Account Specialist jobs at Greenville Health & Rehab - 1125 jobs

The Service Desk Representative II provides technical support and customer service for incident resolution and service requests. This role serves as the first point of contact for IT-related issues, including software, hardware, and network troubleshooting. Responsibilities include initial assessment, triage, research, and resolution of user-reported issues. The Service Desk Representative II collects and documents information through the ServiceNow ticketing system and escalates complex issues when necessary. **Essential Functions** + Provides first-line troubleshooting and support for hardware, software, networking, and system issues, including desktops, laptops, mobile devices, printers, and network connectivity. + Addresses and resolves basic incidents and requests; logs all incidents and service requests in the ServiceNow ticketing system and escalates issues beyond scope as needed. + Uses the appropriate ServiceNow categories for logging incidents and requests, ensuring accuracy and efficiency in issue resolution. + Creates a positive customer support experience by demonstrating deep problem understanding, timely communication, and professional handling of all inquiries. + Analyzes and resolves incidents and requests, documenting resolutions and providing users with regular status updates. + Effectively manages multiple tasks, prioritizes workloads, and meets tight deadlines in a fast-paced environment. + Uses remote support tools to diagnose and resolve technical issues when on-site assistance is not required. + Guides users through issue resolution processes and educates them on best practices to minimize recurring problems. + Performs other duties as assigned. + Maintains regular and reliable attendance. + Complies with all policies and standards. **Qualifications** + H.S. Diploma or GED required + Associate Degree or higher in Information Technology, Computer Science, or a related field preferred + 2-4 years of experience in IT support, help desk operations, or technical customer service required + Familiarity with Learning Management Systems (LMS) required + Basic experience with SQL or Microsoft Access preferred **Knowledge, Skills and Abilities** + Strong knowledge of IT support processes, troubleshooting methodologies, and service management tools. + Proficiency in using remote desktop support tools, ticketing systems (e.g., ServiceNow), and IT service management (ITSM) platforms. + Strong understanding of IP networking, Active Directory security, and client-server networking. + Advanced knowledge of Microsoft Office tools, including expert-level proficiency in Excel. + Familiarity with password reset tools, multi-factor authentication (MFA), and user access control. + Strong communication and customer service skills, with the ability to explain technical concepts to non-technical users. + Ability to diagnose issues, find solutions quickly, and resolve problems effectively in a fast-paced environment. **Licenses and Certifications** + CompTIA A+ Certification preferred + MSOS - Microsoft Office Specialist preferred Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.

What We Offer: ECMO Specialist Unit: Cardiac ICU Schedule: Full-time nighthift (7:00PM - 7:00AM) This is a specialized team small environment and family like team with supportive leadership. Provides care to patients in cardiac or respiratory failure receiving ECMO (Extracorporeal Membrane Oxygenation). Includes monitoring and maintaining ECMO patients and rapid response for ECMOcannulation. Responsible for all aspects of monitoring and troubleshooting the ECMO circuit and related equipment during the treatment period. Our Cardiac ICU is a specialized unit committed to delivering advanced care to critically ill patients with complex cardiovascular conditions. We care for patients requiring high acuity procedures and interventions including implantation of mechanical circulatory support. We foster a collaborative, team oriented and supportive environment focused on patient-centered care and professional growth. What We're Looking For: Education: Graduate of an accredited Registered Nurse program or Respiratory Therapy program is required with current licensure and certification as appropriate. For RN, BSN preferred. Experience: Minimum of (2) two years of direct patient care experience in a neonatal, pediatric or adult ICU setting is required. License/Certification: Current Basic Life Support for Healthcare Provider status according to American Heart Asociation, required. ACLS, preferred. Additional skills required: Provides valuable assessment skills to the ECMO physician and perfusionist. What You'll Do: It is the responsibility of every Novant Health team member to deliver the most remarkable patient experience in every dimension, every time. Our team members are part of an environment that fosters team work, team member engagement and community involvement. The successful team member has a commitment to leveraging diversity and inclusion in support of quality care. All Novant Health team members are responsible for fostering a safe patient environment driven by the principles of "First Do No Harm".

988 Crisis Call Specialist Looking for a career that makes a difference in the lives of others, offering hope, meaningful life choices, and better outcomes? Who we are Since 1971 Western Montana Mental Health Center (WMMHC) has been the center of community partnership in the 15 counties we serve across western Montana. We have committed to providing whole-person, person-centered care by ensuring an approach to health care that emphasizes recovery, wellness, trauma-informed care, and physical-behavioral health integration. We know the work we do is important and makes a significant impact in the lives of our clients and in our communities. Working at WMMHC also gives you the opportunity to work under the Big Sky, giving you the adventure of a life time while serving your community and changing lives. We offer a work life balance so you still have time to discover all the natural beauty and recreational dreams that Montana has to offer while still engaging in a career path that is challenging and fulfilling. If you want to join our team where community is at the heart of what we do, then you've come to the right place! Job Summary: Do you like to talk on the phone? Are you the person your family and friends turn to when they need support? Can you remain calm in stressful situations and empathize without judgement? If you can answer yes to these questions, the National Suicide Prevention Lifeline team needs your help! With training in the following tasks, you will be able to serve your community members. Triage incoming Lifeline calls and obtain caller information. Conduct assessments and dispatch appropriate interventions when needed. Deescalate callers in crisis over the phone. Develop appropriate and realistic safety plans and complete appropriate follow up tasks. Knowledge and familiarity with community resources Complete documentation in an accurate and thorough manner. Location: Remote* only after training and available to come into office when needed. We are seeking a candidate who is able and willing to work varied shifts including evenings, weekends, holidays, and overnights. Overnights shifts offer a pay differential. *Remote work is available after completion of training. Qualifications High School diploma or equivalent Ability to pass background check Provide proof of auto liability insurance coverage per Western's policies Montana Driver's License with a good driving record 1-year related work experience in human services, preferred Benefits: We know that whole-person care is not just important for our clients, but recognize it's just as important for our employees. WMMHC has worked hard to provide a benefits package that encompasses that same concept. Our comprehensive benefits package focuses on the health, security, and growth of our employees. Benefit offerings will vary based upon full time, part time, or variable status. Health Insurance - 3 options to choose from starting as low as $5 per pay period Employer paid benefits: Employee Assistance Program, Life insurance for employees and dependents, and long term disability Voluntary options available: dental & vision insurance, short term disability, additional life insurance and dependent care flexible spending account Health savings account (HAS) with match or medical flexible spending account (FSA) 403(B) Retirement enrollment offered right away with an employer match offered after one year Generous paid time off to take care of yourself and do the things you love Accrued PTO starts immediately Extended sick leave 9 paid holidays and 8 floating holidays Loan forgiveness programs through PSLF or NHSC

