Insurance follow up representative work from home jobs - 712 jobs

A Remote Insurance Follow-Up Representative will be responsible for all collection functions for hospital and physician services. This primary responsibility of this position is account resolution which includes the following duties: reviewing accounts, following up with insurance companies on claim status, gathering and submitting any missing information, rebilling, appeals, and billing out secondary electronic or paper claims to all payers as needed. Duties/Responsibilities Provide customer service to various healthcare contract customers Prepare, research and collect from various contracted health insurance payers Research remits and Explanation of Benefits (EOBs) for complete accurate payments or denials Provide or arrange for additional information when needed Submit corrected claims or appeals Request appropriate adjustments, when required Identify items that require client assistance Gather payor trends and provides feedback Other duties as assigned Required Skills/Knowledge EPIC experience preferred Microsoft Office Knowledge in government and non-government billing guidelines for facility/physician Knowledge in account/claim status, resolution and appeals process Knowledge of the UB04 and HCFA forms Excellent customer service and time management skills High attention to detail required Excellent verbal, written, and electronic communication skills required Education/Experience High school diploma or General Education Development (GED) certificate required One to Two years of college preferred Minimum of three years of experience preferred Prior medical billing and insurance collections or healthcare revenue cycle experience preferred Benefits Annuity Health offers its employees excellent benefits including: Health, Dental, Vision, HSA and FSA Accounts, Voluntary Insurance, Paid Holidays, PTO, and 401(k). Salary Description Pay Scale - $16.00 to $26.00

At Homelink Corporation, we provide 24/7, 365 temporary housing nationwide, and have been a leader in our industry for over 20 years. Our solutions have a real impact on every person we assist, from the policyholder to the insurance carrier. We take pride in delivering fast, reliable services that are backed by a strong and caring team. We are seeking a motivated and dynamic individual with excellent communication and multitasking skills who can thrive in a fast-paced, remote environment. This position is full-time (40 hours/week). Position Benefits: Competitive pay, health, vision, dental and life insurance, paid time off, 401(k) with company matching after one (1) year, and on the job training. Job Summary: Our Hotel Billing Coordinator is responsible for collecting and auditing our hotel invoices to ensure accuracy. This individual will address and correct any billing discrepancies and partner with our Accounting Department to process billing and invoicing to insurance adjusters. Essential Responsibilities: Gather, review, and reconcile hotel invoices to ensure appropriate charges for a customer hotel stay was applied. Address billing discrepancies found and follow up on corrections. Prepare and send invoices to assigned customers within designated timeframes. Daily written and verbal communication with co-workers and customers. Update internal files, databases & spreadsheets. Provide exceptional customer service to policyholders, adjusters, and vendors. Apply critical thinking and analytical skills to provide solutions to appropriately address billing discrepancies and customer needs. Provide an immediate response and support for a high volume of incoming calls. Assist with hotel placement for displaced families. Take and relay detailed messages when required. Job Requirements: Bachelor's degree in Accounting/Finance or Hospitality preferred. High school diploma required. Entry-level experience in an accounting, customer service or hospitality environment. Familiarity with accounting systems and processes a plus. Strong analytical and problem-solving skills. Excellent verbal and written communication skills. Organization, time management, and multi-tasking skills. Experience with accounting software. Experience with Salesforce or another CRM software preferred. Intermediate computer skills and strong data entry/typing skills required. Intermediate proficiency with Microsoft Excel (including sorting, filtering, and pivot tables). Professional, compassionate, and friendly demeanor. Flexible work schedule. Some evenings and weekends may be required. Work Environment/Physical Demands/Work Hours: This job typically operates in a fully remote environment. This role routinely uses computers, phones, etc. While performing the duties of this job, the employee is regularly required to communicate in both a verbal and written manner and must have the ability to hear and verbally respond during interactions with staff and customers. The employee is frequently required to stand, walk, sit, use hands through fingers, handle or feel, and reach with hands and arms. This position is full-time. It will require a flexible schedule that may necessitate occasional evenings/weekends coverage. Position will require on call responsibilities/support as scheduled by management. Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Homelink Corporation is an equal opportunity employer and will consider all candidates for employment without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.

Who We Are At Benesch we pride ourselves on exceeding expectations and building trust not only with our clients but with our employees - Benesch's #1 asset. Committed to providing not only the highest level of legal service to our clients, Benesch also aspires to create a positive work environment for our employees. Our Firm continues to earn placement on Chicago and Cleveland's Top Workplaces list, along with Cleveland's NorthCoast 99 Top Workplaces rankings. We also continue to advance on the AmLaw 150 list, placing us among the top 150 law firms in the country. Benesch is proud to be recognized for being a Firm that attracts and retains top talent - making Benesch a great place to work. We offer a hybrid schedule, career development and growth, transparent and visible leadership teams, and a place where diversity, equity and inclusion is celebrated. In addition, the Firm offers a full array of benefits which can be viewed at ************************** Working with Us - Come and "Be Benesch!" We are one of the fastest growing firms in the nation, and have offices in Chicago, Columbus, San Francisco, New York City, and Wilmington. We continue to expand our geographic footprint and value the talent that comprises each of our locations. If you are someone who champions a First in Service approach and are ready to be part of an exciting and growing Firm, we would invite you to apply to join our team. Want to know more? To hear from some of our team, click here: ********************************************* Benesch is proud to announce the opening for a Legal Billing Specialist in our Cleveland office! This position is hybrid and has work from home flexibility. Position Summary: Do you thrive in a dynamic environment where your relationship building skills and where your legal billing knowledge, skills and expertise can make a tangible difference? Then you may be interested in this Legal Billing Specialist position. This role is perfect for a natural problem solver with a background in legal billing who is detail-oriented and desires a strong sense of accomplishment at the end of the day. Join Benesch and play a pivotal role in shaping the financial success of our organization. The Legal Billing Specialist is responsible for activities related to the firm's billing process for specific portfolios as assigned. This individual will work with billing attorneys as well as associated internal and external clients to ensure that the processing of proformas/prebills is completed consistently in a n accurate and timely manner. This individual may also create and produced reports and analytics related to assigned account upon request. Essential Functions: Manage the full life-cycle of the billing process for a designated portfolio of client accounts, which includes reviewing proformas/prebills and making preliminary edits; ensuring that attorneys receive, review, and return accurate proformas/prebills in a timely manner; working with attorneys and staff to finalize invoices; and submitting finalized invoices in the appropriate format. Establish, foster, and maintain professional and collaborative relationships with attorneys, staff, and clients to provide competent account support to both attorney and client. Coordinate successful submission of invoices electronically, including setup of electronic clients, monitoring submissions for acceptance, troubleshooting issues, communicating e-billing changes to affected parties, and confirming proactively that invoices conform to requirements. Monitor rates, alternative fee arrangements, and billing guidelines; revalue rates as appropriate; track disbursements; monitor progress against approved budgets; and communicate with appropriate parties with respect to write-offs. Research, analyze, and respond to identified issues and inquiries. Communicate directly with clients as requested or as established and provide clients with requested reports or analyses related to alternative fee arrangements, special rate structures, collection arrangements, and any other administrative matter(s). Monitor unbilled amounts, client trust accounts, accurate payment application, and unapplied funds throughout the life-cycle of assigned accounts. Additional Responsibilities: Participate in continuous improvement projects. Perform other functions and duties as assigned. Confidentiality: Due to the nature of your employment, various documents and information, which are of a confidential nature, will come into your possession. Such documents and information must be kept confidential at all times. Qualifications: The Legal Billing Specialist must have at least 2 years of law firm billing experience or a recent graduate with a degree in finance, accounting or mathematics. A solid working knowledge of Excel is required. Aderant experience is preferred. Qualified individuals will possess strong analytical abilities, solid communication and interpersonal skills, as well as flexibility to ensure deadlines are consistently met. The salary range for this position is $62K to $80K. Please note that quoted salary ranges are based on Benesch's good faith belief at the time of the job posting and are not a guarantee of what final salary offers may be. Base pay is based on market location and may vary depending on job-related knowledge, skills, and experience. Base pay is only one part of the Total Rewards that Benesch provides to compensate and recognize our staff professionals for their work. Full-time positions are eligible for a discretionary bonus and a comprehensive benefits package. Benesch is an equal opportunity employer. We strongly value and encourage diversity and solicit applications from all qualified applicants without regard to race, color, gender, sex, age, religion, creed, national origin, ancestry, citizenship, marital status, sexual orientation, physical or mental disability (where applicant is qualified to perform the essential functions of the job with or without reasonable accommodations), medical condition, protected veteran status, gender identity, genetic information, or any other characteristic protected by federal, state, or local law. Applicants who are interested in applying for a position and require special assistance or an accommodation during the process due to a disability should contact the Benesch Human Resources Department by phone at ************ or email Christine Watson at **********************.

