Billing Specialist jobs at Doctors Hospital at Renaissance Health System - 1280 jobs

PRN Night shift 7pm-7:30am onsite The Supervisor Patient Care is responsible for nursing operations and patient care delivery across multiple units during assigned shifts. This role is responsible for staffing management and coordination among hospital departments. The Supervisor collaborates with the Transfer Center for patient placement and throughput, responds to emergencies and codes, and activates the Hospital Emergency Incident Command, when necessary, potentially serving as the Incident Commander Responsibilities: 1.Understands the business, financials industry trends, patient needs, and organizational strategy. 2.Provides support and assistance to nursing staff to ensure adherence to patient care protocols and quality standards. 3. Assist in monitoring the department budget and helps maintain expenditure controls. 4. Promotes and maintains quality care by supporting nursing staff in the delivery of care during assigned shifts. 5. Visits patient care units to assess patient conditions, evaluates staffing needs and provides support to caregivers. 6. Communicates with the appropriate Nursing Management staff member [VP of Patient Services, Directors of Nursing and Nurse Managers] about any circumstances or situations which has or may have serious impact to patients, staff or hospital. 7. Assist in decision-making processes and notifies the Administrator on call when necessary. 8. Collaborates with nursing and hospital staff to ensure the operational aspects of patient care units are maintained effectively. 9. Supports the nursing philosophy and objectives of the hospital by participating in educational efforts and adhering to policies and procedures. 10. Other duties as assigned. Other information: Technical Expertise 1. Experience in clinical pediatrics is required. 2. Experience working with all levels within an organization is required. 3. Experience in healthcare is preferred. 4. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. Education and Experience 1. Education: Graduate from an accredited School of Nursing; Bachelor of Science in Nursing (BSN) is required. 2. Licensure: Currently licensed to practice nursing as a Registered Nurse in the State of Ohio is required. 3. Certification: Current Health Care Provider BLS is required; PALS, NRP, ACLS or TNCC is preferred. 4. Years of relevant experience: Minimum 3 years of nursing experience required. 5. Years of supervisory experience: Previous Charge Nurse, Clinical Coordinator, or other leadership experience is preferred. On Call FTE: 0.001000 Status: Onsite

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.

Spooner Medical Administrators, Incorporated (SMAI) is a family owned and operated company that offers rewarding career opportunities for motivated individuals who are passionate about excellence and growth. Since 1997, SMAI's proactive philosophy and best practices have set the standard in workers' compensation by continuously improving the delivery of case management, utilization review and billing services to help facilitate a successful return to work for the injured worker. The Billing Specialist is primarily responsible for reviewing, auditing and data entry of bills submitted by medical providers for compliance with proper billing practices. Essential Functions Review bills to determine if the information needed to process the bill has been received and contact the medical provider for any missing information. Perform fee bill audits according to established procedures and guidelines. Data enter fee fills accurately for electronic transmission. Adhere to established billing performance requirements. Review electronic response to transmitted bills and make modifications accordingly. Respond to telephone inquiries from customers regarding bill payment status. Participate in continuous improvement activities and other duties as assigned. Supervision Received Reports to the Billing Supervisor Experience and Education Required Medical billing certification or at least 2 years of experience working in the medical billing field Data entry experience Additional Skills Needed Effective written and verbal communication Detail oriented Strong organizational ability Basic computer literacy skills Working Environment The work environment characteristics described herein are representative of those an employee encounters while performing the essential functions of the job. While performing the duties of this job, the employee typically works in a normal office environment. The noise level in the work environment is usually quiet.

Company DescriptionAt 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 health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to 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 equal opportunity employer (disability, VETS) 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. Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act. Artificial Intelligence Disclosure Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person. 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. Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.

