Senior Patient Access Representative
Virginia Beach, VA jobs
City/State Virginia Beach, VA Work Shift Second (Evenings) Full-Time, Evenings The Senior Patient Access Representative is a working resource to the patient registration teams. Responsibilities include registering patients for the Emergency Department, and/or various registration areas of the hospital. The Patient Access Team Leader also assists the Team Coordinator and department leadership by serving as registration system super-user, taking on-call rotation during the week and on the weekends, participating in the interviewing process, preparing and reviewing reports, performing QA audits, mentoring and training staff, managing department supply levels, and participating in meetings and workgroups. The Team Lead is required to meet the written requirements and competency to serve as a preceptor and to provide department orientation. If you desire, there are promotional opportunities in Patient Access such as a Team Coordinator.
Up to $1,500Sign-On Bonus for Qualified Candidates!
Education
HS - High School Grad or Equivalent
Certification/Licensure
No specific certification or licensure requirements
Experience
2 years of Customer Service and/or Data Entry
Associate or bachelor's degree in Lieu of two years of experience
Two years of previous experience in a healthcare environment in a related area
Proficiency in Keyboarding
K eywords: Customer Service, Patient Registration, Data Entry, Front Desk, First Point of Contact, Insurance, Insurance Verification, Talroo-Allied Health, Scheduling, Receptionist, Non-clinical, monster
.
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met
Sentara Princess Anne Hospital is a 174-bed acute care hospital that provides quality clinical outcomes, experienced physicians, advanced technology, and a patient-centered approach to care in southern Virginia Beach, as well as neighboring Chesapeake and Northeastern North Carolina communities.
As a recognized accredited Primary Stroke Center, and Magnet hospital for nursing excellence, the hospital specializes in orthopedic and spine care, heart, vascular, advanced imaging, gynecological, comprehensive breast care services, and family maternity with a state-of-the-art neonatal intensive care unit. Our facility also is home to Virginia's only Ornish Lifestyle Medicine program.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Patient Care Specialist - Behavioral Health
Harrisonburg, VA jobs
City/State Harrisonburg, VA Work Shift First (Days) Sentara Rockingham Memorial -Behavioral Health is hiring a Full-Time Patient Care Specialist! As aPatient Care Specialistwith Sentara Healthcare, you will provide non-clinical support within a physician's office and ensure an excellent patient experience by performing a variety of complex administrative tasks to support patient care delivery. Primary duties include answering phones, scheduling appointments, and answering patient questions. In this role, you will find that teamwork is exceptional, with everyone working together to ensure the best care for our patients. Click to hear Joyce tell us about a day in the life of a Patient Care Specialist with Sentara Healthcare.
Education
HS Diploma
Associate Level degree or higher in lieu of the required experience will be considered.
Experience
3 years Customer Service experience required.
1 yearexperience with Health Insurance Plans, Medical Records Data, Medical Terminology, Registration, Scheduling, or Third-Party Payers required.
Electronic Medical Record preferred.
Keywords: Patient Care Representative, Customer Service, Talroo-Allied Health, Medical Office #indeed
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
•Pet Insurance
•Legal Resources Plan
•Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Patient Care Specialist
Chesapeake, VA jobs
City/State Chesapeake, VA Work Shift First (Days) SMG Family Medicine Riverwalk in Chesapeake, VA is hiring a Patient Care Specialist! As a Patient Care Specialist with Sentara Healthcare, you will provide non-clinical support within a physician's office and ensure excellent patient experience by performing a variety of complex administrative tasks to support patient care delivery. Primary duties include answering phones, scheduling appointments, and answering patient questions. In this role, you will find that teamwork is exceptional, with everyone working together to ensure the best care for our patients. Click to hear Joyce tell us about a day in the life of a Patient Care Specialist with Sentara Healthcare.
Education
HS Diploma
Associate Level degree or higher in lieu of the required experience will be considered.
Experience
3 years' Customer Service experience required.
1 yearexperience with Health Insurance Plans, Medical Records Data, Medical Terminology, Registration, Scheduling, or Third-Party Payers required.
Electronic Medical Record preferred.
Keywords: Patient Care Representative, Customer Service, Talroo-Allied Health, Medical Office
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
•Pet Insurance
•Legal Resources Plan
•Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Patient Access Representative
Woodbridge, VA jobs
City/State Woodbridge, VA Work Shift Multiple shifts available Sentara Northern Virginia Medical Center is hiring Patient Access Representatives Part Time Night - every other Fri, Sat, Sun, & Mon, 9pm - 7:30am Full Time Day - Mon - Fri, 6:30am - 3pm, typically one Sat per month 8am-12pm
The Patient Access Rep is responsible for all aspects of the patient registration process, including: verifying the patient identity and selecting the correct patient record, reviewing schedules and physician orders to register the patient for the appropriate service, scanning important documents such as insurance cards, ID's, Living Wills, and POAs and verifying and entering the patient's demographic and insurance information in the electronic health record. Explain and complete complex regulatory and compliance documents and adhere to all applicable privacy and compliance standards. They will explain and collect co-payments, deposits and outstanding balances, and perform transactions securely. Greet patients and families, answer questions, and ensure the patients arrive to the appropriate service area at the right time. May also perform scheduling, pre-admission and discharge duties and provide supervision and patient information updates to families in waiting rooms.
Education
High School Diploma or Equivalent (Required)
Associate's or Bachelor's degree can be considered in lieu of two years of experience
Certification/Licensure
No specific certification or licensure requirements
Experience
Customer Service OR Data Entry - 2 years (Required)
Demonstrated proficiency in computer keyboarding skills (Required)
Knowledge of third party payers, ICD-9/ CPT coding and medical terminology (Preferred)
Interpersonal skills
Proper grammar, spelling and punctuation
Extensive training provided for entry-level candidates and opportunities for advancement provided.
Talroo - Allied Health, admitting, registration, insurance verification, customer service
.
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met
Sentara Northern Virginia Medical Center located in Woodbridge, VA is a 183-bed not-for-profit hospital. We combine the resources of a major health system with the compassionate, personalized care of a community hospital. We offer quiet, private rooms and quality care focused on safety and patient satisfaction. Our clinical services include advanced imaging, cancer services, cardiovascular care, emergency care, lab services, orthopedics, weight loss services and more, all powered through Sentara eCare , a comprehensive electronic medical record system. In addition to our hospital, Sentara Health is enhancing access to healthcare services in Northern Virginia with outpatient and imaging centers in Lake Ridge, Lorton, Springfield and Alexandria, Va. We improve health every day, come be a part of the community.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Patient Access Representative
Hampton, VA jobs
City/State Hampton, VA Work Shift Multiple shifts available Sentara Careplex and Sentara Port Warwick are hiring Patient Access Representatives ***Full Time shifts available.*** The Patient Access Rep is responsible for all aspects of the patient registration process, including: verifying the patient identity and selecting the correct patient record, reviewing schedules and physician orders to register the patient for the appropriate service, scanning important documents such as insurance cards, ID's, Living Wills, and POAs and verifying and entering the patient's demographic and insurance information in the electronic health record. Explain and complete complex regulatory and compliance documents and adhere to all applicable privacy and compliance standards. They will explain and collect co-payments, deposits and outstanding balances, and perform transactions securely. Greet patients and families, answer questions, and ensure the patients arrive to the appropriate service area at the right time. May also perform scheduling, pre-admission and discharge duties and provide supervision and patient information updates to families in waiting rooms.
