Accounts Receivable Specialist jobs at Change Healthcare - 668 jobs
Supervisor Patient Care
Akron Children's Hospital 4.8
Akron, OH jobs
Full Time 36 hours/week 7pm-7am
onsite
The Supervisor Patient Care is responsible for nursing operations and patient care delivery across multiple units during assigned shifts. This role is responsible for staffing management and coordination among hospital departments. The Supervisor collaborates with the Transfer Center for patient placement and throughput, responds to emergencies and codes, and activates the Hospital Emergency Incident Command, when necessary, potentially serving as the Incident Commander
Responsibilities:
1.Understands the business, financials industry trends, patient needs, and organizational strategy.
2.Provides support and assistance to nursing staff to ensure adherence to patient care protocols and quality standards.
3. Assist in monitoring the department budget and helps maintain expenditure controls.
4. Promotes and maintains quality care by supporting nursing staff in the delivery of care during assigned shifts.
5. Visits patient care units to assess patient conditions, evaluates staffing needs and provides support to caregivers.
6. Communicates with the appropriate Nursing Management staff member [VP of Patient Services, Directors of Nursing and Nurse Managers] about any circumstances or situations which has or may have serious impact to patients, staff or hospital.
7. Assist in decision-making processes and notifies the Administrator on call when necessary.
8. Collaborates with nursing and hospital staff to ensure the operational aspects of patient care units are maintained effectively.
9. Supports the nursing philosophy and objectives of the hospital by participating in educational efforts and adhering to policies and procedures.
10. Other duties as assigned.
Other information:
Technical Expertise
1. Experience in clinical pediatrics is required.
2. Experience working with all levels within an organization is required.
3. Experience in healthcare is preferred.
4. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required.
Education and Experience
1. Education: Graduate from an accredited School of Nursing; Bachelor of Science in Nursing (BSN) is required.
2. Licensure: Currently licensed to practice nursing as a Registered Nurse in the State of Ohio is required.
3. Certification: Current Health Care Provider BLS is required; PALS, NRP, ACLS or TNCC is preferred.
4. Years of relevant experience: Minimum 3 years of nursing experience required.
5. Years of supervisory experience: Previous Charge Nurse, Clinical Coordinator, or other leadership experience is preferred.
Full Time
FTE: 0.900000
Status: Onsite
$52k-69k yearly est. 13d ago
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AP/AR Coordinator II
Alvis, Inc. 3.9
Columbus, OH jobs
Career Details: We are seeking a passionate Accounts Payable Coordinator to perform a variety of duties to maintain accounting records including calculations, deposits, answer inquiries, process payments and provide statements. The accountant will support more experienced professionals by completing tasks as assigned and may provide support to multiple staff members. Verifies billing data and prepares information for invoicing and providing routine accounting services.
Requirements
Qualifications:
Education: Associate's degree in accounting preferred; finance or business, or the equivalency of a High School diploma and two to four years' experience in accounting, bookkeeping or related field.
MUST HAVE A VALID DRIVER'S LICENSE
Experience: 2-4 years' experience in bookkeeping, accounting or related field, which includes use of accounting software applications (e.g., QuickBooks, Excel).
Skills and Abilities: Computer Skills: Proficient in all Microsoft office applications and skilled in operation of personal computer, peripheral equipment (e.g., copier, fax, printers).
$32k-39k yearly est. 2d ago
Billings Clerk
All Pro Recruiting LLC 4.4
Cleveland, OH jobs
Purpose: This position is responsible for all phases of client billing, which may include: performing edits, billing, write-offs, and time transfers. Essential Job Functions: 1. Print and distribute pre-bills monthly to billing attorneys. 2. Edit invoices monthly in a timely manner based on comments received from billing attorneys.
3. Invoice and bill clients in the accounting system each month in a timely manner. This includes clients that are billed electronically.
4. Perform client and matter changes within the accounting system.
5. Process write-offs within the accounting system in accordance with company policy.
6. Work with clients and attorneys in a timely manner to answer inquiries and provide analysis of billings.
7. Perform other tasks as assigned.
Required Qualifications: Knowledge, Skills, Abilities and Personal Characteristics
1. High attention to detail; organized.
2. Developed knowledge of basic billing knowledge.
3. Effective interpersonal skills; strong oral and written communication skills.
4. High degree of initiative and independent judgment.
5. Computer skills: accounting system (3E experience preferred), word processing, and spreadsheet capabilities.
$32k-44k yearly est. 2d ago
Billing Specialist
Spooner Medical Administrators, Inc. 2.7
Westlake, OH jobs
Spooner Medical Administrators, Incorporated (SMAI) is a family owned and operated company that offers rewarding career opportunities for motivated individuals who are passionate about excellence and growth. Since 1997, SMAI's proactive philosophy and best practices have set the standard in workers' compensation by continuously improving the delivery of case management, utilization review and billing services to help facilitate a successful return to work for the injured worker.
The Billing Specialist is primarily responsible for reviewing, auditing and data entry of bills submitted by medical providers for compliance with proper billing practices.
Essential Functions
Review bills to determine if the information needed to process the bill has been received and contact the medical provider for any missing information.
Perform fee bill audits according to established procedures and guidelines.
Data enter fee fills accurately for electronic transmission.
Adhere to established billing performance requirements.
Review electronic response to transmitted bills and make modifications accordingly.
Respond to telephone inquiries from customers regarding bill payment status.
Participate in continuous improvement activities and other duties as assigned.
Supervision Received
Reports to the Billing Supervisor
Experience and Education Required
Medical billing certification or at least 2 years of experience working in the medical billing field
Data entry experience
Additional Skills Needed
Effective written and verbal communication
Detail oriented
Strong organizational ability
Basic computer literacy skills
Working Environment
The work environment characteristics described herein are representative of those an employee encounters while performing the essential functions of the job. While performing the duties of this job, the employee typically works in a normal office environment. The noise level in the work environment is usually quiet.
$28k-33k yearly est. 3d ago
Enterprise Accreditation Specialist III
Caresource 4.9
Dayton, OH jobs
The Enterprise Accreditation Specialist III is responsible for supporting the organization to obtain and maintain appropriate accreditations, distinctions and recognitions through NCQA, URAC or other accrediting bodies. This person will serve as the subject matter expert for various accreditations, including but not limited to NCQA Health Plan Accreditation, LTSS Distinction, Health Equity, UM, and Population Health. This person will work cross-functionally with business owners to identify gaps and deficiencies between current processes and the accreditation requirements and assist in implementing any necessary mitigation activities as needed. They will also ensure all changes made by accrediting bodies are communicated and incorporated into business processes.
Essential Functions:
Serve as subject matter expert in accreditation standards, including NCQA Health Plan, LTSS Distinction, Health Equity, UM and Population Health.
