ECMO Specialist I ($20,000 Sign On Bonus)
Boston, MA jobs
The ECMO Specialist is enrolled and actively participating in the department's ECMO Training Program. This role is responsible for developing and maintaining the skills necessary to proficiently and safely establish, manage, and control extracorporeal membrane oxygenation (ECMO) technology and assist with associated procedures in acutely ill patients of all ages in critical care settings. The specialist will learn to troubleshoot devices and associated equipment under the supervision of experienced ECMO personnel, provide ongoing care through surveillance of clinical and physiologic parameters, adjust ECLS devices as needed, administer and document blood products and medications in accordance with hospital standards, provide airway and ventilator management, and perform the full scope of practice of a Respiratory Therapist II.
Schedule: 36 hours per week, rotating day/night shifts, every third weekend.
**This position is eligible for full time benefits $20,000 sign-on bonus (not eligible for internal candidates and not eligible for former BCH employees who worked here in the past 2 years)
Key Responsibilities:
Assemble, prepare, and maintain extracorporeal circuits and associated equipment with assistance.
Assist in priming extracorporeal circuits and preparing systems for clinical application.
Assist with cannulation procedures.
Assist in establishing extracorporeal support; monitor patient response, provide routine assessments, circuit evaluations, patient monitoring, and anticoagulation management.
Assist with ECMO circuit interventions, weaning procedures, and transports.
Administer blood products per hospital standards.
Interact and communicate with caregivers, nursing, surgical and medical teams, patients, and family members.
Maintain relevant clinical documentation in the patient's electronic health record.
Participate in professional development, simulation, and continuing education.
Attend ECMO Team meetings and M&M conferences on a regular basis.
Minimum Qualifications
Education:
Required: Associate's Degree in Respiratory Therapy
Preferred: Bachelor's Degree
Experience:
Required: A minimum of one year of experience as a BCH Respiratory Therapist with eligibility for promotion to RT II,
or
one year of external ECMO experience
Preferred: None specified
Licensure / Certifications:
Required: Current Massachusetts license as a Respiratory Therapist
Required: Current credential by the National Board of Respiratory Care as a Registered Respiratory Therapist (RRT); Neonatal Pediatric Specialist (NPS) credential must be obtained within 6 months of entry into the role
Preferred: None specified
The posted pay range is Boston Children's reasonable and good-faith expectation for this pay at the time of posting.
Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.
Polysomnographic Specialist - PRN
Kansas City, MO jobs
Are you looking to join a phenomenal team where patient care is at the center of everything we do? Look no further!
Day
8-10 hours per week preferred
RPSGT or RRT required
BLS preferred
The Opportunity:
The Polysomnographic Specialist performs all aspects of care as outlined in national and departmental clinical standard of practice policy and procedure manual and in accordance with written verbal orders or approved protocol flow charts. This position will assist with MSLT and home sleep study set-ups. Clinical practice activities include but are not limited to the performance of diagnostic polysomnographic testing, assessment based therapeutic interventions and the analysis and scoring of polysomnographic records. The Polysomnographic Specialist accountabilities include the assessment and evaluation of histories and physicals, diagnostic, clinical and sleep related data pursuant to the development and monitoring of planned interventions in collaboration with the medical staff. The Polysomnographic Specialist supports and participates as appropriate in staff meetings, study quality, adherence to departmental protocols, continuing education, and professional growth development activities and performs other duties as assigned.
Why Saint Luke's?
We believe in work/life balance.
We are dedicated to innovation and always looking for ways to improve.
We believe in creating a collaborative environment where all voices are heard.
We are here for you and will support you in achieving your goals.
#LI-CK2
Job Requirements
Applicable Experience:
Less than 1 year
Basic Life Support - American Heart Association or Red Cross, Polysomnographic Technologist - Board of Registered Polysomnographic Technologists
Job Details
PRN
Day (United States of America)
The best place to get care. The best place to give care . Saint Luke's 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke's means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.
Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.
Polysomnographic Specialist
Overland Park, KS jobs
Are you looking to join a phenomenal team where patient care is at the center of everything we do? Look no further!
Nights
3-12 hours per week (0645-1915 Wed-Thurs-Friday OR Sun-Monday-Tuesday)
RPSGT or RRT required
BLS preferred
The Opportunity:
The Polysomnographic Specialist performs all aspects of care as outlined in national and departmental clinical standard of practice policy and procedure manual and in accordance with written verbal orders or approved protocol flow charts. This position will assist with MSLT and home sleep study set-ups. Clinical practice activities include but are not limited to the performance of diagnostic polysomnographic testing, assessment based therapeutic interventions and the analysis and scoring of polysomnographic records. The Polysomnographic Specialist accountabilities include the assessment and evaluation of histories and physicals, diagnostic, clinical and sleep related data pursuant to the development and monitoring of planned interventions in collaboration with the medical staff. The Polysomnographic Specialist supports and participates as appropriate in staff meetings, study quality, adherence to departmental protocols, continuing education, and professional growth development activities and performs other duties as assigned.
Why Saint Luke's?
We believe in work/life balance.
We are dedicated to innovation and always looking for ways to improve.
We believe in creating a collaborative environment where all voices are heard.
We are here for you and will support you in achieving your goals.
Job Requirements
Applicable Experience:
Less than 1 year
Polysomnographic Technologist - Board of Registered Polysomnographic Technologists
Associate Degree
Job Details
Full Time
Night (United States of America)
The best place to get care. The best place to give care . Saint Luke's 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke's means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.
Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.
Medicare Hospice Billing & Collection Specialist
Ohio jobs
will be remote, but some in-office hours are possible.
Candidate will ideally reside in Ohio.
Looking for at least 5 years experience in hospice billing or Medicare billing and knowledge of DDE. Someone who can bill Medicare and has an understanding of room and board. This person could have hospice and/or long term care experience.
As a Hospice/Palliative Care Patient Account Specialist, you will perform daily billing and collection operations for Hospice and Palliative Care Revenue Cycle Department. The Hospice/Palliative Care Patient Account Specialists ensures that the patient accounts are handled in compliance with Interim Healthcare's policy and regulatory standards.
What we offer our Hospice/Palliative Care Patient Account Specialist:
Competitive pay and benefits
FT, 8:30 am - 5pm, M-F. Remote with some possible in office hours.
Daily Pay option available
Excited to hear more? Apply below.
Working at Interim HealthCare means a career unlike any other. With integrity at the center of all we do, we know that when we support you and your community, you'll change lives every day.
