Accounting Clerk jobs at Moda Health

Let's do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let's be better together. Job Summary: Manage the day-to-day operational activities of the Moda and BHS Membership Accounting Department covering a wide range of responsibilities to ensure retention of existing groups, members, regulators, and partners and improve efficiency of all administrative services. Core management responsibilities include: Coaching, Supervision, Development, Motivation, Direction and Support to Membership Accounting Specialists. Measures and evaluates results to determine if standards are being met. This is a full-time hybrid position based in Portland, Oregon. Pay Range $58,747.10 - $73,433.88 (annually) depending on experience. Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. ************************** GK=27768429&refresh=true Benefits: Medical, Dental, Vision, Pharmacy, Life, & Disability 401K- Matching FSA Employee Assistance Program PTO and Company Paid Holidays Primary Functions: Responsible for daily operation of billing, eligibility, and reconciliation functions of Medicare, Medicaid, Commercial Group, Individual, and/or BHS. Supervises and develops staff, develops goals, provides daily work direction, vacation scheduling, monitoring work and attendance, and hiring and terminating employees. Ensures that appropriate personnel policies and procedures are followed using coaching, counseling, performance evaluations, promotions, and demotions, as needed. Oversees training of new and existing staff on all billing and eligibility functions, on all product lines, and ensures that staff have the necessary tools and resources to be successful. Assists staff with resolution of problem accounts involving eligibility, billing, and reconciliation. Maintain an understanding on administering eligibility, billing and reconciliation procedures and guidelines as they pertain to your product line(s); Medicare, Medicaid, ACA (Exchange), Employer Group, Retiree Administration, COBRA, etc. Assist in development and implementation of new systems and technology. Resolve complex problems and issues involving other departments, customers, state and federal regulators, agents/brokers, and constituents. Be an active, integral, dynamic, and contributing member of the Membership Accounting Leadership Team. There will be times when you and your team will help other Membership Accounting Teams. Ensure excellent customer relations with internal customers, external customers, state and federal regulators, and agents/brokers. Remain aware of developments in your line of business (Medicare, Medicaid, ACA, Employer Group, BHS, etc.) and assist with coordinating plan changes, open enrollment, and renewals. Responsible for and always promoting quality and continuous improvement within your department and within the Membership Accounting division. Keep Membership Accounting Manager and/or Director abreast of department activities and concerns. Ensure department quality assurance standards and turn-around times are adhered to through monitoring. Develops effective ways to measure turnaround time and monitor results. Analyzes staffing needs and makes recommendations to Membership Accounting Manager and Director as workload and efficiencies fluctuate. Develops and approves all department Policies and Procedures (UPM's), works with Membership Accounting Leadership Team on division level Policies and Procedures. Responsible for quality and process improvement. Performs other duties as assigned. Required Skills & Experience: College degree or four years relevant industry experience preferred Knowledge of either; COBRA, Retirement plans, Medicare, Medicaid, Commercial Group, Individual, Affordable Care Act, Private Exchanges, or TPA business. 4 years' experience with Membership Accounting (enrollment, billing, reconciliation) preferred Strong analytical, problem solving, decision-making, and organizational skills. Ability to deal effectively with a variety of individuals, government organizations, agents and groups related to the provision of services designed to retain existing accounts and obtain new accounts. Ability to communicate effectively, both verbally and in writing. Ability to conduct meetings and presentations with internal as well as external customers and constituents. Ability to achieve extraordinary results through effective management of resources, systems, and processes. Demonstrate strong, effective, and diplomatic interpersonal communication skills with employees of all levels. Ability to work well under pressure, work with frequent interruptions and shifting priorities Ability to hire, lead, motivate, and develop staff. Ability to adapt to change, work independently and as part of a successful team. Maintain attendance above company standards. Ability to maintain confidentiality and project a professional business image. Computer proficiency with Microsoft Office applications. Contact with Others & Working Conditions: Office environment with extensive close PC and keyboard use, constant sitting, and frequent phone communication. Must be able to navigate multiple computer screens. A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work. Must be comfortable being on camera for virtual training and meetings. Work in excess of standard workweek, including evenings and occasional weekends, to meet business need. Work externally with Employers, Members, Government Agencies (CMS, etc.), TPA's, Vendors, Group Administrators, Agents/Brokers, and all internal Moda and BHS Departments and Leadership Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our ***************************** email.

Remote - Senior Regional Finance Coordinator VP Finance Full Time Status Day Shift Pay: $83,512.00 - $125,395.40 / year Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. This position provides vision and leadership to maximize Mosaic Life Care's financial performance. The SRFC will serve as a key executive responsible for directing their designated Markets financial reporting and decision support functions and will be accountable for the planning, budgeting, analytical analysis, proforma development, decision support, productivity and financial reporting for their Market. The SRFC will be "right hand" of the ACFO and Market President and will play a critical role in the Market's continued financial strength and growth. The SRFC coordinates all financial analysis and financial operational support for the Market. This coordinator represents the finance division with excellence as he or she adheres to a structured rounding cadence with all operational leaders and works with the ACFO to plan and direct the timely and accurate delivery of financial support. The SRFC supports the ACFO in accomplishing system financial objectives and maintaining timely and compliant financial reporting and is employed by Mosaic Life Care. The Senior Regional Finance Coordinator accomplishes this through highly effective relationships with caregivers, peers, medical staff, officers, presidents/administrators, regulators, vendors and consultants. All functional initiatives are carried out in alignment with Mosaic Life Care's Mission/Vision/Values and Strategic Priorities. Direct the financial planning and profitability efforts of the Market including forecasts, decision support, proformas, and productivity by working closely with the Director of Finance, ACFO, Market President and Market Operational Leaders. The SRFC provides monthly narrative and market level communications surrounding the month end close. The SRFC maintains open communications with the ACFO regarding project and analytical requests to define / facilitate prioritization and urgency. All proformas and business plans are to be reviewed by ACFO prior to socialization. The SRFC provides support and analytic input into the DBAs and initiative tracking within the rolling forecast. Analyzes, interprets and communicates financial reports and data to the ACFO and Market President; including but not limited to service line profitability. Other duties as assigned All required education is a minimum requirement. Higher levels of education are acceptable. Bachelor's degree in business, finance, or related field required. Master's degree preferred. Provider and/or outpatient clinic experience strongly desired. 5 Years Experience in healthcare finance preferred. Prior experience and knowledge of Allscripts EPSi or similar enterprise budget systems required. A working knowledge of financial database systems and other analytical tools designed to support clinical operations required.

