Billing Specialist jobs at Pacific Medical - 1416 jobs

Join our team as a Referral Specialist at Miramar Health Center in Pasco, WA! Be part of a healthcare organization that believes in making a difference beyond medical care! We've transformed into a leading community health center in the Pacific Northwest with 40+ clinics across Washington and Oregon. We offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics. Explore our short clips, " WE are Yakima - WE are Family " and " YVFWC - And then we grew ," for a glimpse into our dedication to our communities, health, and families. Visit our website at ************* to learn more about our organization. Position Highlights: $19.39-$23.76/hour DOE with the ability to go higher for highly experienced candidates 100% employer-paid health insurance including medical, dental, vision, Rx, and 24/7 telemedicine Profit sharing & 403(b) retirement plan available Generous PTO, 8 paid holidays, and much more! What You'll Do: Manages work queues regarding referral activity on a daily basis to ensure timely processing and/or completion. Assists with patient referrals for additional services needed with internal and external medical facilities. Assists with patient insurance authorization. Assists with appointment setup as needed. Coordinates follow up between referral source and patient. Ensures chart notes and follow up documentation is linked to referral. Provides translated educational materials and directions to patients when necessary. Processes incoming correspondence and responds to calls, emails, and faxes. Performs other duties as assigned. Qualifications High School Diploma or General Education Diploma (GED). Associates Degree or Certificate from an accredited technical school is preferred. One year's experience working in an office setting, preferably a medical or dental office. Two year's experience working in a medical and/or dental front office setting; with insurance referrals and authorizations preferred. Bilingual (English/Spanish) required, at level 9 on the language proficiency scale to receive bilingual differential pay. Knowledge of or ability to learn medical terminology required. Ability to prioritize work, handle a variety of tasks simultaneously and complete projects in a fast-paced environment. Excellent communication and interpersonal skills. Strong organizational skills. Our Mission Statement “Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being.” Our mission celebrates inclusivity. We are committed to equal-opportunity employment.

Join our team as a Referral Specialist at Mirasol Family Health Center in Hermiston, OR! Be part of a healthcare organization that believes in making a difference beyond medical care! We've transformed into a leading community health center in the Pacific Northwest with 40+ clinics across Washington and Oregon. We offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics. Explore our short clips, " WE are Yakima - WE are Family " and " YVFWC - And then we grew ," for a glimpse into our dedication to our communities, health, and families. Visit our website at ************* to learn more about our organization. What We Offer $19.58-$23.98/hour DOE with the ability to go higher for highly experienced candidates Additional pay for your bilingual skills! 100% employer-paid health insurance including medical, dental, vision, Rx, 24/7 telemedicine Profit sharing & 403(b) retirement plan available Generous PTO, eight paid holidays, and much more! What You'll Do: Manage work queues regarding referral activity daily to ensure timely processing and/or completion Assist with patient referrals for additional services needed with internal and external medical facilities Assist with patient insurance authorization Assist with appointment setup as needed Coordinate follow-up between referral source and patient Ensure chart notes and follow-up documentation are linked to the referral Provide translated educational materials and directions to patients when necessary Process incoming correspondence and respond to calls, emails, and faxes Perform other duties as assigned Qualifications: High School Diploma or General Education Diploma (GED) One year's experience working in an office setting, preferably a medical or dental office. Bilingual (English/Spanish) is required at level 9 Knowledge of or ability to learn medical terminology required Ability to prioritize work, handle a variety of tasks simultaneously and complete projects in a fast-paced environment Excellent communication and interpersonal skills Strong organizational skills Our Mission Statement “Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being.” Our mission celebrates inclusivity. We are committed to equal-opportunity employment.

The Insurance Eligibility Coordinator is responsible for verifying patient insurance coverage, ensuring accurate benefit information, and supporting efficient revenue cycle operations. This role works closely with patients, insurance carriers, clinical staff, and billing teams to confirm eligibility, resolve coverage discrepancies, and help prevent claims denials. Essential Functions: Verify patient insurance eligibility and benefits using electronic systems, payer portals, and direct insurance carrier communication. Accurate document coverage details, copayments, deductibles, prior authorization requirements, and plan limitations. Prepare and submit claims in a timely and accurate manner. Obtain Authorizations as required. Identify and correct rejected claims for prompt resubmission Submit and follow up on authorization requests. Follow up on denied or unpaid claims and work to resolve discrepancies. Post payments and adjustments to patient accounts in a timely manner. Communicate with insurance companies and internal staff regarding billing inquiries or issues. Maintain up-to-date knowledge of payer rules, policy changes, and medical coverage guidelines. Protect patient privacy and maintain compliance with HIPAA and organizational standards. Support revenue cycle improvement initiatives related to eligibility and insurance workflows. Participate in team meetings and contribute to quality improvement initiatives. Adhere to practice policies, procedures, and protocols including confidentiality. Other tasks as assigned. Travel: 100% Remote Supervisory Responsibilities: N/A Qualities & Skills: Strong understanding of insurance plans, terminology, HMOs, PPOs, Medicare/Medicaid and commercial payer policies in NJ, NY, & PA. Excellent communication, customer service, and problem-solving skills. Proficiency with medical practice management software, EHR systems, and payer portals. Ability to multitask and work in a fast-paced environment. Strong Knowledge of Microsoft Office Suite. Comfortable working independently and collaboratively. Outstanding problem solver and analytical thinking skills. Attention to detail and ability to prioritize. Ability to maintain confidentiality. Experience in Behavioral health is preferred. Education & Experience: High School diploma or equivalent required. 1-2 years of experience in medical insurance verification, medical billing, or related roles Compensation details: 20-24 Hourly Wage PIe81a16213b58-37***********3

The Biller is responsible to bill all insurance companies, workers compensation carriers, as well as HMO/PPO carriers. Audits patient accounts to ensure procedures and charges are coded accurate and corrects billing errors. Able to identify stop loss claims, implants and missing codes. Maintains proficiency in Medical Terminology. The Biller is responsible for the follow-up performed on insurance balances as needed to ensure payment without delay is received from the insurance companies. Communicates clearly and efficiently by phone and in person with our clients and staff members. Maintains productivity standards and reports. Obtains updated demographic information and all necessary information needed to comply with insurance billing requirements. Operates computer to input follow up notes and retrieve collection and patient information. Is able to write effective appeals to insurance companies. Education and Work Experience 1. Knowledge of multiple insurance billing requirements and 1-2 years of billing experience 2. Knowledge of CPT, HCPCS, and Revenue Code structures 3. Effective written and verbal communication skills 4. Ability to multi-task, prioritize needs to meet required timelines 5. Analytical and problem-solving skills 6. High School Graduate or GED Equivalent Required

