is 100% onsite at the Needham location. The Patient Experience Representative II works under close supervision to provide support to the administrative operations of a clinical service and works to ensure the best possible patient experience by effectively coordinating services to patients and families. Demonstrates interest in and ability to departmental and organizational initiatives & projects with a focus on continuous process improvement. Performs various administrative functions requiring basic knowledge of programs and services.
Key Responsibilities:
Provides positive and effective customer service to patients, families, and visitors, responding to routine inquiries and involving supervisors for complex issues
Greets, screens, directs, and registers patients; enrolls patients and caregivers in the patient portal
Collaborates with referring providers and practices to manage complex patient issues; may rotate in call centers
Schedules patient encounters and procedures under supervision; monitors daily schedules and coordinates flow to optimize patient experience
Prepares for and attends shift handoffs and team huddles
Prepares examination rooms, assists patients, and ensures routine forms are ready for appointments
Collects and processes patient demographics, insurance/payment, referral info, and clinical documentation; obtains authorizations and verifications
Collects co-payments, reconciles deposits, and provides accurate records in hospital systems
Transcribes treatment and billing data; communicates with other departments for clinical and administrative services
Answers, screens, and routes calls; triages urgent calls and initiates emergency services when required
Maintains calendars, schedules meetings/events, and supports logistics for departmental programs and presentations
Provides general clerical support, including organizing documents, processing mail, photocopying, and handling records
Processes prescription refills, letters, and external requests
Uses office and hospital systems (e.g., Microsoft Office, scheduling, billing applications) efficiently
Participates in process improvement initiatives and supports internal changes to systems and procedures
Minimum Qualifications
Education:
High School Diploma/ GED
Experience:
No healthcare experience required - Basic customer service and computer skills.
Makes use of customer service knowledge to assist patients and families in resolving problems.
Conveys a positive demeanor when interacting with patients, families, and coworkers.
Ability to communicate in a clear, effective manner both orally and in writing and demonstrate empathy in difficult personal situations.
Ability to work with diverse internal and external constituencies.
Demonstrates the ability to pay attention to detail and accuracy.
PER positions are currently eligible for a Sign-on Bonus of $2,000 for full time positions (not eligible for internal candidates and not eligible for former BCH employees who worked here in the past 12 months)
The posted pay range is Boston Children's reasonable and good-faith expectation for this pay at the time of posting.
Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.
$41k-49k yearly est. 4d ago
Looking for a job?
Let Zippia find it for you.
ECMO Specialist ($20,000 Sign On Bonus)
Boston Children's Hospital 4.8
Boston, MA jobs
The ECMO Specialist is enrolled and actively participating in the department's ECMO Training Program. This role is responsible for developing and maintaining the skills necessary to proficiently and safely establish, manage, and control extracorporeal membrane oxygenation (ECMO) technology and assist with associated procedures in acutely ill patients of all ages in critical care settings. The specialist will learn to troubleshoot devices and associated equipment under the supervision of experienced ECMO personnel, provide ongoing care through surveillance of clinical and physiologic parameters, adjust ECLS devices as needed, administer and document blood products and medications in accordance with hospital standards, provide airway and ventilator management, and perform the full scope of practice of a Respiratory Therapist II.
Schedule: 36 hours per week, rotating day/night shifts, every third weekend.
**This position is eligible for full time benefits $20,000 sign-on bonus (not eligible for internal candidates and not eligible for former BCH employees who worked here in the past 2 years)
Key Responsibilities:
Assemble, prepare, and maintain extracorporeal circuits and associated equipment with assistance.
Assist in priming extracorporeal circuits and preparing systems for clinical application.
Assist with cannulation procedures.
Assist in establishing extracorporeal support; monitor patient response, provide routine assessments, circuit evaluations, patient monitoring, and anticoagulation management.
Assist with ECMO circuit interventions, weaning procedures, and transports.
Administer blood products per hospital standards.
Interact and communicate with caregivers, nursing, surgical and medical teams, patients, and family members.
Maintain relevant clinical documentation in the patient's electronic health record.
Participate in professional development, simulation, and continuing education.
Attend ECMO Team meetings and M&M conferences on a regular basis.
Minimum Qualifications
Education:
Required: Associate's Degree in Respiratory Therapy
Preferred: Bachelor's Degree
Experience:
Required: A minimum of one year of experience as a BCH Respiratory Therapist with eligibility for promotion to RT II, or one year of external ECMO experience
Preferred: None specified
Licensure / Certifications:
Required: Current Massachusetts license as a Respiratory Therapist
Required: Current credential by the National Board of Respiratory Care as a Registered Respiratory Therapist (RRT); Neonatal Pediatric Specialist (NPS) credential must be obtained within 6 months of entry into the role
Preferred: None specified
The posted pay range is Boston Children's reasonable and good-faith expectation for this pay at the time of posting.
Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.
$67k-93k yearly est. 3d ago
Sr Patient Experience Representative-Ambulatory
Boston Childrens Hospital 4.8
Boston, MA jobs
Job Posting Description Key Responsibilities for the Sr. Patient Experience Representative:
Demonstrates effective and empathetic customer service that supports departmental and hospital operations. Responds to patient needs and escalated concerns, ensuring a high-quality experience and timely resolution.
Greets, screens, and directs patients, families, and visitors; monitors clinic flow to optimize the patient experience.
Registers new patients and verifies demographic, insurance, and referral information.
Obtains authorizations and referrals, enters billing and treatment codes, reconciles payments, and prepares deposits.
Schedules patient appointments and procedures across providers and departments.
May rotate into call center roles; communicate with referring providers and practices to facilitate patient management.
