Debt Collector jobs at King's Daughters Medical Center

At Crossroads Hospice & Palliative Care, our office teams play a crucial role that extends beyond administrative tasks and paperwork. Every team member is an essential part of the compassionate care we provide to our patients and their families. While our caregivers deliver vital medical support, we ensure that all aspects of our patients' needs are addressed. Our relationships, founded on trust, are the cornerstone of communication within our interdisciplinary teams. We believe that end-of-life care should never feel transactional, regardless of economic factors. Every person we care for deserves to be treated with dignity, compassion, and respect, no matter the circumstances. Together, we strive to make each moment count, providing comfort and meaning not just to the patients but also to their loved ones, who will cherish these memories forever. Consider joining us on this journey where your dedication to exceptional work can truly make a difference in the lives of those we serve. Together, we can create lasting impacts that transcend medical treatment. Billing Coordinator Responsibilities: Obtain referrals and pre-authorizations as required for procedures Check eligibility and benefit verification Review patient bills for accuracy and completeness and obtain any missing information Prepare, review, and transmit claims using billing software, including electronic and paper claim processing Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid Follow up on unpaid claims within standard billing cycle timeframe Check each insurance payment for accuracy and compliance with contract discount Call insurance companies regarding any discrepancy in payments if necessary Identify and bill secondary or tertiary insurances All accounts are to be reviewed for insurance or patient follow-up Research and appeal denied claims Answer all patient or insurance telephone inquiries pertaining to assigned accounts Set up patient payment plans and work collection accounts Update billing software with rate changes Billing Coordinator Requirements: High school diploma Knowledge of business and accounting processes usually obtained from an associate's degree, with a degree in Business Administration, Accounting, or Health Care Administration preferred Minimum of 1 to 3 years of experience in a medical office setting Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems Knowledge of accounting and bookkeeping procedures Knowledge of medical terminology likely to be encountered in medical claims Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds Problem-solving skills to research and resolve discrepancies, denials, appeals, collections Billing Coordinator Schedule & Benefits: Schedule: Monday to Friday, 8:30 AM - 5:00 PM Be part of a team willing to grow, listen, be heard, and be challenged. Health, Dental, Vision, 401k, PTO. Competitive industry pay.

At MSC, we are dedicated to enhancing patient comfort and quality of life with over 75 years of experience and accredited by the Accreditation Commission for Health Care (ACHC). MSC is a 13 -Time recipient of the prestigious NorthCoast 99 Award as a Top Workplace to work! MSC is a two-time recipient of the prestigious National HME Excellence Award for Best Home Medical Equipment company in the US. In addition, MSC is very proud to announce its debut on the Inc. 5000 list in 2024, marking a significant milestone in our company's growth and success! Join Our Team! We are excited to announce that we are hiring for a full-time hybrid position. Work in our office location on Tuesdays, Wednesdays, and Thursdays, and enjoy the flexibility of remote work on other days. Benefits included! Apply today to become a part of our dynamic team! Competitive Pay Advancement Opportunities Medical, Dental & Vision Insurance HSA Account w/Company Contribution Pet Insurance Company provided Life and AD&D insurance Short-Term and Long-Term Disability Tuition Reimbursement Program Employee Assistance Program (EAP) Employee Referral Bonus Program Social Recognition Program Employee Engagement Opportunities CALM App 401k (with a matching program) / Roth IRA Company Discounts Payactiv/On-Demand Pay Paid vacation, Sick Days, YOU (Mental Health) Days and Holidays Reimbursement Specialists are responsible for the timely and accurate billing and collections for Medicare, Medicaid, and Commercial insurance carriers. Responsibilities and Duties: Conducts review of rejected claims from the clearinghouse and front-end payor edits, follows up on unprocessed claims, and researches denials for resubmission to ensure timely collection and maximum reimbursement. Maintains accurate and complete notes on each invoice worked. Responds to patient inquiries received via phone, email, or from other internal departments. Assists internal departments and staff with billing related issues. Communicates obstacles or challenges to Billing Manager that may lead to inaccurate or untimely resubmission of claims. Performs other duties as assigned. Qualifications: Education: Graduate of an accredited high school or GED equivalent. Experience/Knowledge/Skills/Physical Requirements: Minimum of three years of progressively responsible third-party payor reimbursement experience in healthcare. Strong knowledge of Medicare, Medicaid and commercial insurance guidelines, procedures, and rules and regulations for HME billing. Experience with escalating billing disputes, including appeals, reviews, and redeterminations. Excellent communication and customer relation skills. Excellent interpersonal and organizational skills (a team player). Normal office/clerical motor skills in addition to extensive computer and telephone experience. Brightree experience preferred. Pay starts no less than $18/hour