As a Hospice/Palliative Care Patient Account Specialist, you will:
Initiate and maintain complete and accurate patient billing records along with maintaining confidentiality of Interim Healthcare patient billing records to ensure regulatory compliance with state and federal laws. Identifies and implements system enhancements, as it relates to industry trends to improve overall performance and outcomes.
Accurate cash posting and balance monies received from insurance plans by the end of each month. Track and process all over-payments/under-payments to ensure collection of balances owed/received are precise and appropriate. Always maintain proper payment of all state/federal revenues to ensure the correct rates have been paid. This is a federal regulation that must be followed.
Accurately process payments to Nursing Facilities for patients with Medicaid coordinating all admissions, deaths, bed hold days, transfers, and discharges. Bills all insurance plans for denials and/or collection of payments while maintaining timely filing of all insurance plans. Maintains a positive relationship working cooperatively with nursing homes, health information department, accounts payable department and other providers to maintain quality service, quick response time and ensure accurate payments. It is important to sustain positive relationships which are crucial to developing future referrals to the organization.
Review of monthly aging for trouble spots and past due accounts along with running month-end billing process and reconciliation improve flow of cash to organization. Monitors and maintains days in AR at or below 60-90 days to ensure cash flow. This is evidenced by a monthly review of AR with a success rate of 90%. Reporting any issues to Regional Hospice/Palliative Care Revenue Cycle Manager.
To qualify for a Hospice/Palliative Care Patient Account Specialist with us:
• Associate degree (Bachelor's Degree preferred) in related field required or equivalent education, training, and experience.
• Minimum 3-5 years' experience in hospice billing or Medicare billing
• Recent experience working with popular hospice/palliative billing software.
Knowledge of DDE is a must.
At Interim HealthCare Home Care, we know that being our best is non-negotiable - that's why we treat your family like our own. We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace. From our unmatched referral response times to our focus on quality improvement, the most beautifully complicated time of your life is our life's work.
We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
#RMC
PFS Remittance Specialist
Springfield, MO jobs
◦ A Remittance Specialist is responsible for accurately posting payments and adjustments for all payer types into our patient accounting system and reconciling to daily deposits. Remittance Specialists are responsible for identifying variances and correcting errors to ensure daily balancing. This position requires attention to detail and good time management skills. Responsible for completing work assignments accurately and efficiently resulting in the desired reduction of outstanding accounts receivable. Communicates in a professional manner with all customers and staff. Works to reach department goals.
• Job Requirements
◦ Education
▪ Required: High School diploma or equivalent
◦ Experience
▪ Preferred: 1 year business office experience
◦ Skills
▪ Strong analytical skills to recognize problems
▪ Excellent computer skills and strong aptitude to learn and maximize use of applications
▪ Proficient in Excel.
◦ Licensure/Certification/Registration
▪ N/AEducation: ▪ Required: High School Diploma or Equivalent Experience: ▪ Preferred: 2 years customer service or prior experience with third party payers Skills: ▪ Understanding of medical terminology ▪ Excellent verbal and written communication skills ▪ Organized and attentive to detail Licensure/Certification/Registration: ▪ N/A
Manager, VNA Accounts Receivable
Barnstable Town, MA jobs
The Manager of Specialized Accounts Receivable provides coordination, leadership and oversight to the VNA Home Health, Hospice and Elder Services AR staff that provide third-party billing, AR follow-up, denials management, underpayment recoupment and credit balance resolution. Coordinates external audits and third-party reviews and works with the Director of Patient Financial Services to meet department AR management and cash collection goals. Researches, develops, and promulgates best practices to ensure that all third-party billing and AR resolution are done timely, accurately, and within compliance to CCHC, payer, state and federal regulations. Supports the training and development of the AR team. Continually seeks improvement in AR Management processes and technology.
PRIMARY DUTIES AND RESPONSIBILITIES:
Support, oversee, and manage the performance, productivity and quality of the entire Billing, Follow-Up/Denials team as it relates to all AR Management activities and pre-defined and Manager identified goals and targets.
Develop, implement, and manage efficient and effective operational policies, procedures, processes and performance monitoring across all third-party AR resolution, denials management, credit balance resolution and payment variance recoupment.
Ensure CCHC employees and vendor staff performing AR functions are compliant with policies, procedures and processes; measure and address all areas of non-compliance.
Maintain up-to-date knowledge of regulatory and compliance, for state and federal agency, changes impacting billing requirements and operations.
Collaborate with other disciplines, IT partner and vendors to implement changes needed to address payer and regulatory billing requirement changes and denial prevention.
Ensure vendors and CCHC revenue cycle employees are appropriately educated and trained as well as department policies and processes are modified, as required, to stay current.
Work with Managed Care department, payor representative, vendors and all other departments within CCHC and Physician Practices to resolve outstanding account receivable issues
Ensure negotiated contracts are being administered and reimbursed according to contractual terms and rates. Assist managed care in the resolution of contract payment issues.
Confirm staff are consistently performing performance-monitoring processes.
Define, implement, and monitor strategies to improve overall patient financial services processing efficiency.
Ensure that denial trends identified are managed and tracked to improvement ensuring mitigation strategies are consistently implemented.
Manage to applicable Key Performance Indicators (“KPIs”). Define and implement action plans when performance is not meeting expectations.
Assess workflow prioritization on a regular basis to confirm that AR metrics and benchmarks are consistently achieved.
Originate and/or execute a portfolio of performance improvement projects for overall revenue cycle enhancement
Conduct analysis as needed and on a timely basis, to support decisions by leadership and maintain/grow revenue collections.
Assess direct reports' performance on a consistent basis and provide feedback to reward effective performance and enable proactive performance improvement steps to be taken.
Originate and/or execute a portfolio of performance improvement projects for overall revenue cycle enhancement.
Prepares reports and conducts analysis as needed and on a timely basis, to support decisions by leadership and maintain/grow revenue collection.
Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional healthcare related organizations
Uses experience, education, training and judgment to plan and accomplish key performance indicators for AR metrics and other measures of organizational health.
Educating, training and setting expectations on using the EHR system efficiently and effectively to meet industry key performance indicators.
Maintains up-to-date payer knowledge including regular access to payer websites and portals to ensure the AR is flowing timely and appropriately.
Performs additional special assignments, duties, and related functions as required.
Works with Director of System PFS, Director PB Revenue Cycle, VP, CFO and vendor(s) to establish customer service / SBO revenue cycle benchmarks
Reduce redundancies and re-work through proper use of technology and through staff education.
Serves as the main point of contact for Patient AR Management including Client Submitter, and VNA AR.
