Billing Coder jobs at LifePoint Health - 11983 jobs

If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we've served the health care needs of the people of Memphis and the Mid-South. Responsible for precertification of eligible prescriptions. Ensures complete documentation is obtained that meets insurer guidelines for medical necessity and payment for services. Models appropriate behavior as exemplified in MLH Mission, Vision and Values. Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence. A Brief Overview Responsible for precertification of eligible prescriptions. Ensures complete documentation is obtained that meets insurer guidelines for medical necessity and payment for services. Models appropriate behavior as exemplified in MLH Mission, Vision and Values. What you will do Responsible for precertification of eligible prescription medications for inpatient and outpatient services based on medical plan documents and medical necessity. Ensures medical documentation is sufficient to meet insurer guidelines for medical necessity documentation and procedure payment. Reviews clinical information submitted by medical providers to evaluate the necessity, appropriateness and efficiency of the use of prescription medications. Assists with patient assistance and grant coordination for Patients for outpatient pharmacies from designated areas. Proactively analyzes information submitted by providers to make timely medical necessity review determinations based on appropriate criteria and standards guidelines. Verifies physician orders are accurate. Determines CPT, HCPCS and ICD-10 codes for proper Prior Authorization. Contacts insurance companies and third party administrators to gather information and organize work-flow based on the requested procedure. Collects, reads and interprets medical documentation to determine if the appropriate clinical information has been provided for insurance reimbursement and proper charge capture. Serves as primary contact with physicians/physician offices to collect clinical documentation consistent with insurer reimbursement guidelines. Establishes and maintains rapport with providers as well as ongoing education of providers concerning protocols for pre-certification. Communicates information and acts as a resource to Patient Access, Case Management, and others in regard to contract guidelines and pre-certification requirements. Performs research regarding denials or problematic accounts as necessary. Works to identify trends and root cause of issues and recommend resolutions for future processes. Education/Formal Training Requirements High School Diploma or Equivalent Work Experience Requirements 3-5 years Pharmacy (clinical, hospital, outpatient, or specialty) Licenses and Certifications Requirements See Additional Job Description. Knowledge, Skills and Abilities Basic understanding of prescription processing flow. Expertise in utiliizing EMRs to document clinical critieria required for third party approval. Knowledgeable of medical terminology, drug nomenclature, symbols and abbreviations associated with pharmacy practice. Strong attention to detail and critical thinking skills. Ability to speak and communicate effectively with patients, associates, and other health professionals. Ability to diagnose a situation and make recommendations on how to resolve problems. Experience with a computerized healthcare information system required. Familiarity with fundamental Microsoft Word software. Excellent verbal and written communication skills. Supervision Provided by this Position There are no lead or supervisory responsibilities assigned to this position. Physical Demands The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion. Must have good balance and coordination. The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently. The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading. The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative. Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity. Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.

PRINCIPAL DUTIES AND RESPONSIBILITIES: Perform billing/coding/collections duties, including review and verification of patient account information against insurance program specifications. Evaluates medical record documentation and coding to optimize reimbursement by ensuring that diagnostic and procedural codes, in addition to other documentation, accurately reflect and support the outpatient visit. Interprets medical information such as diseases or symptoms in addition to diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-10-CM and CPT codes. Reviews Medicaid and Medicare reimbursement claims for completeness and accuracy before submission to minimize claim denials. Ensures that all data complies with legal standards and guidelines. Assist in the posting of Medicare, GHI, and all other INS payments as needed. Provides technical guidance to the clinical providers and other departmental staff in identifying and resolving issues or errors, such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, or codes that do not conform to the approved coding principles/guidelines. Educate and advise staff on proper code selection, documentation, procedures, and requirements. Contact patients regarding account balances and payment plans. Other duties will include special projects as assigned by the supervisor/CFO. KNOWLEDGE, EDUCATION, SKILLS, AND ABILITIES REQUIRED: H.S graduate or equivalent; B.A. preferred. 2 + years of medical coding and administrative experience necessary; must be detail oriented and organized. Familiarity with ICD-10-CM codes and procedures Knowledge of eClinical Works preferred. Working knowledge of medical terminology preferred Strong knowledge of database programs and MS Office including Word, Excel, and Access a plus. A high energy level, initiative, and a stickler for details. Medical Billing/Coding certified a plus.

