Billing Specialist jobs at Res-Care Premier - 705 jobs

Account Specialist, Anti Infectives - St. Louis
Abbvie, Inc. 4.7
Springfield, IL jobs
AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at *************** Follow @abbvie on X, Facebook, Instagram, YouTube, LinkedIn and Tik Tok. Job Description The Account Specialist is responsible for maximizing opportunities for the product portfolio in single layer geography. This individual will develop and maintain strategic business relationships with a wide spectrum of customers to include Hospitals, IDN's, Academic Institutions, Outpatient Accounts, Long Term Care Facilities, Government Accounts, and Specialty Private Practice. Business relationships will focus on increasing patient access to portfolio products, consistent with approved labels, developing new business, expanding current business, maximizing resource utilization, and increasing sales to achieve geography sales goals through a solution oriented and collaborative approach. The role will involve networking, client services, and a thorough understanding of institutional and medical practices. Responsibilities Advances hospital and specialty customers along the sales continuum and gains prescriber commitments through effective questioning, active listening, and utilization of approved data and resources. Delivers on-label presentations/sales calls to appropriately highlight the benefits and risks of the product portfolio to create awareness of product solutions and address gaps in therapeutic areas, resulting in sales goal achievement. Develops professional relationships and differentiates the Anti-Infective portfolio's value proposition at all levels (C-Suite, Physicians, Hospital Staff, Support Personnel) within accounts and departments to further the use of the product portfolio. Strong understanding and ability to problem solve product and patient flow through Specialty Pharmacy, Specialty Distribution, and Buy and Bill channels. Ability to coordinate and mobilize key stakeholders across multiple departments with competing goals to align individuals on patient focused solutions. Strong understanding and ability to problem solve product and patient flow through Specialty Pharmacy, Specialty Distribution, and Buy and Bill channels. Ability to coordinate and mobilize key stakeholders across multiple departments with competing goals to align individuals on patient focused solutions. Ability to achieve success in a complex, matrixed, account-based selling environment in which the need for collaboration and cross functional discipline is critical. Consistently partners with AbbVie in-field (MSLs, National Director of Accounts and Key Account Directors) to and in-house teams to identify, design, and/or adapt appropriate approaches and tactics. Creates, develops, executes, and monitors strategic geography business plans. Determines appropriate department, channel, HCP focus and frequency by account to deliver on sales objectives. Aligns appropriate resources to support tactic execution and adjusts as needed. Sources, interprets and utilizes key data by account to develop and maintain working account profiles and relationship maps for all territory accounts to maximize call continuum and communication. Consistently targets key stakeholders and decision makers within each hospital/institution/outpatient setting to expand physician usage and customer base. Attend and actively participate in local boards, societies, conventions, and other HCP meetings when appropriate. Represent AbbVie and assigned products at such venues, build/improve new/existing relationships. Channel key information, developments, or findings to internal partners/stakeholders. All communications in these forums are on-label. Complete all AbbVie required training and maintain adherence to all company policies and OEC/Legal procedures. Meet health care industry representative credentialing requirements to gain entry into facilities and organizations that are in assigned territory. These HCIR credentialing requirements may include, but are not limited to, background checks, drug screens, and proof of immunization/vaccination for various diseases * Proactively collaborates across multiple departments within healthcare institutions and across organizations. Seamlessly works with cross-functional partners including National Director of Accounts and Key Account Directors to develop processes within the account base while working with Medical Science Liaisons to develop compliant communication strategies. This role is field-based and candidates should live within a reasonable distance from the primary city. Talent will be hired at a level commensurate with experience. This geography covers St. Louis and the Western portion of Missouri. Qualifications Qualifications Bachelor's degree in health, sciences, pharmacy or business-related field preferred or relevant and equivalent industry experience required. Relevant and equivalent industry experience required in lieu of a bachelor's degree is at least five (5) years of experience with three (3) or more years of experience within the pharmaceutical/health/science industry preferred and a high school diploma/GED required. Account based selling experience (Hospitals, Wound Care Centers, or Infusion Centers) and experience building advocacy in hospitals, with or without a formulary win, for acute products. History of navigating the matrix environment within accounts and complex customers such as IDN's, Academic Institutions, Hospitals, Outpatient accounts etc. Knowledge of formulary approval process and driving formulary approvals. Experience with Buy and Bill and specialty pharmacy products is preferred. Documented history of strong sales performance, consistent top performer, in a challenging market space or product portfolio. Proven advanced sales skills, ability to communicate novel or complex products and process while keeping it simple and overcoming customer concerns, advancing the sale and gaining new business. Strong team player mentality and a successful history of working as an individual contributor within a collaborative environment. Strong business acumen: individual accountability and ownership of sales geography with the ability to multitask in a productive manner, solving problems and influencing without authority. Strong desire to "explore the unknown" and continuously enhance personal, professional, and account knowledge. Ability to effectively prioritize and manage multiple accounts. Business savvy, analytical ability to analyze diverse sets of data using multiple tools and define account/program strategies that drive Strong planning and organization skills. Strong presentation and facilitation skills. Proven ability to learn procedural, technical, and clinical information quickly. Ability to understand, articulate, and routinely present complex scientific information to a variety of audiences. Strong problem resolution skills. Influences others and is viewed as a credible and respected role model and resource among peers. Builds collaborative partnerships with colleagues and cross functional team. Leads by example; Consistently displays positive behaviors and peer coaching through changing and challenging environments. Ability to fully cover the assigned geography. * An essential requirement of your position is to satisfy all applicable health care industry representative (HCIR) credentialing requirements to gain and maintain entry into facilities and organizations that are in your assigned territory. You must also be in good standing and/or eligible to obtain these credentials. * These HCIR credentialing requirements may include, but are not limited to, background checks, drug screens, proof of immunization/vaccination for various diseases, fingerprinting and specific licenses required by individual state or cities. Please remember that you are solely responsible for ensuring that you satisfy all HCIR credentialing requirements and for any associated liability for failing to do so. AbbVie has resources available to you to help answer questions you may have. Additional Information Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law: * The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of this posting based on the job grade for this position. Individual compensation paid within this range will depend on many factors including geographic location, and we may ultimately pay more or less than the posted range. This range may be modified in the future. * We offer a comprehensive package of benefits including paid time off (vacation, holidays, sick), medical/dental/vision insurance and 401(k) to eligible employees. * This job is eligible to participate in our short-term incentive programs. Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole and absolute discretion unless and until paid and may be modified at the Company's sole and absolute discretion, consistent with applicable law. AbbVie is an equal opportunity employer and is committed to operating with integrity, driving innovation, transforming lives and serving our community. Equal Opportunity Employer/Veterans/Disabled. US & Puerto Rico only - to learn more, visit ************************************************************************* US & Puerto Rico applicants seeking a reasonable accommodation, click here to learn more: *************************************************************