Education
High School Diploma or Equivalent (Required)
Associate's or Bachelor's degree can be considered in lieu of two years of experience
Certification/Licensure
No specific certification or licensure requirements
Experience
Customer Service OR Data Entry - 2 years (Required)
Demonstrated proficiency in computer keyboarding skills (Required)
Knowledge of third party payers, ICD-9/ CPT coding and medical terminology (Preferred)
Interpersonal skills
Proper grammar, spelling and punctuation
Extensive training provided for entry-level candidates and opportunities for advancement provided.
Talroo - Allied Health, registration, scheduling, insurance, patient access
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met
Sentara CarePlex Hospita l, located in Hampton, VA, is a 224-bed technologically advanced, acute care facility, and Certified Primary Stroke Center. Other features include specialized services in heart and vascular, urologic care, along with advanced diagnostic and surgical capabilities, a hospitalist program, and one of the state's busiest emergency departments. We are also home to the Orthopedic Hospital at Sentara CarePlex Hospital, the area's first dedicated orthopedic hospital. We improve health every day, come be a part of the community.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Patient Care Specialist
Charlottesville, VA jobs
City/State Charlottesville, VA Work Shift First (Days) MJH MJMG in Charlottesville , VA is hiring a Full-time Patient Care Specialist! Must be flexible to travel to several offices within the greater Charlottesville area. As a Patient Care Specialist with Sentara Healthcare, you will provide non-clinical support within a physician's office and ensure excellent patient experience by performing a variety of complex administrative tasks to support patient care delivery. Primary duties include answering phones, scheduling appointments, and answering patient questions. In this role, you will find that teamwork is exceptional, with everyone working together to ensure the best care for our patients. Click to hear Joyce tell us about a day in the life of a Patient Care Specialist with Sentara Healthcare.
Education
HS Diploma
Associate Level degree or higher in lieu of the required experience will be considered.
Experience
3 years' Customer Service experience required.
1 yearexperience with Health Insurance Plans, Medical Records Data, Medical Terminology, Registration, Scheduling, or Third-Party Payers required.
Electronic Medical Record preferred.
Keywords: Patient Care Representative, Customer Service, Talroo-Allied Health, Medical Office
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
•Pet Insurance
•Legal Resources Plan
•Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Patient Care Specialist
Suffolk, VA jobs
City/State Suffolk, VA Work Shift First (Days) Sentara Medical Group Surgery Specialists Obici Office is now hiring a Full-Time Patient Care Specialist in Suffolk, VA! Hours:Monday-Friday, Dayshift. Some weekend shifts required. NO NIGHTS or HOLIDAYS!
Overview
As a Patient Care Specialist with Sentara Healthcare, you will provide non-clinical support within a physician's office and ensure an excellent patient experience by performing a variety of complex administrative tasks to support patient care delivery. Primary duties include answering phones, scheduling appointments, and answering patient questions. In this role, you will find that teamwork is exceptional, with everyone working together to ensure the best care for our patients. Click to hear Joyce tell us about a day in the life of a Patient Care Specialist with Sentara Healthcare.
Education
HS Diploma
Associate Level degree or higher in lieu of the required experience will be considered
Experience
3 years Customer Service experience required
1 year experience with Health Insurance Plans, Medical Records Data, Medical Terminology, Registration, Scheduling, or Third Party Payers required
Keywords: Patient Care Representative, Talroo-Allied Health, Medical Office
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
•Pet Insurance
•Legal Resources Plan
•Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Senior, Patient Access Representative
Elizabeth City, NC jobs
City/State Elizabeth City, NC Work Shift Third (Nights) Full-Time, Nights The Senior Patient Access Representative is a working resource to the patient registration teams. Responsibilities include registering patients for the Emergency Department, and/or various registration areas of the hospital. The Patient Access Team Leader also assists the Team Coordinator and department leadership by serving as registration system super-user, taking on-call rotation during the week and on the weekends, participating in the interviewing process, preparing and reviewing reports, performing QA audits, mentoring and training staff, managing department supply levels, and participating in meetings and workgroups. The Team Lead is required to meet the written requirements and competency to serve as a preceptor and to provide department orientation. If you desire, there are promotional opportunities in Patient Access such as a Team Coordinator.
Up to $1,500Sign-On Bonus for Qualified Candidates!
Education
HS - High School Grad or Equivalent
Certification/Licensure
No specific certification or licensure requirements
Experience
2 years of Customer Service and/or Data Entry
Associate or bachelor's degree in Lieu of two years of experience
Two years of previous experience in a healthcare environment in a related area
Proficiency in Keyboarding
K eywords: Customer Service, Patient Registration, Data Entry, Front Desk, First Point of Contact, Insurance, Insurance Verification, Talroo-Allied Health, Scheduling, Receptionist, Non-clinical, monster
.
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met
Sentara Albemarle Medical Center , located in Elizabeth City, NC, serves northeastern North Carolina with a caring team of approximately 650 employees and 150 medical providers. We think of each other as family, with those bonds extending into our close-knit community and serving as the foundation for our patient care. Our 182-bed facility features 25 specialties including emergency, maternity, orthopedics, medical, and surgical care in addition to our outpatient laboratory, imaging, and comprehensive breast services. In 2022, Sentara broke ground on a new campus, a state-of-the-art 88-bed hospital to replace the current 60-year-old facility on North Road Street. The 135-acre campus, coming out of the ground at Halstead Boulevard Extended and Thunder Road, will be known as the Sentara Albemarle Regional Health Campus. It is projected to cost about $200 million, up from the original estimate of $158 million, due to sharp spikes in costs for building materials and medical equipment.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Patient Care Specialist
South Boston, VA jobs
City/State South Boston, VA Work Shift Rotating Sentara Urgent Care South Boston is now hiring a Flexi Patient Care Specialist based in South Boston, VA! Schedule: Clinic hours - 8:00a.m. - 8:00p.m. Monday-Friday. Saturday and Sunday, 8am-4pm. Scheduled hours and shifts may vary based on business need and candidates' availability.
Overview
As a Patient Care Specialist with Sentara Healthcare, you will provide non-clinical support within a physician's office and ensure an excellent patient experience by performing a variety of complex administrative tasks to support patient care delivery. Primary duties include answering phones, scheduling appointments, and answering patient questions. In this role, you will find that teamwork is exceptional, with everyone working together to ensure the best care for our patients. Click to hear Joyce tell us about a day in the life of a Patient Care Specialist with Sentara Healthcare.
Education
HS Diploma
Associate Level degree or higher in lieu of the required experience will be considered
Experience
3 years Customer Service experience required
1 year experience with Health Insurance Plans, Medical Records Data, Medical Terminology, Registration, Scheduling, or Third Party Payers required
Keywords: Patient Care Representative, Talroo-Allied Health, Medical Office
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
•Pet Insurance
•Legal Resources Plan
•Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
Maternity Care Authorization Specialist (Hybrid Potential)
Barberton, OH jobs
This role plays a key part in ensuring maternity care bills are processed accurately and members receive timely support during an important season of life. The specialist serves as a detail-oriented professional who upholds CHM's commitment to excellence, compassion, and integrity.
WHAT WE OFFER
Compensation based on experience.
Faith and purpose-based career opportunity!