This role plays a key part in ensuring maternity care bills are processed accurately and members receive timely support during an important season of life. The specialist serves as a detail-oriented professional who upholds CHM's commitment to excellence, compassion, and integrity. 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 ESSENTIAL JOB FUNCTIONS Compile, verify, and organize information according to priorities to prepare data for entry Check for duplicate records before processing Accurately enter medical billing information into the company's software system Research and correct documents submitted with incomplete or inaccurate details Verify member information such as enrollment date, participation level, coverage status, and date of service before processing medical bills Review data for accuracy and completeness Uphold the values and culture of the organization Follow company policies, procedures, and guidelines Verify eligibility in accordance with established policies and definitions Identify and escalate concerns to leadership as appropriate Maintain daily productivity standards Demonstrate eagerness and initiative to learn and take on a variety of tasks Support the overall mission and culture of the organization Perform other duties as assigned by management SKILLS & COMPETENCIES Core strengths like problem-solving, attention to detail, adaptability, collaboration, and time management. Soft skills such as empathy (especially important in maternity care), professionalism, and being able to handle sensitive information with care. EXPERIENCE REQUIREMENTS Required: High school diploma or passage of a high school equivalency exam Medical background preferred but not required. Capacity to maintain confidentiality. Ability to recognize, research and maintain accuracy. Excellent communication skills both written and verbal. Able to operate a PC, including working with information systems/applications. Previous experience with Microsoft Office programs (I.e., Outlook, Word, Excel & Access) Experience operating routine office equipment (i.e., faxes, copy machines, printers, multi-line telephones, etc.) 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.

The incumbent will be responsible for coordinating patient flow, timely processing, maintaining knowledge and deployment of practices used within the department/physician practice/hospital to address patient questions or concerns. Maintaining knowledge of insurance requirements, Baptist Health South Florida (BHSF) pricing, financial assistance options, and overall BHSF Revenue Cycle operations. Assist in supporting go lives and different departmental initiatives, including onboarding and training team members. Participate in departmental committees/champion opportunities. Practices the Baptist Health philosophy of service excellence in providing professional, compassionate and friendly service to patients of all ages, families, employees, physicians and community members. Estimated pay range for this position is $16.28 - $19.70 hour depending on experience. Degrees: * High School Diploma, Certificate of Attendance, Certificate of Completion, GED or equivalent training or experience required. Additional Qualifications: Complete and pass the Patient Access training course. Ability to work in a high volume, fast-paced work environment, and perform basic mathematical calculations. Detail oriented, organized, team player, compassionate, excellent customer service and interpersonal communication skills. Desired: Basic knowledge of medical and insurance terminology. Experience with computer applications (e.g., Microsoft Office, knowledge of EMR applications, etc.) and accurate typing skills. Knowledge of regulatory guidelines to include, but not limited to, HIPAA, AHCA, EMTALA, and Medicare coverage structure, including medical necessity compliance guidelines. Bilingual English, Spanish/Creole. Minimum Required Experience: less than 1 year

