Full Time 36 hours/week 7pm-7am
onsite
The Supervisor Patient Care is responsible for nursing operations and patient care delivery across multiple units during assigned shifts. This role is responsible for staffing management and coordination among hospital departments. The Supervisor collaborates with the Transfer Center for patient placement and throughput, responds to emergencies and codes, and activates the Hospital Emergency Incident Command, when necessary, potentially serving as the Incident Commander
Responsibilities:
1.Understands the business, financials industry trends, patient needs, and organizational strategy.
2.Provides support and assistance to nursing staff to ensure adherence to patient care protocols and quality standards.
3. Assist in monitoring the department budget and helps maintain expenditure controls.
4. Promotes and maintains quality care by supporting nursing staff in the delivery of care during assigned shifts.
5. Visits patient care units to assess patient conditions, evaluates staffing needs and provides support to caregivers.
6. Communicates with the appropriate Nursing Management staff member [VP of Patient Services, Directors of Nursing and Nurse Managers] about any circumstances or situations which has or may have serious impact to patients, staff or hospital.
7. Assist in decision-making processes and notifies the Administrator on call when necessary.
8. Collaborates with nursing and hospital staff to ensure the operational aspects of patient care units are maintained effectively.
9. Supports the nursing philosophy and objectives of the hospital by participating in educational efforts and adhering to policies and procedures.
10. Other duties as assigned.
Other information:
Technical Expertise
1. Experience in clinical pediatrics is required.
2. Experience working with all levels within an organization is required.
3. Experience in healthcare is preferred.
4. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required.
Education and Experience
1. Education: Graduate from an accredited School of Nursing; Bachelor of Science in Nursing (BSN) is required.
2. Licensure: Currently licensed to practice nursing as a Registered Nurse in the State of Ohio is required.
3. Certification: Current Health Care Provider BLS is required; PALS, NRP, ACLS or TNCC is preferred.
4. Years of relevant experience: Minimum 3 years of nursing experience required.
5. Years of supervisory experience: Previous Charge Nurse, Clinical Coordinator, or other leadership experience is preferred.
Full Time
FTE: 0.900000
Status: Onsite
$52k-69k yearly est. 7d ago
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Patient Accounts Resolution Specialist - Patient Accounts - General Hospital
CAMC Health System 4.1
Charleston, WV jobs
Review unpaid and underpaid claims to ensure that claims are paid accurately and timely according to company policies, payer contracts, and governmental regulations. Perform follow up on unpaid or underpaid claims to ensure that claims are completely resolved accurately and timely and efforts are thoroughly documented.
Responsibilities
Review assigned work items daily to resolve "at risk, past due, and technical denial" claim issues Work with coding to resolve coding related denials Work with Utilization Review to resolve authorization related denials and appeals Use various payer web portals and DDE systems to obtain claim information that will help in resolution Contact payers by phone to resolve claim issues Contact Physician offices to obtain necessary information needed to resolve claims Manually and accurately resolve claims in Suspense (Medicare only) Ensure that medical records and itemized statement are submitted and received when requested by payers (work with contracted agencies as applicable) Follow proper workflow assigned by management Ensure accurate rebilling of claims to avoid denials Communicate billing errors that can be prevented to Department Manager, Supervisor, or Team LeadCommunicate identified system related issue to Department Manager, Supervisor, or Team LeadAccurately, Professionally, and thoroughly document necessary information necessary to resolve outstanding balances in encounter timeline Ensure that result driven follow up is be accomplished and documented. Other duties as assigned Skills: Healthcare billing and collection knowledge Ability to interpret a payer explanation of benefit (EOB) Ability to identify and resolve claim issues Excellent communication and customers service skills Computer and keyboarding skills Knowledge of Microsoft software applications (Excel and Word) a plus Cerner knowledge a plus
Knowledge, Skills & Abilities
Patient Group Knowledge (Only applies to positions with direct patient contact) The employee must possess/obtain (by the end of the orientation period) and demonstrate the knowledge and skills necessary to provide developmentally appropriate assessment, treatment or care as defined by the department's identified patient ages. Specifically the employee must be able to demonstrate competency in: 1) ability to obtain and interpret information in terms of patient needs; 2) knowledge of growth and development; and 3) understanding of the range of treatment needed by the patients.Competency StatementMust demonstrate competency through an initial orientation and ongoing competency validation to independently perform tasks and additional duties as specified in the job description and the unit/department specific competency checklist.Common Duties and Responsibilities(Essential duties common to all positions)1. Maintain and document all applicable required education.2. Demonstrate positive customer service and co-worker relations.3. Comply with the company's attendance policy.4. Participate in the continuous, quality improvement activities of the department and institution.5. Perform work in a cost effective manner.6. Perform work in accordance with all departmental pay practices and scheduling policies, including but not limited to, overtime, various shift work, and on-call situations.7. Perform work in alignment with the overall mission and strategic plan of the organization.8. Follow organizational and departmental policies and procedures, as applicable.9. Perform related duties as assigned.
Education
• High School Diploma or GED (Required) Experience: 1-2 years collections, customer service, or other comparable experience. Medical Terminology background and 5-7 years related experience preferred.
Credentials
Work Schedule: Days
Status: Full Time Regular 1.0
Location: General Hospital
Location of Job: US:WV:Charleston
Talent Acquisition Specialist: Lisa J. Craft *****************************
$26k-29k yearly est. 4d ago
Billing Specialist
Spooner Medical Administrators, Inc. 2.7
Westlake, OH jobs
Spooner Medical Administrators, Incorporated (SMAI) is a family owned and operated company that offers rewarding career opportunities for motivated individuals who are passionate about excellence and growth. Since 1997, SMAI's proactive philosophy and best practices have set the standard in workers' compensation by continuously improving the delivery of case management, utilization review and billing services to help facilitate a successful return to work for the injured worker.
The Billing Specialist is primarily responsible for reviewing, auditing and data entry of bills submitted by medical providers for compliance with proper billing practices.
