Accounts Receivable Specialist jobs at Mainline Health Systems

Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $20.94 - $33.59 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 8-430 Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5436 Med Specs Ancillary Pod Ar Union: SHARE (State Healthcare and Research Employees) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for follow-up of complex surgical/procedural/multidisciplinary specialty claims for payments including coding and analyzing claims and claim payments/rejections. I. Major Responsibilities: 1. Contacts insurance companies, while working detailed reports, to secure outstanding payments, i.e. telephone calls, websites, written appeals. 2. Reviews complex rejections in assigned payors and plans to determine validity of rejections and take appropriate action to resolve. 3. Monitors changes in reimbursement policies, including payor fee schedule reconciliation. 4. Performs special projects as assigned by manager or supervisor defining problems, determining work sequence and summarizing findings. 5. Calculates and posts adjustments based on third party reimbursement guidelines and contracts. 6. Makes appropriate payor and plan changes to secondary insurers or responsible parties. 7. Inputs missing data as required and corrects registration and other errors as indicated. Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. High School Diploma Experience/Skills: Required: 1. Two years of previous Revenue Cycle knowledge including PFS, Customer Service, Cash Posting, Financial Assistance, Patient Access, HIM/Coding and/or 3rd party reimbursement. 2. Knowledge of multiple third-party regulations, ICD, CPT and HCPCS coding and modifier assignment. Knowledge of billing and reimbursement practices/requirements of major third-party payors in Massachusetts. 3. Knowledge of medical terminology, anatomy& physiology and disease process. 4. Ability to organize and prioritize work to meet strict deadlines. 5. Computer skills to include mainframe, PC applications and excel. 6. Must be self-motivated, service oriented and have excellent communication skills (written and oral). 7. Physician coding certification is desired. Preferered: 1. Three years of physician or medical billing experience involving complex surgical/procedural/multidisciplinary specialties. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered sedentary. Position requires work indoors in a normal office environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.

Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $19.74 - $30.80 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 8-430 Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5436 Med Specs Ancillary Pod Ar Union: SHARE (State Healthcare and Research Employees) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for follow-up of complex claims for payment. I. Major Responsibilities: 1. Calls insurance companies and utilizes payor web-sites while working detailed reports to secure outstanding payments. 2. Reviews rejections in assigned payors and plans to determine validity of rejection and takes appropriate action to resolve the invoice. 3. Calculates and posts adjustments based on third party reimbursement guidelines and contracts. 4. Makes appropriate payor and plan changes to secondary insurers or responsible parties. 5. Inputs missing data as required and corrects registration and other errors as indicated. Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. High School Diploma Experience/Skills: Required: 1. Previous Revenue Cycle knowledge in one of the following areas including PFS, Customer Service, Cash Posting, Financial Assistance, Patient Access, HIM/Coding and/or 3rd party Reimbursement. 2. Ability to perform assigned tasks efficiently and in timely manner. 3. Ability to work collaboratively and effectively with people. 4. Exceptional communication and interpersonal skills. Preferred: 1. One or more years of experience in health care billing functions. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered sedentary. Position requires work indoors in a normal office environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.

Requirements EDUCATION/RELATED EXPERIENCE: Bachelor of Science Degree in Accounting or Finance required or equivalent experience. Three or more years of Accounts Receivable / collection experience preferred. SKILLS AND ABILITIES: Attention to detail and excellent problem-solving skills. Strong verbal and written communication skills. Proficiency in Microsoft Office (Excel, Word, Outlook) and NetSuite. Organizational ability to manage multiple tasks and meet deadlines. Ability to handle confidential information in a discreet and professional manner. Work Environment & Physical Requirements: This position operates in a professional office environment and is largely sedentary. This role routinely requires the use of standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. When applying for this role, please include a cover letter along with your resume to describe your interest in this opportunity and how you demonstrate the skills as outlined in the above job description. This position represents a unique opportunity to build a career with a premier organization. We offer a competitive salary and excellent benefits. EOE. No calls please. This position is located in Plymouth Meeting, PA with the ability to work remotely up to 2 days per week.

