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Billing Specialist jobs at Ortho Montana

- 2033 jobs
  • Polysomnographic Specialist - PRN

    Saint Luke's Hospital of Kansas City 4.6company rating

    Kansas City, MO jobs

    Are you looking to join a phenomenal team where patient care is at the center of everything we do? Look no further! Day 8-10 hours per week preferred RPSGT or RRT required BLS preferred The Opportunity: The Polysomnographic Specialist performs all aspects of care as outlined in national and departmental clinical standard of practice policy and procedure manual and in accordance with written verbal orders or approved protocol flow charts. This position will assist with MSLT and home sleep study set-ups. Clinical practice activities include but are not limited to the performance of diagnostic polysomnographic testing, assessment based therapeutic interventions and the analysis and scoring of polysomnographic records. The Polysomnographic Specialist accountabilities include the assessment and evaluation of histories and physicals, diagnostic, clinical and sleep related data pursuant to the development and monitoring of planned interventions in collaboration with the medical staff. The Polysomnographic Specialist supports and participates as appropriate in staff meetings, study quality, adherence to departmental protocols, continuing education, and professional growth development activities and performs other duties as assigned. Why Saint Luke's? We believe in work/life balance. We are dedicated to innovation and always looking for ways to improve. We believe in creating a collaborative environment where all voices are heard. We are here for you and will support you in achieving your goals. #LI-CK2 Job Requirements Applicable Experience: Less than 1 year Basic Life Support - American Heart Association or Red Cross, Polysomnographic Technologist - Board of Registered Polysomnographic Technologists Job Details PRN Day (United States of America) The best place to get care. The best place to give care . Saint Luke's 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke's means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter. Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.
    $34k-54k yearly est. 5d ago
  • Registration Specialist II - Cox Monett

    Coxhealth 4.7company rating

    Monett, MO jobs

    :The Registration Specialist is responsible for assisting patients during the on-site registration and arrival process for scheduled and unscheduled visits as well as completing financial clearance functions. This individual completes the registration for scheduled and unscheduled visits by collecting accurate demographic information, insurance information, and handling patient financial obligation at the time of service. This individual is also responsible for financial clearance functions on assigned scheduled accounts during registration downtimes. The Registration Specialist II greets and serves patients and internal team members in a professional, friendly, and respectful manner to promote positive encounters. Some travel from site to site, as well as extended hours may be required of a Registration Specialist II based on business needs of the department. Education ▪ Required: High school diploma or equivalent Experience ▪ Preferred: At least 1-2 years prior registration experience Skills ▪ Proficient in using computers and computer systems ▪ Excellent customer service skills and ability to work with the public and co-workers ▪ Excellent verbal and written communication skills. ▪ Ability to multi-task in a fast-paced environment ▪ Able to work independently and collaboratively in a team Licensure/Certification/Registration ▪ N/A
    $26k-29k yearly est. 6d ago
  • Registration Specialist II

    Coxhealth 4.7company rating

    Springfield, MO jobs

    :The Registration Specialist is responsible for assisting patients during the on-site registration and arrival process for scheduled and unscheduled visits as well as completing financial clearance functions. This individual completes the registration for scheduled and unscheduled visits by collecting accurate demographic information, insurance information, and handling patient financial obligation at the time of service. This individual is also responsible for financial clearance functions on assigned scheduled accounts during registration downtimes. The Registration Specialist II greets and serves patients and internal team members in a professional, friendly, and respectful manner to promote positive encounters. Some travel from site to site, as well as extended hours may be required of a Registration Specialist II based on business needs of the department. Education ▪ Required: High school diploma or equivalent Experience ▪ Preferred: At least 1-2 years prior registration experience Skills ▪ Proficient in using computers and computer systems ▪ Excellent customer service skills and ability to work with the public and co-workers ▪ Excellent verbal and written communication skills. ▪ Ability to multi-task in a fast-paced environment ▪ Able to work independently and collaboratively in a team Licensure/Certification/Registration ▪ N/A
    $26k-29k yearly est. 30d ago
  • Registration Specialist II Direct Admit South

    L.E. Cox Medical Centers 4.4company rating

    Springfield, MO jobs

    :The Registration Specialist is responsible for assisting patients during the on-site registration and arrival process for scheduled and unscheduled visits as well as completing financial clearance functions. This individual completes the registration for scheduled and unscheduled visits by collecting accurate demographic information, insurance information, and handling patient financial obligation at the time of service. This individual is also responsible for financial clearance functions on assigned scheduled accounts during registration downtimes. The Registration Specialist II greets and serves patients and internal team members in a professional, friendly, and respectful manner to promote positive encounters. Some travel from site to site, as well as extended hours may be required of a Registration Specialist II based on business needs of the department. Education ▪ Required: High school diploma or equivalent Experience ▪ Preferred: At least 1-2 years prior registration experience Skills ▪ Proficient in using computers and computer systems ▪ Excellent customer service skills and ability to work with the public and co-workers ▪ Excellent verbal and written communication skills. ▪ Ability to multi-task in a fast-paced environment ▪ Able to work independently and collaboratively in a team Licensure/Certification/Registration ▪ N/A
    $23k-28k yearly est. 16d ago
  • Reimbursement Specialist - Hospice

    Medical Services of America 3.7company rating

    Lexington, SC jobs

    Hospice Reimbursement Group, a division of Medical Services of America Inc., is currently seeking experienced Full-Time Hospice Reimbursement Specialist for our corporate office in Lexington, SC. MSA offers competitive pay and excellent benefits 40 hours paid time off during the first year of employment Medical, Vision & Dental Insurance Company paid life insurance 401(k) retirement with a generous company match Opportunities for advancement Other great benefits This person will be responsible for submitting and re-billing claims Submits claims for all pay sources and locations as assigned. Tracks reasons for unpaid claims and re-bills claims as necessary. Files electronic and/or written appeal requests in a timely manner. Works with locations to resolve any issues that may affect billing. Job Requirements High School Diploma or General Education Degree (GED) required. Previous hospice reimbursement experience preferred. Previous medical office billing/collection experience preferred. MSA is an Equal Opportunity Employer
    $32k-44k yearly est. 4d ago
  • Patient Access Rep Emergency Department- 12-hour Night Shift, rotating weekends and holidays