Exemplary teamwork, service, and overall knowledge of BHSF Revenue Cycle, from a Patient Access perspective. This position is for those individuals who will serve as a preceptor for new hires. The incumbent will be responsible for coordinating patient flow, timely processing, maintaining knowledge and deployment of practices used within the department/physician practice/hospital to address patient questions or concerns. Serves as a Patient Access resource and takes on leadership role in the absence of a Manager/Supervisor. Maintaining knowledge of insurance requirements, BHSF pricing, financial assistance options, and overall BHSF Revenue Cycle operations. Assist in supporting go lives and different departmental initiatives. Participate in departmental committees/champion opportunities. Practices the Baptist Health philosophy of service excellence in providing professional, compassionate and friendly service to patients of all ages, families, employees, physicians and community members. Degrees: * High School Diploma, Certificate of Attendance, Certificate of Completion, GED or equivalent training or experience required. Additional Qualifications: For internal staff: A minimum of 2 years Patient Access experience. Meets/exceeds BHSF registration accuracy and productivity standards for at least the most recent 12 months. Exceeds departmental KPIs. Maintains a positive attitude, is self-motivated, and encourages others. Cross trained in multiple areas/product lines/practices to substitute all staff positions as needed. For external staff: Associates Degree preferred with 2 years Patient Access experience, or 3 years Patient Access/Leadership experience in lieu of degree. Complete and successfully pass the Patient Access training course. Ability to work in a high volume, fast-paced work environment, and perform basic mathematical calculations. Detail oriented, organized, team player, compassionate, excellent customer service and interpersonal communication skills. Desired: Knowledge of healthcare regulatory guidelines to include, but not limited to, HIPAA, AHCA, EMTALA, and Medicare coverage structure, including medical necessity compliance guidelines. Understanding of insurance contracts, collections, authorizations, and pre-certifications, Microsoft Office products, and EMR applications, etc. Knowledge of medical terminology. Bilingual English, Spanish/Creole preferred. Minimum Required Experience: 2 Years

The incumbent will be responsible for coordinating patient flow, timely processing, maintaining knowledge and deployment of practices used within the department/physician practice/hospital to address patient questions or concerns. Maintaining knowledge of insurance requirements, Baptist Health South Florida (BHSF) pricing, financial assistance options, and overall BHSF Revenue Cycle operations. Practices the BHSF philosophy of service excellence in providing professional, compassionate and friendly service to patients of all ages, families, employees, physicians and community members. Degrees: * High School Diploma, Certificate of Attendance, Certificate of Completion, GED or equivalent training or experience required. Additional Qualifications: Complete and pass the Patient Access training course. Ability to work in a high volume, fast-paced work environment, and perform basic mathematical calculations. Detail oriented, organized, team player, compassionate, excellent customer service and interpersonal communication skills. Desired: Basic knowledge of medical and insurance terminology. Experience with computer applications (e.g., Microsoft Office, knowledge of EMR applications, etc.) and accurate typing skills. Knowledge of regulatory guidelines to include, but not limited to, HIPAA, AHCA, EMTALA, and Medicare coverage structure, including medical necessity compliance guidelines. Bilingual English, Spanish/Creole. Minimum Required Experience: less than 1 year

The incumbent will be responsible for coordinating patient flow, timely processing, maintaining knowledge and deployment of practices used within the department/physician practice/hospital to address patient questions or concerns. Maintaining knowledge of insurance requirements, Baptist Health South Florida (BHSF) pricing, financial assistance options, and overall BHSF Revenue Cycle operations. Practices the BHSF philosophy of service excellence in providing professional, compassionate and friendly service to patients of all ages, families, employees, physicians and community members. Degrees: * High School,Cert,GED,Trn,Exper. Additional Qualifications: Complete and pass the Patient Access training course. Ability to work in a high volume, fast-paced work environment, and perform basic mathematical calculations. Detail oriented, organized, team player, compassionate, excellent customer service and interpersonal communication skills. Desired: Basic knowledge of medical and insurance terminology. Experience with computer applications (e. g. , Microsoft Office, knowledge of EMR applications, etc. ) and accurate typing skills. Knowledge of regulatory guidelines to include, but not limited to, HIPAA, AHCA, EMTALA, and Medicare coverage structure, including medical necessity compliance guidelines. Bilingual English, Spanish/Creole preferred. Minimum Required Experience: Less than 1 year

