Medicare Hospice Billing & Collection Specialist
Ohio jobs
will be remote, but some in-office hours are possible.
Candidate will ideally reside in Ohio.
Looking for at least 5 years experience in hospice billing or Medicare billing and knowledge of DDE. Someone who can bill Medicare and has an understanding of room and board. This person could have hospice and/or long term care experience.
As a Hospice/Palliative Care Patient Account Specialist, you will perform daily billing and collection operations for Hospice and Palliative Care Revenue Cycle Department. The Hospice/Palliative Care Patient Account Specialists ensures that the patient accounts are handled in compliance with Interim Healthcare's policy and regulatory standards.
What we offer our Hospice/Palliative Care Patient Account Specialist:
Competitive pay and benefits
FT, 8:30 am - 5pm, M-F. Remote with some possible in office hours.
Daily Pay option available
Excited to hear more? Apply below.
Working at Interim HealthCare means a career unlike any other. With integrity at the center of all we do, we know that when we support you and your community, you'll change lives every day.
As a Hospice/Palliative Care Patient Account Specialist, you will:
Initiate and maintain complete and accurate patient billing records along with maintaining confidentiality of Interim Healthcare patient billing records to ensure regulatory compliance with state and federal laws. Identifies and implements system enhancements, as it relates to industry trends to improve overall performance and outcomes.
Accurate cash posting and balance monies received from insurance plans by the end of each month. Track and process all over-payments/under-payments to ensure collection of balances owed/received are precise and appropriate. Always maintain proper payment of all state/federal revenues to ensure the correct rates have been paid. This is a federal regulation that must be followed.
Accurately process payments to Nursing Facilities for patients with Medicaid coordinating all admissions, deaths, bed hold days, transfers, and discharges. Bills all insurance plans for denials and/or collection of payments while maintaining timely filing of all insurance plans. Maintains a positive relationship working cooperatively with nursing homes, health information department, accounts payable department and other providers to maintain quality service, quick response time and ensure accurate payments. It is important to sustain positive relationships which are crucial to developing future referrals to the organization.
Review of monthly aging for trouble spots and past due accounts along with running month-end billing process and reconciliation improve flow of cash to organization. Monitors and maintains days in AR at or below 60-90 days to ensure cash flow. This is evidenced by a monthly review of AR with a success rate of 90%. Reporting any issues to Regional Hospice/Palliative Care Revenue Cycle Manager.
To qualify for a Hospice/Palliative Care Patient Account Specialist with us:
• Associate degree (Bachelor's Degree preferred) in related field required or equivalent education, training, and experience.
• Minimum 3-5 years' experience in hospice billing or Medicare billing
• Recent experience working with popular hospice/palliative billing software.
Knowledge of DDE is a must.
At Interim HealthCare Home Care, we know that being our best is non-negotiable - that's why we treat your family like our own. We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace. From our unmatched referral response times to our focus on quality improvement, the most beautifully complicated time of your life is our life's work.
We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
#RMC
SJHP Specialty Services Durango Customer Service Representative Half Time
Durango, CO jobs
Creating Life Better Here starts with you. At San Juan Regional Medical Center, we're more than a healthcare provider-we're a values-driven organization dedicated to delivering exceptional care. As a team member, you help fulfill our mission to make life better here for our community. ***Pay Range: $17.66 - $26.50 Schedule: 2/10hr days per week
The CSR is entrusted to provide excellent service and set a positive tone for every customer while serving as the liaison between patients and clinical; staff, and demonstrating self-confidence, adaptability, and personal initiative. The CSR coordinates customer encounters and serves as the communication hub for the clinic, in an attentive, courteous, and competent manner.Required Behaviors:
As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values. These values are our culture, our identity as an organization. Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us we freely give because we believe in our mission. Required Qualifications:
High school diploma or GED Preferred Qualifications:
Previous receptionist, clerical and/or secretarial experience preferred Duties and Responsibilities:
Consistently exceeds customer service expectations
Strong data entry and computer skills
When assigned, achieves necessary skills to support obtaining referrals and authorizations, handling financial transactions, managing the patient's medical records and clinic and hospital billing and coding
Understands and follows policy and procedure
Builds productive interpersonal relationships in every encounter
Demonstrates teamwork
Actively participates in the department
Each employee is responsible for implementing SJRMC's Service Standards into their daily work: *Safety, Courtesy, Effectiveness, and Stewardship *
Other duties as assigned Physical Demands and Environmental Work Conditions:
Must be able to see with corrective eyewear and hear clearly with assistance.
Must be able to sit and walk frequently or for long periods of time; must be able to stand, bend, squat, climb, kneel, and twist routinely
Constant use of the computer and keyboard
Must be able to lift greater than fifty (50) pounds and push up to three hundred (300) pounds frequently *Special Demands: *
Sets limits when dealing with angry, hostile, or sometimes verbally or physically abusive patients and families to ensure a safe, respectful environment that will support the delivery of care
Effectively copes and strives for balance when caring for acutely ill patients and families
Physician / Not Specified / Delaware / Permanent / Physician Billing Representative II-EBEW
New Castle, DE jobs
Job Details Do you want to work at one of the Top 100 Hospitals in the nation? We are guided by our values of Love and Excellence and are passionate about delivering health, not just health care. Come join us at ChristianaCare! ChristianaCare, with Hospitals in Wilmington and Newark, DE, as well as Elkton, MD, is one of the largest health care providers in the Mid-Atlantic Region. Named one of ???America???s Best Hospitals??? by U.S.
PRN - Ochsner St Anne Patient Access Rep - Emergency Department - Various Shifts - Rotate every other weekend or as needed
Raceland, LA jobs
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.
If you would like to know a bit more about this opportunity, or are considering applying, then please read the following job information.
At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!
This job greets patients and guest in a courteous manner whether via telephone contact or in person; initiates scheduling an appointment or completing the check-in process/admission for patients; obtains and verifies accurate identification and demographical data for the patient's permanent medical record which assist in accurate reimbursement while recognizing the necessity of maintaining the confidentiality of all patient information. Responsible for point-of-service collections, face-to-face patient interactions related to completing the patient registration and admission process; responsible for the verification of insurance via electronic verification, telephone, or web application; improves patient satisfaction through consistently representing the company professionally and cross trained to support multiple functions across all patient and payer types.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.
This is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.
Education
Required - High school diploma or equivalent
Preferred - Associate's degree
Work Experience
Required - One year of related hospital, clinic, medical office, business services/revenue cycle, front line registration, financial counseling, banking, hotel retail and/or customer service related experience
Certifications
Preferred - Certification in Healthcare Access Manager (CHAM), Certification in Healthcare Access Associate (CHAA), Certification as a Medical Assistant (or other medical specialty-based certification)
Knowledge Skills and Abilities (KSAs)
* Must have computer skills and dexterity required for data entry and retrieval of information.
* Effective verbal and written communication skills and the ability to present information clearly and professionally.
* Must be proficient with Windows-style applications, various software packages specific to role and keyboard.