    Ochsner Health System 4.5company rating

    Des Allemands, LA jobs

    We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. Not sure what skills you will need for this opportunity Simply read the full description below to get a complete picture of candidate requirements. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! This job greets patients and guest in a courteous manner whether via telephone contact or in person; initiates scheduling an appointment or completing the check-in process/admission for patients; obtains and verifies accurate identification and demographical data for the patient's permanent medical record which assist in accurate reimbursement while recognizing the necessity of maintaining the confidentiality of all patient information. Responsible for point-of-service collections, face-to-face patient interactions related to completing the patient registration and admission process; responsible for the verification of insurance via electronic verification, telephone, or web application; improves patient satisfaction through consistently representing the company professionally and cross trained to support multiple functions across all patient and payer types. 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 may be made to enable qualified individuals with disabilities to perform the essential duties. This is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion. Education Required - High school diploma or equivalent Preferred - Associate's degree Work Experience Required - Minimum of 1 year of experience in a hospital, clinic, medical office, business services/revenue cycle, or other customer service-related environment. Experience may include front line registration, financial counseling, banking, retail, or similar roles involving direct customer or patient interaction. Certifications Preferred - Certification in Healthcare Access Manager (CHAM), Certification in Healthcare Access Associate (CHAA), Certification as a Medical Assistant (or other medical specialty-based certification) Knowledge Skills and Abilities (KSAs) * Must have computer skills and dexterity required for data entry and retrieval of information. * Effective verbal and written communication skills and the ability to present information clearly and professionally. * Must be proficient with Windows-style applications, various software packages specific to role and keyboard. * Strong interpersonal skills. * Must have clerical skills and exhibit technical knowledge of healthcare insurance benefits, various payor guidelines on referral and authorization processes as well as have current knowledge of Federal, State and Local billing regulations. * Skills to effectively present information and respond to questions from patients and customers, with proficiency. * Skills to solve practical problems and deal with high stress situations while maintaining a high quality of professionalism. * Good organizational, time management, and conflict resolution skills. * Excellent decision making skills; good analytical skills with a strong attention to detail are necessary. * Ability to work collaboratively with other departments. * Ability to exercise sound judgment in handling/escalating difficult situations. Job Duties * Provide excellent customer service to all patients, guests, and family members. * Create, activate, and complete the patient scheduling, clinic registration, or hospital admission process. * Ensures all required forms are completed and other paperwork/documents are gathered and accurate. * Efficiently and accurately gathers and inputs patient/guarantor demographic and financial information; explains insurance benefits and collects co-pays, deductibles and self-pay portions due. * Performs financial analysis of each case and informs patient of financial responsibility * Balances Cash drawer daily, prepares deposit slips and follow closing cash drawer process at the end of each shift. * Demonstrates respect and cooperation in all staff relationships, and a genuine willingness to prevent or resolve inter-personal conflicts. * Adapts behavior to the specific patient population, including but not limited to: respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style. * Other related duties as required. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time. Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards. This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns. The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status. Physical and Environmental 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 may be made to enable individuals with disabilities to perform the essential functions. Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid. The incumbent works with patients who have known or suspected communicable diseases and may enter isolation rooms. The incumbent has an occupational risk for exposure to all communicable diseases. Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role. Are you ready to make a difference? Apply Today! Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website. Please refer to the job description to determine whether the position you are interested in is remote or on-site. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C. Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at 5 select option 1) or (mailto: ) . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. Ochsner is an equal opportunity employer. xevrcyc All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.
    $24k-27k yearly est. 2d ago
  • Vascular Surgery Physician (MD/DO) UNC Vascular Specialists at Goldsboro

    UNC Health 4.1company rating

    Goldsboro, NC jobs

    Vascular Surgeon MD DO UNC Vascular Specialists at Goldsboro Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve. Come join our well-established UNC Health practice in Goldsboro, NC UNC Vascular Specialists at Goldsboro is a community-based, specialty practice offering vein and vascular services. With many years of experience, our care team is a trusted resource in the Goldsboro community. Services Aortic aneurysm repair Blood clot treatment Carotid stenting and surgery Compression therapy Fistula graft placement and maintenance PAD medical therapy Peritoneal catheter placement Phlebotomy Sclerotherapy Venefit procedure About Us The practice currently consists of 1 MD and 1 Nurse Practitioner. This position would be a new addition to the staff. The practice started in 2013 and is located in the UNC Wayne campus directly beside the hospital. UNC Wayne recently completed a remodeling to their new state of the art operating room that offer separate lobbies for vascular patients and cosmetic patients. There is also a large procedure with a C-arm and two ultrasound techs. New Trainee are highly welcome to apply EMR: EPIC Compensation: Competitive Salary plus Incentives Generous benefit plan including CME Allowance, Health & Life Insurance, Retirement Sign on Bonus and Relocation Expenses For more information contact Dee Rice, Physician Recruiter at ************************** Other Information Education Requirements: ? Active member of the Rex Hospital Medical Staff, including meeting the Board Certification requirements. Graduation from an accredited school of medicine. Licensure/Certification Requirements: ? MD License in healthcare specialty;DEA;MD Professional Experience Requirements: ? Four to ten years related experience and/or training; or equivalent combination of education and experience. Prefer prior experience in Vascular Medicine. Knowledge/Skills/and Abilities Requirements: ? Language Skills: Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents. Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community. Ability to write speeches and articles for publication that conforms to prescribed style and format. Ability to effectively present information to top management, public groups, and/or boards of directors. Mathematical Skills: Ability to apply advanced mathematical concepts such as exponents, logarithms, quadratic equations, and permutations. Ability to apply mathematical operations to such tasks as frequency distribution, determination of test reliability and validity, analysis of variance, correlation techniques, sampling theory, and factor analysis. Reasoning Ability: Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems. Ability to deal with nonverbal symbolism (formulas, scientific equations, graphs, musical notes, etc.,) in its most difficult phases. Ability to deal with a variety of abstract and concrete variables.Job Details Legal Employer:NCHEALTH Entity: UNC Physicians Network Organization Unit: UNC Vascular Spec - Goldsboro Work Type: Full Time Standard Hours Per Week: 40.00 Work Schedule: Day Job Location of Job: US: NC: Goldsboro Exempt From Overtime: Exempt: Yes Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please emailapplicant.accommodations@unchealth.unc.eduif you need a reasonable accommodation to search and/or to apply for a career opportunity. RequiredPreferredJob Industries Other
    $94k-238k yearly est. 11d ago
  • OBGYN Physician - Academic Specialist

