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Account Representative jobs at CovenantHealth

- 1206 jobs
  • EVG Patient Account Rep - Medical Biller

    Covenant Health 4.4company rating

    Account representative job at CovenantHealth

    Medical Biller Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes “Best Employer” seven times. Position Overview: Demonstrates expanded knowledge of the billing requirements for UB and 1500 claims for acute care facilities and professional services. This position is responsible coordinating daily workflow for accurate submission of insurance claims to payers to ensure timely reimbursement for services provided. Provides support and assistance for the Medical Biller I for solving complex medical claim issues. This position demonstrates the ability to accurately submit claims in all payer categories, i.e., Medicare, TennCare, Blue Cross, Commercial, and Managed Care. This position assists the Billing Coordinator, Billing Supervisors and Manager. Coordinates and prioritizes daily responsibilities including evaluating complex errors on medical claims with the understanding of the billing process and reimbursement in a timely manner. Responsible for ensuring the accuracy of the of UB and 1500 medical claim information including evaluating, recognizing, and resolving issues related to the complex medical claims. Responsible for resolving complex patient and insurance information pre-bill as identified on daily failed bill reports from the patient accounting system to ensure that the claim can be processed in an accurate and timely manner. Analyzes claim edits within billing system and payer sites with a variety of different issues, such as improper match of diagnosis, revenue codes, modifiers, charging units, physician's NPI, and HCPCS/CPT codes, to facilitate claims processing in a timely manner. Identifies trends and investigates root cause of errors. When indicated, provides supporting medical records documentation for rejected, denied, and suspended or pended medical claims. Demonstrates enhanced knowledge and comprehension of State and Federal regulations, Medicare, TennCare, and other Third-Party Payer requirements to meet regulatory compliance and standards that ensure appropriate reimbursement is received. Demonstrates an enhanced understanding of payer's electronic transaction advice (ERA) and the claim rejection and denial codes (835) to determine and take appropriate actions for resolution and for secondary billing processes. Recruiter:Suzie McGuinn || ***************** Responsibilities Assists Billing Supervisor to recognize and identify issues pertaining to the working of accounts. Demonstrates the ability to handle varying tasks as well as understanding and interpreting procedures relative to the revenue process. Demonstrates knowledge of State and Federal regulations, HIPAA guidelines, HCFA guidelines, TennCare guidelines and other Third Party Payer requirements assuring departmental compliance. Recognizes situations, which necessitate supervision and guidance, seeks appropriate resources. Demonstrates an ability to understand the payer requirements of insurance carriers. Demonstrates an understanding of all patient information from the facilities and the specifics of each follow-up to ensure appropriate reimbursement is received. Professionally deals with patients/public, co-workers, physicians, facilities, agencies and/or their offices, and other facility personnel using verbal, nonverbal and written communication skills. Performs specific functions relating to billing of patient accounts. Consults and works collaboratively with Supervisors, Co-Workers, Department management, and other facility personnel, effectively performing tasks of position. Attends meetings as required and participates on committees as directed. Perform other duties as assigned or requested. Promotes good public relations for the department ad the facilities, adhering to desired behaviors. Participates freely in intradepartmental quality improvement activities whenever called upon to do so. Demonstrates promptness in reporting for and completing work, ensuring follow-through on assigned tasks. Demonstrates initiative in increasing skills and attends training programs as available. Utilizes resources available appropriately, i.e. use of equipment and supplies. Supports, models and adheres to the desired behaviors of the KBOS Constitution for using the community's resources wisely which are; be aware of cost and quality when making spending decisions, demonstrate a personal commitment to reduce waste, consider the impact on other departments and facilities within Covenant health when making decisions or taking action and ensure that meetings lead to solutions. Qualifications Minimum Education: Minimum Experience: Licensure Requirements: None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED. Preference may be given to individuals possessing a HS diploma or GED. One to Two (1-2) years' experience in health care is preferred. Computer experience is required. Knowledge of medical terminology, claims submission, customer service is preferred. Expected to perform adequately within the position after working at least three (3) to six (6) months on the job. Must be familiar with insurance plans and requirements and collection practices e.g. Fair Debt Credit and Collection Act. None.
    $28k-35k yearly est. Auto-Apply 60d+ ago
  • Veterinary Sales Representative -Flex Time (12 days/mo)

    Promoveo Health 3.0company rating

    San Marcos, TX jobs

    Pharmaceutical Sales Representative - Veterinary - Flex Time (12 days/mo) Promoveo Health, a leading Pharmaceutical Sales recruiting, and contract sales company has an outstanding position representing one of our strategic clients. Our client is a rapidly growing organization with a very strong presence in the Veterinary Medicine field. This is a position where you will be a W2 employee of Promoveo Health. The Veterinary Sales Representative will be responsible for revenue growth within your specified geographic region. You will be accountable for a sales revenue plan in the clinical (office based) markets. This role requires strong account management and selling skills, as you will be the selling interface between the accounts and the company. The ideal candidate will have: · 5+ years of Veterinary Pharmaceutical Sales either on the Pharmaceutical or Distributor side · Clinical experience calling on Veterinary Practices in this market · Experience calling on and existing relationships with Vets in the area · Excellent interpersonal, communication, teaching and negotiation skills · BS Degree in related discipline Job Expectations: ·Part time position with high management visibility and performance expectations. · Travel - You will be home every night- no overnight travel is required! EOE STATEMENT We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.
    $47k-87k yearly est. 4d ago
  • Veterinary Sales Representative -Flex Time (12 days/mo)

