Billing Specialist jobs at Clinica Sierra Vista

Come Join the Premier Infusion & Healthcare Family! At Premier we offer employees stability and opportunities for advancement. Our commitment to our core values of Compassion, Integrity, Respect and Excellence in People applies to our employees, our customers, and the communities we serve. This is a rewarding place to work! Premier Infusion and Healthcare Services is a preferred post-acute care partner for hospitals, physicians and families in Southern CA. Our rapidly growing home health and infusion services deliver high-quality, cost-effective care that empowers patients to manage their health at home. Customers choose Premier Infusion and Healthcare Services because we are united by a single, shared purpose: We are committed to bettering the quality of life for our patients. This is not only our stated mission but is what truly drives us each and every day. We believe that our greatest competitive advantage, our greatest asset are our employees, our Premier Family in and out of the office sets Premier apart. PREMIER BENEFITS - For FULL TIME Employees: ● Competitive Pay ● 401K Matching Plan - Up to 4% ● Quarterly Bonus Opportunities ● Medical, Dental & Vision Insurance ● Employer Paid Life Insurance ● Short Term / Long Term Disability Insurance ● Paid Vacation Time Off ● Paid Holidays ● Referral Incentives ● Employee Assistance Programs ● Employee Discounts ● Fun Company Events Description of Responsibilities Coordinates and performs business office activities involved with collecting payments for Premier Infusion Care products and follows established procedures for billing. Reporting Relationship Billing Manager Responsibilities include the following: 1. Performs all aspects of billing for commercial insurance companies/ health plans, medical groups, hospitals, hospice facilities, NCPDP, and/or MSO's 2. Bills Medicare for PR-96/204 (denials) required for secondary billing submissions. 3. Follows up on EOB's (explanation of benefits) 4. Medicare denials 5. Billing secondary insurance after Medicare's has denied claims. 6. Making corrections on deny claims and re-bills insurance companies. 7. Checks EOB's with contracted fee schedule for accuracy or adjustments as needed. Minimum Qualifications: Effective interpersonal, time management and organizational skills. Office experience preferred. Computer skills that include word processing, and efficient use of the internet and e-mail. Must possess excellent oral and written communication skills, with the ability to express technical issues in “layman” terms. Must be detail oriented Education and/or Experience: Must have a High School diploma or Graduation Equivalent Diploma (G.E.D.) or Higher. At least 1 -2 years of medical or pharmaceutical billing experience or related A/R Knowledge of insurance verification procedures. Proficiency in 10-key preferred. Prior experience in a pharmacy or home health company is of benefit. Prior experience in a consumer related business is also of benefit. Equal Employment Opportunity (EEO) It is the policy of Premier Infusion & Healthcare Services to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Premier Infusion & Healthcare Services will provide reasonable accommodations for qualified individuals with disabilities. Job Type: Full-time Work Location: In person

Come Join the Premier Infusion & Healthcare Family! At Premier we offer employees stability and opportunities for advancement. Our commitment to our core values of Compassion, Integrity, Respect and Excellence in People applies to our employees, our customers, and the communities we serve. This is a rewarding place to work! Premier Infusion and Healthcare Services is a preferred post-acute care partner for hospitals, physicians and families in Southern CA. Our rapidly growing home health and infusion services deliver high-quality, cost-effective care that empowers patients to manage their health at home. Customers choose Premier Infusion and Healthcare Services because we are united by a single, shared purpose: We are committed to bettering the quality of life for our patients. This is not only our stated mission but is what truly drives us each and every day. We believe that our greatest competitive advantage, our greatest asset are our employees, our Premier Family in and out of the office sets Premier apart. PREMIER BENEFITS - For FULL TIME Employees: ● Competitive Pay ● 401K Matching Plan - Up to 4% ● Quarterly Bonus Opportunities ● Medical, Dental & Vision Insurance ● Employer Paid Life Insurance ● Short Term / Long Term Disability Insurance ● Paid Vacation Time Off ● Paid Holidays ● Referral Incentives ● Employee Assistance Programs ● Employee Discounts ● Fun Company Events Description of Responsibilities The Specialty Insurance Coordinator is responsible for all new referral insurance verification and/or authorization in a timely matter. Reporting Relationship Director of Operations Scope of Supervision None Responsibilities include the following: 1. Responsible for insurance verification for new and existing specialty patients by phone or using pharmacy software or payer portals. 2. Responsible for insurance re-verification for all specialty restart patients 3. Responsible for insurance re-verification for all specialty patients at the beginning of each month and each new year. 4. Responsible for advanced monitoring expiring authorizations for existing specialty patients 5. Responsible for securing advanced re-authorization for existing specialty patients. Participate in surveys conducted by authorized inspection agencies. Participate in the pharmacy's Performance Improvement program as requested by the Performance Improvement Coordinator. Participate in pharmacy committees when requested. Participate in in-service education programs provided by the pharmacy. Report any misconduct, suspicious or unethical activities to the Compliance Officer. Perform other duties as assigned by supervisor. Comply with and adhere to the standards of this role as required by ACHC, Board of Pharmacy, Board of Nursing, Home Health Guidelines (Title 22), Medicare, Infusion Nurses Society, NHIA and other regulatory agencies, as applicable. Minimum Qualifications: Must possess excellent oral and written communication skills, with the ability to express technical issues in “layman” terms. Fluency in a second language is a plus. Must be friendly professional and cooperative with a good aptitude for customer service and problem solving. Education and/or Experience: Must have a High School diploma or Graduation Equivalent Diploma (G.E.D.) Prior experience in a pharmacy or home health company is preferred. Prior experience in a consumer related business is preferred. Job Type: Full-time Benefits: 401(k) matching Dental insurance Employee assistance program Health insurance Paid time off Vision insurance Work Location: In person