Job Title: Supervisor Department Name: Emergency Dept Access Service Status: Salaried Shift: Evening Pay Range: $56,797.00 - $80,225.00 per year Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview: Ensure that unit/department/division is in compliance with all applicable policies, laws and regulations. Qualifications: Required: High School graduate Five (5) years of previous hospital or related healthcare experience preferably in registration 1-2 years Supervisory experience Strong supervisory / leadership skills Extensive knowledge of pre-admission, authorization, verification, insurance reimbursement contracts and departmental and system policies and procedures Extensive knowledge of legal aspects of Patient Access Services, including state federal regulations regarding Patient Access, medical legal deaths, living wills, organ donation, and other hospital responsibilities Ability to prioritize and delegate in response to multiple, changing demands. Strong Communication skills, both written and verbal Understand Patient Access Services potential positive or negative impact on the hospital accounts receivable, cash flow, and bad debt processes. Knowledge of on-line computer system application Ability to proactively identify the needs of the customers, creating and implementing change. Interpersonal abilities necessary to effectively deal with all levels of hospital personal as well as legal representatives, third party payors, patients, etc. Analytical skills necessary to comprehend complicated issues and formulate creative solutions for problem solving. Knowledge of applicable Joint Commission requirements. Scheduling Requirements: Shift- 3:00pm-11:00pm Monday Friday with weekends; on call (24/7) Full Time/Evening Essential Functions: Assumes responsibility for the operation and management of the department in the absence of the Director Managers and supervises the daily activities and workflows of Census Management ensuring timely and accurate bed assignment Ensures patient, physician, and nursing needs are met while maintaining alignment with the goals of Patient Access Services, both customer service and financial Plans and manages the pre-encounter process to include scheduling, pre-registration, registration, patient and family education, clinical and financial prerequisites, pre-certification, verification of benefits, utilization management, and patient / family communication Provides leadership and timely interaction with employees regarding staffing issues Provides 24-hour direction and guidance to staff Monitors Admissions / Registration area activities and performance by analyzing and responding to available statistical data Monitors quality assurance standards, and when appropriate, recommends, implements and maintains standards, policies, and procedures to improve productivity and efficiently Interprets and explains complex activities to patients, physicians, and staff necessary for compliance with managed care contracts, as well as other insurance plans Recognizes learning and orientation needs of staff and participates with the trainer in meeting those needs Questions and identifies possible areas for problem resolution to patient care Plans, schedules and organizes work, ensuring proper distribution of assignments and efficient utilization of personnel, space and facility Provides a workplace that exemplifies teamwork and customer service while treating all staff members with dignity and respect Monitors employees individual performances as compared to standards for making periodic performance evaluation of employee fairly accurately and objectively Schedules and coordinates employees PTO, sick time, and discretionary time off Maintains operations within budget and provides justification for variances to Director Maintains confidentiality of all information related to patients, medical staff, employees, and as appropriate, other information Demonstrates expertise in inpatient/outpatient hospitalization accessibility for Admission personnel, physicians and their designees, patient care units, ancillary areas, and patients Coordinates individual and group training Makes time to observe and study staff as they are working in real-time to identify skill deficiencies, process problems and procedural misunderstandings, Manages the training and orientation of new hires Conducts performance evaluations at the end of the introductory period, annually, and at any other timely counseling as needed Keeps a record of any verbal or written communication with staff Suggests action plans for immediate Correction of any disciplinary problems and plans follow-up meetings to assess progress, Ensures staff has effective work driver, work tools, and supplies to execute their assigned work tasks Ensures staff has effective work driver, work tools, and supplies to execute their assigned work tasks Reviews patients charts for completion and accuracy and ensures the results are reported in a timely manner Develops, implements and manages continuous quality improvement procedures to systematically monitor quality of work Tracks key performance measure/ outcomes such as insurance denials, data accuracy, customer wait times, customer complaints and suggestions, compliance with government and system standards to maximize performance Provides the Director with regular updates/summaries of key performance indicators, quality review and feedback, and ogs in work, training deficiencies, staffing shortage, physician complaints, or problems with specific insurance contracts Ensures staff compliance with mandatory hospital wide education programs and other departmental in services/ training programs Develops and maintains positive working relationship with related department managers, ancillary areas, physician, nurses and other healthcare professionals Represent the Patient Access Services Department in meetings or on committees Verifies accurate completion of staff payroll functions Integrate the services with the Hospital s primary functions Coordinates/integrates inter-intradepartmental services Develop/implement Policies and Procedures that guide/support services Determine staff qualifications and competence, Continuously assess/improve department performance Maintain appropriate Quality Control programs, Ensure the department operations are effective and efficient Participate in orientation/continuing education of Department staff, Hold staff accountable for their responsibilities, Maintains the integrity of the department s payroll by ensuring that personnel are not paid for more paid time off than they are entitled to and premium overtime is kept to a minimum, Completes all staff introductory evaluations, annual evaluations and re-evaluations within the timelines outlined and in accordance with Human Resources policy, Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Benefits and Perks: At RWJBarnabas Health, our employees are at the heart of everything we do. Driven by our Total Wellbeing promise, our market-competitive offerings include comprehensive benefits and resources to support our employees' physical, emotional, financial, personal, career, and community wellbeing. These benefits and resources include, but are not limited to: Paid Time Off including Vacation, Holidays, and Sick Time Retirement Plans Medical and Prescription Drug Insurance Dental and Vision Insurance Disability and Life Insurance Paid Parental Leave Tuition Reimbursement Student Loan Planning Support Flexible Spending Accounts Wellness Programs Voluntary Benefits (e.g., Pet Insurance) Community and Volunteer Opportunities Discounts Through our Partners such as NJ Devils, NJ PAC, and Verizon ....and more! Choosing RWJBarnabas Health! RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health. RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey-whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

2/19/2025 - Minor revision. No need to reapply . The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its workforce. All employees at the Department of Public Health work to advance equity, inclusion, and diversity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status. The San Francisco Department of Public Health continuously accepts applications for all Physician Specialist positions. Salary : ********************************************* Code=2230 Appointment Type : Temporary Exempt or Permanent Exempt Positions may be available in a variety of settings including Zuckerberg San Francisco General Hospital, Laguna Honda Hospital, and community-centered outpatient clinics within the Health Network. These positions include full-time permanent, part-time permanent, and part-time as needed. The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. SFDPH strives to achieve its mission through the work of multiple divisions - the San Francisco Health Network, Population Health, Behavioral Health Services, and Administration. The San Francisco Health Network is the City's only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers. The Population Health Division (PHD) provides core public health services for the City and County of San Francisco: health protection, health promotion, disease and injury prevention, and disaster preparedness and response. Behavioral Health Services operates in conjunction with SFHN and provides a range of mental health and substance use treatment services. Job Description Duties Include Family physician, internist or medical subspecialist Evaluates patient signs and symptoms, reviews laboratory and radiological data, diagnoses complex cases, and institutes treatments as appropriate. May serve as a consultant to other physicians, including specialists in other fields. Surgical specialist or subspecialist Evaluates patient signs and symptoms, reviews laboratory and radiological data, recommends, performs, and consults on specialized surgical procedures within his or her specialty field. Pediatrician Examines, diagnoses, and treats pediatric patients; refers to other physicians, clinics, and agencies when so indicated. Obstetrician/gynecologist Provides obstetrical and gynecological care including screening, diagnosis, treatment, prenatal and obstetrical care. Specialist in occupational health Conducts pre-employment physical examinations of candidates for city service; when designated by the Civil Service Commission, assesses medical or physical competence of staff to perform assigned duties; participates in the identification and assessment of occupational hazards and injuries; develops and implements preventive and educational strategies. Qualifications MINIMUM QUALIFICATIONS Possession of a valid license to practice medicine issued by the Medical Board of California or the Osteopathic Medical Board of California* AND Successful completion** of a residency program accredited by the Accreditation Council for Graduate Medical Education or American Osteopathic Association in the appropriate medical specialty area for the assigned facility or division (i.e., Board Eligible) *Applicants possessing a valid license to practice medicine issued from another state within the United States of America may apply, but if selected, the candidate will NOT be appointed/hired until they obtain a valid license to practice medicine issued by the Medical Board of California or the Osteopathic Medical Board of California. **Applicants enrolled in a residency program may apply, but if selected, the candidate will NOT be appointed/hired until they demonstrate successful completion of a residency program accredited by the Accreditation Council for Graduate Medical Education or American Osteopathic Association in the appropriate medical specialty area for the assigned facility. For some positions, possession of valid Drug Enforcement Agency registration with the United States Department of Justice is a special condition that is required in addition to the standard minimum qualifications associated with this job classification. Conditions of Employment All qualified candidates who have been selected for appointment to positions in all specialty areas must be an eligible billable provider and must meet the following criteria within two (2) weeks prior to the start work date to avoid delay of the appointment to the position and/or cancellation of an employment offer: Be eligible to participate in Medicare, Medicaid and/or other federal health care programs; Possess a National Provider Identifier (NPI); Submit a completed credentialing application and/or required documentation for credentialing; AND Possess a valid third-party billable provider certification (such as Medicare, Medi-Cal and/or private insurance) OR have submitted a completed billable provider application, along with the required documentation, in order to obtain the appropriate billable provider status. Important Note: Please make sure it is absolutely clear in your application exactly how you meet the minimum qualifications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. Please be aware that any misrepresentation of this information may disqualify you from this recruitment or future job opportunities. Additional Information How to Apply Applications for City and County of San Francisco jobs are only accepted through an online process. Visit careers.sf.gov and begin the application process. Our email communications may come from more than one department, so please make sure your email is set to accept messages from all of us at sfdhr.org/ccsf-email-extensions . Applicants may be contacted by email about this recruitment; therefore, it is their responsibility to contact the Analyst if they update their email address. Applicants will receive a confirmation email that their online application has been received in response to every announcement for which they file. Applicants should retain this confirmation email for their records. Failure to receive this email means that the online application was not submitted or received. Additional information regarding employment with the City and County of San Francisco: Information about the Hiring Process Conviction History Employee Benefits Overview Equal Employment Opportunity Disaster Service Workers Reasonable Accommodation Right to Work Copies of Application Documents Diversity Statement If you have any questions regarding this recruitment or application process, please contact the exam analyst, [email protected] ************. We may use text messaging to communicate with you on the phone number provided in your application. The first message will ask you to opt in to text messaging. The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law.