    Promoveo Health 3.0company rating

    San Antonio, TX jobs

    Pharmaceutical Sales Representative - Veterinary - Flex Time (12 days/mo) Promoveo Health, a leading Pharmaceutical Sales recruiting, and contract sales company has an outstanding position representing one of our strategic clients. Our client is a rapidly growing organization with a very strong presence in the Veterinary Medicine field. This is a position where you will be a W2 employee of Promoveo Health. The Veterinary Sales Representative will be responsible for revenue growth within your specified geographic region. You will be accountable for a sales revenue plan in the clinical (office based) markets. This role requires strong account management and selling skills, as you will be the selling interface between the accounts and the company. The ideal candidate will have: · 5+ years of Veterinary Pharmaceutical Sales either on the Pharmaceutical or Distributor side · Clinical experience calling on Veterinary Practices in this market · Experience calling on and existing relationships with Vets in the area · Excellent interpersonal, communication, teaching and negotiation skills · BS Degree in related discipline Job Expectations: ·Part time position with high management visibility and performance expectations. · Travel - You will be home every night- no overnight travel is required! EOE STATEMENT We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.
    $47k-88k yearly est. 1d ago
  • Reimbursement Specialist

    University Health 4.6company rating

    San Antonio, TX jobs

    /RESPONSIBILITIES Identifies and enrolls indigent and under-insured patients into drug assistance reimbursement programs which provide drug replacement and reimbursement compensation. Monitors contain eligibility status and document drug shipments received through a computerized tracking system. Serves as a resource in facilitating resolution of insurance denial referrals. Communicates effectively with pharmacy, hospital administration, medical staff, patients and personnel in the patient assistance programs using verbal and written interpersonal communication skills. Requires the ability to work independently and coordinate assigned projects efficiently. Effectively utilizes problem-solving ability, significant interpersonal contact and concentration abilities, analytical skills and in-depth knowledge of computer software. Coordinates all information regarding patients enrolled in assistance programs for drug therapies using various computer software programs. Creates, expands and maintains computerized databases to support patient enrollment in assistance programs and tracks case-specific assistance provided in response to reimbursement denials. Conducts patient interviews and conveys reimbursement denial potential to patients and medical staff. Reviews all outpatient 3rd party rejections and assists the patient in resolving the problem. Coordinates 3rd party billing, problems with eligibility, rejections, etc. with the Outpatient Pharmacy Supervisor and the Pharmacy Billing Section. EDUCATION/EXPERIENCE Texas State Board of Pharmacy registration required. National Certification as a Certified Pharmacy Technician (CPhT) is recommended. Three (3) years' experience in a medical or pharmacology-related field to include project coordination; database/spreadsheet development and management; and/or application programming; processing and overseeing medical insurance billing and reimbursement cost capture is preferred. Must have demonstrated independent judgment
    $33k-39k yearly est. 1d ago
  • Collection Representative Patient Billing Services

    Brigham and Women's Hospital 4.6company rating

    Somerville, MA jobs

    Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary The Collection Representative is responsible for communicating with patients, insurance companies, and other parties to collect outstanding balances, resolve billing disputes, and ensure proper reimbursement for the hospital. Essential Functions: * Monitor and manage the accounts receivable of the hospital by reviewing and following up on outstanding balances. * Communicate with insurance companies, patients, and other relevant parties to resolve billing issues and outstanding claims. * Contact patients and insurance companies via phone calls, emails, or written correspondence to collect outstanding balances. * Investigate and resolve billing disputes or discrepancies by gathering necessary documentation, coordinating with the billing department, and communicating with patients or their representatives. * Verify insurance coverage and eligibility for patients, ensuring accurate billing and claim submission. * Assist patients in understanding their medical bills, insurance coverage, and payment options. * Maintain accurate and up-to-date records of collections activities, payment arrangements, and communication with patients and insurance companies. Justification Justification MGB Enterprise is hiring an exceptional Customer Service Professional for our Team! Qualifications * High School Diploma or Equivalent required or Associate's Degree Healthcare Management preferred * Collections Experience 1-2 years preferred Knowledge, Skills and Abilities * Knowledge of medical billing processes, insurance claim submission, and reimbursement principles. * Familiarity with insurance plans, government programs, and their billing requirements. * Excellent communication skills, both written and verbal, to interact effectively with patients, insurance companies, and colleagues. * Strong negotiation and problem-solving skills to resolve billing disputes and collect outstanding balances. * Attention to detail and accuracy in recording collection activities and maintaining documentatio Additional Job Details (if applicable) Working Conditions Required * Monday through Friday, 8:00am to 4:30 pm ET schedule * Quiet, secure, stable, compliant work station required Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $17.36 - $24.79/Hourly Grade 2 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
    $17.4-24.8 hourly Auto-Apply 22d ago
  • Patient Accounts Billing Representative

    Greater Lawrence Family Health Center 3.9company rating

    Methuen Town, MA jobs

    Established in 1980, the Greater Lawrence Family Health Center, Inc. (GLFHC) is a multi-site, mission-driven, non-profit organization employing over 700 staff whose primary focus is providing the highest quality patient care to a culturally diverse population throughout the Merrimack Valley. Nationally recognized as a leader in community medicine (family practice, pediatrics, internal medicine, and geriatrics), GLFHC has clinical sites in Lawrence, Methuen, and Haverhill and is the sponsoring organization for the Lawrence Family Medicine Residency program. GLFHC is currently seeking a Patient Accounts Billing Representative. Follows department and payer processes to ensure all claims are submitted in a timely and accurate manner. Analyzes and reviews outstanding accounts receivables. Prepares appeals and corrected claims within payer guidelines for resubmission in order to maximize reimbursement. * Reviews patient eligibility utilizing practice management function or payer websites to determine correct payer to be billed for specific dates of service. * Prepares claim data according to department and payer regulations in order to produce a "clean" claim. * Prepares, reviews and transmits claims timely to payers, works EDI rejections. * Posts charges, payments and denials in practice management system accurately. * Works denials and prepares appeals, resubmits claims and performs compliant actions to resolve open accounts receivable. Reports unusual trends to supervisor. * Utilizes insurance and practice management online systems to complete all required tasks such as eligibility, claim status and claim correction. * Processes insurance and patient refunds as necessary. * Answers patient and department calls. Assist in telephone inquiries regarding patient statements. Establish payment arrangements when appropriate. * Reconcile all batch totals at day end to ensure accuracy of totals posted and transactions on charge capture. Identify and correct any discrepancies prior to opening any future batch. Qualifications: * 1-2 years of medical billing experience, or medical billing certification * Knowledge of CPT, ICD10 coding and compliance preferred. * Familiar with Medical terminology * Combination of education and equivalent experience will be considered. GLFHC offers a great working environment, comprehensive benefit package, growth opportunities and tuition reimbursement.
    $39k-44k yearly est. 28d ago
  • Patient Accounts Billing Representative

