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Medical reimbursement specialist work from home jobs

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  • Certified Medical Coder

    Pride Health 4.3company rating

    Remote job

    Title: Certified Medical Coder Shift: 8:00 AM - 4:00 PM Work Arrangement: Onsite Training (1-2 weeks) → Remote Pay: $35/hr to $37/hr Contract: 3-month assignment with possible extension Start Date: 12/01/2025 - 03/07/2026 Position Summary: We are seeking an experienced and detail-oriented Certified Medical Coder to join our team. This role begins onsite for initial training before transitioning to remote work. The ideal candidate will have strong inpatient coding experience in an acute care setting and be proficient with ICD-10, CPT coding, EPIC, and 3M Encoder tools. Key Responsibilities: Perform accurate and compliant inpatient coding using ICD-10, ICD-9-CM, CPT-4, and Encoder systems Review medical records and ensure proper documentation supports code selection Research and resolve coding-related questions and discrepancies Maintain coding accuracy and productivity standards Apply current coding guidelines, payer requirements, and regulatory rules Collaborate with clinical staff as needed to clarify documentation Support outpatient and ED coding tasks as needed (preferred, not required) Requirements: CCS Certification (required) EPIC and 3M Encoder experience (required) Minimum 3-4+ years of inpatient coding experience, preferably in an acute care setting Strong knowledge of ICD-10, ICD-9-CM, CPT-4, and Encoder systems Experience with outpatient and ED coding (preferred) Proficient computer skills, including MS Word, Excel, and coding applications Skills & Role Expectations: Strong understanding of coding guidelines, payer rules, and federal billing regulations Solid knowledge of anatomy, physiology, and disease processes Ability to work independently and efficiently after training Ability to research issues and resolve coding questions Experience mentoring or training coders is a plus Seeking candidates with strong inpatient coding backgrounds If Interested, you can reach me on my number ************** or email me at ******************************* Pride Health offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.
    $35 hourly 1d ago
  • Certified Medical Coders

    Prokatchers LLC

    Remote job

    Job Title : Certified Medical Coders - Inpatient Duration : 3 Months Contract (with possible extension) Education : High School Diploma/GED, AHIMA, RHIA or RHIT and/or CCP, CCS. Shift Details : 8:00 AM-04:00 PM General Description: ·Medical coding in an acute care setting; must possess proficient computer skills (e.g., MS Word, Excel, ICD 9 CM, CPT 4, Encoder); knowledge of coding guidelines, payor guidelines, federal billing guidelines; knowledge of anatomy, physiology & disease processes; ability to research coding related issues; competence in coder training; must have CCS and knowledgeable with 3M/HDS coding application. ·Seeking certified coders with a strong inpatient coding background. ·Candidate should be able to work with minimal training. Inpatient and ED experience. Starts onsite for training, then transitions to remote work once duties are mastered. Education: High School Diploma/GED, AHIMA, RHIA or RHIT and/or CCP, CCS.
    $42k-67k yearly est. 1d ago
  • Remote Certified Coder

    Addison Group 4.6company rating

    Remote job

    Job Title: Urology Coder Hours: Monday - Friday, 8:00 AM - 5:00 PM CST Contract Type: Contract Pay: $20-29/hr Seeking an experienced Urology Coder to accurately assign ICD-10, CPT, and HCPCS codes for urology charts. The ideal candidate will have strong coding knowledge, particularly in surgical cases and outpatient procedures, with experience in a fast-paced healthcare setting. Key Responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes to ensure proper reimbursement and data collection. Review and code Urology charts, including surgical cases for: Ambulatory Surgery Centers (ASC) Injection/Infusion procedures Outpatient hospital charges Code from physician's outpatient notes accurately. Apply modifiers correctly based on procedural and coding guidelines. Maintain coding accuracy specific to urology procedures. Qualifications Certification: CPC required Minimum of 1-3 years of general coding experience Experience coding urology charts preferred Familiarity with Athena is a plus CPC-A candidates welcome Strong knowledge of CPT, ICD-10, and HCPCS coding rules and guidelines Training & Productivity Expectations Initial training period: 4 weeks Productivity: ~7 encounters per hour
    $20-29 hourly 1d ago
  • Medical Collections Specialist

    Bluebird Staffing

    Remote job

    Bluebird Staffing is hiring Medical Collections Agents Client- healthcare Job type: fully remote CPR + software experience is required CareTend experience is a plus Ability to work from home Pay Rate- $20/hour Duration- 5 months (possible temp to perm) Bluebird Staffing is hiring Medical Collections Agents Client- healthcare Client Location- New Jersey Job type: fully remote CPR + software experience is required CareTend experience is a plus Ability to work from home Pay Rate- $20/hour Duration- 5 months (possible temp to perm)
    $20 hourly 1d ago
  • Remote Sales Insurance Specialist