1/6/2025 - Minor revision. No need to reapply . The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its workforce. All employees at the Department of Public Health work to advance equity, inclusion, and diversity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status. ✅ START with this Required Assessment forms.gle/pL5Nj3BE61ewXNmo6 Salary : careers.sf.gov/classifications/?class Code=2233 Appointment Type : Permanent Civil Service Recruitment ID : CCT-2233-H00001 Positions may be available in a variety of settings including Zuckerberg San Francisco General Hospital, Laguna Honda Hospital, and community-centered outpatient clinics within the Health Network. Positions may also be in the Population Health Division's public health leadership, with a focus on programs to ensure the health and wellbeing of all San Franciscans. The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. SFDPH strives to achieve its mission through the work of multiple divisions - the San Francisco Health Network, Population Health, Behavioral Health Services, and Administration. The San Francisco Health Network is the City's only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers. The Population Health Division (PHD) provides core public health services for the City and County of San Francisco: health protection, health promotion, disease and injury prevention, and disaster preparedness and response. Behavioral Health Services operates in conjunction with SFHN and provides a range of mental health and substance use treatment services. Job Description Common Duties Include Directs and has overall responsibility for the functioning of a clinic, center, program, or other patient care site, including the assignment and supervision of physician specialists, other health professionals, and other staff members. Plans and directs medical staff development and in-service training activities at the facility, division, or program; conducts staff meetings and conferences. Conducts meetings with agency heads and representatives; consults with other agencies on problems and programs; evaluates community needs for specialized services and plans accordingly. Provides medical treatment to patient population of focus; provides treatment and guidance of treatment of particularly difficult and complicated cases and evaluates facility, division, or program operations and efficiency. Develops and manages a budget for a clinic or program. Division Duties Include Population Health Division Directs and has overall responsibility for citywide public health functions in the Population Health Division, including the work of specialized branches and sections Develops and supports leaders within their direct reporting structure to strengthen a diverse workforce and achieve citywide public health goals Develops relationships to facilitate alignment and effective communication with internal and external stakeholders Represents the work of PHD to internal and external partners and stakeholders. Develops and manages budgets for their areas of work in partnership with PHD leadership Primary Care Overseeing clinic operations in a variety of community-based clinics Qualifications MINIMUM QUALIFICATIONS Possession of a valid license to practice medicine issued by the Medical Board of California or the Osteopathic Medical Board of California* AND Possession of valid Board Certification in the appropriate medical specialty area for the assigned facility or division AND Three (3) years of post-residency experience as a practicing physician in the respective medical specialty area. One (1) year of full-time employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based on a forty (40) hour work week). *Applicants possessing a valid license to practice medicine issued from another state within the United States of America may apply, but if selected, the candidate will NOT be appointed/hired until they obtain a valid license to practice medicine issued by the Medical Board of California or the Osteopathic Medical Board of California. For some positions, possession of valid Drug Enforcement Agency registration with the United States Department of Justice is a special condition that is required in addition to the standard minimum qualifications associated with this job classification. Conditions of Employment All qualified candidates who have been selected for appointment to positions in all specialty areas must be an eligible billable provider and must meet the following criteria within two (2) weeks prior to the start work date to avoid delay of the appointment to the position and/or cancellation of an employment offer: All qualified candidates who have been selected for appointment to positions in all specialty areas must be an eligible billable provider and will be required to meet all of the following criteria: Be eligible to participate in Medicare, Medicaid, and/or other federal healthcare programs Possess a National Provider Identifier (NPI) Submit a completed credentialing application and/or required documentation for credentialing Possess a valid third-party billable provider certification (such as Medicare, Medi-Cal, and/or private insurance) OR have submitted a completed billable provider application, along with the required documentation, in order to obtain the appropriate billable provider status Important Note: Please make sure it is absolutely clear in your application exactly how you meet the minimum qualifications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. Please be aware that any misrepresentation of this information may disqualify you from this recruitment or future job opportunities. Additional Information SELECTION PROCEDURES Training and Experience Assessment (Weight 100%) The Required Assessment inked in this job ad is designed to measure knowledge, skills, and/or abilities in job-related areas which may include, but are not limited to experience: Working with vulnerable patient populations Supervising clinical and administrative professionals Improving clinical quality Engaging patients and improving their experience Engaging staff and improving their experience Participating in quality assurance activities Once submitted, applicant responses on the Required Assessment cannot be changed. Qualified applicants must achieve a passing score in order to be ranked on the eligible list/score report. Successful applicants will be placed on the eligible list/score report, in rank order, according to their final score. Certification The certification rule for the eligible list resulting from this assessment will be the Rule of the List. Additional selection processes may be conducted by the hiring department prior to making final hiring decisions. Eligible List/Score Report Once you pass the assessment, you will be placed on an eligible list and given a score and a rank. For more information, visit ****************************************** Candidate names will remain on the list for a maximum period of 12 months. Unselected candidates may reapply after their eligibility expires. How to Apply Applications for City and County of San Francisco jobs are only accepted through an online process. Visit careers.sf.gov and begin the application process. Our email communications may come from more than one department, so please make sure your email is set to accept messages from all of us at sfdhr.org/ccsf-email-extensions . Applicants may be contacted by email about this recruitment; therefore, it is their responsibility to contact the Analyst if they update their email address. Applicants will receive a confirmation email that their online application has been received in response to every announcement for which they file. Applicants should retain this confirmation email for their records. Failure to receive this email means that the online application was not submitted or received. Terms of Announcement and Appeal Rights Applicants must be guided solely by the provisions of this announcement, including requirements, time periods and other particulars, except when superseded by federal, state or local laws, rules or regulations. The correction of clerical errors in an announcement may be posted on the Department of Human Resources website at *********************** . The terms of this announcement may be appealed under Civil Service Rule 110.4. Such appeals must be submitted in writing to the Department of Human Resources, 1 S Van Ness Avenue, 4th Floor, San Francisco, CA 94103-5413 by close of business on the 5th business day following the issuance date of this examination announcement. Information concerning other Civil Service Commission Rules involving announcements, applications and examination policies, including applicant appeal rights, can be found on the Civil Service Commission website at *********************************** . Additional information regarding Employment with the City and County of San Francisco: Information about the Hiring Process Conviction History Employee Benefits Overview Equal Employment Opportunity Disaster Service Workers Reasonable Accommodation Right to Work Copies of Application Documents Diversity Statement Veterans Preference Seniority Credit in Promotional Exams If you have any questions regarding this recruitment or application process, please contact the assessment analyst, [email protected] ************. We may use text messaging to communicate with you on the phone number provided in your application. The first message will ask you to opt in to text messaging. The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law.

Agilent is seeking a proactive and detail-oriented Federal Government Billing Specialist to join our Customer Operations Center (COpC). This position plays a key role in supporting the Order Management process by ensuring accurate and compliant billing for federal contracts. The ideal candidate will manage complex invoices in accordance with FAR, DFARS, CAS, and other agency-specific billing requirements, while maintaining operational excellence and compliance across all transactions. Working within the COpC, this role partners closely with cross-functional teams across Agilent, including Credit and Collections, Revenue team, Sales and other COpC teams, to ensure timely and compliant billing. The Specialist will also support internal and external audits, uphold high standards of data accuracy, and contribute to continuous improvement initiatives within the Customer Operations Center. Key Responsibilities Prepare and submit invoices via federal platforms (WAWF, IPP, Tungsten, etc.). Review contract terms and funding modifications for billing accuracy. Monitor unbilled receivables and resolve holds or rejections. Collaborate with Contracts, Project Management, Accounting, and other COpC teams. Maintain billing documentation and support audits (DCAA, DCMA). Assist with month-end close activities and revenue reconciliation. Ensure compliance with federal regulations and company policies. Provide excellent customer service to government agencies and internal teams. Manage portal invoicing based on agency-specific requirements to prevent rework and ensure timely payment. Act as liaison with the collections team to resolve issues and ensure billing integrity. Additional Information This is a complex role requiring adaptability, attention to detail, and a customer-focused mindset. You'll thrive in a fast-paced, diverse environment where ownership and collaboration are key. Schedule: Flexibility required; occasional overtime and late hours on the last working day of each month Qualifications Required Qualifications Associate's or Bachelor's degree in Accounting, Finance, or related field (or equivalent experience). 2+ years of experience in federal billing or government contract accounting. Familiarity with FAR/DFARS and federal audit processes. Proficiency in Microsoft Excel and ERP systems (SAP, Oracle, Deltek). Strong communication, organizational, and time management skills. Ability to work independently and manage multiple priorities. Preferred Qualifications Experience with DCAA-compliant accounting systems. Knowledge of indirect rate structures and cost allocations. Prior experience in a government contractor environment. SAP/CRM experience. Proficiency in Microsoft Office Suite (Outlook, Excel, Word, PowerPoint, OneNote). Additional Details This job has a full time weekly schedule. It includes the option to work remotely. Applications for this job will be accepted until at least November 10, 2025 or until the job is no longer posted.The full-time equivalent pay range for this position is $28.27 - $44.17/hr plus eligibility for bonus, stock and benefits. Our pay ranges are determined by role, level, and location. Within the range, individual pay is determined by work location and additional factors, including job-related skills, experience, and relevant education or training. During the hiring process, a recruiter can share more about the specific pay range for a preferred location. Pay and benefit information by country are available at: ************************************* Agilent Technologies, Inc. is an Equal Employment Opportunity and merit-based employer that values individuals of all backgrounds at all levels. All individuals, regardless of personal characteristics, are encouraged to apply. All qualified applicants will receive consideration for employment without regard to sex, pregnancy, race, religion or religious creed, color, gender, gender identity, gender expression, national origin, ancestry, physical or mental disability, medical condition, genetic information, marital status, registered domestic partner status, age, sexual orientation, military or veteran status, protected veteran status, or any other basis protected by federal, state, local law, ordinance, or regulation and will not be discriminated against on these bases. Agilent Technologies, Inc., is committed to creating and maintaining an inclusive in the workplace where everyone is welcome, and strives to support candidates with disabilities. If you have a disability and need assistance with any part of the application or interview process or have questions about workplace accessibility, please email job_******************* or contact ***************. For more information about equal employment opportunity protections, please visit *************************************** Required: NoShift: DayDuration: No End DateJob Function: Customer Service