Job DescriptionDescription: A Remote Insurance Follow-Up Representative (MediCal) will be responsible for all collection functions for hospital and physician services. This primary responsibility of this position is account resolution which includes the following duties: reviewing accounts, following up with Medi-Cal and various insurance companies on claim status, gathering and submitting any missing information, rebilling, appeals, and billing out secondary electronic or paper claims to all payers as needed. Duties/Responsibilities Provide customer service to various healthcare contract customers Prepare, research and collect from Medi-Cal and various contracted health insurance payers Research remits and Explanation of Benefits (EOBs) for complete accurate payments or denials Provide or arrange for additional information when needed Submit corrected claims or appeals Request appropriate adjustments, when required Identify items that require client assistance Gather payor trends and provide feedback Other duties as assigned Required Skills/Knowledge Medi-Cal experience required EPIC experience preferred Microsoft Office Knowledge in government and non-government billing guidelines for facility/physician Knowledge in account/claim status, resolution, and appeals process Knowledge of the UB04 and HCFA forms Excellent customer service and time management skills High attention to detail required Excellent verbal, written, and electronic communication skills required Education/Experience High school diploma or General Education Development (GED) certificate required One to Two years of college preferred Minimum of three years of experience preferred Prior medical billing and insurance collections or healthcare revenue cycle experience preferred Benefits Annuity Health offers its employees excellent benefits including: Health, Dental, Vision, HSA and FSA Accounts, Voluntary Insurance, Paid Holidays, PTO, and 401(k). Requirements:

We are recruiting 100 entry level Remote Insurance Verification Representatives in FL, NV, SD, TX, and WY. If you are looking for steady work from home with consistent pay then this is the opportunity for you. To make sure this is a fit for you, please understand: You will be on the phone the entire shift. You will need to overcome simple objections and maintain a positive attitude. You will need to purchase a USB Headset (if you don't already have one). True W2 pay check and direct deposit company (not gimmick 1099 pay) No phone line needed No cellphone needed No driving required No people to meet No packaging materials No shipping No ebay accounts No phone experience needed (but a serious advantage) Company Culture This compant prides itself on empowering their team to be responsible, "show up" on time for their shift(s), and stay focused on their task(s) the whole time. Working from home is a blessing, but it can also be the biggest distraction. That's why they their staff with the utmost respect and expect the same from them. This is a serious opportunity from one of the most modern work from home companies on the planet. They are literally a bunch of people spread out around the country with a common goal of helping select customers complete their car insurance quotes. They skype together all day and everyone supports eachother as a team even though 95% all work from REMOTE locations. This company has been in the online and insurance marketing business for over 3 years now, and the founder has been in this industry for over 10 years now. Compensation $8.25/hr starting or 3$ per lead depending on which is more. Focused and aggressive verifiers make $15-$19 an hour. Scheduling The shifts that are available are 9am-1pm / 1pm-5pm / 5pm-9pm M-F. (Eastern Time). Depending on your location and availability you will be assigned (1) of these shifts temporarily until you are well trained and established. You will start as PART TIME. Once you are established Full time is possible and many reps choose full time. Full on-going success training is provided. (You are NOT required to purchase training materials or anything from them or us.) Again all you need is your own computer, high speed internet, 5 MBPS Download Speeds and 1 MBPS Upload Speeds USB headset.

