Account Representative jobs at McLeod Health - 671 jobs
Billing Account Representative - Business Services
McLeod Health 4.7
Account representative job at McLeod Health
Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values.
Billing AccountRepresentatives (herein referred to as BAR) are responsible for improving process and resolving issues related to the follow-up and collection of medical accounts for McLeod, including institutional and professional encounters. The BAR will review all notes and take appropriate actions to work and resolve each encounter in their work flow and otherwise given by Management. The BAR must have strong interpersonal skills to work with their TEAM and various payors to resolve account issues.
BARs work in a fast-paced environment and multitask on a variety of items. They are responsible for completing a minimum daily work standard set by McLeod of 60 encounters per day (subject to change as National averages change) as well as processing adjustments, working related correspondence and addressing patient requests. They must possess analytical skills. They will use a multitude of communication and resolution methods, up to and including phone, e-mail, internet and regular mail.
BAR must be able to explain payor items such as interpretation of payment remittances, professional charge processing and in and out of network benefits. Must be able to define and understand different payor reimbursement methodology.
BAR should pursue all avenues for reimbursement until claims are satisfactorily worked to a conclusion.
BAR will adhere to all Corporate Compliance and HIPAA standards.
BAR is expected to attend departmental TEAM meetings. BAR is expected to communicate ongoing training needs to Supervisor as needed during and after initial Evaluation period. BAR should be highly motivated and perform with minimal supervision.
All other duties and responsibilities as assigned by Management.
Work Schedule: 80 Hours Bi-weekly
Qualifications /Training:
Knowledge of Medical terminology
Computer knowledge required along with Excel knowledge
Must have excellent interpersonal skills
Licenses/Certifications/Registrations/Education:
High School Diploma or Equivalent (GED) from an accredited school preferred
$24k-27k yearly est. Auto-Apply 10d ago
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Customer Account Representative - Urology
Aeroflow 4.4
Asheville, NC jobs
Shift: Monday-Friday 8:00 am - 5:00 pm EST Pay: $20/hour Aeroflow Healthcare is taking the home health products and equipment industry by storm. We've created a better way of doing business that prioritizes our customers, our community, and our coworkers.
We believe in career building. We promote from within and reward individuals who have invested their time and talent in Aeroflow. If you're looking for a stable, ethical company in which to advance you won't find an organization better equipped to help you meet your professional goals than Aeroflow Healthcare.
The Opportunity
Within Aeroflow, the Urology team is comprised of many different roles, with all one purpose - to provide great customer service to our new and current patients.
As a customer accountrepresentative, you will focus on providing exceptional customer service to patients, healthcare professionals, and insurance companies.
This is a fully remote position; however, it is not a flexible or on-demand schedule. To be successful in this role, you must be able to work in a quiet, distraction-free environment where you can handle back-to-back phone calls and maintain focus throughout your shift.
Please note: Working remotely is not a substitute for childcare. Candidates must have appropriate arrangements in place to ensure they are fully available and able to respond to calls and tasks as they come in throughout the workday.
Your Primary Responsibilities
We are currently seeking a Customer AccountRepresentative. CAR is typically responsible for:
Handling a high-volume number of both incoming and outgoing phone calls daily
Updating account information, such as: product needs, insurance, contact information, etc.
Placing resupply orders for current patients that receive incontinence supplies and catheters
Researching insurance payer requirements and understanding reimbursement procedures
Troubleshooting equipment problems and offering product changes
Maintaining HIPAA/patient confidentiality
Employee has an individual responsibility for knowledge of and compliance with laws, regulations, and policies.
Compliance is a condition of employment and is considered an element of job performance
Regular and reliable attendance as assigned by your schedule
Other job duties as assigned
Skills for Success
Excellent Customer Service Skills
Ability to Think Critically
Exceptional Organization
High Level of Compassion
Outstanding Written and Verbal Communication
Willingness to Make Decisions Independently
Ability to Contribute to a Team
Must Be Adaptable and Willing to Learn
General Computer and Email Proficiency
Required Qualifications
High school diploma or GED equivalent
1 year of customer service experience preferred
1 year of call center experience preferred
Excellent written and verbal communication skills
Excellent critical thinking skills
Excellent De-escalation skills
Excellent active listening skills
Ability to multitask - shifting between open applications as you speak with patients
Ability to type 40+ words per minute with accuracy
A reliable, high-speed internet connection is required, with a minimum download speed of 20 Mbps and minimum upload speed of 5 Mbps. Unstable or unreliable connectivity may impact performance expectations. Repeated internet or phone outages may result in the termination of remote work privileges at the discretion of Aeroflow Health management.
You might also have, but not required:
Knowledge with different types of insurance such as medicare, medicaid, and commercial plans
DME supplies, specifically with incontinence and catheters
What we look for
We are looking for highly motivated, talented, individuals who can work well independently and as a team. Someone who has strong organizational, time management, and problem-solving skills. Willing to learn and adapt to organizational changes.
What Aeroflow Offers
Competitive Pay, Health Plans with FSA or HSA options, Dental, and Vision Insurance, Optional Life Insurance, 401K with Company Match, 12 weeks of parental leave for birthing parent/ 4 weeks leave for non-birthing parent(s), Additional Parental benefits to include fertility stipends, free diapers, breast pump, Paid Holidays, PTO Accrual from day one, Employee Assistance Programs and SO MUCH MORE!!
Here at Aeroflow, we are proud of our commitment to all of our employees. Aeroflow Health has been recognized both locally and nationally for the following achievements:
Family Forward Certified
Great Place to Work Certified
5000 Best Place to Work award winner
HME Excellence Award
Sky High Growth Award
If you've been looking for an opportunity that will allow you to make an impact, and an organization with unlimited growth potential, we want to hear from you!
Aeroflow Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
If this opportunity appeals to you, and you are able to demonstrate that you meet the minimum required criteria for the position, please contact us as soon as possible.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.
$20 hourly 1d ago
Homecare Homebase Support Representative
Ambercare 4.1
Frisco, TX jobs
The HCHB Support Representative is responsible for handling software support calls and tickets initiated by Addus Home Health, Hospice, and Private Duty, and Personal Care branches. The role will also assist in training during acquisition integration projects as well as testing hot fixes and system upgrades HCHB releases. Must have recent Homecare Homebase Software experience.
Schedule: Remote Role / Monday - Friday 8am to 5pm.
>> We offer our team the best
Medical, Dental and Vision Benefits
Continued Education
PTO Plan
Retirement Planning
Life Insurance
Employee discounts
Essential Duties:
Managing a service desk (ServiceNow) ticket queue which includes triaging incoming requests, managing escalations to Addus team members, building out new worker login profiles, device buildout, user errors, and assisting branches in clearing claims or preventing ineligible claims.
Consult with HCHB's Customer Experience team as needed to provide solutions to HCHB errors.
Submit and follow up on HCHB Support Tickets.
Assist in project tasks related to new agency acquisitions.
Communicate with branches via phone, email, and live chat in a timely fashion to identify and resolve reported issues.
Identifying trending issues and providing thorough research and documentation of findings.
Effectively provide consultation and education on the appropriate use of all products within the HCHB Suite.
Ability to take assigned projects to successful completion.
The role may also include training staff during HCHB rollouts, assisting in HCHB quarterly release testing, assist in audit reviews, and develop and conduct training programs to support team members on HCHB applications.
Position Requirements & Competencies:
High school diploma or GED equivalent, some college preferred.
No less than 2 years of recent HCHB software experience.
