Medical claims specialist jobs near me - 309 jobs

TEKsystems has a current opening for a remote insurance follow up/medical billing candidate. Qualified individuals will have a minimum of 2 years of experience with Iowa and/or Illinois Medicaid and Medicare insurance follow up experience. *Description* Daily Duties: * Work with centralized cash posting team to resolve missing or unposted remite * Ensure all claims are accurately transmitted daily and all appropriate documentation is sent when required * Verify eligibility and claims status on unpaid claims * Provide timely feedback to management of identified claims issues, repetitive errors, and payer trends to expedite claims adjudication * Work accounts in assigned queues in accordance with departmental guidelines * Work directly with third party payers and internal/external customers toward effective claims resolution. *Skills & Qualifications* High School graduate or equivalent Must have Iowa and/or Illinois Medicaid payer experience Physician Billing and Denial/Follow Up experience - 2+ years EPIC experience Payer portal claim corrections and reconsiderations knowledge - ex. Availity Work from home space required *Job Type & Location*This is a Contract position based out of West Des Moines, IA. *Pay and Benefits*The pay range for this position is $19.00 - $22.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) *Workplace Type*This is a fully remote position. *Application Deadline*This position is anticipated to close on Jan 23, 2026. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Remote Sales Insurance Specialist Are you enthusiastic, self-motivated, and eager to learn? Do you thrive in a fast-paced environment and aren't afraid of hard work? If so, we want to hear from you! At Globe Life: The Gelb Group, we are dedicated to protecting the hardworking middle class. As a Virtual Sales Insurance Specialist, you'll embark on a structured 3-6 month training program designed to provide you with in-depth industry knowledge and hands-on experience. You'll gain valuable insights into our history, mission, and vision while developing the skills necessary to excel and grow within our company. What Youll Do: Master the daily operations of the business through hands-on training. Work directly with customers to tailor permanent benefits that meet their family's needs. Build and maintain strong relationships with organizations such as the Police Association, Nurses Association, Firefighters, Postal Workers, Labor Unions, and more. Develop essential skills in communication, leadership, organization, time management, networking, and team building. Learn business logistics and strategies to maximize earnings and profitability. What Were Looking For: Leadership experience is a plus, but not required. A strong willingness to learn and be coachable. Ability to accept and apply constructive feedback. Strong people skills and a great sense of humor! Highly organized and team-oriented. Company Perks & Benefits: Incentive Trips to destinations like Cabo, Tulum, Vegas, and Cancun. 100% Remote Work from anywhere! Weekly training calls to support professional growth. Performance-based weekly pay & bonuses. Health insurance reimbursement. Life insurance & retirement plan. If youre ready to take your career to the next level, apply today with your most up-to-date resume! Its not about where you startits about where you finish! Overview: American Income Life has been a leading provider of life and supplemental benefits for working families since 1951. We have established strong relationships with unions and associations across the United States. As the company grows rapidly, we are now offering remote positions to serve families across all time zones nationwide. This is an entry-level position with a potential annual income ranging from $60,000 to $80,000. Responsibilities: Assist clients by providing information about products and services Address client questions regarding their coverage Continuously develop and maintain an understanding of evolving products and services Regularly review client agreements to identify opportunities for cost-effective improvements Qualifications: Previous experience in customer service, sales, or a related field (not required) Ability to build rapport with clients Strong multitasking and organizational skills Positive, professional demeanor Excellent written and verbal communication skills What We're Looking For: A sharp individual with an entrepreneurial mindset A team player who thrives under pressure Someone with professional communication skills Benefits: Comprehensive hands-on training Weekly pay Performance-based bonuses Commission-based income Residual income opportunities Company-paid trips Remote work flexibility Compensation details: 55000-100000 Yearly Salary PI7bb73ca605f2-31181-38920149