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Employment is contingent upon successful completion of drug and background screening. Some positions will require a favorable driving record. Join the fastest growing outpatient radiology practice in the Nation- SimonMed Imaging! Our commitment to excellence and improving patient care paired with the best-in-class technology allows us to be an industry leader in the constantly evolving health care environment. Secure your spot now and take advantage of a unique career opportunity to advance your skills while working alongside a dedicated team of board-certified subspecialty radiologists. We can't wait to meet you! As a Physician Account Representative, you will be responsible for building relationships with physicians and office staff, while providing education and customer resources to increase revenue. You will also focus on expanding business potential within the territory and meet & exceed established goals. Call points include neurology, orthopedic, pain, primary care, Ob/Gyn, pediatric, and hospital groups to aggressively grow market share within assigned territory. Essential Functions Self-starter who is able to work within a team environment Career oriented individual, searching for unlimited opportunities Ability to work independently, handle multiple concurrent projects, manage time effectively, and meet deadlines. Prospecting, cold calling, setting appointments. Proven sales record with documentation of consistent sales success Meets and exceeds projected sales goals Develops new business and expands existing business Keeps up to date on the managed health care environment Excellent interpersonal, written, and verbal communication skills Ability to develop and implement new sales strategies and promotions with physicians Addresses client concerns/issue management and call activity in physician practices. Educates customers through presentations, in-services and literature Ambitious, strong work ethic, and open to new ideas Clean driving record and must live within a 30-mile radius of the territory Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time or without notice. Benefits Your health, happiness and future matters! At SimonMed Imaging, we offer medical, vision and dental insurance, 401(k) eligibility, paid holidays plus PTO, Sick Time, opportunity for growth, and much more! Experience 2+ years of sales experience (medical sales experience a strong plus) Education Bachelor's degree required Physical Demands This position may require duties including lifting and carrying up to 40 pounds, sitting for prolonged periods of time, with frequent standing and walking. Good visual and auditory acuity as well as good manual dexterity and the ability to be readily understood are essential. Must be able to work in an environment with multiple deadlines and priorities. Dress Attire Business Casual; Polo with SimonMed Logo; Scrubs as needed

Job Title: Leave Administration Specialist - U.S. & Colorado FAMLI Focus Terumo Blood and Cell Technologies is seeking a Leave Administration Specialist to manage employee leave of absence programs across the U.S., with a specialized focus on Colorado's Family and Medical Leave Insurance (FAMLI) program. This role ensures compliance with federal and state leave laws, provides guidance to employees and managers, and supports our commitment to employee well-being and legal compliance. Key Responsibilities Leave Program Administration Administer leave programs including FMLA, Colorado FAMLI, ADA, military leave, short/long-term disability, and company-sponsored leave policies. Serve as the subject matter expert on Colorado FAMLI regulations, including eligibility, wage replacement, documentation, and benefit coordination. Manage leave cases from intake through return-to-work, ensuring timely communication and legal compliance. Coordinate with payroll, benefits vendors, and HRIS to ensure accurate leave tracking and benefit payments. Compliance & Documentation Apply federal and state leave laws, including FMLA, ADA, USERRA, and Colorado-specific regulations. Collaborate with Legal, HR, and Benefits teams to update policies in response to regulatory changes. Maintain accurate and confidential records in compliance with HIPAA and internal policies. Ensure timely submission of required documentation and reporting to state agencies and internal stakeholders. Employee & Manager Support Provide guidance and support throughout the leave process. Educate employees on their rights, responsibilities, and required documentation under various leave programs. Support the ADA interactive process and coordinate reasonable accommodation requests. Facilitate return-to-work planning, including light-duty assignments and workplace accommodations. Process Improvement & Reporting Identify opportunities to streamline leave administration processes and enhance employee experience. Generate reports and metrics related to leave utilization, compliance, and trends. Support audits and investigations to ensure program integrity. Minimum Qualifications Associate's or Bachelor's degree in Human Resources, Business Administration, or related field. 3+ years of experience in leave administration, with direct experience managing FMLA and Colorado FAMLI cases. Strong understanding of federal and Colorado-specific leave laws and compliance requirements. Experience coordinating benefits such as STD, LTD, and FMLA with FAMLI. Proficiency with HRIS and leave management systems; Workday experience preferred. Excellent communication, organizational, and problem-solving skills. Ability to handle sensitive information with discretion and professionalism. Preferred Qualifications Experience coordinating with third-party administrators and state agencies. Bilingual (Spanish/English) a plus. Certification in leave management or HR (e.g., SHRM-CP, PHR) preferred. Physical Requirements Typical office environment including reading, speaking, hearing, close vision, bending, sitting, and occasional lifting up to 20 pounds.

2/19/2025 - Minor revision. No need to reapply . The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its workforce. All employees at the Department of Public Health work to advance equity, inclusion, and diversity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status. The San Francisco Department of Public Health continuously accepts applications for all Physician Specialist positions. Salary : ********************************************* Code=2230 Appointment Type : Temporary Exempt or Permanent Exempt Positions may be available in a variety of settings including Zuckerberg San Francisco General Hospital, Laguna Honda Hospital, and community-centered outpatient clinics within the Health Network. These positions include full-time permanent, part-time permanent, and part-time as needed. The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. SFDPH strives to achieve its mission through the work of multiple divisions - the San Francisco Health Network, Population Health, Behavioral Health Services, and Administration. The San Francisco Health Network is the City's only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers. The Population Health Division (PHD) provides core public health services for the City and County of San Francisco: health protection, health promotion, disease and injury prevention, and disaster preparedness and response. Behavioral Health Services operates in conjunction with SFHN and provides a range of mental health and substance use treatment services. Job Description Duties Include Family physician, internist or medical subspecialist Evaluates patient signs and symptoms, reviews laboratory and radiological data, diagnoses complex cases, and institutes treatments as appropriate. May serve as a consultant to other physicians, including specialists in other fields. Surgical specialist or subspecialist Evaluates patient signs and symptoms, reviews laboratory and radiological data, recommends, performs, and consults on specialized surgical procedures within his or her specialty field. Pediatrician Examines, diagnoses, and treats pediatric patients; refers to other physicians, clinics, and agencies when so indicated. Obstetrician/gynecologist Provides obstetrical and gynecological care including screening, diagnosis, treatment, prenatal and obstetrical care. Specialist in occupational health Conducts pre-employment physical examinations of candidates for city service; when designated by the Civil Service Commission, assesses medical or physical competence of staff to perform assigned duties; participates in the identification and assessment of occupational hazards and injuries; develops and implements preventive and educational strategies. Qualifications MINIMUM QUALIFICATIONS Possession of a valid license to practice medicine issued by the Medical Board of California or the Osteopathic Medical Board of California* AND Successful completion** of a residency program accredited by the Accreditation Council for Graduate Medical Education or American Osteopathic Association in the appropriate medical specialty area for the assigned facility or division (i.e., Board Eligible) *Applicants possessing a valid license to practice medicine issued from another state within the United States of America may apply, but if selected, the candidate will NOT be appointed/hired until they obtain a valid license to practice medicine issued by the Medical Board of California or the Osteopathic Medical Board of California. **Applicants enrolled in a residency program may apply, but if selected, the candidate will NOT be appointed/hired until they demonstrate successful completion of a residency program accredited by the Accreditation Council for Graduate Medical Education or American Osteopathic Association in the appropriate medical specialty area for the assigned facility. For some positions, possession of valid Drug Enforcement Agency registration with the United States Department of Justice is a special condition that is required in addition to the standard minimum qualifications associated with this job classification. Conditions of Employment All qualified candidates who have been selected for appointment to positions in all specialty areas must be an eligible billable provider and must meet the following criteria within two (2) weeks prior to the start work date to avoid delay of the appointment to the position and/or cancellation of an employment offer: Be eligible to participate in Medicare, Medicaid and/or other federal health care programs; Possess a National Provider Identifier (NPI); Submit a completed credentialing application and/or required documentation for credentialing; AND Possess a valid third-party billable provider certification (such as Medicare, Medi-Cal and/or private insurance) OR have submitted a completed billable provider application, along with the required documentation, in order to obtain the appropriate billable provider status. Important Note: Please make sure it is absolutely clear in your application exactly how you meet the minimum qualifications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. Please be aware that any misrepresentation of this information may disqualify you from this recruitment or future job opportunities. Additional Information How to Apply Applications for City and County of San Francisco jobs are only accepted through an online process. Visit careers.sf.gov and begin the application process. Our email communications may come from more than one department, so please make sure your email is set to accept messages from all of us at sfdhr.org/ccsf-email-extensions . Applicants may be contacted by email about this recruitment; therefore, it is their responsibility to contact the Analyst if they update their email address. Applicants will receive a confirmation email that their online application has been received in response to every announcement for which they file. Applicants should retain this confirmation email for their records. Failure to receive this email means that the online application was not submitted or received. Additional information regarding employment with the City and County of San Francisco: Information about the Hiring Process Conviction History Employee Benefits Overview Equal Employment Opportunity Disaster Service Workers Reasonable Accommodation Right to Work Copies of Application Documents Diversity Statement If you have any questions regarding this recruitment or application process, please contact the exam analyst, [email protected] ************. We may use text messaging to communicate with you on the phone number provided in your application. The first message will ask you to opt in to text messaging. The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law.