The Collector II under general supervision and according to established procedures, performs collection activities for assigned accounts. Contacts insurance company representatives by telephone or through correspondence to collect inaccurate insurance payments and penalties according to BSWH Managed Care contracts. Maintains collection files on the accounts receivable system. **ESSENTIAL FUNCTIONS OF THE ROLE** Performs collection activities for assigned accounts. Contacts insurance companies to resolve payment difficulties and penalties owed to BSWH in accordance with Managed Care contracts. Contacts insurance company representatives by telephone or through correspondence to check the status of claims, appeal or dispute payments and penalties. Has knowledge of CPT codes, Contracting, per diems, and other pertinent payment methods in the medical industry. Maintains collection files on the accounts receivable system. Enters detailed records consisting of any pertinent information needed for collection follow-up. Processes accounts for write-off and for legal. Conducts thorough research and manual calculation from Managed Care Rate Grids and Contracts to determine accurate amounts due to BSWH per each individual Insurance Contract. Enters data in Patient Accounting systems and Access database to track and monitor payments and penalties. Prepares legal documents to refer accounts to the Managed Care legal group for accounts deemed uncollectable. Through thorough review ensures that balances on accounts are true and accurate as well as correct any contractual or payment entries. Verify insurance coding to ensure accurate payments. Receives, reviews, and responds to correspondence related to accounts. Takes action as required. **SALARY** The pay range for this position is $16.12 (entry-level qualifications) - $24.17 (highly experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **BENEFITS** Our competitive benefits package includes the following - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level **QUALIFICATIONS** - EDUCATION - H.S. Diploma/GED Equivalent - EXPERIENCE - 2 Years of Experience As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Responsible for the reconciliation and collection activity for high profile accounts. Assess customer's needs and reconcile issues that can include pricing, system limitations and operational service issues, while protecting the integrity of Medline's accounts receivables. Identify and manage Credit Risk by recognizing when additional credit analysis is necessary and initiating the request with appropriate personnel. Responsibilities: Review and analyze various accounts receivable reports including aging, unapplied cash, short pay, and open credit request status reports. Evaluate blocked orders and determine appropriate action: release, recommend credit hold, or negotiate plans of repayment that would optimize risk mitigation. Identify and manage credit risk by recognizing when additional credit analysis is necessary, raising the request with the Sr. Credit Analyst, and providing appropriate background information. This includes managing account exposure to assigned credit limit and escalating where appropriate. Conduct daily account reconciliation include working with sales on pricing, system process, freight issues, analyzing and processing offsets, and write-off requests. Facilitate conference calls with Sales, customers, and other stakeholders to analyze data and reports to identify problems and resolve service issues. Collaborate with Sales to prepare and provide management with updates for monthly account reviews with leadership team and escalate for assistance as needed. Assist with process gap analysis within the Accounts Receivable department. Conduct daily collection calls to customers and sales representatives. Manage and monitor plans of repayment for delinquent accounts. Train and mentor team members on policies, procedures, and best practices as needed. Minimum Job Requirements: Education Typically requires a Bachelor's degree in Accounting or Finance. Work Experience 3-5 years of experience in Business-to-Business collections. Experience with large volume and critical account dispute resolution. Knowledge / Skills / Abilities Intermediate level skill in Microsoft Excel (for example: using SUM function, setting borders, setting column width, inserting charts, using text wrap, sorting, setting headers and footers and/or print scaling). Intermediate level skill in Microsoft Word (for example: inserting headers, page breaks, page numbers and tables and/or adjusting table columns). Position requires occasional travel for business purposes (within state and out of state). Preferred Job Requirements: Certification / Licensure Professional NACM certification (CBA) or training. Work Experience Experience interpreting D&B reports. Experience working with financial statements. Knowledge / Skills / Abilities Intermediate skill level in SAP. Medline Industries, LP, and its subsidiaries, offer a competitive total rewards package, continuing education & training, and tremendous potential with a growing worldwide organization. The anticipated salary range for this position: $28.00 - $40.50 Hourly The actual salary will vary based on applicant's location, education, experience, skills, and abilities. Medline will not pay less than the applicable minimum wage or salary threshold. Our benefit package includes health insurance, life and disability, 401(k) contributions, paid time off, etc., for employees working 30 or more hours per week on average. For a more comprehensive list of our benefits please click here. For roles where employees work less than 30 hours per week, benefits include 401(k) contributions as well as access to the Employee Assistance Program, Employee Resource Groups and the Employee Service Corp. We're dedicated to creating a Medline where everyone feels they belong and can grow their career. We strive to do this by seeking diversity in all forms, acting inclusively, and ensuring that people have tools and resources to perform at their best. Explore our Belonging page here. Medline Industries, LP is an equal opportunity employer. Medline evaluates qualified individuals without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, age, disability, neurodivergence, protected veteran status, marital or family status, caregiver responsibilities, genetic information, or any other characteristic protected by applicable federal, state, or local laws.

Medical Billing Specialist (Behavioral Health) A Great Opportunity / Full Time / $17.50 - $18.50 per hour Through a wide range of innovative services referred to as ViaQuest's Circle of Care, our skilled, dedicated employees ensure that the people we serve are active participants in their own care. ViaQuest offers quality, highly-personalized, specialized and cost-effective care, solutions and services through Psychiatric & Behavioral Solutions, Day & Employment Services, and Residential Services. Responsibilities may include: Responsible for all aspects of billing including, but not limited to collecting necessary billing documentation, preparation of invoices, posting payments Responsible for collection of all client company accounts, proactive research of troubled client accounts and communication with operations and third-party partners regarding client accounts Responsible for filing paper correspondence Follow up daily on billing practices for assigned payers and assist team members as needed Complete other duties as assigned by management Identify and meet deadlines Requirements for this position include: High school diploma required, Associate's degree or certification in medical billing/coding is preferred. At least 1 year of medical billing experience and experience with billing software. Knowledge of insurance including Medicaid, Medicare, and Commercial insurance. Understanding of explanation of benefits (EOB's), claim denials, and account receivables. Knowledge of healthcare or human services is preferred and experience with Behavioral Health billing is a plus. Strong organizational, prioritization and written and verbal communication skills. What ViaQuest can offer you: Paid training. Benefit package for full-time employees (including medical, vision, dental, disability and life insurance and a 401k). Employee discount program. Paid-time off. Employee referral bonus program. About ViaQuest To learn more about ViaQuest visit: ********************** From Our Employees To You ********************************************************** Would you like to refer someone else to this job and earn a bonus? Participate in our referral program! ************************************************************** Do you have questions? Email us at ***********************

