Collections Specialist I - Correspondence (REMOTE)
Billing specialist job at Community Health Systems
The Collections Specialist I is responsible for performing collection follow-up on outstanding insurance balances, identifying claim issues, and ensuring timely resolution in compliance with government and managed care contract terms. This role requires effective communication with insurance payers, documentation of account activity, and adherence to applicable regulations to support revenue cycle operations.
As a Collections Specialist-Correspondence at Community Health Systems (CHS) - SSC Nashville, 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
Performs follow-up on outstanding insurance balances within the required timeframe by working correspondence documents from insurance payors.
Documents all actions taken on accounts within the appropriate system, ensuring a clear and traceable resolution process.
Makes the required number of outbound calls to insurance payers while maintaining professional and courteous communication.
Handles and resolves incoming correspondence within five days of receipt, updating the system with relevant information.
Analyzes assigned accounts using AS400, Meditech, Accurint, Cerner, directory assistance, and credit reports to maximize collection efforts.
Processes inbound and outbound calls professionally, providing exceptional customer service while resolving outstanding balances.
Ensures proper application of account dispositions and follows self-pay policies and procedures.
Adheres to all local, state, and federal laws and regulations, including FDCPA, TCPA, FCRA, CFPB, PCI, UDAAP, and HIPAA compliance standards.
Performs other duties as assigned.
Maintains regular and reliable attendance.
Complies with all policies and standards.
Daily pulling of electronic lockboxes from banking websites as well as indexing of incoming correspondence.
Triaging non patient related correspondence and providing to appropriate stakeholders for review.
Qualifications
H.S. Diploma or GED required
Associate Degree in Business, Finance, Healthcare Administration, or a related field preferred
0-2 years of experience in medical collections, accounts receivable, billing, or healthcare revenue cycle operations required
Experience working with insurance follow-up, claim resolution, and payer communication in a healthcare setting preferred
Knowledge, Skills and Abilities
Strong understanding of medical collections processes, payer reimbursement policies, and insurance claim resolution.
Proficiency in electronic medical record (EMR) systems, patient accounting systems, and collections software.
Knowledge of insurance contracts, denials management, and accounts receivable workflows.
Excellent problem-solving and analytical skills to research and resolve outstanding claims.
Effective verbal and written communication skills to interact with insurance payers, patients, and internal teams.
Strong attention to detail with the ability to document account activity accurately.
Ability to work independently in a fast-paced environment while meeting productivity and quality standards.
Knowledge of regulatory compliance, including HIPAA, FDCPA, and applicable healthcare finance laws.
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 Shared Services Center - Nashville provides business office support functions like billing, insurance follow-up, call center customer service, data entry and more for hospitals and healthcare providers. But we're not only about work. We know employing a skilled and engaged team of professionals is vitally important to our success, so we make sure to offer competitive benefits, recognition programs, professional development opportunities and a fun and engaging team environment.
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.
Auto-ApplyMedical Biller (Home Infusion)
Torrance, CA jobs
Come Join the Premier Infusion & Healthcare Family! At Premier we offer employees stability and opportunities for advancement. Our commitment to our core values of Compassion, Integrity, Respect and Excellence in People applies to our employees, our customers, and the communities we serve. This is a rewarding place to work!
Premier Infusion and Healthcare Services is a preferred post-acute care partner for hospitals, physicians and families in Southern CA. Our rapidly growing home health and infusion services deliver high-quality, cost-effective care that empowers patients to manage their health at home. Customers choose Premier Infusion and Healthcare Services because we are united by a single, shared purpose: We are committed to bettering the quality of life for our patients. This is not only our stated mission but is what truly drives us each and every day. We believe that our greatest competitive advantage, our greatest asset are our employees, our Premier Family in and out of the office sets Premier apart.
PREMIER BENEFITS - For FULL TIME Employees:
● Competitive Pay
● 401K Matching Plan - Up to 4%
● Quarterly Bonus Opportunities
● Medical, Dental & Vision Insurance
● Employer Paid Life Insurance
● Short Term / Long Term Disability Insurance
● Paid Vacation Time Off
● Paid Holidays
● Referral Incentives
● Employee Assistance Programs
● Employee Discounts
● Fun Company Events
JOB DESCRIPTION: BILLER
Description of Responsibilities
Coordinates and performs business office activities involved with collecting payments for Premier Infusion Care products and follows established procedures for billing.
Reporting Relationship
Billing Manager
Scope of Supervision
None
Responsibilities include the following:
1. Performs all aspects of billing for commercial insurance companies/ health plans, medical groups, hospitals, hospice facilities, NCPDP, and/or MSO's
2. Bills Medicare for PR-96/204 (denials) required for secondary billing submissions.
3. Follows up on EOB's (explanation of benefits) which includes:
- Medicare denials
- Billing secondary insurance after Medicare's has denied claims.
4. Calling insurance companies for explanation of denials if questionable.
5. Making corrections on deny claims and re-bills insurance companies.
6. Checks EOB's with contracted fee schedule for accuracy or adjustments as needed.
7. Patient calls for benefit, invoicing, and explanations as needed.
8. Resolves electronic (Office Ally, Novologix, or Emdeon clearing house) report matters.
Minimum Qualifications:
Effective interpersonal, time management and organizational skills.
Office experience preferred.
Computer skills that include word processing, and efficient use of the internet and e-mail.
Must possess excellent oral and written communication skills, with the ability to express technical issues in “layman” terms.
Must be detail oriented
Education and/or Experience:
Must have a High School diploma or Graduation Equivalent Diploma (G.E.D.) or Higher.
At least 1 -2 years of medical or pharmaceutical billing experience or related A/R
Knowledge of insurance verification procedures.
Proficiency in 10-key preferred.
Prior experience in a pharmacy or home health company is of benefit.
Prior experience in a consumer related business is also of benefit.
Equal Employment Opportunity (EEO)
It is the policy of Premier Infusion & Healthcare Services to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Premier Infusion & Healthcare Services will provide reasonable accommodations for qualified individuals with disabilities.
Job Type: Full-time
Work Location: In person
Glaucoma Specialist Physician
Houston, TX jobs
Job Description & Requirements Glaucoma Specialist Physician
UTHealth Houston Seeks a Glaucoma Specialist | Access UT Institutional Support | Work at a Prominent Eye Center | Live in Highly Desirable Houston
Join a rapidly growing academic ophthalmology department with UT institutional support and program-building opportunities in Houston, Texas. The Ruiz Department of Ophthalmology and Visual Science, McGovern Medical School at UTHealth Houston, seeks a BC/BE Ophthalmologist to join its expanding team at the prominent Cizik Eye Center. Connect with us today to learn more.
Opportunity Highlights
Access UT institutional support for clinical practice and academic growth
Work with a strong infrastructure at the prominent Cizik Eye Center with an excellent reputation and resources
Join UT Health as an innovative physician interested in program-building opportunities
Practice due to increasing patient demand and rapid departmental growth over 4 years
Walk into an existing panel of patients and be busy from day one
Practice with in-house imaging capabilities in a renovated facility
Teach 16 residents annually, with typically 2-3 residents present in the clinic daily
Tailor your clinic, surgical, and academic mix based on your interests
Receive premiums covered by the program as part of your benefits package
Collaborate with a collegial team committed to clinical excellence, research, and teaching
See patients at Lyndon B. Johnson (LBJ) Hospital community location, depending on the scope of work
Community Highlights
A leading cultural and culinary destination, Greater Houston is a vibrant region that thrives as the fourth-largest city in the United States. You'll find world-class dining, arts, shopping, and nightlife. Enjoy a wealth of outdoor recreation, numerous Gulf Coast beaches, a variety of water activities, and no state income taxes in Texas.