* Strong interpersonal skills.
* Must have clerical skills and exhibit technical knowledge of healthcare insurance benefits, various payor guidelines on referral and authorization processes as well as have current knowledge of Federal, State and Local billing regulations.
* Skills to effectively present information and respond to questions from patients and customers, with proficiency.
* Skills to solve practical problems and deal with high stress situations while maintaining a high quality of professionalism.
* Good organizational, time management, and conflict resolution skills.
* Excellent decision making skills; good analytical skills with a strong attention to detail are necessary.
* Ability to work collaboratively with other departments.
* Ability to exercise sound judgment in handling/escalating difficult situations.
Job Duties
* Provide excellent customer service to all patients, guests, and family members.
* Create, activate, and complete the patient scheduling, clinic registration, or hospital admission process.
* Ensures all required forms are completed and other paperwork/documents are gathered and accurate.
* Efficiently and accurately gathers and inputs patient/guarantor demographic and financial information; explains insurance benefits and collects co-pays, deductibles and self-pay portions due.
* Performs financial analysis of each case and informs patient of financial responsibility
* Balances Cash drawer daily, prepares deposit slips and follow closing cash drawer process at the end of each shift.
* Demonstrates respect and cooperation in all staff relationships, and a genuine willingness to prevent or resolve inter-personal conflicts.
* Adapts behavior to the specific patient population, including but not limited to: respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style.
* Other related duties as required.
The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.
Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.
This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.
The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.
Physical and Environmental Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid.
The incumbent works with patients who have known or suspected communicable diseases and may enter isolation rooms. The incumbent has an occupational risk for exposure to all communicable diseases.
Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role.
Are you ready to make a difference? Apply Today!
Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website.
Please refer to the job description to determine whether the position you are interested in is remote or on-site. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C.
Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at 5 select option 1) or (mailto: ) . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.
Ochsner is an equal opportunity employer. xevrcyc All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.
Patient Access Rep - Slidell Memorial Main Hospital Emergency Department Registration - PRN/SSP - 12 Hour - Day and Night Rotating Shifts including weekends and holidays
Pearlington, MS jobs
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! This job greets patients and guest in a courteous manner whether via telephone contact or in person; initiates scheduling an appointment or completing the check-in process/admission for patients; obtains and verifies accurate identification and demographical data for the patient's permanent medical record which assist in accurate reimbursement while recognizing the necessity of maintaining the confidentiality of all patient information. Responsible for point-of-service collections, face-to-face patient interactions related to completing the patient registration and admission process; responsible for the verification of insurance via electronic verification, telephone, or web application; improves patient satisfaction through consistently representing the company professionally and cross trained to support multiple functions across all patient and payer types. Education Required - High school diploma or equivalent Preferred - Associate's degree Work Experience Required - One year of related hospital, clinic, medical office, business services/revenue cycle, front line registration, financial counseling, banking, hotel retail and/or customer service related experience Certifications Preferred - Certification in Healthcare Access Manager (CHAM), Certification in Healthcare Access Associate (CHAA), Certification as a Medical Assistant (or other medical specialty-based certification) Knowledge Skills and Abilities (KSAs) * Must have computer skills and dexterity required for data entry and retrieval of information. * Effective verbal and written communication skills and the ability to present information clearly and professionally. * Must be proficient with Windows-style applications, various software packages specific to role and keyboard. * Strong interpersonal skills. * Must have clerical skills and exhibit technical knowledge of healthcare insurance benefits, various payor guidelines on referral and authorization processes as well as have current knowledge of Federal, State and Local billing regulations. * Skills to effectively present information and respond to questions from patients and customers, with proficiency. * Skills to solve practical problems and deal with high stress situations while maintaining a high quality of professionalism. * Good organizational, time management, and conflict resolution skills. * Excellent decision making skills; good analytical skills with a strong attention to detail are necessary. * Ability to work collaboratively with other departments. * Ability to exercise sound judgment in handling/escalating difficult situations. Job Duties * Provide excellent customer service to all patients, guests, and family members. * Create, activate, and complete the patient scheduling, clinic registration, or hospital admission process. * Ensures all required forms are completed and other paperwork/documents are gathered and accurate. * Efficiently and accurately gathers and inputs patient/guarantor demographic and financial information; explains insurance benefits and collects co-pays, deductibles and self-pay portions due. * Performs financial analysis of each case and informs patient of financial responsibility * Balances Cash drawer daily, prepares deposit slips and follow closing cash drawer process at the end of each shift. * Demonstrates respect and cooperation in all staff relationships, and a genuine willingness to prevent or resolve inter-personal conflicts. * Adapts behavior to the specific patient population, including but not limited to: respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style. * Other related duties as required. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time. This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns. The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status. Physical and Environmental Demands The physical essential functions of this job include (but are not limited to) the following: Frequently exerting 10 to 20 pounds of force to move objects; occasionally exerting up to 100 pounds of force. Physical demand requirements are in excess of those for sedentary work. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid. The incumbent works with patients who have known or suspected communicable diseases and may enter isolation rooms. The incumbent has an occupational risk for exposure to all communicable diseases. Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role. Are you ready to make a difference? Apply Today! Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website. Please refer to the job description to determine whether the position you are interested in is remote or on-site. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C. Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at ************ (select option 1) or ******************* (mailto:*******************) . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.
Medical Biller (Home Infusion)
Torrance, CA jobs
Come Join the Premier Infusion & Healthcare Family! At Premier we offer employees stability and opportunities for advancement. Our commitment to our core values of Compassion, Integrity, Respect and Excellence in People applies to our employees, our customers, and the communities we serve. This is a rewarding place to work!
Premier Infusion and Healthcare Services is a preferred post-acute care partner for hospitals, physicians and families in Southern CA. Our rapidly growing home health and infusion services deliver high-quality, cost-effective care that empowers patients to manage their health at home. Customers choose Premier Infusion and Healthcare Services because we are united by a single, shared purpose: We are committed to bettering the quality of life for our patients. This is not only our stated mission but is what truly drives us each and every day. We believe that our greatest competitive advantage, our greatest asset are our employees, our Premier Family in and out of the office sets Premier apart.
PREMIER BENEFITS - For FULL TIME Employees:
● Competitive Pay
● 401K Matching Plan - Up to 4%
● Quarterly Bonus Opportunities
● Medical, Dental & Vision Insurance
● Employer Paid Life Insurance
● Short Term / Long Term Disability Insurance
● Paid Vacation Time Off
● Paid Holidays
● Referral Incentives
● Employee Assistance Programs
● Employee Discounts
● Fun Company Events
JOB DESCRIPTION: BILLER
Description of Responsibilities
Coordinates and performs business office activities involved with collecting payments for Premier Infusion Care products and follows established procedures for billing.