Excellent written and oral communication skills.
Excellent customer service skills.
Computer proficiency required: including intermediate level knowledge in Microsoft Suite.
Ability to analyze and interpret situations to complete tasks or duties assigned.
Detail oriented, strong organizational skills.
Team players who are passionate about their work and will actively contribute to a positive and collaborative environment.
Quick learners with strong problem solving and creative thinking abilities.
Driven individuals who remain engaged in their own professional growth.
Ability to Travel:
Heavy travel (varies and may exceed 50%) is required during acquisition phases.
Some travel may be required on weekends or evenings.
Addus provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
To apply via text, text 9930 to ************
#ACADCOR #CBACADCOR #DJADCOR #IndeedADCOR
We may text you during the hiring process. By proceeding, you give us permission to text you at the mobile number provided. Message and data rates may apply. Message frequency varies. Reply 'Opt Out' at any time if you no longer wish to receive text messages regarding our opportunities.
Employee wellbeing is top priority at Addus Homecare, and we're thrilled to announce our recognition as the top healthcare company on Indeed's 2024 Top 100 Work Wellbeing Index.
$28k-33k yearly est. 1d ago
Reimbursement Specialist - Hospice
Medical Services of America 3.7
Lexington, SC jobs
Hospice Reimbursement Group, a division of Medical Services of America Inc., is currently seeking experienced Full-Time Hospice Reimbursement Specialist for our corporate office in Lexington, SC.
MSA offers competitive pay and excellent benefits
40 hours paid time off during the first year of employment
Medical, Vision & Dental Insurance
Company paid life insurance
401(k) retirement with a generous company match
Opportunities for advancement
Other great benefits
This person will be responsible for submitting and re-billing claims
Submits claims for all pay sources and locations as assigned.
Tracks reasons for unpaid claims and re-bills claims as necessary.
Files electronic and/or written appeal requests in a timely manner.
Works with locations to resolve any issues that may affect billing.
Job Requirements
High School Diploma or General Education Degree (GED) required.
Previous hospice reimbursement experience preferred.
Previous medical office billing/collection experience preferred.
MSA is an Equal Opportunity Employer
$32k-44k yearly est. 4d ago
Associate District Account Representative - Northern California
Dexcom 4.7
Remote
The Company
Dexcom Corporation (NASDAQ DXCM) is a pioneer and global leader in continuous glucose monitoring (CGM). Dexcom began as a small company with a big dream: To forever change how diabetes is managed. To unlock information and insights that drive better health outcomes. Here we are 25 years later, having pioneered an industry. And we're just getting started. We are broadening our vision beyond diabetes to empower people to take control of health. That means personalized, actionable insights aimed at solving important health challenges. To continue what we've started: Improving human health.
We are driven by thousands of ambitious, passionate people worldwide who are willing to fight like warriors to earn the trust of our customers by listening, serving with integrity, thinking big, and being dependable. We've already changed millions of lives and we're ready to change millions more. Our future ambition is to become a leading consumer health technology company while continuing to develop solutions for serious health conditions. We'll get there by constantly reinventing unique biosensing-technology experiences. Though we've come a long way from our small company days, our dreams are bigger than ever. The opportunity to improve health on a global scale stands before us.
Meet the team:
At Dexcom, we empower people to take control of health. Dexcom is a pioneer and global leader in continuous glucose monitoring (CGM). Since 1999, Dexcom has developed innovative technology that has transformed how people manage diabetes. Dexcom has done this through sensor and software innovation to meet the unique needs of people with diabetes, their caregivers, and health care professionals. Dexcom has also led innovative work to ensure CGM technology can be accessible for more and more people.
The Dexcom Remote Sales Representative will be assigned a district/territory comprised of potential Health Care Professional (HCP) customers. This individual will be responsible for bringing awareness about CGM systems and promoting the use of Dexcom products by providing support services and solutions to HCPs. The Dexcom Sales Representative will communicate with prospects using a suite of technologies including, but not limited to, telephone, SMS, Email, MarketingCloud journeys, video conferencing, etc.
Where you come in:
You will support company initiatives within the district/territory virtually as well as in person to bring awareness to the benefits of Dexcom CGM to Healthcare Providers in your district. (HCP calls, programs, TBM support)
You will provide education and training on Dexcom products to relevant HCPs in innovative ways
You will achieve quarterly sales goals and meet Key Performance Indicator Metrics as designated by your management team
You will increase the Dexcom market share and hit district/territory targets in line with company expectations by utilizing the services and support from across the company in accordance with the Dexcom values and culture
You will utilize company CRM to identify business development opportunities, track activities, and configure digital face-to-face presentations
It is preferred that you are experienced using a CRM tool in the medical device or pharmaceutical industry, and have a passion for helping those with diabetes.
You must live within the District's territory defined in the job title to be able to attend meetings, events, or development opportunities
What makes you successful:
Customer, Patient, and Industry Knowledge
You will maintain an up-to-date understanding of the Dexcom customer and diabetes industry, market conditions and trends, healthcare regulations, and competitor activities
You will maintain an understanding of all the Dexcom customer types, segments, and the patient's experience (including unmet needs, drivers, and barriers)
You will attend industry trade shows and events to promote Dexcom products and services - some travel may be required
You will partner closely with sales management and professionals at Dexcom to create and follow a cohesive customer engagement plan
Therapy Area and Product Knowledge
You will maintain comprehensive and up-to-date Dexcom product knowledge and a thorough understanding of diabetes. Undertake and regularly pass clinical and product knowledge assessments
You will implement sales and marketing initiatives throughout the customer base according to company priorities/strategy and customer needs, including the launching of new products and services
You will differentiate between Dexcom products, services, and applications against competitor brands and product lines
Business Planning and Administration
You will prioritize and execute cycle and Quarterly objectives
You will analyze district/territory-level market share and other appropriate sales data to optimize efficiency to meet or exceed goals and objectives consistently
You will ensure correct and up-to-date information is communicated to customers
You will complete all call reporting within specified deadlines
Selling
You will conduct high volume outbound cold and warm calls daily to meet product awareness goals.
You will execute call objectives appropriate to the customer's segment and specific needs, including sampling, clarity training, education programs, etc.
You will connect and engage with prescribers and HCPs in individual and group set-ups to help customers discover, clarify, and verbalize their needs and those of their patients and identify gaps
You will act as a reliable resource for information on how Dexcom products and services can meet expressed and uncovered needs
As appropriate, you will utilize the Dexcom sales process with each customer to identify priority opportunities and to capture progress to date
You will drive recommendations of Dexcom products across the district/territory to achieve growth targets
Administration
You will complete daily, weekly, and monthly administration as required
You will maintain the CRM system as directed by the Sales Manager
You will capture email and register HCPs for marketing journeys
You will ensure all internal training courses/regulatory requirements are completed as directed
You will attend team meetings and actively participate with territory/district team events
What you'll get:
A front row seat to life changing CGM technology. Learn about our brave #dexcomwarriors community.
A full and comprehensive benefits program.
Growth opportunities on a global scale.
Access to career development through in-house learning programs and/or qualified tuition reimbursement.
An exciting and innovative, industry-leading organization committed to our employees, customers, and the communities we serve.
Travel Required:
15-25%
Experience and Education:
Typically requires a Bachelors degree and 0-2 years previous experience.