The incumbent will be responsible for coordinating patient flow, timely processing, maintaining knowledge and deployment of practices used within the department/physician practice/hospital to address patient questions or concerns. Maintaining knowledge of insurance requirements, Baptist Health South Florida (BHSF) pricing, financial assistance options, and overall BHSF Revenue Cycle operations. Assist in supporting go lives and different departmental initiatives, including onboarding and training team members. Participate in departmental committees/champion opportunities. Practices the Baptist Health philosophy of service excellence in providing professional, compassionate and friendly service to patients of all ages, families, employees, physicians and community members. Degrees: * High School,Cert,GED,Trn,Exper. Additional Qualifications: Internal staff: Minimum of 1 year Patient Access experience and has demonstrated the ability to independently perform all functions within the Level 1 job description. Meets/exceeds BHSF registration accuracy and productivity standards for at least the most recent 6 months. Exceeds departmental KPIs. Maintains a positive attitude, is self motivated, and encourages others. Identified as a team player and cross trained in multiple areas/product lines/practices to substitute all staff positions as needed. External staff: Associates Degree preferred with 1 year Patient Access experience or 2 years experience in lieu of degree. Complete and pass the Patient Access training course. Ability to work in a high volume, fast-paced work environment, and perform basic mathematical calculations. Detail oriented, organized, team player, compassionate, excellent customer service and interpersonal communication skills. Desired: Knowledge of healthcare regulatory guidelines to include, but not limited to, HIPAA, AHCA, EMTALA, and Medicare coverage structure, including medical necessity compliance guidelines. Understanding of insurance contracts, collections, authorizations/pre-certifications, Microsoft Office products and EMR applications, etc. Knowledge of medical terminology. Bilingual English, Spanish/Creole preferred. Minimum Required Experience: 1 Year

Requisition #: 7401 # of openings: 1 Employment Type: Full time Permanent Category: Non-Bargaining Workplace Arrangement: Hybrid Fund: 1199SEIU National Benefit Fund Job Classification: Non-Exempt Responsibilities • Assist and educate 1199SEIU members and providers with out-of-network fees and out of pocket expenses on the contracts and benefits of using the Funds network • Negotiate and resolve large volume of balance billing inquires fees and discounts for members with non-participating providers via telephone and written correspondence; maintain ongoing communication with providers, members, attorneys, or collection agencies to resolve balance billing/fee negotiation inquiries • Proactively negotiate claims impacted by the No Surprises Act (NSA), focusing on resolving disputes with out-of-network providers to avoid escalation to Independent Dispute Resolution (IDR). This includes leveraging communication and negotiation strategies to achieve mutually agreeable payment solutions. Assess claim details and potential outcomes to determine when negotiation is more beneficial than escalating to IDR, utilizing various benchmarks • Utilize the various databases to assess and compute reasonable rates, negotiating claim payments with providers, attorneys, and collection agencies on behalf of members • Proactively identify and communicate any barriers to achieving departmental objectives to management • Analyze received correspondence; verify member eligibility, claim history and coordination of benefits • Identify billing anomalies and alert the appropriate departments to reduce potential fraudulent billing practices. • Review claims to assess if appropriate action was taken and collaborate with various departments to implement corrections • Research provider contracts and lease network reports to ensure providers are not breaching contracts by referring members out of network; report noncompliant providers to the Network Management and Contracting departments • Identify potential opportunities to contract providers and refer to the Network Management and Contracting departments • Triage balance billing/fee negotiation inquiries and ensure all documents are processed in a timely and efficient manner • Perform special projects and other duties assigned by management Qualifications • High School Diploma required, Associate degree or equivalent's degree highly preferred • Minimum two (2) years of hospital and medical claims processing experience, including at least two (2) years of negotiation experience required. • Proficient in math skills and the ability to perform calculations for negotiations are required • Strong knowledge of health claims, eligibility rules, and Coordination of Benefits (COB) is necessary • Basic understanding of the No Surprises Act (NSA), including experience with surprise billing protections, Independent Dispute Resolution (IDR) processes, and the Qualified Payment Amount (QPA) • Excellent critical thinking, attention to detail, and problem-solving skills; able to work independently and collaboratively as part of a team • Demonstrate analytical and organizational skills with the ability to multitask and meet operational deadlines • Proficiency in Microsoft Office (Word, Excel, Outlook, etc.). Ability to grasp and utilize new software systems • Ability to work well under pressure, maintain a professional manner, and presentation