Reporting Relationship
Billing Manager
Scope of Supervision
None
Responsibilities include the following:
1. Performs all aspects of billing for commercial insurance companies/ health plans, medical groups, hospitals, hospice facilities, NCPDP, and/or MSO's
2. Bills Medicare for PR-96/204 (denials) required for secondary billing submissions.
3. Follows up on EOB's (explanation of benefits) which includes:
- Medicare denials
- Billing secondary insurance after Medicare's has denied claims.
4. Calling insurance companies for explanation of denials if questionable.
5. Making corrections on deny claims and re-bills insurance companies.
6. Checks EOB's with contracted fee schedule for accuracy or adjustments as needed.
7. Patient calls for benefit, invoicing, and explanations as needed.
8. Resolves electronic (Office Ally, Novologix, or Emdeon clearing house) report matters.
Minimum Qualifications:
Effective interpersonal, time management and organizational skills.
Office experience preferred.
Computer skills that include word processing, and efficient use of the internet and e-mail.
Must possess excellent oral and written communication skills, with the ability to express technical issues in “layman” terms.
Must be detail oriented
Education and/or Experience:
Must have a High School diploma or Graduation Equivalent Diploma (G.E.D.) or Higher.
At least 1 -2 years of medical or pharmaceutical billing experience or related A/R
Knowledge of insurance verification procedures.
Proficiency in 10-key preferred.
Prior experience in a pharmacy or home health company is of benefit.
Prior experience in a consumer related business is also of benefit.
Equal Employment Opportunity (EEO)
It is the policy of Premier Infusion & Healthcare Services to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Premier Infusion & Healthcare Services will provide reasonable accommodations for qualified individuals with disabilities.
Job Type: Full-time
Work Location: In person
Patient Service Representative
San Antonio, TX jobs
Job Title: Patient Financial Rep Senior
Shift: 9am to 5pm Monday to Friday
Schedule: 5 days a week - 40 hours
Roles and Responsibilities:
Experience working within a multi-facility hospital business office environment. Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms.
Meets expectations of the applicable One Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Performs Revenue Cycle functions in a manner that meets or exceeds key performance metrics. Ensures PFS departmental quality and productivity standards are met. Collects and provides patient and payor information to facilitate account resolution. Responds to all types of account inquiries through written, verbal.
The associate is responsible for the duties and services that are of a support nature to the Revenue Cycle division of The associate ensures that all processes are performed in a timely and efficient manner. The primary purpose of this Job is to ensure account resolution and reconciliation of outstanding balances for patient accounts.
Sr. Medical Biller Office Based $20/HR -$26/HR
Saginaw, MI jobs
Private Practice
Full Time Position - Mon - Fri 8 am - 5 pm
Must Have 5 Years Experience
Great Doctor and Staff!
401K, HSA
Sorry NO New Grads!
Please Apply By CV or Resume
PRN - Ochsner St Anne Patient Access Rep - Emergency Department - Various Shifts - Rotate every other weekend or as needed
Kenner, LA jobs
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.
If you would like to know a bit more about this opportunity, or are considering applying, then please read the following job information.
At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!
This job greets patients and guest in a courteous manner whether via telephone contact or in person; initiates scheduling an appointment or completing the check-in process/admission for patients; obtains and verifies accurate identification and demographical data for the patient's permanent medical record which assist in accurate reimbursement while recognizing the necessity of maintaining the confidentiality of all patient information. Responsible for point-of-service collections, face-to-face patient interactions related to completing the patient registration and admission process; responsible for the verification of insurance via electronic verification, telephone, or web application; improves patient satisfaction through consistently representing the company professionally and cross trained to support multiple functions across all patient and payer types.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.
This is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.
Education
Required - High school diploma or equivalent
Preferred - Associate's degree
Work Experience
Required - One year of related hospital, clinic, medical office, business services/revenue cycle, front line registration, financial counseling, banking, hotel retail and/or customer service related experience
Certifications
Preferred - Certification in Healthcare Access Manager (CHAM), Certification in Healthcare Access Associate (CHAA), Certification as a Medical Assistant (or other medical specialty-based certification)
Knowledge Skills and Abilities (KSAs)
* Must have computer skills and dexterity required for data entry and retrieval of information.
* Effective verbal and written communication skills and the ability to present information clearly and professionally.
* Must be proficient with Windows-style applications, various software packages specific to role and keyboard.
* Strong interpersonal skills.
* Must have clerical skills and exhibit technical knowledge of healthcare insurance benefits, various payor guidelines on referral and authorization processes as well as have current knowledge of Federal, State and Local billing regulations.
* Skills to effectively present information and respond to questions from patients and customers, with proficiency.
* Skills to solve practical problems and deal with high stress situations while maintaining a high quality of professionalism.
* Good organizational, time management, and conflict resolution skills.
* Excellent decision making skills; good analytical skills with a strong attention to detail are necessary.
* Ability to work collaboratively with other departments.
* Ability to exercise sound judgment in handling/escalating difficult situations.
Job Duties
* Provide excellent customer service to all patients, guests, and family members.
* Create, activate, and complete the patient scheduling, clinic registration, or hospital admission process.
* Ensures all required forms are completed and other paperwork/documents are gathered and accurate.
* Efficiently and accurately gathers and inputs patient/guarantor demographic and financial information; explains insurance benefits and collects co-pays, deductibles and self-pay portions due.
* Performs financial analysis of each case and informs patient of financial responsibility
* Balances Cash drawer daily, prepares deposit slips and follow closing cash drawer process at the end of each shift.
* Demonstrates respect and cooperation in all staff relationships, and a genuine willingness to prevent or resolve inter-personal conflicts.
* Adapts behavior to the specific patient population, including but not limited to: respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style.
* Other related duties as required.
The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.
Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.
This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.
The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.
Physical and Environmental Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid.
The incumbent works with patients who have known or suspected communicable diseases and may enter isolation rooms. The incumbent has an occupational risk for exposure to all communicable diseases.
Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role.
Are you ready to make a difference? Apply Today!
Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website.
Please refer to the job description to determine whether the position you are interested in is remote or on-site. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C.
Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at 5 select option 1) or (mailto: ) . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.
Ochsner is an equal opportunity employer. xevrcyc All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.