Make a Difference! Join an organization dedicated to defining and advancing high-quality and accessible cancer care globally so all people can live better lives. The Accounts Receivable Accountant is responsible for performing daily accounts receivable operations for National Comprehensive Cancer Network (NCCN) and NCCN Foundation. This role supports invoicing, deposits, collections, reconciliations, and reporting, while also collaborating closely with the Accounting Department and other NCCN departments. The individual will focus primarily on Foundation accounts receivable activity but will also assist with NCCN Accounts Receivable functions as needed. MAJOR RESPONSIBILITIES: Prepare accounts receivable invoices and ensure appropriate supporting documentation is received and uploaded to the contract management system (Cobblestone). Code and record deposits to be entered into the general ledger system on a timely basis. Prepare accounts receivable entries for agreements signed during the month. Reconcile deposits (wire and cash receipts) to the bank statement. Maintain and review the accounts receivable aging report; reconcile to workpapers. Perform collection activities for all past due receivable balances. Reconcile all receivable accounts monthly. Perform monthly general ledger account analysis and related journal entries. Collaborate with Business Development to review invoice requests, ensuring consistency with contracts and addressing discrepancies or client follow-up needs. Participate in month-end close and other periodic reporting as required. Provide eCommerce support as related to accounts receivable functions. Perform other related duties as assigned. Requirements EDUCATION/RELATED EXPERIENCE: Bachelor of Science Degree in Accounting or Finance required or equivalent experience. Three or more years of Accounts Receivable / collection experience preferred. SKILLS AND ABILITIES: Attention to detail and excellent problem-solving skills. Strong verbal and written communication skills. Proficiency in Microsoft Office (Excel, Word, Outlook) and NetSuite. Organizational ability to manage multiple tasks and meet deadlines. Ability to handle confidential information in a discreet and professional manner. Work Environment & Physical Requirements: This position operates in a professional office environment and is largely sedentary. This role routinely requires the use of standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. When applying for this role, please include a cover letter along with your resume to describe your interest in this opportunity and how you demonstrate the skills as outlined in the above job description. This position represents a unique opportunity to build a career with a premier organization. We offer a competitive salary and excellent benefits. EOE. No calls please. This position is located in Plymouth Meeting, PA with the ability to work remotely up to 2 days per week.

**We are more than a health system. We are a belief system.** We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. ** Summary:** This position submits medical billing to the appropriate party, works insurance edits/errors, follows-up on adjudication of claims, works payer rejections and denials. This position primarily communicates with payers but may also have communication with patients, family members, guarantors, hospital departments, physician practices regarding information needed or to obtain status of insurance claims. **Responsibilities And Duties:** Performs accurate review, analysis, and correction of denied and rejected claims. Performs follow-up on unpaid accounts to collect payment. Research correspondence and information from phone calls with payers to ensure accurate account handing. Reviews patient insurance information for accuracy making any necessary updates. Works closely with payer representatives to bring accounts to completion. Reports trends and payer issues to management. **Minimum Qualifications:** High School or GED (Required) **Additional Job Description:** **SPECIALIZED KNOWLEDGE** + The position requires a high school level of skills plus at least 1 year experience with similar work. + No certification or licensure required. + The job requires analytical skills to gather and interpret data where the information or problems are not overly difficult or complex. + This work also requires clear communication and organizational skills to prioritize and meet deadlines as needed. **Work Shift:** Day **Scheduled Weekly Hours :** 40 **Department** Marion Patient Accounts Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment **Remote Work Disclaimer:** Positions marked as remote are only eligible for work from **Ohio** .

