Collector jobs at Parallon - 453 jobs

Full Time 36 hours/week 7pm-7am onsite The Supervisor Patient Care is responsible for nursing operations and patient care delivery across multiple units during assigned shifts. This role is responsible for staffing management and coordination among hospital departments. The Supervisor collaborates with the Transfer Center for patient placement and throughput, responds to emergencies and codes, and activates the Hospital Emergency Incident Command, when necessary, potentially serving as the Incident Commander Responsibilities: 1.Understands the business, financials industry trends, patient needs, and organizational strategy. 2.Provides support and assistance to nursing staff to ensure adherence to patient care protocols and quality standards. 3. Assist in monitoring the department budget and helps maintain expenditure controls. 4. Promotes and maintains quality care by supporting nursing staff in the delivery of care during assigned shifts. 5. Visits patient care units to assess patient conditions, evaluates staffing needs and provides support to caregivers. 6. Communicates with the appropriate Nursing Management staff member [VP of Patient Services, Directors of Nursing and Nurse Managers] about any circumstances or situations which has or may have serious impact to patients, staff or hospital. 7. Assist in decision-making processes and notifies the Administrator on call when necessary. 8. Collaborates with nursing and hospital staff to ensure the operational aspects of patient care units are maintained effectively. 9. Supports the nursing philosophy and objectives of the hospital by participating in educational efforts and adhering to policies and procedures. 10. Other duties as assigned. Other information: Technical Expertise 1. Experience in clinical pediatrics is required. 2. Experience working with all levels within an organization is required. 3. Experience in healthcare is preferred. 4. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. Education and Experience 1. Education: Graduate from an accredited School of Nursing; Bachelor of Science in Nursing (BSN) is required. 2. Licensure: Currently licensed to practice nursing as a Registered Nurse in the State of Ohio is required. 3. Certification: Current Health Care Provider BLS is required; PALS, NRP, ACLS or TNCC is preferred. 4. Years of relevant experience: Minimum 3 years of nursing experience required. 5. Years of supervisory experience: Previous Charge Nurse, Clinical Coordinator, or other leadership experience is preferred. Full Time FTE: 0.900000 Status: Onsite

Auto Collector will identify delinquent accounts, locate, and notify customers of delinquent status, initiate appropriate action to n balances, and maintain all related records. This position is work remotely from home. Top pay and commission for top collectors.ESSENTIAL DUTIES AND RESPONSIBILITIES: • Making outbound calls to client portfolio customer accounts• Receiving inbound calls to discuss customer accounts• Negotiating payment from customer• Monitor the status of delinquent accounts• Records payments made to the customer's account• Investigates disputes balances; where appropriate, corrects errors such as misapplied payments, reversed late charges, direct deposit errors, or overpayments from insurance• Ensures the security of customer files and delinquent account reports• Performs other duties as necessary QUALIFICATION REQUIREMENTS: • Excellent verbal and written skills• Basic understanding of the Fair Debt Collection Practices Act (FDCPA) and state and federal laws pertaining to collection activities• Excellent organizational skills with great attention to detail• Ability to keep information confidential• Professional demeanor and dependable work ethic• Ability to exercise integrity and discretion • Ability to remain professional in tense situations• Ability to work in a fast-paced environment• Ability to multi-task EDUCATION, EXPERIENCE, • Associate or Bachelor's degree from an accredited college or university • Minimum 2 years' experience in a collections agency or related industry• Experience with the Auto industry

PG Forsta is the leading experience measurement, data analytics, and insights provider for complex industries-a status we earned over decades of deep partnership with clients to help them understand and meet the needs of their key stakeholders. Our earliest roots are in U.S. healthcare -perhaps the most complex of all industries. Today we serve clients around the globe in every industry to help them improve the Human Experiences at the heart of their business. We serve our clients through an unparalleled offering that combines technology, data, and expertise to enable them to pinpoint and prioritize opportunities, accelerate improvement efforts and build lifetime loyalty among their customers and employees. Like all great companies, our success is a function of our people and our culture. Our employees have world-class talent, a collaborative work ethic, and a passion for the work that have earned us trusted advisor status among the world's most recognized brands. As a member of the team, you will help us create value for our clients, you will make us better through your contribution to the work and your voice in the process. Ours is a path of learning and continuous improvement; team efforts chart the course for corporate success. Our Mission: We empower organizations to deliver the best experiences. With industry expertise and technology, we turn data into insights that drive innovation and action. Our Values: To put Human Experience at the heart of organizations so every person can be seen and understood. Energize the customer relationship: Our clients are our partners. We make their goals our own, working side by side to turn challenges into solutions. Success starts with me: Personal ownership fuels collective success. We each play our part and empower our teammates to do the same. Commit to learning: Every win is a springboard. Every hurdle is a lesson. We use each experience as an opportunity to grow. Dare to innovate: We challenge the status quo with creativity and innovation as our true north. Better together: We check our egos at the door. We work together, so we win together. This is a hybrid role to the South Bend, IN location Tuesday through Thursday and working from home Monday and Friday. Job Overview This position will be responsible for processing new contracts and amendments and setting them up for accurate invoicing and revenue recognition. They will manage a client load and be available to answer questions directly from clients as well as from other internal departments regarding the contracts and invoices for their assigned client. Duties and Responsibilities Assist with the monthly invoice process including posting and review of client invoicing. Review and process contracts to ensure accurate invoicing and revenue recognition. Process monthly cancellations and issue necessary credits. Perform maintenance on client accounts to realign services, change billing cycles and adjust current or future pricing. Maintain a strong working relationship with clients both external and internal to ensure the accuracy of invoices and to serve as a resource when questions arise. Qualifications A high level of attention to detail to prevent and/or resolve existing billing issues timely and accurately. Excellent phone and written communication skills Ability to work independently, prioritize their work load, meet deadlines, and work in a team environment. Knowledge of the Microsoft Suite of products, especially Excel, is preferred. Education Bachelor's degree in Accounting, Finance, Business or related area is required with 1-3 years of relevant experience preferred. Don't meet every single requirement? Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. At PG Forsta we are dedicated to building a diverse, inclusive and authentic workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyways. You may be just the right candidate for this or other roles. Additional Information for US based jobs: Press Ganey Associates LLC is an Equal Employment Opportunity/Affirmative Action employer and well committed to a diverse workforce. We do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, veteran status, and basis of disability or any other federal, state, or local protected class. Pay Transparency Non-Discrimination Notice - Press Ganey will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. The expected base salary for this position ranges from $50,000 to $60,000. It is not typical for offers to be made at or near the top of the range. Salary offers are based on a wide range of factors including relevant skills, training, experience, education, and, where applicable, licensure or certifications obtained. Market and organizational factors are also considered. In addition to base salary and a competitive benefits package, successful candidates are eligible to receive a discretionary bonus tied to achieved results. All your information will be kept confidential according to EEO guidelines. Our privacy policy can be found here: *****************************************

