Reimbursement specialist jobs near me - 790 jobs

Notes: This is a remote position, but we are currently considering local candidates in Columbia. If you are interested in the role, please share your most updated resume. Performs validation reviews of Diagnosis Related Groups (DRG), Adaptive Predictive Coding (APC), and Never Events (inexcusable outcomes in a healthcare setting) for all lines of business. Coordinates rate adjustments with claims areas. Provides monthly and quarterly reports outlining trends. Serves as a resource in resolving coding issues. Coordinates HIPAA and legal records requests for all areas of Healthcare Services and the Legal Department. 75% Determines methodology to identify cases for validation review. Conducts validation reviews/coordinates rates adjustments with appropriate claims area. Creates monthly/quarterly reports to present to each line of business providing information on records review, outcomes, trends, and savings that directly impact medical costs and contracting rates. •15% Manages records retrieval, release, HIPAA compliance, and all aspects of document management. •10% Serves as expert resource on methodology and procedures for medical records and coding issues. Required Training: Registered Records Administrator or Technician, OR, active, unrestricted RN licensure from the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC), OR Certified Codi Skills and Abilities: •Develops methodologies •Follows processes •Responds to Inquiries •Writes for Impact

Are you a Registered Nurse (RN) who is passionate about MDS? When you join Ciena Health Care Company as a Clinical Reimbursement Specialist, you will share your expertise with the MDS nurses in several facilities. In this role, you will audit and evaluate Medicare compliance and the RAI process in our Columbus, Ohio and surrounding facilities. If you love teaching and communicating with other nurses, this is a great role for you! The successful applicant will have a comprehensive knowledge of Medicare, PDPM, RAI process, quality measures, as well as OBRA regulations. Join us with an attractive benefits offering: Competitive pay Medical, dental, and vision insurance 401K with matching funds Life Insurance Employee discounts Tuition Reimbursement Student Loan Reimbursement Responsibilities: Ensure the RAI process is complete and assessments are complete. Audit Completion of MDS, CAA's and care plans within regulated time frames. Provide teaching as needed for MDS nurses in assessing resident through physical assessment, interview and chart review. Assist MDS nurses in follow up on resident care needs with care givers, including physician, nursing, social services, therapy, dietary, and activity staff. Reviews MDS nurse completion of information from hospital, consults and outside agencies and uses such information in the completion of the assessment and care planning. Requirements: Knowledge of the Resident Assessment Instrument (RAI) process, including the principles the Patient Driven Payment Model is required. Knowledge of regulatory standards and compliance requirements. Registered Nurse RN in the state. 50% travel with some overnight stays possible. Ciena Healthcare We are a provider of skilled nursing, subacute, rehabilitative, and assisted living services dedicated to achieving the highest standards of care in five states including Michigan, Ohio, Virginia, North Carolina, and Indiana. We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them. If you have a passion for improving the lives of those around you and working with others who feel the same way. IND123

Remote Sales Insurance Specialist Are you enthusiastic, self-motivated, and eager to learn? Do you thrive in a fast-paced environment and aren't afraid of hard work? If so, we want to hear from you! At Globe Life: The Gelb Group, we are dedicated to protecting the hardworking middle class. As a Virtual Sales Insurance Specialist, you'll embark on a structured 3-6 month training program designed to provide you with in-depth industry knowledge and hands-on experience. You'll gain valuable insights into our history, mission, and vision while developing the skills necessary to excel and grow within our company. What Youll Do: Master the daily operations of the business through hands-on training. Work directly with customers to tailor permanent benefits that meet their family's needs. Build and maintain strong relationships with organizations such as the Police Association, Nurses Association, Firefighters, Postal Workers, Labor Unions, and more. Develop essential skills in communication, leadership, organization, time management, networking, and team building. Learn business logistics and strategies to maximize earnings and profitability. What Were Looking For: Leadership experience is a plus, but not required. A strong willingness to learn and be coachable. Ability to accept and apply constructive feedback. Strong people skills and a great sense of humor! Highly organized and team-oriented. Company Perks & Benefits: Incentive Trips to destinations like Cabo, Tulum, Vegas, and Cancun. 100% Remote Work from anywhere! Weekly training calls to support professional growth. Performance-based weekly pay & bonuses. Health insurance reimbursement. Life insurance & retirement plan. If youre ready to take your career to the next level, apply today with your most up-to-date resume! Its not about where you startits about where you finish! Overview: American Income Life has been a leading provider of life and supplemental benefits for working families since 1951. We have established strong relationships with unions and associations across the United States. As the company grows rapidly, we are now offering remote positions to serve families across all time zones nationwide. This is an entry-level position with a potential annual income ranging from $60,000 to $80,000. Responsibilities: Assist clients by providing information about products and services Address client questions regarding their coverage Continuously develop and maintain an understanding of evolving products and services Regularly review client agreements to identify opportunities for cost-effective improvements Qualifications: Previous experience in customer service, sales, or a related field (not required) Ability to build rapport with clients Strong multitasking and organizational skills Positive, professional demeanor Excellent written and verbal communication skills What We're Looking For: A sharp individual with an entrepreneurial mindset A team player who thrives under pressure Someone with professional communication skills Benefits: Comprehensive hands-on training Weekly pay Performance-based bonuses Commission-based income Residual income opportunities Company-paid trips Remote work flexibility Compensation details: 55000-100000 Yearly Salary PIcba8b86e1c66-31181-38920149

