Reimbursement Specialist remote jobs - 938 jobs

**Our promise to you:** Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better. **All the benefits and perks you need for you and your family:** + Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance + Paid Time Off from Day One + 403-B Retirement Plan + 4 Weeks 100% Paid Parental Leave + Career Development + Whole Person Well-being Resources + Mental Health Resources and Support + Pet Benefits **Schedule:** Full time **Shift:** Day (United States of America) **Address:** 601 E ROLLINS ST **City:** ORLANDO **State:** Florida **Postal Code:** 32803 **Job Description:** **Schedule:** Full Time Reviews, analyzes, and interprets clinical documentation applying applicable codes in accordance with prescribed rules, coding policy, payer specifications, and official guidelines. Evaluates and optimizes various diagnostic options in accordance with standard rules, official coding guidelines, regulatory agencies, and approved policies. Verifies assigned codes and ensures diagnostic and procedure codes are supported by the physician's clinical documentation. Communicates effectively with physicians and allied health personnel to ensure comprehensive, accurate, and timely clinical documentation. Discusses optimization and documentation issues with physicians and clinical personnel, querying for clarification of discrepancies, additional diagnoses, complications, or co-morbid conditions. **The expertise and experiences you'll need to succeed:** **QUALIFICATION REQUIREMENTS:** Bachelor's, High School Grad or Equiv (Required) Certified Coding Specialist (CCS) - EV Accredited Issuing Body, Certified Radiologic Technologist (R.T.-CERT) - EV Accredited Issuing Body, Infection Control Certification (CIC) - EV Accredited Issuing Body, Registered Health Information Administrator (RHIA) - EV Accredited Issuing Body, Registered Health Information Technician (RHIT) - EV Accredited Issuing Body, Registered Nurse (RN) - EV Accredited Issuing Body **Pay Range:** $23.91 - $44.46 _This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances._ **Category:** Health Information Management **Organization:** AdventHealth Orlando Support **Schedule:** Full time **Shift:** Day **Req ID:** 150659276

Job Posting We are dedicated to providing exceptional care to every patient, every time. St. Luke's Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship St. Luke's Hospital for over a decade has been recognized for “Outstanding Patient Experience” by HealthGrades. Position Summary: Performs data quality reviews on patient records to validate coding appropriateness, missed secondary diagnoses and procedures, and ensures compliance with all coding related regulatory mandates and reporting requirements. Monitors Medicare and other payer bulletins and manuals and reviews the current OIG Work Plans for coding risk areas. Responsible for promoting teamwork with all members of the healthcare team. Performs all duties in a manner consistent with St. Luke's mission and values. This position is 40hrs/week and 100% remote. Education, Experience, & Licensing Requirements: Education: Associate degree in Health Services Experience: 5 years of production coding experience or 5 years coding auditing experience. ICD-10-CM (including coding conventions and guidelines), CPT-4 (including coding conventions and guidelines), HCPCS, NCCI edits, and APC experience. Cerner and 3M/Solventum experience. Licensure: RHIA, RHIT, or CCS certification Benefits for a Better You: Day one benefits package Pension Plan & 401K Competitive compensation FSA & HSA options PTO programs available Education Assistance Why You Belong Here: You matter. We could not achieve our mission daily without the hands of our team. Our culture and compassion for our patients and team is a distinct reflection of our dynamic workforce. Each team member is focused on being part of something much bigger than themselves. Join our St. Luke's family to be a part of making life better for our patients, their families, and one another.

Inspire health. Serve with compassion. Be the difference. Codes medical information into the organization billing/abstracting systems for multiple facilities. Performs moderate to complex Outpatient Surgery, Gastrointestinal (GI) Procedure and Observation coding by assigning International Classification of Diseases (ICD), Current Procedural Terminology (CPT) codes, and HCC codes. Performs Emergency Department, ambulatory clinic, diagnostic, and ancillary coding. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health.Serve with compassion. Be the difference. Codes moderate to complex Outpatient Surgery, and Observation records from clinical documentation as well as Emergency department, ancillary and ambulatory clinic records; assigns modifiers as appropriate. Adheres to department standards for productivity and accuracy. Operates under the general supervision of HIM Coding leadership. Reviews work queues daily to identify charts that need to be coded and prioritizes as per department-specific guidelines and within designated timelines. Follows up on on-hold accounts daily for final coding. Responds to and follows up on priority accounts daily and any accounts assigned by Patient Financial services or Coding leader(s) for final coding.Communicates with leader when trending requests volumes impact productivity. Queries physician or clinical area following established guidelines when existing documentation is unclear or ambiguous following American Health Information Management Association (AHIMA) guidelines and established policy. Applies ICD and CPT codes to the Emergency department, outpatient ambulatory clinic records and ancillary service records based on review of clinical documentation and according to Official coding guidelines; assigns modifiers. Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - Certification Program, Associate degree or coding certificate through approved American Academy of Professional Coders (AAPC), American Health Information Management Association (AHIMA) or other approved coding certification program. Experience - Two (2) years of coding experience in an acute care or ambulatory setting. Outpatient coding experience In Lieu Of NA Required Certifications, Registrations, Licenses Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CCP-H), or Certified Outpatient Coder (COC). Knowledge, Skills and Abilities Demonstrates proficiency in utilizing official coding books as well as the electronic medical record and computer assisted coding/encoding software to facilitate code assignment. Demonstrates continuous learning as evidenced by personally developed reference materials, online publications etc., to stay abreast of new and revised guidelines, practices and terminology, for reference and application. Participates in on site, remote and/or external training workshops and training. Ability to pass internal coding test. Knowledge of electronic medical records and 3M or other Encoder System. Ability to concentrate for extended periods of time; ability to solve problems with close attention to detail and to work and make decisions independently. Knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process. Demonstrated competence in coding and correct extrapolation of official coding and select billing guidelines to specific coding situations. Basic computer skills Work Shift Day (United States of America) Location Blount Memorial Hospital Facility 7001 Corporate Department 70017512 HIM-Coding 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.