Covetrus is a global animal-health technology and services company dedicated to empowering veterinary practice partners to drive improved health and financial outcomes. We're bringing together products, services, and technology into a single platform that connects our customers to the solutions and insights they need to work best. Our passion for the well-being of animals and those who care for them drives us to advance the world of veterinary medicine. Covetrus has more than 5,000 employees, serving over 100,000 customers around the globe. Come explore the possibilities in our exciting, fast paced, high volume, work environment! Hours for this positions will be 10:00am - 7:00pm Eastern Time SUMMARY The Collector serves as an information source to all areas of the company on credit and accounting related questions; works closely with the sales force to develop strategies to enable future sales growth while protecting one of the company's largest assets, the Accounts Receivable. Formulates a successful approach to managing a large portfolio of assigned accounts, consistent with company policies and in support of providing a positive customer experience. ESSENTIAL DUTIES AND RESPONSIBILITIES Updates customer credit terms as needed, working closely with the sales force to develop strategies for future sales growth. Serves as a primary source for all accounting questions by the sales force. Serves as the information source for all customers, both internal and external, to get credit and accounting related issues resolved. Maintains extended knowledge of Credit Administration requirements for updating/opening new accounts. Makes strategic decisions on the value of adjusting late charges as a collection tool. Approves late charge adjustments. Evaluates special billing (delayed and split) and large order requests for credit-worthiness, following the company guidelines, with the ability to make sound decisions and balancing the needs of the customer with the requirements of the company in support of the sales effort. Contacts customers by phone, email and/or letter to resolve past due balances and include analysis of trade references and customer payment history, while strengthening the customer relationship. Uses organizational skills and ability to prioritize independently in order to manage portfolio. Keeps detailed extended note files of all phone and email contacts; maintains complete records of all customer contact to support any future collection activity. Uses a combination of knowledge, experience, and analysis, working with multiple departments, often taking the lead to resolve accounting related issues. Contacts customers regarding "non-sufficient funds" checks and makes arrangements for replacement. Resolves customer complaints and/or problems, including account reconciliations, often using spreadsheets to solve an issue and to assist in keeping the customer current for the long term. Handles credit card declines. Keeps sales force apprised of collection efforts and works closely to develop approach to resolve issues. Prepares accounts for collections, placing the final call to the customer and preparing complete package to placement with an agency. Handles a high volume of telephone calls and emails. Reviews suspended orders to determine and execute appropriate course of action. Reviews and updates credit lines in accordance with company guidelines and review of history, trade references, and in-depth research. Follows-up on payments, including how to allocate them and the reasons for any deductions. Maintains follow-up list for manual payments. Researches missing and incorrect PO numbers. Maintains customer websites for paperless billing. Performs other duties as assigned SUPERVISORY RESPONSIBILITIES None QUALIFICATIONS: Education and/or Experience Experience as a collector and/or customer service representative, preferably in a commercial collecting environment Experience working in a fast paced environment Proven ability to meet and exceed deadlines Certificates, License & Registrations No certifications required Competencies (Skills & Abilities) Knowledge of basic accounting principles Demonstrated ability to negotiate Ability to prioritize and function independently to achieve personal goals, as well as becoming active participant in achieving team goals, while supporting the mission of the company Ability to compose business correspondence; familiarity with PCs; typing ability; and excellent organizational, spelling/grammar and telephone skills. PHYSICAL DEMANDS/WORK ENVIRONMENT The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. No travel generally required. No evening/weekend work required. We offer the following benefits for you to take advantage of while you are here provided you meet the eligibility requirements under each governing program: 401k savings & company match Paid time off Paid holidays Maternity leave Parental leave Military leave Other leaves of absence Health, dental, and vision benefits Health savings accounts Flexible spending accounts Life & disability benefits Identity theft protection Pet insurance Certain positions may include eligibility for a short-term incentive plan Salary may vary depending on factors such as confirmed job-related skills, experience, and location. It is not typical for an individual to be hired at or near the top end of the range for their role. Compensation decisions are dependent upon the facts and circumstances of each case. Sales Positions are eligible for a Variable Incentive. The pay range for this position is as follows: $18-$24 Covetrus is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

