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  • Medicaid Biller Long Term Care

    Lifebridge Health 4.5company rating

    Baltimore, MD jobs

    Medicaid Biller Long Term Care Baltimore, MD LEVINDALE CORPORATE PATIENT FINANCIAL SE Full-time - Day shift - 8:00am-4:30pm Professional 91246 $17.00-$26.00 Experience based Posted: November 10, 2025 Apply Now // Setting the Saved Jobs link function setsavedjobs(externalidlist) { if(typeof externalidlist !== 'undefined') { var saved_jobs_query = '/jobs/search?'+externalidlist.replace(/\-\-/g,'&external_id[]=')+'&saved_jobs=1'; var saved_jobs_query_sub = saved_jobs_query.replace('/jobs/search?','').replace('&saved_jobs=1',''); if (saved_jobs_query_sub != '') { $('.saved_jobs_link').attr('href',saved_jobs_query); } else { $('.saved_jobs_link').attr('href','/pages/saved-jobs'); } } } var is_job_saved = 'false'; var job_saved_message; function savejob(jobid) { var job_item; if (is_job_saved == 'true') { is_job_saved = 'false'; job_item = ''; $('.saved-jobs-alert__check').toggle Class('removed'); $('.saved-jobs-alert__message').html('Job has been removed.'); } else { is_job_saved = 'true'; job_item = ''+'--'+jobid; $('.saved-jobs-alert__check').toggle Class('removed'); $('.saved-jobs-alert__message').html('Job has been saved!'); } document.cookie = "c_jobs="+job_item+';expires=;path=/'; $('.button-saved, .button-save').toggle Class('d-none'); $('.button-saved').append(' '); $('.saved-jobs-alert-wrapper').fade In(); set Timeout(function() { $('.button-saved').html('Saved'); $('.saved-jobs-alert-wrapper').fade Out(); }, 2000); // Setting the Saved Jobs link - function call setsavedjobs(job_item); } Save Job Saved Summary Who We Are: LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to “improve the health of people in the communities we serve.” Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care. About the Role: In a remote capacity, edits all healthcare claims for accurate submission according to local and Federal regulations. Responsible for insurance billing and follow up in skilled nursing facility. Meets individual quality and quantity performance goals and expectations. Assists the department in meeting performance goals. Key Responsibilities: Edits all healthcare claims for accurate submission according to local and Federal regulations. Meets individual quality and quantity performance goals and expectations. Assists the department in meeting performance goals. Imports, edits, corrects and transmits claims to third party payors on a daily basis. Prepares daily claims submission tracking and errors report. Assists in implementing billing system upgrades. Information and claim resolution and correction. Requirements: Education: Associate's degree preferred. Experience: Minimum of 1 year of account follow-up experience in a multi-payor hospital setting required. Previous computer experience in a hospital or healthcare environment required with billing and collections for long term care facility. Candidates must reside in one of the following states: MD, DC, PA, VA, WVA Additional Information What We Offer: Impact: Join a team that values innovation and outcomes, delivering life-saving care to our youngest and most vulnerable patients. Growth : Opportunities for professional development, including tuition reimbursement and developing foundational skills for neonatal critical care leadership and advanced certification. Support: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support - improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license. Benefits : Competitive compensation (additional compensation such as overtime, shift differentials, premium pay, and bonuses may apply depending on job), comprehensive health plans, free parking, and wellness programs. Why LifeBridge Health? With over 14,000 employees, 130 care locations, and two million annual patient encounters, we combine strategic growth, innovation, and deep community commitment to deliver exceptional care anchored by five leading centers in the Baltimore region: Sinai Hospital of Baltimore, Grace Medical Center, Northwest Hospital, Carroll Hospital, and Levindale Hebrew Geriatric Center and Hospital. Our organization thrives on a culture of CARE BRAVELY-where compassion, courage, and urgency drive every decision, empowering teams to shape the future of healthcare. LifeBridge Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression. LifeBridge Health does not exclude people or treat them differently because of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression. Share: talemetry.share(); Apply Now var jobsmap = null; var jobsmap_id = "gmapirnlt"; var cslocations = $cs.parse JSON('[{\"id\":\"2074516\",\"title\":\"Medicaid Biller Long Term Care\",\"permalink\":\"medicaid-biller-long-term-care\",\"geography\":{\"lat\":\"39.3540738\",\"lng\":\"-76.6654556\"},\"location_string\":\"2434 W. Belvedere Avenue, Baltimore, MD\"}]'); function tm_map_script_loaded(){ jobsmap = new csns.maps.jobs_map().draw_map(jobsmap_id, cslocations); } function tm_load_map_script(){ csns.maps.script.load( function(){ tm_map_script_loaded(); }); } $(document).ready(function(){ tm_load_map_script(); });
    $37k-44k yearly est. 2d ago
  • Epic Analyst - Hospital Billing