$62k-80k yearly est. 5d ago

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Express Airfreight Specialist
Avia Solutions Group 4.4
Pasadena, TX jobs
Are you ready to charter your own career? The runway to success in global logistics begins here... Are you looking for an opportunity to work for a global brand where you can use your skills, be part of a diverse team and grow with a dynamic company? We are looking for a Express Airfreight Specialist to join the NFO team in Los Angeles OR Pasadena, California. The successful candidate will be passionate about the logistics industry, target and goal driven and have experience in freight forwarding and/or time-critical cargo. Purpose of the Role To evaluate customer needs and logistics/courier requirements and format an effective plan to meet such needs and requirements. To handle, monitor and follow-up on incoming customer requests for OBC/NFO shipments in a 24/7 shift cover. To maximize business opportunities by offering customers tailored-made solutions to meet with clients' requests within operational restrictions. To build strong productive relationships with clients to ensure business objectives are achieved. Responsibilities of the Role To exercise both discretion and independent judgment in performing the duties of the job. To work with management to develop appropriate policies to achieve the goals of the Company. To work directly with management to implement Company policies to ensure that customer needs are being met, such as budgeting and on time delivery. To evaluate customer business needs and logistics/courier requirements and format an effective plan to meet such needs and requirements. To handle, monitor and follow-up on incoming requests for OBC/NFO shipments in a 24/7 shift cover. To maximize business opportunities by offering customers tailored-made solutions to meet with clients' requests within operational restrictions. To build strong productive relationships with clients to ensure business objectives are achieved. Preparing of time-critical routing options for incoming requests ensuring a timely offer with detailed and accurate information is provided to clients. Allocating of couriers to pending orders for worldwide requests and booking of their travel arrangements. Liaise, direct and give clear detailed instructions and information to couriers on their assignments and modify assignments as broker deems necessary to meet global customer needs. Monitor and tracking of on-going shipments with the purpose to ensure a high quality service is delivered to the customers and the company's expectations are met at any time. Sourcing, selecting and negotiating with external suppliers and service providers with the responsibility of determining and delivering appropriate training if necessary to meet the company requirements. Debtor and Creditor Invoicing and order settlement. Keep up to date with activities of OBC/NFO coordinator(s) using the appropriate network of communication. Qualifications * Freight Forwarding and/or Time Critical Cargo experience is highly preferred. * Ability to travel when required in line with business needs. What We Offer Competitive salary Comprehensive benefits package Opportunity to join a global company and be part of a diverse international team Professional development and career opportunities Unlimited access to thousands of courses on LinkedIn Learning platform With more than 50 years of experience, the Chapman Freeborn group provides a diverse range of aviation-related services on a global basis. Our expertise in all areas of the air charter industry makes us the number one choice for many of the world's leading logistics providers, multinational corporations, travel partners, and well-known names from the entertainment business. Chapman Freeborn is a family member of Avia Solutions Group, a leading global aerospace services group with almost 100 offices and production stations providing aviation services and solutions worldwide. Avia Solutions Group unites a team of more than 11,500 professionals, providing state-of-the-art solutions to the aviation industry and beyond. Chapman Freeborn provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Download offer as PDF
$74k-108k yearly est. 7d ago
Outpatient Billing Coordinator
Behavioral Health Associates 3.9
Lehighton, PA jobs
Job DescriptionSalary: Negotiable - Based on Experience and Education Behavioral Health Associates (BHA) empowers clients by providing comprehensive and compassionate mental health services for all clients, regardless of the circumstances. How we approach this incredible tasks changes constantly. At the heart of every decision we make is each client that comes to BHA. Now is your opportunity to become part of the BHA community! We are seeking a detail-oriented and experienced full-time, Billing Coordinator to oversee the full lifecycle of our practice's financial health. You will be responsible for translating clinical actions into codes, submitting clean claims to payers, and ensuring our providers are properly credentialed with insurance networks. The ideal candidate is a problem-solver who understands the intersection of clinical documentation and financial reimbursement. ESSENTIAL DUTIES AND RESPONSIBILITIES Review clinical notes to assign accurate ICD-10-CM, CPT, and HCPCS Codes. Ensure all documentation meets federal and state compliance guidelines. Collaborate with providers to clarify documentation and prevent "upcoding" or "downcoding" risks. Submit electronic and paper claims to primary and secondary insurers. Perform denial management by analyzing "Explanation of Benefits" (EOBs) to appeal unpaid or underpaid claims. Manage patient billing inquiries and set up payment plans when necessary. Post payments and reconcile daily financial records. Manage initial credentialing and re-credentialing process for all providers. Maintain and update provider profiles in the CAQH database. Track expiration dates for medical licenses, DEA Certifications, and malpractice insurance. Act as the primary liaison between the practice and the insurance payer relations departments. Provider attestation to verify their compliance with laws, accurate demographic data, or specific program requirements, ensuring legitimacy and quality of care, commonly done through portals like Availity or CAQH for data purposes or for specific approvals like provider-based status. QUALIFICATIONS 1-2 Years of medical billing experience, preferred. High School Diploma or GED, Associates or Bachelors in Healthcare Administration, preferred. Active coding certification (e.g., CPC or CCS-P), preferred. Familiarity with EMR/EHR systems (e.g., eClinicalWorks, Athenahealth, or Epic) Deep understanding of HIPAA, CMS guidelines, and No Surprises Act. Ability to problem solve and critically think, specifically with spotting patterns in claim denials to improve the "Clean Claim Rate". Ability to effectively communicate with all stakeholders. Effectively explain complex billing issues to patients and providers with empathy and clarity. Basic computer literacy and proficiency with Microsoft Excel. Ability to utilize effective verbal and written expression. Up to date Child Abuse, State Police, FBI, and Mandated Reporter Training Clearances. BENEFITS Full Time, Year-Round, In-Person Family Friendly Schedule - No late evenings or weekends! Paid Leave for Sick, Personal, and Vacation Days, and a paid day off for your Birthday! Paid Holidays. Choice of Two Medical Plans, Dental, Vision and Voluntary Life Insurance. Company Paid: Group Life Insurance and Employee Assistance Program. Retirement Plan with Company Match up to 3% of your Annual Salary. Tuition Reimbursement Please submit letter of interest, resume, and current clearances to this posting. Click Here to complete BHA's Employment Application for Support Staff (Non-Teaching Positions) BHA is committed to a diverse and inclusive workplace. BHA is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age or other legally protected status.