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

The Billing Representative is responsible for the timely and accurate submission of patient bills to various insurance payors, including Medicare, Medicaid, Blue Cross, commercial, and other government entities. This role involves managing billing processes, maintaining customer relationships, and ensuring financial goals are met. Responsibilities Coordinate daily hospital billing within established controls to ensure adherence to billing guidelines and standards. Manage billing inventory for assigned clients and meet financial goals. Build and maintain strong customer relationships. Maintain working knowledge of all software applications related to billing claims. Process claims generated on late charge reports, rejected claims, claims in error, DDE claims, and shadow claims daily. Ensure facility Rebills are worked and comments logged on patient accounts within 7 business days. Communicate issues impairing the billing process to the Team Lead/Manager. Communicate with hospitals to retrieve information for rebills/corrected claims. Communicate with insurance payors to work claims not processed/paid, utilizing various strategies such as phone calls, letters, meetings, faxing, and emails. Partner with other teams/departments to resolve billing/payor payment issues. Submit billing/rebilling requests from customers and team members in a timely manner. Stay current with billing practices for private and government payors, including billing software applications. Assist in the training and education of new and existing employees. Maintain the effectiveness and implementation of the MEDHOST Quality Management System and meet applicable regulatory requirements. Perform other duties as assigned. Accurately input/submit worked time by departmental deadlines. Maintain in-depth knowledge of MEDHOST core products and third-party clearinghouses. Maintain industry knowledge through self-study and training. Recommend department and customer documentation. Provide training and training documentation in areas of expertise. Attend and participate in team and departmental meetings. Respond to emails, telephone calls, voicemails, Microsoft Teams messages, and correspondence from facilities in a timely manner. Adhere to all HIPAA Privacy and Security requirements. Perform duties in a positive manner that upholds company policies and procedures. Requirements High School or equivalency diploma required. Minimum 1 year of experience in a hospital billing/patient account receivable related environment. Minimum 1 year of experience utilizing hospital claims management/billing software. Ability to follow directions and perform work according to department standards independently. Computer skills in Microsoft Office applications (Word, Excel, PowerPoint, etc.). Customer Service oriented. High Speed Internet access (minimum 300 Mbps download speed) and unlimited data. Smart phone for Multi Factor Authentication (MFA) application. What Would Make You Stand Out MEDHOST (HMS) knowledge is a plus. Knowledge of hospital billing, revenue cycle, and medical terminology. Thorough understanding of accounts receivable, collections, billing, appeals, and denials. Knowledge and understanding of Explanation of Benefits (EOB), state, and federal guidelines. Ability to navigate healthcare information system(s) and clearinghouse(s). Ability to access protected health information (PHI) in accordance with departmental assignments and guidelines. Skilled in making accurate arithmetic computations. Excellent communication skills (verbal & written), good judgment, tact, initiative, and resourcefulness. Detail-oriented, organized, and able to multi-task. Ability to demonstrate supportive relationships with peers, clients, partners, and corporate executives. Flexible with a “can do” attitude and ability to remain professional under high-pressure situations. What We Offer 3 weeks' vacation and 5 personal days Comprehensive medical, dental, and vision benefits starting from your first day Employee stock ownership and RRSP/401k matching programs Lifestyle rewards Remote work and more About Us MEDHOST, founded in 1984 and headquartered in Franklin, Tennessee, is a leading provider of healthcare information technology solutions. Serving over 1,000 healthcare facilities nationwide, MEDHOST offers a comprehensive suite of products, including electronic health records (EHR), financial management systems, and patient engagement platforms. Their mission is to empower healthcare organizations to enhance patient care and improve business operations through innovative, user-friendly solutions. In January 2024, MEDHOST was acquired by N. Harris Computer Corporation, further strengthening its position in the healthcare IT industry.

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.

Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. Benefits Highlights * Medical: Multiple plan options. * Dental: Delta Dental or reimbursement account for flexible coverage. * Vision: Affordable plan with national network. * Pre-Tax Savings: HSA and FSAs for eligible expenses. * Retirement: Competitive retirement package to secure your future. Responsibilities The Diversified Billing Specialist is primarily responsible for supporting the activities of Mayo Clinic Ambulance Billing. Also responsible for collecting specific patient account information through the use of automated system, focusing on each account, one customer at a time. Responds to and resolves a variety of accounts, billing and payment issues from patients/customers on specific types of accounts. Uses excellent customer service and interpersonal skills when interacting with patients and customers. Makes appropriate decisions that require individual and/or team analysis, reasoning and problem solving. Interprets, applies, and communicates Mayo Clinic policies regarding medical and financial aspects of patient care to assure optimal reimbursement for both the patient and Mayo Clinic Ambulance. Qualifications High school education or equivalent. Previous ambulance billing certification or experience preferred. Qualified candidates must be customer focused, service oriented and possess strong skills in: team building, communications, decision making, problem solving, interaction, coping and versatility. Knowledge of PC Windows, Microsoft Word, and Excel, medical terminology, and Health Quest systems helpful. Knowledge of Medicare, Medical Assistance and Insurance processes and procedures. Keyboarding experience, 40 wpm preferred. Healthcare Financial Management Association (HFMA) Certification Preferred. * This position is a 100% remote work. Individual may live anywhere in the US. This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position. Exemption Status Nonexempt Compensation Detail $23.69 -$31.98 / hour Benefits Eligible Yes Schedule Full Time Hours/Pay Period 80 Schedule Details Monday-Friday 8am-4:30pm CST Weekend Schedule N/A International Assignment No Site Description Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is. Equal Opportunity All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the 'EOE is the Law'. Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. Recruiter Ronnie Bartz