The Collector II under general supervision and according to established procedures, performs collection activities for assigned accounts. Contacts insurance company representatives by telephone or through correspondence to collect inaccurate insurance payments and penalties according to BSWH Managed Care contracts. Maintains collection files on the accounts receivable system. **ESSENTIAL FUNCTIONS OF THE ROLE** Performs collection activities for assigned accounts. Contacts insurance companies to resolve payment difficulties and penalties owed to BSWH in accordance with Managed Care contracts. Contacts insurance company representatives by telephone or through correspondence to check the status of claims, appeal or dispute payments and penalties. Has knowledge of CPT codes, Contracting, per diems, and other pertinent payment methods in the medical industry. Maintains collection files on the accounts receivable system. Enters detailed records consisting of any pertinent information needed for collection follow-up. Processes accounts for write-off and for legal. Conducts thorough research and manual calculation from Managed Care Rate Grids and Contracts to determine accurate amounts due to BSWH per each individual Insurance Contract. Enters data in Patient Accounting systems and Access database to track and monitor payments and penalties. Prepares legal documents to refer accounts to the Managed Care legal group for accounts deemed uncollectable. Through thorough review ensures that balances on accounts are true and accurate as well as correct any contractual or payment entries. Verify insurance coding to ensure accurate payments. Receives, reviews, and responds to correspondence related to accounts. Takes action as required. **SALARY** The pay range for this position is $16.12 (entry-level qualifications) - $24.17 (highly experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **BENEFITS** Our competitive benefits package includes the following - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level **QUALIFICATIONS** - EDUCATION - H.S. Diploma/GED Equivalent - EXPERIENCE - 2 Years of Experience As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Are you looking for the best place to work? Join Addiction Recovery Care, LLC (ARC) which was selected as one of the 2024 Best Places to Work in Kentucky by the Kentucky Chamber of Commerce, based on surveys of our employees! Are you passionate about serving in an environment of shared purpose and shared goals while driving the ARC mission and values to excellence for our clients, patients, and team members? ARC has been leading the way and has become one of the fastest-growing healthcare systems in Kentucky (and beyond!) in addiction treatment, mental health services, and improving lives by creating opportunities for people to discover hope and live their God-given destiny! ARC is ready to offer you “The B.E.S.T. of ARC” (Balance, Energy, Safety, Training) on day 1 when you enter through our doors. ARC is a thriving, dynamic, and fast-paced healthcare system environment where compassion, accountability, respect for the dignity of life, entrepreneurship, and stewardship are key elements of everything we do! We are hiring a Denials Resolution Specialist to our growing team! Under direct supervision the Denials Resolution Specialist is responsible for resolving outstanding claims with government and commercial health insurance payers submitted on behalf of Addiction Recovery Care in accordance with established standards, guidelines and requirements. Key Responsibilities Conducts root cause analysis of all assigned insurance payer claims and denials to determine appropriate actions required to resolve the claim / denial into a paid status. Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. Builds relationships with MCO. Corrects identified billing errors and resubmits claims with necessary information through paper or electronic methods. Anticipates potential areas of concern within the claim's denial function; identify issues/trends and provides feedback to Manager / Corporate Director Revenue Cycle. Recognizes when additional assistance is needed to resolve claim denials and escalates appropriately and timely through defined communication and escalation channels. Carry out insurance appeals Resolves work assigned according to the prescribed priority and/or per the direction of the Manager and in accordance with policies, procedures and other job aides. Assists with unusual, complex or escalated issues as necessary. Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc. Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records. Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation. Uses critical thinking skills and payer knowledge to recommend system edits to reduce denials and result in prompt and accurate payment. Keeps management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding. Communicates with Manager and staff regarding insurance carrier contractual and regulatory requirements that impact payment and denials. Meets quality assurance and productivity standards for timely and accurate claim / denial resolution in accordance with organizational policies and procedures. Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function. Understands detailed billing requirements, denial reason codes, and insurance follow-up practices. Understands government and commercial insurance reimbursement terms, contract language, and appropriate reimbursement amounts. Has knowledge of, and is compliant with, government regulations including "signature on file" requirements, compliance program, HIPAA, etc. Establishes and maintains professional and effective relationships with peers and other stakeholders. Works collaboratively with payers and revenue cycle staff to explain denial or underpayment issues. Establishes and maintains a professional relationship with all Addiction Recovery Care leadership and staff to resolve issues. Promotes an atmosphere of collaboration so peers feel comfortable approaching issues and challenges specific to their payer or specialty. Depending on role and training, may be called upon to support other areas in the Revenue Cycle. Performs related duties as required. Key Experience and Education Needed: High school graduate or equivalent is required Some college coursework is preferred Graduate from a post -high school certificate program in medical billing or another business-related field is preferred KNOWLEDGE/SKILLS/ABILITIES: Two years claim review and/or denial resolution experience which demonstrates attainment of the required requisite job knowledge and abilities. Knowledge of medical insurance, payer contracts, and basic medical terminology and abbreviations Ability to effectively prioritize and execute tasks while under pressure; make decisions based on available information and within the scope of authority of the position; excellent customer service skills, including professional telephone interactions. Effective organizational and problem-solving skills are required Demonstrated ability with medical billing systems and third-party payment processes are required. Good verbal and written business communication skills sufficient to clearly document issues and effectively communicate. Detail oriented Excellent keyboarding skills and experience with medical billing systems. Substance abuse experience preferred. Ability to maintain confidentiality and handle crisis situations in a calm and supportive manner Ability to exhibit professional and courteous behavior, consistent with the ARC mission statement, when interacting with persons of varying backgrounds and education levels to create a safe and healthy relationship with clients served Flexibility to adapt to schedule changes and assumption of responsibilities not delineated in the which are related to work as a member of an addiction treatment team. ARC full-time employees enjoy very attractive benefits packages for employees and their families including health, dental, vision, life insurance, a wide array of ancillary insurance products for life's needs, a 401(k) plan with company matching and to ensure the work-life balance - generous paid vacation, sick, holiday and maternity/paternity leave policies. Come join the ARC team and transform lives anchored in strong family relationships, social responsibility, and meaningful career paths by empowering our nationally recognized crisis to career model while being your B.E.S.T.! Addiction Recovery Care, LLC and its affiliated entities are an equal opportunity employer. ADA Disclaimer: In developing this job description care was taken to include all competencies needed to successfully perform in this position. However, for Americans with Disabilities Act (ADA) purposes, the essential functions of the job may or may not have been described for purposes of ADA reasonable accommodation. All reasonable accommodation requests will be reviewed and evaluated on a case-by-case basis.

Are you looking for the best place to work? Join Addiction Recovery Care, LLC (ARC) which was selected as one of the 2024 Best Places to Work in Kentucky by the Kentucky Chamber of Commerce, based on surveys of our employees! Are you passionate about serving in an environment of shared purpose and shared goals while driving the ARC mission and values to excellence for our clients, patients, and team members? ARC has been leading the way and has become one of the fastest-growing healthcare systems in Kentucky (and beyond!) in addiction treatment, mental health services, and improving lives by creating opportunities for people to discover hope and live their God-given destiny! ARC is ready to offer you “The B.E.S.T. of ARC” (Balance, Energy, Safety, Training) on day 1 when you enter through our doors. ARC is a thriving, dynamic, and fast-paced healthcare system environment where compassion, accountability, respect for the dignity of life, entrepreneurship, and stewardship are key elements of everything we do! We are hiring a Denials Resolution Specialist to our growing team! Under direct supervision the Denials Resolution Specialist is responsible for resolving outstanding claims with government and commercial health insurance payers submitted on behalf of Addiction Recovery Care in accordance with established standards, guidelines and requirements. Key Responsibilities Conducts root cause analysis of all assigned insurance payer claims and denials to determine appropriate actions required to resolve the claim / denial into a paid status. Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. Builds relationships with MCO. Corrects identified billing errors and resubmits claims with necessary information through paper or electronic methods. Anticipates potential areas of concern within the claim's denial function; identify issues/trends and provides feedback to Manager / Corporate Director Revenue Cycle. Recognizes when additional assistance is needed to resolve claim denials and escalates appropriately and timely through defined communication and escalation channels. Carry out insurance appeals Resolves work assigned according to the prescribed priority and/or per the direction of the Manager and in accordance with policies, procedures and other job aides. Assists with unusual, complex or escalated issues as necessary. Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc. Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records. Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation. Uses critical thinking skills and payer knowledge to recommend system edits to reduce denials and result in prompt and accurate payment. Keeps management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding. Communicates with Manager and staff regarding insurance carrier contractual and regulatory requirements that impact payment and denials. Meets quality assurance and productivity standards for timely and accurate claim / denial resolution in accordance with organizational policies and procedures. Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function. Understands detailed billing requirements, denial reason codes, and insurance follow-up practices. Understands government and commercial insurance reimbursement terms, contract language, and appropriate reimbursement amounts. Has knowledge of, and is compliant with, government regulations including "signature on file" requirements, compliance program, HIPAA, etc. Establishes and maintains professional and effective relationships with peers and other stakeholders. Works collaboratively with payers and revenue cycle staff to explain denial or underpayment issues. Establishes and maintains a professional relationship with all Addiction Recovery Care leadership and staff to resolve issues. Promotes an atmosphere of collaboration so peers feel comfortable approaching issues and challenges specific to their payer or specialty. Depending on role and training, may be called upon to support other areas in the Revenue Cycle. Performs related duties as required. Key Experience and Education Needed: High school graduate or equivalent is required Some college coursework is preferred Graduate from a post -high school certificate program in medical billing or another business-related field is preferred KNOWLEDGE/SKILLS/ABILITIES: Two years claim review and/or denial resolution experience which demonstrates attainment of the required requisite job knowledge and abilities. Knowledge of medical insurance, payer contracts, and basic medical terminology and abbreviations Ability to effectively prioritize and execute tasks while under pressure; make decisions based on available information and within the scope of authority of the position; excellent customer service skills, including professional telephone interactions. Effective organizational and problem-solving skills are required Demonstrated ability with medical billing systems and third-party payment processes are required. Good verbal and written business communication skills sufficient to clearly document issues and effectively communicate. Detail oriented Excellent keyboarding skills and experience with medical billing systems. Substance abuse experience preferred. Ability to maintain confidentiality and handle crisis situations in a calm and supportive manner Ability to exhibit professional and courteous behavior, consistent with the ARC mission statement, when interacting with persons of varying backgrounds and education levels to create a safe and healthy relationship with clients served Flexibility to adapt to schedule changes and assumption of responsibilities not delineated in the which are related to work as a member of an addiction treatment team. ARC full-time employees enjoy very attractive benefits packages for employees and their families including health, dental, vision, life insurance, a wide array of ancillary insurance products for life's needs, a 401(k) plan with company matching and to ensure the work-life balance - generous paid vacation, sick, holiday and maternity/paternity leave policies. Come join the ARC team and transform lives anchored in strong family relationships, social responsibility, and meaningful career paths by empowering our nationally recognized crisis to career model while being your B.E.S.T.! Addiction Recovery Care, LLC and its affiliated entities are an equal opportunity employer. ADA Disclaimer: In developing this job description care was taken to include all competencies needed to successfully perform in this position. However, for Americans with Disabilities Act (ADA) purposes, the essential functions of the job may or may not have been described for purposes of ADA reasonable accommodation. All reasonable accommodation requests will be reviewed and evaluated on a case-by-case basis. Powered by JazzHR dE33jn5lAD