Essential Functions
Review bills to determine if the information needed to process the bill has been received and contact the medical provider for any missing information.
Perform fee bill audits according to established procedures and guidelines.
Data enter fee fills accurately for electronic transmission.
Adhere to established billing performance requirements.
Review electronic response to transmitted bills and make modifications accordingly.
Respond to telephone inquiries from customers regarding bill payment status.
Participate in continuous improvement activities and other duties as assigned.
Supervision Received
Reports to the Billing Supervisor
Experience and Education Required
Medical billing certification or at least 2 years of experience working in the medical billing field
Data entry experience
Additional Skills Needed
Effective written and verbal communication
Detail oriented
Strong organizational ability
Basic computer literacy skills
Working Environment
The work environment characteristics described herein are representative of those an employee encounters while performing the essential functions of the job. While performing the duties of this job, the employee typically works in a normal office environment. The noise level in the work environment is usually quiet.
$28k-33k yearly est. 2d ago
Account Specialist - Orthopedics, FT
Prisma Health 4.6
Columbia, SC jobs
Inspire health. Serve with compassion. Be the difference.
Responsible for processing insurance claims. Coordinates collections and delinquent unpaid accounts. Oversees claim processing. Investigates billing problems and assists with error resolution.
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference.
Assists in the processing of insurance claims including Medicaid/Medicare claims.
Collects and enters patient's insurance information into database.
Assists patients in completing all necessary forms. Answers patient questions and concerns.
Reviews and verifies insurance claims. Requests refunds when appropriate.
Processes Medicare correspondence, signature, and insurance forms.
Follows-up with insurance companies and ensures claims are paid within timeframes as outlined in MA policies and procedures.
Resubmits insurance claims that have received no response.
Answers telephone, screens call, takes messages, and provides information.
Maintains files with referral slips, Medicare authorizations, and insurance slips.
Identifies delinquent accounts, aging period and payment sources. Processes delinquent unpaid accounts by contacting patients and third party reimbursors.
Reviews each account, credit reports and other information sources such as credit bureaus via computer.
Performs various collection actions including contacting patients by phone and resubmitting claims to third party reimbursors.
Evaluates patient financial status and establishes budget payment plans. Follows and reports status of delinquent accounts.
Reviews accounts for possible assignment makes recommendation to Credit Manager and prepares information for collection agency.
Assigns uncollectible accounts to collection agency or attorney via clinic Credit and Collection policy. Contacts lawyers involved in third-party litigation.
Answers inquiries and correspondence from patients and insurance companies. Develops collection letters.
Identifies and resolves patient billing complaints. Research credit balances.
Oversees claim processing and payments to third party providers. Answers associated correspondence.
Monitors charges and verifies correct payment of claims and capitation deductions.
Sends denial letters on claims and follow-up on requests for information.
Audits and reviews claim payments reports for accuracy and compliance.
Research and resolves claim and capitation problems.
Maintains timely provider information in physician files.
Maintains insurance company manual and distributes information to staff on updates and changes.
Maintains required databases and patients accounts, reports and files.
Resolves misdirected payments and returns incorrect payments to sender.
Answers patients' inquiries regarding account balances.
Appeals denied claims adhering to payer policy while communicating with MAMC department for further assistance with claims resolution as appropriate.
Works all assigned claims within designated time frame to ensure timely and appropriate payment
Research all information needed to complete billing process including getting charge information from physicians.
Works with other staff to follow-up on accounts until zero balance or turned over for collection.
Assists with coding and error resolution.
Maintains required billing records, reports, and files.
Investigates billing problems and formulates solutions. Verifies and maintains adjustment records.
Maintains and enhances current knowledge of assigned payers with regard to guidelines for billing
Provides training to front office staff when hired and retraining as needed or requested with regard to a specific payer rules and guidelines for physician billing.
Recommends changes to departmental processes as necessary to maximize operational effectiveness of the revenue cycle.
Maintains strictest confidentiality.
Participates in educational activities.
As representative of Prisma Health Clinical Department, is expected to maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual.
Performs other duties as assigned.
Supervisory/Management Responsibility
This is a non-management job that will report to a supervisor, manager, director, or executive.
Minimum Requirements
Education - High School diploma or equivalent OR post-high school diploma / highest degree earned. Associate degree in a technical specialty program of 18 months minimum in lengthpreferred
Experience - Two (2) years in billing, bookkeeping, collections or customer service.