Houston is a Best Place to Live and Retire in America (US News)
Excellent Livability Score from Area Vibes, with A grades for Amenities, Commute, Cost of Living, Housing, and Health & Safety
Beautiful homes in inviting neighborhoods + excellent schools - a wonderful place for families and individuals alike
Home to professional sports teams and myriad restaurants with cuisine from numerous countries
Texas was named a Best State to Practice in 2025 by Medscape
Facility Location
From rodeos and performing arts to space exploration and medical research, Houston is a city with a uniquely vibrant style and flair. This truly Texas-size city is the ideal destination for traveling health care professionals looking to broaden their skills at highly respected facilities, while enjoying the city's cosmopolitan flair, renowned arts scene and wide open spaces.
Job Benefits
About the Company
At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.
Ophthalmologist, Glaucoma, Ophthalmology, Eye, Eye Care, Eye Injury, Physician, Healthcare, Health Care, Patient Care, Hospital, Medical, Doctor, Md
AMN Healthcare is a digitally enabled workforce solutions partner focused on solving the biggest challenges affecting healthcare organizations today. We offer a single-partner approach to optimize labor sources, increase operating margins, and provide technologies to expand the reach of care.
Clinical Reimbursement Specialist
Knoxville, TN jobs
The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered to patients and residents covered by insurance programs by reviewing patient records and clinical care programs. in accordance with all applicable laws, regulations, and Life Care standards.
Education, Experience, and Licensure Requirements
Registered nurse with an active state license and MDS and RAI experience.
Specific Job Requirements
Make independent decisions when circumstances warrant such action
Knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post acute care facility
Implement and interpret the programs, goals, objectives, policies, and procedures of the department
Perform proficiently in all competency areas including but not limited to: patient rights, and safety and sanitation
Maintains professional working relationships with all associates, vendors, etc.
Maintains confidentiality of all proprietary and/or confidential information
Understand and follow company policies including harassment and compliance procedures
Displays integrity and professionalism by adhering to Life Care's
Code of Conduct
and completes mandatory
Code of Conduct
and other appropriate compliance training
Essential Functions
Exhibit excellent customer service and a positive attitude towards patients
Assist in the evacuation of patients
Demonstrate dependable, regular attendance
Concentrate and use reasoning skills and good judgment
Communicate and function productively on an interdisciplinary team
Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours
Read, write, speak, and understand the English language
An Equal Opportunity Employer
Epic Analyst - Hospital Billing
Irving, TX jobs
Read on to find out what you will need to succeed in this position, including skills, qualifications, and experience.
The Application System Analyst II serves as a liaison between system end-users (customers), operational leaders, additional support resources and vendors to design, build and optimize their assigned applications in a timely and high-quality manner. The Systems Analyst II will provide application support and optimization. They work closely with the Service Desk to assist in responding to service requests. The Application System Analyst II must be able to analyze business issues/requirements and workflows and apply their application knowledge to meet operational and organizational needs. Project implementation responsibilities include collaborating with customers contributing to the analysis, testing, and documentation and implementation of medium to high complexity activities of assigned software. This position must possess sufficient detailed healthcare knowledge and systems expertise to implement medium to high complexity assigned application with minimal guidance. The Associate must be a self-motivated individual with exceptional communication and interpersonal skills and the ability to work well in team environments.
Responsibilities:
Analyze, develop, test, document, educate, implement, support, and maintain or optimize assigned applications, solutions and business processes to meet operational and technical requirements.
Collaborates across project borders with other teams. Thinks outside the box and proposes practical solutions to issues. Provides oversight and project management to assigned tasks.
Demonstrates a solid/working level of subject matter expertise in providing support to projects, customers, and other teams, while proactively working to improve and obtain new expertise in application/system in assigned areas. Utilizes application training, application web site and application resource materials regularly and effectively and is able guide newer team members in utilizing these resources.
Thorough knowledge and understanding of operations, can proactively identify opportunities to enhance customer usability, efficiency and/or experience. Represents user needs and expectations in larger, more complex system updates and enhancements. Provides clear and organized status reporting on key project areas to be used as external communications to stakeholders.
Performs working level process and requirement analysis, including process mapping though current flow charts, documents, future needs/plans, requirement elicitation, stakeholder analysis, and specification gathering to deliver cross team solutions. Responsible for completing working level gap analysis, and providing recommendations.
Able to clearly articulate complex design, configuration issues to end users and project stakeholders. Maintains relationship with end user leadership post-engagement. Proactively addresses end user conflicts.
Contributes to strategy discussions by identifying options with associated pros and cons with team members. Facilitates making timely decisions; makes sound decisions even in the absence of complete information. Recognizes when a quick 80% resolution will suffice.
Adhere to organization standards for system configuration and change control.
Strong technical proficiency in application-specific design and configuration. Ability to clearly articulate and communicate core design, configuration concepts to end users. Able to independently analyze, design, and configure the application. Able to teach design, configuration concepts to new team members.
Collaborate and develop strong relationships with end user communities, customers and business partners.
Collaborate with Operational Leaders to focus on standardized best practice workflow processes and content to ensure alignment across all ministries, to create efficiencies, and to ensure optimal operational processes.
Coordinates code changes with appropriate vendor related to financial and business application issues.
Collaborates with Technical Team to identify and infrastructure related issues that have resulted in application issues.
Share industry best practices from vendors with Operational Leaders.
Demonstrates increasing technical knowledge of the assigned application including relationships of infrastructure and impact to user if unavailable.
Serves as a liaison between business operations and providers, internal information technology, system users and vendors working within the defined project objectives for issue and problem resolution.
Follows strict change management processes ensuring proper approval, testing, and validation of system changes.
Written documentation delivered to end users and leadership shows consistency and attentive review. Is a team player and able to proactively communicate issues and concepts to project leadership.
Associate periodically reviews and auto-corrects his/her skills, habits, work ethic, and behaviors and manages his/her work in an effective and agreeable way among peers. Associate is sensitive and aware of how others perceive them and take care to ensure smooth and effective working relationships and environments.
Proactively and independently troubleshoot and resolve moderate incidents and requests without direction.
Maintains high standards for quality of work for self and others. Provides oversight and feedback on team member design, configuration and deliverables.
Manages medium complexity projects/requests. Collaborates with team members as needed. Proactively evaluates all new release and functionality of applications.
Complete in a timely manner assigned courses within Healthstream, other electronic tracking tools for educational related material or attend presentations in person as assigned.
Ensure the services that he/she provides contribute to the successful accomplishment of the primary mission of the department.
Escalates when SLAs are breached or appropriate vendor action is not occurring.
May be required to travel to perform duties.
May be required to work additional hours as needed during critical problems.
Assist in preparation and conducting of continuing formal or informal training session for users and co-workers.
Identifies and seizes new opportunities, displays can-do attitude in good and bad times and steps up to handle tough issues.
Performs other duties as assigned. xevrcyc
Requirements:
Education/Skills
Associates or Bachelor's degree preferred with a focus in healthcare, business, or information systems.
Ability to present complex data in meaningful method, i.e., charts, graphs
Ability to adjust to and implement change
Problem Solving skills
Multitasking skills
Work as a team member
Proficient in Microsoft applications including Word, Excel, and PowerPoint
Excellent customer service skills
Highly effective written and verbal communication and interpersonal skills to establish working relationships that foster optimal quality teamwork and education
Strong organizational skills in managing multiple priorities
Experience
3+ Years of experience
2+ years within healthcare, business, or information systems
Solves moderate incidents without direction
Develops new functionality for requests with little direction
Works in a team setting, sharing information and assisting other junior level team members
Possesses detailed healthcare knowledge and systems expertise
Makes decisions regarding own work on primarily routine cases
Works under minimal supervision, uses independent judgment requiring analysis of variable factors
Collaborates with senior team members to develop approaches and solutions
Mentors and may train team members within own functional or application
Licenses, Registrations, or Certifications
Associated certifications on area of focus, preferred
For Epic Analysts:
Certified or proficient in assigned Epic module (must be obtained within 6 months of employment date)
Certifications or Proficiencies must stay current by maintaining new version training
Work Type:
Full Time
Epic Analyst - Hospital Billing
Euless, TX jobs
Read on to find out what you will need to succeed in this position, including skills, qualifications, and experience.