Patient Access Rep - Slidell Memorial Main Hospital Emergency Department Registration - PRN/SSP - 12 Hour - Day and Night Rotating Shifts including weekends and holidays
Louisiana jobs
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! This job greets patients and guest in a courteous manner whether via telephone contact or in person; initiates scheduling an appointment or completing the check-in process/admission for patients; obtains and verifies accurate identification and demographical data for the patient's permanent medical record which assist in accurate reimbursement while recognizing the necessity of maintaining the confidentiality of all patient information. Responsible for point-of-service collections, face-to-face patient interactions related to completing the patient registration and admission process; responsible for the verification of insurance via electronic verification, telephone, or web application; improves patient satisfaction through consistently representing the company professionally and cross trained to support multiple functions across all patient and payer types. Education Required - High school diploma or equivalent Preferred - Associate's degree Work Experience Required - One year of related hospital, clinic, medical office, business services/revenue cycle, front line registration, financial counseling, banking, hotel retail and/or customer service related experience Certifications Preferred - Certification in Healthcare Access Manager (CHAM), Certification in Healthcare Access Associate (CHAA), Certification as a Medical Assistant (or other medical specialty-based certification) Knowledge Skills and Abilities (KSAs) * Must have computer skills and dexterity required for data entry and retrieval of information. * Effective verbal and written communication skills and the ability to present information clearly and professionally. * Must be proficient with Windows-style applications, various software packages specific to role and keyboard. * Strong interpersonal skills. * Must have clerical skills and exhibit technical knowledge of healthcare insurance benefits, various payor guidelines on referral and authorization processes as well as have current knowledge of Federal, State and Local billing regulations. * Skills to effectively present information and respond to questions from patients and customers, with proficiency. * Skills to solve practical problems and deal with high stress situations while maintaining a high quality of professionalism. * Good organizational, time management, and conflict resolution skills. * Excellent decision making skills; good analytical skills with a strong attention to detail are necessary. * Ability to work collaboratively with other departments. * Ability to exercise sound judgment in handling/escalating difficult situations. Job Duties * Provide excellent customer service to all patients, guests, and family members. * Create, activate, and complete the patient scheduling, clinic registration, or hospital admission process. * Ensures all required forms are completed and other paperwork/documents are gathered and accurate. * Efficiently and accurately gathers and inputs patient/guarantor demographic and financial information; explains insurance benefits and collects co-pays, deductibles and self-pay portions due. * Performs financial analysis of each case and informs patient of financial responsibility * Balances Cash drawer daily, prepares deposit slips and follow closing cash drawer process at the end of each shift. * Demonstrates respect and cooperation in all staff relationships, and a genuine willingness to prevent or resolve inter-personal conflicts. * Adapts behavior to the specific patient population, including but not limited to: respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style. * Other related duties as required. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time. This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns. The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status. Physical and Environmental Demands The physical essential functions of this job include (but are not limited to) the following: Frequently exerting 10 to 20 pounds of force to move objects; occasionally exerting up to 100 pounds of force. Physical demand requirements are in excess of those for sedentary work. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid. The incumbent works with patients who have known or suspected communicable diseases and may enter isolation rooms. The incumbent has an occupational risk for exposure to all communicable diseases. Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role. Are you ready to make a difference? Apply Today! Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website. Please refer to the job description to determine whether the position you are interested in is remote or on-site. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C. Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at ************ (select option 1) or ******************* (mailto:*******************) . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.
Insurance Coordinator
Torrance, CA jobs
Come Join the Premier Infusion & Healthcare Family! At Premier we offer employees stability and opportunities for advancement. Our commitment to our core values of Compassion, Integrity, Respect and Excellence in People applies to our employees, our customers, and the communities we serve. This is a rewarding place to work!
Premier Infusion and Healthcare Services is a preferred post-acute care partner for hospitals, physicians and families in Southern CA. Our rapidly growing home health and infusion services deliver high-quality, cost-effective care that empowers patients to manage their health at home. Customers choose Premier Infusion and Healthcare Services because we are united by a single, shared purpose: We are committed to bettering the quality of life for our patients. This is not only our stated mission but is what truly drives us each and every day. We believe that our greatest competitive advantage, our greatest asset are our employees, our Premier Family in and out of the office sets Premier apart.
PREMIER BENEFITS - For FULL TIME Employees:
● Competitive Pay
● 401K Matching Plan - Up to 4%
● Quarterly Bonus Opportunities
● Medical, Dental & Vision Insurance
● Employer Paid Life Insurance
● Short Term / Long Term Disability Insurance
● Paid Vacation Time Off
● Paid Holidays
● Referral Incentives
● Employee Assistance Programs
● Employee Discounts
● Fun Company Events
JOB DESCRIPTION:
Description of Responsibilities
The Insurance Coordinator is responsible for all new referral insurance verification and/or authorization in a timely matter.
Reporting Relationship
Insurance Manager
Responsibilities include the following:
Responsible for insurance verification and/or authorization on patients.
Responsible for audit of information from the Intake Referral Form and patient information received from the referral source entered into the computer system correctly. This includes but is not limited to: demographics, insurance, physician, nursing agency, diagnosis, height, weight, and allergies (when information is available and as applicable).
Re-verification of verification and/or authorization and demographics on all patients.
Participate in surveys conducted by authorized inspection agencies.
Participate in in-service education programs provided by the pharmacy.
Report any misconduct, suspicious or unethical activities to the Compliance Officer.
Perform other duties as assigned by supervisor.
Minimum Qualifications:
Must possess excellent oral and written communication skills, with the ability to express technical issues in “layman” terms. Fluency in a second language is a plus.
Must be friendly professional and cooperative with a good aptitude for customer service and problem solving.
Education and/or Experience:
Must have a High School diploma or Graduation Equivalent Diploma (G.E.D.)
Prior experience in a pharmacy or home health company is preferred.
Prior dental or home infusion experience a plus
Prior experience in a consumer related business is preferred
Equal Employment Opportunity (EEO)
It is the policy of Premier Infusion & HealthCare Services to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Premier Infusion & HealthCare Services will provide reasonable accommodations for qualified individuals with disabilities.
Billing M'GR Physician Office Office Based $50K - $65K +
Saginaw, MI jobs
Private Practice
Full Time Position - Mon - Fri 8 am - 5 pm
Must Have 6 Years Experience
Great Doctor and Staff!
401K, HSA
Sorry NO New Grads!
Please Apply By CV or Resume
Homecare Billing Coordinator
Elk Grove, CA jobs
Job DescriptionBenefits:
401(k) matching
Bonus based on performance
Dental insurance
Health insurance
Paid time off
Training & development
Vision insurance
JOB OVERVIEW:
We are seeking a skilled and experienced Billing Coordinator to join our team at Your Home Assistant. As a Billing Coordinator, you will play a crucial role in completing complex activities associated with maintaining accurate and complete billing and accounts receivable records. Review appropriate reports to ensure billing data accuracy. Resolve billing discrepancies regularly. Ensure eligibility is verified regularly and accurately maintained and followed up accordingly to prevent lost revenue.
RESPONSIBILITIES:
Work within the scope of the position, in coordination with management, to meet the needs of our patients, families and professional colleagues.
Accurately enter patient/customer billing data and charge accordingly
Ensure that all potential payers have been identified, verified, and entered accurately into the computer system prior to submission of billing and within deadlines per company policies and procedures.
Ensure that insurance-related documentation is secured, completed, reviewed, accurate, and submitted per company and state requirements. This includes election, certifications, and authorization-related documentation required for billing.
Maintain tracking tools and diaries to ensure that all necessary information is secured for timely accurate payment. Alert appropriate management team members regarding late or missing documents required for billing.
Perform and ensure regular review and resolve discrepancies of accounts receivables according to Company procedures, policy, internal controls, and payer requirements.
Establish and maintain positive working relationships with patient/clients, payors, and other customers. Maintain the confidentiality of patient/client and agency information at all times.