Trains, orients, and cross-trains staff on departmental systems, policies, and procedures.
Enrolls patients and caregivers in the patient portal and ensure staff is informed of customer service and IT system updates.
Participates in and contributes to departmental initiatives, recommending and implementing process improvements.
Minimum Qualifications
Education:
High School Diploma or GED required
Experience:
Minimum 1 year of administrative, front desk or related healthcare experience required.
PER positions are currently eligible for a Sign-on Bonus of $2,000 for full time positions (not eligible for internal candidates and not eligible for former BCH employees who worked here in the past 12 months)
Boston Children's Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, childcare and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.
$41k-49k yearly est. 6d ago
Sr Patient Experience Representative- Neurosurgery
Boston Childrens Hospital 4.8
Boston, MA jobs
Job Posting Description The Senior PER monitors clinic activity to ensure an optimal patient experience and resolves customer service and scheduling issues. They provide effective service support, obtain and record required authorizations, and manage daily schedules to optimize workflow. Responsibilities include answering and triaging calls, routing messages, providing routine information, and initiating emergency services when needed. The role also contributes to staff training on department processes and technology, demonstrates strong problem-solving and teamwork skills, and supports continuous process improvement initiatives.
Key responsibilities
Customer Service
Provides positive, effective customer service to patients, families, visitors, and referring providers.
Greets, screens, directs, and responds to routine inquiries on hospital protocols.
Addresses escalated or complex issues and collaborates to resolve patient concerns.
May rotate through call center functions.
Patient Registration / Admissions / Discharge
Collects basic vitals (H/W/T) and completes EMR questionnaires as needed.
Monitors clinic flow and supports optimal patient experience.
Registers new patients; verifies and processes demographics, insurance, referrals, authorizations, and required documentation.
Assists with room preparation and routine clinical support tasks.
Supports billing processes: coding entry, collecting copays, reconciling payments, and preparing deposits.
Coordinates with Financial Counseling and other departments for administrative or insurance-related needs.
Scheduling
Schedules appointments and procedures across providers and departments.
Monitors and adjusts daily schedule to optimize flow; communicates with clinicians and supervisors as needed.
Patient Flow Coordination
Participates in shift handoffs and team huddles to support coordinated care.
Administration
Manages calendars, schedules meetings/events, and supports conferences and department programs.
Prepares documents, presentations, requisitions, and standard forms.
Triages calls, routes urgent requests, and initiates emergency services when required.
Provides routine clerical support (mail, copying, distributing materials, organizing medical records).
Processes letters, external requests, and prescription refills.
Training
Participates in and supports staff training on systems, workflows, and customer-service practices.
Trains and cross-trains staff; serves as resource for operations, billing/payer requirements, and problem resolution.
Technology
Uses phone systems, email, Microsoft Office, and clinical/scheduling/billing applications.
Enrolls patients and caregivers in the patient portal.
Process Improvement
Contributes to departmental and organizational improvement initiatives.
Recommends and helps implement updates to systems and procedures.
Minimum qualifications
Education:
High School Diploma / GED
Experience:
Minimum of 1 year as a PER or related healthcare experience.
Serves as a go-to resource and handles complex questions independently.
Coaches others by translating complex information into clear, simple terms.
Completes tasks reliably; seeks expert input only when needed.
Explains the impact of process and policy changes on patient experience.
Anticipates needs and communicates clearly using non-technical language.
Builds strong working relationships across teams.
Communicates effectively and empathetically, both verbally and in writing.
Works well with diverse internal and external stakeholders.
Schedule: Monday - Friday , Hybrid- 4 days onsite
$41k-49k yearly est. 6d ago
Sr Patient Experience Representative-Ambulatory
Children's Hospital Boston 4.6
Boston, MA jobs
Key Responsibilities for the Sr. Patient Experience Representative:
Demonstrates effective and empathetic customer service that supports departmental and hospital operations. Responds to patient needs and escalated concerns, ensuring a high-quality experience and timely resolution.
Greets, screens, and directs patients, families, and visitors; monitors clinic flow to optimize the patient experience.
Registers new patients and verifies demographic, insurance, and referral information.
Obtains authorizations and referrals, enters billing and treatment codes, reconciles payments, and prepares deposits.
Schedules patient appointments and procedures across providers and departments.
May rotate into call center roles; communicate with referring providers and practices to facilitate patient management.
Trains, orients, and cross-trains staff on departmental systems, policies, and procedures.
Enrolls patients and caregivers in the patient portal and ensure staff is informed of customer service and IT system updates.
Participates in and contributes to departmental initiatives, recommending and implementing process improvements.
Minimum Qualifications
Education:
* High School Diploma or GED required
Experience:
* Minimum 1 year of administrative, front desk or related healthcare experience required.
PER positions are currently eligible for a Sign-on Bonus of $2,000 for full time positions (not eligible for internal candidates and not eligible for former BCH employees who worked here in the past 12 months)
Boston Children's Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, childcare and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.
The posted pay range is Boston Children's reasonable and good-faith expectation for this pay at the time of posting.
Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.
$43k-51k yearly est. 6d ago
Sr Patient Experience Representative- Neurosurgery
Children's Hospital Boston 4.5
Boston, MA jobs
The Senior PER monitors clinic activity to ensure an optimal patient experience and resolves customer service and scheduling issues. They provide effective service support, obtain and record required authorizations, and manage daily schedules to optimize workflow. Responsibilities include answering and triaging calls, routing messages, providing routine information, and initiating emergency services when needed. The role also contributes to staff training on department processes and technology, demonstrates strong problem-solving and teamwork skills, and supports continuous process improvement initiatives.