Challenges current working practices; identifies process improvement opportunities and presents recommendations and solutions to management. Engages and commits to the organization's culture of continuous improvement by actively participating, supporting, and promoting CCHC Pillars of Excellence.
EDUCATION/EXPERIENCE/TRAINING:
Bachelor's degree preferred or equivalent combination of education and 10 years experience.
Minimum ten years health care with at least five years of healthcare Finance or Accounts Receivable Management experience.
Prior experience with customer service and patient billing operations preferred.
Home healthcare and hospice experience required.
Minimum two years supervisory/management experience in healthcare environment required.
Required three to five years of demonstrated experience with electronic health records. Epic experience preferred.
Ability to work under pressure and manage multiple initiatives concurrently; must be able to work independently, set own priorities and meet deadlines.
Experience and knowledge of regulatory requirements, payer requirements and third-party reimbursement.
An understanding of complex corporate relationships, and an ability to influence within such an environment.
Excellent communication, leadership, delegation, and interpersonal skills.
Ability to evaluate personal performance against established goals.
Ability to communicate with and present to a wide variety of CCHC and external users, including senior management and physicians, as well as outside vendors and consultants.
Demonstrated goal-oriented thinking, operational and organizational skills.
Ability to coach and support staff in their efforts to improve overall performance.
Capable of learning reporting systems and other new tools
Exceptional time management skills.
Schedule Details:
32 hrs./week- Days-Monday-Friday
Pay Range Details:
The pay range displayed on each job posting reflects the anticipated range for new hires. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set, and education. This is not inclusive of the value of Cape Cod Healthcare's benefits package (if applicable), which includes among other benefits, healthcare/dental/vision and retirement. For annual salaries this is based on full-time employment.
Physician / Not Specified / Delaware / Permanent / Physician Billing Representative II-EBEW
New Castle, DE jobs
Job Details Do you want to work at one of the Top 100 Hospitals in the nation? We are guided by our values of Love and Excellence and are passionate about delivering health, not just health care. Come join us at ChristianaCare! ChristianaCare, with Hospitals in Wilmington and Newark, DE, as well as Elkton, MD, is one of the largest health care providers in the Mid-Atlantic Region. Named one of ???America???s Best Hospitals??? by U.S.
RCM OPEX Specialist
Miami, FL jobs
The RCM OPEX Specialist plays a critical role in optimizing the financial performance of healthcare organizations by ensuring that revenue cycle management processes are efficient and compliant with industry regulations. This position requires detail-oriented professionals who can navigate complex insurance claims and reimbursement processes.
Essential Job Functions
Manage internal and external customer communications to maximize collections and reimbursements.
Analyze revenue cycle data to identify trends and proactively remediate suboptimal processes.
Maintain fee schedule uploads in financial and practice operating systems.
Review and resolve escalations on denied and unpaid claims.
Collaborate with healthcare providers, payors, and business partners to ensure revenue best practices are promoted.
Monitor accounts receivable and expedite the recovery of outstanding payments.
Prepare regular reports on refunds, under/over payments.
Stay updated on changes in healthcare regulations and coding guidelines.
*NOTE: The list of tasks is illustrative only and is not a comprehensive list of all functions and tasks performed by this position.
Other Essential Tasks/Responsibilities/Abilities
Must be consistent with Femwell's core values.
Excellent verbal and written communication skills.
Professional and tactful interpersonal skills with the ability to interact with a variety of personalities.
Excellent organizational skills and attention to detail.
Excellent time management skills with proven ability to meet deadlines and work under pressure.
Ability to manage and prioritize multiple projects and tasks efficiently.
Must demonstrate commitment to high professional ethical standards and a diverse workplace.
Must have excellent listening skills.
Must have the ability to maintain reasonably regular, punctual attendance consistent with the ADA, FMLA, and other federal, state, and local standards and organization attendance policies and procedures.
Must maintain compliance with all personnel policies and procedures.
Must be self-disciplined, organized, and able to effectively coordinate and collaborate with team members.
Extremely proficient with Microsoft Office Suite or related software; as well as Excel, PPT, Internet, Cloud, Forums, Google, and other business tools required for this position.
Education, Experience, Skills, and Requirements
Bachelor's degree preferred.
Minimum of 2 years of experience in medical billing, coding, revenue cycle or practice management.
Strong knowledge of healthcare regulations and insurance processes.
Knowledgeable in change control.
Proficiency with healthcare billing software and electronic health records (EHR).
Knowledge of HIPAA Security preferred.
Hybrid rotation schedule and/or onsite as needed.
Medical coding (ICD-10, CPT, HCPCS)
Claims management (X12)
Revenue cycle management
Denials management
Insurance verification
Data analysis
Compliance knowledge
Comprehensive understanding of provider reimbursement methodologies
Billing software proficiency
Cancer Specialist
Barberton, OH jobs
As an Advantage Care Cancer Specialist, you'll be the initial point of contact for members diagnosed with cancer. Your role involves providing emotional support, actively listening, and offering prayers as they process this difficult news. You'll walk alongside members and their families throughout their cancer journey. Additionally, you'll collaborate with various CHM departments and work closely with our nurse navigator to connect members with high-quality treatment providers at cost-effective rates.
What We Offer
Compensation based on experience.
Faith and purpose-based career opportunity!
Fully paid health benefits
Retirement and Life Insurance
12 paid holidays PLUS birthday
Lunch is provided DAILY.
Professional Development
Paid Training
Role and Responsibilities
Obtain necessary treatment details.
Assess membership level, CHM Plus, offer pertinent programs based on the membership details and the type of cancer diagnosis.
Acquire necessary documentation for a sharing determination.
Effectively communicate with the members, supervisors, team members, the nurse navigator, and various departments.
Multitask and maintain strong attention to detail.
Interact with members to understand their needs, provide information, and help throughout the sharing determination process.
Respond to member inquiries, issues, and concerns in a timely and professional manner through various communication channels, including communication with the nurse navigator, phone and/or email.
Maintain accurate and organized records of members interactions, inquiries, orders, and other relevant information in CHM's database
Collaborate with various internal teams to ensure effective communication, smooth transitions, and a seamless member experience.
Seek opportunities for process improvement, suggest enhancements to processes, and provide feedback to member experience and overall effectiveness.
Set up negotiating agreements with providers.
Bill processing of cancer related Single Case Agreements and Memorandum of Understandings.
Guide members to financial assistance program options specific to diagnosis.
Assist members to help optimize their lifetime maximum amount when limitations exist.
Qualifications
High school diploma or successful completion of a high school equivalency
Must possess excellent verbal and written communication skills to effectively interact with CHM members and team members across various channels.