$64k-100k yearly est. 3d ago
Senior Billing and Revenue Analyst
Eclinical Solutions 4.4
Massachusetts jobs
eClinical Solutions helps life sciences organizations around the world accelerate clinical development initiatives with expert data services and the elluminate Clinical Data Cloud - the foundation of digital trials. Together, the elluminate platform and digital data services give clients self-service access to all their data from one centralized location plus advanced analytics that help them make smarter, faster business decisions. You will make an impact: The Senior Revenue and Billing Analyst is responsible for overseeing and optimizing billing and revenue operations within NetSuite, ensuring invoices and revenue recognition align with customer contracts, company policies, and applicable accounting standards. This role partners closely with Project Management, Operations, and Finance to support accurate, timely, compliant, and scalable financial reporting. This position is expected to leverage NetSuite automation, reporting, and approved AI-enabled tools to improve efficiency, accuracy, and insight across billing and revenue processes while maintaining strong accounting judgment and internal controls. Accelerate your skills and career within a fast-growing company while impacting the future of healthcare. Your day to day: Develop, maintain, and optimize billing and revenue recognition rules for client services and licensing contracts in accordance with ASC 606, configured and maintained within NetSuite. Prepare, review, and issue customer invoices across multiple billing models, including time and materials, fixed fee, unit-based, milestone-based, percentage of completion, and subscription-based arrangements. Perform detailed contract reviews to ensure billing terms, performance obligations, and revenue schedules are accurately reflected in NetSuite. Reconcile contract financials, including amounts billed to date, deferred and recognized revenue, remaining contract balances, and phase-level tracking as required. Support month-end close activities, contract closeouts, third-party pass-through cost reconciliation, and internal and external audits. Leverage NetSuite saved searches, SuiteAnalytics, and reporting tools to analyze billing and revenue data, identify trends, variances, and potential issues. Utilize approved AI-enabled productivity and analytics tools (e.g., NetSuite analytics enhancements, Microsoft Copilot) to support reconciliations, variance analysis, forecasting, and reporting, validating all outputs for accuracy and compliance. Identify opportunities to streamline or automate billing and revenue workflows through NetSuite configuration, system enhancements, and AI-supported process improvements. Collaborate with Accounts Receivable, Project Management, Operations, Finance Systems, and other stakeholders to resolve billing inquiries, discrepancies, and process gaps. Other duties as assigned Take the first step towards your dream career. Here is what we are looking for in this role. Qualifications: Bachelor's Degree in Accounting, Finance, or related field or equivalent experience 5+ years of experience in billing, revenue, and contract accounting in a professional services and/or SaaS environment preferred Strong knowledge of revenue recognition principles under ASC 606. Advanced proficiency in NetSuite ERP, including billing, revenue recognition, saved searches, and reporting; experience with NetSuite SuiteProjectsPro (formerly OpenAir) preferred. Advanced proficiency in Microsoft Excel; experience using analytics, automation, or AI-enabled tools in a finance or accounting environment preferred. Highly detail-oriented with strong analytical, organizational, and communication skills. Accelerate your skills and career within a fast-growing company while impacting the future of healthcare. We have shared our story, now we look forward to learning yours! eClinical is a winner of the 2023 Top Workplaces USA national award! We have also received numerous Culture Excellence Awards celebrating our exceptional company vision, values, and employee experience. See all the details here: ****************************************************** eClinical Solutions is a people first organization. Our inclusive culture values the contribution that diversity brings to our business. We celebrate individual experiences that connect us and that inspire innovation in our community. Our team seeks out opportunities to learn, grow and continuously improve. Bring your authentic self, you are welcome here! We are proud to be an equal opportunity employer that values diversity. Our management team is committed to the principle that employment decisions are based on qualifications, merit, culture fit and business need. Pay Range US Pay Ranges $75,000 - $120,000 USD
$75k-120k yearly Auto-Apply 15d ago
Medical Customer Service/Medical Screener
Biolife Plasma Services 4.0
Wausau, WI jobs
By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice (************************************** and Terms of Use (********************************************* . I further attest that all information I submit in my employment application is true to the best of my knowledge. **Job Description** Please take this virtual tour to get a sneak peek of one of our Plasma Donation Centers. **_What We Offer:_** _- Comprehensive benefits starting on Day 1 - because your well-being matters_ _- On-demand pay - access a portion of your earned wages before payday_ _- Debt-free education opportunities - earn your degree or certifications with no out-of-pocket costs_ _- Paid training - we'll set you up for success from day one_ _- Career growth and advancement opportunities - build your future here_ **_!_** About the role: Every day, the donors you meet will motivate you. The high-quality plasma you collect will become life-changing medicines. Here, a commitment to customer service and quality is expected. You will report to the Plasma Center Manager and will perform as a plasma donor screener and perform phlebotomy to support plasma center operations. How you will contribute: · You will answer phones, and greet and focus on our donors, while ensuring the safety of donors and our team. · You will screen new and repeat donors and take and record donor vital signs and finger stick results. · You will use our Donor Information System, prepare donor charts, maintain accurate records, and coordinate donor compensation. · You will help identify operational opportunities for continuous improvement and initiate changes to center processes using company approved procedures. · You will be there for our donors, which includes working a variety of shifts, Saturdays and Sundays, and holidays. What you bring to Takeda: · High school diploma or equivalent · Ability to walk and/or stand for the entire work shift · Will work evenings, weekends, and holidays · Ability to lean, bend, stoop, crouch, and reach above shoulders and below knees · Ability to lift to 5 lbs., and occasional lifting of materials up to 32 lbs. and rarely 50 lbs. · Fine motor coordination, depth perception, and ability to hear equipment from a distance · Because of potential exposure to bloodborne pathogens (risk level 1), 90% of work tasks require prolonged glove wear · 1 or more years minimum experience working in a customer or patient facing role is helpful What Takeda can offer you: Every day at Takeda, we feel good knowing that what we do helps improve the lives of patients with rare diseases. At BioLife, while you focus on our donors, we will support you. We offer a purpose you can believe in, a team you can count on, opportunities for career growth, and a comprehensive benefits program to include retirement benefits, medical/dental, family leave, disability insurance and more, all in a fast-paced, friendly environment. More about us: At Takeda, we are transforming patient care through the development of novel specialty pharmaceuticals and best in class patient support programs. Takeda is a patient-focused company that will inspire and empower you to grow through life-changing work. Certified as a Global Top Employer, Takeda offers stimulating careers, encourages innovation, and strives for excellence in everything we do. We foster an inclusive, collaborative workplace, in which our teams are united by an unwavering commitment to provide