Recognized as a “Best Place to Work Modern Healthcare” - Join a team where people come first. At Vital Care, we are committed to creating an inclusive, growth-focused environment where every voice matters. Vital Care is the premier pharmacy franchise business with franchises serving a wide range of patients, including those with chronic and acute conditions. Since 1986, our passion has been improving the lives of patients and healthcare professionals through locally-owned franchise locations across the United States. We have over 100 franchised Infusion pharmacies and clinics in 35 states, focusing on the underserved and secondary markets. We know infusion services, and we guide owners along the path of launch, growth, and successful business operations. What we offer: Comprehensive medical, dental, and vision plans, plus flexible spending, and health savings accounts. Paid time off, personal days, and company-paid holidays. Paid Paternal Leave. Volunteerism Days off. Income protection programs include company-sponsored basic life insurance and long-term disability insurance, as well as employee-paid voluntary life, accident, critical illness, and short-term disability insurance. 401(k) matching and tuition reimbursement. Employee assistance programs include mental health, financial and legal. Rewards programs offered by our medical carrier. Professional development and growth opportunities. Employee Referral Program. Job Summary: Perform duties to process Home Infusion medical claims with a focus on accuracy, timeliness, and adherence to process, to reduce denial rate, DSO, and bad debt. Performs revenue cycle billing duties to process within the limits of standard Compliance practices. Position is 100% remote. Duties/Responsibilities: Create and submit medical, pharmacy and third-party vendor claims timely and accurately. Ensure all revenue opportunities are included, and complete and submit billing to primary and secondary payers. Resolve rejected electronic claims so that current submission is successful and future submissions are not rejected. Maintain ready-to-bill delivery tickets and indicate tickets that cannot be billed with appropriate status for communication purposes within RCM and Franchises Document case activity, communications, and correspondence in CareTend to ensure completeness and accuracy of account activity. Contribute medical billing expertise to the design of training and knowledge transfer programs, materials, policies, and procedures to improve the efficiency and effectiveness of the RCM team. Perform other related duties as assigned. Required Skills/Abilities: Excellent communications skills; listening, speaking, understanding, and writing English while influencing patients, caregivers, payer representatives, and others, answering questions, and advancing reimbursement and collection efforts. Proven understanding of processes, systems, and techniques to ensure successful billing and collection working with all payer types. Proven ability to identify gaps and problems from a review of documentation, determine lasting solutions, make effective decisions, and take necessary corrective action. Strong organization skills with the ability to track and maintain clear, complete records of activities, cases, and related documentation. Proven knowledge and skill in the utilization of MS Office suite of software and pharmacy applications. Ability to complete job duties in a designated workspace outside the dedicated RCM location. Disciplined work ethic with ability to work remotely with little direct supervision and meet production and collection targets. Education and Experience: 2-5 years home infusion billing and/or collections experience required. High School Diploma and additional specialized training in intake, pharmacy/medical billing, and/or collections. Experience in an infusion suite setting is a plus. Previous remote work environment is a plus but not required. Detailed oriented with post-billing and post-payment investigative experience preferred. Physical Requirements: Sitting: Prolonged periods of sitting are typical, often for the majority of the workday. Keyboarding: Frequent use of a keyboard for typing and data entry. Reaching: Occasionally reaching for items such as files, documents, or office supplies. Fine Motor Skills: Precise movements of the fingers and hands for tasks like typing, using a mouse, and handling paperwork Visual Acuity: Good vision for reading documents, computer screens, and other detailed work. Be part of an organization that invests in you! We are reviewing applications for this role and will contact qualified candidates for interviews. Vital Care Infusion Services is an equal-opportunity employer and values diversity at our company. We do not discriminate on the basis of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status, or any other basis protected by applicable federal, state, or local law. Vital Care Infusion Services participates in E-Verify. This position is full-time.

Recognized as a “Best Place to Work Modern Healthcare” - Join a team where people come first. At Vital Care, we are committed to creating an inclusive, growth-focused environment where every voice matters. Vital Care is the premier pharmacy franchise business with franchises serving a wide range of patients, including those with chronic and acute conditions. Since 1986, our passion has been improving the lives of patients and healthcare professionals through locally-owned franchise locations across the United States. We have over 100 franchised Infusion pharmacies and clinics in 35 states, focusing on the underserved and secondary markets. We know infusion services, and we guide owners along the path of launch, growth, and successful business operations. What we offer: Comprehensive medical, dental, and vision plans, plus flexible spending, and health savings accounts. Paid time off, personal days, and company-paid holidays. Paid Paternal Leave. Volunteerism Days off. Income protection programs include company-sponsored basic life insurance and long-term disability insurance, as well as employee-paid voluntary life, accident, critical illness, and short-term disability insurance. 401(k) matching and tuition reimbursement. Employee assistance programs include mental health, financial and legal. Rewards programs offered by our medical carrier. Professional development and growth opportunities. Employee Referral Program. Job Summary: Perform duties to process Home Infusion medical claims with a focus on accuracy, timeliness, and adherence to process, to reduce denial rate, DSO, and bad debt. Performs revenue cycle billing duties to process within the limits of standard Compliance practices. Position is 100% remote. Duties/Responsibilities: Create and submit medical, pharmacy and third-party vendor claims timely and accurately. Ensure all revenue opportunities are included, and complete and submit billing to primary and secondary payers. Resolve rejected electronic claims so that current submission is successful and future submissions are not rejected. Maintain ready-to-bill delivery tickets and indicate tickets that cannot be billed with appropriate status for communication purposes within RCM and Franchises Document case activity, communications, and correspondence in CareTend to ensure completeness and accuracy of account activity. Contribute medical billing expertise to the design of training and knowledge transfer programs, materials, policies, and procedures to improve the efficiency and effectiveness of the RCM team. Perform other related duties as assigned. Required Skills/Abilities: Excellent communications skills; listening, speaking, understanding, and writing English while influencing patients, caregivers, payer representatives, and others, answering questions, and advancing reimbursement and collection efforts. Proven understanding of processes, systems, and techniques to ensure successful billing and collection working with all payer types. Proven ability to identify gaps and problems from a review of documentation, determine lasting solutions, make effective decisions, and take necessary corrective action. Strong organization skills with the ability to track and maintain clear, complete records of activities, cases, and related documentation. Proven knowledge and skill in the utilization of MS Office suite of software and pharmacy applications. Ability to complete job duties in a designated workspace outside the dedicated RCM location. Disciplined work ethic with ability to work remotely with little direct supervision and meet production and collection targets. Education and Experience: 2-5 years home infusion billing and/or collections experience required. High School Diploma and additional specialized training in intake, pharmacy/medical billing, and/or collections. Experience in an infusion suite setting is a plus. Previous remote work environment is a plus but not required. Detailed oriented with post-billing and post-payment investigative experience preferred. Physical Requirements: Sitting: Prolonged periods of sitting are typical, often for the majority of the workday. Keyboarding: Frequent use of a keyboard for typing and data entry. Reaching: Occasionally reaching for items such as files, documents, or office supplies. Fine Motor Skills: Precise movements of the fingers and hands for tasks like typing, using a mouse, and handling paperwork Visual Acuity: Good vision for reading documents, computer screens, and other detailed work. Be part of an organization that invests in you! We are reviewing applications for this role and will contact qualified candidates for interviews. Vital Care Infusion Services is an equal-opportunity employer and values diversity at our company. We do not discriminate on the basis of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status, or any other basis protected by applicable federal, state, or local law. Vital Care Infusion Services participates in E-Verify. This position is full-time.