Under the direction of the Revenue Cycle Manager, the Billing Specialist will be responsible for accurate and timely billing processes, including preparing and submitting claims, resolving denials, and ensuring compliance with FQHC regulations, while also assisting patients with billing inquiries. The Billing Specialist will understand and model the mission of Bond CHC. Successful performance of job duties will directly impact health system goals to obtain appropriate reimbursement and compensation for services rendered by professional staff. The Billing Specialist will ensure and maintain all records in compliance with HIPAA. Requirements DUTIES AND RESPONSIBILITIES: 1. Process daily the medical and dental billing for Bond CHC patients. 2. Timely follow up on insurance claim denials, exceptions or exclusions. 3. Ensure compliance with all regulatory requirements related to FQHC billing. 4. Work with various third-party payers to resolve billing issues. 5. Respond to inquiries from insurance companies, patients and providers. 6. Ensure that all financial documents received by patients during collection activities are appropriately scanned in patient accounts. 7. Coordinate with the Revenue Cycle Manager on any back billing and/or account adjustments necessary due to financial documentation presented by patients during collection activities. 8. Actively participate in internal quality improvement teams. Works with members proactively to support quality improvement initiatives in accordance with the mission and strategic goals of the organization, federal and state laws and regulations, and accreditation standards. 9. Do other duties as assigned. QUALIFICATIONS A high school graduate or equivalent. At least one year experience in a medical health care organization performing medical or dental billing activities or working with patient accounts. Ability to operate a computer including internet for accessing insurance plan web portals. Well organized, friendly, courteous, adaptable, dependable and patient. Must have ability to work well under pressure and be an effective communicator. A high degree of maintaining confidentiality. Clerical experience with ability to compose letters, contact patients and other professional organizations by telephone in a manner representing the organization's mission and goals. Prerequisites for the positions generally include a clean criminal background check and drug test.

Back to Search Results Patient Accounts Coordinator Charlotte, NC, United States Shift: Various Job Type: Regular Share: mail

The Biller is responsible to bill all insurance companies, workers compensation carriers, as well as HMO/PPO carriers. Audits patient accounts to ensure procedures and charges are coded accurate and corrects billing errors. Able to identify stop loss claims, implants and missing codes. Maintains proficiency in Medical Terminology. The Biller is responsible for the follow-up performed on insurance balances as needed to ensure payment without delay is received from the insurance companies. Communicates clearly and efficiently by phone and in person with our clients and staff members. Maintains productivity standards and reports. Obtains updated demographic information and all necessary information needed to comply with insurance billing requirements. Operates computer to input follow up notes and retrieve collection and patient information. Is able to write effective appeals to insurance companies. Education and Work Experience 1. Knowledge of multiple insurance billing requirements and 1-2 years of billing experience 2. Knowledge of CPT, HCPCS, and Revenue Code structures 3. Effective written and verbal communication skills 4. Ability to multi-task, prioritize needs to meet required timelines 5. Analytical and problem-solving skills 6. High School Graduate or GED Equivalent Required

Purpose: This position is responsible for all phases of client billing, which may include: performing edits, billing, write-offs, and time transfers. Essential Job Functions: 1. Print and distribute pre-bills monthly to billing attorneys. 2. Edit invoices monthly in a timely manner based on comments received from billing attorneys. 3. Invoice and bill clients in the accounting system each month in a timely manner. This includes clients that are billed electronically. 4. Perform client and matter changes within the accounting system. 5. Process write-offs within the accounting system in accordance with company policy. 6. Work with clients and attorneys in a timely manner to answer inquiries and provide analysis of billings. 7. Perform other tasks as assigned. Required Qualifications: Knowledge, Skills, Abilities and Personal Characteristics 1. High attention to detail; organized. 2. Developed knowledge of basic billing knowledge. 3. Effective interpersonal skills; strong oral and written communication skills. 4. High degree of initiative and independent judgment. 5. Computer skills: accounting system (3E experience preferred), word processing, and spreadsheet capabilities.