    Prisma Health 4.6company rating

    Columbia, SC jobs

    Inspire health. Serve with Compassion. Be the difference. OBGYN Physician - Academic Specialist Columbia, SC Prisma Health, South Carolina's largest not-for-profit healthcare provider, is seeking Board Certified/Board Eligible OBGYN physicians to join the Department of Obstetrics and Gynecology in Columbia, SC. Prisma Health hospitals serve as tertiary care and referral centers for obstetric, neonatal, and pediatric services in the Midlands region. As part of our diverse OBGYN team, you will have the opportunity to work alongside specialists in various subspecialties, including Urogynecology, Minimally Invasive Surgery, Complex Family Planning, Maternal-Fetal Medicine, Pediatric and Adolescent Gynecology, Reproductive Endocrinology/Infertility, and Genetic Counseling. These services are all located near our Prisma Health Richland campus. Details: Join an award-winning team: Prisma Health has 3 of the top 5 maternity care hospitals in South Carolina. International Baby-Friendly status, recognizing optimal care for infant feeding and mother-baby bonding. BlueCross BlueShield of SC-designated Blue Distinction Centers (BDCs) for maternity care. Academic and Teaching Opportunities: Have the opportunity to shape the future of OBGYN medicine by educating medical students, APP students, and OBGYN residents. The Richland campus serves as the primary site for graduate medical education for the University of South Carolina, offering multiple residencies and fellowships. Academic Appointment: Appointment with the University of South Carolina School of Medicine, commensurate with experience. Research opportunities Work-life balance: You will be supported by a dedicated team of laborists/hospitalists, along with an onsite midwifery program in Labor & Delivery, ensuring a collaborative and balanced work environment. Robotic Surgery Available. Highlights: Competitive salary Sign-on bonus Paid relocation and malpractice coverage (including tail coverage) Generous professional expense allowance Comprehensive benefits package, including retirement, health, dental, and vision coverage Public Service Loan Forgiveness Employer EPIC EMR system With nearly 30,000 team members, 18 hospitals, 2,984 beds, and more than 300 physician practice sites, Prisma Health serves over 1.2 million unique patients annually. Our goal is to improve the health of all South Carolinians by enhancing clinical quality, patient experience, and access to affordable care, while also conducting clinical research and training the next generation of medical professionals. For more information, visit PrismaHealth.org. Columbia, the state capital, is a vibrant college town with a rich cultural scene, largely thanks to the University of South Carolina. Enjoy college sports, arts, cultural events, and more. With an affordable cost of living, excellent schools, a revitalized downtown, and attractions like a nationally ranked zoo and childrens museums, Columbia is an ideal place for families. Outdoor enthusiasts will appreciate easy access to the regions rivers, 650 miles of Lake Murray shoreline, and state and national parksall within a 30-minute drive. Plus, you can reach the beach or mountains in under three hours. Qualified candidates should submit a letter of interest and CV to: Darian Lyles, Physician Recruiter,*****************************. Prisma Health is an equal opportunity employer which proudly values diversity. Candidates of all backgrounds are encouraged to apply. RequiredPreferredJob Industries Other
    $130k-296k yearly est. 11d ago
  • Medical Billing & Claims Manager (DHPI98)