Surgical Hospital of Oklahoma has an immediate opening for a full-time Hospital Collector. This position ensures medical/hospital collections are completed with highest quality and integrity and that all work is in full compliance with client contractual agreements. All applicants must have knowledge of medical billing, precertification procedures, hospital collection and denials from insurance companies. Strong knowledge of facility billing/collections procedures is required. Required Knowledge, Skills and Abilities: Excellent working knowledge of insurance carriers' payment regulations including reimbursement, coinsurance, deductibles and contractual adjustments Knowledge of Medicare, Medicaid, Managed Care and Commercial Insurances Must be able to read and interpret EOBs and fee schedule contracts Complete familiarity and understanding of claims, billing codes, and hospital collections Knowledge of how to submit appeals, reconsideration requests, corrected claims and mail claims to secondary insurances Understanding of modifier usage and bill types Review adjudicated claims for timely filling and proper payment to ensure maximum payment is received Knowledge of HIPAA regulations and compliance as related to job performance Strong interpersonal and communications skills Able to work successfully in a team-oriented environment Strong written and oral communications skills High attention to detail and the ability to multi-task Able to perform tasks in Microsoft Word, Excel and other Microsoft Office programs required to complete responsibilities Able to work within/learn other software as required Precertification knowledge/experience This is a remote position based in the OKC metro area All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin. Job Type: Full-time Benefits: 401(k) 401(k) matching Dental insurance Disability insurance Employee assistance program Employee discount Flexible spending account Health insurance Life insurance Paid time off Vision insurance Work from home Schedule: 8 hour shift Day shift Monday to Friday Experience: Medical collection: 1 year (Preferred) Must have Oklahoma medical collections experience

ARE YOU READY TO MAKE MONEY? Want to make a change? No need to look further - a world of opportunity is waiting! JOIN OUR TEAM! We have a great staff and a professional environment geared towards the success of everyone. You've got energy, enthusiasm, drive, and determination. We've got competitive compensation, benefits, and a career path that rewards performance with growth and opportunity. We're looking for EXPERIENCED REMOTE COLLECTORS in FLORIDA ONLY! FLORIDA ONLY! First Credit Services, Inc. is a premier A/R Management and Collection Agency working within the collections industry. Being leaders in the industry, we remain at the forefront of CFPB and regulatory compliance. We stand at an A rating by the Better Business Bureau. As a national debt recovery agency, we have been pioneering innovative and effective collection and decline management programs since our inception in 1993. With our state-of-the-art technology and computer systems, we focus on customer service compliance centric driven collections. Why choose First Credit Services? When you become part of our First Credit Services family, you're not just accepting a job but an invitation to advance your career and build leadership skills for the future. Beyond financial stability, PTO, Paid Holidays, Paid Sick Leave, and paid training, we offer an excellent compensation package which includes a base hourly wage + bonuses and incentives. As a true pay-for-performance organization, your career path and compensation are clearly defined by your work productivity and drive to succeed. We offer: Generous commission structure, Competitive Wages, and Ideal Schedules Position Summary: Be assertive, personable, and persuasive with our consumers Be comfortable negotiating, discussing sensitive financial issues, and selling solutions to consumers Remain positive, professional, determined, calm and focused when faced with challenging situations Overcome objections to pay and develop creative solutions to help bring consumers current Quick thinker, with an ability to understand and interpret information promptly and effectively Self-driven, self - motivated, and able to perform with minimal supervision in a team environment Receptive to ongoing feedback aimed at improving the performance of you and your team Ability to speak clearly, professionally, and articulately on the telephone Ability to talk and type at the same time (talking with consumers while documenting relevant notes) Comfortable with repetitive tasks, sit and talk on the phone with a headset for most of the day Ability to manage a flexible work schedule Ability to document account notes clearly and efficiently Ability to work independently and in a team environment MAKE MONEY! (Goal Achievement) HAVE FUN! Education and Experience: Associate or Bachelor's degree from an accredited college or university, preferred Minimum 5-7 years experience in collections environment Job Type: Full-time Benefits: 401(k) Dental insurance Health insurance Paid sick time Paid time off Paid training Vision insurance Work from home Experience: Third Party Collections: 5 years (Preferred) Work Location: Remote

Job Title: Invoicing Specialist Job Type: Full-Time, Hybrid Schedule Reports To: A/R Manager Pay: $19.00 - $20.00 per hour. Benefits: Full-time employees are eligible for competitive benefits, including health/vision/dental, 3 weeks PTO, 9 paid holidays, and a matching 401k plan. Schedule: Monday - Friday, 8:00 AM to 5:00 PM. Ability to WFH Mondays and Fridays after 90-day probationary period. Job Summary: Principle Health Systems is on the hunt for a detail-savvy, invoice-wrangling guru to join our team as an invoicing specialist. Your mission (should you choose to accept it): Tame the data monster: Navigate through mountains of data like a pro, organizing, analyzing, and mastering data sets. Invoice with Flair: Ensure every invoice is accurate, timed to perfection, and compliant, because precision + speed = 💰 efficiency! Champion the AR Cycle: You'll play a vital role in making sure payments flow smoothly, keeping cash flow fabulous for everyone. Detail Detective: You catch tiny inconsistencies before anyone else sees them (your eagle eye keeps us on point). A “BIG picture” visionary: You're someone who steps back to see how invoicing fits into the greater business narrative: anticipating trends, suggesting smarter workflows, and always thinking about the “why” beyond line items. Why you will love it here: We are a mission-driven company where we put people over profits. Patients are 100% our purpose! Love spreadsheets? You'll get a front row seat to organized chaos (your everyday playground). Your work fuels our business! Each clean invoice helps the company thrive, so your impact will be felt everywhere. Every day is a new challenge, every entry a new clue. You're the Sherlock Holmes of Skilled Nursing Facility (AKA: SNF) invoicing. You will work alongside a small team that appreciates your expertise and celebrates your victories. Who you basically are: A detail-obsessed spreadsheet nerd (in the best way). A finance-savvy individual with SNF or healthcare invoicing experience. A cross-checking marvel who knows how to catch, reflect, and correct. A master of efficiency (your organizational skills are next level). Feeling called to transform SNF billing into a smooth, well-oiled machine? If organizing data and crafting precision perfect invoices lights you up, we can't wait to meet you! Key Responsibilities: Census retrieval and some interpretation. Ad hoc reporting from LIMS (Laboratory Information Management System) to retrieve raw data and build reports. Prepare and upload CSV and Standard Driver sheets into LIMS and RCM software. Prepare and submit invoices for diagnostic services to skilled nursing facilities (SNF) and other contracted clients according to contract terms. Collaborate with internal team members and SNF administrators, admissions teams, and finance staff to resolve billing discrepancies. Assist in month-end closing activities, including invoice reconciliation and AR reporting. Identify and implement process improvements for invoicing efficiency and accuracy. Manage shared email inbox. Other duties as assigned by management. Qualifications: Proficiency in Microsoft Excel (intermediate to advanced) and Outlook. Excellent attention to detail and problem-solving skills. Ability to meet deadlines, demonstrate urgency, prioritize tasks, and work both independently and collaboratively. Strong verbal and written communication skills. Preferred Qualifications: Knowledge of HIPAA and healthcare compliance standards. Experience working with multi-facility organizations or third-party billing companies. 2+ years billing/invoicing experience, preferably in a Skilled Nursing Facility, long-term care, or healthcare setting. 1+ years working in a LIS or LIMS. (Laboratory Information System) Familiarity with applicable Skilled nursing facility (SNF) billing systems (e.g., PointClickCare, MatrixCare, Netsmart, or similar). Bachelor's degree. We are an Equal Opportunity Employer and are committed to providing reasonable accommodations to individuals with disabilities. If you require accommodations during the application or interview process, please contact ***********************. Monday-Friday 8:00am-5:00pm; 1 Sunday a month for month-end support Ability to work from home after 90 days on Monday & Friday Works within the company's corporate office