1/6/2025 - Minor revision. No need to reapply . The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its workforce. All employees at the Department of Public Health work to advance equity, inclusion, and diversity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status. ✅ START with this Required Assessment forms.gle/pL5Nj3BE61ewXNmo6 Salary : careers.sf.gov/classifications/?class Code=2233 Appointment Type : Permanent Civil Service Recruitment ID : CCT-2233-H00001 Positions may be available in a variety of settings including Zuckerberg San Francisco General Hospital, Laguna Honda Hospital, and community-centered outpatient clinics within the Health Network. Positions may also be in the Population Health Division's public health leadership, with a focus on programs to ensure the health and wellbeing of all San Franciscans. The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. SFDPH strives to achieve its mission through the work of multiple divisions - the San Francisco Health Network, Population Health, Behavioral Health Services, and Administration. The San Francisco Health Network is the City's only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers. The Population Health Division (PHD) provides core public health services for the City and County of San Francisco: health protection, health promotion, disease and injury prevention, and disaster preparedness and response. Behavioral Health Services operates in conjunction with SFHN and provides a range of mental health and substance use treatment services. Job Description Common Duties Include Directs and has overall responsibility for the functioning of a clinic, center, program, or other patient care site, including the assignment and supervision of physician specialists, other health professionals, and other staff members. Plans and directs medical staff development and in-service training activities at the facility, division, or program; conducts staff meetings and conferences. Conducts meetings with agency heads and representatives; consults with other agencies on problems and programs; evaluates community needs for specialized services and plans accordingly. Provides medical treatment to patient population of focus; provides treatment and guidance of treatment of particularly difficult and complicated cases and evaluates facility, division, or program operations and efficiency. Develops and manages a budget for a clinic or program. Division Duties Include Population Health Division Directs and has overall responsibility for citywide public health functions in the Population Health Division, including the work of specialized branches and sections Develops and supports leaders within their direct reporting structure to strengthen a diverse workforce and achieve citywide public health goals Develops relationships to facilitate alignment and effective communication with internal and external stakeholders Represents the work of PHD to internal and external partners and stakeholders. Develops and manages budgets for their areas of work in partnership with PHD leadership Primary Care Overseeing clinic operations in a variety of community-based clinics Qualifications MINIMUM QUALIFICATIONS Possession of a valid license to practice medicine issued by the Medical Board of California or the Osteopathic Medical Board of California* AND Possession of valid Board Certification in the appropriate medical specialty area for the assigned facility or division AND Three (3) years of post-residency experience as a practicing physician in the respective medical specialty area. One (1) year of full-time employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based on a forty (40) hour work week). *Applicants possessing a valid license to practice medicine issued from another state within the United States of America may apply, but if selected, the candidate will NOT be appointed/hired until they obtain a valid license to practice medicine issued by the Medical Board of California or the Osteopathic Medical Board of California. For some positions, possession of valid Drug Enforcement Agency registration with the United States Department of Justice is a special condition that is required in addition to the standard minimum qualifications associated with this job classification. Conditions of Employment All qualified candidates who have been selected for appointment to positions in all specialty areas must be an eligible billable provider and must meet the following criteria within two (2) weeks prior to the start work date to avoid delay of the appointment to the position and/or cancellation of an employment offer: All qualified candidates who have been selected for appointment to positions in all specialty areas must be an eligible billable provider and will be required to meet all of the following criteria: Be eligible to participate in Medicare, Medicaid, and/or other federal healthcare programs Possess a National Provider Identifier (NPI) Submit a completed credentialing application and/or required documentation for credentialing Possess a valid third-party billable provider certification (such as Medicare, Medi-Cal, and/or private insurance) OR have submitted a completed billable provider application, along with the required documentation, in order to obtain the appropriate billable provider status Important Note: Please make sure it is absolutely clear in your application exactly how you meet the minimum qualifications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. Please be aware that any misrepresentation of this information may disqualify you from this recruitment or future job opportunities. Additional Information SELECTION PROCEDURES Training and Experience Assessment (Weight 100%) The Required Assessment inked in this job ad is designed to measure knowledge, skills, and/or abilities in job-related areas which may include, but are not limited to experience: Working with vulnerable patient populations Supervising clinical and administrative professionals Improving clinical quality Engaging patients and improving their experience Engaging staff and improving their experience Participating in quality assurance activities Once submitted, applicant responses on the Required Assessment cannot be changed. Qualified applicants must achieve a passing score in order to be ranked on the eligible list/score report. Successful applicants will be placed on the eligible list/score report, in rank order, according to their final score. Certification The certification rule for the eligible list resulting from this assessment will be the Rule of the List. Additional selection processes may be conducted by the hiring department prior to making final hiring decisions. Eligible List/Score Report Once you pass the assessment, you will be placed on an eligible list and given a score and a rank. For more information, visit ****************************************** Candidate names will remain on the list for a maximum period of 12 months. Unselected candidates may reapply after their eligibility expires. How to Apply Applications for City and County of San Francisco jobs are only accepted through an online process. Visit careers.sf.gov and begin the application process. Our email communications may come from more than one department, so please make sure your email is set to accept messages from all of us at sfdhr.org/ccsf-email-extensions . Applicants may be contacted by email about this recruitment; therefore, it is their responsibility to contact the Analyst if they update their email address. Applicants will receive a confirmation email that their online application has been received in response to every announcement for which they file. Applicants should retain this confirmation email for their records. Failure to receive this email means that the online application was not submitted or received. Terms of Announcement and Appeal Rights Applicants must be guided solely by the provisions of this announcement, including requirements, time periods and other particulars, except when superseded by federal, state or local laws, rules or regulations. The correction of clerical errors in an announcement may be posted on the Department of Human Resources website at *********************** . The terms of this announcement may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department of Human Resources, 1 S Van Ness Avenue, 4th Floor, San Francisco, CA 94103-5413 by close of business on the 5th business day following the issuance date of this examination announcement. Information concerning other Civil Service Commission Rules involving announcements, applications and examination policies, including applicant appeal rights, can be found on the Civil Service Commission website at *********************************** . Additional information regarding Employment with the City and County of San Francisco: Information about the Hiring Process Conviction History Employee Benefits Overview Equal Employment Opportunity Disaster Service Workers Reasonable Accommodation Right to Work Copies of Application Documents Diversity Statement Veterans Preference Seniority Credit in Promotional Exams If you have any questions regarding this recruitment or application process, please contact the assessment analyst, [email protected] ************. We may use text messaging to communicate with you on the phone number provided in your application. The first message will ask you to opt in to text messaging. The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law.

