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Accounts Receivable Specialist jobs at Methodist Health System - 998 jobs

  • AR II Specialist - Hybrid Position

    Methodist Health System 4.7company rating

    Accounts receivable specialist job at Methodist Health System

    We are seeking an experienced Accounts Receivable II (AR II) Specialist specializing in Professional Billing to join our team at our Central Business Office (CBO) location. The ideal candidate will possess a strong background in A/R follow up for family and multi-specialty claims, able to identify, address, and resolve no response claims, denied claims, and correspondence. As an AR II Specialist, you will play a crucial role in optimizing revenue flow by effectively managing outstanding accounts receivable and ensuring timely reimbursement. Job Requirements: High School Diploma required College degree preferred Two to four years of experience in healthcare revenue cycle management. Proficiency in medical billing software EPIC and electronic health record (EHR) systems. Strong knowledge of healthcare billing processes, medical terminology, CPT, ICD-10 coding, and billing regulations. Excellent analytical skills with the ability to identify patterns, trends, and discrepancies in claims. Effective communication and interpersonal skills, with the ability to interact professionally with internal and external stakeholders. Detail-oriented with a focus on accuracy and thoroughness in claim analysis, documentation, and reporting. Ability to prioritize tasks, meet deadlines, productivity goals and work efficiently in a fast-paced environment. Certification in medical coding (e.g., CPC) or revenue cycle management (e.g., CRCR) is a plus. Position requires 90-day probationary period to be successfully completed before being approved to work from home. WFH schedule based on business needs. Job Responsibilities: Analyze and review outstanding claims, focusing on those with no response or denials. Identify and rectify errors, discrepancies, and missing information to resubmit claims promptly and accurately. Investigate and address claim denials promptly. Utilize knowledge of payer policies, medical coding guidelines, and billing regulations to appeal denials and secure rightful reimbursement. Manage all incoming correspondence related to accounts receivable, including explanation of benefits (EOBs), remittance advice (RA), and other payer communications. Take necessary actions based on correspondence received, such as claim corrections, appeals, or adjustments. Conduct thorough follow-up on aging accounts receivable, prioritizing those with no response or denied claims. Utilize various communication channels to contact payers, patients, and other relevant parties to resolve outstanding balances and secure payment. Stay up-to-date with changes in healthcare regulations, coding guidelines, and billing requirements. Ensure compliance with HIPAA, CMS, and other regulatory standards governing healthcare billing and reimbursement. Collaborate closely with internal departments, including providers, coders, and billing staff, to resolve complex billing issues and streamline revenue cycle processes. Communicate effectively with external stakeholders, such as payers and patients, to facilitate resolution of outstanding accounts receivable. Be accountable for your performance. Always look for ways to improve the patient experience Take initiative for your professional growth Be engaged and eager to build a winning team Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we've earned: Magnet designations for Methodist Dallas, Methodist Charlton, Methodist Mansfield, and Methodist Richardson Medical Centers 150 Top Places to Work in Healthcare by Becker's Hospital Review, 2023 Top 10 Military Friendly Employer, Gold Designation, 2023 Top 10 Military Spouse Friendly Employer, 2023 Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare , Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we've earned: TIME magazine Best Companies for Future Leaders, 2025 Great Place to Work Certified™, 2025 Glassdoor Best Places to Work, 2025 PressGaney HX Pinnacle of Excellence Award, 2024 PressGaney HX Guardian of Excellence Award, 2024 PressGaney HX Health System of the Year, 2024
    $34k-44k yearly est. Auto-Apply 10d ago
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  • AR Specialist I

    Methodist Health System 4.7company rating

    Accounts receivable specialist job at Methodist Health System

    Your Job: Working with one or more account receivables management system modules including but not limited to billing, claim corrections, reconciliation, payment posting, refunds/credit balances, customer service, and follow-up in accordance with the departmental protocol with an emphasis on maximizing customer satisfaction and profitability. Also depending upon assigned role you may be responsible for reviewing claim information to ensure accuracy and provide feedback to the clinical and non-clinical areas regarding claim errors and/or denials, and for providing cross coverage for areas not primarily assigned as required to ensure efficient and professional operations and maximum patient satisfaction. Your Job Requirements: • High school Diploma or Equivalent required • 3 years Collection experience is required. Your Job Responsibilities • Proficiency with one or more assigned receivables' management system modules including but not limited to patient registration, charge entry, coding, claims processing, collections, reports, and patient information inquiry. • Works all cases assigned to a Work Queue at the time of entry to ensure corrections and provide feedback to other areas and to ensure timely reimbursement. • Provide customer service both on the telephone and in the office for all patients and authorized representatives regarding patient accounts in accordance with office protocol. Customer calls regarding accounts receivable should be returned within 2 business days to ensure maximum patient satisfaction. • Follows-up on all assigned returned claims, correspondence, denials, account reconciliations and rebills within five working days of receipt to achieve maximum reimbursement in a timely manner with an emphasis on patient satisfaction. • Provides feedback to Management regarding claims issues of incorrect and/or missing information, which includes failure to get authorization at registration. • Review and resolution of all assigned payer correspondence. • Health care terminology surrounding medical diagnostic and procedural coding. • Experience with contract language preferred. • High-quality math skills necessary. • Ability to identify trends and variances. • Microsoft Office software experience required. • Other duties as assigned. Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare , Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we've earned: TIME magazine Best Companies for Future Leaders, 2025 Great Place to Work Certified™, 2025 Glassdoor Best Places to Work, 2025 PressGaney HX Pinnacle of Excellence Award, 2024 PressGaney HX Guardian of Excellence Award, 2024 PressGaney HX Health System of the Year, 2024
    $34k-44k yearly est. Auto-Apply 39d ago
  • Clearance Specialist

    Soleo Health, Inc. 3.9company rating

    Frisco, TX jobs

    Soleo Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Acute home infusion experience required, and must be able to work 8:30a-5p Mountain Time. Soleo Health Perks: Competitive Wages 401(k) with a Match Referral Bonus Paid Time Off Great Company Culture Annual Merit Based Increases No Weekends or Holidays Paid Parental Leave Options Affordable Medical, Dental, & Vision Insurance Plans Company Paid Disability & Basic Life Insurance HSA & FSA (including dependent care) Options Education Assistance Program This Position: The Clearance Specialist is responsible for processing new referrals including but not limited to verifying patient eligibility, test claim adjudication, coordination of benefits, and identifying patient estimated out of pocket costs. They will also be responsible for preparation, submission, and follow up of payer authorization requests. Responsibilities include: Perform benefit verification of all patient insurance plans including documenting coverage of medications, administration supplies, and related infusion services Responsible to document all information related to coinsurance, copay, deductibles, authorization requirements, etc Calculate estimated patient financial responsibility based off benefit verification and payer contracts and/or company self-pay pricing Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including Reviewing and obtaining clinical documents for submission purposes Communicate with patients, referral sources, other departments, and any other external and internal customers regarding status of referral, coverage and/or other updates as needed Refer or assist with enrollment any patients who express financial necessity to manufacturer copay assistance programs and/or foundations Generate new patient start of care paperwork Schedule: Must be able to work Full time, 40 hours per week, from 8:30a-5pm Mountain Time Weekend On-call once monthly Must have experience with Acute Infusion for Prior authorization/Benefits Verification Requirements High school diploma or equivalent At least 2 years of home infusion specialty pharmacy and/or medical intake/reimbursement experience preferred Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines including ability to interpret payor contract fee schedules based on NDC and HCPCS units Strong ability to multi-task and support numerous referrals/priorities while ensuring productivity expectations and quality are met Ability to work in a fast-paced environment Knowledge of HIPAA regulations Basic level skill in Microsoft Excel & Word Knowledge of CPR+ preferred About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo's Core Values: Improve patients' lives every day Be passionate in everything you do Encourage unlimited ideas and creative thinking Make decisions as if you own the company Do the right thing Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: Prior Auth, Insurance, Referrals, Home Infusion Prior Authorization, Home Infusion Benefits verification, Insurance Verification Specialist, Specialty Infusion Benefits Verification, Now Hiring, Hiring Now, Hiring Immediately, Immediately Hiring Salary Description $23.00-$27.00 per hour
    $23-27 hourly 2d ago
  • Patient Account Specialist