Responsible for follow up to insurance companies and patients in order to obtain payment of accounts. Estimated pay range for this position is $18.87 - $22.83 / hour depending on experience. Degrees: * High School,Cert,GED,Trn,Exper. Additional Qualifications: * Must operate a 10 key calculator, excellent communication skills, both written and verbal, with people of various backgrounds, detailed oriented, problem solver, good math skills, five plus years of previous collection experience. * Microsoft experience a must. * Proficient in managed care terminology and reimbursement. * ICD9-and CPT knowledge desirable. * AA degree preferred. Minimum Required Experience: 5 Years

Full-time Description NO WEEKENDS, NO EVENINGS, NO HOLIDAYS offers a hybrid remote option. We offer competitive pay as well as PTO, Holiday pay, and comprehensive benefits package! Benefits: · Health insurance · Dental insurance · Vision insurance · Life Insurance · Pet Insurance · Health savings account · Paid sick time · Paid time off · Paid holidays · Profit sharing · Retirement plan GENERAL SUMMARY The Credit Resolution Specialist is responsible for investigation and resolution of credit receivable balances. This includes properly adjusting incorrect data entries or processing refunds when appropriate in alignment with management policies and procedures. The Credit Resolution Specialist is accountable for meeting or exceeding daily/weekly/monthly productivity targets set forth by management. Requirements ESSENTIAL JOB FUNCTION/COMPETENCIES The responsibilities and duties described in this job description are intended to provide a general overview of the position. Duties may vary depending on the specific needs of the affiliate or location you are working at and/or state requirements. Responsibilities include but are not limited to: Identifies and researches credit balances to separate true credits from false credits. Reviews patient and guarantor account(s) to ensure that a credit cannot be applied to an alternate balance on an account. Processes patient refunds in accordance with policies for true credits when appropriate. Corrects data entry errors that generated false credits and communicates trends to management. Follows established protocols for approval of refunds. Batches refunds and provides them to Finance department for processing as directed by management. Conducts regular follow-up on processing status of refunds with Finance. Addresses/resolves issues relating to patient accounts while noting account actions for complete audit trail of follow-up activity. Communicates with Payment Posting Specialist, Claim Resolution Specialist, and Business Office staff when necessary to resolve errors and clarify issues. Stays accountable to quality and productivity standards, and monitoring compliance with policies and procedures. Identifies process opportunity trends and recommend ways to improve efficiencies. Ensures adherence to third party and governmental regulations relating to coding, billing, documentation, compliance, and reimbursement. Participates in special projects, personal development training, and cross training as instructed. Informs Supervisor of trends, inconsistencies, discrepancies for immediate resolution. Works in conjunction with peers and functional areas of the Business Office department for the betterment of completing tasks and the company overall. Performs other position related duties as assigned. Employees shall adhere to high standards of ethical conduct and will comply with and assist in complying with all applicable laws and regulations. This will include and not be limited to following the Solaris Health Code of Conduct and all Solaris Health and Affiliated Practice policies and procedures; maintaining the confidentiality of patients' protected health information in compliance with the Health Insurance Portability and Accountability Act (HIPAA); immediately reporting any suspected concerns and/or violations to a supervisor and/or the Compliance Department; and the timely completion the Annual Compliance Training. CERTIFICATIONS, LICENSURES OR REGISTRY REQUIREMENTS License and certification as required by state. KNOWLEDGE | SKILLS | ABILITIES Demonstrates understanding of business and how actions contribute to company performance. Demonstrates excellent customer service skills. Knowledge of medical terminology, healthcare coding systems, and clinics functions. Experience in the use of CPT and HCPCS required. Utilizes Practice Management (PM) system and all other software systems in accordance with Business Office and/or management protocols. Reviews account information to identify trends, preventable root cause issues, and communicates these to Supervisor. Ability to follow policies and procedures for compliance, medical billing, and coding. Ability to type and enter data with proficiency and accuracy. Proven ability to manage multiple projects at a time while paying strict attention to detail. Ability to successfully meet departmental deadlines. Excellent verbal and written communication skills. Strong analytical and problem-solving skills. Customer-oriented with ability to remain calm in difficult situations. Skill in using computer programs and applications including Microsoft Office. Ability to work independently and manage deadlines. Complies with HIPAA regulations for patient confidentiality. Complies with all health and safety policies of the organization. EDUCATION REQUIREMENTS High School Diploma or equivalent required. EXPERIENCE REQUIREMENTS Minimum 2 years experience within a physician's office or medical environment. Experience in Urology physician practice environment preferred. REQUIRED TRAVEL N/A PHYSICAL DEMANDS Carrying Weight Frequency 1-25 lbs. Frequent from 34% to 66% 26-50 lbs. Occasionally from 2% to 33% Pushing/Pulling Frequency 1-25 lbs. Seldom, up to 2% 100 + lbs. Seldom, up to 2% Lifting - Height, Weight Frequency Floor to Chest, 1 -25 lbs. Occasional: from 2% to 33% Floor to Chest, 26-50 lbs. Seldom: up to 2% Floor to Waist, 1-25 lbs. Occasional: from 2% to 33% Floor to Waist, 26-50 lbs. Seldom: up to 2%