Clearly define deliverables associated with delegation agreements including appropriate responsible parties
Maintain a strong understanding of the business processes within the assigned Market
Collaborate with the business owners to obtain documents, reports, and materials for accreditation submission
Provide oversight and monitoring of all surveys and deliverables within assigned Market
Monitor, track, and document deliverables related to accreditation process by applying accreditation standards to CareSource processes and documents in conjunction with the business owners
Act as advisor to business areas on appropriate documentation and data analysis needs for required improvement opportunities to meet the intent of the NCQA standards
Maintain an in-depth knowledge of the standards within the scope of work and ensure that changes made by NCQA are communicated and incorporated into business processes
Review and analyze documents, reports, and materials for submission. Ensures accuracy prior to submission
Facilitate ongoing annual qualitative and quantitative analyses, assuring business owners are acting on their opportunities for improvement
Responsible for preparing materials including but not limited to updating and reformatting for submission to accrediting entities in accordance with standards, coordinating efforts with internal business owners, and tracking readiness against work plans and timelines
Manage survey submission process for assigned Market
Maintain accreditation roadmaps/workplans
Identify and communicate survey status, gaps, and escalations and ensure mitigation plans are implemented, gaps are closed and escalations are resolved
Provide management recommendations for improvement related to accreditation processes and document processes
Ensure all workplans and dashboards are updated for reporting
Manage and execute on multiple module activities
consistency
Perform a variety of complex work in planning, coordinating, and managing accreditation activities
Provide education to staff and business owners on accreditation standards and provide timely updates to affected departments including accreditation activities, survey dates and timelines for deliverables
Act as a mentor to the Accreditation Specialist II
Assist with the onboarding of new team members on module and Market specific requirements
Participate in Market Quality Committees and other applicable committees as required
Perform any other job duties as assigned
Education and Experience:
Bachelor's degree in science, arts, healthcare or other related field or equivalent years of relevant work experience is required.
Minimum of three (3) years of experience in a Managed Care Organization or other healthcare related field is required
Project Management Experience is preferred
Accreditation experience is required
Knowledge of IHI, DMAIC, or other process improvement methodologies preferred
Competencies, Knowledge and Skills:
Knowledge of accreditation bodies and various forms of accreditations, distinctions and recognitions.
Expert knowledge of the NCQA Submission process
Strong interpersonal skills and high level of professionalism
Strong critical thinking/listening skills
Excellent problem-solving skills with strong attention to detail
Excellent written and verbal communication skills
Ability to work independently and within a team environment
Ability to develop, prioritize and accomplish goals
Analytical and organizational skills
Ability to coordinate complex projects and multiple meetings
Proficient in Microsoft Office Suite to include Word, Excel, Adobe Pro and SharePoint
Excellent written and verbal communication skills
Proficient knowledge of the healthcare field and with Medicaid, Medicare, and Marketplace
Training/teaching and technical writing skills
Licensure and Certification:
None
Working Conditions:
General office environment; may be required to sit or stand for extended periods of time
Compensation Range:
$62,700.00 - $100,400.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type:
Salary
Competencies:
- Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business
This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
#LI-JM1
$62.7k-100.4k yearly 4d ago
AR Specialist I - REMOTE
Umass Memorial Health 4.5
Worcester, MA jobs
Are you a current UMass Memorial Health caregiver? Apply now through Workday.
Exemption Status:
Non-Exempt
Hiring Range:
$19.74 - $30.80
Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations.
Schedule Details:
Monday through Friday
Scheduled Hours:
8-430
Shift:
1 - Day Shift, 8 Hours (United States of America)
Hours:
40
Cost Center:
99940 - 5436 Med Specs Ancillary Pod Ar
Union:
SHARE (State Healthcare and Research Employees)
This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.
Everyone Is a Caregiver
At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.
Responsible for follow-up of complex claims for payment.
I. Major Responsibilities:
1. Calls insurance companies and utilizes payor web-sites while working detailed reports to secure outstanding payments.
2. Reviews rejections in assigned payors and plans to determine validity of rejection and takes appropriate action to resolve the invoice.
3. Calculates and posts adjustments based on third party reimbursement guidelines and contracts.
4. Makes appropriate payor and plan changes to secondary insurers or responsible parties.
5. Inputs missing data as required and corrects registration and other errors as indicated.
Standard Staffing Level Responsibilities:
1. Complies with established departmental policies, procedures and objectives.
2. Attends variety of meetings, conferences, seminars as required or directed.
3. Demonstrates use of Quality Improvement in daily operations.
4. Complies with all health and safety regulations and requirements.
5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors.
6. Maintains, regular, reliable, and predictable attendance.
7. Performs other similar and related duties as required or directed.
All responsibilities are essential job functions.
II. Position Qualifications:
License/Certification/Education:
Required:
1. High School Diploma
Experience/Skills:
Required:
1. Previous Revenue Cycle knowledge in one of the following areas including PFS, Customer Service, Cash Posting, Financial Assistance, Patient Access, HIM/Coding and/or 3rd party Reimbursement.
2. Ability to perform assigned tasks efficiently and in timely manner.
3. Ability to work collaboratively and effectively with people.
4. Exceptional communication and interpersonal skills.
Preferred:
1. One or more years of experience in health care billing functions.
Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.
Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents.
III. Physical Demands and Environmental Conditions:
Work is considered sedentary. Position requires work indoors in a normal office environment.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.
As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.
If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.
$19.7-30.8 hourly Auto-Apply 44d ago
Billing Coordinator - CTI Pulmonology and Thoracic Surgery (hybrid)
Northwestern Memorial Healthcare 4.3
Chicago, IL jobs
Company DescriptionAt Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better?
Job Description
Performs charge capture for all procedures completed in the Bronchoscopy suite. This includes:
Audit of CPT codes associated with each procedure
Confirmation of supplies used and verification of alignment with operative notes
Assists patients with billing and insurance related matters including communicating with patients regarding balances owed and other financial issues and facilitating collection of balances owed.
Educates patients about financial assistance opportunities, insurance coverage, treatment costs, and clinic billing policies and procedures.
Collaborates closely with physicians and technicians to understand treatment plans and determine costs associated with these plans; Works closely with the staff on managed care and referral related issues; communicates findings to patients.
Coordinates the pre-certification process with the clinical staff as it relates to procedures in the Bronchoscopy Suite and Operating Rooms
Handles billing inquiries received via telephone or via written correspondence.
Responsible for thoroughly investigating and understanding financial resources or programs that may be available to patients and educating staff and patients about these programs.
Conducts precertification for appropriate tests or procedures and facilitates the process with managed care and the clinical team. Documents all information and authorization numbers in Epic and acts as a liaison for follow-up related to precertification.
Performs activities and responds to patient inquiries related to billing follow-up.
Requests necessary charge corrections.
Identifies patterns of billing errors and works collaboratively with department manager and outside entity to improve processes as needed.
Provides guidance regarding clinical documentation to optimize charges and RVUs
Confirms coding accuracy based on clinical documentation and reviews common errors or misses with physicians and leadership.
The Billing Coordinator reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
The Billing Coordinator is responsible for processing charges, payments and/or adjustments for all services rendered at all NM Corporate Health Clinics. Researches and follows- up on all outstanding accounts. Answers all calls regarding charges and claims, providing exceptional customer service to all callers. Possesses extensive knowledge of coding, billing, insurance and collections procedures and coordinates the accountsreceivable functions. Performs weekly claims, monthly late bills and patient statement runs and reviews accounts to be placed with an outside collection agency.