Please note: The information contained herein is not intended to be an all-inclusive list of the duties and responsibilities of the job, nor are they intended to be an all-inclusive list of the skills and abilities required to do the job. Management may, at its discretion, assign or reassign duties and responsibilities to this job at any time. The duties and responsibilities in this job description may be subject to change at any time due to reasonable accommodation or other reasons. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, or protected veteran status and will not be discriminated against on the basis of disability. Dexcom's AAP may be viewed upon request by contacting Talent Acquisition at ****************************.
If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact Dexcom Talent Acquisition at ****************************.
View the OFCCP's Pay Transparency Non Discrimination Provision at this link.
Meritain, an Aetna Company, creates and publishes the Machine-Readable Files on behalf of Dexcom. To link to the Machine-Readable Files, please click on the URL provided: ***************************************************** Code=MERITAIN_I&brand Code=MERITAINOVER/machine-readable-transparency-in-coverage?reporting EntityType=TPA_19874&lock=true
To all Staffing and Recruiting Agencies: Our Careers Site is only for individuals seeking a job at Dexcom. Only authorized staffing and recruiting agencies may use this site or to submit profiles, applications or resumes on specific requisitions. Dexcom does not accept unsolicited resumes or applications from agencies. Please do not forward resumes to the Talent Acquisition team, Dexcom employees or any other company location. Dexcom is not responsible for any fees related to unsolicited resumes/applications.
Salary:
$22.21 - $37.01
$22.2-37 hourly Auto-Apply 60d+ ago
Remote - Billing Representative I
Mercy Hospitals East Communities 4.1
Remote
Find your calling at Mercy!The Billing Representative I position is responsible for the daily electronic submission of claims, paper claims, and the resolution of failed claims on a daily basis. Billing Representatives I must be able to accurately and efficiently work a high volume of claim transactions across all lines of service. Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards.Position Details:
Qualifications
Education: High school diploma or GED required
Experience: Two to three years medical billing experience required.
Other: Must have ability to work under stress, meet deadlines, and perform all daily assignments with consistent accuracy. Ability to use logic in determining correct document processing and to read, understand and follow written and oral instructions. Must be detail oriented. Required to maintain strict confidentiality.
Why Mercy?
From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.
Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.
$32k-40k yearly est. Auto-Apply 6d ago
Accounts Receivable Represenative II (Remote)
North American Partners In Anesthesia 4.6
Remote
Under the direct supervision of the Collections Supervisor or Manger, the Accounts Receivable Representative II is responsible for effective and efficient accounts receivable management of assigned payers. Collections efforts on outstanding accounts include telephone contact with payers, work collection reports and correspondence, audit accounts, appeal denied claims as necessary, update accounts as necessary, identify carrier related denial trends and meet departmental productivity standards. Accounts Receivable Representative 2 will also coordinate the transfer of patient responsibility and work accounts that require additional insurance collection follow-up.
Principal Duties and Responsibilities
Reviews, evaluates, and forwards manual paper claims to payers that do not accept electronic claims or that require special handling
Document's billing activity on the patient account; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leaders
Reviews claims for accuracy and coordinates with ancillary departments as needed to provide information for audits and/or record reviews
Based on electronic payers' error reports, makes appropriate corrections to optimize the electronic claims submission process
Pursues prompt follow-up efforts on aged accounts, which may involve helping to formulate written appeals
Accurately documents all follow up on the account to ensure there is an accurate record of the steps taken to collect on an account.
Monitors claim rejections for trends and issues; reports these findings to the lead biller and other departmental leaders
Practices excellent customer service skills by answering patient and third-party questions and/or addressing billing concerns in a timely and professional manner
Assists in reviewing and/or resolving credit balances
Participates in general or special assignments and attends required training
The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and should not be considered a detailed description of all the work requirements that may be inherent to the position.
Position Qualifications
Education:
High school diploma or equivalent certification required
Associate degree preferred
Experience:
2 to 4 years of customer service and/or business office experience preferred in a medical setting
Knowledge of basic patient accounting processes and healthcare terminology strongly preferred
Knowledge, Skills, Abilities:
Strong computer skills (including MS Word and Excel)
Ability to maintain accuracy while working on multiple tasks in a fast-paced environment under low-to moderate supervision
Excellent verbal and written communication skills, including professional telephone etiquette
Ability to ensure confidentiality of sensitive information and maintain HIPAA compliance
Dependable in both production and attendance
Exceptional organization and time management skills
Total Rewards
Generous benefits package, including:
Paid Time Off
Health, life, vision, dental, disability, and AD&D insurance
Flexible Spending Accounts/Health Savings Accounts
401(k)
Leadership and professional development opportunities
EEO Statement
North American Partners in Anesthesia is an equal opportunity employer.
$30k-39k yearly est. Auto-Apply 60d+ ago
Diversified Billing Specialist-Remote
Mayo Healthcare 4.0
Rochester, MN jobs
The Diversified Billing Specialist is primarily responsible for supporting the activities of Mayo Clinic Ambulance Billing. Also responsible for collecting specific patient account information through the use of automated system, focusing on each account, one customer at a time. Responds to and resolves a variety of accounts, billing and payment issues from patients/customers on specific types of accounts. Uses excellent customer service and interpersonal skills when interacting with patients and customers. Makes appropriate decisions that require individual and/or team analysis, reasoning and problem solving. Interprets, applies, and communicates Mayo Clinic policies regarding medical and financial aspects of patient care to assure optimal reimbursement for both the patient and Mayo Clinic Ambulance.
High school education or equivalent.
Previous ambulance billing certification or experience preferred.
Qualified candidates must be customer focused, service oriented and possess strong skills in: team building, communications, decision making, problem solving, interaction, coping and versatility. Knowledge of PC Windows, Microsoft Word, and Excel, medical terminology, and Health Quest systems helpful. Knowledge of Medicare, Medical Assistance and Insurance processes and procedures. Keyboarding experience, 40 wpm preferred.
Healthcare Financial Management Association (HFMA) Certification Preferred.
*This position is a 100% remote work. Individual may live anywhere in the US.
**This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.
$32k-39k yearly est. Auto-Apply 3d ago
Physical Therapy Billing Specialist, Work from Home!
Burger Physical Therapy 3.8
Sacramento, CA jobs
Burger Rehabilitation Systems, Inc. has provided therapy services since 1978.
We seek a Billing Specialist to join our Customer Service Center team in a work from home full-time position, Monday through Friday, 8:00 a.m. to 5:00 p.m. with a one-hour lunch.
We need someone to be local in the Sacramento, California, region!
This position requires a high school diploma or GED equivalent, required 1-3 years successful experience in Physical Therapy billing and collections, competency of Rain Tree or EMR equivalent and full knowledge of current billing policies.
Our team is solid and led by a popular Director. You may be required to come into the Folsom Office for training for a week or two, and rare, but possible, periodic Folsom meetings.
Under the general direction of the Patient Services Director, this position will be responsible for the collection of assigned clinic receivables or financial class receivables, to be determined.
Essential duties and responsibilities include the following. Other duties may be assigned.
1. Aggressively work aging's and follow through to complete resolution on all accounts. Be prepared to discuss or prepare listing of accounts over 90 days with explanations for the Patient Services Director's review. Work the highest dollar amounts first.
2. Review electronic claims denials daily to ensure timely collections. Review all paper claims prior to billing.
3. Run insurance bills including electronic claims as directed.
4. Bill secondaries and send appropriate paperwork as required for timely collections.
5. Research, reprocess and appeal claim denials and information requests.
6. Send/release statements timely as directed.
7. Prepare any needed account adjustments and non-contractual write offs for supervisor's approval.
8. Research and prepare patient refund requests on credit balances monthly and give to the Patient Services Director for review and payment.