Thank you for your interest in joining our team. If you're looking to be part of a team that values integrity, humility, excellence, challenge, and life-long learning, you've come to the right place. At First Bank we believe in offering opportunities to help individuals build a long and lasting career, and we are currently seeking a Title Insurance Clerk. The Title Insurance Clerk helps Southern Illinois Title fulfill its vision by providing quality service and creating profitable trusted relationships. Duties and Responsibilities Answers telephone calls, answers inquiries and follows up on requests for information. Travels to closings and county courthouses. Processes quotes. Researches the proper legal description of properties. Researches and obtains records at courthouse. Examines documentation such as mortgages, liens, judgments, easements, plat books, maps, contracts, and agreements to verify factors such as properties' legal descriptions, ownership, or restrictions. Evaluates information related to legal matters in public or personal records. Researches relevant legal materials to aid decision making. Prepares reports describing any title encumbrances encountered during searching activities, and outlining actions needed to clear titles. Prepares and issues Title Commitments and Title Insurance Policies based on information compiled from title search. Confers with realtors, lending institution personnel, buyers, sellers, contractors, surveyors, and courthouse personnel to exchange title-related information, resolve problems and schedule appointments. Accurately calculates and collects for closing costs. Prepares and reviews closing documents and settlement statement for loan or cash closings. Obtains funding approval, verification and disbursement of funds. Conducts insured closings with clients, realtors, and loan officers. Maintains a streamline approach to meet deadlines. Records all recordable documents. Conducts 1099 reporting. Helps scan files into System. Protects the company and clients by following company policies and procedures. Performs other duties as assigned. Qualifications Skill Requirements: Analytical skills Interpreting Researching Reporting Problem solving Computer usage Verbal and written communication Detail orientation Critical thinking Complaint resolution Knowledge: Title Insurance Work experience: 5 years of banking or title insurance Certifications: None required Management experience: None required Education: High school diploma Motivations: Desire to grow in career Work Environment Work Hours: Monday through Friday, 8:00-5:00 (Additional hours may be required for company meetings or training.) Job Arrangement: Full-time, permanent Travel Requirement: Frequent travel is required for closings and research. Additional travel may be required from time to time for client meetings, training, or other work-related duties. Remote Work: The job role is primarily in-person. A personal or work crisis could prompt the role to become temporarily remote. Physical Effort: May require sitting for prolonged periods. May occasionally require moving objects up to 30 pounds. Environmental Conditions: No adverse environmental conditions expected. Client Facing Role: Yes The position offers a competitive salary, medical insurance coverage, 401K-retirement plan, and other benefits. EO / M /F/ Vet / Disability. First Bank is an equal opportunity employer. It is our policy to provide opportunities to all qualified persons without regard to race, creed, color, religious belief, sex, sexual orientation, gender identification, age, national origin, ancestry, physical or mental handicap, or veteran's status. Equal access to programs, service, and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify human resources. This application will be given every consideration, but its receipt does not imply that the applicant will be employed. Applications will be considered for vacancies which arise during the 60-day period following submission. Applicants should complete an updated application if not contacted and/or hired during this 60-day evaluation period. Replies to all questions will be held in strictest confidence. In order to be considered for employment, this application must be completed in full. APPLICANT'S STATEMENT By submitting an application I agree to the following statement: (A) In consideration for the Bank's review of this application, I authorize investigation of all statements contained in this electronic application. My cooperation includes authorizing the Bank to conduct a pre-employment drug screen and, when requested by the Bank, a criminal or credit history investigation. (B) As a candidate for employment, I realize that the Bank requires information concerning my past work performance, background, and qualifications. Much of this information may only be supplied by my prior employers. In consideration for the Bank evaluating my application, I request that the previous employers referenced in my application provide information to the Bank's human resource representatives concerning my work performance, my employment relationship, my qualifications, and my conduct while an employee of their organizations. Recognizing that this information is necessary for the Bank to consider me for employment, I release these prior employers and waive any claims which I may have against those employers for providing this information. (C) I understand that my employment, if hired, is not for a definite period and may be terminated with or without cause at my option or the option of the Bank at any time without any previous notice. (D) If hired, I will comply with all rules and regulations as set forth in the Bank's policy manual and other communications distributed to employees. (E) If hired, I understand that I am obligated to advise the Bank if I am subject to or observe sexual harassment, or other forms of prohibited harassment or discrimination. (F) The information submitted in my application is true and complete to the best of my knowledge. I understand that any false or misleading statements or omissions, whether intentional or unintentional, are grounds for disqualification from further consideration of employment or dismissal from employment regardless of when the false or misleading information is discovered. (G) I hereby acknowledge that I have read the above statement and understand the same.