    Christus Health 4.6company rating

    Irving, TX jobs

    Read on to find out what you will need to succeed in this position, including skills, qualifications, and experience. The Application System Analyst II serves as a liaison between system end-users (customers), operational leaders, additional support resources and vendors to design, build and optimize their assigned applications in a timely and high-quality manner. The Systems Analyst II will provide application support and optimization. They work closely with the Service Desk to assist in responding to service requests. The Application System Analyst II must be able to analyze business issues/requirements and workflows and apply their application knowledge to meet operational and organizational needs. Project implementation responsibilities include collaborating with customers contributing to the analysis, testing, and documentation and implementation of medium to high complexity activities of assigned software. This position must possess sufficient detailed healthcare knowledge and systems expertise to implement medium to high complexity assigned application with minimal guidance. The Associate must be a self-motivated individual with exceptional communication and interpersonal skills and the ability to work well in team environments. Responsibilities: Analyze, develop, test, document, educate, implement, support, and maintain or optimize assigned applications, solutions and business processes to meet operational and technical requirements. Collaborates across project borders with other teams. Thinks outside the box and proposes practical solutions to issues. Provides oversight and project management to assigned tasks. Demonstrates a solid/working level of subject matter expertise in providing support to projects, customers, and other teams, while proactively working to improve and obtain new expertise in application/system in assigned areas. Utilizes application training, application web site and application resource materials regularly and effectively and is able guide newer team members in utilizing these resources. Thorough knowledge and understanding of operations, can proactively identify opportunities to enhance customer usability, efficiency and/or experience. Represents user needs and expectations in larger, more complex system updates and enhancements. Provides clear and organized status reporting on key project areas to be used as external communications to stakeholders. Performs working level process and requirement analysis, including process mapping though current flow charts, documents, future needs/plans, requirement elicitation, stakeholder analysis, and specification gathering to deliver cross team solutions. Responsible for completing working level gap analysis, and providing recommendations. Able to clearly articulate complex design, configuration issues to end users and project stakeholders. Maintains relationship with end user leadership post-engagement. Proactively addresses end user conflicts. Contributes to strategy discussions by identifying options with associated pros and cons with team members. Facilitates making timely decisions; makes sound decisions even in the absence of complete information. Recognizes when a quick 80% resolution will suffice. Adhere to organization standards for system configuration and change control. Strong technical proficiency in application-specific design and configuration. Ability to clearly articulate and communicate core design, configuration concepts to end users. Able to independently analyze, design, and configure the application. Able to teach design, configuration concepts to new team members. Collaborate and develop strong relationships with end user communities, customers and business partners. Collaborate with Operational Leaders to focus on standardized best practice workflow processes and content to ensure alignment across all ministries, to create efficiencies, and to ensure optimal operational processes. Coordinates code changes with appropriate vendor related to financial and business application issues. Collaborates with Technical Team to identify and infrastructure related issues that have resulted in application issues. Share industry best practices from vendors with Operational Leaders. Demonstrates increasing technical knowledge of the assigned application including relationships of infrastructure and impact to user if unavailable. Serves as a liaison between business operations and providers, internal information technology, system users and vendors working within the defined project objectives for issue and problem resolution. Follows strict change management processes ensuring proper approval, testing, and validation of system changes. Written documentation delivered to end users and leadership shows consistency and attentive review. Is a team player and able to proactively communicate issues and concepts to project leadership. Associate periodically reviews and auto-corrects his/her skills, habits, work ethic, and behaviors and manages his/her work in an effective and agreeable way among peers. Associate is sensitive and aware of how others perceive them and take care to ensure smooth and effective working relationships and environments. Proactively and independently troubleshoot and resolve moderate incidents and requests without direction. Maintains high standards for quality of work for self and others. Provides oversight and feedback on team member design, configuration and deliverables. Manages medium complexity projects/requests. Collaborates with team members as needed. Proactively evaluates all new release and functionality of applications. Complete in a timely manner assigned courses within Healthstream, other electronic tracking tools for educational related material or attend presentations in person as assigned. Ensure the services that he/she provides contribute to the successful accomplishment of the primary mission of the department. Escalates when SLAs are breached or appropriate vendor action is not occurring. May be required to travel to perform duties. May be required to work additional hours as needed during critical problems. Assist in preparation and conducting of continuing formal or informal training session for users and co-workers. Identifies and seizes new opportunities, displays can-do attitude in good and bad times and steps up to handle tough issues. Performs other duties as assigned. xevrcyc Requirements: Education/Skills Associates or Bachelor's degree preferred with a focus in healthcare, business, or information systems. Ability to present complex data in meaningful method, i.e., charts, graphs Ability to adjust to and implement change Problem Solving skills Multitasking skills Work as a team member Proficient in Microsoft applications including Word, Excel, and PowerPoint Excellent customer service skills Highly effective written and verbal communication and interpersonal skills to establish working relationships that foster optimal quality teamwork and education Strong organizational skills in managing multiple priorities Experience 3+ Years of experience 2+ years within healthcare, business, or information systems Solves moderate incidents without direction Develops new functionality for requests with little direction Works in a team setting, sharing information and assisting other junior level team members Possesses detailed healthcare knowledge and systems expertise Makes decisions regarding own work on primarily routine cases Works under minimal supervision, uses independent judgment requiring analysis of variable factors Collaborates with senior team members to develop approaches and solutions Mentors and may train team members within own functional or application Licenses, Registrations, or Certifications Associated certifications on area of focus, preferred For Epic Analysts: Certified or proficient in assigned Epic module (must be obtained within 6 months of employment date) Certifications or Proficiencies must stay current by maintaining new version training Work Type: Full Time
    $54k-68k yearly est. 1d ago
  • Epic Analyst - Hospital Billing