Are you looking for the best place to work? Join Addiction Recovery Care, LLC (ARC) which was selected as one of the 2024 Best Places to Work in Kentucky by the Kentucky Chamber of Commerce, based on surveys of our employees! Are you passionate about serving in an environment of shared purpose and shared goals while driving the ARC mission and values to excellence for our clients, patients, and team members? ARC has been leading the way and has become one of the fastest-growing healthcare systems in Kentucky (and beyond!) in addiction treatment, mental health services, and improving lives by creating opportunities for people to discover hope and live their God-given destiny! ARC is ready to offer you “The B.E.S.T. of ARC” (Balance, Energy, Safety, Training) on day 1 when you enter through our doors. ARC is a thriving, dynamic, and fast-paced healthcare system environment where compassion, accountability, respect for the dignity of life, entrepreneurship, and stewardship are key elements of everything we do! We are hiring a Denials Resolution Specialist to our growing team! Under direct supervision the Denials Resolution Specialist is responsible for resolving outstanding claims with government and commercial health insurance payers submitted on behalf of Addiction Recovery Care in accordance with established standards, guidelines and requirements. Key Responsibilities Conducts root cause analysis of all assigned insurance payer claims and denials to determine appropriate actions required to resolve the claim / denial into a paid status. Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. Builds relationships with MCO. Corrects identified billing errors and resubmits claims with necessary information through paper or electronic methods. Anticipates potential areas of concern within the claim's denial function; identify issues/trends and provides feedback to Manager / Corporate Director Revenue Cycle. Recognizes when additional assistance is needed to resolve claim denials and escalates appropriately and timely through defined communication and escalation channels. Carry out insurance appeals Resolves work assigned according to the prescribed priority and/or per the direction of the Manager and in accordance with policies, procedures and other job aides. Assists with unusual, complex or escalated issues as necessary. Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc. Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records. Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation. Uses critical thinking skills and payer knowledge to recommend system edits to reduce denials and result in prompt and accurate payment. Keeps management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding. Communicates with Manager and staff regarding insurance carrier contractual and regulatory requirements that impact payment and denials. Meets quality assurance and productivity standards for timely and accurate claim / denial resolution in accordance with organizational policies and procedures. Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function. Understands detailed billing requirements, denial reason codes, and insurance follow-up practices. Understands government and commercial insurance reimbursement terms, contract language, and appropriate reimbursement amounts. Has knowledge of, and is compliant with, government regulations including "signature on file" requirements, compliance program, HIPAA, etc. Establishes and maintains professional and effective relationships with peers and other stakeholders. Works collaboratively with payers and revenue cycle staff to explain denial or underpayment issues. Establishes and maintains a professional relationship with all Addiction Recovery Care leadership and staff to resolve issues. Promotes an atmosphere of collaboration so peers feel comfortable approaching issues and challenges specific to their payer or specialty. Depending on role and training, may be called upon to support other areas in the Revenue Cycle. Performs related duties as required. Key Experience and Education Needed: High school graduate or equivalent is required Some college coursework is preferred Graduate from a post -high school certificate program in medical billing or another business-related field is preferred KNOWLEDGE/SKILLS/ABILITIES: Two years claim review and/or denial resolution experience which demonstrates attainment of the required requisite job knowledge and abilities. Knowledge of medical insurance, payer contracts, and basic medical terminology and abbreviations Ability to effectively prioritize and execute tasks while under pressure; make decisions based on available information and within the scope of authority of the position; excellent customer service skills, including professional telephone interactions. Effective organizational and problem-solving skills are required Demonstrated ability with medical billing systems and third-party payment processes are required. Good verbal and written business communication skills sufficient to clearly document issues and effectively communicate. Detail oriented Excellent keyboarding skills and experience with medical billing systems. Substance abuse experience preferred. Ability to maintain confidentiality and handle crisis situations in a calm and supportive manner Ability to exhibit professional and courteous behavior, consistent with the ARC mission statement, when interacting with persons of varying backgrounds and education levels to create a safe and healthy relationship with clients served Flexibility to adapt to schedule changes and assumption of responsibilities not delineated in the which are related to work as a member of an addiction treatment team. ARC full-time employees enjoy very attractive benefits packages for employees and their families including health, dental, vision, life insurance, a wide array of ancillary insurance products for life's needs, a 401(k) plan with company matching and to ensure the work-life balance - generous paid vacation, sick, holiday and maternity/paternity leave policies. Come join the ARC team and transform lives anchored in strong family relationships, social responsibility, and meaningful career paths by empowering our nationally recognized crisis to career model while being your B.E.S.T.! Addiction Recovery Care, LLC and its affiliated entities are an equal opportunity employer. ADA Disclaimer: In developing this job description care was taken to include all competencies needed to successfully perform in this position. However, for Americans with Disabilities Act (ADA) purposes, the essential functions of the job may or may not have been described for purposes of ADA reasonable accommodation. All reasonable accommodation requests will be reviewed and evaluated on a case-by-case basis. Powered by JazzHR APAf6z3H2Z