About Meridian At Meridian, we are on a mission to make low-cost, instant financial services and payments globally consistent for everyone. We're working together to create the first global money network, linking together a worldwide collection of wallets and accounts as the foundation for a new payments network. About the Role We're hiring a Finance and Accounting Associate to support the core financial operations of Meridian. This role is vital to ensuring the accuracy, integrity, and efficiency of our financial systems across our domestic and international entities. You'll be hands-on with day-to-day accounting tasks, while also contributing to broader finance and operations initiatives including reporting, performance tracking, and process improvement. This role will report directly to the Head of Finance and have exposure to the entire organization. This is a career-defining opportunity to join a fast-scaling global fintech as we build the infrastructure for the future of payments. The role will have an impact on the strategy of the finance team and gain exposure to a high-growth, global fintech environment. Key Responsibilities Execute and support monthly and quarterly close processes Assist with treasury management and bank transfers Prepare journal entries, account reconciliations, and variance analyses Manage accounts payable workflows and track corporate spend Support budgeting, forecasting, and cash flow analysis Maintain accurate general ledger and financial records Assist with financial and KPI reporting for internal and external stakeholders Help prepare consolidated reports across multiple entities and currencies Support tax compliance, audit preparation, and regulatory filings Manage payroll and assist with hiring processes Partner with cross-functional teams on ad hoc financial projects Success Metrics Timely and accurate monthly closes Clear documentation and reconciliations Improved visibility into financial reporting Efficient operations processes Scalable systems and workflows to support growth Effective collaboration with external partners and auditors Qualifications 2+ years of experience in finance, accounting, or related field Solid understanding of accounting principles (GAAP) Experience with journal entries, reconciliations, payroll, and AP/AR Familiarity with financial reporting and analysis Strong Excel / Google Sheets proficiency Comfortable navigating bank portals and accounting systems Nice to Have Background in fintech, or startup environments Experience with multi-entity or international operations is a plus Experience with tax and audit processes Experience with tools like QuickBooks, Campfire, Ramp, or similar Experience with financial modeling, and/or systems automation Work Environment Remote Working alignment with US East Coast hours Full-time Who You Are Detail-oriented, you see a penny out of place as a puzzle to be solved Adaptable, and eager to learn, you are willing to take on new responsibilities and expand your professional skillset Effective communicator, you are comfortable working in a remote environment and communicating synchronously and asynchronously Self-starter, you like to take ownership and aren't satisfied with the status quo

JOB TITLE: Accounting Clerk I, II (Accounts Receivable) FLSA: 1.0 FTE (Expectation to work 40 hours a week) SUPERVISOR: Finance Operations Manager PAY GRADE: B06 ($20.96 - $29.38 hourly, depending on experience) B07 ($22.88 - $32.50 hourly, depending on experience) ** $5,500 HIRING BONUS (2 year commitment, Paid out in 2 bonus-taxed payments) Community Counseling Solutions provides a team-based Servant Leadership environment! Located in Eastern Oregon with year-round recreation based near the Columbia River and at the base of the Blue Mountains. Big city amenities in rural family-oriented communities. Apply Directly at ********************************** Our mission is to provide dynamic, progressive, and diverse supports to improve the well-being of our communities and we're looking for motivated employees to help us continue our vision! CCS has a benefit package including, but not limited to: Health, dental and vision insurance 6% initial 401K match Potential for tuition reimbursement Paid vacation tiers ranging from accrual of 1 day to 4 days per month (Annual rollover cap of 220 hours, additional hours can be paid out at 50% at the end of the fiscal year) 9 Paid holidays, Community service day Floating holiday & 2 mental health days provided after 1 year introduction Workplace Flexibility schedule options available (work from home hours vary by position & schedule) Employee Assistance, Wellness Benefits, Dependent Care & Long-Term Disability Insurance DESCRIPTION Performs non-profit fund accounting support tasks that encompasses the various counties, programs, and departments of CCS. SUPERVISION Supervision Received This position works under the supervision of the Finance Operations Manager. Supervision Exercised This position does not have any supervisory responsibilities. RESPONSIBILITIES -Ensure accurate and timely entry of deposits using accounting software according to agency policies and procedures. -Ensure that all accounts receivables are tracked through the appropriate multi-fund accounting streams. -Process monthly and quarterly contract billing. -Ensure accurate and timely entry and payment of invoices using accounting software according to agency policies and procedures in the absence of accounts payable clerk. -Prepare spreadsheets and reports for administrative staff. -Relieve Office Support Personnel daily for breaks and lunches and provide backup coverage in their absence. -Perform duties of Office Support Personnel that pertain to processing of clients or handling the public when acting in backup capacity. -Maintain appropriate confidentiality in performance of all duties. -Perform word processing to prepare forms with reasonable speed and accuracy. -Reconcile multiple bank accounts. -Assist with various external auditors (financial, SAIF, FGP/SCP, etc.) -Deal effectively and in a friendly manner with clients in person and by phone, and direct calls and individuals to proper sources; answer inquiries and provide correct general program information to the public and clients; communicate with community agencies effectively, provide information, referrals, etc. -Other duties as assigned. Requirements QUALIFICATIONS Education and/or Experience Accounting Clerk I - High school diploma required. Experience or education in accounting and/or finance preferred. Accounting Clerk II - High school diploma required. Three years' experience OR associate's degree in finance or business and 1 year experience OR a combination of education and experience. Certifications No certifications are required. Other Skills and Abilities The position requires the handling of highly confidential information. Must adhere to rules and laws pertaining to client confidentiality as well as agency standards for employee and agency confidentiality. Must posses, or have the ability to possess functional knowledge of business English and medical terminology. Must have good spelling and mathematical skills. Must have the ability to learn assigned tasks readily and to adhere to general office procedures. Good organizational and time management skills are essential. Must be able to work with minimal supervision. Must have in depth knowledge of standard office equipment. Must be able to communicate effectively in both written and oral formats. Must have the ability to present and exchange information internally across teams and co-workers, and externally with customers and the public. CRIMINAL BACKGROUND CHECKS Must pass all criminal history check requirements as required by ORS 181.536-181.537 and in accordance with OAR 410-007-0200 through 410-007-0380. Must pass a monthly check against the OIG and GSA exclusion lists, as well as other federal and state agency lists. If employee, volunteer or contractor is excluded or sanctioned it is grounds for immediate termination of employment, volunteering, or contract. Pre-Hire Drug Screening PERSONAL AUTO INSURANCE Must hold a valid driver's license as well as personal auto insurance for privately owned vehicles utilized for CCS business such as client service purposes, travel between business offices and the community, to attend required meetings and trainings. Must show proof of $300,000 or more liability coverage for bodily injury and $100,000 or more property damage, and maintain said level of coverage for the duration of employment at CCS. The employee's insurance is primary with CCS insurance being secondary. CCS reserves the right to deny any employee the use of a vehicle owned by CCS. PHYSICAL DEMANDS While performing the essential duties of this job, the employee is regularly required to use office automation including computer and phone systems that require find manipulation, grasping, typing and reaching. The employee is also regularly required to sit; talk and hear; use hands and fingers and handle or feel. The employee is occasionally required to stand; walk; reach with hands and arms; stoop; kneel and/or squat when adjusting equipment or retrieving supplies. The employee may occasionally lift and/or move up to 30 pounds. Specific vision abilities required by this job include close vision, peripheral vision, distance vision and the ability to adjust focus. WORK ENVIRONMENT Work is performed in an office environment and the noise level is usually moderate, but occasionally may be exposed to loud noise such as raised voice levels and alarms. This position may be exposed to the everyday risks or discomforts which require normal safety precautions typical of such places as an office (i.e. moving mechanical parts, airborne particles, electrical shock, etc.). Community Counseling Solutions IS AN EQUAL OPPORTUNITY EMPLOYER MEMBER OF NATIONAL HEALTH SERVICES CORPORATION Salary Description $20.96 - $32.50 hourly, depending on experience)