Who We Are At Benesch we pride ourselves on exceeding expectations and building trust not only with our clients but with our employees - Benesch's #1 asset. Committed to providing not only the highest level of legal service to our clients, Benesch also aspires to create a positive work environment for our employees. Our Firm continues to earn placement on Chicago and Cleveland's Top Workplaces list, along with Cleveland's NorthCoast 99 Top Workplaces rankings. We also continue to advance on the AmLaw 150 list, placing us among the top 150 law firms in the country. Benesch is proud to be recognized for being a Firm that attracts and retains top talent - making Benesch a great place to work. We offer a hybrid schedule, career development and growth, transparent and visible leadership teams, and a place where diversity, equity and inclusion is celebrated. In addition, the Firm offers a full array of benefits which can be viewed at ************************** Working with Us - Come and "Be Benesch!" We are one of the fastest growing firms in the nation, and have offices in Chicago, Columbus, San Francisco, New York City, and Wilmington. We continue to expand our geographic footprint and value the talent that comprises each of our locations. If you are someone who champions a First in Service approach and are ready to be part of an exciting and growing Firm, we would invite you to apply to join our team. Want to know more? To hear from some of our team, click here: ********************************************* Benesch is proud to announce the opening for a Legal Billing Specialist in our Cleveland office! This position is hybrid and has work from home flexibility. Position Summary: Do you thrive in a dynamic environment where your relationship building skills and where your legal billing knowledge, skills and expertise can make a tangible difference? Then you may be interested in this Legal Billing Specialist position. This role is perfect for a natural problem solver with a background in legal billing who is detail-oriented and desires a strong sense of accomplishment at the end of the day. Join Benesch and play a pivotal role in shaping the financial success of our organization. The Legal Billing Specialist is responsible for activities related to the firm's billing process for specific portfolios as assigned. This individual will work with billing attorneys as well as associated internal and external clients to ensure that the processing of proformas/prebills is completed consistently in a n accurate and timely manner. This individual may also create and produced reports and analytics related to assigned account upon request. Essential Functions: Manage the full life-cycle of the billing process for a designated portfolio of client accounts, which includes reviewing proformas/prebills and making preliminary edits; ensuring that attorneys receive, review, and return accurate proformas/prebills in a timely manner; working with attorneys and staff to finalize invoices; and submitting finalized invoices in the appropriate format. Establish, foster, and maintain professional and collaborative relationships with attorneys, staff, and clients to provide competent account support to both attorney and client. Coordinate successful submission of invoices electronically, including setup of electronic clients, monitoring submissions for acceptance, troubleshooting issues, communicating e-billing changes to affected parties, and confirming proactively that invoices conform to requirements. Monitor rates, alternative fee arrangements, and billing guidelines; revalue rates as appropriate; track disbursements; monitor progress against approved budgets; and communicate with appropriate parties with respect to write-offs. Research, analyze, and respond to identified issues and inquiries. Communicate directly with clients as requested or as established and provide clients with requested reports or analyses related to alternative fee arrangements, special rate structures, collection arrangements, and any other administrative matter(s). Monitor unbilled amounts, client trust accounts, accurate payment application, and unapplied funds throughout the life-cycle of assigned accounts. Additional Responsibilities: Participate in continuous improvement projects. Perform other functions and duties as assigned. Confidentiality: Due to the nature of your employment, various documents and information, which are of a confidential nature, will come into your possession. Such documents and information must be kept confidential at all times. Qualifications: The Legal Billing Specialist must have at least 2 years of law firm billing experience or a recent graduate with a degree in finance, accounting or mathematics. A solid working knowledge of Excel is required. Aderant experience is preferred. Qualified individuals will possess strong analytical abilities, solid communication and interpersonal skills, as well as flexibility to ensure deadlines are consistently met. The salary range for this position is $62K to $80K. Please note that quoted salary ranges are based on Benesch's good faith belief at the time of the job posting and are not a guarantee of what final salary offers may be. Base pay is based on market location and may vary depending on job-related knowledge, skills, and experience. Base pay is only one part of the Total Rewards that Benesch provides to compensate and recognize our staff professionals for their work. Full-time positions are eligible for a discretionary bonus and a comprehensive benefits package. Benesch is an equal opportunity employer. We strongly value and encourage diversity and solicit applications from all qualified applicants without regard to race, color, gender, sex, age, religion, creed, national origin, ancestry, citizenship, marital status, sexual orientation, physical or mental disability (where applicant is qualified to perform the essential functions of the job with or without reasonable accommodations), medical condition, protected veteran status, gender identity, genetic information, or any other characteristic protected by federal, state, or local law. Applicants who are interested in applying for a position and require special assistance or an accommodation during the process due to a disability should contact the Benesch Human Resources Department by phone at ************ or email Christine Watson at **********************.

Compensation: $20.00 per hour The Medical Reimbursement Specialist is responsible for the timely and accurate posting of EOB and other forms received through the lockbox to the Medical Billing system. Completes spreadsheets and balances work on a daily basis and resolves credit balances on the Medical Billing system via refund, takeback request or adjustment. Specific duties include, but are not limited to: Posts payments, adjustments, denials received through the lockbox daily with high accuracy. Analyzes and resolves credit balances on Medical billing system. Prepares and processes refund requests and take-back requests. Balances posting activity from Medical billing system, lockbox data and spreadsheets on a daily basis. Calls the insurance carriers or uses the web to find out the status of the claim using the aging's, ticklers and touch point reports as a guide. Researches EOB's that come in the mail with denials on them. Completes a spreadsheet weekly with any adjustments that need to be done and passed to Management. If there are credit balances all the EOB's have to be pulled and a check request form is given to Management for approval before a check is cut. Accurately logs and posts Adjustment Requests and Price Discount Forms. Processes, logs and posts telephone credit card payments. Position Requirements: High School Diploma or Equivalent Experience Must be able to read and understand an Explanation of Benefits, use Excel or other spreadsheet programs and understand basic statistical/mathematical computations. Physical Requirements: Standard office environment. More than 50% of the time: Sit, stand, walk. Repetitive movement of hands, arms and legs. See, speak and hear to be able to communicate with patients. Less than 50% of the time: Stoop, kneel or crawl. Climb and balance. Carry and lift (ability to move non-ambulatory patients from a sitting or lying position for transfer or to exam). Residents living in CA, CO, CT, HI, IL, MD, MA, MN, NV, NJ, NY, RI, VT, WA, and DC click here to view pay range information. #LI-remote Akumin Operating Corp. and its divisions are an equal opportunity employer and we believe in strength through diversity. All qualified applicants will receive consideration for employment without regard to, among other things, age, race, religion, color, national origin, sex, sexual orientation, gender identity & expression, status as a protected veteran, or disability.

We are seeking a detail-oriented person with extensive office experience to join our team as a Medicaid Specialist! This position is responsible for managing and coordinating Medicaid eligibility, applications, and ongoing compliance for residents of our Long-Term Care Facilities to ensure timely and accurate coverage. Successful candidates will have a strong understanding of Medicaid regulations, long-term care eligibility requirements, and the appeals process. This is an excellent career opportunity to join a family-oriented company. Benefits: * Competitive compensation * DailyPay * Paid time off * Paid holidays * Health insurance for full-time employees * Dental insurance for full-time employees * Vision insurance for full-time employees * Employer-paid life insurance for full-time employees * Employee assistance program * Voluntary benefit plans offered to full- and part-time employees * Retirement plan * Wellness program * Free continuing education through Relias * Great team to work alongside * Further benefit details listed on total rewards guide Qualifications: * Proficiency with Electronic Health Record (EHR) experience is required, PCC experience preferred. * Minimum of 2 years of experience working with Medicaid in a long-term care or healthcare setting. * Ability to multi-task, prioritize, and meet tight deadlines. * Must have excellent written and verbal communication skills as well as exceptional customer service skills. * Must be detail-oriented and highly organized. * Extensive office experience desired, and a good working knowledge of computers and Microsoft Office is required. * Must have an aptitude for math and the ability to analyze financial documents. * Must be a self-starter who can work independently. * Possess the discipline to follow stringent standards and keep thorough records. * Ability to handle confidential information in compliance with HIPAA.