. The Specialized Treatment for Optimized Programming (STOP) Program Area Six connects California Department of Corrections and Rehabilitation inmates and parolees to comprehensive, evidence-based programming and services during their transition into the community, with priority given to those participants who are within their first year of release and who have been assessed to as a moderate to high risk to reoffend. Area Six includes San Diego, Orange, and Imperial counties. STOP subcontracts with detoxification, licensed residential treatment programs, outpatient programs, professional services, and reeentry and recovery housing throughout the program area to assist participants with reentry and recovery resources. The Billing Coordinator is responsible for coordinating receipt of and reviewing Community Based Provider (CBP) subcontractor client data for accuracy and entering and retrieving data from/to the Automated Reentry Management System (ARMS) as needed for the purpose of reconciliation, invoicing and billing. Key Responsibilities Data Entry and Reconciliation Responsibilities: Review outgoing and incoming CBP subcontractor client data for accuracy. Enter data found on the verification form into the STOP database to begin the reconciliation process. When discrepancies are found, coordinate with CBPs and internal departments to resolve and reconcile the discrepancies. Ensure accuracy of all data entered. Billing and Invoicing Responsibilities: Process STOP CBP weekly verifications by extracting from the STOP database, and possibly further verifying in the ARMS database, and forwarding to the CBPs via email (and sometimes fax) for approval. Produce the monthly billing and forward to CBPs for billing authorization and approval. Ensures accuracy of all billing and resolves any discrepancies identified. Act as liaison between Fiscal department and STOP to ensure ease of information flow. Produce invoices for other various services (i.e. transportation, links etc.). Administrative Responsibilities: Produce monthly client and CBP related reports as needed for the California Department of Corrections and Rehabilitation (CDCR), with supervisor review and approval, using the ARMS database. Assure confidentiality of all incoming and outgoing client data. As assigned, performs other clerical tasks. And, other duties as assigned. Education and Knowledge, Skills and Abilities Education and Experience Required: High School Diploma or equivalent. Previous work experience working with spreadsheets. Previous work experience performing data entry. Type 45 wpm. Strong math skills. Desired: Bilingual. AA Degree; Experience may substitute for this on a year-by-year basis. We will consider for employment qualified applicants with arrest and conviction records. In compliance with the California Department of Public Health's mandate, all employees must be able to provide proof of COVID-19 vaccination. Medical and religious exemptions are available. Tag: IND100.

Job DescriptionBenefits: 401(k) matching Bonus based on performance Dental insurance Health insurance Paid time off Training & development Vision insurance JOB OVERVIEW: We are seeking a skilled and experienced Billing Coordinator to join our team at Your Home Assistant. As a Billing Coordinator, you will play a crucial role in completing complex activities associated with maintaining accurate and complete billing and accounts receivable records. Review appropriate reports to ensure billing data accuracy. Resolve billing discrepancies regularly. Ensure eligibility is verified regularly and accurately maintained and followed up accordingly to prevent lost revenue. RESPONSIBILITIES: Work within the scope of the position, in coordination with management, to meet the needs of our patients, families and professional colleagues. Accurately enter patient/customer billing data and charge accordingly Ensure that all potential payers have been identified, verified, and entered accurately into the computer system prior to submission of billing and within deadlines per company policies and procedures. Ensure that insurance-related documentation is secured, completed, reviewed, accurate, and submitted per company and state requirements. This includes election, certifications, and authorization-related documentation required for billing. Maintain tracking tools and diaries to ensure that all necessary information is secured for timely accurate payment. Alert appropriate management team members regarding late or missing documents required for billing. Perform and ensure regular review and resolve discrepancies of accounts receivables according to Company procedures, policy, internal controls, and payer requirements. Establish and maintain positive working relationships with patient/clients, payors, and other customers. Maintain the confidentiality of patient/client and agency information at all times. Assure for compliance with local, state and federal laws, Medicare regulations, and established company policies and procedures, including published manuals and responsibility matrixes Meet or exceed delivery of Company Service Standards in a consistent fashion. Interact with all staff in a positive and motivational fashion supporting the Companys mission. Conduct all business activities in a professional and ethical manner. The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents will be requested to perform job-related tasks other than those stated in this description. QUALIFICATIONS Minimum age requirement of 18. High School graduate or GED required. Two years experience in healthcare data entry, preferably in homecare Cal-Aim, Tri-west, Long Term Care Insurance experience preferred Two-year degree in accounting or equivalent insurance/bookkeeping preferred Strong computer skills, including Word, Excel, and PowerPoint. Strong analytical skills, organized work habits and proven attention to detail. Excellent communication skills, ability to work independently and in a team environment. Good customer relation skills. Ability, flexibility and willingness to learn and grow as the company expands and changes. Demonstrated leadership ability to initiate duties as required. Plan, organize, evaluate, and manage PC files and Microsoft Office. Compliance with accepted professional standards and practices. Ability to work within an interdisciplinary setting. Satisfactory references from employers and/or professional peers. Satisfactory criminal background check. Self-directed with the ability to work with little supervision. Flexible and cooperative in fulfilling all obligations. Job Type: Full-time Benefits: 401(k) matching Dental insurance Health insurance Life insurance Paid time off Vision insurance Schedule: 8 hour shift Day shift Monday to Friday Ability to Relocate: Elk Grove, CA 95758: Relocate before starting work (Required) Work Location: In person

Key Responsibilities: * Order Confirmation & Claim Preparation: Process and confirm orders, ensuring claims are accurately prepared and submitted. * Cash Posting: Post payments and update accounts in a timely and accurate manner. * Patient Support: Address any patient inquiries regarding billing, ensuring clear communication and prompt issue resolution. * Accounts Receivable Management: Work on stop/held accounts to ensure timely billing for rental items. * Meet Department Goals: Achieve performance metrics and goals set by the department to maintain operational efficiency. * Collaboration with Teams: Regularly communicate with Billing and Insurance team leads to report progress and trends Pay: $17.00 hour Benefits: * BCBS Medical * BCBS Vision * Dental Insurance * 401K * PTO Benefits