COMPETENCIES: Demonstrates competence in waived testing Urine Collection Breath Alcohol Analysis Pregnancy Testing Saliva Collection Demonstrates competence in Narcan administration Demonstrates knowledge about behaviors and treatment of individuals with substance use, dependence, and other addictive behaviors Demonstrates knowledge about medication assisted therapy Understands the benefits and limitations of toxicological testing procedures RESPONSIBILITIES: Monitors and collects various urine drug screens under chain of custody procedure. Collects specimens of hair and saliva for drug collection and processing. Performs Breath Alcohol Analysis as a trained B.A.T. (Breath Alcohol Technician). Performs criminal background checks according to procedure. Maintains records and logs of all specimen tests obtained and processed. Responsible to photocopy and mail, in a timely manner, results of drug screens and saliva testing as requested by companies, with proper release of information. Orders supplies, maintains inventories and stocks of Lab Prep area. Maintains a clean work environment. Assists the Medical Department as directed. Participates in Bloodborne Pathogen Exposure/Chemical Hygiene Training. Participates in staff development program according to Agency policies and procedures Reports all unusual incidents and accidents according to Agency procedures. Participates in Agency health and safety practices and drills. Attends all scheduled staff meetings, supervision meetings and committee meetings as designated. Upholds all Agency policies, procedures and regulations; and supports the overall mission and philosophy of the Agency. Maintains harmonious relations within and outside the Agency in conducting Agency business. Maintains professional appearance at all times with regard to appropriate office attire. Any exceptions or special circumstance require prior approval of supervisor. Other duties as assigned by the President/CEO, CMO, Administrator, and/or Medical Manager. Requirements High School diploma required.

Are you looking for the best place to work? Join Addiction Recovery Care, LLC (ARC) which was selected as one of the 2024 Best Places to Work in Kentucky by the Kentucky Chamber of Commerce, based on surveys of our employees! Are you passionate about serving in an environment of shared purpose and shared goals while driving the ARC mission and values to excellence for our clients, patients, and team members? ARC has been leading the way and has become one of the fastest-growing healthcare systems in Kentucky (and beyond!) in addiction treatment, mental health services, and improving lives by creating opportunities for people to discover hope and live their God-given destiny! ARC is ready to offer you “The B.E.S.T. of ARC” (Balance, Energy, Safety, Training) on day 1 when you enter through our doors. ARC is a thriving, dynamic, and fast-paced healthcare system environment where compassion, accountability, respect for the dignity of life, entrepreneurship, and stewardship are key elements of everything we do! We are hiring a Denials Resolution Specialist to our growing team! Under direct supervision the Denials Resolution Specialist is responsible for resolving outstanding claims with government and commercial health insurance payers submitted on behalf of Addiction Recovery Care in accordance with established standards, guidelines and requirements. Key Responsibilities Conducts root cause analysis of all assigned insurance payer claims and denials to determine appropriate actions required to resolve the claim / denial into a paid status. Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. Builds relationships with MCO. Corrects identified billing errors and resubmits claims with necessary information through paper or electronic methods. Anticipates potential areas of concern within the claim's denial function; identify issues/trends and provides feedback to Manager / Corporate Director Revenue Cycle. Recognizes when additional assistance is needed to resolve claim denials and escalates appropriately and timely through defined communication and escalation channels. Carry out insurance appeals Resolves work assigned according to the prescribed priority and/or per the direction of the Manager and in accordance with policies, procedures and other job aides. Assists with unusual, complex or escalated issues as necessary. Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc. Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records. Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation. Uses critical thinking skills and payer knowledge to recommend system edits to reduce denials and result in prompt and accurate payment. Keeps management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding. Communicates with Manager and staff regarding insurance carrier contractual and regulatory requirements that impact payment and denials. Meets quality assurance and productivity standards for timely and accurate claim / denial resolution in accordance with organizational policies and procedures. Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function. Understands detailed billing requirements, denial reason codes, and insurance follow-up practices. Understands government and commercial insurance reimbursement terms, contract language, and appropriate reimbursement amounts. Has knowledge of, and is compliant with, government regulations including "signature on file" requirements, compliance program, HIPAA, etc. Establishes and maintains professional and effective relationships with peers and other stakeholders. Works collaboratively with payers and revenue cycle staff to explain denial or underpayment issues. Establishes and maintains a professional relationship with all Addiction Recovery Care leadership and staff to resolve issues. Promotes an atmosphere of collaboration so peers feel comfortable approaching issues and challenges specific to their payer or specialty. Depending on role and training, may be called upon to support other areas in the Revenue Cycle. Performs related duties as required. Key Experience and Education Needed: High school graduate or equivalent is required Some college coursework is preferred Graduate from a post -high school certificate program in medical billing or another business-related field is preferred KNOWLEDGE/SKILLS/ABILITIES: Two years claim review and/or denial resolution experience which demonstrates attainment of the required requisite job knowledge and abilities. Knowledge of medical insurance, payer contracts, and basic medical terminology and abbreviations Ability to effectively prioritize and execute tasks while under pressure; make decisions based on available information and within the scope of authority of the position; excellent customer service skills, including professional telephone interactions. Effective organizational and problem-solving skills are required Demonstrated ability with medical billing systems and third-party payment processes are required. Good verbal and written business communication skills sufficient to clearly document issues and effectively communicate. Detail oriented Excellent keyboarding skills and experience with medical billing systems. Substance abuse experience preferred. Ability to maintain confidentiality and handle crisis situations in a calm and supportive manner Ability to exhibit professional and courteous behavior, consistent with the ARC mission statement, when interacting with persons of varying backgrounds and education levels to create a safe and healthy relationship with clients served Flexibility to adapt to schedule changes and assumption of responsibilities not delineated in the which are related to work as a member of an addiction treatment team. ARC full-time employees enjoy very attractive benefits packages for employees and their families including health, dental, vision, life insurance, a wide array of ancillary insurance products for life's needs, a 401(k) plan with company matching and to ensure the work-life balance - generous paid vacation, sick, holiday and maternity/paternity leave policies. Come join the ARC team and transform lives anchored in strong family relationships, social responsibility, and meaningful career paths by empowering our nationally recognized crisis to career model while being your B.E.S.T.! Addiction Recovery Care, LLC and its affiliated entities are an equal opportunity employer. ADA Disclaimer: In developing this job description care was taken to include all competencies needed to successfully perform in this position. However, for Americans with Disabilities Act (ADA) purposes, the essential functions of the job may or may not have been described for purposes of ADA reasonable accommodation. All reasonable accommodation requests will be reviewed and evaluated on a case-by-case basis.