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:

Burger Rehabilitation Systems, Inc. has provided therapy services since 1978. We seek a Billing Specialist to join our Customer Service Center team in a work from home full-time position, Monday through Friday, 8:00 a.m. to 5:00 p.m. with a one-hour lunch. We need someone to be local in the Sacramento, California, region! This position requires a high school diploma or GED equivalent, required 1-3 years successful experience in Physical Therapy billing and collections, competency of Rain Tree or EMR equivalent and full knowledge of current billing policies. Our team is solid and led by a popular Director. You may be required to come into the Folsom Office for training for a week or two, and rare, but possible, periodic Folsom meetings. Under the general direction of the Patient Services Director, this position will be responsible for the collection of assigned clinic receivables or financial class receivables, to be determined. Essential duties and responsibilities include the following. Other duties may be assigned. 1. Aggressively work aging's and follow through to complete resolution on all accounts. Be prepared to discuss or prepare listing of accounts over 90 days with explanations for the Patient Services Director's review. Work the highest dollar amounts first. 2. Review electronic claims denials daily to ensure timely collections. Review all paper claims prior to billing. 3. Run insurance bills including electronic claims as directed. 4. Bill secondaries and send appropriate paperwork as required for timely collections. 5. Research, reprocess and appeal claim denials and information requests. 6. Send/release statements timely as directed. 7. Prepare any needed account adjustments and non-contractual write offs for supervisor's approval. 8. Research and prepare patient refund requests on credit balances monthly and give to the Patient Services Director for review and payment. 9. Submit accounts for collections/letter service consideration to supervisor for approval. 10. Submit accounts for bad debt adjustment to supervisor for review. 11. Submit credit balances to supervisor for appropriate action by 12/31 of each year. 12. Monitor lien accounts and follow up needed in order to ensure lien limits are followed or resolved and accounts are resolved timely. Apply appropriate set-up and interest fees. 13. Assist patients in a professional and timely manner and refer any unresolved problem accounts to supervisor as needed. 14. Ensure accurate entry of all charges and patient data entry for Assisted Living billing, (if assigned). 15. Ensure complete and accurate entry of patient data in RT and TS per the deadlines set by the Patient Services Director including but not limited to the insurance, onset date for Medicare patients after charges are extracted and other pertinent information required for accurate billing and copayment collection. 16. Complete related work as assigned, including but not limited to charge entry as required. Compensation starts at $20.00 per hour. Burger Rehabilitation Systems, Inc. has provided therapy services since 1978. We seek a Billing Specialist to join our Customer Service Center team in a work from home full-time position, Monday through Friday, 8:00 a.m. to 5:00 p.m. with a one-hour lunch. We need someone to be local in the Sacramento, California, region! This position requires a high school diploma or GED equivalent, required 1-3 years successful experience in Physical Therapy billing and collections, competency of Rain Tree or EMR equivalent and full knowledge of current billing policies. Our team is solid and led by a popular Director. You may be required to come into the Folsom Office for training for a week or two, and rare, but possible, periodic Folsom meetings. Under the general direction of the Patient Services Director, this position will be responsible for the collection of assigned clinic receivables or financial class receivables, to be determined. Essential duties and responsibilities include the following. Other duties may be assigned. 1. Aggressively work aging's and follow through to complete resolution on all accounts. Be prepared to discuss or prepare listing of accounts over 90 days with explanations for the Patient Services Director's review. Work the highest dollar amounts first. 2. Review electronic claims denials daily to ensure timely collections. Review all paper claims prior to billing. 3. Run insurance bills including electronic claims as directed. 4. Bill secondaries and send appropriate paperwork as required for timely collections. 5. Research, reprocess and appeal claim denials and information requests. 6. Send/release statements timely as directed. 7. Prepare any needed account adjustments and non-contractual write offs for supervisor's approval. 8. Research and prepare patient refund requests on credit balances monthly and give to the Patient Services Director for review and payment. 9. Submit accounts for collections/letter service consideration to supervisor for approval. 10. Submit accounts for bad debt adjustment to supervisor for review. 11. Submit credit balances to supervisor for appropriate action by 12/31 of each year. 12. Monitor lien accounts and follow up needed in order to ensure lien limits are followed or resolved and accounts are resolved timely. Apply appropriate set-up and interest fees. 13. Assist patients in a professional and timely manner and refer any unresolved problem accounts to supervisor as needed. 14. Ensure accurate entry of all charges and patient data entry for Assisted Living billing, (if assigned). 15. Ensure complete and accurate entry of patient data in RT and TS per the deadlines set by the Patient Services Director including but not limited to the insurance, onset date for Medicare patients after charges are extracted and other pertinent information required for accurate billing and copayment collection. 16. Complete related work as assigned, including but not limited to charge entry as required. Compensation starts at $20.00 per hour. QUALIFICATION REQUIREMENTS: Ability to alphabetize and file efficiently, working knowledge of Microsoft EXCEL and WORD experience preferred. Ability to organize and type professional letters to customers as needed, ability to multi-task, must be able to perform 10-12 thousand key strokes per hour. EDUCATION and/or EXPERIENCE: High school diploma or GED equivalent. One - three years' experience plus successful experience in medical billing and collections required. Benefits include competitive compensation, direct deposit, employee assistance programs and may include: Retirement Benefits - 401(k) Plan Paid Time Off (PTO) Continuing Education Medical, Dental and Vision Legal Shield Life Insurance Long Term Disability Plans Voluntary Insurances ID Shield Nationwide Pet Insurance APPLY NOW: Click on the above link “Apply To This Job” Interested in hearing about other Job Opportunities? Contact a member of the Burger Recruiting Team today! P.************** F. ************ ******************** Our Mission Statement: We proudly acknowledge we are in business to provide rehabilitation services that make a POSITIVE difference in the lives of our patients, their families, our staff and the community at large. Skills & Requirements QUALIFICATION REQUIREMENTS: Ability to alphabetize and file efficiently, working knowledge of Microsoft EXCEL and WORD experience preferred. Ability to organize and type professional letters to customers as needed, ability to multi-task, must be able to perform 10-12 thousand key strokes per hour. EDUCATION and/or EXPERIENCE: High school diploma or GED equivalent. One - three years' experience plus successful experience in medical billing and collections required. Benefits include competitive compensation, direct deposit, employee assistance programs and may include: Retirement Benefits - 401(k) Plan Paid Time Off (PTO) Continuing Education Medical, Dental and Vision Legal Shield Life Insurance Long Term Disability Plans Voluntary Insurances ID Shield Nationwide Pet Insurance APPLY NOW: Click on the above link “Apply To This Job” Interested in hearing about other Job Opportunities? Contact a member of the Burger Recruiting Team today! P.************** F. ************ ******************** Our Mission Statement: We proudly acknowledge we are in business to provide rehabilitation services that make a POSITIVE difference in the lives of our patients, their families, our staff and the community at large.