Spooner Medical Administrators, Incorporated (SMAI) is a family owned and operated company that offers rewarding career opportunities for motivated individuals who are passionate about excellence and growth. Since 1997, SMAI's proactive philosophy and best practices have set the standard in workers' compensation by continuously improving the delivery of case management, utilization review and billing services to help facilitate a successful return to work for the injured worker. The Billing Specialist is primarily responsible for reviewing, auditing and data entry of bills submitted by medical providers for compliance with proper billing practices. Essential Functions Review bills to determine if the information needed to process the bill has been received and contact the medical provider for any missing information. Perform fee bill audits according to established procedures and guidelines. Data enter fee fills accurately for electronic transmission. Adhere to established billing performance requirements. Review electronic response to transmitted bills and make modifications accordingly. Respond to telephone inquiries from customers regarding bill payment status. Participate in continuous improvement activities and other duties as assigned. Supervision Received Reports to the Billing Supervisor Experience and Education Required Medical billing certification or at least 2 years of experience working in the medical billing field Data entry experience Additional Skills Needed Effective written and verbal communication Detail oriented Strong organizational ability Basic computer literacy skills Working Environment The work environment characteristics described herein are representative of those an employee encounters while performing the essential functions of the job. While performing the duties of this job, the employee typically works in a normal office environment. The noise level in the work environment is usually quiet.

Under direct supervision of the Billing Manager, the Billing Clerk II is responsible for maintaining the clinic billing of all patients, including Medi-cal, Medicare, and third-party billing; and for maintaining an open line of communication with all insurance carriers including follow-up, denials, and appeals; and for maintaining a professional demeanor with all patients to comply with patient confidentiality (HIPPA) as well as other department managers and staff. Duties and Responsibilities Calls insurance companies to verify insurance eligibility coverage. Performs basic mathematical computations. Works with insurance denials and follows up on claims status. Assists patients with problems concerning their accounts. Covers cashier and Financial Screener stations, when needed. Reviews & Analyzes the A/R Aging Report on a regular basis. Reports any incidents or patient complaints to Billing Manager. Performs special billing projects. Commutes from different clinic locations as requested to cover other Billing staff or attend meetings and in-service trainings. Scheduled to work every other Saturday as a Financial Screener/Cashier (8 hour shift and some Holidays). Responsible for following all Agency safety and health standards, regulations, procedures, policies, and practices. Performs other duties as assigned. Requirements Bilingual (English and Spanish). Medical Billing/Coding Certification Two (2) years billing experience in a medical setting. Have the ability to prioritize, organize, trouble shoot and problem solve. Effective verbal and written communication skills. Knowledge in current ICD 9, ICD 10, CPT Codes & HCPCS. Knowledge in Insurance verification & eligibility. Must have reliable transportation

Under the direct supervision of the Billing Manager, the Financial Screener & Cashier are responsible for financially screening and enrolling patients to determine what program offered by Arroyo Vista the patient qualifies for and to review each patient encounter for charge completeness and accuracy of charges. DUTIES AND RESPONSIBILITIES: Responsible to assist patients regarding billing & payment concerns with accounts. Responsible in calling Insurance companies to verify Insurance eligibility. Responsible in collecting payments on bad debt patient accounts and setting up patient payment financial arrangements Responsible in posting payments, charges and adjustments. Responsible to balance all payment collection batches at the end of day, count petty cash each morning, lunch, and evening Responsible in generating reports each morning to post unbilled charges from the previous work day. Responsible to report any incidents or patient complaints to Billing Manager and Billing Lead. Commutes from different clinic locations as requested to cover other Billing staff or attend meetings and in-service trainings. Scheduled to work every other Saturday as a Financial Screener/Cashier (8 hour shift and some Holidays). REQUIREMENTS: Bilingual (English/Spanish). Three (1-2) years billing experience in a medical setting. Ability to work well with others in a team oriented professional manner. Ability to maintain confidentiality and comply with HIPAA regulations. Ability to interact with patients in a professional manner and maintain patient confidentiality. Effective verbal and written communication and interpersonal skills. Knowledge of ICD-10 and CPT and HCPC codes. High School Diploma/GED equivalency.