BILLING SPECIALIST II RESPONSIBLE TO: Business Office Manager SALARY: Step Range: 12 ($40,453) -31($70,934); Full Benefits CLASSIFICATION: Non-Management, Regular, Full-Time LOCATION: Klamath Tribal Health & Family Services 3949 S. 6th Street, Klamath Falls, Oregon BACKGROUND: Comprehensive POSITION OBJECTIVE Klamath Tribal Health & Family Services (KTHFS) is a tribally-operated health facility offering direct medical, dental, pharmacy, behavioral health, and non-emergent transportation services to Native Americans and Alaska Natives residing within the service delivery area. The Billing Specialist is responsible for managing patient accounts in a complex, multi-disciplinary Business Office environment. The incumbent shall cross-train with other members of the Klamath Tribal Health Business Office Staff and shall participate in all functions of the coding and billing cycle, to include: daily review of encounters, analyzing chart notes and assuring the appropriate service codes are utilized, data entry of encounter forms, posting charges into the computer system, perform claims review, claims submission, timely billing, follow-up and collection of all accounts, payment posting, claims audit and research. The incumbent shall also function as a resource for clinic providers and staff and will assist with coding and billing questions, and quality assurance activities. MAJOR DUTIES AND RESPONSIBILITIES 1. Daily review, analyze, and interpret patient ambulatory EHR and/or paper encounter coding and corresponding chart note documentation and determine that the appropriate diagnostic and procedural codes are used and appropriately reflected in the chart note for code assignment as outlined by the CMS guidelines. Assuring that medical/dental necessity billing guidelines are met. 2. Ensure the appropriate service codes are applied in the billing record that corresponds to the documentation referenced in the chart note or on the encounter forms. Ensure that the appropriate ICD-10, CPT, HCPCS, CDT coding conventions have been used for services provided by all health service types within KTHFS, including but not limited to: medical, dental, behavioral health and transportation. 3. Work with providers and nursing staff to clarify documentation in the EHR system if needed. Including correlating anatomical and physiological processes of a diagnosis to assure the most accurate ICD-10 code(s) are used. Advise supervisor and clinicians of deficiencies to support charge capture of all billable services. 4. Prepare and submit clean claims (electronic or paper) to primary/secondary insurance carriers including Medicaid, Medicare, (Part A&B), and private insurance companies. 5. Maintain compliance with billing regulations: including Medicaid (DMAP), Medicare (Parts A&B, DME), Private Insurance Carriers (i.e. HMA, BCBS, ODS, etc.). 6. Payment post insurance checks or EFTs, which includes: verifying the checks or EFTs that have been receipted in the KTHFS Operations Support System, batching the checks or EFTs into the current billing system, and then accurately posting the payments into the current billing system. 7. Process refunds for any overpayments made to KTHFS. Monitor claims payment and promptly request POs for refunds to insurance companies, or perform electronic claim adjustments per payer requirements, for any overpayments made on claims. The refund will also be processed to reflect the claim refund in the practice management system. 8. Process No-Pay EOBs, applying an adjustment, create billing notes and claim follow-up. This includes the appeal of insurance claims that have been wrongfully paid or denied, contacting insurance companies by phone to obtain information concerning extent of benefits and/or settle unpaid claims and providing any additional information requested by insurance companies for the processing of submitted claims. 9. Record in NextGen system all claims related phone calls, correspondence, and activities related to each patient account. 10. Maintain current filing system for encounters, POs, & etc.; process daily incoming mail and correspondence for review, completion, and filing. 11. Communicate regularly with Patient Registration Staff and record patient benefit effective/term date(s) into the practice management system as needed. 12. Create electronic batches to submit to clearinghouse in Nextgen and reconcile to claims spreadsheet including follow up on electronic claims receipt by payer. Correct any claims before archiving the file in the clearinghouse. 13. Work outstanding A/R by reviewing, rebilling, and adjusting accounts to ensure accurate and thorough billing of claims, by running reports and working on claims. Track and monitor claims processing, ensure timely follow-up for the payment of bills; Identify, and resolve all outstanding/pending claims. 14. Monitor the Business Office outlook inbox regularly and back bill any claims and/or adjust claims where applicable. 15. Run specific reports as identified below: · To be ran and worked weekly - Pending Charges Report, Unbilled Encounters, Paper Claims printed, Clearinghouse Reports (claims denied, outstanding claims, claims removed, claims rejected) · Biweekly reports - Kept Appointments with No Encounters report, Aging Reports, and maintain up to date reports making sure all old billing is addressed. 16. Establish and maintain an effective working relationship with public and private payers; identify potential problems that could cause interruptions to cash flows. 17. Participate in yearly chart audit activities for quality assurance purposes; document results in report format, as needed, to be able to have reviewed by Clinical Director and Compliance Officer. 18. Attend coding seminars, meetings, or other training opportunities to keep abreast of changes in the profession. 19. Like all employees of the Klamath Tribes, the incumbent will be called upon to accomplish other tasks that may not be directly related to this position, but are integral to the Klamath Tribes' broader functions, including but not limited to, assisting during Tribal sponsored cultural, traditional, or community events that enable the successful operation of programs and practices of The Klamath Tribes as aligned with The Klamath Tribes' Mission Statement. Some of these tasks may be scheduled outside of regular work hours, if necessary. SUPERVISORY CONTROLS Work under the supervision of the Business Office Manager, who provides general instructions. Work is assigned in terms of functional/organizational objectives. The manager assists with unusual situations that do not have clear precedents. Employee must be able to work with minimal supervision, using initiative and judgement in setting priorities to meet the demands of the workload. Work is performed within the purview of laws, and regulations. The manager will review work regularly for quality and compliance with established policies and procedures and payer guidelines. KNOWLEDGE, SKILLS, ABILITIES Technical knowledge, skill, and understanding of the American Medical Association developed CPT coding system in order to acquire, interpret, and resolve problems based on information derived from system monitoring reports to be carried over to the required billing forms. Technical knowledge, skill, and understanding of the concepts of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) for classification of diseases and/or procedures. Knowledge and understanding of CDT dental coding system. Basic knowledge and understanding of HCPCS coding. Knowledge of mental health and alcohol and drug coding and billing is desirable. Ability to work with minimal supervision, using initiative and judgment in setting priorities to meet the demands of the workload while adhering to the insurance rules and regulations that relate to coding and billing. The knowledge of and/or the ability to learn the billing guidelines as they pertain to FQHC/Tribal Health Clinics. Knowledge of established procedures, required claim forms (both paper and electronic) associated with the various health insurance programs. In-depth knowledge of Medicaid (OARs, Rulebooks). In-depth knowledge of Medicare Part A & B billing regulations. Knowledge of medical terminology. Knowledge of claims review, account auditing, and quality assurance. The ability of tracking, handling, and completing multiple projects. Ability to communicate well (both orally and in writing) and work effectively with other employees, managers, and administrators. This person should be able to express themselves in a clear and concise manner for the purposes of correspondence, reports and instructions, as well as for obtaining and conveying information to ensure a cooperative working relationship with all staff. Willingness to maintain expertise to keep current with changes in procedure and diagnosis coding and third-party payer reimbursement policies through continuing education. Above average ability to work with numbers and set standards in order to assure proper payment and adjustments posting. Must be dependable, thorough, accurate, well-organized and detail oriented. Ability to maintain strict confidentiality of medical records and adhere to the standards for health record-keeping, HIPAA and Privacy Act requirements. Conduct self in accordance with KTH&FS Employee Policy & Procedure Manual. QUALIFICATIONS, EXPERIENCE, EDUCATION Minimum Qualifications: Failure to comply with minimum position requirements may result in termination of employment. · REQUIRED to possess a High School Diploma or Equivalent. ( Must submit copy of diploma or transcripts with application.) · REQUIRED Must have one of the following certifications: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Medical Coder (RMC), RHIA, RHIT or an Associate's degree in Medical Office Systems or Health Information Management. · REQUIRED One (1) year of medical and/or dental billing and coding experience. Experience must be reflected on application; or submit copy of coder certification with application · REQUIRED Demonstrated proficiency in the technical knowledge of medical terminology, anatomy and physiology, and CPT and ICD-10-CM coding systems · REQUIRED to have Computer and/or word processor experience. · REQUIRED to submit to a background and character investigation, as per Tribal policy. Following hire must immediately report to Human Resource any citation, arrest, conviction for a misdemeanor or felony crime. · REQUIRED to submit to annual TB skin testing and adhere to KTHFS staff immunization policy in accordance with the Centers for Disease Control immunization recommendations for healthcare workers. · REQUIRED to accept the responsibility of a mandatory reporter in accordance with the Klamath Tribes Juvenile Ordinance Title 2, Chapter 15.64 and General Resolution #2005 003, all Tribal staff are considered mandatory reporters. Preferred Qualifications: · AAPC coder certified or AHIMA coder certified. · Experience with NextGen or other electronic health record system is preferred. Indian Preference: · Indian Preference will apply as per policy. Must submit documentation with application to qualify for Indian Preference . ACKNOWLEDGEMENT This is intended to provide an overview of the requirements of the position. It is not necessarily inclusive, and the job may require other essential and/or non-essential functions, tasks, duties, or responsibilities not listed herein. Management reserves the sole right to add, modify, or exclude any essential or non-essential requirement at any time with or without notice. Nothing in this job description, or by the completion of any requirement of the job by the employee, is intended to create a contract of employment of any type. APPLICATION PROCEDURE Submit a Klamath Tribal Health & Family Services Application for Employment with all requirements and supporting documentation to: Klamath Tribal Health & Family Services ATTN: Human Resource 3949 South 6th Street Klamath Falls, OR 97603 *************************** IT IS THE RESPONSIBILITY OF THE APPLICANT TO PROVIDE SUFFICIENT INFORMATION TO PROVE QUALIFICATIONS FOR TRIBAL POSITIONS. Please Note: If requirements are not met, i.e., submission of a resume in lieu of a tribal application or not including a required certification, your application will not be reviewed and will be disqualified. Indian Preference will apply. In accordance with Klamath Tribal policy, priority in selection will be given to qualified applicants who present proof of eligibility for “Indian Preference”. Applications will not be returned. Requirements:

BILLING SPECIALIST II RESPONSIBLE TO: Business Office Manager SALARY: Step Range: 12 ($40,453) -31($70,934); Full Benefits CLASSIFICATION: Non-Management, Regular, Full-Time LOCATION: Klamath Tribal Health & Family Services 3949 S. 6th Street, Klamath Falls, Oregon BACKGROUND: Comprehensive POSITION OBJECTIVE Klamath Tribal Health & Family Services (KTHFS) is a tribally-operated health facility offering direct medical, dental, pharmacy, behavioral health, and non-emergent transportation services to Native Americans and Alaska Natives residing within the service delivery area. The Billing Specialist is responsible for managing patient accounts in a complex, multi-disciplinary Business Office environment. The incumbent shall cross-train with other members of the Klamath Tribal Health Business Office Staff and shall participate in all functions of the coding and billing cycle, to include: daily review of encounters, analyzing chart notes and assuring the appropriate service codes are utilized, data entry of encounter forms, posting charges into the computer system, perform claims review, claims submission, timely billing, follow-up and collection of all accounts, payment posting, claims audit and research. The incumbent shall also function as a resource for clinic providers and staff and will assist with coding and billing questions, and quality assurance activities. MAJOR DUTIES AND RESPONSIBILITIES 1. Daily review, analyze, and interpret patient ambulatory EHR and/or paper encounter coding and corresponding chart note documentation and determine that the appropriate diagnostic and procedural codes are used and appropriately reflected in the chart note for code assignment as outlined by the CMS guidelines. Assuring that medical/dental necessity billing guidelines are met. 2. Ensure the appropriate service codes are applied in the billing record that corresponds to the documentation referenced in the chart note or on the encounter forms. Ensure that the appropriate ICD-10, CPT, HCPCS, CDT coding conventions have been used for services provided by all health service types within KTHFS, including but not limited to: medical, dental, behavioral health and transportation. 3. Work with providers and nursing staff to clarify documentation in the EHR system if needed. Including correlating anatomical and physiological processes of a diagnosis to assure the most accurate ICD-10 code(s) are used. Advise supervisor and clinicians of deficiencies to support charge capture of all billable services. 4. Prepare and submit clean claims (electronic or paper) to primary/secondary insurance carriers including Medicaid, Medicare, (Part A&B), and private insurance companies. 5. Maintain compliance with billing regulations: including Medicaid (DMAP), Medicare (Parts A&B, DME), Private Insurance Carriers (i.e. HMA, BCBS, ODS, etc.). 6. Payment post insurance checks or EFTs, which includes: verifying the checks or EFTs that have been receipted in the KTHFS Operations Support System, batching the checks or EFTs into the current billing system, and then accurately posting the payments into the current billing system. 7. Process refunds for any overpayments made to KTHFS. Monitor claims payment and promptly request POs for refunds to insurance companies, or perform electronic claim adjustments per payer requirements, for any overpayments made on claims. The refund will also be processed to reflect the claim refund in the practice management system. 8. Process No-Pay EOBs, applying an adjustment, create billing notes and claim follow-up. This includes the appeal of insurance claims that have been wrongfully paid or denied, contacting insurance companies by phone to obtain information concerning extent of benefits and/or settle unpaid claims and providing any additional information requested by insurance companies for the processing of submitted claims. 9. Record in NextGen system all claims related phone calls, correspondence, and activities related to each patient account. 10. Maintain current filing system for encounters, POs, & etc.; process daily incoming mail and correspondence for review, completion, and filing. 11. Communicate regularly with Patient Registration Staff and record patient benefit effective/term date(s) into the practice management system as needed. 12. Create electronic batches to submit to clearinghouse in Nextgen and reconcile to claims spreadsheet including follow up on electronic claims receipt by payer. Correct any claims before archiving the file in the clearinghouse. 13. Work outstanding A/R by reviewing, rebilling, and adjusting accounts to ensure accurate and thorough billing of claims, by running reports and working on claims. Track and monitor claims processing, ensure timely follow-up for the payment of bills; Identify, and resolve all outstanding/pending claims. 14. Monitor the Business Office outlook inbox regularly and back bill any claims and/or adjust claims where applicable. 15. Run specific reports as identified below: · To be ran and worked weekly - Pending Charges Report, Unbilled Encounters, Paper Claims printed, Clearinghouse Reports (claims denied, outstanding claims, claims removed, claims rejected) · Biweekly reports - Kept Appointments with No Encounters report, Aging Reports, and maintain up to date reports making sure all old billing is addressed. 16. Establish and maintain an effective working relationship with public and private payers; identify potential problems that could cause interruptions to cash flows. 17. Participate in yearly chart audit activities for quality assurance purposes; document results in report format, as needed, to be able to have reviewed by Clinical Director and Compliance Officer. 18. Attend coding seminars, meetings, or other training opportunities to keep abreast of changes in the profession. 19. Like all employees of the Klamath Tribes, the incumbent will be called upon to accomplish other tasks that may not be directly related to this position, but are integral to the Klamath Tribes' broader functions, including but not limited to, assisting during Tribal sponsored cultural, traditional, or community events that enable the successful operation of programs and practices of The Klamath Tribes as aligned with The Klamath Tribes' Mission Statement. Some of these tasks may be scheduled outside of regular work hours, if necessary. SUPERVISORY CONTROLS Work under the supervision of the Business Office Manager, who provides general instructions. Work is assigned in terms of functional/organizational objectives. The manager assists with unusual situations that do not have clear precedents. Employee must be able to work with minimal supervision, using initiative and judgement in setting priorities to meet the demands of the workload. Work is performed within the purview of laws, and regulations. The manager will review work regularly for quality and compliance with established policies and procedures and payer guidelines. KNOWLEDGE, SKILLS, ABILITIES Technical knowledge, skill, and understanding of the American Medical Association developed CPT coding system in order to acquire, interpret, and resolve problems based on information derived from system monitoring reports to be carried over to the required billing forms. Technical knowledge, skill, and understanding of the concepts of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) for classification of diseases and/or procedures. Knowledge and understanding of CDT dental coding system. Basic knowledge and understanding of HCPCS coding. Knowledge of mental health and alcohol and drug coding and billing is desirable. Ability to work with minimal supervision, using initiative and judgment in setting priorities to meet the demands of the workload while adhering to the insurance rules and regulations that relate to coding and billing. The knowledge of and/or the ability to learn the billing guidelines as they pertain to FQHC/Tribal Health Clinics. Knowledge of established procedures, required claim forms (both paper and electronic) associated with the various health insurance programs. In-depth knowledge of Medicaid (OARs, Rulebooks). In-depth knowledge of Medicare Part A & B billing regulations. Knowledge of medical terminology. Knowledge of claims review, account auditing, and quality assurance. The ability of tracking, handling, and completing multiple projects. Ability to communicate well (both orally and in writing) and work effectively with other employees, managers, and administrators. This person should be able to express themselves in a clear and concise manner for the purposes of correspondence, reports and instructions, as well as for obtaining and conveying information to ensure a cooperative working relationship with all staff. Willingness to maintain expertise to keep current with changes in procedure and diagnosis coding and third-party payer reimbursement policies through continuing education. Above average ability to work with numbers and set standards in order to assure proper payment and adjustment posting. Must be dependable, thorough, accurate, well-organized and detail oriented. Ability to maintain strict confidentiality of medical records and adhere to the standards for health record-keeping, HIPAA and Privacy Act requirements. Conduct self in accordance with KTH&FS Employee Policy & Procedure Manual. QUALIFICATIONS, EXPERIENCE, EDUCATION Minimum Qualifications: Failure to comply with minimum position requirements may result in termination of employment. · REQUIRED to possess a High School Diploma or Equivalent. ( Must submit copy of diploma or transcripts with application.) · REQUIRED Must have one of the following certifications: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Medical Coder (RMC), RHIA, RHIT or an Associate's degree in Medical Office Systems or Health Information Management. · REQUIRED One (1) year of medical and/or dental billing and coding experience. Experience must be reflected on application; or submit copy of coder certification with application · REQUIRED Demonstrated proficiency in the technical knowledge of medical terminology, anatomy and physiology, and CPT and ICD-10-CM coding systems · REQUIRED to have Computer and/or word processor experience. · REQUIRED to submit to a background and character investigation, as per Tribal policy. Following hire must immediately report to Human Resource any citation, arrest, conviction for a misdemeanor or felony crime. · REQUIRED to submit to annual TB skin testing and adhere to KTHFS staff immunization policy in accordance with the Centers for Disease Control immunization recommendations for healthcare workers. · REQUIRED to accept the responsibility of a mandatory reporter in accordance with the Klamath Tribes Juvenile Ordinance Title 2, Chapter 15.64 and General Resolution #2005 003, all Tribal staff are considered mandatory reporters. Preferred Qualifications: AAPC coder certified or AHIMA coder certified. · Experience with NextGen or other electronic health record system is preferred. Indian Preference: · Indian Preference will apply as per policy. Must submit documentation with application to qualify for Indian Preference . ACKNOWLEDGEMENT This is intended to provide an overview of the requirements of the position. It is not necessarily inclusive, and the job may require other essential and/or non-essential functions, tasks, duties, or responsibilities not listed herein. Management reserves the sole right to add, modify, or exclude any essential or non-essential requirement at any time with or without notice. Nothing in this job description, or by the completion of any requirement of the job by the employee, is intended to create a contract of employment of any type. APPLICATION PROCEDURE Submit a Klamath Tribal Health & Family Services Application for Employment with all requirements and supporting documentation to: Klamath Tribal Health & Family Services ATTN: Human Resource 3949 South 6th Street Klamath Falls, OR 97603 *************************** IT IS THE RESPONSIBILITY OF THE APPLICANT TO PROVIDE SUFFICIENT INFORMATION TO PROVE QUALIFICATIONS FOR TRIBAL POSITIONS. Please Note: If requirements are not met, i.e., submission of a resume in lieu of a tribal application or not including a required certification, your application will not be reviewed and will be disqualified. Indian Preference will apply. In accordance with Klamath Tribal policy, priority in selection will be given to qualified applicants who present proof of eligibility for “Indian Preference”. Applications will not be returned.

**About Us:** Summit Orthopedic Specialists is a leading orthopedic practice specializing in knees, hips, and shoulders. We are committed to "Saving Lifestyles" by providing high-quality patient care in a collaborative and dynamic work environment. **Position Overview:** We are seeking a detail-oriented Medical Billing Specialist to join our team at Summit Orthopedic Specialists. The ideal candidate has medical office experience and a strong background in medical billing, insurance claims processing, and patient account management. Prior experience in an orthopedic medical office is a plus. This role is critical to ensuring accurate and timely billing, optimizing reimbursement, and providing exceptional service to patients and insurance providers. **Key Responsibilities:** - Process and submit insurance claims accurately and efficiently. - Manage claim denials and follow up to ensure proper reimbursement. - Collect and process patient payments and virtual credit card payments. - Reconcile unapplied credit balances and explanation of benefits (EOBs). - Verify patient insurance coverage and eligibility. - Answer billing queue calls and voicemails, assisting patients with billing inquiries. - Maintain compliance with HIPAA, coding guidelines, and insurance policies. - Collaborate with teammates to ensure proper documentation and coding. **Qualifications:** - Experience working in a medical office is required; orthopedic experience is a plus. - Experience working with Athena (EMR system) is a plus. - Understanding of CPT, ICD-10, and HCPCS coding. - Strong attention to detail and ability to work in a fast-paced environment. - Excellent communication and problem-solving skills. - Ability to maintain patient confidentiality and adhere to HIPAA regulations. **Why Join Summit Orthopedic Specialists?** - Competitive salary and benefits package. - A supportive and collaborative team environment. - Opportunities for professional growth and development. - Be part of a practice that values quality patient care and innovation.

Job DescriptionSalary: $ 20.27 - $28.26 Billing Specialist Evergreen Family Medicine is committed to providing excellent care for your family with clinics in Roseburg, Sutherlin and Myrtle Creek Oregon. Evergreen Family Medicine serves outpatient needs, including Urgent Care, Family Practice, Womens Health, Occupational Health, and school-based telehealth. Evergreen Family Medicine is a Drug Free Workplace. All candidates that are offered employment will be required to pass a pre-employment drug screen and background check. Responsibilities and Duties: Maintains confidentiality according to HIPAA regulations and EFM policies. Adheres strictly to EFM departmental standards and policies, including state and federal regulations. Communicates effectively and professionally with co workers, managers and patients via phone, email or in person. Schedules work flow and establishes priorities for timely billing and follow up. Ensures all Hold claims lists assigned are worked on a weekly basis. Identify ongoing issues and trends that can be corrected or improved in areas affecting billing; these may include areas of posting, claim hold's, take backs, kick codes, or insurance. Ensures AR postings of all insurance payments and refunds. Works with front office staff, to ensure that all patient information is correctly entered and processed for billing. Collects patient co-pays, self pays, and patients balances and process payments via phone calls from patients. Responsible for maintaining communication with insurance companies on any changes affecting billing for EFM. Maintaining login's for assigned insurance companies. Working knowledge and training of current EFM computer systems used to complete billing. Ensures on a daily basis to promote an environment filled with teamwork, a positive outlook and constant professionalism. Qualifications and Skills: Education & Certifications High school diploma or equivalent (minimum). Preferred: Associates degree in healthcare administration, business, or related field. Certification: Certified Professional Biller (CPB), Certified Medical ReimbursementSpecialist(CMRS), or equivalent preferred. Technical & Professional Skills MedicalBillingExpertise: Strong understanding of ICD-10, CPT, and HCPCS coding. Familiarity with EHR/EMR systemsand practice management software. Knowledge of insurance claim processes, denials, take-backs, kick codes, and appeals. Experience posting payments, adjustments, and refunds accurately. Regulatory Knowledge: Demonstrated understanding of HIPAA complianceand patient confidentiality. Knowledge ofstate and federalbillingregulations. Computer & Technical Proficiency: Proficiency with Microsoft Office Suite (Word, Excel, Outlook). Ability to manage insurance company portals and maintain logins. Quick learner with newbillingsoftware and systems. Experience 3+ years of medicalbillingexperience(preferably in a clinical or specialty practice setting). Proven track record of working insurance claims, AR management, and patient collections. Experience collaborating with front office and clinical staff to ensurebillingaccuracy. Soft Skills & Core Competencies Communication: Clear, professional communication with patients, providers, coworkers, and insurance companies. Attention to Detail: High level of accuracy in data entry, coding, and claims review. Analytical Skills: Ability to identifybillingtrends, resolve recurring claim holds, and recommend process improvements. Organization & Prioritization: Skilled in managing multiple claims, payments, and deadlines simultaneously. Problem-Solving: Proactive in resolving claim denials, patientbillingconcerns, and workflow bottlenecks. Teamwork: Positive attitude, promotes collaboration, and contributes to a professional work environment. Confidentiality: Strong sense of ethics and commitment to protecting sensitive patient information. Physical requirements: Prolonged periods sitting at a desk and working on a computer. The employee is frequently required to walk; use hands and fingers, handle, or feel; and reach forward with hands and arms. The employee is occasionally required to sit and stoop, kneel, or crouch. Must be able to lift up to 35 pounds at times. Our culture and values are every employees responsibility: The needs of our patient come first S.P.I.R.I.T Stewardship Patient & Population Focused Health Care Integrity Respect Innovation Teamwork Benefits: Health, Dental, Vision benefits Life Insurance 401k with a company match up to 6% Paid Time Off

The Billing Specialist is responsible for managing HealthRIGHT360's clinical database/billing system, including e-Clinical works (ECW) or any other future EMR's reconciling insurance claims and tracking UDC's/UOS for HealthRIGHT 360's medical contracts. Key Responsibilities Billing Responsibilities: Under the supervision of HealthRIGHT360's Revenue Cycle Manager Manager, the billing specialist is responsible for accurate and timely scanning of EFT's, checks, EOB's, claim Inquiries, denials, RTD's and correspondence to PMG or other entities. The position is responsible by obtaining any additional information that may be needed to complete claims (Dx codes, CPT codes, note signatures, etc). Maintain and ensure proper coding for encounters including updates of ICD-10 and CPT codes. Bank Statement Reconciliations. Weekly Reconciliation the front desk cash logs, co-payments, and deposits to EMR and turn into fiscal. Along with the Revenue Cycle Manager and Directors of Operations investigate, post, and manage EMR payments and deposit into bank. Under the direction of the Revenue Cycle Manager develop and manage electronic billing system by inactivating and adding new/discontinued CPT and ICD10 codes, updating the Federal Poverty Level, Sliding Scale Fees and Charges on an annual basis. Regular management of HealthRIGHT 360's Medical Program's funding sources, including Medi-Cal, Medicare, Family PACT, Managed Care and Commercial Insurances. Daily management of Return to Clinic (RTC) errors. Daily processing of clinic/billing mail and work with PMG and Internal billing department to process ACH, remits, etc. and scan/upload to appropriate folders for processing. Under supervision of the Revenue Cycle Manager process patient refunds as necessary. Billing Credentialing: Notify PMG of all termed/hired employees. Obtain all provider materials needed for credentialing providers with all payer sources. Work with PMG on outstanding AR. Compliance Responsibilities: Ensure clinic stays in compliance with billing requirements (i.e. Medi-Cal/Medicare/HRSA compliance). Assist Medical Records department in providing billing records for patients upon request. Customer Service: Work directly with patients and Revenue Cycle Manager to address patients concerns or billing or statement concerns. As requested work with patients to explain the breakdown of fees and collect payment. And, other duties as assigned. Education and Knowledge, Skills and Abilities Education and Experience Required: Associates Degree in related field. Certificate in Medical Terminology or Billing and Coding. 2+ years of experience in accounting or billing department. Strong verbal communication. Proficient in Excel. Strong attention to detail. Excellent time management skills. Ten key experience. Data entry experience. Experience using billing software; eCW, Epic, and ClaimRemedi preferred. Desired: Bachelor's Degree in Accounting or related field Background Clearance Required: Must not be on active parole or probation Knowledge Required: Excellent command of spreadsheet applications. Culturally competent and able to work with a diverse population. Strong proficiency with Microsoft Office applications, specifically Word, Excel, Outlook and internet applications. Skills and Abilities Required: Ability to enter data into various electronic systems while maintaining the integrity and accuracy of the data. Professionalism, punctuality, flexibility and reliability are imperative. Excellent verbal, written, and interpersonal skills. Integrity to handle sensitive information in a confidential manner. Action oriented. Strong problem-solving skills. Excellent organization skills and ability to multitask and juggle multiple priorities. Outstanding ability to follow-through with tasks. Ability to work cooperatively and effectively as part of interdisciplinary team and independently assume responsibility. Strong initiative and enthusiasm and willingness to pitch in whenever needed. Able to communicate well at all levels of the organization including working with organization leadership and high-level representatives of partner organizations. Able to work within a frequently changing project scope while maintaining overall direction and structured priorities. Desired: Bilingual. In compliance with the California Department of Public Health's mandate, all employees must be able to provide proof of COVID-19 vaccination. Medical and religious exemptions are available. Tag: IND100.