Who We Are At Benesch we pride ourselves on exceeding expectations and building trust not only with our clients but with our employees - Benesch's #1 asset. Committed to providing not only the highest level of legal service to our clients, Benesch also aspires to create a positive work environment for our employees. Our Firm continues to earn placement on Chicago and Cleveland's Top Workplaces list, along with Cleveland's NorthCoast 99 Top Workplaces rankings. We also continue to advance on the AmLaw 150 list, placing us among the top 150 law firms in the country. Benesch is proud to be recognized for being a Firm that attracts and retains top talent - making Benesch a great place to work. We offer a hybrid schedule, career development and growth, transparent and visible leadership teams, and a place where diversity, equity and inclusion is celebrated. In addition, the Firm offers a full array of benefits which can be viewed at ************************** Working with Us - Come and "Be Benesch!" We are one of the fastest growing firms in the nation, and have offices in Chicago, Columbus, San Francisco, New York City, and Wilmington. We continue to expand our geographic footprint and value the talent that comprises each of our locations. If you are someone who champions a First in Service approach and are ready to be part of an exciting and growing Firm, we would invite you to apply to join our team. Want to know more? To hear from some of our team, click here: ********************************************* Benesch is proud to announce the opening for a Legal Billing Specialist in our Cleveland office! This position is hybrid and has work from home flexibility. Position Summary: Do you thrive in a dynamic environment where your relationship building skills and where your legal billing knowledge, skills and expertise can make a tangible difference? Then you may be interested in this Legal Billing Specialist position. This role is perfect for a natural problem solver with a background in legal billing who is detail-oriented and desires a strong sense of accomplishment at the end of the day. Join Benesch and play a pivotal role in shaping the financial success of our organization. The Legal Billing Specialist is responsible for activities related to the firm's billing process for specific portfolios as assigned. This individual will work with billing attorneys as well as associated internal and external clients to ensure that the processing of proformas/prebills is completed consistently in a n accurate and timely manner. This individual may also create and produced reports and analytics related to assigned account upon request. Essential Functions: Manage the full life-cycle of the billing process for a designated portfolio of client accounts, which includes reviewing proformas/prebills and making preliminary edits; ensuring that attorneys receive, review, and return accurate proformas/prebills in a timely manner; working with attorneys and staff to finalize invoices; and submitting finalized invoices in the appropriate format. Establish, foster, and maintain professional and collaborative relationships with attorneys, staff, and clients to provide competent account support to both attorney and client. Coordinate successful submission of invoices electronically, including setup of electronic clients, monitoring submissions for acceptance, troubleshooting issues, communicating e-billing changes to affected parties, and confirming proactively that invoices conform to requirements. Monitor rates, alternative fee arrangements, and billing guidelines; revalue rates as appropriate; track disbursements; monitor progress against approved budgets; and communicate with appropriate parties with respect to write-offs. Research, analyze, and respond to identified issues and inquiries. Communicate directly with clients as requested or as established and provide clients with requested reports or analyses related to alternative fee arrangements, special rate structures, collection arrangements, and any other administrative matter(s). Monitor unbilled amounts, client trust accounts, accurate payment application, and unapplied funds throughout the life-cycle of assigned accounts. Additional Responsibilities: Participate in continuous improvement projects. Perform other functions and duties as assigned. Confidentiality: Due to the nature of your employment, various documents and information, which are of a confidential nature, will come into your possession. Such documents and information must be kept confidential at all times. Qualifications: The Legal Billing Specialist must have at least 2 years of law firm billing experience or a recent graduate with a degree in finance, accounting or mathematics. A solid working knowledge of Excel is required. Aderant experience is preferred. Qualified individuals will possess strong analytical abilities, solid communication and interpersonal skills, as well as flexibility to ensure deadlines are consistently met. The salary range for this position is $62K to $80K. Please note that quoted salary ranges are based on Benesch's good faith belief at the time of the job posting and are not a guarantee of what final salary offers may be. Base pay is based on market location and may vary depending on job-related knowledge, skills, and experience. Base pay is only one part of the Total Rewards that Benesch provides to compensate and recognize our staff professionals for their work. Full-time positions are eligible for a discretionary bonus and a comprehensive benefits package. Benesch is an equal opportunity employer. We strongly value and encourage diversity and solicit applications from all qualified applicants without regard to race, color, gender, sex, age, religion, creed, national origin, ancestry, citizenship, marital status, sexual orientation, physical or mental disability (where applicant is qualified to perform the essential functions of the job with or without reasonable accommodations), medical condition, protected veteran status, gender identity, genetic information, or any other characteristic protected by federal, state, or local law. Applicants who are interested in applying for a position and require special assistance or an accommodation during the process due to a disability should contact the Benesch Human Resources Department by phone at ************ or email Christine Watson at **********************.

At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, we're more than a service provider-we're your trusted partner in innovation. Become an integral part of a dedicated team supporting the World Trade Center Health Program. In this role, you will leverage your strong attention to detail and commitment to accuracy in processing complex medical claims. If you are eager to make a positive impact in the community through your administrative skills, we encourage you to apply. Work Schedule Remote Monday through Friday, 8:30 AM to 5:00 PM EST Must be able to work 8am - 5pm Eastern Standard Time Responsibilities Claims Review and Processing Analyze and process a variety of complex medical claims in accordance with program policies and procedures, ensuring accuracy and compliance. Critical Analysis Adjudicate claims according to program guidelines, applying critical thinking skills to navigate complex scenarios. Timely Processing Ensure prompt claims processing to meet client standards and regulatory requirements. Identify and resolve any barriers using effective problem-solving strategies. Issue Resolution Collaborate with internal departments to proactively resolve discrepancies and issues. Use analytical skills to identify root causes and implement solutions. Confidentiality Maintenance Uphold confidentiality of patient records and company information in accordance with HIPAA regulations. Detailed Record Keeping Maintain thorough and accurate records of claims processed, denied, or requiring further investigation. Trend Monitoring Analyze and report trends in claim issues or irregularities to management. Assist Team Leads with reporting to contribute to continuous process improvements. Audit Participation Engage in audits and compliance reviews to ensure adherence to internal and external regulations. Critically evaluate and recommend process improvements when necessary. Mentoring Mentor and train new claims processors as needed. Requirements High school diploma or equivalent. Minimum of five years of experience in medical claims processing, including professional and facility claims, as well as complex and high-dollar claims. Billing experience doesn't count towards years of experience qualification Familiarity with ICD-10, CPT, and HCPCS coding systems. Understanding of medical terminology, healthcare services, and insurance procedures (experience with worker's compensation claims is a plus). Strong attention to detail and accuracy. Ability to interpret and apply insurance program policies and government regulations effectively. Excellent written and verbal communication skills. Proficiency in Microsoft Office Suite (Word, Excel, Outlook). Ability to work independently and collaboratively within a team environment. Commitment to ongoing education and staying current with industry standards and technology advancements. Experience with claim denial resolution and the appeals process. Ability to manage a high volume of claims efficiently. Strong problem-solving capabilities and a customer service-oriented mindset. Flexibility to adjust to the evolving needs of the client and program changes. Benefits 401(k) with employer matching Health insurance Dental insurance Vision insurance Life insurance Flexible Paid Time Off (PTO) Paid Holidays What to Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with a recruiter to verify resume specifics and discuss salary requirements. Management will be conducting interviews with the most qualified candidates. We perform a background and drug test prior to the start of every new hires' employment. In addition, some positions may also require fingerprinting. Broadway Ventures is an equal-opportunity employer and a VEVRAA Federal Contractor committed to providing a workplace free from harassment and discrimination. We celebrate the unique differences of our employees because they drive curiosity, innovation, and the success of our business. We do not discriminate based on military status, race, religion, color, national origin, gender, age, marital status, veteran status, disability, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company's growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring, the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client and their team. **NOTE** : This is a US based, W-2 project. All candidates will be paid through NTT DATA only. Pay Rate: $18/hr 100% Remote, we provide equipment **In this Role the candidate will be responsible for:** + Processing of Professional claim forms files by provider + Reviewing the policies and benefits + Comply with company regulations regarding HIPAA, confidentiality, and PHI + Abide with the timelines to complete compliance training of NTT Data/Client + Work independently to research, review and act on the claims + Prioritize work and adjudicate claims as per turnaround time/SLAs + Ensure claims are adjudicated as per clients defined workflows, guidelines + Sustaining and meeting the client productivity/quality targets to avoid penalties + Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA. + Timely response and resolution of claims received via emails as priority work + Correctly calculate claims payable amount using applicable methodology/ fee schedule **Requirements:** + 1-3 year(s) hands-on experience in **Healthcare Claims Processing** + 2+ year(s) using a computer with Windows applications using a keyboard, **navigating multiple screens and computer systems, and learning new software tools** + High school diploma or GED. + **Previously performing - in P&Q work environment; work from queue; remotely** + Key board skills and computer familiarity - + **Toggling back and forth between screens** /can you navigate multiple systems. + Working knowledge of MS office products - Outlook, MS Word and **MS-Excel** . + Must be able to work **7am - 4 pm CST** online/remote (training is **required on-camera** ). + Effective **troubleshooting where you can leverage your research, analysis and problem-solving abilities** + **Time management with the ability to cope in a complex, changing environment** + **Ability to communicate (oral/written) effectively** in a professional office setting **Preferred Skills & Experiences:** + Amisys &/or Xcelys Preferred **About NTT DATA** NTT DATA is a $30 billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize and transform for long-term success. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure and connectivity. We are one of the leading providers of digital and AI infrastructure in the world. NTT DATA is a part of NTT Group, which invests over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. Visit us at us.nttdata.com (************************* Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is $18.00/hour. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications. NTT DATA endeavors to make ********************** (**********************/en) accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at **********************/en/contact-us . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. 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. For our EEO Policy Statement, please click here (**********************/en/compliance#eeos) . If you'd like more information on your EEO rights under the law, please click here (**********************/en/compliance#know-your-rights) . For Pay Transparency information, please click here (**********************/en/compliance#ppnp) .