Fully paid health benefits
Retirement and Life Insurance
12 paid holidays PLUS birthday
Lunch is provided DAILY.
Professional Development
Paid Training
ESSENTIAL JOB FUNCTIONS
Compile, verify, and organize information according to priorities to prepare data for entry
Check for duplicate records before processing
Accurately enter medical billing information into the company's software system
Research and correct documents submitted with incomplete or inaccurate details
Verify member information such as enrollment date, participation level, coverage status, and date of service before processing medical bills
Review data for accuracy and completeness
Uphold the values and culture of the organization
Follow company policies, procedures, and guidelines
Verify eligibility in accordance with established policies and definitions
Identify and escalate concerns to leadership as appropriate
Maintain daily productivity standards
Demonstrate eagerness and initiative to learn and take on a variety of tasks
Support the overall mission and culture of the organization
Perform other duties as assigned by management
SKILLS & COMPETENCIES
Core strengths like problem-solving, attention to detail, adaptability, collaboration, and time management.
Soft skills such as empathy (especially important in maternity care), professionalism, and being able to handle sensitive information with care.
EXPERIENCE REQUIREMENTS
Required: High school diploma or passage of a high school equivalency exam
Medical background preferred but not required.
Capacity to maintain confidentiality.
Ability to recognize, research and maintain accuracy.
Excellent communication skills both written and verbal.
Able to operate a PC, including working with information systems/applications.
Previous experience with Microsoft Office programs (I.e., Outlook, Word, Excel & Access)
Experience operating routine office equipment (i.e., faxes, copy machines, printers, multi-line telephones, etc.)
About Christian Healthcare Ministries
Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other's medical bills. The mission of CHM is to glorify God, show Christian love, and experience God's presence as Christians share each other's medical bills.
Cancer Specialist
Barberton, OH jobs
As an Advantage Care Cancer Specialist, you'll be the initial point of contact for members diagnosed with cancer. Your role involves providing emotional support, actively listening, and offering prayers as they process this difficult news. You'll walk alongside members and their families throughout their cancer journey. Additionally, you'll collaborate with various CHM departments and work closely with our nurse navigator to connect members with high-quality treatment providers at cost-effective rates.
What We Offer
Compensation based on experience.
Faith and purpose-based career opportunity!
Fully paid health benefits
Retirement and Life Insurance
12 paid holidays PLUS birthday
Lunch is provided DAILY.
Professional Development
Paid Training
Role and Responsibilities
Obtain necessary treatment details.
Assess membership level, CHM Plus, offer pertinent programs based on the membership details and the type of cancer diagnosis.
Acquire necessary documentation for a sharing determination.
Effectively communicate with the members, supervisors, team members, the nurse navigator, and various departments.
Multitask and maintain strong attention to detail.
Interact with members to understand their needs, provide information, and help throughout the sharing determination process.
Respond to member inquiries, issues, and concerns in a timely and professional manner through various communication channels, including communication with the nurse navigator, phone and/or email.
Maintain accurate and organized records of members interactions, inquiries, orders, and other relevant information in CHM's database
Collaborate with various internal teams to ensure effective communication, smooth transitions, and a seamless member experience.
Seek opportunities for process improvement, suggest enhancements to processes, and provide feedback to member experience and overall effectiveness.
Set up negotiating agreements with providers.
Bill processing of cancer related Single Case Agreements and Memorandum of Understandings.
Guide members to financial assistance program options specific to diagnosis.
Assist members to help optimize their lifetime maximum amount when limitations exist.
Qualifications
High school diploma or successful completion of a high school equivalency
Must possess excellent verbal and written communication skills to effectively interact with CHM members and team members across various channels.
Proficient PC operating routine office equipment (e.g., faxes, copy machines, printers, multi-line telephones, etc.)
Experience with medical bills preferred.
Strong analytical and problem-solving skills.
Demonstrated history of effective phone communication skills.
Obtain knowledge of CHM guidelines.
Ability to handle stressful and sensitive situations.
Knowledge of cancer related benefit programs is helpful but not required.
Note: The qualifications and responsibilities outlined above are subject to change as the needs of the organization evolve.
About Christian Healthcare Ministries
Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other's medical bills. The mission of CHM is to glorify God, show Christian love, and experience God's presence as Christians share each other's medical bills.
Billing Coordinator - CTI Pulmonology and Thoracic Surgery (hybrid)
Chicago, IL jobs
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better?
Job Description
Performs charge capture for all procedures completed in the Bronchoscopy suite. This includes:
Audit of CPT codes associated with each procedure
Confirmation of supplies used and verification of alignment with operative notes
Assists patients with billing and insurance related matters including communicating with patients regarding balances owed and other financial issues and facilitating collection of balances owed.
Educates patients about financial assistance opportunities, insurance coverage, treatment costs, and clinic billing policies and procedures.
Collaborates closely with physicians and technicians to understand treatment plans and determine costs associated with these plans; Works closely with the staff on managed care and referral related issues; communicates findings to patients.
Coordinates the pre-certification process with the clinical staff as it relates to procedures in the Bronchoscopy Suite and Operating Rooms
Handles billing inquiries received via telephone or via written correspondence.
Responsible for thoroughly investigating and understanding financial resources or programs that may be available to patients and educating staff and patients about these programs.
Conducts precertification for appropriate tests or procedures and facilitates the process with managed care and the clinical team. Documents all information and authorization numbers in Epic and acts as a liaison for follow-up related to precertification.
Performs activities and responds to patient inquiries related to billing follow-up.
Requests necessary charge corrections.
Identifies patterns of billing errors and works collaboratively with department manager and outside entity to improve processes as needed.
Provides guidance regarding clinical documentation to optimize charges and RVUs
Confirms coding accuracy based on clinical documentation and reviews common errors or misses with physicians and leadership.
The Billing Coordinator reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
The Billing Coordinator is responsible for processing charges, payments and/or adjustments for all services rendered at all NM Corporate Health Clinics. Researches and follows- up on all outstanding accounts. Answers all calls regarding charges and claims, providing exceptional customer service to all callers. Possesses extensive knowledge of coding, billing, insurance and collections procedures and coordinates the accounts receivable functions. Performs weekly claims, monthly late bills and patient statement runs and reviews accounts to be placed with an outside collection agency.
RESPONSIBILITIES:
Department Operations
Ensures patient demographic and billing/insurance information is kept current in the computer application. Documents all patient and company contacts.
Reviews daily clinic schedules and tracks receipt of documentation to assure completeness of charge capture.
Ensures notes are is placed in systems, clearly identifying steps taken, according to established procedures.
Works with patients/clients to establish payment plans according to predetermined procedures.
Handles all incoming customer service calls in a professional and efficient manner. Provides exceptional service to all customers, guarantors, patients, internal and external contacts.
Prepares itemized bill upon request; explains charges, payments and adjustments. Produces a clear and understandable statement to individuals on any outstanding account balance.
Responsible for timely submission of accurate bills and invoices to clients, patients and insurance companies.
Ensures timely posting of all charges, payments, denials and write-offs to the appropriate account, maintaining the highest level of quality for each transaction processed within 48 hours of receipt.
Responsible for balancing each payment and adjustment batch with reconciliation report and bank account deposits after completion.
Ensures compliant follow up procedures are followed, to third party payers regarding outstanding accounts receivables.
