Medical reimbursement specialist jobs near me - 809 jobs

Job Posting We are dedicated to providing exceptional care to every patient, every time. St. Luke's Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship St. Luke's Hospital for over a decade has been recognized for “Outstanding Patient Experience” by HealthGrades. Position Summary: Performs data quality reviews on patient records to validate coding appropriateness, missed secondary diagnoses and procedures, and ensures compliance with all coding related regulatory mandates and reporting requirements. Monitors Medicare and other payer bulletins and manuals and reviews the current OIG Work Plans for coding risk areas. Responsible for promoting teamwork with all members of the healthcare team. Performs all duties in a manner consistent with St. Luke's mission and values. This position is 40hrs/week and 100% remote. Education, Experience, & Licensing Requirements: Education: Associate degree in Health Services Experience: 5 years of production coding experience or 5 years coding auditing experience. ICD-10-CM (including coding conventions and guidelines), CPT-4 (including coding conventions and guidelines), HCPCS, NCCI edits, and APC experience. Cerner and 3M/Solventum experience. Licensure: RHIA, RHIT, or CCS certification Benefits for a Better You: Day one benefits package Pension Plan & 401K Competitive compensation FSA & HSA options PTO programs available Education Assistance Why You Belong Here: You matter. We could not achieve our mission daily without the hands of our team. Our culture and compassion for our patients and team is a distinct reflection of our dynamic workforce. Each team member is focused on being part of something much bigger than themselves. Join our St. Luke's family to be a part of making life better for our patients, their families, and one another.

The Health Information Technician is responsible for compiling, organizing, and maintaining health information records in accordance with regulatory and confidentiality standards. This role requires strong attention to detail, proficiency with Microsoft Word and Excel, and the ability to walk between buildings as part of daily tasks. Experience with Electronic Health Records (EHR) is preferred but training will be provided. Key Responsibilities Health Information Management Compile, review, and verify medical reports for completeness and accuracy. Organize medical records for filing; ensure all required reports and signatures are present. Prepare charts for new admissions and complete appropriate forms. Prepare requests for specific medical reports, certificates, or documentation. File reports into health information records and maintain accurate logs. Retrieve medical records as needed and ensure proper tracking within the filing system. Data Entry & Reporting Type and prepare health information forms and related documents. Compile and type statistical reports, including daily/monthly census data, admissions, discharges, Medicaid days, and length-of-stay metrics. Enter, scan, and upload documents into the Electronic Health Record system. Interdepartmental Support Provide information from health records after determining the appropriateness and authorization of the request. Coordinate with other departments regarding health information procedures and recordkeeping needs. General Duties Maintain strict confidentiality and comply with HIPAA guidelines. Walk between buildings regularly to deliver, retrieve, or exchange documentation (frequent walking required, but not strenuous). Perform other related duties as assigned. Required Knowledge, Skills & Abilities Knowledge of health information technology and medical recordkeeping practices. Understanding of medical terminology. Familiarity with regulations governing medical records, including Medicare/Medicaid standards and confidentiality requirements. Strong proficiency in Microsoft Word and Excel. Ability to proofread medical reports, identify errors or missing information, and maintain accuracy in data handling. Ability to gather, classify, and organize information with attention to detail. Skill using a word processor; calculator experience a plus. Minimum Qualifications Completion of three courses or nine months of experience in records management. Completion of one course or three months of experience in medical terminology. Completion of one course or three months of experience in typing. - OR - An equivalent combination of training and experience. Additional Notes Training will be provided on Electronic Health Record systems if needed. No unusual working conditions beyond routine walking between buildings.

