Collections Specialist jobs at Res-Care Premier - 472 jobs

Responsibilities include, but are not limited to, effective communication and coordination with Insurance companies and clients to obtain the maximum benefits for our clients. You will establish relationships with insurance carriers and obtain accurate, detailed insurance benefit information by phone and via the internet. Claim follow up will be conducted weekly, ensuring that accurate payments are received in a timely manner. Good verbal and written communication are required. Record keeping must be accurate and thorough. Flexibility with schedule so you can meet critical deadlines as established. Essential Job Functions: Review data on insurance policies to ensure accurate claim processing and payment. Accurately utilize the billing system. Create and submit claims if needed. Ensure corrected claims are submitted in a timely manner if needed. Follow-up with claims on a weekly basis, ensuring claims are received in a timely manner Prepare materials for submission to insurance companies as requested. Ensure unprocessed claims are followed up on timely. Develop and submit appeals, including supporting documentation as needed. Contact clients to collect on outstanding account balances. Process and send statements as needed. Maintain accurate and thorough records. Knowledge, Education, & Experience: Basic understanding of insurance terminology (out-of-network benefit s vs. in-network benefits, as well as coinsurance, co-pays, and deductibles), in addition to general billing practices. Coding/Billing Certificate from an accredited institute or school preferred. 1-year minimum healthcare experience with billing or insurance verification required. Employment Status: Full-Time Schedule: Monday-Friday Work Location: Remote Compensation: Pay Range: $25-28/hr.

At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through in neurology and oncology, with a strong emphasis on research and development. Our history includes the development of many innovative medicines, notably the discovery of the world's most widely-used treatment for Alzheimer's disease. As we continue to expand, we are seeking highly-motivated individuals who want to work in a fast-paced environment and make a difference. If this is your profile, we want to hear from you. Eisai is in the midst of an important launch of a new product in the U.S. focused on educating HCPs on a treatment for appropriate individuals suffering from mild cognitive impairment due to Alzheimer's disease (AD) or mild AD. The Neurology Account Specialist (NAS) will be part of a diverse team of sales professionals who support this important launch and will be responsible for developing and executing business plans for their assigned geography. In this role, the NAS will have the primary role of demand generation by conveying complex clinical information to customers and key stakeholders consistent with the FDA-approved indication. Additionally, the NAS will be responsible for ensuring customers are educated on the simplest patient journey to therapy within their assigned geography. The individual must be able to utilize exemplary interpersonal skills to uncover and address the customer's educational needs. The NAS will be required to effectively understand, navigate, and communicate a successful patient pathway to customers. The NAS will be an agile learner with the expectation of understanding Alzheimer's disease and the competitive landscape in which we will market our brand. They will build trusted professional relationships with appropriate Healthcare Professionals (HCPs), other HCPs, and office staff and be expected to work cross-functionally while adhering to all of Eisai's ethics and compliance standards. Responsibilities: * Responsible for sales and demand generation within assigned geography by effectively conveying complex clinical information to customers and key stakeholders. * Develop, maintain, and execute strategic key-account plans. * Effectively understand, navigate, and communicate a successful patient pathway to customers. * Anticipate and effectively manage business opportunities and challenges with HCPs in assigned geography. * Collaborate with cross-functional teams to assist in providing the knowledge needed for hospitals to make informed formulary decisions. * Conduct ongoing analysis for assigned IDNs (including market and account dynamics, stakeholder mapping/management, HCP referral process, access, account department drivers, patient pathway). * Engage and influence key customers (including local and regional hospital systems) to sustain a strong organizational presence in the Alzheimer's marketplace. * Seek out mentorship to learn and build key sales skills. Qualifications: Specialist- AD * Bachelor's degree with 3+ years experience in two or more of: infusion, diagnostic, biologic, medical device, buy and bill, rare disease, specialty pharmacy, and/or neurology; Neurology and infused product experience preferred. * Experience working with U.S. healthcare industry (including delivery of care, market access and reimbursement landscape, and key stakeholders that influence decision-making within local markets and healthcare systems). * Experience working with healthcare delivery systems (including buy & bill, specialty pharmacy, distribution models, medical device and/or biologics experience) strongly preferred. * Additional commercial function experience (e.g. sales training, marketing, managed markets, sales/business analytics) preferred. * Experience working with pharmaceutical manufacturer compliance & regulatory requirements preferred. * Experience navigating matrixed environments in a constructive and collaborative manner, notably across functions and with external business partners. Sr. Specialist- AD * Proven track record in successfully building and executing business plans for top markets within their geography. * Demonstrated success in driving growth and profitability, establishing strong trusted partnerships, leveraging market and customer insights, and strategic and tactical planning. * Experience effectively working and coordinating activities across of multidisciplinary matrix teams within Eisai. * Demonstrated success in networking, establishing, and maintaining strong business relationships with customers. * Proven performance as a Specialist and fulfillment of defined promotion criteria. As a condition of employment and an essential function of this field-based position, applicants must be able to engage in person with HCPs and other third parties at their offices, institutions and other appropriate locations on a regular basis. In order to gain in-person access, applicants selected for the position may be required to complete third parties' credentialing and/or entry requirements, which often include an attestation to and/or providing proof of having received certain vaccinations. To the extent you are unable to meet certain requirements for qualifying medical (including pregnancy-related) or religious reasons, applicants must request a reasonable accommodation by contacting the Human Resources Department.Skills:Clinical Acumen (AD), Critical Thinking & Agility, Focus On Customers & Partners, Sales Ops & Data Analytics, Sells Effectively & Makes Impact, Territory/Account Management Eisai Salary Transparency Language: The annual base salary range for the Sr. Neurology Account Specialist - (San Jose North, CA) (Field Based) is from :$144,600-$189,700 Under current guidelines, this position is eligible to participate in : Eisai Inc. Sales Incentive Plan. Final pay determinations will depend on various factors including but not limited to experience level, education, knowledge, and skills. Employees are eligible to participate in Company employee benefit programs. For additional information on Company employee benefits programs, visit ********************************************************** Certain other benefits may be available for this position, please discuss any questions with your recruiter. Eisai is an equal opportunity employer and as such, is committed in policy and in practice to recruit, hire, train, and promote in all job qualifications without regard to race, color, religion, gender, age, national origin, citizenship status, marital status, sexual orientation, gender identity, disability or veteran status. Similarly, considering the need for reasonable accommodations, Eisai prohibits discrimination against persons because of disability, including disabled veterans. Eisai Inc. participates in E-Verify. E-Verify is an Internet based system operated by the Department of Homeland Security in partnership with the Social Security Administration that allows participating employers to electronically verify the employment eligibility of all new hires in the United States. Please click on the following link for more information: Right To Work E-Verify Participation