Proficient PC operating routine office equipment (e.g., faxes, copy machines, printers, multi-line telephones, etc.)
Experience with medical bills preferred.
Strong analytical and problem-solving skills.
Demonstrated history of effective phone communication skills.
Obtain knowledge of CHM guidelines.
Ability to handle stressful and sensitive situations.
Knowledge of cancer related benefit programs is helpful but not required.
Note: The qualifications and responsibilities outlined above are subject to change as the needs of the organization evolve.
About Christian Healthcare Ministries
Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other's medical bills. The mission of CHM is to glorify God, show Christian love, and experience God's presence as Christians share each other's medical bills.
Sr. Medical Biller Office Based $20/HR -$26/HR
Saginaw, MI jobs
Private Practice
Full Time Position - Mon - Fri 8 am - 5 pm
Must Have 5 Years Experience
Great Doctor and Staff!
401K, HSA
Sorry NO New Grads!
Please Apply By CV or Resume
Peer Specialist
New York, NY jobs
VNS Health Peer Specialists/ Advocates are living examples of the transformative power of behavioral health intervention programs and who can uniquely relate to those that would benefit from VNS Health Behavioral Health services. Peer Specialists/Advocates embody our core values of Empathy, Integrity, and Agility to engage and connect community members suffering from chronic mental illness, psychological trauma, or substance abuse with meaningful resources. By sharing personal, practical experience, knowledge, and firsthand insights, Peer Specialists/ Advocates directly help VNS Health clients live and heal at home surrounded by their family and community. VNS Health provides vital client-centered behavioral health care to New Yorkers most in need, across all stages of life and mental well-being. We deliver care wherever our clients are, including outpatient clinics, clients' homes, and the community. Our short- and long-term service models include acute, transitional, and intensive care management programs that impact the most vulnerable populations, from children, to adolescents, to aging adults. As part of our fast-growing Behavioral Health team, you'll have an opportunity to develop and advance your skills, whether you're early in your career or an experienced professional. Sharing your experience with others who are navigating behavioral health and substance use challenges is life changing which is why we welcome you to apply even if you don't meet all criteria .
What We Provide
R eferral bonus opportunities
Generous paid time off (PTO) , starting at 2 0 days of paid time off and 9 company holidays
Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
Employer-matched retirement saving funds
Personal and financial wellness programs
Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care and commuter transit program
Generous tuition reimbursement for qualifying degrees
Opportunities for professional growth and career advancement
Internal mobility, CEU credits, and advancement opportunities
Interdisciplinary network of colleagues through the VNS Health Social Services Community of Professionals
What You Will Do
Conducts phone and field outreach to locate and enroll clients/consumers/members into programs services
Builds relationship and trust with clients and their family/caregiver and assists with their interactions with professionals on the team
Works collaboratively on an interdisciplinary team to discuss care needs and identify solutions to support clients/consumers/ members
Applies mutually shared and lived experiences to build relationships and trust with the client/consumers/members
Educates clients/consumers/members about program services, benefits, and self-help techniques. Serves as a role model, advocate and mentor. Escorts clients /consumers/members to appointments as needed
Advocates effective recovery-based services on behalf of clients/consumers/members. Assists in clarifying rehabilitation and recovery goals
Teaches and models symptom management and coping skills for resilience . Empowers clients to take a proactive role in their recovery process
Reviews service plans with clients/consumers/members and their families or caregivers. Provides ongoing education, guidance, support and encouragement
Develops inventory of resources that will meet the client's needs as identified in the assessment and or-treatment process
Provides navigation services to help clients/consumers/members connect with community-based services and supports
Documents in EMR in accordance with program policies/procedures, VNS Health standards, and city, state and federal regulatory requirements
Assists clients/consumers/members with transition to alternate housing, when appropriate
Participates in case conferences, staff meetings, supervision and training programs
Develops a mutual self-disclosure between themselves and clients/consumers/members. Serves as a bridge between team members and participant
For Certified Community Behavioral Health Clinical (CCBHC):
Educates clients about the different types of treatment available, including medications for addiction treatment
Helps clients identify their strengths as well as obstacles to their recovery
Assists clients with applying for benefits
Provides resources for external and post-discharge services
Participates as part of interdisciplinary team in discussion of, planning for and actively participating in treatment goals for clients/consumers/members
For IMT, ACT, MC, OMH Suicide Prevention:
Practice regularly in the community, including traveling to patients' homes, or schools, to engage frequently with clients. Navigate emergency situations
Qualifications
High school diploma or equivalent required
FOR CCBHC ONLY: New York Certified Recovery Peer Advocate (CRPA) required
Minimum of one year experience in a mental health, substance use treatment program, health care or human services setting , preferred
Experience working with a severely mentally ill, psychological trauma, and/or substance using population , preferred
Effective oral/written/interpersonal communication and relationship building skills required
Ability to work independently and collaboratively on an interdisciplinary team
Computer literacy (electronic health records, word processing, e-mail, internet research, data entry), required
Valid New York State driver's license, as determined by operational/regional needs
Bilingual skills in English and Spanish, preferred
Pay Range
USD $20.98 - USD $26.23 /Hr.
About Us
VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 "neighbors" who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.
Billing Coordinator - CTI Pulmonology and Thoracic Surgery (hybrid)
Chicago, IL jobs
Company DescriptionAt Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better?
Job Description
Performs charge capture for all procedures completed in the Bronchoscopy suite. This includes:
Audit of CPT codes associated with each procedure
Confirmation of supplies used and verification of alignment with operative notes
Assists patients with billing and insurance related matters including communicating with patients regarding balances owed and other financial issues and facilitating collection of balances owed.
Educates patients about financial assistance opportunities, insurance coverage, treatment costs, and clinic billing policies and procedures.
Collaborates closely with physicians and technicians to understand treatment plans and determine costs associated with these plans; Works closely with the staff on managed care and referral related issues; communicates findings to patients.
Coordinates the pre-certification process with the clinical staff as it relates to procedures in the Bronchoscopy Suite and Operating Rooms
Handles billing inquiries received via telephone or via written correspondence.
Responsible for thoroughly investigating and understanding financial resources or programs that may be available to patients and educating staff and patients about these programs.
Conducts precertification for appropriate tests or procedures and facilitates the process with managed care and the clinical team. Documents all information and authorization numbers in Epic and acts as a liaison for follow-up related to precertification.
Performs activities and responds to patient inquiries related to billing follow-up.
Requests necessary charge corrections.
Identifies patterns of billing errors and works collaboratively with department manager and outside entity to improve processes as needed.