Assure for compliance with local, state and federal laws, Medicare regulations, and established company policies and procedures, including published manuals and responsibility matrixes
Meet or exceed delivery of Company Service Standards in a consistent fashion.
Interact with all staff in a positive and motivational fashion supporting the Companys mission.
Conduct all business activities in a professional and ethical manner.
The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents will be requested to perform job-related tasks other than those stated in this description.
QUALIFICATIONS
Minimum age requirement of 18.
High School graduate or GED required.
Two years experience in healthcare data entry, preferably in homecare
Cal-Aim, Tri-west, Long Term Care Insurance experience preferred
Two-year degree in accounting or equivalent insurance/bookkeeping preferred
Strong computer skills, including Word, Excel, and PowerPoint.
Strong analytical skills, organized work habits and proven attention to detail.
Excellent communication skills, ability to work independently and in a team environment.
Good customer relation skills.
Ability, flexibility and willingness to learn and grow as the company expands and changes.
Demonstrated leadership ability to initiate duties as required.
Plan, organize, evaluate, and manage PC files and Microsoft Office.
Compliance with accepted professional standards and practices.
Ability to work within an interdisciplinary setting.
Satisfactory references from employers and/or professional peers.
Satisfactory criminal background check.
Self-directed with the ability to work with little supervision.
Flexible and cooperative in fulfilling all obligations.
Job Type: Full-time
Benefits:
401(k) matching
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance
Schedule:
8 hour shift
Day shift
Monday to Friday
Ability to Relocate:
Elk Grove, CA 95758: Relocate before starting work (Required)
Work Location: In person
Billing Coordinator, BHGS - General Surgery, FT, 8:30am - 5:00pm
Miami, FL jobs
Primary responsibility is to coordinate billing services. Responsible for physician billing services. Must be able to work in a fast-paced environment as well as multitask. Responsible for physician billing services in handling payments. Physician practice and home health primary responsibility is to coordinate billing services and provide diagnostic and procedural codes to individual patient health information for data retrieval, analysis and claims processing. Responsible for entering patient encounters to the practice management billing application. Communicates with various teams within the organization. Understanding of ICD-10, CPT and associate modifiers to successfully process encounters. Staying up to date with CMS guidelines. Responsible to maintain and clearing worklist within a timely manner. Estimated pay range for this position is $18.87 - $22.83 / hour depending on experience. Degrees:
* High School,Cert,GED,Trn,Exper.
Additional Qualifications:
* 3 Years of charge entry or claims management experience.
* Must possess strong working knowledge of CPT, ICD-10, charge entry, and claims management processes.
* Knowledge of appeals process and researching denials as applicable to business needs.
* Possesses effective verbal and written communication skills.
* Knowledge of Microsoft Systems Word, Excel, Power Point and Access is a must.
* Must be detail-oriented team player with excellent written and communication skills.
* Background in coding experience in other released areas such as collections, refunds, and reviews of claims and understanding of Charge Review responsibilities preferred.
* Experience in Medical Record review for documentation and bill auditing required.
* Proficient in English and Spanish.
* Able to foster/maintain a strong professional relation with physicians, hospital leaders, staff and patients.
* Must be able to communicate effectively with other departments in order to resolve pending/missing information on encounters to expedite the timely transmission to payers.
* Excellent Time- Management Skills.
* Ability to multi-task and work under pressure in order to meet stringent deadlines.
Minimum Required Experience: 3 Years
Billing Coordinator - Stop Area Six
San Diego, CA jobs
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The Specialized Treatment for Optimized Programming (STOP) Program Area Six connects California Department of Corrections and Rehabilitation inmates and parolees to comprehensive, evidence-based programming and services during their transition into the community, with priority given to those participants who are within their first year of release and who have been assessed to as a moderate to high risk to reoffend. Area Six includes San Diego, Orange, and Imperial counties. STOP subcontracts with detoxification, licensed residential treatment programs, outpatient programs, professional services, and reeentry and recovery housing throughout the program area to assist participants with reentry and recovery resources.
The Billing Coordinator is responsible for coordinating receipt of and reviewing Community Based Provider (CBP) subcontractor client data for accuracy and entering and retrieving data from/to the Automated Reentry Management System (ARMS) as needed for the purpose of reconciliation, invoicing and billing.
Key Responsibilities
Data Entry and Reconciliation Responsibilities: Review outgoing and incoming CBP subcontractor client data for accuracy. Enter data found on the verification form into the STOP database to begin the reconciliation process. When discrepancies are found, coordinate with CBPs and internal departments to resolve and reconcile the discrepancies. Ensure accuracy of all data entered.
Billing and Invoicing Responsibilities: Process STOP CBP weekly verifications by extracting from the STOP database, and possibly further verifying in the ARMS database, and forwarding to the CBPs via email (and sometimes fax) for approval. Produce the monthly billing and forward to CBPs for billing authorization and approval. Ensures accuracy of all billing and resolves any discrepancies identified. Act as liaison between Fiscal department and STOP to ensure ease of information flow. Produce invoices for other various services (i.e. transportation, links etc.).
Administrative Responsibilities: Produce monthly client and CBP related reports as needed for the California Department of Corrections and Rehabilitation (CDCR), with supervisor review and approval, using the ARMS database. Assure confidentiality of all incoming and outgoing client data. As assigned, performs other clerical tasks.
And, other duties as assigned.
Education and Knowledge, Skills and Abilities
Education and Experience Required:
High School Diploma or equivalent.
Previous work experience working with spreadsheets.
Previous work experience performing data entry.
Type 45 wpm.
Strong math skills.
Desired:
Bilingual.
AA Degree; Experience may substitute for this on a year-by-year basis.
We will consider for employment qualified applicants with arrest and conviction records.
In compliance with the California Department of Public Health's mandate, all employees must be able to provide proof of COVID-19 vaccination. Medical and religious exemptions are available.
Tag: IND100.
Auto-ApplyBilling Coordinator
Winona, MN jobs
Salary:
ABOUT US:
Hiawatha Valley Mental Health Center (HVMHC) is a trusted leader in providing exceptional, person-centered behavioral health services to our communities. Founded in 1965 by a dedicated group of community members and government officials from Houston, Wabasha, and Winona counties, we have since expanded our servicesacross Winona, Houston, Wabasha, Goodhue, and Fillmore counties.
At HVMHC, we recognize the importance ofwork-life balanceand offerflexible schedulingto support our employees' needs. We are committed to professional growth andprioritize internal promotionswhenever possible. For team members pursuing licensure, we providefree clinical supervisionwith the support of a supervision grant from DHS. Additionally, we utilize Eleos, an augmented intelligence software, toassistwith case note documentationallowing our staff to focus more on client care.
We are dedicated to fostering adiverse, inclusive, and supportive workplacewhere team members and clients feel valued and respected. We welcome professionals from all backgrounds and experiences who share our commitment to providing high-quality behavioral health services.