This salary rangeis inclusive of several career levels and an offer will be based on the candidate's experience, qualifications, and internal equity. The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands, and work environment conditions. Position descriptions are reviewed and revised to meet the changing needs of the organization. TITLE: Patient Resource Representative JOB OVERVIEW: The Patient Resource Representative position is responsible for scheduling, pre-registration, insurance verification, estimates, collecting payments over the phone, and inbound and outbound call handling for Primary and Specialty Clinics supported by the Patient Resource Center. This includes call handling for specialized access programs: Accountable Care Network Contracts Hotline Call Handling, MyChart Scheduling, and Outbound dialing for Referral Epic Workqueues. DEPARTMNT: Patient Resource Center WORK HOURS: As assigned REPORTSTO: Supervisor, Patient Resource Center PREREQUISITES: * High School Graduate or equivalent (G.E.D.) preferred. * Minimum of 2 years of experience in a call center, or 1 year in a physician's office; with experience using multi-line phone systems, Electronic Medical Record systems, and working with several software programs at the same time. * Demonstrates basic skills in keyboarding (35 wpm) * Computer experience in a windows-based environment. * Excellent communication skills including verbal, written, and listening. * Excellent customer service skills. * Knowledge of medical terminology and abbreviations. Ability to spell and understand commonly used terms, preferred. QUALIFICATIONS: * Ability to function effectively and interact positively with patients, peers and providers at all times. * Ability to access, analyze, apply and adhere to departmental protocols, policies and guidelines. * Ability to provide verbal and written instructions. * Demonstrates understanding and adherence to compliance standards. * Demonstrates excellent customer service skills throughout every interaction with patients, customers, and staff: * Ability to communicate effectively in verbal and written form. * Ability to actively listen to callers, analyze their needs and determine the appropriate action based on the caller's needs. * Ability to maintain a calm and professional demeanor during every interaction. * Ability to interact tactfully and show empathy. * Ability to communicate and work effectively with the physical and emotional development of all age groups. * Ability to analyze and solve complex problems that may require research and creative solutions with patient on the telephone line. * Ability to document per template requirements, gather pertinent information and enter data into computer while talking with callers. * Ability to utilize third party payer/insurance portals to identify insurance coverage and eligibility. * Ability to function effectively in an environment where it is necessary to perform several tasks simultaneously, and where interruptions are frequent * Ability to organize and prioritize work. * Ability to multitask while successfully utilizing varying computer tools and software packages, including: * Utilize multiple monitors in facilitation of workflow management. * Scanning and electronic faxing capabilities * Electronic Medical Records * Telephone software systems * Microsoft Office Programs * Ability to successfully navigate and utilize the Microsoft office suite programs. * Ability to work in a fast-paced environment while handling a high volume of inbound calls. * Ability to meet or exceed department performance standards for Quality, Accuracy, Volume and Pace. * Ability to speak, spell and utilize appropriate grammar and sentence structure. UNIQUE PHYSICAL/MENTAL DEMANDS, ENVIRONMENT AND WORKING CONDITIONS: See Generic for Administrative Partner. PERFORMANCE RESPONSIBILITIES: * Generic Job Functions: See Generic Job Description for Administrative Partner. * Essential Responsibilities and Competencies: * In-depth knowledge of VMC's mission, vision, and service offerings. * Demonstrates all expectations outlined in the VMC Caregiver Commitment throughout every interaction with patients, customers, and staff. * Delivers excellent customer service throughout each interaction: * Provides first call resolution, whenever possible. * Acknowledge if patient is upset and de-escalate using key words and providing options for resolution. * Identify and assess patients' needs to determine the best action for each patient. This is done through active listening and asking questions to determine the best path forward. * A knowledgeable resource for patient/customers that works to build confidence and trust in the VMC health care system. * Schedules appointments in Epic by following scheduling guidelines and utilizing tools and resources to accurately appoint patient. * Generates patient estimates and follows Point of Service (POS) Collection Guidelines to determine patient liability on or before time of service. Accepts payment on accounts with Patient Financial Responsibility (PFR) as well as any outstanding balances, documents information in HIS and provides a receipt for the amount paid. * Strives to meet patients access needs for timeliness and provider, whenever possible. * Applies VMC registration standards to ensure patient records are accurate and up to date. * Ensures accurate and complete insurance registration through the scheduling process, including verifies insurance eligibility or updates that may be needed. * Reviews registration work queue for incomplete work and resolves errors prior to patient arrival at the clinic. * Utilizes protocols to identify when clinical escalation is needed based on the symptoms that patients report when calling. * Takes accurate and complete messages for clinic providers, staff, and management. * Relays information in alignment with protocols and provides guidance in alignment with patient's needs. * Routes calls to appropriate clinics, support services, or community resource when needed. * Coordinates resources when needed for patients, such as interpreter services, transportation or connecting with other resources needed for our patient to be successful in obtaining the care they need. * Identifies, researches, and resolves patient questions and inquiries about their care and VMC. * Inbound call handling for our specialized access programs * A.C.N. Hotline Call handling * Knowledge of contractual requirements for VMC's Accountable Care Network contracts and facilitates care in a way that meets contractual obligations. * Applies all workflows and protocols when scheduling for patients that call the A.C.N. Hotline * Completes scheduling patients for all departments the PRC supports. * Facilitates scheduling for all clinics not supported by the PRC. * Completes registration and transfer call to clinic staff to schedule. * Completes the MyChart Scheduling process for appointment requests and direct scheduled appointments. * Utilizes and applies protocols as outlined for MyChart scheduling * Meet defined targets for MyChart message turnaround time. * Outbound dialing for patient worklists * Utilizes patient worklists to identify patients that require outbound dialing. * Outbound dialing for referral work queues. * Utilizes referral work queue to identify patients that have an active/authorized referral in the system and reaches out to complete scheduling process. * Schedules per department protocols * Updates the referral in alignment with the defined workflow. * Receives, distributes, and responds to mail for work area. * Monitor office supplies and equipment, keeping person responsible for ordering updated. * Other duties as assigned. Created: 1/25 Grade: OPEIUC FLSA: NE CC: 8318 #LI-Remote Job Qualifications: PREREQUISITES: 1. High School Graduate or equivalent (G.E.D.) preferred. 2. Minimum of 2 years of experience in a call center, or 1 year in a physician's office; with experience using multi-line phone systems, Electronic Medical Record systems, and working with several software programs at the same time. 3. Demonstrates basic skills in keyboarding (35 wpm) 4. Computer experience in a windows-based environment. 5. Excellent communication skills including verbal, written, and listening. 6. Excellent customer service skills. 7. Knowledge of medical terminology and abbreviations. Ability to spell and understand commonly used terms, preferred. QUALIFICATIONS: 1. Ability to function effectively and interact positively with patients, peers and providers at all times. 2. Ability to access, analyze, apply and adhere to departmental protocols, policies and guidelines. 3. Ability to provide verbal and written instructions. 4. Demonstrates understanding and adherence to compliance standards. 5. Demonstrates excellent customer service skills throughout every interaction with patients, customers, and staff: a. Ability to communicate effectively in verbal and written form. b. Ability to actively listen to callers, analyze their needs and determine the appropriate action based on the caller's needs. c. Ability to maintain a calm and professional demeanor during every interaction. d. Ability to interact tactfully and show empathy. e. Ability to communicate and work effectively with the physical and emotional development of all age groups. 6. Ability to analyze and solve complex problems that may require research and creative solutions with patient on the telephone line. 7. Ability to document per template requirements, gather pertinent information and enter data into computer while talking with callers. 8. Ability to utilize third party payer/insurance portals to identify insurance coverage and eligibility. 9. Ability to function effectively in an environment where it is necessary to perform several tasks simultaneously, and where interruptions are frequent 10. Ability to organize and prioritize work. 11. Ability to multitask while successfully utilizing varying computer tools and software packages, including: a. Utilize multiple monitors in facilitation of workflow management. b. Scanning and electronic faxing capabilities c. Electronic Medical Records d. Telephone software systems e. Microsoft Office Programs 12. Ability to successfully navigate and utilize the Microsoft office suite programs. 13. Ability to work in a fast-paced environment while handling a high volume of inbound calls. 14. Ability to meet or exceed department performance standards for Quality, Accuracy, Volume and Pace. 15. Ability to speak, spell and utilize appropriate grammar and sentence structure.

The Billing & Posting Resolution Representative position is responsible for acting as a liaison for hospitals and clinics using TruBridge Accounts Receivable Management Services. They work closely with TruBridge management and hospital employees in receiving, preparing and posting of receipts for hospital services while ensuring the accuracy in the posting of the receipt, contractual allowance and other remittance amounts. Candidates must be detail oriented with excellent verbal and written communication skills, organizational skills, and time management skills. Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Receives daily receipts that have been balanced and stamped for deposit and verifies receipt total. Research receipts that are not clearly marked for posting. Post payments to the appropriate account and makes notes required for follow-up. Posts zero payments to the appropriate account and makes notes required for follow-up. Maintains log of daily receipts and contractual posted. Processes rejections by either making accounts private or correcting any billing error and resubmitting claims to third-party insurance carriers. Responsible for consistently meeting production and quality assurance standards. Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer. Updates job knowledge by participating in company offered education opportunities. Protects customer information by keeping all information confidential. Processes miscellaneous paperwork. Ability to work with high profile customers with difficult processes. May regularly be asked to help with team projects. 3 years hospital payment posting, including time outside Trubridge. Display a detailed understanding of CAS codes. Post denials to patient accounts with the correct denial reason code. Post patient payments, electronic insurance payments, and manual insurance payments. Balance all payments and contractual daily. Make sure postings balance to the site's bank deposit. Adhere to site specific productivity requirements outlined by management. Serve as a resource for other receipting service specialists. Must be agile and able to easily shift between tasks. May require overtime as needed to ensure the day/month are fully balanced and closed. Assist with backlog receipting projects, such as unresolved situations in Thrive, researching credit accounts, and reconciling unapplied. Minimum Requirements: Education/Experience/Certification Requirements 3 years hospital payment posting, including time outside TruBridge. Computer skills. Experience in CPT and ICD-10 coding. Familiarity with medical terminology. Ability to communicate with various insurance payers. Experience in filing claim appeals with insurance companies to ensure maximum reimbursement. Responsible use of confidential information. Strong written and verbal skills. Ability to multi-task. Why Should You Join Our Team? 3 weeks paid Training Earn time off starting on Day 1 10 Company Paid Holidays Medical, Dental and Vision Insurance Company Paid Life and AD&D Insurance Company Paid Short-Term Disability Insurance Voluntary Long-Term Disability, Accident insurance, ID Theft Insurance, Paid Parental Leave Flexible Spending or Healthcare Savings Accounts 401K Retirement Plan with competitive employer match Casual Dress Code Advancement Opportunities to grow within the company

