Billing Specialist jobs at CareSTL Health

Are you looking to join a phenomenal team where patient care is at the center of everything we do? Look no further! Day 8-10 hours per week preferred RPSGT or RRT required BLS preferred The Opportunity: The Polysomnographic Specialist performs all aspects of care as outlined in national and departmental clinical standard of practice policy and procedure manual and in accordance with written verbal orders or approved protocol flow charts. This position will assist with MSLT and home sleep study set-ups. Clinical practice activities include but are not limited to the performance of diagnostic polysomnographic testing, assessment based therapeutic interventions and the analysis and scoring of polysomnographic records. The Polysomnographic Specialist accountabilities include the assessment and evaluation of histories and physicals, diagnostic, clinical and sleep related data pursuant to the development and monitoring of planned interventions in collaboration with the medical staff. The Polysomnographic Specialist supports and participates as appropriate in staff meetings, study quality, adherence to departmental protocols, continuing education, and professional growth development activities and performs other duties as assigned. Why Saint Luke's? We believe in work/life balance. We are dedicated to innovation and always looking for ways to improve. We believe in creating a collaborative environment where all voices are heard. We are here for you and will support you in achieving your goals. #LI-CK2 Job Requirements Applicable Experience: Less than 1 year Basic Life Support - American Heart Association or Red Cross, Polysomnographic Technologist - Board of Registered Polysomnographic Technologists Job Details PRN Day (United States of America) The best place to get care. The best place to give care . Saint Luke's 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke's means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter. Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.

:The Registration Specialist is responsible for assisting patients during the on-site registration and arrival process for scheduled and unscheduled visits as well as completing financial clearance functions. This individual completes the registration for scheduled and unscheduled visits by collecting accurate demographic information, insurance information, and handling patient financial obligation at the time of service. This individual is also responsible for financial clearance functions on assigned scheduled accounts during registration downtimes. The Registration Specialist II greets and serves patients and internal team members in a professional, friendly, and respectful manner to promote positive encounters. Some travel from site to site, as well as extended hours may be required of a Registration Specialist II based on business needs of the department. Education ▪ Required: High school diploma or equivalent Experience ▪ Preferred: At least 1-2 years prior registration experience Skills ▪ Proficient in using computers and computer systems ▪ Excellent customer service skills and ability to work with the public and co-workers ▪ Excellent verbal and written communication skills. ▪ Ability to multi-task in a fast-paced environment ▪ Able to work independently and collaboratively in a team Licensure/Certification/Registration ▪ N/A

:The Registration Specialist is responsible for assisting patients during the on-site registration and arrival process for scheduled and unscheduled visits as well as completing financial clearance functions. Make sure to read the full description below, and please apply immediately if you are confident you meet all the requirements. This individual completes the registration for scheduled and unscheduled visits by collecting accurate demographic information, insurance information, and handling patient financial obligation at the time of service. This individual is also responsible for financial clearance functions on assigned scheduled accounts during registration downtimes. The Registration Specialist II greets and serves patients and internal team members in a professional, friendly, and respectful manner to promote positive encounters. Some travel from site to site, as well as extended hours may be required of a Registration Specialist II based on business needs of the department. xevrcyc Education Required: High school diploma or equivalent Experience Preferred: At least 1-2 years prior registration experience Skills Proficient in using computers and computer systems Excellent customer service skills and ability to work with the public and co-workers Excellent verbal and written communication skills. Ability to multi-task in a fast-paced environment Able to work independently and collaboratively in a team Licensure/Certification/Registration N/A