Pacesetter Health is a leading growth partner for podiatry clinics throughout the country. The Company is actively partnering with growth-oriented independent podiatrists and podiatry groups across the United States. The company is backed by private equity investors. We would love for you to join our Revenue Cycle Management team in Nashville, TN! We offer a competitive base pay, eligibility for quarterly bonuses and an excellent benefits program. This position is eligible to work remotely. We are seeking Medical Billing Specialist to assist with filing medical claims, processing payments, resolving denials, and AR management. As a member of the RCM team, you will: Scrub claims to ensure that all diagnosis codes (ICD-10-CM) and procedure codes (CPT/HCPCS) meet coding standards and comply with coding guidelines and regulations Submit scrubbed claims to appropriate payers Post payments, AR management, review and resolve denials and inquiries Stay updated with the latest coding guidelines, regulations and industry changes Maintain confidentiality and adhere to HIPAA regulations Balance cash receipts report to all batch receipts daily Document all follow up efforts in a clear and concise manner into the AR system Initiate refunds if necessary Support RCM initiatives and relevant RCM efforts What you bring: 2 years of medical coding and billing experience required Knowledge of anatomy, physiology, and medical terminology EHR system experience Strong analytical and problem-solving skills Excellent attention to detail and highly organized Ability to work independently and in a team environment Effective communication skills, both written and verbal Ability to maintain benchmarks such as production and low error rate Benefits: Eligible to Work Remote Quarterly Bonus Program Health Insurance Dental & Vision Insurance Flexible Spending and HSA plans Life & Disability Insurance 401k with employer match Paid Time Off

Enjoy what you do while contributing to a company that makes a difference in people's lives. Shady Grove Fertility, one of the premier fertility centers in the United States, continually seeks experienced, compassionate, and dynamic team players who are committed to delivering exceptional patient care to join our growing practice. The work we do building families offers stimulation, challenge, and personal reward. If you're looking for a new opportunity to work in a fast-paced, professional environment where your talent contributes to changing people's lives, then we want to talk to you. We have an immediate opening for a full-time Payment Poster. This position will be working remote M-F 8am-5pm. This position is responsible and accountable for all aspects of payments received in the CBO Online and offices. This includes, but is not limited to, posting insurance and patient payments to appropriate accounts from US Mail, EFT and Credit card Vendor, researching and obtaining explanation of benefits for the department, setting up ERA/EFT for practice and reviewing and correcting patients accounts under the direction of a senior staff member. How You'll Contribute: We always do whatever it takes, even if it isn't specifically our "job." In general, the Payment Poster responsible for: Ensures all ERA and EFTs are set up appropriately for each practice. Follow up with Insurance companies on enrollment status. Create Logins and obtain access to all payor portals. Ensure all US mail is scanned into the appropriate folders in a timely manner. Ensures all ERA's are downloaded from the Practice Management clearing house and or individual payor portals. Handles calling insurance companies to obtain missing explanation of benefits Post daily explanation of benefits and patient payments to patient accounts utilizing electronic payment posting software. Post all patient payments to patient accounts via credit card, EFT, and US mail Investigate and resolve discrepancies Knowledge of insurance contract requirements and US Fertility Financial programs Review and make corrections to patients accounts to ensure patient satisfaction Reconcile daily work to bank deposit Apply denials and deductibles to patients account per electronic remittance Work on Q&A functions prior to month end and assist other department functions as a back up Post insurance, patient, collection and miscellaneous payments to practice management system Post complicated EOB's with forwarding balances, recoupments and overpayment recovery Maintains patient confidence and protects operations by keeping information confidential. What You'll Bring: Associate degree in accounting, business, healthcare or medical billing certificate. High School Diploma acceptable with 3+ year of medical billing hands on experience Minimum 1-year specialized experience with medical billing certificate, or minimum 3 years' experience without billing certificate. Ability to access, input, and retrieves information from a computer. Medical software program experience required. Knowledge of office procedure and office machines (i.e. computer, fax, copier, etc.). Proficiency in a variety of computer software applications in word processing, spreadsheets, database, and presentation software (MSWord, Excel, PowerPoint, OneNote, Office 365). Ability to demonstrate good judgment. Ability to communicate accurately and concisely. Ability to remain calm and poised under stress. Computer proficiency required. Financial background. Excellent interpersonal skills and ability to work as part of a multi-disciplinary team and maintain effective working relationships. Strong customer service and results orientation; highly responsive to requests. Excellent verbal & written communication skills. Excellent interpersonal, and organizational skills. Ability to maintain the highest level of confidentiality. Flexibility and willingness to learn at all times. Excellent multi-tasking abilities. More important than the best skills, however, is the right person. Employees who embrace our mission, vision, and core values are highly successful. What We Offer: Competitive pay + bonus Comprehensive training Medical, dental, vision, and 401(k) matching Generous paid time off and holidays Retirement plan Tuition assistance Ability to make an impact in the communities we serve At US Fertility, we promote and develop individual strengths in order to help staff grow personally and professionally. Our core values - Empathy, Patient Focus, Integrity, Commitment, and Compassion (EPICC) - guide us daily to work hard and enjoy what we do. We're committed to growing our practice and are always looking to promote from within. This is an ideal time to join our team! To learn more about our company and culture, visit here. How To Get Started: To have your resume reviewed by someone on our Talent Acquisition team, click on the “Apply” button. Or if you happen to know of someone who might be interested in this position, please feel free to share the job description by clicking on an option under “Share This Job” at the top of the screen.