Established in 1991, Collabera has been a leader in IT staffing for over 22 years and is one of the largest diversity IT staffing firms in the industry. As a half a billion dollar IT company, with more than 9,000 professionals across 30+ offices, Collabera offers comprehensive, cost-effective IT staffing & IT Services. We provide services to Fortune 500 and mid-size companies to meet their talent needs with high quality IT resources through Staff Augmentation, Global Talent Management, Value Added Services through CLASS (Competency Leveraged Advanced Staffing & Solutions) Permanent Placement Services and Vendor Management Programs. Job Description Responsible for finance operations such as customer and vendor contract administration, customer and vendor pricing, rebates, billing and chargeback's, processing vendor invoices, developing and negotiating customer and group purchasing contracts Qualifications EXPERIENCE: 2-4 Years Root cause identification Significant Microsoft Excel Skills Communication (will communicate with external suppliers) Chargeback or rebate experience a plus Additional Information Please revert if you are available in the job market; apply to the position & Call me on ************ or send me your application on ******************************.

The Medical Billing Specialist is responsible for accurately coding fertility diagnostic ,treatment services and surgical procedures, submitting insurance claims, and managing the billing process for a fertility practice or healthcare facility. They ensure compliance with healthcare regulations and maximize revenue by optimizing reimbursement. General Summary of Duties: Responsible for gathering charge information, coding, entering into data base complete billing process and distributing billing information. Responsible for processing and filing insurance claims and assists patients in completing insurance forms. Essential Functions: o Prepare and submit insurance claims accurately and in a timely manner. o Verify patient insurance coverage and eligibility for fertility services( treatments and surgical procedures). o Review and address coding-related denials and discrepancies. o Researches all information needed to complete billing process including getting charge information from physicians. o Assists in the processing of insurance claims o Processes all insurance provider's correspondence, signature, and insurance forms. o Assists patients in completing all necessary forms, to include payment arrangements made with patients. Answers patient questions and concerns. o Keys charge information into entry program and produces billing. o Processes and distributes copies of billings according to clinic policies. o Records payments for entry into billing system. o Follows-up with insurance companies and ensures claims are paid/processed. o Resubmits insurance claims that have received no response or are not on file. o Works with other staff to follow-up on accounts until zero balance. o Assists error resolution. o Maintains required billing records, reports, files. o Research return mail. o Maintains strictest confidentiality. o Other duties as assigned o Identify opportunities to optimize revenue through accurate coding and billing practices. o Assist in developing strategies to increase reimbursement rates and reduce claim denials. Benefits: Offers nationally competitive compensation and benefits. Our benefits program provides a comprehensive array of services to our employees including, but not limited to health insurance (Primarily covered by the company), paid time off, retirement contributions (401k), & flexible spending account

Urgently Hiring: Home Infusion Billing Specialist Job Title: Home Infusion Billing Specialist Pay: $23-26/hour Hours: Monday-Friday, Flexible 8-hour shifts (6am-10am EST start times) As a Home Infusion Billing Specialist, you'll manage the revenue cycle by creating and processing infusion claims for medical payors, ensuring accurate billing and HIPAA compliance. What You'll Do: Create and submit infusion claims for medical payors (front-end billing) Perform medication dosage conversions accurately Apply appropriate HCPCS codes and Place of Service codes Navigate payer systems and terminology (PTF/TF) Interpret medical abbreviations correctly Ensure HIPAA compliance in all billing activities Support revenue cycle management and collections processes What You'll Bring: 2+ years home infusion billing experience (1+ year recent/current required) Front-end billing experience for medical payors (NOT RX/NCPP) 2+ years HIPAA standards knowledge Strong knowledge of medication dosage conversions, medical abbreviations, HCPCS codes, and Place of Service codes Understanding of payer terminology (PTF/TF) Why Join Us? 100% Remote Flexible Schedule Competitive Pay Excellent Benefits Career Growth Location & Schedule: Fully remote (U.S.-based) | Monday-Friday, 8-hour shifts | Flexible start times available (preferred hours 8am-4pm EST, but accommodates 6am-10am EST starts based on your needs) Ready to Apply? If you're ready to join our team as a Home Infusion Billing Specialist, apply today! We're hiring now-don't wait! # RXREM