    Tuba City Regional Health Care Corporation 4.1company rating

    Tuba City, AZ jobs

    Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference. Overview POSITION SUMMARY The purpose of the position is to manage and lead the medical, pharmacy and dental billing of third-party payers applicable to outpatient, inpatient, ancillary, ambulatory surgery and professional services. Incumbent is responsible for management, providing technical direction and submission of properly executed claims in a timely manner to third party payers, responsible parties, and resubmission of corrected claims. Maximize reimbursement and minimize denied payments. Understand and monitor Patient Financial Key Performance Indicators while achieving the Clean Claim Goal established for TCRHCC. Responsibilities will also include delegation and assistance to the Director of Revenue Cycle. Qualifications NECESSARY QUALIFICATIONS Education: Associate degree in Business Administration or related business field (Finance, Accounting, Administration, etc.) Experience: * Minimum three-years of successful supervisory or management * Minimum five-year experience as a medical billing technician in a tribal or non-profit healthcare patient accounting * Demonstrated knowledge of ICD-10, and CPT/HCPCS coding/billing procedures, Uniform Hospital Discharge Data definitions regarding diagnostic and procedural sequencing in order to interpret and resolve problems based on information derived from system monitoring reports and the UB-04, HCFA-1500, and ADA billing forms submitted to the third-party * Computer skills: ability to access and use multiple data License/Certification: * Obtain a Certification as a Revenue Cycle Representative through the Healthcare Financial Management Association (HFMA) one year from date of hire. Failure to obtain certification will result in termination of employment at TCRHCC. Other Skills and Abilities: A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: * Positive working relationships with others * Possession of high ethical standards and no history of complaints * Reliable and dependable; reports to work as scheduled without excessive absences and no reported attendance issues * Ability to plan and lead effective team meetings and training * Possess expertise in professional communication, interpersonal, organizational leadership and team building skills * Possess excellent customer services skills for internal and external customers * Ability to work under pressure and making quality and effective decisions * Ability to positively motivate individuals and teams to meet or exceed department expectations/goals. * Completion of and above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job * Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job * Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job * Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading or incomplete information, as determined by MENTAL AND PHYSICAL EFFORT The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Physical: The work is primarily sedentary, must have ability to sit for a prolonged period of time, and occasionally stand, walk, drive, bend, climb, kneel, crouch, twist, maintain balance, and reach. Must have ability to lift, push and pull over 100lbs occasionally. Sensory Requirements for position include prolonged telephone use, frequent far, near and color vision, depth perception, seeing fine details, hearing normal speech, and hearing overhead pages. Must have ability of both hand manipulation in prolonged use of keyboards, and frequent simple/firm grasping and fine manipulation. Mental: Exercises initiative and judgment in deviating from existing department or corporation practices to resolve billing issues/concerns. Work is reviewed for conformance to policies, procedures, and practices relating to billing practices. Must have ability of prolonged concentration and to work alone, frequent ability to cope with high levels of stress, make decisions under high pressure, handle multiple priorities in stressful situation, demonstrate high degree of patience, adapt to shift work, work in areas that are close and crowded, and occasionally cope with anger/fear/hostility of others in a calm way, manage altercations, and handle a high degree of flexibility including frequently accepting a flexible schedule to meet unit needs. Environmental: May occasionally be exposed to infectious disease, chemical agents, dust, fumes, gases, extremes in temperature or humidity, hazardous or moving equipment, unprotected heights, and loud noises. Responsibilities ESSENTIAL FUNCTIONS: * Manages and leads the billing functions and staff in the medical (Institutional & Professional), Pharmacy and Dental, billing and * Thorough knowledge of third-party payer rules and regulations (i.e. Medicare, Medicaid, Managed Care, Commercial Insurance, Workers' Compensation, Motor Vehicle Insurance) * Experienced with charge master, EDI claims, medical billing, E.H.R., CCI Edits and Claims Scrubbing, and Insurance Verification of Benefits systems. * Develops, implements and maintains billing policies and * Establishes and maintains a working relationship with Medicare and Medicaid intermediaries, state and federal agencies, area employers and private insurance * Proficient with MS Excel and Word software * Develops statistical reports and control methods, which identify insurer billing requirements, and productivity standards and results. Identifies limitations and provides information for staff * Provides technical assistance to management, medical providers, patients and other facility personnel by obtaining information relative to medical billing requirements, covered services, audit reports, or billing statistics, * Coordinates and oversees work of staff; has the responsibility of distributing workloads as * Responsible for maintaining time and attendance in timekeeping system of * Monitors productivity of staff to ensure it meets production Assures staff is provided a work environment conducive to productivity and good health. * Trains employees and holds periodic (in-house) training sessions. Assists in interpreting regulations, requirements and procedures; provides technical assistance to resolve patient accounting system * Reviews staff work for conformance to policies, procedures, and practices relating to Alternate Resources regulations, review of appropriate E&M, correct CPT/HCPCS codes, American Medical Association (AMA) requirements, American Dental Association (CDT-2), and the Health Care Finance Administration (HCFA) * Prepares and conducts employee job performance evaluations and forwards to Director of Revenue Cycle for * Responsible for the orientation and education of staff to ensure compliance with new and existing regulations of third party payers (i.e. covered services, limitations, ). * Assists with testing of new software, implementation of new payer requirements and guidelines, CMS regulatory guidelines, new process flows, * Evaluates and addresses issues and concerns relative to daily operations of assigned areas, also provides recommendation/suggestion to improve the overall operations (i.e. cost containment via personnel management) to the Director of Revenue Cycle * Responsible to initiate, carry out, and enforce disciplinary action policy and procedure with staff when * Verifies accuracy of services and billed amounts, and that services are allowed by appropriate regulations, directives and payer guidelines. * Identifies errors, omissions, duplications in documents and contacts the appropriate individuals to resolve * Responsible for providing monthly reports, organizing schedules (i.e. regular, overtime, ). * Attends and participates in management meetings as * Accepts delegation in the absence of immediate * Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH- approved N95 filtering facepiece respirator or higher, if available), and eye or face * Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE (see CDC website for most current updates) * Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer * Performs other duties and special projects as assigned or required.
    $49k-72k yearly est. Auto-Apply 60d+ ago
  • Billing Specialist-Intake