Are you looking for the best place to work? Join Addiction Recovery Care, LLC (ARC) which was selected as one of the 2024 Best Places to Work in Kentucky by the Kentucky Chamber of Commerce, based on surveys of our employees! Are you passionate about serving in an environment of shared purpose and shared goals while driving the ARC mission and values to excellence for our clients, patients, and team members? ARC has been leading the way and has become one of the fastest-growing healthcare systems in Kentucky (and beyond!) in addiction treatment, mental health services, and improving lives by creating opportunities for people to discover hope and live their God-given destiny! ARC is ready to offer you “The B.E.S.T. of ARC” (Balance, Energy, Safety, Training) on day 1 when you enter through our doors. ARC is a thriving, dynamic, and fast-paced healthcare system environment where compassion, accountability, respect for the dignity of life, entrepreneurship, and stewardship are key elements of everything we do! We are hiring a Denials Resolution Specialist to our growing team! Under direct supervision the Denials Resolution Specialist is responsible for resolving outstanding claims with government and commercial health insurance payers submitted on behalf of Addiction Recovery Care in accordance with established standards, guidelines and requirements. Key Responsibilities Conducts root cause analysis of all assigned insurance payer claims and denials to determine appropriate actions required to resolve the claim / denial into a paid status. Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. Builds relationships with MCO. Corrects identified billing errors and resubmits claims with necessary information through paper or electronic methods. Anticipates potential areas of concern within the claim's denial function; identify issues/trends and provides feedback to Manager / Corporate Director Revenue Cycle. Recognizes when additional assistance is needed to resolve claim denials and escalates appropriately and timely through defined communication and escalation channels. Carry out insurance appeals Resolves work assigned according to the prescribed priority and/or per the direction of the Manager and in accordance with policies, procedures and other job aides. Assists with unusual, complex or escalated issues as necessary. Organizes open accounts by denial type or payer to quickly address in bulk with representatives over the phone, via spreadsheet, utilizing an on-line payer portal, etc. Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records. Identifies potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and reports to supervisory staff for appropriate escalation. Uses critical thinking skills and payer knowledge to recommend system edits to reduce denials and result in prompt and accurate payment. Keeps management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding. Communicates with Manager and staff regarding insurance carrier contractual and regulatory requirements that impact payment and denials. Meets quality assurance and productivity standards for timely and accurate claim / denial resolution in accordance with organizational policies and procedures. Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function. Understands detailed billing requirements, denial reason codes, and insurance follow-up practices. Understands government and commercial insurance reimbursement terms, contract language, and appropriate reimbursement amounts. Has knowledge of, and is compliant with, government regulations including "signature on file" requirements, compliance program, HIPAA, etc. Establishes and maintains professional and effective relationships with peers and other stakeholders. Works collaboratively with payers and revenue cycle staff to explain denial or underpayment issues. Establishes and maintains a professional relationship with all Addiction Recovery Care leadership and staff to resolve issues. Promotes an atmosphere of collaboration so peers feel comfortable approaching issues and challenges specific to their payer or specialty. Depending on role and training, may be called upon to support other areas in the Revenue Cycle. Performs related duties as required. Key Experience and Education Needed: High school graduate or equivalent is required Some college coursework is preferred Graduate from a post -high school certificate program in medical billing or another business-related field is preferred KNOWLEDGE/SKILLS/ABILITIES: Two years claim review and/or denial resolution experience which demonstrates attainment of the required requisite job knowledge and abilities. Knowledge of medical insurance, payer contracts, and basic medical terminology and abbreviations Ability to effectively prioritize and execute tasks while under pressure; make decisions based on available information and within the scope of authority of the position; excellent customer service skills, including professional telephone interactions. Effective organizational and problem-solving skills are required Demonstrated ability with medical billing systems and third-party payment processes are required. Good verbal and written business communication skills sufficient to clearly document issues and effectively communicate. Detail oriented Excellent keyboarding skills and experience with medical billing systems. Substance abuse experience preferred. Ability to maintain confidentiality and handle crisis situations in a calm and supportive manner Ability to exhibit professional and courteous behavior, consistent with the ARC mission statement, when interacting with persons of varying backgrounds and education levels to create a safe and healthy relationship with clients served Flexibility to adapt to schedule changes and assumption of responsibilities not delineated in the which are related to work as a member of an addiction treatment team. ARC full-time employees enjoy very attractive benefits packages for employees and their families including health, dental, vision, life insurance, a wide array of ancillary insurance products for life's needs, a 401(k) plan with company matching and to ensure the work-life balance - generous paid vacation, sick, holiday and maternity/paternity leave policies. Come join the ARC team and transform lives anchored in strong family relationships, social responsibility, and meaningful career paths by empowering our nationally recognized crisis to career model while being your B.E.S.T.! Addiction Recovery Care, LLC and its affiliated entities are an equal opportunity employer. ADA Disclaimer: In developing this job description care was taken to include all competencies needed to successfully perform in this position. However, for Americans with Disabilities Act (ADA) purposes, the essential functions of the job may or may not have been described for purposes of ADA reasonable accommodation. All reasonable accommodation requests will be reviewed and evaluated on a case-by-case basis. Powered by JazzHR zS8YV1VHvL

General Job Summary: Promotes the Companies mission to provide patients with premier orthopedic care while focusing on their individual needs. Responsible for ensuring timely claim submission, follow-up with no response from payers, payer rejections, correspondence, and appealing denial. Essential Job Functions: The ability to remain friendly and professional through communication with patients, providers, clinical staff, payers, and outside agencies through telephone, electronic, and written correspondence. Manages multiple work queues for an assigned portion of the Accounts Receivable (A/R) daily on registration, claim edits, aging, and denials, to include following up with insurance companies, reconciling accounts, filing corrected claims, appealing claims (when appropriate), and following up on all denials to ensure processing/reprocessing, and payments. Assists with verification of benefits information to determine coordination of benefits via phone, email, or online portal. Analyze EOB's and construct appropriate, timely responses to insurance carriers based on claim adjudication. Collaborates with manager, coordinator, and director to report denial trends to ensure proper claim resolution. Experience with variety of billing issues involving payers (Medicare, Medicaid, private insurance, worker's compensation) including forms, coding compliance and reimbursement guidelines Thorough knowledge of medical terminology, managed care financial agreements; CPT, HCPCS, and ICD-10 codes. Handle billing calls and answer telephone calls as needed. Review credit balance accounts. Demonstrates superior interpersonal relationship skills necessary for developing and maintaining positive professional relationships with patients, peers, providers, clinical departments, the management team, and payer organizations through telephone, electronic and written correspondence. Ensure compliance with all guidelines set by government programs, and the Companies policies, such as federal regulations, HIPPA, and the No Surprises Act. Takes initiative in performing additional tasks that may be necessary or in the best interest of the practice. Requirements Education/Experience: High School Diploma or equivalent. Associate's Degree in Coding/Billing or minimum of two years medical billing experience is preferred. Collections or medical billing experience with an understanding of HCPCS, ICD-10 and medical terminology is preferred. Other Requirements: Must be customer service oriented with a team environment focus. Schedules may change as department needs change, including overtime and weekends. Performance Requirements: Knowledge: Knowledge and application of the Companies Mission, Vision and Values. Medical billing terminology required. CPT and ICD-10 coding knowledge preferred. Knowledge of medical billing/collection practices. Knowledge of medical terminology and anatomy. Knowledge of insurance filing and payment posting techniques. Knowledge of basic medical coding and third-party operating procedures and practices. Knowledge of electronic health records and practice management systems. Knowledge of current professional billing and reimbursement procedures preferred. Skills: Skilled in attention to detail. Skilled in organizing. Skilled in grammar, spelling, and punctuation. Skilled in communicating effectively with providers, staff, patients and vendors. Strong communication skills in a professional manner during stressful and sensitive situations with patients of all ages. Abilities: Ability to problem-solve and the ability to interpret and make decisions based on established guidelines. Ability to work on a team while maintaining positive and professional relationships. Ability to multitask and handle stressful or difficult situations with professionalism. Ability to analyze situations and respond in a calm and professional manner. Equipment Operated: Standard office equipment. Work Environment: Medical office environment. Mental/Physical Requirements: Involves sitting and viewing a computer monitor approximately 90 percent of the day. Must be able to use appropriate body mechanics techniques when making necessary patient transfers and helping patients with walking, etc. Must be able to remain focused and attentive without distractions (i.e. personal devices). Must be able to lift up to 30 pounds.