BILLING CLERK About the Company LINK Support Services currently seeks to serve over 300 Skilled Nursing Facilities by offering Part B Ancillary Billing Services and assist in identifying lost revenue opportunities. These Skilled Nursing operations have no corporate headquarters or traditional management hierarchy. Instead, they operate independently with support from the “Service Center,” a world-class service team that provides centralized legal, human resource, training, accounting, IT and other resources necessary to allow on-site leaders and caregivers to focus on day-to-day care and business issues in their facilities and operations. Duties and Responsibilities: SNF AR experience required/Knowledge of Point Click Care (PCC) is a plus Identify and bill Part B billable ancillary items according to SNF consolidated billing guidelines. Provide and conduct education and support as needed with business office staff across multiple locations Communicate Part B billing best practices with peers and staff at assigned locations Communicate Revenue and Collectables to Facilities, Clusters, and Markets across multiple locations Assist with new software implementation as needed Collaborate with team in implementing billing Processes, Procedures and Softwares Organize and research complex data extractions to maximize billing opportunities organization wide Review and complete patient eligibility verifications Report KPIs, month over month trends, claim statuses, and onboarding/training schedules Knowledge, Skills and Abilities: 1+ year SNF experience with Medicare billing and eligibility recognition Point Click Care (PCC) experience necessary Able to prioritize and organize tasks at hand to meet specific deadlines Attention to detail and accuracy Proficient in Microsoft Word, Outlook and Excel, DDE. Knowledge of CPT Coding procedures Knowledge of SNF Per Diem inclusions Must have excellent written and verbal communication skills Able to work with a diverse group of people Ability to self-manage in a remote work environment Must be knowledgeable in Medicare and other state regulatory requirements What You'll Receive In Return As part of the Ensign Services family, you'll enjoy many perks including but not limited to excellent compensation, comprehensive benefits package, PTO, 401K matching, stock options, amazing company culture and not to mention- opportunities for professional growth and advancement. Compensation: $18-$20.00/hour dependent on experience and location Location: This is a remote eligible position that can work from any U.S state other than: Hawaii, New York, New Jersey, Rhode Island, Kentucky, Ohio, Massachusetts, North Dakota, Wyoming, Alaska, Pennsylvania, Pay is based on a number of factors including years of relevant experience, job-related knowledge, skills, and experience. Individuals employed in this position may also be eligible to earn bonuses. Ensign Services is a total compensation company. Dependent on the position offered, equity, and other forms of compensation may be provided as part of a total compensation package, in addition to a full range of medical, financial, and/or other benefits. For more information regarding our benefits offered, check out our ****************************. Ensign Services, Inc. is an Equal Opportunity Employer. Pre-employment criminal background screening required. Job ID: 1137

Job Description FBT Gibbons is currently searching for a full-time E-Billing Specialist to join our firm. This position will play a crucial role in managing the e-billing process, ensuring accurate and timely submission of invoices, and resolving any issues that arise. Key Responsibilities: Collaborate with billing assistants, attorneys, LPAs, and clients for e-billing setup, rate management and accrual submissions. Enforce client e-billing guidelines by proactively setting up rules and constraints within financial software used by the firm. Utilize FBT Gibbons software solutions to address and correct rates and other e-billing issues before invoices reach the prebill stage. Work with FBT Gibbons software solutions to create and submit e-billed invoices via BillBlast, or manually with Ledes files directly onto vendor e-billing sites. Collaborate with billing assistants to ensure successful resolution of all e-billing submissions. Track, report, and provide deduction reports to attorneys on all appeal items for assigned attorneys and or billing assistants and work through appeal submissions of same. Follow up promptly on rejected or pending e-bills to ensure timely resolution. Create and revise basic spreadsheet reports. Track all e-billing efforts in ARCS, exporting email communication and critical information on history of e-billing submissions through resolutions. Coordinate with the Rate Management Specialist to update rates for e-billed clients. Assist with e-billing email group and profile emails in e-billing software as needed. Assist with other special e-billing requests. Conduct daily review of Intapp forms to ensure proper setup in Aderant, including invoicing requirements, rates, special billing requirements, and approval processes. Qualifications: College degree or commensurate experience with high school diploma. 3+ years of billing experience. Legal billing experience strongly preferred. Interpersonal skills necessary to maintain effective relationships with attorneys and business professionals via telephone, email or in person to provide information with ordinary courtesy and tact. Must have attention to detail with an eye for accuracy. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization. Knowledge of Aderant Software a plus. Proficiency in Microsoft Office products such as Word, Excel, Outlook. FBT Gibbons offers a competitive salary and a comprehensive benefits package including medical (HSA with employer contribution or PPO options), dental, vision, life, short- and long-term disability, various parental leaves, well-being/EAP, sick and vacation time as well as a generous 401k retirement package (with matching and profit-sharing benefits). In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. FBT Gibbons is fully committed to equality of opportunity in all aspects of employment. It is the policy of FBT Gibbons to provide equal employment opportunity to all employees and applicants without regard to race, color, religion, national or ethnic origin, military status, veteran status, age, gender, gender identity or expression, sexual orientation, genetic information, physical or mental disability or any other protected status.

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.