Run outstanding A/R reports, follow-up on unpaid claims or balances with insurance companies, patients, and collection agency, as defined by department.
Perform daily systematic review of accounts receivable to ensure all accounts ready to be worked are completed.
Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation.
Denials and appeals follow-up including root cause analysis to reduce/prevent future denials.
Reviews, prepares and sends pre-collection letters as defined by department procedures.
Identifies and sends accounts to outside collection agency.
Prepares and distributes reports that are required by finance, accounting, and operations.
Handles all work in an accurate and timely manner, consistently meets or exceeds productivity standards, quality standards, department goals and deadlines established by the team.
Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices.
Identify opportunities for process improvement and submit to management.
Demonstrate proficient use of systems and execution of processes in all areas of responsibilities.
Communication and Teamwork
Fosters and maintains positive relationships with the Corporate Health team, Human Resources, NM employees and physicians.
Provides courteous and prompt customer service. Answers the telephone in a courteous professional manner, directs calls and takes messages as appropriate. Checks for messages and returns calls.
Demonstrates teamwork by helping co-workers within and across departments. Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others.
Communicates appropriately and clearly to physicians, manager, nursing staff, front office staff, and employees. Maintains a good working relationship within the department. Organizes time and department schedule well. Demonstrates a positive attitude.
Service Excellence
Displays a friendly, approachable, professional demeanor and appearance.
Partners collaboratively with the functional areas across Northwestern Medicine in support of organizational and team objectives.
Fosters the development and maintenance of a cohesive, high-energy, collaborative, and quality-focused team.
Supports a “Safety Always” culture.
Maintaining confidentiality of employee and/or patient information.
Sensitive to time and budget constraints.
Other duties as assigned.
Qualifications
Required:
High school graduate or equivalent.
Strong Computer knowledge, data entry skills in Microsoft Excel and Word.
Thorough understanding of insurance billing procedures, ICD-10, and CPT coding.
3 years of physician office/medical billing experience.
Ability to communicate clearly and effectively, both orally and in writing, at all levels within and outside the organization.
Ability to work independently.
Preferred:
3 years of physician office/medical billing experience in Corporate Health/Occupational Health a plus.
CPC (Certified Professional Coder) or R (Registered Medical Coder) Certificate a plus.
Additional Information
Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
If we offer you a job, we will perform a background check that includes a review of any criminal convictions. A conviction does not disqualify you from employment at Northwestern Medicine. We consider this on a case-by-case basis and follow all state and federal guidelines.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Federal Government Billing Specialist
Wilmington, DE jobs
Agilent is seeking a proactive and detail-oriented Federal Government Billing Specialist to join our Customer Operations Center (COpC). This position plays a key role in supporting the Order Management process by ensuring accurate and compliant billing for federal contracts. The ideal candidate will manage complex invoices in accordance with FAR, DFARS, CAS, and other agency-specific billing requirements, while maintaining operational excellence and compliance across all transactions.
Working within the COpC, this role partners closely with cross-functional teams across Agilent, including Credit and Collections, Revenue team, Sales and other COpC teams, to ensure timely and compliant billing. The Specialist will also support internal and external audits, uphold high standards of data accuracy, and contribute to continuous improvement initiatives within the Customer Operations Center.
Key Responsibilities
Prepare and submit invoices via federal platforms (WAWF, IPP, Tungsten, etc.).
Review contract terms and funding modifications for billing accuracy.
Monitor unbilled receivables and resolve holds or rejections.
Collaborate with Contracts, Project Management, Accounting, and other COpC teams.
Maintain billing documentation and support audits (DCAA, DCMA).
Assist with month-end close activities and revenue reconciliation.
Ensure compliance with federal regulations and company policies.
Provide excellent customer service to government agencies and internal teams.
Manage portal invoicing based on agency-specific requirements to prevent rework and ensure timely payment.
Act as liaison with the collections team to resolve issues and ensure billing integrity.
Additional Information
This is a complex role requiring adaptability, attention to detail, and a customer-focused mindset. You'll thrive in a fast-paced, diverse environment where ownership and collaboration are key.
Schedule: Flexibility required; occasional overtime and late hours on the last working day of each month
Qualifications
Required Qualifications
Associate's or Bachelor's degree in Accounting, Finance, or related field (or equivalent experience).
2+ years of experience in federal billing or government contract accounting.
Familiarity with FAR/DFARS and federal audit processes.
Proficiency in Microsoft Excel and ERP systems (SAP, Oracle, Deltek).
Strong communication, organizational, and time management skills.
Ability to work independently and manage multiple priorities.
Preferred Qualifications
Experience with DCAA-compliant accounting systems.
Knowledge of indirect rate structures and cost allocations.
Prior experience in a government contractor environment.
SAP/CRM experience.
Proficiency in Microsoft Office Suite (Outlook, Excel, Word, PowerPoint, OneNote).
Additional Details
This job has a full time weekly schedule. It includes the option to work remotely. Applications for this job will be accepted until at least December 16, 2025 or until the job is no longer posted.The full-time equivalent pay range for this position is $28.27 - $44.17/hr plus eligibility for bonus, stock and benefits. Our pay ranges are determined by role, level, and location. Within the range, individual pay is determined by work location and additional factors, including job-related skills, experience, and relevant education or training. During the hiring process, a recruiter can share more about the specific pay range for a preferred location. Pay and benefit information by country are available at: ************************************* Agilent Technologies, Inc. is an Equal Employment Opportunity and merit-based employer that values individuals of all backgrounds at all levels. All individuals, regardless of personal characteristics, are encouraged to apply. All qualified applicants will receive consideration for employment without regard to sex, pregnancy, race, religion or religious creed, color, gender, gender identity, gender expression, national origin, ancestry, physical or mental disability, medical condition, genetic information, marital status, registered domestic partner status, age, sexual orientation, military or veteran status, protected veteran status, or any other basis protected by federal, state, local law, ordinance, or regulation and will not be discriminated against on these bases. Agilent Technologies, Inc., is committed to creating and maintaining an inclusive in the workplace where everyone is welcome, and strives to support candidates with disabilities. If you have a disability and need assistance with any part of the application or interview process or have questions about workplace accessibility, please email job_******************* or contact ***************. For more information about equal employment opportunity protections, please visit *************************************** Required: NoShift: DayDuration: No End DateJob Function: Customer Service
Auto-ApplyBilling Specialist II Hybrid
Klamath Falls, OR jobs
BILLING SPECIALIST II HYBRID
RESPONSIBLE TO: Business Office Manager
SALARY: Step Range: 12 ($40,453 annually) - 31 ($70,934 annually); Full Benefits
CLASSIFICATION: Non-Management, Regular, Full-Time
LOCATION: Hybrid - Up to 80% Remote / 20% In Office after initial year of
training period
Klamath Tribal Health & Family Services
3949 S. 6th Street, Klamath Falls, Oregon
BACKGROUND: Comprehensive
POSITION OBJECTIVE
Klamath Tribal Health & Family Services (KTHFS) is a tribally operated health facility offering direct medical, dental, pharmacy, behavioral health, and non-emergent transportation services to American Indians and Alaska Natives residing within the service delivery area. The Billing Specialist II is responsible for managing patient accounts in a complex, multi-disciplinary Business Office environment. The incumbent shall cross-train with other members of the Business Office and shall participate in all functions of the coding and billing cycle, to include: daily review of encounters, analyzing chart notes and assuring the appropriate service codes are utilized, data entry of encounter forms, posting charges into the computer system, perform claims review, claims submission, timely billing, follow-up and collection of all accounts, payment posting, claims audit and research. The incumbent shall also function as a resource for clinic providers and staff and will assist with coding and billing questions, and quality assurance activities.
