Billing Specialist jobs at Ortho Montana - 2251 jobs

If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we've served the health care needs of the people of Memphis and the Mid-South. Responsible for precertification of eligible prescriptions. Ensures complete documentation is obtained that meets insurer guidelines for medical necessity and payment for services. Models appropriate behavior as exemplified in MLH Mission, Vision and Values. Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence. A Brief Overview Responsible for precertification of eligible prescriptions. Ensures complete documentation is obtained that meets insurer guidelines for medical necessity and payment for services. Models appropriate behavior as exemplified in MLH Mission, Vision and Values. What you will do Responsible for precertification of eligible prescription medications for inpatient and outpatient services based on medical plan documents and medical necessity. Ensures medical documentation is sufficient to meet insurer guidelines for medical necessity documentation and procedure payment. Reviews clinical information submitted by medical providers to evaluate the necessity, appropriateness and efficiency of the use of prescription medications. Assists with patient assistance and grant coordination for Patients for outpatient pharmacies from designated areas. Proactively analyzes information submitted by providers to make timely medical necessity review determinations based on appropriate criteria and standards guidelines. Verifies physician orders are accurate. Determines CPT, HCPCS and ICD-10 codes for proper Prior Authorization. Contacts insurance companies and third party administrators to gather information and organize work-flow based on the requested procedure. Collects, reads and interprets medical documentation to determine if the appropriate clinical information has been provided for insurance reimbursement and proper charge capture. Serves as primary contact with physicians/physician offices to collect clinical documentation consistent with insurer reimbursement guidelines. Establishes and maintains rapport with providers as well as ongoing education of providers concerning protocols for pre-certification. Communicates information and acts as a resource to Patient Access, Case Management, and others in regard to contract guidelines and pre-certification requirements. Performs research regarding denials or problematic accounts as necessary. Works to identify trends and root cause of issues and recommend resolutions for future processes. Education/Formal Training Requirements Required - High School Diploma or Equivalent Work Experience Requirements Required - Pharmacy (clinical, hospital, outpatient, or specialty) 3-5 years Licenses and Certifications Requirements Required - Pharmacy Technician - Tennessee - Tennessee Board of Pharmacy Required - Certified Pharmacy Technician - Pharmacy Technician Certification Board Preferred - Certified Pharmacy Technician- ExCPT - National Healthcareer Association Preferred - Pharmacy Technician - Mississippi - Mississippi Board of Pharmacy Knowledge, Skills and Abilities Basic understanding of prescription processing flow. Expertise in utiliizing EMRs to document clinical critieria required for third party approval. Knowledgeable of medical terminology, drug nomenclature, symbols and abbreviations associated with pharmacy practice. Strong attention to detail and critical thinking skills. Ability to speak and communicate effectively with patients, associates, and other health professionals. Ability to diagnose a situation and make recommendations on how to resolve problems. Experience with a computerized healthcare information system required. Familiarity with fundamental Microsoft Word software. Excellent verbal and written communication skills. Supervision Provided by this Position There are no lead or supervisory responsibilities assigned to this position. Physical Demands The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion. Must have good balance and coordination. The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently. The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading. The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative. Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity. Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.

PAY RATE: $15.61#-#$21.07 BASED ON RELEVANT EXPERIENCE + $1.00 FLOAT#DIFFERENTIAL# COMPETITIVE BENEFITS Click here#to review our complete Total Rewards Guide.# Retirement + matching Up to 4 weeks paid time off in first year Onsite childcare -#Quincy# 24/7 Wellness Center access Educational assistance opportunities JOB SUMMARY This position is responsible for representing the organization in a courteous and efficient manner by demonstrating professional conduct and a positive attitude. This position will maintain patient account information, schedule patient appointments, collect co-pays, process mail, and maintain reception area. This position requires full understanding and active participation in fulfilling the Mission of Blessing Coporate Services. It is expected that the employee demonstrate behavior consistent with the Core Values while supporting the strategic plan, goals and direction of the Performance Improvement goals. # JOB QUALIFICATIONS Education/Training/Experience: REQUIRED: High School Diploma or equivalent PREFERRED: Two years in a physician office setting Pay Status: # NON-EXEMPT HOURLY # EEO Statement: Blessing Health System provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Blessing Health System complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Blessing Health System expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Blessing Health System#s employees to perform their job duties may result in discipline up to and including discharge.