Work from home and set your own schedule? At Altus, we want to hire the BEST pediatric billers and know that the key is being a great place to work. We know that life doesn't always support a 9-5 job and allow our team members to set the schedule that works best for their lives. Do you have a favorite yoga class on Thursday mornings? Schedule a 2 hour break on Thursdays. Like to work early but need an hour break in the morning to get the kids to school? Work 6:00-7:30, get the kids to school and come back at 8:30. Not a morning person? Set your schedule to work at 10:00 each day. We are looking for experienced pediatric billers who understand that delivering exceptional client service is much more than just submitting claims and posting payments. We need people who will tirelessly research denied claims and work hard to make sure every patient visit is paid every single time. We have a reputation for always going above and beyond for our client collections and need great billers to help us exceed expectations! Job requirements: At least 2 years of medical billing experience, preferably in pediatrics. EMR experience Knowledge of the full life cycle of a claim To apply, fill out a job application. For those who meet our current open positions, we will send a brief assessment. To learn more about us, visit our website at ***************************** - be sure to check out the team page and read about our amazing billers! Please note we hire for positions based on client needs and different EMR experience. Please don't be discouraged if we don't reach out right away. We get new client inquiries all the time and grow our team as we add new clients. Job Type: Full-time

ABOUT US: Ethos Risk Services is a leading insurance claims investigation and medical management company committed to providing better data that translates into better decision-making for our clients. We are at the forefront of innovation in our space, and our success is driven by a dynamic team passionate about delivering exceptional services to our customers. JOB SUMMARY: Our dynamic Ethos Medical Management Team is growing and seeking a full-time Bill Review Negotiation Specialist (REMOTE) to ensure accuracy and cost savings within our Workers' Compensation bill review process. This position is responsible for reviewing, auditing, and negotiating medical bills in compliance with state fee schedules and customer guidelines. The ideal candidate is detail-oriented, skilled in negotiations, and committed to providing excellent customer service while maintaining confidentiality and accuracy. KEY RESPONSIBILITIES: Contact and negotiate with medical providers to secure additional savings through signed agreements. Review, audit, and process Workers' Compensation medical bills using industry-standard methodologies (Medicare, UCR, and state fee schedules). Maintain accurate records of negotiations and provider interactions. Research and interpret state fee schedules, customer guidelines, and regulations. Process reconsiderations and disputed bills in a timely and accurate manner. Provide high-quality customer service and resolve inquiries efficiently. Maintain strict confidentiality and compliance with company policies and industry regulations. Perform other related duties as assigned. QUALIFICATIONS: Education: High school diploma or equivalent required. Associate degree or higher preferred. Experience: Minimum of 3 to 5 years of experience in medical bill review, with a minimum of 1 year of experience in customer service required. An equivalent combination of education and experience is required. Knowledge of CPT, ICD-10, and HCPCS coding required. Experience with Conduent Strataware software, or other comparable platforms, preferred. Skills: Strong oral and written communication skills. Proven negotiation and customer service abilities. Proficient with Microsoft Office Suite and other computer applications. Excellent organizational skills with the ability to multi-task. Team player with strong interpersonal skills. Discretion, confidentiality, and attention to detail. Licensing/Certification: Certification in medical coding or medical terminology preferred but not required. WORKING CONDITIONS: This position is 100% remote, with required availability during standard business hours. This role requires a dedicated workspace with reliable internet. The role involves prolonged periods of sitting, operating a computer, and communicating via phone and email. Ethos Risk Services is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristics.