:The Registration Specialist is responsible for assisting patients during the on-site registration and arrival process for scheduled and unscheduled visits as well as completing financial clearance functions. Make sure to read the full description below, and please apply immediately if you are confident you meet all the requirements. This individual completes the registration for scheduled and unscheduled visits by collecting accurate demographic information, insurance information, and handling patient financial obligation at the time of service. This individual is also responsible for financial clearance functions on assigned scheduled accounts during registration downtimes. The Registration Specialist II greets and serves patients and internal team members in a professional, friendly, and respectful manner to promote positive encounters. Some travel from site to site, as well as extended hours may be required of a Registration Specialist II based on business needs of the department. xevrcyc Education Required: High school diploma or equivalent Experience Preferred: At least 1-2 years prior registration experience Skills Proficient in using computers and computer systems Excellent customer service skills and ability to work with the public and co-workers Excellent verbal and written communication skills. Ability to multi-task in a fast-paced environment Able to work independently and collaboratively in a team Licensure/Certification/Registration N/A

:The Registration Specialist is responsible for assisting patients during the on-site registration and arrival process for scheduled and unscheduled visits as well as completing financial clearance functions. Make sure to read the full description below, and please apply immediately if you are confident you meet all the requirements. This individual completes the registration for scheduled and unscheduled visits by collecting accurate demographic information, insurance information, and handling patient financial obligation at the time of service. This individual is also responsible for financial clearance functions on assigned scheduled accounts during registration downtimes. The Registration Specialist II greets and serves patients and internal team members in a professional, friendly, and respectful manner to promote positive encounters. Some travel from site to site, as well as extended hours may be required of a Registration Specialist II based on business needs of the department. xevrcyc Education Required: High school diploma or equivalent Experience Preferred: At least 1-2 years prior registration experience Skills Proficient in using computers and computer systems Excellent customer service skills and ability to work with the public and co-workers Excellent verbal and written communication skills. Ability to multi-task in a fast-paced environment Able to work independently and collaboratively in a team Licensure/Certification/Registration N/A

Full-time Description PURPOSE STATEMENT This position is responsible for account resolution of assigned accounts once they have final billed until the balance becomes self-pay. ESSENTIAL FUNCTIONS Use AIDET when greeting patients/customers either on the phone or in person. Assist patients/customers with the concerns and questions on all bills from WMMC and WMMC clinics, as assigned. Trend claim denials, advises supervisor of trends in order to improve processes with the department. Follow up on denials aggressively with focus on AR reduction. Initial and subsequent follow up should be based on payer turnaround time and contract requirements. Complete the following duties daily, process late charges, correct claim rejections and maintain AR within current HARA benchmarks. Demonstrates the ability to maintain the responsible AR with no more than 30% over 90 days. All messages left before 330PM Monday through Friday must be returned with 2 hours. Handle inquiries from patients/customers as needed after identification has been verified. Assist co-workers as needed/requested. Maintain a positive rapport with all customers. Appropriately handles telephone and email communications. Support the Medical Center's Mission/Vision/Philosophy positively. Maintain regular and predictable attendance. Perform other essential duties as assigned. Requirements EDUCATION/EXPERIENCE/SKILL REQUIREMENTS High school diploma or equivalent. Previous medical billing/coding experience required. Good understanding of medical insurance billing/coding. Must be self-motivated and have the ability to work within the established policies, procedures and practices prescribed by the hospital/clinic. PHYSICAL/MENTAL REQUIREMENTS Must be able to sit and stand, intermittent 8 to 10 hours a day. Must be able to use standard office equipment, including the telephone and computer keyboard. Continuously works under pressure of near 100% accuracy while meeting inflexible deadlines. Continuously utilizes manual/bi-manual dexterity, near vision, speech, and hearing. Frequently stands, walks, sits and utilizes eye/hand coordination and color definition. Occasionally reaches above shoulder, regularly required to life and/or carry up to 40 lbs. Occasionally walks on uneven surfaces. Ability to travel 1% of the time, including flying and driving rental cars. To accommodate travel, must be able to transport own suitcases and portable computer estimated at 25 pounds.

Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: ENTRY LEVEL CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $16.50- $18.15/hr based on experience Please submit your interest to this job only if you plan to attend or attended the Indeed Hiring Event for Physician Billing Specialist (PRC) on September 25, 2025. We look forward to connecting with you! The Specialist of Billing performs all billing, correspondence, and scanning activities across the organization. Job duties include, but are not limited to, managing client billing and ensuring procedures are billed according to contracts, reviewing and updating client statements as necessary, printing and mailing all paper and secondary claims, scanning documents to patient accounts, and reviewing correspondence and following up as needed. They will perform these duties while meeting the mission and goals of the organization, as well as meeting the regulatory compliance requirements. Job Responsibilities : Billing Specialists responsibilities include managing client billing and ensuring procedures are billed according to contracts, reviewing and updating client statements as necessary, printing and mailing all paper and secondary claims, scanning documents to patient accounts, and reviewing correspondence and following up as needed. Performs other duties as assigned Minimum Education: High School Diploma/GED Required Certifications: Certified Revenue Cycle Representative (CRCR) required within 9 months of hire -Company Paid Experience We Love : Required: 1-2 years' experience hospital billing. Experience in hospital operations, compliance and provider relations preferred. Insurance Follow-up experience Home health care experience ( Billing side) Epic experience Medicare, Medicaid, HMO and managed care experience Preferred Dorothy Experience Join an award-winning company Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023-2024 Innovation Work-Life Flexibility Leadership Purpose + Values Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include: Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation. Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company. Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************. This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range. EEOC - Know Your Rights FMLA Rights - English La FMLA Español E-Verify Participating Employer (English and Spanish) Know your Rights

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 Required Qualifications: Two years medical office reimbursement experience. Preferred Qualifications: High school diploma or GED. 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 Required Qualifications: Two years medical office reimbursement experience. Preferred Qualifications: High school diploma or GED. 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

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

Our Mission To improve the health of the communities we serve through contemporary, innovative, quality healthcare solutions. About Us - Physician Reimbursement Center (PRC) * Located inside the Freeman Business Center * Vital part of our revenue cycle * Our team consists of over eighty professionals that assure reimbursement for the valued services our clinicians provide Schedule: Full Time Monday -Friday (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. Requirements: Medical Billing Experience Preferred Qualifications: 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) * 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 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 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 2025-13295

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? The HCBS Biller is responsible for accurately billing and submitting claims for Home and Community-Based Services (HCBS) provided to clients. This role ensures compliance with Medicaid, Medicare, and managed care organization (MCO) requirements, and performs timely follow-up on denied or unpaid claims. The HCBS Biller works closely with the community, case managers, county assistance staff and insurance companies to ensure maximum reimbursement for services rendered.. Key Responsibilities: Prepare and submit accurate billing claims for HCBS services to Medicaid, MCOs, and other payers. Verify client eligibility and authorizations prior to billing. Review service documentation for completeness and compliance before submitting claims. Track claim status and resolve denials, rejections, or payment discrepancies in a timely manner. Post payments and adjustments to client accounts in the billing system. Communicate with providers, case managers, and payers to resolve billing issues. Maintain accurate and organized billing records and documentation. Stay up-to-date with HCBS billing regulations, Medicaid rules, and payer-specific requirements. Generate and review reports to ensure timely claim submission and follow-up. Support audits and compliance reviews as needed 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 2025-13288

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. Preferred Family Health Care 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