At Globe Life we are committed to empowering our employees with the support and opportunities they need to succeed at every stage of their career. We take pride in fostering a caring and innovative culture that enables us to collectively grow and overcome challenges in a connected, collaborative, and mutually respectful environment that calls us to Make Tomorrow Better. Role Overview: Could you be our next Part-Time Insurance Verification Specialist? Globe Life is looking for a Part-Time Insurance Verification Specialist to join the team! In this role, you will verify life and health insurance applications directly with potential customers. This is a vital part of our Company's New Business and Underwriting process. The information you verify and gather directly affects whether the Company will decline or issue a policy. This is a remote / work-from-home position. What You Will Do: Make outbound calls to potential customers to verify and document required information to finalize applications for underwriting assessment. Use the Quality Assurance database and conduct appropriate assessments on what additional customer information or verification is needed. Clearly explain the application process to potential customers. Accurately complete additional paperwork as needed. Maintain appropriate levels of communication with management regarding actions taken within the Quality Assurance database. Transfer calls to the appropriate department as needed. Successfully meet the minimum expectation for departmental key performance indicators (K.P.I's). Be enlisted in special projects that encompass making numerous outbound calls, recording activities requested by/from customers, etc. What You Can Bring: Minimum typing requirement of 35 wpm. Bilingual English and Spanish preferred Superior customer service skills required - friendly, efficient, good listener. Proficient use of the computer, keyboard functions, and Microsoft Office. Ability to multitask and work under pressure. Knowledge of medical terminology and spelling is a plus. Excellent organization and time management skills. Must be detail-oriented. Have a desire to learn and grow within the Company. Applicable To All Employees of Globe Life Family of Companies: Reliable and predictable attendance of your assigned shift. Ability to work full-time and/or part-time based on the position specifications.

Unlock Your Potential: Join TEWS and Solve the Talent Equation for Your Career REMOTE OPPORTUNITY! We are seeking an experienced and adaptable Hospital Patient Billing Specialist - TRICARE to play a key role in ensuring patient accounts are accurately processed! Pay: $17-$20/hour, depending on experience Contract Length: Minimum of 6 months, with strong possibility to extend EQUIPMENT REQUIREMENT: MUST HAVE ACCESS TO LAPTOP AND MONITORS! Minimum Requirements EPIC and hospital patient accounting or revenue cycle experience required Experience billing or following up on TRICARE or government payer claims strongly preferred Knowledge of hospital billing workflows, claim edits, and AR follow-up Strong attention to detail and customer service skills Ability to manage multiple accounts and meet follow-up timelines Key Responsibilities Submit and follow up on hospital claims for TRICARE Resolve claim edits, rejections, and bill holds to ensure timely reimbursement Manage assigned account work queues, including DNB, claim edits, and payer no-response Communicate with TRICARE, other payers, and patients to resolve billing issues Review electronic payer error reports and correct claims as needed Document all account activity accurately in the billing system Why Join Us? Opportunity to join a mission-driven team in a fast-paced, evolving healthcare environment Strong focus on professional development and internal career growth TEWS has opportunities with leading companies for professionals at all career stages, whether you're a seasoned consultant, recent graduate, or transitioning into a new phase of your career, we are here to help.

Treva is seeking a full-time contracted Billing Representative to join our team! The position is located in Farmington Hills, MI. Contract Details: Must have 2 year of recent billing experience. Shift: 8 hours/5 days per week 13 week contract (possible extension) What We Offer Employees: Competitive weekly pay (option of W2 or 1099) | Referral and extension bonus available*|Assistance with flight cost*|Certification reimbursement*|Healthcare benefits available on first day of employment |Travel stipend (must be over 50 miles one way from the facility) *contingent and based on facilities bill rate and is worked into the contract For a complete list of open positions, please visit ************************************************

The Medical Billing Specialist is responsible for accurately coding fertility diagnostic ,treatment services and surgical procedures, submitting insurance claims, and managing the billing process for a fertility practice or healthcare facility. They ensure compliance with healthcare regulations and maximize revenue by optimizing reimbursement. General Summary of Duties: Responsible for gathering charge information, coding, entering into data base complete billing process and distributing billing information. Responsible for processing and filing insurance claims and assists patients in completing insurance forms. Essential Functions: o Prepare and submit insurance claims accurately and in a timely manner. o Verify patient insurance coverage and eligibility for fertility services( treatments and surgical procedures). o Review and address coding-related denials and discrepancies. o Researches all information needed to complete billing process including getting charge information from physicians. o Assists in the processing of insurance claims o Processes all insurance provider's correspondence, signature, and insurance forms. o Assists patients in completing all necessary forms, to include payment arrangements made with patients. Answers patient questions and concerns. o Keys charge information into entry program and produces billing. o Processes and distributes copies of billings according to clinic policies. o Records payments for entry into billing system. o Follows-up with insurance companies and ensures claims are paid/processed. o Resubmits insurance claims that have received no response or are not on file. o Works with other staff to follow-up on accounts until zero balance. o Assists error resolution. o Maintains required billing records, reports, files. o Research return mail. o Maintains strictest confidentiality. o Other duties as assigned o Identify opportunities to optimize revenue through accurate coding and billing practices. o Assist in developing strategies to increase reimbursement rates and reduce claim denials. Benefits: Offers nationally competitive compensation and benefits. Our benefits program provides a comprehensive array of services to our employees including, but not limited to health insurance (Primarily covered by the company), paid time off, retirement contributions (401k), & flexible spending account

At Labcorp, you are part of a journey to accelerate life-changing healthcare breakthroughs and improve the delivery of care for all. You'll be inspired to discover more, develop new skills and pursue career-building opportunities as we help solve some of today's biggest health challenges around the world. Together, let's embrace possibilities and change lives! **Billing Coordinator I** Labcorp is seeking an entry level Billing Coordinator I to join our team! Labcorp's Revenue Cycle Management Division is seeking individuals whose work will improve health and improve lives. If you are interested in a career where learning and engagement are valued, and the lives you touch provide you with a higher sense of purpose, then Labcorp is the place for you! **Responsibilities:** + Billing Data Entry involved which requires 10 key skills + Compare data with source documents and enter billing information provided + Research missing or incorrect information + Verification of insurance information + Ensure daily/weekly billing activities are completed accurately and timely + Research and update billing demographic data to ensure prompt payment from insurance + Communication through phone calls with clients and patients to resolve billing defects + Meeting daily and weekly goals in a fast-paced/production environment + Ensure billing transactions are processed in a timely fashion **Requirements:** + High School Diploma or equivalent required + Minimum 1 year of previous working experience required + Specific work in medical billing, AR.AP, Claims/Insurance will be given priority + Previous RCM work experience preferred + Alpha-Numeric Data Entry proficiency (10 key skills) preferred **Remote Work:** + Must have high level Internet speed (50 MBPS) connectivity + Dedicated work from home workspace + Ability to manage time and tasks independently while maintaining productivity + Strong attention to detail which requires following Standard Operating Procedures + Ability to perform successfully in a team environment + Excellent organizational and communication skills; ability to listen and respond + Basic knowledge of Microsoft office + Extensive computer and phone work **Why should I become a Billing Coordinator at Labcorp?** + Generous Paid Time off! + Medical, Vision and Dental Insurance Options! + Flexible Spending Accounts! + 401k and Employee Stock Purchase Plans! + No Charge Lab Testing! + Fitness Reimbursement Program! + And many more incentives. **Application Window Closes: 1/30/2026** **Pay Range: $** **17.75 - $21.00 per hour** **Shift: Mon-Fri, 9:00am - 6pm Eastern Time** All job offers will be based on a candidate's skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data. **B** **enefits:** Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only. Employees who are regularly scheduled to work a 7 on/7 off schedule are eligible to receive all the foregoing benefits except PTO or FTO. For more detailed information, please click here (************************************************************** . ** ** **Labcorp is proud to be an Equal Opportunity Employer:** Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law. **We encourage all to apply** If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site (**************************************************** or contact us at Labcorp Accessibility. (Disability_*****************) For more information about how we collect and store your personal data, please see our Privacy Statement (************************************************* .