Working at Freudenberg: We will wow your world! Responsibilities: AR Support Qualifications: Temp already hired The Freudenberg Group is an equal opportunity employer that is committed to diversity and inclusion. Employment opportunities are available to all applicants and associates without regard to race, color, religion, creed, gender (including pregnancy, childbirth, breastfeeding, or related medical conditions), gender identity or expression, national origin, ancestry, age, mental or physical disability, genetic information, marital status, familial status, sexual orientation, protected military or veteran status, or any other characteristic protected by applicable law. Freudenberg Residential Filtration Technologies Inc.

At STERIS, we help our Customers create a healthier and safer world by providing innovative healthcare and life science product and service solutions around the globe. Repair Technician You do not have to have previous instrument repair experience to be considered. This is an entry level job - we will train you! * In this position, you will perform surgical instrument inspection, repair, and refurbishment in a field-based setting. Technicians work out of mobile repair trucks at Customer sites and regional labs in more condensed markets. * Technicians deliver superior Customer Experience by providing timely and quality repairs to meet compliance standards. * If offered this position, STERIS will run a 7-year driving record check, as part of our onboarding process. * Must have the ability to travel up to 20% (overnight travel) What You Will Do As A Repair Technician: * Performs basic to intermediate level repairs of surgical instruments and maintenance including ultra sonic function, metallurgy, buff and polish, bending, shaping, sharpening, hinge points, serrations, and brazing. * Demonstrates quality performance in intermediate skilled work including advance Dremel operation, Re-cup and Re-jaw, laparoscopic inspection. * Provides invoicing and documentation based on business need. * While primarily working inside a mobile repair truck, frequent trips inside the hospital are required. * Provide support various locations within assigned territory depending on the service agreements, Customer needs, and staffing levels. * Abides by all Company safety, health policies, and procedures. Uses personal protective equipment, as required. Completes Safety observations per site requirements. * Adheres and complies with all protocols (DOT, company and Customer) for the safe operation of the mobile lab including policies and procedures relative to the position. The Experience, Skills and Abilities Needed * High school diploma or GED * 2+ years of work experience, including at least 1 year of relevant experience, or 1 year of experience at STERIS. All experience must be verifiable. * Must be able to lift to 25 pounds at times and push instrument carts ranging from 10-150 pounds at times. * Must be able to meet flexible schedules with early/late hours and sometimes outside normal business hours including nights and weekends, based on Customer and business needs. * Must be a minimum of 21 years old with ability to achieve and maintain FMCSA and driver's license requirements. * Must be able to pass a DOT medical/ physical exam and comply with all DOT regulations. * Ability to drive DOT regulated vehicle and conduct basic box truck safety checks. * Must have a valid driver's license with an acceptable driving record (CDL not required) and maintain required vaccines. * Related certifications in technical or mechanical area, competitive equipment training or related military experience may be considered towards experience requirement." What is relevant work experience? Relevant experience may include hands-on repair, assembly, or product testing and use of small hand tools is a plus. Small engine repair, cell phone and electronics repair, testing, or re-builds, carpentry, circuit board assembly and repair, sterile processing, industrial sewing, and jewelry repair. Maintenance, construction, and automotive repair can also be relevant to this role. What STERIS Offers You: We value our employees and are committed to providing a comprehensive benefits package that supports your health, well-being, and financial future. Here is just a brief overview of what we offer: * Hourly Pay * Cell Phone Allowance * Overtime Available * 19 Paid Vacation Days + 9 Corporate Holidays Per Year * Excellent Healthcare, Dental, and Vision Benefits * Healthcare and Dependent Flexible Spending Accounts * Long/Short Term Disability Coverage * 401(k) with a Company Match * Parental Leave * Tuition Reimbursement Program * Additional Add-On Benefits/Discounts Pay range for this opportunity is 17.06 - 22.08. This position is eligible for bonus participation. Minimum pay rates offered will comply with county/city minimums, if higher than range listed. Pay rates are based on a number of factors, including but not limited to local labor market costs, years of relevant experience, education, professional certifications, foreign language fluency, etc. STERIS offers a comprehensive and competitive benefits portfolio. Click here for a complete list of benefits: STERIS Benefits Open until position is filled. STERIS is an Equal Opportunity Employer. We are committed to equal employment opportunity and the use of affirmative action programs to ensure that persons are recruited, hired, trained, transferred and promoted in all job groups regardless of race, color, religion, age, disability, national origin, citizenship status, military or veteran status, sex (including pregnancy, childbirth and related medical conditions), sexual orientation, gender identity, genetic information, and any other category protected by federal, state or local law. We are not only committed to this policy by our status as a federal government contractor, but also we are strongly bound by the principle of equal employment opportunity. This is a remote based customer facing position. To support and service our customers in this assigned territory candidates must be based out of one of the following state(s): Arkansas.