Bilingual Sales & Enrollment Client Specialist - Remote (Spanish) Thriveworks, clinician-founded and led, is a leading mental health provider of therapy and psychiatry. We offer in-person and online care, with 340+ offices and 2,200 clinicians across the US. In 2007, our Founder, AJ Centore, PhD, called 40 fellow clinicians and reached 40 voicemails - quickly learning that the counseling experience was subpar for both clients and clinicians. A year later, in 2008, he launched Thriveworks and set out to make therapy work better for everyone. Thriveworks offers mental health services to individuals of all ages, from adults to teens to children, helping them with their unique individual and relationship challenges. About the Job Our Center of Excellence is built on a culture of service excellence. Everyone can benefit from working with a skilled therapist, counselor, or life coach, and we strive to ensure that people all across the country have that very opportunity. The role of Enrollment Specialist at Thriveworks is a sales and full-time remote position, and is responsible for actively managing a pipeline of prospective clients seeking mental health services. The ideal candidate excels in a fast-paced, mission-driven environment, demonstrating exceptional communication, attention to detail, and adaptability. We have a lot of people reaching out for support, and it's our job to help them feel heard, explain what Thriveworks offers, and match them with the right service. You'll walk them through the scheduling process and make sure they feel comfortable, informed, and excited about getting started with their first appointment. Responsibilities Manage high-volume inbound and outbound client interactions using platforms such as Salesforce, NICE, and ThriveSupport. Prospecting new leads, handling inbound calls, and conducting outbound outreach to support referral programs and engage prospective clients. Handle 50+ calls daily while maintaining a high standard of organization and follow-through. Meet or exceed key performance indicators (KPIs), including client conversion rates, intake targets, quality assurance (QA) standards, and schedule adherence. Ensure clients are a strong fit for services by aligning their needs with appropriate offerings Address and escalate client concerns to other departments and leadership, and follow up as necessary to ensure satisfactory resolution. Work collaboratively in a fast-paced and ever-changing team environment. Additional duties requested by Supervisor/Manager. Compensation: The base salary starts at $43,118 ($20.73/Hr). In addition to the base salary, Enrollment Specialists have the opportunity to earn $0 - $30,000+ in commission annually, based on performance and achievement of goals. Requirements: Sales/Customer Service and Call Center experience is required, experience in the mental health field is preferred. Bachelor's degree or a minimum of 2 years of inside sales experience within a digital health or similar sales environment (handling both inbound and outbound leads). High proficiency in Google Suite (Docs, Sheets, Gmail, etc.) and CRM platforms, particularly Salesforce. Must be fluent in Spanish Must have a designated, quiet workspace to maintain client confidentiality and adhere to HIPAA compliance standards. Excellent verbal and written communication skills, with the ability to engage a diverse range of clientele professionally and empathetically. Work hours: Monday-Friday, 8:00 AM to 9:30 PM EST; Saturday & Sunday, 8:00 AM to 6:00 PM EST (subject to change). This is an FT position with benefits, ranging between 32 - 40 hours per week, depending on the business needs. Shift Bid opportunities are available (every 6 months) based on performance. Internal candidates must be currently in good standing in their current role. Benefits: Competitive compensation + commission opportunities 401(k) with employer match Medical, Dental, Vision, Life Insurance Paid time off and holidays Employee Assistance Program (EAP) Professional growth and advancement opportunities This is a remote, sedentary role that requires extended periods of sitting and working on a computer. Frequent typing and use of a standard keyboard and mouse are required. Thriveworks is an Equal Opportunity Employer. Our people are our most valuable assets. We embrace and encourage differences in age, color, disability, ethnicity, gender identity or expression, national origin, physical and mental ability, race, religion, sexual orientation, veteran status, and other characteristics that make our employees unique. We encourage and welcome diverse candidates to apply for any position you are qualified to bring your unique perspective to our team. Interested in joining Team Thriveworks? We're thrilled to meet you! With Job scams becoming more and more frequent, here's how to know you're speaking with a real member of our team: Our recruiters and other team members will only email you from ************************* or an @thriveworks.com email address. Our interviews will take place over Google Meet (not Microsoft Teams or Zoom) We will never ask you to purchase or send us equipment. If you see a scam related to Thriveworks, please report to ***********************. You can contact ************************** with any questions or concerns. Thriveworks is an Equal Opportunity Employer. Our people are our most valuable assets. We embrace and encourage differences in age, color, disability, ethnicity, gender identity or expression, national origin, physical and mental ability, race, religion, sexual orientation, veteran status, and other characteristics that make our employees unique. We encourage and welcome diverse candidates to apply for any position you are qualified for to bring your unique perspective to our team. By clicking Apply, you acknowledge that Thriveworks may contact you regarding your application.