Inspire health. Serve with compassion. Be the difference. Codes medical information into the organization billing/abstracting systems for multiple facilities. Performs moderate to complex Outpatient Surgery, Gastrointestinal (GI) Procedure and Observation coding by assigning International Classification of Diseases (ICD), Current Procedural Terminology (CPT) codes, and HCC codes. Performs Emergency Department, ambulatory clinic, diagnostic, and ancillary coding. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health.Serve with compassion. Be the difference. Codes moderate to complex Outpatient Surgery, and Observation records from clinical documentation as well as Emergency department, ancillary and ambulatory clinic records; assigns modifiers as appropriate. Adheres to department standards for productivity and accuracy. Operates under the general supervision of HIM Coding leadership. Reviews work queues daily to identify charts that need to be coded and prioritizes as per department-specific guidelines and within designated timelines. Follows up on on-hold accounts daily for final coding. Responds to and follows up on priority accounts daily and any accounts assigned by Patient Financial services or Coding leader(s) for final coding.Communicates with leader when trending requests volumes impact productivity. Queries physician or clinical area following established guidelines when existing documentation is unclear or ambiguous following American Health Information Management Association (AHIMA) guidelines and established policy. Applies ICD and CPT codes to the Emergency department, outpatient ambulatory clinic records and ancillary service records based on review of clinical documentation and according to Official coding guidelines; assigns modifiers. Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - Certification Program, Associate degree or coding certificate through approved American Academy of Professional Coders (AAPC), American Health Information Management Association (AHIMA) or other approved coding certification program. Experience - Two (2) years of coding experience in an acute care or ambulatory setting. Outpatient coding experience In Lieu Of NA Required Certifications, Registrations, Licenses Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CCP-H), or Certified Outpatient Coder (COC). Knowledge, Skills and Abilities Demonstrates proficiency in utilizing official coding books as well as the electronic medical record and computer assisted coding/encoding software to facilitate code assignment. Demonstrates continuous learning as evidenced by personally developed reference materials, online publications etc., to stay abreast of new and revised guidelines, practices and terminology, for reference and application. Participates in on site, remote and/or external training workshops and training. Ability to pass internal coding test. Knowledge of electronic medical records and 3M or other Encoder System. Ability to concentrate for extended periods of time; ability to solve problems with close attention to detail and to work and make decisions independently. Knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process. Demonstrated competence in coding and correct extrapolation of official coding and select billing guidelines to specific coding situations. Basic computer skills Work Shift Day (United States of America) Location Blount Memorial Hospital Facility 7001 Corporate Department 70017512 HIM-Coding Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

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 **********************.

Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they're met with barriers to care. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported. Charlie Health exists to change that. Our mission is to connect the world to life-saving behavioral health treatment. We deliver personalized, virtual care rooted in connection-between clients and clinicians, care teams, loved ones, and the communities that support them. By focusing on people with complex needs, we're expanding access to meaningful care and driving better outcomes from the comfort of home. As a rapidly growing organization, we're reaching more communities every day and building a team that's redefining what behavioral health treatment can look like. If you're ready to use your skills to drive lasting change and help more people access the care they deserve, we'd love to meet you. About the Role The Release of Information Specialist supports secure and authorized exchange of protected health information at Charlie Health. This role will be responsible for ensuring Charlie Health complies with all state and federal privacy laws while providing access to care documentation. Our team is composed of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. We are looking for a candidate who is inspired by our mission and excited by the opportunity to build a business that will impact millions of lives in a profound way. We're a team of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. If you're inspired by our mission and energized by the opportunity to increase access to mental healthcare and impact millions of lives in a profound way, apply today. Responsibilities Maintains confidentiality and security with all protected information. Receives and processes requests for patient health information in accordance with company, state, and federal guidelines. Ensures seamless and secure access of protected health information. Establishes proficiency in Health Information Management (HIM) electronic document management (EDM) systems. Answers calls to the medical records department and responds to voice messages. Retrieves electronic communication, faxes, opening postal mail, and data entry. Responds to internal requests via email, slack, or any other communication platform. Documents inquiries in the requests for information log and track steps of the process through completion. Determines validity from documentation provided on authorizations, subpoenas, depositions, affidavits, power attorney directives, short term disability insurance, workers compensation, health care providers, disability determination services, state protective services, regulatory oversight agencies and any other sources. Sends invalid request notifications as needed. Retrieves correct patient information from the electronic medical record (EMR) and other record sources. Verifies correct patient information and dates of services on all documents before releasing. Provides records in the requested format. Acts in an informative role within the organization regarding general release of information questions and assists with developmental training. Documents accounting of disclosures not requiring patient authorization. Scans or uploads documents and correspondence in EMR. Communicates feedback, new ideas, fluctuating volumes, difficulties, or concerns to the HIM Director. Participates in teams to advance operations, initiatives, and performance improvement. Assists with other administrative duties or responsibilities as evident or required. Requirements Associates Degree required or equivalent in release of information experience. 1 year experience in a behavioral health medical records department, or related fields. Experience in a healthcare setting is highly desirable. Experienced use of email, phones, fax, copiers, MS office, and other business applications. Ability to prioritize multiple tasks and respond to requests in a fast-paced environment. Ability to maintain strict confidentiality. Extreme attention to detail as it relates to accurate information for medical records. Professional verbal and written communication skills in the English language. Work authorized in the United States and native or bilingual English proficiency Familiarity with and willingness to use cloud-based communication software-Google Suite, Slack, Zoom, Dropbox, Salesforce-in addition to EMR and survey software on a daily basis. Please note that members of this team who live within 45 minutes of a Charlie Health office are expected to adhere to a hybrid work schedule. Please note that this role is not available to candidates in Alaska, California, Colorado, Connecticut, Maine, Massachusetts, Minnesota, New Jersey, New York, Oregon, Washington State, or Washington, DC. Benefits Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here. The total target base compensation for this role will be between $44,000 and $60,000 per year at the commencement of employment. Please note, pay will be determined on an individualized basis and will be impacted by location, experience, expertise, internal pay equity, and other relevant business considerations. Further, cash compensation is only part of the total compensation package, which, depending on the position, may include stock options and other Charlie Health-sponsored benefits. Please note that this role is not available to candidates in Alaska, Maine, Washington DC, New Jersey, California, New York, Massachusetts, Connecticut, Colorado, Washington State, Oregon, or Minnesota. Li-RemoteOur Values Connection: Care deeply & inspire hope. Congruence: Stay curious & heed the evidence. Commitment: Act with urgency & don't give up. Please do not call our public clinical admissions line in regard to this or any other job posting. Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Charlie Health, please go directly to our Careers Page: ******************************************************* Charlie Health will never ask you to pay a fee or download software as part of the interview process with our company. In addition, Charlie Health will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All communications with Charlie Health Talent and People Operations professionals will only be sent *********************** email addresses. Legitimate emails will never originate from gmail.com, yahoo.com, or other commercial email services. Recruiting agencies, please do not submit unsolicited referrals for this or any open role. We have a roster of agencies with whom we partner, and we will not pay any fee associated with unsolicited referrals. At Charlie Health, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people. Charlie Health applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation. By submitting your application, you agree to receive SMS messages from Charlie Health regarding your application. Message and data rates may apply. Message frequency varies. You can reply STOP to opt out at any time. For help, reply HELP.

Health Plan Request Bench Release of Information Specialist II The Health Plan Request (HPR) Bench Release of Information Specialist (ROIS) II processes release of information (ROI) requests related to health plan audits with accuracy, efficiency, and compliance across multiple client accounts. This role requires a high level of proficiency in various electronic medical record (EMR) systems, adherence to HIPAA regulations and uphold strict confidentiality standards. The HPR Bench ROIS III independently prioritizes tasks, troubleshoots requests, and collaborates effectively with internal teams while adapting to evolving workflows and compliance requirements, as well as ensuring they can fulfill all client-specific onboarding and access requirements. Duties & Responsibilities: Process medical ROI requests related to health plan audits quickly and accurately, ensuring compliance with HIPAA and client requirements Utilize Verisma software applications to input, manage, and track medical records Organize and retrieve records within multiple EMR systems, ensuring all documentation is properly structured and complete Interpret medical records, forms, and authorizations to correspond to specific audit measures Maintain high standards of production, efficiency, and accuracy meeting company standards and performance metrics Prioritize workload effectively and work independently while meeting productivity goals Communicate effectively within the HPR team and in a cross-functional manner, as necessary Attain a solid understanding of client-specific expectations across multiple accounts while ensuring compliance with HIPAA, HITECH, state regulations, and company policies Utilize Verisma's reference materials and compliance guidelines to maintain confidentiality and accuracy in all tasks Assist with training and mentoring new associates, as needed, ensuring knowledge transfer and consistency in processes Attend and actively participate in training sessions, workflow updates and team meetings, as required Maintain all necessary background checks, drug screenings, health screenings and access requirements to serve on the Bench Perform other related duties, as assigned, to support the effective operation of the department and the company Live by and promote Verisma Core Values Minimum Qualifications: High school diploma or equivalent required; some college preferred RHIT certification preferred 3+ years of experience in medical records, Release of Information (ROI), or Health Information Management (HIM), with expertise in supporting multiple clients and processing audit requests Knowledge of HIPAA and state regulations related to the release of protected health information Must be able to maintain all necessary background checks, drug screenings, health screenings and access requirements to serve on the Bench Clerical or office experience with data entry, document management and proficiency in using general office equipment Proficient in Microsoft Office Suite and multiple EMR systems, with the ability to troubleshoot and adapt to new technologies Strong problem-solving, organizational and time management skills with keen attention to detail Strong ability to work independently while meeting high productivity expectations Ability to effectively multi-task or change projects, as needed Prior remote experience, preferred