Medicaid Economic Specialist (Health Services Policy Specialist) (250009EW) Organization: MedicaidAgency Contact Name and Information: ******************************** Unposting Date: Jan 14, 2026, 4:59:00 AMWork Location: Lazarus 5 50 West Town Street Columbus 43215Primary Location: United States of America-OHIO-Franklin County-Columbus Compensation: $38.49/hour Schedule: Full-time Work Hours: 8:00 am - 5:00 pm Classified Indicator: ClassifiedUnion: 1199 Primary Job Skill: Health AdministrationTechnical Skills: Health AdministrationProfessional Skills: Analyzation, Interpreting Data, Verbal Communication, Written Communication Agency OverviewAbout Us:Investing in opportunities for Ohioans that work for every person and every family in every corner of our state is at the hallmark of Governor DeWine's agenda for Ohio's future. To ensure Ohio is “the best place to live, work, raise and family and start a business,” we must have strong schools, a great quality of life, and compassion for those who need our help.Ohio Department of Medicaid plays a unique and necessary role in supporting the governor's vision. As the single state Medicaid agency responsible for administering high-quality, person-centric healthcare, the department is committed to supporting the health and wellbeing of nearly one in every four Ohioans served. We do so by:Delivering a personalized care experience to more than three million people served.Improving care for children and adults with complex behavioral health needs.Working collectively with our partners and providers to measurably strengthen wellness and health outcomes.Streamlining administrative burdens so doctors and healthcare providers have more time for patient care.Ensuring financial transparency and operational accountability across all Medicaid programs and services.Job DescriptionWhat You Will Do at ODM:Office: Fiscal OperationsBureau: Medicaid Budget DirectorClassification: Health Services Policy Specialist (PN 20099887) Job Overview:The Ohio Department of Medicaid (ODM) is seeking an experienced health care or insurance professional to work in our Forecasting / Econometrics Unit. As the Medicaid Economic Specialist, your responsibilities will include: Directing and managing the tracking and forecasting of some aspect of the Medicaid budget such as fee-for-service expenditures or caseload projections Developing and preparing the monthly reports on some aspect of the Medicaid budget such as fee-for-service expenditures or caseload projections Analyzing Medicaid expenditures and service utilization Gathering and reporting budget information to Fiscal leadership Providing ad hoc data analysis The preferred candidate will have a passion for forecasting and data analytics with extensive Excel and statistical software knowledge and strong analysis abilities.Why Work for the State of OhioAt the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes: Medical Coverage Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period Paid time off, including vacation, personal, sick leave and 11 paid holidays per year Childbirth, Adoption, and Foster Care leave Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more) Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation) *Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.QualificationsCompletion of undergraduate core coursework & 12 mos. exp. in one of following: health services administration, mathematics, statistics, actuarial science, public administration, allied health sciences, nursing, economics, public health, or comparable field; 2 yrs. exp. in health services research &/or health policy analysis; 12 mos. trg. or 12 mos. exp. in research methodology, measurement & testing, analysis of variance & survey sampling; 12 mos. trg. or 12 mos. exp. in use of computer programs/applications with emphasis on relational data bases, use of computer hardware, software used for spreadsheets, statistical analysis, graphics presentation & word processing; 1 course or 3 mos. exp. in multiple regression or multivariate analysis. -Or completion of graduate core coursework in health services administration, mathematics, statistics, actuarial science, public administration, allied health sciences, nursing, economics or comparable field; 2 yrs. exp. in health services research &/or health policy analysis; 12 mos. trg. or 12 mos. exp. in research methodology, measurement & testing, analysis of variance & survey sampling; 12 mos. trg. or 12 mos. exp. in use of computer programs/applications with emphasis on relational data bases, use of computer hardware, software used for spreadsheets, statistical analysis & graphics presentation & word processing; 1 course or 3 mos. exp. in multiple regression or multivariate analysis. -Or 2 yrs. exp. as Health Services Analyst, 65211. -Or equivalent of Minimum Class Qualifications For Employment noted above. Job Skills: Health AdministrationSupplemental InformationSupplemental Information:Compensation is as listed on the posting unless required by legislation or union contract.Travel required, as needed. Must provide own transportation. Or, in order to operate a state vehicle, you must have a valid driver's license from state of residence.Resumes and/or attachments are not reviewed. Therefore, please provide detail in the work experience section of your application.ADA StatementOhio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.Drug-Free WorkplaceThe State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.

Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they're met with barriers to care. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported. Charlie Health exists to change that. Our mission is to connect the world to life-saving behavioral health treatment. We deliver personalized, virtual care rooted in connection-between clients and clinicians, care teams, loved ones, and the communities that support them. By focusing on people with complex needs, we're expanding access to meaningful care and driving better outcomes from the comfort of home. As a rapidly growing organization, we're reaching more communities every day and building a team that's redefining what behavioral health treatment can look like. If you're ready to use your skills to drive lasting change and help more people access the care they deserve, we'd love to meet you. About the Role The Release of Information Specialist supports secure and authorized exchange of protected health information at Charlie Health. This role will be responsible for ensuring Charlie Health complies with all state and federal privacy laws while providing access to care documentation. Our team is composed of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. We are looking for a candidate who is inspired by our mission and excited by the opportunity to build a business that will impact millions of lives in a profound way. We're a team of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. If you're inspired by our mission and energized by the opportunity to increase access to mental healthcare and impact millions of lives in a profound way, apply today. Responsibilities Maintains confidentiality and security with all protected information. Receives and processes requests for patient health information in accordance with company, state, and federal guidelines. Ensures seamless and secure access of protected health information. Establishes proficiency in Health Information Management (HIM) electronic document management (EDM) systems. Answers calls to the medical records department and responds to voice messages. Retrieves electronic communication, faxes, opening postal mail, and data entry. Responds to internal requests via email, slack, or any other communication platform. Documents inquiries in the requests for information log and track steps of the process through completion. Determines validity from documentation provided on authorizations, subpoenas, depositions, affidavits, power attorney directives, short term disability insurance, workers compensation, health care providers, disability determination services, state protective services, regulatory oversight agencies and any other sources. Sends invalid request notifications as needed. Retrieves correct patient information from the electronic medical record (EMR) and other record sources. Verifies correct patient information and dates of services on all documents before releasing. Provides records in the requested format. Acts in an informative role within the organization regarding general release of information questions and assists with developmental training. Documents accounting of disclosures not requiring patient authorization. Scans or uploads documents and correspondence in EMR. Communicates feedback, new ideas, fluctuating volumes, difficulties, or concerns to the HIM Director. Participates in teams to advance operations, initiatives, and performance improvement. Assists with other administrative duties or responsibilities as evident or required. Requirements Associates Degree required or equivalent in release of information experience. 1 year experience in a behavioral health medical records department, or related fields. Experience in a healthcare setting is highly desirable. Experienced use of email, phones, fax, copiers, MS office, and other business applications. Ability to prioritize multiple tasks and respond to requests in a fast-paced environment. Ability to maintain strict confidentiality. Extreme attention to detail as it relates to accurate information for medical records. Professional verbal and written communication skills in the English language. Work authorized in the United States and native or bilingual English proficiency Familiarity with and willingness to use cloud-based communication software-Google Suite, Slack, Zoom, Dropbox, Salesforce-in addition to EMR and survey software on a daily basis. Please note that members of this team who live within 45 minutes of a Charlie Health office are expected to adhere to a hybrid work schedule. Please note that this role is not available to candidates in Alaska, California, Colorado, Connecticut, Maine, Massachusetts, Minnesota, New Jersey, New York, Oregon, Washington State, or Washington, DC. Benefits Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here. The total target base compensation for this role will be between $44,000 and $60,000 per year at the commencement of employment. Please note, pay will be determined on an individualized basis and will be impacted by location, experience, expertise, internal pay equity, and other relevant business considerations. Further, cash compensation is only part of the total compensation package, which, depending on the position, may include stock options and other Charlie Health-sponsored benefits. Please note that this role is not available to candidates in Alaska, Maine, Washington DC, New Jersey, California, New York, Massachusetts, Connecticut, Colorado, Washington State, Oregon, or Minnesota. Li-RemoteOur Values Connection: Care deeply & inspire hope. Congruence: Stay curious & heed the evidence. Commitment: Act with urgency & don't give up. Please do not call our public clinical admissions line in regard to this or any other job posting. Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Charlie Health, please go directly to our Careers Page: ******************************************************* Charlie Health will never ask you to pay a fee or download software as part of the interview process with our company. In addition, Charlie Health will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All communications with Charlie Health Talent and People Operations professionals will only be sent *********************** email addresses. Legitimate emails will never originate from gmail.com, yahoo.com, or other commercial email services. Recruiting agencies, please do not submit unsolicited referrals for this or any open role. We have a roster of agencies with whom we partner, and we will not pay any fee associated with unsolicited referrals. At Charlie Health, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people. Charlie Health applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation. By submitting your application, you agree to receive SMS messages from Charlie Health regarding your application. Message and data rates may apply. Message frequency varies. You can reply STOP to opt out at any time. For help, reply HELP.

Health Plan Request Bench Release of Information Specialist II The Health Plan Request (HPR) Bench Release of Information Specialist (ROIS) II processes release of information (ROI) requests related to health plan audits with accuracy, efficiency, and compliance across multiple client accounts. This role requires a high level of proficiency in various electronic medical record (EMR) systems, adherence to HIPAA regulations and uphold strict confidentiality standards. The HPR Bench ROIS III independently prioritizes tasks, troubleshoots requests, and collaborates effectively with internal teams while adapting to evolving workflows and compliance requirements, as well as ensuring they can fulfill all client-specific onboarding and access requirements. Duties & Responsibilities: Process medical ROI requests related to health plan audits quickly and accurately, ensuring compliance with HIPAA and client requirements Utilize Verisma software applications to input, manage, and track medical records Organize and retrieve records within multiple EMR systems, ensuring all documentation is properly structured and complete Interpret medical records, forms, and authorizations to correspond to specific audit measures Maintain high standards of production, efficiency, and accuracy meeting company standards and performance metrics Prioritize workload effectively and work independently while meeting productivity goals Communicate effectively within the HPR team and in a cross-functional manner, as necessary Attain a solid understanding of client-specific expectations across multiple accounts while ensuring compliance with HIPAA, HITECH, state regulations, and company policies Utilize Verisma's reference materials and compliance guidelines to maintain confidentiality and accuracy in all tasks Assist with training and mentoring new associates, as needed, ensuring knowledge transfer and consistency in processes Attend and actively participate in training sessions, workflow updates and team meetings, as required Maintain all necessary background checks, drug screenings, health screenings and access requirements to serve on the Bench Perform other related duties, as assigned, to support the effective operation of the department and the company Live by and promote Verisma Core Values Minimum Qualifications: High school diploma or equivalent required; some college preferred RHIT certification preferred 3+ years of experience in medical records, Release of Information (ROI), or Health Information Management (HIM), with expertise in supporting multiple clients and processing audit requests Knowledge of HIPAA and state regulations related to the release of protected health information Must be able to maintain all necessary background checks, drug screenings, health screenings and access requirements to serve on the Bench Clerical or office experience with data entry, document management and proficiency in using general office equipment Proficient in Microsoft Office Suite and multiple EMR systems, with the ability to troubleshoot and adapt to new technologies Strong problem-solving, organizational and time management skills with keen attention to detail Strong ability to work independently while meeting high productivity expectations Ability to effectively multi-task or change projects, as needed Prior remote experience, preferred

Established in 1991, Collabera has been a leader in IT staffing for over 22 years and is one of the largest diversity IT staffing firms in the industry. As a half a billion dollar IT company, with more than 9,000 professionals across 30+ offices, Collabera offers comprehensive, cost-effective IT staffing & IT Services. We provide services to Fortune 500 and mid-size companies to meet their talent needs with high quality IT resources through Staff Augmentation, Global Talent Management, Value Added Services through CLASS (Competency Leveraged Advanced Staffing & Solutions) Permanent Placement Services and Vendor Management Programs. Job Description Responsible for finance operations such as customer and vendor contract administration, customer and vendor pricing, rebates, billing and chargeback's, processing vendor invoices, developing and negotiating customer and group purchasing contracts Qualifications EXPERIENCE: 2-4 Years Root cause identification Significant Microsoft Excel Skills Communication (will communicate with external suppliers) Chargeback or rebate experience a plus Additional Information Please revert if you are available in the job market; apply to the position & Call me on ************ or send me your application on ******************************.

