NextMed jobs - 21 jobs

Winner of the Best and Brightest Companies to Work for in Boston and in the Nation by the National Association for Business Resources (NABR) for the third consecutive year Use Your Data Skills to Make Healthcare Work for Everyone Are you passionate about using data to drive real change in healthcare? We're looking for a Healthcare Data Analyst/Engineer to join our Client Success team and play a pivotal role in delivering accurate, high-quality demographic, eligibility, and claims data. In this role, you'll bridge clinical concepts with technical expertise, transforming complex datasets into clear, actionable insights that help improve healthcare outcomes for vulnerable populations. You'll collaborate across teams to validate, interpret, and visualize healthcare data, ensuring integrity, compliance, and usability. From building dashboards to analyzing Medicaid and Medicare data, your work will directly inform business decisions and strengthen the quality of services we deliver. What You'll Do Analyze healthcare claims and EDI transaction sets (837, 835, 834) to ensure accuracy and compliance. Write and optimize SQL queries to manage and interpret large datasets. Develop dashboards and data visualizations (Tableau, SuperSet, or similar). Collaborate across departments to improve workflows and reporting accuracy. Translate complex data findings into clear, actionable insights for stakeholders. What You'll Bring 3-5 years of experience in Managed Care, Healthcare, or Medical Insurance Claims. Strong knowledge of Medicaid, Medicare, HIPAA, and healthcare data governance. Expertise in SQL (MySQL, PostgreSQL) and familiarity with EDI formats (835, 837, 834). Experience with BI/reporting tools (e.g., Tableau, SuperSet). Excellent analytical, communication, and problem-solving skills. Why Join Us Make a Difference: Help improve access to vital benefits and services for low-income and disabled individuals. Collaborative Environment: Join a supportive, mission-driven team that values your ideas. Professional Growth: Opportunities for learning and advancement. Competitive Compensation: Salary and benefits that reflect your expertise. Flexibility: Work remotely or in a hybrid model that fits your life. At this time, HFI will not sponsor a new applicant for employment authorization, or offer any immigration related support for this position (i.e. H1B, F-1 OPT, F-1 STEM OPT, F-1 CPT, J-1, TN, or another type of work authorization). Our Massachusetts based starting salary for this role ranges from $80K-$110K annually. The salary range does not reflect total compensation which includes base salary, benefits and other options. EEO Statement HFI is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. HFI is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions are based on business needs, job requirements and individual qualifications, 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. HFI will not tolerate discrimination or harassment based on any of these characteristics. HFI encourages applicants of all ages.

HealthDrive delivers on-site healthcare services to residents of long-term care facilities, offering a comprehensive suite of specialties including primary care, behavioral health, dentistry, optometry, podiatry, and audiology. Our mission is to improve the quality of life for patients through compassionate and consistent care, while supporting our partners with reliable, integrated healthcare solutions tailored to the unique needs of senior populations. About You You are an LPN (required) who loves to drive! You have a passion for ensuring that the elderly population across Connecticut receive the best medical care there is out there. Creating new and fostering existing relationships doesn't scare you, rather - excites you! You are approachable and easy to talk to and also confident in your ability to close a deal. Position Summary HealthDrive is seeking a dedicated Regional Account Manager - Primary Care to join our Field Operations team in Connecticut. This role focuses exclusively on managing and supporting HealthDrive's Primary Care service line. The Regional Account Manager will build and maintain strong relationships with long-term care and skilled nursing facilities, ensuring high-quality service delivery and consistent client satisfaction. This hybrid position requires daily travel within the state and a minimum of 50 in-person visits per month, with multiple facility visits per day likely required to meet this goal. Compensation Range $55,000 - $70,000 Responsibilities Key Responsibilities Serve as the primary point of contact for facilities receiving HealthDrive's Primary Care services across Connecticut. Conduct monthly in-person and/or remote meetings with each customer to assess satisfaction, review clinical reporting, address concerns, and support care delivery. Develop and maintain strong relationships with medical directors at each location, whether or not they are an employee or strategic partner of HealthDrive. Develop and maintain strong relationships with facility administrators, nursing directors, and care teams and develop new sales opportunities when key points of contacts move to a new facility. Navigate clinical reporting during meetings to ensure alignment with client goals and track performance. Identify opportunities for service expansion, cross-selling, and business growth within existing accounts. Collaborate with internal teams (including clinical operations, provider support, and company leadership) to resolve client issues and ensure smooth service delivery. Track client feedback and service delivery performance to identify areas for improvement and growth. Support the onboarding of new accounts and maintain engagement with existing customers. Qualifications Required Qualifications Active Licensed Practical Nurse (LPN) OR Registered Nurse (RN) in the state of Connecticut 3-5+ years of experience in healthcare account management, field operations, or client relations. Strong interpersonal skills with the ability to engage clinical and administrative staff at all levels. Highly organized with the ability to manage a field-based schedule and visit cadence. Valid driver's license and reliable transportation; daily in-state travel required. Ability to navigate computer systems and use basic office software effectively. Preferred Qualifications Bachelor's degree Experience working in or with nursing homes or long-term care environments. Familiarity with primary care workflows in post-acute or senior care settings. Additional Details Travel: Daily in-state travel within Connecticut; minimum of 50 in-person visits per month, with multiple facility visits per day likely required. Work Setting: Hybrid - remote work combined with on-site client visits. Benefits Include: Health and dental insurance 401(k) with company match Paid time off Mileage reimbursement Not ready to apply? Connect with us for general consideration.