In Lieu Of
NA
Required Certifications, Registrations, Licenses
NA
Knowledge, Skills and Abilities
Electronic Claims Billing experience
Multi-specialty group practice setting experience preferred
Intermediate ICD-9 and CPT coding abilities preferred
Work Shift
Day (United States of America)
Location
2 Medical Park Rd Richland
Facility
3410 Orthopedics Support Team
Department
34101000 Orthopedics Support Team-Practice Operations
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
$27k-34k yearly est. 6d ago
Billing Coordinator - CTI Pulmonology and Thoracic Surgery (hybrid)
Northwestern Medicine 4.3
Chicago, IL jobs
The salary range for this position is $21.28 - $27.66 (Hourly Rate) Placement within the salary range is dependent on several factors such as relevant work experience and internal equity. For positions represented by a labor union, placement within the salary range is guided by the rules outlined in the collective bargaining agreement. We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section located at jobs.nm.org/benefits to learn more. Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine. We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service. Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment. Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional, and financial well-being. Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups. From discovery to delivery, come help us shape the future of medicine. Benefits: * $10,000 Tuition Reimbursement per year ($5,700 part-time) * $10,000 Student Loan Repayment ($5,000 part-time) * $1,000 Professional Development per year ($500 part-time) * $250 Wellbeing Fund per year ($125 for part-time) * Matching 401(k) * Excellent medical, dental and vision coverage * Life insurance * Annual Employee Salary Increase and Incentive Bonus * Paid time off and Holiday pay Description *
Performs charge capture for all procedures completed in the Bronchoscopy suite. This includes: * Audit of CPT codes associated with each procedure * Confirmation of supplies used and verification of alignment with operative notes * Assists patients with billing and insurance related matters including communicating with patients regarding balances owed and other financial issues and facilitating collection of balances owed. * Educates patients about financial assistance opportunities, insurance coverage, treatment costs, and clinic billing policies and procedures. * Collaborates closely with physicians and technicians to understand treatment plans and determine costs associated with these plans; Works closely with the staff on managed care and referral related issues; communicates findings to patients. * Coordinates the pre-certification process with the clinical staff as it relates to procedures in the Bronchoscopy Suite and Operating Rooms * Handles billing inquiries received via telephone or via written correspondence. * Responsible for thoroughly investigating and understanding financial resources or programs that may be available to patients and educating staff and patients about these programs. * Conducts precertification for appropriate tests or procedures and facilitates the process with managed care and the clinical team. Documents all information and authorization numbers in Epic and acts as a liaison for follow-up related to precertification. * Performs activities and responds to patient inquiries related to billing follow-up. * Requests necessary charge corrections. * Identifies patterns of billing errors and works collaboratively with department manager and outside entity to improve processes as needed. * Provides guidance regarding clinical documentation to optimize charges and RVUs * Confirms coding accuracy based on clinical documentation and reviews common errors or misses with physicians and leadership. The Billing Coordinator reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Billing Coordinator is responsible for processing charges, payments and/or adjustments for all services rendered at all NM Corporate Health Clinics. Researches and follows- up on all outstanding accounts. Answers all calls regarding charges and claims, providing exceptional customer service to all callers. Possesses extensive knowledge of coding, billing, insurance and collections procedures and coordinates the accounts receivable functions. Performs weekly claims, monthly late bills and patient statement runs and reviews accounts to be placed with an outside collection agency. RESPONSIBILITIES: Department Operations * Ensures patient demographic and billing/insurance information is kept current in the computer application. Documents all patient and company contacts. * Reviews daily clinic schedules and tracks receipt of documentation to assure completeness of charge capture. * Ensures notes are is placed in systems, clearly identifying steps taken, according to established procedures. * Works with patients/clients to establish payment plans according to predetermined procedures. * Handles all incoming customer service calls in a professional and efficient manner. Provides exceptional service to all customers, guarantors, patients, internal and external contacts. * Prepares itemized bill upon request; explains charges, payments and adjustments. Produces a clear and understandable statement to individuals on any outstanding account balance. * Responsible for timely submission of accurate bills and invoices to clients, patients and insurance companies. * Ensures timely posting of all charges, payments, denials and write-offs to the appropriate account, maintaining the highest level of quality for each transaction processed within 48 hours of receipt. * Responsible for balancing each payment and adjustment batch with reconciliation report and bank account deposits after completion. * Ensures compliant follow up procedures are followed, to third party payers regarding outstanding accounts receivables. * Run outstanding A/R reports, follow-up on unpaid claims or balances with insurance companies, patients, and collection agency, as defined by department. * Perform daily systematic review of accounts receivable to ensure all accounts ready to be worked are completed. * Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation. * Denials and appeals follow-up including root cause analysis to reduce/prevent future denials. * Reviews, prepares and sends pre-collection letters as defined by department procedures. * Identifies and sends accounts to outside collection agency. * Prepares and distributes reports that are required by finance, accounting, and operations. * Handles all work in an accurate and timely manner, consistently meets or exceeds productivity standards, quality standards, department goals and deadlines established by the team. * Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices. * Identify opportunities for process improvement and submit to management. * Demonstrate proficient use of systems and execution of processes in all areas of responsibilities. Communication and Teamwork * Fosters and maintains positive relationships with the Corporate Health team, Human Resources, NM employees and physicians. * Provides courteous and prompt customer service. Answers the telephone in a courteous professional manner, directs calls and takes messages as appropriate. Checks for messages and returns calls. * Demonstrates teamwork by helping co-workers within and across departments. Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others. * Communicates appropriately and clearly to physicians, manager, nursing staff, front office staff, and employees. Maintains a good working relationship within the department. Organizes time and department schedule well. Demonstrates a positive attitude. Service Excellence * Displays a friendly, approachable, professional demeanor and appearance. * Partners collaboratively with the functional areas across Northwestern Medicine in support of organizational and team objectives. * Fosters the development and maintenance of a cohesive, high-energy, collaborative, and quality-focused team. * Supports a "Safety Always" culture. * Maintaining confidentiality of employee and/or patient information. * Sensitive to time and budget constraints. * Other duties as assigned. Qualifications Required: * High school graduate or equivalent. * Strong Computer knowledge, data entry skills in Microsoft Excel and Word. * Thorough understanding of insurance billing procedures, ICD-10, and CPT coding. * 3 years of physician office/medical billing experience. * Ability to communicate clearly and effectively, both orally and in writing, at all levels within and outside the organization. * Ability to work independently. Preferred: * 3 years of physician office/medical billing experience in Corporate Health/Occupational Health a plus. * CPC (Certified Professional Coder) or R (Registered Medical Coder) Certificate a plus. Equal Opportunity Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act. Artificial Intelligence Disclosure Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more. Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.
$21.3-27.7 hourly 60d+ ago
Billing Coordinator - CTI Pulmonology and Thoracic Surgery (hybrid)
Northwestern Memorial Healthcare 4.3
Chicago, IL jobs
Company DescriptionAt Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better?
Job Description
Performs charge capture for all procedures completed in the Bronchoscopy suite. This includes:
Audit of CPT codes associated with each procedure
Confirmation of supplies used and verification of alignment with operative notes
Assists patients with billing and insurance related matters including communicating with patients regarding balances owed and other financial issues and facilitating collection of balances owed.
Educates patients about financial assistance opportunities, insurance coverage, treatment costs, and clinic billing policies and procedures.