    Viemed Careers 3.8company rating

    Lafayette, LA jobs

    Essential Duties and Responsibilities: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position. Responsibilities include billing & account follow-up and compliance with all governmental and regulatory agencies. Responsible for billing private insurances, private individuals, and/or Government entities for home medical equipment. Understand and comply with all governmental, regulatory and Viemed billing and compliance regulations/policies including but not limited to Medicare and Medicaid programs. Review of HCFAS and patient invoices for appropriate coding, charges, allowable, co-pays, and supporting documentation. Follow-up with Therapist, Intake Specialist, CSR, and other appropriate parties to collect open billings promptly and to ensure compliance with billing regulations. Identify and report to management payer issues concerning billing. Coordinate all patient information and process paperwork including preparation of file for billing. Establish patient records and record appropriate patient and equipment rental information in each patient's record. Process accounts and maintains appropriate records promptly. All Charts/Tickets should be billed with 48hrs of receiving the paperwork emails. Reports all concerns or issues directly to Intake Manager or Intake Supervisor Qualifications High School Diploma or equivalent One (1) to two (2) years working for a Durable Medical Equipment company or relevant medical office experience preferred. Ability to file, perform billing functions, maintain records, understanding of billing requirements, good typing and telemarketing skills. Basic understandings of medical insurance benefits Basic knowledge of medical billing system preferred. 2-4 years' HME billing. Data entry, accounting, or customer service experience. Skill in establishing and maintaining effective working relationships with other employees, patients, organizations, and the public. Effectively communicate with physicians, patients, insurers, colleagues, and staff Able to read and understand medical documentation effectively. Knowledge and understanding of the same and similar DME equipment. Knowledge and understanding of In-network vs Out of Network, PPO, HMO Thorough understanding and maintaining of medical insurances company's regulations and requirements to include but not limited to Medicare and Medicaid. Working knowledge of CPT, HCPCS & ICD10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits. Learns and maintains knowledge of current patient database & billing system. Up to date with health information technologies and applications Answers telephone politely and professionally. Communicates information to appropriate personnel and management promptly. Establishes and maintains effective communication and good working relationships with co-workers, patients, organizations, and the public. Proficient in Microsoft Office, including Outlook, Word, and Excel Utilizes initiative, strives to maintain steady level of productivity and is self-motivated. Work week is Monday through Friday and candidates will work an agreed-upon shift (current shifts include 7am-4pm, 8am-5pm, 9am-6pm) Possible weekend work or overtime. Access to Protected Health Information (PHI) This position will require the employee to handle Protected Health Information (PHI) for duties related to document and report preparation. Policies and procedures will be strictly adhered to make sure PHI is protected as required by the HIPAA Privacy Rule. Working Conditions This position will work in an office environment. You will be expected to work during normal business hours, which are Monday through Friday, 8:00 a.m. to 5:00 p.m. Please note this job description is not designed to cover and/or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Essential duties and responsibilities may change at any time with or without notice.
    $31k-38k yearly est. 43d ago
  • Billing Specialist

    Tri-Cities Community Health 4.4company rating

    Pasco, WA jobs

    ABOUT US In 1981, fueled by the desire to provide quality, accessible healthcare to migrant and farm workers in their community, five visionary women laid the foundation of what would later become Tri-Cities Community Health (TCCH). As a Federally Qualified Health Center (FQHC), TCCH stands tall in the community, boasting six clinical sites strategically positioned to provide comprehensive primary care services to the underserved populations of Pasco, Kennewick, Richland, and the neighboring cities. Serving as the trusted medical home for our patients, TCCH offers a wide range of services - from dental care, optometry, and pharmacy needs to behavioral health and endocrinology. Our spectrum of services is continually expanding as our community grows. Our excellent care extends beyond the walls of our clinics, seamlessly connecting patients to vital social services like WIC and Maternal Support Services. And for those facing logistical barriers, we go the extra mile, ensuring access to prescribed medication by delivering directly to their doorstep. Everything we do reflects our core values of Quality, Respect, and Service. OPPORTUNITY TCCH is growing and actively recruiting Billing Specialist to join our team within the Pasco administrative building. We are seeking passionate, driven individuals who align with our values of Quality, Respect, and Service, and are eager to make a meaningful impact on the well-being of our patients through delivery of exceptional care. FUNCTIONS Reviews all billing activity daily Manages accounts receivable Resolves patient billing problems and unpaid claims with insurance companies, as observed by manager SCHEDULE / LOCATION Monday-Friday, full time Pasco Administrative Building - 800 W Court St, Pasco, WA 99301 WAGE / STATUS $21.52-$24.24/hour; up to $27.84 This is a Union / Bargaining Unit position, non-exempt BENEFITS AND WELL-BEING A flexible, part time schedule for creating a healthy work-life balance Competitive pay for highly qualified individuals (you!) Benefits package including medical, dental, vision, life, disability, retirement with employer match, and paid sick/vacation time Conveniently located within a 3-4 hour drive to major metropolitan areas such as Seattle, Portland, Spokane, and Coeur d'Alene Conveniently located between major outdoor recreational hubs such as Mount Rainier National Park, White Pass/Bluewood/Schweitzer Ski Resorts, Snoqualmie/Palouse/Multnomah Falls, wine country, and more! WHY TCCH? At Tri-Cities Community Health, we are dedicated to making a lasting impact on the lives of others while keeping pace with our rapidly growing community. Enjoy flexible scheduling, excellent benefits, and a fulfilling work-life balance that allows you to embrace the 300 days of sunshine the Tri-Cities has to offer! As a healthcare professional with TCCH, you'll be a part of a collaborative team focused on providing comprehensive care to the underserved and underinsured populations of our community - creating meaningful, generational change. Requirements Billing certificate or degree, preferred Two (2) years of experience in accounts receivable, collections, medical/dental billing, and/or data processing, preferred Proficient in English and another language (Spanish, Russian, Mandarin, or other) preferred
    $21.5-24.2 hourly 33d ago
  • Billing Specialist

