Billing Representative jobs at Providence Health & Services

Come Join the Premier Infusion & Healthcare Family! At Premier we offer employees stability and opportunities for advancement. Our commitment to our core values of Compassion, Integrity, Respect and Excellence in People applies to our employees, our customers, and the communities we serve. This is a rewarding place to work! Premier Infusion and Healthcare Services is a preferred post-acute care partner for hospitals, physicians and families in Southern CA. Our rapidly growing home health and infusion services deliver high-quality, cost-effective care that empowers patients to manage their health at home. Customers choose Premier Infusion and Healthcare Services because we are united by a single, shared purpose: We are committed to bettering the quality of life for our patients. This is not only our stated mission but is what truly drives us each and every day. We believe that our greatest competitive advantage, our greatest asset are our employees, our Premier Family in and out of the office sets Premier apart. PREMIER BENEFITS - For FULL TIME Employees: ● Competitive Pay ● 401K Matching Plan - Up to 4% ● Quarterly Bonus Opportunities ● Medical, Dental & Vision Insurance ● Employer Paid Life Insurance ● Short Term / Long Term Disability Insurance ● Paid Vacation Time Off ● Paid Holidays ● Referral Incentives ● Employee Assistance Programs ● Employee Discounts ● Fun Company Events JOB DESCRIPTION: BILLER Description of Responsibilities Coordinates and performs business office activities involved with collecting payments for Premier Infusion Care products and follows established procedures for billing. Reporting Relationship Billing Manager Scope of Supervision None Responsibilities include the following: 1. Performs all aspects of billing for commercial insurance companies/ health plans, medical groups, hospitals, hospice facilities, NCPDP, and/or MSO's 2. Bills Medicare for PR-96/204 (denials) required for secondary billing submissions. 3. Follows up on EOB's (explanation of benefits) which includes: - Medicare denials - Billing secondary insurance after Medicare's has denied claims. 4. Calling insurance companies for explanation of denials if questionable. 5. Making corrections on deny claims and re-bills insurance companies. 6. Checks EOB's with contracted fee schedule for accuracy or adjustments as needed. 7. Patient calls for benefit, invoicing, and explanations as needed. 8. Resolves electronic (Office Ally, Novologix, or Emdeon clearing house) report matters. Minimum Qualifications: Effective interpersonal, time management and organizational skills. Office experience preferred. Computer skills that include word processing, and efficient use of the internet and e-mail. Must possess excellent oral and written communication skills, with the ability to express technical issues in “layman” terms. Must be detail oriented Education and/or Experience: Must have a High School diploma or Graduation Equivalent Diploma (G.E.D.) or Higher. At least 1 -2 years of medical or pharmaceutical billing experience or related A/R Knowledge of insurance verification procedures. Proficiency in 10-key preferred. Prior experience in a pharmacy or home health company is of benefit. Prior experience in a consumer related business is also of benefit. Equal Employment Opportunity (EEO) It is the policy of Premier Infusion & Healthcare Services to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Premier Infusion & Healthcare Services will provide reasonable accommodations for qualified individuals with disabilities. Job Type: Full-time Work Location: In person

Job Title: Patient Financial Rep Senior Shift: 9am to 5pm Monday to Friday Schedule: 5 days a week - 40 hours Roles and Responsibilities: Experience working within a multi-facility hospital business office environment. Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms. Meets expectations of the applicable One Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Performs Revenue Cycle functions in a manner that meets or exceeds key performance metrics. Ensures PFS departmental quality and productivity standards are met. Collects and provides patient and payor information to facilitate account resolution. Responds to all types of account inquiries through written, verbal. The associate is responsible for the duties and services that are of a support nature to the Revenue Cycle division of The associate ensures that all processes are performed in a timely and efficient manner. The primary purpose of this Job is to ensure account resolution and reconciliation of outstanding balances for patient accounts.

Come Join the Premier Infusion & Healthcare Family! At Premier we offer employees stability and opportunities for advancement. Our commitment to our core values of Compassion, Integrity, Respect and Excellence in People applies to our employees, our customers, and the communities we serve. This is a rewarding place to work! Premier Infusion and Healthcare Services is a preferred post-acute care partner for hospitals, physicians and families in Southern CA. Our rapidly growing home health and infusion services deliver high-quality, cost-effective care that empowers patients to manage their health at home. Customers choose Premier Infusion and Healthcare Services because we are united by a single, shared purpose: We are committed to bettering the quality of life for our patients. This is not only our stated mission but is what truly drives us each and every day. We believe that our greatest competitive advantage, our greatest asset are our employees, our Premier Family in and out of the office sets Premier apart. PREMIER BENEFITS - For FULL TIME Employees: ● Competitive Pay ● 401K Matching Plan - Up to 4% ● Quarterly Bonus Opportunities ● Medical, Dental & Vision Insurance ● Employer Paid Life Insurance ● Short Term / Long Term Disability Insurance ● Paid Vacation Time Off ● Paid Holidays ● Referral Incentives ● Employee Assistance Programs ● Employee Discounts ● Fun Company Events JOB DESCRIPTION: Description of Responsibilities The Insurance Coordinator is responsible for all new referral insurance verification and/or authorization in a timely matter. Reporting Relationship Insurance Manager Responsibilities include the following: Responsible for insurance verification and/or authorization on patients. Responsible for audit of information from the Intake Referral Form and patient information received from the referral source entered into the computer system correctly. This includes but is not limited to: demographics, insurance, physician, nursing agency, diagnosis, height, weight, and allergies (when information is available and as applicable). Re-verification of verification and/or authorization and demographics on all patients. Participate in surveys conducted by authorized inspection agencies. Participate in in-service education programs provided by the pharmacy. Report any misconduct, suspicious or unethical activities to the Compliance Officer. Perform other duties as assigned by supervisor. Minimum Qualifications: Must possess excellent oral and written communication skills, with the ability to express technical issues in “layman” terms. Fluency in a second language is a plus. Must be friendly professional and cooperative with a good aptitude for customer service and problem solving. Education and/or Experience: Must have a High School diploma or Graduation Equivalent Diploma (G.E.D.) Prior experience in a pharmacy or home health company is preferred. Prior dental or home infusion experience a plus Prior experience in a consumer related business is preferred Equal Employment Opportunity (EEO) It is the policy of Premier Infusion & HealthCare Services to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Premier Infusion & HealthCare Services will provide reasonable accommodations for qualified individuals with disabilities.