Now Hiring: Client Specialist (3rd Shift) Supportive. Purpose-Driven. Recovery-Focused. Status: FT | Hourly, Non-Exempt Reports To: Shift Supervisor Schedule: 3rd shift 11pm-7:30am About the Role Anuvia is seeking compassionate and reliable Client Specialists to join our Clinical Inpatient team. This vital position supports individuals in our detox and residential programs-helping them navigate recovery with dignity, safety, and care. If you're ready to make a difference and grow within a structured career ladder, we want to hear from you. What You'll Do Welcome and orient new clients into the detox program, complete service plans, and intake documentation. Maintain a therapeutic and secure environment by performing safety checks, room searches, and drug screenings. Administer medications (if certified), support mental/physical health observations, and provide first aid/CPR if needed. Facilitate daily therapeutic or educational activities and help transition clients to appropriate levels of care. Collaborate with clinical staff to evaluate client needs and maintain accurate documentation in electronic health records. Be an active participant in shift communication, incident reporting, and quality improvement processes. Career Growth Opportunities We offer a clear career ladder with built-in certification support and increased responsibility at each level: Client Specialist I: Entry-level with certification required within 60 days Client Specialist II: Certified and able to train others Client Specialist III: Med Tech certification required within 90 days Client Specialist IV: Enrolled in CADC registration program with supervision requirements Client Specialist V: CADC-I certified Already a Qualified Professional (QP)? You'll also support screenings, service plans, therapeutic interventions, and staff supervision. What We're Looking For Education: High School Diploma or GED required Experience: 2 years in healthcare or substance use treatment preferred Skills: Strong communication, problem-solving, time management, and adaptability Certifications: CADC preferred Med Tech (within 90 days for CSIII) CPR/First Aid (or willing to obtain) Valid NC or SC Driver's License required You'll Thrive If You Are: Calm under pressure and able to handle crisis situations with professionalism Passionate about helping others overcome barriers in their recovery Committed to excellence, teamwork, and continuous learning Comfortable working in a diverse, fast-paced residential treatment environment Why Join Anuvia? Purpose-driven work that truly makes a difference Structured advancement with credentialing support Supportive team culture in a respected treatment center Opportunity to grow into a QP or Certified Counselor role Competitive Benefits: We offer a comprehensive benefits package, including: -Immediate health benefits with no waiting period. -Generous time off policies and company-provided disability insurance. -Competitive salary with a 401(k)-plan featuring a 7% employer contribution after the first year. -Access to continuous learning and development opportunities, plus a range of additional benefits and opportunities for career advancement.

Job Description Now Hiring: Client Specialist (3rd Shift) Supportive. Purpose-Driven. Recovery-Focused. Status: FT | Hourly, Non-Exempt Reports To: Shift Supervisor Schedule: 3rd shift 11pm-7:30am About the Role Anuvia is seeking compassionate and reliable Client Specialists to join our Clinical Inpatient team. This vital position supports individuals in our detox and residential programs-helping them navigate recovery with dignity, safety, and care. If you're ready to make a difference and grow within a structured career ladder, we want to hear from you. What You'll Do Welcome and orient new clients into the detox program, complete service plans, and intake documentation. Maintain a therapeutic and secure environment by performing safety checks, room searches, and drug screenings. Administer medications (if certified), support mental/physical health observations, and provide first aid/CPR if needed. Facilitate daily therapeutic or educational activities and help transition clients to appropriate levels of care. Collaborate with clinical staff to evaluate client needs and maintain accurate documentation in electronic health records. Be an active participant in shift communication, incident reporting, and quality improvement processes. Career Growth Opportunities We offer a clear career ladder with built-in certification support and increased responsibility at each level: Client Specialist I: Entry-level with certification required within 60 days Client Specialist II: Certified and able to train others Client Specialist III: Med Tech certification required within 90 days Client Specialist IV: Enrolled in CADC registration program with supervision requirements Client Specialist V: CADC-I certified Already a Qualified Professional (QP)? You'll also support screenings, service plans, therapeutic interventions, and staff supervision. What We're Looking For Education: High School Diploma or GED required Experience: 2 years in healthcare or substance use treatment preferred Skills: Strong communication, problem-solving, time management, and adaptability Certifications: CADC preferred Med Tech (within 90 days for CSIII) CPR/First Aid (or willing to obtain) Valid NC or SC Driver's License required You'll Thrive If You Are: Calm under pressure and able to handle crisis situations with professionalism Passionate about helping others overcome barriers in their recovery Committed to excellence, teamwork, and continuous learning Comfortable working in a diverse, fast-paced residential treatment environment Why Join Anuvia? Purpose-driven work that truly makes a difference Structured advancement with credentialing support Supportive team culture in a respected treatment center Opportunity to grow into a QP or Certified Counselor role Competitive Benefits: We offer a comprehensive benefits package, including: -Immediate health benefits with no waiting period. -Generous time off policies and company-provided disability insurance. -Competitive salary with a 401(k)-plan featuring a 7% employer contribution after the first year. -Access to continuous learning and development opportunities, plus a range of additional benefits and opportunities for career advancement.