Key responsibilities
Customer Service
Provides positive, effective customer service to patients, families, visitors, and referring providers.
Greets, screens, directs, and responds to routine inquiries on hospital protocols.
Addresses escalated or complex issues and collaborates to resolve patient concerns.
May rotate through call center functions.
Patient Registration / Admissions / Discharge
Collects basic vitals (H/W/T) and completes EMR questionnaires as needed.
Monitors clinic flow and supports optimal patient experience.
Registers new patients; verifies and processes demographics, insurance, referrals, authorizations, and required documentation.
Assists with room preparation and routine clinical support tasks.
Supports billing processes: coding entry, collecting copays, reconciling payments, and preparing deposits.
Coordinates with Financial Counseling and other departments for administrative or insurance-related needs.
Scheduling
* Schedules appointments and procedures across providers and departments.
* Monitors and adjusts daily schedule to optimize flow; communicates with clinicians and supervisors as needed.
Patient Flow Coordination
* Participates in shift handoffs and team huddles to support coordinated care.
Administration
Manages calendars, schedules meetings/events, and supports conferences and department programs.
Prepares documents, presentations, requisitions, and standard forms.
Triages calls, routes urgent requests, and initiates emergency services when required.
Provides routine clerical support (mail, copying, distributing materials, organizing medical records).
Processes letters, external requests, and prescription refills.
Training
* Participates in and supports staff training on systems, workflows, and customer-service practices.
* Trains and cross-trains staff; serves as resource for operations, billing/payer requirements, and problem resolution.
Technology
* Uses phone systems, email, Microsoft Office, and clinical/scheduling/billing applications.
* Enrolls patients and caregivers in the patient portal.
Process Improvement
* Contributes to departmental and organizational improvement initiatives.
* Recommends and helps implement updates to systems and procedures.
Minimum qualifications
Education:
* High School Diploma / GED
Experience:
Minimum of 1 year as a PER or related healthcare experience.
Serves as a go-to resource and handles complex questions independently.
Coaches others by translating complex information into clear, simple terms.
Completes tasks reliably; seeks expert input only when needed.
Explains the impact of process and policy changes on patient experience.
Anticipates needs and communicates clearly using non-technical language.
Builds strong working relationships across teams.
Communicates effectively and empathetically, both verbally and in writing.
Works well with diverse internal and external stakeholders.
Schedule: Monday - Friday , Hybrid- 4 days onsite
The posted pay range is Boston Children's reasonable and good-faith expectation for this pay at the time of posting.
Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.
$41k-46k yearly est. 6d ago
Street Team Specialist
Health Federation of Philadelphia 4.1
Philadelphia, PA jobs
Equal Opportunity Employer The mission of the Health Federation of Philadelphia is to promote community health by advancing access to high-quality, integrated, comprehensive health and human services. We believe in and are firmly committed to equal employment opportunity for employees and applicants. We do not discriminate on the basis of race, color, national or ethnic origin, ancestry, age, religion, disability, sex or gender, gender identity and/or expression, sexual orientation, military or veteran status. This commitment applies to all aspects of the Health Federation of Philadelphia's employment practices, including recruiting, hiring, training, and promotion
JOB SUMMARY
The Street Team will be tasked with increasing harm reduction resources and training in neighborhoods that have been most affected by overdose crisis, particularly North and Southwest Philadelphia. The people filling these positions will work in the field five days per week in zip codes 19121, 19132, 19141, 19144, 19140, 19139 and 19133 (subject to changed based on data) to distribute harm reduction resources and educational materials about the overdose crisis in the city. Street Team staff will interact directly with people in active addiction, people who use substances recreationally, people who are unhoused, as well as people who may have a stigmatizing view of substance use. The Street Team Specialist is a core member of the Community Engagement Program within the Division of Substance Use Prevention and Harm Reduction at the Philadelphia Department of Public Health and will be expected to work collaboratively within and across programs. People from the zip codes of focus, as well as people with lived experience and/or returning citizens are highly encouraged to apply.
JOB SPECIFICATIONS
Responsibilities/Duties
Under the supervision of the Community Engagement Program Manager, the Community Engagement Specialist will perform the following essential job functions:
Engage in direct outreach efforts to contract community members in designated Philadelphia neighborhoods.
Focus outreach activities within the priority zip codes: 19121, 19132, 19141, 19144, 19140, 19139 and 19133.
Engage directly with people using substances, people experiencing homelessness and their communities.
Follow and maintain safety protocols and procedures for street team to ensure safe and effective community outreach operations.
Build trust and rapport within priority communities to increase access to harm reduction resources.
Provide and educate individuals on the proper use of Naloxone, fentanyl testing strips and other harm reduction supplies.
Maintain accurate records of distributed supplies, interactions and referrals in compliance with program reporting requirements.
Collaborate with the Community Engagement Program at tabling events, special events and/or Narcan training request.
Support public health emergency response, including outreach and harm reduction activities during cold- and heat-related weather emergencies.
A valid driver's license is required. This position requires regular operations of a departmental vehicle to perform job related duties.
Other duties as assigned.
EDUCATION: Completion of high school or equivalent degree and 3+ years community organizing and/or harm reduction work.
SKILLS/EXPERIENCE
Knowledge of substance use is highly required.
Knowledge of the impact of drug use and overdose on communities of color in Philadelphia.
Sensitivity to and experience working with ethnically, culturally, socioeconomically, and sexually diverse individuals, communities, agencies, and organizations.
Excellent oral communication skills.
Ability to analyze and think critically to apply reasonable judgment and problem-solving skills.
Excellent interpersonal skills and ability to build relationships and collaborate effectively with stakeholders from diverse backgrounds. Experience working with health and prevention services agencies.