Accounts Receivable Specialist Admin Building - Fulltime (Monday - Friday 8:00 am - 4:30 pm) SUMMARY: With knowledge of the FQHC billing requirements, the Accounts Receivable Specialist will prepare, submit, and follow up on all patient statements and insurance claims to third party payers for all patients who receive care from both medical and dental providers. ______________________________________________________________________________________ ESSENTIAL FUNCTIONS AND BASIC DUTIES: •Reviews all claims before submission to insurance companies. •Maintains file system for billed claim records and back up for audit purposes •Verifies coverage and follows up on submitted claims. •Requests corrected diagnosis for reimbursement purposes from providers. •Responds knowledgeably to inquiries from patients, providers, insurance companies regarding covered charges, remittance advices, and billing questions •Works with Medicaid, Medicare, and insurance companies for submission of claims, to verify coverage, to determine status of claims, and to resolve issues and problems with the claims. •Reviews incoming correspondence and materials. •Maintains a variety of files, logs, and registers. • Operates office equipment •Reviews insurance information in computer registration to determine accuracy and make changes as needed. •Opens mail and processes all patient payments, insurance reimbursements, and reconciles daily report with checks received. •Maintains updated knowledge of FQHC billing rules, CPT, CDT, and ICD-10 coding. •Maintains patient confidentiality according to health center policy and HIPAA regulations. •Performs miscellaneous job-related duties as assigned. ______________________________________________________________________________ QUALIFICATIONS EDUCATION/CERTIFICATION: High School Degree or GED Required. REQUIRED KNOWLEDGE: Successful completion of in-house training. EXPERIENCE REQUIRED: Experience with healthcare billing preferred. SKILLS/ABILITIES: •Understanding of different types of insurance (Medicaid, Medicare, Commercial, etc.) •Computer experience, skill and typing ability sufficient to operate the practice management. •Knowledge of basic medical terminology. •Computer experience, skill and typing ability sufficient to operate the practice management. BENEFIT OFFERED: Paid Time Off (PTO) - Accrued per pay Insurance (Medical, Dental, Vision, Life and Disability) Paid Holidays - 7 paid holidays 403b Retirement with up to 8% match (starts at 3% and increases with time of service at HPWO) Annual Reviews and Increases Employee Assistance Program Referral Bonus - Earn more by expanding our team Training Opportunities Eligible to apply for the Emerging Leaders Program after 1 year of service

Admin Building Fulltime In Person (Monday - Friday 8:00 am - 4:30 pm) With knowledge of the FQHC billing requirements, the Medical Billing Specialist will prepare, submit, and follow up on all patient statements and insurance claims to third party payers for all patients who receive care from both medical and dental providers. ESSENTIAL FUNCTIONS AND BASIC DUTIES: * Reviews all claims before submission to insurance companies. * Maintains file system for billed claim records and back up for audit purposes * Verifies coverage and follows up on submitted claims. * Requests corrected diagnosis for reimbursement purposes from providers. * Responds knowledgeably to inquiries from patients, providers, insurance companies regarding covered charges, remittance advices, and billing questions * Works with Medicaid, Medicare, and insurance companies for submission of claims, to verify coverage, to determine status of claims, and to resolve issues and problems with the claims. * Reviews incoming correspondence and materials. * Maintains a variety of files, logs, and registers. * Operates office equipment * Reviews insurance information in computer registration to determine accuracy and make changes as needed. * Opens mail and processes all patient payments, insurance reimbursements, and reconciles daily report with checks received. * Maintains updated knowledge of FQHC billing rules, CPT, CDT, and ICD-10 coding. * Maintains patient confidentiality according to health center policy and HIPAA regulations. * Performs miscellaneous job-related duties as assigned. QUALIFICATIONS EDUCATION/CERTIFICATION: High School Degree or GED Required. REQUIRED KNOWLEDGE: Successful completion of in-house training. EXPERIENCE REQUIRED: Experience with healthcare billing SKILLS/ABILITIES: * Understanding of different types of insurance (Medicaid, Medicare, Commercial, etc.) * Computer experience, skill and typing ability sufficient to operate the practice management. * Knowledge of basic medical terminology. WHAT WE OFFER: * Paid Time Off (PTO) - Accrued per pay * Insurance (Medical, Dental, Vision, Life and Disability) * Paid Holidays - 7 paid holidays * 403b Retirement with up to 8% match (starts at 3% and increases with time of service at HPWO) * Annual Reviews and Increases * Employee Assistance Program * Referral Bonus - Earn more by expanding our team * Training Opportunities * Eligible to apply for the Emerging Leaders Program after 1 year of service

Join Our Team as a Medical Billing Specialist! Why Work With Us? At One Health Ohio, we believe in fostering a positive work environment that prioritizes our team and our patients. Enjoy competitive benefits and a supportive workplace where your contributions truly matter! Do you have prior billing experience in dental or medical settings? Are you looking for a role that blends your billing expertise with a clinical touch? If so, we could be the perfect next step in your career journey. Benefits Include: * Affordable Health, Vision, Dental, and Life Insurance * 401(K) with dollar-for-dollar matching (up to 4%) * Generous Paid Time Off (PTO) * Paid Holidays Essential Job Functions: * Prepares and submits clean claims to various insurance companies either electronically or by paper. * Answers questions from patients, clerical staff, and insurance companies. * Identifies and resolves patient billing complaints. * Prepares, reviews, and sends patient statements. * Evaluates patient's financial status and establishes budget payment plans. * Follows and reports the status of delinquent accounts. * Reviews accounts for possible assignment and make recommendations to the Director of Billing and Reimbursement, also prepares information for the collection agency * Performs daily backups on the office computer system. * Performs various collection actions including contacting patients by phone, correcting, and resubmitting claims to third-party payers. * Processes payments from insurance companies and prepares a daily deposit. * Participates in educational activities and attends monthly staff meetings. * Conducts self in accordance with employee handbook. * Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations. * Ensures accurate billing and coding as per regulations. * Works with administrator in training providers in coding and EMR system. Education and Experience: * Minimum of 2 years experience medical billing (Preferred) * Certified Biller (Required) * Certified Coder (Preferred) Physical Requirements * Sitting in a normal seated position for extended periods of time * Reaching by extending hand(s) or arm(s) in any direction * Finger dexterity required to manipulate objects with fingers rather than with whole hand(s) or arm(s), for example, using a keyboard * Communication skills using the spoken word * Ability to see within normal parameters * Ability to hear within normal range * Ability to move about NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as negotiated to meet the ongoing needs of the organization. Employee is able to work at any OHO locations deemed necessary by OHO.