    La Rabida Children's Hospital 4.2company rating

    Chicago, IL jobs

    La Rabida Children's Hospital provides specialized, family-centered health care to children with medically complex conditions, disabilities, and chronic illness. Through expertise, compassion, and advocacy we help children and their families reach their fullest potential, regardless of their ability to pay. Our not-for-profit hospital, licensed for 49 beds, helps transition children from neonatal or pediatric intensive care to home, by providing medical, rehabilitative and developmental care, and by training families to continue treatments and manage the necessary equipment in the home. La Rabida also provides extensive rehabilitation for those recovering from wounds or burns and treatment for exacerbations of chronic conditions. The hospital's enhanced pediatric patient-centered medical home provides primary care to children with complex medical conditions and their siblings. Children with medical homes elsewhere come to La Rabida for specialty services. La Rabida offers a wide range of specialty services provided to children with sickle cell disease, diabetes, and many others. Children are supported in their emotional and developmental growth, particularly in cases where such growth has been interrupted by accident or disease. Finally, La Rabida provides forensic and treatment services for children exposed to abuse and neglect, comprehensive assessments for youth in care, early intervention for children between 0 and 3 years of age. Care coordination services for medically complex children are also provided for those who are covered by a health plan and receive care from providers in Cook County Job Description We are seeking a detail-oriented and efficient Patient Account Specialist to join our healthcare organization in Chicago, United States. In this role, you will be responsible for managing patient accounts, ensuring accurate billing, and resolving financial inquiries to maintain a smooth revenue cycle. Process and manage patient accounts, including billing, collections, and payment posting Verify insurance coverage and obtain necessary pre-authorizations for medical procedures Analyze and resolve claim denials and rejections in a timely manner Communicate with patients, insurance companies, and healthcare providers to address billing inquiries and discrepancies Maintain accurate patient financial records and update account information in the Electronic Health Record (EHR) system Collaborate with other departments to ensure proper documentation and coding for billing purposes Generate and review financial reports to identify trends and areas for improvement Assist in the development and implementation of policies and procedures to enhance revenue cycle efficiency Ensure compliance with healthcare regulations, including HIPAA, in all financial transactions and communications Qualifications 2-3 years of experience in patient accounting, medical billing, or a related healthcare finance role Proficiency in medical billing and coding practices Strong knowledge of healthcare revenue cycle management Experience with Electronic Health Record (EHR) systems and Microsoft Office Suite Excellent attention to detail and ability to manage multiple priorities efficiently Strong verbal and written communication skills for interacting with patients, insurance representatives, and healthcare professionals Problem-solving skills and ability to analyze complex financial data Customer service orientation with a professional and supportive demeanor Bachelor's degree in Healthcare Administration, Business Administration, or related field (preferred) Certified Revenue Cycle Representative (CRCR) or similar certification (preferred) Familiarity with healthcare industry regulations, particularly HIPAA Understanding of insurance claim processes and medical terminology Additional Information All your information will be kept confidential according to EEO guidelines. La Rabida is a place unlike any other. We understand the needs of families with children dealing with the most serious or complicated of conditions. With teams of the best healthcare providers in Chicago, we give continuous, comprehensive care, education, and support, helping families face their unique obstacles head-on. La Rabida Children's Hospital is very proud to be an Equal Employment Opportunity Employer.
    $51k-70k yearly est. 4d ago
  • AR Specialist I - REMOTE

    Umass Memorial Health 4.5company rating

    Worcester, MA jobs

    Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $19.74 - $30.80 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 8-430 Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5436 Med Specs Ancillary Pod Ar Union: SHARE (State Healthcare and Research Employees) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for follow-up of complex claims for payment. I. Major Responsibilities: 1. Calls insurance companies and utilizes payor web-sites while working detailed reports to secure outstanding payments. 2. Reviews rejections in assigned payors and plans to determine validity of rejection and takes appropriate action to resolve the invoice. 3. Calculates and posts adjustments based on third party reimbursement guidelines and contracts. 4. Makes appropriate payor and plan changes to secondary insurers or responsible parties. 5. Inputs missing data as required and corrects registration and other errors as indicated. Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. High School Diploma Experience/Skills: Required: 1. Previous Revenue Cycle knowledge in one of the following areas including PFS, Customer Service, Cash Posting, Financial Assistance, Patient Access, HIM/Coding and/or 3rd party Reimbursement. 2. Ability to perform assigned tasks efficiently and in timely manner. 3. Ability to work collaboratively and effectively with people. 4. Exceptional communication and interpersonal skills. Preferred: 1. One or more years of experience in health care billing functions. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered sedentary. Position requires work indoors in a normal office environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.
    $19.7-30.8 hourly Auto-Apply 49d ago
  • AR Specialist I - REMOTE

    Umass Memorial Health Care 4.5company rating

    Worcester, MA jobs

    Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $19.74 - $30.80 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 8-430 Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5436 Med Specs Ancillary Pod Ar Union: SHARE (State Healthcare and Research Employees) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for follow-up of complex claims for payment. I. Major Responsibilities: 1. Calls insurance companies and utilizes payor web-sites while working detailed reports to secure outstanding payments. 2. Reviews rejections in assigned payors and plans to determine validity of rejection and takes appropriate action to resolve the invoice. 3. Calculates and posts adjustments based on third party reimbursement guidelines and contracts. 4. Makes appropriate payor and plan changes to secondary insurers or responsible parties. 5. Inputs missing data as required and corrects registration and other errors as indicated. Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. High School Diploma Experience/Skills: Required: 1. Previous Revenue Cycle knowledge in one of the following areas including PFS, Customer Service, Cash Posting, Financial Assistance, Patient Access, HIM/Coding and/or 3rd party Reimbursement. 2. Ability to perform assigned tasks efficiently and in timely manner. 3. Ability to work collaboratively and effectively with people. 4. Exceptional communication and interpersonal skills. Preferred: 1. One or more years of experience in health care billing functions. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered sedentary. Position requires work indoors in a normal office environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.
    $19.7-30.8 hourly Auto-Apply 49d ago
  • Billing Coordinator - CTI Pulmonology and Thoracic Surgery (hybrid)