    Christus Health 4.6company rating

    Euless, TX jobs

    Read on to find out what you will need to succeed in this position, including skills, qualifications, and experience. The Application System Analyst II serves as a liaison between system end-users (customers), operational leaders, additional support resources and vendors to design, build and optimize their assigned applications in a timely and high-quality manner. The Systems Analyst II will provide application support and optimization. They work closely with the Service Desk to assist in responding to service requests. The Application System Analyst II must be able to analyze business issues/requirements and workflows and apply their application knowledge to meet operational and organizational needs. Project implementation responsibilities include collaborating with customers contributing to the analysis, testing, and documentation and implementation of medium to high complexity activities of assigned software. This position must possess sufficient detailed healthcare knowledge and systems expertise to implement medium to high complexity assigned application with minimal guidance. The Associate must be a self-motivated individual with exceptional communication and interpersonal skills and the ability to work well in team environments. Responsibilities: Analyze, develop, test, document, educate, implement, support, and maintain or optimize assigned applications, solutions and business processes to meet operational and technical requirements. Collaborates across project borders with other teams. Thinks outside the box and proposes practical solutions to issues. Provides oversight and project management to assigned tasks. Demonstrates a solid/working level of subject matter expertise in providing support to projects, customers, and other teams, while proactively working to improve and obtain new expertise in application/system in assigned areas. Utilizes application training, application web site and application resource materials regularly and effectively and is able guide newer team members in utilizing these resources. Thorough knowledge and understanding of operations, can proactively identify opportunities to enhance customer usability, efficiency and/or experience. Represents user needs and expectations in larger, more complex system updates and enhancements. Provides clear and organized status reporting on key project areas to be used as external communications to stakeholders. Performs working level process and requirement analysis, including process mapping though current flow charts, documents, future needs/plans, requirement elicitation, stakeholder analysis, and specification gathering to deliver cross team solutions. Responsible for completing working level gap analysis, and providing recommendations. Able to clearly articulate complex design, configuration issues to end users and project stakeholders. Maintains relationship with end user leadership post-engagement. Proactively addresses end user conflicts. Contributes to strategy discussions by identifying options with associated pros and cons with team members. Facilitates making timely decisions; makes sound decisions even in the absence of complete information. Recognizes when a quick 80% resolution will suffice. Adhere to organization standards for system configuration and change control. Strong technical proficiency in application-specific design and configuration. Ability to clearly articulate and communicate core design, configuration concepts to end users. Able to independently analyze, design, and configure the application. Able to teach design, configuration concepts to new team members. Collaborate and develop strong relationships with end user communities, customers and business partners. Collaborate with Operational Leaders to focus on standardized best practice workflow processes and content to ensure alignment across all ministries, to create efficiencies, and to ensure optimal operational processes. Coordinates code changes with appropriate vendor related to financial and business application issues. Collaborates with Technical Team to identify and infrastructure related issues that have resulted in application issues. Share industry best practices from vendors with Operational Leaders. Demonstrates increasing technical knowledge of the assigned application including relationships of infrastructure and impact to user if unavailable. Serves as a liaison between business operations and providers, internal information technology, system users and vendors working within the defined project objectives for issue and problem resolution. Follows strict change management processes ensuring proper approval, testing, and validation of system changes. Written documentation delivered to end users and leadership shows consistency and attentive review. Is a team player and able to proactively communicate issues and concepts to project leadership. Associate periodically reviews and auto-corrects his/her skills, habits, work ethic, and behaviors and manages his/her work in an effective and agreeable way among peers. Associate is sensitive and aware of how others perceive them and take care to ensure smooth and effective working relationships and environments. Proactively and independently troubleshoot and resolve moderate incidents and requests without direction. Maintains high standards for quality of work for self and others. Provides oversight and feedback on team member design, configuration and deliverables. Manages medium complexity projects/requests. Collaborates with team members as needed. Proactively evaluates all new release and functionality of applications. Complete in a timely manner assigned courses within Healthstream, other electronic tracking tools for educational related material or attend presentations in person as assigned. Ensure the services that he/she provides contribute to the successful accomplishment of the primary mission of the department. Escalates when SLAs are breached or appropriate vendor action is not occurring. May be required to travel to perform duties. May be required to work additional hours as needed during critical problems. Assist in preparation and conducting of continuing formal or informal training session for users and co-workers. Identifies and seizes new opportunities, displays can-do attitude in good and bad times and steps up to handle tough issues. Performs other duties as assigned. xevrcyc Requirements: Education/Skills Associates or Bachelor's degree preferred with a focus in healthcare, business, or information systems. Ability to present complex data in meaningful method, i.e., charts, graphs Ability to adjust to and implement change Problem Solving skills Multitasking skills Work as a team member Proficient in Microsoft applications including Word, Excel, and PowerPoint Excellent customer service skills Highly effective written and verbal communication and interpersonal skills to establish working relationships that foster optimal quality teamwork and education Strong organizational skills in managing multiple priorities Experience 3+ Years of experience 2+ years within healthcare, business, or information systems Solves moderate incidents without direction Develops new functionality for requests with little direction Works in a team setting, sharing information and assisting other junior level team members Possesses detailed healthcare knowledge and systems expertise Makes decisions regarding own work on primarily routine cases Works under minimal supervision, uses independent judgment requiring analysis of variable factors Collaborates with senior team members to develop approaches and solutions Mentors and may train team members within own functional or application Licenses, Registrations, or Certifications Associated certifications on area of focus, preferred For Epic Analysts: Certified or proficient in assigned Epic module (must be obtained within 6 months of employment date) Certifications or Proficiencies must stay current by maintaining new version training Work Type: Full Time
    $54k-68k yearly est. 1d ago
  • Sr. Medical Biller Office Based $20/HR -$26/HR