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 ******************************.

To bill, process adjustments, collect on accounts, and/or perform customer service duties to ensure that monies due to University Hospital are secured and paid in a timely manner and the AR outstanding days of revenue are kept to a minimum. Assignment will be flexible depending on payor mix, patient flow, and workload fluctuations. Function/Duties of Position * Billing to all non-government payors (including medical insurers, auto insurers, workers compensation insurers, managed care contracts, special grants, government agencies) * Prepare timely and accurate online and paper claims (UB-92's, 1500's, and dental bills) to third party payors. * Research any missing or incorrect data using Document Imaging, LCR, PMS, and Signature. Request copies of medical record as necessary. * Review all claims for electronic edits (to include CPT, HCPC'S, and ICD-9 coding) and accuracy and make corrections as appropriate. * Inpatient, inpatient interims, and outpatient bills over $500 are to be billed on the same day as printed. * Outpatient claims under $500 must be billed within 5 days of printing or be documented as to delay and resolution. * Document the billing on all inpatient, day surgery, observation, and ED cases. * Process up front contractual allowances using cheat sheets, contracts, and Ascent. * Bill secondary payors using the different rules for COB as dictated by state regulations and contractual agreements. * Prepare special billing documents as needed by agencies. * Document all non-covered services forms. * Complete all work following HIPAA regulation. * Review web based eligibility systems (USSP, ODS Benefits Tracker, etc) to confirm eligibility and correct insurance plan coding. Updates accounts as necessary. * Third party follow-up and collection. * Review previous admissions/accounts and/or make phone calls to verify the validity of the insurance plan code. * Review claims that are returned due to incomplete or incorrect addresses. * Other duties as assigned. Required Qualifications * Two years of recent (within the last 5 years) experience billing or collecting healthcare accounts in a business office; OR * Four years of general collection, billing or customer service experience; OR * Equivalent combination of education and experience. * Certified Revenue Cycle Specialist (CRCS) is required within 18 months of hire. Preferred Qualifications * Recent (within one year of date of hire) Microsoft Office Suite experience in Windows environment with skill in document production using Word, spreadsheet construction in Excel. * Experience in billing Hospital claims or UB-04 claims. * Knowledge of and experience in interpreting managed care contracts. * Familiarity with DRG, CPT, HCPC and ICD-10 coding. * Ability to type 45 wpm. * Ability to use multiple system applications. * Demonstrated ability to communicate effectively verbally or in writing. * Demonstrated ability to process detail oriented and analytical work. * Demonstrated ability to prioritize and accomplish multiple tasks in a fast-paced environment; consistently adhering to defined due date. Additional Details 1-2 days per week in office, otherwise remote position. Deal with hostile, grieving or angry people on a daily basis. Benefits * Healthcare for full-time employees covered 100% and 88% for dependents. * $50K of term life insurance provided at no cost to the employee. * Two separate above market pension plans to choose from. * Vacation - up to 200 hours per year dependent on length of service. * Sick Leave - up to 96 hours per year. * 9 paid holidays per year. * Substantial Tri-Met and C-Tran discounts. * Employee Assistance Program. * Childcare service discounts. * Tuition reimbursement. * Employee discounts to local and major businesses. All are welcome Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at ************ or *************.

Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. Benefits Highlights * Medical: Multiple plan options. * Dental: Delta Dental or reimbursement account for flexible coverage. * Vision: Affordable plan with national network. * Pre-Tax Savings: HSA and FSAs for eligible expenses. * Retirement: Competitive retirement package to secure your future. Responsibilities 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. Qualifications 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. Exemption Status Nonexempt Compensation Detail $23.69 -$31.98 / hour Benefits Eligible Yes Schedule Full Time Hours/Pay Period 80 Schedule Details Monday-Friday 8am-4:30pm CST Weekend Schedule N/A International Assignment No Site Description Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is. Equal Opportunity All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the 'EOE is the Law'. Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. Recruiter Ronnie Bartz

We are a global law firm with a powerful strategic focus and real momentum. Our industry-focused strategy is seeing us take on pioneering work in places that others have yet to reach. Our shared values define our culture and our workplace. You will find us to be unusually collegial, team-oriented, and ready to innovate. We work seamlessly across practices, offices and around the world. This elimination of boundaries has allowed us to evolve into a law firm that works as hard for its culture as it does for its clients. Norton Rose Fulbright US LLP is seeking a Specialist, Billing. The Specialist, Billing supports lawyers in the client billing process. The position is fully remote with the understanding that the individual will be able to come to the office when required for training and meetings or otherwise requested by management. This position is based in the United States and will report to the Supervisor, Billing. Responsibilities include but are not limited to: Distribute draft bills to assigned partners/bill approvers. Administer requested changes made by the partner/bill approver, including editing narrative, write-ups, write-downs, postponing entries, including entries, transferring entries, dividing entries, combining entries, etc. Review billing guidelines/outside counsel guidelines to capture client requirements (Verify accuracy of matter set up, rates and client payers). Process adjustments, apply unallocated funds, verify totals, and finalize draft invoices. Dispatch invoices as directed by partner/bill approver via email or eBill. Prepare required monthly WIP reports, AR reports, accruals, and budgets. Handle special billing projects and tasks requested by client/partner/bill approver Address and resolve inquiries from clients and internal stakeholders in a timely and professional manner. Manage workloads to ensure accurate and timely billing. Must have knowledge of electronic billing. Review yearly rate increase reports to ensure exception rates and costs are set up correctly. Support all Revenue Management Functions as needed. Other duties Please note this job description does not cover or contain all 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. Qualifications and experience: Bachelor's degree preferred. Minimum of five years of experience within a law firm billing environment. Intermediate to advanced in Outlook and Excel. Experience with Law Firm billing systems. Strong written and verbal communication skills. Superior customer service skills and a team player. Strong attention to detail and a self-starter. Ability to multi-task and meet deadlines in a fast-paced business environment. Flexibility working within the firm's defined deadlines and lawyer's time frames. Must have a professional, cooperative, and positive attitude. Norton Rose Fulbright US LLP is committed to providing employees with a comprehensive and competitive benefits package that supports you, your health, and your family. Benefit packages include access to three medical plans, dental, vision, life, and disability insurance. Employees can also access pre-tax benefits such as health savings and flexible spending accounts. Norton Rose Fulbright helps provide financial security by allowing employees to participate in a 401(k) savings plan and profit-sharing plans if eligible. Full- time employees are eligible to access fertility benefits designed to support fertility and family-forming journeys. In addition to the Firm's health and welfare benefits above, we offer a competitive paid time off plan, which provides a minimum of 20 days off based on your role and tenure with the firm. The firm offers a generous paid parental leave benefit allowing parents to take a minimum of 14 weeks of paid leave to bond with your newborn, or adopted child(ren). Employees are also entitled to 11 Firm holidays. Norton Rose Fulbright US LLP is an Equal Opportunity Employer and complies with all applicable federal laws and their implementing regulations that require the collection and recording of certain data and information. The information we receive will not be used to make any decision regarding employment and will be kept separate from your application. Similarly, self-identification information is kept confidential and used only in accordance with applicable federal laws and regulations. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. Norton Rose Fulbright is committed to providing reasonable accommodation as an Equal Opportunity Employer to applicants with disabilities. If you require assistance or accommodation to complete your application, please contact *****************************. Please provide your contact information and a description of your accessibility issue. We will make a determination on your request for reasonable accommodation on a case-by-case basis. E-Verify is a registered trademark of the U.S. Department of Homeland Security. This business uses E-Verify in its hiring practices to achieve a lawful workforce. Equal Employment Opportunity