Better Health and a Brighter Future to people around the world. **BioLife Compensation and Benefits Summary** We understand compensation is an important factor as you consider the next step in your career. We are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices. **For Location:** USA - WI - Wausau **U.S. Starting Hourly Wage:** $16.00 The starting hourly wage reflects the actual starting rate for this position. The actual hourly wage offered will be in accordance with state or local minimum wage requirements for the job location. U.S. based employees may be eligible for short-term incentives. U.S. based employees may be eligible to participate in medical, dental, vision insurance, a 401(k) plan and company match, short-term and long-term disability coverage, basic life insurance, a tuition reimbursement program, paid volunteer time off, company holidays, and well-being benefits, among others. U.S. based employees are also eligible to receive, per calendar year, up to 80 hours of sick time, and new hires are eligible to accrue up to 120 hours of paid vacation. **EEO Statement** _Takeda is proud in its commitment to creating a diverse workforce and providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, parental status, national origin, age, disability, citizenship status, genetic information or characteristics, marital status, status as a Vietnam era veteran, special disabled veteran, or other protected veteran in accordance with applicable federal, state and local laws, and any other characteristic protected by law._ **Locations** USA - WI - Wausau **Worker Type** Employee **Worker Sub-Type** Regular **Time Type** Full time **Job Exempt** No
$16 hourly 50d ago
Billing Specialist
Avante Health Solutions 3.7
Concord, NC jobs
As a member of the Customer Administration Management (CAM) team, the Billing Specialist is responsible for providing detailed financial and administrative services across the Avante Health Solutions organization. This position is primarily responsible for preparing, releasing, and distributing all Accounts Receivable (AR) invoices based on transaction type. The identification of Essential Job Function does not display an exhaustive list of all duties that may be assigned to this position, nor does it restrict the related work that may be assigned to this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Essential Job Functions & Responsibilities Prepare invoices for review and release for all shipments, service orders, service contracts, and rental orders Review invoices for correctness, including but not limited to, review of Purchase Order, Customer Bill To, and Sales Tax Distribute invoices in a timely manner to customers via email, virtual upload, mail, or fax, dependent upon customer preference and Enterprise Resource Planning (ERP) software (i.e. Acumatica) set-up Responsible for fielding incoming customer AR calls Support general Business Account Administration for initial set-up of Business Accounts and conversion of Customer accounts Work closely with CAM team members to maintain and update Business Accounts Coordinate with Sales Representatives and Customer Service Representatives for requests related to invoice preparation or distribution Serve as back-up for cash application within local facility Update customer purchase orders on invoices Provide invoice copies Assist in month-end closing procedures Adhere to company policies, guidelines, and regulatory requirements per ISO:13485 2016 standards and the Company's Quality Management System Demonstrate excellent communication skills to receive and convey information clearly and effectively at all levels of the organization Possess excellent interpersonal skills to interact effectively with staff, vendors and guests Help to identify continuous improvement in purchasing and administrative processes and offers solutions to promote efficiency as Avante continues to grow Work professionally and efficiently with all levels within the organization Adhere to all company employment policies and safe practices Perform other duties as assigned Experience/Training/Education Associates degree in accounting or similar field of study At least two years of Accounts Receivable experience in a professional work environment Or a qualifying combination of education and experience Billing experience in distribution, manufacturing, or warehouse industry preferred Strong working knowledge of an ERP preferred Knowledge/Skills/Abilities General: Exceptional ability to speak and write effectively in a business environment. Able to provide critical analysis and strategic thinking related to process improvement. Able to identify non-value-added work and make recommendations around quality and cycle time improvement. Ability to maintain an elevated level of accuracy in preparing and entering data. Superb time management and organizational skills with the ability to meet regular and frequent deadlines. Attention to detail required. Ability to work well as a team member. Must demonstrate sound work ethic, flexibility, respectfulness, honesty, and trustworthiness. Must also be punctual and dependable. Must possess cultural awareness and sensitivity. Technical: Requires knowledge and understanding of finance and accounting principles and procedures and planning. Requires knowledge of office practices and record keeping and reporting systems; records management and file maintenance. ability to effectively use Microsoft Products: Outlook, Word, Excel and to use or learn specific software needed to improve productivity. Communication: Strong oral and written communication skills Ability to read and interpret documents such as financial journals, operating and accounting instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively with customers or employees of the organization. Ability to read through reporting and compliance requirements. Math & Reasoning: Ability to work with mathematical concepts such as probability and statistical inference, and the ability to apply concepts such as fractions, percentages, ratios, and proportions to financial and practical situations. Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to deal with nonverbal symbolism such as, formulas, equations, graphs, tables, etc. Ability to deal with a variety of abstract and concrete variables. Physical and Environmental Elements Physical Demands: Ability to sit continuously for over 3/4 of normal work shift, and stand, walk, and reach with hands and arms for at least 1/4 of the normal work shift. Ability to climb stairs. Ability to lift and carry, push or pull up to 20 pounds for several minutes. Ability to stoop, crouch and reach. Ability to talk or hear continuously. Ability to see clearly to do all work-related tasks (clear or corrected vision at 20 inches or less). Finger dexterity is required frequently for over 3/4 of the normal work shift. Work Environment: Position is typically performed in the office environment with standard equipment and moderate noise levels (examples: computers, printers, fax, copiers, light traffic, and phone); however, will often interact with the production/warehouse environment. Thus, the employee works in a normal office setting and will travel to an open warehouse area where temperatures are subject to outdoor conditions in terms of cold and heat. There is exposure to various tools and equipment as well as forklift operations and corresponding noise levels. Special Requirements Driving record that is insurable May travel on occasion Company Culture Avante Health Solutions is committed to a respectful and purposeful work environment; this includes each team member taking responsibility for the greater good of the company and its goal to provide exceptional products and service, and to create a sustainable future for the company and its employees. Additionally, Avante Health Solutions is an Equal Opportunity Employer; we proudly promote a diverse workforce and do not discriminate. We encourage all employees and applicants who meet the position requirements to apply for advancement within the organization regardless of race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Harassment or inappropriate behavior of any kind is not tolerated and could be grounds for termination. If assistance or an accommodation due to a disability is needed, please discuss with the hiring manager.