MAJOR DUTIES AND RESPONSIBILITIES
1. Daily review, analyze, and interpret patient ambulatory EHR and/or paper encounter coding and corresponding chart note documentation and determine that the appropriate diagnostic and procedural codes are used and appropriately reflected in the chart note for code assignment as outlined by the CMS guidelines. Assuring that medical necessity billing guidelines are met.
2. Ensure that the appropriate service codes are applied in the billing record that corresponds to the documentation referenced in the chart note or on the encounter forms. Ensure that the appropriate ICD-X, CPT, HCPCS, CDT coding conventions have been used for services provided by all health service types within KTHFS.
3. Work with providers, nursing staff, and the business office to clarify documentation in the EHR system if needed. Including correlating anatomical and physiological processes of a diagnosis to assure the most accurate and specified ICD-X code(s) are used. Advise manager and clinicians of deficiencies to support charge capture of all billable services.
4. Prepare and submit clean claims (electronic or paper) to primary/secondary insurance carriers including Medicaid, Medicare, (Part A&B), and private insurance companies.
5. Maintain compliance with billing regulations: including Medicaid , Medicare (Parts A&B, DME), and private Insurance Carriers.
6. Payment post insurance checks or EFTs, which includes: verifying the checks or EFTs that have been receipted in the Master Check's & EFT's Microsoft spreadsheet, batching the checks or EFTs into NextGen and then accurately posting the payments.
7. Process refunds for any overpayments made to KTHFS. Monitor claims payment and promptly request POs for refunds to insurance companies, or perform electronic claim adjustments per payer requirements, for any overpayments made on claims. The refund will also be processed to reflect the refunded claim in NextGen.
8. Process No-Pay EOBs by applying an adjustment and creating billing and claim follow-up notes. This includes the appeal of insurance claims that have been wrongfully paid or denied, contacting insurance companies by phone to obtain information concerning extent of benefits and/or settle unpaid claims and providing any additional information requested by insurance companies for the processing of submitted claims.
9. Record in NextGen system all claims related phone calls, correspondence, and activities related to each patient account.
10. Maintain current filing system for encounters, POs, etc., process daily incoming mail and correspondence for review, completion, and filing.
11. Communicate regularly with Patient Registration and record patient benefit effective/term date(s) into the practice management system as needed.
12. Create electronic batches to submit to the clearinghouse and reconcile with the submitted claims tracking spreadsheet including follow up on electronic claims receipt by payer. Correct any claims before archiving the file in the clearinghouse.
13. Work outstanding A/R by reviewing, rebilling, and adjusting accounts to ensure accurate and thorough billing of claims, by running reports and working on claims. Track and monitor claims processing, ensure timely follow-up for the payment of bills; Identify, and resolve all outstanding/pending claims.
14. Monitor the Business Office outlook inbox regularly and back bill any claims and/or adjust claims where applicable.
15. Run specific reports as identified below:
· To be run and worked weekly - Pending Charges Report, Unbilled and Rebilled Encounters, Paper Claims printed, Clearinghouse Reports (claims denied, outstanding claims, claims removed, claims rejected)
· Biweekly reports - Kept Appointments with No Encounters report, Aging Reports, and maintaining up to date reports making sure all old billing is addressed.
16. Establish and maintain an effective working relationship with public and private payers; identify potential problems that could cause interruptions to cash flow.
17. Participate in yearly chart audit activities for quality assurance purposes; document results in report format, as needed, for review by the Chief Medical Officer and the Chief Quality Officer.
18. Attend coding seminars, meetings, or other training opportunities to keep abreast of changes in the profession.
19. Like all employees of the Klamath Tribes, the incumbent will be called upon to accomplish other tasks that may not be directly related to this position, but are integral to the Klamath Tribes' broader functions, including but not limited to, assisting during Tribal sponsored cultural, traditional, or community events that enable the successful operation of programs and practices of The Klamath Tribes as aligned with The Klamath Tribes' Mission Statement. Some of these tasks may be scheduled outside of regular work hours, if necessary.
SUPERVISORY CONTROLS
Work under the supervision of the Business Office Manager, who provides general instructions. Work is assigned in terms of functional/organizational objectives. The manager assists with unusual situations that do not have clear precedents.
Employees must be able to work with minimal supervision, using initiative and judgement in setting priorities to meet the demands of the workload. Work is performed within the purview of laws, and regulations. The manager will review work regularly for quality and compliance with established policies and procedures and payer guidelines.
KNOWLEDGE, SKILLS, ABILITIES
Technical knowledge, skill, and understanding of the American Medical Association developed CPT coding system to acquire, interpret, and resolve problems based on information derived from system monitoring reports to be carried over to the required billing forms.
Technical knowledge, skill, and understanding of the concepts of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-X-CM) for classification of diseases and/or procedures.
Knowledge and understanding of CDT dental coding system.
Basic knowledge and understanding of HCPCS coding.
Knowledge of mental health and alcohol and drug coding and billing is desirable.
Ability to work with minimal supervision, using initiative and judgment in setting priorities to meet the demands of the workload while adhering to the insurance rules and regulations that relate to coding and billing.
The knowledge of and/or the ability to learn the billing guidelines as they pertain to FQHC/Tribal Health Clinics.
Knowledge of established procedures required claim forms (both paper and electronic) associated with the various health insurance programs.
In-depth knowledge of Medicaid (OARs, Rulebooks).
In-depth knowledge of Medicare Part A & B billing regulations.
Knowledge of medical terminology.
Knowledge of claims review, account auditing, and quality assurance.
The ability of tracking, handling, and completing multiple projects.
Ability to communicate well (both orally and in writing) and work effectively with other employees, managers, and administrators. This person should be able to express themselves in a clear and concise manner for the purposes of correspondence, reports and instructions, as well as for obtaining and conveying information to ensure a cooperative working relationship with all staff.
Willingness to maintain expertise to keep current with changes in procedure and diagnosis coding and third-party payer reimbursement policies through continuing education.
Above average ability to work with numbers and set standards to assure proper payment and adjustment posting.
Must be dependable, thorough, accurate, well-organized and detail oriented.
Ability to maintain strict confidentiality of medical records and adhere to the standards for health record-keeping, HIPAA and Privacy Act requirements.
Conduct self in accordance with KTH&FS Employee Policy & Procedure Manual.
QUALIFICATIONS, EXPERIENCE, EDUCATION
Minimum Qualifications:
Failure to comply with minimum position requirements may result in termination of employment.
· REQUIRED Onsite training/working for the first year upon hire may be required. Up to 80% of remote work after training requirements are completed subject to business needs and management approval.
· REQUIRED to possess a High School Diploma or Equivalent. (
Must submit a copy of diploma or transcripts with application.)
· REQUIRED Must have one of the following certifications: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Medical Coder (RMC), RHIA, RHIT or an associate's degree in medical office systems or health information management.
· REQUIRED One (1) year of medical and/or dental billing and coding experience.
Experience must be reflected in application; or submit copy of coder certification with application.