Job Description Winner of the Best and Brightest Companies to Work for in Boston and in the Nation by the National Association for Business Resources (NABR) for the third consecutive year. Help Power Our Operations as a Program Support Assistant! Are you highly organized, detail-driven, and passionate about supporting operational excellence? Our team is looking for a Program Support Assistant to provide essential administrative and data-entry support, with a key focus on processing medically complex entries and ensuring the accuracy and integrity of our data. In this role, you will help maintain smooth workflows across the Operations department and collaborate with team members to keep critical processes running efficiently. What You'll Do Enter accurate and timely data into internal systems and client platforms, including medically complex cases. Verify and update member information to ensure compliance with operational standards. Support the Operations team with case manager referrals, documentation, reporting, and follow-up activities. Collaborate with team members to resolve discrepancies and uphold data accuracy. Assist with operational initiatives and special projects as directed by the Operations Manager. Respond to internal inquiries and provide day-to-day administrative support to maintain efficient operations. Perform other duties as assigned to support department needs. What You Bring Bachelor's Degree or equivalent experience (required). 2-3 years of administrative experience in a professional business setting; experience in communications, marketing, or customer service is a plus. Proficiency with MS Office applications (Excel required). Experience with Adobe InDesign (required). Experience with Salesforce or other CRM platforms (preferred). Strong time-management skills with the ability to juggle multiple priorities. Excellent organizational skills and high attention to detail. Outstanding written and verbal communication skills. Technically proficient, analytical, and able to learn new tools quickly. A proactive, self-starting work ethic with the ability to solve problems independently after initial training. A positive, patient attitude and the flexibility to adapt in a fast-paced, evolving environment. Ability to partner effectively with team members and manage multiple projects and deadlines. Why Join Us Make a Difference: Help improve access to vital benefits and services for low-income and disabled individuals. Collaborative Environment: Join a supportive, mission-driven team that values your ideas. Professional Growth: Opportunities for learning and advancement. Competitive Compensation: Salary and benefits that reflect your expertise. Flexibility: Work remotely or in a hybrid model that fits your life. At this time, HFI will not sponsor a new applicant for employment authorization, or offer any immigration related support for this position (i.e. H1B, F-1 OPT, F-1 STEM OPT, F-1 CPT, J-1, TN, or another type of work authorization). Our Massachusetts based starting salary for this role ranges from $40,000-$47,000 annually. The salary range does not reflect total compensation which includes base salary, benefits and other options. EEO Statement HFI is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. HFI is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions are based on business needs, job requirements and individual qualifications, 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. HFI will not tolerate discrimination or harassment based on any of these characteristics. HFI encourages applicants of all ages.

We're a small, fast-moving internal medicine practice, and we're looking for a Medical Assistant who likes to stay busy, takes initiative, and genuinely cares about doing things well. If you're the kind of person who notices what needs to be done and just does it - without being asked - you'll probably thrive here. This is a hybrid role combining traditional MA responsibilities with allergy testing and immunotherapy services, offering variety, hands-on learning, and a meaningful role in patient care. What You'll Do Your time will be split between traditional MA duties and allergy services, with most days involving a mix of both. Primary responsibilities include: Rooming and triaging patients Dictating and documenting patient encounters accurately and efficiently Performing injections Conducting allergy skin testing and administering immunotherapy treatments Monitoring patients during allergy treatment and ensuring safety at all times Completing all required documentation with attention to detail Communicating with partner offices to coordinate allergy schedules Occasionally traveling (up to once per week, within ~20 minutes) to nearby offices to provide allergy services You can expect allergy services to take place approximately 2-3 days per week, with the remainder focused on internal medicine support. What We're Looking For This role carries significant responsibility, so professionalism, reliability, and initiative are essential. Must-haves: Strong communication and organizational skills Excellent attention to detail Proficiency with computers, typing, and medical terminology Highly dependable and punctual Self-starter mindset with high energy - you like staying busy and don't need micromanagement At least 1 year of experience working in a doctor's office Nice-to-haves (but not ): Experience with allergy care or immunotherapy (We provide thorough training - curiosity and willingness to learn matter much more than prior experience.) The Right Fit You'll do well here if you: Present yourself as professional, knowledgeable, and confident with patients Communicate clearly and proactively Take ownership of your work and follow things through to completion Are comfortable working independently in a high-standard environment Don't like sitting idle - there's always something to do, and we appreciate people who notice it We don't micromanage, but expectations are high. This role is best suited for someone who takes pride in their work and enjoys being trusted with responsibility. Schedule & Pay Monday-Friday, 8:30am-5:00pm One Saturday per month $19-$21/hour starting, based on experience Benefits Paid holidays 2 weeks PTO annually Health insurance (Practice covers 50% of the employee premium; dependents not included) Flexibility and growth opportunities Hands-on training in allergy services How to Apply If this sounds like a role where you'd thrive, we'd love to hear from you. Please apply with your resume and a brief note about why this position interests you.

First Healthcare Networks, LLC We are dedicated to the highest level of professional. We are a local Home Health agency clinician owned and operated. Additional Information We look forward to receiving your application!All your information will be kept confidential according to EEO guidelines. First Health Care Network LLC 1408 golf course drive Bowie, 20721 United States Tel. +1 / 301 / 8083686 [email protected]

HealthDrive is looking for a part-time (3 day per week) Primary Care Nurse Practitioner to manage the medical needs of skilled nursing residents in both the sub-acute rehab and long-term care units. The Nurse Practitioner will diagnose and treat health conditions, promote good health practices, and work collaboratively as a member of the medical staff. The APRN will also establish and build strong working relationships with administrators and staff throughout their designated building and will act as the primary point of contact for emergencies and routine medical visits. The Nurse Practitioner will be responsible for conducting physical examinations, interpreting lab tests, and overseeing patient health. HealthDrive provides our APRN's with the training and tools to do more of what you love - working independently to see patients and treating complex medical conditions. Our comprehensive 3-week paid training program combines classroom learning and fieldwork, with a mentor APRN, to fully prepare you for success! HealthDrive can offer you: Monthly Performance-Based Bonuses Medical, Dental, & Vision Benefits (Including Life, LTD/STD, & Dependent Care Spending) 401k and generous PTO Fully covered Malpractice Insurance License Renewal Reimbursement (APRN, RN, DEA, & Controlled Substance License Renewals) Robust, free CEU platform - accredited by the ANCC Clinical Mentorship & Training Program **Some benefits are only available for full-time work, please inquire with your recruiter** HealthDrive delivers on-site primary/post-acute care, behavioral health, dentistry, optometry, podiatry, and audiology services to residents in long-term care, skilled nursing and assisted living facilities. Each specialty offered by HealthDrive is one that directly impacts the quality of daily life for the deserving residents we serve. HealthDrive connects patients in need of vital healthcare to practitioners committed to dignity and excellence. Responsibilities The Nurse Practitioner will provide primary, post-acute, and preventative care for residents in both the sub-acute rehab and long-term care units. Provide primary and preventative care for residents in an assigned facility Order and study diagnostic tests (blood tests, X-rays etc.) Diagnose health conditions and illnesses Propose treatments for chronic and infectious diseases Prescribe medications Maintain accurate records and schedules Inform patients about their health conditions and prescribed medications Oversee patients' overall health Skills Experience in one of these Nurse Practitioner specialties: gerontology, acute care, cardiology, internal medicine, or endocrinology. Effective communication skills with the geriatric or Medicare population Nursing experience in ICU/ER/SNF a plus Qualifications Master's Degree from an accredited college/university State professional Nurse Practitioner license Board Certification Required DEA/Controlled Substance License Valid driver's license Ability to work both independently and collaboratively with on-site staff. Excellent written, verbal, interpersonal and organizational skills. Ability to use email, the internet, and to learn other healthcare related software. #PCATHD