Full-time Description SUMMARY: The Billing & Collections Specialist, under the supervision of the Billing & Collections Supervisor (or greater), is responsible for billing services, collecting payments, maintaining records, and verifying insurance benefits. The role requires strong communication skills, and adherence to policies and regulations such as but not limited to: CARF, HIPAA, client confidentiality & Moriah Behavioral Health best practices. DUTIES AND RESPONSIBILITIES: Maintains client demographic information and data collection systems. Verify insurance benefits and eligibility for behavioral health by utilizing online websites or by contacting carriers directly. Communicates with Utilization Review/Admissions Teams for Verification of Benefits (VOB), change of insurance, etc. Represents the Billing & Collections Department to all internal and external inquiries. Responds to medical record requests from the insurances and follows up with Clinical Documentation Specialist. Participates in educational activities and attends regular meetings. Review client charts for attendance and updated information to ensure accuracy of billing. Works seamlessly with Utilization Review, Clinical, and Admission Teams to develop best practices, policies, and procedures as they relate to Billing & Collections. Maintains accurate financial records and follows payment procedures. Monitors outstanding balances to ensure each account is paid on time and in full. Monitors multiple client accounts. Ensure all claims are error free before submission. Managing the status of accounts and balances and identifying inconsistencies. Update accounts receivable database and new accounts. Ensure all clients remain informed on their outstanding debts and deadlines. Provide solutions to any relative challenges of clients. Notify Clinical Documentation Specialist and or Director of Billing & Collections if clinical data is not up to date. Work closely with Team Members to create and submit claims as well as client statements. Work closely with clients to create applicable payment plans for balances due. Maintain current knowledge and understanding of the laws, regulations, and policies that pertain to Moriah Behavioral Health and insurance provider business practices. Checks emails periodically throughout the day and responds appropriately. Must be willing to work on-call rotation as assigned for nights and weekends as needed. This position is required to be present in office and is not a remote position. Must be willing to work weekends as needed. When it is needed, unless otherwise required, you may work remotely via phone and email, etc. Must be able to work flexible hours from 7 a.m. to 9 p.m. EST / EDT Able to build connections while creating trust and rapport. Strong understanding of medical necessity criteria is preferred. Maintains confidentiality and HIPAA compliance in accordance with Moriah Behavioral Health policies. Maintains and meets CARF certification requirements in accordance with Moriah Behavioral Health policies. Adherence to laws and best practices in regard to dealing with clients and confidential data. Follows all Moriah Behavioral Health's policies and procedures. Performs other related duties as assigned by Supervisor or Greater. Requirements QUALIFICATIONS: ? High school diploma or general education degree (GED), 6 months of related experience and/or training, or equivalent combination of education and experience. ? Possess the ability to function effectively in a team environment and interact productively with all levels of team personnel and outside contractors. ? Basic Math and Accounting principles. ? Can understand and follow oral and written instructions. ? Ability to read, write the following: Work Orders, instructions, daily reports, and system manuals. ? Ability to receive and relate orders/information using various communication devices. ? Applicants must be either a U.S. Citizen or have the legal right to work in the United States. ? Must meet federal, state, and local criminal clearance and child abuse indexing requirements. ? Applicants must pass a drug screen and submit to random drug testing as requested. ? Applicants are also required to pass a general medical examination. ? Computer Skills Required. Preferred (but not required) knowledge of Kipu, Google Docs, Excel, Salesforce, Collaborative MD. ? Must possess a valid Driver's License or State ID. Salary Description 30,000.00 annual

BILLING CLERK About the Company LINK Support Services currently seeks to serve over 300 Skilled Nursing Facilities by offering Part B Ancillary Billing Services and assist in identifying lost revenue opportunities. These Skilled Nursing operations have no corporate headquarters or traditional management hierarchy. Instead, they operate independently with support from the “Service Center,” a world-class service team that provides centralized legal, human resource, training, accounting, IT and other resources necessary to allow on-site leaders and caregivers to focus on day-to-day care and business issues in their facilities and operations. Duties and Responsibilities: SNF AR experience required/Knowledge of Point Click Care (PCC) is a plus Identify and bill Part B billable ancillary items according to SNF consolidated billing guidelines. Provide and conduct education and support as needed with business office staff across multiple locations Communicate Part B billing best practices with peers and staff at assigned locations Communicate Revenue and Collectables to Facilities, Clusters, and Markets across multiple locations Assist with new software implementation as needed Collaborate with team in implementing billing Processes, Procedures and Softwares Organize and research complex data extractions to maximize billing opportunities organization wide Review and complete patient eligibility verifications Report KPIs, month over month trends, claim statuses, and onboarding/training schedules Knowledge, Skills and Abilities: 1+ year SNF experience with Medicare billing and eligibility recognition Point Click Care (PCC) experience necessary Able to prioritize and organize tasks at hand to meet specific deadlines Attention to detail and accuracy Proficient in Microsoft Word, Outlook and Excel, DDE. Knowledge of CPT Coding procedures Knowledge of SNF Per Diem inclusions Must have excellent written and verbal communication skills Able to work with a diverse group of people Ability to self-manage in a remote work environment Must be knowledgeable in Medicare and other state regulatory requirements What You'll Receive In Return As part of the Ensign Services family, you'll enjoy many perks including but not limited to excellent compensation, comprehensive benefits package, PTO, 401K matching, stock options, amazing company culture and not to mention- opportunities for professional growth and advancement. Compensation: $18-$20.00/hour dependent on experience and location Location: This is a remote eligible position that can work from any U.S state other than: Hawaii, New York, New Jersey, Rhode Island, Kentucky, Ohio, Massachusetts, North Dakota, Wyoming, Alaska, Pennsylvania, Pay is based on a number of factors including years of relevant experience, job-related knowledge, skills, and experience. Individuals employed in this position may also be eligible to earn bonuses. Ensign Services is a total compensation company. Dependent on the position offered, equity, and other forms of compensation may be provided as part of a total compensation package, in addition to a full range of medical, financial, and/or other benefits. For more information regarding our benefits offered, check out our ****************************. Ensign Services, Inc. is an Equal Opportunity Employer. Pre-employment criminal background screening required. Job ID: 1137