The Payroll & Billing Clerk will play a crucial role in ensuring the accuracy and efficiency of payroll and billing processes. This individual will be responsible for processing payroll with precision, adhering to regulatory requirements, and managing billing activities effectively. The ideal candidate should have extensive experience in payroll management, particularly with ADP Workforce Now, and possess a deep understanding of payroll regulations and billing procedures. Job Responsibilities: Payroll Processing Responsibilities: Process biweekly payrolls accurately and in a timely manner using ADP Workforce Now. Review and validate timecards, overtime, and deductions. Ensure proper calculation and payment of employee wages, bonuses, commissions, etc. Identify and recommend process improvements to enhance payroll efficiency and accuracy. Issuance of off-cycle manual payments based on payroll procedures and State requirements. Follows Corporate internal controls and utilizes the pre and post audits cycle checklists to maintain compliance. Collaboration: Work closely with HR, plants and Finance departments to ensure seamless payroll operations. Issuance of off-cycle manual payments based on payroll procedures and State requirements. Billing Responsibilities Invoice Management: Generate and issue accurate invoices for services/products rendered. Ensure invoices are dispatched on time and in accordance with company policies. Record Keeping: Maintain accurate records of all billing transactions. Prepare and analyze billing reports and statements as required. Customer Service: Provide exceptional support to internal customers regarding billing inquiries and issues. Ensure customer internal satisfaction through prompt and professional communication. Compliance and Reporting: Ensure billing processes comply with company policies and relevant regulations. Assist with the preparation of financial reports and audits as needed. Applicant Location: USA ONLY

Job DescriptionDescription: Billing and Insurance Specialist will provide essential support to our out-sourced billing provider, ensuring claims for medical and dental patient services are filed accurately and timely, resolving claims and coding-related issues, and ensuring patient accounts are accurate. The Specialist will work collaboratively with other members of the organization to maximize accuracy, efficiency and promptness of the claim life-cycle. Minimum of 1 year remote work experience, with a strong work ethic. Accounts Receivable and claims follow up experience required. Must live within driving distance to our Asheville, NC office. Background check and Drug screen required. AMH offers the following benefits: 401(k) 401(k) matching Dental insurance Employee assistance program Flexible spending account Health insurance Life insurance Paid time off Vision insurance EOE. No recruiters or phone calls please. Requirements: EDUCATION/EXPERIENCE Billing or Coding certification preferred Experience with Medical and Dental preferred Two years of experience in billing operations of a health facility Ability to observe and document work-flows Clinical knowledge sufficient to converse with Physicians, Nurse Practitioners, and Physician Assistants Excellent communication and interpersonal skills with the ability to follow-up and develop positive relationships Strong healthcare software experience Ability to read and comprehend general instructions, correspondence, and memos Schedule: 8-hour shift Day shift Monday to Friday Ability to commute/relocate: Asheville, NC 28801: Reliably commute or planning to relocate before starting work (Required) Education: Associate (Preferred) Billing & Coding Certification (Preferred) Pay: From $19.00 per hour Benefits: Dental insurance Employee assistance program Employee discount Health insurance Life insurance Paid time off Vision insurance Schedule: 8 hour shift Monday to Friday Work Location: In person