Excellent organizational skills.
Ability to work as part of a team, to prioritize and handle multiple tasks, and to work independently in a high-pressure environment.
Ability to establish and maintain effective relationships with people contacted in the course of work.
Knowledge of neighborhoods in Southwest, West, Northwest or North Philadelphia or adjacent neighborhoods.
Work Environment: 90% Field Work, 10% Office Work. This position also requires extensive time in the field interacting with and linking clients to care.
Position Type and Work Schedule: Full time position, typical hours are Monday through Friday 8:30 am to 5:00 pm. This position also requires flexibility to work on weekends and schedules will be adjusted accordingly to flex hours.
Travel: Local travel to multiple sites several times per week, as needed.
Physical Demands: Ability to transport materials; walking for an extensive distance.
Salary: $25 per hour
Benefits: Our employees are our most valuable resource, so we offer a competitive and comprehensive benefits package, which can include:
Medical with vision benefits
Dental insurance
Flexible spending accounts
Life, AD&D and long-term care insurance
Short- and long-term disability insurance
403(b) Retirement Plan, with a company contribution
Paid time off including vacation, sick, personal and holiday
Employee Assistance Program
Eligibility and participation are handled consistently with the plan documents and HFP policy.
DISCLAIMER
The Health Federation reserves the right to modify, interpret, or apply this in any way the Company desires. The above statements are intended to describe the general nature and level of work being performed by an employee assigned to this position. This in no way implies that these are the only duties, including essential duties, responsibilities and/or skills to be performed by the employee occupying this position. This job description is not an employment contract, implied, or otherwise. The employment relationship remains "at will." The aforementioned job requirements are subject to change to reasonably accommodate qualified disabled individuals.
The Health Federation of Philadelphia (HFP) is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation or preference, marital status or any classification protected by federal, state or local law.
$25 hourly 4d ago
Billing Specialist
Vital Care Infusion Services 4.8
Pittsburgh, PA jobs
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.
$32k-47k yearly est. 2d ago
Payroll & Billing Clerk (Remote)
Feed My People Food Bank 3.9
Boston, MA jobs
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
$30k-34k yearly est. 60d+ ago
Patient Accounting Billing Specialist
Dana-Farber Cancer Institute 4.6
Brookline, MA jobs
The selected candidate must live and work from one of the New England states (ME, NH, VT, MA, RI, CT) The primary function of the Patient Accounting BillingSpecialist I is the daily management of an assigned portion of the accounts receivable, typically allocated based on alphabetical splits.
Responsibilities of the Patient Accounting BillingSpecialist I include regular and consistent billing for all payers and follow-up work on Client, NMDP, Bluebird Bio, and Gift of Life accounts to ensure accurate reimbursement and final adjudication of claims as needed. Works prebilling edits in the billing and scrubber systems to ensure timely submission of claims in accordance with department expectations. May also perform other duties as assigned, including but not limited to, special patient accounting projects, charge entry, and cash applications.
The Patient Accounting BillingSpecialist I will have regular exposure to patient demographics, diagnostic, and billing information. Additionally, will be exposed to physician information including physician numbers assigned by governmental agencies and insurance carriers.
Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS, and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.
Under close supervision, the Patient Accounting BillingSpecialist I:
- Reviews payments and resolve unpaid balances.
- Performs effective and timely collection activity on unpaid client accounts.
- Reviews and resolves credit on client accounts.
- Updates crossover insurance that is missing in the billing system to resolve undistributed payments.
- Triage accounts to the responsible parties in the billing system to ensure claims are addressed promptly.
- Updates issues grid with examples of impacted accounts.
- Operates on multiple systems as assigned. Will use Epic, FISS, Connex, Nehen, and FinThrive for processing and follow-up activity for Inpatient/Outpatient claims as assigned.
- Keeps informed on updates to billing requirements, editing, and payer policies affecting billing.
- Informs supervisor of changes to billing regulations.
- Meets department productivity and qualitative standards.
- Works account and claim edits in the hospital billing system.
KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:
+ Knowledge of third-party billing regulations, as well as of hospital and/or professional operations, and third-party payer requirements
+ Ability to remain in full compliance with all departmental, institutional, and regulatory policies and procedures
+ High degree of confidentiality
+ Dependable, self-starter, and deadline driven
+ Strong oral and written communication skills
MINIMUM JOB QUALIFICATIONS:
The position requires a high school diploma, with an associate degree preferred. Candidates must have at least 2 years of prior billing experience, and general office experience and computer skills are preferred.
SUPERVISORY RESPONSIBILITIES: None
PATIENT CONTACT: None
At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are committed to having faculty and staff who offer multifaceted experiences. Cancer knows no boundaries and when it comes to hiring the most dedicated and compassionate professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply.
Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other characteristics protected by law.
**EEO Poster**
.
Pay Transparency Statement
The hiring range is based on market pay structures, with individual salaries determined by factors such as business needs, market conditions, internal equity, and based on the candidate's relevant experience, skills and qualifications.
For union positions, the pay range is determined by the Collective Bargaining Agreement (CBA).
$53,900.00 - $58,300.00
$53.9k-58.3k yearly 26d ago
Billing Coordinator
Adelphoi Village Inc. 3.5
Latrobe, PA jobs
Billing Coordinator: Latrobe, PA
The Billing Coordinator is responsible for coordinating and processing billing activities to ensure accurate, timely, and compliant submission of claims and invoices. This role works closely with clinical, program, and finance teams to resolve billing discrepancies, maintain payer compliance, and support efficient revenue cycle operations.
Essential Duties and Responsibilities
Prepare, review, and submit billing claims and invoices to insurance carriers, counties, and other funding sources.