The Billing Representative is responsible for the timely and accurate submission of patient bills to various insurance payors, including Medicare, Medicaid, Blue Cross, commercial, and other government entities. This role involves managing billing processes, maintaining customer relationships, and ensuring financial goals are met. Responsibilities Coordinate daily hospital billing within established controls to ensure adherence to billing guidelines and standards. Manage billing inventory for assigned clients and meet financial goals. Build and maintain strong customer relationships. Maintain working knowledge of all software applications related to billing claims. Process claims generated on late charge reports, rejected claims, claims in error, DDE claims, and shadow claims daily. Ensure facility Rebills are worked and comments logged on patient accounts within 7 business days. Communicate issues impairing the billing process to the Team Lead/Manager. Communicate with hospitals to retrieve information for rebills/corrected claims. Communicate with insurance payors to work claims not processed/paid, utilizing various strategies such as phone calls, letters, meetings, faxing, and emails. Partner with other teams/departments to resolve billing/payor payment issues. Submit billing/rebilling requests from customers and team members in a timely manner. Stay current with billing practices for private and government payors, including billing software applications. Assist in the training and education of new and existing employees. Maintain the effectiveness and implementation of the MEDHOST Quality Management System and meet applicable regulatory requirements. Perform other duties as assigned. Accurately input/submit worked time by departmental deadlines. Maintain in-depth knowledge of MEDHOST core products and third-party clearinghouses. Maintain industry knowledge through self-study and training. Recommend department and customer documentation. Provide training and training documentation in areas of expertise. Attend and participate in team and departmental meetings. Respond to emails, telephone calls, voicemails, Microsoft Teams messages, and correspondence from facilities in a timely manner. Adhere to all HIPAA Privacy and Security requirements. Perform duties in a positive manner that upholds company policies and procedures. Requirements High School or equivalency diploma required. Minimum 1 year of experience in a hospital billing/patient account receivable related environment. Minimum 1 year of experience utilizing hospital claims management/billing software. Ability to follow directions and perform work according to department standards independently. Computer skills in Microsoft Office applications (Word, Excel, PowerPoint, etc.). Customer Service oriented. High Speed Internet access (minimum 300 Mbps download speed) and unlimited data. Smart phone for Multi Factor Authentication (MFA) application. What Would Make You Stand Out MEDHOST (HMS) knowledge is a plus. Knowledge of hospital billing, revenue cycle, and medical terminology. Thorough understanding of accounts receivable, collections, billing, appeals, and denials. Knowledge and understanding of Explanation of Benefits (EOB), state, and federal guidelines. Ability to navigate healthcare information system(s) and clearinghouse(s). Ability to access protected health information (PHI) in accordance with departmental assignments and guidelines. Skilled in making accurate arithmetic computations. Excellent communication skills (verbal & written), good judgment, tact, initiative, and resourcefulness. Detail-oriented, organized, and able to multi-task. Ability to demonstrate supportive relationships with peers, clients, partners, and corporate executives. Flexible with a “can do” attitude and ability to remain professional under high-pressure situations. What We Offer 3 weeks' vacation and 5 personal days Comprehensive medical, dental, and vision benefits starting from your first day Employee stock ownership and RRSP/401k matching programs Lifestyle rewards Remote work and more About Us MEDHOST, founded in 1984 and headquartered in Franklin, Tennessee, is a leading provider of healthcare information technology solutions. Serving over 1,000 healthcare facilities nationwide, MEDHOST offers a comprehensive suite of products, including electronic health records (EHR), financial management systems, and patient engagement platforms. Their mission is to empower healthcare organizations to enhance patient care and improve business operations through innovative, user-friendly solutions. In January 2024, MEDHOST was acquired by N. Harris Computer Corporation, further strengthening its position in the healthcare IT industry.

Health Insurance Verification Specialist | Atos Medical-US | New Berlin, WI This position is remote but requires you to be commutable to New Berlin, WI for orientation and training/employee events as needed. Join a growing company with a strong purpose! Do you want to make a difference for people breathing, speaking and living with a neck stoma? At Atos Medical, our people are the strength and key to our on-going success. We create the best customer experience and thereby successful business through our 1200 skilled and engaged employees worldwide. About Atos Medical Atos Medical is a specialized medical device company and the clear market and technology leader for voice and pulmonary rehabilitation for cancer patients who have lost their voice box. We design, manufacture, and sell our entire core portfolio directly to leading institutions, health care professionals and patients. We believe everyone should have the right to speak, also after their cancer. That's why we are committed to giving a voice to people who breathe through a stoma, with design solutions and technologies built on decades of experience and a deep understanding of our users. Atos Medical has an immediate opening for a Health Insurance Verification Specialist in the Insurance Department. Summary The Health Insurance Verification Specialist will support Atos Medical's mission to provide a better quality of life for laryngectomy customers by assisting with the attainment of our products through the insurance verification process and reimbursement cycle. A successful Health Insurance Verification Specialist in our company uses client information and insurance management knowledge to perform insurance verifications, authorizations, pre-certifications, and negotiations. The Health Insurance Verification Specialist will analyze and offer advice to our customers regarding insurance matters to ensure a smooth order process workflow. They will also interact and advise our internal team members on schedules, decisions, and potential issues from the Insurance payers. Essential Functions Act as an advocate for our customers in relation to insurance benefit verification. Obtain and secure authorization, or pre-certifications required for patients to acquire Atos Medical products. Verifies the accuracy and completeness of patient account information. Ensures information obtained is complete and accurate, applying acquired knowledge of Medicare, Medicaid, and third party payer requirements/on-line eligibility systems. Contacts insurance carriers to obtain benefit coverage, policy limitations, authorization/notification, and pre-certifications for customers. Follows up with physician offices, customers and third-party payers to complete the pre-certification process. Requests medical documentation from providers not limited to nurse case reviewers and clinical staff to build on claims for medical necessity. Collaborates with internal departments to provide account status updates, coordinate the resolution of issues, and appeal denied authorizations. Answer incoming calls from insurance companies and customers and about the insurance verification process using appropriate customer service skills and in a professional, knowledgeable, and courteous manner. Educates customers, staff and providers regarding referral and authorization requirements, payer coverage, eligibility guidelines, documentation requirements, and insurance related changes or trends. Verifies that all products that require prior authorizations are complete. Updates customers and customer support team on status. Assists in coordinating peer to peer if required by insurance payer. Notifies patient accounts staff/patients of insurance coverage lapses, and self-pay patient status. May notify customer support team if authorization/certification is denied. Maintains knowledge of and reference materials of the following: Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization and a list of current accepted insurance plans. Inquire about gap exception waiver from out of network insurance payers. Educate medical case reviewers at Insurance Companies about diagnosis and medical necessity of Atos Medical products. Obtaining single case agreements when requesting an initial authorization with out of network providers. This process may entail the negotiation of pricing and fees and will require knowledge of internal fee schedules, out of network benefits, and claims information. Complete all Insurance Escalation requests as assigned and within department guidelines for turn around time. Maintains reference materials for Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization and a list of current accepted insurance plans. Other duties as assigned by the management team. Basic Qualifications High School Diploma or G.E.D Experience in customer service in a health care related industry. Preferred Qualifications 2+ years of experience with medical insurance verification background Licenses/Certifications: Medical coding and billing certifications preferred Experience with following software preferred: Salesforce, SAP, Brightree, Adobe Acrobat Knowledge Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization and a list of current accepted insurance plans. Additional Benefits Flexible work schedules with summer hours Market-aligned pay 401k dollar-for-dollar matching up to 6% with immediate vesting Comprehensive benefit plan offers Flexible Spending Account (FSA) Health Savings Account (HSA) with employer contributions Life Insurance, Short-term and Long-term Disability Paid Paternity Leave Volunteer time off Employee Assistance Program Wellness Resources Training and Development Tuition Reimbursement Atos Medical, Inc. is an Equal Opportunity/Affirmative Action Employer. Our Affirmative Action Plan is available upon request at ************. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Equal Opportunity Employer Veterans/Disabled. To request reasonable accommodation to participate in the job application, please contact ************. Founded in 1986, Atos Medical is the global leader in laryngectomy care as well as a leading developer and manufacturer of tracheostomy products. We are passionate about making life easier for people living with a neck stoma, and we achieve this by providing personalized care and innovative solutions through our brands Provox , Provox Life™ and Tracoe. We know that great customer experience involves more than first-rate product development, which is why clinical research and education of both professionals and patients are integral parts of our business. Our roots are Swedish but today we are a global organization made up of about 1400 dedicated employees and our products are distributed to more than 90 countries. As we continue to grow, we remain committed to our purpose of improving the lives of people living with a neck stoma. Since 2021, Atos Medical is the Voice and Respiratory Care division of Coloplast A/S 56326 #LI-AT