We are seeking a detail-oriented, highly accurate Medical Billing Specialist to join our remote team. The ideal candidate is self-motivated, goal-driven, and committed to excellence in medical billing and revenue cycle management. You will play a vital role in ensuring our clients receive every possible revenue dollar while upholding the highest standards of integrity and compliance. This position requires strong problem-solving skills, excellent communication, and the ability to thrive in a fast-paced environment. What You'll Do Verify patient eligibility and benefits. Post charges, payments, and ERA adjustments. Prepare, review, and submit electronic/paper claims. Follow up on unpaid or denied claims and file appeals. Review patient bills for accuracy; set up payment plans when needed. Communicate with patients, clients, and insurance carriers professionally. Maintain cash spreadsheets and prepare monthly reports. What We're Looking For 2-3 years' medical billing and AR follow-up experience. CPB, CPC, or similar credential a plus. Strong knowledge of billing software (eClinical, Athena, Open PM, MicroMD, or similar). Skilled in Word, Excel, and using carrier websites for eligibility and claims. Excellent written and verbal communication. Must pass a baseline billing test during the interview process. Why Join Us 100% remote contractor role. Flexible schedule. Work with diverse clients and systems. Opportunity to directly impact client financial success.

Pacesetter Health is a leading growth partner for podiatry clinics throughout the country. The Company is actively partnering with growth-oriented independent podiatrists and podiatry groups across the United States. The company is backed by private equity investors. We would love for you to join our Revenue Cycle Management team in Nashville, TN! We offer a competitive base pay, eligibility for quarterly bonuses and an excellent benefits program. This position is eligible to work remotely. We are seeking Medical Billing Specialist to assist with filing medical claims, processing payments, resolving denials, and AR management. As a member of the RCM team, you will: Scrub claims to ensure that all diagnosis codes (ICD-10-CM) and procedure codes (CPT/HCPCS) meet coding standards and comply with coding guidelines and regulations Submit scrubbed claims to appropriate payers Post payments, AR management, review and resolve denials and inquiries Stay updated with the latest coding guidelines, regulations and industry changes Maintain confidentiality and adhere to HIPAA regulations Balance cash receipts report to all batch receipts daily Document all follow up efforts in a clear and concise manner into the AR system Initiate refunds if necessary Support RCM initiatives and relevant RCM efforts What you bring: 2 years of medical coding and billing experience required Knowledge of anatomy, physiology, and medical terminology EHR system experience Strong analytical and problem-solving skills Excellent attention to detail and highly organized Ability to work independently and in a team environment Effective communication skills, both written and verbal Ability to maintain benchmarks such as production and low error rate Benefits: Eligible to Work Remote Quarterly Bonus Program Health Insurance Dental & Vision Insurance Flexible Spending and HSA plans Life & Disability Insurance 401k with employer match Paid Time Off

Full Time - Wage 16.75/ hourly OUR MISSION AND PERFORMANCE EXPECTATIONS The MENTOR Network is a mission driven organization dedicated first and foremost to the children and adults we serve and support. The Network expects all employees to be mindful of this mission, and to perform their job to its fullest, and as stated in their job description. SUMMARY The Funds Specialist is a full time position and is considered nonexempt and paid hourly. The Funds Specialist is responsible for overseeing the maintenance and protection of individual funds for an assigned state or region. The Funds Specialist monitors implementation of individual fund policies and procedures, audits individuals' accounts, reviews reconciliations and reports mismanagement or abuse of individual funds. The Funds Specialist may perform Representative Payee duties and payee account transactions for the individuals served. The Funds Specialist works at the state or regional office. ESSENTIAL JOB FUNCTIONS To perform this job successfully, an individual must be able to satisfactorily perform each essential function listed below: Money Management Services and Bank Accounts Coordinates and manages funds in alignment with money management plans and financial transaction consents. Performs Representative Payee Designee duties, as assigned. Administers pre-paid bank card programs, as applicable. Tracks and records deposited funds for beneficiaries and deposits payments when necessary. Assists with opening irrevocable burial trusts, special needs trusts, etc. and coordinates handling of individual funds in the event of death. Completes routine and end of year tax filing for applicable persons served. Financial Transactions, Registers, and Supporting Documentation Reviews and processes routine personal spending and special requests for funds, promptly recording on corresponding transaction registers or ledgers. Maintains records of expenditures, including original receipts and signatures. Makes payments on behalf of persons served, including room and board, rent, utilities, medical co-payments and others. Follows policy and procedure when issuing checks from individual fund accounts. Account Reconciliation, Audits, and Recordkeeping Reconciles transaction registers to funds source (ledgers/etc.) at least monthly or more frequently, as applicable. Reviews transaction registers to verify accuracy of transactions register balances by reviewing starting and ending balances, deposits, expenditures, cash count, and bank card or account balance verification. Brings questions or inconsistencies to the primary money manager (or other party if this person is suspected) for resolution. When an external party is Representative Payee, maintains records and shares them with the external Representative Payee, as indicated. Reporting Conducts routine reviews of account balances and, as indicated, completes high balance alert notifications and takes steps to avoid exceeding asset limits to maintain eligibility. Assists with reporting combined asset and account information to benefit entities (e.g., Social Security Administration). Assists with collecting and organizing documents for external audits of Representative Payee Accounts. Promptly reports suspected misuse of funds or property, as required by applicable policy and procedures. Other Performs other related duties and activities as required. SUPERVISORY RESPONSIBILITIES None Minimum Knowledge and Skills required by the Job The requirements listed below are representative of the knowledge, skill, and/or abilities required to perform the job: Education and Experience: High school diploma/GED required Associates degree in related field preferred with account management experience preferred. Proficiency in accounting, intermediate to advanced computer skills and applications preferred. Certificates, Licenses, and Registrations: Current driver's license, car registration and auto insurance if driving on the behalf of the Company. Physical Requirements: Light work. Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. If the use of arm and/or leg controls requires exertion of forces greater than that for sedentary work and the worker sits most of the time, the job is rated for light work. AMERICANS WITH DISABILITIES ACT STATEMENT External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job functions either unaided or with assistance of a reasonable accommodations to be determined on a case by case basis via the interactive process.