. The Specialized Treatment for Optimized Programming (STOP) Program Area Six connects California Department of Corrections and Rehabilitation inmates and parolees to comprehensive, evidence-based programming and services during their transition into the community, with priority given to those participants who are within their first year of release and who have been assessed to as a moderate to high risk to reoffend. Area Six includes San Diego, Orange, and Imperial counties. STOP subcontracts with detoxification, licensed residential treatment programs, outpatient programs, professional services, and reeentry and recovery housing throughout the program area to assist participants with reentry and recovery resources. The Billing Coordinator is responsible for coordinating receipt of and reviewing Community Based Provider (CBP) subcontractor client data for accuracy and entering and retrieving data from/to the Automated Reentry Management System (ARMS) as needed for the purpose of reconciliation, invoicing and billing. Key Responsibilities Data Entry and Reconciliation Responsibilities: Review outgoing and incoming CBP subcontractor client data for accuracy. Enter data found on the verification form into the STOP database to begin the reconciliation process. When discrepancies are found, coordinate with CBPs and internal departments to resolve and reconcile the discrepancies. Ensure accuracy of all data entered. Billing and Invoicing Responsibilities: Process STOP CBP weekly verifications by extracting from the STOP database, and possibly further verifying in the ARMS database, and forwarding to the CBPs via email (and sometimes fax) for approval. Produce the monthly billing and forward to CBPs for billing authorization and approval. Ensures accuracy of all billing and resolves any discrepancies identified. Act as liaison between Fiscal department and STOP to ensure ease of information flow. Produce invoices for other various services (i.e. transportation, links etc.). Administrative Responsibilities: Produce monthly client and CBP related reports as needed for the California Department of Corrections and Rehabilitation (CDCR), with supervisor review and approval, using the ARMS database. Assure confidentiality of all incoming and outgoing client data. As assigned, performs other clerical tasks. And, other duties as assigned. Education and Knowledge, Skills and Abilities Education and Experience Required: High School Diploma or equivalent. Previous work experience working with spreadsheets. Previous work experience performing data entry. Type 45 wpm. Strong math skills. Desired: Bilingual. AA Degree; Experience may substitute for this on a year-by-year basis. We will consider for employment qualified applicants with arrest and conviction records. In compliance with the California Department of Public Health's mandate, all employees must be able to provide proof of COVID-19 vaccination. Medical and religious exemptions are available. Tag: IND100.

Job DescriptionBenefits: 401(k) matching Bonus based on performance Dental insurance Health insurance Paid time off Training & development Vision insurance JOB OVERVIEW: We are seeking a skilled and experienced Billing Coordinator to join our team at Your Home Assistant. As a Billing Coordinator, you will play a crucial role in completing complex activities associated with maintaining accurate and complete billing and accounts receivable records. Review appropriate reports to ensure billing data accuracy. Resolve billing discrepancies regularly. Ensure eligibility is verified regularly and accurately maintained and followed up accordingly to prevent lost revenue. RESPONSIBILITIES: Work within the scope of the position, in coordination with management, to meet the needs of our patients, families and professional colleagues. Accurately enter patient/customer billing data and charge accordingly Ensure that all potential payers have been identified, verified, and entered accurately into the computer system prior to submission of billing and within deadlines per company policies and procedures. Ensure that insurance-related documentation is secured, completed, reviewed, accurate, and submitted per company and state requirements. This includes election, certifications, and authorization-related documentation required for billing. Maintain tracking tools and diaries to ensure that all necessary information is secured for timely accurate payment. Alert appropriate management team members regarding late or missing documents required for billing. Perform and ensure regular review and resolve discrepancies of accounts receivables according to Company procedures, policy, internal controls, and payer requirements. Establish and maintain positive working relationships with patient/clients, payors, and other customers. Maintain the confidentiality of patient/client and agency information at all times. Assure for compliance with local, state and federal laws, Medicare regulations, and established company policies and procedures, including published manuals and responsibility matrixes Meet or exceed delivery of Company Service Standards in a consistent fashion. Interact with all staff in a positive and motivational fashion supporting the Companys mission. Conduct all business activities in a professional and ethical manner. The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents will be requested to perform job-related tasks other than those stated in this description. QUALIFICATIONS Minimum age requirement of 18. High School graduate or GED required. Two years experience in healthcare data entry, preferably in homecare Cal-Aim, Tri-west, Long Term Care Insurance experience preferred Two-year degree in accounting or equivalent insurance/bookkeeping preferred Strong computer skills, including Word, Excel, and PowerPoint. Strong analytical skills, organized work habits and proven attention to detail. Excellent communication skills, ability to work independently and in a team environment. Good customer relation skills. Ability, flexibility and willingness to learn and grow as the company expands and changes. Demonstrated leadership ability to initiate duties as required. Plan, organize, evaluate, and manage PC files and Microsoft Office. Compliance with accepted professional standards and practices. Ability to work within an interdisciplinary setting. Satisfactory references from employers and/or professional peers. Satisfactory criminal background check. Self-directed with the ability to work with little supervision. Flexible and cooperative in fulfilling all obligations. Job Type: Full-time Benefits: 401(k) matching Dental insurance Health insurance Life insurance Paid time off Vision insurance Schedule: 8 hour shift Day shift Monday to Friday Ability to Relocate: Elk Grove, CA 95758: Relocate before starting work (Required) Work Location: In person