Community Legal Services, Inc. of Philadelphia (CLS) is seeking a Grants and Billing Specialist to join our Finance Department. This is a new position in our Finance Department. This position focuses on financial analysis, compliance oversight, and following proper accounting procedures for CLS'S grants and contracts in accordance with Generally Accepted Accounting Principles (GAAP). The ideal candidate will possess strong analytical and technical accounting skills, with experience in nonprofit grant management and federal/state compliance requirements. This position plays a key role in ensuring that CLS's financial reporting, cost allocations, and funder submissions are accurate, timely, and compliant with all applicable regulations. JOB DUTIES AND RESPONSIBILITIES INCLUDE: Conduct detailed analysis of all active grants and contracts to ensure compliance with GAAP, funder terms, and internal controls. Review grant agreements and amendments to identify reporting requirements, allowable costs, and funding periods. Record and review adjusting journal entries related to deferred revenue, revenue recognition, and indirect cost allocations. Partner and work closely with the Director of Advancement & Compliance and program managers to ensure proper financial reporting and documentation. Prepare and reconcile funder billing submissions, monitor incoming payments, and ensure that receivables are accurately recorded and applied to the appropriate grant or contract. Track outstanding reimbursements and follow up with funders as needed to resolve payment discrepancies or timing issues. Maintain up-to-date schedules of receivable balances, reconciling them regularly to the general ledger and grant records. Prepare financial reports for funders and assist in budget-to-actual variance analysis. Develop and maintain tracking tools for multi-funded projects, ensuring expenses align with approved budgets and cost allocation plans. Support the year-end audit by preparing grant schedules, account reconciliations, and documentation for testing. Serve as the point of contact for external auditors and funders regarding financial compliance and reporting questions. Participate in policy review and recommend improvements to strengthen financial controls and efficiency. Perform other duties as assigned related to grant financial analysis and compliance. CLS is currently in a hybrid work environment, and this position will be allowed some remote work at the discretion of the Chief Financial Officer. But this position will be required to come in daily during the probationary period which is six (6) months. Required Skills and Experience: Bachelor's degree in Accounting, Finance, or Business Administration, or related experience in the accounting field. Minimum of three to five years of progressively responsible accounting experience, with at least two years experience in grant or contract accounting. Demonstrated knowledge of GAAP and nonprofit fund accounting principles. Strong understanding of revenue recognition for grants, contracts, and restricted contributions. Experience preparing or reviewing financial statements, grant reconciliations, and audit workpapers. Advanced proficiency with Excel, accounting software (SAGE Intacct or MIP preferred), and familiarity with data reporting tools. Excellent analytical, organizational, and written communication skills. Ability to work independently and collaboratively across teams, exercising sound professional judgment. Preferred Skills and Experience: Knowledge of federal and city grant compliance (e.g., Uniform Guidance, DHS, DHCD, PLAN). Experience with SAP Concur or similar expense management systems. Prior involvement in policy development or internal control documentation. To Apply: CLS will accept applications on a rolling basis until the position has been filled. Priority will be given to candidates who apply by January 5, 2026. You can submit your application on CLS's website online at ***************************** OR Click "Apply Now" below. What to Include in your application: Please include a cover letter, resume, and three professional references (past or current supervisors preferred) identifying your relationship. Candidates advancing to final interviews will be asked to complete an assessment of their accounting skills. Community Legal Services, Inc. welcomes applicants of all backgrounds to apply and particularly encourages people who have experienced poverty or housing instability, people of color, people who identify as LGBTQ, people with disabilities, and people who have had prior contact with the juvenile, criminal, or child welfare systems to apply. CLS invites all applicants to include in their cover letter a statement about how your unique background and/or experiences would motivate you to work toward CLS's mission and would contribute to the vitality and perspective of our organization. Compensation: This is a full-time exempt position based in CLS's Center City office. The salary range for this position is starting at $52,000 - $62,000. Salary will be commensurate with experience. Benefits: CLS offers a very generous and competitive benefits package including 100% employer paid medical (including gender affirming care), life, and short/long-term disability benefits, a 403(b)-retirement plan with employer contribution, and generous leave package, including 13 paid holidays and five personal holidays each year. Community Legal Services, Inc. is an equal opportunity employer. CLS, Inc. does not discriminate in the selection of employees on the basis of race, color, religion, gender, sexual orientation, sexual identity, genetics, age, national origin, disability, or veteran status. In addition to federal law requirements, CLS complies with all applicable state and local laws governing nondiscrimination in employment. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall and transfer, leaves

Job Type: Remote Dental Billing Specialist Full-time: 40 Hours, Monday-Friday Number of hires for this role: 5 Qualifications -Dental billing experience preferred, particularly within the last eight months -Thorough comprehension of Explanation of Benefits (EOBs) and the ability to effectively assess payments and adjustments -Love the challenge of diligently managing insurance claims -Capable of self-direction, proficient in establishing goals and working autonomously -Applicants are required to be residents of one of the following states in order to submit their application: AZ, FL, ID, NV, TN, TX, UT Full Job Description Wisdom Teeth Guys is seeking a Dental Billing Specialist to become a part of our team. We foster a dynamic, motivated, and supportive atmosphere. Our goal is to provide each patient with an exceptional oral surgery experience through personalized and unique service in a comfortable, safe, and compassionate setting, while also cultivating enduring relationships with our patients. If you are passionate about dentistry and take pleasure in delivering high-quality patient care and support, we encourage you to APPLY TODAY! This is an excellent opportunity to join a growing practice with exceptionally skilled doctors and wonderful patients. In the role of Dental Billing Specialist, you will collaborate with our staff, patients, and insurance providers to ensure accurate processing of patients' insurance claims based on verification. Your professionalism, reliability, and outstanding customer service will play a vital role in the ongoing success of our practice. This position is remote and allows you to work from home. Responsibilities: -Ensuring the complete collection of all outstanding balances -Presenting accurate claims within 24 hours following the audit process -Conducting follow-ups on aged claims at 14-day intervals -Reducing the insurance aging over 90 days to zero and maintaining that status -Collaborate with the surgical team, verification team, and patient coordinators to relay updates regarding patients' insurance information What distinguishes you as a candidate for the position of Dental Billing Specialist? -Understanding of terminology related to dental billing and insurance -Evaluating and addressing insurance breakdowns -A committed workspace equipped with a monitor and high-speed internet is essential -Proficiency in multitasking is required -The candidate should be a fast learner with a strong eagerness for personal and professional development -Demonstrated organizational and analytical skills, along with a keen attention to detail, are necessary -Must possess strong time management abilities, be solution-oriented, self-driven, a critical thinker, and adept at prioritizing tasks -Receptive to guidance, eager to embrace innovative concepts, and enthusiastic about growth -Effective communicator with strong problem-solving capabilities -Outstanding customer service abilities, demonstrating professionalism and maturity -Proficient in Microsoft applications, with the capability to work with spreadsheets -Two years of experience in the dental field, including familiarity with relevant terminology -Prior experience in insurance is preferred If you believe you are a suitable candidate for the position of Dental Billing Specialist, we encourage you to submit your resume and cover letter as soon as possible. Job Type: Full-time Pay: $15 per hour Benefits: Paid time off Insurance Reimbursement Plan Work from home Schedule: Monday to Friday 8 hour shift Day shift required Occasional Saturday may be requested Experience: Dental Billing: 2 years (Required) Microsoft Excel: 1 year (Required) Work Location: Remote Expected hours: 40 per week Location: AZ, FL, ID, NV, TN, TX, UT