Job Description Benefits include: Family medical, dental, long-term disability, 403(b) plan with 6% match, and more. Generous paid time off policy. (Annual accrual up to 208 hours - based on FTE status and available to use upon accrual). Plus, 11 paid holidays annually. Schedule: Monday - Friday, 8am - 5pm Overview The Payroll Clerk will perform a variety of accounting, bookkeeping, and clerical duties relating to the recording and processing of biweekly payroll for 500+ employees. Working under the direction of the Payroll Supervisor, this position is responsible for auditing time entries, coordinating changes and corrections with department managers, providing technical assistance with issues on timecards or paychecks, as well as payment of benefit vendor invoices. Responsibilities Maintain payroll files and verify employee changes in the payroll system inclusive of pay rates, transfers, position changes, and FTE status. Review computerized timekeeping reports to identify issues and make corrections. Follow up with staff for missing time and clarify inconsistencies with supervisors. Process bi-weekly payroll - verifying overtime, bonuses, on-call, holiday premium pay, and other special adjustments and rates as needed. Ensure accurate calculation of all wages, taxes, benefit deductions and garnishments. Validate and process payment for benefit vendor invoices. Maintain procedural documentation, interpret and apply organizational policies as well as local, state, and federal laws. Stay up to date on changes in employee/payroll law and compliance updates, communicating and coordinating with management for timely implementation. Respond to employee 403(b) plan inquiries for enrollments and contribution changes and update in the payroll system. Process new hire and income verifications. Prepare and input journal entries into the agency accounting system as needed and complete any related analysis. Provide backup and support to other finance functions as needed. Qualifications High School diploma required plus two years post high school education or training in accounting, bookkeeping, or some other related field or an equivalent combination of education and experience. Candidate must have effective time management skills and the ability to work independently with minimal supervision. The candidate must use demonstrated organizational skills and have the ability to examine documents for accuracy and completeness as well as prepare records and reports in accordance with verbal or written instructions while maintaining the highest standards of accuracy, precision, discretion, and confidentiality. The candidate must demonstrate excellent customer relations skills, work well with diverse groups, comfortably manage changing priorities and regulatory requirements, adhere to timelines, and effectively manage fluctuating work flow demands. Possess business experience sufficient to meet the demands of the position, computer proficiency is required. Must have experience with Microsoft Office with an emphasis in Excel and Word Must pass state-required background and DMV checks; Candidate must be able to work independently and flexibly, under general supervision. Options for Southern Oregon provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Benefits include: Family medical, dental, long-term disability, 403(b) plan with 6% match, and more. Generous paid time off policy. (Annual accrual up to 208 hours - based on FTE status and available to use upon accrual). Plus, 11 paid holidays annually. Schedule: Monday - Friday, 8am - 5pm Overview The Payroll Clerk will perform a variety of accounting, bookkeeping, and clerical duties relating to the recording and processing of biweekly payroll for 500+ employees. Working under the direction of the Payroll Supervisor, this position is responsible for auditing time entries, coordinating changes and corrections with department managers, providing technical assistance with issues on timecards or paychecks, as well as payment of benefit vendor invoices. Responsibilities Maintain payroll files and verify employee changes in the payroll system inclusive of pay rates, transfers, position changes, and FTE status. Review computerized timekeeping reports to identify issues and make corrections. Follow up with staff for missing time and clarify inconsistencies with supervisors. Process bi-weekly payroll - verifying overtime, bonuses, on-call, holiday premium pay, and other special adjustments and rates as needed. Ensure accurate calculation of all wages, taxes, benefit deductions and garnishments. Validate and process payment for benefit vendor invoices. Maintain procedural documentation, interpret and apply organizational policies as well as local, state, and federal laws. Stay up to date on changes in employee/payroll law and compliance updates, communicating and coordinating with management for timely implementation. Respond to employee 403(b) plan inquiries for enrollments and contribution changes and update in the payroll system. Process new hire and income verifications. Prepare and input journal entries into the agency accounting system as needed and complete any related analysis. Provide backup and support to other finance functions as needed. Qualifications High School diploma required plus two years post high school education or training in accounting, bookkeeping, or some other related field or an equivalent combination of education and experience. Candidate must have effective time management skills and the ability to work independently with minimal supervision. The candidate must use demonstrated organizational skills and have the ability to examine documents for accuracy and completeness as well as prepare records and reports in accordance with verbal or written instructions while maintaining the highest standards of accuracy, precision, discretion, and confidentiality. The candidate must demonstrate excellent customer relations skills, work well with diverse groups, comfortably manage changing priorities and regulatory requirements, adhere to timelines, and effectively manage fluctuating work flow demands. Possess business experience sufficient to meet the demands of the position, computer proficiency is required. Must have experience with Microsoft Office with an emphasis in Excel and Word Must pass state-required background and DMV checks; Candidate must be able to work independently and flexibly, under general supervision. Options for Southern Oregon provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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