JOIN TEAM TRILOGY At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of long-term care, competitive pay, and exceptional benefits, Trilogy offers a work environment where you're supported, appreciated, and empowered to thrive in your career. If you're ready to join a team committed to your success, Trilogy is where you belong and thrive! POSITION OVERVIEW A Business Office Manager is responsible for overseeing the billing, collections and financial operations of the health campus. They handle financial tasks such receiving and depositing payments, making collections calls and issuing letters, discussing payment arrangements with account holders, and working with Medicare, Medicaid and insurance companies on claims and reimbursements. Key Responsibilities * Leads billing and collections for all of the campus payer types. * Establishes and maintains filing systems for accounts receivable and resident information. * Creates and manages the setup of new residents and resident trust accounts in the accounts receivable system. * Maintains census records in the Accounts Receivable system for accurate billing. * Manages monthly billing processes for all payer classes in an accurate and timely manner according to the monthly AR calendar. * Posts payments received appropriately to the correct resident account. * Monitors and collects accounts receivable. Qualifications * High school diploma or GED/HSE preferred * 1-3 years of relevant experience preferred LOCATION US-OH-New Albany Smiths Mill Health Campus 7320 Smith's Mill Road New Albany OH BENEFITS Our comprehensive Thrive benefits program focuses on your well-being, offering support for personal wellness, financial stability, career growth, and meaningful connections. This list includes some of the key benefits, though additional options are available. * Medical, Dental, Vision Coverage - Includes free Virtual Doctor Visits, with coverage starting in your first 30 days. * Get Paid Weekly + Quarterly Increases - Enjoy weekly pay and regular quarterly wage increases. * Spending & Retirement Accounts - HSA with company match, Dependent Care, LSA, and 401(k) with company match. * PTO + Paid Parental Leave - Paid time off and fully paid parental leave for new parents. * Inclusive Care - No-cost LGBTQIA+ support and gender-affirming care coordination. * Tuition & Student Loan Assistance - Financial support for education, certifications, and student loan repayment. TEXT A RECRUITER Misty ************** ABOUT TRILOGY HEALTH SERVICES Since our founding in 1997, Trilogy has been dedicated to making long-term care better for our residents and more rewarding for our team members. We're proud to be recognized as one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work. At Trilogy, we embrace who you are, help you achieve your full potential, and make working hard feel fulfilling. As an equal opportunity employer, we are committed to diversity and inclusion, and we prohibit discrimination and harassment based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. NOTICE TO ALL APPLICANTS (WI, IN, OH, MI & KY): for this type of employment, state law requires a criminal record check as a condition of employment. A Business Office Manager is responsible for overseeing the billing, collections and financial operations of the health campus. They handle financial tasks such receiving and depositing payments, making collections calls and issuing letters, discussing payment arrangements with account holders, and working with Medicare, Medicaid and insurance companies on claims and reimbursements. Key Responsibilities * Leads billing and collections for all of the campus payer types. * Establishes and maintains filing systems for accounts receivable and resident information. * Creates and manages the setup of new residents and resident trust accounts in the accounts receivable system. * Maintains census records in the Accounts Receivable system for accurate billing. * Manages monthly billing processes for all payer classes in an accurate and timely manner according to the monthly AR calendar. * Posts payments received appropriately to the correct resident account. * Monitors and collects accounts receivable. Qualifications * High school diploma or GED/HSE preferred * 1-3 years of relevant experience preferred At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of long-term care, competitive pay, and exceptional benefits, Trilogy offers a work environment where you're supported, appreciated, and empowered to thrive in your career. If you're ready to join a team committed to your success, Trilogy is where you belong and thrive!

JOIN TEAM TRILOGY At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of long-term care, competitive pay, and exceptional benefits, Trilogy offers a work environment where you're supported, appreciated, and empowered to thrive in your career. If you're ready to join a team committed to your success, Trilogy is where you belong and thrive! POSITION OVERVIEW A Business Office Manager is responsible for overseeing the billing, collections and financial operations of the health campus. They handle financial tasks such receiving and depositing payments, making collections calls and issuing letters, discussing payment arrangements with account holders, and working with Medicare, Medicaid and insurance companies on claims and reimbursements. Key Responsibilities * Leads billing and collections for all of the campus payer types. * Establishes and maintains filing systems for accounts receivable and resident information. * Creates and manages the setup of new residents and resident trust accounts in the accounts receivable system. * Maintains census records in the Accounts Receivable system for accurate billing. * Manages monthly billing processes for all payer classes in an accurate and timely manner according to the monthly AR calendar. * Posts payments received appropriately to the correct resident account. * Monitors and collects accounts receivable. Qualifications * High school diploma or GED/HSE preferred * 1-3 years of relevant experience preferred LOCATION US-OH-Findlay The Heritage 2820 Greenacre Drive Findlay OH BENEFITS Our comprehensive Thrive benefits program focuses on your well-being, offering support for personal wellness, financial stability, career growth, and meaningful connections. This list includes some of the key benefits, though additional options are available. * Medical, Dental, Vision Coverage - Includes free Virtual Doctor Visits, with coverage starting in your first 30 days. * Get Paid Weekly + Quarterly Increases - Enjoy weekly pay and regular quarterly wage increases. * Spending & Retirement Accounts - HSA with company match, Dependent Care, LSA, and 401(k) with company match. * PTO + Paid Parental Leave - Paid time off and fully paid parental leave for new parents. * Inclusive Care - No-cost LGBTQIA+ support and gender-affirming care coordination. * Tuition & Student Loan Assistance - Financial support for education, certifications, and student loan repayment. TEXT A RECRUITER Andrea ************** ABOUT TRILOGY HEALTH SERVICES Since our founding in 1997, Trilogy has been dedicated to making long-term care better for our residents and more rewarding for our team members. We're proud to be recognized as one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work. At Trilogy, we embrace who you are, help you achieve your full potential, and make working hard feel fulfilling. As an equal opportunity employer, we are committed to diversity and inclusion, and we prohibit discrimination and harassment based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. NOTICE TO ALL APPLICANTS (WI, IN, OH, MI & KY): for this type of employment, state law requires a criminal record check as a condition of employment. A Business Office Manager is responsible for overseeing the billing, collections and financial operations of the health campus. They handle financial tasks such receiving and depositing payments, making collections calls and issuing letters, discussing payment arrangements with account holders, and working with Medicare, Medicaid and insurance companies on claims and reimbursements. Key Responsibilities * Leads billing and collections for all of the campus payer types. * Establishes and maintains filing systems for accounts receivable and resident information. * Creates and manages the setup of new residents and resident trust accounts in the accounts receivable system. * Maintains census records in the Accounts Receivable system for accurate billing. * Manages monthly billing processes for all payer classes in an accurate and timely manner according to the monthly AR calendar. * Posts payments received appropriately to the correct resident account. * Monitors and collects accounts receivable. Qualifications * High school diploma or GED/HSE preferred * 1-3 years of relevant experience preferred At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of long-term care, competitive pay, and exceptional benefits, Trilogy offers a work environment where you're supported, appreciated, and empowered to thrive in your career. If you're ready to join a team committed to your success, Trilogy is where you belong and thrive!