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

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

**Our promise to you:** Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better. **All the benefits and perks you need for you and your family:** + Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance + Paid Time Off from Day One + 403-B Retirement Plan + 4 Weeks 100% Paid Parental Leave + Career Development + Whole Person Well-being Resources + Mental Health Resources and Support + Pet Benefits **Schedule:** Full time **Shift:** Day (United States of America) **Address:** 100 HOSPITAL DR **City:** HENDERSONVILLE **State:** North Carolina **Postal Code:** 28792 **Job Description:** Rotating schedule: 6 a - 630 P except Wednesday which is a 6 hour shift. Rotates working every other weekend. + Guide patients through the meal ordering process using a computerized diet office system, ensuring selections align with prescribed diets and enhancing satisfaction through personalized suggestions. + Verify patient identifiers during meal delivery, ensure tray accuracy, and confirm patients have everything they need before leaving the room to support a positive dining experience. + Round on patients and nursing staff to identify and resolve foodservice concerns, taking ownership of complaints and implementing service recovery to improve patient experience scores. + Assemble and deliver trays according to therapeutic diet guidelines and presentation standards, maintaining timely and accurate service across all patient areas. + Perform physically active duties including walking long distances, standing for extended periods, and working up to 12-hour shifts while maintaining a clean, organized, and compliant work environment. **The expertise and experiences you'll need to succeed:** **QUALIFICATION REQUIREMENTS:** High School Grad or Equiv (Required) Nutrition and Dietetics Technician Registered (NDTR) - Accredited Issuing Body **Pay Range:** $14.70 - $23.51 _This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances._ **Category:** Nutritional Services **Organization:** AdventHealth Hendersonville **Schedule:** Full time **Shift:** Day **Req ID:** 150660822

Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: * Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance * Paid Time Off from Day One * 403-B Retirement Plan * 4 Weeks 100% Paid Parental Leave * Career Development * Whole Person Well-being Resources * Mental Health Resources and Support * Pet Benefits Schedule: Full time Shift: Day (United States of America) Address: 100 HOSPITAL DR City: HENDERSONVILLE State: North Carolina Postal Code: 28792 Job Description: Rotating schedule: 6 a - 630 P except Wednesday which is a 6 hour shift. Rotates working every other weekend. Guide patients through the meal ordering process using a computerized diet office system, ensuring selections align with prescribed diets and enhancing satisfaction through personalized suggestions. Verify patient identifiers during meal delivery, ensure tray accuracy, and confirm patients have everything they need before leaving the room to support a positive dining experience. Round on patients and nursing staff to identify and resolve foodservice concerns, taking ownership of complaints and implementing service recovery to improve patient experience scores. Assemble and deliver trays according to therapeutic diet guidelines and presentation standards, maintaining timely and accurate service across all patient areas. Perform physically active duties including walking long distances, standing for extended periods, and working up to 12-hour shifts while maintaining a clean, organized, and compliant work environment. The expertise and experiences you'll need to succeed: QUALIFICATION REQUIREMENTS: High School Grad or Equiv (Required) Nutrition and Dietetics Technician Registered (NDTR) - Accredited Issuing Body Pay Range: $14.70 - $23.51 This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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