9. Submit accounts for collections/letter service consideration to supervisor for approval.
10. Submit accounts for bad debt adjustment to supervisor for review.
11. Submit credit balances to supervisor for appropriate action by 12/31 of each year.
12. Monitor lien accounts and follow up needed in order to ensure lien limits are followed or resolved and accounts are resolved timely. Apply appropriate set-up and interest fees.
13. Assist patients in a professional and timely manner and refer any unresolved problem accounts to supervisor as needed.
14. Ensure accurate entry of all charges and patient data entry for Assisted Living billing, (if assigned).
15. Ensure complete and accurate entry of patient data in RT and TS per the deadlines set by the Patient Services Director including but not limited to the insurance, onset date for Medicare patients after charges are extracted and other pertinent information required for accurate billing and copayment collection.
16. Complete related work as assigned, including but not limited to charge entry as required.
Compensation starts at $20.00 per hour.
Burger Rehabilitation Systems, Inc. has provided therapy services since 1978.
We seek a Billing Specialist to join our Customer Service Center team in a work from home full-time position, Monday through Friday, 8:00 a.m. to 5:00 p.m. with a one-hour lunch.
We need someone to be local in the Sacramento, California, region!
This position requires a high school diploma or GED equivalent, required 1-3 years successful experience in Physical Therapy billing and collections, competency of Rain Tree or EMR equivalent and full knowledge of current billing policies.
Our team is solid and led by a popular Director. You may be required to come into the Folsom Office for training for a week or two, and rare, but possible, periodic Folsom meetings.
Under the general direction of the Patient Services Director, this position will be responsible for the collection of assigned clinic receivables or financial class receivables, to be determined.
Essential duties and responsibilities include the following. Other duties may be assigned.
1. Aggressively work aging's and follow through to complete resolution on all accounts. Be prepared to discuss or prepare listing of accounts over 90 days with explanations for the Patient Services Director's review. Work the highest dollar amounts first.
2. Review electronic claims denials daily to ensure timely collections. Review all paper claims prior to billing.
3. Run insurance bills including electronic claims as directed.
4. Bill secondaries and send appropriate paperwork as required for timely collections.
5. Research, reprocess and appeal claim denials and information requests.
6. Send/release statements timely as directed.
7. Prepare any needed account adjustments and non-contractual write offs for supervisor's approval.
8. Research and prepare patient refund requests on credit balances monthly and give to the Patient Services Director for review and payment.
9. Submit accounts for collections/letter service consideration to supervisor for approval.
10. Submit accounts for bad debt adjustment to supervisor for review.
11. Submit credit balances to supervisor for appropriate action by 12/31 of each year.
12. Monitor lien accounts and follow up needed in order to ensure lien limits are followed or resolved and accounts are resolved timely. Apply appropriate set-up and interest fees.
13. Assist patients in a professional and timely manner and refer any unresolved problem accounts to supervisor as needed.
14. Ensure accurate entry of all charges and patient data entry for Assisted Living billing, (if assigned).
15. Ensure complete and accurate entry of patient data in RT and TS per the deadlines set by the Patient Services Director including but not limited to the insurance, onset date for Medicare patients after charges are extracted and other pertinent information required for accurate billing and copayment collection.
16. Complete related work as assigned, including but not limited to charge entry as required.
Compensation starts at $20.00 per hour.
QUALIFICATION REQUIREMENTS: Ability to alphabetize and file efficiently, working knowledge of Microsoft EXCEL and WORD experience preferred. Ability to organize and type professional letters to customers as needed, ability to multi-task, must be able to perform 10-12 thousand key strokes per hour.
EDUCATION and/or EXPERIENCE:
High school diploma or GED equivalent. One - three years' experience plus successful experience in medical billing and collections required.
Benefits include competitive compensation, direct deposit, employee assistance programs and may include:
Retirement Benefits - 401(k) Plan
Paid Time Off (PTO)
Continuing Education
Medical, Dental and Vision
Legal Shield
Life Insurance
Long Term Disability Plans
Voluntary Insurances
ID Shield
Nationwide Pet Insurance
APPLY NOW: Click on the above link “Apply To This Job”
Interested in hearing about other Job Opportunities? Contact a member of the Burger Recruiting Team today!
P.**************
F. ************
********************
Our Mission Statement:
We proudly acknowledge we are in business to provide rehabilitation services that make a POSITIVE difference in the lives of our patients, their families, our staff and the community at large.
Skills & Requirements
QUALIFICATION REQUIREMENTS: Ability to alphabetize and file efficiently, working knowledge of Microsoft EXCEL and WORD experience preferred. Ability to organize and type professional letters to customers as needed, ability to multi-task, must be able to perform 10-12 thousand key strokes per hour.
EDUCATION and/or EXPERIENCE:
High school diploma or GED equivalent. One - three years' experience plus successful experience in medical billing and collections required.
Benefits include competitive compensation, direct deposit, employee assistance programs and may include:
Retirement Benefits - 401(k) Plan
Paid Time Off (PTO)
Continuing Education
Medical, Dental and Vision
Legal Shield
Life Insurance
Long Term Disability Plans
Voluntary Insurances
ID Shield
Nationwide Pet Insurance
APPLY NOW: Click on the above link “Apply To This Job”
Interested in hearing about other Job Opportunities? Contact a member of the Burger Recruiting Team today!
P.**************
F. ************
********************
Our Mission Statement:
We proudly acknowledge we are in business to provide rehabilitation services that make a POSITIVE difference in the lives of our patients, their families, our staff and the community at large.
$20 hourly Easy Apply 8d ago
Hospital Patient Accounts Representative
Ely-Bloomenson Community Hospital 3.3
Ely, MN jobs
←Back to all jobs at Ely-Bloomenson Community Hospital Hospital Patient AccountsRepresentative
The Hospital Patient AccountsRepresentative handles patient billing and verifies medical insurance coverage. The Hospital Patient AccountsRepresentative's responsibilities include liaising with medical insurance providers to resolve payment issues, assisting patients in understanding medical insurance benefits, and refund processing.
At Ely-Bloomenson Community Hospital (EBCH), we believe in delivering exceptional care to every patient, every time, and that starts with supporting our team. We offer competitive pay, outstanding benefits, and a healthy work-life balance. Whether you're providing direct patient care or supporting hospital operations, you'll be part of a team that values excellence and professional growth.
Responsibilities
Verifies insurance coverage, benefits, and updates patient demographics and insurance information.
Document complaints and correspondence received from patients and/or insurance carrier and directs them to appropriate team leaders and executives.
Reviews credit balance accounts to determine if a refund should be issued to insurance or patient.
Monitor claims resolution by utilizing practice management systems and applications.
Complete timely insurance follow-up by using payor websites and contacting payors to resolve unprocessed claims and denials.
Identify billing problems from EOBs and work to correct the errors according to payor guidelines.
Performs receptionist duties or admitting duties when needed.
Performs admission notifications and prior authorizations when needed.
Enters and posts payments/charges/adjustments into the hospital practice management system when needed.
Keys data into computer system for the General Ledger transactions in the Billing Accounts Receivable module.
Answers inquiries from customers promptly and courteously.
Processes electronic patient payments in person or over the phone.
Sets up payment plans in the management system.
Updates the patient's accounts to identify actions taken on the account.
Wage
$21.07 - $24.94 per hour.