· REQUIRED Demonstrated proficiency in technical knowledge of medical terminology, anatomy and physiology, and CPT and ICD-10-CM coding systems
· REQUIRED to have Computer and/or word processor experience.
· REQUIRED to submit to a background and character investigation, as per Tribal policy. Following hire must immediately report to Human Resource any citation, arrest, conviction for a misdemeanor or felony crime.
· REQUIRED to submit to annual TB skin testing and adhere to KTHFS staff immunization policy in accordance with the Centers for Disease Control immunization recommendations for healthcare workers.
· REQUIRED to accept the responsibility of a mandatory reporter in accordance with the Klamath Tribes Juvenile Ordinance Title 2, Chapter 15.64 and General Resolution #2005 003, all Tribal staff are considered mandatory reporters.
Preferred Qualifications:
AAPC coder certified, or AHIMA coder certified.
· Experience with NextGen or other electronic health record systems is preferred.
Indian Preference:
· Indian Preference will apply as per policy.
Must submit documentation with application to qualify for Indian Preference
.
ACKNOWLEDGEMENT
This is intended to provide an overview of the requirements of the position. It is not necessarily inclusive, and the job may require other essential and/or non-essential functions, tasks, duties, or responsibilities not listed herein. Management reserves the sole right to add, modify, or exclude any essential or non-essential requirement at any time with or without notice. Nothing in this job description, or by the completion of any job requirement by the employee, is intended to create a contract of employment of any type.
APPLICATION PROCEDURE
Submit a Klamath Tribal Health & Family Services
Application for Employment
with all requirements and supporting documentation to:
Klamath Tribal Health & Family Services
ATTN: Human Resource
3949 South 6th Street
Klamath Falls, OR 97603
***************************
IT IS THE RESPONSIBILITY OF THE APPLICANT TO PROVIDE SUFFICIENT INFORMATION TO PROVE QUALIFICATIONS FOR TRIBAL POSITIONS.
Please Note: If requirements are not met, i.e., submission of a resume in lieu of a tribal application or not including a required certification, your application will not be reviewed and will be disqualified.
Indian Preference will apply. In accordance with Klamath Tribal policy, priority in selection will be given to qualified applicants who present proof of eligibility for “Indian Preference”.
Applications will not be returned.
Easy ApplyBilling Specialist II Hybrid
Klamath Falls, OR jobs
BILLING SPECIALIST II HYBRID
RESPONSIBLE TO: Business Office Manager
SALARY: Step Range: 12 ($40,453 annually) - 31 ($70,934 annually); Full Benefits
CLASSIFICATION: Non-Management, Regular, Full-Time
LOCATION: Hybrid - Up to 80% Remote / 20% In Office after initial year of
training period
Klamath Tribal Health & Family Services
3949 S. 6th Street, Klamath Falls, Oregon
BACKGROUND: Comprehensive
POSITION OBJECTIVE
Klamath Tribal Health & Family Services (KTHFS) is a tribally operated health facility offering direct medical, dental, pharmacy, behavioral health, and non-emergent transportation services to American Indians and Alaska Natives residing within the service delivery area. The Billing Specialist II is responsible for managing patient accounts in a complex, multi-disciplinary Business Office environment. The incumbent shall cross-train with other members of the Business Office and shall participate in all functions of the coding and billing cycle, to include: daily review of encounters, analyzing chart notes and assuring the appropriate service codes are utilized, data entry of encounter forms, posting charges into the computer system, perform claims review, claims submission, timely billing, follow-up and collection of all accounts, payment posting, claims audit and research. The incumbent shall also function as a resource for clinic providers and staff and will assist with coding and billing questions, and quality assurance activities.
MAJOR DUTIES AND RESPONSIBILITIES
1. Daily review, analyze, and interpret patient ambulatory EHR and/or paper encounter coding and corresponding chart note documentation and determine that the appropriate diagnostic and procedural codes are used and appropriately reflected in the chart note for code assignment as outlined by the CMS guidelines. Assuring that medical necessity billing guidelines are met.
2. Ensure that the appropriate service codes are applied in the billing record that corresponds to the documentation referenced in the chart note or on the encounter forms. Ensure that the appropriate ICD-X, CPT, HCPCS, CDT coding conventions have been used for services provided by all health service types within KTHFS.
3. Work with providers, nursing staff, and the business office to clarify documentation in the EHR system if needed. Including correlating anatomical and physiological processes of a diagnosis to assure the most accurate and specified ICD-X code(s) are used. Advise manager and clinicians of deficiencies to support charge capture of all billable services.
4. Prepare and submit clean claims (electronic or paper) to primary/secondary insurance carriers including Medicaid, Medicare, (Part A&B), and private insurance companies.
5. Maintain compliance with billing regulations: including Medicaid , Medicare (Parts A&B, DME), and private Insurance Carriers.
6. Payment post insurance checks or EFTs, which includes: verifying the checks or EFTs that have been receipted in the Master Check's & EFT's Microsoft spreadsheet, batching the checks or EFTs into NextGen and then accurately posting the payments.
7. Process refunds for any overpayments made to KTHFS. Monitor claims payment and promptly request POs for refunds to insurance companies, or perform electronic claim adjustments per payer requirements, for any overpayments made on claims. The refund will also be processed to reflect the refunded claim in NextGen.
8. Process No-Pay EOBs by applying an adjustment and creating billing and claim follow-up notes. This includes the appeal of insurance claims that have been wrongfully paid or denied, contacting insurance companies by phone to obtain information concerning extent of benefits and/or settle unpaid claims and providing any additional information requested by insurance companies for the processing of submitted claims.
9. Record in NextGen system all claims related phone calls, correspondence, and activities related to each patient account.
10. Maintain current filing system for encounters, POs, etc., process daily incoming mail and correspondence for review, completion, and filing.
11. Communicate regularly with Patient Registration and record patient benefit effective/term date(s) into the practice management system as needed.
12. Create electronic batches to submit to the clearinghouse and reconcile with the submitted claims tracking spreadsheet including follow up on electronic claims receipt by payer. Correct any claims before archiving the file in the clearinghouse.
13. Work outstanding A/R by reviewing, rebilling, and adjusting accounts to ensure accurate and thorough billing of claims, by running reports and working on claims. Track and monitor claims processing, ensure timely follow-up for the payment of bills; Identify, and resolve all outstanding/pending claims.
14. Monitor the Business Office outlook inbox regularly and back bill any claims and/or adjust claims where applicable.
15. Run specific reports as identified below:
· To be run and worked weekly - Pending Charges Report, Unbilled and Rebilled Encounters, Paper Claims printed, Clearinghouse Reports (claims denied, outstanding claims, claims removed, claims rejected)
· Biweekly reports - Kept Appointments with No Encounters report, Aging Reports, and maintaining up to date reports making sure all old billing is addressed.
16. Establish and maintain an effective working relationship with public and private payers; identify potential problems that could cause interruptions to cash flow.
17. Participate in yearly chart audit activities for quality assurance purposes; document results in report format, as needed, for review by the Chief Medical Officer and the Chief Quality Officer.
18. Attend coding seminars, meetings, or other training opportunities to keep abreast of changes in the profession.
19. Like all employees of the Klamath Tribes, the incumbent will be called upon to accomplish other tasks that may not be directly related to this position, but are integral to the Klamath Tribes' broader functions, including but not limited to, assisting during Tribal sponsored cultural, traditional, or community events that enable the successful operation of programs and practices of The Klamath Tribes as aligned with The Klamath Tribes' Mission Statement. Some of these tasks may be scheduled outside of regular work hours, if necessary.