We are seeking a detail-oriented, highly accurate Medical Billing Specialist to join our remote team. The ideal candidate is self-motivated, goal-driven, and committed to excellence in medical billing and revenue cycle management. You will play a vital role in ensuring our clients receive every possible revenue dollar while upholding the highest standards of integrity and compliance. This position requires strong problem-solving skills, excellent communication, and the ability to thrive in a fast-paced environment. What You'll Do Verify patient eligibility and benefits. Post charges, payments, and ERA adjustments. Prepare, review, and submit electronic/paper claims. Follow up on unpaid or denied claims and file appeals. Review patient bills for accuracy; set up payment plans when needed. Communicate with patients, clients, and insurance carriers professionally. Maintain cash spreadsheets and prepare monthly reports. What We're Looking For 2-3 years' medical billing and AR follow-up experience. CPB, CPC, or similar credential a plus. Strong knowledge of billing software (eClinical, Athena, Open PM, MicroMD, or similar). Skilled in Word, Excel, and using carrier websites for eligibility and claims. Excellent written and verbal communication. Must pass a baseline billing test during the interview process. Why Join Us 100% remote contractor role. Flexible schedule. Work with diverse clients and systems. Opportunity to directly impact client financial success.

The Billing Specialist Representative is responsible for securing timely and accurate reimbursement by resolving billing issues with commercial and government payers. This role requires strong critical thinking and analytical skills to identify denial trends, address payment variances, and pursue appropriate corrective actions. Success in this role depends on a proactive, problem-solving mindset and the ability to adapt in a fast-paced, evolving environment. MISSION, VALUES and SERVICE GOALS * MISSION: We deliver outstanding care, inspire health, and connect with heart. * VALUES: Trust. Respect. Integrity. Compassion. * SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team. Billing & Follow-Up * Submit timely and accurate claims (UB-04/CMS-1500) to payers, ensuring compliance with regulatory and payer-specific requirements. * Work claim edits and correct errors in demographic, insurance, and charge data to ensure clean claim submission. * Conduct prompt and thorough follow-up on outstanding receivables, including appeals and disputes for denials and underpayments. * Identify and resolve payer overpayments in a timely manner to ensure regulatory compliance and prevent future recoupments. * Analyze denial reasons and payment variances to identify root causes and recommend process improvements. * Maintain in-depth knowledge of payer guidelines and federal/state regulations. * Collaborate with payers and internal departments to resolve issues and achieve account resolution. * Accurately document all actions and communications in the billing system. Audit & Analysis * Review patient accounts for accuracy in demographics, insurance coverage, and billing details. * Identify patterns or trends in denials and reimbursement discrepancies. * Assist leadership in developing denial prevention strategies and performance improvement initiatives. * Prioritize and escalate high-risk accounts for timely resolution. * Demonstrate initiative in recommending improvements to workflow and system efficiency. Compliance & Communication * Maintain compliance with HIPAA and all applicable billing regulations. * Respond to payer communications via phone, portal, and email in a professional and timely manner. * Collaborate across teams to ensure coordinated resolution of account issues. * Communicate effectively with patients, coworkers, and external partners, always maintaining professionalism and respect. Performs other functions to maintain personal competence and contribute to the overall effectiveness of the department by: * Completing other job-related assignments and special projects as directed. ORGANIZATIONAL RESPONSIBILITIES Associate complies with the following organizational requirements: * Attends and participates in department meetings and is accountable for all information shared. * Completes mandatory education, annual competencies and department specific education within established timeframes. * Completes annual employee health requirements within established timeframes. * Maintains license/certification, registration in good standing throughout fiscal year. * Direct patient care providers are required to maintain current BCLS (CPR) and other certifications as required by position/department. * Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self. * Adheres to regulatory agency requirements, survey process and compliance. * Complies with established organization and department policies. * Available to work overtime in addition to working additional or other shifts and schedules when required. Commitment to Beacon's six-point Operating System, referred to as The Beacon Way: * Leverage innovation everywhere. * Cultivate human talent. * Embrace performance improvement. * Build greatness through accountability. * Use information to improve and advance. * Communicate clearly and continuously. Education and Experience Associate's or Bachelor's degree in a healthcare or related field preferred. 2+ years of experience in insurance billing and follow-up, with knowledge of UB-04/CMS-1500 claim forms. Knowledge & Skills * Strong analytical, problem-solving, and organizational skills. * Effective written and verbal communication abilities. * Ability to prioritize, manage multiple tasks, and meet deadlines. * Proficient with Microsoft 365 (Word, Excel, Outlook); experience with patient accounting systems preferred. * Demonstrated ability to think critically and adapt to changing environments. Working Conditions: * Extended periods of sitting and computer use. * Must be flexible to work additional hours or shifts as needed. Physical Demands * Occasional lifting of storage boxes weighing up to 50 pounds when filled with completed forms.