Schedule
40 hours per week, Monday - Friday.
Full-time Benefits
Generous paid vacation, sick and safe time, and several paid holidays!
Medical Insurance Plans through Blue Link with up to $4,000 annual HSA EBCH Contribution (based on plan enrollment)
Dental Insurance
Vision Insurance - Policy paid 100% by EBCH
403(b) Retirement Plan with EBCH Contribution
Health Care and Dependent Care FSA
Short-term and Long-term Disability Insurance - Policies paid 100% by EBCH
$75,000 Life and AD&D Insurance Plan - Policies paid 100% by EBCH
Optional Supplemental Life Insurance for you and your family at a low rate
On-site Employer Daycare with Employee Discounted Rates
Bucketlist Rewards & Employee Recognition Program
Employee Assistance Program
*Benefits and eligibility may vary based on FTE status. Daycare enrollment based on availability
Required Qualifications
High School Diploma or Equivalent required.
Business-oriented curriculum or minimum of one year experience in Receptionist or Admitting Clerk position in health care setting and minimum of 6-months experience in claims submission and claims adjudication; or training/certificate from a billing or similar program.
Demonstrated understanding of contractual adjustments to determine if balance of account is patient liability, provider liability or can be sent for review/appeal.
Preferred Qualifications
Knowledge or experience using EPIC is preferred.
Knowledge of CPT codes, DX codes, and Rev Codes is preferred.
Knowledge of various medical insurance programs and billing requirements is preferred.
About EBCH
We're more than a healthcare provider, we're a close-knit team dedicated to caring for our neighbors and strengthening the community we call home. Guided by our mission to enhance the health and well-being of the community we serve, we take pride in delivering compassionate, high-quality care close to home.
Our team embodies values of excellence, balance, compassion, and honor. We listen to our patients and each other, support personal and professional growth, and celebrate individuality. At EBCH, you'll find a workplace where you're valued, trusted, and empowered to make a difference every day - both inside and outside the hospital walls.
Job offers are contingent upon successful completion of passing a background study, fingerprinting, and reference check process. EBCH is committed to maintaining a work environment free from the influence of illegal drugs and alcohol.
Please visit our careers page to see more job opportunities.
$21.1-24.9 hourly 5d ago
Patient Collections Specialist (on-site)
Pacific Medical 3.7
Tracy, CA jobs
Established in 1987, Pacific Medical, Inc. is a distributor of durable medical equipment; specializing in orthopedic rehabilitation, arthroscopic surgery, sports medicine, prosthetics, and orthotics. With the heart of the company dedicated to helping and serving others, we provide our services directly to the patient, medical networks, physician clinics, and offices. We are dedicated to the advancement of patient care through excellent service and product technology.
We have an immediate non-remote opportunity to join our growing company. We are currently seeking 2 full-time (M-F 8:00 am-5:00 pm)
Patient Collections Specialist
for our Tracy, CA office. These individuals will be responsible for the following:
Job Responsibilities:
· Contact patients/guarantors to secure payment for services provided based on an aging report with balances.
· Contact patients when credit card payments are declined.
· Follow up with refund requests.
· Document all calls and actions are taken in the appropriate systems. Sets next work date if follow-up is needed.
· Confirms/updates with patient/guarantor insurance and patient demographics information. Makes appropriate changes and submits/re-submits claims as indicated.
· Establishes a payment arrangement with the patient/guarantor and follow-up on all payment arrangement plans implemented.
· Document all patient complaints/disputes and forward them to the appropriate person for follow-up.
· Perform other duties as needed.
Qualifications/Skills:
· Must excel in interpersonal communication, customer service and be able to work both independently and as part of a team.
· Must excel in organizational skills.
· Must possess strong attention to detail and follow-through skills.
· Education, Training, and Experience
Required:
- High School graduate or equivalent.
- Must type 25-45 words per minute.
Hourly Rate Pay Range: $17.00 to $19.00
· Annual Range ($35,360 to $39,520)
O/T Rate Pay Range: $25.50 to $28.50
· Example of Annual O/T Range (5 to 10 hours per week @ 50 weeks range $6,375.00 - $14,250.00)
· Note: Abundance of O/T Available
Bonus Opportunity
Team Bonus: $0 to $500 per month (increases hourly rate up to $2.88 per hour or up to $6k per year)
Profit Bonus: $0 to $500 per month (increases hourly rate up to $2.88 per hour or up $6k per year)
Total Compensation Opportunity Examples:
Annual Base Pay: $41,735.00 (Estimate incl. 5 hrs O/T per week, Low-range Team and Profit Bonus after 3 months)
Annual Mid-Range Pay: $54,315.00 (Estimate incl. 5 hrs O/T per week, Mid-range Team and Profit Bonus)
Annual Top Pay: $57,895.00 (Estimate incl. 5 hrs O/T per week, Max Team and Profit bonus)
All Full-Time positions offer the following: Medical, Dental, Vision, ER paid Life for Employee, Voluntary benefits, Medical FSA, Dependent FSA, HSA, 401k, and Financial Wellness planning.
Additional Benefits for Full-Time Employees (3 to 4 weeks of Paid Time Off)
Holidays: 10 paid holidays per year
Vacation Benefit: At completion of 3-month introductory period, vacation accrual up to a max of 40 hours in the first 23 months, at 24 months, accrual up to a max of 80 hours with a rollover balance.
Sick Benefit: Sick accrual begins upon date of hire up to a max accrual of 80 hours annually with a max usage of 48 hours annually with a rollover balance.
$35.4k-39.5k yearly Auto-Apply 6d ago
Medical Billing Specialist
Physician Services USA 4.5
Columbia, SC jobs
Family-oriented physician practice management company in NE Columbia is seeking to hire experienced and driven professionals in the medical billing field.
Responsibilities include the billing and account resolution aspects of revenue cycle management, providing management and clients with reports and account updates with some direct client- and patient-interaction while handling multiple projects and deadlines simultaneously.
ESSENTIAL DUTIES:
Review and submit claims daily within client practice management system.
Apply incoming ERA and manual payments to patient accounts.
Analyze and resolve insurance over payments and under payments.
Conduct tracking/follow up on all outstanding claims.
Denial resolution; including submission of medical records and appeals.
Respond to patient & client-direct communications with a high level of customer service.
Manage qualifying collection agency accounts, if applicable.
Submit monthly patient statements.
May assist with client credentialing and contracting.
Prepare Monthly and Adhoc reporting for facilities and office management ·
Maintain monthly financial goals and office metrics.
Performs other duties as assigned by office manager and/or client management.
QUALIFICATIONS AND SKILLS:
High school diploma or GED required.
Minimum of 1-year experience in medical billing preferred.
Working knowledge of CPT / ICD-10 codes.
Average understanding of Medical and Insurance Terminology.
Average knowledge of Microsoft Word and Microsoft Excel.
Ability to analyze standard revenue cycle metrics.
Possess strong organizational skills and the ability to communicate with clients and management.
Manage and develop interpersonal relationships designed to promote teamwork and achieve internal goals.
Payment processing/accounting experience preferred.
Job Type: Full-time
Pay: $12.00 - $17.00 per hour
Benefits:
401(k)
401(k) matching
Dental insurance
Flexible schedule
Health insurance
Life insurance
Paid time off
Vision insurance
Schedule:
Monday to Friday
Work Location: In person
$12-17 hourly 30d ago
Billing Specialist
Hopehealth, Inc. 3.9
Florence, SC jobs
Responsible for correctly processing healthcare claims in order to obtain reimbursement from insurance companies and government healthcare programs, such as Medicare and Medicaid.
Education and Experience:
• High School Diploma or GED required. Associates degree in related field preferred
• 1-2 years of medical billing and follow-up experience desired
• CPC and/or CPB or similar certification highly desired but not required
• eClinicalWorks experience preferred
• Proficient with Microsoft Office Suite specifically Excel, Word, and Power Point
• Advance and current working knowledge of ICD-10, CPT, and HCPCS codes
• Current knowledge of insurance payer coding and reimbursement guidelines
Required Skills / Abilities:
• Demonstrates the ability to work in a high pressure environment
• Strong active listening skills, attention to detail, and decision-making skills are required
• Pleasant, friendly attitude with the ability to adapt to change is essential
• Superior problem- solving abilities is required
• Ability to collaborate with all departments
• Possess the ability to work with patients, clinical, non-clinical staff and providers from a variety of backgrounds and lifestyles while maintaining a non-judgmental attitude.
• Possess excellent customer service skills and be well organized.
• Ability to communicate effectively utilizing both oral and written means.
• Ability to handle various tasks simultaneously while working efficiently, effectively, and independently
• Must be comfortable taking direction from Leadership
Supervisory Responsibilities:
• No supervisory responsibilities
Essential Job Functions:
These essential job functions are required of the Billing Specialist based upon departmental and organizational guidelines, processes, and/or policies. It is the Billing Specialists responsibility while working to ensure excellence in service for the internal and external customers.
• Validates the accuracy of claim information so that future billing and follow up activities are conducted effectively and to assure a high degree of customer service.
• Apply approved adjustments to accounts per departmental and company policy.
• Scrub claims for errors. Mark all appropriate corrections per departmental and payer guidelines.
• File all electronic claims and hard copy claims daily.
• Processes daily all mail and direct correspondence related to open accounts to secure payment, including rejections, denials, or requests for re-bills. Identifies accounts that need rebilling and performs this task within two (2) business days.
• Provides assistance to other department staff with questions or problems related to patient payments, adjustments, remittance advises, or other correspondence in a timely manner
• Receives incoming calls from patients and/or insurance companies. Answer questions and provide information in a courteous and cooperative manner. Returns phone calls within 24 hours.
• Address all actions within 48 hours. Urgent actions are addressed in 24 hours.
• Responsible for maintaining daily account and follow-up worklists within department while maintaining organization's productivity standard. Work account receivables by addressing claims that qualify for insurance follow-up by working claim status buckets. Contact insurance companies within payer specific follow-up guidelines and secures appropriate information about each claim. Document the account as to what is happening on each claim for future reference.
• Adhere to all departmental and organizational guidelines, processes, and policies.
• Attends and participates in departmental and organizational meetings and continuing education opportunities
• Demonstrates and promotes a positive patient/customer service attitude
• Perform other duties as assigned
Physical Requirements:
Must possess the ability to communicate in the dominant language of the geographic region. Must be able to lift 30 pounds. Vision and hearing corrected to within normal limits is required. Must have manual dexterity to key in data; utilize computer, grab, grip, hold, tear, cut, sort, and reach.
$25k-32k yearly est. Auto-Apply 38d ago
Patient Billing Specialist
Johnson Health 4.1
Madison Heights, VA jobs
The Billing Specialist works as part of the administrative team and is responsible for assisting patients with billing inquiries, processing payments, and several other aspects of billing and financial duties within the organization.
Essential Duties and Responsibilities:
1. Assists patients with billing questions, problems in person or on the phone. Follow up on
all calls, documenting as necessary.
2. Reconciles LabCorp Bills to ensure proper allocation of funds.
3. Working through the RPI LabCorp dx code online and an Excel spreadsheet.
4. Researches and processes patient refunds and/or credit balances.
5. Performs payment posting.
6. Responsible for working through Medicaid pending claims.
7. Evaluates accounts for collections activities.
8. Processes return mail and notes patient accounts of needed updates.
9. Responsible for cleaning up and monitoring old billing alerts on accounts.
10. Works through claim/action errors for coding corrections needed.
11. Maintains and assists all Patient Assistant Specialist staff with passwords and logins for
insurance-related websites.
12. Ensures confidential information gained through job performance is kept confidential.
13. Must demonstrate good internal and external customer service skills.
14. Follows the supervisor's instructions.
15. Physical attendance is an essential element of the job and necessary to perform the
essential functions of the Billing Specialist.
16. Performs other duties as assigned.
Other Functions:
1. Staff members will abide by the Code of Conduct as documented in the Corporate
Compliance Manual.
2. Must demonstrate a personal and professional commitment to Johnson Health Center
and its mission.
3. Treats all patients and staff with dignity and respect, mindful of the cultural differences
of the diverse population we serve.
4. Management may modify, add, or remove any job functions as necessary, or as
changing organizational needs require.
JHC Core Values:
Staff members must actively demonstrate dedication and commitment to the core values
of JHC.
1. Respect - We value and respect each patient, their family, ourselves, and each other.
Every individual associated with Johnson Health Center will be treated with dignity and
respect. We value and respect people's differences, show empathy to our patients, their
families and each other, and work collectively to build Johnson Health Center as a
health center and an employer of choice.
2. Integrity - We are committed to doing the right thing every time.
Our actions reflect our commitment to honesty, openness, truthfulness, accuracy and
ethical behavior. We are accountable for the decisions we make and the outcome of
those decisions.
3. Excellence - We will pursue excellence each and every day in activities that foster,
teamwork, quality improvement, patient care, innovation, and efficiencies.
At Johnson Health Center, our medical, dental, pharmacy, behavioral health, front desk
and administrative teams are passionately committed to the highest quality of care for
our patients. We continually seek out ways to enhance the patient experience and
promote an environment of continuous quality improvement.
4. Innovation - We value creativity, flexibility, and continuous improvement efforts.
We are advocates and instruments of positive change, encouraging employees to
engage in responsible risk-taking and working to make a difference. Out of the box
thinking enables us to build on successes and learn from failures.
5. Teamwork - We understand that teamwork is the essence of our ability to succeed.
We work across functional boundaries for the good of the organization. Our
collaborative approach ensures participation, learning and respect and serves to
improve the quality of patient care. By focusing on a team-based approach, the
expertise of each Johnson Health Center employee is leveraged to optimize the patient
experience.
Qualifications:
1. High School diploma or equivalent.
2. Previous billing experience required.
3. Must be self-motivated with well-developed organizational skills and computer
experience, including, but not limited to, Word, Excel, and database functions.
4. Must possess strong communication skills; works well with external organizations and
employees.
Physical Demand and Working Environment:
Fast-paced office setting with travel to other offices often. Lifting and/or exerting force up
to 15 pounds occasionally, with frequently moving of objects. Work requires speaking,
sitting, bending, walking, standing, hearing, and stooping, kneeling, and repetitive motion
with certain activities. 10 hours of constant computer usage. OSHA low-risk position.
EOE/M/F/D/V
$33k-39k yearly est. 60d+ ago
Patient Billing Specialist
Johnson Health Center 4.1
Madison Heights, VA jobs
The Billing Specialist works as part of the administrative team and is responsible for assisting patients with billing inquiries, processing payments, and several other aspects of billing and financial duties within the organization.
Essential Duties and Responsibilities:
1. Assists patients with billing questions, problems in person or on the phone. Follow up on
all calls, documenting as necessary.