POSITION DESCRIPTION
TITLE: Billing Coordinator
PROGRAM: All
JOB SUMMARY:Responsibleforaccurate,efficientandtimelyinsurance billing.
JOB RESPONSIBILITIES AND ESSENTIAL FUNCTIONS:
Timely and efficientlybatch up and reviewbehavioral healthclaimsandsubmitthemto appropriate pay centers.
Research and investigate all denied claims.
Research and investigate all open claims.
Timely and efficiently, post all payments toappropriate clients/claims.
Act as a liaison between intake staff and reception staff to ensure correct information is obtained andentered intothe MISand ECR.
Request authorizations when necessary.
Assistwhere needed and as allowed inthe FinanceDepartment.
NON-ESSENTIAL FUNCTIONS: Performother duties as assigned by the Finance Director.
PHYSICAL REQUIREMENTS FOR POSITION:Must be able to move in a manner conducive to the execution of daily activities. While performing the duties of this job, the employee must communicate with others and exchange information.The employee regularly operates equipment (listed below) on a daily basis.Occasional bending and lifting of office materials may berequired.
EQUIPMENT USED: Wordprocessingsoftware for Windows environment, billing/schedules/clinical software, 10-key calculator, personal computer, printer, copier, postage meter, telephone.
JOB QUALIFICATIONS AND REQUIREMENTS:
Ability tooperatea computerwithpreviouscomputer experience.
Good organizational skills.
Ability to work under pressure and meet deadlines.
Must beable tomaintainconfidentiality.
Mustpossessa vehicle, valid drivers license, and a willingness to travel as needed toagencylocations throughout SE MN.
WORK ENVIRONMENT:Hiawatha Valley Mental Health Center is committed to providing a safe and inclusive work environment free from harassment,violenceand discrimination. Our inclusive work environmentrepresentsmanydifferent backgrounds,culturesand viewpoints. The core values we live byinclude:integrity, respect, people focused, community focused, continuous improvement, compassion, partnership and collaboration,empowermentand financial stewardship. All Hiawatha Valley Mental Health Center owned facilities are smoke/drug freeenvironments, with some exposure to excessive noise,dustand temperature.The employee is occasionally exposed to a variety of conditions at client sites.
SUPERVISED BY: Finance Director
SUPERVISES: None
POSITION DESIGNATION: Non-Exempt, Full Time
The job description is subject to change at any time.
EMPLOYEE BENEFITS:
We are proud to offer acomprehensive benefits packagedesigned to support your well-being, professional development, and financial security:
Paid Time Off & Leave
Paid Leave Time: Beginsaccruingat4.46 hours per paycheck, with 16 hours available upon hire (prorated for PT employees).
Holidays:8 paid holidays, plus 2 floating holidays(prorated for PT employees).
Additional Paid Leave:
Up to10 daysof jury duty leave
Up to5 days of bereavement leave
1 personal day per year
Professional Development Support
Up to$2,000 tuition reimbursement
Up to$1,500 for continuing education
Health & Wellness Benefits
Medical, Dental, Vision, Short Term Disability, Long Term Disability, Life Insuranceoffered for employees working between 30-40 hoursper week.
20% YMCAmembership discount OR$50 fitnessreimbursement per year
Retirement Savings
Retirement plan with employer match of50% match up to 6%,starting Day 1!
EEO STATMENT:
Hiawatha Valley Mental Health Center is an Equal Opportunity Employer. We welcome all qualified applicants, regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
APPLICATION PROCESS:
A background check isrequiredas part of the hiring process. Depending on the role, applicants may also need to complete a Mental Health Practitioner Verification Form or Professional Conduct Inquiry Form.
Billing Coordinator
Tempe, AZ jobs
What we are looking for NextCare Urgent Care is looking for a Billing Coordinator to be a part of our Urgent Care Team. Responsibilities The Billing Coordinator will be responsible for the daily billing of claims for all carriers. This position will monitor and distribute the APN reports from the clearinghouse and insurance carriers and communicate this information back to the Billing Supervisor. This position will also assist in the posting of contractual, courtesy adjustments, as well as monitoring contractual analysis reports. This position will be assist with the table maintenance of the electronic billing system and clearinghouse information flow. They will be responsible for communicating billing trends to the manager as well as patient statement processing.
How you will make an impact
The Billing Coordinator supports the organization with the following:
* Responsible for the daily billing of claims to insurance carriers based on contract requirements.
* Help train new employees with NextGen, contracts, and business office Policies and Procedures.
* Monitor and distribute the APN reports generated by the clearinghouse and insurance carriers.
* Help post contractual adjustments and transfer deductibles to patient accounts.
* Assist with claim resubmission projects when necessary.
* Assist in maintaining Navicure with Waystar.
* Assist with reviewing accounts that have partial or under payments.
* Clean out daily the clearinghouse rejections and claims with errors held in the system.
* Post adjustments to accounts based on contractual rates and deductibles.
* Review accounts to determine if billed correctly.
* Assist other members of the team as needed.
Essential Education, Experience and Skills:
Minimum Education: High School diploma or equivalent.
Experience:
* Must have two years' experience billing, collections, payment posting, and electronic and paper claims.
* Experience with Managed Care contracts, Medicare and AHCCCS.
* Basic insurance knowledge, reading patient eligibility and benefit coverage details.
* Experience with revenue cycle and reimbursement in a healthcare facility.
* Microsoft Programs, Windows, Excel, Word, and Teams.
* Internet browser knowledge (basics) for Edge or Chrome.
Valued But Not Required Education, Experience and Skills:
Experience: Medical collections experience; NextGen software experience: Previous supervision experience in the healthcare field is helpful, Waystar Clearinghouse, Payer Provider Portals, and Basic Terminology of Medical Billing Practices.
RCM Coordinator - Billing & Payor Relations
Dallas, TX jobs
Are you looking for a purpose-driven career? At Metrocare, we serve our neighbors with developmental or mental health challenges by helping them find lives that are meaningful and satisfying.
Metrocare is the largest provider of mental health services in North Texas, serving over 55,000 adults and children annually. For over 50 years, Metrocare has provided a broad array of services to people with mental health challenges and developmental disabilities. In addition to behavioral health care, Metrocare provides primary care centers for adults and children, services for veterans and their families, accessible pharmacies, housing, and supportive social services. Alongside clinical care, researchers and teachers from Metrocare's Altshuler Center for Education & Research are advancing mental health beyond Dallas County while providing critical workforce to the state.
:
GENERAL DESCRIPTION:
The mission of Metrocare Services is to serve our neighbors with developmental or mental health challenges by helping them find lives that are meaningful and satisfying. We are an agency committed to quality gender-responsive, trauma-informed care to individuals experiencing serious mental illness, development disabilities, and co-occurring disorders. Metrocare programs focus on the issues that matter most in the lives of the children, families and adults we serve.
The RCM Coordinator - Billing & Payor Relations plays a vital role in the financial health of the organization by ensuring accurate and timely submission of claims to Medicaid, Medicare, and commercial payors. This position supports the revenue cycle by managing billing workflows, resolving claim issues, and maintaining compliance with payer-specific requirements. The coordinator works across multiple service lines including behavioral health, primary care, IDD, ABA therapy, and other specialized programs.