Reporting to the Accounts Receivable Supervisor, this role supports the operations of the CommunityCare Revenue Cycle Management (RCM) team related to the follow up and resolution of outstanding insurance claims. Goal of the position is to follow up on, investigate and resolve claims that have been submitted to insurance for payment and to create detailed notes that provide insight into the current status of the individual claims. Please note that we currently hire candidates exclusively from the following states: Applicants outside these states will not be considered for employment at this time. Arizona Connecticut Florida Georgia Michigan North Carolina Ohio Texas Responsibilities Essential Functions: Contact insurance carriers on a daily basis to follow up on/collect past due amounts on outstanding medical claims regarding denials or benefit changes. Maintain an accurate, up to date aging of assigned accounts including AR analysis and follow up. Keep educated on billing and medical policies for all payers. Have a working knowledge of In and Out of Network reimbursement processes/methodologies. Create and follow up on appeals needed to protest denials or incorrect payments. Review complex denials/tasks assigned by the payment posting team and resolve accordingly including reviewing refund requests, disputes and appeal as necessary. Work across all RCM departments to get issues related to claims payment resolved. Uphold and ensure compliance and attention to all company policies and procedures as well as the overall mission and values of the organization. Work with AR Supervisor to review/resolve open accounts as assigned. Perform other duties as assigned. Knowledge, Skills and Abilities: High level of skill at building relationships and providing excellent customer service. Ability to utilize computers for data entry, research and information retrieval. Strong attention to detail and accuracy and multitasking. Must have highly developed problem-solving skills. Executes excellent customer service and professionalism when interacting with staff, payers, patients and families to ensure all are treated with kindness and respect. Through leadership and by example, ensures that services are provided in accordance with state and federal regulations, organizational policy, and accreditation/compliance requirements. Acts in accordance with CommUnityCare's mission and values, while serving as a role model for ethical behavior. Promptly identify issues and reports them to their direct supervisor. Maintain regular and predictable attendance. Acts in accordance with CommunityCare's mission and values, while serving as a role model for ethical behavior Manage high volumes of work and organize/maintain a schedule independently. Must be able to effectively monitor steps in claims processing operations. Qualifications Minimum Education: High School Diploma or GED Minimum Experience: 3 years of experience managing Accounts Receivable and performing direct follow up with payers. 1 year experience communicating effectively, both orally and in writing, with insurance payers and internal company communications. 3 years working with medical terminology, ICD10, CPT, HCPCs coding and HIPAA requirements. 2 years of experience with data processing and analytical skills, proficiency in Excel and Microsoft Office Suite as well as medical practice management software and electronic medical records. 3 years of experience working with commercial, government and state insurance payers and their reimbursement policies and procedures. 3 years' experience working complex insurance issues, including assigning correct payer, EOB adjustments and refunds to accounts.

We are looking for a Fully Remote Accounts Receivable specialist who has strong communication and interpersonal skills, ability to work independently and as part of team, extensive experience with appeals and denials, patient collections, good computer skills, along with the ability to multi-task and work in a fast paced environment. Qualified candidates must have 2 years provider side medical billing experience and experience working with major insurance carriers, Medicare and Medicaid. Essential Duties and Responsibilities: * Follow up on unpaid claims within standard billing cycle timeframe * Check each insurance payment for accuracy and compliance with contract discount * Call insurance companies regarding any discrepancy in payments if necessary * Identify and bill secondary or tertiary insurances * Research and appeal denied claims * Answer all patient or insurance telephone inquiries pertaining to assigned accounts. * Set up patient payment plans and work collection accounts Knowledge, Skills, and Abilities * Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid * Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems. * Use of computer systems, software, * Effective communication abilities for phone contacts with insurance payers to resolve issues * Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members * Able to work in a team environment * Problem-solving skills to research and resolve discrepancies, denials, appeals, collections * Knowledge of accounting and bookkeeping procedures * Knowledge of medical terminology likely to be encountered in medical claims * Knowledge of CPT/ICD-10 coding discrepancies The salary range for this position will be commensurate with the candidate's experience and skill level, with final compensation determined based on qualifications and relevant expertise. Comprehensive Benefits Package: Medical, Prescription Drug Coverage, Dental and Vision insurance Wellness Incentive Programs, Nutrition Counseling Low Cost Access to Fitness Centers Headspace ID Theft Insurance Employer Sponsored Health Savings Account (HSA)/ Health Reimbursement Account (HRA) Flexible Spending Account (FSA) Employer Provided Group Term Life & AD&D Short-term Disability Life Assistance Program Commuter/Parking Benefits (where applicable) 401K retirement plan with company match Ancillary insurance options, including fraud, accidental and hospital indemnity LifeMart- Employee Discounts Program Paid Time Off and State Sick Pay (where applicable) FREE Employee Refractive Surgery Program (terms apply)