Collaborates closely with physicians and technicians to understand treatment plans and determine costs associated with these plans; Works closely with the staff on managed care and referral related issues; communicates findings to patients.
Coordinates the pre-certification process with the clinical staff as it relates to procedures in the Bronchoscopy Suite and Operating Rooms
Handles billing inquiries received via telephone or via written correspondence.
Responsible for thoroughly investigating and understanding financial resources or programs that may be available to patients and educating staff and patients about these programs.
Conducts precertification for appropriate tests or procedures and facilitates the process with managed care and the clinical team. Documents all information and authorization numbers in Epic and acts as a liaison for follow-up related to precertification.
Performs activities and responds to patient inquiries related to billing follow-up.
Requests necessary charge corrections.
Identifies patterns of billing errors and works collaboratively with department manager and outside entity to improve processes as needed.
Provides guidance regarding clinical documentation to optimize charges and RVUs
Confirms coding accuracy based on clinical documentation and reviews common errors or misses with physicians and leadership.
The Billing Coordinator reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.
The Billing Coordinator is responsible for processing charges, payments and/or adjustments for all services rendered at all NM Corporate Health Clinics. Researches and follows- up on all outstanding accounts. Answers all calls regarding charges and claims, providing exceptional customer service to all callers. Possesses extensive knowledge of coding, billing, insurance and collections procedures and coordinates the accounts receivable functions. Performs weekly claims, monthly late bills and patient statement runs and reviews accounts to be placed with an outside collection agency.
RESPONSIBILITIES:
Department Operations
Ensures patient demographic and billing/insurance information is kept current in the computer application. Documents all patient and company contacts.
Reviews daily clinic schedules and tracks receipt of documentation to assure completeness of charge capture.
Ensures notes are is placed in systems, clearly identifying steps taken, according to established procedures.
Works with patients/clients to establish payment plans according to predetermined procedures.
Handles all incoming customer service calls in a professional and efficient manner. Provides exceptional service to all customers, guarantors, patients, internal and external contacts.
Prepares itemized bill upon request; explains charges, payments and adjustments. Produces a clear and understandable statement to individuals on any outstanding account balance.
Responsible for timely submission of accurate bills and invoices to clients, patients and insurance companies.
Ensures timely posting of all charges, payments, denials and write-offs to the appropriate account, maintaining the highest level of quality for each transaction processed within 48 hours of receipt.
Responsible for balancing each payment and adjustment batch with reconciliation report and bank account deposits after completion.
Ensures compliant follow up procedures are followed, to third party payers regarding outstanding accounts receivables.
Run outstanding A/R reports, follow-up on unpaid claims or balances with insurance companies, patients, and collection agency, as defined by department.
Perform daily systematic review of accounts receivable to ensure all accounts ready to be worked are completed.
Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation.
Denials and appeals follow-up including root cause analysis to reduce/prevent future denials.
Reviews, prepares and sends pre-collection letters as defined by department procedures.
Identifies and sends accounts to outside collection agency.
Prepares and distributes reports that are required by finance, accounting, and operations.
Handles all work in an accurate and timely manner, consistently meets or exceeds productivity standards, quality standards, department goals and deadlines established by the team.
Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices.
Identify opportunities for process improvement and submit to management.
Demonstrate proficient use of systems and execution of processes in all areas of responsibilities.
Communication and Teamwork
Fosters and maintains positive relationships with the Corporate Health team, Human Resources, NM employees and physicians.
Provides courteous and prompt customer service. Answers the telephone in a courteous professional manner, directs calls and takes messages as appropriate. Checks for messages and returns calls.
Demonstrates teamwork by helping co-workers within and across departments. Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others.
Communicates appropriately and clearly to physicians, manager, nursing staff, front office staff, and employees. Maintains a good working relationship within the department. Organizes time and department schedule well. Demonstrates a positive attitude.
Service Excellence
Displays a friendly, approachable, professional demeanor and appearance.
Partners collaboratively with the functional areas across Northwestern Medicine in support of organizational and team objectives.
Fosters the development and maintenance of a cohesive, high-energy, collaborative, and quality-focused team.
Supports a “Safety Always” culture.
Maintaining confidentiality of employee and/or patient information.
Sensitive to time and budget constraints.
Other duties as assigned.
Qualifications
Required:
High school graduate or equivalent.
Strong Computer knowledge, data entry skills in Microsoft Excel and Word.
Thorough understanding of insurance billing procedures, ICD-10, and CPT coding.
3 years of physician office/medical billing experience.
Ability to communicate clearly and effectively, both orally and in writing, at all levels within and outside the organization.
Ability to work independently.
Preferred:
3 years of physician office/medical billing experience in Corporate Health/Occupational Health a plus.
CPC (Certified Professional Coder) or R (Registered Medical Coder) Certificate a plus.
Additional Information
Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
Background Check
Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act.
Artificial Intelligence Disclosure
Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.
Benefits
We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.
Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.
$45k-58k yearly est. 22d ago
Collection Specialist
Soleo Health 3.9
Frisco, TX jobs
Full-time Description
Soleo Health is seeking a Collection Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care!
Home infusion therapy experience required.
Soleo Health Perks:
Competitive Wages
Flexible schedules
401(k) with a match
Referral Bonus
Annual Merit Based Increases
No Weekends or Holidays!
Affordable Medical, Dental, and Vision Insurance Plans
Company Paid Disability and Basic Life Insurance
HSA and FSA (including dependent care) options
Paid Time Off!