Key Responsibilities: * Order Confirmation & Claim Preparation: Process and confirm orders, ensuring claims are accurately prepared and submitted. * Cash Posting: Post payments and update accounts in a timely and accurate manner. * Patient Support: Address any patient inquiries regarding billing, ensuring clear communication and prompt issue resolution. * Accounts Receivable Management: Work on stop/held accounts to ensure timely billing for rental items. * Meet Department Goals: Achieve performance metrics and goals set by the department to maintain operational efficiency. * Collaboration with Teams: Regularly communicate with Billing and Insurance team leads to report progress and trends Pay: $17.00 hour Benefits: * BCBS Medical * BCBS Vision * Dental Insurance * 401K * PTO Benefits

ORGANIZATION The mission of Ravenswood Family Health Network (RFHN) is to improve the health of the community by providing culturally sensitive, integrated primary and preventative health care to all, regardless of ability to pay or immigration status, and collaborating with community partners to address the social determinants of health. POSITION SUMMARY Under direct supervision, the Billing Clerk is responsible for the preparation and submission of billing for all payers including self-pay patients, public program, and private third-party insurance. Additionally, conducts accounts receivable reviews and follows up on all unpaid accounts to ensure prompt payment. DUTIES AND RESPONSIBILITIES To be performed in accordance with RFHN Policies and Procedures * Reviews assigned encounter forms for accuracy and completeness before claims submission. * Returns incomplete forms to the appropriate clinical staff for correction. * Reviews batches of charges entered for errors prior to submitting. * Processes billing for services to all payors, including submission of electronic claims for public programs, hard copy claims on HCFA 1500s and UB 04s for private insurance, and hard copy statements for self-pay patients. * Maintains backup of original documentation, including encounter forms, copies of statements, and correspondence available for audit, upon request. * Receives remittance advices for third party billing; sends checks to accounting for deposit; reconciles remittance advices and posts payments in a timely manner to ensure cash flow. * Researches denials, unpaid or partially paid claims, and re-bills weekly to ensure prompt payment. * Attends training seminars sponsored by the State or other payors to keep up-to-date on billing and eligibility issues. * Responds to/answers all calls regarding patient accounts and billing questions. * Develops payment agreements with patients as outlined in the Billing and Collections Policy. * Uses templates and work-flow documentation tools effectively to ensure that encounters are completely documented as well as enabling the collection of data for statistical reports. * Attends meetings and participates in committees as requested. * Other duties as assigned and requested. Qualifications QUALIFICATIONS * High school diploma or equivalent (GED) along with one year of billing experience in a health care organization required. * Experience with medical and dental billing for an FQHC (Federally Qualified Health Center) highly desirable. * Knowledge of billing practices required. * Knowledge of CPT and ICD-10 coding and billing requirements for public programs and third-party payers. * Knowledge of CDA and ICD-10 coding and billing requirements for public programs and third-party payers. * Understanding of special billing modifiers. * Knowledge of EPIC/OCHIN preferred. * Bilingual Spanish/English or Tongan/English skills not required, but highly preferred to facilitate communication with patients. * Familiar with a Windows environment and specifically Microsoft Excel. * Familiar with data entry, use of a calculator, and software to create spread sheets such as Microsoft Excel. * Ability to work effectively and cooperatively with other RFHN staff and patients. * Ability to examine documents for accuracy and completeness. * Ability to communicate clearly. * Ability to prepare records in accordance with detailed instructions. * Up to date with COVID-19 vaccines per current CDC guidelines strongly recommended. The pay range for this position is $24.00 to $36.00 per hour. However, the final base pay will be determined upon a number of individualized factors such as (but not limited to) the scope and responsibilities of the position, job-related knowledge, skills, experience, education and certification levels, and departmental budget. We also consider internal equity with our current employees when making final offers. Ravenswood Family Health Network is an equal opportunity employer.

**About Us:** Summit Orthopedic Specialists is a leading orthopedic practice specializing in knees, hips, and shoulders. We are committed to "Saving Lifestyles" by providing high-quality patient care in a collaborative and dynamic work environment. **Position Overview:** We are seeking a detail-oriented Medical Billing Specialist to join our team at Summit Orthopedic Specialists. The ideal candidate has medical office experience and a strong background in medical billing, insurance claims processing, and patient account management. Prior experience in an orthopedic medical office is a plus. This role is critical to ensuring accurate and timely billing, optimizing reimbursement, and providing exceptional service to patients and insurance providers. **Key Responsibilities:** - Process and submit insurance claims accurately and efficiently. - Manage claim denials and follow up to ensure proper reimbursement. - Collect and process patient payments and virtual credit card payments. - Reconcile unapplied credit balances and explanation of benefits (EOBs). - Verify patient insurance coverage and eligibility. - Answer billing queue calls and voicemails, assisting patients with billing inquiries. - Maintain compliance with HIPAA, coding guidelines, and insurance policies. - Collaborate with teammates to ensure proper documentation and coding. **Qualifications:** - Experience working in a medical office is required; orthopedic experience is a plus. - Experience working with Athena (EMR system) is a plus. - Understanding of CPT, ICD-10, and HCPCS coding. - Strong attention to detail and ability to work in a fast-paced environment. - Excellent communication and problem-solving skills. - Ability to maintain patient confidentiality and adhere to HIPAA regulations. **Why Join Summit Orthopedic Specialists?** - Competitive salary and benefits package. - A supportive and collaborative team environment. - Opportunities for professional growth and development. - Be part of a practice that values quality patient care and innovation.