Ensure billing accuracy and compliance with contract terms, payer requirements, and regulatory guidelines.
Monitor claim status, follow up on unpaid or denied claims, and initiate corrections or resubmissions as needed.
Research and resolve billing discrepancies, underpayments, and payment variances.
Coordinate with clinical and program staff to verify service documentation and billing eligibility.
Maintain billing schedules, tracking logs, and supporting documentation.
Respond to internal and external inquiries related to billing and payment status.
Support audits, payer reviews, and program integrity activities by providing requested billing documentation.
Maintain confidentiality and comply with HIPAA and organizational policies.
Provide back-up assistance to the authorization coordinator
Position Benefits Include but not limited to:
Flexible schedule
Paid time off starting the first day of employment
Paid holidays
Excellent medical, dental, and vision insurance at a reasonable cost to the employee 403(b) employer match
Student Loan Forgiveness
Tuition reimbursement
Team Members can expect the following:
Structured training time
Strong supervisory support
Team atmosphere with autonomy in your work schedule
Strength-based atmosphere
Education and Experience:
Diploma/Degree in Billing functions such as Medical Coding or a minimum of three (3) years of billing experience preferably in a behavioral health setting
Requires FBI, Act 33 and Act 34 clearances (agency assistance provided), PA Driver's License
Adelphoi Village, headquartered in Latrobe, has more than 600 committed team members delivering residential, community, and educational support services to youth in need. We have a 50-year history of collaboration with local children and youth agencies, school districts, and the juvenile justice systems.
#PursueExcellence
$37k-47k yearly est. Auto-Apply 17d ago
Medical Billing Specialist | Home Care
Wesley Community Health Services 4.3
Federal Way, WA jobs
As a service organization, Wesley selects employees who bring our mission to promise. When you become a member of the Wesley team, you contribute to the active lifestyle, high quality of care and other services we provide older adults at our award-winning communities or other residence. Our workforce is as diverse as our services, which include independent living, assisted living, Catered Living, memory care, skilled nursing, rehabilitation, hospice, home care and home health.
Our Total Rewards philosophy is a balanced approach that meets the needs of employees on their career journey whether they are just joining the workforce or nearing retirement. We evaluate our Total Rewards offerings annually to provide benefits employees would find meaningful. In addition to competitive wages and a commitment to pay equity, we offer the following benefits and other compensation:
Employees, and their families if elected, can participate in medical and vision insurance (full time and ACA eligible), dental (full time) and group life (employee only for full time, excludes part-time and on-call staff).
We offer a combined paid time off (PTO) policy which incorporates state paid sick leave with company paid time off at an accrual rate of 0.0607 per hour worked, equivalent to 120 hours of PTO at 2,080 hours worked in a year. We also offer 6 Paid Holidays (8 hours for full time and 6 hours for part time per event, excludes on-call staff) and 1 Personal Holiday of Choice per year (excludes on-call staff).
Retirement planning is encouraged through our 403(b) plan that includes a generous 100% company match on the first 4% of earnings an employee contributes. There is a 5-year vesting schedule on the company match, and minors are ineligible for the company match.
A food and beverage discount of 50% is available to all employees at any Wesley bistro. Employees are also eligible for On-Demand Pay with Dayforce Wallet. Minors need parental consent to access this benefit.
To assist employees with challenges outside of the workplace, Wesley offers an Employee Assistance Program (EAP), which is 100% company paid. Additionally, Wesley Community Foundation provides grants to qualifying employees as detailed in the plan summary.
Lastly, the efforts and contributions of our valued employees are celebrated in our best-in-class recognition and reward platform, Inspire. Points earned for various reasons may be redeemed for a variety of merchandise, gift cards, tickets, travel and other experiences selected by the employee.
This summary is intended to reflect the most reasonable and genuinely expected offering of benefits and other compensation for the posted job. The official website for all Wesley job postings is ********************************** Wesley is not responsible for content on third-party job boards. Salary ranges, benefits and other compensation are subject to change.
Enrich the lives of older adults through community, choice, and continuing care in the Medical BillingSpecialist role. This medical billing role plays a leading role in billing and collecting for care services across home care, home health, and hospice. Find your sense of belonging at Wesley!
This is a part-time role, based on-site in our office in Federal Way, WA.
You will provide continuing care through these responsibilities
Essential functions of this position include the following.
Coordinate and verify primary, secondary, and tertiary insurance; complete prior authorization as needed.
Complete billing preparation for home care, home health, and hospice business lines.
Process Long Term Care submissions and LTC document requests.
Manage billing and accounts receivable for Home Care.
Adhere to collections processes and regulatory requirements.
Order supplies and maintain inventory.
Complete accounts payable coding.
Serve as back-up for entering miscellaneous payroll earnings and mileage.
Update and maintaining insurance agreements.
Create and maintaining Hospice contracts.
Audit service line agreements on an annual basis.
Travel to client homes to educate on long term care.
Other Duties and projects as assigned.
Our requirements and qualifications for success
Minimum one-year experience with medical billing.
Prior experience with Medicare billing; understanding of billing rules.
Proficient with Microsoft Office suite and other common workplace technology.
Ability to read, write, speak and understand the English language.
Ability to project professionalism in representing the Company.
Outstanding verbal and written communication skills required.
Proficiency with electronic health record systems (e.g. Brightree, PCC, WellSky) and other software programs.
Proven track record of successful organizational skills, time management, project management and follow-through.
Physical, environmental, and mental requirements
Ability to sit, stand or walk at-will throughout shift.
Ability to hear, understand, and distinguish speech and/or other sounds one-to-one, in a group, and via telephone/computer.