Gastro Health is seeking a Full-Time Insurance Collections Specialist to join our team! Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours. This role offers: A great work/life balance No weekends or evenings - Monday thru Friday Paid holidays and paid time off Rapidily growing team with opportunities for advancement Competitive compensation Benefits package Duties you will be responsible for: Provides Liaison between the providers of health care services, the patient, or other responsible persons, and revenue sources, to ensure the correctness of charges, a current record of all transactions, and account resolution Maintains active communications with insurance carriers and third-party carriers until account is paid. Negotiates payment of current and past due accounts by direct telephone and written correspondence. Updates patient account information Monitors and identifies payer denial trends and problem accounts; communicates patterns to supervisor. Runs a monthly aging report based on DOS and current A/R to identify accounts that require follow up. Manage all assigned worklist on a daily basis for assigned insurances. Utilize collection techniques to resolve accounts according to company's policies and procedures. Report any coding related denial to the Coding Specialist. Performs other duties including but limited to faxing information as required, generating retroactive authorization requests, and verifying medical eligibility. Conducts necessary research to ensure proper reimbursement of claims. Assist with special projects assigned by Billing Manager or Supervisor Minimum Requirements High school diploma or GED equivalent. At least 2 years' experience in insurance collections. Knowledge of medical terminology utilized in medical collections and billing (CPT, ICD-10, HCPCS) Knowledge with letters of appeal. Intermediate experience with Microsoft Excel and Office products is required. Experience with HMO, PPO, and Medicare insurances. Must be able to read, interpret, and apply regulations, policies and procedures We offer a comprehensive benefits package to our eligible employees: Medical Dental Vision Spending Accounts Life / AD&D Disability Accident Critical Illness Hospital Indemnity Legal Identity Theft Pet 401(k) retirement plan with Non-Elective Safe Harbor employer contribution for eligible employees Discretionary profit-sharing with employer contributions of 0% - 4% for eligible employees Additionally, Gastro Health participates in a program called Tickets at Work that provides discounts on concerts, travel, movies, and more. Interested in learning more? Click here to learn more about the location. Gastro Health is the one of the largest gastroenterology multi-specialty groups in the United States, with over 130+ locations throughout the country. Our team is composed of the finest gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals. We are always looking for individuals that share our mission to provide outstanding medical care and an exceptional healthcare experience. We offer a comprehensive benefits package to our eligible employees. Gastro Health is proud to be an Equal Opportunity Employer. We do not discriminate based on race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We thank you for your interest in joining our growing Gastro Health team!

Responsible for accurate claim submission, timely error resolution, collections of accounts receivable and provider credentialing while maintaining compliance & providing great customer service. Position Description: Ensure charges are prepared & submitted Timely follow-up & resolution on unpaid claims, denials & error Ability to create accurate & timely corrections, adjustments or write offs Research & contact payers to determine the status of submitted claims & investigate claim denials & appeals Ability to acquire & interpret payer eligibility & EOB data Ensure client's information is accurate, up to date & sequenced properly in internal & external system(s) Collaborate with clients, insurance providers & internal & external stakeholders to obtain the necessary documentation Assist other billers as needed Full understanding of funding, modifiers and allowable services Apply knowledge of insurance regulations, billing codes, rates, credentialing, ICD-10, CPT, HCPCS, modifiers & industry practices to ensure compliance & optimize reimbursement Collect & review referrals & authorizations Ensure posted payments (including zero payments) are accurate & monitor missed payments Maintain educational sessions, compliance with company policies & meetings as required by internal & external parties Maximize electronic health record (EHR) system use & obtain full understanding of all functions & use Credentialing with Medicare, Medicaid & Commercial products as specified for agency Perform intermediate to difficult projects or assignments Other duties as assigned Required Knowledge, Skills and Abilities: Excellent written & verbal communication skills Ability to work efficiently & productively in a high-pressure environment Ability to meet required deadlines Detailed oriented, comfortable with numbers & processing of financial data Strong customer service & interpersonal skills to answer questions for clients, insurance companies or others Job Requirements: Minimum of high School Diploma 1-2 years proven medical billing experience 1+ year medical credentialing experience Computer literacy skills, expected to use relevant internal & external equipment & software & proficient in Microsoft Office Essential Functions/Physical Demands: Positional: Driving in accordance with job duties assigned. Infrequent standing and walking. Constant sitting. Gross Mobility: Rare climbing, or crawling. Infrequent balancing, stooping, kneeling, or crouching. Frequent to constant reaching and handling. Sensory: Rare tasting/smelling. Infrequent use of color vision. Occasional use of far visual acuity, depth perception, and field of vision. Frequent use of near and midrange visual acuity, and visual accommodation. Frequent to constant talking. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or on the basis of disability.

The Billing Specialist generates insurance claims and patient statement billings and collects outstanding insurance or patient balances. Essential Functions Makes follow-up phone calls on accounts with outstanding balance Maintains standards to ensure systematic, consistent and timely collection follow-up Follow-up on accounts with outstanding balances that do not have appropriate payment arrangements The Aged Trial Balance report will be printed every other week and every outstanding account should be worked All notes regarding written and/or verbal communication on the account will be maintained in the “MEMO” file on the patient's account and should include the following: Date of collection work Time of collection work Telephone # of contact Full name of contact Location of contact (home, work, employer, insurance co.) Complete summary of conversation Next follow-up date based on payment promises Collector's initials Prior to sending accounts to a collection agency for follow-up, dates for all patient statements should be documented in the “MEMO” file. (refer to the batch statement record to obtain statement billing dates) Insurance Due Accounts should have the initial follow-up call made 30 days following the date of service. Subsequent follow-up calls should be made every 14 days until the balance is paid. Insurance Due balances not paid within 90 days from date of service will be transferred to patient due and billed to the patient Patient Due Accounts should have the initial follow-up call made 14 days following the date of service. Subsequent follow-up calls should be made every 14 days until the balance is paid or until adequate payment arrangements are made according to the Prompt Pay Discount policy (FIN04.08) . Patient due balances aged 60 days that do not have adequate payment arrangements will be sent to a collection agency for follow-up. Any uncollected balances aged 180 days that do not have payment arrangements made will be written off as bad debt in accordance with the Bad Debt Write-off policy (FIN04.12) All Outstanding Accounts aged 120 days without appropriate payment arrangements will be sent to a collection agency. Any uncollected balances aged 180 days that do not have payment arrangements made will be written off as bad debt in accordance with the Bad Debt Write-off policy (FIN04.12) . The following information should be included with the accounts when sent to the collection agency: Print screen of all collection memos Print screens of patient demographics, billing data, insurance verification/authorization information, statement dates, etc Patient Statements will be generated on a 14 day cycle. Statements should be printed every Thursday evening and mailed out the following morning Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job the employee is frequently required to sit, converse, and listen; use hands to touch, handle, or feel objects, tools or controls; and to reach with hands and arms. Specific vision abilities required by this job include close vision and the ability to adjust focus. The employee must be able to lift and/or carry over 20 pounds on a regular basis and be able to push/pull over 25 pounds on a regular basis. The employee must be able to stand and/or walk at least five hours per day. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.