    Globe Life: The Gelb Group

    Remote job

    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 Remote 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 PId2e3ecf86a6d-31181-38920149
    $60k-80k yearly 7d ago
  • Legal Billing Specialist

    Benesch Law 4.5company rating

    Remote job

    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 **********************.
    $62k-80k yearly 60d+ ago
  • Federal Government Billing Specialist

    Agilent Technologies 4.8company rating

    Remote job

    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 November 10, 2025 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
    $28.3-44.2 hourly Auto-Apply 44d ago
  • Billing Specialist

    Emergency Ambulance Service 3.9company rating

    Remote job

    Billing/Collections Specialist Billing/Collection Agent Full Time Billing / Collections Specialist Full TIME BILLING/COLLECTIONS POSITION AVAILABLE IN FISHKILL, NY LOOKING FOR A RELIABLE CANDIDATE!!!!!!! HOURS: 8AM - 4:30PM Monday through Friday Must be motivated and detail oriented. Must have a strong background in Medicare, insurance and patient collections as well as all other aspects of billing. THIS POSITION IS NOT A REMOTE POSITION, PLEASE CONSIDER CAREFULLY EMAIL RESUME AND SALARY REQUIREMENTS Job Type: Full-time Pay: From $18.00 per hour - $25.00 per hour
    $18-25 hourly 60d+ ago
  • Release of Information Specialist

    Charlie Health

    Remote job

    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.
    $44k-60k yearly Auto-Apply 34d ago
  • Payroll & Billing Specialist (Full Time, Remote)

    Metasource 4.1company rating

    Remote job

    We are looking for a smart, driven, and detailed-oriented professional to join our Accounting Team as Payroll & Billing Specialist. This position requires a strong attention to detail, ability to manage time well, and interact professionally with employees, clients, and vendors. Pay: $21.50-$23.00 / hour (depending on experience) Benefits: Full Time benefits eligible including Medical, Dental, Vision, Time Off, Wellness Program, Retirement, and more. Fully Remote: Preference given to applications in MST, CST, and EST time zones. Responsibilities (Payroll) Assist with Processing semi-monthly payroll for employees across multiple departments. Calculating and process employee deductions, benefits, and garnishments. Ensuring compliance with tax regulations and labor laws. Preparing and distribute payroll reports to management. Responding to employee inquiries regarding payroll issues. Collaborating with HR and Finance teams to ensure accurate employee data. Maintaining payroll records and ensure data integrity. Year-end reporting, including W-2s and other tax documents. Responsibilities (Billing) Assist with Preparing and sending invoices to clients/customers in a timely manner. Reviewing contracts and agreements to ensure accurate billing. Monitoring accounts receivable and follow-up on outstanding payments. Resolving billing issues and respond to customer inquiries. Maintaining billing records and documentation. Collaborating with internal departments to ensure billing accuracy. Month-end closing and reporting. Requirements Some college preferably in Accounting, Business, or related field. Two to three years of Payroll and Accounting or Bookkeeping experience. Proficient using computer and Microsoft Office products including Excel. Self-starter attitude with tenacity and drive. Consistently looks for ways to improve processes and procedures. Effective communicator and comfortable working remotely. Preferred Qualifications Associate's or Bachelor's degree in accounting, Business, or related field. Previous work experience using NetSuite ERP and/or Paylocity. Employment is contingent upon completing and passing a background check and drug test. MetaSource is an equal opportunity employer.
    $21.5-23 hourly 60d+ ago
  • Billing Resource