Keyboarding and near visual acuity.
Ability to lift up to 25 lbs.
Reliable transportation for occasional travel to client homes to educate on billing and insurance matters.
Salary Range: $29.95 to $43.16 per hour
$32k-37k yearly est. 12d ago
Billing Specialist
Nulton Diagnostic & Treatment Center 3.6
Johnstown, PA jobs
We are looking for a BillingSpecialist to join our Team!
The BillingSpecialist is responsible for all aspects of medical billing within our Agency. Duties include, but are not limited to: speaking with insurance companies, obtaining prior authorizations, daily entry of data, and determining insurance eligibilities. The BillingSpecialist will also check eligibilities on patients, communicate directly with patients regarding billing, obtain authorizations and update and maintain patient insurance in the current software. Additional responsibilities will include:
a. Post payments from insurance and clients
b. Management of the denials/rejections
c. Reading and understanding 835 files
d. Generate 1500 form claims via paper or electronically
e. Navigate insurance websites/maintain user status
f. General billing duties related to the scope of the position, but not mentioned specifically above.
Education, Experience, Skills, Training:
High School Diploma or equivalent.
The successful applicant must have excellent communication skills, computer skills, and knowledge of Medicare, Medicaid, Commercial and Third-Party Insurers. Applicant must have efficient knowledge of eligibility verification and claims processing. At least one year of billing experience preferred. Must be able to obtain Act 33, Act 34 and FBI clearances.
This is a full-time position with medical, dental and vision benefits, as well as, 401(k) Retirement Plan with matching company contributions, paid vacation and paid holidays.
Nulton Diagnostic and Treatment Center is an equal opportunity employer. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability status.
Nulton Diagnostic & Treatment Center is an EEO Employer - M/F/Disability/Protected Veteran Status View all jobs at this company
$31k-37k yearly est. 27d ago
ASAP Billing Specialist
Guardian Angel Senior Services 3.7
Auburn, MA jobs
Guardian Angel Senior Services is a family-owned Home Care Agency in business for 22 years. Our growing company is looking for support in our Fiscal Department. Basic FunctionThe BillingSpecialist is responsible for all aspects of billing, payroll, grant report entry, and ensuring operational effectiveness by implementing new technologies. Additional miscellaneous tasks, and projects, as needed.
Responsibilities:
Serve as primary biller for assigned Aging Services Access Points
Create/Save/Upload billing reports/Files
Investigate and correct, when applicable. pre-billing errors.
Confirm all reports balance prior to creating files for submission
Create billing claims and correspondence.
Working with Wellsky on a regular basis
Make corrections on billing spreadsheet, coversheet, Generations and Wellsky, when able, e-mail appropriate staff for assistance with remaining errors
Run Timesheets
E-mail error log and coversheet to ASAP
Continuously follow up on error correction progress
Confirm Generations Billing report equals final billing numbers from ASAP or Wellsky Service delivery report
Save final Service Delivery Report to appropriate ASAP file
Provide consulting services on matters related to billing.
Always maintains the confidentiality of patient and organization information.
Qualifications
Ability to work independently, while meeting company deadlines
Ability to manage multiple projects, prioritize, and multi-task
Commitment to completing tasks
Excel at operating in fast paced environments
Excellent people skills, open to direction and collaborative work style
Must have strong verbal and written communication skills
Knowledge of QuickBooks a plus
Other Skills:
Technical Communication
Customer Relations
Customer Service
Diplomacy
Filing
MS Office
Negotiations
Organization
Planning
Professionalism
Project Management
Presentation
QuickBooks
Time Management
Typing Skills
Sales
Education/Training
Experience
Prior home care experience required.
Prior billing / payroll experience required.Apply Today!
Submit Resume for Consideration
Guardian Angel Senior Services is an Equal Opportunity Employer. We do not discriminate against race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, or genetic information.
$35k-44k yearly est. Auto-Apply 15d ago
ASAP Billing Specialist
Guardian Angel Senior Services 3.7
Auburn, MA jobs
Job DescriptionGuardian Angel Senior Services is a family-owned Home Care Agency in business for 22 years. Our growing company is looking for support in our Fiscal Department. Basic FunctionThe BillingSpecialist is responsible for all aspects of billing, payroll, grant report entry, and ensuring operational effectiveness by implementing new technologies. Additional miscellaneous tasks, and projects, as needed.
Responsibilities:
Serve as primary biller for assigned Aging Services Access Points
Create/Save/Upload billing reports/Files
Investigate and correct, when applicable. pre-billing errors.
Confirm all reports balance prior to creating files for submission
Create billing claims and correspondence.
Working with Wellsky on a regular basis
Make corrections on billing spreadsheet, coversheet, Generations and Wellsky, when able, e-mail appropriate staff for assistance with remaining errors
Run Timesheets
E-mail error log and coversheet to ASAP
Continuously follow up on error correction progress
Confirm Generations Billing report equals final billing numbers from ASAP or Wellsky Service delivery report
Save final Service Delivery Report to appropriate ASAP file
Provide consulting services on matters related to billing.
Always maintains the confidentiality of patient and organization information.
Qualifications
Ability to work independently, while meeting company deadlines
Ability to manage multiple projects, prioritize, and multi-task
Commitment to completing tasks
Excel at operating in fast paced environments
Excellent people skills, open to direction and collaborative work style
Must have strong verbal and written communication skills
Knowledge of QuickBooks a plus
Other Skills:
Technical Communication
Customer Relations
Customer Service
Diplomacy
Filing
MS Office
Negotiations
Organization
Planning
Professionalism
Project Management
Presentation
QuickBooks
Time Management
Typing Skills
Sales
Education/Training
Experience
Prior home care experience required.