RESPONSIBILITIES:
Department Operations
Ensures patient demographic and billing/insurance information is kept current in the computer application. Documents all patient and company contacts.
Reviews daily clinic schedules and tracks receipt of documentation to assure completeness of charge capture.
Ensures notes are is placed in systems, clearly identifying steps taken, according to established procedures.
Works with patients/clients to establish payment plans according to predetermined procedures.
Handles all incoming customer service calls in a professional and efficient manner. Provides exceptional service to all customers, guarantors, patients, internal and external contacts.
Prepares itemized bill upon request; explains charges, payments and adjustments. Produces a clear and understandable statement to individuals on any outstanding account balance.
Responsible for timely submission of accurate bills and invoices to clients, patients and insurance companies.
Ensures timely posting of all charges, payments, denials and write-offs to the appropriate account, maintaining the highest level of quality for each transaction processed within 48 hours of receipt.
Responsible for balancing each payment and adjustment batch with reconciliation report and bank account deposits after completion.
Ensures compliant follow up procedures are followed, to third party payers regarding outstanding accountsreceivables.
Run outstanding A/R reports, follow-up on unpaid claims or balances with insurance companies, patients, and collection agency, as defined by department.
Perform daily systematic review of accountsreceivable to ensure all accounts ready to be worked are completed.
Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation.
Denials and appeals follow-up including root cause analysis to reduce/prevent future denials.
Reviews, prepares and sends pre-collection letters as defined by department procedures.
Identifies and sends accounts to outside collection agency.
Prepares and distributes reports that are required by finance, accounting, and operations.
Handles all work in an accurate and timely manner, consistently meets or exceeds productivity standards, quality standards, department goals and deadlines established by the team.
Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices.
Identify opportunities for process improvement and submit to management.
Demonstrate proficient use of systems and execution of processes in all areas of responsibilities.
Communication and Teamwork
Fosters and maintains positive relationships with the Corporate Health team, Human Resources, NM employees and physicians.
Provides courteous and prompt customer service. Answers the telephone in a courteous professional manner, directs calls and takes messages as appropriate. Checks for messages and returns calls.
Demonstrates teamwork by helping co-workers within and across departments. Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others.
Communicates appropriately and clearly to physicians, manager, nursing staff, front office staff, and employees. Maintains a good working relationship within the department. Organizes time and department schedule well. Demonstrates a positive attitude.
Service Excellence
Displays a friendly, approachable, professional demeanor and appearance.
Partners collaboratively with the functional areas across Northwestern Medicine in support of organizational and team objectives.
Fosters the development and maintenance of a cohesive, high-energy, collaborative, and quality-focused team.
Supports a “Safety Always” culture.
Maintaining confidentiality of employee and/or patient information.
Sensitive to time and budget constraints.
Other duties as assigned.
Qualifications
Required:
High school graduate or equivalent.
Strong Computer knowledge, data entry skills in Microsoft Excel and Word.
Thorough understanding of insurance billing procedures, ICD-10, and CPT coding.
3 years of physician office/medical billing experience.
Ability to communicate clearly and effectively, both orally and in writing, at all levels within and outside the organization.
Ability to work independently.
Preferred:
3 years of physician office/medical billing experience in Corporate Health/Occupational Health a plus.
CPC (Certified Professional Coder) or R (Registered Medical Coder) Certificate a plus.
Additional Information
Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
Background Check
Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act.
Artificial Intelligence Disclosure
Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.
$45k-58k yearly est. 28d ago
Physician Practice AR Collection Specialist, Remote, BHMG Revenue Management, FT, 08A-4:30P
Baptist Health South Florida 4.5
Remote
Provides AR/follow up including denial management support to collect on outstanding accountsreceivables. Complies with payer filing deadlines by utilizing all available resources to resolve held claims, Assures all known regulatory, contractual, compliance, and BHSF guidelines are adhered to with regards to claim billing processes. Communicates with various teams within the organization. Utilizes coding compliance and understanding of ICD-9, CPT-4 and associated modifiers to resolve claims management issues. Estimated pay range for this position is $18.87 - $22.83 / hour depending on experience. Degrees:
* High School,Cert,GED,Trn,Exper.
Additional Qualifications:
* One of the following certifications is preferred: CPC-A (AAPC Certified Professional Coder), CCA (AHIMA Certified Coding Associate), CCS (AHIMA Certified Coding Specialist), CCS-P (AHIMA Certified Coding Specialist - Physician-Based), NCIS (NCCT,National Certified Insurance Specialist) ,Other recognized coding and billing certifications may also be considered.
* Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers.
* Excellent computer proficiency (MS Office - Word, Excel, and Outlook).
* Knowledge of physician billing, regulatory and compliance guidelines.
* Knowdledge of ICD-10, HCPCS, CPT-4 and modifiers.
* Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service.
* Ability to work independent and carry out completion of workload.
Minimum Required Experience: 2 Years
$18.9-22.8 hourly 30d ago
Specialist I, Billing & AR
AMN Healthcare 4.5
Remote
Welcome to AMN Healthcare - Where Talent Meets Purpose
Ever wondered what it takes to build one of the largest and most respected healthcare staffing and total talent solutions companies? It takes trailblazers, innovators, and exceptional people like you.
At AMN Healthcare, we don't just offer jobs - we build careers that make a difference.
Why AMN Healthcare? Because Excellence Is Our Standard:
Named to
Becker's Top 150 Places to Work in Healthcare
- three years running.
Consistently ranked among
SIA's Largest Staffing Firms in America
.
Honored with
Modern Healthcare's Innovators Award
for driving change through innovation.
Proud holder of
The Joint Commission's Gold Seal of Approval for Staffing Companies
since 2006.
Job Summary
The Specialist I, Client AccountsReceivable manages portfolios and is responsible for the timely conversion of receivables into cash in line with established client policies, procedures, and goals. This role administrates portfolios of clients, collects on past due accounts, and responsible for reporting and metrics provided to the team. This position provides assistance to their client accounting representatives with questions, issues, and reconciliations.
Job Responsibilities
Collects on past due accounts and partners with clients to bring those accounts back to current status to ensure Daily Sales Outstanding (DSO) and company cash objectives are met.
Provides outstanding customer service to internal and external clients, identifies root causes of disputes, and works with the necessary departments to resolve the problem to prevent future disputes.
Efficiently maintains the AccountsReceivable portfolio and provide updates to Client AccountsReceivable Leadership regarding potential high risk accounts to ensure rapid collections.
Builds, runs, and reconciles Excel reports to reach team objectives. Details interactions in client databases such as PeopleSoft, Salesforce, Great Plains, Fieldglass and AMN Vendor Management Systems software.
Prepares adjustments, refunds, and payment applications in accordance with Client AccountsReceivable procedures.
Must be knowledgeable of client contracts, billing and timekeeping processes, aware of booking limits and exposure to accurately service accounts.