    Private Practice 4.2company rating

    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
    $34k-41k yearly est. 60d+ ago
  • Billing Coordinator - CTI Pulmonology and Thoracic Surgery (hybrid)

    Northwestern Memorial Healthcare 4.3company rating

    Chicago, IL jobs

    At 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 healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better? Job Description Performs charge capture for all procedures completed in the Bronchoscopy suite. This includes: Audit of CPT codes associated with each procedure Confirmation of supplies used and verification of alignment with operative notes Assists patients with billing and insurance related matters including communicating with patients regarding balances owed and other financial issues and facilitating collection of balances owed. Educates patients about financial assistance opportunities, insurance coverage, treatment costs, and clinic billing policies and procedures. Collaborates closely with physicians and technicians to understand treatment plans and determine costs associated with these plans; Works closely with the staff on managed care and referral related issues; communicates findings to patients. Coordinates the pre-certification process with the clinical staff as it relates to procedures in the Bronchoscopy Suite and Operating Rooms Handles billing inquiries received via telephone or via written correspondence. Responsible for thoroughly investigating and understanding financial resources or programs that may be available to patients and educating staff and patients about these programs. Conducts precertification for appropriate tests or procedures and facilitates the process with managed care and the clinical team. Documents all information and authorization numbers in Epic and acts as a liaison for follow-up related to precertification. Performs activities and responds to patient inquiries related to billing follow-up. Requests necessary charge corrections. Identifies patterns of billing errors and works collaboratively with department manager and outside entity to improve processes as needed. Provides guidance regarding clinical documentation to optimize charges and RVUs Confirms coding accuracy based on clinical documentation and reviews common errors or misses with physicians and leadership. The Billing Coordinator reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Billing Coordinator is responsible for processing charges, payments and/or adjustments for all services rendered at all NM Corporate Health Clinics. Researches and follows- up on all outstanding accounts. Answers all calls regarding charges and claims, providing exceptional customer service to all callers. Possesses extensive knowledge of coding, billing, insurance and collections procedures and coordinates the accounts receivable functions. Performs weekly claims, monthly late bills and patient statement runs and reviews accounts to be placed with an outside collection agency. RESPONSIBILITIES: Department Operations Ensures patient demographic and billing/insurance information is kept current in the computer application. Documents all patient and company contacts. Reviews daily clinic schedules and tracks receipt of documentation to assure completeness of charge capture. Ensures notes are is placed in systems, clearly identifying steps taken, according to established procedures. Works with patients/clients to establish payment plans according to predetermined procedures. Handles all incoming customer service calls in a professional and efficient manner. Provides exceptional service to all customers, guarantors, patients, internal and external contacts. Prepares itemized bill upon request; explains charges, payments and adjustments. Produces a clear and understandable statement to individuals on any outstanding account balance. Responsible for timely submission of accurate bills and invoices to clients, patients and insurance companies. Ensures timely posting of all charges, payments, denials and write-offs to the appropriate account, maintaining the highest level of quality for each transaction processed within 48 hours of receipt. Responsible for balancing each payment and adjustment batch with reconciliation report and bank account deposits after completion. Ensures compliant follow up procedures are followed, to third party payers regarding outstanding accounts receivables. Run outstanding A/R reports, follow-up on unpaid claims or balances with insurance companies, patients, and collection agency, as defined by department. Perform daily systematic review of accounts receivable to ensure all accounts ready to be worked are completed. Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation. Denials and appeals follow-up including root cause analysis to reduce/prevent future denials. Reviews, prepares and sends pre-collection letters as defined by department procedures. Identifies and sends accounts to outside collection agency. Prepares and distributes reports that are required by finance, accounting, and operations. Handles all work in an accurate and timely manner, consistently meets or exceeds productivity standards, quality standards, department goals and deadlines established by the team. Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices. Identify opportunities for process improvement and submit to management. Demonstrate proficient use of systems and execution of processes in all areas of responsibilities. Communication and Teamwork Fosters and maintains positive relationships with the Corporate Health team, Human Resources, NM employees and physicians. Provides courteous and prompt customer service. Answers the telephone in a courteous professional manner, directs calls and takes messages as appropriate. Checks for messages and returns calls. Demonstrates teamwork by helping co-workers within and across departments. Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others. Communicates appropriately and clearly to physicians, manager, nursing staff, front office staff, and employees. Maintains a good working relationship within the department. Organizes time and department schedule well. Demonstrates a positive attitude. Service Excellence Displays a friendly, approachable, professional demeanor and appearance. Partners collaboratively with the functional areas across Northwestern Medicine in support of organizational and team objectives. Fosters the development and maintenance of a cohesive, high-energy, collaborative, and quality-focused team. Supports a “Safety Always” culture. Maintaining confidentiality of employee and/or patient information. Sensitive to time and budget constraints. Other duties as assigned. Qualifications Required: High school graduate or equivalent. Strong Computer knowledge, data entry skills in Microsoft Excel and Word. Thorough understanding of insurance billing procedures, ICD-10, and CPT coding. 3 years of physician office/medical billing experience. Ability to communicate clearly and effectively, both orally and in writing, at all levels within and outside the organization. Ability to work independently. Preferred: 3 years of physician office/medical billing experience in Corporate Health/Occupational Health a plus. CPC (Certified Professional Coder) or R (Registered Medical Coder) Certificate a plus. Additional Information Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. If we offer you a job, we will perform a background check that includes a review of any criminal convictions. A conviction does not disqualify you from employment at Northwestern Medicine. We consider this on a case-by-case basis and follow all state and federal guidelines. 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.
    $45k-58k yearly est. 60d+ ago
  • Billing Coordinator - CTI Pulmonology and Thoracic Surgery (hybrid)