Education Assistant Program
The Position:
The Collection Specialist is responsible for a broad range of collection processes related to medical accounts receivable in support of multiple site locations. The Collections Specialist will proactively work assigned accounts to maximize accurate and timely payment. Responsibilities include:
Researches all balances on the accounts receivable and takes necessary collection actions to resolve in a timely manner
Researches assigned correspondence; takes necessary action to resolve requests
Routinely reviews and works correspondence folder requests in a timely manner
Makes routine collection calls on outstanding claims
Identifies billing errors, short payments, unpaid claims, cash application issues and resolves accordingly
Ability to identify potential risk, write offs and status appropriately and report and escalate to management on as identified
Researches refund requests received by payers and statuses refund according to findings
Documents detailed notes in a clear and concise fashion in Company software system
Identifies issues/trends and escalates to Manager when assistance is needed
Provides exceptional Customer Service to internal and external customers
Ensures compliance with federal, state, and local governments, third party contracts, and company policies
Must be able to communicate well with branch, management, patients and insurance carriers
Ability to perform account analysis when needed
Answering phones/taking patient calls regarding balance questions
Using portals and other electronic tools
Ensure claims are on file after initial submission
Identifies, escalates, and prepares potential payor projects to management and company Liaisons
Write detailed appeals with supporting documentation
Keep abreast of payor follow up/appeal deadlines
Submits secondary claims
Schedule:
M-F 830am-5pm
Requirements
Previous Home Infusion and Specialty Pharmacy experience required
1-3 years or more of strong collections experience
High school diploma or equivalent; an associate degree in finance, accounting, or a related field is preferred
Knowledge of HCPC coding and medical terminology
CPR+ systems experience preferred
Excellent math and writing skills
Excellent interpersonal, communication and organizational skills
Ability to prioritize, problem solve and multitask
Word, Excel and Outlook experience
About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference!
Soleo's Core Values:
Improve patients' lives every day
Be passionate in everything you do
Encourage unlimited ideas and creative thinking
Make decisions as if you own the company
Do the right thing
Have fun!
Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture.
Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor.
Keyword: accounts receivable, collection, specialty pharmacy, now hiring, hiring immediately
Salary Description $21-$24 Per Hour
$21-24 hourly 34d ago
Billing Coordinator II (Patient Financial Svcs) - FT/80
Springfield Hospital Center 4.3
Springfield, VT jobs
The Billing Coordinator II will:
Demonstrate patient accounting skills in three or more of the following areas: billing, follow-up, administrative support, customer service, and cash posting.
Be functional in computer-based applications in the following areas, EMR, Microsoft Office, Adobe Acrobat, and Clearinghouse software.
Demonstrate full compliance with government and contract regulation.
Meet internal and external customer's expectations.
Requirements
Associate degree
Bachelor's degree
(preferred)
Two (2) years' billing, collection, customer service, cash posting, and administrative support experience with a multi-hospital system. Five (5) years' experience
(preferred)
Two (2) years' experience with Microsoft Office Suite
(preferred)
Proficient in Microsoft Office Suite
Working knowledge of CPSI or other healthcare hospital EMR
Possesses excellent oral and written communication skills.
Patient advocacy skills.
Self-motivated and functions independently.
Demonstrates problem-solving and problem-prevention skills.
$50k-64k yearly est. 60d+ ago
Homecare Billing Coordinator
Your Home Assistant LLC 3.4
Elk Grove, CA jobs
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
$42k-61k yearly est. 13d ago
Billing Coordinator - Stop Area Six
Healthright 360 4.5
San Diego, CA jobs
.
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.
$45k-55k yearly est. Auto-Apply 60d+ ago
Mobile Collections Specialist
Cordant Health Solutions 4.2
Warsaw, IN jobs
We are seeking a self-motivated Mobile Collection Specialist to join our Field Operations team in Kosciusko County, Indiana. The ideal candidate will be located in
Warsaw
with the ability to travel within a 45-mile radius. In this role, you will be performing home-based collections for individuals required to complete drug screens as part of their involvement with the Indiana Department of Child Services. Our Mobile Collection Specialists receive their daily travel routes each morning and are responsible for collecting urine, oral fluid (saliva) or hair specimens in accordance with contractual requirements.
Shift: Monday - Friday 11:00AM - 7:00PM
Pay Range: $16-$18
*
Additional benefits for Mobile Collections Specialists include mileage reimbursement, $50 monthly cell phone reimbursement and an incentive bonus of $100 for emergency collection requests fulfilled outside of Indiana DCS business hours.
Primary Responsibilities
Travel to participant's home, work, or local DCS office to collect urine, oral, and/or hair specimens
Log, order, process and assemble samples for shipping to laboratory
File requisitions, chain of custody forms, and associated paperwork
Courier specimens to drop off location and/or lab
Keep detailed record of client and patient interactions
Travel to third party collection sites to perform site inspections, as needed
Provide support to the Program Manager and Regional Lead ensuring that third party collection sites meet Cordant's standards for the Indiana Department of Child Safety program.
All other duties as assigned
Qualifications
HS diploma or GED, required
1+ year of experience working directly with customers or patients required
Experience in healthcare, criminal justice, or a similar dynamic field preferred
Ability to perform observed collections and collect biological specimens, required
Availability to travel within region for emergency, after-hours collections with little notice (1 hour), including potential overnights and weekends, required
Valid Driver's License, reliable transportation, and proof of auto insurance with candidate listed as an insured driver, required
Must own a Smartphone with ability to enable location-tracking
Basic computer skills with the ability to set up applications independently, required
Strong attention to detail with excellent verbal and written communication skills, required
Ability to work effectively under tight deadlines and de-escalate communications with participants in potentially stressful or dynamic situations
Light to moderate physical effort (lift/carry up to 25 lbs.), and sitting/standing for long periods of time, required
Ability to wear scrubs and protective devices (gloves), required
Benefits
Cordant supports our employees by providing a comprehensive benefits package to eligible staff (per state regulations) that includes: Medical, Dental, Vision Insurance, Flexible Spending Accounts (FSA), Health Savings Accounts (HSA) Paid Time Off (PTO) accruing on day 1, Volunteer Time Off (VTO), Paid Holidays, 401(k) with Company Match, Employee Assistance Program (EAP), Short Term and Long-Term Disability (STD/LTD) and Company Paid Basic Life Insurance.#FIE123
$16-18 hourly 8d ago
Mobile Collections Specialist
Cordant Health Solutions 4.2
Warsaw, IN jobs
We are seeking a self-motivated Mobile Collection Specialist to join our Field Operations team in Kosciusko County, Indiana. The ideal candidate will be located in Warsaw with the ability to travel within a 45-mile radius. In this role, you will be performing home-based collections for individuals required to complete drug screens as part of their involvement with the Indiana Department of Child Services. Our Mobile Collection Specialists receive their daily travel routes each morning and are responsible for collecting urine, oral fluid (saliva) or hair specimens in accordance with contractual requirements.