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

We are Gateway Regional Medical Center Our mission is to provide compassionate, high-quality healthcare services to our community, promoting wellness and healing through innovative treatments, advanced technology, and a dedicated team of professionals. We are committed to fostering a culture of respect, integrity, and excellence, ensuring that every patient receives personalized care in a safe and nurturing environment. Together, we strive to enhance the health and well-being of those we serve and to be a trusted partner in their journey to better health. Position Overview: Billing Specialists are responsible for reviewing and contacting patients for prior balances. Review insurance eligibility to make sure claims are sent to the appropriate payer. Monitoring outstanding accounts and reviewing for accuracy and completeness. Completed timely and accurate billing for designated payer class ensuring all claims are submitted within the two day benchmark of receipt. Monitors outstanding accounts and works denied claims. Completes Refunds. Understands edits and reports. Receives and answers billing related inquiries. Completes other tasks as assigned by Manager. Specifics: -Position: Billing Specialist -Department: Business Office -Location: Gateway Regional Medical Center 2100 Madison Ave. Granite City, IL 62040 * Not Remote* -Position Status: Full-time -Work Schedule: Days, 40hrs/wk Monday-Friday Education Qualifications: Required: High School Graduate or equivalent Experience Qualifications: Minimum 2-years Medicaid billing experience in an acute care facility Working knowledge of Common Procedural Terminology (CPT) and ICD10 Codes Working knowledge of Federal, State, and Commercial billing guidelines Ability to handle multiple tasks simultaneously and concentrate in a busy environment Ability to use common computer system and business software Company Benefits: Competitive salary and performance-based incentives Comprehensive health, dental, and vision insurance plans. Click Benefits Guide to see all available Retirement savings plan with employer matching Vacation time and holiday pay Shift differentials Supportive and inclusive work environment Pay Range: The pay range for this position is $16.20 - 24.30 per hour. Disclaimer: Pay is determined based on various factors, including education level, years of experience, relevant certifications, and specific skills related to the position. The final compensation package will be discussed with Human Resources to ensure fairness and alignment with the candidate's qualifications.

As a service organization, Wesley selects employees who bring our mission to promise. When you become a member of the Wesley team, you contribute to the active lifestyle, high quality of care and other services we provide older adults at our award-winning communities or other residence. Our workforce is as diverse as our services, which include independent living, assisted living, Catered Living, memory care, skilled nursing, rehabilitation, hospice, home care and home health. Our Total Rewards philosophy is a balanced approach that meets the needs of employees on their career journey whether they are just joining the workforce or nearing retirement. We evaluate our Total Rewards offerings annually to provide benefits employees would find meaningful. In addition to competitive wages and a commitment to pay equity, we offer the following benefits and other compensation: Employees, and their families if elected, can participate in medical and vision insurance (full time and ACA eligible), dental (full time) and group life (employee only for full time, excludes part-time and on-call staff). We offer a combined paid time off (PTO) policy which incorporates state paid sick leave with company paid time off at an accrual rate of 0.0607 per hour worked, equivalent to 120 hours of PTO at 2,080 hours worked in a year. We also offer 6 Paid Holidays (8 hours for full time and 6 hours for part time per event, excludes on-call staff) and 1 Personal Holiday of Choice per year (excludes on-call staff). Retirement planning is encouraged through our 403(b) plan that includes a generous 100% company match on the first 4% of earnings an employee contributes. There is a 5-year vesting schedule on the company match, and minors are ineligible for the company match. A food and beverage discount of 50% is available to all employees at any Wesley bistro. Employees are also eligible for On-Demand Pay with Dayforce Wallet. Minors need parental consent to access this benefit. To assist employees with challenges outside of the workplace, Wesley offers an Employee Assistance Program (EAP), which is 100% company paid. Additionally, Wesley Community Foundation provides grants to qualifying employees as detailed in the plan summary. Lastly, the efforts and contributions of our valued employees are celebrated in our best-in-class recognition and reward platform, Inspire. Points earned for various reasons may be redeemed for a variety of merchandise, gift cards, tickets, travel and other experiences selected by the employee. This summary is intended to reflect the most reasonable and genuinely expected offering of benefits and other compensation for the posted job. The official website for all Wesley job postings is ********************************** Wesley is not responsible for content on third-party job boards. Salary ranges, benefits and other compensation are subject to change. Enrich the lives of older adults through community, choice, and continuing care in the Medical Billing Specialist role. This medical billing role plays a leading role in billing and collecting for care services across home care, home health, and hospice. Find your sense of belonging at Wesley! This is a part-time role, based on-site in our office in Federal Way, WA. You will provide continuing care through these responsibilities Essential functions of this position include the following. Coordinate and verify primary, secondary, and tertiary insurance; complete prior authorization as needed. Complete billing preparation for home care, home health, and hospice business lines. Process Long Term Care submissions and LTC document requests. Manage billing and accounts receivable for Home Care. Adhere to collections processes and regulatory requirements. Order supplies and maintain inventory. Complete accounts payable coding. Serve as back-up for entering miscellaneous payroll earnings and mileage. Update and maintaining insurance agreements. Create and maintaining Hospice contracts. Audit service line agreements on an annual basis. Travel to client homes to educate on long term care. Other Duties and projects as assigned. Our requirements and qualifications for success Minimum one-year experience with medical billing. Prior experience with Medicare billing; understanding of billing rules. Proficient with Microsoft Office suite and other common workplace technology. Ability to read, write, speak and understand the English language. Ability to project professionalism in representing the Company. Outstanding verbal and written communication skills required. Proficiency with electronic health record systems (e.g. Brightree, PCC, WellSky) and other software programs. Proven track record of successful organizational skills, time management, project management and follow-through. Physical, environmental, and mental requirements Ability to sit, stand or walk at-will throughout shift. Ability to hear, understand, and distinguish speech and/or other sounds one-to-one, in a group, and via telephone/computer. Keyboarding and near visual acuity. Ability to lift up to 25 lbs. Reliable transportation for occasional travel to client homes to educate on billing and insurance matters. Salary Range: $29.95 to $43.16 per hour

The Insurance Claims Coordinator reviews, handles and takes appropriate action on all unpaid third party insurance claims in excess of 30 days since file date, giving special consideration to large and/or older claims. He/She handles matters relating to account audits by insurance third party audit firms; works closely with insurance billers, medical records, registration, ancillary departments and business office personnel. The Insurance Claims Coordinator is responsible for follow up of designated insurance accounts, finalization of insurance matters, and audit matters regarding certain claims. DISCLAIMER: This is not necessarily an exhaustive list of all responsibilities, duties, skills, efforts, requirements or working conditions associated with the job. While this intends to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks performed as assigned. / Full-Time / 8am to 4:30pm / 2809 Denny Ave Pascagoula, Mississippi, 39581 United States Position Overview: The Insurance Claims Coordinator reviews, handles and takes appropriate action on all unpaid third party insurance claims in excess of 30 days since file date, giving special consideration to large and/or older claims. He/She handles matters relating to account audits by insurance third party audit firms; works closely with insurance billers, medical records, registration, ancillary departments and business office personnel. The Insurance Claims Coordinator is responsible for follow up of designated insurance accounts, finalization of insurance matters, and audit matters regarding certain claims. DISCLAIMER: This is not necessarily an exhaustive list of all responsibilities, duties, skills, efforts, requirements or working conditions associated with the job. While this intends to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks performed as assigned. Education: High school graduate or equivalent required. License: N/A Certification: N/A Experience: A minimum of two (2) years' patient accounting and insurance experience preferred. Experience in a hospital or healthcare setting preferred. Reports to: Director of Collaborative Care Network Supervises: None Physical Demands: Work is moderately active: involves sitting with frequent requirements to move about the office, move about the facility, and to travel to another facility within the SRHS service area. Work involves exerting a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body. Work involves using repetitive motions: substantial movements of the wrists, hands and/or fingers while operating standard office equipment such as computer keyboard copier and 10-key. Work involves being able to perceive the nature of sound at normal speaking levels with or without correction; the ability to make fine discriminations in sound. Work requires close visual and acuity and the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision. Must be able to work for extended periods of time without experiencing undue fatigue. Mental Demands: Must demonstrate keen mental faculties/assessment and decision making abilities. Must demonstrate superior communication/speaking/enunciation skills to receive and give information in person and by telephone. Must demonstrate strong written and verbal communication skills. Must possess emotional stability conducive to dealing with high stress levels. Must demonstrate ability to work under pressure and meet deadlines. Attention to detail and the ability to multi-task in complex situations is required. Must have strong analytical and interpersonal skills. Special Demands: Must possess superior customer service skills and professional etiquette. Must possess proficient knowledge and ability to use a computer (must be keyboard proficient) and other office technology (i.e., telephone, fax, etc.). Must have intermediate knowledge of MS Outlook, Word, Excel, and PowerPoint. Must possess knowledge of all Revenue Cycle functions in hospital settings and medical terminology; and, a thorough knowledge of state and federal laws, as they apply. Experience navigating within an Electronic Medical Record (EMR).