The Billing & Posting Resolution Representative position is responsible for acting as a liaison for hospitals and clinics using TruBridge Accounts Receivable Management Services. They work closely with TruBridge management and hospital employees in receiving, preparing and posting of receipts for hospital services while ensuring the accuracy in the posting of the receipt, contractual allowance and other remittance amounts. Candidates must be detail oriented with excellent verbal and written communication skills, organizational skills, and time management skills. Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Receives daily receipts that have been balanced and stamped for deposit and verifies receipt total. Research receipts that are not clearly marked for posting. Post payments to the appropriate account and makes notes required for follow-up. Posts zero payments to the appropriate account and makes notes required for follow-up. Maintains log of daily receipts and contractual posted. Processes rejections by either making accounts private or correcting any billing error and resubmitting claims to third-party insurance carriers. Responsible for consistently meeting production and quality assurance standards. Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer. Updates job knowledge by participating in company offered education opportunities. Protects customer information by keeping all information confidential. Processes miscellaneous paperwork. Ability to work with high profile customers with difficult processes. May regularly be asked to help with team projects. 3 years hospital payment posting, including time outside Trubridge. Display a detailed understanding of CAS codes. Post denials to patient accounts with the correct denial reason code. Post patient payments, electronic insurance payments, and manual insurance payments. Balance all payments and contractual daily. Make sure postings balance to the site's bank deposit. Adhere to site specific productivity requirements outlined by management. Serve as a resource for other receipting service specialists. Must be agile and able to easily shift between tasks. May require overtime as needed to ensure the day/month are fully balanced and closed. Assist with backlog receipting projects, such as unresolved situations in Thrive, researching credit accounts, and reconciling unapplied. Minimum Requirements: Education/Experience/Certification Requirements California Medicaid (Medi-Cal) experience 3 years hospital payment posting, including time outside TruBridge. Computer skills. Experience in CPT and ICD-10 coding. Familiarity with medical terminology. Ability to communicate with various insurance payers. Experience in filing claim appeals with insurance companies to ensure maximum reimbursement. Responsible use of confidential information. Strong written and verbal skills. Ability to multi-task. Cerner Business Support

Unlock Your Potential: Join TEWS and Solve the Talent Equation for Your Career REMOTE OPPORTUNITY! We are seeking an experienced and adaptable Hospital Patient Billing Specialist - TRICARE to play a key role in ensuring patient accounts are accurately processed! Pay: $17-$20/hour, depending on experience Contract Length: Minimum of 6 months, with strong possibility to extend EQUIPMENT REQUIREMENT: MUST HAVE ACCESS TO LAPTOP AND MONITORS! Minimum Requirements EPIC and hospital patient accounting or revenue cycle experience required Experience billing or following up on TRICARE or government payer claims strongly preferred Knowledge of hospital billing workflows, claim edits, and AR follow-up Strong attention to detail and customer service skills Ability to manage multiple accounts and meet follow-up timelines Key Responsibilities Submit and follow up on hospital claims for TRICARE Resolve claim edits, rejections, and bill holds to ensure timely reimbursement Manage assigned account work queues, including DNB, claim edits, and payer no-response Communicate with TRICARE, other payers, and patients to resolve billing issues Review electronic payer error reports and correct claims as needed Document all account activity accurately in the billing system Why Join Us? Opportunity to join a mission-driven team in a fast-paced, evolving healthcare environment Strong focus on professional development and internal career growth TEWS has opportunities with leading companies for professionals at all career stages, whether you're a seasoned consultant, recent graduate, or transitioning into a new phase of your career, we are here to help.