Medical Biller, CMG Business Office Full Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group is Covenant Health's employed and managed medical practice organization, with more than 300 top Physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include cardiology, cardiothoracic surgery, cardiovascular surgery, endocrinology, gastroenterology, general surgery, infectious disease, neurology, neurosurgery, obstetrics and gynecology, occupational medicine, orthopedic surgery, physical medicine and rehabilitation, primary care, pulmonology, reproductive medicine, rheumatology, sleep medicine and urology. Position Summary: This position participates in various functions including the review, correction, submission/resubmission, and/or appeal of rejected, denied, unpaid, or improperly paid insurance claims. This position is responsible for billing and follow-up functions for payors in all financial class categories. Serves as a resource for Medical Biller Is, seeking guidance from Supervisor when necessary. This positions also provides patient customer service and releases billing records to approved entities. This position responsible for the timely and accurate completion of assigned tasks to facilitate proper claim processing. Responsibilities Acts a resource for Medical Biller Is with resolving intermediate to complex account and claims issues. Provides guidance to other departmental roles (including Customer Service, Collections, Payment Posting) as it pertains to plan eligibility, claims processing details, and patient balance explanations as needed. Responsible for daily submission of primary, secondary, and tertiary claim billing via the clearinghouse, payor portals, and paper mailing. Reviews deficient claims (i.e. claim rejections) that are unable to be processed by the payor, makes corrections, and processes rebills as appropriate. Responsible for identifying financial and medical records necessary to support claim filing for all payor types for primary, secondary, and tertiary claims. Obtains and releases relevant documents as appropriate to facilitate timely and accurate claim processing. Demonstrates problem-solving and critical thinking skills in analyzing rejections and/or denials to determine root-cause and best course of action to resolve account issues. Able to identify rejection and denials trends and report to the appropriate contact for tracking and/or further investigation. Demonstrates knowledge and comprehension of State and Federal regulations, Medicare, TennCare, and other Third-Party Payor requirements, assuring departmental compliance. Possess an enhanced understanding of billing regulations, claim submission guidelines, payor policies, Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC), and payor-specific rejection and denial language; demonstrates the ability to interpret these relevant to determining proper steps needed to resolve accounts. Able to find, comprehend, and interpret payor processing and reimbursement policies relevant to assigned tasks. Maintains a working knowledge of medical terminology, CPT and HCPCS code sets, ICD-10 code set, and modifiers as it pertains to work assignment. Demonstrates the ability to extract pertinent information from payor correspondence and documents this in the practice management system. Interprets payor correspondence relevant to account resolutions and takes next steps as appropriate. Responsible for preparing and submitting payor reconsiderations and appeals. References relevant payor policies, claim submission and billing guidelines, and supporting documentation to obtain payor reimbursement in accordance with contracted rates. Analyses overpaid accounts and takes appropriate action to resolve overpayments including initiation of payor recoupment, refunding overpaid dollars to the appropriate party, and making appropriate transaction corrections in the practice management system. Demonstrates the ability to use registration system and payor websites to verify patient plan eligibility, coordination of benefits, and plan participation with CMG to ensure timely and accurate processing of accounts. Retrospectively reviews registration information obtained by CMG clinics impacting claim rejections and/or denials. In cases of incomplete or incorrect registration information, consults payor websites to obtain correct information. When necessary, contacts payors and/or patients via phone or mail to clarify deficient registration information. Consults and works collaboratively with leadership, coworkers, other departments, and other facility personnel to ensure accurate exchange of information and appropriate actions to resolve patient account/claims issues. Communicates effectively and professionally with patients/public, coworkers, physicians, facilities, agencies and/or their offices, and other facility personnel using verbal, nonverbal and written communication skills. Provides accurate explanation to patients with questions related to claims processing, plan benefits, and account balances via verbal and written communication. Act as a liaison between the patient, charge entry staff, and office staff in cases of patient dispute of charges billed. Demonstrates good judgment when handling financial discussions with patients, always maintaining a professional and confidential environment. Accurately processes practice management system transactions related to resolution of open accounts including but not limited to adjustments, transfer of payments, and refunds. Properly calculates and applies patient balance adjustments such as Self Pay Discounts and Good Faith Estimate Adjustments in accordance with departmental and organizational policies. Possess an enhanced understanding of the payment posting process and its impact relevant to claims follow up and account resolution. Recognizes situations which necessitate guidance and seeks from appropriate resources. Demonstrates promptness in reporting for and completing work, displaying the ability to manage time wisely to ensure timely and accurate completion of assignments. Adheres to established departmental policies and procedures. Follows policies, procedures, and safety standards. Completes required education assignments annually. Attends required meetings. Works toward achieving department goals and objectives. Participates in quality improvement initiatives as requested. Must achieve or exceed minimum expected work quality and quantity metrics as defined by department leadership. Skill set and competency to perform job requirements will be evaluated during initial 90-day training period. Performs all other duties as assigned or requested by leadership. Qualifications Minimum Education: Will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma. Minimum Experience: Three (3) years of experience in healthcare revenue cycle required (i.e., medical billing, insurance/precert verification, registration, Health Information Management (HIM), coding, claims management/insurance follow-up or appeals etc.). Will consider combination of formal education and experience. Professional certification may be considered as a substitute for no more than one year of experience. Knowledge of medical terminology and insurance payer rules, state and federal regulations is required. Must be able to problem solve, critically think, and work independently. Must be knowledgeable in use of PC, Windows, Excel, and Word. Expected to perform adequately and independently within three (3) to six (6) months on the job. Licensure Requirement: None Physical Requirements: Type D Job Relationship: Interactions with patients and/or the public, insurance companies, physician office staff, operational staff, physicians, IT personnel and employees from other departments. Equipment, Work Aids and Records: Equipment utilization consists of telephone, PC, copier, printer, and fax. Records maintenance consists of scanned documents, medical records, correspondence with patients and payers, confirmation and contents of payer dispute submissions, and AR/credit reports. Interpersonal Skills, Personal Traits, Abilities, and Interests: Extensive contact with patients/customers requiring assistance with account resolution. Discretion is required in non-routine situations. Ability to work within a group setting and be a team player in a mature and positive manner.