    Northwestern Memorial Healthcare 4.3company rating

    Chicago, IL jobs

    Company DescriptionAt Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better? Job Description Performs charge capture for all procedures completed in the Bronchoscopy suite. This includes: Audit of CPT codes associated with each procedure Confirmation of supplies used and verification of alignment with operative notes Assists patients with billing and insurance related matters including communicating with patients regarding balances owed and other financial issues and facilitating collection of balances owed. Educates patients about financial assistance opportunities, insurance coverage, treatment costs, and clinic billing policies and procedures. Collaborates closely with physicians and technicians to understand treatment plans and determine costs associated with these plans; Works closely with the staff on managed care and referral related issues; communicates findings to patients. Coordinates the pre-certification process with the clinical staff as it relates to procedures in the Bronchoscopy Suite and Operating Rooms Handles billing inquiries received via telephone or via written correspondence. Responsible for thoroughly investigating and understanding financial resources or programs that may be available to patients and educating staff and patients about these programs. Conducts precertification for appropriate tests or procedures and facilitates the process with managed care and the clinical team. Documents all information and authorization numbers in Epic and acts as a liaison for follow-up related to precertification. Performs activities and responds to patient inquiries related to billing follow-up. Requests necessary charge corrections. Identifies patterns of billing errors and works collaboratively with department manager and outside entity to improve processes as needed. Provides guidance regarding clinical documentation to optimize charges and RVUs Confirms coding accuracy based on clinical documentation and reviews common errors or misses with physicians and leadership. The Billing Coordinator reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Billing Coordinator is responsible for processing charges, payments and/or adjustments for all services rendered at all NM Corporate Health Clinics. Researches and follows- up on all outstanding accounts. Answers all calls regarding charges and claims, providing exceptional customer service to all callers. Possesses extensive knowledge of coding, billing, insurance and collections procedures and coordinates the accounts receivable functions. Performs weekly claims, monthly late bills and patient statement runs and reviews accounts to be placed with an outside collection agency. RESPONSIBILITIES: Department Operations Ensures patient demographic and billing/insurance information is kept current in the computer application. Documents all patient and company contacts. Reviews daily clinic schedules and tracks receipt of documentation to assure completeness of charge capture. Ensures notes are is placed in systems, clearly identifying steps taken, according to established procedures. Works with patients/clients to establish payment plans according to predetermined procedures. Handles all incoming customer service calls in a professional and efficient manner. Provides exceptional service to all customers, guarantors, patients, internal and external contacts. Prepares itemized bill upon request; explains charges, payments and adjustments. Produces a clear and understandable statement to individuals on any outstanding account balance. Responsible for timely submission of accurate bills and invoices to clients, patients and insurance companies. Ensures timely posting of all charges, payments, denials and write-offs to the appropriate account, maintaining the highest level of quality for each transaction processed within 48 hours of receipt. Responsible for balancing each payment and adjustment batch with reconciliation report and bank account deposits after completion. Ensures compliant follow up procedures are followed, to third party payers regarding outstanding accounts receivables. Run outstanding A/R reports, follow-up on unpaid claims or balances with insurance companies, patients, and collection agency, as defined by department. Perform daily systematic review of accounts receivable to ensure all accounts ready to be worked are completed. Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation. Denials and appeals follow-up including root cause analysis to reduce/prevent future denials. Reviews, prepares and sends pre-collection letters as defined by department procedures. Identifies and sends accounts to outside collection agency. Prepares and distributes reports that are required by finance, accounting, and operations. Handles all work in an accurate and timely manner, consistently meets or exceeds productivity standards, quality standards, department goals and deadlines established by the team. Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices. Identify opportunities for process improvement and submit to management. Demonstrate proficient use of systems and execution of processes in all areas of responsibilities. Communication and Teamwork Fosters and maintains positive relationships with the Corporate Health team, Human Resources, NM employees and physicians. Provides courteous and prompt customer service. Answers the telephone in a courteous professional manner, directs calls and takes messages as appropriate. Checks for messages and returns calls. Demonstrates teamwork by helping co-workers within and across departments. Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others. Communicates appropriately and clearly to physicians, manager, nursing staff, front office staff, and employees. Maintains a good working relationship within the department. Organizes time and department schedule well. Demonstrates a positive attitude. Service Excellence Displays a friendly, approachable, professional demeanor and appearance. Partners collaboratively with the functional areas across Northwestern Medicine in support of organizational and team objectives. Fosters the development and maintenance of a cohesive, high-energy, collaborative, and quality-focused team. Supports a “Safety Always” culture. Maintaining confidentiality of employee and/or patient information. Sensitive to time and budget constraints. Other duties as assigned. Qualifications Required: High school graduate or equivalent. Strong Computer knowledge, data entry skills in Microsoft Excel and Word. Thorough understanding of insurance billing procedures, ICD-10, and CPT coding. 3 years of physician office/medical billing experience. Ability to communicate clearly and effectively, both orally and in writing, at all levels within and outside the organization. Ability to work independently. Preferred: 3 years of physician office/medical billing experience in Corporate Health/Occupational Health a plus. CPC (Certified Professional Coder) or R (Registered Medical Coder) Certificate a plus. Additional Information Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act. Artificial Intelligence Disclosure Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more. Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.
    $45k-58k yearly est. 33d ago
  • Physician Practice AR Collection Specialist, Remote, BHMG Revenue Management, FT, 08A-4:30P

    Baptist Health South Florida 4.5company rating

    Remote

    Provides AR/follow up including denial management support to collect on outstanding accounts receivables. Complies with payer filing deadlines by utilizing all available resources to resolve held claims, Assures all known regulatory, contractual, compliance, and BHSF guidelines are adhered to with regards to claim billing processes. Communicates with various teams within the organization. Utilizes coding compliance and understanding of ICD-9, CPT-4 and associated modifiers to resolve claims management issues. Estimated pay range for this position is $18.87 - $22.83 / hour depending on experience. Degrees: * High School,Cert,GED,Trn,Exper. Additional Qualifications: * One of the following certifications is preferred: CPC-A (AAPC Certified Professional Coder), CCA (AHIMA Certified Coding Associate), CCS (AHIMA Certified Coding Specialist), CCS-P (AHIMA Certified Coding Specialist - Physician-Based), NCIS (NCCT,National Certified Insurance Specialist) ,Other recognized coding and billing certifications may also be considered. * Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers. * Excellent computer proficiency (MS Office - Word, Excel, and Outlook). * Knowledge of physician billing, regulatory and compliance guidelines. * Knowdledge of ICD-10, HCPCS, CPT-4 and modifiers. * Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service. * Ability to work independent and carry out completion of workload. Minimum Required Experience: 2 Years
    $18.9-22.8 hourly 35d ago
  • RCM Patient Accounts Receivable Specialist (Greenville/Spartanburg/Anderson Area only - Remote)