    Pennant Group

    Remote job

    Leading their Market's operations in providing world class best practices for billing, cash collections, and accounts receivable functions for the Markets Home Health & Hospice agencies. Collaborating with the Pennant Service Center AR Resource and Market AR Market Leaders in developing, monitoring, and maintaining those world class best practices for their Market. Partnering with other billers, AR Market Leaders, and Service Center AR Resources within the Home Health & Hospice Segment in shared ownership to ensure a world class AR function across the organization. DUTIES & RESPONSIBILITIES Creates accountability for billing and collection efforts and procedures for Billers and Billing Provides front-line support to Billers and Billing Managers, including day-to-day questions and issues, agency-specific collections efforts, and active billing when needed; provides tools to monitor processes and issues. Partners with cluster Executive Directors to provide training to Billers and Billing Managers. Subsequent to the delivery of training, continues to monitor processes to ensure best practices are being followed. Establishes and maintains positive and collaborative working relationships with AR Service Center Resources, Billers/Billing Managers, other AR Market Leaders, payors and referral sources. Maintains comprehensive working knowledge of payor contracts and ensures that payors are billed according to contract provisions. Represents and acts on behalf of agency in resolving conflicts with payers. Maintains comprehensive working knowledge of government billing regulations including Medicare and Medicaid regulations and serves as a resource for agency personnel. Monitors and audits for adequate Billing Notes, which are crucial to provide Audit Trail support to document issues addressed, aid in justifying appeals, and ensuring audit compliance. Attends Cluster BAM meetings to identify systemic issues in AR practices, workflow, or system configuration and support standardized best practices among agencies. Monitors aged accounts receivables and related metrics to ensure agencies are meeting established targets, and actively assists in achieving targets. Reviews manual revenue adjustments for proper documentation and timely submission. Assists billers with errors with the reconciliation of cash receipts and bank deposits as needed. Ensures that billing and patient accounts record systems are maintained in accordance [Text Wrapping Break]with generally accepted accounting principles and in compliance with state, federal and accreditation requirements. Protects the confidentiality of patient and agency information through effective controls and combined efforts with billing operations. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities) At least three years' experience in health care billing and collections management preferably in home health and/or hospice operations and within the Cornerstone Health organization. Ability to exercise discretion and independent judgment and demonstrate good communication, negotiation, and public relations skills. Demonstrated capability to accurately manage detailed information. Able to work tactfully and collaboratively with colleagues, peers, service center personnel, referral sources and payers. Demonstrates ingenuity, autonomy, assertiveness, flexibility and cooperation in performing job responsibilities. 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 ****************************
    $33k-43k yearly est. Auto-Apply 7d ago
  • Medical Billing Specialist Remote

    Cardinal Health 4.4company rating

    Remote job

    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
    $34k-41k yearly est. 60d+ ago
  • Mental Health Practice Biller