JOIN TEAM TRILOGY At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of long-term care, competitive pay, and exceptional benefits, Trilogy offers a work environment where you're supported, appreciated, and empowered to thrive in your career. If you're ready to join a team committed to your success, Trilogy is where you belong and thrive! * MUST HAVE MEDICARE/MEDICAID BILLING EXPERIENCE IN LONG TERM CARE POSITION OVERVIEW A Business Office Manager is responsible for overseeing the billing, collections and financial operations of the health campus. They handle financial tasks such receiving and depositing payments, making collections calls and issuing letters, discussing payment arrangements with account holders, and working with Medicare, Medicaid and insurance companies on claims and reimbursements. Key Responsibilities * Leads billing and collections for all of the campus payer types. * Establishes and maintains filing systems for accounts receivable and resident information. * Creates and manages the setup of new residents and resident trust accounts in the accounts receivable system. * Maintains census records in the Accounts Receivable system for accurate billing. * Manages monthly billing processes for all payer classes in an accurate and timely manner according to the monthly AR calendar. * Posts payments received appropriately to the correct resident account. * Monitors and collects accounts receivable. Qualifications * High school diploma or GED/HSE preferred * 1-3 years of relevant experience preferred LOCATION US-OH-Lancaster The Springs at Wyandot Trail 1495 Granville Pike Lancaster OH BENEFITS Our comprehensive Thrive benefits program focuses on your well-being, offering support for personal wellness, financial stability, career growth, and meaningful connections. This list includes some of the key benefits, though additional options are available. * Medical, Dental, Vision Coverage - Includes free Virtual Doctor Visits, with coverage starting in your first 30 days. * Get Paid Weekly + Quarterly Increases - Enjoy weekly pay and regular quarterly wage increases. * Spending & Retirement Accounts - HSA with company match, Dependent Care, LSA, and 401(k) with company match. * PTO + Paid Parental Leave - Paid time off and fully paid parental leave for new parents. * Inclusive Care - No-cost LGBTQIA+ support and gender-affirming care coordination. * Tuition & Student Loan Assistance - Financial support for education, certifications, and student loan repayment. TEXT A RECRUITER Misty ************** ABOUT TRILOGY HEALTH SERVICES Since our founding in 1997, Trilogy has been dedicated to making long-term care better for our residents and more rewarding for our team members. We're proud to be recognized as one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work. At Trilogy, we embrace who you are, help you achieve your full potential, and make working hard feel fulfilling. As an equal opportunity employer, we are committed to diversity and inclusion, and we prohibit discrimination and harassment based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. NOTICE TO ALL APPLICANTS (WI, IN, OH, MI & KY): for this type of employment, state law requires a criminal record check as a condition of employment. A Business Office Manager is responsible for overseeing the billing, collections and financial operations of the health campus. They handle financial tasks such receiving and depositing payments, making collections calls and issuing letters, discussing payment arrangements with account holders, and working with Medicare, Medicaid and insurance companies on claims and reimbursements. Key Responsibilities * Leads billing and collections for all of the campus payer types. * Establishes and maintains filing systems for accounts receivable and resident information. * Creates and manages the setup of new residents and resident trust accounts in the accounts receivable system. * Maintains census records in the Accounts Receivable system for accurate billing. * Manages monthly billing processes for all payer classes in an accurate and timely manner according to the monthly AR calendar. * Posts payments received appropriately to the correct resident account. * Monitors and collects accounts receivable. Qualifications * High school diploma or GED/HSE preferred * 1-3 years of relevant experience preferred At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of long-term care, competitive pay, and exceptional benefits, Trilogy offers a work environment where you're supported, appreciated, and empowered to thrive in your career. If you're ready to join a team committed to your success, Trilogy is where you belong and thrive! * MUST HAVE MEDICARE/MEDICAID BILLING EXPERIENCE IN LONG TERM CARE

Who We Are: SAC Health empowers our patients and their families to live vibrant and healthy lives through culturally responsive, exceptional care. Patient-centered, whole-person care. Our unique, full scope, team-based approach is what makes SAC Health the provider of choice for patients. Top-Tier Patient Satisfaction Scores | Largest Teaching Health Center FQHC | 11 Locations offering 44 Specialties | NCQA Patient-Centered Medical Home Level 3 Certified Multi-Site Approved for NHSC & NCLRP loan forgiveness programs - NHSC/Nurse Corps/STAR/Pediatric Specialty | HPSA Scores: Primary: 17 | Dental: 25 | Mental: 20 What We Are Looking For Under the direction of the Manager, Patient Access, the Supervisor, Patient Access oversees the activities of the Patient Services Representatives to ensure prompt patient services; Provides general supervision and direction for Patient Registration staff in Outpatient Registration. Observes and oversees patient flow, patient check in, patient records availability, and insurance verification, financial qualifications for discount programs, and resolve patient issues that may arise. Assists with the day to day operation of the Front Business Office. Responsible to plan, organize and execute trainings for new and established employees. Keeps up to date with policies and procedures. Schedule: 5 days per week, 8 hours per day, 7:30 am - 4:30 pm, Monday - Friday | Location: Barstow Clinic, Barstow, CA ESSENTIAL FUNCTIONS AND DELIVERABLES Supervise the daily operations of the Patient Service Representative (PSR) Team members to include, but not limited to; tracking, editing, and monitoring time and attendance, counseling, and discipline measures. Provide training for new and existing team members within the PSR Departments on a variety of topics including, but not limited to workflow processes, system information, and system navigation. Effectively mentor and lead team members toward the achievement of department goals. Greet all staff and patients according to the expectations and standards of SAC Health by phone, in person, and or electronic communication. Communicate a positive attitude through pleasant language, tone, and expression while following department guidelines and call standards. Assist with candidate interviews and new hire onboarding processes. Engage team members to identify learning and growth opportunities, while increasing knowledge, competence, and performance. Receive, handle, and document escalations. Manage challenging or sensitive customer scenarios effectively, and proceed with escalation when necessary. Determine appropriate program or payer sources for each patient based on complex criteria including medical services needed, age, income, etc. Support and interview patients requesting the sliding fee scales. Determine the amount of discount by obtaining family size, and income data and utilizing federal poverty guidelines in conjunction with SAC Health's sliding fee schedule. Schedule, cancel, and edit appointments for assigned departments. Verify insurance eligibility on a variety of payer sources when scheduling appointments. Monitor team member's schedule adherence and their work product for quality assurance. Organize safety plan with Patient Access staff and coordinate with facility leadership. Maintain knowledge of what a Federally Qualified Health Center (FQHC) entails and the expectations we hold as a clinic to gather Uniform Data System (UDS) information, as well as Federal Poverty Level (FPL) guidelines. Travel to other SACH clinics as necessary; must have a reliable vehicle, valid driver's license, and auto insurance. Other duties as listed in the official job description. QUALIFICATIONS: Education: High school diploma or equivalent required. Associate degree in Business Administration or Health Administration preferred. Licensure/Certification: As a requirement of this position, you must receive EPIC certification for the module you have been hired into; valid California driver's license, and auto insurance. Patient Service Associate Certifications in any of the following is preferred: Certified Patient Service Associate (CPSA), Certified Medical Office Assistant (CMAA), Certified Healthcare Access Associate (CHAA), Certified Professional in Healthcare Quality (CPHQ), Certified Medical Administrative Assistant (CMAA) or National Healthcareer Association Clinical Medical Assistant Certification Exam (NHA-CCMA). Experience: 2+ years working in healthcare in patient access or call center work environment in a lead role. Community clinic experience preferred. Essential Technical/Motor Skills: Advanced telephone skills and computer competency. The ability to calculate figures and amounts such as discounts and percentages is required. Exceptional grammar skills. Intermediate experience with Microsoft Office Word, Excel, and PowerPoint. Demonstrate a strong, flexible work ethic and high attendance standards. Interpersonal Skills: Must possess the ability to set priorities and procedures for accomplishing work assignments. Able to accept constructive criticism and offer feedback. Demonstrate a commitment to service excellence including, but not limited to professionalism, customer focus, compassion, strong listening skills, and a warm demeanor. Essential Mental Abilities: 2+ years working in healthcare in patient access or call center work environment in a lead role. Community clinic experience preferred. Work Eligibility: Must be legally authorized to work in the United States on a full-time basis. Must not now or in the future require sponsorship for employment visas. EEO: SAC Health is committed to fostering a diverse, equitable and inclusive work environment and is committed to being an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Full Benefits Package Effective on Your First Day! Industry Leading PTO Accrual (accrued per pay period) | Sick Leave | Paid Holidays | Paid Jury Duty, Bereavement | SAC Health Covers approximately 85% of Team Member health premium costs (may vary w/benefit plan selection) | Retirement - up to 8% employer contribution | Continuing Education and Learning Benefits | Annual Mission Trip and much more! Learn More About the Work We Do: SAC Health's Mission: SAC Health's mission is to reflect the healing ministry & love of Jesus Christ through healthcare, education & partnerships that empower our communities to flourish. SAC Health's Core Values: Quality Healthcare - Teamwork - Wholeness -Integrity - Compassion - Excellence - Humble Service - Respect

