Post job

Biller jobs at Community Health Systems - 27 jobs

  • Insurance Verification Representative-Remote

    Community Health Systems 4.5company rating

    Biller job at Community Health Systems

    The Insurance Verification Representative is responsible for verifying insurance benefits, eligibility, and authorization requirements to ensure accurate billing and reimbursement for procedures and services. This role interacts with physician offices, patients, and internal departments to coordinate insurance approvals, obtain necessary referrals and authorizations, and communicate patient financial responsibilities. The Insurance Verification Representative ensures compliance with payer guidelines and facilitates a smooth scheduling and billing process for patients. **This is a REMOTE position** **Essential Functions** + Verifies insurance benefits, eligibility, and pre-determination requirements for all scheduled patients to ensure coverage and minimize claim denials. + Confirms that the correct insurance package has been loaded into the patient's chart and updates records as needed. + Reviews provider schedules in the electronic medical record system to obtain referrals for HMO patients and authorizations for procedures and radiology testing. + Works with hospital radiology and scheduling teams to ensure all necessary authorizations are secured for upcoming procedures. + Reviews the authorization/referral list in the patient financial system (e.g., Athena) and attaches required authorizations and referrals to pending appointments. + Utilizes financial and scheduling systems to generate authorizations, verify patient coverage, and ensure all necessary approvals are documented. + Tracks and monitors authorizations and referrals, ensuring compliance with benchmark data and payer requirements. + Coordinates with physician offices to resolve issues related to pre-determinations and authorization delays. + Contacts patients in advance of procedures to notify them of estimated financial responsibility and available payment options. + Assists and provides backup support for other business office positions as needed. + Performs other duties as assigned. + Maintains regular and reliable attendance. + Complies with all policies and standards. **Qualifications** + H.S. Diploma or GED required + Associate Degree in Healthcare Administration, Business, or a related field preferred + 1-2 years of experience in insurance verification, patient access, medical billing, or healthcare financial services required + Experience working with electronic medical records (EMR), patient scheduling systems, and insurance payer portals. preferred **Knowledge, Skills and Abilities** + Strong understanding of insurance verification processes, medical benefit plans, and payer authorization requirements. + Knowledge of healthcare reimbursement practices, including prior authorization and referral processes. + Proficiency in electronic medical records (EMR), financial systems, and patient scheduling software. + Excellent communication and customer service skills to interact professionally with patients, physician offices, and payers. + Strong attention to detail to ensure accuracy in insurance verification and documentation. + Ability to work independently and prioritize tasks in a fast-paced environment. + Knowledge of HIPAA regulations and patient confidentiality requirements. Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
    $28k-31k yearly est. 2d ago
  • Job icon imageJob icon image 2

    Looking for a job?

    Let Zippia find it for you.

  • Billing Specialist

    Community Health System 4.5company rating

    Biller job at Community Health Systems

    As a Billing Specialist at Grandview Medical Group you'll join a team and be a part of a culture that's dedicated to providing top quality care to our patients. Our full-time employees enjoy a robust benefits package which may include health insurance, 401(k), licensure/certification reimbursement, tuition reimbursement, and student loan assistance for eligible roles. Job Summary The Billing Specialist I is responsible for performing insurance claim processing, billing, and follow-up to ensure timely and accurate reimbursement. This position serves as the primary contact for insurance companies and other payers, researching and resolving claim issues while maintaining compliance with billing regulations and organizational policies. Essential Functions * Submits and processes claims accurately and efficiently, ensuring compliance with payer requirements and company policies. * Communicates with insurance companies, patients, and other stakeholders to resolve billing inquiries and maintain account status. * Reviews and reconciles credit balances, reclassifies revenue, and processes adjustments per transaction coding guidelines. * Monitors and resolves claim denials and rejections, identifying trends and implementing corrective actions. * Reviews and corrects claim filing edits based on payer requirements and electronic health record (EHR) system alerts. * Maintains accurate documentation of all billing actions in the practice management system. * Gathers, updates, and communicates billing policy changes, ensuring accessibility of up-to-date reference materials. * Collaborates with management, clinic staff, and coding teams to ensure proper billing and collection procedures. * Assists patients and insurance representatives with billing-related questions while maintaining professionalism. * Ensures compliance with HIPAA regulations and maintains confidentiality of patient financial and medical information. * Performs other duties as assigned. * Maintains regular and reliable attendance. * Complies with all policies and standards. Qualifications * 0-2 years of experience in medical billing, insurance claims processing, or revenue cycle management required Knowledge, Skills and Abilities * Knowledge of medical billing processes, insurance claim procedures, and payer policies. * Strong understanding of healthcare revenue cycle operations and reimbursement methodologies. * Proficiency in electronic health records (EHR) and practice management systems (e.g., Athena, Cerner, Ingenious Med). * Ability to interpret explanation of benefits (EOBs), identify billing discrepancies, and take corrective action. * Excellent communication and interpersonal skills to interact with patients, providers, and payers professionally. * Strong analytical and problem-solving abilities to research and resolve billing issues. * Attention to detail and ability to manage multiple tasks while meeting deadlines. * Working knowledge of HIPAA regulations and the importance of maintaining patient confidentiality. Licenses and Certifications * CPB- Certified Medical Biller issued by AAPC preferred or * Certified Medical Insurance Specialist (CMIS) issued by PMI preferred
    $24k-30k yearly est. 58d ago
  • Remote Billing Specialist

    Lifepoint Hospitals 4.1company rating

    Brentwood, TN jobs

    Billing Specialist Schedule: Monday-Friday, 40hrs a week. 8am-5pm in your time zone. Your experience matters At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a member of the Health Support Center (HSC) team, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier . More about our team The Physician Services Revenue Integrity team at Lifepoint Health is a nationwide revenue cycle management services provider that has been offering high quality medical billing services since 2004. We offer a rewarding work environment with career advancement opportunities while maintaining a small company, employee-focused atmosphere. How you'll contribute A Billing Specialist who excels in this role: * Responsible for maintaining Revenue Cycle Services, and other departments with resolution of billing issues and/or denials requiring clinical expertise. * Responsible for researching, working, and resolving claim denials and rejections in your assigned client. * Assume ownership over your assigned clients for all aspects of the billing cycle, including Charges, Payments, and AR metrics and performance. * Keep on task to meet all required deadlines and timeframes for customer and company needs. * Assist in the development of processes and procedures for each assigned account. * Monitors and analyzes current industry trends and issues for potential organizational impact. * Communicate regularly with your assigned clients to alert them of trends identified and recommended resolutions. * Collaborate with all departments to ensure billing accuracy and efficiency. * Deliver timely required reports to the management team; initiates and communicates the resolution of issues, such as payer denial trends, collections accounts, inaccurate or incorrect charges. * Ensure compliance with all relevant regulations, standards, and laws. * Assist with any other projects as assigned by the Operations leadership. Why join us We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: * Comprehensive Benefits: Multiple levels of medical, dental and vision coverage - with medical plans starting at just $10 per pay period - tailored benefit options for part-time and PRN employees, and more. * Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off. * Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match. * Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs). * Professional Development: Ongoing learning and career advancement opportunities. What we're looking for Education: High-School Graduate or Equivalent Experience: 1-2 Years Medical Accounts Receivable Experience Preferred Skills: * ICD10 and CPT knowledge * Computer Skills: Excel, Word, Outlook, Medical Billing Software Systems * Knowledge of full cycle revenue model * Thorough knowledge of ICD and CPT application, correct practices, and tools utilized within the healthcare industry, as well as audits * Ability to interpret documents, medical records, and other documentation related to medical claims * Strong technical and computer skills (PM/EHR Software, Excel, Outlook, MS Office, Web) * Ability to identify and resolve trends within your workflow * Athena experience preferred * Behavioral Health experience preferred Pay Range: $18+ per hour depending on experience. EEOC Statement "Lifepoint Health is an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment." Employment Sponsorship Statement "You must be work authorized in the United States without the need for employer sponsorship"
    $30k-38k yearly est. 4d ago
  • Patient Account Senior Representative - Remote