The Application System Analyst II serves as a liaison between system end-users (customers), operational leaders, additional support resources and vendors to design, build and optimize their assigned applications in a timely and high-quality manner. The Systems Analyst II will provide application support and optimization. They work closely with the Service Desk to assist in responding to service requests. The Application System Analyst II must be able to analyze business issues/requirements and workflows and apply their application knowledge to meet operational and organizational needs. Project implementation responsibilities include collaborating with customers contributing to the analysis, testing, and documentation and implementation of medium to high complexity activities of assigned software. This position must possess sufficient detailed healthcare knowledge and systems expertise to implement medium to high complexity assigned application with minimal guidance. The Associate must be a self-motivated individual with exceptional communication and interpersonal skills and the ability to work well in team environments.
Responsibilities:
Analyze, develop, test, document, educate, implement, support, and maintain or optimize assigned applications, solutions and business processes to meet operational and technical requirements.
Collaborates across project borders with other teams. Thinks outside the box and proposes practical solutions to issues. Provides oversight and project management to assigned tasks.
Demonstrates a solid/working level of subject matter expertise in providing support to projects, customers, and other teams, while proactively working to improve and obtain new expertise in application/system in assigned areas. Utilizes application training, application web site and application resource materials regularly and effectively and is able guide newer team members in utilizing these resources.
Thorough knowledge and understanding of operations, can proactively identify opportunities to enhance customer usability, efficiency and/or experience. Represents user needs and expectations in larger, more complex system updates and enhancements. Provides clear and organized status reporting on key project areas to be used as external communications to stakeholders.
Performs working level process and requirement analysis, including process mapping though current flow charts, documents, future needs/plans, requirement elicitation, stakeholder analysis, and specification gathering to deliver cross team solutions. Responsible for completing working level gap analysis, and providing recommendations.
Able to clearly articulate complex design, configuration issues to end users and project stakeholders. Maintains relationship with end user leadership post-engagement. Proactively addresses end user conflicts.
Contributes to strategy discussions by identifying options with associated pros and cons with team members. Facilitates making timely decisions; makes sound decisions even in the absence of complete information. Recognizes when a quick 80% resolution will suffice.
Adhere to organization standards for system configuration and change control.
Strong technical proficiency in application-specific design and configuration. Ability to clearly articulate and communicate core design, configuration concepts to end users. Able to independently analyze, design, and configure the application. Able to teach design, configuration concepts to new team members.
Collaborate and develop strong relationships with end user communities, customers and business partners.
Collaborate with Operational Leaders to focus on standardized best practice workflow processes and content to ensure alignment across all ministries, to create efficiencies, and to ensure optimal operational processes.
Coordinates code changes with appropriate vendor related to financial and business application issues.
Collaborates with Technical Team to identify and infrastructure related issues that have resulted in application issues.
Share industry best practices from vendors with Operational Leaders.
Demonstrates increasing technical knowledge of the assigned application including relationships of infrastructure and impact to user if unavailable.
Serves as a liaison between business operations and providers, internal information technology, system users and vendors working within the defined project objectives for issue and problem resolution.
Follows strict change management processes ensuring proper approval, testing, and validation of system changes.
Written documentation delivered to end users and leadership shows consistency and attentive review. Is a team player and able to proactively communicate issues and concepts to project leadership.
Associate periodically reviews and auto-corrects his/her skills, habits, work ethic, and behaviors and manages his/her work in an effective and agreeable way among peers. Associate is sensitive and aware of how others perceive them and take care to ensure smooth and effective working relationships and environments.
Proactively and independently troubleshoot and resolve moderate incidents and requests without direction.
Maintains high standards for quality of work for self and others. Provides oversight and feedback on team member design, configuration and deliverables.
Manages medium complexity projects/requests. Collaborates with team members as needed. Proactively evaluates all new release and functionality of applications.
Complete in a timely manner assigned courses within Healthstream, other electronic tracking tools for educational related material or attend presentations in person as assigned.
Ensure the services that he/she provides contribute to the successful accomplishment of the primary mission of the department.
Escalates when SLAs are breached or appropriate vendor action is not occurring.
May be required to travel to perform duties.
May be required to work additional hours as needed during critical problems.
Assist in preparation and conducting of continuing formal or informal training session for users and co-workers.
Identifies and seizes new opportunities, displays can-do attitude in good and bad times and steps up to handle tough issues.
Performs other duties as assigned. xevrcyc
Requirements:
Education/Skills
Associates or Bachelor's degree preferred with a focus in healthcare, business, or information systems.
Ability to present complex data in meaningful method, i.e., charts, graphs
Ability to adjust to and implement change
Problem Solving skills
Multitasking skills
Work as a team member
Proficient in Microsoft applications including Word, Excel, and PowerPoint
Excellent customer service skills
Highly effective written and verbal communication and interpersonal skills to establish working relationships that foster optimal quality teamwork and education
Strong organizational skills in managing multiple priorities
Experience
3+ Years of experience
2+ years within healthcare, business, or information systems
Solves moderate incidents without direction
Develops new functionality for requests with little direction
Works in a team setting, sharing information and assisting other junior level team members
Possesses detailed healthcare knowledge and systems expertise
Makes decisions regarding own work on primarily routine cases
Works under minimal supervision, uses independent judgment requiring analysis of variable factors
Collaborates with senior team members to develop approaches and solutions
Mentors and may train team members within own functional or application
Licenses, Registrations, or Certifications
Associated certifications on area of focus, preferred
For Epic Analysts:
Certified or proficient in assigned Epic module (must be obtained within 6 months of employment date)
Certifications or Proficiencies must stay current by maintaining new version training
Work Type:
Full Time
Insurance Coordinator
Torrance, CA jobs
Come Join the Premier Infusion & Healthcare Family! At Premier we offer employees stability and opportunities for advancement. Our commitment to our core values of Compassion, Integrity, Respect and Excellence in People applies to our employees, our customers, and the communities we serve. This is a rewarding place to work!
Premier Infusion and Healthcare Services is a preferred post-acute care partner for hospitals, physicians and families in Southern CA. Our rapidly growing home health and infusion services deliver high-quality, cost-effective care that empowers patients to manage their health at home. Customers choose Premier Infusion and Healthcare Services because we are united by a single, shared purpose: We are committed to bettering the quality of life for our patients. This is not only our stated mission but is what truly drives us each and every day. We believe that our greatest competitive advantage, our greatest asset are our employees, our Premier Family in and out of the office sets Premier apart.
PREMIER BENEFITS - For FULL TIME Employees:
● Competitive Pay
● 401K Matching Plan - Up to 4%
● Quarterly Bonus Opportunities
● Medical, Dental & Vision Insurance
● Employer Paid Life Insurance
● Short Term / Long Term Disability Insurance
● Paid Vacation Time Off
● Paid Holidays
● Referral Incentives
● Employee Assistance Programs
● Employee Discounts
● Fun Company Events
JOB DESCRIPTION:
Description of Responsibilities
The Insurance Coordinator is responsible for all new referral insurance verification and/or authorization in a timely matter.
Reporting Relationship
Insurance Manager
Responsibilities include the following:
Responsible for insurance verification and/or authorization on patients.
Responsible for audit of information from the Intake Referral Form and patient information received from the referral source entered into the computer system correctly. This includes but is not limited to: demographics, insurance, physician, nursing agency, diagnosis, height, weight, and allergies (when information is available and as applicable).
Re-verification of verification and/or authorization and demographics on all patients.
Participate in surveys conducted by authorized inspection agencies.
Participate in in-service education programs provided by the pharmacy.
Report any misconduct, suspicious or unethical activities to the Compliance Officer.
Perform other duties as assigned by supervisor.
Minimum Qualifications:
Must possess excellent oral and written communication skills, with the ability to express technical issues in “layman” terms. Fluency in a second language is a plus.
Must be friendly professional and cooperative with a good aptitude for customer service and problem solving.
Education and/or Experience:
Must have a High School diploma or Graduation Equivalent Diploma (G.E.D.)