    Virtual Peace of Mind

    Remote job

    Role: Mental Health Practice Biller FLSA: Full Time | Salaried | Exempt Reports To:Chief Program Operations Officer Why Join Virtual Peace of Mind (VPM)? Transforming Access to Youth Mental Health through Virtual Care Virtual Peace of Mind (VPM) is a fast-growing, fully remote private mental health practice dedicated to providing compassionate, evidence-based care across multiple states. Our mission is to empower clinicians with the flexibility, resources, and support they need to deliver exceptional care - while advancing equitable mental health access for all. Role Overview: Virtual Peace of Mind is actively seeking Mental Health Practice Biller to serve as the financial operations lead responsible for ensuring accurate, compliant, and efficient billing practices for our school based initiative VPM services. This role is ideal for a detail-oriented, analytical professional who thrives on precision, compliance, and process improvement. The Biller plays a pivotal role in maintaining the financial health of the organization through timely claims submission, insurance verification, denial management, and collaboration with both clinical and administrative teams. Key responsibilities include but limited to: Billing & Claims Management Prepare, review, and submit insurance claims through the practice's EHR system (SimplePractice). Verify accuracy of CPT codes, clinician credentials, and payer requirements prior to submission. Monitor claim status to ensure prompt resolution of rejections or denials. Manage billing for multiple service lines, including school-based telehealth, private therapy, and program contracts. Post payments, adjustments, and reconcile balances across client and district accounts. Maintain documentation of all billing actions, payer communications, and appeals. Insurance & Compliance Oversight Conduct insurance eligibility and benefits verification prior to session initiation. Ensure adherence to HIPAA and payer-specific compliance standards for all billing processes. Track and manage payer credentialing updates, NPI, and CAQH requirements in coordination with HR. Stay current on payer changes, rate adjustments, and telehealth reimbursement policies. Financial Reporting & Coordination Generate weekly and monthly revenue reports for leadership and accounting review. Track outstanding claims, client balances, and overall collection rates to identify trends or discrepancies. Collaborate with administrative and clinical teams to ensure accurate client data entry and billing readiness. Support School Program Administrator with district utilization tracking and financial reporting for contract deliverables. Client Communication & Support Address billing inquiries from clients, families, or district representatives with professionalism and clarity. Provide explanations of benefits (EOB) and resolve account discrepancies. Assist with payment plan setup and client financial communications as needed. Process Improvement Recommend workflow enhancements to improve billing accuracy and reduce claim denials. Support implementation of new billing software features, payer integrations, or automation tools. Assist leadership in developing billing SOPs, staff training materials, and cross-department billing coordination systems. Other duties as assigned. Qualifications & Preferred Experience: Associate's or Bachelor's degree in Accounting, Healthcare Administration, or related field preferred. Minimum 3 years of experience in mental health or medical billing, preferably in a multi-clinician or group practice setting. Strong understanding of CPT/ICD-10 coding, insurance verification, and payer portals. Familiarity with SimplePractice, Availity, Office Ally, or similar EHR/billing platforms. Excellent analytical, organizational, and written communication skills. Experience with tele-health billing and knowledge of HIPAA compliance required. Proficiency in Excel and Google Workspace for data tracking and reporting. High integrity, reliability, and ability to maintain confidentiality. Compensation & Benefits: Compensation Salary: up to $45k/per annum; commensurate on experience. Benefits: Retirement: 401(k) with up to 3% employer match Health: Individual Coverage HRA (ICHRA) stipend up to $300/month toward health insurance premiums Paid Time Off: 10 days of PTO annually 6 paid holidays 3 wellness/sick days per year What Makes VPM Different - Our Values! Mission-Driven Impact: Join a pioneering, VDOE-endorsed initiative transforming school-based mental health delivery across Virginia - ensuring access, equity, and positive outcomes for every student. Leadership & Growth: Contribute to shaping and scaling an innovative, state-supported care model. Licensed clinicians may take on leadership or consulting roles as the program expands. Flexible Remote Environment: Enjoy a fully remote, flexible work model that allows you to balance meaningful clinical work with personal well-being. Collaborative, Supportive Culture: Be part of a multidisciplinary, mission-driven team that values integrity, empathy, and shared learning. Professional Development: Access ongoing CEU opportunities, leadership training, and exposure to state and national initiatives advancing youth mental health. Equal Employment Opportunity (EEO) Statement: VPM is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive, equitable environment for all employees. Employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, national origin, age, disability, veteran status, or any other legally protected characteristic. ADA Accommodation Statement: VPM is committed to providing reasonable accommodations for qualified individuals with disabilities and applicants with disabilities. If you require an accommodation to complete the application process, participate in an interview, or perform essential job functions, please contact HR at ************************************* to request assistance. All accommodation requests are handled confidentially and in accordance with applicable law. If qualified for a role, our talent acquisition team will contact you. Please only reach out if accommodation with the application/interviewing process is required. Employment Eligibility & Compliance: All offers of employment are contingent upon the successful completion of a background check, verification of licensure (as applicable), and eligibility to work in the United States without company-sponsorship. VPM complies fully with all applicable federal, state, and local laws governing nondiscrimination, confidentiality, and data privacy, including HIPAA, FERPA, and state-specific clinical/employment regulations.
    $45k yearly 57d ago
  • Contract Billing Specialist

    Midi Health

    Remote job

    Contract Billing Specialist @ Midi Health: 👩 ⚕️💻 Join Midi Health, a pioneering company on a mission to bring compassionate, high-quality healthcare to women 40+! We focus on the unique health challenges faced by women in midlife and provide virtual care for perimenopause, menopause, and other common health needs. Business Impact 📈 Utilize expertise in Athena platform to accurately troubleshoot claims for telehealth services provided to patients, ensuring compliance with internal coding guidelines, payer requirements, and regulatory standards. Collaborate with the clinical team to provide patients with insurance coverage, eligibility, and benefits prior to telehealth appointments, and assist patients with understanding their financial responsibilities and options for payment offered at Midi. Manage and collect patients accounts receivable (AR). Follow up on outstanding balances, denials, and insurance claims. Participate as a key player in regular audits and reviews of billing data and documentation to identify discrepancies, errors, or trends that could be potentially impacting the revenue cycle performance. Collaborate with external stakeholders, including insurance companies and third-party billing vendors to resolve billing and coding disputes, negotiate payment arrangements, and optimize reimbursement rates for telehealth services. Monitor and adhere to key performance indicators (KPIs) and internal metrics related to billing and revenue cycle management. Participate in cross-functional teams and projects focused on enhancing the patient experience, optimizing RCM workflows, and implementing technology solutions to streamline billing processes. What you will need to succeed: 🌱 Availability! Shift time is Mon - Fri 11-7PM EST or 8-4:30 PST 2-3 years of experience in medical billing and coding. 2-3 years of experience in patient accounts receivable (AR) collection. Experience with Athena or similar billing platforms, managing billing statements, payment plans, and negotiating balances. Familiarity with Zendesk or customer support platforms. A strong understanding of medical billing processes, CPT, ICD-10, and HCPCS coding guidelines. Telehealth experience strongly preferred! An eye for detail and a passion for problem-solving. The interview process will include: 📚 Recruiter Interview (30 min) Hiring Manager + Billing Specialist Interview (30 min) Department Leader Interview (30 min) Functional Leader Final Interview (30 min) What We Provide Hourly rate: $23-25 hr depending on experience Fully remote WFH setting While you are waiting for us to review your resume here is some fun content to check out Our patients love us- check out some content here and here ♥️ This role requires authorization to work in the United States without current or future visa sponsorship, including visa transfers. #JA-1 Please note that all official communication from Midi Health will come from **************** email address. We will never ask for payment of any kind during the application or hiring process. If you receive any suspicious communication claiming to be from Midi Health, please report it immediately by emailing us at ********************. Midi Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Please find our CCPA Privacy Notice for California Candidates here.
    $23-25 hourly Auto-Apply 11d ago
  • Billing Specialist - Substance Use Disorder Behavioral Health