The Medical Billing Specialist is responsible for accurately coding fertility diagnostic ,treatment services and surgical procedures, submitting insurance claims, and managing the billing process for a fertility practice or healthcare facility. They ensure compliance with healthcare regulations and maximize revenue by optimizing reimbursement. General Summary of Duties: Responsible for gathering charge information, coding, entering into data base complete billing process and distributing billing information. Responsible for processing and filing insurance claims and assists patients in completing insurance forms. Essential Functions: o Prepare and submit insurance claims accurately and in a timely manner. o Verify patient insurance coverage and eligibility for fertility services( treatments and surgical procedures). o Review and address coding-related denials and discrepancies. o Researches all information needed to complete billing process including getting charge information from physicians. o Assists in the processing of insurance claims o Processes all insurance provider's correspondence, signature, and insurance forms. o Assists patients in completing all necessary forms, to include payment arrangements made with patients. Answers patient questions and concerns. o Keys charge information into entry program and produces billing. o Processes and distributes copies of billings according to clinic policies. o Records payments for entry into billing system. o Follows-up with insurance companies and ensures claims are paid/processed. o Resubmits insurance claims that have received no response or are not on file. o Works with other staff to follow-up on accounts until zero balance. o Assists error resolution. o Maintains required billing records, reports, files. o Research return mail. o Maintains strictest confidentiality. o Other duties as assigned o Identify opportunities to optimize revenue through accurate coding and billing practices. o Assist in developing strategies to increase reimbursement rates and reduce claim denials. Benefits: Offers nationally competitive compensation and benefits. Our benefits program provides a comprehensive array of services to our employees including, but not limited to health insurance (Primarily covered by the company), paid time off, retirement contributions (401k), & flexible spending account

BILLING CLERK About the Company LINK Support Services currently seeks to serve over 300 Skilled Nursing Facilities by offering Part B Ancillary Billing Services and assist in identifying lost revenue opportunities. These Skilled Nursing operations have no corporate headquarters or traditional management hierarchy. Instead, they operate independently with support from the “Service Center,” a world-class service team that provides centralized legal, human resource, training, accounting, IT and other resources necessary to allow on-site leaders and caregivers to focus on day-to-day care and business issues in their facilities and operations. Duties and Responsibilities: SNF AR experience required/Knowledge of Point Click Care (PCC) is a plus Identify and bill Part B billable ancillary items according to SNF consolidated billing guidelines. Provide and conduct education and support as needed with business office staff across multiple locations Communicate Part B billing best practices with peers and staff at assigned locations Communicate Revenue and Collectables to Facilities, Clusters, and Markets across multiple locations Assist with new software implementation as needed Collaborate with team in implementing billing Processes, Procedures and Softwares Organize and research complex data extractions to maximize billing opportunities organization wide Review and complete patient eligibility verifications Report KPIs, month over month trends, claim statuses, and onboarding/training schedules Knowledge, Skills and Abilities: 1+ year SNF experience with Medicare billing and eligibility recognition Point Click Care (PCC) experience necessary Able to prioritize and organize tasks at hand to meet specific deadlines Attention to detail and accuracy Proficient in Microsoft Word, Outlook and Excel, DDE. Knowledge of CPT Coding procedures Knowledge of SNF Per Diem inclusions Must have excellent written and verbal communication skills Able to work with a diverse group of people Ability to self-manage in a remote work environment Must be knowledgeable in Medicare and other state regulatory requirements What You'll Receive In Return As part of the Ensign Services family, you'll enjoy many perks including but not limited to excellent compensation, comprehensive benefits package, PTO, 401K matching, stock options, amazing company culture and not to mention- opportunities for professional growth and advancement. Compensation: $18-$20.00/hour dependent on experience and location Location: This is a remote eligible position that can work from any U.S state other than: Hawaii, New York, New Jersey, Rhode Island, Kentucky, Ohio, Massachusetts, North Dakota, Wyoming, Alaska, Pennsylvania, Pay is based on a number of factors including years of relevant experience, job-related knowledge, skills, and experience. Individuals employed in this position may also be eligible to earn bonuses. Ensign Services is a total compensation company. Dependent on the position offered, equity, and other forms of compensation may be provided as part of a total compensation package, in addition to a full range of medical, financial, and/or other benefits. For more information regarding our benefits offered, check out our ****************************. Ensign Services, Inc. is an Equal Opportunity Employer. Pre-employment criminal background screening required. Job ID: 1137

Job Description FBT Gibbons is currently searching for a full-time E-Billing Specialist to join our firm. This position will play a crucial role in managing the e-billing process, ensuring accurate and timely submission of invoices, and resolving any issues that arise. Key Responsibilities: Collaborate with billing assistants, attorneys, LPAs, and clients for e-billing setup, rate management and accrual submissions. Enforce client e-billing guidelines by proactively setting up rules and constraints within financial software used by the firm. Utilize FBT Gibbons software solutions to address and correct rates and other e-billing issues before invoices reach the prebill stage. Work with FBT Gibbons software solutions to create and submit e-billed invoices via BillBlast, or manually with Ledes files directly onto vendor e-billing sites. Collaborate with billing assistants to ensure successful resolution of all e-billing submissions. Track, report, and provide deduction reports to attorneys on all appeal items for assigned attorneys and or billing assistants and work through appeal submissions of same. Follow up promptly on rejected or pending e-bills to ensure timely resolution. Create and revise basic spreadsheet reports. Track all e-billing efforts in ARCS, exporting email communication and critical information on history of e-billing submissions through resolutions. Coordinate with the Rate Management Specialist to update rates for e-billed clients. Assist with e-billing email group and profile emails in e-billing software as needed. Assist with other special e-billing requests. Conduct daily review of Intapp forms to ensure proper setup in Aderant, including invoicing requirements, rates, special billing requirements, and approval processes. Qualifications: College degree or commensurate experience with high school diploma. 3+ years of billing experience. Legal billing experience strongly preferred. Interpersonal skills necessary to maintain effective relationships with attorneys and business professionals via telephone, email or in person to provide information with ordinary courtesy and tact. Must have attention to detail with an eye for accuracy. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization. Knowledge of Aderant Software a plus. Proficiency in Microsoft Office products such as Word, Excel, Outlook. FBT Gibbons offers a competitive salary and a comprehensive benefits package including medical (HSA with employer contribution or PPO options), dental, vision, life, short- and long-term disability, various parental leaves, well-being/EAP, sick and vacation time as well as a generous 401k retirement package (with matching and profit-sharing benefits). In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. FBT Gibbons is fully committed to equality of opportunity in all aspects of employment. It is the policy of FBT Gibbons to provide equal employment opportunity to all employees and applicants without regard to race, color, religion, national or ethnic origin, military status, veteran status, age, gender, gender identity or expression, sexual orientation, genetic information, physical or mental disability or any other protected status.