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

Unlock Your Potential: Join TEWS and Solve the Talent Equation for Your Career REMOTE OPPORTUNITY! We are seeking an experienced and adaptable Hospital Patient Billing Specialist - TRICARE to play a key role in ensuring patient accounts are accurately processed! Pay: $17-$20/hour, depending on experience Contract Length: Minimum of 6 months, with strong possibility to extend EQUIPMENT REQUIREMENT: MUST HAVE ACCESS TO LAPTOP AND MONITORS! Minimum Requirements EPIC and hospital patient accounting or revenue cycle experience required Experience billing or following up on TRICARE or government payer claims strongly preferred Knowledge of hospital billing workflows, claim edits, and AR follow-up Strong attention to detail and customer service skills Ability to manage multiple accounts and meet follow-up timelines Key Responsibilities Submit and follow up on hospital claims for TRICARE Resolve claim edits, rejections, and bill holds to ensure timely reimbursement Manage assigned account work queues, including DNB, claim edits, and payer no-response Communicate with TRICARE, other payers, and patients to resolve billing issues Review electronic payer error reports and correct claims as needed Document all account activity accurately in the billing system Why Join Us? Opportunity to join a mission-driven team in a fast-paced, evolving healthcare environment Strong focus on professional development and internal career growth TEWS has opportunities with leading companies for professionals at all career stages, whether you're a seasoned consultant, recent graduate, or transitioning into a new phase of your career, we are here to help.

Burger Rehabilitation Systems, Inc. has provided therapy services since 1978. We seek a Billing Specialist to join our Customer Service Center team in a work from home full-time position, Monday through Friday, 8:00 a.m. to 5:00 p.m. with a one-hour lunch. We need someone to be local in the Sacramento, California, region! This position requires a high school diploma or GED equivalent, required 1-3 years successful experience in Physical Therapy billing and collections, competency of Rain Tree or EMR equivalent and full knowledge of current billing policies. Our team is solid and led by a popular Director. You may be required to come into the Folsom Office for training for a week or two, and rare, but possible, periodic Folsom meetings. Under the general direction of the Patient Services Director, this position will be responsible for the collection of assigned clinic receivables or financial class receivables, to be determined. Essential duties and responsibilities include the following. Other duties may be assigned. 1. Aggressively work aging's and follow through to complete resolution on all accounts. Be prepared to discuss or prepare listing of accounts over 90 days with explanations for the Patient Services Director's review. Work the highest dollar amounts first. 2. Review electronic claims denials daily to ensure timely collections. Review all paper claims prior to billing. 3. Run insurance bills including electronic claims as directed. 4. Bill secondaries and send appropriate paperwork as required for timely collections. 5. Research, reprocess and appeal claim denials and information requests. 6. Send/release statements timely as directed. 7. Prepare any needed account adjustments and non-contractual write offs for supervisor's approval. 8. Research and prepare patient refund requests on credit balances monthly and give to the Patient Services Director for review and payment. 9. Submit accounts for collections/letter service consideration to supervisor for approval. 10. Submit accounts for bad debt adjustment to supervisor for review. 11. Submit credit balances to supervisor for appropriate action by 12/31 of each year. 12. Monitor lien accounts and follow up needed in order to ensure lien limits are followed or resolved and accounts are resolved timely. Apply appropriate set-up and interest fees. 13. Assist patients in a professional and timely manner and refer any unresolved problem accounts to supervisor as needed. 14. Ensure accurate entry of all charges and patient data entry for Assisted Living billing, (if assigned). 15. Ensure complete and accurate entry of patient data in RT and TS per the deadlines set by the Patient Services Director including but not limited to the insurance, onset date for Medicare patients after charges are extracted and other pertinent information required for accurate billing and copayment collection. 16. Complete related work as assigned, including but not limited to charge entry as required. Compensation starts at $20.00 per hour. Burger Rehabilitation Systems, Inc. has provided therapy services since 1978. We seek a Billing Specialist to join our Customer Service Center team in a work from home full-time position, Monday through Friday, 8:00 a.m. to 5:00 p.m. with a one-hour lunch. We need someone to be local in the Sacramento, California, region! This position requires a high school diploma or GED equivalent, required 1-3 years successful experience in Physical Therapy billing and collections, competency of Rain Tree or EMR equivalent and full knowledge of current billing policies. Our team is solid and led by a popular Director. You may be required to come into the Folsom Office for training for a week or two, and rare, but possible, periodic Folsom meetings. Under the general direction of the Patient Services Director, this position will be responsible for the collection of assigned clinic receivables or financial class receivables, to be determined. Essential duties and responsibilities include the following. Other duties may be assigned. 1. Aggressively work aging's and follow through to complete resolution on all accounts. Be prepared to discuss or prepare listing of accounts over 90 days with explanations for the Patient Services Director's review. Work the highest dollar amounts first. 2. Review electronic claims denials daily to ensure timely collections. Review all paper claims prior to billing. 3. Run insurance bills including electronic claims as directed. 4. Bill secondaries and send appropriate paperwork as required for timely collections. 5. Research, reprocess and appeal claim denials and information requests. 6. Send/release statements timely as directed. 7. Prepare any needed account adjustments and non-contractual write offs for supervisor's approval. 8. Research and prepare patient refund requests on credit balances monthly and give to the Patient Services Director for review and payment. 9. Submit accounts for collections/letter service consideration to supervisor for approval. 10. Submit accounts for bad debt adjustment to supervisor for review. 11. Submit credit balances to supervisor for appropriate action by 12/31 of each year. 12. Monitor lien accounts and follow up needed in order to ensure lien limits are followed or resolved and accounts are resolved timely. Apply appropriate set-up and interest fees. 13. Assist patients in a professional and timely manner and refer any unresolved problem accounts to supervisor as needed. 14. Ensure accurate entry of all charges and patient data entry for Assisted Living billing, (if assigned). 15. Ensure complete and accurate entry of patient data in RT and TS per the deadlines set by the Patient Services Director including but not limited to the insurance, onset date for Medicare patients after charges are extracted and other pertinent information required for accurate billing and copayment collection. 16. Complete related work as assigned, including but not limited to charge entry as required. Compensation starts at $20.00 per hour. QUALIFICATION REQUIREMENTS: Ability to alphabetize and file efficiently, working knowledge of Microsoft EXCEL and WORD experience preferred. Ability to organize and type professional letters to customers as needed, ability to multi-task, must be able to perform 10-12 thousand key strokes per hour. EDUCATION and/or EXPERIENCE: High school diploma or GED equivalent. One - three years' experience plus successful experience in medical billing and collections required. Benefits include competitive compensation, direct deposit, employee assistance programs and may include: Retirement Benefits - 401(k) Plan Paid Time Off (PTO) Continuing Education Medical, Dental and Vision Legal Shield Life Insurance Long Term Disability Plans Voluntary Insurances ID Shield Nationwide Pet Insurance APPLY NOW: Click on the above link “Apply To This Job” Interested in hearing about other Job Opportunities? Contact a member of the Burger Recruiting Team today! P.************** F. ************ ******************** Our Mission Statement: We proudly acknowledge we are in business to provide rehabilitation services that make a POSITIVE difference in the lives of our patients, their families, our staff and the community at large. Skills & Requirements QUALIFICATION REQUIREMENTS: Ability to alphabetize and file efficiently, working knowledge of Microsoft EXCEL and WORD experience preferred. Ability to organize and type professional letters to customers as needed, ability to multi-task, must be able to perform 10-12 thousand key strokes per hour. EDUCATION and/or EXPERIENCE: High school diploma or GED equivalent. One - three years' experience plus successful experience in medical billing and collections required. Benefits include competitive compensation, direct deposit, employee assistance programs and may include: Retirement Benefits - 401(k) Plan Paid Time Off (PTO) Continuing Education Medical, Dental and Vision Legal Shield Life Insurance Long Term Disability Plans Voluntary Insurances ID Shield Nationwide Pet Insurance APPLY NOW: Click on the above link “Apply To This Job” Interested in hearing about other Job Opportunities? Contact a member of the Burger Recruiting Team today! P.************** F. ************ ******************** Our Mission Statement: We proudly acknowledge we are in business to provide rehabilitation services that make a POSITIVE difference in the lives of our patients, their families, our staff and the community at large.