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

Become an Assembler! If you are looking for a company that is focused on being the best in the industry, love being challenged, and make a direct impact on our business, then look no further! We are adding to our motivated team that pride themselves on being client-focused, biased to action, improving together, and insistent on excellence and integrity. What You Will Do: Work closely with residents and their families to establish a viable payer source beginning from date of entry throughout the resident's stay Process Medicaid Applications and re-determinations Utilize Utrack to enter all data Interact with client and facility staff with professionalism in all facets of customer service Prioritize and adjust workload based on the urgency and importance of issues Escalate growing balances and/or unresolved time sensitive issues Ensure facilities are operating according to procedure and compliance Maintain timely communication with directors, administrators, and staff regarding potential issues at the facilities Participate in team meetings, committees, and/or conference calls Other responsibilities may include training new BOMs What it Takes to Join the Family: Experience working with nursing home facilities and Medicaid applications Experience with NCS, MatrixCare and/or PCC a plus Strong written and verbal skills with the ability to adjust the message to fit the audience Possess strong organizational and time management skills Ability to analyze and synthesize information to understand issues and identify options Engage with a wide base of clients across the organization Collaborate with interdepartmental team members to complete projects Why Assembly? Be part of something special! We are growing both organically and through acquisitions. Career growth - your next role with Assembly might not be created yet and we are waiting for your help to chart the way! Ongoing training and development programs An environment that values transparency Virtual and in-person events to connect with your team. Competitive Benefit Packages available, Paid Holidays, and Paid Time Off to enjoy your time away from the office. This is a full time, non-exempt position reporting to the SNF Billing Supervisor. Salary Range$25-$30 USD Compensation for this role is based on a variety of factors, including but not limited to, skills, experience, qualifications, location, and applicable employment laws. The expected salary range for this position reflects these considerations and may vary accordingly. In addition to base pay, eligible employees may have the opportunity to participate in company bonus programs. We also offer a comprehensive benefits package, including medical, dental, vision, 401(k), paid time off, and more. All official recruitment communications from Assembly Health will originate from an @assembly.health email address. Candidates are encouraged to carefully verify sender domains and remain vigilant against potential impersonation attempts. Communications from any other domain should be considered unauthorized.

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.

The Medical Collector contacts payers for status of payment of outstanding claims, including commercial and government carriers, and patient liabilities in the appropriate time frame. Responsible for rebilling of all claims as needed, including correction of missing/inaccurate data, and appeals of denied claims with appropriate documentation for processing and payment. Identifies and submits appropriate and accurate adjustments to accounts. Identifies and refers uncollectible accounts to outside collection agencies or bad debt write off. Specific duties include, but are not limited to: Initiate follow-up with insurance companies for payments of pending claims. Appeals denied claims with insurance carriers. Research credit balances to determine if a refund is due. All EOB's have to be pulled and a check request form is given to Management for approval before a check is cut. Reviews and interprets contracts and billing. Takes incoming calls from providers or patients meeting service level standards. Process payments over the phone. Learn the collection system (Intergy) and work flow between other department business partners. Other duties as required. Position Requirements: High School Diploma or Equivalent Experience Minimum of 6 months prior medical billing/collections experience. Experience in healthcare/medical industry preferred. Proven experience in using multiple computer screens and applications simultaneously to navigate, type, and access information. Experience navigating insurance company web portals. Strong multi-tasking abilities. Strong verbal and written communication skills. Team player with ability to communicate at all levels in the organization and with different types of customers. Physical Requirements: Standard Office Environment. More than 50% of the time: Sit, stand, walk. Repetitive movement of hands, arms and legs. See, speak and hear to be able to communicate with patients. Less than 50% of the time: Stoop, kneel or crawl. Climb and balance. Carry and lift (ability to move non-ambulatory patients from a sitting or lying position for transfer or to exam). Residents living in CA, WA, NY, Jersey City, NJ, and CO click here to view pay range information. Akumin Operating Corp. and its divisions are an equal opportunity employer and we believe in strength through diversity. All qualified applicants will receive consideration for employment without regard to, among other things, age, race, religion, color, national origin, sex, sexual orientation, gender identity & expression, status as a protected veteran, or disability.

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.

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 ****************************