Reporting to the Accounts Receivable Supervisor, this role supports the operations of the CommunityCare Revenue Cycle Management (RCM) team related to the follow up and resolution of outstanding insurance claims. Goal of the position is to follow up on, investigate and resolve claims that have been submitted to insurance for payment and to create detailed notes that provide insight into the current status of the individual claims. Responsibilities Essential Functions: * Contact insurance carriers on a daily basis to follow up on/collect past due amounts on outstanding medical claims regarding denials or benefit changes. * Maintain an accurate, up to date aging of assigned accounts including AR analysis and follow up. * Keep educated on billing and medical policies for all payers. * Have a working knowledge of In and Out of Network reimbursement processes/methodologies. * Create and follow up on appeals needed to protest denials or incorrect payments. * Review complex denials/tasks assigned by the payment posting team and resolve accordingly including reviewing refund requests, disputes and appeal as necessary. * Work across all RCM departments to get issues related to claims payment resolved. * Uphold and ensure compliance and attention to all company policies and procedures as well as the overall mission and values of the organization. * Work with AR Supervisor to review/resolve open accounts as assigned. * Perform other duties as assigned. Knowledge, Skills and Abilities: * High level of skill at building relationships and providing excellent customer service. * Ability to utilize computers for data entry, research and information retrieval. * Strong attention to detail and accuracy and multitasking. * Must have highly developed problem-solving skills. * Executes excellent customer service and professionalism when interacting with staff, payers, patients and families to ensure all are treated with kindness and respect. * Through leadership and by example, ensures that services are provided in accordance with state and federal regulations, organizational policy, and accreditation/compliance requirements. * Acts in accordance with CommUnityCare's mission and values, while serving as a role model for ethical behavior. * Promptly identify issues and reports them to their direct supervisor. * Maintain regular and predictable attendance. * Acts in accordance with CommunityCare's mission and values, while serving as a role model for ethical behavior * Manage high volumes of work and organize/maintain a schedule independently. * Must be able to effectively monitor steps in claims processing operations. Qualifications Minimum Education: * High School Diploma or GED Minimum Experience: * 3 years of experience managing Accounts Receivable and performing direct follow up with payers. * 1 year experience communicating effectively, both orally and in writing, with insurance payers and internal company communications. * 3 years working with medical terminology, ICD10, CPT, HCPCs coding and HIPAA requirements. * 2 years of experience with data processing and analytical skills, proficiency in Excel and Microsoft Office Suite as well as medical practice management software and electronic medical records. * 3 years of experience working with commercial, government and state insurance payers and their reimbursement policies and procedures. * 3 years' experience working complex insurance issues, including assigning correct payer, EOB adjustments and refunds to accounts.

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. Summary: This position submits medical billing to the appropriate party, works insurance edits/errors, follows-up on adjudication of claims, works payer rejections and denials. This position primarily communicates with payers but may also have communication with patients, family members, guarantors, hospital departments, physician practices regarding information needed or to obtain status of insurance claims. Responsibilities And Duties: Performs accurate review, analysis, and correction of denied and rejected claims. Performs follow-up on unpaid accounts to collect payment. Research correspondence and information from phone calls with payers to ensure accurate account handing. Reviews patient insurance information for accuracy making any necessary updates. Works closely with payer representatives to bring accounts to completion. Reports trends and payer issues to management. Minimum Qualifications: High School or GED (Required) Additional Job Description: SPECIALIZED KNOWLEDGE The position requires a high school level of skills plus at least 1 year experience with similar work. No certification or licensure required. The job requires analytical skills to gather and interpret data where the information or problems are not overly difficult or complex. This work also requires clear communication and organizational skills to prioritize and meet deadlines as needed. Work Shift: Day Scheduled Weekly Hours : 40 Department Map Physician Billing Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment Remote Work Disclaimer: Positions marked as remote are only eligible for work from Ohio.