    Ascension Recovery Services

    Remote job

    Billing Specialist - Substance Use Disorder (Behavioral Health) Remote | Eastern or Central Time Zone Company: Wise Path Recovery Centers (part of the Ascension Recovery Services network) Make an Impact in Behavioral Health Billing Wise Path Recovery Centers is expanding its in-house billing operations and seeking a Billing Specialist to support our behavioral health and substance use disorder (SUD) programs. This position is ideal for someone who is detail-oriented, analytical, and thrives on solving billing puzzles, improving processes, and contributing to a mission-driven organization that helps individuals on their recovery journey. You'll play a key role in our EMR and billing platform transition-configuring workflows, validating payer rules, and ensuring clean, compliant claims from start to finish. What You'll Do Prepare, review, and submit claims for behavioral health and SUD services. Verify insurance coverage, benefits, and authorizations prior to admission. Track and reconcile claims, resolve denials, and post payments accurately. Support billing configuration and validation during the EMR transition. Collaborate with Utilization Review, Admissions, and Finance teams to ensure clean claim submission. Identify process gaps and help standardize billing workflows and SOPs. Maintain compliance with HIPAA, 42 CFR Part 2, and payer documentation requirements. What We're Looking For Minimum Qualifications 2+ years of healthcare billing experience (behavioral health or SUD preferred). Working knowledge of CPT, HCPCS, and ICD-10 coding. Experience with Medicaid, Medicare, and commercial payers. Proficiency in EMR and billing software, plus strong Excel skills. High school diploma or equivalent. Preferred Associate's or Bachelor's degree in Business, Accounting, or Healthcare Administration. Experience with EMR transitions or billing system implementations. Familiarity with UB-04 and CMS-1500 claim forms. Understanding of multi-site or multi-state behavioral health operations. Top Candidate Traits Accurate: You take pride in getting the details right every time. Analytical: You're curious about why a claim denied-and determined to fix it. Structured: You thrive on order, process, and well-designed systems. Technical: You're comfortable learning and testing new software tools. Dependable: You consistently meet deadlines and keep things moving smoothly. Why Join Wise Path Help build a growing in-house billing department with long-term career potential. Contribute to a mission that changes lives through quality addiction and behavioral health treatment. Work remotely with a collaborative team across multiple states. Competitive pay and professional development opportunities. Equal Opportunity Employer Wise Path Recovery Centers, in partnership with Ascension Recovery Services, provides equal employment opportunities to all employees and applicants regardless of race, color, religion, gender, sexual orientation, gender identity or expression, national origin, genetics, disability, age, or veteran status.
    $29k-39k yearly est. 59d ago
  • ABA Billing Specialist (REMOTE) - (Texas ONLY) Must have Central Reach Experience