Key Skills
Outstanding Communication
Customer Service Focus
Confidentiality
Interpersonal Skills
Qualifications
Education & Years of Experience
High School Diploma/GED plus 2-5 years of work experience
Additional Experience
AccountsReceivable, billing, customer service or other relevant office experience
Work Environment / Physical Requirements
Work is performed in an office/home office environment.
Team Members must have the ability to operate standard office equipment and keyboards.
AMN Healthcare will provide reasonable accommodations to qualified individuals with disabilities to enable them to perform the essential functions of the job.
Our Core Values
● Respect ● Passion ● Continuous Improvement ● Trust ● Customer Focus ● Innovation
At AMN we embrace the ways we are similar and different; respecting all voices and ensuring everyone has the opportunity to contribute to our collective success. We acknowledge our shared responsibility to foster a welcoming environment where everyone feels recognized and valued. We cast a wide net to recruit and retain competitive talent and build healthcare workforces supportive of the communities we serve. We believe in the power of compassion and collaboration to build healthy communities where access to quality care is available to all. Equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities.
At AMN we recognize that in-person connections have value and promote collaboration. You will be expected to come into an AMN Healthcare office at a frequency dependent on the work arrangement for your role.
Pay Rate$21.00 - $24.75 Hourly
Final pay rate is dependent on experience, training, education, and location.
$21-24.8 hourly Auto-Apply 3d ago
RCM Patient Accounts Receivable Specialist (Greenville/Spartanburg/Anderson Area only - Remote)
Ob Hospitalist Group Corporate 4.2
Greenville, SC jobs
RCM Patient AccountsReceivableSpecialist
Location: Remote (Upstate, SC Preferred). This is a remote position; however, candidates must reside in the Upstate South Carolina area and be within reasonable commuting distance to our corporate headquarters in Greenville, SC, as occasional in-office presence may be required.
Employment Type: Non-Exempt, Full-Time, Benefit Eligible
Hourly Compensation Range: $20.00 - $24.00 per hour
Compensation is commensurate with experience, skills, and internal equity.
About the Position:
The RCM Patient AccountsReceivableSpecialist plays a key role within the Revenue Cycle Management team and is responsible for supporting the reduction of accountsreceivable (AR) days, increasing net collections, reducing aged AR balances (120+ days), and improving overall cash collections. This position partners closely with billing vendors and third-party payors to research, resolve, and follow up on patient accounts while ensuring accuracy, compliance, and data security.
Essential Duties & Responsibilities
Research and resolve patient account issues by communicating with billing vendors and third-party payors to verify claim status and demographic information
Prioritize daily workload using aging reports, account balances, and management-directed priorities
Investigate and pursue unpaid claims with third-party payors until resolution is achieved
Apply strong working knowledge of third-party payor rules and guidelines, with an emphasis on State Medicaid plans
Maintain compliance with all Protected Health Information (PHI) security requirements
Ensure consistent processing standards with a high level of accuracy and low error rates
Collect, document, and forward account updates to billing vendors, including insurance submissions, payment postings, and removal from collections
Respond to Requests for Additional Information (RAIs) and provide direction on next steps
Resolve claim errors, demographic discrepancies, duplicate claims, and coverage issues within assigned work queues
Perform additional duties as assigned to support Revenue Cycle operations
Required Qualifications
Experience with insurance collections, including Medicaid, Managed Care, BCBS, and Commercial accounts
Knowledge of medical billing procedures, health plans, and claims processing
Strong organizational skills with high attention to detail
Proficiency in Microsoft Word and Excel
Experience working with medical billing systems (e.g., EPIC, Allscripts, McKesson, or similar platforms)
High School Diploma or equivalent
Preferred Qualifications
Understanding of medical terminology, including ICD-9 and CPT codes
Strong professional phone presence and customer service skills
Experience supporting multi-state or multi-location billing environments
Advanced proficiency in Microsoft Excel
Work Environment & Physical Demands
Primarily sedentary role requiring extended periods of sitting
Occasional travel to offsite or in-office meetings may be required
Why Join OBHG:
Join the forefront of women's healthcare with OB Hospitalist Group (OBHG), the nation's largest and only dedicated provider of customized obstetric hospitalist programs. Celebrating over 19 years of pioneering excellence, OBHG has transformed the landscape of maternal health. Our mission-driven company offers a unique opportunity to elevate the standard of women's healthcare, providing 24/7 real-time triage and hospital-based obstetric coverage across the United States. If you are driven to join a team that makes a real difference in the lives of women and newborns and thrive in a collaborative environment that fosters innovation and excellence, OBHG is your next career destination!
What We Offer - The Good Stuff:
A mission based company with an amazing company culture
Paid time off & holidays so you can spend time with the people you love
Medical, dental, and vision insurance for you and your loved ones
Health Savings Account (with employer contribution) or Flexible Spending Account options
Employer Paid Basic Life and AD&D Insurance
Employer Paid Short- and Long-Term Disability w Optional Short Term Disability Buy-up plan
Paid Parental Leave
401(k) Savings Plan with match
Legal Plan & Identity Theft Services
Mental health support and resources
$20-24 hourly 22d ago
AR II Specialist - Hybrid Position
Methodist Health System 4.7
Dallas, TX jobs
We are seeking an experienced AccountsReceivable II (AR II) Specialist specializing in Professional Billing to join our team at our Central Business Office (CBO) location. The ideal candidate will possess a strong background in A/R follow up for family and multi-specialty claims, able to identify, address, and resolve no response claims, denied claims, and correspondence. As an AR II Specialist, you will play a crucial role in optimizing revenue flow by effectively managing outstanding accountsreceivable and ensuring timely reimbursement.
Job Requirements:
High School Diploma required
College degree preferred
Two to four years of experience in healthcare revenue cycle management.
Proficiency in medical billing software EPIC and electronic health record (EHR) systems.
Strong knowledge of healthcare billing processes, medical terminology, CPT, ICD-10 coding, and billing regulations.
Excellent analytical skills with the ability to identify patterns, trends, and discrepancies in claims.
Effective communication and interpersonal skills, with the ability to interact professionally with internal and external stakeholders.
Detail-oriented with a focus on accuracy and thoroughness in claim analysis, documentation, and reporting.
Ability to prioritize tasks, meet deadlines, productivity goals and work efficiently in a fast-paced environment.
Certification in medical coding (e.g., CPC) or revenue cycle management (e.g., CRCR) is a plus.
Position requires 90-day probationary period to be successfully completed before being approved to work from home. WFH schedule based on business needs.
Job Responsibilities:
Analyze and review outstanding claims, focusing on those with no response or denials. Identify and rectify errors, discrepancies, and missing information to resubmit claims promptly and accurately.
Investigate and address claim denials promptly. Utilize knowledge of payer policies, medical coding guidelines, and billing regulations to appeal denials and secure rightful reimbursement.
Manage all incoming correspondence related to accountsreceivable, including explanation of benefits (EOBs), remittance advice (RA), and other payer communications. Take necessary actions based on correspondence received, such as claim corrections, appeals, or adjustments.