Billing Coordinator: Latrobe, PA The Billing Coordinator is responsible for coordinating and processing billing activities to ensure accurate, timely, and compliant submission of claims and invoices. This role works closely with clinical, program, and finance teams to resolve billing discrepancies, maintain payer compliance, and support efficient revenue cycle operations. Essential Duties and Responsibilities Prepare, review, and submit billing claims and invoices to insurance carriers, counties, and other funding sources. Ensure billing accuracy and compliance with contract terms, payer requirements, and regulatory guidelines. Monitor claim status, follow up on unpaid or denied claims, and initiate corrections or resubmissions as needed. Research and resolve billing discrepancies, underpayments, and payment variances. Coordinate with clinical and program staff to verify service documentation and billing eligibility. Maintain billing schedules, tracking logs, and supporting documentation. Respond to internal and external inquiries related to billing and payment status. Support audits, payer reviews, and program integrity activities by providing requested billing documentation. Maintain confidentiality and comply with HIPAA and organizational policies. Provide back-up assistance to the authorization coordinator Position Benefits Include but not limited to: Flexible schedule Paid time off starting the first day of employment Paid holidays Excellent medical, dental, and vision insurance at a reasonable cost to the employee 403(b) employer match Student Loan Forgiveness Tuition reimbursement Team Members can expect the following: Structured training time Strong supervisory support Team atmosphere with autonomy in your work schedule Strength-based atmosphere Education and Experience: Diploma/Degree in Billing functions such as Medical Coding or a minimum of three (3) years of billing experience preferably in a behavioral health setting Requires FBI, Act 33 and Act 34 clearances (agency assistance provided), PA Driver's License Adelphoi Village, headquartered in Latrobe, has more than 600 committed team members delivering residential, community, and educational support services to youth in need. We have a 50-year history of collaboration with local children and youth agencies, school districts, and the juvenile justice systems. #PursueExcellence

Job Description DCI Donor Services (DCIDS) is looking for a dynamic and enthusiastic team member to join us to save lives!! Our mission at DCIDS is to save lives through organ and tissue donation, and we want professionals on our team that will embrace this important work!! We are specifically wanting people to join our team as a Donor Specialist with expertise in communicating during difficult situations and building relationships with families. This position will serve as part of a team of passionate and driven individuals responsible for coordinating the gift of health and life through donation. Strong interpersonal skills and the ability to communicate effectively in both oral and written formats are a must. The Donor Specialist is responsible offering the gift of donation to potential donor families. COMPANY OVERVIEW AND MISSION For over four decades, DCI Donor Services has been a leader in working to end the transplant waiting list. Our unique approach to service allows for nationwide donation, transplantation, and distribution of organs and tissues while maintaining close ties to our local communities. DCI Donor Services operates three organ procurement/tissue recovery organizations: New Mexico Donor Services, Sierra Donor Services, and Tennessee Donor Services. We also maximize the gift of life through the DCI Donor Services Tissue Bank and Sierra Donor Services Eye Bank. Our performance is measured by the way we serve donor families and recipients. To be successful in this endeavor is our ultimate mission. By mobilizing the power of people and the potential of technology, we are honored to extend the reach of each donor's gift and share the importance of the gift of life. With the help of our employee-led strategy team, we will ensure that all communities feel welcome and safe with us because we are a model for fairness, belonging, and forward thinking. *This is not a fully remote position. This position is located in Knoxville, TN. This position will be assigned on a rotating 12-hour schedule assigned to the night shift (7:00pm - 7:00am EST). This position will require training during day shift. Key responsibilities this position will perform include: Effectively captures medical information accurately and completely into donor management software. Facilitates the donation process through coordination and communication with donor families and medical personnel. Supports families of potential donors and communicates the opportunity for the gift of donation to families who have recently lost a loved one using empathy and care. Performs other related duties as assigned. The ideal candidate will have: A minimum of a two-year degree in a health-related field, nursing or paramedic/EMT certification 1+ years in a health-care related position including use of medical terminology. CTBS, RN, or LPN desired. Working knowledge of computers and Microsoft Office applications. Ability to exercise independent judgement and multitask. Exceptional teamwork, communication, and conflict management skills. Demonstrated excellence in intrapersonal skills along with strong attention to detail and organizational skills. We offer a competitive compensation package including: Up to 184 hours of PTO your first year Up to 72 hours of Sick Time your first year Two Medical Plans (your choice of a PPO or HDHP), Dental, and Vision Coverage 403(b) plan with matching contribution Company provided term life, AD&D, and long-term disability insurance Wellness Program Supplemental insurance benefits such as accident coverage and short-term disability Discounts on home/auto/renter/pet insurance Cell phone discounts through Verizon **New employees must have their first dose of the COVID-19 vaccine by their potential start date or be able to supply proof of vaccination.** You will receive a confirmation e-mail upon successful submission of your application. The next step of the selection process will be to complete a video screening. Instructions to complete the video screening will be contained in the confirmation e-mail. Please note - you must complete the video screening within 48 hours from submission of your application to be considered for the position. DCIDS is an EOE/AA employer - M/F/Vet/Disability.

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

Job Description DCI Donor Services (DCIDS) is looking for a dynamic and enthusiastic team member to join us to save lives!! Our mission at DCIDS is to save lives through organ and tissue donation, and we want professionals on our team that will embrace this important work!! We are specifically wanting people to join our team as a Donor Specialist with expertise in communicating during difficult situations and building relationships with families. This position will serve as part of a team of passionate and driven individuals responsible for coordinating the gift of health and life through donation. Strong interpersonal skills and the ability to communicate effectively in both oral and written formats are a must. The Donor Specialist is responsible offering the gift of donation to potential donor families. COMPANY OVERVIEW AND MISSION For over four decades, DCI Donor Services has been a leader in working to end the transplant waiting list. Our unique approach to service allows for nationwide donation, transplantation, and distribution of organs and tissues while maintaining close ties to our local communities. DCI Donor Services operates three organ procurement/tissue recovery organizations: New Mexico Donor Services, Sierra Donor Services, and Tennessee Donor Services. We also maximize the gift of life through the DCI Donor Services Tissue Bank and Sierra Donor Services Eye Bank. Our performance is measured by the way we serve donor families and recipients. To be successful in this endeavor is our ultimate mission. By mobilizing the power of people and the potential of technology, we are honored to extend the reach of each donor's gift and share the importance of the gift of life. With the help of our employee-led strategy team, we will ensure that all communities feel welcome and safe with us because we are a model for fairness, belonging, and forward thinking. *This is not a fully remote position. This position is located in Nashville, TN. This position will be assigned on a rotating 12-hour schedule assigned to the night shift (6:00pm - 6:00am). This position will require training during day shift. Key responsibilities this position will perform include: Effectively captures medical information accurately and completely into donor management software. Facilitates the donation process through coordination and communication with donor families and medical personnel. Supports families of potential donors and communicates the opportunity for the gift of donation to families who have recently lost a loved one using empathy and care. Performs other related duties as assigned. The ideal candidate will have: A minimum of a two-year degree in a health-related field, nursing or paramedic/EMT certification 1+ years in a health-care related position including use of medical terminology. CTBS, RN, or LPN desired. Working knowledge of computers and Microsoft Office applications. Ability to exercise independent judgement and multitask. Exceptional teamwork, communication, and conflict management skills. Demonstrated excellence in intrapersonal skills along with strong attention to detail and organizational skills. We offer a competitive compensation package including: Up to 184 hours of PTO your first year Up to 72 hours of Sick Time your first year Two Medical Plans (your choice of a PPO or HDHP), Dental, and Vision Coverage 403(b) plan with matching contribution Company provided term life, AD&D, and long-term disability insurance Wellness Program Supplemental insurance benefits such as accident coverage and short-term disability Discounts on home/auto/renter/pet insurance Cell phone discounts through Verizon **New employees must have their first dose of the COVID-19 vaccine by their potential start date or be able to supply proof of vaccination.** You will receive a confirmation e-mail upon successful submission of your application. The next step of the selection process will be to complete a video screening. Instructions to complete the video screening will be contained in the confirmation e-mail. Please note - you must complete the video screening within 48 hours from submission of your application to be considered for the position. DCIDS is an EOE/AA employer - M/F/Vet/Disability.