    Greater Lawrence Family Health Center 3.9company rating

    Methuen Town, MA jobs

    Established in 1980, the Greater Lawrence Family Health Center, Inc. (GLFHC) is a multi-site, mission-driven, non-profit organization employing over 700 staff whose primary focus is providing the highest quality patient care to a culturally diverse population throughout the Merrimack Valley. Nationally recognized as a leader in community medicine (family practice, pediatrics, internal medicine, and geriatrics), GLFHC has clinical sites in Lawrence, Methuen, and Haverhill and is the sponsoring organization for the Lawrence Family Medicine Residency program. GLFHC is currently seeking a Patient Accounts Billing Representative. Follows department and payer processes to ensure all claims are submitted in a timely and accurate manner. Analyzes and reviews outstanding accounts receivables. Prepares appeals and corrected claims within payer guidelines for resubmission in order to maximize reimbursement. Reviews patient eligibility utilizing practice management function or payer websites to determine correct payer to be billed for specific dates of service. Prepares claim data according to department and payer regulations in order to produce a “clean” claim. Prepares, reviews and transmits claims timely to payers, works EDI rejections. Posts charges, payments and denials in practice management system accurately. Works denials and prepares appeals, resubmits claims and performs compliant actions to resolve open accounts receivable. Reports unusual trends to supervisor. Utilizes insurance and practice management online systems to complete all required tasks such as eligibility, claim status and claim correction. Processes insurance and patient refunds as necessary. Answers patient and department calls. Assist in telephone inquiries regarding patient statements. Establish payment arrangements when appropriate. Reconcile all batch totals at day end to ensure accuracy of totals posted and transactions on charge capture. Identify and correct any discrepancies prior to opening any future batch. Qualifications: 1-2 years of medical billing experience, or medical billing certification Knowledge of CPT, ICD10 coding and compliance preferred. Familiar with Medical terminology Combination of education and equivalent experience will be considered. GLFHC offers a great working environment, comprehensive benefit package, growth opportunities and tuition reimbursement.
    $39k-44k yearly est. 27d ago
  • Collection Representative Patient Billing Services

    Massachusetts Eye and Ear Infirmary 4.4company rating

    Somerville, MA jobs

    Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary The Collection Representative is responsible for communicating with patients, insurance companies, and other parties to collect outstanding balances, resolve billing disputes, and ensure proper reimbursement for the hospital. Essential Functions: -Monitor and manage the accounts receivable of the hospital by reviewing and following up on outstanding balances. -Communicate with insurance companies, patients, and other relevant parties to resolve billing issues and outstanding claims. -Contact patients and insurance companies via phone calls, emails, or written correspondence to collect outstanding balances. -Investigate and resolve billing disputes or discrepancies by gathering necessary documentation, coordinating with the billing department, and communicating with patients or their representatives. -Verify insurance coverage and eligibility for patients, ensuring accurate billing and claim submission. -Assist patients in understanding their medical bills, insurance coverage, and payment options. -Maintain accurate and up-to-date records of collections activities, payment arrangements, and communication with patients and insurance companies. Justification Justification MGB Enterprise is hiring an exceptional Customer Service Professional for our Team! Qualifications High School Diploma or Equivalent required or Associate's Degree Healthcare Management preferred Collections Experience 1-2 years preferred Knowledge, Skills and Abilities Knowledge of medical billing processes, insurance claim submission, and reimbursement principles. Familiarity with insurance plans, government programs, and their billing requirements. Excellent communication skills, both written and verbal, to interact effectively with patients, insurance companies, and colleagues. Strong negotiation and problem-solving skills to resolve billing disputes and collect outstanding balances. Attention to detail and accuracy in recording collection activities and maintaining documentatio Additional Job Details (if applicable) Working Conditions Required Monday through Friday, 8:00am to 4:30 pm ET schedule Quiet, secure, stable, compliant work station required Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $17.36 - $24.79/Hourly Grade 2 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
    $17.4-24.8 hourly Auto-Apply 22d ago
  • Spec, Patient Account