Develop and grow service line referrals to achieve volume and revenue objectives for the LA Medical Foundation and Medical Groups. Referral activities target physicians in primary and secondary service areas, including new physician markets in the Southern California - LA region. Direct outreach activities toward new physicians and existing physicians who provide services to various ministries across Los Angeles. In conjunction with director, implement long-and short-term strategies to promote emergent and elective referrals and service-line objectives; retain existing business, and develop new business. Sustain referral opportunities through ongoing education, communication, and service recovery. Create opportunities for physician-to-physician dialog. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Medical Institute and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required qualifications: + 1 year of Sales experience. Preferred qualifications: + Bachelor's Degree in Marketing, Science, or Nursing or equivalent education/experience + 3 years of Sales experience. Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act." About the Team Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care. Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers. PCN is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon; Swedish Medical Group in Washington's greater Puget Sound area, Pacific Medical Centers in western Washington; Kadlec in southeast Washington; Providence's St. John's Medical Foundation in Southern California; Providence Medical Institute in Southern California; Providence Facey Medical Foundation in Southern California; Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and eastern New Mexico. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 401899 Company: Providence Jobs Job Category: Business Development Job Function: Marketing/Public Relations/Community Affairs Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 7010 BUSINESS DEVELOPMENT CA TORRANCE Address: CA Torrance 3460 Torrance Blvd Work Location: PMI Torrance Workplace Type: On-site Pay Range: $39.45 - $61.24 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

If you have a talent for numbers, excellent people skills, and a desire to assist others, Mendocino Community Health Center (MCHC) has a perfect opportunity for you! We are seeking a caring Billing Specialist to join our team. The ideal candidate should have a strong understanding of medical terminology, coding (ICD-10, CPT, HCPCS), as well as insurance and reimbursement practices particular to Federally Qualified Health Centers (FQHC's). Key responsibilities include verifying patient eligibility, submitting claims, resolving unpaid and denied claims, recording payments, addressing billing inquiries, and collecting payments from patients. Apply now and become a valuable member of our team! Duties Include: Reviews and works to completion on all billing related reports. Maintains productivity standards and revenue cycle management standards to ensure all claims are handled properly. Reviews and works aging of AR on assigned payers/financial classes monthly. Problem solves common billing, coding and reimbursement issues. Actively follows up with payers on open insurance claims. Effectively works with external third party (insurance) payer representatives to validate and correct information. Reviews accounts and applies billing knowledge required to ensure proper and maximum reimbursement. Benefits Offered: We offer Medical, Dental, and Vision Insurance, Paid Time Off, Paid Holidays, a 401k Match of up to 4%, a Flexible Spending Account, and more! Schedule: Full-Time, 40 hours per week Monday - Friday 8:00 AM - 5:00 PM Requirements Minimum Qualifications: One or more years of related experience in medical/billing reimbursement environment, or equivalent combination of education and experience which may include one or more of the following: Medical billing college classes, medical billing certification, or related medical billing experience. Preferred Qualification: Bilingual (English/Spanish)

The Billing Specialist is responsible for managing HealthRIGHT360's clinical database/billing system, including e-Clinical works (ECW) or any other future EMR's reconciling insurance claims and tracking UDC's/UOS for HealthRIGHT 360's medical contracts. Key Responsibilities Billing Responsibilities: Under the supervision of HealthRIGHT360's Revenue Cycle Manager Manager, the billing specialist is responsible for accurate and timely scanning of EFT's, checks, EOB's, claim Inquiries, denials, RTD's and correspondence to PMG or other entities. The position is responsible by obtaining any additional information that may be needed to complete claims (Dx codes, CPT codes, note signatures, etc). Maintain and ensure proper coding for encounters including updates of ICD-10 and CPT codes. Bank Statement Reconciliations. Weekly Reconciliation the front desk cash logs, co-payments, and deposits to EMR and turn into fiscal. Along with the Revenue Cycle Manager and Directors of Operations investigate, post, and manage EMR payments and deposit into bank. Under the direction of the Revenue Cycle Manager develop and manage electronic billing system by inactivating and adding new/discontinued CPT and ICD10 codes, updating the Federal Poverty Level, Sliding Scale Fees and Charges on an annual basis. Regular management of HealthRIGHT 360's Medical Program's funding sources, including Medi-Cal, Medicare, Family PACT, Managed Care and Commercial Insurances. Daily management of Return to Clinic (RTC) errors. Daily processing of clinic/billing mail and work with PMG and Internal billing department to process ACH, remits, etc. and scan/upload to appropriate folders for processing. Under supervision of the Revenue Cycle Manager process patient refunds as necessary. Billing Credentialing: Notify PMG of all termed/hired employees. Obtain all provider materials needed for credentialing providers with all payer sources. Work with PMG on outstanding AR. Compliance Responsibilities: Ensure clinic stays in compliance with billing requirements (i.e. Medi-Cal/Medicare/HRSA compliance). Assist Medical Records department in providing billing records for patients upon request. Customer Service: Work directly with patients and Revenue Cycle Manager to address patients concerns or billing or statement concerns. As requested work with patients to explain the breakdown of fees and collect payment. And, other duties as assigned. Education and Knowledge, Skills and Abilities Education and Experience Required: Associates Degree in related field. Certificate in Medical Terminology or Billing and Coding. 2+ years of experience in accounting or billing department. Strong verbal communication. Proficient in Excel. Strong attention to detail. Excellent time management skills. Ten key experience. Data entry experience. Experience using billing software; eCW, Epic, and ClaimRemedi preferred. Desired: Bachelor's Degree in Accounting or related field Background Clearance Required: Must not be on active parole or probation Knowledge Required: Excellent command of spreadsheet applications. Culturally competent and able to work with a diverse population. Strong proficiency with Microsoft Office applications, specifically Word, Excel, Outlook and internet applications. Skills and Abilities Required: Ability to enter data into various electronic systems while maintaining the integrity and accuracy of the data. Professionalism, punctuality, flexibility and reliability are imperative. Excellent verbal, written, and interpersonal skills. Integrity to handle sensitive information in a confidential manner. Action oriented. Strong problem-solving skills. Excellent organization skills and ability to multitask and juggle multiple priorities. Outstanding ability to follow-through with tasks. Ability to work cooperatively and effectively as part of interdisciplinary team and independently assume responsibility. Strong initiative and enthusiasm and willingness to pitch in whenever needed. Able to communicate well at all levels of the organization including working with organization leadership and high-level representatives of partner organizations. Able to work within a frequently changing project scope while maintaining overall direction and structured priorities. Desired: Bilingual. In compliance with the California Department of Public Health's mandate, all employees must be able to provide proof of COVID-19 vaccination. Medical and religious exemptions are available. Tag: IND100.