Shift: Monday - Friday 11:00AM - 7:00PM
Pay Range: $16-$18
* Additional benefits for Mobile Collections Specialists include mileage reimbursement, $50 monthly cell phone reimbursement and an incentive bonus of $100 for emergency collection requests fulfilled outside of Indiana DCS business hours.
Primary Responsibilities
* Travel to participant's home, work, or local DCS office to collect urine, oral, and/or hair specimens
* Log, order, process and assemble samples for shipping to laboratory
* File requisitions, chain of custody forms, and associated paperwork
* Courier specimens to drop off location and/or lab
* Keep detailed record of client and patient interactions
* Travel to third party collection sites to perform site inspections, as needed
* Provide support to the Program Manager and Regional Lead ensuring that third party collection sites meet Cordant's standards for the Indiana Department of Child Safety program.
* All other duties as assigned
Qualifications
* HS diploma or GED, required
* 1+ year of experience working directly with customers or patients required
* Experience in healthcare, criminal justice, or a similar dynamic field preferred
* Ability to perform observed collections and collect biological specimens, required
* Availability to travel within region for emergency, after-hours collections with little notice (1 hour), including potential overnights and weekends, required
* Valid Driver's License, reliable transportation, and proof of auto insurance with candidate listed as an insured driver, required
* Must own a Smartphone with ability to enable location-tracking
* Basic computer skills with the ability to set up applications independently, required
* Strong attention to detail with excellent verbal and written communication skills, required
* Ability to work effectively under tight deadlines and de-escalate communications with participants in potentially stressful or dynamic situations
* Light to moderate physical effort (lift/carry up to 25 lbs.), and sitting/standing for long periods of time, required
* Ability to wear scrubs and protective devices (gloves), required
Benefits
Cordant supports our employees by providing a comprehensive benefits package to eligible staff (per state regulations) that includes: Medical, Dental, Vision Insurance, Flexible Spending Accounts (FSA), Health Savings Accounts (HSA) Paid Time Off (PTO) accruing on day 1, Volunteer Time Off (VTO), Paid Holidays, 401(k) with Company Match, Employee Assistance Program (EAP), Short Term and Long-Term Disability (STD/LTD) and Company Paid Basic Life Insurance.
$16-18 hourly 8d ago
Reimbursement And Billing Coordinator
Toledo Clinic 4.6
Toledo, OH jobs
Creates and maintains fee schedule files. Develop, test, and implement eCW applications. Monitor payor reimbursement and compliance. Assist medical offices and Business Services with fee schedules and unit fee pricing. Accountable for the TCI charge master. Support Administration and Credentialing with contracts. Perform fee analysis.
Principal Duties & Responsibilities:
Example of Essential Duties:
Responsible for the update and control of the fee schedule files.
Work with the Business Office staff to coordinate Payor issues between the Business Office, Insurance Carrier, and Medical Offices.
Maintain the TCI charge master by updating payor rates and monitoring necessary unit fee increases/decreases.
Generate payor analysis as requested by Administration/Contracting Committee.
Assist offices with any fee schedule issues they may have.
Work with IT and eCW testing new applications.
Pull contracting information as requested.
Communicate with Payors on issues regarding reimbursement
Other Essential Duties May Include (but are not limited to):
Other duties as assigned.
Knowledge, Skills & Abilities:
Required:
-
Extensive knowledge of Excel pertaining to Formulas and Pivot Tables
- Working knowledge of a physician based medical office practice.
- Knowledge of physician coding and federal/state regulations of patient care.
- Consistently arrives at work, in professional attire, on time and completes all tasks within established time frame.
- Seeks appropriate tasks when primary tasks are completed and assists co-workers as needed.
- Demonstrates adaptability to expanded roles.
Education:
- HS diploma or GED, Medical billing
- Bachelors Degree
$39k-45k yearly est. Auto-Apply 1d ago
Collection Specialist (65882)
Hamilton Health Care System 4.4
Dalton, GA jobs
Performs various tasks to collect monies on delinquent patient accounts. Contacts patients to discuss fiduciary responsibility, updates insurance information if obtained and take the necessary steps to have charges filed, set up payment terms if applicable, accept credit/debit card payments over the phone, counsel patients if not able to meet payment terms, facilitate financial assistance counseling when needed, and other duties as assigned.
$31k-36k yearly est. 32d ago
Insurance Collections Specialist
Gastro Health 4.5
Miami, FL jobs
Gastro Health is seeking a Full-Time Insurance Collections Specialist to join our team!
Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours.
This role offers:
A great work/life balance
No weekends or evenings - Monday thru Friday
Paid holidays and paid time off
Rapidily growing team with opportunities for advancement
Competitive compensation
Benefits package
Duties you will be responsible for:
Provides Liaison between the providers of health care services, the patient, or other responsible persons, and revenue sources, to ensure the correctness of charges, a current record of all transactions, and account resolution
Maintains active communications with insurance carriers and third-party carriers until account is paid.
Negotiates payment of current and past due accounts by direct telephone and written correspondence.
Updates patient account information
Monitors and identifies payer denial trends and problem accounts; communicates patterns to supervisor.
Runs a monthly aging report based on DOS and current A/R to identify accounts that require follow up.
Manage all assigned worklist on a daily basis for assigned insurances.
Utilize collection techniques to resolve accounts according to company's policies and procedures.
Report any coding related denial to the Coding Specialist.