    Northwestern Medicine 4.3company rating

    Chicago, IL jobs

    The salary range for this position is $21.28 - $27.66 (Hourly Rate) Placement within the salary range is dependent on several factors such as relevant work experience and internal equity. For positions represented by a labor union, placement within the salary range is guided by the rules outlined in the collective bargaining agreement. 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 located at jobs.nm.org/benefits to learn more. Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine. We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service. Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment. Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional, and financial well-being. Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups. From discovery to delivery, come help us shape the future of medicine. Benefits: * $10,000 Tuition Reimbursement per year ($5,700 part-time) * $10,000 Student Loan Repayment ($5,000 part-time) * $1,000 Professional Development per year ($500 part-time) * $250 Wellbeing Fund per year ($125 for part-time) * Matching 401(k) * Excellent medical, dental and vision coverage * Life insurance * Annual Employee Salary Increase and Incentive Bonus * Paid time off and Holiday pay 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. Equal Opportunity Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. If we offer you a job, we will perform a background check that includes a review of any criminal convictions. A conviction does not disqualify you from employment at Northwestern Medicine. We consider this on a case-by-case basis and follow all state and federal guidelines. 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.
    $21.3-27.7 hourly 60d+ ago
  • Billing Coordinator-Radiation Oncology Part Time Days

    Northwestern Medicine 4.3company rating

    Grayslake, IL jobs

    At 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 **This is a Part Time position at 20 hours per located at the Grayslake Medical Office Building and the work schedule is flexible. Medical Billing Specialist Certification and/or Medical Coding Specialist certification is preferred along with EPIC/MOSAIQ knowledge is preferred.** 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. 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. Perform daily systematic review of accounts receivable to ensure all accounts ready to be worked are completed. 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. Daily charge reconciliation for professional and technical charges in radiation oncology. Communication and Teamwork Fosters and maintains positive relationships with the Corporate Health team, Human Resources, NM employees and physicians. Provides courteous and prompt customer service. Answers the telephone in a courteous professional manner, directs calls and takes messages as appropriate. Checks for messages and returns calls. Demonstrates teamwork by helping co-workers within and across departments. Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others. Communicates appropriately and clearly to physicians, manager, nursing staff, front office staff, and employees. Maintains a good working relationship within the department. Organizes time and department schedule well. Demonstrates a positive attitude. Service Excellence Displays a friendly, approachable, professional demeanor and appearance. Partners collaboratively with the functional areas across Northwestern Medicine in support of organizational and team objectives. Fosters the development and maintenance of a cohesive, high-energy, collaborative, and quality-focused team. Supports a “Safety Always” culture. Maintaining confidentiality of employee and/or patient information. Sensitive to time and budget constraints. Other duties as assigned. Qualifications Required : High school graduate or equivalent. Strong Computer knowledge, data entry skills in Microsoft Excel and Word. Thorough understanding of insurance billing procedures, ICD-10, and CPT coding. 3 years of physician office/medical billing experience. Ability to communicate clearly and effectively, both orally and in writing, at all levels within and outside the organization. Ability to work independently. Preferred : 3 years of physician office/medical billing experience in Corporate Health/Occupational Health a plus. CPC (Certified Professional Coder) or R (Registered Medical Coder) Certificate a plus. Additional Information Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more. Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.
    $45k-58k yearly est. 2h ago
  • Billing Coordinator II (Patient Financial Svcs) - FT/80