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

. 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.

This is where your work makes a difference. At Baxter, we believe every person-regardless of who they are or where they are from-deserves a chance to live a healthy life. It was our founding belief in 1931 and continues to be our guiding principle. We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond. Our Baxter colleagues are united by our Mission to Save and Sustain Lives. Together, our community is driven by a culture of courage, trust, and collaboration. Every individual is empowered to take ownership and make a meaningful impact. We strive for efficient and effective operations, and we hold each other accountable for delivering exceptional results. Here, you will find more than just a job-you will find purpose and pride. Your role at Baxter THIS IS WHERE you build trust to achieve results… As the Patient Account Specialist for our Bardy Diagnostics division, you will be responsible for assisting with Inquiry Management through phone, email, and online interactions with patients, healthcare teams, sales, and several internal teams. You will be responsible for investigating inquiries to determine an appropriate course of action to solve, triage or escalate the inquiry in question. This includes research, utilizing publicly available and company provided resources and systems, conducting thorough patient account review(s), and performing the necessary tasks or actions ensuring a timely and effective first-time resolution. Your team Bardy Diagnostics, Inc. (“BardyDx”) is an innovator in digital health and remote patient monitoring, with a focus on providing the most diagnostically accurate and patient-friendly cardiac and vital signs patch monitors in the industry. We're a friendly, collaborative group of people who push each other to do better every day. We find outstanding strategies to close deals and expand our skills by challenging ourselves and others. Whether out in the field with a partner or solving challenges with your territory team, you always have camaraderie and support to help accomplish your goals. What you'll be doing Quickly build rapport over the phone while exuding a positive upbeat demeanor. Investigate and validate payer coverage policies and requirements as needed. Responsible for Inquiry Management providing timely and accurate resolution of requests or complaints received. Utilization of multiple platforms and systems, in an efficient manner allowing prompt investigation and identification of the root cause of the issue, while providing accurate first-time resolution that is in alignment with our AR Days as denied by Departmental KPIs. Review patient accounts quickly and accurately assessing and identifying customer needs to determine appropriate course of action as defined by Baxter policies and guidelines. Ensure accuracy of patient information on file to establish timely and accurate claims processing, promptly identifying and solving all claim errors that result in delayed adjudication. Identify payer trends and establish payer-specific strategies to overcome reimbursement challenges. Establish and maintain positive partnerships with sales, and other internal and external Cardiology Healthcare teams. What you'll bring High school diploma or equivalent required. 2+ years of healthcare related experience in revenue cycle, with focus around eligibility and benefit verification, authorizations, claims submission and denial management. Cardiology related experience, a plus. Knowledge of Federal, State, and Local regulations, guidelines, and standards, including knowledge of HIPAA rules and regulations. CPT and ICD-10 coding experience. Third-party payer experience. Experience with medical record reviews to identify and ensure medical necessity. Proficiency in Microsoft Office Software. Strong critical thinking and effective problem-solving skills. Exceptional written, verbal, and interpersonal communications. The ability to handle time and prioritize critical priorities. Baxter is committed to supporting the needs for flexibility in the workplace. We do so through our flexible workplace policy which includes a minimum of 3 days a week onsite. This policy provides the benefits of connecting and collaborating in-person in support of our Mission. We understand compensation is an important factor as you consider the next step in your career. At Baxter, we are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices. The estimated base salary for this position is $41,600 to $57,200 annually. The estimated range is meant to reflect an anticipated salary range for the position. We may pay more or less than the anticipated range based upon market data and other factors, all of which are subject to change. Individual pay is based upon location, skills and expertise, experience, and other relevant factors. For questions about this, our pay philosophy, and available benefits, please speak to the recruiter if you decide to apply and are selected for an interview. Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa at this time. US Benefits at Baxter (except for Puerto Rico) This is where your well-being matters. Baxter offers comprehensive compensation and benefits packages for eligible roles. Our health and well-being benefits include medical and dental coverage that start on day one, as well as insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance. Financial and retirement benefits include the Employee Stock Purchase Plan (ESPP), with the ability to purchase company stock at a discount, and the 401(k) Retirement Savings Plan (RSP), with options for employee contributions and company matching. We also offer Flexible Spending Accounts, educational assistance programs, and time-off benefits such as paid holidays, paid time off ranging from 20 to 35 days based on length of service, family and medical leaves of absence, and paid parental leave. Additional benefits include commuting benefits, the Employee Discount Program, the Employee Assistance Program (EAP), and childcare benefits. Join us and enjoy the competitive compensation and benefits we offer to our employees. For additional information regarding Baxter US Benefits, please speak with your recruiter or visit our Benefits site: Benefits | Baxter Equal Employment Opportunity Baxter is an equal opportunity employer. Baxter evaluates qualified applicants without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity or expression, protected veteran status, disability/handicap status or any other legally protected characteristic. Know Your Rights: Workplace Discrimination is Illegal Reasonable Accommodations Baxter is committed to working with and providing reasonable accommodations to individuals with disabilities globally. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application or interview process, please click on the link here and let us know the nature of your request along with your contact information. Recruitment Fraud Notice Baxter has discovered incidents of employment scams, where fraudulent parties pose as Baxter employees, recruiters, or other agents, and engage with online job seekers in an attempt to steal personal and/or financial information. To learn how you can protect yourself, review our Recruitment Fraud Notice.