Soleo Health is seeking a Collection Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Home infusion therapy experience required. Soleo Health Perks: Competitive Wages Flexible schedules 401(k) with a match Referral Bonus Annual Merit Based Increases No Weekends or Holidays! Affordable Medical, Dental, and Vision Insurance Plans Company Paid Disability and Basic Life Insurance HSA and FSA (including dependent care) options Paid Time Off! Education Assistant Program The Position: The Collection Specialist is responsible for a broad range of collection processes related to medical accounts receivable in support of multiple site locations. The Collections Specialist will proactively work assigned accounts to maximize accurate and timely payment. Responsibilities include: Researches all balances on the accounts receivable and takes necessary collection actions to resolve in a timely manner Researches assigned correspondence; takes necessary action to resolve requests Routinely reviews and works correspondence folder requests in a timely manner Makes routine collection calls on outstanding claims Identifies billing errors, short payments, unpaid claims, cash application issues and resolves accordingly Ability to identify potential risk, write offs and status appropriately and report and escalate to management on as identified Researches refund requests received by payers and statuses refund according to findings Documents detailed notes in a clear and concise fashion in Company software system Identifies issues/trends and escalates to Manager when assistance is needed Provides exceptional Customer Service to internal and external customers Ensures compliance with federal, state, and local governments, third party contracts, and company policies Must be able to communicate well with branch, management, patients and insurance carriers Ability to perform account analysis when needed Answering phones/taking patient calls regarding balance questions Using portals and other electronic tools Ensure claims are on file after initial submission Identifies, escalates, and prepares potential payor projects to management and company Liaisons Write detailed appeals with supporting documentation Keep abreast of payor follow up/appeal deadlines Submits secondary claims Schedule: M-F 830am-5pm Requirements Previous Home Infusion and Specialty Pharmacy experience required 1-3 years or more of strong collections experience High school diploma or equivalent; an associate degree in finance, accounting, or a related field is preferred Knowledge of HCPC coding and medical terminology CPR+ systems experience preferred Excellent math and writing skills Excellent interpersonal, communication and organizational skills Ability to prioritize, problem solve and multitask Word, Excel and Outlook experience About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo's Core Values: Improve patients' lives every day Be passionate in everything you do Encourage unlimited ideas and creative thinking Make decisions as if you own the company Do the right thing Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keyword: accounts receivable, collection, specialty pharmacy, now hiring, hiring immediately Salary Description $19-$23 Per Hour

Skills of Central PA is currently seeking a full time Accounts Payable Assistant to work in our Corporate office in State College. The Accounts Payable Assistant will perform a variety of accounts payable functions to include accurate coding, data entry, batch check runs, clerical and filing duties. Requirements Applicants must possess the following skills and knowledge: Must be able to understand and apply accounting principles and practices; Excellent data entry skills with strong attention to detail; Strong commitment to exceptional customer service and the preservation of confidentiality; Good written and verbal communication skills; Ability to work independently, as well as in a team environment; Ability to exercise sound judgement in decision-making; Ability to work in a fast pace environment and meet accounts payable deadlines. The applicant must also be proficient in the following areas: MS Office, including Excel, Word and Outlook for reporting and analysis; 10 key touch adding machine; Accounts payable software such as MAS 90, Peachtree, MAS 500, or equivalent system experience. High school diploma or GED equivalent is required. A minimum of 2 years accounts payable experience is also required. Valid PA driver's license and successful completion of a pre-employment physical and drug screen required. Schedule will be Monday through Friday 8am - 4pm. Skills is an Equal Opportunity Employer. Skills of Central PA prohibits hiring and employment discrimination on the basis of age, ancestry, race, color, disability, ethnic or national origin, gender, gender identity or expression, genetic information, HIV/AIDS status, military status, pregnancy, religion, sex, sexual orientation, socio-economic status, veteran status, or any other bases under the law. Skills is an equal opportunity service provider and employer. Salary Description $19.00-23.00