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, Business Billing generates accurate client invoices by applying billing terms and rules from the client agreement, the relevant company, and state and federal tax guidelines. This role will research discrepancies by resolving billing concerns and minimizing revenue leakage. Utilize Enterprise Resource Planning software in order for AMN to collect payment for services rendered ultimately impacting cash levels, days sales outstanding (DSO) and profitability. Job Responsibilities Demonstrates understanding of the billing role and requirements, as well as interpret contract terms as they relate to billing exceptions. Issues invoices to the client via mail, email, and billing technologies to ensure timely and accurate billing. Supports various email boxes associated with timecard entry for bill. Applies problem-solving and technical expertise to resolve client accounts and situations. Collaborates and responds to inquiries with internal and external customers on billing issues. Coordinates with clients on invoices requiring special procedures and invoice delivery. Maintains and updates billing systems to document any invoicing changes. Prepares and processes billing adjustments, such as credits and debits, into billing software and technologies in an accurate manner. Builds, runs and reconciles Excel reports. Key Skills Problem Solving Skills Effective Communication Skills Proficiency in billing systems Confidentiality Detail Focused Qualifications Education & Years of Experience High School Diploma/GED plus 2-5 years of work experience Additional Experience Prior Accounts Receivable, 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$18.25 - $21.50 Hourly Final pay rate is dependent on experience, training, education, and location.

Applicants with customer service, restaurant, retail and hospitality backgrounds are encouraged to apply! Are you looking to work in a fast-paced, supportive environment? Have you been trying to find a role that challenges you and give you applicable skills to use in your career? You've come to the right place! Job Type: Full-time; In-Office Salary: starting $19.00 per hour, opportunity to increase with tenure and performance raises. Who We Are: Mindful Therapy Group is a company dedicated to empowering therapists, psychologists and nurse practitioners to dive into private practice, without doing all of the leg work that comes with it. We provide high-quality billing, marketing, and administrative services to independent mental health care providers across the Pacific Northwest. Since opening in 2011, we have added over 1,500 providers throughout our 14 locations, and we are continuing to grow! We cultivate a collaborative, transparent and energetic culture and the necessary tools and support for you to succeed, both personally and professionally. About the role: The Billing Specialist is responsible for accurate and timely billing of insurance claims, management of payments, and customer service with our clients and providers. Successful candidates will have excellent attention to detail, follow through on researching accounts, and collaboration with customers and other departments. We encourage new ideas and creative process improvements that can make us a stronger team and company. Previous billing experience is not required and plenty of training is available! Responsibilities include: Communicate with clients and Providers regarding insurance questions, partnering with them to ensure accurate insurance information is received while working to educate them about their financial responsibility. Verify and communicate insurance benefits information to all new clients. Complete daily claims submission, insurance billing, and client ledger research. Process and post insurance and client payments. Collaborate with team members to meet billing department goals and daily tasks. Requirements Ability to communicate professionally, clearly, and effectively with clients, management, staff and providers via email and over the phone Excited to grow with an expanding business Positive attitude and interest in learning new skills Experience with Microsoft Excel spreadsheets Schedule: Monday - Friday 8:30am - 5pm Preferred, not required: Basic understanding of health insurance (preferred) Front desk or billing experience at medical, dental, or vision facilities (preferred) Associates degree (preferred) Benefits We provide our full-time employees with: 75% coverage of health, dental, and vision insurance 15 PTO days accrued annually 6 paid holidays per year 401k matching Life Insurance Professional development training and opportunities for advancement We are an equal opportunity employer with a progressive workplace based on teamwork, integrity, and customer service. We are committed to cultivating the long-term professional potential of our team. Applicants from all fields are encouraged to apply. Background check required. Come join a strong team making an impact in the service world of mental health! It is a conflict of interest for an employee of Mindful Support Services to be a current client of Mindful Therapy Group. We request that individuals who are receiving clinical services at Mindful Therapy Group wait until their care is discontinued before beginning employment. Job Type: Full-time; In-Office Salary: starting $19.00 per hour, opportunity to increase with tenure and performance raises.

Benefits/Perks Great small business work environment Flexible scheduling Paid vacation, health insurance, dental insurance, retirement benefit, and more! Company OverviewAmerican Family Care (AFC) is one of the largest primary and urgent care companies in the U.S. providing services seven days a week on a walk-in basis. Our state-of-the-art centers focus on the episodic treatment of acute illnesses and injuries, workers' compensation, and occupational medicine. Each location is equipped with an onsite lab and in-house x-ray capability.AFC is the parent company of AFC Franchising, LLC (AFCF). This position works directly with a franchised business location. The specific job duties and benefits can vary between franchises. Candidates Must Have: At least 2 years of experience in medical practice billing with exposure to working with denials, appeals, insurance collections, and related follow-up Working knowledge of Local and National Coverage Determinations and payor policies, and how to use them Must have ICD-10 and CPT coding assessment skills, CPC certification is preferred Strong proficiency in MS Office applications (Word, Excel, PowerPoint), and computerized billing systems is required. A patient-first, mission-oriented mindset Duties: Organize and prioritize all incoming claims and denials. Evaluate medical claims and coverage policy documentation to determine validity for an appeal. Responsible for ensuring and monitoring the effectuation of all decisions as a result of the follow-up of unpaid/denied claims with insurance carriers. Responsible for adhering to health care billing procedures, documentation, regulations, payment cycles, and standards. Work accounts to resolution. Collection from patients and insurances. Works collaboratively and effectively with all other departments and functions to maximize operational efficiency and service and ensure consistency in addressing appeals issues. Work independently to identify and resolve complex client problems. Work with leadership to develop appropriate policies and procedures. Maintain current knowledge of healthcare billing laws, rules and regulations, and developments. Comply with all applicable HIPAA policies and procedures and maintain confidentiality. Compensation: $18.00 - $23.00 per hour PS: It's All About You! American Family Care has pioneered the concept of convenient, patient-centric healthcare. Today, with more than 250 clinics and 800 in-network physicians caring for over 6 million patients a year, AFC is the nation's leading provider of urgent care, accessible primary care, and occupational medicine. Ranked by Inc. magazine as one of the fastest-growing companies in the U.S., AFC's stated mission is to provide the best healthcare possible, in a kind and caring environment, while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient. If you are looking for an opportunity where you can make a difference in the lives of others, join us on our mission. We invite you to grow with us and experience for yourself the satisfying and fulfilling work that the healthcare industry provides. Please note that a position may be for a company-owned or franchise location. Each franchise-owned and operated location recruits, hires, trains, and manages their own employees, sets their own employment policies and procedures, and provides compensation and benefits determined by that franchise owner. Company-owned locations provide a comprehensive benefits package including medical, dental, vision, disability, life insurance, matching 401(k), and more. We are an Equal Opportunity Employer.