$28k-36k yearly est. 15d ago
Billing Associate
Ethos Health Group LLC 4.0
Ocala, FL jobs
Job Description We are looking for a meticulous and experienced Billing Associate to join our billing department. This critical position is essential for our organization's financial well-being, as it ensures accurate and timely submission of patient claims to various insurance providers. The successful candidate will be a key contributor to our revenue cycle management, carefully managing the claims process from initial submission to final resolution. This is a full-time position, Monday through Friday, based in our Ocala office. Minimum Qualifications: High School Diploma or GED required 2-3 years of experience in medical billing within a healthcare provider setting Preferred Qualifications: Experience using EHR systems, billing software, and working knowledge of ICD-10 and CPT coding Responsibilities Review patient medical records to ensure accurate coding using ICD-10 and CPT codes Submit claims to Medicare, Medicaid, and commercial payers within established deadlines Monitor claim status and follow up on outstanding claims to ensure timely reimbursement Analyze claim denials and identify root causes Gather documentation and initiate appeals with insurance providers Work with clinical teams to correct coding errors and resolve discrepancies Respond to patient inquiries regarding billing statements and outstanding balances Clearly explain billing procedures and payment options to patients in a professional, empathetic manner Participates in special billing projects as assigned Skills and Abilities: Strong attention to detail and accuracy in data entry Careful claim review, and ability to manage multiple priorities efficiently Ability to explain complex billing information Knowledgeable of CPT/ICD-10 coding Excellent verbal and written communication skills Familiarity with payer requirements and claims adjudication processes Experience using a billing software and EHR system Proficiency with Microsoft Office and Google applications Positive attitude and demeanor
$26k-36k yearly est. 17d ago
Billing Specialist
Red Oak Behavioral Health 3.7
Akron, OH jobs
FULL-TIME Applicants must be located in Northeast OH. The Billing Specialist is responsible for ensuring that all providers are enrolled and active w/multiple payers to ensure timely billing of services. The role is responsible for processing, verification, and preparation of all commercial claims for insurance clients. The position maintains records of payments and handles administrative detail and follow-up. Essential Functions and Duties: Support the creation and implementation of a streamlined provider credentialing process to ensure appropriate enrollment of clinical staff, ensuring service delivery coincides with efficient and timely billing. Manage and update provider credentialing tools and processes to ensure there are no lapses in service delivery due to the inability to bill for services. Daily posting of Insurance payments and electronic remittance adviser (ERA) files (a.k.a. 835 transactions). Provide insurance verification and prior authorization for clients. Daily posting of Explanation of Benefits (EOB) and Explanation of Payments (EOP) for non-payments; management of denials and rebill/ Coordination of Benefits (COB) issues. Weekly compile and transmit claims Upload EOB into scanning solution (eBridge). Assists with prior authorization/benefit coordination and rebill claims, as needed. Assists with weekly submission of Centers for Medicare & Medicaid Services (CMS) claims Identify and assists in resolution of errors for all Insurance claims Performs regular review and investigates unpaid claims and other accounts receivable management projects. Assist clients in accessing and trouble shooting our Payment Hub, an online payment system. Fixes and Reversal of Payment issues on the Ohio MITS portal Maintain orderly, current, and up-to-date records of client insurance coverage to ensure accurate client files Assist other staff with general inquires and requests, as needed Unique responsibilities as assigned by supervisor or Management Qualifications: Associate degree or equivalent education from a two-year college or technical school with major in Medical Billing/Coding and/or Accounts/Receivable, plus 3-5 yrs. billing experience. Knowledge, Skills and Abilities: Excellent and proven attention to detail Strong computer/software management skills Excellent math skills. Ability to work well within a team environment Ability to work with a diverse group of people Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act (ADA) of 1990 and the Americans with Disabilities Amendments Act (ADAA) of 2008. While performing this job, the employee is regularly required to sit, talk, and hear. This job requires filing, opening, and closing of file cabinets, and the ability to bend and/or stand as necessary. This job is frequently required to use hands; handle, feel and reach with hands and arms; and may occasionally lift and/or move files and other related materials up to 20 pounds. The position requires regular use of a computer, calculator, and telephone. Work Environment: This job operates in a professional office environment and in the community. While performing the duties of this position in the office this role routinely uses standard office equipment such as computers, phones, photocopiers, and filing cabinets. The employee will occasionally travel by automobile and is exposed to changing weather conditions. The employee may be required to drive daily to nearby locations for meetings or visits to assigned work sites. This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. EEO Statement Red Oak is proud to be an equal opportunity workplace. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.
$29k-39k yearly est. 54d ago
Billing Specialist
Red Oak Behavioral Health 3.7
Akron, OH jobs
Job DescriptionDescription: FULL-TIME Applicants must be located in Northeast OH. The Billing Specialist is responsible for ensuring that all providers are enrolled and active w/multiple payers to ensure timely billing of services. The role is responsible for processing, verification, and preparation of all commercial claims for insurance clients. The position maintains records of payments and handles administrative detail and follow-up. Essential Functions and Duties: Support the creation and implementation of a streamlined provider credentialing process to ensure appropriate enrollment of clinical staff, ensuring service delivery coincides with efficient and timely billing. Manage and update provider credentialing tools and processes to ensure there are no lapses in service delivery due to the inability to bill for services. Daily posting of Insurance payments and electronic remittance adviser (ERA) files (a.k.a. 835 transactions). Provide insurance verification and prior authorization for clients. Daily posting of Explanation of Benefits (EOB) and Explanation of Payments (EOP) for non-payments; management of denials and rebill/ Coordination of Benefits (COB) issues. Weekly compile and transmit claims Upload EOB into scanning solution (eBridge). Assists with prior authorization/benefit coordination and rebill claims, as needed. Assists with weekly submission of Centers for Medicare & Medicaid Services (CMS) claims Identify and assists in resolution of errors for all Insurance claims Performs regular review and investigates unpaid claims and other accounts receivable management projects. Assist clients in accessing and trouble shooting our Payment Hub, an online payment system. Fixes and Reversal of Payment issues on the Ohio MITS portal Maintain orderly, current, and up-to-date records of client insurance coverage to ensure accurate client files Assist other staff with general inquires and requests, as needed Unique responsibilities as assigned by supervisor or Management Qualifications: Associate degree or equivalent education from a two-year college or technical school with major in Medical Billing/Coding and/or Accounts/Receivable, plus 3-5 yrs. billing experience. Knowledge, Skills and Abilities: Excellent and proven attention to detail Strong computer/software management skills Excellent math skills. Ability to work well within a team environment Ability to work with a diverse group of people Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act (ADA) of 1990 and the Americans with Disabilities Amendments Act (ADAA) of 2008. While performing this job, the employee is regularly required to sit, talk, and hear. This job requires filing, opening, and closing of file cabinets, and the ability to bend and/or stand as necessary. This job is frequently required to use hands; handle, feel and reach with hands and arms; and may occasionally lift and/or move files and other related materials up to 20 pounds. The position requires regular use of a computer, calculator, and telephone. Work Environment: This job operates in a professional office environment and in the community. While performing the duties of this position in the office this role routinely uses standard office equipment such as computers, phones, photocopiers, and filing cabinets. The employee will occasionally travel by automobile and is exposed to changing weather conditions. The employee may be required to drive daily to nearby locations for meetings or visits to assigned work sites. This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. EEO Statement Red Oak is proud to be an equal opportunity workplace. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status. Requirements:
$29k-39k yearly est. 25d ago
Outpatient Billing Coordinator
Behavioral Health Associates 3.9
Weissport, PA jobs