2. Reconciles LabCorp Bills to ensure proper allocation of funds.
3. Working through the RPI LabCorp dx code online and an Excel spreadsheet.
4. Researches and processes patient refunds and/or credit balances.
5. Performs payment posting.
6. Responsible for working through Medicaid pending claims.
7. Evaluates accounts for collections activities.
8. Processes return mail and notes patient accounts of needed updates.
9. Responsible for cleaning up and monitoring old billing alerts on accounts.
10. Works through claim/action errors for coding corrections needed.
11. Maintains and assists all Patient Assistant Specialist staff with passwords and logins for
insurance-related websites.
12. Ensures confidential information gained through job performance is kept confidential.
13. Must demonstrate good internal and external customer service skills.
14. Follows the supervisor's instructions.
15. Physical attendance is an essential element of the job and necessary to perform the
essential functions of the Billing Specialist.
16. Performs other duties as assigned.
Other Functions:
1. Staff members will abide by the Code of Conduct as documented in the Corporate
Compliance Manual.
2. Must demonstrate a personal and professional commitment to Johnson Health Center
and its mission.
3. Treats all patients and staff with dignity and respect, mindful of the cultural differences
of the diverse population we serve.
4. Management may modify, add, or remove any job functions as necessary, or as
changing organizational needs require.
JHC Core Values:
Staff members must actively demonstrate dedication and commitment to the core values
of JHC.
1. Respect - We value and respect each patient, their family, ourselves, and each other.
Every individual associated with Johnson Health Center will be treated with dignity and
respect. We value and respect people's differences, show empathy to our patients, their
families and each other, and work collectively to build Johnson Health Center as a
health center and an employer of choice.
2. Integrity - We are committed to doing the right thing every time.
Our actions reflect our commitment to honesty, openness, truthfulness, accuracy and
ethical behavior. We are accountable for the decisions we make and the outcome of
those decisions.
3. Excellence - We will pursue excellence each and every day in activities that foster,
teamwork, quality improvement, patient care, innovation, and efficiencies.
At Johnson Health Center, our medical, dental, pharmacy, behavioral health, front desk
and administrative teams are passionately committed to the highest quality of care for
our patients. We continually seek out ways to enhance the patient experience and
promote an environment of continuous quality improvement.
4. Innovation - We value creativity, flexibility, and continuous improvement efforts.
We are advocates and instruments of positive change, encouraging employees to
engage in responsible risk-taking and working to make a difference. Out of the box
thinking enables us to build on successes and learn from failures.
5. Teamwork - We understand that teamwork is the essence of our ability to succeed.
We work across functional boundaries for the good of the organization. Our
collaborative approach ensures participation, learning and respect and serves to
improve the quality of patient care. By focusing on a team-based approach, the
expertise of each Johnson Health Center employee is leveraged to optimize the patient
experience.
Qualifications:
1. High School diploma or equivalent.
2. Previous billing experience required.
3. Must be self-motivated with well-developed organizational skills and computer
experience, including, but not limited to, Word, Excel, and database functions.
4. Must possess strong communication skills; works well with external organizations and
employees.
Physical Demand and Working Environment:
Fast-paced office setting with travel to other offices often. Lifting and/or exerting force up
to 15 pounds occasionally, with frequently moving of objects. Work requires speaking,
sitting, bending, walking, standing, hearing, and stooping, kneeling, and repetitive motion
with certain activities. 10 hours of constant computer usage. OSHA low-risk position.
EOE/M/F/D/V
$33k-39k yearly est. 60d+ ago
Collection Specialist
Friendship 4.0
Roanoke, VA jobs
Friendship is looking for a Full Time Collection Specialist to join our Friendship team, located in Roanoke, VA. The Collection Specialist is responsible for monitoring and enforcing compliance with Friendship's Business Office policies and procedures.
Roles & Responsibilities:
Daily management of census data
Obtain complete and accurate data for claim/statement creation within stated timeframes
Maintains payer data and payer liability amounts
Create and deliver accurate private statements; manage private collections to meet Friendship targets
Initiate private write-offs and refunds
Manage Resident Trust Fund in accordance with Federal and State regulations
Charge entry
Participates in educational activities and attends monthly staff meetings
Conducts self in accordance with HPA's employee manual
Collection calls
Qualifications:
Associate's Degree in business or related field required; Bachelor's Degree preferred; or 5 years of Long Term Care Experience in business office setting
Minimum of 2 years' experience in insurance billing preferred
Strong knowledge of insurance, especially as it pertains to third party payers (Medicare, Medicaid and Managed Care organizations)
While performing the duties of this job, the employee is regularly required to see and talk or hear. The employee is frequently required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms. May be required to lift or move objects weighing 20 lbs
Benefits for Full Time Positions:
401(k) retirement plan along with employer match
Health Insurance
Dental Insurance
Vision Insurance
Flexible Spending Account
Paid Time Off
Employee Assistance Program
Education Assistance
Company Paid Life Insurance
Voluntary insurance (additional life insurance, accident insurance, critical illness, short term disability)
$30k-36k yearly est. 9d ago
Patient Account Associate II EDI Coordinator
Intermountain Health 3.9
Richmond, VA jobs
Creates and optimizes EDI connectivity for ERAs, completes and monitors enrollments, manages and maintains payer portals. **Essential Functions** + Develops and implements strategies for adhering to commercial and Government requirements of emerging payment techniques and various payor portal access requirements, not limited to: development of procedures, assessing and communicating reporting and documentation. Establishing processes for the Intermountain system in complying with payor requirements
+ Serves as a subject matter expert for commercial payor requirements and mechanisms for alternative payment methods. Accountable for understanding and communicating the related commercial and regulatory programs payment techniques and portal access requirements.
+ Acts as a technical resource related to portal access and functionality for operational management and staff. Manages and maintains all tickets related to government and commercial payor portals across the organization.
+ Acts as a subject matter expert for the RSC as it relates to EDI enrollments to obtain remittance advice. Acts as a liaison between the organization and vendors, and internal and external partners. Collaborates with interdepartmental leadership and vendors to implement streamlined workflows, training and communication.
+ Supports leadership in coordinating with clearinghouse vendors and works to obtain electronic payments where the clearinghouse contracts are not in place. Creates and provides monitoring and trending reports to the Cash Management Leadership teams. Utilizes reporting to partner with internal and external partners and provide suggested solutions for identified trends
+ Research errors identified by payor payments being sent in means other than EFT/ERA or via clearinghouse. Achieve and maintain electronic payment activity at 100% or as payors allow. Works with clearinghouse to enroll payors and resolve payment/system issues.
+ Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards.
+ Performs other duties as assigned
**Skills**
+ Written and Verbal Communication
+ Detail Oriented
+ EDI Enrollment
+ Teamwork and Collaboration
+ Ethics
+ Data Analysis
+ People Management
+ Time Management
+ Problem Solving
+ Reporting
+ Process Improvements
+ Conflict Resolution
+ Revenue Cycle Management (RCM)
**Qualifications**
+ High school diploma or equivalent required
+ Two (2) years for back-end Revenue Cycle (payor enrollment, payment posting, billing, follow-up)
+ Associate degree in related field preferred
Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings
We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside in California, Connecticut, Hawaii, Illinois, New York, Rhode Island, Vermont, and Washington
**Physical Requirements**
+ Ongoing need for employee to see and read information, documents, monitors, identify equipment and supplies, and be able to assess colleagues' needs.