**Mentor Community Services** , a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person has the right to live well, and everyone deserves to have a fulfilling career. You'll join a mission-driven team and create relationships that motivate us all every day. Join us today, and experience a career well lived. **Accounts Receivable Coordinator Finance Operations** **Salary** **: $24.52-$27.40 Hourly based on experience** **Location: Remote** **must reside within** **or near** **within traveling distance of Washington, PA, Monroeville , PA, Chambersburg, PA, Philadelphia PA, or Lehigh, PA.** **markets.** As a pioneering, mission-driven provider focused on the highest quality care, this opportunity as a team member in our Finance group is essential. + Responsible for oversight and processing to assure accurate billing and collections for the region. + Process billing, managing authorizations, collecting service delivery, or census data, matching authorizations to service delivery, and collecting receivables. + Set up files and initiate billing for new admissions. + Verify eligibility and obtain payer service authorizations or approvals. + Collect census, periodic service records or other billing documentation from operations. **_Qualifications:_** + High school diploma/GED required. + Associates degree in related field preferred. + One year accounts receivable experience preferred. + Medicaid experience preferred. + Proficiency in accounting, intermediate to advanced computer skills and applications preferred. + Current driver's license, car registration and auto insurance. + Strong attention to detail and organizational skills. + Ability to multi-task and meet deadlines. + Effective communication skills to manage relationships. + A commitment to quality in everything you do. **_Why Join Us?_** + Full, Part-time, and As Needed schedules available. + Full compensation/benefits package for full-time employees. + 401(k) with company match. + Paid time off, holiday pay + Rewarding work, impacting the lives of those you serve, working alongside a great team of coworkers. + Enjoy job security with nationwide career development and advancement opportunities. **Come join our incredible team -** **_Apply Today!_** Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face. We've made this our mission for more than 50 years. And today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve all over the U.S. _As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law._

Full-time Description The Accounts Receivable Specialist is responsible for researching outstanding balances and determining correct action to be taken to ensure maximum reimbursement. Must take the lead on corrective actions for accounts with outstanding balances in a timely manner to obtain reimbursement. Responsible for processing correspondence relating to the financial status of an account. Responsible for recognizing trends for denials and reimbursement issues and reporting such to the Billing Supervisor & /or Director Revenue Cycle. Work is typically performed in an office environment, but this position has the option to work from home but may also be needed onsite for projects or team meetings from time to time. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements for this job description are not intended to be all inclusive. They represent typical elements considered necessary to successfully perform the job. REPORTING RELATIONSHIPS The position reports to the Director of Revenue Cycle. No staff report to this position. ESSENTIAL JOB DUTIES and FUNCTIONS While living and demonstrating our Core Values, the Accounts Receivable Specialist will: Manage outstanding accounts receivable. Resolve outstanding balances, resubmitting claims and providing necessary information to support prompt payment. Parties which may be contacted to resolve an outstanding balance include but are not limited to patients, responsible parties, insurance carriers, case managers, employers, referring providers, attorneys and facility personnel Follow up on outstanding accounts receivable, focusing on maintaining aged receivables within 90 days of days outstanding. Includes researching aged account reports, outstanding “to-do” list, and processing problematic EOB's Identify, correct and communicate payment posting errors to staff Make all necessary corrections in the billing system. Research and resolve claims rejected by payer Identify billing and coverage concerns. Communicate with billing and front office staff regarding billing requirements not being met Answer patient and facility questions about account balance and status of payment Identify, correct and communicate facility errors to appropriate parties involved and produce corrective action plans accordingly Identify and communicate payment trends to Supervisor & /or Director Revenue Cycle, related to payers, CPT codes, diagnosis codes, etc Research outstanding credit balances and prepare requests for refunds Research and recommend accounts for bad debt write off Assist to develop a strategy the team will use to reach goals and maintain high level of productivity Provide training that team members may need and monitor progress Create reports to update the organization on Billing Department progress Other duties as assigned by management Requirements QUALIFICATIONS Meet The Wright Center for Community Health and its affiliated entity The Wright Center for Graduate Medical Education EOS© People Analyzer Tool Buy in and experience working in the EOS model (strongly preferred) Mission-oriented; represents the enterprise in a professional manner while demonstrating organizational pride High school degree or equivalent required 1 - 3 years medical billing/claims experience Knowledge of EOBs, EFTs and ERAs Experience in CPT codes and ICD 10 coding preferred Experience with electronic medical records preferred FQHC billing and payment posting preferred, but will train the right candidate Medent experience preferred Knowledge of Microsoft Office software Must be focused, self-directed, organized, and have demonstrated problem-solving abilities Accurate and precise attention to detail Excellent verbal and written communication skills Able to work both independently and as part of a team