    Little Spurs Pediatric Urgent Care

    Remote job

    ABA Billing Specialist (REMOTE) - (Texas ONLY) Must have Central Reach Experience Status: Full-time, non-exempt Billing Specialist (REMOTE) Status: Full Time Join us at Little Spurs! (Overview): Little Spurs Autism Centers is seeking an experienced ABA biller to join our dynamic team. Under general direction, the billing specialist will exercise independent judgement while adhering to established policies and procedures, regulations, and best practices. What You Need (Qualifications): To perform this job successfully, and individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions. High school diploma or equivalent required; Associates or bachelor's degree in Finance, Accounting, Business Administration, or related field preferred 3 + years of billing and coding experience in ABA therapy specialty. Must possess in-depth knowledge of medical billing; experience with pediatric billing preferred Experience with robust practice management/EMR system, preferably Central Reach and Waystar. The Perks (Benefits): Medical, Dental & Vision Benefits available employee, spouse, and dependents Voluntary Short-Term & Long-Term Disability & Voluntary Life Insurance (Employee, Spouse, Children). 401k with 4% company match on 5% employee contribution. Holiday pay (Closed Thanksgiving and Christmas); shorter holiday hours. 80 hours of PTO accumulated through the year; available for rollover More PTO accrued after three and five years of service Free in-house medical care for employee and dependent children Employee recognition and appreciation programs Professional Development Opportunities REQURIED SKILLS AND ABILITIES: Comprehensive knowledge of coding, billing, processes and requirements Knowledge of local payers, to include billing and claims resolution processes Knowledge in physician practice technology as it relates to creating, transmitting and collecting claims Knowledge of physiology, anatomy, neurology and medical terminology. Ability to communicate clearly both written and verbally. Ability to work independently with detail and accuracy. Excellent interpersonal communication skills Ability to act with discretion, tact, and professionalism in all situations. Ability to work in a remote or hybrid work environment. Ability to work well within a team dynamic. Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) Ability to use a fax machine, copier and a scanner Must have a passion for Revenue Cycle and a positive mindset Bilingual a plus! We use E-Verify ESSENTIAL DUTIES AND RESPONSIBILITIES include the following: Performs all necessary tasks to provide overall direction and support in billing, accounts receivable and related areas. Responsible for managing the charge capture, coding, billing and billing edits. Responsible for coordinating with providers and Regional Medical Directors to create efficient, accurate templates and automated charging/billing processes Analyze trends, impacting charges, coding, and collections and take appropriate action to realign staff and revise policies. Analyze billing and claims for accuracy and completeness and submit claims to proper insurance entities and follow up on any issues. Ensures that the correct coding and compliance guidelines are being adhered to. Maintains systems, policies & procedures to ensure compliance with all contractual obligations of payers. Responsible for monitoring reimbursements. Responsible for staying familiar with federal and state regulations and company policies. Effectively communicates to employees and hold yourself accountable for meeting those same expectations. Assists with staff communication providing updates, resolving issues, setting goals and maintaining standards. Assists with work allocation and problem resolution. Assists with month end reports Performs other related duties as assigned. The Nitty Gritty (Your Day to Day): Performs appropriate billing/payment posting functions as assigned. Follows up on unpaid or improperly paid claims as necessary. Reviews and monitors select accounts within the accounts receivable system. Determines and performs appropriate collection efforts to resolve accounts, to include follow-up online, by phone and written correspondence. Effectively applies protocol in company EMR: Invoice Balance Responsibility/Applies Invoice Status correctly. Builds claims and applies knowledge of medical terminology, ICD/CPT codes to complete daily Corrects denied submission and denied claims in a timely manner and notes invoice accordingly. Submits claims electronically and by paper. Assist with telephone inquiries and billing questions promptly, with professionalism and courtesy. Generates and reviews patient statements effectively and ensures appropriate collection correspondence is sent and documented per protocol. We offer competitive benefits which include: Medical, Dental, Vision, Life, Disability, PTO, Holiday Pay and Retirement Savings Account (401k).
    $28k-38k yearly est. 60d+ ago
  • Billing Specialist I (Remote after 6 months training at Cotswold)

    Horizon Eye Care 3.8company rating

    Remote job

    Job Details Cotswold - Charlotte, NC Full Time High School Diploma / GED None Day Health Care The Billing Specialist I is responsible for incoming billing inquiries. This may include, but is not limited to, account research, payment posting and balancing, adjustments, collections, patient and insurance company phone calls and inquiries. ESSENTIAL DUTIES AND RESPONSIBILITIES: Answers telephone and emails promptly and courteously, responds to billing questions, following HEC policy for self-pay balances. Refers escalated inquiries to appropriate patient account representative. Corrects faulty information and advises supervisor of patterns or trends of errors noted. Uses available technology (Virtual Swipe, Electronic Checks, and Online) to offer patients immediate payment options and encourage timely payment of balances due. Understands the process of the “Token” number to encourage patients to sign in on the online portal for patient payments. Prepares requests for refunds or non-contractual adjustments for review by Refunds PAR or Business Services Manager. Ensures that all email and voice mail messages are handled on a daily basis. If the issue cannot be resolved on the same day, employee will notify parties involved about pending status. Processes/Research all returned mail to update the patient information in Nextgen in a timely manner for appropriate filing. Possesses a full understanding of patient accounts workflow, adheres to all processes and participates in improving departmental problems. Abides by the Collector on Call schedule and coordinates schedule with co-workers to maintain proper coverage for patient needs. Performs all necessary job functions related to new technological implementations. Has an understanding of Retina financial assistance. Obtains payments through the Chronic Disease portal, and faxes or mail claims to the other financial assistance programs such as Eylea Copay Card and Lucentis Copay Card. Answers billing correspondence received through lockbox and through patient portal. Research returned business office mailings for corrected addresses and updates demographics in system. POSITION REQUIREMENTS: Minimum Qualifications: High school diploma or equivalent One year of clerical medical office experience. Ability to understand explanations of benefits (EOBs). Preferred Qualifications: Experience in insurance billing. General knowledge of CPT and ICD coding. General knowledge of medical terminology
    $47k-53k yearly est. 60d+ ago
  • Billing Specialist