DESCRIPTION BILLING SPECIALIST REPORTS TO: CHIEF OPERATING OFFICER We are a collaborative team of mind-body-spirit experts who provide innovative, evidence-guided, and virtual care to help people heal and thrive in the real world today. Open Mind Health provides virtual psychiatry, talk therapy, and complementary modalities such as hypnotherapy to enhance wellbeing and personal evolution in a coordinated care plan. We have developed customized Wellness Tracks for all people to address Core Symptoms, Core Life Domains, and Diverse Populations, including LGBTQ+, Veterans, and people of color. Artificial Intelligence-guided ongoing assessment and evaluation uses targeted approaches to realize optimal outcomes for clients. Visit us at openmindhealth.com. Open Mind Health providers seek to understand the whole person in their encounters with clients, evaluate areas of strength and opportunity, and develop a comprehensive and accountable plan that brings clients to a state of balance, with ultimately progressive movement in their personal evolution. Our concept brings our various healing modalities as appropriate, including medication management, therapy, and complementary & alternative approaches to help our clients live their best lives. Founded in 2021, Open Mind Health has expanded rapidly to provide services virtually in over 22 states and expects to offer services nationally by the end of 2024. Individuals who thrive in an environment of excitement, expansion, and innovation will likely find a home at Open Mind Health. This is an opportunity to join a fast-growing behavioral health startup, demonstrate your skills and abilities, and position yourself for career growth. ABOUT THE ROLE This position will own the coding and billing functions within Open Mind Health and will coordinate with others to assure error-free and appropriate RCM submissions to enable timely cash flow for the company. The lead will also engage in timely follow-up to billing disputes, claim denials, and any other intervening issue that has the potential to interrupt the flow of claims and subsequent payer remittances. This individual will also collaborate with client liaison representatives to offer insights and feedback on encounter readiness and closure processes to identify and rectify errors. Working as a team, the goal is to enable client-provider encounters that are expertly coordinated from end-to-end with zero defects in the spirit of Kaizen (continuous improvement). JOB RESPONSIBILITIES Review completed encounters on an ongoing basis and submit to RCM or via other billing portals as required. Communicate errors and coach/cheerlead others to identify recurrent issues in an effort to prevent them. Track no-show appointments on spreadsheet and respond to processing directions based on comments by clinical leadership. Communicate with insurance companies/referrers/payers to inquire regarding status of payments. Bill for client responsibility amounts by credit card or invoice, for copays, deductibles, and no-show charges. Meet bi-weekly with representatives from RCM vendor to ascertain payment flow and address any issues. Works with and familiarizes self with the practices and policies of assigned insurance carriers. Work with outsourced collections company to optimize past due receivables. Uses personal computer to communicate by telephone, fax, email, text, EHR message. Owns the client experience from end-to-end for groups of clients covered by specific health insurance carriers. Other tasks and responsibilities as assigned. PREFERRED QUALIFICATIONS, ATTRIBUTES, & REQUIREMENTS Post-secondary education at AA or beyond is desirable. Medical office certification is preferred. Two plus years working in a healthcare setting, preferably in behavioral/mental health working directly with patients/clients and with electronic health records (EHR) systems such as CharmHealth. Experience working directly with major insurance carriers. Demonstrated billing and coding experience and knowledge, and familiarity with revenue cycle management. Excellent people skills to work with clients, payers, and colleagues. Exceptional time management and attention to detail. Ability to independently self-direct activities in a high-volume remote work environment. Excellent problem-solving skills and demonstrable critical thinking abilities. High orientation to continuous improvement. Familiarity with Zoho CRM and Zoho Voice. Knowledge of ICD-10 and CPT codes and terminology. Experience working remotely with minimal supervision but with ongoing monitoring. Has worked with a variety of payer portals including Aetna, Blue Cross Blue Shield, Optum, United, Kaiser Permanente, and more. Maturity and integrity when handling confidential information, including sensitive HIPAA-governed client information, including the ability to respond to legal information requests and client service inquiries. Knowledge of Microsoft Excel, Word, and Outlook. Excellent written and verbal communication skills. Personal computer with functional camera and audio, second monitor, and reliable high-speed internet (no mobile phone tethering permitted). Private and noise- and people-free work environment within the home. WHAT THE JOB OFFERS Competitive pay in the range of $15-$18 per hour depending on experience. 10 days PTO per year, with increasing PTO allotment after two years of service. 10 paid statutory holidays per year. 2 days Compassion & Civics PTO to cover bereavement, voting, family care. Employer health care contribution. Dental and vision plan. 401(k) plan. $50 per month technology stipend. A culture of caring, compassion, and accountability. Opportunities for career growth and personal evolution. *** Benefit descriptions are for full-time employees only - part-time employees may only receive partial or pro-rated versions of these benefits. *** A high volume of billing processing and interactions occur on a daily basis, and as such, the company uses intermittent workflow monitoring audits to ensure productivity.