First Healthcare Networks, LLC We are dedicated to the highest level of professional care to return our patients to optimal health, to enhance their quality of life and meet their social and emotional needs. We are a local Home Health agency clinician owned and operated. Job Description Administer medications and treatments, such as catheterizations, suppositories, irrigations, enemas, massages, and douches, as directed by a physician or nurse. Answer patients' call signals. Bathe, groom, shave, dress, and/or drape patients to prepare them for surgery, treatment, or examination. Clean rooms and change linens. Feed patients who are unable to feed themselves. Prepare, serve, and collect food trays. Provide patient care by supplying and emptying bed pans, applying dressings and supervising exercise routines. Provide patients with help walking, exercising, and moving in and out of bed. Transport patients to treatment units, using a wheelchair or stretcher. Turn and re-position bedridden patients, alone or with assistance, to prevent bedsores. Work as part of a medical team that examines and treats clinic outpatients. Answer phones and direct visitors. Collect specimens such as urine, feces, or sputum. Deliver messages, documents and specimens. Explain medical instructions to patients and family members. Maintain inventory by storing, preparing, sterilizing, and issuing supplies such as dressing packs and treatment trays. Observe patients' conditions, measuring and recording food and liquid intake and output and vital signs, and report changes to professional staff. Perform clerical duties such as processing documents and scheduling appointments. Restrain patients if necessary. Set up equipment such as oxygen tents, portable x-ray machines, and overhead irrigation bottles. Qualifications Must be holding current CNA VALID STATE BOARD LICENSE AT LEAST ONE YEAR OF EXPERIENCE IN HEALTH CARE SETTING Graduate from accredited school Be currently licensed through the Maryland Board of Nursing in good standing Current Valid CPR, Capability in meeting the patient needs. Additional Information

HealthDrive is seeking a full-time Medical and Dental Claims Denial Resolution Specialist to join our team! The Medical and Dental Claims Denial Resolution Specialist is responsible for daily review and resolution of insurance claim denials and/or unpaid/incorrectly paid claims with the primary goal to increase cash collections and minimize bad debt write-offs. This individual must have extensive experience working with claim denial resolution for all insurance plan types; Medicare Part B, Medicare Advantage, Medicaid, Medicaid MCO, Private Insurance and BCBS, including but not limited to: Aetna Medicare, AARP Medicare, BCBS TX, Cigna HealthSpring, Dentaquest, Envolve Vision, EyeMed, Humana Dental, Humana Medicare, Kelsey Care Advantage, March Vision, Medicare TX, Medicaid -TMHP, Molina HealthCare of Texas, Molina Medicare/Medicaid (MMP Plan), Provider Partners Health Plan of TX, ProCare Advantage Medicare, Scott and White Health Plan, Spectera EyeCare, Superior Health Star, Texas Independence Health Plan, United HealthCare (Medicare Advantage, Dual and Medicaid plans), WellCare Health and Wellpoint MMP plans. The hourly pay range for this position is $22.00 - $27.00 per hour. We are conveniently located off Route 9 in Framingham, MA, close to routes 90 and 495 in a spacious modern office with a workout center available right in the building! Candidates with significant experience in claim denial resolutions for the Texas insurance plans listed above may be considered for a full-time remote position in Texas. What's in it for you: PPO Medical, Dental, and Vision Insurance, 401(k) + Company match, Paid Time Off, hybrid schedule opportunity, Verizon Wireless, Dell, and other employee discounts, profit sharing, and employee referral bonuses. HealthDrive delivers on-site dentistry, optometry, podiatry, audiology, behavioral health, and primary care services to residents in long-term care, skilled nursing, and assisted living facilities. Each specialty offered by HealthDrive is one that directly impacts the quality of daily life for the deserving residents we serve. HealthDrive connects patients in need of vital healthcare to doctors committed to dignity and excellence. Responsibilities • Identify, investigate, and follow-up with insurance plans daily to expedite resolution of denied, incorrectly paid, or unpaid claims. • Submit corrected claims and appeals online to obtain payment within the insurance plan timely filing and appeal limits. • Obtain and verify new/corrected insurance information using clearinghouse or insurance websites prior to rebilling claims to new/updated insurances. • Document and communicate ongoing denial or incorrect payment issues for a specific insurance plan which require assistance from manager and/or director to help resolve. • Become the expert on the billing and claim requirements for assigned insurance plans. • Utilize insurance plan website(s) to check eligibility, claim status, submit online appeals, or provide Explanation of Benefits (EOB's) / Explanation of Payments (EOP's) required for processing secondary/tertiary claims. • Review and resolve overpayments, submit requests for insurance to retract their payment, and as needed request refund through automated process in billing system. • Identify and communicate payment posting issues to cash application team. • Meet or exceed daily productivity objectives for all assigned duties. • Respond to email inquiries or teams chat messages regarding questions/issues with your assigned AR plans within 24 hours. • Work professionally and cooperatively with facilities, responsible parties, insurance carriers, and all internal and external customers. • Assist with development of training materials/cheat sheets for assigned insurance plans and actively participate in training of other employees on as needed basis. • Other duties and tasks assigned or necessary to meet business needs/objectives. Qualifications • Prefer minimum of 5 years; experience in professional physician multispecialty group managing medical and dental claims denial resolution. • Extensive knowledge of Third-Party billing practices and regulations for insurances in Texas (Medicare Part B, Medicare Advantage, Medicare Supplemental, BCBS, Private Insurance, Medicaid, and Medicaid Managed Care plans). • Knowledgeable of the claim adjustment (CARC) and the remark reason codes (RARC) from Electronic Remittance Advices (ERA/835 files) and from paper Explanation of Benefits (EOB's) / Explanation of Payments (EOP's), CPT, and ICD10 codes. • Highly organized, with excellent attention to detail and exceptional/persistent follow-up, problem-solving and analytical skills. • Must have strong ability to self-direct and work independently in a high-volume, deadline-driven role. • Demonstrates proficiency in computer skills including Microsoft Office Applications (Excel, Outlook, Word and Teams), medical billing Software, insurance plan websites, and provider manuals. • Excellent interpersonal and communication skills with professional demeanor and positive attitude who readily adapts to change and effectively and appropriately communicates both verbally and in writing. • Collaborator with ability to establish priorities, effectively multitask to meet objectives and deadlines. • Strong time management and organizational skills; demonstrated ability to independently prioritize. • Knowledge of HIPAA regulations and patient privacy rules.