    Ob Hospitalist Group Corporate 4.2company rating

    Greenville, SC jobs

    RCM Patient Accounts Receivable Specialist Location: Remote (Upstate, SC Preferred). This is a remote position; however, candidates must reside in the Upstate South Carolina area and be within reasonable commuting distance to our corporate headquarters in Greenville, SC, as occasional in-office presence may be required. Employment Type: Non-Exempt, Full-Time, Benefit Eligible Hourly Compensation Range: $20.00 - $24.00 per hour Compensation is commensurate with experience, skills, and internal equity. About the Position: The RCM Patient Accounts Receivable Specialist plays a key role within the Revenue Cycle Management team and is responsible for supporting the reduction of accounts receivable (AR) days, increasing net collections, reducing aged AR balances (120+ days), and improving overall cash collections. This position partners closely with billing vendors and third-party payors to research, resolve, and follow up on patient accounts while ensuring accuracy, compliance, and data security. Essential Duties & Responsibilities Research and resolve patient account issues by communicating with billing vendors and third-party payors to verify claim status and demographic information Prioritize daily workload using aging reports, account balances, and management-directed priorities Investigate and pursue unpaid claims with third-party payors until resolution is achieved Apply strong working knowledge of third-party payor rules and guidelines, with an emphasis on State Medicaid plans Maintain compliance with all Protected Health Information (PHI) security requirements Ensure consistent processing standards with a high level of accuracy and low error rates Collect, document, and forward account updates to billing vendors, including insurance submissions, payment postings, and removal from collections Respond to Requests for Additional Information (RAIs) and provide direction on next steps Resolve claim errors, demographic discrepancies, duplicate claims, and coverage issues within assigned work queues Perform additional duties as assigned to support Revenue Cycle operations Required Qualifications Experience with insurance collections, including Medicaid, Managed Care, BCBS, and Commercial accounts Knowledge of medical billing procedures, health plans, and claims processing Strong organizational skills with high attention to detail Proficiency in Microsoft Word and Excel Experience working with medical billing systems (e.g., EPIC, Allscripts, McKesson, or similar platforms) High School Diploma or equivalent Preferred Qualifications Understanding of medical terminology, including ICD-9 and CPT codes Strong professional phone presence and customer service skills Experience supporting multi-state or multi-location billing environments Advanced proficiency in Microsoft Excel Work Environment & Physical Demands Primarily sedentary role requiring extended periods of sitting Occasional travel to offsite or in-office meetings may be required Why Join OBHG: Join the forefront of women's healthcare with OB Hospitalist Group (OBHG), the nation's largest and only dedicated provider of customized obstetric hospitalist programs. Celebrating over 19 years of pioneering excellence, OBHG has transformed the landscape of maternal health. Our mission-driven company offers a unique opportunity to elevate the standard of women's healthcare, providing 24/7 real-time triage and hospital-based obstetric coverage across the United States. If you are driven to join a team that makes a real difference in the lives of women and newborns and thrive in a collaborative environment that fosters innovation and excellence, OBHG is your next career destination! What We Offer - The Good Stuff: A mission based company with an amazing company culture Paid time off & holidays so you can spend time with the people you love Medical, dental, and vision insurance for you and your loved ones Health Savings Account (with employer contribution) or Flexible Spending Account options Employer Paid Basic Life and AD&D Insurance Employer Paid Short- and Long-Term Disability w Optional Short Term Disability Buy-up plan Paid Parental Leave 401(k) Savings Plan with match Legal Plan & Identity Theft Services Mental health support and resources
    $20-24 hourly 27d ago
  • AR Specialist

    Tennessee Orthopaedic Alliance 4.1company rating

    Nashville, TN jobs

    Full-time Description *** WORK AT HOME*** Tennessee Orthopaedic Alliance is the largest orthopaedic surgery group in Tennessee. TOA concentrates on diagnosing and treating disorders and injuries of the musculoskeletal system, allowing our patients to live their best lives. Ninety-plus years later, we are advancing the practice of orthopaedic surgery throughout the state. There are several reasons why TOA is an employer of choice; here are a few of them: Stability -TOA has been in Middle Tennessee since 1926 and has expanded to over 20+ locations across the state! Impact -TOA's team members use our careers - whether in our clinics or our business office - to make a positive difference in the community by building relationships and helping patients live their best lives. Work Environment -The TOA team focuses on fostering an excellent working environment; one of positivity, collaboration, job satisfaction, and engagement. Total Rewards -TOA offers a comprehensive suite of benefits, including Medical, Dental, Paid Time Off, and more. Our 401(k) plan provides a company match, safe harbor match and profit-sharing match to go along with your contributions. JOB SUMMARY The AR Specialist is an essential part of the TOA Central Business Office. As an AR Specialist, you will use your analytical, financial, and customer service skills to ensure that TOA claims filed to an insurance payer are processed accurately and in a timely manner. DUTIES AND RESPONSIBILITIES Promptly identify any errors or other issues in claims processing. Effectively following up on any unpaid balances. Expeditiously bring any remaining balance to resolution. Meet quality assurance and productivity standards by identifying and reconciling insurance balance accounts. Identify denial trends and provide potential solutions while analyzing patient accounts utilizing our EPM system - Nextgen to determine appropriate action. Review explanations of benefits details on denials. Communicate with insurance payer representatives, patients, and TOA staff to ensure timely and accurate resolution of account transactions. This would include Commercial plans, Medicare/Medicare HMO plans, Medicaid/Medicaid HMO plans, and BCBSTN. Prioritize assigned accounts to maximize aged accounts receivable resolution. Review the explanation of benefit (EOB) documentation and notate accounts on collection activity to perform account resolution. Operate within established guidelines and protocols, including providing backup documentation for our accounting and audit functions. Collaborate closely with the Central Business Office, clinical colleagues, and administrative teammates to develop a cohesive, high-performing team. Adhere to HIPAA and OSHA safety guidelines. Requirements Exceptional customer service and patient focus. Knowledge of Insurance - particularly coordination of benefit rules and denial overturns are essential to this position. Knowledge of administrative and clerical procedures. Accustomed to using mostly payer websites for appeals/reconsiderations, medical records attachments, verification of benefits, and/or web-based claims follow-up. Ability to communicate and work as a team. Demonstrated proficiency with Microsoft Office programs such as Excel, Word, and Outlook. At least 3 years insurance collections experience. Experience using NextGen. Orthopaedic specialty experience. Fluency in English is required; Fluency in a second language is a plus. WORKING CONDITIONS TOA fosters an excellent working environment of positivity, collaboration, job satisfaction, and engagement. AR Specialist will be assigned to work in TOA's Central Business Office at an assigned cubicle in a call center environment and from home occasionally. The department experiences high volume, and as a result, it has associated stressors that conflict with a fast-paced environment. The noise level in the work environment is moderate to loud, with other staff members answering phones and collaborating. Regularly sit while working on the computer; use hands and fingers to handle, control, or feel objects, too, ls commands; repeat the same movements when entering data; speak clearly so listeners can understand; understand the speech of another person; ability to differentiate between colors, shades, and brightness; read from a computer screen for extended periods time. Frequently stand and walk around the office to gather supplies, use office equipment, or collaborate with employees or patients. Occasionally stand, stoop, and lift or move objects, equipment, and supplies weighing approximately 20-25 pounds up to 40-50 pounds. ***TOA is an equal opportunity employer. TOA conducts drug screens and background checks on applicants who accept employment offers.***
    $29k-37k yearly est. 27d ago
  • Accounts Receivable Collections Specialist- Remote

    Family Allergy & Asthma 3.4company rating

    Louisville, KY jobs

    A/R Collections Specialist (Biologics/Immunotherapy) The AR Collection Specialist is responsible for providing outstanding customer service while collecting outstanding accounts receivable balances. This position includes adhering to collections work standards, reducing the number of aged items, facilitating the resolution of customer billing issues, reducing accounts receivable delinquencies, and meeting and/or exceeding collections standards. REQUIRED EDUCATION/EXPERIENCE: · High school diploma or equivalent qualification required. · 2+ years' experience working in a healthcare Collection Specialist position. · Profound knowledge of collection techniques and billing procedures · Excellent communication skills, both written and oral · Good level of problem-solving and negotiation skills · Strong understanding of billing and collection processes. · Outstanding communication and interpersonal skills. · In-depth knowledge of laws and policies related to debt collection. · Good administrative skills. ESSENTIAL FUNCTIONS · Develop effective repayment plans. · Follow-up with clients on overdue accounts. · Oversee all monthly payments and refunds. · Respond to client account queries in a timely and professional manner. · Consulting and helping clients with billing and credit problems. · Managing payments and refund operations · Developing measures encouraging timely payments · Reporting on collection operations and customer account updates · Facilitate resolution of customer billing problems with bill initiating department for delinquent accounts. · Make outbound collections efforts including making calls in a professional manner and sending emails concerning outstanding balances in accordance with Collections Standards. · Provide reports to stakeholders as assigned. · Review open accounts for collections efforts to reduce the number of aged items and aged balances in assigned portfolio. POSITION RELATIONSHIPS: · Reports directly to the Senior Revenue Cycle Manager · Subject to a 90-day probationary period Requirements Please complete survey to be considered for this position: ************************************** M7SYDhF/102127 Requirements: EEOC Compliance Family Allergy & Asthma provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
    $30k-37k yearly est. 14d ago
  • Billing Coordinator