Conduct thorough follow-up on aging accountsreceivable, prioritizing those with no response or denied claims. Utilize various communication channels to contact payers, patients, and other relevant parties to resolve outstanding balances and secure payment.
Stay up-to-date with changes in healthcare regulations, coding guidelines, and billing requirements. Ensure compliance with HIPAA, CMS, and other regulatory standards governing healthcare billing and reimbursement.
Collaborate closely with internal departments, including providers, coders, and billing staff, to resolve complex billing issues and streamline revenue cycle processes. Communicate effectively with external stakeholders, such as payers and patients, to facilitate resolution of outstanding accountsreceivable.
Be accountable for your performance.
Always look for ways to improve the patient experience
Take initiative for your professional growth
Be engaged and eager to build a winning team
Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we've earned:
Magnet designations for Methodist Dallas, Methodist Charlton, Methodist Mansfield, and Methodist Richardson Medical Centers
150 Top Places to Work in Healthcare by Becker's Hospital Review, 2023
Top 10 Military Friendly Employer, Gold Designation, 2023
Top 10 Military Spouse Friendly Employer, 2023
Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by
Modern Healthcare
, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we've earned:
TIME magazine Best Companies for Future Leaders, 2025
Great Place to Work Certified™, 2025
Glassdoor Best Places to Work, 2025
PressGaney HX Pinnacle of Excellence Award, 2024
PressGaney HX Guardian of Excellence Award, 2024
PressGaney HX Health System of the Year, 2024
$34k-44k yearly est. Auto-Apply 15d ago
Accounts Receivable Specialist
Trilogy Health Services 4.6
Louisville, KY jobs
JOIN TEAM TRILOGY Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services - a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest.
POSITION OVERVIEW
Job Summary
The AccountsReceivableSpecialist is responsible for accurate and timely billing, payment posting, and follow-up on accountsreceivable for Skilled Nursing Facilities (SNF), Senior Housing communities, and other ancillary services. This role ensures claims and statements are processed in compliance with Medicare, Medicaid, Managed Care, and Private Pay requirements. The Specialist works closely with the Revenue Cycle Manager, facility teams, and payers to support optimal cash flow and minimize outstanding balances.
Roles and Responsibilities
* Manages accountsreceivable functions across multiple facilities and collaborates with on-site and centralized teams to resolve discrepancies, standardize procedures, and support financial reporting for all facilities.
* Serves as a financial contact for operational leadership, ensuring consistent billing accuracy, payer compliance, and timely cash collection across all assigned facilities.
* Performs and oversees billing and collection functions for all payer types within the assigned division, ensuring monthly billing deadlines, collection goals, and compliance standards are met while minimizing bad debt by preparing, reviewing, and submitting accurate claims for SNF and senior housing services to Medicare, Medicaid, Managed Care, and Private Pay payers.
* Verifies accuracy of census and charge data prior to billing submission.
* Corrects and resubmits rejected or denied claims in a timely manner.
* Maintains knowledge of current payer requirements, billing rules, and authorization processes.
* Monitors and follows up on unpaid or underpaid claims to ensure timely collections.
* Contacts payers, residents, or responsible parties to resolve payment issues and discrepancies.
* Documents all collection activity and maintain detailed records in billing systems.
* Reconciles payments and adjustments to ensure accurate A/R balances.
* Ensures adjustments, write-offs, and refunds are posted to the appropriate accounts.
* Ensures deposits and cash postings reconcile with bank and general ledger accounts.
* Identifies and resolves payment posting discrepancies.
* Assists with month-end close activities, including A/R reconciliations and reporting.
* Provides status updates on outstanding accounts and collection activity to management.
* Supports preparation of aging reports and denial trend analyses.
* Maintains compliance with HIPAA and company confidentiality policies.
* Follows all payer and regulatory guidelines to ensure clean claims and accurate reimbursement.
* Supports audit requests and provide documentation as needed.
* Other duties as assigned.
Qualifications
Education: High School / GED
Experience: 5-8 years
Licenses and Certifications
Associates degree preferred
Working knowledge of Medicare, Medicaid, Managed Care, and Private Pay billing processes and associated reimbursement methodologies..
Proficiency with electronic billing systems and EHR platforms (e.g., PointClickCare, MatrixCare, or similar).
Strong attention to detail, organization, and accuracy.
Physical Requirements
Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus.
LOCATION
US-KY-Louisville
Trilogy Health Services
303 N. Hurstbourne Parkway
Louisville
KY
BENEFITS
* Competitive salaries and weekly pay
* 401(k) Company Match
* Mental Health Support Program
* Student Loan Repayment and Tuition Reimbursement
* Health, vision, dental & life insurance kick in on the first of the month after your start date
* First time homebuyers' program
* HSA/FSA
* And so much more!
LIFE AT TRILOGY
Whether you're looking for a new chapter, a change of pace, or a helping hand, Trilogy is committed to being the best place that you've ever belonged.
Flexibility is what you want, and flexibility is what you'll get.
Come into the office because you want to - not because you have to. At Trilogy, we're proud to embrace a hybrid work environment that allows you both the convenience of working from home and the flexibility of meeting with your co-workers in person. With collaborative workspaces, rotating cubicles, and meditation areas, our freshly renovated Home Office will accommodate the working style that works best for you.
Six months of training, orientation, and fun!
We believe in setting our employees up for success. That's why your first six months are referred to as your "blue-badge" period - a time where you are encouraged to ask questions, ask for help when needed, and familiarize yourself with the company culture. Even when your blue badge period ends, you can rest assured that the Trilogy team will always have your back.
ABOUT TRILOGY HEALTH SERVICES
As one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work, Trilogy is proud to be an equal opportunity employer committed to helping you reach your full potential and to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy or any other protected characteristic as outlined by federal, state or local laws.
FOR THIS TYPE OF EMPLOYMENT STATE LAW REQUIRES A CRIMINAL RECORD CHECK AS A CONDITION OF EMPLOYMENT.
Job Summary
The AccountsReceivableSpecialist is responsible for accurate and timely billing, payment posting, and follow-up on accountsreceivable for Skilled Nursing Facilities (SNF), Senior Housing communities, and other ancillary services. This role ensures claims and statements are processed in compliance with Medicare, Medicaid, Managed Care, and Private Pay requirements. The Specialist works closely with the Revenue Cycle Manager, facility teams, and payers to support optimal cash flow and minimize outstanding balances.
Roles and Responsibilities
* Manages accountsreceivable functions across multiple facilities and collaborates with on-site and centralized teams to resolve discrepancies, standardize procedures, and support financial reporting for all facilities.
* Serves as a financial contact for operational leadership, ensuring consistent billing accuracy, payer compliance, and timely cash collection across all assigned facilities.
* Performs and oversees billing and collection functions for all payer types within the assigned division, ensuring monthly billing deadlines, collection goals, and compliance standards are met while minimizing bad debt by preparing, reviewing, and submitting accurate claims for SNF and senior housing services to Medicare, Medicaid, Managed Care, and Private Pay payers.
* Verifies accuracy of census and charge data prior to billing submission.
* Corrects and resubmits rejected or denied claims in a timely manner.