ABA Billing Specialist (REMOTE) - (Texas ONLY) Must have Central Reach Experience Status: Full-time, non-exempt Billing Specialist (REMOTE) Status: Full Time Join us at Little Spurs! (Overview): Little Spurs Autism Centers is seeking an experienced ABA biller to join our dynamic team. Under general direction, the billing specialist will exercise independent judgement while adhering to established policies and procedures, regulations, and best practices. What You Need (Qualifications): To perform this job successfully, and individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions. High school diploma or equivalent required; Associates or bachelor's degree in Finance, Accounting, Business Administration, or related field preferred 3 + years of billing and coding experience in ABA therapy specialty. Must possess in-depth knowledge of medical billing; experience with pediatric billing preferred Experience with robust practice management/EMR system, preferably Central Reach and Waystar. The Perks (Benefits): Medical, Dental & Vision Benefits available employee, spouse, and dependents Voluntary Short-Term & Long-Term Disability & Voluntary Life Insurance (Employee, Spouse, Children). 401k with 4% company match on 5% employee contribution. Holiday pay (Closed Thanksgiving and Christmas); shorter holiday hours. 80 hours of PTO accumulated through the year; available for rollover More PTO accrued after three and five years of service Free in-house medical care for employee and dependent children Employee recognition and appreciation programs Professional Development Opportunities REQURIED SKILLS AND ABILITIES: Comprehensive knowledge of coding, billing, processes and requirements Knowledge of local payers, to include billing and claims resolution processes Knowledge in physician practice technology as it relates to creating, transmitting and collecting claims Knowledge of physiology, anatomy, neurology and medical terminology. Ability to communicate clearly both written and verbally. Ability to work independently with detail and accuracy. Excellent interpersonal communication skills Ability to act with discretion, tact, and professionalism in all situations. Ability to work in a remote or hybrid work environment. Ability to work well within a team dynamic. Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) Ability to use a fax machine, copier and a scanner Must have a passion for Revenue Cycle and a positive mindset Bilingual a plus! We use E-Verify ESSENTIAL DUTIES AND RESPONSIBILITIES include the following: Performs all necessary tasks to provide overall direction and support in billing, accounts receivable and related areas. Responsible for managing the charge capture, coding, billing and billing edits. Responsible for coordinating with providers and Regional Medical Directors to create efficient, accurate templates and automated charging/billing processes Analyze trends, impacting charges, coding, and collections and take appropriate action to realign staff and revise policies. Analyze billing and claims for accuracy and completeness and submit claims to proper insurance entities and follow up on any issues. Ensures that the correct coding and compliance guidelines are being adhered to. Maintains systems, policies & procedures to ensure compliance with all contractual obligations of payers. Responsible for monitoring reimbursements. Responsible for staying familiar with federal and state regulations and company policies. Effectively communicates to employees and hold yourself accountable for meeting those same expectations. Assists with staff communication providing updates, resolving issues, setting goals and maintaining standards. Assists with work allocation and problem resolution. Assists with month end reports Performs other related duties as assigned. The Nitty Gritty (Your Day to Day): Performs appropriate billing/payment posting functions as assigned. Follows up on unpaid or improperly paid claims as necessary. Reviews and monitors select accounts within the accounts receivable system. Determines and performs appropriate collection efforts to resolve accounts, to include follow-up online, by phone and written correspondence. Effectively applies protocol in company EMR: Invoice Balance Responsibility/Applies Invoice Status correctly. Builds claims and applies knowledge of medical terminology, ICD/CPT codes to complete daily Corrects denied submission and denied claims in a timely manner and notes invoice accordingly. Submits claims electronically and by paper. Assist with telephone inquiries and billing questions promptly, with professionalism and courtesy. Generates and reviews patient statements effectively and ensures appropriate collection correspondence is sent and documented per protocol. We offer competitive benefits which include: Medical, Dental, Vision, Life, Disability, PTO, Holiday Pay and Retirement Savings Account (401k).

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