Prior experience in a pharmacy or home health company is preferred.
Prior dental or home infusion experience a plus
Prior experience in a consumer related business is preferred
Equal Employment Opportunity (EEO)
It is the policy of Premier Infusion & HealthCare Services to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Premier Infusion & HealthCare Services will provide reasonable accommodations for qualified individuals with disabilities.
RCM OPEX Specialist
Miami, FL jobs
The RCM OPEX Specialist plays a critical role in optimizing the financial performance of healthcare organizations by ensuring that revenue cycle management processes are efficient and compliant with industry regulations. This position requires detail-oriented professionals who can navigate complex insurance claims and reimbursement processes.
Essential Job Functions
Manage internal and external customer communications to maximize collections and reimbursements.
Analyze revenue cycle data to identify trends and proactively remediate suboptimal processes.
Maintain fee schedule uploads in financial and practice operating systems.
Review and resolve escalations on denied and unpaid claims.
Collaborate with healthcare providers, payors, and business partners to ensure revenue best practices are promoted.
Monitor accounts receivable and expedite the recovery of outstanding payments.
Prepare regular reports on refunds, under/over payments.
Stay updated on changes in healthcare regulations and coding guidelines.
*NOTE: The list of tasks is illustrative only and is not a comprehensive list of all functions and tasks performed by this position.
Other Essential Tasks/Responsibilities/Abilities
Must be consistent with Femwell's core values.
Excellent verbal and written communication skills.
Professional and tactful interpersonal skills with the ability to interact with a variety of personalities.
Excellent organizational skills and attention to detail.
Excellent time management skills with proven ability to meet deadlines and work under pressure.
Ability to manage and prioritize multiple projects and tasks efficiently.
Must demonstrate commitment to high professional ethical standards and a diverse workplace.
Must have excellent listening skills.
Must have the ability to maintain reasonably regular, punctual attendance consistent with the ADA, FMLA, and other federal, state, and local standards and organization attendance policies and procedures.
Must maintain compliance with all personnel policies and procedures.
Must be self-disciplined, organized, and able to effectively coordinate and collaborate with team members.
Extremely proficient with Microsoft Office Suite or related software; as well as Excel, PPT, Internet, Cloud, Forums, Google, and other business tools required for this position.
Education, Experience, Skills, and Requirements
Bachelor's degree preferred.
Minimum of 2 years of experience in medical billing, coding, revenue cycle or practice management.
Strong knowledge of healthcare regulations and insurance processes.
Knowledgeable in change control.
Proficiency with healthcare billing software and electronic health records (EHR).
Knowledge of HIPAA Security preferred.
Hybrid rotation schedule and/or onsite as needed.
Medical coding (ICD-10, CPT, HCPCS)
Claims management (X12)
Revenue cycle management
Denials management
Insurance verification
Data analysis
Compliance knowledge
Comprehensive understanding of provider reimbursement methodologies
Billing software proficiency
Glaucoma Specialist
Temple, TX jobs
Glaucoma Specialist - Job Opportunity
Temple, Texas
Baylor Scott & White Health is recruiting a BC/BE Glaucoma Specialist to join an established Ophthalmology practice in Temple, Texas.
Highlights
Join an established Ophthalmology practice at Baylor Scott & White Medical to provide care to patients in the community.
Team includes: 13 Ophthalmologists (including two Vitreo-Retinal Surgeons) / 6 Optometrists
Busy schedules Monday-Friday; dedicated time for clinic and procedures
Participate in education with a well-established Ophthalmology Residency Program as well as medical students through Baylor College of Medicine
Call: 4 weeks per year
Employed position with a comprehensive benefit package
Epic EMR system with Kaleidoscope for Eyes; Zeiss Forum for image management
Benefits: Our competitive benefits package includes:
Immediate eligibility for health and welfare benefits and time off
401(k) savings plan with dollar-for-dollar employer match
457(f) savings plan with employer contribution
CME reimbursement ($4,200) and 3 weeks paid days off for CME each year
4 weeks of paid vacation days each year
Excellent relocation assistance package, and much more!
About Us
As the largest not-for-profit healthcare system in Texas and one of the largest in the United States, Baylor Scott & White Health now includes 48 hospitals, more than 1,000 access points, 9,600 active physicians, and 48,000 employees, plus the Scott and White Health Plan, Baylor Scott & White Research Institute and Baylor Scott & White Quality Alliance-a network of clinical providers and facilities focused on improving quality, managing the health of patient populations, and reducing the overall cost of care.
About Baylor Scott & White Medical Center - Temple
Baylor Scott & White Medical Center - Temple is a 574-bed multi-specialty teaching hospital with a Level I Trauma designation. In 2018, the hospital was ranked as one of the top 100 hospitals and one of the top 15 teaching hospitals in the United States by Thomson Reuters. The hospital has 31 accredited residency and fellowship programs that include specialties in emergency medicine and radiology and offers a well-established and respected chaplain resident program.
About the Community
Temple is regarded as one of the best areas to live and work in Texas and was ranked the sixth most affordable place to live in the U.S. in 2019. In addition to no state taxes, Temple enjoys a robust economy, and a cost of living that's lower than the national average. Served by four independent school districts and nationally recognized Temple College, the community places a high priority on education. Dubbed the "Wildflower Capital of Texas," Temple lies along the famous Texas Wildflower Trail and is the demographic center of the state, with convenient access to major cities including Dallas, Houston, Austin, and San Antonio.
Qualifications:
Doctorate Degree in Medicine
Glaucoma Fellowship preferred but not mandatory
Licensed to Practice Medicine in the state of Texas by the Texas Medical Board
Board Certified or Board Eligible with the American Board of Ophthalmology
Five of our hospitals made Healthgrades' America's 250 Best Hospitals list, indicating they are in the top 5% in the nation for overall clinical excellence.
For additional information, please contact:
Melisa Harrison, Physician Recruiter | *****************************
MRI Specialist
Houston, TX jobs
We are searching for an MRI Specialist-- someone who works well in a fast-paced setting. In this position, you will perform quality routine and specialized radiographic procedures at the request licensed independent practitioner for interpretation by radiologists. As members of the health care team, they must participate in quality improvement processes and continually assess their professional performance. Maintains a safe and hazard free environment. They are responsible for patient care, appropriate documentation, quality control, and quality improvement, and they provide training, education and mentoring to students, technologists, nursing, residents, fellows, staff and others.
Think you have what it takes?
Responsibilities:
• Broad knowledge of MRI physics and procedures; understanding of MRI principles that are developmentally appropriate for ages 0 - adulthood
• Operation of all required equipment including troubleshooting, when necessary, of the equipment, including automated processors, copying/digitizing film equipment, R.I.S., and PACS
• Basic Life support and medical terminology understanding is required.
• Successful demonstration of the professional fundamental competencies
• Must be articulate, courteous and supportive in dealing with patients, parents, nursing, faculty, administrative and departmental personnel so that excellent customer service and positive guest relations are achieved
• Must honor confidentiality
• Must independently scan patients by following the established protocols
• Must demonstrate excellent verbal and written skills
• Must utilize basic office equipment
• Preferable if able to demonstrate bilingual skills
• The MRI Specialist will be responsible for multiple duties including:
• integrates scientific knowledge; technical skills, patient interaction and compassionate care resulting in diagnostic information, and recognizes patient conditions essential for successful completion of the procedure.
• possess, utilize, maintain, and enhance knowledge of MRI safety and protection for self, patients, and others.
• demonstrate a detailed understanding of human anatomy, physiology, pathology and medical terminology.
• liaison between patients, radiologist and other members of the support team.
• maintain a high degree of accuracy in positioning and exposure technique.
• prepares, administers and documents activities related to mediations in accordance with state regulations and institution policy.