This opportunity is located on our beautiful Springhill campus located in Erie, PA., one of nine communities in the Asbury family of award winning senior living locations. Are you a dedicated experienced Billing Specialist looking for an opportunity to put your skills to work in a family-friendly, supportive environment? Do you want to join a fast-paced, exciting not-for-profit organization operating in one of the fastest growing service industries today? Once you've submitted your application, you'll receive an email and text invitation from our trusted partner, Arena, to complete a short 3-5 minute questionnaire. Completing this step is required as part of the application process and helps us get to know you better. Job Description Performs work associated with patient accounts and billing, including sending and collecting bills and invoices, producing statements, maintaining client files, and resolving billing issues and problems. Handles moderately complex issues and problems, and refers more complex issues to higher-level staff. Responsible for billing multiple payers including preparation, delivery and replying to billing inquires. Coordinates with AR Team to ensure timely and accurate weekly / monthly close schedule. Follows Month-End Close (MEC) policy and procedures. Maintains all payment, receipt and other transaction records. Qualifications Requirements: 1-3 years experience in medical claims billing and collections required Good computer skills with the ability to use Microsoft Office (including Word & Excel) Previous Long Term Care billing experience a plus Excellent customer service skills Team player Education: Associate's degree in Accounting, Finance or related field of study Additional Information Depending upon the status of the position, Asbury offers generous benefits including medical, dental, and vision coverage; 401K with match; PTO and paid holidays. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.

This opportunity is located on our beautiful Springhill campus located in Erie, PA., one of nine communities in the Asbury family of award winning senior living locations. Are you a dedicated experienced Billing Specialist looking for an opportunity to put your skills to work in a family-friendly, supportive environment? Do you want to join a fast-paced, exciting not-for-profit organization operating in one of the fastest growing service industries today? Once you've submitted your application, you'll receive an email and text invitation from our trusted partner, Arena, to complete a short 3-5 minute questionnaire. Completing this step is required as part of the application process and helps us get to know you better. Job Description Performs work associated with patient accounts and billing, including sending and collecting bills and invoices, producing statements, maintaining client files, and resolving billing issues and problems. Handles moderately complex issues and problems, and refers more complex issues to higher-level staff. Responsible for billing multiple payers including preparation, delivery and replying to billing inquires. Coordinates with AR Team to ensure timely and accurate weekly / monthly close schedule. Follows Month-End Close (MEC) policy and procedures. Maintains all payment, receipt and other transaction records. Qualifications Requirements: 1-3 years experience in medical claims billing and collections required Good computer skills with the ability to use Microsoft Office (including Word & Excel) Previous Long Term Care billing experience a plus Excellent customer service skills Team player Education: Associate's degree in Accounting, Finance or related field of study Additional Information Depending upon the status of the position, Asbury offers generous benefits including medical, dental, and vision coverage; 401K with match; PTO and paid holidays. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.

Responsible for follow up of accounts including all payers, as well as complete resolution of claims denials. This position is responsible for handling all correspondence related to an insurance or patient account. Contacting insurance carriers, patients, identify issues or apply changes as needed to receive payment on Meadville Medical Center accounts. Reconciling edits and rejection reports. Ability to research and resolve accounts appearing on accounts receivable reports, collection ledgers and payer reports as directed by management making appropriate decisions on accounts to be worked. MINIMUM EDUCATION, KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED High school diploma or equivalent. One-year experience with medical collections. Knowledge of various payer groups. Ability to work in high production environment. Position requires excellent customer service. Position requires attention to detail and ability to work in a fast paced team environment. Strong verbal and written communication skills. Familiarity with Microsoft application (including but not limited to word and excel). This role requires extensive computer use. General knowledge of internet navigation and research, email, fax transmission, scanning and copy equipment.

Responsible for follow up of accounts including all payers, as well as complete resolution of claims denials. This position is responsible for handling all correspondence related to an insurance or patient account. Contacting insurance carriers, patients, identify issues or apply changes as needed to receive payment on Meadville Medical Center accounts. Reconciling edits and rejection reports. Ability to research and resolve accounts appearing on accounts receivable reports, collection ledgers and payer reports as directed by management making appropriate decisions on accounts to be worked. MINIMUM EDUCATION, KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED High school diploma or equivalent. One-year experience with medical collections. Knowledge of various payer groups. Ability to work in high production environment. Position requires excellent customer service. Position requires attention to detail and ability to work in a fast paced team environment. Strong verbal and written communication skills. Familiarity with Microsoft application (including but not limited to word and excel). This role requires extensive computer use. General knowledge of internet navigation and research, email, fax transmission, scanning and copy equipment.