    Hillrom 4.9company rating

    Houston, TX jobs

    This is where your work makes a difference. At Baxter, we believe every person-regardless of who they are or where they are from-deserves a chance to live a healthy life. It was our founding belief in 1931 and continues to be our guiding principle. We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond. Our Baxter colleagues are united by our Mission to Save and Sustain Lives. Together, our community is driven by a culture of courage, trust, and collaboration. Every individual is empowered to take ownership and make a meaningful impact. We strive for efficient and effective operations, and we hold each other accountable for delivering exceptional results. Here, you will find more than just a job-you will find purpose and pride. Your role at Baxter THIS IS WHERE you build trust to achieve results… As the Patient Account Specialist for our Bardy Diagnostics division, you will be responsible for assisting with Inquiry Management through phone, email, and online interactions with patients, healthcare teams, sales, and several internal teams. You will be responsible for investigating inquiries to determine an appropriate course of action to solve, triage or escalate the inquiry in question. This includes research, utilizing publicly available and company provided resources and systems, conducting thorough patient account review(s), and performing the necessary tasks or actions ensuring a timely and effective first-time resolution. Your team Bardy Diagnostics, Inc. (“BardyDx”) is an innovator in digital health and remote patient monitoring, with a focus on providing the most diagnostically accurate and patient-friendly cardiac and vital signs patch monitors in the industry. We're a friendly, collaborative group of people who push each other to do better every day. We find outstanding strategies to close deals and expand our skills by challenging ourselves and others. Whether out in the field with a partner or solving challenges with your territory team, you always have camaraderie and support to help accomplish your goals. What you'll be doing Quickly build rapport over the phone while exuding a positive upbeat demeanor. Investigate and validate payer coverage policies and requirements as needed. Responsible for Inquiry Management providing timely and accurate resolution of requests or complaints received. Utilization of multiple platforms and systems, in an efficient manner allowing prompt investigation and identification of the root cause of the issue, while providing accurate first-time resolution that is in alignment with our AR Days as denied by Departmental KPIs. Review patient accounts quickly and accurately assessing and identifying customer needs to determine appropriate course of action as defined by Baxter policies and guidelines. Ensure accuracy of patient information on file to establish timely and accurate claims processing, promptly identifying and solving all claim errors that result in delayed adjudication. Identify payer trends and establish payer-specific strategies to overcome reimbursement challenges. Establish and maintain positive partnerships with sales, and other internal and external Cardiology Healthcare teams. What you'll bring High school diploma or equivalent required. 2+ years of healthcare related experience in revenue cycle, with focus around eligibility and benefit verification, authorizations, claims submission and denial management. Cardiology related experience, a plus. Knowledge of Federal, State, and Local regulations, guidelines, and standards, including knowledge of HIPAA rules and regulations. CPT and ICD-10 coding experience. Third-party payer experience. Experience with medical record reviews to identify and ensure medical necessity. Proficiency in Microsoft Office Software. Strong critical thinking and effective problem-solving skills. Exceptional written, verbal, and interpersonal communications. The ability to handle time and prioritize critical priorities. Baxter is committed to supporting the needs for flexibility in the workplace. We do so through our flexible workplace policy which includes a minimum of 3 days a week onsite. This policy provides the benefits of connecting and collaborating in-person in support of our Mission. We understand compensation is an important factor as you consider the next step in your career. At Baxter, we are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices. The estimated base salary for this position is $41,600 to $57,200 annually. The estimated range is meant to reflect an anticipated salary range for the position. We may pay more or less than the anticipated range based upon market data and other factors, all of which are subject to change. Individual pay is based upon location, skills and expertise, experience, and other relevant factors. For questions about this, our pay philosophy, and available benefits, please speak to the recruiter if you decide to apply and are selected for an interview. Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa at this time. US Benefits at Baxter (except for Puerto Rico) This is where your well-being matters. Baxter offers comprehensive compensation and benefits packages for eligible roles. Our health and well-being benefits include medical and dental coverage that start on day one, as well as insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance. Financial and retirement benefits include the Employee Stock Purchase Plan (ESPP), with the ability to purchase company stock at a discount, and the 401(k) Retirement Savings Plan (RSP), with options for employee contributions and company matching. We also offer Flexible Spending Accounts, educational assistance programs, and time-off benefits such as paid holidays, paid time off ranging from 20 to 35 days based on length of service, family and medical leaves of absence, and paid parental leave. Additional benefits include commuting benefits, the Employee Discount Program, the Employee Assistance Program (EAP), and childcare benefits. Join us and enjoy the competitive compensation and benefits we offer to our employees. For additional information regarding Baxter US Benefits, please speak with your recruiter or visit our Benefits site: Benefits | Baxter Equal Employment Opportunity Baxter is an equal opportunity employer. Baxter evaluates qualified applicants without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity or expression, protected veteran status, disability/handicap status or any other legally protected characteristic. Know Your Rights: Workplace Discrimination is Illegal Reasonable Accommodations Baxter is committed to working with and providing reasonable accommodations to individuals with disabilities globally. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application or interview process, please click on the link here and let us know the nature of your request along with your contact information. Recruitment Fraud Notice Baxter has discovered incidents of employment scams, where fraudulent parties pose as Baxter employees, recruiters, or other agents, and engage with online job seekers in an attempt to steal personal and/or financial information. To learn how you can protect yourself, review our Recruitment Fraud Notice.
    $41.6k-57.2k yearly Auto-Apply 12d ago
  • Collection Specialist

    Soleo Health 3.9company rating

    Frisco, TX jobs

    Full-time Description Soleo Health is seeking a Collection Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Home infusion therapy experience required. Soleo Health Perks: Competitive Wages Flexible schedules 401(k) with a match Referral Bonus Annual Merit Based Increases No Weekends or Holidays! Affordable Medical, Dental, and Vision Insurance Plans Company Paid Disability and Basic Life Insurance HSA and FSA (including dependent care) options Paid Time Off! Education Assistant Program The Position: The Collection Specialist is responsible for a broad range of collection processes related to medical accounts receivable in support of multiple site locations. The Collections Specialist will proactively work assigned accounts to maximize accurate and timely payment. Responsibilities include: Researches all balances on the accounts receivable and takes necessary collection actions to resolve in a timely manner Researches assigned correspondence; takes necessary action to resolve requests Routinely reviews and works correspondence folder requests in a timely manner Makes routine collection calls on outstanding claims Identifies billing errors, short payments, unpaid claims, cash application issues and resolves accordingly Ability to identify potential risk, write offs and status appropriately and report and escalate to management on as identified Researches refund requests received by payers and statuses refund according to findings Documents detailed notes in a clear and concise fashion in Company software system Identifies issues/trends and escalates to Manager when assistance is needed Provides exceptional Customer Service to internal and external customers Ensures compliance with federal, state, and local governments, third party contracts, and company policies Must be able to communicate well with branch, management, patients and insurance carriers Ability to perform account analysis when needed Answering phones/taking patient calls regarding balance questions Using portals and other electronic tools Ensure claims are on file after initial submission Identifies, escalates, and prepares potential payor projects to management and company Liaisons Write detailed appeals with supporting documentation Keep abreast of payor follow up/appeal deadlines Submits secondary claims Schedule: M-F 830am-5pm Requirements Previous Home Infusion and Specialty Pharmacy experience required 1-3 years or more of strong collections experience High school diploma or equivalent; an associate degree in finance, accounting, or a related field is preferred Knowledge of HCPC coding and medical terminology CPR+ systems experience preferred Excellent math and writing skills Excellent interpersonal, communication and organizational skills Ability to prioritize, problem solve and multitask Word, Excel and Outlook experience About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo's Core Values: Improve patients' lives every day Be passionate in everything you do Encourage unlimited ideas and creative thinking Make decisions as if you own the company Do the right thing Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keyword: accounts receivable, collection, specialty pharmacy, now hiring, hiring immediately Salary Description $19-$23 Per Hour
    $19-23 hourly 16d ago
  • Billing Coordinator (DG) - Full Time- Beaumont