    University Health System 4.8company rating

    San Antonio, TX jobs

    Full Time 4502 Medical Drive Clerical Day Shift /RESPONSIBILITIES The Biller Coordinator is responsible for accurately reviewing and resolving claim edits and discharge not final billed edits within a claim edit workqueue or an account workqueue housed within Epic. On a daily basis, the Billing Coordinator will run and monitor billing related reports for PBS leadership EDUCATION/EXPERIENCE High School graduate or equivalent is required. A combined minimum of (3) years' experience in hospital or physician billing. Must have knowledge of Texas Medicaid, Medicare, Commercial insurance programs. Must possess strong interpersonal and communications skills
    $34k-43k yearly est. 3d ago
  • Medical Biller II, CMG Business Office

    Covenant Health 4.4company rating

    Knoxville, TN jobs

    Medical Biller, CMG Business Office Full Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group is Covenant Health's employed and managed medical practice organization, with more than 300 top Physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include cardiology, cardiothoracic surgery, cardiovascular surgery, endocrinology, gastroenterology, general surgery, infectious disease, neurology, neurosurgery, obstetrics and gynecology, occupational medicine, orthopedic surgery, physical medicine and rehabilitation, primary care, pulmonology, reproductive medicine, rheumatology, sleep medicine and urology. Position Summary: This position participates in various functions including the review, correction, submission/resubmission, and/or appeal of rejected, denied, unpaid, or improperly paid insurance claims. This position is responsible for billing and follow-up functions for payors in all financial class categories. Serves as a resource for Medical Biller Is, seeking guidance from Supervisor when necessary. This positions also provides patient customer service and releases billing records to approved entities. This position responsible for the timely and accurate completion of assigned tasks to facilitate proper claim processing. Responsibilities Acts a resource for Medical Biller Is with resolving intermediate to complex account and claims issues. Provides guidance to other departmental roles (including Customer Service, Collections, Payment Posting) as it pertains to plan eligibility, claims processing details, and patient balance explanations as needed. Responsible for daily submission of primary, secondary, and tertiary claim billing via the clearinghouse, payor portals, and paper mailing. Reviews deficient claims (i.e. claim rejections) that are unable to be processed by the payor, makes corrections, and processes rebills as appropriate. Responsible for identifying financial and medical records necessary to support claim filing for all payor types for primary, secondary, and tertiary claims. Obtains and releases relevant documents as appropriate to facilitate timely and accurate claim processing. Demonstrates problem-solving and critical thinking skills in analyzing rejections and/or denials to determine root-cause and best course of action to resolve account issues. Able to identify rejection and denials trends and report to the appropriate contact for tracking and/or further investigation. Demonstrates knowledge and comprehension of State and Federal regulations, Medicare, TennCare, and other Third-Party Payor requirements, assuring departmental compliance. Possess an enhanced understanding of billing regulations, claim submission guidelines, payor policies, Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC), and payor-specific rejection and denial language; demonstrates the ability to interpret these relevant to determining proper steps needed to resolve accounts. Able to find, comprehend, and interpret payor processing and reimbursement policies relevant to assigned tasks. Maintains a working knowledge of medical terminology, CPT and HCPCS code sets, ICD-10 code set, and modifiers as it pertains to work assignment. Demonstrates the ability to extract pertinent information from payor correspondence and documents this in the practice management system. Interprets payor correspondence relevant to account resolutions and takes next steps as appropriate. Responsible for preparing and submitting payor reconsiderations and appeals. References relevant payor policies, claim submission and billing guidelines, and supporting documentation to obtain payor reimbursement in accordance with contracted rates. Analyses overpaid accounts and takes appropriate action to resolve overpayments including initiation of payor recoupment, refunding overpaid dollars to the appropriate party, and making appropriate transaction corrections in the practice management system. Demonstrates the ability to use registration system and payor websites to verify patient plan eligibility, coordination of benefits, and plan participation with CMG to ensure timely and accurate processing of accounts. Retrospectively reviews registration information obtained by CMG clinics impacting claim rejections and/or denials. In cases of incomplete or incorrect registration information, consults payor websites to obtain correct information. When necessary, contacts payors and/or patients via phone or mail to clarify deficient registration information. Consults and works collaboratively with leadership, coworkers, other departments, and other facility personnel to ensure accurate exchange of information and appropriate actions to resolve patient account/claims issues. Communicates effectively and professionally with patients/public, coworkers, physicians, facilities, agencies and/or their offices, and other facility personnel using verbal, nonverbal and written communication skills. Provides accurate explanation to patients with questions related to claims processing, plan benefits, and account balances via verbal and written communication. Act as a liaison between the patient, charge entry staff, and office staff in cases of patient dispute of charges billed. Demonstrates good judgment when handling financial discussions with patients, always maintaining a professional and confidential environment. Accurately processes practice management system transactions related to resolution of open accounts including but not limited to adjustments, transfer of payments, and refunds. Properly calculates and applies patient balance adjustments such as Self Pay Discounts and Good Faith Estimate Adjustments in accordance with departmental and organizational policies. Possess an enhanced understanding of the payment posting process and its impact relevant to claims follow up and account resolution. Recognizes situations which necessitate guidance and seeks from appropriate resources. Demonstrates promptness in reporting for and completing work, displaying the ability to manage time wisely to ensure timely and accurate completion of assignments. Adheres to established departmental policies and procedures. Follows policies, procedures, and safety standards. Completes required education assignments annually. Attends required meetings. Works toward achieving department goals and objectives. Participates in quality improvement initiatives as requested. Must achieve or exceed minimum expected work quality and quantity metrics as defined by department leadership. Skill set and competency to perform job requirements will be evaluated during initial 90-day training period. Performs all other duties as assigned or requested by leadership. Qualifications Minimum Education: Will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma. Minimum Experience: Three (3) years of experience in healthcare revenue cycle required (i.e., medical billing, insurance/precert verification, registration, Health Information Management (HIM), coding, claims management/insurance follow-up or appeals etc.). Will consider combination of formal education and experience. Professional certification may be considered as a substitute for no more than one year of experience. Knowledge of medical terminology and insurance payer rules, state and federal regulations is required. Must be able to problem solve, critically think, and work independently. Must be knowledgeable in use of PC, Windows, Excel, and Word. Expected to perform adequately and independently within three (3) to six (6) months on the job. Licensure Requirement: None Physical Requirements: Type D Job Relationship: Interactions with patients and/or the public, insurance companies, physician office staff, operational staff, physicians, IT personnel and employees from other departments. Equipment, Work Aids and Records: Equipment utilization consists of telephone, PC, copier, printer, and fax. Records maintenance consists of scanned documents, medical records, correspondence with patients and payers, confirmation and contents of payer dispute submissions, and AR/credit reports. Interpersonal Skills, Personal Traits, Abilities, and Interests: Extensive contact with patients/customers requiring assistance with account resolution. Discretion is required in non-routine situations. Ability to work within a group setting and be a team player in a mature and positive manner.
    $43k-58k yearly est. Auto-Apply 60d+ ago
  • Accounts Receivable Specialist - Remote