Joining Redeemer Health means becoming part of an inclusive, supportive team where your professional growth is valued. Our strength comes from bringing different perspectives and talent to our workforce, spanning PA & NJ. We offer programs that set up new team members for long-term success including education assistance, scholarships, and career training. With medical and dental coverage, access to childcare & fitness facilities on campus, investment in your retirement, and community events, your career at Redeemer is more than a job. You'll discover a commitment to quality care in a safe environment and a foundation from which you can provide and receive personalized attention. We look forward to being a part of your professional journey. We invite you to apply today. SUMMARY OF JOB The Account Receivable Specialist is responsible for performing resolution-oriented claims submission and follow-up to achieve cash recovery and A/R resolution goals of assigned health system receivables, through established methods and procedures using current available technology. Receives and responds to day-to-day inquiries from third-party carriers and patients, processes correspondence and documents all work activity in electronic patient files. CONNECTING TO MISSION: The Leadership Team develops Holy Redeemer's vision, objectives, strategies and tactics to achieve our mission in a way that engages both the imagination and the energies of our employees. Leaders reflect the unique strengths, values, culture, and beliefs of Holy Redeemer, inspiring all employees to Care, Comfort, and Heal for our patients, residents, clients, and each other. The Finance Department strives to contribute to this mission by working with the entire organization to provide the most positive financial climate possible, for continued caring, comforting, and healing for all in need. RECRUITMENT REQUIREMENTS High school diploma or GED. Experience in medical billing or healthcare accounts receivable experience; medical billing coursework may be substituted for prior experience. Knowledge of third party payer contracting language and reimbursement terms. Knowledge of medical terminology, ICD10, CPT, and HCPC coding Familiar with multiple (widely used) healthcare patient accounting/billing systems. Proficiency with Excel, MS Office Suite, Internet Explorer, and Database Management application software. Ability to communicate in English, both written and verbal. Additional Languages are preferred. Ability to multi-task and accurately process high volumes of work Ability to establish and maintain effective working relationships with patients, employees and the public Strong organizational and time management skills. Assertive in resolving unpaid claims. EQUAL OPPORTUNITY Redeemer Health is an equal opportunity employer. We prohibit discrimination in employment due to race, color, gender, religion, creed, national origin, age, sex, sexual orientation, gender identity or expression, disability veteran status or any other protected classification required by law.

Joining Redeemer Health means becoming part of an inclusive, supportive team where your professional growth is valued. Our strength comes from bringing different perspectives and talent to our workforce, spanning PA & NJ. We offer programs that set up new team members for long-term success including education assistance, scholarships, and career training. With medical and dental coverage, access to childcare & fitness facilities on campus, investment in your retirement, and community events, your career at Redeemer is more than a job. You'll discover a commitment to quality care in a safe environment and a foundation from which you can provide and receive personalized attention. We look forward to being a part of your professional journey. We invite you to apply today. SUMMARY OF JOB Review all admissions and outpatient procedures to ensure that proper approvals, pre-certifications, referrals and all appropriate documentation is obtained. Interact with patients to determine co-pay and deductible responsibilities and to obtain Point of Service collections. Contact with insurance companies and patients as needed to obtain all required information. Prepare all accounts for billing. Interact with elective patients to determine financial ability to pay, according to the financial counseling policy. CONNECTING TO MISSION: All individuals within the scope of their position are responsible to perform their job in light of the Mission & Values of the Health System. Regardless of the position, every job contributes to the challenge of providing healthcare. There is an ongoing responsibility for ensuring the values of Respect, Compassion, Justice, Hospitality, Holistic Approach, Stewardship, and Collaboration are present in our interactions with one another and in the service we provide. RECRUITMENT REQUIREMENTS High School Diploma/GED required. Must be able to provide official proof of completion. Minimum 2 years related healthcare clerical experience. Financial counseling experience desirable. Good organization and communication skills. Ability to work with a minimum of supervision. Microsoft Windows and Healthcare Registration and Billing System experience (SMS Invision & NET preferred). EQUAL OPPORTUNITY Redeemer Health is an equal opportunity employer. We prohibit discrimination in employment due to race, color, gender, religion, creed, national origin, age, sex, sexual orientation, gender identity or expression, disability veteran status or any other protected classification required by law.