Agilent is seeking a proactive and detail-oriented Federal Government Billing Specialist to join our Customer Operations Center (COpC). This position plays a key role in supporting the Order Management process by ensuring accurate and compliant billing for federal contracts. The ideal candidate will manage complex invoices in accordance with FAR, DFARS, CAS, and other agency-specific billing requirements, while maintaining operational excellence and compliance across all transactions. Working within the COpC, this role partners closely with cross-functional teams across Agilent, including Credit and Collections, Revenue team, Sales and other COpC teams, to ensure timely and compliant billing. The Specialist will also support internal and external audits, uphold high standards of data accuracy, and contribute to continuous improvement initiatives within the Customer Operations Center. Key Responsibilities Prepare and submit invoices via federal platforms (WAWF, IPP, Tungsten, etc.). Review contract terms and funding modifications for billing accuracy. Monitor unbilled receivables and resolve holds or rejections. Collaborate with Contracts, Project Management, Accounting, and other COpC teams. Maintain billing documentation and support audits (DCAA, DCMA). Assist with month-end close activities and revenue reconciliation. Ensure compliance with federal regulations and company policies. Provide excellent customer service to government agencies and internal teams. Manage portal invoicing based on agency-specific requirements to prevent rework and ensure timely payment. Act as liaison with the collections team to resolve issues and ensure billing integrity. Additional Information This is a complex role requiring adaptability, attention to detail, and a customer-focused mindset. You'll thrive in a fast-paced, diverse environment where ownership and collaboration are key. Schedule: Flexibility required; occasional overtime and late hours on the last working day of each month Qualifications Required Qualifications Associate's or Bachelor's degree in Accounting, Finance, or related field (or equivalent experience). 2+ years of experience in federal billing or government contract accounting. Familiarity with FAR/DFARS and federal audit processes. Proficiency in Microsoft Excel and ERP systems (SAP, Oracle, Deltek). Strong communication, organizational, and time management skills. Ability to work independently and manage multiple priorities. Preferred Qualifications Experience with DCAA-compliant accounting systems. Knowledge of indirect rate structures and cost allocations. Prior experience in a government contractor environment. SAP/CRM experience. Proficiency in Microsoft Office Suite (Outlook, Excel, Word, PowerPoint, OneNote). Additional Details This job has a full time weekly schedule. It includes the option to work remotely. Applications for this job will be accepted until at least January 15, 2026 or until the job is no longer posted.The full-time equivalent pay range for this position is $28.27 - $44.17/hr plus eligibility for bonus, stock and benefits. Our pay ranges are determined by role, level, and location. Within the range, individual pay is determined by work location and additional factors, including job-related skills, experience, and relevant education or training. During the hiring process, a recruiter can share more about the specific pay range for a preferred location. Pay and benefit information by country are available at: ************************************* Agilent Technologies, Inc. is an Equal Employment Opportunity and merit-based employer that values individuals of all backgrounds at all levels. All individuals, regardless of personal characteristics, are encouraged to apply. All qualified applicants will receive consideration for employment without regard to sex, pregnancy, race, religion or religious creed, color, gender, gender identity, gender expression, national origin, ancestry, physical or mental disability, medical condition, genetic information, marital status, registered domestic partner status, age, sexual orientation, military or veteran status, protected veteran status, or any other basis protected by federal, state, local law, ordinance, or regulation and will not be discriminated against on these bases. Agilent Technologies, Inc., is committed to creating and maintaining an inclusive in the workplace where everyone is welcome, and strives to support candidates with disabilities. If you have a disability and need assistance with any part of the application or interview process or have questions about workplace accessibility, please email job_******************* or contact ***************. For more information about equal employment opportunity protections, please visit *************************************** Required: NoShift: DayDuration: No End DateJob Function: Customer Service

About the Role To be considered a qualified candidate, must have knowledge of CPT surgical coding and ICD10 diagnostic coding. A minimum of two years of related medical coding experience including one year of surgery coding preferably in an Orthopedic surgery setting. What You'll Be Doing Review all clinical documentation to code and post-surgery charges and hospital charges for insurance billing. Assist with CPT and ICD 10 coding. Will keep lines of communication open with Team Lead and Supervisor. Maintains all patient information according to the established patient confidentiality policy. Maintains compliance with all governmental and regulatory requirements. Responsible for completing, in a timely manner, all mandated training and in-services, including but not limited to annual OSHA training and PPD placements. Responsible for working Accounts Receivable (AR) for assigned providers. Review assigned provider surgical schedules. Performs all other duties as assigned. What We Expect from You High School Graduate or equivalent Minimum of three (3) years related coding or medical billing experience is required. CPC preferred Reasoning Ability Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Computer Skills To perform this job successfully, an individual should have thorough knowledge in computer information systems. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand; walk; sit; use hands to finger, handle, or feel; reach with hands and arms; stoop, kneel, crouch, or crawl and talk or hear. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Work Environment This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Travel Travel is primarily local during the business day, although some out-of-the-area and overnight travel may be expected. What We are Offer You At U.S. Urology Partners, we are guided by four core values. Every associate living the core values makes our company an amazing place to work. Here “Every Family Matters” Compassion Make Someone's Day Collaboration Achieve Possibilities Together Respect Treat people with dignity Accountability Do the right thing Beyond competitive compensation, our well-rounded benefits package includes a range of comprehensive medical, dental and vision plans, HSA / FSA, 401(k) matching, an Employee Assistance Program (EAP) and more. About US Urology Partners U.S. Urology Partners is one of the nation's largest independent providers of urology and related specialty services, including general urology, surgical procedures, advanced cancer treatment, and other ancillary services. Through Central Ohio Urology Group, Associated Medical Professionals of NY, Urology of Indiana, and Florida Urology Center, the U.S. Urology Partners clinical network now consists of more than 50 offices throughout the East Coast and Midwest, including a state-of-the-art, urology-specific ambulatory surgery center that is one of the first in the country to offer robotic surgery. U.S. Urology Partners was formed to support urology practices through an experienced team of healthcare executives and resources, while serving as a platform upon which NMS Capital is building a leading provider of urological services through an acquisition strategy. U.S. Urology Partners is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable federal, state or local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.