DCI Donor Services (DCIDS) is looking for a dynamic and enthusiastic team member to join us to save lives!! Our mission at DCIDS is to save lives through organ and tissue donation, and we want professionals on our team that will embrace this important work!! We are specifically wanting people to join our team as a Donor Specialist with expertise in communicating during difficult situations and building relationships with families. This position will serve as part of a team of passionate and driven individuals responsible for coordinating the gift of health and life through donation. Strong interpersonal skills and the ability to communicate effectively in both oral and written formats are a must. The Donor Specialist is responsible offering the gift of donation to potential donor families. COMPANY OVERVIEW AND MISSION For over four decades, DCI Donor Services has been a leader in working to end the transplant waiting list. Our unique approach to service allows for nationwide donation, transplantation, and distribution of organs and tissues while maintaining close ties to our local communities. DCI Donor Services operates three organ procurement/tissue recovery organizations: New Mexico Donor Services, Sierra Donor Services, and Tennessee Donor Services. We also maximize the gift of life through the DCI Donor Services Tissue Bank and Sierra Donor Services Eye Bank. Our performance is measured by the way we serve donor families and recipients. To be successful in this endeavor is our ultimate mission. By mobilizing the power of people and the potential of technology, we are honored to extend the reach of each donor's gift and share the importance of the gift of life. With the help of our employee-led strategy team, we will ensure that all communities feel welcome and safe with us because we are a model for fairness, belonging, and forward thinking. *This is not a fully remote position. This position is located in Nashville, TN. This position will be assigned on a rotating 12-hour schedule assigned to the night shift (6:00pm - 6:00am). This position will require training during day shift. Key responsibilities this position will perform include: Effectively captures medical information accurately and completely into donor management software. Facilitates the donation process through coordination and communication with donor families and medical personnel. Supports families of potential donors and communicates the opportunity for the gift of donation to families who have recently lost a loved one using empathy and care. Performs other related duties as assigned. The ideal candidate will have: A minimum of a two-year degree in a health-related field, nursing or paramedic/EMT certification 1+ years in a health-care related position including use of medical terminology. CTBS, RN, or LPN desired. Working knowledge of computers and Microsoft Office applications. Ability to exercise independent judgement and multitask. Exceptional teamwork, communication, and conflict management skills. Demonstrated excellence in intrapersonal skills along with strong attention to detail and organizational skills. We offer a competitive compensation package including: Up to 184 hours of PTO your first year Up to 72 hours of Sick Time your first year Two Medical Plans (your choice of a PPO or HDHP), Dental, and Vision Coverage 403(b) plan with matching contribution Company provided term life, AD&D, and long-term disability insurance Wellness Program Supplemental insurance benefits such as accident coverage and short-term disability Discounts on home/auto/renter/pet insurance Cell phone discounts through Verizon **New employees must have their first dose of the COVID-19 vaccine by their potential start date or be able to supply proof of vaccination.** You will receive a confirmation e-mail upon successful submission of your application. The next step of the selection process will be to complete a video screening. Instructions to complete the video screening will be contained in the confirmation e-mail. Please note - you must complete the video screening within 48 hours from submission of your application to be considered for the position. DCIDS is an EOE/AA employer - M/F/Vet/Disability.

Call Ctr Specialist Access-Jenkintown/FT - (260331) Description Serves as the single point of contact to internal and external customers to ensure easy and seamless access to physicians, employees, patients, programs and services. Handles complex scheduling requests through various channels while utilizing numerous protocols and verification portals simultaneously. Communicates via EPIC to physicians and staff on a daily basis. Provides appropriate and relevant information and facilitates requests within the designated timeframes based on urgency as defined per scheduling protocol. Assures compliance and integrity. EducationHigh School Diploma or Equivalent RequiredBachelor's Degree in Marketing, Communications or Healthcare PreferredExperience2 years experience in customer service RequiredGeneral Experience in a physician practice or call center environment PreferredGeneral Experience and prior knowledge in scheduling for physician office or radiology PreferredGeneral Experience and knowledge working in an Electric Medical Record System (EMR) PreferredGeneral Experience communicating in Spanish or other languages (Bilingual) PreferredLicenses Your Tomorrow is Here!Temple Health is a dynamic network of outstanding hospitals, specialty centers, and physician practices that is advancing the fight against disease, pushing the boundaries of medical science, and educating future healthcare professionals. Temple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc. , and Temple Transport Team. Temple Health is proudly affiliated with the Lewis Katz School of Medicine at Temple University. To support this mission, Temple Health is continuously recruiting top talent to join its diverse, 10,000 strong workforce that fosters a healthy, safe and productive environment for its patients, visitors, students and colleagues alike. At Temple Health, your tomorrow is here!Equal Opportunity Employer/Veterans/DisabledAn Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability. Your Tomorrow is Here!Temple Health is committed to setting new standards for preventing, diagnosing and treating major diseases in our community and across the nation. Achieving that goal means investing in our employees' success through staff and leadership development. Our recruitment strategy is to attract and retain a diverse, high performing workforce that fosters a healthy, safe and productive environment for our patients and colleagues alike. Primary Location: Pennsylvania-PhiladelphiaJob: Operational Admin & ManagementSchedule: Full-time Shift: Day JobEmployee Status: Regular

