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.
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
Billing Coordinator - CTI Pulmonology and Thoracic Surgery (hybrid)
Chicago, IL jobs
Company DescriptionAt Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better?
Job Description
Performs charge capture for all procedures completed in the Bronchoscopy suite. This includes:
Audit of CPT codes associated with each procedure
Confirmation of supplies used and verification of alignment with operative notes
Assists patients with billing and insurance related matters including communicating with patients regarding balances owed and other financial issues and facilitating collection of balances owed.
Educates patients about financial assistance opportunities, insurance coverage, treatment costs, and clinic billing policies and procedures.
Collaborates closely with physicians and technicians to understand treatment plans and determine costs associated with these plans; Works closely with the staff on managed care and referral related issues; communicates findings to patients.
Coordinates the pre-certification process with the clinical staff as it relates to procedures in the Bronchoscopy Suite and Operating Rooms
Handles billing inquiries received via telephone or via written correspondence.
Responsible for thoroughly investigating and understanding financial resources or programs that may be available to patients and educating staff and patients about these programs.
Conducts precertification for appropriate tests or procedures and facilitates the process with managed care and the clinical team. Documents all information and authorization numbers in Epic and acts as a liaison for follow-up related to precertification.
Performs activities and responds to patient inquiries related to billing follow-up.
Requests necessary charge corrections.
Identifies patterns of billing errors and works collaboratively with department manager and outside entity to improve processes as needed.
Provides guidance regarding clinical documentation to optimize charges and RVUs
Confirms coding accuracy based on clinical documentation and reviews common errors or misses with physicians and leadership.
The Billing Coordinator reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
The Billing Coordinator is responsible for processing charges, payments and/or adjustments for all services rendered at all NM Corporate Health Clinics. Researches and follows- up on all outstanding accounts. Answers all calls regarding charges and claims, providing exceptional customer service to all callers. Possesses extensive knowledge of coding, billing, insurance and collections procedures and coordinates the accounts receivable functions. Performs weekly claims, monthly late bills and patient statement runs and reviews accounts to be placed with an outside collection agency.
RESPONSIBILITIES:
Department Operations
Ensures patient demographic and billing/insurance information is kept current in the computer application. Documents all patient and company contacts.
Reviews daily clinic schedules and tracks receipt of documentation to assure completeness of charge capture.
Ensures notes are is placed in systems, clearly identifying steps taken, according to established procedures.
Works with patients/clients to establish payment plans according to predetermined procedures.
Handles all incoming customer service calls in a professional and efficient manner. Provides exceptional service to all customers, guarantors, patients, internal and external contacts.
Prepares itemized bill upon request; explains charges, payments and adjustments. Produces a clear and understandable statement to individuals on any outstanding account balance.
Responsible for timely submission of accurate bills and invoices to clients, patients and insurance companies.
Ensures timely posting of all charges, payments, denials and write-offs to the appropriate account, maintaining the highest level of quality for each transaction processed within 48 hours of receipt.
Responsible for balancing each payment and adjustment batch with reconciliation report and bank account deposits after completion.
Ensures compliant follow up procedures are followed, to third party payers regarding outstanding accounts receivables.
Run outstanding A/R reports, follow-up on unpaid claims or balances with insurance companies, patients, and collection agency, as defined by department.
Perform daily systematic review of accounts receivable to ensure all accounts ready to be worked are completed.
Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation.
Denials and appeals follow-up including root cause analysis to reduce/prevent future denials.
Reviews, prepares and sends pre-collection letters as defined by department procedures.
Identifies and sends accounts to outside collection agency.
Prepares and distributes reports that are required by finance, accounting, and operations.
Handles all work in an accurate and timely manner, consistently meets or exceeds productivity standards, quality standards, department goals and deadlines established by the team.
Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices.
Identify opportunities for process improvement and submit to management.
Demonstrate proficient use of systems and execution of processes in all areas of responsibilities.
Communication and Teamwork
Fosters and maintains positive relationships with the Corporate Health team, Human Resources, NM employees and physicians.
Provides courteous and prompt customer service. Answers the telephone in a courteous professional manner, directs calls and takes messages as appropriate. Checks for messages and returns calls.
Demonstrates teamwork by helping co-workers within and across departments. Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others.
Communicates appropriately and clearly to physicians, manager, nursing staff, front office staff, and employees. Maintains a good working relationship within the department. Organizes time and department schedule well. Demonstrates a positive attitude.
Service Excellence
Displays a friendly, approachable, professional demeanor and appearance.