Prior billing / payroll experience required.Apply Today!
Submit Resume for Consideration
Guardian Angel Senior Services is an Equal Opportunity Employer. We do not discriminate against race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, or genetic information.
Powered by JazzHR
JCh5WfIn7k
$35k-44k yearly est. 18d ago
Billing Specialist
Healthdrive 3.9
Framingham, MA jobs
HealthDrive is seeking full-time BillingSpecialist to join our team! The BillingSpecialist is responsible for the accurate and timely processing of assigned billing duties on a daily basis with the primary goal of sending a clean claim the first time to increase cash collections and reduce DSO. The hourly pay range for this position is $17.00 - $21.00 per hour.
We are conveniently located off Route 9 in Framingham, MA, close to routes 90 and 495 in a spacious modern office with a workout center available right in the building!
What's in it for you: PPO Medical, Dental, and Vision Insurance, 401(k) + Company match, Paid Time Off, hybrid schedule opportunity, monthly meal program, Verizon Wireless, Dell, and other employee discounts, profit sharing, and employee referral bonuses.
HealthDrive delivers on-site dentistry, optometry, podiatry, audiology, behavioral health, and primary care services to residents in long-term care, skilled nursing, and assisted living facilities. Each specialty offered by HealthDrive is one that directly impacts the quality of daily life for the deserving residents we serve. HealthDrive connects patients in need of vital healthcare to doctors committed to dignity and excellence.
HealthDrive is a place where everyone can grow and training is provided. Join our diverse team today!
Responsibilities
Review, prepare, and accurately submit assigned charges on a daily basis.
Perform manual billing for certain hardware orders from dispense paperwork within 24 hours of receipt.
Identify and communicate billing corrections to providers and perform follow-up to ensure corrections are processed in a timely manner within established guidelines.
Review, communicate, and work with providers to resolve billing corrections.
Reprocess certain denials outlined by the supervisor in a timely manner.
Meet or exceed daily productivity objectives for all assigned duties.
Respond to email inquiries regarding billing related questions/issues within 24 hours.
Process insurance updates daily.
Review explanation of benefits from insurance payers for issues requiring follow up and resolution includes but is not limited to the following:
Claims denied for unable to identify patient /patient not covered on date of service.
Conduct timely follow-up with insurance payers, patients, responsible parties and/or facilities to obtain corrected/updated billing information.
Utilize insurance eligibility websites as needed to verify new insurance information received from patient, RP or facility prior to rebilling.
Administrative tasks including but not limited to:
Assist with mailings, filing, processing refunds, and document scanning.
Access the Clearinghouse to identify and correct rejected claims.
Other duties and tasks may be assigned as appropriate or necessary.
Qualifications
Skills & Specifications:
Excellent attention to detail and strong data entry skills with extensive knowledge of physician billing to Medicare, Medicaid and other insurance plans.
Excellent interpersonal and customer service skills and the ability to communicate effectively and appropriately both verbally and in writing.
Highly organized, have the ability to work in a fast-paced environment, be comfortable and effective working with both custom and “off the shelf” computer applications.
Familiar with and experienced using online tools and insurance carrier websites.
The individual should be self-motivated with excellent time management skills and a proven track record of consistently achieving assigned objectives.
The ability to work effectively with minimal supervision who can work well independently and in a team-oriented environment.
Have a positive attitude and adapt to change well.
Must be fully proficient in using Microsoft Applications, especially Teams, Excel, Outlook and Word.
Education & Qualifications:
Experience in 3rd party medical billing and/or collections. Experience and knowledge of healthcare and medical terminology, including but not limited to: CPT ICD10 codes and use of modifiers. Experience in billing Medicare Part B, Medicare Replacement plans, and Medicaid for large multispecialty physician practice preferred. Experience in denial management preferred.
$17-21 hourly Auto-Apply 60d+ ago
Billing Specialist
Cornerstone Care 3.8
McKees Rocks, PA jobs
Work for an employer who loves you back! Join our GROWING team!
Make a difference as we seek those who want to assist us in fulfilling our mission:
"To improve the health of our patients and the residents of our community, with special concern for the underserved."
Cornerstone Care has a long history of serving patients in our region and with over 24 million dollars in annual revenues. You can join a dynamic team of professionals where your contributions and voice make a difference.
We are the best family care center across Southwestern PA and Northern WV for affordable healthcare.
Cornerstone Care, a Federally Qualified Health Center (FQHC), with locations throughout Southwestern Pa., is seeking BillingSpecialists to join our team.This is a not a fully remote role, but some remote work is available. Office location can be based on any of the following sites: Sto Rox, Hilltop, Greensboro, Mt. Morris, Waynesburg or Burgettstown.
POSITION SUMMARY: Responsible for preparing and submitting claims to appropriate insurances, working outstanding and rejected claims, corresponding with patients, reviewing and analyzing accounts receivable balances, and other duties as assigned to support the Billing Department..
JOB DUTIES AND RESPONSIBILITIES:
Prepares and submits claims to insurance companies ensuring accuracy and completeness.
Reviews, analyzes, and follows up on unpaid claims to collect accounts receivable timely.
Reviews documentation in the patient's medical record to identify diagnosis, procedures, and other necessary information to complete billing the encounter.
Handles patient phone calls, takes patient payments, sets up payment plans, reviews and researches patient accounts for purposes of identifying billing trends and maintaining a clean AR aging.
Educates and assists patients with the completion and submission of sliding fee discount program (SFDP) applications.
Reviews and recommends for approval SFDP applications and assists with the renewal applications.
Identifies and populates account demographics.