The Billing Clerk I must be computer literate and have the ability to prioritize, organize, trouble shoot and problem solve. They must have the ability to perform basic mathematical computations. Maintain a professional demeanor with all patients to comply with patient confidentiality (HIPPA) as well as other department managers and staff. DUTIES AND RESPONSIBILITIES: Update pay codes. Interviews patients to determine their pay code. For patients without medical insurance, analyses income and family date to determine eligibility for sliding fee scale. Verifies insurance coverage of patient who claims to have private insurance coverage. Explains to patients or responsible relatives, the Health Center's billing policy and the patient's responsibility for paying their bills. Furnishes patients with appropriate "Patient Responsibility" forms, for signature. Informs billing clerk of any changes in patient's medical chart and the date of the next re-screening. Assists cashier with data entry of charges and payments of visit. Actively participates in the Quality Management Program. Responsible for following all Agency safety and health standards, regulations, procedures, policies, and practices. Performs other duties as assigned. REQUIREMENTS: Must be computer literate and have the ability to prioritize, organize, trouble shoot and problem solve. They must have the ability to perform basic mathematical computations. Maintain a professional demeanor with all patients to comply with patient confidentiality (HIPPA) as well as other department managers and staff. Must be bilingual in English and Spanish with effective verbal and written communication skills preferred. Knowledgeable with current ICD 9, ICD 10, CPT Codes & HCPCS Must have reliable transportation to commute from clinic locations at any given time during the day to cover the floor or attend meeting and in-service trainings. Must be willing to close the Cashier work station every other day until the last patient is seen by the provider. (Floor schedule will be provided 3 weeks in advance). Must work every other Saturday a full 8 hour shift and some Holidays

Come Join the Premier Infusion & Healthcare Family! At Premier we offer employees stability and opportunities for advancement. Our commitment to our core values of Compassion, Integrity, Respect and Excellence in People applies to our employees, our customers, and the communities we serve. This is a rewarding place to work! Premier Infusion and Healthcare Services is a preferred post-acute care partner for hospitals, physicians and families in Southern CA. Our rapidly growing home health and infusion services deliver high-quality, cost-effective care that empowers patients to manage their health at home. Customers choose Premier Infusion and Healthcare Services because we are united by a single, shared purpose: We are committed to bettering the quality of life for our patients. This is not only our stated mission but is what truly drives us each and every day. We believe that our greatest competitive advantage, our greatest asset are our employees, our Premier Family in and out of the office sets Premier apart. PREMIER BENEFITS - For FULL TIME Employees: ● Competitive Pay ● 401K Matching Plan - Up to 4% ● Quarterly Bonus Opportunities ● Medical, Dental & Vision Insurance ● Employer Paid Life Insurance ● Short Term / Long Term Disability Insurance ● Paid Vacation Time Off ● Paid Holidays ● Referral Incentives ● Employee Assistance Programs ● Employee Discounts ● Fun Company Events Description of Responsibilities The Specialty Insurance Coordinator is responsible for all new referral insurance verification and/or authorization in a timely matter. Reporting Relationship Director of Operations Scope of Supervision None Responsibilities include the following: 1. Responsible for insurance verification for new and existing specialty patients by phone or using pharmacy software or payer portals. 2. Responsible for insurance re-verification for all specialty restart patients 3. Responsible for insurance re-verification for all specialty patients at the beginning of each month and each new year. 4. Responsible for advanced monitoring expiring authorizations for existing specialty patients 5. Responsible for securing advanced re-authorization for existing specialty patients. Participate in surveys conducted by authorized inspection agencies. Participate in the pharmacy's Performance Improvement program as requested by the Performance Improvement Coordinator. Participate in pharmacy committees when requested. Participate in in-service education programs provided by the pharmacy. Report any misconduct, suspicious or unethical activities to the Compliance Officer. Perform other duties as assigned by supervisor. Comply with and adhere to the standards of this role as required by ACHC, Board of Pharmacy, Board of Nursing, Home Health Guidelines (Title 22), Medicare, Infusion Nurses Society, NHIA and other regulatory agencies, as applicable. Minimum Qualifications: Must possess excellent oral and written communication skills, with the ability to express technical issues in “layman” terms. Fluency in a second language is a plus. Must be friendly professional and cooperative with a good aptitude for customer service and problem solving. Education and/or Experience: Must have a High School diploma or Graduation Equivalent Diploma (G.E.D.) Prior experience in a pharmacy or home health company is preferred. Prior experience in a consumer related business is preferred. Job Type: Full-time Benefits: 401(k) matching Dental insurance Employee assistance program Health insurance Paid time off Vision insurance Work Location: In person