The Home Health and Hospice Billing Specialist is responsible for accurately and efficiently managing billing processes for home health and hospice services. This role ensures timely submission of claims, resolves billing issues, and supports revenue cycle operations to optimize reimbursement and compliance. JOB RESPONSIBILITIES Prepare and submit accurate Medicare, Medicaid, and Commercial insurance claims through Home Care Home Base (HCHB) and Waystar billing platforms. Ensure compliance with Patient -Drive Groupings Model (PDGM) billing rules and payer-specific guidelines. Monitor, review, and follow up on claims, including aging accounts receivable, denied or rejected claims. Resubmit overdue accounts and escalate seriously overdue accounts to collections when necessary. Collaborate with cross-functional teams including Intake, Authorization, Clinical, Operations Support Office (OSO), and regional staff to ensure billing accuracy and resolve any discrepancies. Respond to billing inquiries from internal and external stakeholders. Participate in Accounts Receivable (AR) and Billing Accountability Meetings (BAM). Prepare and review relevant reports such as billing summaries, bad debt, and outstanding AR to ensure accuracy and completeness. Assist with audits and provide documentation as needed. Other duties as assigned related to billing and revenue cycle operations. REQUIREMENTS AND SPECIFICATIONS Bachelor's Degree Business Administration or related field Preferred Minimum 2 years of billing experience in Home Health and/or Hospice. 2-5 years of experience preferably in Home Care Strong written and verbal communication skills The Billing Specialist must have Home Health and Hospice billing experience. Proficiency with HCHB EMR, clearinghouses such as DDE and Waystar. A strong understanding of Medicare, Medicaid, and commercial insurance billing. Excellent organizational, analytical, and communication skills. Ability to work independently and manage multiple priorities in a deadline-driven environment. The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at ****************************

Enjoy what you do while contributing to a company that makes a difference in people's lives. Shady Grove Fertility, one of the premier fertility centers in the United States, continually seeks experienced, compassionate, and dynamic team players who are committed to delivering exceptional patient care to join our growing practice. The work we do building families offers stimulation, challenge, and personal reward. If you're looking for a new opportunity to work in a fast-paced, professional environment where your talent contributes to changing people's lives, then we want to talk to you. We have an immediate opening for a full-time Payment Poster. This position will be working remote M-F 8am-5pm. This position is responsible and accountable for all aspects of payments received in the CBO Online and offices. This includes, but is not limited to, posting insurance and patient payments to appropriate accounts from US Mail, EFT and Credit card Vendor, researching and obtaining explanation of benefits for the department, setting up ERA/EFT for practice and reviewing and correcting patients accounts under the direction of a senior staff member. How You'll Contribute: We always do whatever it takes, even if it isn't specifically our "job." In general, the Payment Poster responsible for: Ensures all ERA and EFTs are set up appropriately for each practice. Follow up with Insurance companies on enrollment status. Create Logins and obtain access to all payor portals. Ensure all US mail is scanned into the appropriate folders in a timely manner. Ensures all ERA's are downloaded from the Practice Management clearing house and or individual payor portals. Handles calling insurance companies to obtain missing explanation of benefits Post daily explanation of benefits and patient payments to patient accounts utilizing electronic payment posting software. Post all patient payments to patient accounts via credit card, EFT, and US mail Investigate and resolve discrepancies Knowledge of insurance contract requirements and US Fertility Financial programs Review and make corrections to patients accounts to ensure patient satisfaction Reconcile daily work to bank deposit Apply denials and deductibles to patients account per electronic remittance Work on Q&A functions prior to month end and assist other department functions as a back up Post insurance, patient, collection and miscellaneous payments to practice management system Post complicated EOB's with forwarding balances, recoupments and overpayment recovery Maintains patient confidence and protects operations by keeping information confidential. What You'll Bring: Associate degree in accounting, business, healthcare or medical billing certificate. High School Diploma acceptable with 3+ year of medical billing hands on experience Minimum 1-year specialized experience with medical billing certificate, or minimum 3 years' experience without billing certificate. Ability to access, input, and retrieves information from a computer. Medical software program experience required. Knowledge of office procedure and office machines (i.e. computer, fax, copier, etc.). Proficiency in a variety of computer software applications in word processing, spreadsheets, database, and presentation software (MSWord, Excel, PowerPoint, OneNote, Office 365). Ability to demonstrate good judgment. Ability to communicate accurately and concisely. Ability to remain calm and poised under stress. Computer proficiency required. Financial background. Excellent interpersonal skills and ability to work as part of a multi-disciplinary team and maintain effective working relationships. Strong customer service and results orientation; highly responsive to requests. Excellent verbal & written communication skills. Excellent interpersonal, and organizational skills. Ability to maintain the highest level of confidentiality. Flexibility and willingness to learn at all times. Excellent multi-tasking abilities. More important than the best skills, however, is the right person. Employees who embrace our mission, vision, and core values are highly successful. What We Offer: Competitive pay + bonus Comprehensive training Medical, dental, vision, and 401(k) matching Generous paid time off and holidays Retirement plan Tuition assistance Ability to make an impact in the communities we serve At US Fertility, we promote and develop individual strengths in order to help staff grow personally and professionally. Our core values - Empathy, Patient Focus, Integrity, Commitment, and Compassion (EPICC) - guide us daily to work hard and enjoy what we do. We're committed to growing our practice and are always looking to promote from within. This is an ideal time to join our team! To learn more about our company and culture, visit here. How To Get Started: To have your resume reviewed by someone on our Talent Acquisition team, click on the “Apply” button. Or if you happen to know of someone who might be interested in this position, please feel free to share the job description by clicking on an option under “Share This Job” at the top of the screen.

