Responsible for transferring claims to Senior Billing Specialist if: Primary payer does not pay expected reimbursement, especially if in conflict with contract terms. Claim aging becomes >90 days, or under 90 days and not submitted to payer and acknowledged Claim is being audited/reviewed for any reason (ADR, CERT, RAC) Claim non-payment/under-payment needs to be appealed 7. Maintains up-to-date technical knowledge of applicable Medicare/Medicaid/Managed Care/Anywhere Care billing rules and regulations via the CMS website, MAC website, etc. 8. Inputs Medicare ancillary charges in billing system in a timely manner 9. Serves as a resource to residents and community billing staff for applicable insurance benefit related issues 10. Serves as backup to RCM Billing Specialist; Handles verification of resident's Medicare/Medicare Managed Care/Medicaid/Commercial Insurance benefits prior to receipt of third-party billable services 11. May handle small balance adjustments of $10 or less 12. May be responsible for maintaining Medicare Coinsurance bad debt schedule for cost report 13. Handles maintenance of resident income related to retroactive vendor Medicaid authorizations or retroactive changes in resident income 14. Handles Medicaid re-billing of charges related to retroactive vendor Medicaid authorizations or retroactive changes in resident income Qualifications, Knowledge, Skills & Abilities High School diploma 1 - 3 years of Medicare billing experience Proficient computer skills including Microsoft Outlook, Excel and Word are required Physical Requirements and Working Conditions The physical activities and demands 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 job duties and responsibilities. Lifting up to 30 pounds; Pushing/pulling 100 lbs. on wheels; A well-lighted and ventilated working area that has its own temperature control system (air conditioning and heat); The work will have some short notice requests, timelines for completion of tasks or reports and some major projects extending over months; Minimal exposure to infectious diseases and blood borne pathogens; Minimal exposure to chemicals and hazardous waste; Minimal exposure to outside weather conditions. This is intended to describe the general nature and level of work performed by those assigned to this classification. This in no way states or implies that these are the only duties to be performed by those occupying this position. The job description and job functions described herein are subject to possible modification by EverTrue in accordance with applicable federal, state, and local laws. Additional Information: N/A

Full-time Description Overview of the Role The Revenue Cycle Management (RCM) Specialist is responsible for managing key aspects of the revenue cycle process within Quest Health Solutions. While a third-party billing company handles initial billing functions, this role focuses on escalations, oversight, and specialized tasks to ensure accurate billing, effective denial management, and smooth coordination across departments. The RCM Specialist plays a vital role in maximizing revenue, supporting compliance, and enhancing overall operational efficiency. Essential Duties and Responsibilities Accounts Receivable (AR) & Billing Handling AR tasks, including research and resolution of outstanding balances. Conduct denials report reviews. Manage write-off approvals. Handle AR tasks related to denied or delayed claims. Resupply Management Order Escalations Manage RCM intake and order escalations involving AR and billing-related issues. Medicare Appeals Oversight Review Medicare appeals prepared by the billing company for accuracy. Provide guidance and direction to the billing company on appeal content and strategy when needed. Customer Service Perform patient outreach to obtain updated information when required to resolve billing or order issues. Support patients in understanding billing-related inquiries and coordinate resolutions with internal teams. Process Improvement Identify opportunities for process improvements within the revenue cycle to enhance efficiency, accuracy, and compliance. Requirements What You'll Bring DME & Medicare Billing Expertise: Previous experience in a revenue cycle management role with a strong focus on Durable Medical Equipment (DME). In-depth knowledge of Medicare billing processes, claim requirements, and LCD (Local Coverage Determination) guidelines, with the ability to review documentation for compliance. Technical Knowledge: Familiarity with Brightree and core revenue cycle functions, including AR management, billing workflows, and denial resolution. Problem-Solving Ability: Demonstrated capacity to research, analyze, and resolve complex billing issues and denials effectively and efficiently. Communication Skills: Strong verbal and written communication skills to collaborate with internal teams, patients, physicians' offices, and insurance providers. Organizational Skills: Excellent organizational skills with the ability to manage multiple priorities, meet deadlines, and ensure timely resolution of escalations. Benefits Medical, Dental, and Vision Insurance Life Insurance coverage Paid time off and Holiday Pay 401K with company match option Growth opportunities Join a team where your work has real impact. Apply today and help transform the lives of people living with diabetes!