Job Description “Join our team and become a part of a supportive community dedicated to individual and community enrichment. Catholic Community Services (CCS) is a faith-based organization, rooted in the values of Love, Justice, Truth, and Freedom, that has continually served the community for over 85 years. We seek individuals who are motivated, compassionate, and eager to make a difference in their community. Join us today and become a champion in the lives of others!” Pay: $17.62 - $22.47 Schedule: Monday - Friday 8am- 5pm Location: Marion County, Bishop Steiner Building Type: Full Time / Non-Exempt / Eligible for medical benefits General Position Summary: Responsible for a variety of accounting, payroll and medical billing functions within the Business and Finance Office. Specific duties for medical billing include medical billing, document control, claims adjudication, NPI coordination, acquiring pre-authorizations for mental health services and data entry. Benefits we provide: 4 Weeks Accrued Paid Time Off (PTO) per year Employer contribution to Employee/Spouse/Dependent medical coverage 401(k) Retirement Plan (Roth/Traditional) and Employer Match Flexible Spending Accounts Medical/Dependent Care (FSA) Health Savings Account (HSA) Employer Paid Group Life Insurance Plan 6 Paid Holidays/ Holiday Pay Mileage Reimbursement Jury Duty Paid Leave Bereavement Leave Annual performance evaluations Employee appreciation events Employee Assistance Program Additional Benefits Offered Multiple Dental Plan Options Vision Plan Options Voluntary Life & AD&D Insurance Supplemental Insurance Discount Gym Memberships with Certain Medical Enrollment On the Job Training & CPR/First Aid Certification Minimum Qualifications and Experience: Associate's degree in accounting or related field and two years' experience in accounts payable or combination of education and experience and Formal training or work experience in medical billing required. Computer software proficiency in medical billing system(s), Microsoft Excel, Microsoft Word and how they aid in compiling, maintaining and using information Preferred Qualifications and Experience: Prior non-profit experience. Familiarity with fund accounting, cost allocation plans, and public agency reporting requirements. Payroll processing experience in systems like ADP. Required to demonstrate Job Skills, Knowledge, and Abilities: General knowledge of medical billing. Good knowledge of medical billing systems and the impact to the General Ledger Demonstrated skills in computers and computer software such as MS Access, Excel, Word Excellent customer services skills Consistently follow up and follow through on tasks and assignments. Excellent time management skills Maintain confidential information. Work with all the people we serve. Be flexible and work in a fast-paced environment. Handle multiple projects. Complete tasks accurately, on time and meet deadlines. Communicate professional and effectively (written and oral) with a variety of individuals (customers, vendors, people we serve, leadership, management and other staff). Prioritize workload. Organize workspace and work products in a fast-paced environment. Accurately and with attention to detail maintain records, documents and materials. Essential Position Functions and Key Work Processes: Medical Billing Processing Submits electronic billing and HCFA-1500 to payment source Enters payment and remittances into Medical Billing System Balances payment and remittances ensuring correct account identification Enters and updates customer payor and authorization information into Medical Billing System Transfers customers from insurance coverage to self-pay in the event of loss of coverage Track and follow-up on payment and collection process for self-pay customers Sets up yearly files for all insurance companies and programs Maintain and update all provider insurance, fee schedules, CPT code lists in each assigned practice Creates and maintains spreadsheets and tracking systems as directed Prepares and submits weekly billing reports to CFO and Clinical Director Reconcile Medical billing system with Financial Edge accounting system monthly Ensures accurate coding is used on billing Archives EOBs, submission reports, payment batches, etc. according to policy guidelines Accounting Support Process, validate and code accounts payable transactions, verify appropriate authorization and documentation is present, enter into General Ledger and reconcile vendor statements. Prepare and distribute checks, employee reimbursements, petty cash funds and maintain all accounts payable documentation. Process, validate and code accounts receivable transactions, prepare daily deposits, take deposits to the bank, enter into General Ledger and reconcile client statements. Ensure that financial transactions are timely, accurate, easy to interpret, meet policy requirements and notify supervisor of any discrepancies. Complete credit applications for new vendor credit accounts. Assist with end of year audit, as needed. Tracking and monitoring independent contractors, Organizational Contracts, and Grant documentation. Payroll Support Provide backup support for semi-monthly payroll processing. Work with Payroll Specialist to ensure Standard Operating Procedures for payroll are developed and kept up to date. Provide secondary review of payroll reports, year-end processing, etc. to support payroll expectations and efforts in timely and accurate processing.

Virta Health is on a mission to transform type 2 diabetes and weight-loss care. Current treatment approaches aren't working-over half of US adults have either type 2 diabetes or prediabetes, and obesity rates are at an all-time high. Virta is changing this by helping people reverse their metabolic condition through innovations in technology, personalized nutrition, and virtual care delivery reinvented from the ground up. We have raised over $350 million from top-tier investors, and partner with the largest health plans, employers, and government organizations to help their employees and members restore their health and take back their lives. Join us on our mission to reverse diabetes and obesity in one billion people. We are seeking a detail-oriented and highly organized Accounts Receivable Clerk to join our finance team. In this role, you will take on a highly visible role that will play an important role in influencing cash flows and maintaining financial accuracy. You'll work closely with cross-functional teams to assist in resolving issues efficiently and standing up new processes to improve efficiencies. This role offers an exciting opportunity to contribute directly to company growth in a fast-paced, mission-driven environment. Responsibilities Accurately process and record accounts receivable transactions, including invoices, payments, and credit memos, into the appropriate accounting systems Maintain accurate customer files, including invoices and payment records Assist with month-end and year-end closing activities, including reconciliations and reporting. Maintain accurate documentation of all AR activities in compliance with company policies. Reconcile customer accounts and collaborate with internal teams (Finance, RCM, etc) to resolve billing or payment discrepancies in a timely manner. Support the annual external audit and quarterly reviews by preparing and organizing supporting documentation Support continuous process improvements to enhance efficiency in AR operations. Perform adhoc projects and tasks as assigned 90 Day Plan Within your first 90 days at Virta, we expect you will do the following: Take Ownership of Deliverables: Quickly become the primary point of contact for AR-related tasks, ensuring invoices, reconciliations, and reports are completed accurately and on time. Identify and Implement Process Improvements: Review existing AR processes and proactively recommend efficiencies, such as reducing manual steps or streamlining reconciliation workflows. Leverage AI-Enabled Tools: Explore opportunities to apply automation and AI-driven solutions to improve accuracy and reduce administrative workload. Build Strong Partnerships: Establish effective communication with finance, sales, and customer service teams to ensure smooth cross-department collaboration. Demonstrate Proactive Problem-Solving: Highlight discrepancies, risks, or inefficiencies early and take initiative in resolving them Must-Haves 2+ years of experience in an accounts receivable, bookkeeping, or related financial role Associate's or Bachelor's degree in Accounting, Finance, or related field preferred Proficiency with ERP systems (e.g., NetSuite) and billing software (e.g., Zuora), and advanced-level Microsoft Excel skills Strong problem-solving skills, attention to detail, and the ability to meet deadlines in a fast-paced environment Excellent communication and interpersonal skills for interaction with vendors, customers, and internal teams. Highly organized, detail-oriented, and accountable Comfortable working in a fully remote environment Values-driven culture Virta's company values drive our culture, so you'll do well if: You put people first and take care of yourself, your peers, and our patients equally You have a strong sense of ownership and take initiative while empowering others to do the same You prioritize positive impact over busy work You have no ego and understand that everyone has something to bring to the table regardless of experience You appreciate transparency and promote trust and empowerment through open access of information You are evidence-based and prioritize data and science over seniority or dogma You take risks and rapidly iterate Is this role not quite what you're looking for? Join our Talent Community and follow us on Linkedin to stay connected! Virta has a location based compensation structure. Starting pay will be based on a number of factors and commensurate with qualifications & experience. For this role, the compensation range is $50,900-58,100. Information about Virta's benefits is on our Careers page at: *********************************** . As part of your duties at Virta, you may come in contact with sensitive patient information that is governed by HIPAA. Throughout your career at Virta, you will be expected to follow Virta's security and privacy procedures to ensure our patients' information remains strictly confidential. Security and privacy training will be provided. As a remote-first company, our team is spread across various locations with office hubs in Denver and San Francisco. Clinical roles: We currently do not hire in the following states: AK, HI, RI Corporate roles: We currently do not hire in the following states: AK, AR, DE, HI, ME, MS, NM, OK, SD, VT, WI. #LI-remote