Job Description Position Type: Full-Time Salary: $18 - $24 per hour depending on experience Job Summary: We are seeking a detail-oriented, reliable, and experienced Dental Billing Specialist to join our team. The ideal candidate will be responsible for managing patient billing processes, checking out patients, collecting co-payments, filing insurance claims, and ensuring accurate and timely reimbursements. This full-time position offers competitive pay between $18 and $24 per hour, depending on experience and qualifications. Key Responsibilities: Billing and Claims Management: Process and submit dental insurance claims accurately and in a timely manner. Verify patient insurance coverage and benefits. Follow up on unpaid claims and handle claim denials or rejections. Post payments and adjustments to patient accounts. Patient Account Management: Generate and send patient statements. Manage patient billing inquiries and resolve discrepancies. Set up payment plans for patients as needed. Ensure accuracy in patient account records. Compliance and Documentation: Maintain patient confidentiality and comply with HIPAA regulations. Keep up-to-date with changes in insurance policies and billing codes. Document all billing and payment activities thoroughly. Communication and Coordination: Liaise with dental office staff and insurance companies to resolve billing issues. Communicate effectively with patients regarding their billing questions and concerns. Assist in other administrative duties as needed. Qualifications: High school diploma or equivalent; additional education or certification in medical/dental billing is a plus. Minimum of 1 year of experience in dental billing or a related field. Proficient in dental billing software and electronic health records (EHR) systems (Dentrix a plus). Strong understanding of dental insurance policies, billing codes, and reimbursement procedures. Excellent attention to detail and organizational skills. Strong communication and customer service skills. Ability to work independently and as part of a team. Benefits: Competitive hourly wage ($18 - $24 per hour) based on experience and qualifications. Health, dental, and vision insurance. Paid time off (PTO) and holidays. Retirement plan options. Opportunities for professional development and growth. How to Apply: Interested candidates are invited to submit their resume and a cover letter outlining their relevant experience. We are an equal opportunity employer and encourage all qualified candidates to apply. We look forward to welcoming a new member to our team who is dedicated to providing excellent service and support to our patients and staff. Powered by JazzHR lGK3h9lnui

Clinica Sierra Vista is excited to be one of the largest Federally Qualified Health Centers in the Nation! We're honored to serve the men and women of the fields. We also offer care and support to the inner city, the rural and isolated, those of low, moderate, and fixed incomes, and families from an array of cultural backgrounds who speak several languages. We don't inquire about immigration status because we simply don't need to know. If you come to us, we will treat you like any other patient. As we grow our team, we are looking for individuals who believe the patient is always #1. Why work for us? * Competitive pay which matches your abilities and experience * Health coverage for you and your family * Generous number of vacation days per year * A robust wellness plan and health club discounts * Continuing education assistance to grow and further your talents * 403(B) plan with company matching Intrigued? We'd love to hear from you! Please review the job details below and then click "apply." We're looking for someone to join our team as a Patient Access Coordinator who: The Patient Access Coordinator (PAC) is part of Clinica Sierra Vista's Eligibility and Enrollment Team. The PAC will ensure that all patients receive adequate support and guidance in obtaining healthcare coverage. The PAC will provide an array of program related enrollment services, as well as, conduct community outreach activities. The PAC is under the leadership of the Program Supervisor. Essential Functions: * Assist, support, and screen patients for any of the following programs or services: Medi-Cal (new and renewals), Covered CA, Sliding Fee, Cal-Fresh, Homeless Status, Breast and Cervical Cancer Treatment Program, Every Women Counts and Transportation needs. * Schedule and meet one-on-one with patients to assist them in enrolling and obtaining the medical care and treatment needed. * Assists patients with no income or proof of income with the completion of Self Declaration forms. * Provide superior customer service to patients and team members with an attitude of helpfulness, dignity and respect. * Present all patients on the Sliding Fee Program with an annual Assurance Card and provide education and information on the healthcare benefits the patient has to the right to. * Coordinate and/or conduct community outreach activities as directed. * Provide input to Supervisor regarding site related issues and suggestions for improvement. * Assist with collection of data for program and site audits. * Document all notes and encounters in Clinica's EMR. * Ensure proper follow-up is completed in a timely basis. * Other duties as assigned. Please see attachment for full job description. You'll be successful with the following qualifications: * Graduation from high school or completion of a General Equivalency Degree (GED). * Basic Computer Skills. * Valid California driver license and current automobile insurance. * Precise and conscientious about details. * Excellent communication skills. * Ability to handle multiple tasks well. * Ability to work well independently and with others. * Must adhere to Clinica Sierra Vista's employee health/immunization requirements or provide a valid exemption request for subsequent approval. Clinica Sierra Vista values human rights, goodwill, respect, inclusivity, equality, and recognizes that the organization derives its strength from a rich diversity of thoughts, ideas, and contributions. As leaders in healthcare industry, we aspire to be an employer of choice by promoting an organizational culture that reflects these core values. We seek to attract, develop, and retain a talented and dedicated workforce where people of diverse races, genders, religions, cultures, political affiliations and lifestyles thrive. Our goal is to create a welcoming and inclusive environment that empowers our employees to provide the highest level of service to our community of residents and businesses; they're counting on us. Clinica Sierra Vista is an equal opportunity employer and strives to attract qualified applicants from all walks of life without regard to race, color, ethnicity, religion, national origin, age, sex, sexual orientation, gender identity, gender expression, marital status, ancestry, physical disability, mental disability, medical condition, genetic information, military and veteran status, or any other status protected under federal, state and/or local law. We aim to create an environment that celebrates and embraces the diversity of our workforce. We welcome you to join our team!