Benefits/Perks Great small business work environment Flexible scheduling Paid vacation, health insurance, dental insurance, retirement benefit, and more! Company OverviewAmerican Family Care (AFC) is one of the largest primary and urgent care companies in the U.S. providing services seven days a week on a walk-in basis. Our state-of-the-art centers focus on the episodic treatment of acute illnesses and injuries, workers' compensation, and occupational medicine. Each location is equipped with an onsite lab and in-house x-ray capability.AFC is the parent company of AFC Franchising, LLC (AFCF). This position works directly with a franchised business location. The specific job duties and benefits can vary between franchises. Candidates Must Have: At least 2 years of experience in medical practice billing with exposure to working with denials, appeals, insurance collections, and related follow-up Working knowledge of Local and National Coverage Determinations and payor policies, and how to use them Must have ICD-10 and CPT coding assessment skills, CPC certification is preferred Strong proficiency in MS Office applications (Word, Excel, PowerPoint), and computerized billing systems is required. A patient-first, mission-oriented mindset Duties: Organize and prioritize all incoming claims and denials. Evaluate medical claims and coverage policy documentation to determine validity for an appeal. Responsible for ensuring and monitoring the effectuation of all decisions as a result of the follow-up of unpaid/denied claims with insurance carriers. Responsible for adhering to health care billing procedures, documentation, regulations, payment cycles, and standards. Work accounts to resolution. Collection from patients and insurances. Works collaboratively and effectively with all other departments and functions to maximize operational efficiency and service and ensure consistency in addressing appeals issues. Work independently to identify and resolve complex client problems. Work with leadership to develop appropriate policies and procedures. Maintain current knowledge of healthcare billing laws, rules and regulations, and developments. Comply with all applicable HIPAA policies and procedures and maintain confidentiality. Compensation: $18.00 - $23.00 per hour PS: It's All About You! American Family Care has pioneered the concept of convenient, patient-centric healthcare. Today, with more than 250 clinics and 800 in-network physicians caring for over 6 million patients a year, AFC is the nation's leading provider of urgent care, accessible primary care, and occupational medicine. Ranked by Inc. magazine as one of the fastest-growing companies in the U.S., AFC's stated mission is to provide the best healthcare possible, in a kind and caring environment, while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient. If you are looking for an opportunity where you can make a difference in the lives of others, join us on our mission. We invite you to grow with us and experience for yourself the satisfying and fulfilling work that the healthcare industry provides. Please note that a position may be for a company-owned or franchise location. Each franchise-owned and operated location recruits, hires, trains, and manages their own employees, sets their own employment policies and procedures, and provides compensation and benefits determined by that franchise owner. Company-owned locations provide a comprehensive benefits package including medical, dental, vision, disability, life insurance, matching 401(k), and more. We are an Equal Opportunity Employer.

Benefits/Perks * Great small business work environment * Flexible scheduling * Paid vacation, health insurance, dental insurance, retirement benefit, and more! American Family Care (AFC) is one of the largest primary and urgent care companies in the U.S. providing services seven days a week on a walk-in basis. Our state-of-the-art centers focus on the episodic treatment of acute illnesses and injuries, workers' compensation, and occupational medicine. Each location is equipped with an onsite lab and in-house x-ray capability. AFC is the parent company of AFC Franchising, LLC (AFCF). This position works directly with a franchised business location. The specific job duties and benefits can vary between franchises. Candidates Must Have: * At least 2 years of experience in medical practice billing with exposure to working with denials, appeals, insurance collections, and related follow-up * Working knowledge of Local and National Coverage Determinations and payor policies, and how to use them * Must have ICD-10 and CPT coding assessment skills, CPC certification is preferred * Strong proficiency in MS Office applications (Word, Excel, PowerPoint), and computerized billing systems is required. * A patient-first, mission-oriented mindset Duties: * Organize and prioritize all incoming claims and denials. * Evaluate medical claims and coverage policy documentation to determine validity for an appeal. * Responsible for ensuring and monitoring the effectuation of all decisions as a result of the follow-up of unpaid/denied claims with insurance carriers. * Responsible for adhering to health care billing procedures, documentation, regulations, payment cycles, and standards. * Work accounts to resolution. * Collection from patients and insurances. * Works collaboratively and effectively with all other departments and functions to maximize operational efficiency and service and ensure consistency in addressing appeals issues. * Work independently to identify and resolve complex client problems. * Work with leadership to develop appropriate policies and procedures. * Maintain current knowledge of healthcare billing laws, rules and regulations, and developments. * Comply with all applicable HIPAA policies and procedures and maintain confidentiality. Compensation: $18.00 - $23.00 per hour PS: It's All About You! American Family Care has pioneered the concept of convenient, patient-centric healthcare. Today, with more than 250 clinics and 800 in-network physicians caring for over 6 million patients a year, AFC is the nation's leading provider of urgent care, accessible primary care, and occupational medicine. Ranked by Inc. magazine as one of the fastest-growing companies in the U.S., AFC's stated mission is to provide the best healthcare possible, in a kind and caring environment, while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient. If you are looking for an opportunity where you can make a difference in the lives of others, join us on our mission. We invite you to grow with us and experience for yourself the satisfying and fulfilling work that the healthcare industry provides. Please note that a position may be for a company-owned or franchise location. Each franchise-owned and operated location recruits, hires, trains, and manages their own employees, sets their own employment policies and procedures, and provides compensation and benefits determined by that franchise owner. Company-owned locations provide a comprehensive benefits package including medical, dental, vision, disability, life insurance, matching 401(k), and more. We are an Equal Opportunity Employer.

Established in 1987, Pacific Medical, Inc. is a distributor of durable medical equipment; specializing in orthopedic rehabilitation, arthroscopic surgery, sports medicine, prosthetics, and orthotics. With the heart of the company dedicated to helping and serving others, we provide our services directly to the patient, medical networks, physician clinics, and offices. We are dedicated to the advancement of patient care through excellent service and product technology. We have an immediate onsite opportunity to join our growing company. We are currently seeking 4 full-time (M-F 8:00 am-5:00 pm) Medical Billing Specialists for our Tracy office. Job Responsibilities: • Verify medical eligibility; benefit coverage and authorization requirements online or phone. • Obtain authorization if required by plan via fax, email, or online. • Process files within predesignated deadlines. • Contact patients to obtain information to process insurance claims or bill patients accordingly. • Contact Work Comp carriers to obtain information for authorizations and process accordingly. • Preform other duties as needed. Job Requirements: • High School Diploma or Equivalent • Typing minimum of 45 words per minute • 1-2 Years of Medical Billing Experience Preferred Hourly Rate Pay Range: $17.00 to $25.00 · Annual Range ($35,360 to $52,000) O/T Rate Pay Range: $25.50 to $37.50 · Example of Annual O/T Range (5 to 10 hours per week @ 50 weeks range $6,375 - $18,750+) · Note: Abundance of O/T Available Bonus Opportunity Production Bonus: $0 to $1,000 per month (increases hourly rate up to $5.77 or up to $12k per year) Profit Bonus: $0 to $1000 per month (increases hourly rate up to $5.77 per hour or up $12k per year) Total Compensation Opportunity Examples: Annual Base Pay: $41,735.00 (Estimate incl. 5 hrs O/T per week, Low-range Production and Profit Bonus after 3 months) Annual Mid-Range Pay: $60,555.00 (Estimate incl. 5 hrs O/T per week, Mid-range Production and Profit Bonus) Annual Top Pay: $82,375.00 (Estimate incl. 5 hrs O/T per week, Max Production and Profit bonus) All Full-Time positions offer the following: Medical, Dental, Vision, ER paid Life for Employee, Voluntary benefits, Medical FSA, Dependent FSA, HSA, 401k, and Financial Wellness planning. Additional Benefits for Full-Time Employees (3 to 4 weeks of Paid Time Off) Holidays: 10 paid holidays per year Vacation Benefit: At completion of 3-month introductory period, vacation accrual up to a max of 40 hours in the first 23 months, at 24 months, accrual up to a max of 80 hours with a rollover balance. Sick Benefit: Sick accrual begins upon date of hire up to a max accrual of 80 hours annually with a max usage of 48 hours annually with a rollover balance.