Partners collaboratively with the functional areas across Northwestern Medicine in support of organizational and team objectives.
Fosters the development and maintenance of a cohesive, high-energy, collaborative, and quality-focused team.
Supports a “Safety Always” culture.
Maintaining confidentiality of employee and/or patient information.
Sensitive to time and budget constraints.
Other duties as assigned.
Qualifications
Required:
High school graduate or equivalent.
Strong Computer knowledge, data entry skills in Microsoft Excel and Word.
Thorough understanding of insurance billing procedures, ICD-10, and CPT coding.
3 years of physician office/medical billing experience.
Ability to communicate clearly and effectively, both orally and in writing, at all levels within and outside the organization.
Ability to work independently.
Preferred:
3 years of physician office/medical billing experience in Corporate Health/Occupational Health a plus.
CPC (Certified Professional Coder) or R (Registered Medical Coder) Certificate a plus.
Additional Information
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Billing Coordinator II (Patient Financial Svcs) - FT/80
Springfield, VT jobs
The Billing Coordinator II will:
Demonstrate patient accounting skills in three or more of the following areas: billing, follow-up, administrative support, customer service, and cash posting.
Be functional in computer-based applications in the following areas, EMR, Microsoft Office, Adobe Acrobat, and Clearinghouse software.
Demonstrate full compliance with government and contract regulation.
Meet internal and external customer's expectations.
Requirements
Associate degree
Bachelor's degree
(preferred)
Two (2) years' billing, collection, customer service, cash posting, and administrative support experience with a multi-hospital system. Five (5) years' experience
(preferred)
Two (2) years' experience with Microsoft Office Suite
(preferred)
Proficient in Microsoft Office Suite
Working knowledge of CPSI or other healthcare hospital EMR
Possesses excellent oral and written communication skills.
Patient advocacy skills.
Self-motivated and functions independently.
Demonstrates problem-solving and problem-prevention skills.
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-ApplyCollection Specialist (65882)
Dalton, GA jobs
Performs various tasks to collect monies on delinquent patient accounts. Contacts patients to discuss fiduciary responsibility, updates insurance information if obtained and take the necessary steps to have charges filed, set up payment terms if applicable, accept credit/debit card payments over the phone, counsel patients if not able to meet payment terms, facilitate financial assistance counseling when needed, and other duties as assigned.
Billing 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.
Mobile Collections Specialist
Elkhart, IN jobs
We are seeking a self-motivated Mobile Collection Specialist to join our Field Operations team in Elkhart County, Indiana. The ideal candidate will be located in Elkhart with the ability to travel within a 45-mile radius. In this role, you will be performing home-based collections for individuals required to complete drug screens as part of their involvement with the Indiana Department of Child Services. Our Mobile Collection Specialists receive their daily travel routes each morning and are responsible for collecting urine, oral fluid (saliva) or hair specimens in accordance with contractual requirements.
Shift: Monday-Friday 11am-7pm
Pay Range: $16-$18
* Additional benefits for Mobile Collections Specialists include mileage reimbursement, $50 monthly cell phone reimbursement, and an incentive bonus of $100 for emergency collection requests fulfilled outside of Indiana DCS business hours.
Primary Responsibilities
* Travel to participant's home, work, or local DCS office to collect urine, oral, and/or hair specimens
* Log, order, process and assemble samples for shipping to laboratory
* File requisitions, chain of custody forms, and associated paperwork
* Courier specimens to drop off location and/or lab
* Keep detailed record of client and patient interactions
* Travel to third party collection sites to perform site inspections, as needed
* Provide support to the Program Manager and Regional Lead ensuring that third party collection sites meet Cordant's standards for the Indiana Department of Child Safety program.