**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** **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._

Are you looking for a purpose-driven career? At Metrocare, we serve our neighbors with developmental or mental health challenges by helping them find lives that are meaningful and satisfying. Metrocare is the largest provider of mental health services in North Texas, serving over 55,000 adults and children annually. For over 50 years, Metrocare has provided a broad array of services to people with mental health challenges and developmental disabilities. In addition to behavioral health care, Metrocare provides primary care centers for adults and children, services for veterans and their families, accessible pharmacies, housing, and supportive social services. Alongside clinical care, researchers and teachers from Metrocare's Altshuler Center for Education & Research are advancing mental health beyond Dallas County while providing critical workforce to the state. : GENERAL DESCRIPTION: The mission of Metrocare Services is to serve our neighbors with developmental or mental health challenges by helping them find lives that are meaningful and satisfying. We are an agency committed to quality gender-responsive, trauma-informed care to individuals experiencing serious mental illness, development disabilities, and co-occurring disorders. Metrocare programs focus on the issues that matter most in the lives of the children, families and adults we serve. The RCM Coordinator - Billing & Payor Relations plays a vital role in the financial health of the organization by ensuring accurate and timely submission of claims to Medicaid, Medicare, and commercial payors. This position supports the revenue cycle by managing billing workflows, resolving claim issues, and maintaining compliance with payer-specific requirements. The coordinator works across multiple service lines including behavioral health, primary care, IDD, ABA therapy, and other specialized programs. ESSENTIAL DUTIES AND RESPONSIBILITIES The essential functions listed here are representative of those that must be met to successfully perform the job. Prepare and submit clean claims to government and commercial payors for all service lines. Monitor claim status and follow up on unpaid or rejected claims to ensure timely resolution. Analyze and resolve denials, rejections, and underpayments by coordinating with internal departments and payors. Ensure proper coding, documentation, and authorization are in place prior to claim submission. Maintain up-to-date knowledge of payer guidelines, billing regulations, and reimbursement policies. Track and report denial trends, identify root causes, and recommend process improvements. Document all billing activities, correspondence, and resolution steps in the billing system. Provide regular reporting to management on claim performance and payer behavior. Collaborate with RCM team members to ensure revenue integrity and compliance. Performs other duties as assigned. COMPETENCIES The competencies listed here are representative of those that must be met to successfully perform the essential functions of this job. Conducts job responsibilities in accordance with the ethical standards of conduct, state contract, appropriate professional standards and applicable state/federal laws. Analytical skills, professional acumen, business ethics, thorough understanding of continuous improvement processes, problem solving, respect for confidentiality, and excellent communication skills. Working knowledge of 837/835 transaction files and clearinghouse operations. Experience with denial management platforms or analytics dashboards (e.g., Waystar, Availity, Change Healthcare). Ability to translate complex reimbursement data into actionable insights for leadership. Analytical skills, professional acumen, business ethics, thorough understanding of continuous improvement processes, problem solving, respect for confidentiality, and excellent communication skills. Strong understanding of medical billing and claims processing for Medicaid, Medicare, and commercial payors. Knowledge of ICD-10, CPT, HCPCS codes, and modifier usage. Analytical and problem-solving skills with attention to detail. Effective verbal and written communication skills. Ability to manage multiple tasks and meet deadlines in a fast-paced environment. High level of professionalism, accuracy, and confidentiality. Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and billing software systems. QUALIFICATIONS Required Education, Experience, Licenses, and Certifications Required: High school diploma or GED; at least 5 years of experience in medical billing, claims processing, or revenue cycle management. Preferred: Associate's degree in healthcare administration, business, or related field; experience in billing wand knowledge of Community Center Services; knowledge of ICD-10, CPT, HCPCS, and modifier usage; familiarity with Medicaid, Medicare, and commercial insurance requirements. A bachelor's degree will be accepted in place of experience. Preferred Education, Experience, Licenses, and Certifications DRIVING REQUIRED: No WORK LOCATION: This role is remote except for 6 weeks of onsite training and monthly meetings. MATHEMATICAL SKILLS Basic math skills required. Ability to work with reports and numbers & Ability to calculate moderately complex figures and amounts to accurately report activities and budgets. REASONING ABILITY Ability to apply common sense understanding to carry out simple one or two-step instructions. Strong reasoning and problem-solving skills with the ability to make informed decisions in a dynamic and client-centered environment. COMPUTER SKILLS Use computer, printer, and software programs necessary to the position (i.e., Word, Excel, Outlook, and PowerPoint). Ability to utilize Internet for resources. 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. Reasonable accommodations can be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the incumbent is regularly required to talk and hear, use hands and fingers to operate a computer and telephone. Due to the multi-site responsibilities of this position the incumbent must be able to carry equipment and supplies. Demand-Frequency Sitting-Occasional Walking-Occasional Standing-Occasional Lifting (Up to 15 pounds)-Occasional Lifting (Up to 25 pounds)-Occasional Lifting (Up to 50 pounds)-Occasional Travel-Frequency In county travel may be required-N/A Overnight travel required-N/A NOTICE ON POSITIONS THAT REQUIRE TRAVEL TO/FROM VARIOUS WORKSITES Positions that are “community-based,” in whole or part, require the incumbent to travel between various worksites within his/her workday/workweek. The incumbent is required to have reliable transportation that can facilitate this requirement. The incumbent is further required to meet the criteria for insurability by the Center's risk management facilitator; and produce proof of minimal auto liability coverage when applicable. Failure to meet these terms may result in disciplinary action up to and including termination of employment, contract or other status with Metrocare. Current State of Texas Driver License or if you live in another state, must be currently licensed in that state. If licensed in another state, must obtain Texas Driver License within three (3) months of employment. Liability insurance required if employee will operate personal vehicle on Center property or for Center business. Must be insurable by Center's liability carrier if employee operates a Center vehicle or drives personal car on Center business. Must have an acceptable driving record. WORK ENVIRONMENT The work environment describe here is representative of that which an employee encounters while performing the essential functions of this job. Reasonable accommodation can be made to enable individuals with disabilities to perform the essential functions. Employees in this role are expected to maintain composure under pressure, exercise sound judgment, and follow established protocols to ensure a safe and secure work environment. Ongoing training in crisis intervention, de-escalation techniques, and workplace safety is provided. Additionally, employees have access to resources such as the Employee Assistance Program (EAP), Telehealth Counseling, and Supportive Management. Remote Work Eligible - May work remotely for documentation and administrative tasks, through some in-person meetings or fieldwork is required. DISCLAIMER This is a record of major aspects of the job but is not an all-inclusive job contract. Dallas Metrocare Services maintains its status as an “at-will” employer and nothing in this job description shall be interpreted to guarantee employment for any length of time. Additional tasks may be assigned as deemed necessary by the immediate supervisor. The position's status conforms to the Fair Labor Standards Act of 1939 as amended, and the employee has agreed to the standards methods of compensation in compliance with Center's procedures and Federal Law. Benefits Information and Perks: Metrocare couldn't have a great employee-first culture without great benefits. That's why we offer a competitive salary, exceptional training, and an outstanding benefits package: Medical/Dental/Vision Paid Time Off Paid Holidays Employee Assistance Program Retirement Plan, including employer matching Health Savings Account, including employer matching Professional Development allowance up to $2000 per year Bilingual Stipend - 6% of the base salary Many other benefits Equal Employment Opportunity/Affirmative Action Employer Tobacco-Free Facilities - Metrocare is committed to promoting the health, well-being, and safety of Metrocare team members, guests, and individuals and families we serve while on the facility campuses. Therefore, Metrocare facilities and grounds are tobacco-free. No Recruitment Agencies Please