    Coffee Regional Medical c 4.2company rating

    Douglas, GA jobs

    Billing Specialist (FT) The billing specialist performs a wide variety of duties relating to review, analysis, billing, adjusting, finalizing, and filing of all third-party and private insurance company claims. OVERVIEW The evaluation is to assure individual performance, departmental goals and organizational goals are aligned. It is designed to support communication between the manager and the employee. Employee perception of their own performance is very important. To maximize the benefit of this process, both the manager and the employee participate in the evaluation process. QUALIFICATIONS Knowledge, Skills and Abilities Excellent customer service skills. Reads and understands the English language. Ability to think critically and analytically with little or no supervision Ability to work effectively in situations of high stress and conflict and communicate goals and outcomes. Ability to process information and prioritize Possesses exceptional verbal and written communication skills Possesses independent work habits, is self-reliant and self-directed Ability to learn, adapt, and change as required by the job functions Ability to maintain absolute confidentiality of material and information accessed and reviewed Basic computer literacy Ability to move freely, reach, bend, and complete light lifting Ability to use good body mechanics while performing daily job functions and ability to follow specific OSHA guidelines Ability to maintain attendance to meet standard job practices Education High School Graduate or G.E.D. required Licensure Experience One year of healthcare experience desired. Requires three to six months on-the-job training to become familiar with billing practices and policies. Interpersonal skills Essential technical/motor skills Essential physical requirements Light: Exert up to 20 lb. of force occasionally and/or up to 10 lb. of force frequently - greater than 75% Essential mental requirements Essential sensory requirements Other Typing skills may be required. Computer experience necessary. Must be able to communicate effectively with others. Must be able to interpret third-party coverage and institution's charges. Preferably C.P.A.R. certified, but not required. Equipment used OTHER QUALIFICATIONS Exposure to hazards (body fluid exposure level) Level III Age of Patient Populations Served No patient contact JOB SPECIFIC DUTIES AND PERFORMANCE STANDARDS Below are those tasks, duties, and responsibilities that comprise the means of accomplishing the position's purpose and objectives. These are critical or fundamental to the performance of the position. They are the major functions for which the person in the position is held accountable. Following are the essential functions of the position, along with the corresponding performance standards. Major Tasks, Duties and Responsibilities Bills electronic and paper claims using the hospital computer systems. Corrects any errors detected on claim forms prior and post claim filing. Files adjustment claims based on review of available account detail (late credits, charges, denials, etc.). Analyzes, computes, and requests adjustments to accounts as needed. Attends seminars and workshops directly relating to third-party billing procedures as requested by management. Responds to all telephone inquires to billing in accordance with established procedures. Ensures that all potential payments are received prior to billing the patient. Keeps coordinators and/or management updated on workload, denials, and appeals for their payor group Reviews denied claims for rebilling and no pay claims to ensure that proper payments are received. Performs rebilling and adjustments required by third-party and private insurance company payments in accordance with timely filing requirements. Follows up on all unpaid accounts either by phone or mail in accordance with departmental procedure through the use of collector follow up queues and reports. Reviews patient receivable trial balances for incorrect balances and makes necessary adjustments as provided by Coordinators or Director. Initiates refund requests in accordance within departmental procedures. Files secondary claims timely in accordance with payor guidelines and with proper attachments. Requests and uses reports to work assigned accounts to ensure recovery on aged accounts in a timely manner. Keeps up to date on payor billing requirements, state and federal regulations. Understands UB, CPT, and ICD diagnosis codes as the codes relate to billing/claim filing. Documents payor correspondence, actions taken and inquiries on accounts in notes for tracking/audit purposes. Ability to produce workable ideas and techniques, willingness to attempt new approaches and perform job duties independently. Performs duties in an independent manner with minimal direct supervision. Can solve day to day problems within scope of practice and make decisions in a timely manner. Offers workable ideas, concepts and techniques to improve productivity. Willing to attempt new job duties, tasks, etc. Maintains regulatory requirements including all state, federal and Joint Commission regulations related to Patient Financial Services and, as appropriate, to the facility. Performs any other task as requested by Supervisor or Management in a willing and positive manner.
    $25k-32k yearly est. Auto-Apply 23d ago
  • Billing Specialist

    SWLA Center for Health Services 3.7company rating

    Lake Charles, LA jobs

    SU JOB TITLE: Billing Specialist DEPARTMENT: Billing SUPERVISED BY: Billing Supervisor STATUS: Full-Time WORK SITE CAN BE LAKE CHARLES, LAFAYETTE OR CROWLEY This position is primarily responsible for all patient billing, payments and accounts receivable financial reporting. EDUCATION, TRAINING AND EXPERIENCE: 1. High school graduate and at least one year experience in the medical field 2. Minimum one year experience in third party billing, ICD-10 and CPT coding. 3. Ability to counsel patients using an effective, courteous and professional attitude under pressure. 4. Ability to effectively communicate with others 5. Efficiency in office equipment 6. Must successfully complete a pre-employment physical examination and drug screen. 7. Able to perform tasks in a timely manner and should work in a well-organized manner JOB RESPONSIBILITIES: Researches all information needed to complete billing process including obtaining charge information from physicians Codes & corrects information regarding procedures performed along with diagnosis Reviews and/or keys charge information into online entry program and follows billing procedures Works with other staff to follow-up on accounts Assists with coding and error resolution Contacting payers on denials and correcting claims for resubmission and payment Assists with answering the telephone, taking and relaying messages Maintains required billing records, reports and files Understands and observes organization policies regarding HIPAA confidentiality and security of information Other duties may be assigned including special projects and provider enrollment tasks if needed Retrieve online remittance advices Posts all payments to patient accounts accordingly and in a timely manner Assist front office with billing and account inquiring including but not limited to voiding payments posted in error and patient account inquiries Maintains information on encounters not received by providers and communicates this information with those providers Serves as a resource when needed, including assisting in co-worker training and orientations Observes clinic policies and procedures Participates in educational experiences designed to maintain competence Annually completes all required in-services and training as appropriate to the job
    $28k-35k yearly est. 55d ago
  • Billing Coordinator