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.

Recognized as a “Best Place to Work Modern Healthcare” - Join a team where people come first. At Vital Care, we are committed to creating an inclusive, growth-focused environment where every voice matters. Vital Care is the premier pharmacy franchise business with franchises serving a wide range of patients, including those with chronic and acute conditions. Since 1986, our passion has been improving the lives of patients and healthcare professionals through locally-owned franchise locations across the United States. We have over 100 franchised Infusion pharmacies and clinics in 35 states, focusing on the underserved and secondary markets. We know infusion services, and we guide owners along the path of launch, growth, and successful business operations. What we offer: Comprehensive medical, dental, and vision plans, plus flexible spending, and health savings accounts. Paid time off, personal days, and company-paid holidays. Paid Paternal Leave. Volunteerism Days off. Income protection programs include company-sponsored basic life insurance and long-term disability insurance, as well as employee-paid voluntary life, accident, critical illness, and short-term disability insurance. 401(k) matching and tuition reimbursement. Employee assistance programs include mental health, financial and legal. Rewards programs offered by our medical carrier. Professional development and growth opportunities. Employee Referral Program. Job Summary: Perform duties to collect Home Infusion claims, focusing on accuracy, timeliness, and adherence to processes to reduce denial rate, DSO, and bad debt. Recognize additional revenue opportunities and improve collection rates; perform revenue cycle collection duties within standard or accepted practice limits. Position is 100% remote Duties/Responsibilities: Review claims with outstanding balances and identifies actions to successfully collect revenues. Follow up with insurers and patients to collect outstanding balances in an environment focused on building enduring customer and business relationships. Utilize Payer Portals via the internet for claim disposition. Review documents received including Explanations of Benefits (EOBs), Remittance Advices (RAs), and other documents indicating denials or claims acceptance. Identify reasons for denials, take required corrective action, and take ownership of claims through to timely, successful collection. Analyze denials, identify trends, and recommend process improvement opportunities that will result in DSO reduction, superior collection rate, intervals reduced bad debt and simplified processes that are responsive to the requirements of specific payers. Identify payor requirements for submittal of appeals for denied claims. Verify insurance information with patients, order medical records, review original claim coding, compile other validating documentation required, and submit appeals in keeping with payor requirements and VCI processes. Communicate effectively with franchise partners and other VCI departments regarding the status of collections. Resolve payer issues/concerns timely. Document case activity, communications, and correspondence in the computer system to ensure completeness and accuracy of account activity and actions are taken to resolve outstanding claims issues. Schedule follow-ups in required intervals. Investigate and verify benefits for pharmacy and medical third-party claims. Communicate billing problems found during collection process as to avoid the same issues in the future. Communicate financial obligation information with patients so that they have a clear understanding of all costs of therapy prior to starting service. Contribute medical billing expertise to the design of training and knowledge transfer programs, materials, policies, and procedures to improve the efficiency and effectiveness of the RCM team. Assist with the processing of online adjudication of collection issues and nurse billing as assigned. Perform other related duties as assigned. Required Skills/Abilities: Excellent communications skills; listening, speaking, understanding, and writing English while influencing patients, caregivers, payer representatives, and others, answering questions, and advancing reimbursement and collection efforts. Proven understanding of processes, systems, and techniques to ensure successful billing and collection working with all payer types. Proven ability to identify gaps and problems from the review of documentation, determine lasting solutions, make effective decisions, and take necessary corrective action. Strong organization skills with the ability to track and maintain clear, complete records of activities, cases, and related documentation. Proven knowledge and skill in the utilization of MS Office suite of software and pharmacy applications. Ability to complete job duties in a designated workspace outside the dedicated RCM location Disciplined work ethic with ability to work remotely with minimum direct supervision, to effectively meet production and collection targets. Education and Experience: 2-5 years home infusion billing and/or collections experience required. High School Diploma and additional specialized training in intake, pharmacy/medical billing, and/or collections. Previous remote work environment is a plus but not required. Detailed oriented with post-billing and post-payment investigative experience preferred. Physical Requirements: Sitting: Prolonged periods of sitting are typical, often for the majority of the workday. Keyboarding: Frequent use of a keyboard for typing and data entry. Reaching: Occasionally reaching for items such as files, documents, or office supplies. Fine Motor Skills: Precise movements of the fingers and hands for tasks like typing, using a mouse, and handling paperwork Visual Acuity: Good vision for reading documents, computer screens, and other detailed work. Be part of an organization that invests in you! We are reviewing applications for this role and will contact qualified candidates for interviews. Vital Care Infusion Services is an equal-opportunity employer and values diversity at our company. We do not discriminate on the basis of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status, or any other basis protected by applicable federal, state, or local law. Vital Care Infusion Services participates in E-Verify. This position is full-time. #LI-remote