Skills and Requirements:
• 3yrs Radiology experience
• Graduate of a formal diagnostic Radiology program required
• MR-ARRT certification from the American Registry of Radiologic Technologists required
• R-AART preferred
• CMRT from the Texas Medical Board preferred
• BLS certification from the American Heart Association preferred
ABOUT US
Since 1954, Texas Children's has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children's hospital in Texas, and among the top in the nation by U.S. News & World Report as well as recognition from Houston Business Journal as one of this city's Best Places to Work for ten consecutive years.
Texas Children's comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Tower for pediatric research; Texas Children's Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children's Hospital West Campus, a community hospital in suburban West Houston; Texas Children's Hospital The Woodlands, the first hospital devoted to children's care for communities north of Houston; and Texas Children's Hospital North Austin, the new state-of-the-art facility providing world-class pediatric and maternal care to Austin and Central Texas families. We have also created Texas Children's Health Plan, the nation's first HMO focused on children; Texas Children's Pediatrics, the largest pediatric primary care network in the country; Texas Children's Urgent Care clinics that specialize in after-hours care tailored specifically for children; and a global health program that is channeling care to children and women all over the world. Texas Children's Hospital is affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation.
To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities.
Texas Children's is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
Supervising Physician Specialist - All Specialties CCT 2233
San Francisco, CA jobs
1/6/2025 - Minor revision. No need to reapply . The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its workforce. All employees at the Department of Public Health work to advance equity, inclusion, and diversity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status.
✅
START
with this Required Assessment
forms.gle/pL5Nj3BE61ewXNmo6
Salary
:
careers.sf.gov/classifications/?class Code=2233
Appointment Type
:
Permanent Civil Service
Recruitment ID
: CCT-2233-H00001
Positions may be available in a variety of settings including Zuckerberg San Francisco General Hospital, Laguna Honda Hospital, and community-centered outpatient clinics within the Health Network. Positions may also be in the Population Health Division's public health leadership, with a focus on programs to ensure the health and wellbeing of all San Franciscans.
The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. SFDPH strives to achieve its mission through the work of multiple divisions - the San Francisco Health Network, Population Health, Behavioral Health Services, and Administration. The San Francisco Health Network is the City's only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers. The Population Health Division (PHD) provides core public health services for the City and County of San Francisco: health protection, health promotion, disease and injury prevention, and disaster preparedness and response. Behavioral Health Services operates in conjunction with SFHN and provides a range of mental health and substance use treatment services.
Job Description
Common Duties Include
Directs and has overall responsibility for the functioning of a clinic, center, program, or other patient care site, including the assignment and supervision of physician specialists, other health professionals, and other staff members.
Plans and directs medical staff development and in-service training activities at the facility, division, or program; conducts staff meetings and conferences.
Conducts meetings with agency heads and representatives; consults with other agencies on problems and programs; evaluates community needs for specialized services and plans accordingly.
Provides medical treatment to patient population of focus; provides treatment and guidance of treatment of particularly difficult and complicated cases and evaluates facility, division, or program operations and efficiency.
Develops and manages a budget for a clinic or program.
Division Duties Include
Population Health Division
Directs and has overall responsibility for citywide public health functions in the Population Health Division, including the work of specialized branches and sections
Develops and supports leaders within their direct reporting structure to strengthen a diverse workforce and achieve citywide public health goals
Develops relationships to facilitate alignment and effective communication with internal and external stakeholders
Represents the work of PHD to internal and external partners and stakeholders.
Develops and manages budgets for their areas of work in partnership with PHD leadership
Primary Care
Overseeing clinic operations in a variety of community-based clinics
Qualifications
MINIMUM QUALIFICATIONS
Possession of a valid license to practice medicine issued by the Medical Board of California or the Osteopathic Medical Board of California*
AND
Possession of valid Board Certification in the appropriate medical specialty area for the assigned facility or division
AND
Three (3) years of post-residency experience as a practicing physician in the respective medical specialty area.
One (1) year of full-time employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based on a forty (40) hour work week).
*Applicants possessing a valid license to practice medicine issued from another state within the United States of America may apply, but if selected, the candidate will NOT be appointed/hired until they obtain a valid license to practice medicine issued by the Medical Board of California or the Osteopathic Medical Board of California.
For some positions, possession of valid Drug Enforcement Agency registration with the United States Department of Justice is a special condition that is required in addition to the standard minimum qualifications associated with this job classification.
Conditions of Employment
All qualified candidates who have been selected for appointment to positions in all specialty areas must be an eligible billable provider and must meet the following criteria within two (2) weeks prior to the start work date to avoid delay of the appointment to the position and/or cancellation of an employment offer:
All qualified candidates who have been selected for appointment to positions in all specialty areas must be an eligible billable provider and will be required to meet all of the following criteria:
Be eligible to participate in Medicare, Medicaid, and/or other federal healthcare programs
Possess a National Provider Identifier (NPI)
Submit a completed credentialing application and/or required documentation for credentialing
Possess a valid third-party billable provider certification (such as Medicare, Medi-Cal, and/or private insurance) OR have submitted a completed billable provider application, along with the required documentation, in order to obtain the appropriate billable provider status
Important Note:
Please make sure it is absolutely clear in your application exactly how you meet the minimum qualifications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. Please be aware that any misrepresentation of this information may disqualify you from this recruitment or future job opportunities.
Additional Information
SELECTION PROCEDURES
Training and Experience Assessment
(Weight 100%)
The Required Assessment inked in this job ad is designed to measure knowledge, skills, and/or abilities in job-related areas which may include, but are not limited to experience:
Working with vulnerable patient populations
Supervising clinical and administrative professionals
Improving clinical quality
Engaging patients and improving their experience
Engaging staff and improving their experience
Participating in quality assurance activities
Once submitted, applicant responses on the Required Assessment cannot be changed. Qualified applicants must achieve a passing score in order to be ranked on the eligible list/score report. Successful applicants will be placed on the eligible list/score report, in rank order, according to their final score.
Certification
The certification rule for the eligible list resulting from this assessment will be the Rule of the List. Additional selection processes may be conducted by the hiring department prior to making final hiring decisions.
Eligible List/Score Report
Once you pass the assessment, you will be placed on an eligible list and given a score and a rank. For more information, visit ****************************************** Candidate names will remain on the list for a maximum period of 12
months. Unselected candidates may reapply after their eligibility expires.
How to Apply
Applications for City and County of San Francisco jobs are only accepted through an online process. Visit
careers.sf.gov
and begin the application process.
Our email communications may come from more than one department, so please make sure your email is set to accept messages from all of us at
sfdhr.org/ccsf-email-extensions
.
Applicants may be contacted by email about this recruitment; therefore, it is their responsibility to contact the Analyst if they update their email address.
Applicants will receive a confirmation email that their online application has been received in response to every announcement for which they file. Applicants should retain this confirmation email for their records. Failure to receive this email means that the online application was not submitted or received.
Terms of Announcement and Appeal Rights
Applicants must be guided solely by the provisions of this announcement, including requirements, time periods and other particulars, except when superseded by federal, state or local laws, rules or regulations. The correction of clerical errors in an announcement may be posted on the Department of Human Resources website at
***********************
. The terms of this announcement may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department of Human Resources, 1 S Van Ness Avenue, 4th Floor, San Francisco, CA 94103-5413 by close of business on the 5th business day following the issuance date of this examination announcement. Information concerning other Civil Service Commission Rules involving announcements, applications and examination policies, including applicant appeal rights, can be found on the Civil Service Commission website at
***********************************
.
Additional information regarding Employment with the City and County of San Francisco:
Information about the Hiring Process
Conviction History
Employee Benefits Overview
Equal Employment Opportunity
Disaster Service Workers
Reasonable Accommodation
Right to Work
Copies of Application Documents
Diversity Statement
Veterans Preference
Seniority Credit in Promotional Exams
If you have any questions regarding this recruitment or application process, please contact the assessment analyst,
[email protected]
************.
We may use text messaging to communicate with you on the phone number provided in your application. The first message will ask you to opt in to text messaging.
The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law.