* All other duties as assigned
Qualifications
* HS diploma or GED, required
* 1+ year of experience working directly with customers or patients required
* Experience in healthcare, criminal justice, or a similar dynamic field preferred
* Ability to perform observed collections and collect biological specimens, required
* Availability to travel within region for emergency, after-hours collections with little notice (1 hour), including potential overnights and weekends, required
* Valid Driver's License, reliable transportation, and proof of auto insurance with candidate listed as an insured driver, required
* Must own a Smartphone with ability to enable location-tracking
* Basic computer skills with the ability to set up applications independently, required
* Strong attention to detail with excellent verbal and written communication skills, required
* Ability to work effectively under tight deadlines and de-escalate communications with participants in potentially stressful or dynamic situations
* Light to moderate physical effort (lift/carry up to 25 lbs.), and sitting/standing for long periods of time, required
* Ability to wear scrubs and protective devices (gloves), required
Benefits
Cordant supports our employees by providing a comprehensive benefits package to eligible staff (per state regulations) that includes: Medical, Dental, Vision Insurance, Flexible Spending Accounts (FSA), Health Savings Accounts (HSA) Paid Time Off (PTO) accruing on day 1, Volunteer Time Off (VTO), Paid Holidays, 401(k) with Company Match, Employee Assistance Program (EAP), Short Term and Long-Term Disability (STD/LTD) and Company Paid Basic Life Insurance.#FIE123
Legal Collections Specialist
Marietta, GA jobs
Job DescriptionWe are seeking a seasoned Legal Collections Specialist to join our high-performing legal recovery team. This role is tailored for professionals with direct experience performing debt collection within a legal environment, including pre-litigation, active litigation, and post-judgment accounts.This is a production-focused role that requires strong case management, compliance adherence, and the ability to engage consumers professionally and effectively to resolve outstanding balances.Ideal Candidate Profile:
Minimum of five (5) years of experience in legal collections with verifiable references
Proven track record of working legal-stage portfolios, including familiarity with court procedures, timelines, and post-judgment enforcement strategies
Strong negotiation, documentation, and communication skills
Results-driven and self-directed, with the ability to manage a high volume of tasks daily
Proficiency with case management systems and collections software
Key Responsibilities:
Manage and advance a portfolio of legal-stage accounts from pre-litigation through post-judgment
Conduct consumer outreach via phone, email, and other approved channels to negotiate and secure resolutions
Accurately document all account activity in compliance with internal policies and applicable laws
Coordinate with attorneys and litigation teams to ensure timely movement of cases
Meet or exceed monthly recovery targets while maintaining high-quality work standards
What We Offer:
Competitive compensation structure including base pay and performance incentives
Supportive and professional team culture focused on measurable success
Clear advancement pathways for high performers
Standard Monday through Friday schedule (no weekends or extended hours)
Location: Marietta, Ga
This is an opportunity to bring your legal collections expertise into a performance-oriented environment where professionalism, compliance, and results are the standard. If you're ready to operate at the next level, we encourage you to apply.
Insurance Collections Specialist
Boynton Beach, FL jobs
Job Description
FUNCTION/OVERVIEW:
This position will focus on accuracy in reviewing and assessing insurance denials or returned claims. Must be able to communicate with insurance companies and clients from a resolution based perspective. This communication should be focused on acquired knowledge, insurance carrier guidelines, company policies & procedures, research and collection efforts. In addition to following up on claims, the collection specialist will be responsible for sending out medical records and writing appeals for denials to the insurance companies.
PRIMARY DUTIES/RESPONSIBILITIES:
Promote the mission, values and vision of the organization.
Provide excellent customer service for clients; practices confidentiality and privacy protocols in accordance with HIPAA requirements.
Accurately and thoroughly enters data / notes into the electronic system for follow up.
Assists with follow up on claims processed to ensure payment to the agency.
Works directly with payers to verify client eligibility and client payment responsibility including co-pays, deductibles, co-insurance, and/or out of pocket maximums.
Assists as needed with follow-up on insurance denials, appeals, and reconsiderations.
Assists as needed with all billing tasks and functions related to insurance, grant, and client billing.
Responsible for investigating insurance rejected claims and the re-processing of denied claims and/or appeals of denied or underpaid claims.
Identify denial patterns, as well as notifying senior management of payment delay issues.
Contacts insurance companies regarding outstanding accounts.
QUALIFICATIONS REQUIRED:
High School Diploma or GED equivalent with combination of education and work experience, required; Bachelor's degree, preferred.
Minimum of two (2) years' experience in Substance abuse Billing, Coding and Collections.
Knowledge of Third Party payers, billing requirements and reimbursement methods; knowledge of medical terminology.
Knowledge of claims reimbursement and collection efforts for the field of Substance Abuse treatment.
Relevant computer software and hardware applications proficiency - Word, Excel, PowerPoint, Outlook, Electronic Medical Records, Billing Systems and/or other scheduling applications; KIPU preferred, Collaborate MD
SKILLS:
Strong communication skills, both written and verbal.
Ability to work independently, as well as part of a team.
Manage multiple tasks and set priorities.
Ability to handle highly sensitive and confidential information.
Ability to work in a fast-paced, high-energy environment.
Excellent interpersonal and customer-facing skills.
Ability to work accurately, with attention to detail.
Collections Specialist
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.
Auto-ApplyCollections Specialist
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.
Auto-Apply