    Dolphin Ears

    Remote job

    . Dolphin Ears LLC is in the tourism and entertainment industry. We specialize in organizing Tours and Yacht Charters for high-end individuals. We are a Florida-based company specializing in eco-friendly boat tours that allow guests to observe and interact with local wildlife, particularly dolphins and manatees. Dolphin Ears LLC is at 2700 Harbortown Dr, Merritt Island, FL 32952. Services we currently offer Include: Private Yacht Tours Private Dolphin & Manatee Tours Underwater Listening Equipment: Customizable Charters: Premium Yacht Tours Rocket Launch Viewing...etc. Who we actually need at Dolphin Ears: We are looking for an honest and experienced Billing Specialist to join our Accounting Department at Dolphin Ears. You will be tackling a variety of financial. You will also be managing the necessary paperwork for incoming payments. You will report all the billing activities, for example, invoices, receipts, and so on in ledgers and financial statements. Your Responsibilities will include the Following: Track and manage incoming payments. Keep the clients informed about their outstanding debts and give them a reasonable deadline to make the payments. Maintain and update the report of all billing activities and present them to the Billing Supervisor. Collect feedback from clients and help them solve their issues related to billing. Issue invoices, bills, receipts, etc and manage the account status. Check the credibility of debit accounts. Check for missing payments and notify the Billing Coordinator. Maintain and update accounts receivable records. Requirements Requirements and skills needed for this Role: Bachelor's degree in Accounting, Finance or related field. A High school diploma in Accounting will also be considered. 1-6 years of experience working as a Billing Specialist, Billing Coordinator, Billing Analyst or a similar position. Ability to organize and coordinate multiple tasks at a time. Ability to work under pressure and prioritize them. Excellent listening skills. Good numerical abilities. Outstanding problem-solving skills. Exceptional ability to manage time effectively. Attention to detail for accuracy. Excellent interpersonal skills. Ability to work independently or in teams as and when required. Outstanding interpersonal skills. Strong verbal and written communication skills. Outstanding negotiation skills. Trustworthy and critical thinker. Benefits Benefits Include: Medical, dental, and vision benefits Life insurance, long and short-term disability coverage 401k Plan with a 4% match, beginning on your hire date 14 paid company holidays Health Reimbursement Professional development credit Monthly reimbursement for Wellness And more! This is a remote position and it is only open to candidates currently residing in Usa. NOTE: After applying, Make Sure to always check your email as you will receive another email that will contain the instructions on how to set up the interview.
    $27k-37k yearly est. 60d+ ago
  • Remote Billing Specialist

    Cottonwood Springs

    Remote job

    Billing Specialist Schedule: Monday-Friday, 40hrs a week. 8am-5pm in your time zone. Your experience matters At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a member of the Health Support Center (HSC) team, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier . More about our team The Physician Services Revenue Integrity team at Lifepoint Health is a nationwide revenue cycle management services provider that has been offering high quality medical billing services since 2004. We offer a rewarding work environment with career advancement opportunities while maintaining a small company, employee-focused atmosphere. How you'll contribute A Billing Specialist who excels in this role: Responsible for maintaining Revenue Cycle Services, and other departments with resolution of billing issues and/or denials requiring clinical expertise. Responsible for researching, working, and resolving claim denials and rejections in your assigned client. Assume ownership over your assigned clients for all aspects of the billing cycle, including Charges, Payments, and AR metrics and performance. Keep on task to meet all required deadlines and timeframes for customer and company needs. Assist in the development of processes and procedures for each assigned account. Monitors and analyzes current industry trends and issues for potential organizational impact. Communicate regularly with your assigned clients to alert them of trends identified and recommended resolutions. Collaborate with all departments to ensure billing accuracy and efficiency. Deliver timely required reports to the management team; initiates and communicates the resolution of issues, such as payer denial trends, collections accounts, inaccurate or incorrect charges. Ensure compliance with all relevant regulations, standards, and laws. Assist with any other projects as assigned by the Operations leadership. Why join us We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: Comprehensive Benefits: Multiple levels of medical, dental and vision coverage - with medical plans starting at just $10 per pay period - tailored benefit options for part-time and PRN employees, and more. Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off. Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match. Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs). Professional Development: Ongoing learning and career advancement opportunities. What we're looking for Education: High-School Graduate or Equivalent Experience: 1-2 Years Medical Accounts Receivable Experience Preferred Skills: ICD10 and CPT knowledge Computer Skills: Excel, Word, Outlook, Medical Billing Software Systems Knowledge of full cycle revenue model Thorough knowledge of ICD and CPT application, correct practices, and tools utilized within the healthcare industry, as well as audits Ability to interpret documents, medical records, and other documentation related to medical claims Strong technical and computer skills (PM/EHR Software, Excel, Outlook, MS Office, Web) Ability to identify and resolve trends within your workflow Athena experience preferred Behavioral Health experience preferred Pay Range: $18+ per hour depending on experience. EEOC Statement “Lifepoint Health is an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.” Employment Sponsorship Statement “You must be work authorized in the United States without the need for employer sponsorship”
    $27k-35k yearly est. Auto-Apply 1d ago
  • Billing Specialist (REMOTE)