+ Frequent interactions with colleagues that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately
+ Manual dexterity of hands and fingers to include frequent computer use for typing, accessing needed information, etc
**Location:**
Peaks Regional Office
**Work City:**
Broomfield
**Work State:**
Colorado
**Scheduled Weekly Hours:**
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$24.00 - $36.54
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here (***************************************************** .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.
$39k-44k yearly est. 60d+ ago
Patient Account Associate II EDI Coordinator
Intermountain Health 3.9
Saint Paul, MN jobs
Creates and optimizes EDI connectivity for ERAs, completes and monitors enrollments, manages and maintains payer portals. **Essential Functions** + Develops and implements strategies for adhering to commercial and Government requirements of emerging payment techniques and various payor portal access requirements, not limited to: development of procedures, assessing and communicating reporting and documentation. Establishing processes for the Intermountain system in complying with payor requirements
+ Serves as a subject matter expert for commercial payor requirements and mechanisms for alternative payment methods. Accountable for understanding and communicating the related commercial and regulatory programs payment techniques and portal access requirements.
+ Acts as a technical resource related to portal access and functionality for operational management and staff. Manages and maintains all tickets related to government and commercial payor portals across the organization.
+ Acts as a subject matter expert for the RSC as it relates to EDI enrollments to obtain remittance advice. Acts as a liaison between the organization and vendors, and internal and external partners. Collaborates with interdepartmental leadership and vendors to implement streamlined workflows, training and communication.
+ Supports leadership in coordinating with clearinghouse vendors and works to obtain electronic payments where the clearinghouse contracts are not in place. Creates and provides monitoring and trending reports to the Cash Management Leadership teams. Utilizes reporting to partner with internal and external partners and provide suggested solutions for identified trends
+ Research errors identified by payor payments being sent in means other than EFT/ERA or via clearinghouse. Achieve and maintain electronic payment activity at 100% or as payors allow. Works with clearinghouse to enroll payors and resolve payment/system issues.
+ Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards.
+ Performs other duties as assigned
**Skills**
+ Written and Verbal Communication
+ Detail Oriented
+ EDI Enrollment
+ Teamwork and Collaboration
+ Ethics
+ Data Analysis
+ People Management
+ Time Management
+ Problem Solving
+ Reporting
+ Process Improvements
+ Conflict Resolution
+ Revenue Cycle Management (RCM)
**Qualifications**
+ High school diploma or equivalent required
+ Two (2) years for back-end Revenue Cycle (payor enrollment, payment posting, billing, follow-up)
+ Associate degree in related field preferred
Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings
We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside in California, Connecticut, Hawaii, Illinois, New York, Rhode Island, Vermont, and Washington
**Physical Requirements**
+ Ongoing need for employee to see and read information, documents, monitors, identify equipment and supplies, and be able to assess colleagues' needs.
+ Frequent interactions with colleagues that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately
+ Manual dexterity of hands and fingers to include frequent computer use for typing, accessing needed information, etc
**Location:**
Peaks Regional Office
**Work City:**
Broomfield
**Work State:**
Colorado
**Scheduled Weekly Hours:**
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$24.00 - $36.54
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here (***************************************************** .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.
$30k-33k yearly est. 60d+ ago
Patient Account Associate II EDI Coordinator
Intermountain Health 3.9
Columbia, SC jobs
Creates and optimizes EDI connectivity for ERAs, completes and monitors enrollments, manages and maintains payer portals. **Essential Functions** + Develops and implements strategies for adhering to commercial and Government requirements of emerging payment techniques and various payor portal access requirements, not limited to: development of procedures, assessing and communicating reporting and documentation. Establishing processes for the Intermountain system in complying with payor requirements
+ Serves as a subject matter expert for commercial payor requirements and mechanisms for alternative payment methods. Accountable for understanding and communicating the related commercial and regulatory programs payment techniques and portal access requirements.
+ Acts as a technical resource related to portal access and functionality for operational management and staff. Manages and maintains all tickets related to government and commercial payor portals across the organization.
+ Acts as a subject matter expert for the RSC as it relates to EDI enrollments to obtain remittance advice. Acts as a liaison between the organization and vendors, and internal and external partners. Collaborates with interdepartmental leadership and vendors to implement streamlined workflows, training and communication.
+ Supports leadership in coordinating with clearinghouse vendors and works to obtain electronic payments where the clearinghouse contracts are not in place. Creates and provides monitoring and trending reports to the Cash Management Leadership teams. Utilizes reporting to partner with internal and external partners and provide suggested solutions for identified trends
+ Research errors identified by payor payments being sent in means other than EFT/ERA or via clearinghouse. Achieve and maintain electronic payment activity at 100% or as payors allow. Works with clearinghouse to enroll payors and resolve payment/system issues.
+ Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards.
+ Performs other duties as assigned
**Skills**
+ Written and Verbal Communication
+ Detail Oriented
+ EDI Enrollment
+ Teamwork and Collaboration
+ Ethics
+ Data Analysis
+ People Management
+ Time Management
+ Problem Solving
+ Reporting
+ Process Improvements
+ Conflict Resolution
+ Revenue Cycle Management (RCM)
**Qualifications**
+ High school diploma or equivalent required
+ Two (2) years for back-end Revenue Cycle (payor enrollment, payment posting, billing, follow-up)
+ Associate degree in related field preferred
Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings
We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside in California, Connecticut, Hawaii, Illinois, New York, Rhode Island, Vermont, and Washington
**Physical Requirements**
+ Ongoing need for employee to see and read information, documents, monitors, identify equipment and supplies, and be able to assess colleagues' needs.
+ Frequent interactions with colleagues that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately
+ Manual dexterity of hands and fingers to include frequent computer use for typing, accessing needed information, etc
**Location:**
Peaks Regional Office
**Work City:**
Broomfield
**Work State:**
Colorado
**Scheduled Weekly Hours:**
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$24.00 - $36.54
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here (***************************************************** .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.
$30k-34k yearly est. 60d+ ago
Patient Care Supervisor-Full-time - Medical
McLeod Health 4.7
Account representative job at McLeod Health
Responsibilities:
Job responsibilities include those listed in competency document but are not limited to performing patient Care Management duties in maintaining an organized workflow and open communication including: development and evaluation, performance improvement and staffing patterns during the assigned shift, ensures compliance with established unit standards, policies and specific standards of care, coordinating patient care activities for the assigned shift, and competently manages employee related complaints, issues and concerns to optimize the work environment.
Assess the needs of the patients as assigned based on data collected through history, observation, physical examination, and analysis of diagnostic data while also providing appropriate age specific nursing interventions which are consistent with the plan of care and standards of practice.
Demonstrates continued professional growth through setting goals, participating in educational offerings, and contributes to the department growth and performance through hospital-system initiatives cultivating nursing involved Evidence Based Practices.
Fosters an environment that demonstrates caring, compassion, and respect for patients, families and visitors; fosters interdepartmental and collaborative relationships.
Supervises and ensures use of appropriate health and safety equipment to protect both patients and staff.
Participates in managing fiscal responsibility of the unit.
Utilizes standard work in relation to Nursing Sensitive Quality Indicators.
Performs all other duties as assigned.
Qualifications:
Graduate of an accredited nursing program.
Minimum 2 years of nursing experience.
Advanced Resuscitative Certification appropriate to patient population required within 6 months of hire into the position.
Requirements:
Degrees:
Associates Degree
Licenses and Certifications:
Advanced Cardiac Life
Registered Nurse
Basic Life Support (AHA CERT. ONLY)