SUPERVISORY CONTROLS
Work under the supervision of the Business Office Manager, who provides general instructions. Work is assigned in terms of functional/organizational objectives. The manager assists with unusual situations that do not have clear precedents.
Employees must be able to work with minimal supervision, using initiative and judgement in setting priorities to meet the demands of the workload. Work is performed within the purview of laws, and regulations. The manager will review work regularly for quality and compliance with established policies and procedures and payer guidelines.
KNOWLEDGE, SKILLS, ABILITIES
Technical knowledge, skill, and understanding of the American Medical Association developed CPT coding system to acquire, interpret, and resolve problems based on information derived from system monitoring reports to be carried over to the required billing forms.
Technical knowledge, skill, and understanding of the concepts of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-X-CM) for classification of diseases and/or procedures.
Knowledge and understanding of CDT dental coding system.
Basic knowledge and understanding of HCPCS coding.
Knowledge of mental health and alcohol and drug coding and billing is desirable.
Ability to work with minimal supervision, using initiative and judgment in setting priorities to meet the demands of the workload while adhering to the insurance rules and regulations that relate to coding and billing.
The knowledge of and/or the ability to learn the billing guidelines as they pertain to FQHC/Tribal Health Clinics.
Knowledge of established procedures required claim forms (both paper and electronic) associated with the various health insurance programs.
In-depth knowledge of Medicaid (OARs, Rulebooks).
In-depth knowledge of Medicare Part A & B billing regulations.
Knowledge of medical terminology.
Knowledge of claims review, account auditing, and quality assurance.
The ability of tracking, handling, and completing multiple projects.
Ability to communicate well (both orally and in writing) and work effectively with other employees, managers, and administrators. This person should be able to express themselves in a clear and concise manner for the purposes of correspondence, reports and instructions, as well as for obtaining and conveying information to ensure a cooperative working relationship with all staff.
Willingness to maintain expertise to keep current with changes in procedure and diagnosis coding and third-party payer reimbursement policies through continuing education.
Above average ability to work with numbers and set standards to assure proper payment and adjustments posting.
Must be dependable, thorough, accurate, well-organized and detail oriented.
Ability to maintain strict confidentiality of medical records and adhere to the standards for health record-keeping, HIPAA and Privacy Act requirements.
Conduct self in accordance with KTH&FS Employee Policy & Procedure Manual.
QUALIFICATIONS, EXPERIENCE, EDUCATION
Minimum Qualifications:
Failure to comply with minimum position requirements may result in termination of employment.
· REQUIRED Onsite training/working for the first year upon hire may be required. Up to 80% of remote work after training requirements are completed subject to business needs and management approval.
· REQUIRED to possess a High School Diploma or Equivalent. (
Must submit a copy of diploma or transcripts with application.)
· REQUIRED Must have one of the following certifications: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Medical Coder (RMC), RHIA, RHIT or an associate's degree in medical office systems or health information management.
· REQUIRED One (1) year of medical and/or dental billing and coding experience.
Experience must be reflected in application; or submit copy of coder certification with application.
· REQUIRED Demonstrated proficiency in technical knowledge of medical terminology, anatomy and physiology, and CPT and ICD-10-CM coding systems
· REQUIRED to have Computer and/or word processor experience.
· REQUIRED to submit to a background and character investigation, as per Tribal policy. Following hire must immediately report to Human Resource any citation, arrest, conviction for a misdemeanor or felony crime.
· REQUIRED to submit to annual TB skin testing and adhere to KTHFS staff immunization policy in accordance with the Centers for Disease Control immunization recommendations for healthcare workers.
· REQUIRED to accept the responsibility of a mandatory reporter in accordance with the Klamath Tribes Juvenile Ordinance Title 2, Chapter 15.64 and General Resolution #2005 003, all Tribal staff are considered mandatory reporters.
Preferred Qualifications:
· AAPC coder certified, or AHIMA coder certified.
· Experience with NextGen or other electronic health record systems is preferred.
Indian Preference:
· Indian Preference will apply as per policy.
Must submit documentation with application to qualify for Indian Preference
.
ACKNOWLEDGEMENT
This is intended to provide an overview of the requirements of the position. It is not necessarily inclusive, and the job may require other essential and/or non-essential functions, tasks, duties, or responsibilities not listed herein. Management reserves the sole right to add, modify, or exclude any essential or non-essential requirement at any time with or without notice. Nothing in this job description, or by the completion of any job requirement by the employee, is intended to create a contract of employment of any type.
APPLICATION PROCEDURE
Submit a Klamath Tribal Health & Family Services
Application for Employment
with all requirements and supporting documentation to:
Klamath Tribal Health & Family Services
ATTN: Human Resource
3949 South 6th Street
Klamath Falls, OR 97603
***************************
IT IS THE RESPONSIBILITY OF THE APPLICANT TO PROVIDE SUFFICIENT INFORMATION TO PROVE QUALIFICATIONS FOR TRIBAL POSITIONS.
Please Note: If requirements are not met, i.e., submission of a resume in lieu of a tribal application or not including a required certification, your application will not be reviewed and will be disqualified.
Indian Preference will apply. In accordance with Klamath Tribal policy, priority in selection will be given to qualified applicants who present proof of eligibility for “Indian Preference”.
Applications will not be returned.
Requirements:
Easy ApplyBilling Specialist
Beacon, NY jobs
Job Description
Billing/Collections Specialist
Billing/Collection Agent
Full Time Billing / Collections Specialist
Full TIME BILLING/COLLECTIONS POSITION AVAILABLE IN FISHKILL, NY
LOOKING FOR A RELIABLE CANDIDATE!!!!!!!
HOURS: 8AM - 4:30PM Monday through Friday
Must be motivated and detail oriented.
Must have a strong background in Medicare, insurance and patient collections as well as all other aspects of billing.
THIS POSITION IS NOT A REMOTE POSITION, PLEASE CONSIDER CAREFULLY
EMAIL RESUME AND SALARY REQUIREMENTS
Job Type: Full-time
Pay: From $18.00 per hour - $25.00 per hour
Billing Specialist I (Remote after 6 months training at Cotswold)
Charlotte, NC jobs
Job Details Cotswold - Charlotte, NC Full Time High School Diploma / GED None Day Health Care
The Billing Specialist I is responsible for incoming billing inquiries. This may include, but is not limited to, account research, payment posting and balancing, adjustments, collections, patient and insurance company phone calls and inquiries.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Answers telephone and emails promptly and courteously, responds to billing questions, following HEC policy for self-pay balances. Refers escalated inquiries to appropriate patient account representative.
Corrects faulty information and advises supervisor of patterns or trends of errors noted.
Uses available technology (Virtual Swipe, Electronic Checks, and Online) to offer patients immediate payment options and encourage timely payment of balances due.
Understands the process of the “Token” number to encourage patients to sign in on the online portal for patient payments.
Prepares requests for refunds or non-contractual adjustments for review by Refunds PAR or Business Services Manager.
Ensures that all email and voice mail messages are handled on a daily basis. If the issue cannot be resolved on the same day, employee will notify parties involved about pending status.