    Springfield Hospital Center 4.3company rating

    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.
    $50k-64k yearly est. 60d+ ago
  • Homecare Billing Coordinator

    Your Home Assistant LLC 3.4company rating

    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
    $42k-61k yearly est. 11d ago
  • Billing Coordinator - Stop Area Six

    Healthright 360 4.5company rating

    San Diego, CA jobs

    . 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.
    $45k-55k yearly est. Auto-Apply 60d+ ago
  • Billing Coordinator - HME - Full Time Days

    Regional Health Services of Howard County 4.7company rating

    Mason City, IA jobs

    The Billing Coordinator coordinates and processes all home medical equipment referrals and walk in's verifying insurance coverage, complete doctor orders and documentation to ensure clean processing of claims. They perform their duties in a manner consistent with medical center philosophy and policy in areas relating to accounts receivable, public relations, and third-party relations. What you will do: * Enters PHI data into the billing software system, including client demographics, reimbursement and billing information. * Edits and corrects the CMS 1500 claim form using proper data elements for each payer, ensuring correct billing units, dates of service, codes and modifiers are used. Ensures claims are in compliance with payer regulations. * Performs all functions with the objective of maximizing reimbursement to MercyOne North Iowa Home Medical Equipment and ensuring the claim is paid/settled in a timely manner. Utilizes available data and resources to make decisions for completion of claims processing and keeps unbilled claims to a minimum level. Provides Manager with statistical feedback of accounts. * Communicates with other departments, physicians and their office staff, and nursing personnel as required to clarify billing discrepancies and obtain medical diagnostic information. * Demonstrates flexibility and adapts to changes in workload assignments. Acts as a backup when co-workers are absent, and assists in reducing others' backlog. Maintains a positive working relationship with co-workers, medical staff, and personnel from other departments. Instructs co-workers in sales order processing procedures and assists in the orientation and training of new employees. * Assists customers politely, promptly, and accurately. Demonstrates good listening skills. Asks clarifying questions to meet customer's needs. Hours/Schedule: * Full Time/Days Minimum Qualifications: Education: Associate degree or business college courses that equate preferred. Experience: Completion of medical terminology course or an equivalent combination of education and experience preferred. Demonstrated competence in a medical insurance setting for six months to one year preferred Special Skills and Competencies: * Ability to deal tactfully and diplomatically with other employees and with the public regardless of economic status, race, religion, age, sexual orientation, disability or ability to pay. * Must possess sufficient logic skills to make necessary judgment expediting work flow. * Must be detail orientated and able to prioritize. * Ability to understand, interpret and explain insurance benefits. * Knowledge of medical equipment and its uses * Must have demonstrated competence in the use of personal computer using Windows, Excel Spreadsheets and Word. * Ability to type 55 WPM preferred. Position Highlights and Benefits * Education Assistance offered * Effective Day 1 Benefit Package (Medical, Dental, Vision, and more) for positions 20 hours per week or greater * Competitive wages; including weekend and night differentials * Generous paid time off program * Retirement Savings program with employer match starting on Day 1 Ministry/Facility Information: MercyOne North Iowa Medical Center provides expert health care to 15 counties. MercyOne North Iowa Medical Center is a 342 bed, regional referral teaching hospital in Mason City, Iowa. MercyOne New Hampton Medical Center is an 11 bed, rural access hospital in New Hampton, Iowa. Our service area spans 15 counties across northern Iowa and southern Minnesota. We serve a population over 260,000. With more than 3,000 colleagues and a medical staff of almost 500 physicians and allied health professionals, MercyOne North Iowa Medical Center is the largest employer in the region. MercyOne Medical Group - North Iowa is part of Iowa's largest multispecialty clinic systems. In north Iowa, our clinics are made up of more than 25 primary care, pediatric, internal medicine and specialty clinics. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
    $36k-44k yearly est. 35d ago
  • Billing Coordinator

    Hiawatha Valley Mental Health Center 2.9company rating

    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.
    $37k-46k yearly est. 5d ago
  • Billing Coordinator

    Nextcare, Inc. 4.5company rating

    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.
    $46k-62k yearly est. 7d ago
  • RCM Coordinator - Billing & Payor Relations

    Metrocare Services 4.2company rating

    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
    $36k-46k yearly est. Auto-Apply 12d ago
  • Collection Specialist