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.

Job Description 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.

Singing River Health System Administrative Building - Gautier | Full-Time | First Shift | 2101 Highway 90 Gautier, Mississippi, 39553 United States The Insurance Billing Specialist submits hospital claims to multiple third party payers including, but not limited to: Managed Care plans; Medicare and Medicaid; hospice and other specialty claims. He/She coordinates accumulation and verification of all necessary documentation required for billing and resolves claim level edits and errors as appropriate for accurate, compliant billing. The Insurance Billing Specialist performs follow up duties associated with re-billing, claim level denials, adjustments and collections of all overdue accounts in accordance with best business practices. He/She identifies problems and solutions or enhancements to resolve billing issues, including, billing frequency, required forms, and general billing requirements. The Insurance Billing Specialist communicates issues and offers suggestions to service line departments and management to improve processes within the Revenue Cycle. DISCLAIMER: This is not necessarily an exhaustive list of all responsibilities, duties, skills, efforts, requirements or working conditions associated with the job. While this intends to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks performed as assigned. Education High school graduate or equivalent required. Courses in business, accounting, or related fields preferred. License N/A Certification N/A Experience A minimum of two (2) years' experience in patient accounting, insurance or a business office required. Experience with diagnosis codes, procedure and CPT codes, NCCI edits, modifiers, and standard payer reported code sets preferred. Physical Demands Work is moderately active: involves sitting with frequent requirements to move about the office, move about the facility, and to travel to another facility within the SRHS service area. Work involves exerting a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body. Work involves using many physical motions in performing daily work activities; subject to exposure of body fluids, sputum and tissues, which may carry the hazard of infectious disease. Work involves using repetitive motions: substantial movements of the wrists, hands, and or fingers while operating standard office equipment such as computer keyboard. Work involves being able to perceive the nature of sound at normal speaking levels with or without correction; the ability to make fine discriminations in sound. Work requires close visual and acuity and the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision. Must be able to be active for extended periods of time without experiencing undue fatigue. Must be able to work schedules assigned with the understanding that changes may be instituted according to the needs of the hospital for off days, shifts or weekends. Mental Demands Must demonstrate keen mental faculties/assessment and decision making abilities. Must demonstrate superior communication/speaking/enunciation skills to receive and give information in person and by telephone. Must demonstrate strong written and verbal communication skills. Must possess emotional stability conducive to dealing with high stress levels. Must demonstrate ability to work under pressure and meet deadlines. Attention to detail and the ability to multi-task in complex situations is required. Must have the ability to maintain collaborative and respectable working relationships throughout SRHS and other organizations. Special Demands Must possess superior customer service skills and professional etiquette. Must possess proficient knowledge and ability to use a computer (must be keyboard proficient) and other office technology (i.e., telephone, fax, etc.), MS Outlook and Word. Must be able to demonstrate appropriate clinical judgment and apply appropriate professional skills to a patient population of all ages.