BILLING SPECIALIST II HYBRID RESPONSIBLE TO: Business Office Manager SALARY: Step Range: 12 ($40,453 annually) - 31 ($70,934 annually); Full Benefits CLASSIFICATION: Non-Management, Regular, Full-Time LOCATION: Hybrid - Up to 80% Remote / 20% In Office after initial year of training period 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 American Indians and Alaska Natives residing within the service delivery area. The Billing Specialist II is responsible for managing patient accounts in a complex, multi-disciplinary Business Office environment. The incumbent shall cross-train with other members of the Business Office 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 necessity billing guidelines are met. 2. Ensure that 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-X, CPT, HCPCS, CDT coding conventions have been used for services provided by all health service types within KTHFS. 3. Work with providers, nursing staff, and the business office to clarify documentation in the EHR system if needed. Including correlating anatomical and physiological processes of a diagnosis to assure the most accurate and specified ICD-X code(s) are used. Advise manager 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 , Medicare (Parts A&B, DME), and private Insurance Carriers. 6. Payment post insurance checks or EFTs, which includes: verifying the checks or EFTs that have been receipted in the Master Check's & EFT's Microsoft spreadsheet, batching the checks or EFTs into NextGen and then accurately posting the payments. 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 refunded claim in NextGen. 8. Process No-Pay EOBs by applying an adjustment and creating billing and claim follow-up notes. 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 and record patient benefit effective/term date(s) into the practice management system as needed. 12. Create electronic batches to submit to the clearinghouse and reconcile with the submitted claims tracking 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 run and worked weekly - Pending Charges Report, Unbilled and Rebilled 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 maintaining 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 flow. 17. Participate in yearly chart audit activities for quality assurance purposes; document results in report format, as needed, for review by the Chief Medical Officer and the Chief Quality 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. Employees 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 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-X-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 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 Onsite training/working for the first year upon hire may be required. Up to 80% of remote work after training requirements are completed subject to business needs and management approval. · REQUIRED to possess a High School Diploma or Equivalent. ( Must submit a 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 in application; or submit copy of coder certification with application. · REQUIRED Demonstrated proficiency in 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 systems 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 job requirement 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.

Zurich is currently looking for a Legal Collections Specialist to work out of our North American headquarters in Schaumburg, Illinois. The Legal Collections Specialist performs complex finance operations tasks and monitor the day-to-day relationships between the Organization and suppliers to ensure financial goals are being met and third-party vendors operate in compliance with required policies and procedures. May perform collections and receivables management duties for the more complex accounts referred to special collections, including bankruptcies on accounts designated as legal collections. Additional responsibilities will include: Perform as an initial point of escalation for Finance Operations Associate providing technical guidance and work direction Respond to internal and external client's inquiries by providing technical advice in a professional, timely and accurate manner in complex situations Proactively analyze performance of key performance indicators and communicate status and issues to management Demonstrate an understanding of the customer's needs, reviews process and procedures; recommend and implement continuous improvement Lead and collaborate on moderately complex ad hoc projects Basic Qualifications: Bachelor's Degree and 4 or more years of experience in the Finance Operations area OR High School Diploma or Equivalent and 6 or more years of experience in the Finance Operations area OR Certified Zurich Insurance Apprentice, including Associates Degree and 4 or more years of experience in the Finance Operations area AND Knowledge of financial (debt ?) collections practices and procedures Knowledge of accounting standards and practice Preferred Qualifications: Strong verbal and written and communication skills Strong quantitative and analytical skills Insurance industry experience Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply-your unique background matters to us. The proposed Salary range for this position is $71,100.00 - $116,500.00, with short-term incentive bonus eligibility set at 10%. We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewards here.] Why Zurich? At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment-so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500 . Join us for a brighter future-for yourself and our customers. Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets. Zurich complies with 18 U.S. Code § 1033. Please note: Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal. Location(s): AM - Schaumburg Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-GR1 #LI-ASSOCIATE #LI-HYBRID

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 non-remote opportunity to join our growing company. We are currently seeking 3 full-time (M-F 8:00 am-5:00 pm) Patient Collections Specialists for our Tracy, CA office. These individuals will be responsible for the following: * Must be Bilingual (Spanish) * Job Responsibilities: · Contact patients/guarantors to secure payment for services provided based on an aging report with balances. · Contact patients when credit card payments are declined. · Follow up with refund requests. · Document all calls and actions are taken in the appropriate systems. Sets next work date if follow-up is needed. · Confirms/updates with patient/guarantor insurance and patient demographics information. Makes appropriate changes and submits/re-submits claims as indicated. · Establishes a payment arrangement with the patient/guarantor and follow-up on all payment arrangement plans implemented. · Document all patient complaints/disputes and forward them to the appropriate person for follow-up. · Perform other duties as needed. Qualifications/Skills: · Must excel in interpersonal communication, customer service and be able to work both independently and as part of a team. · Must excel in organizational skills. · Must possess strong attention to detail and follow-through skills. · Education, Training, and Experience Required: High School graduate or equivalent. Bilingual (Spanish) Must type 25-45 words per minute. Hourly Rate Pay Range: $17.00 to $19.00 · Annual Range ($35,360.00 to $39,520.00) O/T Rate Pay Range: $25.50 to $28.50 · Example of Annual O/T Range (5 to 10 hours per week @ 50 weeks range $6,375.00 - $14,250+) · Note: Abundance of O/T Available Bonus Opportunity Team Bonus: $0 to $500 per month (increases hourly rate up to $2.88 per hour or up to $6k per year) Profit Bonus: $0 to $500 per month (increases hourly rate up to $2.88 per hour or up $6k per year) Total Compensation Opportunity Examples: Annual Base Pay: $41,735 (Estimate incl. 5 hrs O/T per week, Low-range Production and Profit Bonus after 3 months) Annual Mid-Range Pay: $54,315.00 (Estimate incl. 5 hrs O/T per week, Mid-range Production and Profit Bonus) Annual Top Pay: $57,895.00 (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.