    Thedacare 4.4company rating

    Neenah, WI jobs

    Why ThedaCare? Living A Life Inspired! Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world. At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you're interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare. Benefits, with a whole-person approach to wellness - * Lifestyle Engagement * e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support * Access & Affordability * e.g. minimal or zero copays, team member cost sharing premiums, daycare About ThedaCare! Summary : The Accounts Receivable Specialist submits billing to the appropriate party and follows-up for adjudication and payment of individual claims. Communicates with insurance and other payers, patients, guarantors, family members, and/or other medical staff for status of individual claims to manage accounts receivable. Job Description: KEY ACCOUNTABILITIES: * Performs comparative analysis for accuracy of bill before submission to appropriate parties (i.e., charges, subscriber data, diagnosis/procedure codes, and late charges). * Processes claims in a timely manner according to contracts, regulations, department standards, and form requirements. * Generates phone calls to all parties to check status of unprocessed, unpaid, or rejected claims ensuring accurate and timely reimbursement. * Processes variety of correspondence from all parties taking appropriate steps to expedite timely resolution of claims payment. * Verifies insurance/payer and patient demographic information for accuracy of data collected at time of registration when appropriate. Inputs verification data to complete in-house claims generation of billing forms. * Re-bills accounts when new information is received requiring account updates with appropriate demographic and third party information to ensure payment. Updates patient record to indicate changes made. * Reviews internal and external reports for claims status. QUALIFICATIONS: * High School diploma or GED preferred * Must be 18 years of age PHYSICAL DEMANDS: * Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance * Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties WORK ENVIRONMENT: * Climate controlled office setting with daily movement throughout the facility * Interaction with department members and other healthcare providers Scheduled Weekly Hours: 40 Scheduled FTE: 1 Location: CIN 3 Neenah Center - Appleton,Wisconsin Overtime Exempt: No Worker Shift Details: Days
    $30k-36k yearly est. 28d ago
  • Assistant to Human Resources and Accounts Payable

    Marion Eye Centers 3.8company rating

    Marion, IL jobs

    Job Title: Assistant to Human Resources and Accounts Payable Marion Eye Center is seeking a dependable and detail-oriented individual to assist both the Human Resources and Accounts Payable departments. This position supports daily operations related to employee onboarding, payroll, benefits, and vendor invoice processing. The ideal candidate is organized, professional, and maintains confidentiality in all matters. Essential Duties and Responsibilities: Assist with new hire onboarding, employee files, and HR documentation Maintain employee information in HRIS and payroll systems Support benefits enrollment and compliance tracking Process vendor invoices and assist with account reconciliations Communicate with vendors regarding billing or payment inquiries Provide general administrative support to the HR and Accounting teams Assist with projects and other duties as assigned Qualifications: High school diploma or equivalent Experience in Human Resources, payroll, or accounts payable preferred Proficient in Microsoft Excel, Outlook, and Word Strong attention to detail and organizational skills Ability to manage confidential information professionally Excellent written and verbal communication skills Work Schedule: Full-time | Monday through Friday Compensation and Benefits: Competitive pay Health, dental, and vision insurance 401(k) with employer match Paid time off and holidays Employee discounts on services About Marion Eye Center: Marion Eye Center is a trusted regional provider of comprehensive eye care services, serving communities across Southern Illinois and Southeast Missouri. We are committed to excellence, teamwork, and compassionate care for our patients and employees alike.
    $42k-50k yearly est. 16d ago
  • Senior Accounts Payable Payment Specialist

    Caris Life Sciences 4.4company rating

    Irving, TX jobs

    At Caris, we understand that cancer is an ugly word-a word no one wants to hear, but one that connects us all. That's why we're not just transforming cancer care-we're changing lives. We introduced precision medicine to the world and built an industry around the idea that every patient deserves answers as unique as their DNA. Backed by cutting-edge molecular science and AI, we ask ourselves every day: “What would I do if this patient were my mom?” That question drives everything we do. But our mission doesn't stop with cancer. We're pushing the frontiers of medicine and leading a revolution in healthcare-driven by innovation, compassion, and purpose. Join us in our mission to improve the human condition across multiple diseases. If you're passionate about meaningful work and want to be part of something bigger than yourself, Caris is where your impact begins. Position Summary The Senior Accounts Payable Payment Specialist is responsible for the timely and accurate processing of payments for goods and services. This role is critical in ensuring that sensitive financial information is transmitted securely and high-volume payments are processed accurately. Payment processing formats will include check, ACH, wire, and payment portals as well as internal account transfers. This position is located at the Irving, TX headquarters of Caris Life Sciences, directly reporting to the Senior Manager-Accounts Payable, and will work closely with the Finance, Accounting, and Treasury teams to produce accurate and timely transactional processing related to purchasing and financial operations. The successful candidate will utilize strong business understanding, accounts payable payment expertise, solid communication skills, and keen attention to detail to become an effective team member at every level of the organization, understanding business objectives and providing insightful accurate reporting in support of those objectives. Job Responsibilities Process weekly payments, utilizing check, ACH, and wire formats Manage purchasing and credit card payments in ERP system and payment portals Handle employee reimbursement batches and payments Generate weekly payables aging and payment reports Void and reissue payments as needed Prepare wire packets with appropriate documentation and approvals Process wire payables and payments in ERP system Distribute and mail paper checks with required documentation Research stale-dated checks and prepare escheatment records Verify supplier banking information to support fraud prevention Support internal and external audit requests Perform ad hoc payment and research tasks as needed Participate in special projects and initiatives within the Accounting department Collaborate with AP, Finance, Accounting, and Treasury teams to improve processes Ensure policies, procedures, and documentation are current and accurate Help standardize workflows for efficiency in a growing environment Required Qualifications High school diploma 3+ years accounts payable experience 1+ years payment processing experience, including bank wire transfers and foreign currency transactions Strong attention to detail and thoroughness Strong organizational and time management skills Excellent written and verbal communication skills Ability to multitask, problem-solve, and meet deadlines Proficient in Microsoft Office Suite, specifically Word, Excel, Outlook, and general working knowledge of Internet for business use Preferred Qualifications Associate degree in accounting or related field Oracle software experience is a plus CashPro experience is a plus Physical Demands Must possess ability to sit and/or stand for long periods of time Must possess ability to perform repetitive motion Training All job specific, safety, and compliance training are assigned based on the job functions associated with this employee Conditions of Employment: Individual must successfully complete pre-employment process, which includes criminal background check, drug screening, credit check ( applicable for certain positions) and reference verification. This reflects management's assignment of essential functions. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Caris Life Sciences is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
    $47k-66k yearly est. 60d+ ago
  • Senior Accounts Payable Payment Specialist