HealthDrive delivers on-site healthcare services to residents of long-term care facilities, offering a comprehensive suite of specialties including primary care, behavioral health, dentistry, optometry, podiatry, and audiology. Our mission is to improve the quality of life for patients through compassionate and consistent care, while supporting our partners with reliable, integrated healthcare solutions tailored to the unique needs of senior populations. About You You are an LPN (required) who loves to drive! You have a passion for ensuring that the elderly population across Maryland receive the best medical care there is out there. Creating new and fostering existing relationships doesn't scare you, rather - excites you! You are approachable and easy to talk to and also confident in your ability to close a deal. You are proud to speak about your past experience and successes in selling in a healthcare or nursing home environment. Position Summary HealthDrive is seeking a dedicated Regional Account Manager - Primary Care to join our Field Operations team in Maryland. This position carries a dual responsibility for both account management and retention of an existing territory facility account base, while additionally selling the depth and scope of HealthDrive's multi-disciplinary medical and dental contract services to current and new prospective nursing homes and assisted living facilities. Compensation Range $55,000 - $70,000 Responsibilities Key Responsibilities Act as field liaison between HealthDrive and our facility customers. Adopt HealthDrive philosophy of working within team selling/servicing approach to effectively maintain, build and grow facility account base and corresponding resulting revenue. With guidance of Senior Director of Operations (SDO) work to craft strategic plan toward building facility patient enrollment and recall. In conjunction with direction from SDO, identify prospective area opportunities for new homes based on our ability to successfully service area and prospective contracts with adequate discipline-specific provider coverage. Identify opportunities to leverage relationships in one facility to other facilities in chain or multi-facility system. Initiate daily communication with SDO and Internal Field Operations team to discuss and timely resolve issues/concerns. Educate nursing home admission, medical, clinical, administrative, social work, business office and other personnel relative to HealthDrive service program. Build and maintain strong working relationships with all facility decision makers including Administrator, Director of Nursing, Social Worker, Business Office Manager and other key nursing home personnel. Offer and introduce facility census audits and other reports to assist in identifying current patients enrolled for service(s) and identify qualified residents in an effort to improve provider productivity. Attendance at local and regional trade shows and conferences. Conduct facility in-services and other educational presentations. Complete and timely respond to management with required updates and KPI's. Other duties and tasks may be assigned as appropriate or necessary. Qualifications Skills & Specifications The Regional Account Manager must have previous experience selling in a healthcare environment or nursing home company. Must have working knowledge of sales and marketing strategies. They must possess confidence, experience and skills to support organizational activities. This individual must have the ability to manage conflict, be a good communicator and an active listener, and possess strong decision-making skills. Must be comfortable commuting throughout Maryland to visit all customers. Required Qualifications Active Licensed Practical Nurse (LPN) OR Registered Nurse (RN) in the state of Maryland. 3-5+ years of experience in healthcare account management, field operations, or client relations. Strong interpersonal skills with the ability to engage clinical and administrative staff at all levels. Highly organized with the ability to manage a field-based schedule and visit cadence. Valid driver's license and reliable transportation; daily in-state travel required. Ability to navigate computer systems and use basic office software effectively. Preferred Qualifications Bachelor's degree Experience working in or with nursing homes or long-term care environments. Familiarity with primary care workflows in post-acute or senior care settings. Additional Details Travel: Daily in-state travel within Connecticut; minimum of 50 in-person visits per month, with multiple facility visits per day likely required. Work Setting: Hybrid - remote work combined with on-site client visits. Benefits Include: Health and dental insurance 401(k) with company match Paid time off Mileage reimbursement

Winner of the Best and Brightest Companies to Work for in Boston and in the Nation by the National Association for Business Resources (NABR) for the third consecutive year. Help Power Our Operations as a Program Support Assistant! Are you highly organized, detail-driven, and passionate about supporting operational excellence? Our team is looking for a Program Support Assistant to provide essential administrative and data-entry support, with a key focus on processing medically complex entries and ensuring the accuracy and integrity of our data. In this role, you will help maintain smooth workflows across the Operations department and collaborate with team members to keep critical processes running efficiently. What You'll Do Enter accurate and timely data into internal systems and client platforms, including medically complex cases. Verify and update member information to ensure compliance with operational standards. Support the Operations team with case manager referrals, documentation, reporting, and follow-up activities. Collaborate with team members to resolve discrepancies and uphold data accuracy. Assist with operational initiatives and special projects as directed by the Operations Manager. Respond to internal inquiries and provide day-to-day administrative support to maintain efficient operations. Perform other duties as assigned to support department needs. What You Bring Bachelor's Degree or equivalent experience (required). 2-3 years of administrative experience in a professional business setting; experience in communications, marketing, or customer service is a plus. Proficiency with MS Office applications (Excel required). Experience with Adobe InDesign (required). Experience with Salesforce or other CRM platforms (preferred). Strong time-management skills with the ability to juggle multiple priorities. Excellent organizational skills and high attention to detail. Outstanding written and verbal communication skills. Technically proficient, analytical, and able to learn new tools quickly. A proactive, self-starting work ethic with the ability to solve problems independently after initial training. A positive, patient attitude and the flexibility to adapt in a fast-paced, evolving environment. Ability to partner effectively with team members and manage multiple projects and deadlines. Why Join Us Make a Difference: Help improve access to vital benefits and services for low-income and disabled individuals. Collaborative Environment: Join a supportive, mission-driven team that values your ideas. Professional Growth: Opportunities for learning and advancement. Competitive Compensation: Salary and benefits that reflect your expertise. Flexibility: Work remotely or in a hybrid model that fits your life. At this time, HFI will not sponsor a new applicant for employment authorization, or offer any immigration related support for this position (i.e. H1B, F-1 OPT, F-1 STEM OPT, F-1 CPT, J-1, TN, or another type of work authorization). Our Massachusetts based starting salary for this role ranges from $40,000-$47,000 annually. The salary range does not reflect total compensation which includes base salary, benefits and other options. EEO Statement HFI is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. HFI is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions are based on business needs, job requirements and individual qualifications, 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. HFI will not tolerate discrimination or harassment based on any of these characteristics. HFI encourages applicants of all ages.

Job DescriptionSalary: $19 - $21 Werea small, fast-moving internal medicine practice, andwerelooking for a Medical Assistant who likes to stay busy, takes initiative, and genuinely cares about doing things well. Ifyourethe kind of person who notices what needs to be done and just does it without being asked youllprobably thrivehere. This is a hybrid role combining traditional MA responsibilities with allergy testing and immunotherapy services, offering variety, hands-on learning, and a meaningful role in patient care. WhatYoullDo Your time will be split between traditional MA duties and allergy services, with most days involving a mix of both. Primary responsibilities include: Rooming and triaging patients Dictating and documenting patientencountersaccurately and efficiently Performing injections Conducting allergy skin testing and administering immunotherapy treatments Monitoring patients during allergy treatment andensuring safety at all times Completing all required documentation with attention to detail Communicating with partner offices to coordinate allergy schedules Occasionally traveling (up to once per week, within ~20 minutes) to nearby offices to provide allergy services You can expect allergy services to take placeapproximately 23 days per week, with theremainderfocused on internal medicine support. WhatWereLooking For This role carries significant responsibility, so professionalism, reliability, and initiative are essential. Must-haves: Strong communicationand organizational skills Excellent attention to detail Proficiencywith computers, typing, and medical terminology Highly dependable and punctual Self-starter mindset with high energy you like staying busy anddontneed micromanagement At least1 year of experienceworking in a doctors office Nice-to-haves (but notrequired): Experience with allergy care or immunotherapy (We provide thorough training curiosity and willingness tolearn matter much more than prior experience.) The Right Fit Youlldo well here if you: Present yourself as professional, knowledgeable, and confident with patients Communicate clearly and proactively Take ownership of your work and follow things through to completion Are comfortable working independently in a high-standard environment Dontlike sitting idle theresalways something to do, and we appreciate people who notice it Wedontmicromanage, but expectations are high. This role is best suited for someone who takes pride in their work and enjoys being trusted with responsibility. Schedule & Pay MondayFriday, 8:30am5:00pm One Saturday per month $19$21/hourstarting, based on experience Benefits Paid holidays 2 weeks PTO annually Health insurance (Practice covers 50% of the employee premium; dependents not included) Flexibility and growth opportunities Hands-on training in allergy services How to Apply If this sounds like a role whereyoudthrive,wedlove to hear from you. Please apply with your resume and a brief note about why this position interests you.

First Healthcare Networks, LLC We are dedicated to the highest level of professional. We are a local Home Health agency clinician owned and operated. Additional Information We look forward to receiving your application! All your information will be kept confidential according to EEO guidelines. First Health Care Network LLC 1408 golf course drive Bowie, 20721 United States Tel. +1 / 301 / 8083686 [email protected]

“Improving the lives of those with chronic care diseases while providing solutions to our customers.' Looking for a new opportunity? At SuperCare Health you have the chance to reach your dreams by helping us in serving the healthcare needs of our ever-growing patient population. Matching passion with careers, here hard work has never been so satisfying. **Please note: This role is in office 4 days a week** Essential Duties: Under the general supervision of the Customer Care Supervisor, a Customer Care Specialist is responsible for maintaining a positive, helpful attitude and approach in providing excellent customer service to all customers which includes; patients, clients, referral sources, physicians, sales representatives, and fellow coworkers. Responsibilities: Answers incoming phone calls and faxes, takes customers' orders for durable medical and respiratory equipment, repairs, supplies, and other miscellaneous items Maintains open communication with patients/clients and referral sources Responds to patient/client questions and problems Services walk in customers as needed Prepares intake, gathers all necessary information about referral, patient demographics, contact person, physician, diagnosis, discharge time and place, item(s) requested Gathers all necessary documentation, prior to delivery CMN, Rx, ABG, Care Plan, Auth, etc. Verifies medical necessity with physician Verifies eligibility and coverage with Insurance and carrier according to guidelines or contract Verifies payer (with matrix), obtains authorization, expiration date Verifies patient demographics and prior equipment usage with patient Informs patient of financial responsibilities: copay, share of cost, deductible, etc. Enters data and each order (new or otherwise) in system accurately and in a timely manner Processes closet and on call orders as received Enters notes in appropriate areas of insurance, general, and authorizations in the computer system Process orders to shipping or dispatching for Technician or RT deliveries Remains knowledgeable on product and insurance coverage issues in order to inform patients of copays and other benefit information Attends all departmental meetings, company meetings, and in-services Reports to work daily and is ready to work at the scheduled start time Works Saturday assignment as needed or scheduled Performs any other duties that may be requested by supervisor or management Understand and adheres to all of SuperCare Health company policies To remain knowledgeable to date on all products, guidelines and insurance coverage trends Maintain a professional safe and clean work environment. Understand and adheres to all of SuperCare Health company policies. Perform all other duties as assigned and required Must meet minimum of monthly goals Schedule- varying start times Fundamental Computer Skills Education and or Work Experience Requirements: Experience with Medical Supply Company Knowledge of diagnosis and Medical terminology Excellent Customer Service skills Detail oriented Previous Management/Supervisor or Lead experience Proficiency in Microsoft Word, Outlook, and PowerPoint Experience in healthcare, medical and/or HME industry (preferred) Be able to work on multiple tasks. Plan and prioritize actives to achieve results and meet deadlines Strong organizational skills and detail oriented Bilingual Spanish Preferred Benefits: Medical Dental Vision Flexible Savings Account 401K Voluntary Life Insurance Observed Holidays: New Year's Day, Memorial Day, July 4th, Labor Day, Thanksgiving Day, Christmas Day. Perks: Paid Training Paid Time Off Sick Time Growth Opportunities Employee Referral Reward Program Employee Discount Program Compensation dependent on experience & qualifications with a range of: CCS 1 $15.30 -$23.63 CCS 2 $16.20 -$25.52 Location: 3702 E. Roeser Rd., Ste. 7, Phoenix, AZ 85040. Cross streets: 40th & Roeser Any employment proposal is contingent upon satisfactory completion of: Background Check, Reference Check(s), Driving Record (if applicable), Pre-employment Drug and TB Tests What SuperCare Health is About 'SuperCare Health is a comprehensive, post- acute care, respiratory services company, focused on managing high-risk respiratory patients in their homes. Today, SuperCare health manages millions of lives annually, with a growing team of more than 400 members, and has one of the highest-rated satisfaction scores from both our customers and patients. Our goal is to be the most trusted and preferred resource to manage high-risk, post-acute respiratory patients through our high-touch clinical team and high-tech, innovative solutions. Our end-to- end care solutions, from the hospital to the home, close gaps in care, reduce costs of care and improve outcomes. Our in-home services include ventilation, oxygen, CPAP/BiPAP, enteral nutrition, pharmacy services, and an expanding population health program. We are uniquely structured to be a responsive and agile community provider, yet we also possess the stability and effectiveness of a large enterprise. As a thriving business, our chief focus is on what really matters: reducing hospital re-admissions, optimizing outcomes and improving the lives of patients with chronic care diseases, every day.`` Connect With Us! Company Website **************************** Company Business Hours - 8:30 AM - 5:30 PM PST LinkedIn ********************************************** Twitter *********************************** Facebook ***************************************** Instagram ******************************************

First Healthcare Networks, LLC We are dedicated to the highest level of professional care to return our patients to optimal health, to enhance their quality of life and meet their social and emotional needs. We are a local Home Health agency clinician owned and operated. Job Description Administer medications and treatments, such as catheterizations, suppositories, irrigations, enemas, massages, and douches, as directed by a physician or nurse. Answer patients' call signals. Bathe, groom, shave, dress, and/or drape patients to prepare them for surgery, treatment, or examination. Clean rooms and change linens. Feed patients who are unable to feed themselves. Prepare, serve, and collect food trays. Provide patient care by supplying and emptying bed pans, applying dressings and supervising exercise routines. Provide patients with help walking, exercising, and moving in and out of bed. Transport patients to treatment units, using a wheelchair or stretcher. Turn and re-position bedridden patients, alone or with assistance, to prevent bedsores. Work as part of a medical team that examines and treats clinic outpatients. Answer phones and direct visitors. Collect specimens such as urine, feces, or sputum. Deliver messages, documents and specimens. Explain medical instructions to patients and family members. Maintain inventory by storing, preparing, sterilizing, and issuing supplies such as dressing packs and treatment trays. Observe patients' conditions, measuring and recording food and liquid intake and output and vital signs, and report changes to professional staff. Perform clerical duties such as processing documents and scheduling appointments. Restrain patients if necessary. Set up equipment such as oxygen tents, portable x-ray machines, and overhead irrigation bottles. Qualifications Must be holding current CNA VALID STATE BOARD LICENSE AT LEAST ONE YEAR OF EXPERIENCE IN HEALTH CARE SETTING Graduate from accredited school Be currently licensed through the Maryland Board of Nursing in good standing Current Valid CPR, Capability in meeting the patient needs. Additional Information

HealthDrive is seeking a full-time Medical and Dental Claims Denial Resolution Specialist to join our team! The Medical and Dental Claims Denial Resolution Specialist is responsible for daily review and resolution of insurance claim denials and/or unpaid/incorrectly paid claims with the primary goal to increase cash collections and minimize bad debt write-offs. This individual must have extensive experience working with claim denial resolution for all insurance plan types; Medicare Part B, Medicare Advantage, Medicaid, Medicaid MCO, Private Insurance and BCBS, including but not limited to: Aetna Medicare, AARP Medicare, BCBS TX, Cigna HealthSpring, Dentaquest, Envolve Vision, EyeMed, Humana Dental, Humana Medicare, Kelsey Care Advantage, March Vision, Medicare TX, Medicaid -TMHP, Molina HealthCare of Texas, Molina Medicare/Medicaid (MMP Plan), Provider Partners Health Plan of TX, ProCare Advantage Medicare, Scott and White Health Plan, Spectera EyeCare, Superior Health Star, Texas Independence Health Plan, United HealthCare (Medicare Advantage, Dual and Medicaid plans), WellCare Health and Wellpoint MMP plans. The hourly pay range for this position is $22.00 - $27.00 per hour. We are conveniently located off Route 9 in Framingham, MA, close to routes 90 and 495 in a spacious modern office with a workout center available right in the building! Candidates with significant experience in claim denial resolutions for the Texas insurance plans listed above may be considered for a full-time remote position in Texas. What's in it for you: PPO Medical, Dental, and Vision Insurance, 401(k) + Company match, Paid Time Off, hybrid schedule opportunity, Verizon Wireless, Dell, and other employee discounts, profit sharing, and employee referral bonuses. HealthDrive delivers on-site dentistry, optometry, podiatry, audiology, behavioral health, and primary care services to residents in long-term care, skilled nursing, and assisted living facilities. Each specialty offered by HealthDrive is one that directly impacts the quality of daily life for the deserving residents we serve. HealthDrive connects patients in need of vital healthcare to doctors committed to dignity and excellence. Responsibilities • Identify, investigate, and follow-up with insurance plans daily to expedite resolution of denied, incorrectly paid, or unpaid claims. • Submit corrected claims and appeals online to obtain payment within the insurance plan timely filing and appeal limits. • Obtain and verify new/corrected insurance information using clearinghouse or insurance websites prior to rebilling claims to new/updated insurances. • Document and communicate ongoing denial or incorrect payment issues for a specific insurance plan which require assistance from manager and/or director to help resolve. • Become the expert on the billing and claim requirements for assigned insurance plans. • Utilize insurance plan website(s) to check eligibility, claim status, submit online appeals, or provide Explanation of Benefits (EOB's) / Explanation of Payments (EOP's) required for processing secondary/tertiary claims. • Review and resolve overpayments, submit requests for insurance to retract their payment, and as needed request refund through automated process in billing system. • Identify and communicate payment posting issues to cash application team. • Meet or exceed daily productivity objectives for all assigned duties. • Respond to email inquiries or teams chat messages regarding questions/issues with your assigned AR plans within 24 hours. • Work professionally and cooperatively with facilities, responsible parties, insurance carriers, and all internal and external customers. • Assist with development of training materials/cheat sheets for assigned insurance plans and actively participate in training of other employees on as needed basis. • Other duties and tasks assigned or necessary to meet business needs/objectives. Qualifications • Prefer minimum of 5 years; experience in professional physician multispecialty group managing medical and dental claims denial resolution. • Extensive knowledge of Third-Party billing practices and regulations for insurances in Texas (Medicare Part B, Medicare Advantage, Medicare Supplemental, BCBS, Private Insurance, Medicaid, and Medicaid Managed Care plans). • Knowledgeable of the claim adjustment (CARC) and the remark reason codes (RARC) from Electronic Remittance Advices (ERA/835 files) and from paper Explanation of Benefits (EOB's) / Explanation of Payments (EOP's), CPT, and ICD10 codes. • Highly organized, with excellent attention to detail and exceptional/persistent follow-up, problem-solving and analytical skills. • Must have strong ability to self-direct and work independently in a high-volume, deadline-driven role. • Demonstrates proficiency in computer skills including Microsoft Office Applications (Excel, Outlook, Word and Teams), medical billing Software, insurance plan websites, and provider manuals. • Excellent interpersonal and communication skills with professional demeanor and positive attitude who readily adapts to change and effectively and appropriately communicates both verbally and in writing. • Collaborator with ability to establish priorities, effectively multitask to meet objectives and deadlines. • Strong time management and organizational skills; demonstrated ability to independently prioritize. • Knowledge of HIPAA regulations and patient privacy rules.

First Healthcare Networks, LLC We are dedicated to the highest level of professional care to return our patients to optimal health, to enhance their quality of life and meet their social and emotional needs. We are a local Home Health agency clinician owned and operated. Job Description THIS CASE IS PART TIME TUESDAY'S AND FRIDAY'S IN THE MORNING Provides personal care services under the direction of the Registered Nurse. Ensures quality and safe delivery of health care services and assist in the provisions of patient care that reflects the Agency's philosophy and standards of quality health and nursing care of assigned patients. The Certified Nursing Assistant/Geriatric Nursing Assistant is supervised by the Registered Nurse every 30 days. QUALIFICATIONS: 1. Legally-Currently Certified to practice as a Certified/Geriatric Nursing Assistant. 2. Experienced in home health care or related health care field. 3. Demonstrates ability to read, write, and carry out directions. 5. Possesses maturity and ability to deal effectively with job demands. 6. Good verbal and written communication skills. 7. Possesses Maryland driver's license 8. Current CPR card. 9. Health clearance/physical within . 10. Criminal background clearance. 11. Social Security. Qualifications Must be holding current CNA/GNA VALID STATE BOARD LICENSE AT LEAST ONE YEAR OF EXPERIENCE IN HEALTH CARE SETTING Graduate from accredited school Be currently licensed through the Maryland Board of Nursing in good standing Current Valid CPR, Capability in meeting the patient needs. Additional Information

HealthDrive is seeking a full-time Medical and Dental Claims Denial Resolution Specialist to join our team! The Medical and Dental Claims Denial Resolution Specialist is responsible for daily review and resolution of insurance claim denials and/or unpaid/incorrectly paid claims with the primary goal to increase cash collections and minimize bad debt write-offs. This individual must have extensive experience working with claim denial resolution for all insurance plan types; Medicare Part B, Medicare Advantage, Medicaid, Medicaid MCO, Private Insurance and BCBS, including but not limited to: Aetna Medicare, AARP Medicare, BCBS TX, Cigna HealthSpring, Dentaquest, Envolve Vision, EyeMed, Humana Dental, Humana Medicare, Kelsey Care Advantage, March Vision, Medicare TX, Medicaid -TMHP, Molina HealthCare of Texas, Molina Medicare/Medicaid (MMP Plan), Provider Partners Health Plan of TX, ProCare Advantage Medicare, Scott and White Health Plan, Spectera EyeCare, Superior Health Star, Texas Independence Health Plan, United HealthCare (Medicare Advantage, Dual and Medicaid plans), WellCare Health and Wellpoint MMP plans. The hourly pay range for this position is $22.00 - $27.00 per hour. We are conveniently located off Route 9 in Framingham, MA, close to routes 90 and 495 in a spacious modern office with a workout center available right in the building! Candidates with significant experience in claim denial resolutions for the Texas insurance plans listed above may be considered for a full-time remote position in Texas. What's in it for you: PPO Medical, Dental, and Vision Insurance, 401(k) + Company match, Paid Time Off, hybrid schedule opportunity, Verizon Wireless, Dell, and other employee discounts, profit sharing, and employee referral bonuses. HealthDrive delivers on-site dentistry, optometry, podiatry, audiology, behavioral health, and primary care services to residents in long-term care, skilled nursing, and assisted living facilities. Each specialty offered by HealthDrive is one that directly impacts the quality of daily life for the deserving residents we serve. HealthDrive connects patients in need of vital healthcare to doctors committed to dignity and excellence. Responsibilities * Identify, investigate, and follow-up with insurance plans daily to expedite resolution of denied, incorrectly paid, or unpaid claims.• Submit corrected claims and appeals online to obtain payment within the insurance plan timely filing and appeal limits.• Obtain and verify new/corrected insurance information using clearinghouse or insurance websites prior to rebilling claims to new/updated insurances.• Document and communicate ongoing denial or incorrect payment issues for a specific insurance plan which require assistance from manager and/or director to help resolve. • Become the expert on the billing and claim requirements for assigned insurance plans.• Utilize insurance plan website(s) to check eligibility, claim status, submit online appeals, or provide Explanation of Benefits (EOB's) / Explanation of Payments (EOP's) required for processing secondary/tertiary claims.• Review and resolve overpayments, submit requests for insurance to retract their payment, and as needed request refund through automated process in billing system.• Identify and communicate payment posting issues to cash application team.• Meet or exceed daily productivity objectives for all assigned duties.• Respond to email inquiries or teams chat messages regarding questions/issues with your assigned AR plans within 24 hours.• Work professionally and cooperatively with facilities, responsible parties, insurance carriers, and all internal and external customers.• Assist with development of training materials/cheat sheets for assigned insurance plans and actively participate in training of other employees on as needed basis.• Other duties and tasks assigned or necessary to meet business needs/objectives. Qualifications * Prefer minimum of 5 years; experience in professional physician multispecialty group managing medical and dental claims denial resolution.• Extensive knowledge of Third-Party billing practices and regulations for insurances in Texas (Medicare Part B, Medicare Advantage, Medicare Supplemental, BCBS, Private Insurance, Medicaid, and Medicaid Managed Care plans).• Knowledgeable of the claim adjustment (CARC) and the remark reason codes (RARC) from Electronic Remittance Advices (ERA/835 files) and from paper Explanation of Benefits (EOB's) / Explanation of Payments (EOP's), CPT, and ICD10 codes.• Highly organized, with excellent attention to detail and exceptional/persistent follow-up, problem-solving and analytical skills.• Must have strong ability to self-direct and work independently in a high-volume, deadline-driven role.• Demonstrates proficiency in computer skills including Microsoft Office Applications (Excel, Outlook, Word and Teams), medical billing Software, insurance plan websites, and provider manuals.• Excellent interpersonal and communication skills with professional demeanor and positive attitude who readily adapts to change and effectively and appropriately communicates both verbally and in writing.• Collaborator with ability to establish priorities, effectively multitask to meet objectives and deadlines. • Strong time management and organizational skills; demonstrated ability to independently prioritize.• Knowledge of HIPAA regulations and patient privacy rules.

First Healthcare Networks, LLC We are dedicated to the highest level of professional care to return our patients to optimal health, to enhance their quality of life and meet their social and emotional needs. We are a local Home Health agency clinician owned and operated. Job Description Administer medications and treatments, such as catheterizations, suppositories, irrigations, enemas, massages, and douches, as directed by a physician or nurse. Answer patients' call signals. Bathe, groom, shave, dress, and/or drape patients to prepare them for surgery, treatment, or examination. Clean rooms and change linens. Feed patients who are unable to feed themselves. Prepare, serve, and collect food trays. Provide patient care by supplying and emptying bed pans, applying dressings and supervising exercise routines. Provide patients with help walking, exercising, and moving in and out of bed. Transport patients to treatment units, using a wheelchair or stretcher. Turn and re-position bedridden patients, alone or with assistance, to prevent bedsores. Work as part of a medical team that examines and treats clinic outpatients. Answer phones and direct visitors. Collect specimens such as urine, feces, or sputum. Deliver messages, documents and specimens. Explain medical instructions to patients and family members. Maintain inventory by storing, preparing, sterilizing, and issuing supplies such as dressing packs and treatment trays. Observe patients' conditions, measuring and recording food and liquid intake and output and vital signs, and report changes to professional staff. Perform clerical duties such as processing documents and scheduling appointments. Restrain patients if necessary. Set up equipment such as oxygen tents, portable x-ray machines, and overhead irrigation bottles. Qualifications Must be holding current CNA VALID STATE BOARD LICENSE AT LEAST ONE YEAR OF EXPERIENCE IN HEALTH CARE SETTING Graduate from accredited school Be currently licensed through the Maryland Board of Nursing in good standing Current Valid CPR Certification Able to meet the physical requirement of position Additional Information We look forward to receiving your application! All your information will be kept confidential according to EEO guidelines. First Health Care Network LLC 1408 golf course drive Bowie, 20721 United States Tel. +1 / 301 / 8083686

HealthDrive is seeking a full-time Medical and Dental Claims Denial Resolution Specialist to join our team! The Medical and Dental Claims Denial Resolution Specialist is responsible for daily review and resolution of insurance claim denials and/or unpaid/incorrectly paid claims with the primary goal to increase cash collections and minimize bad debt write-offs. This individual must have extensive experience working with claim denial resolution for all insurance plan types; Medicare Part B, Medicare Advantage, Medicaid, Medicaid MCO, Private Insurance and BCBS, including but not limited to: Aetna Medicare, AARP Medicare, BCBS TX, Cigna HealthSpring, Dentaquest, Envolve Vision, EyeMed, Humana Dental, Humana Medicare, Kelsey Care Advantage, March Vision, Medicare TX, Medicaid -TMHP, Molina HealthCare of Texas, Molina Medicare/Medicaid (MMP Plan), Provider Partners Health Plan of TX, ProCare Advantage Medicare, Scott and White Health Plan, Spectera EyeCare, Superior Health Star, Texas Independence Health Plan, United HealthCare (Medicare Advantage, Dual and Medicaid plans), WellCare Health and Wellpoint MMP plans. The hourly pay range for this position is $22.00 - $27.00 per hour. We are conveniently located off Route 9 in Framingham, MA, close to routes 90 and 495 in a spacious modern office with a workout center available right in the building! Candidates with significant experience in claim denial resolutions for the Texas insurance plans listed above may be considered for a full-time remote position in Texas. What's in it for you: PPO Medical, Dental, and Vision Insurance, 401(k) + Company match, Paid Time Off, hybrid schedule opportunity, Verizon Wireless, Dell, and other employee discounts, profit sharing, and employee referral bonuses. HealthDrive delivers on-site dentistry, optometry, podiatry, audiology, behavioral health, and primary care services to residents in long-term care, skilled nursing, and assisted living facilities. Each specialty offered by HealthDrive is one that directly impacts the quality of daily life for the deserving residents we serve. HealthDrive connects patients in need of vital healthcare to doctors committed to dignity and excellence. Responsibilities • Identify, investigate, and follow-up with insurance plans daily to expedite resolution of denied, incorrectly paid, or unpaid claims. • Submit corrected claims and appeals online to obtain payment within the insurance plan timely filing and appeal limits. • Obtain and verify new/corrected insurance information using clearinghouse or insurance websites prior to rebilling claims to new/updated insurances. • Document and communicate ongoing denial or incorrect payment issues for a specific insurance plan which require assistance from manager and/or director to help resolve. • Become the expert on the billing and claim requirements for assigned insurance plans. • Utilize insurance plan website(s) to check eligibility, claim status, submit online appeals, or provide Explanation of Benefits (EOB's) / Explanation of Payments (EOP's) required for processing secondary/tertiary claims. • Review and resolve overpayments, submit requests for insurance to retract their payment, and as needed request refund through automated process in billing system. • Identify and communicate payment posting issues to cash application team. • Meet or exceed daily productivity objectives for all assigned duties. • Respond to email inquiries or teams chat messages regarding questions/issues with your assigned AR plans within 24 hours. • Work professionally and cooperatively with facilities, responsible parties, insurance carriers, and all internal and external customers. • Assist with development of training materials/cheat sheets for assigned insurance plans and actively participate in training of other employees on as needed basis. • Other duties and tasks assigned or necessary to meet business needs/objectives. Qualifications • Prefer minimum of 5 years; experience in professional physician multispecialty group managing medical and dental claims denial resolution. • Extensive knowledge of Third-Party billing practices and regulations for insurances in Texas (Medicare Part B, Medicare Advantage, Medicare Supplemental, BCBS, Private Insurance, Medicaid, and Medicaid Managed Care plans). • Knowledgeable of the claim adjustment (CARC) and the remark reason codes (RARC) from Electronic Remittance Advices (ERA/835 files) and from paper Explanation of Benefits (EOB's) / Explanation of Payments (EOP's), CPT, and ICD10 codes. • Highly organized, with excellent attention to detail and exceptional/persistent follow-up, problem-solving and analytical skills. • Must have strong ability to self-direct and work independently in a high-volume, deadline-driven role. • Demonstrates proficiency in computer skills including Microsoft Office Applications (Excel, Outlook, Word and Teams), medical billing Software, insurance plan websites, and provider manuals. • Excellent interpersonal and communication skills with professional demeanor and positive attitude who readily adapts to change and effectively and appropriately communicates both verbally and in writing. • Collaborator with ability to establish priorities, effectively multitask to meet objectives and deadlines. • Strong time management and organizational skills; demonstrated ability to independently prioritize. • Knowledge of HIPAA regulations and patient privacy rules.