Provides guidance regarding clinical documentation to optimize charges and RVUs
Confirms coding accuracy based on clinical documentation and reviews common errors or misses with physicians and leadership.
The Billing Coordinator reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
The Billing Coordinator is responsible for processing charges, payments and/or adjustments for all services rendered at all NM Corporate Health Clinics. Researches and follows- up on all outstanding accounts. Answers all calls regarding charges and claims, providing exceptional customer service to all callers. Possesses extensive knowledge of coding, billing, insurance and collections procedures and coordinates the accounts receivable functions. Performs weekly claims, monthly late bills and patient statement runs and reviews accounts to be placed with an outside collection agency.
RESPONSIBILITIES:
Department Operations
Ensures patient demographic and billing/insurance information is kept current in the computer application. Documents all patient and company contacts.
Reviews daily clinic schedules and tracks receipt of documentation to assure completeness of charge capture.
Ensures notes are is placed in systems, clearly identifying steps taken, according to established procedures.
Works with patients/clients to establish payment plans according to predetermined procedures.
Handles all incoming customer service calls in a professional and efficient manner. Provides exceptional service to all customers, guarantors, patients, internal and external contacts.
Prepares itemized bill upon request; explains charges, payments and adjustments. Produces a clear and understandable statement to individuals on any outstanding account balance.
Responsible for timely submission of accurate bills and invoices to clients, patients and insurance companies.
Ensures timely posting of all charges, payments, denials and write-offs to the appropriate account, maintaining the highest level of quality for each transaction processed within 48 hours of receipt.
Responsible for balancing each payment and adjustment batch with reconciliation report and bank account deposits after completion.
Ensures compliant follow up procedures are followed, to third party payers regarding outstanding accounts receivables.
Run outstanding A/R reports, follow-up on unpaid claims or balances with insurance companies, patients, and collection agency, as defined by department.
Perform daily systematic review of accounts receivable to ensure all accounts ready to be worked are completed.
Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation.
Denials and appeals follow-up including root cause analysis to reduce/prevent future denials.
Reviews, prepares and sends pre-collection letters as defined by department procedures.
Identifies and sends accounts to outside collection agency.
Prepares and distributes reports that are required by finance, accounting, and operations.
Handles all work in an accurate and timely manner, consistently meets or exceeds productivity standards, quality standards, department goals and deadlines established by the team.
Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices.
Identify opportunities for process improvement and submit to management.
Demonstrate proficient use of systems and execution of processes in all areas of responsibilities.
Communication and Teamwork
Fosters and maintains positive relationships with the Corporate Health team, Human Resources, NM employees and physicians.
Provides courteous and prompt customer service. Answers the telephone in a courteous professional manner, directs calls and takes messages as appropriate. Checks for messages and returns calls.
Demonstrates teamwork by helping co-workers within and across departments. Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others.
Communicates appropriately and clearly to physicians, manager, nursing staff, front office staff, and employees. Maintains a good working relationship within the department. Organizes time and department schedule well. Demonstrates a positive attitude.
Service Excellence
Displays a friendly, approachable, professional demeanor and appearance.
Partners collaboratively with the functional areas across Northwestern Medicine in support of organizational and team objectives.
Fosters the development and maintenance of a cohesive, high-energy, collaborative, and quality-focused team.
Supports a “Safety Always” culture.
Maintaining confidentiality of employee and/or patient information.
Sensitive to time and budget constraints.
Other duties as assigned.
Qualifications
Required:
High school graduate or equivalent.
Strong Computer knowledge, data entry skills in Microsoft Excel and Word.
Thorough understanding of insurance billing procedures, ICD-10, and CPT coding.
3 years of physician office/medical billing experience.
Ability to communicate clearly and effectively, both orally and in writing, at all levels within and outside the organization.
Ability to work independently.
Preferred:
3 years of physician office/medical billing experience in Corporate Health/Occupational Health a plus.
CPC (Certified Professional Coder) or R (Registered Medical Coder) Certificate a plus.
Additional Information
Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
Background Check
Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act.
Artificial Intelligence Disclosure
Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.
Billing Coordinator II (Patient Financial Svcs) - FT/80
Springfield, VT jobs
The Billing Coordinator II will:
Demonstrate patient accounting skills in three or more of the following areas: billing, follow-up, administrative support, customer service, and cash posting.
Be functional in computer-based applications in the following areas, EMR, Microsoft Office, Adobe Acrobat, and Clearinghouse software.
Demonstrate full compliance with government and contract regulation.
Meet internal and external customer's expectations.
Requirements
Associate degree
Bachelor's degree
(preferred)
Two (2) years' billing, collection, customer service, cash posting, and administrative support experience with a multi-hospital system. Five (5) years' experience
(preferred)
Two (2) years' experience with Microsoft Office Suite
(preferred)
Proficient in Microsoft Office Suite
Working knowledge of CPSI or other healthcare hospital EMR
Possesses excellent oral and written communication skills.
Patient advocacy skills.
Self-motivated and functions independently.
Demonstrates problem-solving and problem-prevention skills.
Billing Coordinator - Stop Area Six
San Diego, CA jobs
.
The Specialized Treatment for Optimized Programming (STOP) Program Area Six connects California Department of Corrections and Rehabilitation inmates and parolees to comprehensive, evidence-based programming and services during their transition into the community, with priority given to those participants who are within their first year of release and who have been assessed to as a moderate to high risk to reoffend. Area Six includes San Diego, Orange, and Imperial counties. STOP subcontracts with detoxification, licensed residential treatment programs, outpatient programs, professional services, and reeentry and recovery housing throughout the program area to assist participants with reentry and recovery resources.
The Billing Coordinator is responsible for coordinating receipt of and reviewing Community Based Provider (CBP) subcontractor client data for accuracy and entering and retrieving data from/to the Automated Reentry Management System (ARMS) as needed for the purpose of reconciliation, invoicing and billing.
Key Responsibilities
Data Entry and Reconciliation Responsibilities: Review outgoing and incoming CBP subcontractor client data for accuracy. Enter data found on the verification form into the STOP database to begin the reconciliation process. When discrepancies are found, coordinate with CBPs and internal departments to resolve and reconcile the discrepancies. Ensure accuracy of all data entered.
Billing and Invoicing Responsibilities: Process STOP CBP weekly verifications by extracting from the STOP database, and possibly further verifying in the ARMS database, and forwarding to the CBPs via email (and sometimes fax) for approval. Produce the monthly billing and forward to CBPs for billing authorization and approval. Ensures accuracy of all billing and resolves any discrepancies identified. Act as liaison between Fiscal department and STOP to ensure ease of information flow. Produce invoices for other various services (i.e. transportation, links etc.).