Behavioral Health Associates (BHA) empowers clients by providing comprehensive and compassionate mental health services for all clients, regardless of the circumstances. How we approach this incredible tasks changes constantly. At the heart of every decision we make is each client that comes to BHA. Now is your opportunity to become part of the BHA community! We are seeking a detail-oriented and experienced full-time, Billing Coordinator to oversee the full lifecycle of our practice's financial health. You will be responsible for translating clinical actions into codes, submitting clean claims to payers, and ensuring our providers are properly credentialed with insurance networks. The ideal candidate is a problem-solver who understands the intersection of clinical documentation and financial reimbursement. ESSENTIAL DUTIES AND RESPONSIBILITIES Review clinical notes to assign accurate ICD-10-CM, CPT, and HCPCS Codes. Ensure all documentation meets federal and state compliance guidelines. Collaborate with providers to clarify documentation and prevent "upcoding" or "downcoding" risks. Submit electronic and paper claims to primary and secondary insurers. Perform denial management by analyzing "Explanation of Benefits" (EOBs) to appeal unpaid or underpaid claims. Manage patient billing inquiries and set up payment plans when necessary. Post payments and reconcile daily financial records. Manage initial credentialing and re-credentialing process for all providers. Maintain and update provider profiles in the CAQH database. Track expiration dates for medical licenses, DEA Certifications, and malpractice insurance. Act as the primary liaison between the practice and the insurance payer relations departments. Provider attestation to verify their compliance with laws, accurate demographic data, or specific program requirements, ensuring legitimacy and quality of care, commonly done through portals like Availity or CAQH for data purposes or for specific approvals like provider-based status. QUALIFICATIONS 1-2 Years of medical billing experience, preferred. High School Diploma or GED, Associates or Bachelors in Healthcare Administration, preferred. Active coding certification (e.g., CPC or CCS-P), preferred. Familiarity with EMR/EHR systems (e.g., eClinicalWorks, Athenahealth, or Epic) Deep understanding of HIPAA, CMS guidelines, and No Surprises Act. Ability to problem solve and critically think, specifically with spotting patterns in claim denials to improve the "Clean Claim Rate". Ability to effectively communicate with all stakeholders. Effectively explain complex billing issues to patients and providers with empathy and clarity. Basic computer literacy and proficiency with Microsoft Excel. Ability to utilize effective verbal and written expression. Up to date Child Abuse, State Police, FBI, and Mandated Reporter Training Clearances. BENEFITS Full Time, Year-Round, In-Person Family Friendly Schedule - No late evenings or weekends! Paid Leave for Sick, Personal, and Vacation Days, and a paid day off for your Birthday! Paid Holidays. Choice of Two Medical Plans, Dental, Vision and Voluntary Life Insurance. Company Paid: Group Life Insurance and Employee Assistance Program. Retirement Plan with Company Match up to 3% of your Annual Salary. Tuition Reimbursement Please submit letter of interest, resume, and current clearances to this posting. Click Here to complete BHA's Employment Application for Support Staff (Non-Teaching Positions) BHA is committed to a diverse and inclusive workplace. BHA is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age or other legally protected status.
$38k-55k yearly est. 3d ago
Billing Coordinator II
Child Guidance Resource 4.3
Pennsylvania jobs
The Billing Coordinator II assists the Revenue Cycle Manager with claims resolution, denial management, as well as processing private and public insurance authorization and benefits. Primary functions include research and resubmission of rejected claims, maintenance of excel worksheets related to cash receipts, performing liaison services with payers and various other billing responsibilities. Some responsibilities include: Compilation and timely submission of claims to Commercial Insurance plans, including pre-billing report review. Verification of acceptance of Electronic Data Interchange (EDI) transactions to commercial insurance payers, where applicable. Accurate and timely entry of Commercial Insurance payments and denials from weekly remittance advices. Completes Commercial Insurance denial research and resubmissions as needed. Monitoring and tracking Commercial Insurance batch A/R reports to determine and rectify reasons for outstanding claim balances. Transferring client liability balances to secondary payer, where applicable. Monitoring and tracking secondary payer batch A/R reports and collaborates with Managed Care Organization (MCO) Billing Coordinator II to determine and rectify reasons for outstanding claim balances. Communicates with programs regarding outstanding client liability balances and works to identify and resolve outstanding items. Provides support to Revenue Cycle Manager with all billing, reporting and program liaison responsibilities. Provides training and guidance to billing staff as lead team member. Who is CGRC? CGRC is a premier behavioral health provider that embraces our employees as partners in our organization's strategic plan. What can CGRC do for you? Do YOU want to be a Change Agent? If so, we want you to be a part of the Child Guidance partnership. Working here means being open to new experiences both as an individual and as part of a team. We offer the opportunity to develop your leadership competencies and career interests on a personal level. Join any of our organizational committees, task forces, or work groups. It is important to us that you enjoy a healthy work-life balance, and we will encourage you to have personal goals that focus on self-care. At CGRC, you can enjoy a relaxed working environment with flexible work schedules that allow for a healthy work-life balance. We encourage and support career development and there are always opportunities for you to learn and grow within the organization. We have a competitive compensation package and generous time off and benefits for eligible employees. You and your family can also enjoy discounts and offers through our Tickets at Work Program. CGRC is an eligible employer for the Public Service Loan Forgiveness Program. APPLY NOW TO JOIN OUR TEAM! Child Guidance Resource Centers is an Equal Opportunity Employer
$31k-37k yearly est. Auto-Apply 4d ago
Patient Connection Supervisor
Mosaic Health 4.0
Florida jobs
How will you make an impact & Requirements Compensation: $48,070.00 to $60,087.50
$16k-28k yearly est. Auto-Apply 44d ago
Billing Coordinator II
Child Guidance Resource 4.3
Shavertown, PA jobs
The Billing Coordinator II assists the Revenue Cycle Manager with claims resolution, denial management, as well as processing private and public insurance authorization and benefits. Primary functions include research and resubmission of rejected claims, maintenance of excel worksheets related to cash receipts, performing liaison services with payers and various other billing responsibilities. Some responsibilities include: Compilation and timely submission of claims to Commercial Insurance plans, including pre-billing report review. Verification of acceptance of Electronic Data Interchange (EDI) transactions to commercial insurance payers, where applicable. Accurate and timely entry of Commercial Insurance payments and denials from weekly remittance advices. Completes Commercial Insurance denial research and resubmissions as needed. Monitoring and tracking Commercial Insurance batch A/R reports to determine and rectify reasons for outstanding claim balances. Transferring client liability balances to secondary payer, where applicable. Monitoring and tracking secondary payer batch A/R reports and collaborates with Managed Care Organization (MCO) Billing Coordinator II to determine and rectify reasons for outstanding claim balances. Communicates with programs regarding outstanding client liability balances and works to identify and resolve outstanding items. Provides support to Revenue Cycle Manager with all billing, reporting and program liaison responsibilities. Provides training and guidance to billing staff as lead team member. Who is CGRC? CGRC is a premier behavioral health provider that embraces our employees as partners in our organization's strategic plan. What can CGRC do for you? Do YOU want to be a Change Agent? If so, we want you to be a part of the Child Guidance partnership. Working here means being open to new experiences both as an individual and as part of a team. We offer the opportunity to develop your leadership competencies and career interests on a personal level. Join any of our organizational committees, task forces, or work groups. It is important to us that you enjoy a healthy work-life balance, and we will encourage you to have personal goals that focus on self-care. At CGRC, you can enjoy a relaxed working environment with flexible work schedules that allow for a healthy work-life balance. We encourage and support career development and there are always opportunities for you to learn and grow within the organization. We have a competitive compensation package and generous time off and benefits for eligible employees. You and your family can also enjoy discounts and offers through our Tickets at Work Program. CGRC is an eligible employer for the Public Service Loan Forgiveness Program. APPLY NOW TO JOIN OUR TEAM! Child Guidance Resource Centers is an Equal Opportunity Employer
$32k-39k yearly est. Auto-Apply 3d ago
Billing Specialist
Mosaic Health 4.0
Rochester, NY jobs
Mosaic Health is seeking a Billing Specialist with the ability to effectively reconcile accounts for a network of primary care facilities. Applicants with a certificate in billing/coding strongly preferred. Duties to include, but not limited to: Providing expert customer service Facilitating work flow between clients/payors/Mosaic Health staff Utilizing critical thinking skills to actively research problems and find account solution Reading/posting remittances and patient payments Preparing and transmitting electronic secondary and tertiary claims Preparing and entering all information for the monthly close Handling patient inquiries and billing questions Mosaic Health provides access to compassionate, individualized health care and wellness-related education for everyone regardless of financial, cultural, or social barriers. The Rochester Administration Office serves as the main administrative and operational hub for health centers across multiple counties in Western and Central New York. We offer a competitive salary and generous paid time off. Our comprehensive benefits package includes medical, dental and retirement plans with employer contributions. Advancement opportunities are available throughout our organization. Please visit ********************* EOE.