Physician Specialist - All Specialties 2230
San Francisco, CA jobs
2/19/2025 - Minor revision. No need to reapply . The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its workforce. All employees at the Department of Public Health work to advance equity, inclusion, and diversity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status. The San Francisco Department of Public Health continuously accepts applications for all Physician Specialist positions.
Salary
:
********************************************* Code=2230
Appointment Type
:
Temporary Exempt
or
Permanent Exempt
Positions may be available in a variety of settings including Zuckerberg San Francisco General Hospital, Laguna Honda Hospital, and community-centered outpatient clinics within the Health Network. These positions include full-time permanent, part-time permanent, and part-time as needed.
The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. SFDPH strives to achieve its mission through the work of multiple divisions - the San Francisco Health Network, Population Health, Behavioral Health Services, and Administration. The San Francisco Health Network is the City's only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers. The Population Health Division (PHD) provides core public health services for the City and County of San Francisco: health protection, health promotion, disease and injury prevention, and disaster preparedness and response. Behavioral Health Services operates in conjunction with SFHN and provides a range of mental health and substance use treatment services.
Job Description
Duties Include
Family physician, internist or medical subspecialist
Evaluates patient signs and symptoms, reviews laboratory and radiological data, diagnoses complex cases, and institutes treatments as appropriate. May serve as a consultant to other physicians, including specialists in other fields.
Surgical specialist or subspecialist
Evaluates patient signs and symptoms, reviews laboratory and radiological data, recommends, performs, and consults on specialized surgical procedures within his or her specialty field.
Pediatrician
Examines, diagnoses, and treats pediatric patients; refers to other physicians, clinics, and agencies when so indicated.
Obstetrician/gynecologist
Provides obstetrical and gynecological care including screening, diagnosis, treatment, prenatal and obstetrical care.
Specialist in occupational health
Conducts pre-employment physical examinations of candidates for city service; when designated by the Civil Service Commission, assesses medical or physical competence of staff to perform assigned duties; participates in the identification and assessment of occupational hazards and injuries; develops and implements preventive and educational strategies.
Qualifications
MINIMUM QUALIFICATIONS
Possession of a valid license to practice medicine issued by the Medical Board of California or the Osteopathic Medical Board of California*
AND
Successful completion** of a residency program accredited by the Accreditation Council for Graduate Medical Education or American Osteopathic Association in the appropriate medical specialty area for the assigned facility or division (i.e., Board Eligible)
*Applicants possessing a valid license to practice medicine issued from another state within the United States of America may apply, but if selected, the candidate will NOT be appointed/hired until they obtain a valid license to practice medicine issued by the Medical Board of California or the Osteopathic Medical Board of California.
**Applicants enrolled in a residency program may apply, but if selected, the candidate will NOT be appointed/hired until they demonstrate successful completion of a residency program accredited by the Accreditation Council for Graduate Medical Education or American Osteopathic Association in the appropriate medical specialty area for the assigned facility.
For some positions, possession of valid Drug Enforcement Agency registration with the United States Department of Justice is a special condition that is required in addition to the standard minimum qualifications associated with this job classification.
Conditions of Employment
All qualified candidates who have been selected for appointment to positions in all specialty areas must be an eligible billable provider and must meet the following criteria within two (2) weeks prior to the start work date to avoid delay of the appointment to the position and/or cancellation of an employment offer:
Be eligible to participate in Medicare, Medicaid and/or other federal health care programs;
Possess a National Provider Identifier (NPI);
Submit a completed credentialing application and/or required documentation for credentialing; AND
Possess a valid third-party billable provider certification (such as Medicare, Medi-Cal and/or private insurance) OR have submitted a completed billable provider application, along with the required documentation, in order to obtain the appropriate billable provider status.
Important Note:
Please make sure it is absolutely clear in your application exactly how you meet the minimum qualifications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. Please be aware that any misrepresentation of this information may disqualify you from this recruitment or future job opportunities.
Additional Information
How to Apply
Applications for City and County of San Francisco jobs are only accepted through an online process. Visit
careers.sf.gov
and begin the application process.
Our email communications may come from more than one department, so please make sure your email is set to accept messages from all of us at
sfdhr.org/ccsf-email-extensions
.
Applicants may be contacted by email about this recruitment; therefore, it is their responsibility to contact the Analyst if they update their email address.
Applicants will receive a confirmation email that their online application has been received in response to every announcement for which they file. Applicants should retain this confirmation email for their records. Failure to receive this email means that the online application was not submitted or received.
Additional information regarding employment with the City and County of San Francisco:
Information about the Hiring Process
Conviction History
Employee Benefits Overview
Equal Employment Opportunity
Disaster Service Workers
Reasonable Accommodation
Right to Work
Copies of Application Documents
Diversity Statement
If you have any questions regarding this recruitment or application process, please contact the exam analyst,
[email protected]
************.
We may use text messaging to communicate with you on the phone number provided in your application. The first message will ask you to opt in to text messaging.
The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law.
Physician - Otolaryngology: BMG Otolaryngology Specialists
Germantown, TN jobs
Baptist Medical Group - Seeking BC/BE Otolaryngologist to join our 1000+ physician medical group! Competitive Base Salary This is an employed opportunity with Baptist Medical Group (a multispecialty physician practice that includes the largest network of doctors in the Mid-South)
Learn more on our website: ****************************
Community Highlights:
Memphis strikes the perfect balance between urban energy and southern charm. Enjoy a vibrant culture with a thriving food and music scene, pro sports, Division I athletics, and plenty of parks and outdoor adventures.
Memphis International Airport just 10 minutes from downtown
Beautiful homes and luxury living at a fraction of big-city prices
Nationally ranked schools and family-friendly communities
A warm, welcoming community known for its hospitality and low cost of living (10% below the national average)
For immediate consideration, please send CV to Maggie Schmitt, Director of Physician Recruitment at *************************. For more information, please call ************.
Easy ApplyBilling Coordinator - Stop Area Six
San Diego, CA jobs
.
The Specialized Treatment for Optimized Programming (STOP) Program Area Six connects California Department of Corrections and Rehabilitation inmates and parolees to comprehensive, evidence-based programming and services during their transition into the community, with priority given to those participants who are within their first year of release and who have been assessed to as a moderate to high risk to reoffend. Area Six includes San Diego, Orange, and Imperial counties. STOP subcontracts with detoxification, licensed residential treatment programs, outpatient programs, professional services, and reeentry and recovery housing throughout the program area to assist participants with reentry and recovery resources.
The Billing Coordinator is responsible for coordinating receipt of and reviewing Community Based Provider (CBP) subcontractor client data for accuracy and entering and retrieving data from/to the Automated Reentry Management System (ARMS) as needed for the purpose of reconciliation, invoicing and billing.
Key Responsibilities
Data Entry and Reconciliation Responsibilities: Review outgoing and incoming CBP subcontractor client data for accuracy. Enter data found on the verification form into the STOP database to begin the reconciliation process. When discrepancies are found, coordinate with CBPs and internal departments to resolve and reconcile the discrepancies. Ensure accuracy of all data entered.
Billing and Invoicing Responsibilities: Process STOP CBP weekly verifications by extracting from the STOP database, and possibly further verifying in the ARMS database, and forwarding to the CBPs via email (and sometimes fax) for approval. Produce the monthly billing and forward to CBPs for billing authorization and approval. Ensures accuracy of all billing and resolves any discrepancies identified. Act as liaison between Fiscal department and STOP to ensure ease of information flow. Produce invoices for other various services (i.e. transportation, links etc.).
Administrative Responsibilities: Produce monthly client and CBP related reports as needed for the California Department of Corrections and Rehabilitation (CDCR), with supervisor review and approval, using the ARMS database. Assure confidentiality of all incoming and outgoing client data. As assigned, performs other clerical tasks.
And, other duties as assigned.
Education and Knowledge, Skills and Abilities
Education and Experience Required:
High School Diploma or equivalent.
Previous work experience working with spreadsheets.
Previous work experience performing data entry.
Type 45 wpm.
Strong math skills.
Desired:
Bilingual.