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

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

Essential Functions- Oversees the day-to-day revenue cycle functions including claims processing, denials, payments,customer service, and follow up on accounts. Oversees adjustments, insurance processing andverification, accuracy of billing and payment posting. Monitors workflow to ensure timely processing.Collaborates with department leadership team to evaluate service needs and volumes and adjust staffinglevels accordingly. Assigns daily work schedules. Acts as a resource in the daily operations and activitiesof the department. Performs staff level duties as required.- Develops, implements and teaches new and evolving technologies. Communicates process and protocolto staff. Directs and coordinates training of new employees. Uses knowledge of insurance plans andcontractual arrangements affecting payments, to research incomplete, incorrect or outstanding claimsand/or patient issues. Investigates and resolves claims submission, disputes or complaints to resolution,as needed. Resolves billing/insurance issues and ensures compliance with departmental andgovernmental policies.- Supports the department leadership team in problem solving to address issues relating to volume orworkflow processes. Promotes effective working relations and works effectively as part of adepartment/unit team and interdepartmentally to facilitate that department's ability to meet its goals andobjective. Ensures coordination of services with other departments to promote the highest level ofefficiency and patient satisfaction.- Assists with Human Resource management functions including interviewing, selection, orientation,education/training, feedback, performance evaluation, and policy and procedure development. With thesupport of the leadership team, writes and may deliver corrective action and/or coaching. Assists inupdating and maintaining personnel files. Maintains and monitors Kronos records for employees. Presentsand documents staff meetings as required.- Oversees production and quality of staff performance to maintain efficiency and accuracy. Collaborateswith the department leadership team to resolve process issues or create new work flows to improve performance. Ensures compliance with applicable regulatory guidelines and established departmentalpolicies and procedures, objectives, quality assurance program, safety, environmental and infectioncontrol standards.- Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards.- Performs other duties as assigned.Skills- Operations Management- Leadership- Human Resources- Regulatory Requirements- Workflow Process- Communication- Insurance Processing and Issues- Medical Terminology- Claims Processing- Collaboration- Time Management- Team Building **Essential Functions** + Oversees the day-to-day revenue cycle functions including claims processing, denials, payments, customer service, and follow up on accounts. Oversees adjustments, insurance processing and verification, accuracy of billing and payment posting. Monitors workflow to ensure timely processing. Collaborates with department leadership team to evaluate service needs and volumes and adjust staffing levels accordingly. Assigns daily work schedules. Acts as a resource in the daily operations and activities of the department. Performs staff level duties as required. + Develops, implements and teaches new and evolving technologies. Communicates process and protocol to staff. Directs and coordinates training of new employees. Uses knowledge of insurance plans and contractual arrangements affecting payments, to research incomplete, incorrect or outstanding claims and/or patient issues. Investigates and resolves claims submission, disputes or complaints to resolution, as needed. Resolves billing/insurance issues and ensures compliance with departmental and governmental policies. + Supports the department leadership team in problem solving to address issues relating to volume or workflow processes. Promotes effective working relations and works effectively as part of a department/unit team and interdepartmentally to facilitate that department's ability to meet its goals and objective. Ensures coordination of services with other departments to promote the highest level of efficiency and patient satisfaction. + Assists with Human Resource management functions including interviewing, selection, orientation, education/training, feedback, performance evaluation, and policy and procedure development. With the support of the leadership team, writes and may deliver corrective action and/or coaching. Assists in updating and maintaining personnel files. Maintains and monitors Kronos records for employees. Presents and documents staff meetings as required. + Oversees production and quality of staff performance to maintain efficiency and accuracy. Collaborates with the department leadership team to resolve process issues or create new work flows to improve performance. Ensures compliance with applicable regulatory guidelines and established departmental policies and procedures, objectives, quality assurance program, safety, environmental and infection control standards. + Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards. + Performs other duties as assigned. **Skills** + Operations Management + Leadership + Human Resources + Regulatory Requirements + Workflow Process + Communication + Insurance Processing and Issues + Medical Terminology + Claims Processing + Collaboration + Time Management + Team Building **Physical Requirements:** **Qualifications** + High School Diploma or Equivalent is required. + Three (3) years of experience in back-end revenue cycle is required + One (1) year of team lead or supervisory experience required + Five (5) years of experience in back-end revenue cycle experiences preferred **Physical Requirements** + Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs. + Frequent interactions with customers who require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately. + Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use. + Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items. + Hybrid position, associate must be able to commute to the office to support clerical team when needed. **Location:** Lake Park Building **Work City:** West Valley City **Work State:** Utah **Scheduled Weekly Hours:** 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $25.02 - $39.41 We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here (***************************************************** . Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process. All positions subject to close without notice.