Why join us? We're on a mission to empower people with disabilities to do what they once did or never thought possible. As the world-leader in assistive communication solutions, we empower our customers to express themselves, connect with the world, and live richer lives. At Tobii Dynavox, you can grow your career within a dynamic, global company that has a clear, impactful purpose - with the flexibility to also do what truly matters to you outside of work. What's more, you'll be part of a work culture where collaboration is the norm and individuality is welcomed. As a member of our team, you'll have the power to make it happen. You'll solve challenges, deliver solutions and develop new, efficient processes that make a direct impact on our customers' lives. What you'll do: The Cash Application Specialist is responsible for the proper and timely posting of cash receipts and denials to customer accounts. He/she will also work with and act as a back-up to the other Cash Posters. Candidates must be located in Eastern Time (EST) to support team collaboration and business hours. As a Cash Application Specialist, you will be responsible for: Pulling remittances from various websites and scanning prior to posting Accurately posting insurance and personal payments (including check, ACH/EFT, and credit card payments) to customer accounts for both funded and non-funded business. This entails: Working and obtaining information from the lockboxes Balancing all batches and deposits Verifying and adjusting any non-allowable charges Posting denials from insurance companies Researching offsets Researching unapplied insurance transactions and processing refunds Acting as a back-up for the other Cash Posters Performing various other tasks as assigned Minimum Qualifications: High School diploma 2 years of previous cash posting experience preferred What you'll bring: Proficient writing and verbal communication skills Ability to communicate at all levels within an organization Interpersonal and teaming skills MS Office Word, Excel, and Outlook Experience working with ERP and accounting reporting systems preferred (specifically AdvancedMD, Great Plains, and/or Zuora preferred) Strong organizational skills Time management skills Detailed oriented Must be able to take good notes and be able to work from those notes when acting as a back-up Able to multitask and work in multiple systems (this person will need to log into multiple bank websites and work in multiple ERP systems) Solid mathematical skills Able to be flexible and adapt to change Ability to work with interruptions in a fast-paced environment Apply today! We believe in empowering individuals - including our own employees - to reach their full potential. So, if you want to change lives while growing your own career, we'd love to hear from you. Where we stand: We believe diversity not only enriches our workplace culture, but also gives us a strategic advantage. Working with people from a variety of backgrounds and perspectives helps us all become better communicators, better problem solvers, and better human beings. Our differences make us stronger. Tobii Dynavox values equality of opportunity, human dignity, and racial/ethnic and cultural diversity. Tobii Dynavox does not discriminate against individuals on the basis of race, color, sex, sexual orientation, gender identity, religion, disability, age, veteran status, ancestry, or national or ethnic origin. Equal Opportunity Employer/AA Women/Minorities/Veterans/Disabled

At Pacific Seafood, we do more than just provide the world with the healthiest proteins on the planet. We are an excellence-driven organization committed to being the brand of choice in the marketplace and the employer of choice in the community. We believe in servant leadership, investing in our team members, and rewarding performance. We live by the core values of our Diamond Philosophy: Quality, Teamwork, Productivity, and Excellence-which means consistently doing your best and always striving to do better. Summary: The Accounts Payable Specialist II at Pacific Seafood is a key role on our Accounts Payable team responsible for leading accounts payable functions, managing and controlling financial and accounting systems, and overseeing processing and accounting for all invoices. Key Responsibilities: 1. Advanced Invoice Processing and Payment Optimization * Process the full cycle of accounts payable operations, including the verification, matching, vouchering, and complex GL coding of invoices. * Reconcile and review large vendors with more complex invoices, GL coding, and approval requirements * maintain a system for prioritizing invoices to maximize cash discounts and adhere to favorable payment terms. * Conduct comprehensive vendor statement reconciliations, deploying advanced techniques to identify, research, and resolve discrepancies. * Oversee the management of customer accounts, including detailed oversight of accounts receivable write-offs and payment reversals. 2. Reporting and Compliance * Ensure strict compliance with tax reporting, including meticulous maintenance of 1099s and other tax-related documents. * Maintain reporting as needed for month end or quarter end report as well 3. Software and Records Management * Maintain files and documentation thoroughly and accurately, in accordance with company policy and accepted accounting practices. * Develops automated spreadsheets for efficient tracking and reporting. * Oversee customer accounts, including accounts receivable write-offs and payment reversals. 4. Team Administration: * Provide leadership and guidance to Accounts Payable Specialist I team members, including training and mentoring. * Manage and strengthen vendor relationships, serving as the primary liaison for resolving complex issues and negotiating terms. Additional responsibilities may be assigned as deemed necessary to support the overall goals and objectives of the position. What You Bring to Pacific Seafood: Required: * High school diploma or equivalent from an accredited institution. * 3+ years of experience in accounts payable or a related role. Preferred: * Bachelor's degree in Accounting, or related role. * Strong computer skills in MS Office Suite, primarily Word and Excel. Total Compensation: At Pacific Seafood, your base wage is only a portion of your overall compensation package. We invest in our Team Members through a comprehensive and attractive total rewards package, including but not limited to: * Health insurance benefits options, including medical, prescription, vision, dental, basic group life and short term disability. * Flexible spending accounts for health flex and dependent care expenses. * 401(k) Retirement Plan options with generous annual company profit sharing match. * Paid time off for all regular FT team members, to include paid sick, vacation, holiday, and personal time. * Employee Assistance Program- Confidential professional counseling, financial, and legal assistance provided at no charge to Team Members and immediate family members * Product purchase program.