$29k-36k yearly est. 60d+ ago
Billing and Collections Specialist
Butte Home Health 3.7
Chico, CA jobs
About Us: At Butte Home Health, we are dedicated to providing compassionate and high-quality home care services. We believe in the power of teamwork and prioritize our patients' needs above all else. What You'll Be Doing: As a Billing and Collections Specialist, you will play a critical role in managing patient accounts following the provision of medical services. Your responsibilities will include: Acting as a liaison between our company, patients, and health plans Verifying patient information and obtaining/releasing clinical documentation Handling appeals and denials, and responding to health plan inquiries Processing and following up on aging accounts Generating collection reports and researching delinquent accounts Qualifications What You'll Need to Succeed: 2-3 years of healthcare billing and coding support experience, preferably in Home Care Services Experience with DDE and Medicare/Medi-Cal Advantage is a plus Understanding of contract management is beneficial Proficiency in using various computer programs and applications, including EMR/EHR systems Strong ability to multi-task, prioritize, and manage time effectively Medical Biller/Coder certification is highly desired Bilingual in Spanish is a plus Join Our Team! If you're ready to contribute to a team that strives for excellence and puts patients first, we'd love to hear from you!
$35k-40k yearly est. 19d ago
Revenue Cycle Management Specialist - Billing Support
Jag Physical Therapy 4.2
Tampa, FL jobs
As a part of our Billing Support Team, within the Revenue Cycle Management department, your primary responsibility is to assist patients with understanding their medical bills and resolving any billing issues. This includes explaining various billing components such as deductibles, coinsurance, out-of-pocket expenses, copays, and denials. Additionally, you will process credit card payments, communicate with other departments to address discrepancies, and ensure the accuracy of patient statements. Who We Are: JAG Physical Therapy's care-first model of rehabilitation may be the change you are looking for! JAG Physical Therapy, a comprehensive outpatient, orthopedic physical therapy company with 100 facilities throughout Pennsylvania, New Jersey, and New York, is seeking compassionate and motivated individuals to join our winning team! JAG has been honored by the area's top publications as the best in the business based on growth and outcomes and is considered the Gold Standard for physical therapy care by the Metro area's largest healthcare systems and insurance providers. What You'll Love About Us: Competitive pay Health, Dental, & Vision Benefits HSA Options including dependent care, medical, and commuter benefits $10,000.00 Term Life Insurance benefit at NO cost to employees up to 3 weeks PTO 401(k) with company match Yearly review for growth opportunities Tuition discounts for employees and their families TicketsAtWork and LifeMart company perks Our workplace fosters a close-knit and supportive environment where individuals genuinely care for and uplift one another, creating a strong sense of unity and camaraderie What You'll Need: High School or GED 2 to 3 years related work experience with Physical Therapy experience preferred Experience in EMRs and other medical billing software Knowledge of billing requirements and regulations of major payers Problem solving skills with attention to detail Strong verbal and written communication skills Excellent Customer service Proficient computer skills and knowledge of Microsoft Office Ability to prioritize and manage multiple tasks What You'll Do: Answer patient calls and provide clear explanations of their medical statements. Help patients understand billing terms such as deductibles, coinsurance, out-of-pocket expenses, copays, and denials. Address patient inquiries and concerns with empathy and professionalism. Billing and Payments: Process credit card payments securely and efficiently. Assist patients with setting up payment plans if needed. Communication and Coordination: Collaborate with other departments to review and resolve billing discrepancies. Ensure accurate and timely updates to patient accounts. Monthly Statement Runs: Prepare and send out monthly statements to patients. Ensure all statements are sent by the end of the month. Accuracy and Compliance: Verify the accuracy of patient statements and billing information. Adhere to company policies and regulatory requirements Important Disclaimer Notice: The above statements are only intended to represent the essential job functions and general nature of the work being performed and are not exhaustive of the tasks that an Employee may be required to perform. The employer reserves the right to revise this at any time and to require Employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or the work environment change. This job description is not a guarantee of employment. What you will love about our section is based on full-time employment with the company is not guaranteed based on employment type.