    Tenet Healthcare Corporation 4.5company rating

    Frisco, TX jobs

    The Accounts Receivable Senior Representative is responsible for all aspects of follow-up activity, to include taking appropriate steps to resolve accounts timely. This candidate should have an increased knowledge of the Revenue Cycle as it relates to the entire life of a patient account from creation to expected payment. Representative will need to effectively follow-up on claim submission and; remittance review for insurance collections, create and pursue disputed balances from both government and non-government entities. Basic knowledge of Commercial, Managed Care, Medicare and Medicaid insurance is preferable. . Participate and assist in special projects as well as provide A/R support to the team. Assist new or existing staff with training or techniques to increase production and quality as well as provide A/R support for the team members that may be absent or backlogged. An effective revenue cycle process is achieved with working as part of a dynamic team and the ability to adapt and grow in an environment where work assignments may change frequently while resolving more complex accounts with minimal or no assistance. Senior Representative must have the ability to work closely with management and team members working an inventory of collectible accounts that bring in revenue and possess the the following: * Conduct telephone calls utilizing a professional demeanor when contacting payors and/or patients in order to obtain collection related information * Basic computer skills to navigate through the various system applications provided for additional resources in determining account actions (may work in multiple systems for clients) * Access payer websites and discern pertinent data to resolve accounts * Utilize all available job aids provided for appropriateness in follow-up processes * Document clear and concise notes in the patient accounting system regarding claim status and any actions taken on an account * Maintain department daily productivity goals in completing a set number of accounts while also meeting quality standards as determined by leadership * Skilled in working with complex medical claim issues * Identify and communicate any issues including system access, payor behavior, account/work-flow inconsistencies or any other insurance collection opportunities * Compile data to substantiate and utilize to resolve payer, system or escalated account issues * Assist new or existing staff with training or techniques to increase production and quality * Provide support for team members that may be absent or backlogged ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. * Researches each account using company patient accounting applications and internet resources that are made available. Conducts appropriate account activity on uncollected account balances with contacting third party payors and/or patients via phone, e-mail, or online. Problem solves issues and creates resolution that will bring in revenue eliminating re-work. Updates plan IDs, adjusts patient or payor demographic/insurance information, notates account in detail, identifies payor issues and trends and and solves re-coup issues. Requests additional information from patients, medical records, and other needed documentation upon request from payors. Reviews contracts and identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed. Takes appropriate action to bring about account resolution timely or opens a dispute record to have the account further researched and substantiated for continued collection. Maintains desk inventory to remain current without backlog while achieving productivity and quality standards. * Perform special projects and other duties as needed. Assists with special projects as assigned, documents findings, and communicates results to leaders. * Recognizes potential delays and trends with payors such as corrective actions and responds to avoid A/R aging. Escalates payment delays/ problem aged account timely to Supervisor. * Compile data to substantiate and utilize to resolve payer, system or escalated account issues. * Assist new or existing staff with training or techniques to increase production and quality as needed. * Participate and attend meetings, training seminars and in-services to develop job knowledge. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Thorough understanding of the revenue cycle process, from patient access (authorization, admissions) through Patient Financial Services (billing, insurance appeals, collections) procedures and policies * Good written and verbal communication skills * Intermediate technical skills including PC and MS Outlook * Strong interpersonal skills * Above average analytical and critical thinking skills * Ability to make sound decisions * Has a full understanding of the Commercial, Managed Care, Medicare and Medicaid collections, Intermediate knowledge of Managed Care contracts, Contract Language and Federal and State requirements for government payors * Advanced knowledge of UB-04 and Explanation of Benefits (EOB) interpretation * Intermediate knowledge of CPT and ICD-9 codes * Advanced knowledge of insurance billing, collections and insurance terminology Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. * High school diploma or equivalent education * 2-5 years experience in Medical/Hospital Insurance related collections * Minimum typing requirement of 45 wpm PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Office/Teamwork Environment * Ability to sit and work at a computer for extended periods of time WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $17.20 - $25.70 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********
    $17.2-25.7 hourly 10d ago
  • Patient Account Senior Representative - Remote

    Tenet Healthcare Corporation 4.5company rating

    Frisco, TX jobs

    The Accounts Receivable Senior Representative is responsible for all aspects of follow-up activity, to include taking appropriate steps to resolve accounts timely. This candidate should have an increased knowledge of the Revenue Cycle as it relates to the entire life of a patient account from creation to expected payment. Representative will need to effectively follow-up on claim submission and; remittance review for insurance collections, create and pursue disputed balances from both government and non-government entities. Basic knowledge of Commercial, Managed Care, Medicare and Medicaid insurance is preferable. . Participate and assist in special projects as well as provide A/R support to the team. Assist new or existing staff with training or techniques to increase production and quality as well as provide A/R support for the team members that may be absent or backlogged. An effective revenue cycle process is achieved with working as part of a dynamic team and the ability to adapt and grow in an environment where work assignments may change frequently while resolving more complex accounts with minimal or no assistance. Senior Representative must have the ability to work closely with management and team members working an inventory of collectible accounts that bring in revenue and possess the the following: * Conduct telephone calls utilizing a professional demeanor when contacting payors and/or patients in order to obtain collection related information * Basic computer skills to navigate through the various system applications provided for additional resources in determining account actions (may work in multiple systems for clients) * Access payer websites and discern pertinent data to resolve accounts * Utilize all available job aids provided for appropriateness in follow-up processes * Document clear and concise notes in the patient accounting system regarding claim status and any actions taken on an account * Maintain department daily productivity goals in completing a set number of accounts while also meeting quality standards as determined by leadership * Skilled in working with complex medical claim issues * Identify and communicate any issues including system access, payor behavior, account/work-flow inconsistencies or any other insurance collection opportunities * Compile data to substantiate and utilize to resolve payer, system or escalated account issues * Assist new or existing staff with training or techniques to increase production and quality * Provide support for team members that may be absent or backlogged ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. * Researches each account using company patient accounting applications and internet resources that are made available. Conducts appropriate account activity on uncollected account balances with contacting third party payors and/or patients via phone, e-mail, or online. Problem solves issues and creates resolution that will bring in revenue eliminating re-work. Updates plan IDs, adjusts patient or payor demographic/insurance information, notates account in detail, identifies payor issues and trends and and solves re-coup issues. Requests additional information from patients, medical records, and other needed documentation upon request from payors. Reviews contracts and identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed. Takes appropriate action to bring about account resolution timely or opens a dispute record to have the account further researched and substantiated for continued collection. Maintains desk inventory to remain current without backlog while achieving productivity and quality standards. * Perform special projects and other duties as needed. Assists with special projects as assigned, documents findings, and communicates results to leaders. * Recognizes potential delays and trends with payors such as corrective actions and responds to avoid A/R aging. Escalates payment delays/ problem aged account timely to Supervisor. * Compile data to substantiate and utilize to resolve payer, system or escalated account issues. * Assist new or existing staff with training or techniques to increase production and quality as needed. * Participate and attend meetings, training seminars and in-services to develop job knowledge. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Thorough understanding of the revenue cycle process, from patient access (authorization, admissions) through Patient Financial Services (billing, insurance appeals, collections) procedures and policies * Good written and verbal communication skills * Intermediate technical skills including PC and MS Outlook * Strong interpersonal skills * Above average analytical and critical thinking skills * Ability to make sound decisions * Has a full understanding of the Commercial, Managed Care, Medicare and Medicaid collections, Intermediate knowledge of Managed Care contracts, Contract Language and Federal and State requirements for government payors * Advanced knowledge of UB-04 and Explanation of Benefits (EOB) interpretation * Intermediate knowledge of CPT and ICD-9 codes * Advanced knowledge of insurance billing, collections and insurance terminology Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. * High school diploma or equivalent education * 2-5 years experience in Medical/Hospital Insurance related collections * Minimum typing requirement of 45 wpm PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Office/Teamwork Environment * Ability to sit and work at a computer for extended periods of time WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $17.20 - $25.70 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********
    $17.2-25.7 hourly 11d ago
  • Patient Access Coordinator - Work From Home

    HCA 4.5company rating

    Nashville, TN jobs

    Introduction Do you want to join an organization that invests in you as a(an) Patient Access Coordinator? At the Patient Access Center, you come first. HCA Healthcare has committed up to 300 million in programs to support our incredible team members over the course of three years. Benefits The PAC offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: * Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. * Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. * Free counseling services and resources for emotional, physical and financial wellbeing * 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) * Employee Stock Purchase Plan with 10% off HCA Healthcare stock * Family support through fertility and family building benefits with Progyny and adoption assistance. * Referral services for child, elder and pet care, home and auto repair, event planning and more * Consumer discounts through Abenity and Consumer Discounts * Retirement readiness, rollover assistance services and preferred banking partnerships * Education assistance (tuition, student loan, certification support, dependent scholarships) * Colleague recognition program * Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) * Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated Patient Access Coordinator like you to be a part of our team. Job Summary and Qualifications Full time (Monday - Friday, days), no nights, no on call, no weekends, no holidays Seeking a Patient Access Coordinator for our practice who provides clinical expertise to ensure all patients receive high quality, efficient care. We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply now. What you will do in this role: * Responsible for answering incoming phone calls * Scheduling patient appointment * Helping with refill requests * Scheduling referral patients at specialty clinics * Assisting patient with other needs with their primary care and or specialty clinics * You will serve as a liaison between the patient and their primary care and specialty practice support staff * Supports and adheres to HCA Code of Conduct, related Ethics and Compliance policies, and HIPAA requirements What Qualifications you will need: * High school degree preferred * Minimum (1) year of experience in a medical office setting highly preferred (i.e.ambulatory surgery center, hospital, doctors office) preferred * BLS may be required as per practice standard Supporting HCA Healthcares 186 hospitals and 2,400+ sites of care, Physician Services plays a crucial role as the main entry point for patients looking for high-quality healthcare within the HCA Healthcare system. With a focus on meeting the needs of our patients at all access points, Physician Services is dedicated to implementing innovative, physician-driven, value-added solutions to assist physicians in providing high-quality, patient-centered care, aligning with our mission to care for and enhance human life. HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in costs for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "Good people beget good people."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Patient Access Coordinator - Work From Home opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
    $27k-32k yearly est. 3d ago
  • Patient Access Coordinator - Work From Home

    HCA Healthcare 4.5company rating

    Nashville, TN jobs

    **Introduction** Do you want to join an organization that invests in you as a(an) Patient Access Coordinator? At the Patient Access Center, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. **Benefits** The PAC offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling services and resources for emotional, physical and financial wellbeing + 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny and adoption assistance. + Referral services for child, elder and pet care, home and auto repair, event planning and more + Consumer discounts through Abenity and Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) + Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits (********************************************************************** **_Note: Eligibility for benefits may vary by location._** You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated Patient Access Coordinator like you to be a part of our team. **Job Summary and Qualifications** Full time (Monday - Friday, days), no nights, no on call, no weekends, no holidays Seeking a **Patient Access Coordinator** for our practice who provides clinical expertise to ensure all patients receive high quality, efficient care. We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply now. What you will do in this role: + Responsible for answering incoming phone calls + Scheduling patient appointment + Helping with refill requests + Scheduling referral patients at specialty clinics + Assisting patient with other needs with their primary care and or specialty clinics + You will serve as a liaison between the patient and their primary care and specialty practice support staff + Supports and adheres to HCA Code of Conduct, related Ethics and Compliance policies, and HIPAA requirements What Qualifications you will need: + High school degree preferred + Minimum (1) year of experience in a medical office setting highly preferred (i.e.ambulatory surgery center, hospital, doctors office) preferred + BLS may be required as per practice standard Supporting HCA Healthcare's 186 hospitals and 2,400+ sites of care, Physician Services plays a crucial role as the main entry point for patients looking for high-quality healthcare within the HCA Healthcare system. With a focus on meeting the needs of our patients at all access points, Physician Services is dedicated to implementing innovative, physician-driven, value-added solutions to assist physicians in providing high-quality, patient-centered care, aligning with our mission to care for and enhance human life. HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in costs for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "Good people beget good people."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Patient Access Coordinator - Work From Home opening. Qualified candidates will be contacted for interviews. **Submit your resume today to join our community of caring!** We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
    $27k-32k yearly est. 1d ago
  • Patient Advocate Representative - Shelby Medical

    Tenet Healthcare Corporation 4.5company rating

    Alabaster, AL jobs

    Responsible for screening self-pay patients at hospital bedside for eligibility in various governmental and non-governmental programs. Responsible for identifying all sources of potential payors including auto insurance, Workers' Compensation, commercial insurance, private insurance, TPL, etc. to route account appropriately in the Patient Accounting environment. Also responsible for obtaining and completing the Confidential Financial Statement form and assisting patients in the process of applying for any benefits for which they may be eligible. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Conducts interviews with patients and/or family members. * Records and maintains complete documentation of activities performed on account while in-house and during the Patient accounting cycle. * Performs financial clearance function including collections. Cancels accounts that have not had any patient cooperation and are not eligible for any programs and prepares accounts for Financial Assistance review. * Follows up on EES assigned accounts to ensure follow-through on Government application submitted. Develops a working relationship with patients, based on good communication skills, enabling accounts to be processed quickly with government program eligibility. * Conducts field visits to patient homes for skip tracing and or assisting patient with documents. * Notifies hospital case management, social services and admissions staff of case screening determinations and outcomes via verbal and written communication. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Working familiarity with the rules and regulations pertaining to Federal, State and County programs * P/C systems literate including Windows, and Microsoft Outlook, Excel and Word programs * Ability to work independently * Excellent oral and written communication skills, as well as the clear understanding of the English language * Detail oriented, with strengths in dealing with multiple facilities, Supervisors, and Hospital platforms * Ability to prioritize and manage multiple tasks with efficiency * Bi-lingual preferred (Spanish) Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. * High School diploma or equivalent * Minimum 2 years work experience with Social Services or Hospital Admitting or related area PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Ability to sit and work at a computer terminal for extended periods of time * Must be able to walk through a hospital environment, including across broad campus settings and Emergency Department environments, and visit patients at bedside * Ability to travel if required WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Both Hospital and Office facilities, in direct contact with Patients and Staff OTHER * Some travel may be required As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********
    $31k-35k yearly est. 8d ago
  • Insurance Verification Representative

    Community Health Systems 4.5company rating

    Biller job at Community Health Systems

    The Insurance Verification Representative is responsible for verifying insurance benefits, eligibility, and authorization requirements to ensure accurate billing and reimbursement for procedures and services. This role interacts with physician offices, patients, and internal departments to coordinate insurance approvals, obtain necessary referrals and authorizations, and communicate patient financial responsibilities. The Insurance Verification Representative ensures compliance with payer guidelines and facilitates a smooth scheduling and billing process for patients. Essential Functions Verifies insurance benefits, eligibility, and pre-determination requirements for all scheduled patients to ensure coverage and minimize claim denials. Confirms that the correct insurance package has been loaded into the patient's chart and updates records as needed. Reviews provider schedules in the electronic medical record system to obtain referrals for HMO patients and authorizations for procedures and radiology testing. Works with hospital radiology and scheduling teams to ensure all necessary authorizations are secured for upcoming procedures. Reviews the authorization/referral list in the patient financial system (e.g., Athena) and attaches required authorizations and referrals to pending appointments. Utilizes financial and scheduling systems to generate authorizations, verify patient coverage, and ensure all necessary approvals are documented. Tracks and monitors authorizations and referrals, ensuring compliance with benchmark data and payer requirements. Coordinates with physician offices to resolve issues related to pre-determinations and authorization delays. Contacts patients in advance of procedures to notify them of estimated financial responsibility and available payment options. Assists and provides backup support for other business office positions as needed. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications H.S. Diploma or GED required Associate Degree in Healthcare Administration, Business, or a related field preferred 1-2 years of experience in insurance verification, patient access, medical billing, or healthcare financial services required Experience working with electronic medical records (EMR), patient scheduling systems, and insurance payer portals. preferred Knowledge, Skills and Abilities Strong understanding of insurance verification processes, medical benefit plans, and payer authorization requirements. Knowledge of healthcare reimbursement practices, including prior authorization and referral processes. Proficiency in electronic medical records (EMR), financial systems, and patient scheduling software. Excellent communication and customer service skills to interact professionally with patients, physician offices, and payers. Strong attention to detail to ensure accuracy in insurance verification and documentation. Ability to work independently and prioritize tasks in a fast-paced environment. Knowledge of HIPAA regulations and patient confidentiality requirements.
    $28k-32k yearly est. Auto-Apply 3d ago
  • Remote- Medical Collections Representative

    Tenet Healthcare Corporation 4.5company rating

    Frisco, TX jobs

    The Patient Account Representative is responsible for working accounts to ensure they are resolved in a timely manner. This candidate should have a solid understanding of the Revenue Cycle as it relates to the entire life of a patient account from creation to payment. Representative will need to effectively follow-up on claim submission, remittance review for insurance collections, create and pursue disputed balances from both government and non-government entities. Basic knowledge of Commercial, Managed Care, Medicare and Medicaid insurance is preferable. An effective revenue cycle process is achieved with working as part of a dynamic team and the ability to adapt and grow in an environment where work assignments may change frequently while resolving accounts with minimal assistance. Representative must be able to work independently as well as work closely with management and team to take appropriate steps to resolve an account. Team member should possess the following: * Perform duties as assigned in a professional demeanor, which includes interacting with insurance plans, patients, physicians, attorneys and team members as needed. * Basic computer skills to navigate through the various system applications provided for additional resources in determining account actions * Access payer websites and discern pertinent data to resolve accounts * Utilize all available job aids provided for appropriateness in Patient Accounting processes * Document clear and concise notes in the patient accounting system regarding claim status and any actions taken on an account * Maintain department daily productivity goals in completing a set number of accounts while also meeting quality standards as determined by leadership * Identify and communicate any issues including system access, payor behavior, account work-flow inconsistencies or any other insurance collection opportunities * Provide support for team members that may be absent or backlogged ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Researches each account using company patient accounting applications and internet resources that are made available. Conducts appropriate account activity on uncollected account balances with contacting third party payors and/or patients via phone, e-mail, or online. Problem solves issues and creates resolution that will bring in revenue eliminating re-work. Updates plan IDs, adjusts patient or payor demographic/insurance information, notates account in detail, identifies payor issues and trends and solves re-coup issues. Requests additional information from patients, medical records, and other needed documentation upon request from payors. Reviews contracts and identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed. Takes appropriate action to bring about account resolution timely or opens a dispute record to have the account further researched and substantiated for continued collection. Maintains desk inventory to remain current without backlog while achieving productivity and quality standards. * Perform special projects and other duties as needed. Assists with special projects as assigned, documents, findings, and communicates results. * Recognizes potential delays and trends with payors such as corrective actions and responds to avoid A/R aging. Escalates payment delays/ problem aged account timely to Supervisor. * Participate and attend meetings, training seminars and in-services to develop job knowledge. * Respond timely to emails and telephone messages as appropriate. * Ensures compliance with State and Federal Laws Regulations for Managed Care and other Third Party Payors. Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Thorough understanding of the revenue cycle process, from patient access (authorization, admissions) through Patient Financial Services (billing, insurance appeals, collections) procedures and policies * Intermediate skill in Microsoft Office (Word, Excel) * Ability to learn hospital systems - ACE, VI Web, IMaCS, OnDemand quickly and fluently * Ability to communicate in a clear and professional manner * Must have good oral and written skills * Strong interpersonal skills * Above average analytical and critical thinking skills * Ability to make sound decisions * Has a full understanding of the Commercial, Managed Care, Medicare and Medicaid collections, Intermediate knowledge of Managed Care contracts, Contract Language and Federal and State requirements for government payors * Familiar with terms such as HMO, PPO, IPA and Capitation and how these payors process claims. * Intermediate understanding of EOB. * Intermediate understanding of Hospital billing form requirements (UB04) and familiar with the HCFA 1500 forms. * Ability to problem solve, prioritize duties and follow-through completely with assigned tasks. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job. * High School diploma or equivalent. Some college coursework in business administration or accounting preferred * 1-4 years medical claims and/or hospital collections experience * Minimum typing requirement of 45 wpm PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Office/Team Work Environment * Ability to sit and work at a computer terminal for extended periods of time WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Call Center environment with multiple workstations in close proximity As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $15.80 - $23.70 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********
    $15.8-23.7 hourly 36d ago
  • Billing Specialist

    Community Health Systems 4.5company rating

    Biller job at Community Health Systems

    As a Billing Specialist at Grandview Medical Group you'll join a team and be a part of a culture that's dedicated to providing top quality care to our patients. Our full-time employees enjoy a robust benefits package which may include health insurance, 401(k), licensure/certification reimbursement, tuition reimbursement, and student loan assistance for eligible roles. **Job Summary** The Billing Specialist I is responsible for performing insurance claim processing, billing, and follow-up to ensure timely and accurate reimbursement. This position serves as the primary contact for insurance companies and other payers, researching and resolving claim issues while maintaining compliance with billing regulations and organizational policies. **Essential Functions** + Submits and processes claims accurately and efficiently, ensuring compliance with payer requirements and company policies. + Communicates with insurance companies, patients, and other stakeholders to resolve billing inquiries and maintain account status. + Reviews and reconciles credit balances, reclassifies revenue, and processes adjustments per transaction coding guidelines. + Monitors and resolves claim denials and rejections, identifying trends and implementing corrective actions. + Reviews and corrects claim filing edits based on payer requirements and electronic health record (EHR) system alerts. + Maintains accurate documentation of all billing actions in the practice management system. + Gathers, updates, and communicates billing policy changes, ensuring accessibility of up-to-date reference materials. + Collaborates with management, clinic staff, and coding teams to ensure proper billing and collection procedures. + Assists patients and insurance representatives with billing-related questions while maintaining professionalism. + Ensures compliance with HIPAA regulations and maintains confidentiality of patient financial and medical information. + Performs other duties as assigned. + Maintains regular and reliable attendance. + Complies with all policies and standards. **Qualifications** + 0-2 years of experience in medical billing, insurance claims processing, or revenue cycle management required **Knowledge, Skills and Abilities** + Knowledge of medical billing processes, insurance claim procedures, and payer policies. + Strong understanding of healthcare revenue cycle operations and reimbursement methodologies. + Proficiency in electronic health records (EHR) and practice management systems (e.g., Athena, Cerner, Ingenious Med). + Ability to interpret explanation of benefits (EOBs), identify billing discrepancies, and take corrective action. + Excellent communication and interpersonal skills to interact with patients, providers, and payers professionally. + Strong analytical and problem-solving abilities to research and resolve billing issues. + Attention to detail and ability to manage multiple tasks while meeting deadlines. + Working knowledge of HIPAA regulations and the importance of maintaining patient confidentiality. **Licenses and Certifications** + CPB- Certified Medical Biller issued by AAPC preferred or + Certified Medical Insurance Specialist (CMIS) issued by PMI preferred Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
    $24k-30k yearly est. 57d ago
  • Billing Specialist

    Community Health Systems 4.5company rating

    Biller job at Community Health Systems

    As a Billing Specialist at Grandview Medical Group you'll join a team and be a part of a culture that's dedicated to providing top quality care to our patients. Our full-time employees enjoy a robust benefits package which may include health insurance, 401(k), licensure/certification reimbursement, tuition reimbursement, and student loan assistance for eligible roles. Job Summary The Billing Specialist I is responsible for performing insurance claim processing, billing, and follow-up to ensure timely and accurate reimbursement. This position serves as the primary contact for insurance companies and other payers, researching and resolving claim issues while maintaining compliance with billing regulations and organizational policies. Essential Functions Submits and processes claims accurately and efficiently, ensuring compliance with payer requirements and company policies. Communicates with insurance companies, patients, and other stakeholders to resolve billing inquiries and maintain account status. Reviews and reconciles credit balances, reclassifies revenue, and processes adjustments per transaction coding guidelines. Monitors and resolves claim denials and rejections, identifying trends and implementing corrective actions. Reviews and corrects claim filing edits based on payer requirements and electronic health record (EHR) system alerts. Maintains accurate documentation of all billing actions in the practice management system. Gathers, updates, and communicates billing policy changes, ensuring accessibility of up-to-date reference materials. Collaborates with management, clinic staff, and coding teams to ensure proper billing and collection procedures. Assists patients and insurance representatives with billing-related questions while maintaining professionalism. Ensures compliance with HIPAA regulations and maintains confidentiality of patient financial and medical information. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications 0-2 years of experience in medical billing, insurance claims processing, or revenue cycle management required Knowledge, Skills and Abilities Knowledge of medical billing processes, insurance claim procedures, and payer policies. Strong understanding of healthcare revenue cycle operations and reimbursement methodologies. Proficiency in electronic health records (EHR) and practice management systems (e.g., Athena, Cerner, Ingenious Med). Ability to interpret explanation of benefits (EOBs), identify billing discrepancies, and take corrective action. Excellent communication and interpersonal skills to interact with patients, providers, and payers professionally. Strong analytical and problem-solving abilities to research and resolve billing issues. Attention to detail and ability to manage multiple tasks while meeting deadlines. Working knowledge of HIPAA regulations and the importance of maintaining patient confidentiality. Licenses and Certifications CPB- Certified Medical Biller issued by AAPC preferred or Certified Medical Insurance Specialist (CMIS) issued by PMI preferred
    $24k-30k yearly est. Auto-Apply 12d ago
  • Patient Access Rep II - Citizens Medical - Evening

    Tenet Healthcare Corporation 4.5company rating

    Talladega, AL jobs

    Responsible for duties in support of departmental efficiencies which may include: but not limited to performing scheduling, registration, patient pre-admission and admission, reception and discharge functions. Must obtain complete and accurate patient demographic information. Patient Access representatives also must employ proper, compliant patient liability collection techniques before, during & after date of service. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Greeting patients following Conifer Standards of Care, provides world-class customer service, completes full patient registration at date of service, adheres to financial & cash control policies & procedures, thoroughly explains and secures Hospital & patient legal forms (i.e., Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, etc.). Scan Protected Health Information, create and file patient information packets/folders for upcoming Hospital services. May also assist with scheduling diagnostic procedures (enters data in scheduling system, provide customer with appointment instructions, other tasks as needed). * Educates patients about patient financial liabilities, employs proper, compliant patient liability collection techniques before, during & after date of service, performs Hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures. * Secures medical necessity checks/verification in accordance to Centers for Medicare & Medicaid services, verifies insurance, benefits, coverage & eligibility, completes assigned registration financial clearance work lists activities, obtains insurance authorizations for scheduled & unscheduled Hospital services, and secures inpatient visit notification to payors. May also assist with scheduling and coordinating post discharge care for patients. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Minimum typing skills of 35 wpm * Demonstrated working knowledge of PC/CRT/printer * Knowledge of function and relationships within a hospital environment preferred * Customer service skills and experience * Ability to work in a fast paced environment * Ability to receive and express detailed information through oral and written communications * Understanding of Third Party Payor requirements preferred * Understanding of Compliance standards preferred * Must be able to perform essential job duties in at least two Patient Access service areas including Emergency Department. * Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors. * Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy. * Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care. Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job. * High School Diploma or GED required. * 0 - 1 year in a Customer Service role. * 0 - 1 year administrative experience in medical facility, health insurance, or related area preferred * Some college coursework is preferred PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Must be able to sit at computer terminal for extended periods of time. * Resolves Physician's office and Patient issues. May experience extreme patient volumes and uncooperative Patients. * Occasionally lift/carry items weighing up to 25 lbs. * Frequent prolonged standing, sitting, and walking. * Occasionally push a wheelchair to assist patients with mobility problems. WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Hospital administration * Can work in patient care locations which include potential exposure to life-threatening patient conditions. OTHER * Must be available to work hours and days as needed based on departmental/system demands. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********
    $28k-32k yearly est. 11d ago
  • Scheduling Specialist - Chelsea

    Community Health System 4.5company rating

    Biller job at Community Health Systems

    As a Scheduling Specialist at Grandview Medical Group you'll join a team and be a part of a culture that's dedicated to providing top quality care to our patients. Our full-time employees enjoy a robust benefits package which may include health insurance, 401(k), licensure/certification reimbursement, tuition reimbursement, and student loan assistance for eligible roles. Job Summary The Scheduling Specialist is responsible for managing and optimizing the scheduling process for patients and physicians offices within the hospital or medical facility. This role involves coordinating appointments, procedures, and treatments across departments to ensure efficient utilization of resources and high-quality patient care. The Scheduling Specialist serves as a key liaison between patients, medical staff, and administrative teams, ensuring timely and accurate scheduling while providing excellent customer service. Essential Functions * Schedules patient appointments for consultations, tests, procedures, and follow-ups, ensuring proper allocation of time and resources. * Notifies patients of appointment confirmations, cancellations, or reschedules, as well as providing necessary information and instructions, ensuring a high level of patient satisfaction. * Accurately enters and updates patient information into the electronic health records (EHR) or scheduling system. * Works closely with medical staff to align patient appointments with clinical priorities and optimize provider schedules. * Tracks and manage patient cancellations and no-shows, ensuring timely rescheduling and minimizing disruptions. * Provides general administrative assistance, including answering calls, managing patient referrals, and coordinating patient files. * Receives orders from the Order Facilitator and reviews to make sure the orders are valid and complete. * Asks patients the necessary questions for specific tests and provide the required procedure preparation or instructions. * Prioritizes work efficiently, including processing STAT order timely. * Notifies ordering offices if unable to contract their patient to schedule procedures. * Offers alternative scheduling options when needed to accommodate patient preferences and medical needs. * Communicates with physicians, nurses, and other medical professionals to ensure appointments are properly scheduled based on clinical priorities and patient needs. * Performs other duties as assigned. * Maintains regular and reliable attendance. * Complies with all policies and standards. Qualifications * Associate Degree or certification in Healthcare Administration, Medical Office Administration, or a related field preferred * 0-2 years of experience in medical scheduling, administrative support, or customer service preferred * 0-2 years of experience with electronic medical record (EMR) systems, scheduling software, or medical front desk operations preferred Knowledge, Skills and Abilities * Strong knowledge of appointment scheduling, patient flow management, and administrative procedures. * Strong organizational and time-management skills with the ability to handle multiple tasks and deadlines. * Excellent verbal and written communication skills to effectively interact with patients, medical staff, and administrative teams. * High attention to detail and accuracy, particularly in data entry and record-keeping. * Ability to work in a fast-paced environment while maintaining a calm, professional demeanor. * Proficient in Microsoft Office Suite (Word, Excel, Outlook) and hospital scheduling or EHR software. * Knowledge of medical terminology is a plus.
    $31k-34k yearly est. 47d ago
  • Scheduling Specialist - Chelsea

    Community Health Systems 4.5company rating

    Biller job at Community Health Systems

    As a Scheduling Specialist at Grandview Medical Group you'll join a team and be a part of a culture that's dedicated to providing top quality care to our patients. Our full-time employees enjoy a robust benefits package which may include health insurance, 401(k), licensure/certification reimbursement, tuition reimbursement, and student loan assistance for eligible roles. **Job Summary** The Scheduling Specialist is responsible for managing and optimizing the scheduling process for patients and physicians offices within the hospital or medical facility. This role involves coordinating appointments, procedures, and treatments across departments to ensure efficient utilization of resources and high-quality patient care. The Scheduling Specialist serves as a key liaison between patients, medical staff, and administrative teams, ensuring timely and accurate scheduling while providing excellent customer service. **Essential Functions** + Schedules patient appointments for consultations, tests, procedures, and follow-ups, ensuring proper allocation of time and resources. + Notifies patients of appointment confirmations, cancellations, or reschedules, as well as providing necessary information and instructions, ensuring a high level of patient satisfaction. + Accurately enters and updates patient information into the electronic health records (EHR) or scheduling system. + Works closely with medical staff to align patient appointments with clinical priorities and optimize provider schedules. + Tracks and manage patient cancellations and no-shows, ensuring timely rescheduling and minimizing disruptions. + Provides general administrative assistance, including answering calls, managing patient referrals, and coordinating patient files. + Receives orders from the Order Facilitator and reviews to make sure the orders are valid and complete. + Asks patients the necessary questions for specific tests and provide the required procedure preparation or instructions. + Prioritizes work efficiently, including processing STAT order timely. + Notifies ordering offices if unable to contract their patient to schedule procedures. + Offers alternative scheduling options when needed to accommodate patient preferences and medical needs. + Communicates with physicians, nurses, and other medical professionals to ensure appointments are properly scheduled based on clinical priorities and patient needs. + Performs other duties as assigned. + Maintains regular and reliable attendance. + Complies with all policies and standards. **Qualifications** + Associate Degree or certification in Healthcare Administration, Medical Office Administration, or a related field preferred + 0-2 years of experience in medical scheduling, administrative support, or customer service preferred + 0-2 years of experience with electronic medical record (EMR) systems, scheduling software, or medical front desk operations preferred **Knowledge, Skills and Abilities** + Strong knowledge of appointment scheduling, patient flow management, and administrative procedures. + Strong organizational and time-management skills with the ability to handle multiple tasks and deadlines. + Excellent verbal and written communication skills to effectively interact with patients, medical staff, and administrative teams. + High attention to detail and accuracy, particularly in data entry and record-keeping. + Ability to work in a fast-paced environment while maintaining a calm, professional demeanor. + Proficient in Microsoft Office Suite (Word, Excel, Outlook) and hospital scheduling or EHR software. + Knowledge of medical terminology is a plus. Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
    $31k-34k yearly est. 46d ago
  • Scheduling Specialist

    Community Health Systems 4.5company rating

    Biller job at Community Health Systems

    As a Scheduling Specialist at Grandview Medical Group you'll join a team and be a part of a culture that's dedicated to providing top quality care to our patients. Our full-time employees enjoy a robust benefits package which may include health insurance, 401(k), licensure/certification reimbursement, tuition reimbursement, and student loan assistance for eligible roles. Job Summary The Scheduling Specialist is responsible for managing and optimizing the scheduling process for patients and physicians offices within the hospital or medical facility. This role involves coordinating appointments, procedures, and treatments across departments to ensure efficient utilization of resources and high-quality patient care. The Scheduling Specialist serves as a key liaison between patients, medical staff, and administrative teams, ensuring timely and accurate scheduling while providing excellent customer service. Essential Functions Schedules patient appointments for consultations, tests, procedures, and follow-ups, ensuring proper allocation of time and resources. Notifies patients of appointment confirmations, cancellations, or reschedules, and provide necessary information and instructions. Accurately enters patient information, appointment details, and updates into the hospital's electronic medical records (EMR) or scheduling system. Works closely with medical staff to align patient appointments with clinical priorities and optimize provider schedules. Tracks and manage patient cancellations and no-shows, ensuring timely rescheduling and minimizing disruptions. Provides general administrative assistance, including answering calls, managing patient referrals, and coordinating patient files. Receives orders from the Order Facilitator and reviews to make sure the orders are valid. Contacts patients to complete scheduling procedure(s) and or test(s) in Cerner Scheduling. Asks the necessary questions for specific tests and provide the required procedure preparation or instructions. Schedules appointments via phone with doctor's office if requested, once valid order is received. Processes STAT order immediately. Notifies ordering offices if unable to contract their patient to schedule procedures. Addresses patient inquiries regarding scheduling, appointment changes, and concerns, ensuring a high level of patient satisfaction. Offers alternative scheduling options when needed to accommodate patient preferences and medical needs. Communicates with physicians, nurses, and other medical professionals to ensure appointments are properly scheduled based on clinical priorities and patient needs. Performs other duties as assigned. Complies with all policies and standards. Qualifications Associate Degree or certification in Healthcare Administration, Medical Office Administration, or a related field preferred 0-2 years of experience in scheduling, patient coordination, or administrative support within a healthcare setting required Experience with Electronic Health Records (EHR) or scheduling software preferred Knowledge, Skills and Abilities Strong organizational and time-management skills with the ability to handle multiple tasks and deadlines. Excellent verbal and written communication skills to effectively interact with patients, medical staff, and administrative teams. High attention to detail and accuracy, particularly in data entry and record-keeping. Ability to work in a fast-paced environment while maintaining a calm, professional demeanor. Proficient in Microsoft Office Suite (Word, Excel, Outlook) and hospital scheduling or EHR software. Knowledge of medical terminology is a plus.
    $31k-34k yearly est. Auto-Apply 60d ago
  • Scheduling Specialist

    Community Health Systems 4.5company rating

    Biller job at Community Health Systems

    As a Scheduling Specialist at Grandview Medical Group you'll join a team and be a part of a culture that's dedicated to providing top quality care to our patients. Our full-time employees enjoy a robust benefits package which may include health insurance, 401(k), licensure/certification reimbursement, tuition reimbursement, and student loan assistance for eligible roles. Job Summary The Scheduling Specialist is responsible for managing and optimizing the scheduling process for patients and physicians offices within the hospital or medical facility. This role involves coordinating appointments, procedures, and treatments across departments to ensure efficient utilization of resources and high-quality patient care. The Scheduling Specialist serves as a key liaison between patients, medical staff, and administrative teams, ensuring timely and accurate scheduling while providing excellent customer service. Essential Functions Schedules patient appointments for consultations, tests, procedures, and follow-ups, ensuring proper allocation of time and resources. Notifies patients of appointment confirmations, cancellations, or reschedules, as well as providing necessary information and instructions, ensuring a high level of patient satisfaction. Accurately enters and updates patient information into the electronic health records (EHR) or scheduling system. Works closely with medical staff to align patient appointments with clinical priorities and optimize provider schedules. Tracks and manage patient cancellations and no-shows, ensuring timely rescheduling and minimizing disruptions. Provides general administrative assistance, including answering calls, managing patient referrals, and coordinating patient files. Receives orders from the Order Facilitator and reviews to make sure the orders are valid and complete. Asks patients the necessary questions for specific tests and provide the required procedure preparation or instructions. Prioritizes work efficiently, including processing STAT order timely. Notifies ordering offices if unable to contract their patient to schedule procedures. Offers alternative scheduling options when needed to accommodate patient preferences and medical needs. Communicates with physicians, nurses, and other medical professionals to ensure appointments are properly scheduled based on clinical priorities and patient needs. Performs other duties as assigned. Complies with all policies and standards. Qualifications Associate Degree or certification in Healthcare Administration, Medical Office Administration, or a related field preferred 0-2 years of experience in medical scheduling, administrative support, or customer service preferred 0-2 years of experience with electronic medical record (EMR) systems, scheduling software, or medical front desk operations preferred Knowledge, Skills and Abilities Strong knowledge of appointment scheduling, patient flow management, and administrative procedures. Strong organizational and time-management skills with the ability to handle multiple tasks and deadlines. Excellent verbal and written communication skills to effectively interact with patients, medical staff, and administrative teams. High attention to detail and accuracy, particularly in data entry and record-keeping. Ability to work in a fast-paced environment while maintaining a calm, professional demeanor. Proficient in Microsoft Office Suite (Word, Excel, Outlook) and hospital scheduling or EHR software. Knowledge of medical terminology is a plus. This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for an employer.
    $31k-34k yearly est. Auto-Apply 60d+ ago
  • Scheduling Specialist - Vascular Specialists

    Community Health Systems 4.5company rating

    Biller job at Community Health Systems

    As a Scheduling Specialist at Grandview Medical Group you'll join a team and be a part of a culture that's dedicated to providing top quality care to our patients. Our full-time employees enjoy a robust benefits package which may include health insurance, 401(k), licensure/certification reimbursement, tuition reimbursement, and student loan assistance for eligible roles. Job Summary The Scheduling Specialist is responsible for managing and optimizing the scheduling process for patients and physicians offices within the hospital or medical facility. This role involves coordinating appointments, procedures, and treatments across departments to ensure efficient utilization of resources and high-quality patient care. The Scheduling Specialist serves as a key liaison between patients, medical staff, and administrative teams, ensuring timely and accurate scheduling while providing excellent customer service. Essential Functions Schedules patient appointments for consultations, tests, procedures, and follow-ups, ensuring proper allocation of time and resources. Notifies patients of appointment confirmations, cancellations, or reschedules, and provide necessary information and instructions. Accurately enters patient information, appointment details, and updates into the hospital's electronic medical records (EMR) or scheduling system. Works closely with medical staff to align patient appointments with clinical priorities and optimize provider schedules. Tracks and manage patient cancellations and no-shows, ensuring timely rescheduling and minimizing disruptions. Provides general administrative assistance, including answering calls, managing patient referrals, and coordinating patient files. Receives orders from the Order Facilitator and reviews to make sure the orders are valid. Contacts patients to complete scheduling procedure(s) and or test(s) in Cerner Scheduling. Asks the necessary questions for specific tests and provide the required procedure preparation or instructions. Schedules appointments via phone with doctor's office if requested, once valid order is received. Processes STAT order immediately. Notifies ordering offices if unable to contract their patient to schedule procedures. Addresses patient inquiries regarding scheduling, appointment changes, and concerns, ensuring a high level of patient satisfaction. Offers alternative scheduling options when needed to accommodate patient preferences and medical needs. Communicates with physicians, nurses, and other medical professionals to ensure appointments are properly scheduled based on clinical priorities and patient needs. Performs other duties as assigned. Complies with all policies and standards. Qualifications Associate Degree or certification in Healthcare Administration, Medical Office Administration, or a related field preferred 0-2 years of experience in scheduling, patient coordination, or administrative support within a healthcare setting required Experience with Electronic Health Records (EHR) or scheduling software preferred Knowledge, Skills and Abilities Strong organizational and time-management skills with the ability to handle multiple tasks and deadlines. Excellent verbal and written communication skills to effectively interact with patients, medical staff, and administrative teams. High attention to detail and accuracy, particularly in data entry and record-keeping. Ability to work in a fast-paced environment while maintaining a calm, professional demeanor. Proficient in Microsoft Office Suite (Word, Excel, Outlook) and hospital scheduling or EHR software. Knowledge of medical terminology is a plus.
    $31k-34k yearly est. Auto-Apply 60d+ ago
  • Scheduling Specialist

    Community Health Systems 4.5company rating

    Biller job at Community Health Systems

    The Scheduling Specialist is responsible for managing and optimizing the scheduling process for patients and physicians offices within the hospital or medical facility. This role involves coordinating appointments, procedures, and treatments across departments to ensure efficient utilization of resources and high-quality patient care. The Scheduling Specialist serves as a key liaison between patients, medical staff, and administrative teams, ensuring timely and accurate scheduling while providing excellent customer service. **Essential Functions** + Schedules patient appointments for consultations, tests, procedures, and follow-ups, ensuring proper allocation of time and resources. + Notifies patients of appointment confirmations, cancellations, or reschedules, and provide necessary information and instructions. + Accurately enters patient information, appointment details, and updates into the hospital's electronic medical records (EMR) or scheduling system. + Works closely with medical staff to align patient appointments with clinical priorities and optimize provider schedules. + Tracks and manage patient cancellations and no-shows, ensuring timely rescheduling and minimizing disruptions. + Provides general administrative assistance, including answering calls, managing patient referrals, and coordinating patient files. + Receives orders from the Order Facilitator and reviews to make sure the orders are valid. + Contacts patients to complete scheduling procedure(s) and or test(s) in Cerner Scheduling. + Asks the necessary questions for specific tests and provide the required procedure preparation or instructions. + Schedules appointments via phone with doctor's office if requested, once valid order is received. + Processes STAT order immediately. + Notifies ordering offices if unable to contract their patient to schedule procedures. + Addresses patient inquiries regarding scheduling, appointment changes, and concerns, ensuring a high level of patient satisfaction. + Offers alternative scheduling options when needed to accommodate patient preferences and medical needs. + Communicates with physicians, nurses, and other medical professionals to ensure appointments are properly scheduled based on clinical priorities and patient needs. + Performs other duties as assigned. + Complies with all policies and standards. **Qualifications** + H.S. Diploma or GED required + Associate Degree or certification in Healthcare Administration, Medical Office Administration, or a related field preferred + 0-2 years of experience in scheduling, patient coordination, or administrative support within a healthcare setting required + Experience with Electronic Health Records (EHR) or scheduling software preferred **Knowledge, Skills and Abilities** + Strong organizational and time-management skills with the ability to handle multiple tasks and deadlines. + Excellent verbal and written communication skills to effectively interact with patients, medical staff, and administrative teams. + High attention to detail and accuracy, particularly in data entry and record-keeping. + Ability to work in a fast-paced environment while maintaining a calm, professional demeanor. + Proficient in Microsoft Office Suite (Word, Excel, Outlook) and hospital scheduling or EHR software. + Knowledge of medical terminology is a plus. Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
    $31k-34k yearly est. 60d+ ago
  • Underpayment & Overpayment Collector - Healthcare (REMOTE

    Community Health Systems 4.5company rating

    Biller job at Community Health Systems

    The Underpayment & Overpayment Collector - Healthcare (REMOTE) is responsible for the timely and efficient resolution of underpaid and overpaid accounts. This role involves managing account follow-up, analyzing trends, collaborating with internal departments, and ensuring accurate reconciliation of account balances. The PCCM Collector assists in optimizing revenue cycle processes and maintaining compliance with contractual agreements. As a Payment Compliance Collector at Community Health Systems (CHS) - PCCM, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision, insurance, and 401k. Essential Functions Manages account follow-up for underpaid and overpaid claims, escalating unresolved issues internally as needed to achieve resolution. Reconciles account balances and adjustments to ensure accurate financial status and compliance with contractual terms. Resolves underpayments by engaging in daily communication with payers and negotiating payment discrepancies. Identifies and analyzes trends in underpayments, overpayments, denials, and revenue opportunities to recommend process improvements. Evaluates and interprets contract reimbursement details, providing feedback and insights to the department to enhance revenue cycle performance. Collaborates with financial and clinical departments to address account discrepancies and ensure effective revenue management. Reviews contract validation, updates, and provides interpretation to support accurate claim processing and collections. Ensures thorough and accurate validation of account analysis before distribution, maintaining compliance with policies and procedures. Performs other duties as assigned. Complies with all policies and standards. This is a fully remote position Qualifications H.S. Diploma or GED required Associate Degree or higher preferred 1-2 years of experience in healthcare collections, revenue cycle, or contract management required Familiarity with payer contracts and healthcare reimbursement methodologies preferred Experience in hospital insurance collections strongly preferred UB-O4 experience strongly preferred Knowledge, Skills and Abilities Strong analytical and problem-solving skills. Proficient in understanding and interpreting payer contracts and reimbursement terms. Effective communication and negotiation skills. Ability to work independently and manage multiple priorities in a fast-paced environment. Proficiency in healthcare billing software, Google Suite, and Microsoft Office Suite, especially Excel. Attention to detail and high degree of accuracy in reconciliation and analysis. We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. The Payment Compliance and Contract Management (PCCM) team plays a critical role in ensuring that payments are made according to contractual agreements and regulatory requirements. The team oversees the full contract lifecycle, focusing on analyzing reimbursement discrepancies, improving revenue cycle processes, and ensuring compliance with contract terms to support financial accuracy and operational efficiency. Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
    $29k-33k yearly est. Auto-Apply 1d ago

Learn more about Community Health Systems jobs

View all jobs