Call Ctr Specialist Access 24/7 - (257103) Description Serves as the single point of contact to internal and external customers to ensure easy and seamless access to physicians, employees, patients, programs and services. Handles complex requests through various channels while utilizing numerous databases simultaneously. Communicates via EPIC to physicians and staff on a daily basis. Provides appropriate and relevant information and facilitates requests within the designated timeframes based on urgency as defined per protocol. Maintains knowledge of emergency procedures and ensures proper notification. Assures database compliance and integrity. Provides answering service to various practices in the Healthcare Environment. EducationHigh School Diploma or Equivalent RequiredBachelor's Degree Preferred or Combination of relevant education and experience may be considered in lieu of degree RequiredExperience2 years experience in customer service or a Call Center RequiredGeneral Experience communicating in Spanish (Bilingual) PreferredGeneral Experience in a physician practice or call center environment PreferredLicenses Your Tomorrow is Here!Temple Health is a dynamic network of outstanding hospitals, specialty centers, and physician practices that is advancing the fight against disease, pushing the boundaries of medical science, and educating future healthcare professionals. Temple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc. , and Temple Transport Team. Temple Health is proudly affiliated with the Lewis Katz School of Medicine at Temple University. To support this mission, Temple Health is continuously recruiting top talent to join its diverse, 10,000 strong workforce that fosters a healthy, safe and productive environment for its patients, visitors, students and colleagues alike. At Temple Health, your tomorrow is here!Equal Opportunity Employer/Veterans/DisabledAn Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability. Your Tomorrow is Here!Temple Health is committed to setting new standards for preventing, diagnosing and treating major diseases in our community and across the nation. Achieving that goal means investing in our employees' success through staff and leadership development. Our recruitment strategy is to attract and retain a diverse, high performing workforce that fosters a healthy, safe and productive environment for our patients and colleagues alike. Primary Location: Pennsylvania-PhiladelphiaJob: Operational Admin & ManagementSchedule: Full-time Shift: Day JobEmployee Status: Regular

Serves as the single point of contact to internal and external customers to ensure easy and seamless access to physicians, employees, patients, programs and services. Handles complex scheduling requests through various channels while utilizing numerous protocols and verification portals simultaneously. Communicates via EPIC to physicians and staff on a daily basis. Provides appropriate and relevant information and facilitates requests within the designated timeframes based on urgency as defined per scheduling protocol. Assures compliance and integrity. Education High School Diploma or Equivalent Required Bachelor's Degree in Marketing, Communications or Healthcare Preferred Experience 2 years experience in customer service Required General Experience in a physician practice or call center environment Preferred General Experience and prior knowledge in scheduling for physician office or radiology Preferred General Experience and knowledge working in an Electric Medical Record System (EMR) Preferred General Experience communicating in Spanish or other languages (Bilingual) Preferred Licenses '396757

Serves as the single point of contact to internal and external customers to ensure easy and seamless access to physicians, employees, patients, programs and services. Handles complex requests through various channels while utilizing numerous databases simultaneously. Communicates via EPIC to physicians and staff on a daily basis. Provides appropriate and relevant information and facilitates requests within the designated timeframes based on urgency as defined per protocol. Maintains knowledge of emergency procedures and ensures proper notification. Assures database compliance and integrity. Provides answering service to various practices in the Healthcare Environment. Education High School Diploma or Equivalent Required Bachelor's Degree Preferred or Combination of relevant education and experience may be considered in lieu of degree Required Experience 2 years experience in customer service or a Call Center Required General Experience communicating in Spanish (Bilingual) Preferred General Experience in a physician practice or call center environment Preferred Licenses '394662

Serves as the single point of contact to internal and external customers to ensure easy and seamless access to physicians, employees, patients, programs and services. Handles complex scheduling requests through various channels while utilizing numerous protocols and verification portals simultaneously. Communicates via EPIC to physicians and staff on a daily basis. Provides appropriate and relevant information and facilitates requests within the designated timeframes based on urgency as defined per scheduling protocol. Assures compliance and integrity. Education High School Diploma or Equivalent Required Bachelor's Degree in Marketing, Communications or Healthcare Preferred Experience 2 years experience in customer service Required General Experience in a physician practice or call center environment Preferred General Experience and prior knowledge in scheduling for physician office or radiology Preferred General Experience and knowledge working in an Electric Medical Record System (EMR) Preferred General Experience communicating in Spanish or other languages (Bilingual) Preferred Licenses '394616