COMPETENCIES: Demonstrates competence in waived testing Urine Collection Breath Alcohol Analysis Pregnancy Testing Saliva Collection Demonstrates competence in Narcan administration Demonstrates knowledge about behaviors and treatment of individuals with substance use, dependence, and other addictive behaviors Demonstrates knowledge about medication assisted therapy Understands the benefits and limitations of toxicological testing procedures RESPONSIBILITIES: Monitors and collects various urine drug screens under chain of custody procedure. Collects specimens of hair and saliva for drug collection and processing. Performs Breath Alcohol Analysis as a trained B.A.T. (Breath Alcohol Technician). Performs criminal background checks according to procedure. Maintains records and logs of all specimen tests obtained and processed. Responsible to photocopy and mail, in a timely manner, results of drug screens and saliva testing as requested by companies, with proper release of information. Orders supplies, maintains inventories and stocks of Lab Prep area. Maintains a clean work environment. Assists the Medical Department as directed. Participates in Bloodborne Pathogen Exposure/Chemical Hygiene Training. Participates in staff development program according to Agency policies and procedures Reports all unusual incidents and accidents according to Agency procedures. Participates in Agency health and safety practices and drills. Attends all scheduled staff meetings, supervision meetings and committee meetings as designated. Upholds all Agency policies, procedures and regulations; and supports the overall mission and philosophy of the Agency. Maintains harmonious relations within and outside the Agency in conducting Agency business. Maintains professional appearance at all times with regard to appropriate office attire. Any exceptions or special circumstance require prior approval of supervisor. Other duties as assigned by the President/CEO, CMO, Administrator, and/or Medical Manager. Requirements High School diploma required.

We are seeking a detail-oriented, highly accurate Medical Billing Specialist to join our remote team. The ideal candidate is self-motivated, goal-driven, and committed to excellence in medical billing and revenue cycle management. You will play a vital role in ensuring our clients receive every possible revenue dollar while upholding the highest standards of integrity and compliance. This position requires strong problem-solving skills, excellent communication, and the ability to thrive in a fast-paced environment. What You'll Do Verify patient eligibility and benefits. Post charges, payments, and ERA adjustments. Prepare, review, and submit electronic/paper claims. Follow up on unpaid or denied claims and file appeals. Review patient bills for accuracy; set up payment plans when needed. Communicate with patients, clients, and insurance carriers professionally. Maintain cash spreadsheets and prepare monthly reports. What We're Looking For 2-3 years' medical billing and AR follow-up experience. CPB, CPC, or similar credential a plus. Strong knowledge of billing software (eClinical, Athena, Open PM, MicroMD, or similar). Skilled in Word, Excel, and using carrier websites for eligibility and claims. Excellent written and verbal communication. Must pass a baseline billing test during the interview process. Why Join Us 100% remote contractor role. Flexible schedule. Work with diverse clients and systems. Opportunity to directly impact client financial success.

Full Time - Wage 16.75/ hourly This position requires a valid driver's license held for at least one year (post-permit) and a clean MVR that meets Sevita's insurability policy. OUR MISSION AND PERFORMANCE EXPECTATIONS The MENTOR Network is a mission driven organization dedicated first and foremost to the children and adults we serve and support. The Network expects all employees to be mindful of this mission, and to perform their job to its fullest, and as stated in their job description. SUMMARY The Funds Specialist is a full time position and is considered nonexempt and paid hourly. The Funds Specialist is responsible for overseeing the maintenance and protection of individual funds for an assigned state or region. The Funds Specialist monitors implementation of individual fund policies and procedures, audits individuals' accounts, reviews reconciliations and reports mismanagement or abuse of individual funds. The Funds Specialist may perform Representative Payee duties and payee account transactions for the individuals served. The Funds Specialist works at the state or regional office. ESSENTIAL JOB FUNCTIONS To perform this job successfully, an individual must be able to satisfactorily perform each essential function listed below: Money Management Services and Bank Accounts Coordinates and manages funds in alignment with money management plans and financial transaction consents. Performs Representative Payee Designee duties, as assigned. Administers pre-paid bank card programs, as applicable. Tracks and records deposited funds for beneficiaries and deposits payments when necessary. Assists with opening irrevocable burial trusts, special needs trusts, etc. and coordinates handling of individual funds in the event of death. Completes routine and end of year tax filing for applicable persons served. Financial Transactions, Registers, and Supporting Documentation Reviews and processes routine personal spending and special requests for funds, promptly recording on corresponding transaction registers or ledgers. Maintains records of expenditures, including original receipts and signatures. Makes payments on behalf of persons served, including room and board, rent, utilities, medical co-payments and others. Follows policy and procedure when issuing checks from individual fund accounts. Account Reconciliation, Audits, and Recordkeeping Reconciles transaction registers to funds source (ledgers/etc.) at least monthly or more frequently, as applicable. Reviews transaction registers to verify accuracy of transactions register balances by reviewing starting and ending balances, deposits, expenditures, cash count, and bank card or account balance verification. Brings questions or inconsistencies to the primary money manager (or other party if this person is suspected) for resolution. When an external party is Representative Payee, maintains records and shares them with the external Representative Payee, as indicated. Reporting Conducts routine reviews of account balances and, as indicated, completes high balance alert notifications and takes steps to avoid exceeding asset limits to maintain eligibility. Assists with reporting combined asset and account information to benefit entities (e.g., Social Security Administration). Assists with collecting and organizing documents for external audits of Representative Payee Accounts. Promptly reports suspected misuse of funds or property, as required by applicable policy and procedures. Other Performs other related duties and activities as required. SUPERVISORY RESPONSIBILITIES None Minimum Knowledge and Skills required by the Job The requirements listed below are representative of the knowledge, skill, and/or abilities required to perform the job: Education and Experience: High school diploma/GED required Associates degree in related field preferred with account management experience preferred. Proficiency in accounting, intermediate to advanced computer skills and applications preferred. Certificates, Licenses, and Registrations: Current driver's license, car registration and auto insurance if driving on the behalf of the Company. Physical Requirements: Light work. Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. If the use of arm and/or leg controls requires exertion of forces greater than that for sedentary work and the worker sits most of the time, the job is rated for light work. AMERICANS WITH DISABILITIES ACT STATEMENT External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job functions either unaided or with assistance of a reasonable accommodations to be determined on a case by case basis via the interactive process.