    Mile Bluff Medical Center 3.9company rating

    Mauston, WI jobs

    General Information: Job title: Collection Specialist Schedule: Full-time, 80 hours per pay period; scheduled between 8:00am and 7:00pm Weekend Requirement: No weekends Holiday Requirement: No holidays As a Collections Specialist you will work with patients and family members to secure payment for all Self-pay balances including deductibles, copays and coinsurance amounts applied by insurance carriers. You will also update patient demographic information and necessary insurance information needed to comply with billing requirements, and work with Bad Debt Collection Agencies to ensure timely and accurate accounting of balances. You will provide exceptional customer service while ensuring compliance with legal and regulatory guidelines. Your efforts will directly support timely revenue recovery and positive customer experiences. Position Responsibilities: Outbound Collections: Make outbound calls to individuals or representatives of estates to collect outstanding debts, particularly those involving deceased accounts, in accordance with company policies and legal requirements. Account Management: Maintain and regularly review a personal queue of assigned accounts, performing timely follow-ups, reviewing account statuses, and updating customer records. Negotiation & Payment Arrangements: Conduct professional and empathetic conversations to establish payment plans with firm deadlines; negotiate repayment options to meet collection goals. Customer Service & Issue Resolution: Provide excellent customer service by addressing inquiries, resolving billing disputes, and offering appropriate payment solutions. Estate & Probate Handling: Conduct fact-finding to locate estate information and identify potential sources of payment; review and manage probate cases and attend court proceedings as necessary. Collaboration & Reporting: Work with external collection agencies to coordinate the transfer of accounts to bad debt and ensure timely follow-up; maintain accurate documentation of all collection efforts and financial statuses. Compliance: Adhere to all applicable legal and regulatory requirements governing debt collection practices, including those specific to deceased debt and probate. General Support: Assist patients or customers with billing questions and perform other duties as assigned. Position Requirements: High school diploma or equivalent required. Associate Degree or equivalent business experience preferred. 3+ years of related work experience required. Experience working in the medical industry preferred. Exceptional accuracy and attention to detail required. Knowledge, Skills, & Abilities Intermediate proficiency with computers is required. Experience with billing/collections required. Knowledge of electronic medical records systems, healthcare portals, and collections software. Must have exceptional customer service skills. Self-starter with excellent interpersonal communication and problem-solving skills. Why Mile Bluff Medical Center? Mile Bluff Medical Center is a place where people come first. Our team is comprised of caring, patient-centered professionals serving pediatric through geriatric populations in our rural community. Our not-for-profit organization prides itself on providing state-of-the-art healthcare services, a positive work environment, and a team where employees feel valued and supported. Mile Bluff is an independent organization that offers competitive wages, great benefits and the opportunity for growth. Mile Bluff makes decisions for its employees and patients locally without relying on a large health system in another community. Mauston Location Description With a population of 4,500, Mauston maintains a small town feel while being surrounded by unique recreational and cultural experiences. Located on the Lemonweir River and next door to Wisconsin's second and fourth largest lakes, Petenwell and Castle Rock Lake, our community finds you surrounded by natural wonder, wildlife and a rich variety of outdoor recreation. Mauston is centrally located in southwestern Wisconsin on Interstate 90-94, approximately 73 miles to Madison, 140 miles to Milwaukee, and 215 miles to each Chicago and Minneapolis.
    $29k-36k yearly est. 60d+ ago
  • Billing Coordinator - Mom & Baby

    Aeroflow Career 4.4company rating

    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.
    $38k-55k yearly est. 24d ago
  • Legal Collections Specialist

    Aubrey Thrasher 4.0company rating

    Marietta, GA jobs

    We 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.
    $32k-39k yearly est. Auto-Apply 60d+ ago
  • Insurance Collections Specialist

    Behavioral Health Management LLC 4.3company rating

    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.
    $29k-37k yearly est. 27d ago
  • Collections Specialist