    Nextcare, Inc. 4.5company rating

    Tempe, AZ jobs

    What we are looking for NextCare Urgent Care is looking for a Billing Coordinator to be a part of our Urgent Care Team. Responsibilities The Billing Coordinator will be responsible for the daily billing of claims for all carriers. This position will monitor and distribute the APN reports from the clearinghouse and insurance carriers and communicate this information back to the Billing Supervisor. This position will also assist in the posting of contractual, courtesy adjustments, as well as monitoring contractual analysis reports. This position will be assist with the table maintenance of the electronic billing system and clearinghouse information flow. They will be responsible for communicating billing trends to the manager as well as patient statement processing. How you will make an impact The Billing Coordinator supports the organization with the following: * Responsible for the daily billing of claims to insurance carriers based on contract requirements. * Help train new employees with NextGen, contracts, and business office Policies and Procedures. * Monitor and distribute the APN reports generated by the clearinghouse and insurance carriers. * Help post contractual adjustments and transfer deductibles to patient accounts. * Assist with claim resubmission projects when necessary. * Assist in maintaining Navicure with Waystar. * Assist with reviewing accounts that have partial or under payments. * Clean out daily the clearinghouse rejections and claims with errors held in the system. * Post adjustments to accounts based on contractual rates and deductibles. * Review accounts to determine if billed correctly. * Assist other members of the team as needed. Essential Education, Experience and Skills: Minimum Education: High School diploma or equivalent. Experience: * Must have two years' experience billing, collections, payment posting, and electronic and paper claims. * Experience with Managed Care contracts, Medicare and AHCCCS. * Basic insurance knowledge, reading patient eligibility and benefit coverage details. * Experience with revenue cycle and reimbursement in a healthcare facility. * Microsoft Programs, Windows, Excel, Word, and Teams. * Internet browser knowledge (basics) for Edge or Chrome. Valued But Not Required Education, Experience and Skills: Experience: Medical collections experience; NextGen software experience: Previous supervision experience in the healthcare field is helpful, Waystar Clearinghouse, Payer Provider Portals, and Basic Terminology of Medical Billing Practices.
    $46k-62k yearly est. 3d ago
  • Billing Specialist

    Tri-Cities Community Health 4.4company rating

    Pasco, WA jobs

    Requirements Billing certificate or degree, preferred Two (2) years of experience in accounts receivable, collections, medical/dental billing, and/or data processing, preferred Proficient in English and another language (Spanish, Russian, Mandarin, or other) preferred
    $34k-39k yearly est. 26d ago
  • Billing Specialist

    Hopehealth, Inc. 3.9company rating

    Florence, SC jobs

    Responsible for correctly processing healthcare claims in order to obtain reimbursement from insurance companies and government healthcare programs, such as Medicare and Medicaid. Education and Experience: * High School Diploma or GED required. Associates degree in related field preferred * 1-2 years of medical billing and follow-up experience desired * CPC and/or CPB or similar certification highly desired but not required * eClinicalWorks experience preferred * Proficient with Microsoft Office Suite specifically Excel, Word, and Power Point * Advance and current working knowledge of ICD-10, CPT, and HCPCS codes * Current knowledge of insurance payer coding and reimbursement guidelines Required Skills / Abilities: * Demonstrates the ability to work in a high pressure environment * Strong active listening skills, attention to detail, and decision-making skills are required * Pleasant, friendly attitude with the ability to adapt to change is essential * Superior problem- solving abilities is required * Ability to collaborate with all departments * Possess the ability to work with patients, clinical, non-clinical staff and providers from a variety of backgrounds and lifestyles while maintaining a non-judgmental attitude. * Possess excellent customer service skills and be well organized. * Ability to communicate effectively utilizing both oral and written means. * Ability to handle various tasks simultaneously while working efficiently, effectively, and independently * Must be comfortable taking direction from Leadership Supervisory Responsibilities: * No supervisory responsibilities Essential Job Functions: These essential job functions are required of the Billing Specialist based upon departmental and organizational guidelines, processes, and/or policies. It is the Billing Specialists responsibility while working to ensure excellence in service for the internal and external customers. * Validates the accuracy of claim information so that future billing and follow up activities are conducted effectively and to assure a high degree of customer service. * Apply approved adjustments to accounts per departmental and company policy. * Scrub claims for errors. Mark all appropriate corrections per departmental and payer guidelines. * File all electronic claims and hard copy claims daily. * Processes daily all mail and direct correspondence related to open accounts to secure payment, including rejections, denials, or requests for re-bills. Identifies accounts that need rebilling and performs this task within two (2) business days. * Provides assistance to other department staff with questions or problems related to patient payments, adjustments, remittance advises, or other correspondence in a timely manner * Receives incoming calls from patients and/or insurance companies. Answer questions and provide information in a courteous and cooperative manner. Returns phone calls within 24 hours. * Address all actions within 48 hours. Urgent actions are addressed in 24 hours. * Responsible for maintaining daily account and follow-up worklists within department while maintaining organization's productivity standard. Work account receivables by addressing claims that qualify for insurance follow-up by working claim status buckets. Contact insurance companies within payer specific follow-up guidelines and secures appropriate information about each claim. Document the account as to what is happening on each claim for future reference. * Adhere to all departmental and organizational guidelines, processes, and policies. * Attends and participates in departmental and organizational meetings and continuing education opportunities * Demonstrates and promotes a positive patient/customer service attitude * Perform other duties as assigned Physical Requirements: Must possess the ability to communicate in the dominant language of the geographic region. Must be able to lift 30 pounds. Vision and hearing corrected to within normal limits is required. Must have manual dexterity to key in data; utilize computer, grab, grip, hold, tear, cut, sort, and reach.
    $25k-32k yearly est. 1d ago
  • Billing Specialist