Soleo Health is seeking a Billing Specialist to support our Specialty Infusion Pharmacy in Chesterfield, MO. Join us in Simplifying Complex Care! Home infusion experience required and must work Monday-Friday 8a-4:30p Eastern at our Chesterfield office as needed. Soleo Health Perks: Competitive Wages 401(k) with a Match Referral Bonus Paid Time Off Great Company Culture Annual Merit Based Increases No Weekends or Holidays Paid Parental Leave Options Affordable Medical, Dental, and Vision Insurance Plans Company Paid Disability and Basic Life Insurance HSA and FSA (including dependent care) Options Education Assistance Program The Position: The Billing Specialist will primarily be responsible for insurance and self-pay billing, excluding Medicare. This role is also responsible for submitting electronic and paper claims. Follows up with clearing house vendors on accepted and working rejections. Responsibilities include: Preparation of accurate medical claims based on contracted agreements for services to various payers (e.g. Commercial Payers, Government Payers, Employer/ Institutional Payers). Reviewing and identifying claims pricing discrepancies based on updates/changes to fee schedules. Creates and submits secondary electronic pharmacy and medical claims in a timely manner. Billing of manufacturer copays, which includes entering the necessary information into portal or billing via paper at time of initial billing. Monitors billing requirements pursuant to contracts with third party payers or government programs. Answer insurance/billing questions from branch staff and help educate. Review information from electronic medical records in patient account (IE: auth, benefit verification, orders, accounts receivable, etc.) to ensure preparation and submission of clean claims. Perform routine revenue review of claims billed within the current month. Answering incoming calls and triage if necessary. Create claim batches and process them via electronic submission. Manually process any claims that are not eligible for electronic billing. Identify any claims that need attention, make corrections, and resubmit. Ensure coding to the highest level of specificity and for maximum reimbursement by third party payers. Daily review and follow up of unbilled delivery tickets in billing review and ready to bill queues. Accurately notate patient accounts to reflect all actions made including marginal, split claim notes, missing COGS, etc. Coordinates with the pharmacy team daily to ensure any PBM issues are addressed and resolved, accepted into revenue and billed timely. Effectively utilize time and resources to meet performance goals. Provides exceptional Customer service to internal and external customers. Ensures compliance with federal, state, and local governments, third party contracts, and company policies. Monitoring the unbilled-pending invoices queues and communicate to the branch on missing or needed documents or information. Maintain current knowledge of departmental and organizational policies. Schedule: Monday-Friday 8a-4:30p Eastern in Chesterfield as needed Requirements Home infusion experience required. High School Diploma or equivalent. 1+ years' experience in medical billing preferred. Knowledge of HCPC coding and medical terminology. Experience providing customer service to internal and external customers. Must be dependable. Excellent phone and email communication skills. Working knowledge of ICD10, CPT, NCCI; must be familiar with modifier application and standard billing regulations. The ideal candidate will have experience with infusion and specialty pharmacy billing About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo's Core Values: Improve patients' lives every day Be passionate in everything you do Encourage unlimited ideas and creative thinking Make decisions as if you own the company Do the right thing Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: billing, accounts receivable, now hiring, hiring immediately, representative

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!

MEDICAL BILLING EXPERIENCE REQUIRED! NOW HIRING: Medical Billing Manager - Take the Lead in Healthcare Excellence 🚨 St. Louis, MO | Full-Time | $50,000-$55,000 + Full Benefits Are you a billing pro ready to step up and lead? Do you know full-cycle medical billing like the back of your hand? Can you walk into a room of execs and walk out with their respect? If you're nodding yes-we want to meet you. Job Description: We're seeking a sharp, motivated Medical Billing Manager with 2-5 years of experience, with at least 2 years in a lead or supervisory role. You'll guide our billing team, streamline processes, and drive accuracy in everything from claims submission to denial resolution. Job Duties: Managing the full medical billing lifecycle-from charge entry to collections Leading and motivating a team of billing staff Presenting trend reports and insights to leadership Ensuring claims comply with Medicare/Medicaid, commercial payer, and HIPAA standards Identifying process gaps and implementing improvements Training new staff and being the go-to expert for billing operations What You Bring to the Table: 2-5 years of medical billing experience (with 2+ years in a supervisory role) Expertise in CPT, ICD-10, HCPCS, Medicare/Medicaid, and commercial insurance Experience with billing platforms like Emomed, Trizetto, Gateway EDI, Availity, or Waystar Excel wizardry (pivot tables? formulas?) Strong organizational, communication, and analytical skills Confidence to lead meetings and present to executives with ease What We Offer: Pay: $50,000-$55,000 annually Time Off: Paid Holidays + PTO Health: Medical, Dental, Vision, Life, Short-Term Disability Perks: Tuition Scholarship Program + Voluntary Benefits Culture: Collaborative, mission-driven, and rooted in integrity Why You Should Apply: Because you're not just looking for another job-you're looking for a place to lead, grow, and make an impact in healthcare. Ready to make your next move? Apply now and let's build something better-together.