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

Reporting to the Accounts Receivable Supervisor, this role supports the operations of the CommunityCare Revenue Cycle Management (RCM) team related to the follow up and resolution of outstanding insurance claims. Goal of the position is to follow up on, investigate and resolve claims that have been submitted to insurance for payment and to create detailed notes that provide insight into the current status of the individual claims. Responsibilities Essential Functions: Contact insurance carriers on a daily basis to follow up on/collect past due amounts on outstanding medical claims regarding denials or benefit changes. Maintain an accurate, up to date aging of assigned accounts including AR analysis and follow up. Keep educated on billing and medical policies for all payers. Have a working knowledge of In and Out of Network reimbursement processes/methodologies. Create and follow up on appeals needed to protest denials or incorrect payments. Review complex denials/tasks assigned by the payment posting team and resolve accordingly including reviewing refund requests, disputes and appeal as necessary. Work across all RCM departments to get issues related to claims payment resolved. Uphold and ensure compliance and attention to all company policies and procedures as well as the overall mission and values of the organization. Work with AR Supervisor to review/resolve open accounts as assigned. Perform other duties as assigned. Knowledge, Skills and Abilities: High level of skill at building relationships and providing excellent customer service. Ability to utilize computers for data entry, research and information retrieval. Strong attention to detail and accuracy and multitasking. Must have highly developed problem-solving skills. Executes excellent customer service and professionalism when interacting with staff, payers, patients and families to ensure all are treated with kindness and respect. Through leadership and by example, ensures that services are provided in accordance with state and federal regulations, organizational policy, and accreditation/compliance requirements. Acts in accordance with CommUnityCare's mission and values, while serving as a role model for ethical behavior. Promptly identify issues and reports them to their direct supervisor. Maintain regular and predictable attendance. Acts in accordance with CommunityCare's mission and values, while serving as a role model for ethical behavior Manage high volumes of work and organize/maintain a schedule independently. Must be able to effectively monitor steps in claims processing operations. Qualifications Minimum Education: High School Diploma or GED Minimum Experience: 3 years of experience managing Accounts Receivable and performing direct follow up with payers. 1 year experience communicating effectively, both orally and in writing, with insurance payers and internal company communications. 3 years working with medical terminology, ICD10, CPT, HCPCs coding and HIPAA requirements. 2 years of experience with data processing and analytical skills, proficiency in Excel and Microsoft Office Suite as well as medical practice management software and electronic medical records. 3 years of experience working with commercial, government and state insurance payers and their reimbursement policies and procedures. 3 years' experience working complex insurance issues, including assigning correct payer, EOB adjustments and refunds to accounts.

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

Reporting to the Accounts Receivable Supervisor, this role supports the operations of the CommunityCare Revenue Cycle Management (RCM) team related to the follow up and resolution of outstanding insurance claims. Goal of the position is to follow up on, investigate and resolve claims that have been submitted to insurance for payment and to create detailed notes that provide insight into the current status of the individual claims. Responsibilities Essential Functions: * Contact insurance carriers on a daily basis to follow up on/collect past due amounts on outstanding medical claims regarding denials or benefit changes. * Maintain an accurate, up to date aging of assigned accounts including AR analysis and follow up. * Keep educated on billing and medical policies for all payers. * Have a working knowledge of In and Out of Network reimbursement processes/methodologies. * Create and follow up on appeals needed to protest denials or incorrect payments. * Review complex denials/tasks assigned by the payment posting team and resolve accordingly including reviewing refund requests, disputes and appeal as necessary. * Work across all RCM departments to get issues related to claims payment resolved. * Uphold and ensure compliance and attention to all company policies and procedures as well as the overall mission and values of the organization. * Work with AR Supervisor to review/resolve open accounts as assigned. * Perform other duties as assigned. Knowledge, Skills and Abilities: * High level of skill at building relationships and providing excellent customer service. * Ability to utilize computers for data entry, research and information retrieval. * Strong attention to detail and accuracy and multitasking. * Must have highly developed problem-solving skills. * Executes excellent customer service and professionalism when interacting with staff, payers, patients and families to ensure all are treated with kindness and respect. * Through leadership and by example, ensures that services are provided in accordance with state and federal regulations, organizational policy, and accreditation/compliance requirements. * Acts in accordance with CommUnityCare's mission and values, while serving as a role model for ethical behavior. * Promptly identify issues and reports them to their direct supervisor. * Maintain regular and predictable attendance. * Acts in accordance with CommunityCare's mission and values, while serving as a role model for ethical behavior * Manage high volumes of work and organize/maintain a schedule independently. * Must be able to effectively monitor steps in claims processing operations. Qualifications Minimum Education: * High School Diploma or GED Minimum Experience: * 3 years of experience managing Accounts Receivable and performing direct follow up with payers. * 1 year experience communicating effectively, both orally and in writing, with insurance payers and internal company communications. * 3 years working with medical terminology, ICD10, CPT, HCPCs coding and HIPAA requirements. * 2 years of experience with data processing and analytical skills, proficiency in Excel and Microsoft Office Suite as well as medical practice management software and electronic medical records. * 3 years of experience working with commercial, government and state insurance payers and their reimbursement policies and procedures. * 3 years' experience working complex insurance issues, including assigning correct payer, EOB adjustments and refunds to accounts.