Remote, Nationwide - Seeking Billing Specialist Everybody Has A Role To Play In Transforming Healthcare As a Billing Specialist, you play a vital role in our mission to improve lives. As part of Billing Operations, you will be verifying insurance coverage of payers, identifying account classification, process billing exceptions, and more. At Vituity we know the impact you can have. Join the Vituity Team. At Vituity we've cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call "culture of brilliance." Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done. Vituity Locations: Vituity has opportunities at 475 sites across the country, serving 9 million patients a year. With Vituity, if you ever need to move, you can take your job with you. The Opportunity * Identifies the correct Financial Class and enters in billing system. * Posts extracts and correct validation errors in system. * Identify trends and communicates to leadership team. * Reviews incoming documentation to identify correct payer to accounts. * Researches eligibility to ensure correct insurance coverage of payer. * Ensures payer mapping (crosswalk) is set-up correctly. * Identifies contract matrix discrepancies and/or gaps and communicates accordingly. * Analyzes decision log errors related to the daily census. * Identifies trends with incoming data and communicates to leadership team. * Analyzes pre-submission errors to identify root cause and recommends a solution. * Processes denials related to eligibility to identify correct payer or payer request. * Processes electronic rejections, identifies root cause, and recommends/makes appropriate updates to accounts. * Processes returned mail, write-off accounts, and daily exception reports. * Processes Laserfiche folders (duplicate, pending review, etc.) to ensure documentation is processing timely. * Identifies Work in Process (WIP) and creates exception reports for management. * Processes activity codes for Account Classification or account suspended issues. * Retrieves missing documentation for payer accounts from various applications and/or site portal. * Prints, sorts, and files miscellaneous billing related documentation. * Completes daily log via manual entry into billing system. * Time tracking for manual sites. * Trains fellow team members as requested or needed. Required Experience and Competencies * High school diploma or GED required. * One or more years of experience in billing operations required. * Prior experience working in the healthcare industry preferred. * Knowledge of payer Financial Classifications for billing. * Knowledge of account exception processes in billing operations. * Ability to read and interpret Explanation of Benefits (EOB) from various payers. * Ability to communicate trends to leadership team clearly. * Ability to problem solve challenges that may not be previously outlined in a payer manual. * Ability to communicate effectively in writing and verbally. * Ability to analyze, interpret, and create various billing related reports. * Knowledge of and ability to apply basic math concepts. * Ability to complete duties with attention to detail and high degree of accuracy. * Ability to prioritize workflow and work autonomously. * Basic understanding of Microsoft Office applications (Word, Excel, and Outlook). * Ability to comply with RCM billing policies and procedures. The Community Even when you are working remotely, you are an important part of the Vituity Community. We offer plenty of opportunities to engage with other Vitans through a variety of virtual meet-and-greets, events and seminars. * Monthly wellness events and programs such as yoga, HIIT classes, and more. * Trainings to help support and advance your professional growth. * Team building activities such as virtual scavenger hunts and holiday celebrations. * Flexible work hours. * Opportunities to attend Vituity community events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more. Benefits & Beyond* Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future. * Superior health plan options * Dental, Vision, HSA/FSA, Life and AD&D coverage, and more * Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6% * Outstanding Paid Time Off: 3-4 weeks' vacation, Paid holidays, Sabbatical * Student Loan Refinancing Discounts * Professional and Career Development Program * EAP, travel assistance, and identify theft included * Wellness program * Commuter Benefits Program * Purpose-driven culture focused on improving the lives of our patients, communities, and employees. We are excited to share the base salary range for this position is $17.12, exclusive of fringe benefits or potential bonuses. This position is also eligible to participate in our annual corporate Success Sharing bonus program, which is based on the company's annual performance. If you are hired at Vituity, your final base salary compensation will be determined based on factors such as skills, education, and/or experience. We believe in the importance of pay equity and consider internal equity of our current team members as a part of any final offer. Please speak with a recruiter for more details. We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us. Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity. * Benefits for part-time and per diem vary. Please speak to a recruiter for more information. Applicants only. No agencies please.

Agilent is seeking a proactive and detail-oriented Federal Government Billing Specialist to join our Customer Operations Center (COpC). This position plays a key role in supporting the Order Management process by ensuring accurate and compliant billing for federal contracts. The ideal candidate will manage complex invoices in accordance with FAR, DFARS, CAS, and other agency-specific billing requirements, while maintaining operational excellence and compliance across all transactions. Working within the COpC, this role partners closely with cross-functional teams across Agilent, including Credit and Collections, Revenue team, Sales and other COpC teams, to ensure timely and compliant billing. The Specialist will also support internal and external audits, uphold high standards of data accuracy, and contribute to continuous improvement initiatives within the Customer Operations Center. Key Responsibilities Prepare and submit invoices via federal platforms (WAWF, IPP, Tungsten, etc.). Review contract terms and funding modifications for billing accuracy. Monitor unbilled receivables and resolve holds or rejections. Collaborate with Contracts, Project Management, Accounting, and other COpC teams. Maintain billing documentation and support audits (DCAA, DCMA). Assist with month-end close activities and revenue reconciliation. Ensure compliance with federal regulations and company policies. Provide excellent customer service to government agencies and internal teams. Manage portal invoicing based on agency-specific requirements to prevent rework and ensure timely payment. Act as liaison with the collections team to resolve issues and ensure billing integrity. Additional Information This is a complex role requiring adaptability, attention to detail, and a customer-focused mindset. You'll thrive in a fast-paced, diverse environment where ownership and collaboration are key. Schedule: Flexibility required; occasional overtime and late hours on the last working day of each month Qualifications Required Qualifications Associate's or Bachelor's degree in Accounting, Finance, or related field (or equivalent experience). 2+ years of experience in federal billing or government contract accounting. Familiarity with FAR/DFARS and federal audit processes. Proficiency in Microsoft Excel and ERP systems (SAP, Oracle, Deltek). Strong communication, organizational, and time management skills. Ability to work independently and manage multiple priorities. Preferred Qualifications Experience with DCAA-compliant accounting systems. Knowledge of indirect rate structures and cost allocations. Prior experience in a government contractor environment. SAP/CRM experience. Proficiency in Microsoft Office Suite (Outlook, Excel, Word, PowerPoint, OneNote). Additional Details This job has a full time weekly schedule. It includes the option to work remotely. Applications for this job will be accepted until at least January 15, 2026 or until the job is no longer posted.The full-time equivalent pay range for this position is $28.27 - $44.17/hr plus eligibility for bonus, stock and benefits. Our pay ranges are determined by role, level, and location. Within the range, individual pay is determined by work location and additional factors, including job-related skills, experience, and relevant education or training. During the hiring process, a recruiter can share more about the specific pay range for a preferred location. Pay and benefit information by country are available at: ************************************* Agilent Technologies, Inc. is an Equal Employment Opportunity and merit-based employer that values individuals of all backgrounds at all levels. All individuals, regardless of personal characteristics, are encouraged to apply. All qualified applicants will receive consideration for employment without regard to sex, pregnancy, race, religion or religious creed, color, gender, gender identity, gender expression, national origin, ancestry, physical or mental disability, medical condition, genetic information, marital status, registered domestic partner status, age, sexual orientation, military or veteran status, protected veteran status, or any other basis protected by federal, state, local law, ordinance, or regulation and will not be discriminated against on these bases. Agilent Technologies, Inc., is committed to creating and maintaining an inclusive in the workplace where everyone is welcome, and strives to support candidates with disabilities. If you have a disability and need assistance with any part of the application or interview process or have questions about workplace accessibility, please email job_******************* or contact ***************. For more information about equal employment opportunity protections, please visit *************************************** Required: NoShift: DayDuration: No End DateJob Function: Customer Service

CORT is seeking a full-time Accounts Receivable Collections and Support Specialist to work with our national, commercial accounts. The ideal candidate will be skilled at building customer relationships, with experience in commercial collections and customer support. The primary responsibility of this position is to review and adjust client invoices for accuracy and for keeping over 30 days past due delinquencies within designated percentage guidelines by performing collection procedures on assigned commercial accounts. This responsibility includes the resolution of all billing and collection issues while providing excellent customer service to both internal and external customers. During the training period, this is an onsite role that reports to the office each day, however, after training, employees will have the option to work a hybrid schedule with 3 days in office and 2 days from home. Schedule: Monday-Friday 8am to 4:30pm What We Offer * Hourly pay rate; weekly pay; paid training; 40 hours/week * Promote from within culture * Comprehensive health insurance (medical, dental, vision) available on the first of the month after your hire date * 401(k) retirement plan with company match * Paid vacation, sick days, and holidays * Company-paid disability and life insurance * Tuition reimbursement * Employee discounts and perks Responsibilities * Review, adjust, reconcile and send monthly invoices to assigned commercial account customers. * Contact customers, by telephone and email, to determine reasons for overdue payments and secure payment of outstanding invoices. Communicate with districts and escalate collection issues as appropriate to resolve. * Determine proper payment allocation as required or requested by A/R processing personnel. * Resolve short payment discrepancies that customers claim when making payment. * Complete adjustment forms and follow up with Districts to ensure adjustments are completed timely and accurately. * Based on established policy and on a timely basis, investigate and resolve on-account payments received and other credits/debits that have not been assigned to an invoice. * Resolve and clear credit balance invoices before such invoices age 60 days. * Prepare monthly collection reports to be submitted to Management. Qualifications * 2-3 years or more of accounting /collection, or customer service experience. Collections experience preferred. * Commercial collections experience is ideal. * High school diploma or equivalent. * Requires knowledge of credit and collections, invoicing, accounts receivable and customer service principles, practices and regulations. * Basic math and analytical skills * Must have excellent communication and negotiation skills with an ability to communicate in a respectful and assertive manner. Must be able to communicate clearly and concisely, both orally and in writing, with an emphasis on telephone etiquette. * Ability to multi-task and prioritize while speaking with customer. * Demonstrates good active listening skills, telephone skills and professional email communication skills. * Position requires strong PC skills and a working knowledge of Outlook, Windows, Word and Excel. * Must possess average keyboarding speed with a high level of accuracy. About CORT CORT, a part of Warren Buffett's Berkshire Hathaway, is the nation's leading provider of transition services, including furniture rental for home and office, event furnishings, destination services, apartment locating, touring and other services. With more than 100 offices, showrooms and clearance centers across the United States, operations in the United Kingdom and partners in more than 80 countries around the world, no other furniture rental company can match CORT's breadth of services. For more information on CORT, visit ********************* Working for CORT For more information on careers at CORT, visit ************************* This position is subject to a background check for any convictions directly related to its duties and responsibilities. Only job-related convictions will be considered and will not automatically disqualify the candidate. Pursuant to the Fair Chance Hiring Ordinance for participating locations, CORT will consider all qualified applicants to include those who may have criminal history records. Check your city government website for specific fair chance hiring information. CORT participates in the E-Verify program. Applicants must be authorized to work for ANY employer in the US. We are unable to sponsor or take over sponsorship of employment Visa at this time. EEO/AA Employer/Vets/Disability Applications will be accepted on an ongoing basis; there is no set deadline to apply to this position. When it is determined that new applications will no longer be accepted, due to the positions being filled or a high volume of applicants has been received, this job advertisement will be removed.

Immediate need for a Legal Billing Clerk. . We are looking for a detail-oriented, reliable billing clerk to correspond with customers regarding payments, issue invoices, and process credit memos. The billing clerk will also be tasked with updating accounting records with issued invoices, new payments, customer information, etc. You should be able to multitask, deal with customer concerns in a professional manner, and assist the accounting department with the preparation of financial reports. To be successful as a billing clerk, you should have a good grasp of accounting practices and strong organizational skills. An outstanding candidate will demonstrate excellent communication skills and a knack for working with numbers. Billing Clerk Responsibilities: Creating and issuing invoices to customers. Processing credit memos. Preparing account statements for customers. Following up on outstanding payments and answering customer queries. Monitoring all payments and preparing monthly billing reports. Managing account balances and resolving inconsistencies. Assisting the accounting department with the preparation of financial reports. Updating accounting records with issued invoices, processed payments, new balances, and customer contact information. Hours/Structure of Position: This is a remote position available to United States residents, only. The actual hours required are not fully known. The first month or two will require a lot of hours and thereafter will be more of a part-time position, however, the company is growing so much is TBD. You may perform some of the work at night or on weekends, but at least 50% of your time needs to be during regular business hours which are 8am - 6pm Mon-Fri (PST). You need to have solid internet as we work with Practice Panther, Basecamp, Google Drive and adding in Lawmatics. You must have a webcam and headset connected to your computer. Calls to clients and the team are through Ring Central. Billing Clerk Requirements: High school diploma/GED Previous experience as a billing clerk or in a similar role Knowledge of accounting software such as Quickbooks Working knowledge of accounting standards and relevant legal regulations Strong communication, organizational and time-management skills Ability to work efficiently under pressure Proficient in Microsoft Office Excellent math skills Strong attention to detail

DataBank Holdings Ltd. is a leading provider of enterprise-class data center, cloud, and interconnection services, offering customers 100% uptime availability of data, applications, and infrastructure. DataBank's managed data center services are anchored in world-class facilities. Our customized technology solutions are designed to help customers effectively manage risk, improve their technology performance and allow them to focus on their core business objectives. DataBank is headquartered in the historic former Federal Reserve Bank Building, in downtown Dallas, TX. DataBank is proud to be an Equal Opportunity Employer. Our work culture at DataBank does not discriminate based on actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veterans' status, gender, gender identity, gender expression, genetic information, sexual orientation, or any other characteristic protected by applicable federal, state, or local law. DataBank's Billing Specialist will be responsible for accurately billing and managing customer accounts. In this position, the individual will manage customer account information, process customer orders to billing, reconcile discrepancies, assist collections as necessary for payment of invoices. Responsibilities * Act as Senior member of billing team, guiding and leading teammates both interdepartmentally and cross-functionally * Ensure accuracy of customer data for hyperscale customers * Reconciliation of accounts for complex issues * Coordination with Sales team for accuracy of contract terms and management of contract data in DataBank systems * Coordinate with billing team on when to involve Contract/Legal department as needed for evaluation/account information validation * Establish SOPs for training new employees and a training agenda * Work with management to identify SMEs for all processes and categories for Billing Specialist development and continuous learning * ·Project management on standardization of internal controls and processes to prevent recurrence of billing errors (human and systemic) * Reviewing and validating Credit requests, guide team on required approvals, routing the requests, and issuing credits on the customer accounts * Auditing of Monthly Invoices before sending them to customers * Ownership and streamlining of usage based service charges and the process to add them to invoices as necessary * Data tracking and metric reporting for KPI management, inclusive of productivity and confidential information related to team * Calculating and assisting with billing ETF (early termination fees) where applicable on termination orders * Understanding and driving adherence to the Billing policies and processes * Implement and maintain a dispute tracker and resolution process, including escalation when necessary, define the acceptable turnaround time and assist with identifying roadblocks to meeting that timeline * Assist with planning cross-training sessions with non-billing departments * Identify team members and allocate the team resources to UAT scenarios to ensure prioritization as appropriate Qualifications * Bachelor's degree * Major in Accounting/Finance a plus * 1-3 years' experience in accounting or finance.?Collections and/or billing experience required. * Excellent communication and customer service skills verbal and written * Attention to detail, thoughtful questions, problem solving expertise * Ability to interpret and enforce contract terms * Intermediate and/or advanced MS Excel required.?NetSuite and/or Epicor experience a plus * Project experience a plus * Excellent time management Benefits * Health, Dental, Vision packages * Short-Term and Long-Term Disability Insurance * Life Insurance * 401k with company match * Paid Time Off and Paid Holidays * Tuition and Certification Reimbursement

The Billing Specialist Representative is responsible for securing timely and accurate reimbursement by resolving billing issues with commercial and government payers. This role requires strong critical thinking and analytical skills to identify denial trends, address payment variances, and pursue appropriate corrective actions. Success in this role depends on a proactive, problem-solving mindset and the ability to adapt in a fast-paced, evolving environment. MISSION, VALUES and SERVICE GOALS * MISSION: We deliver outstanding care, inspire health, and connect with heart. * VALUES: Trust. Respect. Integrity. Compassion. * SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team. Billing & Follow-Up * Submit timely and accurate claims (UB-04/CMS-1500) to payers, ensuring compliance with regulatory and payer-specific requirements. * Work claim edits and correct errors in demographic, insurance, and charge data to ensure clean claim submission. * Conduct prompt and thorough follow-up on outstanding receivables, including appeals and disputes for denials and underpayments. * Identify and resolve payer overpayments in a timely manner to ensure regulatory compliance and prevent future recoupments. * Analyze denial reasons and payment variances to identify root causes and recommend process improvements. * Maintain in-depth knowledge of payer guidelines and federal/state regulations. * Collaborate with payers and internal departments to resolve issues and achieve account resolution. * Accurately document all actions and communications in the billing system. Audit & Analysis * Review patient accounts for accuracy in demographics, insurance coverage, and billing details. * Identify patterns or trends in denials and reimbursement discrepancies. * Assist leadership in developing denial prevention strategies and performance improvement initiatives. * Prioritize and escalate high-risk accounts for timely resolution. * Demonstrate initiative in recommending improvements to workflow and system efficiency. Compliance & Communication * Maintain compliance with HIPAA and all applicable billing regulations. * Respond to payer communications via phone, portal, and email in a professional and timely manner. * Collaborate across teams to ensure coordinated resolution of account issues. * Communicate effectively with patients, coworkers, and external partners, always maintaining professionalism and respect. Performs other functions to maintain personal competence and contribute to the overall effectiveness of the department by: * Completing other job-related assignments and special projects as directed. ORGANIZATIONAL RESPONSIBILITIES Associate complies with the following organizational requirements: * Attends and participates in department meetings and is accountable for all information shared. * Completes mandatory education, annual competencies and department specific education within established timeframes. * Completes annual employee health requirements within established timeframes. * Maintains license/certification, registration in good standing throughout fiscal year. * Direct patient care providers are required to maintain current BCLS (CPR) and other certifications as required by position/department. * Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self. * Adheres to regulatory agency requirements, survey process and compliance. * Complies with established organization and department policies. * Available to work overtime in addition to working additional or other shifts and schedules when required. Commitment to Beacon's six-point Operating System, referred to as The Beacon Way: * Leverage innovation everywhere. * Cultivate human talent. * Embrace performance improvement. * Build greatness through accountability. * Use information to improve and advance. * Communicate clearly and continuously. Education and Experience Associate's or Bachelor's degree in a healthcare or related field preferred. 2+ years of experience in insurance billing and follow-up, with knowledge of UB-04/CMS-1500 claim forms. Knowledge & Skills * Strong analytical, problem-solving, and organizational skills. * Effective written and verbal communication abilities. * Ability to prioritize, manage multiple tasks, and meet deadlines. * Proficient with Microsoft 365 (Word, Excel, Outlook); experience with patient accounting systems preferred. * Demonstrated ability to think critically and adapt to changing environments. Working Conditions: * Extended periods of sitting and computer use. * Must be flexible to work additional hours or shifts as needed. Physical Demands * Occasional lifting of storage boxes weighing up to 50 pounds when filled with completed forms.