Administrative Responsibilities: Produce monthly client and CBP related reports as needed for the California Department of Corrections and Rehabilitation (CDCR), with supervisor review and approval, using the ARMS database. Assure confidentiality of all incoming and outgoing client data. As assigned, performs other clerical tasks.
And, other duties as assigned.
Education and Knowledge, Skills and Abilities
Education and Experience Required:
High School Diploma or equivalent.
Previous work experience working with spreadsheets.
Previous work experience performing data entry.
Type 45 wpm.
Strong math skills.
Desired:
Bilingual.
AA Degree; Experience may substitute for this on a year-by-year basis.
We will consider for employment qualified applicants with arrest and conviction records.
In compliance with the California Department of Public Health's mandate, all employees must be able to provide proof of COVID-19 vaccination. Medical and religious exemptions are available.
Tag: IND100.
Auto-ApplyHomecare Billing Coordinator
Elk Grove, CA jobs
Job DescriptionBenefits:
401(k) matching
Bonus based on performance
Dental insurance
Health insurance
Paid time off
Training & development
Vision insurance
JOB OVERVIEW:
We are seeking a skilled and experienced Billing Coordinator to join our team at Your Home Assistant. As a Billing Coordinator, you will play a crucial role in completing complex activities associated with maintaining accurate and complete billing and accounts receivable records. Review appropriate reports to ensure billing data accuracy. Resolve billing discrepancies regularly. Ensure eligibility is verified regularly and accurately maintained and followed up accordingly to prevent lost revenue.
RESPONSIBILITIES:
Work within the scope of the position, in coordination with management, to meet the needs of our patients, families and professional colleagues.
Accurately enter patient/customer billing data and charge accordingly
Ensure that all potential payers have been identified, verified, and entered accurately into the computer system prior to submission of billing and within deadlines per company policies and procedures.
Ensure that insurance-related documentation is secured, completed, reviewed, accurate, and submitted per company and state requirements. This includes election, certifications, and authorization-related documentation required for billing.
Maintain tracking tools and diaries to ensure that all necessary information is secured for timely accurate payment. Alert appropriate management team members regarding late or missing documents required for billing.
Perform and ensure regular review and resolve discrepancies of accounts receivables according to Company procedures, policy, internal controls, and payer requirements.
Establish and maintain positive working relationships with patient/clients, payors, and other customers. Maintain the confidentiality of patient/client and agency information at all times.
Assure for compliance with local, state and federal laws, Medicare regulations, and established company policies and procedures, including published manuals and responsibility matrixes
Meet or exceed delivery of Company Service Standards in a consistent fashion.
Interact with all staff in a positive and motivational fashion supporting the Companys mission.
Conduct all business activities in a professional and ethical manner.
The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents will be requested to perform job-related tasks other than those stated in this description.
QUALIFICATIONS
Minimum age requirement of 18.
High School graduate or GED required.
Two years experience in healthcare data entry, preferably in homecare
Cal-Aim, Tri-west, Long Term Care Insurance experience preferred
Two-year degree in accounting or equivalent insurance/bookkeeping preferred
Strong computer skills, including Word, Excel, and PowerPoint.
Strong analytical skills, organized work habits and proven attention to detail.
Excellent communication skills, ability to work independently and in a team environment.
Good customer relation skills.
Ability, flexibility and willingness to learn and grow as the company expands and changes.
Demonstrated leadership ability to initiate duties as required.
Plan, organize, evaluate, and manage PC files and Microsoft Office.
Compliance with accepted professional standards and practices.
Ability to work within an interdisciplinary setting.
Satisfactory references from employers and/or professional peers.
Satisfactory criminal background check.
Self-directed with the ability to work with little supervision.
Flexible and cooperative in fulfilling all obligations.
Job Type: Full-time
Benefits:
401(k) matching
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance
Schedule:
8 hour shift
Day shift
Monday to Friday
Ability to Relocate:
Elk Grove, CA 95758: Relocate before starting work (Required)
Work Location: In person
Billing Coordinator
Winona, MN jobs
Salary:
ABOUT US:
Hiawatha Valley Mental Health Center (HVMHC) is a trusted leader in providing exceptional, person-centered behavioral health services to our communities. Founded in 1965 by a dedicated group of community members and government officials from Houston, Wabasha, and Winona counties, we have since expanded our servicesacross Winona, Houston, Wabasha, Goodhue, and Fillmore counties.
At HVMHC, we recognize the importance ofwork-life balanceand offerflexible schedulingto support our employees' needs. We are committed to professional growth andprioritize internal promotionswhenever possible. For team members pursuing licensure, we providefree clinical supervisionwith the support of a supervision grant from DHS. Additionally, we utilize Eleos, an augmented intelligence software, toassistwith case note documentationallowing our staff to focus more on client care.
We are dedicated to fostering adiverse, inclusive, and supportive workplacewhere team members and clients feel valued and respected. We welcome professionals from all backgrounds and experiences who share our commitment to providing high-quality behavioral health services.
POSITION DESCRIPTION
TITLE: Billing Coordinator
PROGRAM: All
JOB SUMMARY:Responsibleforaccurate,efficientandtimelyinsurance billing.
JOB RESPONSIBILITIES AND ESSENTIAL FUNCTIONS:
Timely and efficientlybatch up and reviewbehavioral healthclaimsandsubmitthemto appropriate pay centers.
Research and investigate all denied claims.
Research and investigate all open claims.
Timely and efficiently, post all payments toappropriate clients/claims.
Act as a liaison between intake staff and reception staff to ensure correct information is obtained andentered intothe MISand ECR.
Request authorizations when necessary.
Assistwhere needed and as allowed inthe FinanceDepartment.
NON-ESSENTIAL FUNCTIONS: Performother duties as assigned by the Finance Director.
PHYSICAL REQUIREMENTS FOR POSITION:Must be able to move in a manner conducive to the execution of daily activities. While performing the duties of this job, the employee must communicate with others and exchange information.The employee regularly operates equipment (listed below) on a daily basis.Occasional bending and lifting of office materials may berequired.
EQUIPMENT USED: Wordprocessingsoftware for Windows environment, billing/schedules/clinical software, 10-key calculator, personal computer, printer, copier, postage meter, telephone.
JOB QUALIFICATIONS AND REQUIREMENTS:
Ability tooperatea computerwithpreviouscomputer experience.
Good organizational skills.
Ability to work under pressure and meet deadlines.