AA Degree; Experience may substitute for this on a year-by-year basis.
We will consider for employment qualified applicants with arrest and conviction records.
In compliance with the California Department of Public Health's mandate, all employees must be able to provide proof of COVID-19 vaccination. Medical and religious exemptions are available.
Tag: IND100.
Auto-ApplyHomecare Billing Coordinator
Elk Grove, CA jobs
Job DescriptionBenefits:
401(k) matching
Bonus based on performance
Dental insurance
Health insurance
Paid time off
Training & development
Vision insurance
JOB OVERVIEW:
We are seeking a skilled and experienced Billing Coordinator to join our team at Your Home Assistant. As a Billing Coordinator, you will play a crucial role in completing complex activities associated with maintaining accurate and complete billing and accounts receivable records. Review appropriate reports to ensure billing data accuracy. Resolve billing discrepancies regularly. Ensure eligibility is verified regularly and accurately maintained and followed up accordingly to prevent lost revenue.
RESPONSIBILITIES:
Work within the scope of the position, in coordination with management, to meet the needs of our patients, families and professional colleagues.
Accurately enter patient/customer billing data and charge accordingly
Ensure that all potential payers have been identified, verified, and entered accurately into the computer system prior to submission of billing and within deadlines per company policies and procedures.
Ensure that insurance-related documentation is secured, completed, reviewed, accurate, and submitted per company and state requirements. This includes election, certifications, and authorization-related documentation required for billing.
Maintain tracking tools and diaries to ensure that all necessary information is secured for timely accurate payment. Alert appropriate management team members regarding late or missing documents required for billing.
Perform and ensure regular review and resolve discrepancies of accounts receivables according to Company procedures, policy, internal controls, and payer requirements.
Establish and maintain positive working relationships with patient/clients, payors, and other customers. Maintain the confidentiality of patient/client and agency information at all times.
Assure for compliance with local, state and federal laws, Medicare regulations, and established company policies and procedures, including published manuals and responsibility matrixes
Meet or exceed delivery of Company Service Standards in a consistent fashion.
Interact with all staff in a positive and motivational fashion supporting the Companys mission.
Conduct all business activities in a professional and ethical manner.
The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents will be requested to perform job-related tasks other than those stated in this description.
QUALIFICATIONS
Minimum age requirement of 18.
High School graduate or GED required.
Two years experience in healthcare data entry, preferably in homecare
Cal-Aim, Tri-west, Long Term Care Insurance experience preferred
Two-year degree in accounting or equivalent insurance/bookkeeping preferred
Strong computer skills, including Word, Excel, and PowerPoint.
Strong analytical skills, organized work habits and proven attention to detail.
Excellent communication skills, ability to work independently and in a team environment.
Good customer relation skills.
Ability, flexibility and willingness to learn and grow as the company expands and changes.
Demonstrated leadership ability to initiate duties as required.
Plan, organize, evaluate, and manage PC files and Microsoft Office.
Compliance with accepted professional standards and practices.
Ability to work within an interdisciplinary setting.
Satisfactory references from employers and/or professional peers.
Satisfactory criminal background check.
Self-directed with the ability to work with little supervision.
Flexible and cooperative in fulfilling all obligations.
Job Type: Full-time
Benefits:
401(k) matching
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance
Schedule:
8 hour shift
Day shift
Monday to Friday
Ability to Relocate:
Elk Grove, CA 95758: Relocate before starting work (Required)
Work Location: In person
Billing Specialist
Dixon, CA jobs
Key Responsibilities: * Order Confirmation & Claim Preparation: Process and confirm orders, ensuring claims are accurately prepared and submitted. * Cash Posting: Post payments and update accounts in a timely and accurate manner. * Patient Support: Address any patient inquiries regarding billing, ensuring clear communication and prompt issue resolution.
* Accounts Receivable Management: Work on stop/held accounts to ensure timely billing for rental items.
* Meet Department Goals: Achieve performance metrics and goals set by the department to maintain operational efficiency.
* Collaboration with Teams: Regularly communicate with Billing and Insurance team leads to report progress and trends
Pay: $17.00 hour
Benefits:
* BCBS Medical
* BCBS Vision
* Dental Insurance
* 401K
* PTO Benefits
Physician Relations Specialist - Business Development
Torrance, CA jobs
Develop and grow service line referrals to achieve volume and revenue objectives for the LA Medical Foundation and Medical Groups. Referral activities target physicians in primary and secondary service areas, including new physician markets in the Southern California - LA region. Direct outreach activities toward new physicians and existing physicians who provide services to various ministries across Los Angeles. In conjunction with director, implement long-and short-term strategies to promote emergent and elective referrals and service-line objectives; retain existing business, and develop new business. Sustain referral opportunities through ongoing education, communication, and service recovery. Create opportunities for physician-to-physician dialog.
Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Medical Institute and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required qualifications:
+ 1 year of Sales experience.
Preferred qualifications:
+ Bachelor's Degree in Marketing, Science, or Nursing or equivalent education/experience
+ 3 years of Sales experience.
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
About Providence
At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the Team
Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care. Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers.
PCN is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon; Swedish Medical Group in Washington's greater Puget Sound area, Pacific Medical Centers in western Washington; Kadlec in southeast Washington; Providence's St. John's Medical Foundation in Southern California; Providence Medical Institute in Southern California; Providence Facey Medical Foundation in Southern California; Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and eastern New Mexico.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 401899
Company: Providence Jobs
Job Category: Business Development
Job Function: Marketing/Public Relations/Community Affairs
Job Schedule: Full time
Job Shift: Day
Career Track: Business Professional
Department: 7010 BUSINESS DEVELOPMENT CA TORRANCE
Address: CA Torrance 3460 Torrance Blvd
Work Location: PMI Torrance
Workplace Type: On-site
Pay Range: $39.45 - $61.24
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Auto-ApplyBilling Coordinator
Tempe, AZ jobs
What we are looking for NextCare Urgent Care is looking for a Billing Coordinator to be a part of our Urgent Care Team. Responsibilities The Billing Coordinator will be responsible for the daily billing of claims for all carriers. This position will monitor and distribute the APN reports from the clearinghouse and insurance carriers and communicate this information back to the Billing Supervisor. This position will also assist in the posting of contractual, courtesy adjustments, as well as monitoring contractual analysis reports. This position will be assist with the table maintenance of the electronic billing system and clearinghouse information flow. They will be responsible for communicating billing trends to the manager as well as patient statement processing.
How you will make an impact
The Billing Coordinator supports the organization with the following:
* Responsible for the daily billing of claims to insurance carriers based on contract requirements.
* Help train new employees with NextGen, contracts, and business office Policies and Procedures.
* Monitor and distribute the APN reports generated by the clearinghouse and insurance carriers.
* Help post contractual adjustments and transfer deductibles to patient accounts.
* Assist with claim resubmission projects when necessary.
* Assist in maintaining Navicure with Waystar.
* Assist with reviewing accounts that have partial or under payments.
* Clean out daily the clearinghouse rejections and claims with errors held in the system.
* Post adjustments to accounts based on contractual rates and deductibles.
* Review accounts to determine if billed correctly.
* Assist other members of the team as needed.
Essential Education, Experience and Skills:
Minimum Education: High School diploma or equivalent.
Experience:
* Must have two years' experience billing, collections, payment posting, and electronic and paper claims.
* Experience with Managed Care contracts, Medicare and AHCCCS.
* Basic insurance knowledge, reading patient eligibility and benefit coverage details.
* Experience with revenue cycle and reimbursement in a healthcare facility.
* Microsoft Programs, Windows, Excel, Word, and Teams.
* Internet browser knowledge (basics) for Edge or Chrome.
Valued But Not Required Education, Experience and Skills:
Experience: Medical collections experience; NextGen software experience: Previous supervision experience in the healthcare field is helpful, Waystar Clearinghouse, Payer Provider Portals, and Basic Terminology of Medical Billing Practices.