* Maintains knowledge of current payer requirements, billing rules, and authorization processes.
* Monitors and follows up on unpaid or underpaid claims to ensure timely collections.
* Contacts payers, residents, or responsible parties to resolve payment issues and discrepancies.
* Documents all collection activity and maintain detailed records in billing systems.
* Reconciles payments and adjustments to ensure accurate A/R balances.
* Ensures adjustments, write-offs, and refunds are posted to the appropriate accounts.
* Ensures deposits and cash postings reconcile with bank and general ledger accounts.
* Identifies and resolves payment posting discrepancies.
* Assists with month-end close activities, including A/R reconciliations and reporting.
* Provides status updates on outstanding accounts and collection activity to management.
* Supports preparation of aging reports and denial trend analyses.
* Maintains compliance with HIPAA and company confidentiality policies.
* Follows all payer and regulatory guidelines to ensure clean claims and accurate reimbursement.
* Supports audit requests and provide documentation as needed.
* Other duties as assigned.
Qualifications
Education: High School / GED
Experience: 5-8 years
Licenses and Certifications
Associates degree preferred
Working knowledge of Medicare, Medicaid, Managed Care, and Private Pay billing processes and associated reimbursement methodologies..
Proficiency with electronic billing systems and EHR platforms (e.g., PointClickCare, MatrixCare, or similar).
Strong attention to detail, organization, and accuracy.
Physical Requirements
Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus.
Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services - a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest.
$31k-38k yearly est. Auto-Apply 42d ago
AR Specialist
Tennessee Orthopaedic Alliance 4.1
Nashville, TN jobs
Full-time Description
*** WORK AT HOME***
Tennessee Orthopaedic Alliance is the largest orthopaedic surgery group in Tennessee. TOA concentrates on diagnosing and treating disorders and injuries of the musculoskeletal system, allowing our patients to live their best lives. Ninety-plus years later, we are advancing the practice of orthopaedic surgery throughout the state.
There are several reasons why TOA is an employer of choice; here are a few of them:
Stability -TOA has been in Middle Tennessee since 1926 and has expanded to over 20+ locations across the state!
Impact -TOA's team members use our careers - whether in our clinics or our business office - to make a positive difference in the community by building relationships and helping patients live their best lives.
Work Environment -The TOA team focuses on fostering an excellent working environment; one of positivity, collaboration, job satisfaction, and engagement.
Total Rewards -TOA offers a comprehensive suite of benefits, including Medical, Dental, Paid Time Off, and more. Our 401(k) plan provides a company match, safe harbor match and profit-sharing match to go along with your contributions.
JOB SUMMARY
The AR Specialist is an essential part of the TOA Central Business Office. As an AR Specialist, you will use your analytical, financial, and customer service skills to ensure that TOA claims filed to an insurance payer are processed accurately and in a timely manner.
DUTIES AND RESPONSIBILITIES
Promptly identify any errors or other issues in claims processing.
Effectively following up on any unpaid balances.
Expeditiously bring any remaining balance to resolution.
Meet quality assurance and productivity standards by identifying and reconciling insurance balance accounts.
Identify denial trends and provide potential solutions while analyzing patient accounts utilizing our EPM system - Nextgen to determine appropriate action.
Review explanations of benefits details on denials.
Communicate with insurance payer representatives, patients, and TOA staff to ensure timely and accurate resolution of account transactions. This would include Commercial plans, Medicare/Medicare HMO plans, Medicaid/Medicaid HMO plans, and BCBSTN.
Prioritize assigned accounts to maximize aged accountsreceivable resolution.
Review the explanation of benefit (EOB) documentation and notate accounts on collection activity to perform account resolution.
Operate within established guidelines and protocols, including providing backup documentation for our accounting and audit functions.
Collaborate closely with the Central Business Office, clinical colleagues, and administrative teammates to develop a cohesive, high-performing team.
Adhere to HIPAA and OSHA safety guidelines.
Requirements
Exceptional customer service and patient focus.
Knowledge of Insurance - particularly coordination of benefit rules and denial overturns are essential to this position.
Knowledge of administrative and clerical procedures.
Accustomed to using mostly payer websites for appeals/reconsiderations, medical records attachments, verification of benefits, and/or web-based claims follow-up.
Ability to communicate and work as a team.
Demonstrated proficiency with Microsoft Office programs such as Excel, Word, and Outlook.
At least 3 years insurance collections experience.
Experience using NextGen.
Orthopaedic specialty experience.
Fluency in English is required; Fluency in a second language is a plus.
WORKING CONDITIONS
TOA fosters an excellent working environment of positivity, collaboration, job satisfaction, and engagement.
AR Specialist will be assigned to work in TOA's Central Business Office at an assigned cubicle in a call center environment and from home occasionally. The department experiences high volume, and as a result, it has associated stressors that conflict with a fast-paced environment.
The noise level in the work environment is moderate to loud, with other staff members answering phones and collaborating.
Regularly sit while working on the computer; use hands and fingers to handle, control, or feel objects, too, ls commands; repeat the same movements when entering data; speak clearly so listeners can understand; understand the speech of another person; ability to differentiate between colors, shades, and brightness; read from a computer screen for extended periods time.
Frequently stand and walk around the office to gather supplies, use office equipment, or collaborate with employees or patients.
Occasionally stand, stoop, and lift or move objects, equipment, and supplies weighing approximately 20-25 pounds up to 40-50 pounds.
***TOA is an equal opportunity employer. TOA conducts drug screens and background checks on applicants who accept employment offers.***
A/R Collections Specialist (Biologics/Immunotherapy)
The AR Collection Specialist is responsible for providing outstanding customer service while collecting outstanding accountsreceivable balances. This position includes adhering to collections work standards, reducing the number of aged items, facilitating the resolution of customer billing issues, reducing accountsreceivable delinquencies, and meeting and/or exceeding collections standards.
REQUIRED EDUCATION/EXPERIENCE:
· High school diploma or equivalent qualification required.
· 2+ years' experience working in a healthcare Collection Specialist position.
· Profound knowledge of collection techniques and billing procedures
· Excellent communication skills, both written and oral
· Good level of problem-solving and negotiation skills
· Strong understanding of billing and collection processes.
· Outstanding communication and interpersonal skills.
· In-depth knowledge of laws and policies related to debt collection.
· Good administrative skills.
ESSENTIAL FUNCTIONS
· Develop effective repayment plans.
· Follow-up with clients on overdue accounts.
· Oversee all monthly payments and refunds.
· Respond to client account queries in a timely and professional manner.
· Consulting and helping clients with billing and credit problems.
· Managing payments and refund operations
· Developing measures encouraging timely payments
· Reporting on collection operations and customer account updates
· Facilitate resolution of customer billing problems with bill initiating department for delinquent accounts.
· Make outbound collections efforts including making calls in a professional manner and sending emails concerning outstanding balances in accordance with Collections Standards.
· Provide reports to stakeholders as assigned.
· Review open accounts for collections efforts to reduce the number of aged items and aged balances in assigned portfolio.