Compensation: $17.65 - $22.05 per hour (based on years of experience) The responsibility of the Revenue Cycle Claims Specialist is to maintains current knowledge of insurance carriers' rules, regulations, and contracts; acts as a liaison for patients with the insurance carrier for internal/external customers; and is responsible for posting payments, adjustments, status, and reason codes. Contracts are reviewed for accuracy of payment with direct communication with payer provider reps. Analyze and test new system modules and upgrades. Confirmed and maintains mandated requirements for provider rosters. Responsibilities: 1. Will participate and maintain a culture within The Corvallis Clinic that is consistent with the content outlined in the Service and Behavioral Standards document. To this end, employees will be expected to read, have familiarity with, and embrace the principles contained within. 2. Researches and resolves claims based on assignment, which could include contacting payers via phone or website, contacting practices, working across departments, writing appeals, and facilitating their submission, and all other activities that lead to the successful adjudication of eligible claims including but not limited to: * Provides medical record documentation to insurance companies as requested. * Files claims using all appropriate forms and attachments. * Communicates with insurances companies about insurance claims, denials, appeals and payments. * Research denied and improperly processed claims by contacting insurance companies or utilizing online payor portals to ensure proper processing and/or reprocessing of claims. Works directly with provider reps to escalate claims issues. * Resubmits denied and improperly processed claims to insurance payers in a timely manner. * Creates, reviews, and works insurance aging reports to identify unpaid insurance claims, corrects any errors, and resubmits claims as needed to ensure timely and accurate payments are received. * Tasks appropriate staff while working vouchers for denials, $0 pay, and refunds. * Communicates with practices and payers regarding claim denials and payer trends. 3. Collaborates with Practice Management and the co-source model within the Electronic Health Record to ensure files are kept up to date; identifies and requests support where needed: * Analyzes and tests new system modules and upgrades, providing recommendations to management staff regarding necessary modifications, education, and training. * Works closely with physician credentialing to meet insurance and governmental mandates for updating insurance rosters quarterly. * Responsible for maintaining and updating provider credentials, as well as updating insurance category classifications. 4. Identifies root-causes of claim issues and proposes resolutions to ensure timely and appropriate payment. 5. Educates and communicates revenue cycle/financial information to patients, payers, co-workers, managers, and others as necessary to ensure accurate processes. 6. Identifies issues and or trends with payers, systems, or escalated account issues and provides suggestions for resolution to management. 7. Evaluates carrier and departmental information to determine data needed to be included in system tables. 8. Completes tasks assigned through worklists, reports, projects, team goals and objectives. Meets productivity standards as set by management. Education/Licensure/Experience: 1. High School diploma or equivalent required. 2. Two (2) or more years of successful experience within medical billing office, required. 3. One (1) or more years of customer service experience, required. 4. Proficiency in Microsoft Office Suite; mainly Word and Excel, required. Knowledge and Skills: 1. Intermediate computer skills, including MS Word and Excel 2. Knowledge of medical terminology, CPT, ICD-9 and ICD-10 coding 3. Knowledge of finance/accounting, including insurance carrier billing 4. Excellent oral and written communication skills 5. Ability to work with difficult/upset people. 6. Ability to collaborate well with providers and other staff. 7. Ability to work on multiple tasks simultaneously in a busy, demanding environment while maintaining quality of work.

The responsibility of the Revenue Cycle Claims Specialist is to maintains current knowledge of insurance carriers' rules, regulations, and contracts; acts as a liaison for patients with the insurance carrier for internal/external customers; and is responsible for posting payments, adjustments, status, and reason codes. Contracts are reviewed for accuracy of payment with direct communication with payer provider reps. Analyze and test new system modules and upgrades. Confirmed and maintains mandated requirements for provider rosters. Responsibilities: 1. Will participate and maintain a culture within The Corvallis Clinic that is consistent with the content outlined in the Service and Behavioral Standards document. To this end, employees will be expected to read, have familiarity with, and embrace the principles contained within. 2. Researches and resolves claims based on assignment, which could include contacting payers via phone or website, contacting practices, working across departments, writing appeals, and facilitating their submission, and all other activities that lead to the successful adjudication of eligible claims including but not limited to: Provides medical record documentation to insurance companies as requested. Files claims using all appropriate forms and attachments. Communicates with insurances companies about insurance claims, denials, appeals and payments. Research denied and improperly processed claims by contacting insurance companies or utilizing online payor portals to ensure proper processing and/or reprocessing of claims. Works directly with provider reps to escalate claims issues. Resubmits denied and improperly processed claims to insurance payers in a timely manner. Creates, reviews, and works insurance aging reports to identify unpaid insurance claims, corrects any errors, and resubmits claims as needed to ensure timely and accurate payments are received. Tasks appropriate staff while working vouchers for denials, $0 pay, and refunds. Communicates with practices and payers regarding claim denials and payer trends. 3. Collaborates with Practice Management and the co-source model within the Electronic Health Record to ensure files are kept up to date; identifies and requests support where needed: Analyzes and tests new system modules and upgrades, providing recommendations to management staff regarding necessary modifications, education, and training. Works closely with physician credentialing to meet insurance and governmental mandates for updating insurance rosters quarterly. Responsible for maintaining and updating provider credentials, as well as updating insurance category classifications. 4. Identifies root-causes of claim issues and proposes resolutions to ensure timely and appropriate payment. 5. Educates and communicates revenue cycle/financial information to patients, payers, co-workers, managers, and others as necessary to ensure accurate processes. 6. Identifies issues and or trends with payers, systems, or escalated account issues and provides suggestions for resolution to management. 7. Evaluates carrier and departmental information to determine data needed to be included in system tables. 8. Completes tasks assigned through worklists, reports, projects, team goals and objectives. Meets productivity standards as set by management. Education/Licensure/Experience: 1. High School diploma or equivalent required. 2. Two (2) or more years of successful experience within medical billing office, required. 3. One (1) or more years of customer service experience, required. 4. Proficiency in Microsoft Office Suite; mainly Word and Excel, required. Knowledge and Skills: 1. Intermediate computer skills, including MS Word and Excel 2. Knowledge of medical terminology, CPT, ICD-9 and ICD-10 coding 3. Knowledge of finance/accounting, including insurance carrier billing 4. Excellent oral and written communication skills 5. Ability to work with difficult/upset people. 6. Ability to collaborate well with providers and other staff. 7. Ability to work on multiple tasks simultaneously in a busy, demanding environment while maintaining quality of work.