    Harbor Healthcare System 3.7company rating

    Beaumont, TX jobs

    Responsible for entering and coding patient services into a computer system and generating invoices if needed for patients. Sorts and files paperwork. Performs collections duties. Qualifications: 1+ years' experience in billing - required Surgical billing experience - required Experience in healthcare billing and Medicare/Medicaid - required Must have a high school diploma or the equivalent Must have two years of business office experience At least one year of data entry experience Must be able to type 55 words per minute Must be able to use a ten-key by touch Must demonstrate knowledge of appropriate skills for communicating with all ages. Effective written and verbal communication Clean background and drug screen Benefits: Semi-monthly pay periods - Direct Deposit Healthcare Benefits Include: Medical, Dental, Vision, and 401(K) PTO (Personal Time Off) Holiday Pay Work Hours: 8:00am - 5:00pm; Monday - Friday Harbor Healthcare is recruiting for Diagnostic Group. Please apply directly through this website, complete the online application, and attach resume.
    $32k-45k yearly est. 60d+ ago
  • Account Servicing Representative

    Clearbalance Healthcare 3.9company rating

    Knoxville, TN jobs

    Account Servicing Representatives (ASR) are responsible for processing client funding requests in an accurate and timely manner. They are responsible for following company guidelines to resolve account exceptions within a reasonable timeframe to ensure optimal outcomes for clients and customers. ASRs are a part of the Loan Servicing Team and work closely with the Customer Success team to ensure customer requests are maintained efficiently to meet the needs and expectations of their assigned customers. RESPONSIBILITIES Ensuring that funding summaries and total sheets are accurate and sent timely to our banking partners and clients. Resolving account exceptions, managing a clean ClearPath Inbox and keeping provider action accounts to a minimum to facilitate prompt funding of accounts. Analyzing customers' exceptions and workmaps to determine ways internally or externally to minimize these activities. Assist in the analysis of customers' performance to identify opportunities for increased loan volume. Report all variances and potential issues to management. Works closely with internal resources to ensure customer and banking partner satisfaction as well as successful problem resolution. Maintains a strong working knowledge of their customers' patient accounting systems and organizational structure. Protect company data at all times. Educate yourself on security measures to protect company property (e.g. shoulder surfing, phishing attacks, etc), be aware if all potential threats and surroundings, never write down information from your computer's monitor, and do not share any company information unless you have confirmed that person's identity. Maintains knowledge of the Bank Secrecy Act (BSA) and the ClearBalance policies that support compliance with BSA. Performs all duties in a manner that fully supports compliance with all laws and ClearBalance policies. Other duties as assigned. EDUCATIONAL AND PROFESSIONAL REQUIREMENTS High School Diploma 2 years of experience in a banking, accounting, or similar business role PERFORMANCE MEASURES Maintain a high level of accuracy in correspondence and reporting to banking partners and clients. Achieve customer objectives defined by company management in the exception process. Maintains high customer satisfaction ratings that meet company standards. Completes required training and development objectives within the assigned time frame. Follow compliance requirements. COMPANY DESCRIPTION: ClearBalance is the leading provider of consumer-friendly patient financing programs to U.S. based hospitals and health systems. Our programs provide a positive experience for patients who need the ability to repay their healthcare expenses with manageable monthly payments while our healthcare partners are able to significantly improve operating margins and minimizes patients referred to collection agencies. ClearBalance has been at the forefront of patient pay management since 1992, setting and delivering a high bar for patient financing solutions, patient pay reimbursement, revenue cycle IT expertise, and the patient/consumer experience.
    $24k-30k yearly est. 60d+ ago
  • PFS Billing Representative | Full Time | Day

    Concord Hospital 4.6company rating

    Concord, NH jobs

    The Patient Financial Services Billing Representative is responsible for accessing full insurance benefits for our patients, by claim submission, account follow-up, and denial resolution. Education High school diploma or equivalent (GED). Certification, Registration & Licensure None required. Experience Knowledge of, and aptitude with regulatory mandates and insurance requirements is essential. Minimum of three years experience in a health care or business environment. Proficient in ability to navigate Microsoft Office applications and the ability to navigate in a Windows based environment. Responsibilities Manages claims work files, work lists, and reports to meet production goals. Performs research and analysis to identify internal or external barriers to claim submission and/or payer claim adjudication. Follows department policies and procedures, and regulatory mandates related to claim submission and account follow-up. Acquires technical proficiency and applies computer skills across multiple applications. Concord Hospital is an Equal Employment Opportunity employer. It is our policy to provide equal opportunity to all employees and applicants and to prohibit any discrimination because of race, color, religion, sex, sexual orientation, gender, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. Know Your Rights: Workplace Discrimination is Illegal Applicants to and employees of this company are protected under federal law from discrimination on several bases. Follow the link above to find out more. If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, you may contact Human Resources at ************. Physical and Work Requirements The physical demands and characteristics of the work environment described here are representative of those that will be encountered by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The Dictionary of Occupational Titles Material Handling Classification is SEDENTARY. The employee must regularly lift, carry or push/pull less than 10 pounds, frequently lift, carry or push/pull less than 10 pounds, and occasionally lift, carry or push/pull up to 10 pounds. While performing the duties of this Job, the employee is regularly required to do repetitive motion, hear, and sit. The employee is frequently required to do fine motor, reach, and speak. Specific vision abilities required by this job include far vision, and near vision. The employee is occasionally exposed to moving mechanical parts. The noise level in the work environment is usually moderate.
    $26k-32k yearly est. Auto-Apply 27d ago
  • Associate Billing and Collections Representative - CMG Physician Billing