    Carislifesciences 4.4company rating

    Irving, TX jobs

    At Caris, we understand that cancer is an ugly word-a word no one wants to hear, but one that connects us all. That's why we're not just transforming cancer care-we're changing lives. We introduced precision medicine to the world and built an industry around the idea that every patient deserves answers as unique as their DNA. Backed by cutting-edge molecular science and AI, we ask ourselves every day: “What would I do if this patient were my mom?” That question drives everything we do. But our mission doesn't stop with cancer. We're pushing the frontiers of medicine and leading a revolution in healthcare-driven by innovation, compassion, and purpose. Join us in our mission to improve the human condition across multiple diseases. If you're passionate about meaningful work and want to be part of something bigger than yourself, Caris is where your impact begins. Position Summary The Senior Accounts Payable Payment Specialist is responsible for the timely and accurate processing of payments for goods and services. This role is critical in ensuring that sensitive financial information is transmitted securely and high-volume payments are processed accurately. Payment processing formats will include check, ACH, wire, and payment portals as well as internal account transfers. This position is located at the Irving, TX headquarters of Caris Life Sciences, directly reporting to the Senior Manager-Accounts Payable, and will work closely with the Finance, Accounting, and Treasury teams to produce accurate and timely transactional processing related to purchasing and financial operations. The successful candidate will utilize strong business understanding, accounts payable payment expertise, solid communication skills, and keen attention to detail to become an effective team member at every level of the organization, understanding business objectives and providing insightful accurate reporting in support of those objectives. Job Responsibilities Process weekly payments, utilizing check, ACH, and wire formats Manage purchasing and credit card payments in ERP system and payment portals Handle employee reimbursement batches and payments Generate weekly payables aging and payment reports Void and reissue payments as needed Prepare wire packets with appropriate documentation and approvals Process wire payables and payments in ERP system Distribute and mail paper checks with required documentation Research stale-dated checks and prepare escheatment records Verify supplier banking information to support fraud prevention Support internal and external audit requests Perform ad hoc payment and research tasks as needed Participate in special projects and initiatives within the Accounting department Collaborate with AP, Finance, Accounting, and Treasury teams to improve processes Ensure policies, procedures, and documentation are current and accurate Help standardize workflows for efficiency in a growing environment Required Qualifications High school diploma 3+ years accounts payable experience 1+ years payment processing experience, including bank wire transfers and foreign currency transactions Strong attention to detail and thoroughness Strong organizational and time management skills Excellent written and verbal communication skills Ability to multitask, problem-solve, and meet deadlines Proficient in Microsoft Office Suite, specifically Word, Excel, Outlook, and general working knowledge of Internet for business use Preferred Qualifications Associate degree in accounting or related field Oracle software experience is a plus CashPro experience is a plus Physical Demands Must possess ability to sit and/or stand for long periods of time Must possess ability to perform repetitive motion Training All job specific, safety, and compliance training are assigned based on the job functions associated with this employee Conditions of Employment: Individual must successfully complete pre-employment process, which includes criminal background check, drug screening, credit check ( applicable for certain positions) and reference verification. This reflects management's assignment of essential functions. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Caris Life Sciences is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
    $47k-66k yearly est. Auto-Apply 49d ago
  • Senior Accounts Payable Payment Specialist

    Caris Life Sciences 4.4company rating

    Irving, TX jobs

    **At Caris, we understand that cancer is an ugly word-a word no one wants to hear, but one that connects us all. That's why we're not just transforming cancer care-we're changing lives.** We introduced precision medicine to the world and built an industry around the idea that every patient deserves answers as unique as their DNA. Backed by cutting-edge molecular science and AI, we ask ourselves every day: _"What would I do if this patient were my mom?"_ That question drives everything we do. But our mission doesn't stop with cancer. We're pushing the frontiers of medicine and leading a revolution in healthcare-driven by innovation, compassion, and purpose. **Join us in our mission to improve the human condition across multiple diseases. If you're passionate about meaningful work and want to be part of something bigger than yourself, Caris is where your impact begins.** **Position Summary** The Senior Accounts Payable Payment Specialist is responsible for the timely and accurate processing of payments for goods and services. This role is critical in ensuring that sensitive financial information is transmitted securely and high-volume payments are processed accurately. Payment processing formats will include check, ACH, wire, and payment portals as well as internal account transfers. This position is located at the Irving, TX headquarters of Caris Life Sciences, directly reporting to the Senior Manager-Accounts Payable, and will work closely with the Finance, Accounting, and Treasury teams to produce accurate and timely transactional processing related to purchasing and financial operations. The successful candidate will utilize strong business understanding, accounts payable payment expertise, solid communication skills, and keen attention to detail to become an effective team member at every level of the organization, understanding business objectives and providing insightful accurate reporting in support of those objectives. **Job Responsibilities** + Process weekly payments, utilizing check, ACH, and wire formats + Manage purchasing and credit card payments in ERP system and payment portals + Handle employee reimbursement batches and payments + Generate weekly payables aging and payment reports + Void and reissue payments as needed + Prepare wire packets with appropriate documentation and approvals + Process wire payables and payments in ERP system + Distribute and mail paper checks with required documentation + Research stale-dated checks and prepare escheatment records + Verify supplier banking information to support fraud prevention + Support internal and external audit requests + Perform ad hoc payment and research tasks as needed + Participate in special projects and initiatives within the Accounting department + Collaborate with AP, Finance, Accounting, and Treasury teams to improve processes + Ensure policies, procedures, and documentation are current and accurate + Help standardize workflows for efficiency in a growing environment **Required Qualifications** + High school diploma + 3+ years accounts payable experience + 1+ years payment processing experience, including bank wire transfers and foreign currency transactions + Strong attention to detail and thoroughness + Strong organizational and time management skills + Excellent written and verbal communication skills + Ability to multitask, problem-solve, and meet deadlines + Proficient in Microsoft Office Suite, specifically Word, Excel, Outlook, and general working knowledge of Internet for business use **Preferred Qualifications** + Associate degree in accounting or related field + Oracle software experience is a plus + CashPro experience is a plus **Physical Demands** + Must possess ability to sit and/or stand for long periods of time + Must possess ability to perform repetitive motion **Training** + All job specific, safety, and compliance training are assigned based on the job functions associated with this employee **Conditions of Employment:** Individual must successfully complete pre-employment process, which includes criminal background check, drug screening, credit check ( applicable for certain positions) and reference verification. This reflects management's assignment of essential functions. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Caris Life Sciences is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability. Caris Life Sciences is a leading innovator in molecular science and artificial intelligence focused on fulfilling the promise of precision medicine through quality and innovation. Caris is committed to quality and excellence at our state-of-the-art laboratories. Learn more about our tissue lab and the advanced technologies that are helping improve the lives of cancer patients.
    $47k-66k yearly est. 60d+ ago
  • Account Receivable Specialist