ESSENTIAL DUTIES AND RESPONSIBILITIES
The essential functions listed here are representative of those that must be met to successfully perform the job.
Prepare and submit clean claims to government and commercial payors for all service lines.
Monitor claim status and follow up on unpaid or rejected claims to ensure timely resolution.
Analyze and resolve denials, rejections, and underpayments by coordinating with internal departments and payors.
Ensure proper coding, documentation, and authorization are in place prior to claim submission.
Maintain up-to-date knowledge of payer guidelines, billing regulations, and reimbursement policies.
Track and report denial trends, identify root causes, and recommend process improvements.
Document all billing activities, correspondence, and resolution steps in the billing system.
Provide regular reporting to management on claim performance and payer behavior.
Collaborate with RCM team members to ensure revenue integrity and compliance.
Performs other duties as assigned.
COMPETENCIES
The competencies listed here are representative of those that must be met to successfully perform the essential functions of this job.
Conducts job responsibilities in accordance with the ethical standards of conduct, state contract, appropriate professional standards and applicable state/federal laws.
Analytical skills, professional acumen, business ethics, thorough understanding of continuous improvement processes, problem solving, respect for confidentiality, and excellent communication skills.
Working knowledge of 837/835 transaction files and clearinghouse operations.
Experience with denial management platforms or analytics dashboards (e.g., Waystar, Availity, Change Healthcare).
Ability to translate complex reimbursement data into actionable insights for leadership.
Analytical skills, professional acumen, business ethics, thorough understanding of continuous improvement processes, problem solving, respect for confidentiality, and excellent communication skills.
Strong understanding of medical billing and claims processing for Medicaid, Medicare, and commercial payors.
Knowledge of ICD-10, CPT, HCPCS codes, and modifier usage.
Analytical and problem-solving skills with attention to detail.
Effective verbal and written communication skills.
Ability to manage multiple tasks and meet deadlines in a fast-paced environment.
High level of professionalism, accuracy, and confidentiality.
Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and billing software systems.
QUALIFICATIONS
Required Education, Experience, Licenses, and Certifications
Required: High school diploma or GED; at least 5 years of experience in medical billing, claims processing, or revenue cycle management.
Preferred: Associate's degree in healthcare administration, business, or related field; experience in billing wand knowledge of Community Center Services; knowledge of ICD-10, CPT, HCPCS, and modifier usage; familiarity with Medicaid, Medicare, and commercial insurance requirements.
A bachelor's degree will be accepted in place of experience.
Preferred Education, Experience, Licenses, and Certifications
DRIVING REQUIRED:
No
WORK LOCATION:
This role is remote except for 6 weeks of onsite training and monthly meetings.
MATHEMATICAL SKILLS
Basic math skills required.
Ability to work with reports and numbers & Ability to calculate moderately complex figures and amounts to accurately report activities and budgets.
REASONING ABILITY
Ability to apply common sense understanding to carry out simple one or two-step instructions.
Strong reasoning and problem-solving skills with the ability to make informed decisions in a dynamic and client-centered environment.
COMPUTER SKILLS
Use computer, printer, and software programs necessary to the position (i.e., Word, Excel, Outlook, and PowerPoint).
Ability to utilize Internet for resources.
PHYSICAL DEMANDS & WORK ENVIRONMENT
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations can be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the incumbent is regularly required to talk and hear, use hands and fingers to operate a computer and telephone.
Due to the multi-site responsibilities of this position the incumbent must be able to carry equipment and supplies.
Demand-Frequency
Sitting-Occasional
Walking-Occasional
Standing-Occasional
Lifting (Up to 15 pounds)-Occasional
Lifting (Up to 25 pounds)-Occasional
Lifting (Up to 50 pounds)-Occasional
Travel-Frequency
In county travel may be required-N/A
Overnight travel required-N/A
NOTICE ON POSITIONS THAT REQUIRE TRAVEL TO/FROM VARIOUS WORKSITES
Positions that are “community-based,” in whole or part, require the incumbent to travel between various worksites within his/her workday/workweek. The incumbent is required to have reliable transportation that can facilitate this requirement. The incumbent is further required to meet the criteria for insurability by the Center's risk management facilitator; and produce proof of minimal auto liability coverage when applicable. Failure to meet these terms may result in disciplinary action up to and including termination of employment, contract or other status with Metrocare.
Current State of Texas Driver License or if you live in another state, must be currently licensed in that state. If licensed in another state, must obtain Texas Driver License within three (3) months of employment.
Liability insurance required if employee will operate personal vehicle on Center property or for Center business. Must be insurable by Center's liability carrier if employee operates a Center vehicle or drives personal car on Center business. Must have an acceptable driving record.
WORK ENVIRONMENT
The work environment describe here is representative of that which an employee encounters while performing the essential functions of this job. Reasonable accommodation can be made to enable individuals with disabilities to perform the essential functions.
Employees in this role are expected to maintain composure under pressure, exercise sound judgment, and follow established protocols to ensure a safe and secure work environment. Ongoing training in crisis intervention, de-escalation techniques, and workplace safety is provided. Additionally, employees have access to resources such as the Employee Assistance Program (EAP), Telehealth Counseling, and Supportive Management.
Remote Work Eligible - May work remotely for documentation and administrative tasks, through some in-person meetings or fieldwork is required.
DISCLAIMER
This is a record of major aspects of the job but is not an all-inclusive job contract. Dallas Metrocare Services maintains its status as an “at-will” employer and nothing in this job description shall be interpreted to guarantee employment for any length of time. Additional tasks may be assigned as deemed necessary by the immediate supervisor. The position's status conforms to the Fair Labor Standards Act of 1939 as amended, and the employee has agreed to the standards methods of compensation in compliance with Center's procedures and Federal Law.
Benefits Information and Perks:
Metrocare couldn't have a great employee-first culture without great benefits. That's why we offer a competitive salary, exceptional training, and an outstanding benefits package:
Medical/Dental/Vision
Paid Time Off
Paid Holidays
Employee Assistance Program
Retirement Plan, including employer matching
Health Savings Account, including employer matching
Professional Development allowance up to $2000 per year
Bilingual Stipend - 6% of the base salary
Many other benefits
Equal Employment Opportunity/Affirmative Action Employer
Tobacco-Free Facilities - Metrocare is committed to promoting the health, well-being, and safety of Metrocare team members, guests, and individuals and families we serve while on the facility campuses. Therefore, Metrocare facilities and grounds are tobacco-free.