Lumary is a high-growth global healthtech company on a mission to revolutionise technology for the healthcare industry. We do this by developing solutions that support and empower service providers, working together to ensure better outcomes for people that need care. This commitment to partnership has been a key part of our success so far, and we are driven to continue evolving our products and our people so we can impact the healthcare community to thrive on a global scale. Join Lumary and grow with us - Well-established team working across Australia, USA & Philippines- Servicing 200+ enterprise and SMB healthcare service providers (NDIS, aged care, allied health, ABA)- 80k+ people using our core platform every day, supporting 500k+ care recipients via Lumary- $6B NDIS funds processed through Lumary platform on an annual basis- Be part of a high performing and purpose driven team solving a global issue for a highly addressable market You will be working in an agile and start-up environment, with plenty of opportunities for you to lean in and develop your skills to make a meaningful contribution to Lumary's mission and your career development. We push ourselves to build innovative products and deliver a first-rate customer experience to enable better outcomes for healthcare providers and their clients receiving care. Our culture evolves with us on our scale-up journey. We focus on connection and building deep relationships with each other. We act in service of others to enable collective success and support. We think strategically and take ownership in our domains at every level. We remain positive and adaptable through change and growth. You will find yourself quickly growing in your career, led by you and supported by us, and backed by a collaborative team that is open to new ideas and encourages everyone to bring their best selves to work. About the Role The Billing Specialist is a vital member of the Lumary RCM Department, responsible for managing the full lifecycle of ABA claims billing and follow-up. This role ensures that claims are submitted accurately and timely, payments are properly posted and reconciled, and denials are addressed promptly. The Billing Specialist works collaboratively with providers and internal teams to maintain a clean accounts receivable and maximize revenue collection. - Ensure accurate and timely submission of primary and secondary claims. - Work on post insurance payments and reconcile payment data.- Monitor and resolve claim rejections and escalate for assistance as needed.- Work claim denials ensuring all denials are addressed within 3 days of remittance advice posting.- Monitor and address assigned tasks in Lumary, including provider communications.- Identify and report developing claim issues or patterns, escalating to leadership.- Review and manage overpayments, initiate recoupment processes when necessary, and ensure payers post reconciliations appropriately.- Audit each month in the quarter for missed billing and unacknowledged claims.- Coordinate with providers to write off un collectable claims after thorough appeals process. About you Experience in ABA or behavioral health billing preferred. Strong understanding of the medical claim lifecycle and payer reimbursement processes. Prior experience in Medicaid Billing. Experience in the ABA industry is preferred. Familiarity with ERA/EOB processing and electronic claim submissions. Detail-oriented with a high level of accountability and follow-through. Brings a solutions-first mindset, by asking the right questions and collaborating with senior team members to find resolutions. Lumary's Core Values We ‘Lead with an open heart' assuming positive intent and being courageous We ‘Start with the end in mind' focussing on long-term impact of our actions and decisions We ‘Take action in uncertainty' by proactively taking the next best step and exercising autonomy We ‘Enable others for our collective good' through kindness and a team-first approach Benefits of Working With Lumary Flexibility to work from home and the office - hybrid working environment if based at on office location in Adelaide, Sydney or Denver, alternatively fully remote if not employed at an office location Flexible start and finish times - have a routine but on the days you need to book an appointment or finish early, go for it Monthly town halls for connection and company alignment Monthly dedicated Social Connection days Quarterly employee engagement surveys (currently at 78% engagement and trending upwards) 70-20-10 rule of learning adopted org-wide Own your personal and professional development and work with an internal coach or mentor (of your choosing) to support you on your life journey Internationally growing company working towards a purposeful vision: Empowering sustainable healthcare Working at Lumary We are proud of the work we are doing and the team we have built so far. Join us and be part of a team working together to do better. From the advanced products we build to our philanthropic work, we connect with the belief that what we do every day is positively impacting the lives of our community. At Lumary, we value diversity and believe in a culture of inclusivity, regardless of race, religion, age, gender identity, sexual orientation, physical or mental ability, or ethnicity. We are committed to building a welcoming workplace where everyone feels safe, valued and respected. The successful candidate will be required to undergo employment screening checks relevant to the healthcare industries we serve.