RCM Coordinator - Billing & Payor Relations
Dallas, TX jobs
Are you looking for a purpose-driven career? At Metrocare, we serve our neighbors with developmental or mental health challenges by helping them find lives that are meaningful and satisfying.
Metrocare is the largest provider of mental health services in North Texas, serving over 55,000 adults and children annually. For over 50 years, Metrocare has provided a broad array of services to people with mental health challenges and developmental disabilities. In addition to behavioral health care, Metrocare provides primary care centers for adults and children, services for veterans and their families, accessible pharmacies, housing, and supportive social services. Alongside clinical care, researchers and teachers from Metrocare's Altshuler Center for Education & Research are advancing mental health beyond Dallas County while providing critical workforce to the state.
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GENERAL DESCRIPTION:
The mission of Metrocare Services is to serve our neighbors with developmental or mental health challenges by helping them find lives that are meaningful and satisfying. We are an agency committed to quality gender-responsive, trauma-informed care to individuals experiencing serious mental illness, development disabilities, and co-occurring disorders. Metrocare programs focus on the issues that matter most in the lives of the children, families and adults we serve.
The RCM Coordinator - Billing & Payor Relations plays a vital role in the financial health of the organization by ensuring accurate and timely submission of claims to Medicaid, Medicare, and commercial payors. This position supports the revenue cycle by managing billing workflows, resolving claim issues, and maintaining compliance with payer-specific requirements. The coordinator works across multiple service lines including behavioral health, primary care, IDD, ABA therapy, and other specialized programs.
ESSENTIAL DUTIES AND RESPONSIBILITIES
The essential functions listed here are representative of those that must be met to successfully perform the job.
Prepare and submit clean claims to government and commercial payors for all service lines.
Monitor claim status and follow up on unpaid or rejected claims to ensure timely resolution.
Analyze and resolve denials, rejections, and underpayments by coordinating with internal departments and payors.
Ensure proper coding, documentation, and authorization are in place prior to claim submission.
Maintain up-to-date knowledge of payer guidelines, billing regulations, and reimbursement policies.
Track and report denial trends, identify root causes, and recommend process improvements.
Document all billing activities, correspondence, and resolution steps in the billing system.
Provide regular reporting to management on claim performance and payer behavior.
Collaborate with RCM team members to ensure revenue integrity and compliance.
Performs other duties as assigned.
COMPETENCIES
The competencies listed here are representative of those that must be met to successfully perform the essential functions of this job.
Conducts job responsibilities in accordance with the ethical standards of conduct, state contract, appropriate professional standards and applicable state/federal laws.
Analytical skills, professional acumen, business ethics, thorough understanding of continuous improvement processes, problem solving, respect for confidentiality, and excellent communication skills.
Working knowledge of 837/835 transaction files and clearinghouse operations.
Experience with denial management platforms or analytics dashboards (e.g., Waystar, Availity, Change Healthcare).
Ability to translate complex reimbursement data into actionable insights for leadership.
Analytical skills, professional acumen, business ethics, thorough understanding of continuous improvement processes, problem solving, respect for confidentiality, and excellent communication skills.
Strong understanding of medical billing and claims processing for Medicaid, Medicare, and commercial payors.
Knowledge of ICD-10, CPT, HCPCS codes, and modifier usage.
Analytical and problem-solving skills with attention to detail.
Effective verbal and written communication skills.
Ability to manage multiple tasks and meet deadlines in a fast-paced environment.
High level of professionalism, accuracy, and confidentiality.
Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and billing software systems.
QUALIFICATIONS
Required Education, Experience, Licenses, and Certifications
Required: High school diploma or GED; at least 5 years of experience in medical billing, claims processing, or revenue cycle management.
Preferred: Associate's degree in healthcare administration, business, or related field; experience in billing wand knowledge of Community Center Services; knowledge of ICD-10, CPT, HCPCS, and modifier usage; familiarity with Medicaid, Medicare, and commercial insurance requirements.
A bachelor's degree will be accepted in place of experience.
Preferred Education, Experience, Licenses, and Certifications
DRIVING REQUIRED:
No
WORK LOCATION:
This role is remote except for 6 weeks of onsite training and monthly meetings.
MATHEMATICAL SKILLS
Basic math skills required.
Ability to work with reports and numbers & Ability to calculate moderately complex figures and amounts to accurately report activities and budgets.
REASONING ABILITY
Ability to apply common sense understanding to carry out simple one or two-step instructions.
Strong reasoning and problem-solving skills with the ability to make informed decisions in a dynamic and client-centered environment.
COMPUTER SKILLS
Use computer, printer, and software programs necessary to the position (i.e., Word, Excel, Outlook, and PowerPoint).
Ability to utilize Internet for resources.
PHYSICAL DEMANDS & WORK ENVIRONMENT
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 can be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the incumbent is regularly required to talk and hear, use hands and fingers to operate a computer and telephone.
Due to the multi-site responsibilities of this position the incumbent must be able to carry equipment and supplies.
Demand-Frequency
Sitting-Occasional
Walking-Occasional
Standing-Occasional
Lifting (Up to 15 pounds)-Occasional
Lifting (Up to 25 pounds)-Occasional
Lifting (Up to 50 pounds)-Occasional
Travel-Frequency
In county travel may be required-N/A
Overnight travel required-N/A
NOTICE ON POSITIONS THAT REQUIRE TRAVEL TO/FROM VARIOUS WORKSITES
Positions that are “community-based,” in whole or part, require the incumbent to travel between various worksites within his/her workday/workweek. The incumbent is required to have reliable transportation that can facilitate this requirement. The incumbent is further required to meet the criteria for insurability by the Center's risk management facilitator; and produce proof of minimal auto liability coverage when applicable. Failure to meet these terms may result in disciplinary action up to and including termination of employment, contract or other status with Metrocare.
Current State of Texas Driver License or if you live in another state, must be currently licensed in that state. If licensed in another state, must obtain Texas Driver License within three (3) months of employment.
Liability insurance required if employee will operate personal vehicle on Center property or for Center business. Must be insurable by Center's liability carrier if employee operates a Center vehicle or drives personal car on Center business. Must have an acceptable driving record.
WORK ENVIRONMENT
The work environment describe here is representative of that which an employee encounters while performing the essential functions of this job. Reasonable accommodation can be made to enable individuals with disabilities to perform the essential functions.
Employees in this role are expected to maintain composure under pressure, exercise sound judgment, and follow established protocols to ensure a safe and secure work environment. Ongoing training in crisis intervention, de-escalation techniques, and workplace safety is provided. Additionally, employees have access to resources such as the Employee Assistance Program (EAP), Telehealth Counseling, and Supportive Management.
Remote Work Eligible - May work remotely for documentation and administrative tasks, through some in-person meetings or fieldwork is required.
DISCLAIMER
This is a record of major aspects of the job but is not an all-inclusive job contract. Dallas Metrocare Services maintains its status as an “at-will” employer and nothing in this job description shall be interpreted to guarantee employment for any length of time. Additional tasks may be assigned as deemed necessary by the immediate supervisor. The position's status conforms to the Fair Labor Standards Act of 1939 as amended, and the employee has agreed to the standards methods of compensation in compliance with Center's procedures and Federal Law.
Benefits Information and Perks:
Metrocare couldn't have a great employee-first culture without great benefits. That's why we offer a competitive salary, exceptional training, and an outstanding benefits package:
Medical/Dental/Vision
Paid Time Off
Paid Holidays
Employee Assistance Program
Retirement Plan, including employer matching
Health Savings Account, including employer matching
Professional Development allowance up to $2000 per year
Bilingual Stipend - 6% of the base salary
Many other benefits
Equal Employment Opportunity/Affirmative Action Employer
Tobacco-Free Facilities - Metrocare is committed to promoting the health, well-being, and safety of Metrocare team members, guests, and individuals and families we serve while on the facility campuses. Therefore, Metrocare facilities and grounds are tobacco-free.
No Recruitment Agencies Please
Auto-ApplyHospital Underpayment / Overpayment Collector - Remote
Billing specialist 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.
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