POSITION RELATIONSHIPS:
· Reports directly to the Senior Revenue Cycle Manager
· Subject to a 90-day probationary period
Requirements
Please complete survey to be considered for this position: ************************************** M7SYDhF/102127
Requirements:
EEOC Compliance
Family Allergy & Asthma provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
$30k-37k yearly est. 9d ago
AR Follow Up Specialist
Ohio Gastroenterology Group Inc. 4.0
Columbus, OH jobs
Job Description
Duties and Responsibilities
Primary Job Functions:
Monitors unresolved account balances according to the Aged Receivables and assigned tasks
Validates third-party payer transactions and identifies reasons for delay of payment through the review of EOBs via paper, payer portals, and/or phone calls, determines next steps, and documents actions taken in the billing system
Maintains knowledge of third-party filing requirements and ensures claims are not rejected due to timely filing
Resolves third-party claim rejections and/or denials in a timely manner
Prepares appeals via appropriate means according to carrier guidelines for all claims that require reconsideration for appropriate or additional payment
Makes necessary claim adjustments and rebills third party payers as needed
File claims to secondary payers with primary EOB's/COB information
Collaborates with the billers and other internal departments to satisfy the requirements for resolving unpaid insurance balances
Posts adjustments, transfer of responsibility, and/or initiates refunds, as necessary.
Ensures coding is compliant and up to date
Performs all routine follow-up functions which includes the investigation of overpayments, underpayments, credit balances and payment delays.
Ensures payments are made according to third-party contracts
Reports payer specific issues to Revenue Cycle Supervisor in a timely manner
Conveys observations of trends to the Revenue Cycle Supervisor to encourage best practices and mitigate repeat issues
Makes recommendations to the Revenue Cycle Supervisor regarding non-collectable accounts
Other duties as assigned.
Secondary Job Functions:
Opening, sorting, delivering and scanning incoming correspondence
Processes all Returned Mail including skip tracing and contacting various resources for information
Assists with data entry
Attend meetings and training sessions
Maintain confidentiality of patient and financial information by utilizing HIPAA guidelines and regulations
Maintain knowledge and adhere to related governmental regulations and all policies set forth by Ohio Gastroenterology Group Inc and its related parties
Knowledge, Skills and Abilities
Knowledge of third-party payers and prior-authorization requirements
Understanding of basic medical terminology and procedures
Proficient use of office equipment, such as copier and fax machine, phones, etc.
Intermediate computer skills including use of Microsoft Office (Excel and Word), electronic mail, payer websites, physician practice management, and electronic medical records systems.
High attention to detail and the ability to multi-task.
Strong time management skills
Ability to work independently with minimal supervision and to manage multiple priorities.
Strong written and verbal communication skills
Ability to effectively communicate with a variety of people under stressful circumstances.
Neat appearance, professional demeanor and pleasant voice
Fluent in English
Credentials and Experience
Must have high school diploma or equivalent
One (1) year of medical billing and coding, revenue cycle, and/or AR follow-up experience
Experience with eClinicalWorks a plus
Experience in GI a plus
Physical Demands
Must be able to bend over (frequent), climb stairs (frequent), sit (frequent), stand (frequent), stoop (frequent), walk (frequent) and type on keyboard (frequent).
Work Environment
Minimal medical office exposure that may require contact with adult patients
Office workstation environment with numerous employees
Ohio Gastroenterology Group offers a nice life/work balance and a great benefits package that includes:
Medical, dental and vision coverage- benefits are effective the first of the month following 30 days of employment
Company paid life insurance and short term disability
Generous paid time off plans (vacation, sick and personal)
7 paid holidays
Two retirements plans:
401(k) plan that offers a 3% safe harbor contribution with immediate vesting as well as annual profit sharing contributions.
Cash balance pension plan - company contributes 2.5% and offers full vesting after 3 years of employment.
Tuition reimbursement programs
Employee appreciation programs
Uniform reimbursement programs
Growth opportunities
Learning and development training
Apply now to join a great company!
$31k-39k yearly est. 2d ago
Account Receivable Coordinator #2
Dasco Home Medical Equipment 3.5
Westerville, OH jobs
The Reimbursement Coordinator provides critical support to the Revenue Recovery Department by coordinating mail, payment documentation, cash-related workflows, and key clerical tasks that ensure accurate and timely reconciliation of incoming revenue. This role maintains the flow of financial information across the department through organized processing of mail, deposits, EOBs, denials, and supporting documentation.
The position requires strong attention to detail, the ability to research and resolve discrepancies, and foundational knowledge of medical billing and reimbursement practices. The Reimbursement Coordinator works collaboratively with reimbursement staff, posting teams, branches, customer service, and external partners to ensure payments, documentation, and related information are processed accurately and in compliance with policy, payer guidelines, and regulatory requirements.
ESSENTIAL FUNCTIONS:
Processes and coordinates all incoming and outgoing documentation for the department, including daily mail, deposits, remittances, EOBs/ERNs, and other payment-related records.
Accurately compiles, logs, reconciles, and maintains cash receipts, deposits, and financial documentation in accordance with company policy and audit requirements.
Supports payment posting and revenue recovery by preparing, organizing, and routing information needed for accurate and timely posting of payments, adjustments, and reconciliations.
Reviews orders, claims, documentation, and account records to ensure completeness, accuracy, and compliance prior to billing or payment resolution.
Assists with researching, resolving, or escalating discrepancies related to payments, deposits, claims, denials, and account variances.
Communicates professionally with internal departments, physician offices, referral partners, payers, and customers when necessary to obtain documentation or clarify information needed for reimbursement.
Supports the review and follow-up of claim denials, corrections, adjustments, and appeals as directed by department leadership.
Works collaboratively with reimbursement staff, posting teams, branches, customer service, and other departments to facilitate timely payment resolution and accurate account management.
Maintains accurate and organized paper and/or electronic documentation storage consistent with HIPAA, payer requirements, and company retention policies.
Participates in departmental projects, process improvements, audits, and initiatives to support revenue cycle performance and production goals.
Maintains compliance with all applicable laws, regulations, payer policies, and internal procedures.
Performs other duties as assigned by the Assistant Reimbursement Manager, Reimbursement Manager, or Director of Revenue Recovery .
Requirements REQUIRED EDUCATION AND/OR EXPERIENCE:
1. High school diploma
2. Minimum of one year of experience in an accountsreceivable, revenue cycle, medical billing, cash posting, or similar financial/administrative role.
PREFERRED EDUCATION AND/OR EXPERIENCE:
1. Associate's degree in business management related field
2. Two years in a medical/insurance/healthcare accountsreceivable leadership role.
3. One year DASCO experience
ADDITIONAL QUALIFICATIONS:
1.Proficiency in Microsoft Office suite.
COMPETENCIES:
Detail Oriented Developing others Financial management Results driven
Stress management
POSITION TYPE/EXPECTED HOURS OF WORK:
This is a full-time position, and hours of work and days are Monday through Friday, typically 8:00 a.m. to 5:00 p.m. Occasional evening and weekend work may be required as job duties demand.