    Providence Health & Services 4.2company rating

    Lubbock, TX jobs

    Under the direction of the Central Business Office Director and the direct supervision of the Manager and/or Supervisor, the Associate Billing and Collections Representative is responsible for ensuring correct coding initiatives are met for clean claim submission and correction of claim billed and collected on behalf of Covenant. These individual addresses claim edits, files all claims on either a UB-04 (RHC) or 1500 (835/837 file formats) and completes follow-up on outstanding accounts. In addition, this individual identifies functional issues and reports them to the appropriate leader. Providence caregivers are not simply valued - they're invaluable. Join our team at Covenant Medical Group and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we Providence know that to inspire and retain the best people, we must empower them. Required qualifications: + Experience in computer applications. Preferred qualifications: + 3 years Medical billing and medical terminology. + 1 year Health care business office experience or related field. 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. Requsition ID: 401652 Company: Covenant Jobs Job Category: Billing/Collections Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 8002 CMG PHYSICIAN BILLING Address: TX Lubbock 2215 Nashville Ave Work Location: Covenant Medical Grp-Nashville Ave Workplace Type: Hybrid Pay Range: $14.20 - $21.28 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.
    $14.2-21.3 hourly Auto-Apply 25d ago
  • Associate Billing and Collections Representative - Eligibility

    Providence Health & Services 4.2company rating

    Lubbock, TX jobs

    Under the direction of the Central Business Office Director and the direct supervision of the Manager and/or Supervisor, the Associate Billing and Collections Representative is responsible for ensuring correct coding initiatives are met for clean claim submission and correction of claim billed and collected on behalf of Covenant. This individual addresses claim edits, files all claims on either a UB-04 (RHC) or 1500 (835/837 file formats) and completes follow-up on outstanding accounts. In addition, this individual identifies functional issues and reports them to the appropriate leader. Providence caregivers are not simply valued - they're invaluable. Join our team at Covenant Medical Group 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: + Experience in computer applications. Preferred qualifications: + 1 year Health care business office experience or related field. + 3 years Medical billing and medical terminology. 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: 398015 Company: Covenant Jobs Job Category: Billing/Collections Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 8002 CMG ELIGIBILITY Address: TX Lubbock 2215 Nashville Ave Work Location: Covenant Medical Grp-Nashville Ave Workplace Type: On-site Pay Range: $14.20 - $21.28 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.
    $14.2-21.3 hourly Auto-Apply 60d+ ago
  • RCM Coordinator - Billing & Payor Relations

    Metrocare Services 4.2company rating

    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. : 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
    $36k-46k yearly est. Auto-Apply 25d ago
  • Cell Therapy Donor Services Collection Specialist

    Dana-Farber Cancer Institute 4.6company rating

    Boston, MA jobs

    The Cellular Therapies Donor Services Specialist facilitates allogeneic donor identification and collection processes on behalf of adult and pediatric patients undergoing a stem cell transplant or other Cellular Therapy, including standard of care and clinical research therapies. This position is responsible for initiating and managing the search for suitable donors, coordinating donor testing and collection, donor product acquisition, and ensuring a smooth and effective process for both the donor and recipient. The role requires collaboration with multidisciplinary care teams, and donor registry organizations, as well as attention to detail, organization, problem-solving and effective communication. The specialist is responsible for the analytical, logistical, and administrative aspects of donor services, ensuring compliance with regulatory standards and supporting overall operations of the Cellular Therapy department. **The Cellular Therapies Donor Services Specialist position is a full time position, Monday through Friday with some on-call required. The position is hybrid, requiring 2 to 3 days on-site at the Longwood Medical area.** **DFCI guidelines state that employees must reside in New England: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, or Vermont.** Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals. + Identify suitable donor options for patients through family and/or donor registries, including domestic and international sources. Assess patient needs, therapy plan, and timing to ensure alignment with donor plan. + Responsible for comprehensive understanding of HLA donor search algorithms and other non-HLA factors, such as ABO, age and CMV status. + Analyze donor searches and apply current donor selection algorithms and strategies. + Responsible for the facilitation of the work up, collection, and acquisition of the stem cell product. + Perform product labeling verifications and courier hand off for donor registry. + Serve as donor advocate and primary point of contact for potential donors, providing ongoing support throughout the process. + Manage donor evaluations, including medical assessments and laboratory testing. + Provide comprehensive education to donors about the donation process, potential risks, and benefits. + Register donors in EMR and assign appropriate insurance coverage for accurate billing. + Conduct donor health screening (advanced). Collect donors' medical health history information and assess medical conditions and non-medical factors to determine further donor participation. + Manage donor testing (blood typing, HLA typing, and physical exams) to assess suitability. + Coordinate and schedule bone marrow or stem cell collection procedures, working with multidisciplinary care teams and donor registries. + Monitor the status of the donor collection process, ensuring that all necessary documentation and regulatory compliance requirements are met. + Attend Bone Marrow Harvest Procedures to ensure all procedures and documentation are competed accurately. + Ensure all necessary donor documentation is submitted and processed in a timely manner. + Manage the analytical, logistical, and administrative Donor Services operations of allogeneic donor cellular therapies. + Utilize critical thinking and solution-based approaches to address situations and navigate the nuances of each individual case. + Act as the liaison between transplant center, donor registries, donors, recipients, facilities, and the clinical transplant team. + Develop timetables with the clinical team to support the patient and donor's progress through complex therapies. + Provide timely updates via email or in weekly clinical review meetings to the transplant team regarding donor status including progress, challenges, and adjustments. + Ensure compliance with all regulatory bodies (e.g., FDA, AABB, FACT, NMDP) related to donor screening, collection, and processing. + Collaborate with multidisciplinary teams to optimize outcomes and support operational improvements efforts. + Maintain databases and systems related to donor information, ensuring accuracy and confidentiality. + Triage cases in a time sensitive manner, which may be subject to emergency contact of clinical team. **Minimum Education:** + Associates Degree required. **Minimum Experience:** + 2 years of experience in a patient care, healthcare administration, or clinical operations role in a complex healthcare environment required. **Preferred Qualifications:** + Bachelor's Degree in Healthcare Administration, Health Sciences or similar field strongly preferred **KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:** + Knowledge of FACT, NMDP & DFCI donor testing requirements and procedures, as well as donor suitability and eligibility. + Comprehensive knowledge of HLA typing, HLA antibody and donor search algorithms. + Excellent verbal and written communication skills to effectively interact with healthcare professionals, patients, and donors. + Demonstrated ability to work in highly regulated environments, following strict guidelines, such as clinical trials or complex medical systems. + Ability and willingness to work effectively in a collaborative interdisciplinary team model. + Must be detail-oriented with strong problem solving and decision-making skills. + Strong organizational and time-management skills, with the ability to manage multiple tasks simultaneously in a fast-paced environment. + Compassionate and empathetic approach when engaging with donors and their families. + Knowledge of regulatory guidelines related to bone marrow donation and transplant processes. + Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint). + Ability to always maintain confidentiality and professionalism. + Willingness to engage in efforts to support an inclusive culture and workplace. + Proficient in DFCI/BWH/CHB clinical systems as applicable to the position. **PATIENT CONTACT:** Yes - all ages. **Pay Transparency Statement** The hiring range is based on market pay structures, with individual salaries determined by factors such as business needs, market conditions, internal equity, and based on the candidate's relevant experience, skills and qualifications. For union positions, the pay range is determined by the Collective Bargaining Agreement (CBA) $30.58 - $36.20 At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are equally committed to diversifying our faculty and staff. Cancer knows no boundaries and when it comes to hiring the most dedicated and diverse professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply. Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other characteristics protected by law. **EEOC Poster**
    $41k-57k yearly est. 39d ago
  • Cell Therapy Donor Services Collection Specialist