    Hillrom 4.9company rating

    Houston, TX jobs

    This is where your work makes a difference. At Baxter, we believe every person-regardless of who they are or where they are from-deserves a chance to live a healthy life. It was our founding belief in 1931 and continues to be our guiding principle. We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond. Our Baxter colleagues are united by our Mission to Save and Sustain Lives. Together, our community is driven by a culture of courage, trust, and collaboration. Every individual is empowered to take ownership and make a meaningful impact. We strive for efficient and effective operations, and we hold each other accountable for delivering exceptional results. Here, you will find more than just a job-you will find purpose and pride. Your role at Baxter THIS IS WHERE you build trust to achieve results… As an Accounts Receivable Specialist, you will perform collections activities on outstanding accounts receivable for assigned Commercial and/or Medicaid payers within our Bardy Diagnostic Division. This position follows a Monday through Friday schedule, with standard eight-hour shifts. The role is structured as a hybrid model, requiring three days per week on-site at our Houston location, and two days remote. Specific on-site days will be coordinated with the hiring manager to support team collaboration, training, and business needs. Your team Bardy Diagnostics, Inc. (“BardyDx”) is an innovator in digital health and remote patient monitoring, with a focus on providing the most diagnostically accurate and patient-friendly cardiac and vital signs patch monitors in the industry. We're a friendly, collaborative group of people who push each other to do better every day. We find outstanding strategies to close deals and expand our skills by challenging ourselves and others. Whether out in the field with a partner or solving challenges with your territory team, you always have camaraderie and support to help accomplish your goals. What you'll be doing Perform collections activities on all outstanding claims for assigned payers. Demonstrate a basic understanding of compliance policies for Baxter, including commercial and government payers. Understand and consistently contribute to team goals, as well as how they support greater organizational goals. Enter and work all denials received from assigned payers within specified timeframe. Create, submit, and follow through on appeals for assigned payers. Research and reconcile credit balances on accounts. Process corrected claims and/or rebills to assigned payers as needed. Process adjustments following the established policy and procedures. Document and follow up on explanations of benefits (EOBs) Identify and articulate trending payer issues and notify appropriate leaders in a timely manner. Provide quality customer service, with the ability to speak knowledgably to payers, patients, and other stakeholders. Ability to verify benefits and understand coverage criteria. Demonstrate a basic understanding of the business model. Understand and follow department policies, procedures, work instructions, job aids, and standard work requirements. Maintain regular, positive communication with colleagues, business partners, and stakeholders. What you'll bring High school diploma or equivalent required Experience with medical collections and/or billing required. Strong written, verbal, and interpersonal communications. Strong attention to detail. Ability to work independently, multi-task, and organize/prioritize workload. Strong critical thinking and problem-solving skills. Ability to develop and maintain positive working relationships. Proficiency with Microsoft Office Software required. Billing database software experience preferred. Baxter is committed to supporting the needs for flexibility in the workplace. We do so through our flexible workplace policy which includes a minimum of 3 days a week onsite. This policy provides the benefits of connecting and collaborating in-person in support of our Mission. We understand compensation is an important factor as you consider the next step in your career. At Baxter, we are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices. The estimated base salary for this position is $43,200 to $59,400 annually. The estimated range is meant to reflect an anticipated salary range for the position. We may pay more or less than of the anticipated range based upon market data and other factors, all of which are subject to change. Individual pay is based on upon location, skills and expertise, experience, and other relevant factors. For questions about this, our pay philosophy, and available benefits, please speak to the recruiter if you decide to apply and are selected for an interview US Benefits at Baxter (except for Puerto Rico) This is where your well-being matters. Baxter offers comprehensive compensation and benefits packages for eligible roles. Our health and well-being benefits include medical and dental coverage that start on day one, as well as insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance. Financial and retirement benefits include the Employee Stock Purchase Plan (ESPP), with the ability to purchase company stock at a discount, and the 401(k) Retirement Savings Plan (RSP), with options for employee contributions and company matching. We also offer Flexible Spending Accounts, educational assistance programs, and time-off benefits such as paid holidays, paid time off ranging from 20 to 35 days based on length of service, family and medical leaves of absence, and paid parental leave. Additional benefits include commuting benefits, the Employee Discount Program, the Employee Assistance Program (EAP), and childcare benefits. Join us and enjoy the competitive compensation and benefits we offer to our employees. For additional information regarding Baxter US Benefits, please speak with your recruiter or visit our Benefits site: Benefits | Baxter Equal Employment Opportunity Baxter is an equal opportunity employer. Baxter evaluates qualified applicants without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity or expression, protected veteran status, disability/handicap status or any other legally protected characteristic. Know Your Rights: Workplace Discrimination is Illegal Reasonable Accommodations Baxter is committed to working with and providing reasonable accommodations to individuals with disabilities globally. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application or interview process, please click on the link here and let us know the nature of your request along with your contact information. Recruitment Fraud Notice Baxter has discovered incidents of employment scams, where fraudulent parties pose as Baxter employees, recruiters, or other agents, and engage with online job seekers in an attempt to steal personal and/or financial information. To learn how you can protect yourself, review our Recruitment Fraud Notice.
    $43.2k-59.4k yearly Auto-Apply 22d ago
  • Collections Specialist (Revenue Cycle)

    Philips Healthcare 4.7company rating

    Chicago, IL jobs

    Job TitleCollections Specialist (Revenue Cycle) Job Description Your role: Working with various commercial insurnace payers to resolve claims and denials. Escalating payor issue trends for leaderships consideration along with possible solutions. Providing daily follow-up on insurance correspondence to ensure claim payments are made in a timely manner. Developing and maintaining updates for any problematic payers and assisting in identifying, evaluating and developing systems /procedures to address issues. Determining patient eligibility along with basic benefit verification (qualifying diagnoses, prior testing and authorization requirements) and reading eligibility of benefits, to determine claim processing by insurance carriers. You're the right fit if: You've acquired 2+ years of experience in Revenue Cycle Management, specifically within Collections or Reimbursement Services. Your skills include: Experience with denial management, claim follow up, overturning denials and identifying payer issue trends. Knowledge of insurnace payers, including Medicare, Medicaid, Blue Cross Blue Shield and commercial plans. You have the ability to navigate through various systems to pull information. Experience with Soarian is a plus. You have a high school diploma or GED (required). You must be able to successfully perform the following minimum Physical, Cognitive and Environmental job requirements with or without accommodation for this position. You're a strong verbal communicator with both internal/external partners How we work together We believe that we are better together than apart. For our office-based teams, this means working in-person at least 3 days per week. Onsite roles require full-time presence in the company's facilities. Field roles are most effectively done outside of the company's main facilities, generally at the customers' or suppliers' locations. This is an office role. About Philips We are a health technology company. We built our entire company around the belief that every human matters, and we won't stop until everybody everywhere has access to the quality healthcare that we all deserve. Do the work of your life to help improve the lives of others. Learn more about our business. Discover our rich and exciting history. Learn more about our purpose. Learn more about our culture. Philips Transparency Details The pay range for this position in Malvern, PA and Chicago, IL is $23.00 to $37.00 hourly. The actual base pay offered may vary within the posted ranges depending on multiple factors including job-related knowledge/skills, experience, business needs, geographical location, and internal equity. In addition, other compensation, such as an annual incentive bonus, sales commission or long-term incentives may be offered. Employees are eligible to participate in our comprehensive Philips Total Rewards benefits program, which includes a generous PTO, 401k (up to 7% match), HSA (with company contribution), stock purchase plan, education reimbursement and much more. Details about our benefits can be found here. At Philips, it is not typical for an individual to be hired at or near the top end of the range for their role and compensation decisions are dependent upon the facts and circumstances of each case. Additional Information US work authorization is a precondition of employment. The company will not consider candidates who require sponsorship for a work-authorized visa, now or in the future. Company relocation benefits will not be provided for this position. For this position, you must reside in or within commuting distance to Malvern, PA or Chicago, IL. #ConnectedCare This requisition is expected to stay active for 45 days but may close earlier if a successful candidate is selected or business necessity dictates. Interested candidates are encouraged to apply as soon as possible to ensure consideration. Philips is an Equal Employment and Opportunity Employer including Disability/Vets and maintains a drug-free workplace.
    $23-37 hourly Auto-Apply 29d ago

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