Must beable tomaintainconfidentiality.
Mustpossessa vehicle, valid drivers license, and a willingness to travel as needed toagencylocations throughout SE MN.
WORK ENVIRONMENT:Hiawatha Valley Mental Health Center is committed to providing a safe and inclusive work environment free from harassment,violenceand discrimination. Our inclusive work environmentrepresentsmanydifferent backgrounds,culturesand viewpoints. The core values we live byinclude:integrity, respect, people focused, community focused, continuous improvement, compassion, partnership and collaboration,empowermentand financial stewardship. All Hiawatha Valley Mental Health Center owned facilities are smoke/drug freeenvironments, with some exposure to excessive noise,dustand temperature.The employee is occasionally exposed to a variety of conditions at client sites.
SUPERVISED BY: Finance Director
SUPERVISES: None
POSITION DESIGNATION: Non-Exempt, Full Time
The job description is subject to change at any time.
EMPLOYEE BENEFITS:
We are proud to offer acomprehensive benefits packagedesigned to support your well-being, professional development, and financial security:
Paid Time Off & Leave
Paid Leave Time: Beginsaccruingat4.46 hours per paycheck, with 16 hours available upon hire (prorated for PT employees).
Holidays:8 paid holidays, plus 2 floating holidays(prorated for PT employees).
Additional Paid Leave:
Up to10 daysof jury duty leave
Up to5 days of bereavement leave
1 personal day per year
Professional Development Support
Up to$2,000 tuition reimbursement
Up to$1,500 for continuing education
Health & Wellness Benefits
Medical, Dental, Vision, Short Term Disability, Long Term Disability, Life Insuranceoffered for employees working between 30-40 hoursper week.
20% YMCAmembership discount OR$50 fitnessreimbursement per year
Retirement Savings
Retirement plan with employer match of50% match up to 6%,starting Day 1!
EEO STATMENT:
Hiawatha Valley Mental Health Center is an Equal Opportunity Employer. We welcome all qualified applicants, regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
APPLICATION PROCESS:
A background check isrequiredas part of the hiring process. Depending on the role, applicants may also need to complete a Mental Health Practitioner Verification Form or Professional Conduct Inquiry Form.
Billing Coordinator
Tempe, AZ jobs
What we are looking for NextCare Urgent Care is looking for a Billing Coordinator to be a part of our Urgent Care Team. Responsibilities The Billing Coordinator will be responsible for the daily billing of claims for all carriers. This position will monitor and distribute the APN reports from the clearinghouse and insurance carriers and communicate this information back to the Billing Supervisor. This position will also assist in the posting of contractual, courtesy adjustments, as well as monitoring contractual analysis reports. This position will be assist with the table maintenance of the electronic billing system and clearinghouse information flow. They will be responsible for communicating billing trends to the manager as well as patient statement processing.
How you will make an impact
The Billing Coordinator supports the organization with the following:
* Responsible for the daily billing of claims to insurance carriers based on contract requirements.
* Help train new employees with NextGen, contracts, and business office Policies and Procedures.
* Monitor and distribute the APN reports generated by the clearinghouse and insurance carriers.
* Help post contractual adjustments and transfer deductibles to patient accounts.
* Assist with claim resubmission projects when necessary.
* Assist in maintaining Navicure with Waystar.
* Assist with reviewing accounts that have partial or under payments.
* Clean out daily the clearinghouse rejections and claims with errors held in the system.
* Post adjustments to accounts based on contractual rates and deductibles.
* Review accounts to determine if billed correctly.
* Assist other members of the team as needed.
Essential Education, Experience and Skills:
Minimum Education: High School diploma or equivalent.
Experience:
* Must have two years' experience billing, collections, payment posting, and electronic and paper claims.
* Experience with Managed Care contracts, Medicare and AHCCCS.
* Basic insurance knowledge, reading patient eligibility and benefit coverage details.
* Experience with revenue cycle and reimbursement in a healthcare facility.
* Microsoft Programs, Windows, Excel, Word, and Teams.
* Internet browser knowledge (basics) for Edge or Chrome.
Valued But Not Required Education, Experience and Skills:
Experience: Medical collections experience; NextGen software experience: Previous supervision experience in the healthcare field is helpful, Waystar Clearinghouse, Payer Provider Portals, and Basic Terminology of Medical Billing Practices.
Billing & Eligibility Coordinator
Chicago, IL jobs
Job DescriptionDescription:
The Billing and Eligibility Coordinator plays a key role in supporting the accuracy, timeliness, and efficiency of billing and authorization processes across all Haymarket Center service lines. This position bridges the work of the Client Benefits Navigators and the Revenue Cycle team to ensure client eligibility, authorizations, and billing data are complete and aligned prior to claim submission.
The Coordinator ensures billing operations run smoothly across behavioral health, residential, and FQHC programs, while maintaining compliance with payer and regulatory requirements. This position requires strong attention to detail, coordination across departments, and a proactive approach to identifying and resolving billing or eligibility issues.
Requirements:
Education, Work Experience and Skills Required;
· Associate's degree required, Bachelor's degree in Healthcare Administration, Accounting, or related field preferred.
· Minimum 2 years of experience in healthcare billing, revenue cycle, or insurance verification.
· Experience in behavioral health, FQHC, or Medicaid/MCO billing highly preferred.
· Working knowledge of healthcare billing, insurance verification, and revenue cycle operations (Medicaid and MCO experience preferred).
· Familiarity with electronic health record systems (NextGen preferred) and billing/clearinghouse platforms.
· Understanding of payer authorization and eligibility requirements for behavioral health and primary care services.
· Strong attention to detail, organizational skills, and ability to manage multiple tasks and deadlines.
· Effective communication and collaboration skills across departments.
· Ability to maintain confidentiality and exercise discretion with sensitive information.
· Proficiency in Microsoft Excel and basic data tracking or reporting.
Billing Coordinator - Mom & Baby
Asheville, NC jobs
Job DescriptionAeroflow Health - Mom & Baby Billing Coordinator (Remote)
Schedule: Monday to Friday, 8-5 (EST)
Aeroflow Health is made up of creative and talented associates who are transforming the home medical equipment industry. Our patient-centric business model is founded on innovation through technology and cutting-edge delivery platforms. We have grown to be a leader in the home medical equipment segment of the healthcare industry, are among the fastest-growing healthcare companies in the country and recognized on Inc. 5000's list of fastest-growing companies in the U.S. As Aeroflow has grown, our needs to curate an amazing employee environment and experience have grown as well. We're working hard to ensure that Aeroflow remains a premier employer in Western North Carolina by making constant improvements to our office spaces, thus bettering the everyday lives of the employees that work so hard to service our patients.