**REM Community Services** **,** a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person has the right to live well, and everyone deserves to have a fulfilling career. You'll join a mission-driven team and create relationships that motivate us all every day. Join us today, and experience a career well lived. **Billing Coordinator** **Full Time - Wage 16.75/ hourly** **This position requires a valid driver's license held for at least one year (post-permit) and a clean MVR that meets Sevita's insurability policy.** **OUR MISSION AND PERFORMANCE EXPECTATIONS** The MENTOR Network is a mission driven organization dedicated first and foremost to the children and adults we serve and support. The Network expects all employees to be mindful of this mission, and to perform their job to its fullest, and as stated in their job description. **SUMMARY** The Funds Specialist is a full time position and is considered nonexempt and paid hourly. The Funds Specialist is responsible for overseeing the maintenance and protection of individual funds for an assigned state or region. The Funds Specialist monitors implementation of individual fund policies and procedures, audits individuals' accounts, reviews reconciliations and reports mismanagement or abuse of individual funds. The Funds Specialist may perform Representative Payee duties and payee account transactions for the individuals served. The Funds Specialist works at the state or regional office. **ESSENTIAL JOB FUNCTIONS** To perform this job successfully, an individual must be able to satisfactorily perform each essential function listed below: **Money Management Services and Bank Accounts** Coordinates and manages funds in alignment with money management plans and financial transaction consents. Performs Representative Payee Designee duties, as assigned. Administers pre-paid bank card programs, as applicable. Tracks and records deposited funds for beneficiaries and deposits payments when necessary. Assists with opening irrevocable burial trusts, special needs trusts, etc. and coordinates handling of individual funds in the event of death. Completes routine and end of year tax filing for applicable persons served. **Financial Transactions, Registers, and Supporting Documentation** Reviews and processes routine personal spending and special requests for funds, promptly recording on corresponding transaction registers or ledgers. Maintains records of expenditures, including original receipts and signatures. Makes payments on behalf of persons served, including room and board, rent, utilities, medical co-payments and others. Follows policy and procedure when issuing checks from individual fund accounts. **Account Reconciliation, Audits, and Recordkeeping** Reconciles transaction registers to funds source (ledgers/etc.) at least monthly or more frequently, as applicable. Reviews transaction registers to verify accuracy of transactions register balances by reviewing starting and ending balances, deposits, expenditures, cash count, and bank card or account balance verification. Brings questions or inconsistencies to the primary money manager (or other party if this person is suspected) for resolution. When an external party is Representative Payee, maintains records and shares them with the external Representative Payee, as indicated. **Reporting** Conducts routine reviews of account balances and, as indicated, completes high balance alert notifications and takes steps to avoid exceeding asset limits to maintain eligibility. Assists with reporting combined asset and account information to benefit entities (e.g., Social Security Administration). Assists with collecting and organizing documents for external audits of Representative Payee Accounts. Promptly reports suspected misuse of funds or property, as required by applicable policy and procedures. **Other** Performs other related duties and activities as required. **SUPERVISORY RESPONSIBILITIES** None **Minimum Knowledge and Skills required by the Job** _The requirements listed below are representative of the knowledge, skill, and/or abilities required to perform the job:_ **_Education and Experience:_** High school diploma/GED required Associates degree in related field preferred with account management experience preferred. Proficiency in accounting, intermediate to advanced computer skills and applications preferred. **_Certificates, Licenses, and Registrations:_** Current driver's license, car registration and auto insurance if driving on the behalf of the Company. **_Physical Requirements:_** **Light work.** Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. If the use of arm and/or leg controls requires exertion of forces greater than that for sedentary work and the worker sits most of the time, the job is rated for light work. **AMERICANS WITH DISABILITIES ACT STATEMENT** External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job functions either unaided or with assistance of a reasonable accommodations to be determined on a case by case basis via the interactive process. Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face. We've made this our mission for more than 50 years. And today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve all over the U.S. _As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law._