    Dana-Farber Cancer Institute 4.6company rating

    Boston, MA jobs

    The Cellular Therapies Donor Services Specialist facilitates allogeneic donor identification and collection processes on behalf of adult and pediatric patients undergoing a stem cell transplant or other Cellular Therapy, including standard of care and clinical research therapies. This position is responsible for initiating and managing the search for suitable donors, coordinating donor testing and collection, donor product acquisition, and ensuring a smooth and effective process for both the donor and recipient. The role requires collaboration with multidisciplinary care teams, and donor registry organizations, as well as attention to detail, organization, problem-solving and effective communication. The specialist is responsible for the analytical, logistical, and administrative aspects of donor services, ensuring compliance with regulatory standards and supporting overall operations of the Cellular Therapy department. The Cellular Therapies Donor Services Specialist position is a full time position, Monday through Friday with some on-call required. The position is hybrid, requiring 2 to 3 days on-site at the Longwood Medical area. DFCI guidelines state that employees must reside in New England: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, or Vermont. Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals. Responsibilities * Identify suitable donor options for patients through family and/or donor registries, including domestic and international sources. Assess patient needs, therapy plan, and timing to ensure alignment with donor plan. * Responsible for comprehensive understanding of HLA donor search algorithms and other non-HLA factors, such as ABO, age and CMV status. * Analyze donor searches and apply current donor selection algorithms and strategies. * Responsible for the facilitation of the work up, collection, and acquisition of the stem cell product. * Perform product labeling verifications and courier hand off for donor registry. * Serve as donor advocate and primary point of contact for potential donors, providing ongoing support throughout the process. * Manage donor evaluations, including medical assessments and laboratory testing. * Provide comprehensive education to donors about the donation process, potential risks, and benefits. * Register donors in EMR and assign appropriate insurance coverage for accurate billing. * Conduct donor health screening (advanced). Collect donors' medical health history information and assess medical conditions and non-medical factors to determine further donor participation. * Manage donor testing (blood typing, HLA typing, and physical exams) to assess suitability. * Coordinate and schedule bone marrow or stem cell collection procedures, working with multidisciplinary care teams and donor registries. * Monitor the status of the donor collection process, ensuring that all necessary documentation and regulatory compliance requirements are met. * Attend Bone Marrow Harvest Procedures to ensure all procedures and documentation are competed accurately. * Ensure all necessary donor documentation is submitted and processed in a timely manner. * Manage the analytical, logistical, and administrative Donor Services operations of allogeneic donor cellular therapies. * Utilize critical thinking and solution-based approaches to address situations and navigate the nuances of each individual case. * Act as the liaison between transplant center, donor registries, donors, recipients, facilities, and the clinical transplant team. * Develop timetables with the clinical team to support the patient and donor's progress through complex therapies. * Provide timely updates via email or in weekly clinical review meetings to the transplant team regarding donor status including progress, challenges, and adjustments. * Ensure compliance with all regulatory bodies (e.g., FDA, AABB, FACT, NMDP) related to donor screening, collection, and processing. * Collaborate with multidisciplinary teams to optimize outcomes and support operational improvements efforts. * Maintain databases and systems related to donor information, ensuring accuracy and confidentiality. * Triage cases in a time sensitive manner, which may be subject to emergency contact of clinical team. Qualifications Minimum Education: * Associates Degree required. Minimum Experience: * 2 years of experience in a patient care, healthcare administration, or clinical operations role in a complex healthcare environment required. Preferred Qualifications: * Bachelor's Degree in Healthcare Administration, Health Sciences or similar field strongly preferred KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED: * Knowledge of FACT, NMDP & DFCI donor testing requirements and procedures, as well as donor suitability and eligibility. * Comprehensive knowledge of HLA typing, HLA antibody and donor search algorithms. * Excellent verbal and written communication skills to effectively interact with healthcare professionals, patients, and donors. * Demonstrated ability to work in highly regulated environments, following strict guidelines, such as clinical trials or complex medical systems. * Ability and willingness to work effectively in a collaborative interdisciplinary team model. * Must be detail-oriented with strong problem solving and decision-making skills. * Strong organizational and time-management skills, with the ability to manage multiple tasks simultaneously in a fast-paced environment. * Compassionate and empathetic approach when engaging with donors and their families. * Knowledge of regulatory guidelines related to bone marrow donation and transplant processes. * Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint). * Ability to always maintain confidentiality and professionalism. * Willingness to engage in efforts to support an inclusive culture and workplace. * Proficient in DFCI/BWH/CHB clinical systems as applicable to the position. PATIENT CONTACT: Yes - all ages. Pay Transparency Statement The hiring range is based on market pay structures, with individual salaries determined by factors such as business needs, market conditions, internal equity, and based on the candidate's relevant experience, skills and qualifications. For union positions, the pay range is determined by the Collective Bargaining Agreement (CBA) $30.58 - $36.20 At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are equally committed to diversifying our faculty and staff. Cancer knows no boundaries and when it comes to hiring the most dedicated and diverse professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply. Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other characteristics protected by law. EEOC Poster
    $41k-57k yearly est. Auto-Apply 40d ago
  • Patient Account Rep I