The Opportunity
The Mom and Baby division specializes in providing maternity related medical equipment billed through insurance. This position will be responsible for resolving claims that have been rejected by insurance and will assist with developing improvements to our collections processes.
Your Primary Responsibilities
Resolve incoming rejections for the Mom & Baby division
Analyze rejection data and insurance payment trends to identify patterns, trends, and the root cause
Correct claim data as per payer requirements (e.g., modifiers, diagnosis codes, HCPCS, NPI, etc.)
Maintain detailed records of all rejection cases, resolutions, and follow-up actions
Verify eligibility, coverage, and authorization when needed to prevent future denials
Assist with other projects for claims that have been denied or rejected
Collaborate with our billing team and leadership
Employee has an individual responsibility for knowledge of and compliance with laws, regulations, and policies.
Compliance is a condition of employment and is considered an element of job performance
Maintain HIPAA/patient confidentiality
Regular and reliable attendance as assigned by your schedule
Other job duties assigned
Skills for Success
Relentless Curiosity: Proactively seeks out opportunities for process improvements.
Entrepreneurial: Identifies and acts on new opportunities with a willingness to take calculated risks.
Obsession to Learn: Actively seeks out opportunities to learn and grow and identifies areas for self-improvement.
Confidently Humble: Freely admits knowledge gaps and seeks help from team members, and regularly solicits feedback.
Strategic: Makes decisions and takes actions with a broader organizational impact.
Transformative: Constantly seeks ways to improve and actively pursues growth opportunities.
Tech-Savvy: Keeps up to date with modern technology and regularly develops and refines processes within the team.
Commitment to People Development: Shows passion for developing talent through regular training and mentoring.
Relationship Focused: Proactively builds relationships across the organization.
Required Qualifications:
High school diploma or GED
Ability to understand difference between HCPCS, CPT, and ICD-10 codes
Familiarity with payer portals, EDI systems, and clearinghouses
Ability to multi-task
Exposure to Google suite, Microsoft platforms
What Aeroflow Offers
Competitive Pay, Health Plans with FSA or HSA options, Dental, and Vision Insurance, Optional Life Insurance, 401K with Company Match, 12 weeks of parental leave for birthing parent/ 4 weeks leave for non-birthing parent(s), Additional Parental benefits to include fertility stipends, free diapers, breast pump, Paid Holidays, PTO Accrual from day one, Employee Assistance Programs and SO MUCH MORE!!
Here at Aeroflow, we are proud of our commitment to all of our employees. Aeroflow Health has been recognized both locally and nationally for the following achievements:
Family Forward Certified
Great Place to Work Certified
Inc. 5000 Best Place to Work award winner
HME Excellence Award
Sky High Growth Award
If you've been looking for an opportunity that will allow you to make an impact, and an organization with unlimited growth potential, we want to hear from you!
Aeroflow Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
Billing Coordinator - Mom & Baby
Asheville, NC jobs
Aeroflow Health - Mom & Baby Billing Coordinator (Remote)
Schedule: Monday to Friday, 8-5 (EST)
Aeroflow Health is made up of creative and talented associates who are transforming the home medical equipment industry. Our patient-centric business model is founded on innovation through technology and cutting-edge delivery platforms. We have grown to be a leader in the home medical equipment segment of the healthcare industry, are among the fastest-growing healthcare companies in the country and recognized on Inc. 5000's list of fastest-growing companies in the U.S. As Aeroflow has grown, our needs to curate an amazing employee environment and experience have grown as well. We're working hard to ensure that Aeroflow remains a premier employer in Western North Carolina by making constant improvements to our office spaces, thus bettering the everyday lives of the employees that work so hard to service our patients.
The Opportunity
The Mom and Baby division specializes in providing maternity related medical equipment billed through insurance. This position will be responsible for resolving claims that have been rejected by insurance and will assist with developing improvements to our collections processes.
Your Primary Responsibilities
Resolve incoming rejections for the Mom & Baby division
Analyze rejection data and insurance payment trends to identify patterns, trends, and the root cause
Correct claim data as per payer requirements (e.g., modifiers, diagnosis codes, HCPCS, NPI, etc.)
Maintain detailed records of all rejection cases, resolutions, and follow-up actions
Verify eligibility, coverage, and authorization when needed to prevent future denials
Assist with other projects for claims that have been denied or rejected
Collaborate with our billing team and leadership
Employee has an individual responsibility for knowledge of and compliance with laws, regulations, and policies.
Compliance is a condition of employment and is considered an element of job performance
Maintain HIPAA/patient confidentiality
Regular and reliable attendance as assigned by your schedule
Other job duties assigned
Skills for Success
Relentless Curiosity: Proactively seeks out opportunities for process improvements.
Entrepreneurial: Identifies and acts on new opportunities with a willingness to take calculated risks.
Obsession to Learn: Actively seeks out opportunities to learn and grow and identifies areas for self-improvement.
Confidently Humble: Freely admits knowledge gaps and seeks help from team members, and regularly solicits feedback.
Strategic: Makes decisions and takes actions with a broader organizational impact.
Transformative: Constantly seeks ways to improve and actively pursues growth opportunities.
Tech-Savvy: Keeps up to date with modern technology and regularly develops and refines processes within the team.
Commitment to People Development: Shows passion for developing talent through regular training and mentoring.
Relationship Focused: Proactively builds relationships across the organization.
Required Qualifications:
High school diploma or GED
Ability to understand difference between HCPCS, CPT, and ICD-10 codes
Familiarity with payer portals, EDI systems, and clearinghouses
Ability to multi-task
Exposure to Google suite, Microsoft platforms
What Aeroflow Offers
Competitive Pay, Health Plans with FSA or HSA options, Dental, and Vision Insurance, Optional Life Insurance, 401K with Company Match, 12 weeks of parental leave for birthing parent/ 4 weeks leave for non-birthing parent(s), Additional Parental benefits to include fertility stipends, free diapers, breast pump, Paid Holidays, PTO Accrual from day one, Employee Assistance Programs and SO MUCH MORE!!
Here at Aeroflow, we are proud of our commitment to all of our employees. Aeroflow Health has been recognized both locally and nationally for the following achievements:
Family Forward Certified
Great Place to Work Certified
Inc. 5000 Best Place to Work award winner
HME Excellence Award
Sky High Growth Award
If you've been looking for an opportunity that will allow you to make an impact, and an organization with unlimited growth potential, we want to hear from you!
Aeroflow Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.