Family-oriented physician practice management company in NE Columbia is seeking to hire experienced and driven professionals in the medical billing field. Responsibilities include the billing and account resolution aspects of revenue cycle management, providing management and clients with reports and account updates with some direct client- and patient-interaction while handling multiple projects and deadlines simultaneously. ESSENTIAL DUTIES: Review and submit claims daily within client practice management system. Apply incoming ERA and manual payments to patient accounts. Analyze and resolve insurance over payments and under payments. Conduct tracking/follow up on all outstanding claims. Denial resolution; including submission of medical records and appeals. Respond to patient & client-direct communications with a high level of customer service. Manage qualifying collection agency accounts, if applicable. Submit monthly patient statements. May assist with client credentialing and contracting. Prepare Monthly and Adhoc reporting for facilities and office management · Maintain monthly financial goals and office metrics. Performs other duties as assigned by office manager and/or client management. QUALIFICATIONS AND SKILLS: High school diploma or GED required. Minimum of 1-year experience in medical billing preferred. Working knowledge of CPT / ICD-10 codes. Average understanding of Medical and Insurance Terminology. Average knowledge of Microsoft Word and Microsoft Excel. Ability to analyze standard revenue cycle metrics. Possess strong organizational skills and the ability to communicate with clients and management. Manage and develop interpersonal relationships designed to promote teamwork and achieve internal goals. Payment processing/accounting experience preferred. Job Type: Full-time Pay: $12.00 - $17.00 per hour Benefits: 401(k) 401(k) matching Dental insurance Flexible schedule Health insurance Life insurance Paid time off Vision insurance Schedule: Monday to Friday Work Location: In person

Why Join First Choice Community Health Centers Nestled in the heart of North Carolina, Harnett County offers a unique blend of small-town charm and convenient access to big-city amenities. Located less than an hour from both Raleigh and Fayetteville, residents enjoy the tranquility of rural living with the benefit of nearby urban excitement. At First Choice, we're proud to offer employment opportunities in this beautiful area, giving you the chance to work in a close-knit community while staying connected to the vibrant Triangle region. With a perfect balance of peaceful + affordable living and easy access to cultural and career opportunities, Harnett County is an ideal place to call home. Position Summary The Medical Billing Specialist will be responsible for billing and collections for Medicare, Medicaid, Insurance, and Self Pay patients for all Medical and Dental clinics. Responsibilities of individual Billing Specialist will vary depending on assignment of responsibilities given by Billing Supervisor. This role is on-site at our Lillington, NC office. Benefit Offerings Company-Paid Medical Insurance Dental & Vision Insurance 403(b) Retirement Plan with Employer Match Health Reimbursement Account (HRA) Paid Time Off + 11 Paid Holidays Life Insurance Long and Short-Term Disability Essential Duties and Responsibilities Provides billing information by collecting, analyzing, and summarizing third-party billings, accounts pending, and late charges data and trends. Updates job knowledge by participating in educational opportunities. Posting of all cash receipts and insurance payments to EHS software. Research and follow up on all denials for payment. Complete all 2nd Insurance filings. Review charges from daily batches and maintain monthly Deposit Journal, as needed. Assist Finance with reconciling EHS End of Day reports to Deposit Journal, as needed. Report received payments to Accounting Manager for all services to be reimbursed to Physicians. Cover vacancies at Patient Representative position during vacations, sickness, or vacant positions. Maintaining accurate ICD-9, CPT and HCPCS codes within the EHS software. Complete all required procedures on EHS software (i.e. End of Day, End of Month, etc.) Research all credit Accounts Receivable balances and perform required follow up to resolve credit balance. Research all Account Receivable balances and perform necessary follow up required to resolve Accounts Receivable balance issue. Assist in preparation of all Monthly/Quarterly/Annual reconciliations and other required reporting as required by governing agencies Assist Billing Manager in completion of all annual cost reports, annual financial audit, annual UDS report, and any other required annual governmental reporting. Other reasonable duties as required by the CEO, Billing Manager or the Board of Directors Education and/or Experience High School diploma required. Associates Degree in Medical Billing and Coding preferred - or a combination of education and experience. Minimum of two years progressive billing experience required. Other Skills and Abilities Familiarity with effective use of computerized accounting/billing systems. Must be able to use other equipment such as a fax, copier and calculator. Good organizational skills and the ability to perform numerous tasks simultaneously in a fast-paced office environment. Good analytical skills, sticker for details, sense of personal responsibility for work performance and a professional attitude. The ability to work without constant supervision and adhere to policies and procedures is a must. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