SUPERVISORY RESPONSIBILITY:
This position manages all employees of the department, including hiring, development, performance management and discipline within company and department guidelines.
WORK ENVIRONMENT:
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
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.
The employee is generally required to sit; frequently stands, may climb or balance; and stoop, kneel, crouch or crawl. The employee must frequently lift and/or move up to 1O pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include both close and distance vision, color and peripheral vision, depth perception and ability to adjust focus.
TRAVEL:
Minimal travel is required for this position but occasional out of town and overnight travel may be expected.
OTHER DUTIES:
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
EEO STATEMENT:
DASCO provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, DASCO complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
DASCO expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of DASCO's employees to perform their job duties may result in discipline up to and including discharge.
#IND100
$32k-40k yearly est. 32d ago
Billing and Accounts Receivable
Achievement Centers for Children 3.7
Cleveland, OH jobs
Full-time, Great Pay and Benefits! Immediate Opening! We are moving in February 2026 to Westlake!! Pay Range: $17/hr. to $20/hr. Achievement Centers for Children is a Cleveland, Ohio-based non-profit organization that is nationally recognized for its excellence in helping children with disabilities and their families achieve and thrive. Employment with us is rewarding personally and professionally.
We are currently seeking a full-time Billing & AccountsReceivable staff member to work out of our Highland Hills office, with plans to move to the Westlake Office in 2026.
Some of the responsibilities include:
* Communicating and coordinating with funding sources to obtain client funding approval before provision of services
* Discussing payment arrangements and subsidy options with families
* Creating invoices, billing utilizing the County software system, and submitting invoices for payment
* Completing attendance verification for all programs and compiling data summaries
* Processing and posting payments received
* Making collection calls and sending clients to collections when necessary
The right candidate must have:
* High school diploma is required, 2 years of college in a related field preferred.
* Billing and collection experience required.
* Must have strong customer service and interpersonal skills
* Experience with Excel, Outlook, and Microsoft office (Quickbooks a plus).
* Be highly organized, display initiative, and be detail-oriented.
* Occasional travel to a local satellite office required.
* Must have a valid drivers license, auto insurance, and reliable transportation.
We offer excellent health and welfare benefits, including generous paid time off, retirement savings plan, and opportunities for professional development.
Achievement Centers for Children values and promotes diversity and is an Equal Opportunity Employer
$17-20 hourly 56d ago
Billing and Accounts Receivable
Achievement Centers for Children 3.7
Cleveland, OH jobs
Job Description
Billing and AccountsReceivable
Full-time, Great Pay and Benefits!
Immediate Opening!
We are moving in February 2026 to Westlake!!
Pay Range: $17/hr. to $20/hr.
Achievement Centers for Children
is a Cleveland, Ohio-based non-profit organization that is nationally recognized for its excellence in helping children with disabilities and their families achieve and thrive. Employment with us is rewarding personally and professionally.
We are currently seeking a full-time
Billing & AccountsReceivable
staff member to work out of our Highland Hills office, with plans to move to the Westlake Office in 2026.
Some of the responsibilities include:
Communicating and coordinating with funding sources to obtain client funding approval before provision of services
Discussing payment arrangements and subsidy options with families
Creating invoices, billing utilizing the County software system, and submitting invoices for payment
Completing attendance verification for all programs and compiling data summaries
Processing and posting payments received
Making collection calls and sending clients to collections when necessary
The right candidate must have:
High school diploma is required, 2 years of college in a related field preferred.
Billing and collection experience required.
Must have strong customer service and interpersonal skills
Experience with Excel, Outlook, and Microsoft office (Quickbooks a plus).
Be highly organized, display initiative, and be detail-oriented.
Occasional travel to a local satellite office required.
Must have a valid driver's license, auto insurance, and reliable transportation.
We offer excellent health and welfare benefits, including generous paid time off, retirement savings plan, and opportunities for professional development.
Achievement Centers for Children values and promotes diversity and is an Equal Opportunity Employer
$17-20 hourly 25d ago
REIMBURSEMENT AND BILLING COORDINATOR
Toledo Clinic Inc. 4.6
Toledo, OH jobs
Creates and maintains fee schedule files. Develop, test, and implement eCW applications. Monitor payor reimbursement and compliance. Assist medical offices and Business Services with fee schedules and unit fee pricing. Accountable for the TCI charge master. Support Administration and Credentialing with contracts. Perform fee analysis.
Principal Duties & Responsibilities:
Example of Essential Duties:
* Responsible for the update and control of the fee schedule files.
* Work with the Business Office staff to coordinate Payor issues between the Business Office, Insurance Carrier, and Medical Offices.
* Maintain the TCI charge master by updating payor rates and monitoring necessary unit fee increases/decreases.
* Generate payor analysis as requested by Administration/Contracting Committee.
* Assist offices with any fee schedule issues they may have.
* Work with IT and eCW testing new applications.
* Pull contracting information as requested.
* Communicate with Payors on issues regarding reimbursement
Other Essential Duties May Include (but are not limited to):
* Other duties as assigned.
Knowledge, Skills & Abilities:
Required:
* Extensive knowledge of Excel pertaining to Formulas and Pivot Tables
* Working knowledge of a physician based medical office practice.
* Knowledge of physician coding and federal/state regulations of patient care.
* Consistently arrives at work, in professional attire, on time and completes all tasks within established time frame.
* Seeks appropriate tasks when primary tasks are completed and assists co-workers as needed.
* Demonstrates adaptability to expanded roles.
Education:
* HS diploma or GED, Medical billing
* Bachelors Degree
$39k-45k yearly est. 9d ago
Reimbursement And Billing Coordinator
Toledo Clinic 4.6
Toledo, OH jobs
Creates and maintains fee schedule files. Develop, test, and implement eCW applications. Monitor payor reimbursement and compliance. Assist medical offices and Business Services with fee schedules and unit fee pricing. Accountable for the TCI charge master. Support Administration and Credentialing with contracts. Perform fee analysis.
Principal Duties & Responsibilities:
Example of Essential Duties:
Responsible for the update and control of the fee schedule files.
Work with the Business Office staff to coordinate Payor issues between the Business Office, Insurance Carrier, and Medical Offices.
Maintain the TCI charge master by updating payor rates and monitoring necessary unit fee increases/decreases.
Generate payor analysis as requested by Administration/Contracting Committee.
Assist offices with any fee schedule issues they may have.
Work with IT and eCW testing new applications.
Pull contracting information as requested.
Communicate with Payors on issues regarding reimbursement
Other Essential Duties May Include (but are not limited to):
Other duties as assigned.
Knowledge, Skills & Abilities:
Required:
-
Extensive knowledge of Excel pertaining to Formulas and Pivot Tables
- Working knowledge of a physician based medical office practice.
- Knowledge of physician coding and federal/state regulations of patient care.
- Consistently arrives at work, in professional attire, on time and completes all tasks within established time frame.
- Seeks appropriate tasks when primary tasks are completed and assists co-workers as needed.
- Demonstrates adaptability to expanded roles.
Education:
- HS diploma or GED, Medical billing
- Bachelors Degree