Processes/Research all returned mail to update the patient information in Nextgen in a timely manner for appropriate filing.
Possesses a full understanding of patient accounts workflow, adheres to all processes and participates in improving departmental problems.
Abides by the Collector on Call schedule and coordinates schedule with co-workers to maintain proper coverage for patient needs.
Performs all necessary job functions related to new technological implementations.
Has an understanding of Retina financial assistance. Obtains payments through the Chronic Disease portal, and faxes or mail claims to the other financial assistance programs such as Eylea Copay Card and Lucentis Copay Card.
Answers billing correspondence received through lockbox and through patient portal.
Research returned business office mailings for corrected addresses and updates demographics in system.
POSITION REQUIREMENTS:
Minimum Qualifications:
High school diploma or equivalent
One year of clerical medical office experience.
Ability to understand explanations of benefits (EOBs).
Preferred Qualifications:
Experience in insurance billing.
General knowledge of CPT and ICD coding.
General knowledge of medical terminology
Billing Specialist
Fishkill, NY jobs
Billing/Collections Specialist
Billing/Collection Agent
Full Time Billing / Collections Specialist
Full TIME BILLING/COLLECTIONS POSITION AVAILABLE IN FISHKILL, NY
LOOKING FOR A RELIABLE CANDIDATE!!!!!!!
HOURS: 8AM - 4:30PM Monday through Friday
Must be motivated and detail oriented.
Must have a strong background in Medicare, insurance and patient collections as well as all other aspects of billing.
THIS POSITION IS NOT A REMOTE POSITION, PLEASE CONSIDER CAREFULLY
EMAIL RESUME AND SALARY REQUIREMENTS
Job Type: Full-time
Pay: From $18.00 per hour - $25.00 per hour
Reimbursement, Pre-Billing Specialist (Eligibility) (Remote)
Texas jobs
Castle Biosciences Earns "Top Workplaces USA Award" for Phoenix, Pittsburgh, and Friendswood! You won't find a work culture and benefits package like ours every day. Come join our team and a group of colleagues who love working at Castle! Learn more at *************************
Castle Biosciences Inc. is growing, and we are looking to hire a Pre-Billing Specialist (Eligibility) working remotely from your home office based in the USA, with a start date on or before January 16, 2026.
Why Castle Biosciences?
Total Compensation Package:
* Salary Range: $40,000 - $42,000. Final salary is based on Experience and Education levels.
* Excellent Annual Salary + 20% Bonus Potential
* 20 Accrued PTO Days Annually
* 10 Paid Holidays
* 401K with 100% Company Match up to 6%
* 3 Health Care Plan Options + Company HSA Contribution
* Company Stock Grant Upon Hire
* $75/month reimbursement for internet service
A DAY IN THE LIFE OF A Pre-Billing Specialist (Eligibility)
This individual will be responsible for assigning medical insurance plans and performing eligibility verification checks on new patient accounts entering the billing system. They will resolve eligibility issues by contacting providers and patients to obtain updated information, and will submit and follow up on assigned prior authorizations. This role will spend the most time assigning medical insurance plans, verifying eligibility, resolving issues, and managing prior authorization submissions and follow-ups.
REQUIREMENTS
* High school Diploma, GED, or equivalent work experience.
* Minimum of two years of health insurance eligibility and prior authorization experience.
* Experience collaborating with patients, providers, and insurance plans to complete the pre-billing process.
* Experience researching and utilizing payor websites.
* Certification in Medical Billing and/or Coding or equivalent experience.
* Must demonstrate the ability to type 35 WPM with 90% or higher accuracy.
TRAVEL REQUIREMENTS
*
SCHEDULE
* Monday - Friday, 8:00 AM to 5:00 PM, non-exempt position, working remotely from your home office based in the USA.
READY TO JOIN OUR BIOTECH TEAM?
We truly appreciate your time. If this feels like the right opportunity for you, we'd love for you to complete our mobile-friendly application. We're excited to learn more about you and look forward to connecting soon!
Castle Biosciences Awards and Research Developments!
WORK AUTHORIZATION
All candidates must be legally authorized to work in the United States. Currently, Castle Biosciences does not sponsor H-1B visas, OPT, or employment-related visas.
ABOUT CASTLE BIOSCIENCES INC.
At Castle Biosciences, people are at the heart of everything we do. Our mission is to improve health through innovative tests that guide patient care. We empower patients and clinicians to make more confident, personalized treatment decisions through rigorous science and clinically actionable solutions that help improve disease management and patient outcomes.
Our impact starts with our team. Every individual at Castle plays a meaningful role in advancing patient care. We value integrity, trust and collaboration in all we do and are committed to fostering an environment where people can grow, thrive and make a lasting impact. Here, your work has purpose, your voice matters and together, we're shaping the future of precision medicine.
Castle Biosciences is an equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities.
If you have a disability and you believe you need a reasonable accommodation in order to search for a job opening or to submit an online application, please e-mail ReasonableAccommodationsRequest@castlebiosciences.com.
This email was created exclusively to assist disabled job seekers whose disability prevents them from being able to apply online. Only messages left for this purpose will be returned. Messages left for other purposes, such as following up on an application or technical issues not related to a disability, will not receive a response.
No third-party recruiters, please
Medical Billing Specialist
Youngstown, OH jobs
Join Our Team as a Medical Billing Specialist! Why Work With Us? At One Health Ohio, we believe in fostering a positive work environment that prioritizes our team and our patients. Enjoy competitive benefits and a supportive workplace where your contributions truly matter!
Do you have prior billing experience in dental or medical settings? Are you looking for a role that blends your billing expertise with a clinical touch? If so, we could be the perfect next step in your career journey.
Benefits Include:
* Affordable Health, Vision, Dental, and Life Insurance
* 401(K) with dollar-for-dollar matching (up to 4%)
* Generous Paid Time Off (PTO)
* Paid Holidays
Essential Job Functions:
* Prepares and submits clean claims to various insurance companies either electronically or by paper.
* Answers questions from patients, clerical staff, and insurance companies.
* Identifies and resolves patient billing complaints.
* Prepares, reviews, and sends patient statements.
* Evaluates patient's financial status and establishes budget payment plans.
* Follows and reports the status of delinquent accounts.
* Reviews accounts for possible assignment and make recommendations to the Director of Billing and Reimbursement, also prepares information for the collection agency
* Performs daily backups on the office computer system.
* Performs various collection actions including contacting patients by phone, correcting, and resubmitting claims to third-party payers.
* Processes payments from insurance companies and prepares a daily deposit.
* Participates in educational activities and attends monthly staff meetings.
* Conducts self in accordance with employee handbook.
* Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
* Ensures accurate billing and coding as per regulations.
* Works with administrator in training providers in coding and EMR system.
Education and Experience:
* Minimum of 2 years experience medical billing (Preferred)
* Certified Biller (Required)
* Certified Coder (Preferred)
Physical Requirements
* Sitting in a normal seated position for extended periods of time
* Reaching by extending hand(s) or arm(s) in any direction
* Finger dexterity required to manipulate objects with fingers rather than with whole hand(s) or arm(s), for example, using a keyboard
* Communication skills using the spoken word
* Ability to see within normal parameters
* Ability to hear within normal range
* Ability to move about
NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as negotiated to meet the ongoing needs of the organization. Employee is able to work at any OHO locations deemed necessary by OHO.