Essential Functions- Oversees the day-to-day revenue cycle functions including claims processing, denials, payments,customer service, and follow up on accounts. Oversees adjustments, insurance processing andverification, accuracy of billing and payment posting. Monitors workflow to ensure timely processing.Collaborates with department leadership team to evaluate service needs and volumes and adjust staffinglevels accordingly. Assigns daily work schedules. Acts as a resource in the daily operations and activitiesof the department. Performs staff level duties as required.- Develops, implements and teaches new and evolving technologies. Communicates process and protocolto staff. Directs and coordinates training of new employees. Uses knowledge of insurance plans andcontractual arrangements affecting payments, to research incomplete, incorrect or outstanding claimsand/or patient issues. Investigates and resolves claims submission, disputes or complaints to resolution,as needed. Resolves billing/insurance issues and ensures compliance with departmental andgovernmental policies.- Supports the department leadership team in problem solving to address issues relating to volume orworkflow processes. Promotes effective working relations and works effectively as part of adepartment/unit team and interdepartmentally to facilitate that department's ability to meet its goals andobjective. Ensures coordination of services with other departments to promote the highest level ofefficiency and patient satisfaction.- Assists with Human Resource management functions including interviewing, selection, orientation,education/training, feedback, performance evaluation, and policy and procedure development. With thesupport of the leadership team, writes and may deliver corrective action and/or coaching. Assists inupdating and maintaining personnel files. Maintains and monitors Kronos records for employees. Presentsand documents staff meetings as required.- Oversees production and quality of staff performance to maintain efficiency and accuracy. Collaborateswith the department leadership team to resolve process issues or create new work flows to improve performance. Ensures compliance with applicable regulatory guidelines and established departmentalpolicies and procedures, objectives, quality assurance program, safety, environmental and infectioncontrol standards.- Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards.- Performs other duties as assigned.Skills- Operations Management- Leadership- Human Resources- Regulatory Requirements- Workflow Process- Communication- Insurance Processing and Issues- Medical Terminology- Claims Processing- Collaboration- Time Management- Team Building **Essential Functions** + Oversees the day-to-day revenue cycle functions including claims processing, denials, payments, customer service, and follow up on accounts. Oversees adjustments, insurance processing and verification, accuracy of billing and payment posting. Monitors workflow to ensure timely processing. Collaborates with department leadership team to evaluate service needs and volumes and adjust staffing levels accordingly. Assigns daily work schedules. Acts as a resource in the daily operations and activities of the department. Performs staff level duties as required. + Develops, implements and teaches new and evolving technologies. Communicates process and protocol to staff. Directs and coordinates training of new employees. Uses knowledge of insurance plans and contractual arrangements affecting payments, to research incomplete, incorrect or outstanding claims and/or patient issues. Investigates and resolves claims submission, disputes or complaints to resolution, as needed. Resolves billing/insurance issues and ensures compliance with departmental and governmental policies. + Supports the department leadership team in problem solving to address issues relating to volume or workflow processes. Promotes effective working relations and works effectively as part of a department/unit team and interdepartmentally to facilitate that department's ability to meet its goals and objective. Ensures coordination of services with other departments to promote the highest level of efficiency and patient satisfaction. + Assists with Human Resource management functions including interviewing, selection, orientation, education/training, feedback, performance evaluation, and policy and procedure development. With the support of the leadership team, writes and may deliver corrective action and/or coaching. Assists in updating and maintaining personnel files. Maintains and monitors Kronos records for employees. Presents and documents staff meetings as required. + Oversees production and quality of staff performance to maintain efficiency and accuracy. Collaborates with the department leadership team to resolve process issues or create new work flows to improve performance. Ensures compliance with applicable regulatory guidelines and established departmental policies and procedures, objectives, quality assurance program, safety, environmental and infection control standards. + Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards. + Performs other duties as assigned. **Skills** + Operations Management + Leadership + Human Resources + Regulatory Requirements + Workflow Process + Communication + Insurance Processing and Issues + Medical Terminology + Claims Processing + Collaboration + Time Management + Team Building **Physical Requirements:** **Qualifications** + High School Diploma or Equivalent is required. + Three (3) years of experience in back-end revenue cycle is required + One (1) year of team lead or supervisory experience required + Five (5) years of experience in back-end revenue cycle experiences preferred **Physical Requirements** + Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs. + Frequent interactions with customers who require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately. + Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use. + Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items. + Hybrid position, associate must be able to commute to the office to support clerical team when needed. **Location:** Lake Park Building **Work City:** West Valley City **Work State:** Utah **Scheduled Weekly Hours:** 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $25.02 - $39.41 We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here (***************************************************** . Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process. All positions subject to close without notice.

Essential Functions- Oversees the day-to-day revenue cycle functions including claims processing, denials, payments,customer service, and follow up on accounts. Oversees adjustments, insurance processing andverification, accuracy of billing and payment posting. Monitors workflow to ensure timely processing.Collaborates with department leadership team to evaluate service needs and volumes and adjust staffinglevels accordingly. Assigns daily work schedules. Acts as a resource in the daily operations and activitiesof the department. Performs staff level duties as required.- Develops, implements and teaches new and evolving technologies. Communicates process and protocolto staff. Directs and coordinates training of new employees. Uses knowledge of insurance plans andcontractual arrangements affecting payments, to research incomplete, incorrect or outstanding claimsand/or patient issues. Investigates and resolves claims submission, disputes or complaints to resolution,as needed. Resolves billing/insurance issues and ensures compliance with departmental andgovernmental policies.- Supports the department leadership team in problem solving to address issues relating to volume orworkflow processes. Promotes effective working relations and works effectively as part of adepartment/unit team and interdepartmentally to facilitate that department's ability to meet its goals andobjective. Ensures coordination of services with other departments to promote the highest level ofefficiency and patient satisfaction.- Assists with Human Resource management functions including interviewing, selection, orientation,education/training, feedback, performance evaluation, and policy and procedure development. With thesupport of the leadership team, writes and may deliver corrective action and/or coaching. Assists inupdating and maintaining personnel files. Maintains and monitors Kronos records for employees. Presentsand documents staff meetings as required.- Oversees production and quality of staff performance to maintain efficiency and accuracy. Collaborateswith the department leadership team to resolve process issues or create new work flows to improve performance. Ensures compliance with applicable regulatory guidelines and established departmentalpolicies and procedures, objectives, quality assurance program, safety, environmental and infectioncontrol standards.- Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards.- Performs other duties as assigned.Skills- Operations Management- Leadership- Human Resources- Regulatory Requirements- Workflow Process- Communication- Insurance Processing and Issues- Medical Terminology- Claims Processing- Collaboration- Time Management- Team Building **Essential Functions** + Oversees the day-to-day revenue cycle functions including claims processing, denials, payments, customer service, and follow up on accounts. Oversees adjustments, insurance processing and verification, accuracy of billing and payment posting. Monitors workflow to ensure timely processing. Collaborates with department leadership team to evaluate service needs and volumes and adjust staffing levels accordingly. Assigns daily work schedules. Acts as a resource in the daily operations and activities of the department. Performs staff level duties as required. + Develops, implements and teaches new and evolving technologies. Communicates process and protocol to staff. Directs and coordinates training of new employees. Uses knowledge of insurance plans and contractual arrangements affecting payments, to research incomplete, incorrect or outstanding claims and/or patient issues. Investigates and resolves claims submission, disputes or complaints to resolution, as needed. Resolves billing/insurance issues and ensures compliance with departmental and governmental policies. + Supports the department leadership team in problem solving to address issues relating to volume or workflow processes. Promotes effective working relations and works effectively as part of a department/unit team and interdepartmentally to facilitate that department's ability to meet its goals and objective. Ensures coordination of services with other departments to promote the highest level of efficiency and patient satisfaction. + Assists with Human Resource management functions including interviewing, selection, orientation, education/training, feedback, performance evaluation, and policy and procedure development. With the support of the leadership team, writes and may deliver corrective action and/or coaching. Assists in updating and maintaining personnel files. Maintains and monitors Kronos records for employees. Presents and documents staff meetings as required. + Oversees production and quality of staff performance to maintain efficiency and accuracy. Collaborates with the department leadership team to resolve process issues or create new work flows to improve performance. Ensures compliance with applicable regulatory guidelines and established departmental policies and procedures, objectives, quality assurance program, safety, environmental and infection control standards. + Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards. + Performs other duties as assigned. **Skills** + Operations Management + Leadership + Human Resources + Regulatory Requirements + Workflow Process + Communication + Insurance Processing and Issues + Medical Terminology + Claims Processing + Collaboration + Time Management + Team Building **Physical Requirements:** **Qualifications** + High School Diploma or Equivalent is required. + Three (3) years of experience in back-end revenue cycle is required + One (1) year of team lead or supervisory experience required + Five (5) years of experience in back-end revenue cycle experiences preferred **Physical Requirements** + Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs. + Frequent interactions with customers who require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately. + Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use. + Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items. + Hybrid position, associate must be able to commute to the office to support clerical team when needed. **Location:** Lake Park Building **Work City:** West Valley City **Work State:** Utah **Scheduled Weekly Hours:** 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $25.02 - $39.41 We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here (***************************************************** . Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process. All positions subject to close without notice.