JOIN TEAM TRILOGY Performs functions related to accounts receivable, billing, collections and revenue support to meet company goals. Analyzes accounts receivable aging and individual accounts. Schedule Options 1st shift (8-4:30) Duties and Responsibilities 1. Research accounts as needed for collection activities. 2. Prepares and reviews paperwork for attorney, write-off, and/or cut off processes. 3. Initiate collections calls for aged accounts and customer service to residents, guarantors, and facility customers. 4. Works with billing associates to review accounts and correct account billings as needed. 5. Works with Business Office Managers and/or Executive Directors of each facility or customer to help resolve past due balances. 6. Checks for Medicaid eligibility. 7. Analyzes accounts receivable aging and individual accounts. 8. Assists with special projects as needed. 9. Maintain goals for DSO and cash collected. POSITION OVERVIEW * High School diploma or equivalent. Experience * Three (3) to five (5) years' billing and/or collections experience. Healthcare, senior living industry, pharmacy or long-term care environment preferred. * Minimum one (1) year multi-facility experience preferred. * Framework/Sage experience preferred. * Exemplary computer skills that include knowledge of the Microsoft Office Suite of products. #pharmacy LOCATION US-KY-Louisville Synchrony Home Office 2701 Chestnut Station Court Louisville KY LIFE AT TRILOGY Careers close to home and your heart Since our founding in 1997, we've been making long-term care better for our residents and more rewarding for our team members. We're a Fortune Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work. If you're looking for a place that embraces you for who you are, helps you achieve your full potential, and makes working hard feel less like hard work, then look no further than Trilogy. ABOUT TRILOGY HEALTH SERVICES As one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work, Trilogy is proud to be an equal opportunity employer committed to helping you reach your full potential and 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. FOR THIS TYPE OF EMPLOYMENT STATE LAW REQUIRES A CRIMINAL RECORD CHECK AS A CONDITION OF EMPLOYMENT. * High School diploma or equivalent. Experience * Three (3) to five (5) years' billing and/or collections experience. Healthcare, senior living industry, pharmacy or long-term care environment preferred. * Minimum one (1) year multi-facility experience preferred. * Framework/Sage experience preferred. * Exemplary computer skills that include knowledge of the Microsoft Office Suite of products. #pharmacy Performs functions related to accounts receivable, billing, collections and revenue support to meet company goals. Analyzes accounts receivable aging and individual accounts. Schedule Options 1st shift (8-4:30) Duties and Responsibilities 1. Research accounts as needed for collection activities. 2. Prepares and reviews paperwork for attorney, write-off, and/or cut off processes. 3. Initiate collections calls for aged accounts and customer service to residents, guarantors, and facility customers. 4. Works with billing associates to review accounts and correct account billings as needed. 5. Works with Business Office Managers and/or Executive Directors of each facility or customer to help resolve past due balances. 6. Checks for Medicaid eligibility. 7. Analyzes accounts receivable aging and individual accounts. 8. Assists with special projects as needed. 9. Maintain goals for DSO and cash collected.

Inspire health. Serve with compassion. Be the difference. Responsible for processing insurance claims. Coordinates collections and delinquent unpaid accounts. Oversees claim processing. Investigates billing problems and assists with error resolution. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Assists in the processing of insurance claims including Medicaid/Medicare claims. Collects and enters patient's insurance information into database. Assists patients in completing all necessary forms. Answers patient questions and concerns. Reviews and verifies insurance claims. Requests refunds when appropriate. Processes Medicare correspondence, signature, and insurance forms. Follows-up with insurance companies and ensures claims are paid within timeframes as outlined in MA policies and procedures. Resubmits insurance claims that have received no response. Answers telephone, screens call, takes messages, and provides information. Maintains files with referral slips, Medicare authorizations, and insurance slips. Identifies delinquent accounts, aging period and payment sources. Processes delinquent unpaid accounts by contacting patients and third party reimbursors. Reviews each account, credit reports and other information sources such as credit bureaus via computer. Performs various collection actions including contacting patients by phone and resubmitting claims to third party reimbursors. Evaluates patient financial status and establishes budget payment plans. Follows and reports status of delinquent accounts. Reviews accounts for possible assignment makes recommendation to Credit Manager and prepares information for collection agency. Assigns uncollectible accounts to collection agency or attorney via clinic Credit and Collection policy. Contacts lawyers involved in third-party litigation. Answers inquiries and correspondence from patients and insurance companies. Develops collection letters. Identifies and resolves patient billing complaints. Research credit balances. Oversees claim processing and payments to third party providers. Answers associated correspondence. Monitors charges and verifies correct payment of claims and capitation deductions. Sends denial letters on claims and follow-up on requests for information. Audits and reviews claim payments reports for accuracy and compliance. Research and resolves claim and capitation problems. Maintains timely provider information in physician files. Maintains insurance company manual and distributes information to staff on updates and changes. Maintains required databases and patients accounts, reports and files. Resolves misdirected payments and returns incorrect payments to sender. Answers patients' inquiries regarding account balances. Appeals denied claims adhering to payer policy while communicating with MAMC department for further assistance with claims resolution as appropriate. Works all assigned claims within designated time frame to ensure timely and appropriate payment Research all information needed to complete billing process including getting charge information from physicians. Works with other staff to follow-up on accounts until zero balance or turned over for collection. Assists with coding and error resolution. Maintains required billing records, reports, and files. Investigates billing problems and formulates solutions. Verifies and maintains adjustment records. Maintains and enhances current knowledge of assigned payers with regard to guidelines for billing Provides training to front office staff when hired and retraining as needed or requested with regard to a specific payer rules and guidelines for physician billing. Recommends changes to departmental processes as necessary to maximize operational effectiveness of the revenue cycle. Maintains strictest confidentiality. Participates in educational activities. As representative of Prisma Health Clinical Department, is expected to maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual. Performs other duties as assigned. Supervisory/Management Responsibility This is a non-management job that will report to a supervisor, manager, director, or executive. Minimum Requirements Education - High School diploma or equivalent OR post-high school diploma / highest degree earned. Associate degree in a technical specialty program of 18 months minimum in length preferred Experience - Two (2) years in billing, bookkeeping, collections or customer service. In Lieu Of NA Required Certifications, Registrations, Licenses NA Knowledge, Skills and Abilities Electronic Claims Billing experience Multi-specialty group practice setting experience preferred Intermediate ICD-9 and CPT coding abilities preferred Work Shift Day (United States of America) Location 2 Medical Park Rd Richland Facility 3410 Orthopedics Support Team Department 34101000 Orthopedics Support Team-Practice Operations Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.