    Aveanna Healthcare

    Remote job

    Salary:$18.00 - $19.00 per hour Details Aveanna Healthcare is the largest provider of home care to thousands of patients and families, and we are looking for caring, compassionate people who are driven to fulfill our mission to revolutionize the way pediatric healthcare is delivered, one patient at a time. At Aveanna, every employee plays an important role in bringing our mission to life. The ongoing growth and success of Aveanna Healthcare remain dependent on our continued ability to consistently deliver compassionate, committed care for medically fragile patients. We are looking for talented and committed individuals in search of a rewarding career with a company that values Compassion, Integrity, Accountability, Trust, Innovation, Compliance, and Fun. Position Overview The Billing Specialist reports directly to the Reimbursement Supervisor and is responsible for the proper and complete handling of all aged patient accounts for the sole purpose of collecting the very highest possible percentage of every billed account. This position maintains close contact with branch location personnel while constantly and consistently attempting to ensure maximum payment from all payers is received timely. This includes payment for all primary, secondary, tertiary or any other payer for all billed accounts including any and all guarantors for services provided. This is inclusive of claims to commercial, Medicare, Medicaid and private pay accounts. The starting pay for our Billing team is $18.00 per hour. In addition to compensation, our full-time employees are eligible to receive the following competitive benefit package including Health, Dental, Vision, and Life insurance options, 401(k) Savings Plan with Employer Match, Employee Stock Purchase Plan, and 100% Remote Opportunity! Essential Job Functions * Works and collects delinquent A/R accounts * Documents collection efforts in EMR notes screens to include payer contacts, phone numbers, issues, actions taken, etc. * Maintains current AR at an acceptable percent. * Maintains DSO at an acceptable level. * Achieves cash goal on a quarterly basis. * Keeps supervisor, and branch location personnel informed of any significant collection payer or processing issues. * Submits adjustments in an accurate and timely manner. * Requests Bridge Tickets to correct and update EMR. * Works with Biller to ensure claims are refiled and/or billed to the second insurance in a timely manner. * Understands payer specific requirements for submitting claims (i.e. includes CMN's, nursing notes, invoices, etc.). * Understands and enforces SOX 404 controls * Reviews and responds to correspondence received from payers. * Reviews and submits guarantor statements as required. Responds to questions from patients regarding statements. * Addresses denials in an accurate and timely manner. * Completes document request forms and forwards to location as required. * Provides exceptional customer service. * Evaluates data, reports, feedback, observations and other information in determining priorities. * Uses prior knowledge and industry specific, historical experiences in resolving problems. * Conducts all assignments as a professional and role model with a sense of urgency. * Uses professional communication and conflict resolution techniques as required. * References and reflects upon the Company mission, values, and strategic imperatives in completing and/or assigning all work. Requirements * High school diploma or equivalent. * Minimum six (6) month prior healthcare insurance experience. * Computer literate and ability to type, file and maintain audit records. Other Skills/Abilities * Must be able to adhere to confidentiality standards and professional boundaries at all times * Attention to detail * Time Management * Ability to remain calm and professional in stressful situations * Strong commitment to excellence * Quick-thinking and astute decision making skills * Effective problem-solving and conflict resolution * Excellent organization and communication skills 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. Equal Employment Opportunity and Affirmative Action: Aveanna provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Aveanna complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
    $18-19 hourly 14d ago

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