$23k-35k yearly est. Auto-Apply 60d+ ago
Revenue Cycle Management Specialist - AR & Denial RCS
Jag Physical Therapy 4.2
Tampa, FL jobs
Revenue Cycle Management Specialist I Revenue Cycle Management Specialist I, can work in all facets of the revenue cycle department. This role is focused on claims processing, managing accounts receivable, and ensuring proper collection is made on account within the best practice timeframe. Problem solving skills are required as the specialist must be able to use various tools, analyze the situation, research data, and resolve and/or formulate a decision. Who We Are: JAG Physical Therapy's care-first model of rehabilitation may be the change you are looking for! JAG Physical Therapy, a comprehensive outpatient, orthopedic physical therapy company with 100 facilities throughout Pennsylvania, New Jersey, and New York, is seeking compassionate and motivated individuals to join our winning team! JAG has been honored by the area's top publications as the best in the business based on growth and outcomes and is considered the Gold Standard for physical therapy care by the Metro area's largest healthcare systems and insurance providers. What You'll Love About Us: Competitive pay Health, Dental, & Vision Benefits HSA Options including dependent care, medical, and commuter benefits $10,000.00 Term Life Insurance benefit at NO cost to employees up to 3 weeks PTO 401(k) with company match Yearly review for growth opportunities Tuition discounts for employees and their families TicketsAtWork and LifeMart company perks Our workplace fosters a close-knit and supportive environment where individuals genuinely care for and uplift one another, creating a strong sense of unity and camaraderie What You'll Need: High School or GED 2 to 3 years related work experience with Physical Therapy experience preferred Experience in EMRs and other medical billing software Knowledge of billing requirements and regulations of major payers Problem solving skills with attention to detail Strong verbal and written communication skills Excellent Customer service Proficient computer skills and knowledge of Microsoft Office Ability to prioritize and manage multiple tasks What You'll Do: Identify trends and root causes related to RCM processes Responsible for clean claim billing, claim adjudication, denial management, payment posting, underpayments, patient liability, and other revenue cycle processes Completing daily worklist as assigned by leadership Identify challenges and opportunities for improvement Educate patients, staff, and/or providers regarding best practices Responsible for entering data in an accurate manner Documenting best practices and creating new workflows Provide excellent customer service to our patients and internal teams Other duties as assigned Important Disclaimer Notice: The above statements are only intended to represent the essential job functions and general nature of the work being performed and are not exhaustive of the tasks that an Employee may be required to perform. The employer reserves the right to revise this at any time and to require Employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or the work environment change. This job description is not a guarantee of employment. What you'll love about us section is based on full time employment with the company and is not guaranteed based on employment type.
$23k-35k yearly est. Auto-Apply 60d+ ago
Revenue Cycle Management Specialist - Payment Poster
Jag Physical Therapy 4.2
Tampa, FL jobs
As a Revenue Cycle Management Specialist within our Medical Payment Posting team, you will be expected to adopt a strategic approach to ensure the accurate recording and reconciliation of all financial transactions by specified deadlines. Your responsibilities will include managing credit balances, negotiating insurance underpayments, and overseeing the distribution of patient statements. This role is vital in maintaining the financial accuracy and integrity of the medical billing process. You will collaborate closely with the billing and collections teams to reconcile accounts and address any discrepancies. Who We Are: JAG Physical Therapy's care-first model of rehabilitation may be the change you are looking for! JAG Physical Therapy, a comprehensive outpatient, orthopedic physical therapy company with 100 facilities throughout Pennsylvania, New Jersey, and New York, is seeking compassionate and motivated individuals to join our winning team! JAG has been honored by the area's top publications as the best in the business based on growth and outcomes and is considered the Gold Standard for physical therapy care by the Metro area's largest healthcare systems and insurance providers. What You'll Love About Us: Competitive pay Health, Dental, & Vision Benefits HSA Options including dependent care, medical, and commuter benefits $10,000.00 Term Life Insurance benefit at NO cost to employees up to 3 weeks PTO 401(k) with company match Yearly review for growth opportunities Tuition discounts for employees and their families TicketsAtWork and LifeMart company perks Our workplace fosters a close-knit and supportive environment where individuals genuinely care for and uplift one another, creating a strong sense of unity and camaraderie What You'll Need: High School or GED 2 to 3 years related work experience with Physical Therapy experience preferred Experience in EMRs and other medical billing software Knowledge of billing requirements and regulations of major payers Problem solving skills with attention to detail Strong verbal and written communication skills Excellent Customer service Proficient computer skills and knowledge of Microsoft Office Ability to prioritize and manage multiple tasks What You'll Do: Payment Posting: Accurately post payments from patients and insurance companies to patient accounts. Ensure all payments are posted in a timely manner. Reconciliation: Reconcile daily deposits and payments with patient accounts. Identify and resolve any discrepancies in payment postings. Insurance Payments: Post insurance payments and adjustments according to Explanation of Benefits (EOBs). Verify the accuracy of insurance payments and follow up on any discrepancies. Patient Payments: Post patient payments received via mail, online, or in-person. Ensure patient payments are applied correctly to outstanding balances. Communication: Communicate with the billing and collections teams to address any payment issues. Provide support to patients and insurance companies regarding payment inquiries. Reporting: Generate and review payment reports to ensure accuracy. Assist in preparing financial reports as needed. Compliance: Adhere to all company policies and regulatory requirements. Maintain confidentiality of patient information. Important Disclaimer Notice: The above statements are only intended to represent the essential job functions and general nature of the work being performed and are not exhaustive of the tasks that an Employee may be required to perform. The employer reserves the right to revise this at any time and to require Employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or the work environment change. This job description is not a guarantee of employment. What you will love about our section is based on full-time employment with the company and is not guaranteed based on employment type.
$23k-35k yearly est. Auto-Apply 60d+ ago
Medical Biller
Hayat Pharmacy 3.6
Milwaukee, WI jobs
Pharmacy Medical Biller We're looking for a Pharmacy Medical Biller who can help keep our billing operations accurate, timely, and running smoothly. This role is ideal for someone who understands pharmacy billing systems, likes solving problems, and cares about supporting a team that delivers strong patient outcomes. What You'll Do You'll process insurance claims, review denials and rejections, and make sure everything is submitted accurately to Medicare, Medicaid, and commercial payers. You'll work closely with pharmacists and technicians to resolve billing issues, verify insurance, manage prior authorizations, and maintain organized billing records. You'll also respond to patient questions about billing or copays, reconcile daily claims, and help ensure compliance with HIPAA and pharmacy billing regulations. Your work directly supports the financial health of the pharmacy and helps patients receive the medications and services they rely on. What We're Looking For High school diploma or equivalent 1-2 years of billing experience (pharmacy billing strongly preferred) Familiarity with pharmacy benefit managers, insurance plans, and third-party billing Experience with PioneerRx is strongly preferred Solid understanding of reimbursement guidelines and payer policies Strong attention to detail and problem-solving skills Comfortable working with Microsoft Office and general computer systems Ability to manage multiple tasks while staying accurate and compliant Why Join Us You'll be part of a mission-driven pharmacy that focuses on patient care, access, and community impact. This role offers steady, meaningful work in a supportive environment, with opportunities to grow your skills and contribute to a team that makes a real difference. If you enjoy detailed work, take pride in accuracy, and want to support a pharmacy committed to exceptional service, we'd love to talk with you.
$29k-36k yearly est. Auto-Apply 56d ago
CBO Billing Specialist
Allegiance Health Management, Inc. 4.4
Bossier City, LA jobs
Job Description A billing specialist prepares and issues invoices, posts payments, and manages client accounts, ensuring financial data is accurate and consistent. Key duties include reviewing billing documents, tracking accounts receivable, reconciling payments, and communicating with clients about deadlines and discrepancies. This role often requires strong attention to detail, financial analysis skills, and proficiency with billing software.
$22k-28k yearly est. 5d ago