INTRODUCTION BioMatrix is a nationwide, independently-owned infusion pharmacy with decades of experience supporting patients on specialty medication. Our compassionate care team helps patients navigate the often-challenging healthcare environment. We treat our patients like family and get them started on therapy quickly. We work closely with them as well as their family and their healthcare providers throughout the patient journey, staying focused on optimal clinical outcomes. At BioMatrix the heart of our Inclusion, Diversity, Equity, & Access (IDEA) philosophy is the commitment to cultivate a welcoming space where everyone's contributions are acknowledged and celebrated. Our goal is to draw in, develop, engage, and retain talented, high-performing individuals from diverse backgrounds and viewpoints. We believe that both respecting and embracing diversity enriches the experiences and successes of our patients, employees, and partners. Schedule & Location: Monday Through Friday Between 8:00 am Central Standard Time & 5:00 pm Eastern Standard Time. It is anticipated that an incumbent in this role will work remotely. Job Description: The Billing Specialist is responsible for verifying that all appropriate prescription reimbursement data has been obtained, entered into the system and is accurate weekly and prior to month end. Processes electronic pharmacy insurance claims to Medicare D, Medicaid, and Commercial Insurance. Assures the timely and accurate submission of invoices to the responsible payer for services and products provided, and evaluates payments received for final resolution and application to the patient account. QUALIFICATION REQUIREMENTS * GED or high school diploma required * Minimum of two (2) years of working experience in medical billing & collection related activities required * Experience providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction. * Basic level skill in Microsoft Office (including Word, Excel, PowerPoint, etc.). QUALIFICATIONS PREFERRED * Minimum of five (5) years of working experience in medical billing & collection related activities preferred * Previous home infusion therapy billing experience preferred * Experience with CareTend or CPR+ preferred ESSENTIAL FUNCTIONS AND RESPONSIBILITIES * Prepare and submit insurance claims for home infusion services, including nursing, supplies, and medications. * Verify documentation of supplied products align with prepared claim. * Verify accuracy of billed codes and accuracy of billed and expected amounts. * Have a thorough understanding of payer contracts. * Understanding the different types of home infusion medications and therapies. * Knowledge of insurance verification and reimbursement processes. * Address customer inquiries and resolve billing discrepancies, providing excellent customer service to both internal and external stakeholders. * Stay updated on relevant billing regulations, coding guidelines, and payer requirements, ensuring compliance with all applicable standards. * Familiarity with clearinghouses and the billing functionality. * Assist with various data entry, administrative, and clerical tasks. KNOWLEDEGE, SKILLS AND ABILITIES REQUIREMENTS * Able to stay abreast of payer alerts and reimbursement changes. * Able to work in a fast-paced environment. * Able to navigate and interpret insurance contracts. * Ability to actively communicate, inspire and motivate all levels of staff. * Ability to think and act strategically and proactively. * Ability to maintain accurate records and prepare reports and correspondence related to the work. * Ability to organize and coordinate the work of others. * Ability to set priorities and assign work to other professionals. * Excellent analytical skill. Communication Skills * Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings. * Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information. Computer Skills Become and remain proficient is all programs necessary for execution. PHYSICAL DEMANDS AND WORK ENVIRONMENT * This position requires constant sitting with occasional walking, standing, kneeling or stooping. * This position requires the use of hands to finger, handle or feel objects and the ability to reach with hands and arms. * This position requires constant talking and hearing. * Specific vision abilities required by this job include close vision and the ability to adjust focus. * This position must occasionally lift and/or move up to 20 pounds * Required to move/lift physical hardware. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. If needing a reasonable accommodation within the application process, please contact the BioMatrix People & Culture team at ************************* or ************ x 1425. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. OTHER * Will participate in legal and ethical compliance training each year. * Will consistently behave in compliance with the BioMatrix, LLC's legal and ethical policies and procedures. * Will abide by the policies of BioMatrix, LLC as set forth in the Compliance Manual. * Will not participate in any conduct considered to be unethical or illegal. EXPECTATION FOR ALL EMPLOYEES Supports the organization's mission, vision, and values by exhibiting the following behaviors: integrity, dedication, compassion, enrichment and enthusiasm, places patients first, is all-in with stacked-hands, and is focused on relentless consistency wins. GENERAL INFORMATION: The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. The incumbent must be able to work in a fast-paced environment with demonstrated ability to juggle and prioritize multiple, competing tasks and demands and to seek supervisory assistance as appropriate. Incumbents within this position may be required to assist or find appropriate assistance to make accommodations for disabled individuals in order to ensure access to the organization's services (may include: visitors, patients, employees, or others). All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description At Black Hills Regional Eye Institute, we are dedicated to maintaining and enhancing the quality of life for our patients through state-of-the-art medical care. We are committed to providing comprehensive eye care and surgery for children and adults. We stress excellent service and consideration for the patient and constantly strive to provide the best medical and surgical care available anywhere. Pay starting from $20 per hour depending on experience Monday-Friday 8 am to 5 pm, 40 hours per week. THIS IS NOT A REMOTE POSITION Benefits: We offer a comprehensive benefit package including, health and dental insurance, generous 401k and sick/vacation leave. Paid holidays Fun staff functions throughout the year As a medical billing specialist, you'll be part of a team responsible for clinic and surgical posting of charges, insurance payments and patient payment arrangements. You will also be working with patients regarding outstanding bills, and handling incoming patient and insurance calls, and assisting with billing discrepancy/issues. Criteria: Experience in medical/surgical billing, insurance processing, and collections preferred. Previous healthcare employment required. Must be proficient with computers including Microsoft Office, Outlook, Excel, and Word. Possess problem solving and critical thinking skills. Regular and reliable attendance. High level of attention to detail. Excellent organizational skills and communication skills. Ability to work quickly and accurately. Exercises and demonstrate good problem-resolution skills. Work independently and as part of a team. Ability to handle multiple simultaneous tasks effectively and efficiently while maintaining a professional, courteous manner. #hc151182

ABOUT US: Ethos Risk Services is a leading insurance claims investigation and medical management company committed to providing better data that translates into better decision-making for our clients. We are at the forefront of innovation in our space, and our success is driven by a dynamic team passionate about delivering exceptional services to our customers. JOB SUMMARY: Our dynamic Ethos Medical Management Team is growing and seeking a full-time Bill Review Negotiation Specialist (REMOTE) to ensure accuracy and cost savings within our Workers' Compensation bill review process. This position is responsible for reviewing, auditing, and negotiating medical bills in compliance with state fee schedules and customer guidelines. The ideal candidate is detail-oriented, skilled in negotiations, and committed to providing excellent customer service while maintaining confidentiality and accuracy. KEY RESPONSIBILITIES: Contact and negotiate with medical providers to secure additional savings through signed agreements. Review, audit, and process Workers' Compensation medical bills using industry-standard methodologies (Medicare, UCR, and state fee schedules). Maintain accurate records of negotiations and provider interactions. Research and interpret state fee schedules, customer guidelines, and regulations. Process reconsiderations and disputed bills in a timely and accurate manner. Provide high-quality customer service and resolve inquiries efficiently. Maintain strict confidentiality and compliance with company policies and industry regulations. Perform other related duties as assigned. QUALIFICATIONS: Education: High school diploma or equivalent required. Associate degree or higher preferred. Experience: Minimum of 3 to 5 years of experience in medical bill review, with a minimum of 1 year of experience in customer service required. An equivalent combination of education and experience is required. Knowledge of CPT, ICD-10, and HCPCS coding required. Experience with Conduent Strataware software, or other comparable platforms, preferred. Skills: Strong oral and written communication skills. Proven negotiation and customer service abilities. Proficient with Microsoft Office Suite and other computer applications. Excellent organizational skills with the ability to multi-task. Team player with strong interpersonal skills. Discretion, confidentiality, and attention to detail. Licensing/Certification: Certification in medical coding or medical terminology preferred but not required. WORKING CONDITIONS: This position is 100% remote, with required availability during standard business hours. This role requires a dedicated workspace with reliable internet. The role involves prolonged periods of sitting, operating a computer, and communicating via phone and email. Ethos Risk Services is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristics.