Territory Account Representative
Account representative job at OneBlood
Executes blood donor recruitment programs, organizing and managing all aspects of the recruitment process in order to meet goals for an assigned territory.
Responsibilities
The list of essential functions, as outlined herein, is intended to be representative of the duties and responsibilities performed within this classification. It is not necessarily descriptive of any one position in the class. The omission of an essential function does not preclude management from assigning duties not listed herein if such functions are a logical assignment to the position.
Executes blood donor recruitment programs to meet goals for assigned territory
Develops and maintains effective professional business relationships with donor drive chairpersons that support delivery of results as well as internal clients
Seeks out prospective blood drive opportunities with new and existing customers
Utilizes independent judgment to adapt approach and communication style, to develop and manage blood drive accounts
Determines the appropriate marketing and promotional materials and programs needed to achieve established goals working within budget
Manages blood drive scheduling to optimize business needs which may include recruiting during blood drives to ensure the success of the drive
Represents organization at community involvement events
Leverages available technologies and channels to support efficient and effective blood drives
Manages and prioritizes time and resources to maximize effectiveness of territory
Adheres to all administrative duties including on-time compliance for all reporting requests.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty and responsibility satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
EDUCATION AND/OR EXPERIENCE:
Bachelor's degree or equivalent combination of education, training, and/or experience. Prior sales experience preferred.
CERTIFICATES, LICENSES, REGISTRATIONS AND DESIGNATIONS:
Valid driver's license and clear driving record.
KNOWLEDGE, SKILLS AND ABILITIES:
Ability to perform tasks effectively utilizing digital technology and communication tools (smartphones, tablets, etc.)
Ability to read, analyze, and interpret business periodicals, professional journals, technical procedures, or governmental regulations
Ability to write reports, business correspondence, and standard operating procedures
Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public
Ability to deliver compelling and persuasive presentations to small and large groups of business contacts
Ability to quickly establish rapport with new business contacts and the general public
Ability to solve practical problems and deal with a variety of variables in situations where only limited standardization exists
Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form
Intermediate computer skills including knowledge of Microsoft Office applications and other business applications including internal company software applications
Ability to speak, write, read, and understand standard English
Ability to commute with personal transportation.
PHYSICAL REQUIREMENTS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Tasks involve the ability to exert light physical effort usually involving some lifting, carrying, pushing and/or pulling of objects and materials of light weight (up to 20 pounds). Usually involves some climbing, balancing, stooping, kneeling, crouching, crawling, walking or standing for prolonged periods of time.
ENVIRONMENTAL REQUIREMENTS:
The work environment characteristics described here are representative of those an employee
may
encounter while performing the essential functions of this job.
Functions are regularly performed inside and/or outside with potential for exposure to adverse conditions, such as inclement weather, atmospheric elements and pathogenic substances. The noise level in the work environment is usually moderate.
OneBlood is an Equal Opportunity Employer/Vet/Disability/Other Protected Categories
Auto-ApplyClinical Reimbursement Specialist CRS
Charlotte, NC jobs
Are you are you a Registered Nurse (RN) who is passionate about MDS? When you join Ciena Health Care Company as a Clinical Reimbursement Specialist, you will share your expertise with the MDS nurses in several facilities. In this role, you will audit and evaluate Medicare compliance and the RAI process in our North Carolina facilities. If you love teaching and communicating with other nurses, this is a great role for you!
The successful applicant will live in North Carolina, and have a comprehensive knowledge of Medicare, PDPM, RAI process, quality measures, as well as OBRA regulations.
Join us with an attractive benefits offering:
Competitive pay
Medical, dental, and vision insurance
401K with matching funds
Life Insurance
Employee discounts
Tuition Reimbursement
Student Loan Reimbursement
Responsibilities:
Ensure the RAI process is complete and assessments are complete.
Audit Completion of MDS, CAA's and care plans within regulated time frames.
Provide teaching as needed for MDS nurses in assessing resident through physical assessment, interview and chart review.
Assist MDS nurses in follow up on resident care needs with care givers, including physician, nursing, social services, therapy, dietary, and activity staff.
Reviews MDS nurse completion of information from hospital, consults and outside agencies and uses such information in the completion of the assessment and care planning.
Requirements:
Knowledge of the Resident Assessment Instrument (RAI) process, including the principles the Patient Driven Payment Model is required.
Knowledge of regulatory standards and compliance requirements.
Registered Nurse RN in the state.
50% travel with some overnight stays possible.
Ciena Healthcare
We are a provider of skilled nursing, subacute, rehabilitative, and assisted living services dedicated to achieving the highest standards of care in five states including Michigan, Ohio, Virginia, North Carolina, and Indiana.
We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them. If you have a passion for improving the lives of those around you and working with others who feel the same way.
IND123
Dental Sales Representative -Flex Time
Kissimmee, FL jobs
Flex Time Dental Sales - Pharmaceutical Sales
We are currently recruiting an experienced Dental or Pharmaceutical Sales person to fill a flex time (13 days/month) position. The ideal candidate will hold a Bachelor's degree from an accredited college or university in a Sales related field or be a licensed Dental Hygienist and have 2+ years of sales success in Dental or Pharmaceutical Sales.
Our client has the #1 products in the dental market. They are a fortune 500 company that has great product for you to sample/sell and have wonderful
marketing materials that we deploy via the iPad.
Responsibilities of the Flex Time Dental Sales - Pharmaceutical Sales position
Sell and detail products directly to dental professionals Dentists and Hygienists).
Call on at least 8 dental offices each day and see the entire office.
Deliver 12 or more face to face presentations/day to targeted dentists and hygienists.
Conduct lunch and learn sessions with at least one office per day
Conduct dental products presentations with a company iPad.
Requirements of the Dental Sales - Pharmaceutical Sales position
Job Requirements
Bachelor's degree from an accredited college or university in Sales related field or Dental Hygiene
2+ years of sales success in Dental or Pharmaceutical Sales
Ability to work on a flex time (13 days/month) basis
Documented sales success
Relationships with dentists in the local market.
Compensation
The starting annual salary for this position is $30,000.00
Annual performance bonus of $5000.
Auto Allowance
Company Paid Storage Area
Company Paid Iphone and iPad
Job Type: Part-time
Seniority Level
Entry level
Industry
Pharmaceuticals
Employment Type
Part-time
Job Functions
Business DevelopmentSales
Sales Representative
Winston-Salem, NC jobs
Premier Equipment Co., LLC is your trusted source for new and used tractors, attachments, implements, accessories, and parts designed for farm, construction, and landscaping needs. We proudly serve our customers with high-quality products and offer comprehensive services and support for their equipment. Our locations carry leading brands including New Holland, Bush Hog, Stihl, and more. At Premier Equipment, we are dedicated to providing excellent solutions for our customers' agricultural and industrial needs.
Role Description
This is a full-time, on-site role for a Salesperson located in the Greensboro--Winston-Salem--High Point Area. The Salesperson will be responsible for engaging with customers to determine their equipment needs, recommending products, and providing detailed information about available machinery and parts. Day-to-day tasks include building and maintaining relationships with clients, preparing and presenting quotes, closing sales transactions, and addressing any post-purchase needs or issues. Additionally, the role involves keeping up-to-date with product knowledge and industry trends to better serve our customers.
Qualifications
Customer service and sales skills, with the ability to understand client needs and build relationships
Knowledge of agricultural, construction, and landscaping equipment, or a willingness to learn
Communication and interpersonal skills for providing clear product information and closures
Organizational skills to manage quotes, transactions, and follow-ups effectively
Computer proficiency, including experience with sales systems, CRM tools, and basic office software
Strong problem-solving capabilities and a proactive approach to addressing customer concerns
Valid driver's license and ability to travel locally for on-site customer visits
Experience in equipment sales or the agricultural/construction industry is a plus
Bachelor's degree in Business, Agriculture, or a related field is a plus, though not required
Benefits
Dental Insurance
Employee Discount
Health Insurance
Life Insurance
Paid time off
Professional development assistance
Billing Representative II, Remote
Somerville, MA jobs
Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
Summary:
Responsible for maintenance of accurate billing records of complex customer and/or patient accounts, process payments and adjustments, and communicate with customers to answer questions or provide information.
Does this position require Patient Care? No
Essential Functions:
Interact with internal and external customers to gather support data to ensure billing accuracy and work through billing discrepancies
* Addresses issues of a more complex nature and support junior staff by answering day to day questions
* Process payments and maintain up-to-date billing records
* Reprocessing insurance denials and submitting all necessary documentation for payment
* Maintain accurate billing records and files
* Collaborate with other departments to resolve billing and payment issues
* May prepare monthly and quarterly billing reports for management review
Qualifications
Education
High School Diploma or Equivalent required
Experience in billing, finance or collections 2-3 years required
Knowledge, Skills and Abilities
* Strong attention to detail.
* Excellent interpersonal, written and verbal communication skills.
* Proficient in Microsoft Office Excel and other relevant billing software.
* Ability to prioritize and manage multiple tasks simultaneously.
* Ability to work independently and as part of a team.
* Ability to work in a fast-paced environment.
Additional Job Details (if applicable)
Remote Type
Remote
Work Location
399 Revolution Drive
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$19.42 - $27.74/Hourly
Grade
3
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO Statement:
Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
Auto-ApplyBilling Representative II, Remote
Somerville, MA jobs
Site: Mass General Brigham Incorporated
Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
Summary:
Responsible for maintenance of accurate billing records of complex customer and/or patient accounts, process payments and adjustments, and communicate with customers to answer questions or provide information.
Does this position require Patient Care? No
Essential Functions:
Interact with internal and external customers to gather support data to ensure billing accuracy and work through billing discrepancies
-Addresses issues of a more complex nature and support junior staff by answering day to day questions
-Process payments and maintain up-to-date billing records
-Reprocessing insurance denials and submitting all necessary documentation for payment
-Maintain accurate billing records and files
-Collaborate with other departments to resolve billing and payment issues
-May prepare monthly and quarterly billing reports for management review
Qualifications
Education
High School Diploma or Equivalent required
Experience in billing, finance or collections 2-3 years required
Knowledge, Skills and Abilities
- Strong attention to detail.
- Excellent interpersonal, written and verbal communication skills.
- Proficient in Microsoft Office Excel and other relevant billing software.
- Ability to prioritize and manage multiple tasks simultaneously.
- Ability to work independently and as part of a team.
- Ability to work in a fast-paced environment.
Additional Job Details (if applicable)
Remote Type
Remote
Work Location
399 Revolution Drive
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$19.42 - $27.74/Hourly
Grade
3
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO Statement:
Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
Auto-ApplyBilling Follow Up Rep I
Remote
Department:
10413 Enterprise Revenue Cycle - IL HB Non Government Billing Operations
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
40 Hours a week, Monday to Friday, and 100% Remote.
Pay Range
$20.40 - $30.60
MAJOR RESPONSIBILITIES
Independently review accounts and apply billing follow up knowledge required for all insurance payors to insure proper and maximum reimbursement. Uses multiple systems to resolve outstanding claims according to compliance guidelines.
Prebilling/billing and follow up activity on open insurance claims exercising revenue cycle knowledge (ie;CPT,ICD-10 and HCPCS, NDC, revenue codes and medical terminology).Will obtain necessary documentation from various resources.
Ability to timely and accurately communicate with internal teams and external customers (ie; third party payors, auditors, other entity) and acts as a liaison with external third party representatives to validate and correct information.
Comprehends incoming insurance correspondence and responds appropriately. Identifies and brings patterns/trends to leaderships attention re:coding and compliance, contracting, claim form edits/errors and credentialing for any potential in delay/denial of reimbursement. Obtains and keeps abreast with insurance payer updates/changes, single case agreements and assists management with recommendations for implementation of any edits/alerts.
Accurately enters and/or updates patient/insurance information into patient accounting system. Appeals claims to assure contracted amount is received from third party payors.
Complies and maintains KPI (Key Performance Indicators) for assigned payers within standards established by department and insurance guidelines.
Compile information for referral of accounts to internal/external partners as needed. Compile and maintain clear, accurate, on-line documentation of all activity relating to billing and follow up efforts for each account, utilizing established guidelines.
Responsible to read and understand all Advocate Aurora Health policies and departmental collections policies and procedures. Demonstrate proficiency in proper use of the software systems employed by AAH.
This position refers to the supervisor for approval or final disposition such as: recommendations regarding handling of observed unusual/unreasonable/inaccurate account information. Approval needed to write off balance's according to corporate policy. Issues outside normal scope of activity and responsibility.
MINIMUM EDUCATION AND EXPERIENCE REQUIRED
Level of Education: High School Diploma or General Education Degree (GED)
Years of Experience: Typically requires 1 year of related experience in medical/billing reimbursement environment, or equivalent combination of education and experience.
MINIMUM KNOWLEDGE, SKILLS AND ABILITIES (KSA)
Must perform within the scope of departmental guidelines for productivity and quality standards.
Works independently with limited supervision.
Accountable and evaluated to organization behaviors of excellence
Basic keyboarding proficiency.
Must be able to operate computer and software systems in use at Advocate Aurora Health.
Able to operate a copy machine, facsimile machine, telephone/voicemail.
Ability to read, write, speak and understand English proficiently.
Ability to read and interpret documents such as explanation of benefits (EOB), operating instructions and procedure manuals.
Preferred but not required knowledge of medical terminology, coding, terminology (CPT, ICD-10, HCPC) and insurance/reimbursement practices.
Ability to communicate well with people to obtain basic information (via telephone or in person).
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Benefits and more
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
Auto-ApplyBilling Representative - Urology
Charlotte, NC jobs
Job Description
Aeroflow Health - Billing Representative - Urology - Fully Remote Opportunity
Aeroflow Health is taking the home health products and equipment industry by storm. We have created a better way of doing business that prioritizes our customers, our community, and our coworkers. Aeroflow believes in career building. That is why we promote from within and reward individuals who have invested their time and talent in us. Whether you are looking for a place from which to launch your career - or a stable, ethical company in which to advance you will not find an organization better equipped to help you meet your professional goals than Aeroflow Health.
The Opportunity
Within Aeroflow, there are 4 main divisions: Urology, Diabetes, Mom & Baby, & Sleep. Each division specializes in a specific set of medical supplies aimed to treat a medical diagnosis or the symptoms of that diagnosis.
Aeroflow Urology focuses on incontinence products such as diapers, underpads, and catheter supplies
Supplies are shipped directly to more than 100,000+ patients a month across the nation who have medical insurance and a urinary incontinence diagnosis
Aeroflow Urology is a leader in the incontinence industry. With a focus on outstanding customer service, Urology has maintained a 4.9 out of 5 star average on over 7000+ Google reviews
The Urology Billing team specifically addresses denied claims that are sent to insurance for payment, provides medical documentation to insurance carriers, addresses insurance audits, and so much more
Your Primary Responsibilities
We are currently seeking a Urology Billing Representative.
The duties and responsibilities for this role include:
Performing analytical work of denied claims
Research insurance payer requirements
Solving problems and finding innovative solutions
Ability to prioritize multiple responsibilities
Making and receiving calls with a professional demeanor
Understanding reimbursement policies
Comfort with technology
Monitor reports to identify trends, concerns, and/or areas of improvement
Discuss findings with the potential of reporting up to management
Employee has an individual responsibility for knowledge of and compliance with laws, regulations, and policies.
Compliance is a condition of employment and is considered an element of job performance
Maintain HIPAA/patient confidentiality
Regular and reliable attendance as assigned by your schedule
Other job duties assigned
Required Qualifications:
2 years recent work history
Desired Qualifications:
Bachelor's degree from accredited university (any field)
Prior work experience in healthcare or health insurance
What we look for
We are looking for a highly motivated, talented individual with the following qualities:
Detail oriented & critical thinker
Excellent customer service skills
High level of organization
Strong decision maker
Strong communicator
Flexible and adaptable
Empathetic, compassionate, inclusive
What to expect in the first 30 - 60 days:
First 30 days you will be training on:
4 major internal programs
Basic & complex strategies for resolving a insurance claim denial
Key metrics & KPI's
Compliance rules & regulations
Training is a combination of modules + one on one with supervisors and billers
After 30-45 days, you will be responsible for working an assigned billing report independently, answering phone calls independently, as well as the attending and contributing to the following meetings:
Frequent one on one prioritization and Q&A sessions with supervisor
Weekly all team meetings with all Urology Billing members
Bi-monthly meetings with relevant support teams as needed
Expect about 25% of your time to be spent collaborating; 75% of time to be spent working independently
What Aeroflow Offers
Competitive Pay, Health Plans with FSA or HSA options, Dental, and Vision Insurance, Optional Life Insurance, 401K with Company Match, 12 weeks of parental leave for birthing parent/ 4 weeks leave for non-birthing parent(s), Additional Parental benefits to include fertility stipends, free diapers, breast pump, Paid Holidays, PTO Accrual from day one, Employee Assistance Programs and SO MUCH MORE!!
Here at Aeroflow, we are proud of our commitment to all of our employees. Aeroflow Health has been recognized both locally and nationally for the following achievements:
Family Forward Certified
Great Place to Work Certified
5000 Best Place to Work award winner
HME Excellence Award
Sky High Growth Award
If you've been looking for an opportunity that will allow you to make an impact, and an organization with unlimited growth potential, we want to hear from you!
Aeroflow Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
Patient Care Supervisor, Labor & Delivery, $20000 Bonus, FT, 7P-7A
Miami, FL jobs
Provides supervision and leadership to the patient care units. Specific functions include: collaborates and supports manager with staff evaluations, patient flow, staff and family education, serves as patient/guest service ambassador and assists with problem solving on tour of duty. Additionally, coordinates staffing and nursing assignments for current and oncoming shift. Participates in hourly rounding and ensures compliance of same. Ensures that services are provided within the philosophy and objectives as well as the policies and procedures of the hospital and Baptist Health South Florida.
Degrees:
* Bachelors.
Licenses & Certifications:
* Pediatric Advanced Life Support.
* Neonatal Resuscitation Program.
* Basic Life Support.
* Advanced Cardiovascular Life Support.
* Registered Nurse.
Additional Qualifications:
* Bachelors of Science in Nursing , BSN.
* RNs hired prior to 2/2012 are not required to have a BSN to continue in their non-leadership role as an RN.
* RNs hired after 2/2012 with an Associates Degree have 5 years to complete the BSN.
* BLS for healthcare providers ACLS, PALS, or NRP as required by unit assignment within 6 months of promotion or hire.
* Certification in area of specialty within 2 years of signing, promotion or hire.
Minimum Required Experience: 3 Years
Patient Care Supervisor, Observation, $20000 Bonus, FT, 7P-7:30A
South Miami, FL jobs
Patient Care Supervisor, Observation, $20000 Bonus, FT, 7P-7:30A-154743Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 25 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2024-2025 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 45 high-performing honors.What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that extend beyond delivering care. Many of us have walked in our patients' shoes ourselves and that shared experience fuels out commitment to compassion and quality. Our culture is rooted in purpose, and every team member plays a part in making a positive impact - because when it comes to caring for people, we're all in. Description
Provides supervision and leadership to the patient care units. Specific functions include: collaborates and supports manager with staff evaluations, patient flow, staff and family education, serves as patient/guest service ambassador and assists with problem solving on tour of duty. Additionally, coordinates staffing and nursing assignments for current and oncoming shift. Participates in hourly rounding and ensures compliance of same. Ensures that services are provided within the philosophy and objectives as well as the policies and procedures of the hospital and Baptist Health South Florida.
Estimated pay range for this position is $46.02 - $61.21 / hour depending on experience.Qualifications Degrees:
Bachelors.
Licenses & Certifications: Pediatric Advanced Life Support.Neonatal Resuscitation Program.Basic Life Support.Advanced Cardiovascular Life Support.Registered Nurse.
Additional Qualifications:
Bachelor of Science in Nursing (BSN). If Bachelor's degree is non-nursing, Master of Science in Nursing (MSN) is required. BLS for healthcare providers, ACLS, PALS, or NRP as required by unit assignment within 6 months of promotion or hire. Certification in area of specialty within 2 years of promotion or hire.
Minimum Required Experience:
2 YearsJob Supervisor/Managers and DirectorsPrimary Location South MiamiOrganization South Miami HospitalSchedule Full-time Job Posting Nov 24, 2025, 5:00:00 AMUnposting Date OngoingEOE, including disability/vets
Auto-ApplyCollection Specialist
Frisco, TX jobs
Full-time Description
Soleo Health is seeking a Collection Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care!
Home infusion therapy experience required.
Soleo Health Perks:
Competitive Wages
Flexible schedules
401(k) with a match
Referral Bonus
Annual Merit Based Increases
No Weekends or Holidays!
Affordable Medical, Dental, and Vision Insurance Plans
Company Paid Disability and Basic Life Insurance
HSA and FSA (including dependent care) options
Paid Time Off!
Education Assistant Program
The Position:
The Collection Specialist is responsible for a broad range of collection processes related to medical accounts receivable in support of multiple site locations. The Collections Specialist will proactively work assigned accounts to maximize accurate and timely payment. Responsibilities include:
Researches all balances on the accounts receivable and takes necessary collection actions to resolve in a timely manner
Researches assigned correspondence; takes necessary action to resolve requests
Routinely reviews and works correspondence folder requests in a timely manner
Makes routine collection calls on outstanding claims
Identifies billing errors, short payments, unpaid claims, cash application issues and resolves accordingly
Ability to identify potential risk, write offs and status appropriately and report and escalate to management on as identified
Researches refund requests received by payers and statuses refund according to findings
Documents detailed notes in a clear and concise fashion in Company software system
Identifies issues/trends and escalates to Manager when assistance is needed
Provides exceptional Customer Service to internal and external customers
Ensures compliance with federal, state, and local governments, third party contracts, and company policies
Must be able to communicate well with branch, management, patients and insurance carriers
Ability to perform account analysis when needed
Answering phones/taking patient calls regarding balance questions
Using portals and other electronic tools
Ensure claims are on file after initial submission
Identifies, escalates, and prepares potential payor projects to management and company Liaisons
Write detailed appeals with supporting documentation
Keep abreast of payor follow up/appeal deadlines
Submits secondary claims
Schedule:
M-F 830am-5pm
Requirements
Previous Home Infusion and Specialty Pharmacy experience required
1-3 years or more of strong collections experience
High school diploma or equivalent; an associate degree in finance, accounting, or a related field is preferred
Knowledge of HCPC coding and medical terminology
CPR+ systems experience preferred
Excellent math and writing skills
Excellent interpersonal, communication and organizational skills
Ability to prioritize, problem solve and multitask
Word, Excel and Outlook experience
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.
Keyword: accounts receivable, collection, specialty pharmacy, now hiring, hiring immediately
Salary Description $19-$23 Per Hour
Sr. Epic Hospital Billing & Professional Billing Application Analyst, Revenue Cycle Clinical Applications, On-site Hybrid, Baptist Medical IT Data Center
Jacksonville, FL jobs
Sr. Epic Hospital Billing & Professional Billing Application Analyst, On-site Hybrid, Jacksonville, Baptist Medical Center. Sr. Epic Hospital Billing & Professional Billing Application Analyst acts as a vital link between operations and information technology, ensuring that Epic functions seamlessly. This role demands an understanding of healthcare processes and technical systems specific to the support of compliant billing, as analysts must translate operational needs into system functionality. By doing so, they help maintain system integrity, promote automation and efficiency, and improve user experience across the organization. A significant portion of an analyst's day is devoted to resolving break-fix issues and performing routine maintenance tasks. These activities include troubleshooting issues, applying Epic quarterly updates, working with Epic technical support, and validating workflows to prevent disruptions in billing or follow-up, which also includes support of workflow complementary to the billing process. Much of the coordination and follow-up for these responsibilities is conducted through structured communication channels, including email, Teams chat, and scheduled meetings.
Epic billing application analysts also spend time collaborating with cross-functional teams. Their day typically begins with a team huddle-either a weekly group meeting or a smaller session focused on hospital or professional billing with their team lead. Throughout the day, they attend various meetings with operational leaders to clarify requirements and understand pain points from the end-user perspective.
For more than 25 years, health care consumers have named Baptist Health the "most preferred healthcare provider" in the region. At Baptist Health, we are proud to be local, providing multigenerational care to our community. We are the hospital Jacksonville trusts most. Our employees can take pride in their Baptist badge, knowing the impact they make on their friends, family, and neighbors. Baptist was recently recognized by Forbes magazine as one of America's top employers for diversity.
Baptist Health offers competitive pay & comprehensive benefits packages as well as opportunities for professional growth & advancement. At Baptist Health, we provide an exceptional employment experience where team members can bring their authentic selves and belong to a larger purpose together. By fostering connections with our team members and our community, we offer a fulfilling and personal career.
Sr. Epic Hospital Billing & Professional Billing Application Analyst, you will be responsible for:
* The role leads complex application initiatives, including project management responsibilities, while mentoring junior analysts and ensuring operational best practices.
* Provides technical expertise in the development, implementation and support of highly complex, enterprise wide, cross functional applications, integrated applications and technical projects.
* Analyze and translate workflow and documentation requirements for clinical and/or business processes into efficient and effective application systems solutions through collaboration with members of interprofessional care teams, operational leaders, technical team members, and other relevant stakeholders.
* Plan, design, develop, validate, test, implement, evaluate, maintain, and provide on-going trouble-shooting and support of comprehensive information system components to meet needs and business requirements. Perform quality assurance and integrated testing of current and newly released vendor functionality to ensure system reliability.
* Coordinate projects across applications and develops application specific enhancements and reports in alignment with organizational priorities.
* Provide 24/7 support for applications within accountability.
* If supporting an Epic application, appropriate EPIC Certification is required within 6 months
* Strong understanding of Hospital Billing (HB) and Professional Billing (PB) workflows within the Epic environment
* Proficiency in Microsoft 365, with high comfort using Teams and Excel
* Ability to map and document workflows using Visio
* Background in billing, financial processes, and revenue cycle operations
If you are interested in this Full-Time Sr. Epic Hospital Billing & Professional Billing Application Analyst opportunity, please apply now
Full/Part Time
Full-Time
Shift Details
Days
Education Required
Bachelor's Degree or Equivalent Experience
Education Preferred
Master's Degree
Experience
* 1-2 years Project Management Experience Required
* Knowledge of clinical system applications preferred
* Minimum 2 years of related experience required
* Epic Certifications in Epic Hospital Billing, Charge Router, HB Claims preferred
* Epic optimization preferred
* Experience with Epic workflow design sessions, documents operational and system requirements preferred
Licenses and Certifications
* Certified - EPIC Required
* Academy of Health Information Professionals (AHIP) Preferred Or
Location Overview
Baptist Health, founded in 1955, is North Florida's most comprehensive health care system and the area's only non-profit, mission-driven, locally governed health care provider. Baptist Health has over 200 points of care throughout the Northeast Florida region, including our six award-winning hospitals: Baptist Medical Center Jacksonville, Wolfson Children's Hospital, Baptist Medical Center Beaches, Baptist Medical Center Clay, Baptist Medical Center Nassau and Baptist Medical Center South. The most preferred health care system in the region, Baptist Health also includes 57 primary care offices, as well as home health, behavioral health, pastoral care, rehabilitation services, occupational health and urgent care.
Medical Payroll, Billing, and Collections Specialist
Gainesville, FL jobs
Job DescriptionMedical Payroll, Billing, and Collections SpecialistNurseCore has an exciting opportunity for you! We are seeking a Medical Payroll, Billing, Collections for our Gainesville, Forida location. As a national leader in home care services and medical staffing, we offer competitive compensation, benefits and the chance to build a rewarding and fulfilling career. If you're motivated, enthusiastic, and have experience in medical billing and collections, we want you to be on our team! Join us at the heart of healthcare, apply today!
Responsibilities
The Medical Payroll, Billing, and Collections Specialist is responsible for preparing field payroll and customer billing for processing to ensure accurate and timely delivery of payroll payments to employees, invoices and collecting payments from customers including third party insurance.
Compiles and reviews for accuracy all required billing and payroll reports and provides information to Branch Director and Corporate Payroll Department as required
Prints, reviews and mails invoices within company timeframe, including required documentation required by payor to process claim
Prints accounts receivable reports and provides copy to Branch Director on weekly basis
Reviews accounts receivable reports for short pays, unapplied payments and skipped invoices
Researches information and contacts clients in timely manner to resolve issues
Maintains on-going contact with clients to ensure prompt payments on all accounts
Sets up new staffing clients, ensuring pay/bill reflect contracted agreement
Requests credit checks on all new accounts and communicates same to Branch Director for decision regarding credit limits
Sets up new homecare clients and tracks, including:
Verify Insurance
Enter all information in ContinuLink on new homecare clients, including plan of care, pay/bill table, units/billing codes
Track physician's orders and plan of care for signatures
Monitor care authorizations weekly
Assist in maintaining clinical files
Processes all time slips within ContinuLink system weekly, in timely manner to include review and approval for billing and payroll
Investigates discrepancies; make adjustments and corrections as needed
Processes instant/advance checks for field employees in accordance with established company policy and timelines
Maintains complete payroll, billing and collection documentation and files
Assists in other areas of the office as needed
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
Competence
To perform the job successfully, an individual should demonstrate the following competencies:
Good grammar, voice and diction
Basic computer and keyboarding skills
Excellent customer service skills (friendly, courteous and helpful)
Be able to read, write, and understand English.
Excellent attention to detail
Work well in a team environment
Able to maintain confidential information
Good time management skills
Education and Experience
High School diploma or equivalent
Two-three years related experience in medical billing and collections. Health care experience preferred.
Experience should emphasize problem-solving skills.
Computer Skills
Computer skills (excel, word, accounting software) Medicaid billing, accounts receivable, collections.
Beneficial Skills and Experience
Work experience in a home care or staffing environment.
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Billing Coordinator - Mom & Baby
Asheville, NC jobs
Aeroflow Health - Mom & Baby Billing Coordinator (Remote)
Schedule: Monday to Friday, 8-5 (EST)
Aeroflow Health is made up of creative and talented associates who are transforming the home medical equipment industry. Our patient-centric business model is founded on innovation through technology and cutting-edge delivery platforms. We have grown to be a leader in the home medical equipment segment of the healthcare industry, are among the fastest-growing healthcare companies in the country and recognized on Inc. 5000's list of fastest-growing companies in the U.S. As Aeroflow has grown, our needs to curate an amazing employee environment and experience have grown as well. We're working hard to ensure that Aeroflow remains a premier employer in Western North Carolina by making constant improvements to our office spaces, thus bettering the everyday lives of the employees that work so hard to service our patients.
The Opportunity
The Mom and Baby division specializes in providing maternity related medical equipment billed through insurance. This position will be responsible for resolving claims that have been rejected by insurance and will assist with developing improvements to our collections processes.
Your Primary Responsibilities
Resolve incoming rejections for the Mom & Baby division
Analyze rejection data and insurance payment trends to identify patterns, trends, and the root cause
Correct claim data as per payer requirements (e.g., modifiers, diagnosis codes, HCPCS, NPI, etc.)
Maintain detailed records of all rejection cases, resolutions, and follow-up actions
Verify eligibility, coverage, and authorization when needed to prevent future denials
Assist with other projects for claims that have been denied or rejected
Collaborate with our billing team and leadership
Employee has an individual responsibility for knowledge of and compliance with laws, regulations, and policies.
Compliance is a condition of employment and is considered an element of job performance
Maintain HIPAA/patient confidentiality
Regular and reliable attendance as assigned by your schedule
Other job duties assigned
Skills for Success
Relentless Curiosity: Proactively seeks out opportunities for process improvements.
Entrepreneurial: Identifies and acts on new opportunities with a willingness to take calculated risks.
Obsession to Learn: Actively seeks out opportunities to learn and grow and identifies areas for self-improvement.
Confidently Humble: Freely admits knowledge gaps and seeks help from team members, and regularly solicits feedback.
Strategic: Makes decisions and takes actions with a broader organizational impact.
Transformative: Constantly seeks ways to improve and actively pursues growth opportunities.
Tech-Savvy: Keeps up to date with modern technology and regularly develops and refines processes within the team.
Commitment to People Development: Shows passion for developing talent through regular training and mentoring.
Relationship Focused: Proactively builds relationships across the organization.
Required Qualifications:
High school diploma or GED
Ability to understand difference between HCPCS, CPT, and ICD-10 codes
Familiarity with payer portals, EDI systems, and clearinghouses
Ability to multi-task
Exposure to Google suite, Microsoft platforms
What Aeroflow Offers
Competitive Pay, Health Plans with FSA or HSA options, Dental, and Vision Insurance, Optional Life Insurance, 401K with Company Match, 12 weeks of parental leave for birthing parent/ 4 weeks leave for non-birthing parent(s), Additional Parental benefits to include fertility stipends, free diapers, breast pump, Paid Holidays, PTO Accrual from day one, Employee Assistance Programs and SO MUCH MORE!!
Here at Aeroflow, we are proud of our commitment to all of our employees. Aeroflow Health has been recognized both locally and nationally for the following achievements:
Family Forward Certified
Great Place to Work Certified
Inc. 5000 Best Place to Work award winner
HME Excellence Award
Sky High Growth Award
If you've been looking for an opportunity that will allow you to make an impact, and an organization with unlimited growth potential, we want to hear from you!
Aeroflow Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
Billing & Collections Specialist
West Palm Beach, FL jobs
Hourly Range $20.00- $25.00 Based on experience
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Since 1978, Hospice of Palm Beach County, Hospice of Broward County and Hospice by the Sea have cared for 200,000 families in South Florida. These three hospices are now one branch of Trustbridge, a community nonprofit that provides support for families facing serious illness 24 hours a day. Our other services include palliative medicine, caregiver support and bereavement programs.
At Trustbridge, we consider our employees our greatest resource. Our appreciation is shown in many ways, including the wide range of comprehensive benefits we offer.
Trustbridge benefits include:
Competitive salary
Health, Dental, Vision, Life and Disability insurance
401K with employer contribution
Tuition reimbursement
Employee Assistance Program
Flexible Spending Account
Generous PTO package
Responsibilities
JOB SUMMARY
The Billing & Collections Specialist is primarily responsible for patient billing, collections and accounts receivable activity for all payor sources, in accordance with established policies and procedures. The Billing & Collections Specialist is responsible for account follow-up, resolving billing problems and answering patient inquiries. Sets up financial arrangements as needed. Uses collection techniques to keep accounts receivable current including monitoring for delinquent payments. Has training and experience in Medicare, Medicaid and commercial insurance billing and experience in various software systems, including Electronic Medical Records.
Qualifications
DUTIES AND RESPONSIBILITIES
A. Education/Regulatory Requirements:
o High school diploma or equivalent preferred.
B. Skills:
o 3 years' experience in healthcare billing and collections.
o Specific working knowledge of various billing software, Microsoft products, experienced with electronic claims and transmissions, and working knowledge of regulatory requirements for Medicare, Medicaid and Commercial insurances.
o Knowledge of medical terminology as well as knowledge of CPT and ICD-9 & ICD-10 CM codes.
C. Professional Requirements:
o Proven problem solving skills.
o Demonstrates effective verbal and written communication skills.
Auto-ApplyInsurance Collections Specialist
Miami, FL jobs
Gastro Health is seeking a Full-Time Insurance Collections Specialist to join our team!
Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours.
This role offers:
A great work/life balance
No weekends or evenings - Monday thru Friday
Paid holidays and paid time off
Rapidily growing team with opportunities for advancement
Competitive compensation
Benefits package
Duties you will be responsible for:
Provides Liaison between the providers of health care services, the patient, or other responsible persons, and revenue sources, to ensure the correctness of charges, a current record of all transactions, and account resolution
Maintains active communications with insurance carriers and third-party carriers until account is paid.
Negotiates payment of current and past due accounts by direct telephone and written correspondence.
Updates patient account information
Monitors and identifies payer denial trends and problem accounts; communicates patterns to supervisor.
Runs a monthly aging report based on DOS and current A/R to identify accounts that require follow up.
Manage all assigned worklist on a daily basis for assigned insurances.
Utilize collection techniques to resolve accounts according to company's policies and procedures.
Report any coding related denial to the Coding Specialist.
Performs other duties including but limited to faxing information as required, generating retroactive authorization requests, and verifying medical eligibility.
Conducts necessary research to ensure proper reimbursement of claims.
Assist with special projects assigned by Billing Manager or Supervisor
Minimum Requirements
High school diploma or GED equivalent.
At least 2 years' experience in insurance collections.
Knowledge of medical terminology utilized in medical collections and billing (CPT, ICD-10, HCPCS)
Knowledge with letters of appeal.
Intermediate experience with Microsoft Excel and Office products is required.
Experience with HMO, PPO, and Medicare insurances.
Must be able to read, interpret, and apply regulations, policies and procedures
We offer a comprehensive benefits package to our eligible employees:
401(k) retirement plans with employer Safe Harbor
Harbor Non-Elective Contributions of 3%
Discretionary profit-sharing contributions of up to 4%
Health insurance
Employer contributions to HSAs and HRAs
Dental insurance
Vision insurance
Flexible spending accounts
Voluntary life insurance
Voluntary disability insurance
Accident insurance
Hospital indemnity insurance
Critical illness insurance
Identity theft insurance
Legal insurance
Paid time off
Discounts at local fitness clubs
Discounts at AT&T
Additionally, Gastro Health participates in a program called Tickets at Work that provides discounts on concerts, travel, movies, and more.
Gastro Health is the one of the largest gastroenterology multi-specialty groups in the United States, with over 130+ locations throughout the country. Our team is composed of the finest gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals. We are always looking for individuals that share our mission to provide outstanding medical care and an exceptional healthcare experience. We offer a comprehensive benefits package to our eligible employees.
Gastro Health is proud to be an Equal Opportunity Employer. We do not discriminate based on race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
We thank you for your interest in joining our growing Gastro Health team!
Auto-ApplyReimbursement Collection Specialist I
Lake Mary, FL jobs
At Axium Healthcare Pharmacy, Inc., we believe in a better quality of life for patients and their healthcare partners when treating and managing the most complex conditions. We believe in relationships that make life easier, and where a helping hand and better clinical, economical, and overall health outcomes are always within reach, 24 x 7 x 365. Our mission is simple. We aim to partner with and guide our patients to their best possible outcomes. Our longstanding vision is to help our patients and healthcare providers reach and create a better path to treating and managing complex conditions, making their lives easier and giving them hope for a healthier future. Specialty pharmacy is not a new concept. In fact, Axium did not invent specialty pharmacy. But, we did invent a better way to do it. We do it through a combination of clinical expertise, nationwide reach and the delivery of committed, caring, unmatched service and support for everyone, every time with no excuses. And, we've been doing it for years. We invite you to ask us what we can do for you. Our answer to you will almost always be: “Yes, we do.” Established in 2000 and based in Lake Mary, Florida, Axium is a nationwide clinical specialty pharmacy that makes life easier for those managing chronic disease and complex therapies by offering a helping hand and a better path to therapy management. We are licensed and permitted to operate in all 50 states and Puerto Rico, and specialize in providing patients, physicians, nurses, health plans, and other health care providers and partners with injectable and oral brand-name products. Our focus is to “Improve outcomes one relationship at a time,” and we achieve this through an experienced patient care team of doctors of pharmacy, registered nurses, reimbursement specialists, and dedicated patient care coordinators; all of whom deliver the highest level of comprehensive care and clinical support with every prescription.
Job Description
The Reimbursement Collection Specialist I is responsible for collecting outstanding receivables from insurance companies, patients and physicians.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Include the following. Other duties may be assigned.
Ensures timely follow-up on all assigned claims to secure timely payment
Works with payers to determine reasons for denials, corrects and reprocesses claims for payment in a timely manner
Reduces claims in the over 90-day categories
Collects “Patient Responsibility” from the patient
Accurately documents all transactions with carriers and patients regarding the financial status of claims and documents progressive collection efforts into the appropriate collection notes in all required computer systems
Completes timely follow-up as required by department guidelines
Demonstrates successful collection meetings by adhering to all collection guidelines and rules
Mails, faxes or emails all appropriate collections correspondence
Receives incoming calls related to the Billing/Collections Department
Identifies uncollectible accounts and acquires approval for Bad-Debt Write/off
Maintains relationships with insurance companies
Generates and prepares patients statements and review them for accuracy prior to mailing
Utilizes the Internet for Insurance claims status
Assists with external audits
Be willing to cross-train and fill-in in other areas within the department
Works in an efficient and cohesive group environment
Supports group and management efforts
Completes daily, weekly and monthly tasks as required by department standards
Qualifications
QUALIFICATIONS:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions.
EDUCATION and/or EXPERIENCE:
High School Diploma or equivalent Associates Degree from college preferred or Certificate from a technical school for billing. Two years related experience in a healthcare environment and/or training; or equivalent combination of education and experience.
LANGUAGE SKILLS:
Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to our patients, intermediary, carriers and internal customers.
MATHEMATICAL SKILLS:
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rates, ratios, and percentages.
REASONING ABILITY:
Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to assess and resolve problems involving a few concrete variables in standardized situations.
COMPUTER and INTERNET SKILLS:
Working knowledge of Outlook and Microsoft Word. The ability to create and populate simple Excel spreadsheets. Ability to navigate the web for the purpose of collections.
PHYSICAL DEMANDS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to sit and talk and hear. The employee is occasionally required to stand; walk; use hands to finger; handle or feel; and reach with hands and arms. Specific vision abilities required by this job include close vision, ability to adjust focus. The ability to perform heavy data entry or other computer function which requires extensive keyboard use. The ability to lift and move for short distances boxes or files with a weight not to exceed 25 pounds.
WORK ENVIRONMENT:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions.
Must be able to work in an environment of open-space cubicles where the noise level is usually quiet.
OTHER SKILLS THAT APPLY:
Diplomacy
Professionalism
Filing
Organizing
Planning
Multi-tasking
Additional Information
All your information will be kept confidential according to EEO guidelines.
Reimbursement Collection Specialist I
Lake Mary, FL jobs
At Axium Healthcare Pharmacy, Inc., we believe in a better quality of life for patients and their healthcare partners when treating and managing the most complex conditions. We believe in relationships that make life easier, and where a helping hand and better clinical, economical, and overall health outcomes are always within reach, 24 x 7 x 365. Our mission is simple. We aim to partner with and guide our patients to their best possible outcomes. Our longstanding vision is to help our patients and healthcare providers reach and create a better path to treating and managing complex conditions, making their lives easier and giving them hope for a healthier future. Specialty pharmacy is not a new concept. In fact, Axium did not invent specialty pharmacy. But, we did invent a better way to do it. We do it through a combination of clinical expertise, nationwide reach and the delivery of committed, caring, unmatched service and support for everyone, every time with no excuses. And, we've been doing it for years. We invite you to ask us what we can do for you. Our answer to you will almost always be: “Yes, we do.” Established in 2000 and based in Lake Mary, Florida, Axium is a nationwide clinical specialty pharmacy that makes life easier for those managing chronic disease and complex therapies by offering a helping hand and a better path to therapy management. We are licensed and permitted to operate in all 50 states and Puerto Rico, and specialize in providing patients, physicians, nurses, health plans, and other health care providers and partners with injectable and oral brand-name products. Our focus is to “Improve outcomes one relationship at a time,” and we achieve this through an experienced patient care team of doctors of pharmacy, registered nurses, reimbursement specialists, and dedicated patient care coordinators; all of whom deliver the highest level of comprehensive care and clinical support with every prescription.
Job Description
The Reimbursement Collection Specialist I is responsible for collecting outstanding receivables from insurance companies, patients and physicians.
ESSENTIAL DUTIES AND RESPONSIBILITIES: Include the following. Other duties may be assigned. Ensures timely follow-up on all assigned claims to secure timely payment Works with payers to determine reasons for denials, corrects and reprocesses claims for payment in a timely manner
Reduces claims in the over 90-day categories
Collects “Patient Responsibility” from the patient
Accurately documents all transactions with carriers and patients regarding the financial status of claims and documents progressive collection efforts into the appropriate collection notes in all required computer systems
Completes timely follow-up as required by department guidelines
Demonstrates successful collection meetings by adhering to all collection guidelines and rules
Mails, faxes or emails all appropriate collections correspondence
Receives incoming calls related to the Billing/Collections Department
Identifies uncollectible accounts and acquires approval for Bad-Debt Write/off
Maintains relationships with insurance companies
Generates and prepares patients statements and review them for accuracy prior to mailing
Utilizes the Internet for Insurance claims status
Assists with external audits
Be willing to cross-train and fill-in in other areas within the department
Works in an efficient and cohesive group environment
Supports group and management efforts
Completes daily, weekly and monthly tasks as required by department standards
Qualifications
QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions.