Creates and maintains fee schedule files. Develop, test, and implement eCW applications. Monitor payor reimbursement and compliance. Assist medical offices and Business Services with fee schedules and unit fee pricing. Accountable for the TCI charge master. Support Administration and Credentialing with contracts. Perform fee analysis. Principal Duties & Responsibilities: Example of Essential Duties: Responsible for the update and control of the fee schedule files. Work with the Business Office staff to coordinate Payor issues between the Business Office, Insurance Carrier, and Medical Offices. Maintain the TCI charge master by updating payor rates and monitoring necessary unit fee increases/decreases. Generate payor analysis as requested by Administration/Contracting Committee. Assist offices with any fee schedule issues they may have. Work with IT and eCW testing new applications. Pull contracting information as requested. Communicate with Payors on issues regarding reimbursement Other Essential Duties May Include (but are not limited to): Other duties as assigned. Knowledge, Skills & Abilities: Required: - Extensive knowledge of Excel pertaining to Formulas and Pivot Tables - Working knowledge of a physician based medical office practice. - Knowledge of physician coding and federal/state regulations of patient care. - Consistently arrives at work, in professional attire, on time and completes all tasks within established time frame. - Seeks appropriate tasks when primary tasks are completed and assists co-workers as needed. - Demonstrates adaptability to expanded roles. Education: - HS diploma or GED, Medical billing - Bachelors Degree

Creates and maintains fee schedule files. Develop, test, and implement eCW applications. Monitor payor reimbursement and compliance. Assist medical offices and Business Services with fee schedules and unit fee pricing. Accountable for the TCI charge master. Support Administration and Credentialing with contracts. Perform fee analysis. Principal Duties & Responsibilities: Example of Essential Duties: * Responsible for the update and control of the fee schedule files. * Work with the Business Office staff to coordinate Payor issues between the Business Office, Insurance Carrier, and Medical Offices. * Maintain the TCI charge master by updating payor rates and monitoring necessary unit fee increases/decreases. * Generate payor analysis as requested by Administration/Contracting Committee. * Assist offices with any fee schedule issues they may have. * Work with IT and eCW testing new applications. * Pull contracting information as requested. * Communicate with Payors on issues regarding reimbursement Other Essential Duties May Include (but are not limited to): * Other duties as assigned. Knowledge, Skills & Abilities: Required: * Extensive knowledge of Excel pertaining to Formulas and Pivot Tables * Working knowledge of a physician based medical office practice. * Knowledge of physician coding and federal/state regulations of patient care. * Consistently arrives at work, in professional attire, on time and completes all tasks within established time frame. * Seeks appropriate tasks when primary tasks are completed and assists co-workers as needed. * Demonstrates adaptability to expanded roles. Education: * HS diploma or GED, Medical billing * Bachelors Degree

The Highland District Hospital Billing Coordinator for Professional Services Corporation (PSC) reports directly to the Physician Office Director and is responsible for billing management of the physician offices that are a part of PSC. The Billing Coordinator is responsible for billing operations to ensure office operational excellence, billing operational excellence and customer service excellence. The Billing Coordinator works collaboratively with the outsourced billing vendor as well as the Physician Office Director, Vice President, Finance, and other HDH personnel. Qualifications Coordinates and supervises daily corporate billing operations, including HDH/PSC employee billing work activities and effectiveness of daily billing operations. Actively promotes teamwork for overall PSC billing efficiency. Monitors and coordinates with outsourced billing vendor the effectiveness of overall billing operations, including: individual office daily balancing and claim verification, coordination of credentialing and recredentialing, accounts receivable aging, days in Accounts Receivable (A/R), credit balance reports, collection agency reports, refund activity, productivity reports, and other reports necessary to effectively manage A/R for PSC Corporation. Monitors and maintains daily audits to assure timely billing of daily services from all PSC offices, as well as effectiveness of outsourced billing vendor. Proactively reviews insurance carrier bulletins for new information to disseminate and train HDH/PSC staff, so HDH/PSC knowledge is always current. Demonstrates responsibility and accountability for continuous improvement, and practices quality service as evidenced through quality results and patient satisfaction surveys. Demonstrates responsibility and accountability for enhancing positive relations with patients, families, co-workers, providers, administration, and outsourced billing vendor. Maintains high ethical standards. Provides direction to HDH/PSC front desk employees and outsourced billing vendor. Possesses comprehensive and current knowledge of administrative office practice, and the application to quality patient care. Possesses good verbal and written communication skills. Shares knowledge with others. Displays a willingness to listen and be flexible. Respects the confidential nature of information concerning corporate and Hospital matters. Keeps Vice President, Finance informed of PSC billing activity. Meets monthly with accounting and outsourced billing company to review and resolve any discrepancies identified during monthly bank reconciliations. Proactively engages HDH/PSC staff, outsourced billing vendor, insurance carriers, patients, etc. to resolve billing issues in a timely manner. Demonstrates effective leadership techniques as evidenced by high productivity and morale of employees and providers through consistently meeting objectives. Mentors and serves as a role model for staff through complying with HDH/PSC policies and procedures, as well as Behavior Based Standards. Acts as liaison between physicians, staff, administration, patients, families, and outsourced billing vendor. Treats all customers with respect and responds in a timely and courteous manner to customer (providers, fellow employees, patients, families, visitors, and outsourced billing vendor staff) complaints. Demonstrates positive problem-solving approach in resolving concerns or issues with staff, other departments, outsourced billing vendor or providers as indicated by positive responses of contacts. Demonstrates organizational skill in providing administrative services and consistently implements appropriate action to guide staff in meeting office needs. Manages assigned projects and prepares reports, accordingly. Honors patient rights to privacy and confidentiality and provides direction to staff in this regard. Demonstrates active knowledge of HIPAA. Works collaboratively with Director to create, maintain and annually update HDH/PSC policies and procedures. Administers billing policies in a consistent and timely manner. Actively participates in office audits through assuring compliance of policies, procedures, and protocols by each PSC office. Uses appropriate resources to develop knowledge base of front desk staff through educational presentations, seminars and developing orientation procedures in correlation with other coordinators. Plans and conducts meetings and discussions with front desk staff as appropriate. Keeps current in field by reviewing relevant literature, attending workshops and seminars and networking with colleagues as demonstrated by implementing advances in patient care. Other duties as assigned.