    Cataldo Ambulance Business Trust 4.1company rating

    Somerville, MA jobs

    The Collection Specialist is responsible for collections of outstanding private invoices from the existing client base, resolving customer billing problems and reducing accounts receivable delinquency. This position will report to the Revenue Cycle Manager and is located out of our Somerville, MA. office. Collections Specialist Responsibilities: Resolve insurance related billing issues with patients and/or insurance carriers Handling of high call volume Serve as primary representative for patient inquiries/calls Communicate effectively both orally and in writing Respond to customer inquiries, resolve client discrepancies, process and review account adjustments Demonstrate superior customer service skills and problem solving, which includes assisting the patient with alternative payment options and payment plans Possess basic understanding of government and commercial insurance and Credit & Collections policies Identify the need and request rebills to insurance Handle highly confidential information with complete discretion Maintain confidentiality of patient information while on the phone or in-person Work aged invoices utilizing various reports and the collection module using Zoll Rescue Net Alert Revenue Cycle Manager about potential problems that could affect collections Meet productivity goals/benchmarks as set and communicated by the manager Utilize available sources to obtain updated info and reissue correspondence Additional projects and responsibilities may be assigned permanently or on an as needed basis Collections Specialist Qualifications: Working knowledge of Microsoft Office, including Excel, Word is a must Strong communication, problem solving and analytical skills required Acute attention to detail and the ability to work in a fast-paced, team-oriented environment with a focus on communication required Outstanding customer service and phone skills Previous collections or customer service experience a plus Knowledge of HIPPA and healthcare policies a plus High School diploma or GED required Fluent in Spanish a plus, but not required Must be positive and maintain professional demeanor at all times Familiarity with Medicaid and Medicare guidelines Ambulance billing experience a plus 3-5 years Accounts Receivable follow up experience About Cataldo Since 1977, Cataldo Ambulance Service, Inc. has continually distinguished ourselves as a leader in providing routine and emergency medical services. As the needs of the community and the patient change, we continue to introduce innovative programs to ensure the highest level of care is available to everyone in the areas we serve. Cataldo is the largest private EMS provider and private ambulance service in Massachusetts. In addition to topping 50,000 emergency medical transportations annually through 911 contacts with multiple cities, we partner with some of Massachusetts top medical facilities to provide non-emergency medical ambulance and wheelchair transportation services. We are also an EMS provider to specialty venues like Fenway Park, TD Garden, and DCU Center. While Cataldo began as an ambulance service company, we continue to grow through innovation and expand the services we offer to the local communities. As a public health resource, Cataldo offers training and education to the healthcare and emergency medical community through the Cataldo Education Center. This includes certification training for new employees as well as the training needed for career advancement. Through our partnerships with health systems, hospitals, managed care organizations, and others, we continue to provide in-home care through the state's first and largest Mobile Integrated Health program, SmartCare. We also have delivered more than 1.7 million Covid-19 vaccines and continue to operate testing and vaccination sites throughout the state of Massachusetts.
    $35k-41k yearly est. Auto-Apply 32d ago
  • Collections Specialist

    Cataldo Ambulance Business Trust 4.1company rating

    Somerville, MA jobs

    Job Description The Collection Specialist is responsible for collections of outstanding private invoices from the existing client base, resolving customer billing problems and reducing accounts receivable delinquency. This position will report to the Revenue Cycle Manager and is located out of our Somerville, MA. office. Collections Specialist Responsibilities: Resolve insurance related billing issues with patients and/or insurance carriers Handling of high call volume Serve as primary representative for patient inquiries/calls Communicate effectively both orally and in writing Respond to customer inquiries, resolve client discrepancies, process and review account adjustments Demonstrate superior customer service skills and problem solving, which includes assisting the patient with alternative payment options and payment plans Possess basic understanding of government and commercial insurance and Credit & Collections policies Identify the need and request rebills to insurance Handle highly confidential information with complete discretion Maintain confidentiality of patient information while on the phone or in-person Work aged invoices utilizing various reports and the collection module using Zoll Rescue Net Alert Revenue Cycle Manager about potential problems that could affect collections Meet productivity goals/benchmarks as set and communicated by the manager Utilize available sources to obtain updated info and reissue correspondence Additional projects and responsibilities may be assigned permanently or on an as needed basis Collections Specialist Qualifications: Working knowledge of Microsoft Office, including Excel, Word is a must Strong communication, problem solving and analytical skills required Acute attention to detail and the ability to work in a fast-paced, team-oriented environment with a focus on communication required Outstanding customer service and phone skills Previous collections or customer service experience a plus Knowledge of HIPPA and healthcare policies a plus High School diploma or GED required Fluent in Spanish a plus, but not required Must be positive and maintain professional demeanor at all times Familiarity with Medicaid and Medicare guidelines Ambulance billing experience a plus 3-5 years Accounts Receivable follow up experience About Cataldo Since 1977, Cataldo Ambulance Service, Inc. has continually distinguished ourselves as a leader in providing routine and emergency medical services. As the needs of the community and the patient change, we continue to introduce innovative programs to ensure the highest level of care is available to everyone in the areas we serve. Cataldo is the largest private EMS provider and private ambulance service in Massachusetts. In addition to topping 50,000 emergency medical transportations annually through 911 contacts with multiple cities, we partner with some of Massachusetts top medical facilities to provide non-emergency medical ambulance and wheelchair transportation services. We are also an EMS provider to specialty venues like Fenway Park, TD Garden, and DCU Center. While Cataldo began as an ambulance service company, we continue to grow through innovation and expand the services we offer to the local communities. As a public health resource, Cataldo offers training and education to the healthcare and emergency medical community through the Cataldo Education Center. This includes certification training for new employees as well as the training needed for career advancement. Through our partnerships with health systems, hospitals, managed care organizations, and others, we continue to provide in-home care through the state's first and largest Mobile Integrated Health program, SmartCare. We also have delivered more than 1.7 million Covid-19 vaccines and continue to operate testing and vaccination sites throughout the state of Massachusetts.
    $35k-41k yearly est. 2d ago

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