EDUCATION and/or EXPERIENCE: High School Diploma or equivalent Associates Degree from college preferred or Certificate from a technical school for billing. Two years related experience in a healthcare environment and/or training; or equivalent combination of education and experience.
LANGUAGE SKILLS: Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to our patients, intermediary, carriers and internal customers.
MATHEMATICAL SKILLS: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rates, ratios, and percentages.
REASONING ABILITY: Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to assess and resolve problems involving a few concrete variables in standardized situations.
COMPUTER and INTERNET SKILLS: Working knowledge of Outlook and Microsoft Word. The ability to create and populate simple Excel spreadsheets. Ability to navigate the web for the purpose of collections.
PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and talk and hear. The employee is occasionally required to stand; walk; use hands to finger; handle or feel; and reach with hands and arms. Specific vision abilities required by this job include close vision, ability to adjust focus. The ability to perform heavy data entry or other computer function which requires extensive keyboard use. The ability to lift and move for short distances boxes or files with a weight not to exceed 25 pounds.
WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions. Must be able to work in an environment of open-space cubicles where the noise level is usually quiet.
OTHER SKILLS THAT APPLY: Diplomacy Professionalism Filing Organizing Planning Multi-tasking
Additional Information
All your information will be kept confidential according to EEO guidelines.
Territory Account Representative
Account representative job at OneBlood
Executes blood donor recruitment programs, organizing and managing all aspects of the recruitment process in order to meet goals for an assigned territory. Responsibilities The list of essential functions, as outlined herein, is intended to be representative of the duties and responsibilities performed within this classification. It is not necessarily descriptive of any one position in the class. The omission of an essential function does not preclude management from assigning duties not listed herein if such functions are a logical assignment to the position.
* Executes blood donor recruitment programs to meet goals for assigned territory
* Develops and maintains effective professional business relationships with donor drive chairpersons that support delivery of results as well as internal clients
* Seeks out prospective blood drive opportunities with new and existing customers
* Utilizes independent judgment to adapt approach and communication style, to develop and manage blood drive accounts
* Determines the appropriate marketing and promotional materials and programs needed to achieve established goals working within budget
* Manages blood drive scheduling to optimize business needs which may include recruiting during blood drives to ensure the success of the drive
* Represents organization at community involvement events
* Leverages available technologies and channels to support efficient and effective blood drives
* Manages and prioritizes time and resources to maximize effectiveness of territory
* Adheres to all administrative duties including on-time compliance for all reporting requests.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty and responsibility satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
EDUCATION AND/OR EXPERIENCE:
Bachelor's degree or equivalent combination of education, training, and/or experience. Prior sales experience preferred.
CERTIFICATES, LICENSES, REGISTRATIONS AND DESIGNATIONS:
Valid driver's license and clear driving record.
KNOWLEDGE, SKILLS AND ABILITIES:
* Ability to perform tasks effectively utilizing digital technology and communication tools (smartphones, tablets, etc.)
* Ability to read, analyze, and interpret business periodicals, professional journals, technical procedures, or governmental regulations
* Ability to write reports, business correspondence, and standard operating procedures
* Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public
* Ability to deliver compelling and persuasive presentations to small and large groups of business contacts
* Ability to quickly establish rapport with new business contacts and the general public
* Ability to solve practical problems and deal with a variety of variables in situations where only limited standardization exists
* Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form
* Intermediate computer skills including knowledge of Microsoft Office applications and other business applications including internal company software applications
* Ability to speak, write, read, and understand standard English
* Ability to commute with personal transportation.
PHYSICAL REQUIREMENTS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Tasks involve the ability to exert light physical effort usually involving some lifting, carrying, pushing and/or pulling of objects and materials of light weight (up to 20 pounds). Usually involves some climbing, balancing, stooping, kneeling, crouching, crawling, walking or standing for prolonged periods of time.
ENVIRONMENTAL REQUIREMENTS:
The work environment characteristics described here are representative of those an employee may encounter while performing the essential functions of this job.
Functions are regularly performed inside and/or outside with potential for exposure to adverse conditions, such as inclement weather, atmospheric elements and pathogenic substances. The noise level in the work environment is usually moderate.
OneBlood is an Equal Opportunity Employer/Vet/Disability/Other Protected Categories
Auto-ApplyInsurance Collections Specialist
Boynton Beach, FL jobs
Job Description
FUNCTION/OVERVIEW:
This position will focus on accuracy in reviewing and assessing insurance denials or returned claims. Must be able to communicate with insurance companies and clients from a resolution based perspective. This communication should be focused on acquired knowledge, insurance carrier guidelines, company policies & procedures, research and collection efforts. In addition to following up on claims, the collection specialist will be responsible for sending out medical records and writing appeals for denials to the insurance companies.
PRIMARY DUTIES/RESPONSIBILITIES:
Promote the mission, values and vision of the organization.
Provide excellent customer service for clients; practices confidentiality and privacy protocols in accordance with HIPAA requirements.
Accurately and thoroughly enters data / notes into the electronic system for follow up.
Assists with follow up on claims processed to ensure payment to the agency.
Works directly with payers to verify client eligibility and client payment responsibility including co-pays, deductibles, co-insurance, and/or out of pocket maximums.
Assists as needed with follow-up on insurance denials, appeals, and reconsiderations.
Assists as needed with all billing tasks and functions related to insurance, grant, and client billing.
Responsible for investigating insurance rejected claims and the re-processing of denied claims and/or appeals of denied or underpaid claims.
Identify denial patterns, as well as notifying senior management of payment delay issues.
Contacts insurance companies regarding outstanding accounts.
QUALIFICATIONS REQUIRED:
High School Diploma or GED equivalent with combination of education and work experience, required; Bachelor's degree, preferred.
Minimum of two (2) years' experience in Substance abuse Billing, Coding and Collections.
Knowledge of Third Party payers, billing requirements and reimbursement methods; knowledge of medical terminology.
Knowledge of claims reimbursement and collection efforts for the field of Substance Abuse treatment.
Relevant computer software and hardware applications proficiency - Word, Excel, PowerPoint, Outlook, Electronic Medical Records, Billing Systems and/or other scheduling applications; KIPU preferred, Collaborate MD
SKILLS:
Strong communication skills, both written and verbal.
Ability to work independently, as well as part of a team.
Manage multiple tasks and set priorities.
Ability to handle highly sensitive and confidential information.
Ability to work in a fast-paced, high-energy environment.
Excellent interpersonal and customer-facing skills.
Ability to work accurately, with attention to detail.