Pascagoula Hospital | Full-Time | Monday- Friday 8:00am to 4:30pm | 2809 Denny Avenue Pascagoula, Mississippi, 39581 United States The Professional Billing Specialist performs all functions of billing department that includes Billing, Follow-up, cash posting and Denials management for a multispecialty-billing department. This individual is responsible for managing all aspects of the job. This person will be responsible for completing monthly billing reports for the department and individual physicians as assigned. Being strong at writing denial arguments utilizing their research skills along with the knowledge of billing. This position will also be responsible for handling audit-related issues as well. The Professional Billing Specialist is responsible for making decisions regarding billing accuracy and the need to re-bill, follow-up, and/or identify actions for prevention on an ongoing basis. Expectation is for all performed duties to be in accordance with Singing River Health System procedures and policies, accreditation organization, and governing guidance and publications for health care employees. DISCLAIMER: This is not necessarily an exhaustive list of all responsibilities, duties, skills, efforts, requirements or working conditions associated with the job. While this intends to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks performed as assigned. Position Overview: The Professional Billing Specialist performs all functions of billing department that includes Billing, Follow-up, cash posting and Denials management for a multispecialty-billing department. This individual is responsible for managing all aspects of the job. This person will be responsible for completing monthly billing reports for the department and individual physicians as assigned. Being strong at writing denial arguments utilizing their research skills along with the knowledge of billing. This position will also be responsible for handling audit-related issues as well. The Professional Billing Specialist is responsible for making decisions regarding billing accuracy and the need to re-bill, follow-up, and/or identify actions for prevention on an ongoing basis. Expectation is for all performed duties to be in accordance with Singing River Health System procedures and policies, accreditation organization, and governing guidance and publications for health care employees DISCLAIMER: This is not necessarily an exhaustive list of all responsibilities, duties, skills, efforts, requirements or working conditions associated with the job. While this intends to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks performed as assigned. Education: High school graduate or equivalent required. Associate or other Degree desired License: N/A Certification: American Academy of Professional Coders (AAPC) preferred. If certified, must complete all requirements (including continuing education) to maintain certification. Experience: At least 5 years' experience in physician billing, the ability to work independently, and the ability to make management level decisions. Coding experience and working knowledge of the AHA Coding Clinic preferred. Effective interpersonal skills to interact effectively with all levels of hospital personnel. Organization and prioritization skills. Effective written and verbal communications skills. Analytical skills. Proficient computer skills. Reports to: Director of Revenue Integrity Supervises: None Physical Demands: Work is moderately active: involves sitting with frequent requirements to move about the office, move about the facility, and to travel to another facility within the SRHS service area. Work involves exerting a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body. Work involves using many physical motions in performing daily work activities; subject to exposure of body fluids, sputum and tissues, which may carry the hazard of infectious disease. Work involves using repetitive motions: substantial movements of the wrists, hands, and or fingers while operating standard office equipment such as computer keyboard. Work involves being able to perceive the nature of sound at normal speaking levels with or without correction; the ability to make fine discriminations in sound. Work requires close visual and acuity and the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision. Must be able to be active for extended periods of time without experiencing undue fatigue. Must be able to work schedules assigned with the understanding that changes may be instituted according to the needs of the hospital for off days, shifts or weekends. Mental Demands: Must demonstrate keen mental faculties/assessment and decision making abilities. Must demonstrate superior communication/speaking/enunciation skills to receive and give information in person and by telephone. Must demonstrate strong written and verbal communication skills. Must possess emotional stability conducive to dealing with high stress levels. Must demonstrate ability to work under pressure and meet deadlines. Attention to detail and the ability to multi-task in complex situations is required. Must have the ability to maintain collaborative and respectable working relationships throughout SRHS and other organizations. Job duties require employee to travel throughout the SRH service area - with the employee providing his/her own transportation. Must have working knowledge of the AHA Inpatient and Outpatient Coding. Special Demands: Must possess superior customer service skills and professional etiquette. Must possess proficient knowledge and ability to use a computer (must be keyboard proficient) and other office technology (i.e., telephone, fax, etc.), MS Outlook and Word. Must be able to demonstrate appropriate clinical judgment and apply appropriate professional skills to a patient population of all ages.