No Recruitment Agencies Please
Auto-ApplyBilling Coordinator - Mom & Baby
Asheville, NC jobs
Job DescriptionAeroflow Health - Mom & Baby Billing Coordinator (Remote)
Schedule: Monday to Friday, 8-5 (EST)
Aeroflow Health is made up of creative and talented associates who are transforming the home medical equipment industry. Our patient-centric business model is founded on innovation through technology and cutting-edge delivery platforms. We have grown to be a leader in the home medical equipment segment of the healthcare industry, are among the fastest-growing healthcare companies in the country and recognized on Inc. 5000's list of fastest-growing companies in the U.S. As Aeroflow has grown, our needs to curate an amazing employee environment and experience have grown as well. We're working hard to ensure that Aeroflow remains a premier employer in Western North Carolina by making constant improvements to our office spaces, thus bettering the everyday lives of the employees that work so hard to service our patients.
The Opportunity
The Mom and Baby division specializes in providing maternity related medical equipment billed through insurance. This position will be responsible for resolving claims that have been rejected by insurance and will assist with developing improvements to our collections processes.
Your Primary Responsibilities
Resolve incoming rejections for the Mom & Baby division
Analyze rejection data and insurance payment trends to identify patterns, trends, and the root cause
Correct claim data as per payer requirements (e.g., modifiers, diagnosis codes, HCPCS, NPI, etc.)
Maintain detailed records of all rejection cases, resolutions, and follow-up actions
Verify eligibility, coverage, and authorization when needed to prevent future denials
Assist with other projects for claims that have been denied or rejected
Collaborate with our billing team and leadership
Employee has an individual responsibility for knowledge of and compliance with laws, regulations, and policies.
Compliance is a condition of employment and is considered an element of job performance
Maintain HIPAA/patient confidentiality
Regular and reliable attendance as assigned by your schedule
Other job duties assigned
Skills for Success
Relentless Curiosity: Proactively seeks out opportunities for process improvements.
Entrepreneurial: Identifies and acts on new opportunities with a willingness to take calculated risks.
Obsession to Learn: Actively seeks out opportunities to learn and grow and identifies areas for self-improvement.
Confidently Humble: Freely admits knowledge gaps and seeks help from team members, and regularly solicits feedback.
Strategic: Makes decisions and takes actions with a broader organizational impact.
Transformative: Constantly seeks ways to improve and actively pursues growth opportunities.
Tech-Savvy: Keeps up to date with modern technology and regularly develops and refines processes within the team.
Commitment to People Development: Shows passion for developing talent through regular training and mentoring.
Relationship Focused: Proactively builds relationships across the organization.
Required Qualifications:
High school diploma or GED
Ability to understand difference between HCPCS, CPT, and ICD-10 codes
Familiarity with payer portals, EDI systems, and clearinghouses
Ability to multi-task
Exposure to Google suite, Microsoft platforms
What Aeroflow Offers
Competitive Pay, Health Plans with FSA or HSA options, Dental, and Vision Insurance, Optional Life Insurance, 401K with Company Match, 12 weeks of parental leave for birthing parent/ 4 weeks leave for non-birthing parent(s), Additional Parental benefits to include fertility stipends, free diapers, breast pump, Paid Holidays, PTO Accrual from day one, Employee Assistance Programs and SO MUCH MORE!!
Here at Aeroflow, we are proud of our commitment to all of our employees. Aeroflow Health has been recognized both locally and nationally for the following achievements:
Family Forward Certified
Great Place to Work Certified
Inc. 5000 Best Place to Work award winner
HME Excellence Award
Sky High Growth Award
If you've been looking for an opportunity that will allow you to make an impact, and an organization with unlimited growth potential, we want to hear from you!
Aeroflow Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
Billing Coordinator - Mom & Baby
Asheville, NC jobs
Aeroflow Health - Mom & Baby Billing Coordinator (Remote)
Schedule: Monday to Friday, 8-5 (EST)
Aeroflow Health is made up of creative and talented associates who are transforming the home medical equipment industry. Our patient-centric business model is founded on innovation through technology and cutting-edge delivery platforms. We have grown to be a leader in the home medical equipment segment of the healthcare industry, are among the fastest-growing healthcare companies in the country and recognized on Inc. 5000's list of fastest-growing companies in the U.S. As Aeroflow has grown, our needs to curate an amazing employee environment and experience have grown as well. We're working hard to ensure that Aeroflow remains a premier employer in Western North Carolina by making constant improvements to our office spaces, thus bettering the everyday lives of the employees that work so hard to service our patients.
The Opportunity
The Mom and Baby division specializes in providing maternity related medical equipment billed through insurance. This position will be responsible for resolving claims that have been rejected by insurance and will assist with developing improvements to our collections processes.
Your Primary Responsibilities
Resolve incoming rejections for the Mom & Baby division
Analyze rejection data and insurance payment trends to identify patterns, trends, and the root cause
Correct claim data as per payer requirements (e.g., modifiers, diagnosis codes, HCPCS, NPI, etc.)
Maintain detailed records of all rejection cases, resolutions, and follow-up actions
Verify eligibility, coverage, and authorization when needed to prevent future denials
Assist with other projects for claims that have been denied or rejected
Collaborate with our billing team and leadership
Employee has an individual responsibility for knowledge of and compliance with laws, regulations, and policies.
Compliance is a condition of employment and is considered an element of job performance
Maintain HIPAA/patient confidentiality
Regular and reliable attendance as assigned by your schedule
Other job duties assigned
Skills for Success
Relentless Curiosity: Proactively seeks out opportunities for process improvements.
Entrepreneurial: Identifies and acts on new opportunities with a willingness to take calculated risks.
Obsession to Learn: Actively seeks out opportunities to learn and grow and identifies areas for self-improvement.
Confidently Humble: Freely admits knowledge gaps and seeks help from team members, and regularly solicits feedback.
Strategic: Makes decisions and takes actions with a broader organizational impact.
Transformative: Constantly seeks ways to improve and actively pursues growth opportunities.
Tech-Savvy: Keeps up to date with modern technology and regularly develops and refines processes within the team.
Commitment to People Development: Shows passion for developing talent through regular training and mentoring.
Relationship Focused: Proactively builds relationships across the organization.
Required Qualifications:
High school diploma or GED
Ability to understand difference between HCPCS, CPT, and ICD-10 codes
Familiarity with payer portals, EDI systems, and clearinghouses
Ability to multi-task
Exposure to Google suite, Microsoft platforms
What Aeroflow Offers
Competitive Pay, Health Plans with FSA or HSA options, Dental, and Vision Insurance, Optional Life Insurance, 401K with Company Match, 12 weeks of parental leave for birthing parent/ 4 weeks leave for non-birthing parent(s), Additional Parental benefits to include fertility stipends, free diapers, breast pump, Paid Holidays, PTO Accrual from day one, Employee Assistance Programs and SO MUCH MORE!!
Here at Aeroflow, we are proud of our commitment to all of our employees. Aeroflow Health has been recognized both locally and nationally for the following achievements:
Family Forward Certified
Great Place to Work Certified
Inc. 5000 Best Place to Work award winner
HME Excellence Award
Sky High Growth Award
If you've been looking for an opportunity that will allow you to make an impact, and an organization with unlimited growth potential, we want to hear from you!
Aeroflow Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.