Full Time position with a work schedule of Monday - Friday, 8:30am - 5pm Salary Range: $15-$19 At our Access Point Center, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. In your role, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members. We believe that our collective efforts will shape a healthier future for the communities we serve. The Hospital Call Center Scheduler will work with our Centralized Scheduling Department to support scheduling for primary care practices. The scheduler is responsible for answering inbound calls and schedule patients for appointments. Additional duties include: * Answer inbound patient scheduling calls based on department service level goals and address their concerns in a satisfactory manner. * Communicate with patients to schedule, re-schedule and/or cancel their primary care provider appointment requests accurately by following practice scheduling protocols and tools. * Accurately collects and performs data entry of all required patient demographic and insurance in-formation. * Uses professional communication etiquette and listening skills to assist patients with their scheduling needs. * Build a safe and trustworthy environment with patients by utilizing both scripted and non-scripted communication methods. * De-escalate situations involving dissatisfied customers, offering patient assistance and support. Escalate any problems that may arise to management. * Utilize and maneuver between several different software systems using dual monitors. * Maintain accurate and up to date information in the documentation system. * Maintain confidentiality of account information and provide exceptional customer service to all clients. * Assist with other projects as assigned by management. Qualifications and requirements The requirements listed below are representative of the knowledge, skills, and/or abilities required. * Education: High School Diploma/GED required. Associate degree or bachelor's degree preferred. * Experience: Two years of related experience in medical setting, or one year of previous healthcare call center or customer service experience, or 3 or more years of call center experience. Basic healthcare knowledge required. * Proficient user knowledge of Windows Office programs (Word, Excel, PowerPoint), and the ability to learn specialized computer applications. * Professional, articulate communication style. Ability to multi-task in several computer applications while holding a conversation with a client. * Excellent attention to detail and data entry accuracy required. Flexibility to quickly adapt to any new business environment. Must be able to work in a remote Team environment. * Must live in the United States. * Preferred Skills: ability to type a minimum of 25 WPM. * Technology requirements: Internet Download speed of 100mbps and Upload speed of 20mbps Fundamental to providing great care is supporting and rewarding our team. In addition to your base compensation, this position also offers: * Comprehensive medical, dental, and vision plans, plus flexible-spending and health- savings accounts * Income-protection programs, such as life, accident, critical-injury insurance, short- and long-term disability, and identity theft coverage * Tuition reimbursement, loan assistance, and 401(k) matching * Employee assistance program including mental, physical, and financial wellness * Professional development and growth opportunities Lifepoint Health is an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.