The Role: KOS Services LLC actively seeks motivated Dental Billing Specialists. The role will be responsible for collecting balances and account reconciliations of insurance and patient balances. Daily responsibilities include insurance billing, data entry, and tracking payments. The ideal candidate will excellent organizational and administrative skills and excel at multi-tasking. In addition, previous experience and knowledge of dental codes/insurance is required to succeed in this role. We prefer those who have worked first-hand in dental clinics and/or those who have previous dental billing/collections experience. ***This is a fully onsite role at our corporate office in Chicago - we are in office 5 days/week - (We are located on Clark & Kinzie in River North).*** Who We Are: KOS Services LLC is a dynamic, growing company with 77+ dental clinics across 11 states and Washington, DC. Our mission is to provide high-quality dental services in first-class facilities to people in underserved communities. We hire only the most qualified dentists and staff committed to superior patient care. Benefits: The benefits package includes: Medical & Vision Insurance FREE dental at any of our clinics 401K PTO Life Insurance, Pet Insurance and more Responsibilities: Data Entry Check charts Submit claims Post checks Insurance billing Follow up on outstanding claims and balances Qualifications: Required: Well-organized, detail-oriented, and self-motivated Excellent communication and customer service skills MUST BE Able to commute to downtown Chicago Office 5 days/week MUST HAVE Knowledge of dental codes and/or dental insurance Preferred: Knowledge of accounts receivables and insurance policies/benefits. Experienced in full dental billing cycle At KOS Services LLC, we are proud to be an Equal Employment Opportunity employer committed to an inclusive and diverse workplace. All qualified candidates will receive consideration for employment and will not be discriminated against based on race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, pregnancy, genetic information, creed, marital status or any other consideration prohibited by law or by contract.

Job DescriptionThe Role: KOS Services LLC actively seeks motivated Dental Billing Specialists. The role will be responsible for collecting balances and account reconciliations of insurance and patient balances. Daily responsibilities include insurance billing, data entry, and tracking payments. The ideal candidate will excellent organizational and administrative skills and excel at multi-tasking. In addition, previous experience and knowledge of dental codes/insurance is required to succeed in this role. We prefer those who have worked first-hand in dental clinics and/or those who have previous dental billing/collections experience. ***This is a fully onsite role at our corporate office in Chicago - we are in office 5 days/week - (We are located on Clark & Kinzie in River North).*** Who We Are: KOS Services LLC is a dynamic, growing company with 77+ dental clinics across 11 states and Washington, DC. Our mission is to provide high-quality dental services in first-class facilities to people in underserved communities. We hire only the most qualified dentists and staff committed to superior patient care. Benefits: The benefits package includes: Medical & Vision Insurance FREE dental at any of our clinics 401K PTO Life Insurance, Pet Insurance and more Responsibilities: Data Entry Check charts Submit claims Post checks Insurance billing Follow up on outstanding claims and balances Qualifications: Required: Well-organized, detail-oriented, and self-motivated Excellent communication and customer service skills MUST BE Able to commute to downtown Chicago Office 5 days/week MUST HAVE Knowledge of dental codes and/or dental insurance Preferred: Knowledge of accounts receivables and insurance policies/benefits. Experienced in full dental billing cycle At KOS Services LLC, we are proud to be an Equal Employment Opportunity employer committed to an inclusive and diverse workplace. All qualified candidates will receive consideration for employment and will not be discriminated against based on race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, pregnancy, genetic information, creed, marital status or any other consideration prohibited by law or by contract.