    Covenant Health 4.4company rating

    Account representative job at CovenantHealth

    Patient Account Representative, Business Office PRN/OCC, Variable Hours, Day Shift Claiborne Medical Center, a member of Knoxville-based Covenant Health, offers a full range of medical services including emergency care, general and orthopedic surgery, rehabilitation, and diagnostic services. Our radiology services are certified by the American College of Radiology in Computerized Tomography (CT), Mammography, Magnetic Resonance Imaging (MRI), Nuclear Medicine, and Ultrasound. Claiborne also provides skilled and long-term care through Claiborne Health and Rehabilitation Center. Our team of physicians and staff is dedicated to putting our patients first, every day. For more information, visit ClaiborneMedicalCenter.com. Position Summary: Coordinates all aspects of the patient's account management after the initial billing process is complete. ***************** Responsibilities Interprets and explains to patients and their families charges, services, insurance coverage, and hospital policy regarding payment of their bills. Counsels patient or family regarding hospital financial policies including payment arrangements, charity guidelines, and payroll deductions. Coordinates all financial aspects from patient responsibility on accounts, including admissions, financial counseling, billing and collection of the account. Maintains fees, department records and manuals as required. Responsible for billing contract company accounts and the hospital for inpatient charges. Researches and applies necessary adjustment on bankruptcy accounts, interfacing with vendor companies as needed. Researches and files necessary paperwork on probate notices on patient accounts, flows through with attorneys and estate reps for resolution of balances due and processes releases as applicable. Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested. Performs other duties as assigned. Qualifications Minimum Education: None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED. Preference may be given to individuals possessing a HS diploma or GED. Minimum Experience: Prior clerical experience in the healthcare or insurance field; knowledge of medical/insurance terminology and billing procedures Licensure Requirements: None
    $28k-35k yearly est. Auto-Apply 38d ago
  • Collections Specialist

    Cataldo Ambulance 4.1company rating

    Somerville, MA jobs

    The Collection Specialist is responsible for collections of outstanding private invoices from the existing client base, resolving customer billing problems and reducing accounts receivable delinquency. This position will report to the Revenue Cycle Manager and is located out of our Somerville, MA. office. Collections Specialist Responsibilities: Resolve insurance related billing issues with patients and/or insurance carriers Handling of high call volume Serve as primary representative for patient inquiries/calls Communicate effectively both orally and in writing Respond to customer inquiries, resolve client discrepancies, process and review account adjustments Demonstrate superior customer service skills and problem solving, which includes assisting the patient with alternative payment options and payment plans Possess basic understanding of government and commercial insurance and Credit & Collections policies Identify the need and request rebills to insurance Handle highly confidential information with complete discretion Maintain confidentiality of patient information while on the phone or in-person Work aged invoices utilizing various reports and the collection module using Zoll Rescue Net Alert Revenue Cycle Manager about potential problems that could affect collections Meet productivity goals/benchmarks as set and communicated by the manager Utilize available sources to obtain updated info and reissue correspondence Additional projects and responsibilities may be assigned permanently or on an as needed basis Collections Specialist Qualifications: Working knowledge of Microsoft Office, including Excel, Word is a must Strong communication, problem solving and analytical skills required Acute attention to detail and the ability to work in a fast-paced, team-oriented environment with a focus on communication required Outstanding customer service and phone skills Previous collections or customer service experience a plus Knowledge of HIPPA and healthcare policies a plus High School diploma or GED required Fluent in Spanish a plus, but not required Must be positive and maintain professional demeanor at all times Familiarity with Medicaid and Medicare guidelines Ambulance billing experience a plus 3-5 years Accounts Receivable follow up experience About Cataldo Since 1977, Cataldo Ambulance Service, Inc. has continually distinguished ourselves as a leader in providing routine and emergency medical services. As the needs of the community and the patient change, we continue to introduce innovative programs to ensure the highest level of care is available to everyone in the areas we serve. Cataldo is the largest private EMS provider and private ambulance service in Massachusetts. In addition to topping 50,000 emergency medical transportations annually through 911 contacts with multiple cities, we partner with some of Massachusetts top medical facilities to provide non-emergency medical ambulance and wheelchair transportation services. We are also an EMS provider to specialty venues like Fenway Park, TD Garden, and DCU Center. While Cataldo began as an ambulance service company, we continue to grow through innovation and expand the services we offer to the local communities. As a public health resource, Cataldo offers training and education to the healthcare and emergency medical community through the Cataldo Education Center. This includes certification training for new employees as well as the training needed for career advancement. Through our partnerships with health systems, hospitals, managed care organizations, and others, we continue to provide in-home care through the state's first and largest Mobile Integrated Health program, SmartCare. We also have delivered more than 1.7 million Covid-19 vaccines and continue to operate testing and vaccination sites throughout the state of Massachusetts.
    $35k-41k yearly est. Auto-Apply 12d ago

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