    Hopehealth Inc. 3.9company rating

    Florence, SC jobs

    Job Description Responsible for correctly processing healthcare claims in order to obtain reimbursement from insurance companies and government healthcare programs, such as Medicare and Medicaid. Education and Experience: • High School Diploma or GED required. Associates degree in related field preferred • 1-2 years of medical billing and follow-up experience desired • CPC and/or CPB or similar certification highly desired but not required • eClinicalWorks experience preferred • Proficient with Microsoft Office Suite specifically Excel, Word, and Power Point • Advance and current working knowledge of ICD-10, CPT, and HCPCS codes • Current knowledge of insurance payer coding and reimbursement guidelines Required Skills / Abilities: • Demonstrates the ability to work in a high pressure environment • Strong active listening skills, attention to detail, and decision-making skills are required • Pleasant, friendly attitude with the ability to adapt to change is essential • Superior problem- solving abilities is required • Ability to collaborate with all departments • Possess the ability to work with patients, clinical, non-clinical staff and providers from a variety of backgrounds and lifestyles while maintaining a non-judgmental attitude. • Possess excellent customer service skills and be well organized. • Ability to communicate effectively utilizing both oral and written means. • Ability to handle various tasks simultaneously while working efficiently, effectively, and independently • Must be comfortable taking direction from Leadership Supervisory Responsibilities: • No supervisory responsibilities Essential Job Functions: These essential job functions are required of the Billing Specialist based upon departmental and organizational guidelines, processes, and/or policies. It is the Billing Specialists responsibility while working to ensure excellence in service for the internal and external customers. • Validates the accuracy of claim information so that future billing and follow up activities are conducted effectively and to assure a high degree of customer service. • Apply approved adjustments to accounts per departmental and company policy. • Scrub claims for errors. Mark all appropriate corrections per departmental and payer guidelines. • File all electronic claims and hard copy claims daily. • Processes daily all mail and direct correspondence related to open accounts to secure payment, including rejections, denials, or requests for re-bills. Identifies accounts that need rebilling and performs this task within two (2) business days. • Provides assistance to other department staff with questions or problems related to patient payments, adjustments, remittance advises, or other correspondence in a timely manner • Receives incoming calls from patients and/or insurance companies. Answer questions and provide information in a courteous and cooperative manner. Returns phone calls within 24 hours. • Address all actions within 48 hours. Urgent actions are addressed in 24 hours. • Responsible for maintaining daily account and follow-up worklists within department while maintaining organization's productivity standard. Work account receivables by addressing claims that qualify for insurance follow-up by working claim status buckets. Contact insurance companies within payer specific follow-up guidelines and secures appropriate information about each claim. Document the account as to what is happening on each claim for future reference. • Adhere to all departmental and organizational guidelines, processes, and policies. • Attends and participates in departmental and organizational meetings and continuing education opportunities • Demonstrates and promotes a positive patient/customer service attitude • Perform other duties as assigned Physical Requirements: Must possess the ability to communicate in the dominant language of the geographic region. Must be able to lift 30 pounds. Vision and hearing corrected to within normal limits is required. Must have manual dexterity to key in data; utilize computer, grab, grip, hold, tear, cut, sort, and reach.
    $25k-32k yearly est. 3d ago
  • Billing Coordinator - Mom & Baby

    Aeroflow Career 4.4company rating

    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.
    $38k-55k yearly est. 20d ago
  • Billing Specialist

    Journey Care Team of Georgia LLC 3.8company rating

    Cumming, GA jobs

    Job Description At Journey, we are dedicated to changing the world one heart at a time by providing exceptional care and support to the individuals and communities we serve. We are seeking a Billing Specialist to join our team and support our mission through accurate, timely, and compassionate financial processing and communication. Position Overview: The Billing Specialist is responsible for managing billing processes across assigned facilities, ensuring accuracy, compliance, and efficiency. This includes working closely with facility leadership, families, payors, and internal teams to ensure all billing information is collected, processed, and communicated clearly. Key Responsibilities: Process, review, and submit billing for assigned facilities accurately and on schedule Monitor account balances, reimbursements, adjustments, and payment posting Respond to inquiries from families, residents, payors, and facility staff regarding billing statements and account status Collaborate with facility teams to ensure required documentation is complete and accurate Troubleshoot billing discrepancies and resolve issues in a timely and professional manner Maintain compliance with state, federal, and organization regulations/policies Support month-end close processes as needed What We're Looking For: Previous billing or accounting experience preferred (healthcare or long-term care billing experience is a plus) Strong attention to detail and ability to work with numerical data accurately Excellent communication and customer service skills Ability to work independently, manage multiple deadlines, and handle sensitive information with professionalism Comfort using billing software, spreadsheets, and electronic documentation systems Why Join Journey: Mission-centered culture focused on care and compassion Collaborative environment with supportive leadership Opportunities for growth and advancement within a rapidly expanding organization A role that directly impacts the experience and support provided to residents and families If you are a detail-oriented professional who values meaningful work and a team-driven environment, we encourage you to apply. Be a part of something that matters - Apply today!
    $31k-36k yearly est. 1d ago
  • Medical Biller Manager-On Site

    at Home Care Missouri 3.6company rating

    Ferguson, MO jobs

    MEDICAL BILLING EXPERIENCE REQUIRED! NOW HIRING: Medical Billing Manager - Take the Lead in Healthcare Excellence 🚨 St. Louis, MO | Full-Time | $50,000-$55,000 + Full Benefits Are you a billing pro ready to step up and lead? Do you know full-cycle medical billing like the back of your hand? Can you walk into a room of execs and walk out with their respect? If you're nodding yes-we want to meet you. Job Description: We're seeking a sharp, motivated Medical Billing Manager with 2-5 years of experience, with at least 2 years in a lead or supervisory role. You'll guide our billing team, streamline processes, and drive accuracy in everything from claims submission to denial resolution. Job Duties: Managing the full medical billing lifecycle-from charge entry to collections Leading and motivating a team of billing staff Presenting trend reports and insights to leadership Ensuring claims comply with Medicare/Medicaid, commercial payer, and HIPAA standards Identifying process gaps and implementing improvements Training new staff and being the go-to expert for billing operations What You Bring to the Table: 2-5 years of medical billing experience (with 2+ years in a supervisory role) Expertise in CPT, ICD-10, HCPCS, Medicare/Medicaid, and commercial insurance Experience with billing platforms like Emomed, Trizetto, Gateway EDI, Availity, or Waystar Excel wizardry (pivot tables? formulas?) Strong organizational, communication, and analytical skills Confidence to lead meetings and present to executives with ease What We Offer: Pay: $50,000-$55,000 annually Time Off: Paid Holidays + PTO Health: Medical, Dental, Vision, Life, Short-Term Disability Perks: Tuition Scholarship Program + Voluntary Benefits Culture: Collaborative, mission-driven, and rooted in integrity Why You Should Apply: Because you're not just looking for another job-you're looking for a place to lead, grow, and make an impact in healthcare. Ready to make your next move? Apply now and let's build something better-together.
    $50k-55k yearly 60d+ ago

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