Attends staff meetings as requested by the Director.
Assists in other areas as needed within Billing Department.
Qualifications
Cornerstone Care is a Non-Profit, Federally Qualified Health Center with 14 locations and a mobile unit, serving communities throughout Southwestern Pennsylvania, and Northern West Virginia. Our mission is to improve the health of our patients and all the residents of the communities we serve, with special concern for the medically underserved and low-income populations.
Cornerstone Care offers: Medical insurance, dental and vision coverage, life insurance, long-term disability insurance, 403 B retirement, flexible spending accounts for medical and dependent care, credit union, and a variety of additional voluntary benefits as well as a generous time off package.
Cornerstone Care, Inc is an Equal Opportunity Employer. We do not discriminate on the basis of race, religion, color, sex, age, national origin or disability, sexual orientation, gender identity and expression.
$32k-39k yearly est. 16d ago
Collections Specialist
Vital Care Infusion Services 4.8
Pittsburgh, PA jobs
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
$36k-53k yearly est. 2d ago
Dental Billing Specialist
Smilebuilderz 3.8
Lancaster, PA jobs
Full-time Description
Smile
builderz is a well-established private multi-specialty dental practice located in Lancaster County, PA. We are looking for a billingspecialist to join our team. This position involves verifying insurance coverage for proposed dental treatments, preparing, and submitting predetermination requests, and communicating with patients to provide estimates of insurance benefits.
Job Responsibilities:
1. Verify patients' insurance coverage and eligibility for proposed dental treatments before submitting claims.
2. Accurately create, batch, and send dental claims to insurance companies within 72 hours of the patient's date of service.
3. Input accurate dental coding of procedures, with correct documentation, images and notes attached with the insurance claims.
4. Assist with monitoring predetermination requests to insurance companies.
5. Monitor the status of claims and follow up with insurance companies to ensure timely responses.
6. Address claim issues with insurance companies within a timely manner.
7. Monitor and address interoffice requests and discrepancies for the Sending team.
8. Maintain accurate records of claims requests, responses, and patient communications. Ensure documentation is organized and readily accessible.
9. Assist in the appeals process if claims are denied or if there are discrepancies.
10. Stay informed about insurance regulations and ensure that the practice complies with insurance guidelines in the claims process.
Requirements
High school diploma or equivalent.
Previous experience in dental billing, insurance verification, or related roles is preferred.
Strong attention to detail and excellent organizational skills.
Strong communication and customer service skills.
$32k-39k yearly est. 17d ago
Collections Specialist (Full Time)
Cataldo Ambulance 4.1
Somerville, MA jobs
The Collection Specialist is responsible for collections of outstanding private invoices from the existing client base, resolving customer billing problems and reducing accounts receivable delinquency. This position will report to the Revenue Cycle Manager and is located out of our Somerville, MA. office.
Collections Specialist Responsibilities:
Resolve insurance related billing issues with patients and/or insurance carriers
Handling of high call volume
Serve as primary representative for patient inquiries/calls
Communicate effectively both orally and in writing
Respond to customer inquiries, resolve client discrepancies, process and review account adjustments
Demonstrate superior customer service skills and problem solving, which includes assisting the patient with alternative payment options and payment plans
Possess basic understanding of government and commercial insurance and Credit & Collections policies
Identify the need and request rebills to insurance
Handle highly confidential information with complete discretion
Maintain confidentiality of patient information while on the phone or in-person
Work aged invoices utilizing various reports and the collection module using Zoll Rescue Net
Alert Revenue Cycle Manager about potential problems that could affect collections
Meet productivity goals/benchmarks as set and communicated by the manager
Utilize available sources to obtain updated info and reissue correspondence
Additional projects and responsibilities may be assigned permanently or on an as needed basis
Collections Specialist Qualifications:
Working knowledge of Microsoft Office, including Excel, Word is a must
Strong communication, problem solving and analytical skills required
Acute attention to detail and the ability to work in a fast-paced, team-oriented environment with a focus on communication required
Outstanding customer service and phone skills
Previous collections or customer service experience a plus
Knowledge of HIPPA and healthcare policies a plus
High School diploma or GED required
Fluent in Spanish a plus, but not required
Must be positive and maintain professional demeanor at all times
Familiarity with Medicaid and Medicare guidelines
Ambulance billing experience a plus
3-5 years Accounts Receivable follow up experience
About Cataldo
Since 1977, Cataldo Ambulance Service, Inc. has continually distinguished ourselves as a leader in providing routine and emergency medical services. As the needs of the community and the patient change, we continue to introduce innovative programs to ensure the highest level of care is available to everyone in the areas we serve.
Cataldo is the largest private EMS provider and private ambulance service in Massachusetts. In addition to topping 50,000 emergency medical transportations annually through 911 contacts with multiple cities, we partner with some of Massachusetts top medical facilities to provide non-emergency medical ambulance and wheelchair transportation services. We are also an EMS provider to specialty venues like Fenway Park, TD Garden, and DCU Center.
While Cataldo began as an ambulance service company, we continue to grow through innovation and expand the services we offer to the local communities. As a public health resource, Cataldo offers training and education to the healthcare and emergency medical community through the Cataldo Education Center. This includes certification training for new employees as well as the training needed for career advancement. Through our partnerships with health systems, hospitals, managed care organizations, and others, we continue to provide in-home care through the state's first and largest Mobile Integrated Health program, SmartCare. We also have delivered more than 1.7 million Covid-19 vaccines and continue to operate testing and vaccination sites throughout the state of Massachusetts.
$35k-41k yearly est. Auto-Apply 5d ago
Learn more about East Boston Neighborhood Health Center jobs