Performs other duties including but limited to faxing information as required, generating retroactive authorization requests, and verifying medical eligibility.
Conducts necessary research to ensure proper reimbursement of claims.
Assist with special projects assigned by Billing Manager or Supervisor
Minimum Requirements
High school diploma or GED equivalent.
At least 2 years' experience in insurance collections.
Knowledge of medical terminology utilized in medical collections and billing (CPT, ICD-10, HCPCS)
Knowledge with letters of appeal.
Intermediate experience with Microsoft Excel and Office products is required.
Experience with HMO, PPO, and Medicare insurances.
Must be able to read, interpret, and apply regulations, policies and procedures
We offer a comprehensive benefits package to our eligible employees:
401(k) retirement plans with employer Safe Harbor
Harbor Non-Elective Contributions of 3%
Discretionary profit-sharing contributions of up to 4%
Health insurance
Employer contributions to HSAs and HRAs
Dental insurance
Vision insurance
Flexible spending accounts
Voluntary life insurance
Voluntary disability insurance
Accident insurance
Hospital indemnity insurance
Critical illness insurance
Identity theft insurance
Legal insurance
Paid time off
Discounts at local fitness clubs
Discounts at AT&T
Additionally, Gastro Health participates in a program called Tickets at Work that provides discounts on concerts, travel, movies, and more.
Gastro Health is the one of the largest gastroenterology multi-specialty groups in the United States, with over 130+ locations throughout the country. Our team is composed of the finest gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals. We are always looking for individuals that share our mission to provide outstanding medical care and an exceptional healthcare experience. We offer a comprehensive benefits package to our eligible employees.
Gastro Health is proud to be an Equal Opportunity Employer. We do not discriminate based on race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
We thank you for your interest in joining our growing Gastro Health team!
$30k-36k yearly est. Auto-Apply 60d+ ago
CLN Collections Specialist, Part Time, Days
HH Health System 4.4
Decatur, AL jobs
Responsible for the collection of patient account balances. TYPICAL PHYSICAL DEMANDS: Requires sitting for long periods of time; also stooping, bending and stretching for files and supplies. Occasionally lifting files or paper weighing up to 50 pounds. Requires manual dexterity sufficient to operate a
keyboard, operate a calculator, telephone, copier and such other office equipment as necessary. Vision
must be correctable to 20/20 and hearing must be in the normal range for telephone contacts. It is
necessary to view and type on computer screens for long periods and to work in an environment which
can be very stressful. TYPICAL WORKING CONDITIONS: Work is performed in an office environment.
Involves frequent contact with patients, physicians and staff. Contact may involve dealing with angry or
upset people. Work may be stressful at times. Evening and Weekend work may be required.
Responsibilities
• Identifies delinquent accounts, aging period and payment sources.
• Reviews each account by computer, reports and other information sources.
• Performs collection actions including contacting patients by statement, telephone and letter for all
current accounts as well as old company accounts.
• Evaluates patient financial status and establishes budget payment plans.
• Reviews accounts for possible assignment to collection agency, makes recommendations to
Controller and prepares information for collection agency.
• Identifies and resolves patient billing complaints.
• Researches guarantor credit balances.
• Assists in answering telephone, routing calls and providing requested information as needed.
• Regularly reviews and acts on deceased and no statement accounts per office policy.
• Assists in care and maintenance of department equipment.
• Participates in educational activities and attends required meetings.
• Maintains strictest confidentiality.
• Performs related work as required.
Qualifications
Education Required
• High School Diploma or GED required.
Education Preferred
License, Certification and/or Registration
Experience
• One year of collection experience.
Additional Skills/Abilities
• Requires knowledge of medical billing/collection practices.
• Knowledge of basic medical coding.
• Knowledge of insurance agency operating procedures and practices.
• Knowledge of governmental legal and regulatory provisions related to collection activities.
• Skill with computer applications and use of calculator.
• Ability in establishing and maintaining effective working relationships with co-workers,
supervisors, and the public.
• Ability to communicate clearly.
• Ability to work independently.
• Knowledge of the organizations policies and procedures.
• Ability to maintain confidentiality of sensitive information.
• Upholds effective work habits including, but not limited to, regular attendance, teamwork, initiative,
dependability, and promptness.
• Some medical insurance background preferred.
$27k-34k yearly est. Auto-Apply 60d+ ago
Legal Collections Specialist
Aubrey Thrasher 4.0
Marietta, GA jobs
We are seeking a seasoned Legal Collections Specialist to join our high-performing legal recovery team. This role is tailored for professionals with direct experience performing debt collection within a legal environment, including pre-litigation, active litigation, and post-judgment accounts.This is a production-focused role that requires strong case management, compliance adherence, and the ability to engage consumers professionally and effectively to resolve outstanding balances.Ideal Candidate Profile:
Minimum of five (5) years of experience in legal collections with verifiable references
Proven track record of working legal-stage portfolios, including familiarity with court procedures, timelines, and post-judgment enforcement strategies
Strong negotiation, documentation, and communication skills
Results-driven and self-directed, with the ability to manage a high volume of tasks daily
Proficiency with case management systems and collections software
Key Responsibilities:
Manage and advance a portfolio of legal-stage accounts from pre-litigation through post-judgment
Conduct consumer outreach via phone, email, and other approved channels to negotiate and secure resolutions
Accurately document all account activity in compliance with internal policies and applicable laws
Coordinate with attorneys and litigation teams to ensure timely movement of cases
Meet or exceed monthly recovery targets while maintaining high-quality work standards
What We Offer:
Competitive compensation structure including base pay and performance incentives
Supportive and professional team culture focused on measurable success
Clear advancement pathways for high performers
Standard Monday through Friday schedule (no weekends or extended hours)
Location: Marietta, Ga
This is an opportunity to bring your legal collections expertise into a performance-oriented environment where professionalism, compliance, and results are the standard. If you're ready to operate at the next level, we encourage you to apply.