The Highland District Hospital Billing Coordinator for Professional Services Corporation (PSC) reports directly to the Physician Office Director and is responsible for billing management of the physician offices that are a part of PSC. The Billing Coordinator is responsible for billing operations to ensure office operational excellence, billing operational excellence and customer service excellence. The Billing Coordinator works collaboratively with the outsourced billing vendor as well as the Physician Office Director, Vice President, Finance, and other HDH personnel. Qualifications Coordinates and supervises daily corporate billing operations, including HDH/PSC employee billing work activities and effectiveness of daily billing operations. Actively promotes teamwork for overall PSC billing efficiency. Monitors and coordinates with outsourced billing vendor the effectiveness of overall billing operations, including: individual office daily balancing and claim verification, coordination of credentialing and recredentialing, accounts receivable aging, days in Accounts Receivable (A/R), credit balance reports, collection agency reports, refund activity, productivity reports, and other reports necessary to effectively manage A/R for PSC Corporation. Monitors and maintains daily audits to assure timely billing of daily services from all PSC offices, as well as effectiveness of outsourced billing vendor. Proactively reviews insurance carrier bulletins for new information to disseminate and train HDH/PSC staff, so HDH/PSC knowledge is always current. Demonstrates responsibility and accountability for continuous improvement, and practices quality service as evidenced through quality results and patient satisfaction surveys. Demonstrates responsibility and accountability for enhancing positive relations with patients, families, co-workers, providers, administration, and outsourced billing vendor. Maintains high ethical standards. Provides direction to HDH/PSC front desk employees and outsourced billing vendor. Possesses comprehensive and current knowledge of administrative office practice, and the application to quality patient care. Possesses good verbal and written communication skills. Shares knowledge with others. Displays a willingness to listen and be flexible. Respects the confidential nature of information concerning corporate and Hospital matters. Keeps Vice President, Finance informed of PSC billing activity. Meets monthly with accounting and outsourced billing company to review and resolve any discrepancies identified during monthly bank reconciliations. Proactively engages HDH/PSC staff, outsourced billing vendor, insurance carriers, patients, etc. to resolve billing issues in a timely manner. Demonstrates effective leadership techniques as evidenced by high productivity and morale of employees and providers through consistently meeting objectives. Mentors and serves as a role model for staff through complying with HDH/PSC policies and procedures, as well as Behavior Based Standards. Acts as liaison between physicians, staff, administration, patients, families, and outsourced billing vendor. Treats all customers with respect and responds in a timely and courteous manner to customer (providers, fellow employees, patients, families, visitors, and outsourced billing vendor staff) complaints. Demonstrates positive problem-solving approach in resolving concerns or issues with staff, other departments, outsourced billing vendor or providers as indicated by positive responses of contacts. Demonstrates organizational skill in providing administrative services and consistently implements appropriate action to guide staff in meeting office needs. Manages assigned projects and prepares reports, accordingly. Honors patient rights to privacy and confidentiality and provides direction to staff in this regard. Demonstrates active knowledge of HIPAA. Works collaboratively with Director to create, maintain and annually update HDH/PSC policies and procedures. Administers billing policies in a consistent and timely manner. Actively participates in office audits through assuring compliance of policies, procedures, and protocols by each PSC office. Uses appropriate resources to develop knowledge base of front desk staff through educational presentations, seminars and developing orientation procedures in correlation with other coordinators. Plans and conducts meetings and discussions with front desk staff as appropriate. Keeps current in field by reviewing relevant literature, attending workshops and seminars and networking with colleagues as demonstrated by implementing advances in patient care. Other duties as assigned.

Legacy Health Services seeking a diligent and professional Collections Specialist to manage and resolve private pay account balances at the corporate level. This role is essential for maintaining the financial health of our organization and requires a blend of investigative skill, precise documentation, and tactful communication with residents and their families. If you possess a strong background in A/R and are ready to take ownership of complex accounts, we invite you to apply. 🎯 Core Focus Areas: What You'll Be Doing As the Private Pay Collections Specialist, you will manage the full cycle of corporate collections for private accounts, focusing on resolution and process integrity: Account Resolution & Research: Conduct detailed account reviews and comprehensive research (including skip tracing, property searches, and estate filings) to efficiently resolve complex outstanding balances. Professional Communication: Initiate and manage professional collection calls and correspondence with residents, families, and responsible parties to establish and monitor payment arrangements, promissory notes, or voluntary liens. Compliance & Strategy: Participate in A/R review meetings, audit facility collection activities for adherence to company policy, and provide updates on collection progress and risk accounts to management. System Integrity & Documentation: Ensure the timely and accurate documentation of all collection activities, payment processing, and meeting outcomes within company systems. Facility Support: Provide expert assistance and support to facility Business Office Managers regarding private pay collection best practices. ✅ Essential Qualifications Experience: 2+ years of demonstrated experience in collections, billing, or accounts receivable, preferably within the healthcare or long-term care industry. Skills: Proven organizational and time management abilities, coupled with excellent communication and professional negotiation skills. Technical Proficiency: Competence in the Microsoft Office Suite and experience using A/R or billing software. Education: High school diploma or equivalent is required. (Associate or Bachelor's degree in Business or Finance preferred.) Professionalism: High attention to detail and a commitment to handling sensitive We are an Equal Opportunity Employer and consider all applicants for positions without the regard to race, color, religion, sex, national origin, age, national orientation, age, sexual orientation, marital or veteran status, or non-job-related handicap or disability

Creates and maintains fee schedule files. Develop, test, and implement eCW applications. Monitor payor reimbursement and compliance. Assist medical offices and Business Services with fee schedules and unit fee pricing. Accountable for the TCI charge master. Support Administration and Credentialing with contracts. Perform fee analysis. Principal Duties & Responsibilities: Example of Essential Duties: Responsible for the update and control of the fee schedule files. Work with the Business Office staff to coordinate Payor issues between the Business Office, Insurance Carrier, and Medical Offices. Maintain the TCI charge master by updating payor rates and monitoring necessary unit fee increases/decreases. Generate payor analysis as requested by Administration/Contracting Committee. Assist offices with any fee schedule issues they may have. Work with IT and eCW testing new applications. Pull contracting information as requested. Communicate with Payors on issues regarding reimbursement Other Essential Duties May Include (but are not limited to): Other duties as assigned. Knowledge, Skills & Abilities: Required: - Extensive knowledge of Excel pertaining to Formulas and Pivot Tables - Working knowledge of a physician based medical office practice. - Knowledge of physician coding and federal/state regulations of patient care. - Consistently arrives at work, in professional attire, on time and completes all tasks within established time frame. - Seeks appropriate tasks when primary tasks are completed and assists co-workers as needed. - Demonstrates adaptability to expanded roles. Education: - HS diploma or GED, Medical billing - Bachelors Degree