Recognized as a “Best Place to Work Modern Healthcare” - Join a team where people come first. At Vital Care, we are committed to creating an inclusive, growth-focused environment where every voice matters. Vital Care is the premier pharmacy franchise business with franchises serving a wide range of patients, including those with chronic and acute conditions. Since 1986, our passion has been improving the lives of patients and healthcare professionals through locally-owned franchise locations across the United States. We have over 100 franchised Infusion pharmacies and clinics in 35 states, focusing on the underserved and secondary markets. We know infusion services, and we guide owners along the path of launch, growth, and successful business operations. What we offer: Comprehensive medical, dental, and vision plans, plus flexible spending, and health savings accounts. Paid time off, personal days, and company-paid holidays. Paid Paternal Leave. Volunteerism Days off. Income protection programs include company-sponsored basic life insurance and long-term disability insurance, as well as employee-paid voluntary life, accident, critical illness, and short-term disability insurance. 401(k) matching and tuition reimbursement. Employee assistance programs include mental health, financial and legal. Rewards programs offered by our medical carrier. Professional development and growth opportunities. Employee Referral Program. Job Summary: Perform duties to collect Home Infusion claims, focusing on accuracy, timeliness, and adherence to processes to reduce denial rate, DSO, and bad debt. Recognize additional revenue opportunities and improve collection rates; perform revenue cycle collection duties within standard or accepted practice limits. Position is 100% remote Duties/Responsibilities: Review claims with outstanding balances and identifies actions to successfully collect revenues. Follow up with insurers and patients to collect outstanding balances in an environment focused on building enduring customer and business relationships. Utilize Payer Portals via the internet for claim disposition. Review documents received including Explanations of Benefits (EOBs), Remittance Advices (RAs), and other documents indicating denials or claims acceptance. Identify reasons for denials, take required corrective action, and take ownership of claims through to timely, successful collection. Analyze denials, identify trends, and recommend process improvement opportunities that will result in DSO reduction, superior collection rate, intervals reduced bad debt and simplified processes that are responsive to the requirements of specific payers. Identify payor requirements for submittal of appeals for denied claims. Verify insurance information with patients, order medical records, review original claim coding, compile other validating documentation required, and submit appeals in keeping with payor requirements and VCI processes. Communicate effectively with franchise partners and other VCI departments regarding the status of collections. Resolve payer issues/concerns timely. Document case activity, communications, and correspondence in the computer system to ensure completeness and accuracy of account activity and actions are taken to resolve outstanding claims issues. Schedule follow-ups in required intervals. Investigate and verify benefits for pharmacy and medical third-party claims. Communicate billing problems found during collection process as to avoid the same issues in the future. Communicate financial obligation information with patients so that they have a clear understanding of all costs of therapy prior to starting service. Contribute medical billing expertise to the design of training and knowledge transfer programs, materials, policies, and procedures to improve the efficiency and effectiveness of the RCM team. Assist with the processing of online adjudication of collection issues and nurse billing as assigned. Perform other related duties as assigned. Required Skills/Abilities: Excellent communications skills; listening, speaking, understanding, and writing English while influencing patients, caregivers, payer representatives, and others, answering questions, and advancing reimbursement and collection efforts. Proven understanding of processes, systems, and techniques to ensure successful billing and collection working with all payer types. Proven ability to identify gaps and problems from the review of documentation, determine lasting solutions, make effective decisions, and take necessary corrective action. Strong organization skills with the ability to track and maintain clear, complete records of activities, cases, and related documentation. Proven knowledge and skill in the utilization of MS Office suite of software and pharmacy applications. Ability to complete job duties in a designated workspace outside the dedicated RCM location Disciplined work ethic with ability to work remotely with minimum direct supervision, to effectively meet production and collection targets. Education and Experience: 2-5 years home infusion billing and/or collections experience required. High School Diploma and additional specialized training in intake, pharmacy/medical billing, and/or collections. Previous remote work environment is a plus but not required. Detailed oriented with post-billing and post-payment investigative experience preferred. Physical Requirements: Sitting: Prolonged periods of sitting are typical, often for the majority of the workday. Keyboarding: Frequent use of a keyboard for typing and data entry. Reaching: Occasionally reaching for items such as files, documents, or office supplies. Fine Motor Skills: Precise movements of the fingers and hands for tasks like typing, using a mouse, and handling paperwork Visual Acuity: Good vision for reading documents, computer screens, and other detailed work. Be part of an organization that invests in you! We are reviewing applications for this role and will contact qualified candidates for interviews. Vital Care Infusion Services is an equal-opportunity employer and values diversity at our company. We do not discriminate on the basis of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status, or any other basis protected by applicable federal, state, or local law. Vital Care Infusion Services participates in E-Verify. This position is full-time. #LI-remote