$32k-39k yearly est. Auto-Apply 60d+ ago
Collections Specialist
Dds Lab 4.4
Tampa, FL jobs
The Collections Specialist is responsible for day-to-day receivables activities that provide department level accounting support and ensure departmental goals and objectives are achieved. The Collections Specialist will be responsible for complying with department and company-wide accounting procedures and with generally accepted accounting principles while performing the job duties including maintaining customer accounts, processing and recording customer payments, identifying outstanding invoices, collections, credits, and responding to customer questions regarding invoices and credit requests.
Essential Duties
Process, record, and reconcile customer payments & credits.
Respond to customer questions and concerns timely via phone and email.
Prepare and send statements, invoices, and reports to clients, as scheduled or requested.
Establish and maintain relationships with new and existing customers.
Monitor accounts, identify potential customer issues, and manage delinquencies.
Process monthly customer payments for card on file customers.
Maintain case financial hold process for past due accounts.
Manage cases returned for financial credit review
Support year-end and other audits, responding to auditor requests for data, gathering information, and preparing schedules.
Participate in special projects and AR research as required.
Qualifications
Minimum of 3 years related collections experience
Excellent communication skills
Proficient in Word, Excel, Outlook
Previous experience with AR systems, namely Great Plains, preferred
General knowledge of GAAP and basic accounting principles
Familiarity with standard accounting concepts, practices, or procedures
Strong understanding and appreciation of deadlines and commitment to schedules and details
Special Position Requirements
Strong interpersonal communication and active listening skills.
Strong proficiency with Excel, Word and other MS Office programs
Ability to communicate both professionally and effectively on the phone or in email to ensure cooperation and teamwork between the customer and lab
Advanced critical thinking and problem-solving skills
Advanced organizational and time management skills
General understanding of accounting principles and practices
Ability to flourish in a dynamic, growing organization.
$30k-41k yearly est. 6d ago
Collection Specialist - Administrative Services East - Full Time
Ogden Clinic Careers 4.1
South Ogden, UT jobs
Under the direct supervision of the Business Office Manager, the Collection Specialist is responsible for all issues relating to patient accounts receivable.
Ogden Clinic provides competitive pay and benefits. Full-Time employees have access to:
Medical (including a partially company funded HSA option and in-house discount plan)
Dental, Vision, Disability and other plan coverage options.
Company paid life insurance for employees and their families.
Employee Assistance Program that provides free counseling to employees and their families.
Paid Time Off and Holidays
Scholarship Program
401k with generous profit sharing contributions.
In nearly all cases, no nights, weekends or holiday shifts.
Competitive pay starting at $16.00+ hourly with the potential of higher starting pay based on experience.
Annual Performance/Merit Increase Program that offers up to a 5% pay increase.
Salary ranges reviewed annually.
Limited benefits for non-Full-Time employees.
Full job description is available upon request by emailing talent@ogdenclinic.com
$16 hourly 60d+ ago
Collections Specialist
Cataldo Ambulance Business Trust 4.1
Somerville, MA jobs
The Collection Specialist is responsible for collections of outstanding private invoices from the existing client base, resolving customer billing problems and reducing accounts receivable delinquency. This position will report to the Revenue Cycle Manager and is located out of our Somerville, MA. office.
Collections Specialist Responsibilities:
Resolve insurance related billing issues with patients and/or insurance carriers
Handling of high call volume
Serve as primary representative for patient inquiries/calls
Communicate effectively both orally and in writing
Respond to customer inquiries, resolve client discrepancies, process and review account adjustments
Demonstrate superior customer service skills and problem solving, which includes assisting the patient with alternative payment options and payment plans
Possess basic understanding of government and commercial insurance and Credit & Collections policies
Identify the need and request rebills to insurance
Handle highly confidential information with complete discretion
Maintain confidentiality of patient information while on the phone or in-person
Work aged invoices utilizing various reports and the collection module using Zoll Rescue Net
Alert Revenue Cycle Manager about potential problems that could affect collections
Meet productivity goals/benchmarks as set and communicated by the manager
Utilize available sources to obtain updated info and reissue correspondence
Additional projects and responsibilities may be assigned permanently or on an as needed basis
Collections Specialist Qualifications:
Working knowledge of Microsoft Office, including Excel, Word is a must
Strong communication, problem solving and analytical skills required
Acute attention to detail and the ability to work in a fast-paced, team-oriented environment with a focus on communication required
Outstanding customer service and phone skills
Previous collections or customer service experience a plus
Knowledge of HIPPA and healthcare policies a plus
High School diploma or GED required
Fluent in Spanish a plus, but not required
Must be positive and maintain professional demeanor at all times
Familiarity with Medicaid and Medicare guidelines
Ambulance billing experience a plus
3-5 years Accounts Receivable follow up experience
About Cataldo
Since 1977, Cataldo Ambulance Service, Inc. has continually distinguished ourselves as a leader in providing routine and emergency medical services. As the needs of the community and the patient change, we continue to introduce innovative programs to ensure the highest level of care is available to everyone in the areas we serve.
Cataldo is the largest private EMS provider and private ambulance service in Massachusetts. In addition to topping 50,000 emergency medical transportations annually through 911 contacts with multiple cities, we partner with some of Massachusetts top medical facilities to provide non-emergency medical ambulance and wheelchair transportation services. We are also an EMS provider to specialty venues like Fenway Park, TD Garden, and DCU Center.
While Cataldo began as an ambulance service company, we continue to grow through innovation and expand the services we offer to the local communities. As a public health resource, Cataldo offers training and education to the healthcare and emergency medical community through the Cataldo Education Center. This includes certification training for new employees as well as the training needed for career advancement. Through our partnerships with health systems, hospitals, managed care organizations, and others, we continue to provide in-home care through the state's first and largest Mobile Integrated Health program, SmartCare. We also have delivered more than 1.7 million Covid-19 vaccines and continue to operate testing and vaccination sites throughout the state of Massachusetts.