Essential Functions- Oversees the day-to-day revenue cycle functions including claims processing, denials, payments,customer service, and follow up on accounts. Oversees adjustments, insurance processing andverification, accuracy of billing and payment posting. Monitors workflow to ensure timely processing.Collaborates with department leadership team to evaluate service needs and volumes and adjust staffinglevels accordingly. Assigns daily work schedules. Acts as a resource in the daily operations and activitiesof the department. Performs staff level duties as required.- Develops, implements and teaches new and evolving technologies. Communicates process and protocolto staff. Directs and coordinates training of new employees. Uses knowledge of insurance plans andcontractual arrangements affecting payments, to research incomplete, incorrect or outstanding claimsand/or patient issues. Investigates and resolves claims submission, disputes or complaints to resolution,as needed. Resolves billing/insurance issues and ensures compliance with departmental andgovernmental policies.- Supports the department leadership team in problem solving to address issues relating to volume orworkflow processes. Promotes effective working relations and works effectively as part of adepartment/unit team and interdepartmentally to facilitate that department's ability to meet its goals andobjective. Ensures coordination of services with other departments to promote the highest level ofefficiency and patient satisfaction.- Assists with Human Resource management functions including interviewing, selection, orientation,education/training, feedback, performance evaluation, and policy and procedure development. With thesupport of the leadership team, writes and may deliver corrective action and/or coaching. Assists inupdating and maintaining personnel files. Maintains and monitors Kronos records for employees. Presentsand documents staff meetings as required.- Oversees production and quality of staff performance to maintain efficiency and accuracy. Collaborateswith the department leadership team to resolve process issues or create new work flows to improve performance. Ensures compliance with applicable regulatory guidelines and established departmentalpolicies and procedures, objectives, quality assurance program, safety, environmental and infectioncontrol standards.- Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards.- Performs other duties as assigned.Skills- Operations Management- Leadership- Human Resources- Regulatory Requirements- Workflow Process- Communication- Insurance Processing and Issues- Medical Terminology- Claims Processing- Collaboration- Time Management- Team Building **Essential Functions** + Oversees the day-to-day revenue cycle functions including claims processing, denials, payments, customer service, and follow up on accounts. Oversees adjustments, insurance processing and verification, accuracy of billing and payment posting. Monitors workflow to ensure timely processing. Collaborates with department leadership team to evaluate service needs and volumes and adjust staffing levels accordingly. Assigns daily work schedules. Acts as a resource in the daily operations and activities of the department. Performs staff level duties as required. + Develops, implements and teaches new and evolving technologies. Communicates process and protocol to staff. Directs and coordinates training of new employees. Uses knowledge of insurance plans and contractual arrangements affecting payments, to research incomplete, incorrect or outstanding claims and/or patient issues. Investigates and resolves claims submission, disputes or complaints to resolution, as needed. Resolves billing/insurance issues and ensures compliance with departmental and governmental policies. + Supports the department leadership team in problem solving to address issues relating to volume or workflow processes. Promotes effective working relations and works effectively as part of a department/unit team and interdepartmentally to facilitate that department's ability to meet its goals and objective. Ensures coordination of services with other departments to promote the highest level of efficiency and patient satisfaction. + Assists with Human Resource management functions including interviewing, selection, orientation, education/training, feedback, performance evaluation, and policy and procedure development. With the support of the leadership team, writes and may deliver corrective action and/or coaching. Assists in updating and maintaining personnel files. Maintains and monitors Kronos records for employees. Presents and documents staff meetings as required. + Oversees production and quality of staff performance to maintain efficiency and accuracy. Collaborates with the department leadership team to resolve process issues or create new work flows to improve performance. Ensures compliance with applicable regulatory guidelines and established departmental policies and procedures, objectives, quality assurance program, safety, environmental and infection control standards. + Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards. + Performs other duties as assigned. **Skills** + Operations Management + Leadership + Human Resources + Regulatory Requirements + Workflow Process + Communication + Insurance Processing and Issues + Medical Terminology + Claims Processing + Collaboration + Time Management + Team Building **Physical Requirements:** **Qualifications** + High School Diploma or Equivalent is required. + Three (3) years of experience in back-end revenue cycle is required + One (1) year of team lead or supervisory experience required + Five (5) years of experience in back-end revenue cycle experiences preferred **Physical Requirements** + Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs. + Frequent interactions with customers who require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately. + Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use. + Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items. + Hybrid position, associate must be able to commute to the office to support clerical team when needed. **Location:** Lake Park Building **Work City:** West Valley City **Work State:** Utah **Scheduled Weekly Hours:** 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $25.02 - $39.41 We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here (***************************************************** . Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process. All positions subject to close without notice.