At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through in neurology and oncology, with a strong emphasis on research and development. Our history includes the development of many innovative medicines, notably the discovery of the world's most widely-used treatment for Alzheimer's disease. As we continue to expand, we are seeking highly-motivated individuals who want to work in a fast-paced environment and make a difference. If this is your profile, we want to hear from you. Eisai is in the midst of an important launch of a new product in the U.S. focused on educating HCPs on a treatment for appropriate individuals suffering from mild cognitive impairment due to Alzheimer's disease (AD) or mild AD. The Neurology Account Specialist (NAS) will be part of a diverse team of sales professionals who support this important launch and will be responsible for developing and executing business plans for their assigned geography. In this role, the NAS will have the primary role of demand generation by conveying complex clinical information to customers and key stakeholders consistent with the FDA-approved indication. Additionally, the NAS will be responsible for ensuring customers are educated on the simplest patient journey to therapy within their assigned geography. The individual must be able to utilize exemplary interpersonal skills to uncover and address the customer's educational needs. The NAS will be required to effectively understand, navigate, and communicate a successful patient pathway to customers. The NAS will be an agile learner with the expectation of understanding Alzheimer's disease and the competitive landscape in which we will market our brand. They will build trusted professional relationships with appropriate Healthcare Professionals (HCPs), other HCPs, and office staff and be expected to work cross-functionally while adhering to all of Eisai's ethics and compliance standards. Responsibilities: Responsible for sales and demand generation within assigned geography by effectively conveying complex clinical information to customers and key stakeholders. Develop, maintain, and execute strategic key-account plans. Effectively understand, navigate, and communicate a successful patient pathway to customers. Anticipate and effectively manage business opportunities and challenges with HCPs in assigned geography. Collaborate with cross-functional teams to assist in providing the knowledge needed for hospitals to make informed formulary decisions. Conduct ongoing analysis for assigned IDNs (including market and account dynamics, stakeholder mapping/management, HCP referral process, access, account department drivers, patient pathway). Engage and influence key customers (including local and regional hospital systems) to sustain a strong organizational presence in the Alzheimer's marketplace. Seek out mentorship to learn and build key sales skills. Qualifications: Specialist- AD Bachelor's degree with 3+ years experience in two or more of: infusion, diagnostic, biologic, medical device, buy and bill, rare disease, specialty pharmacy, and/or neurology; Neurology and infused product experience preferred. Experience working with U.S. healthcare industry (including delivery of care, market access and reimbursement landscape, and key stakeholders that influence decision-making within local markets and healthcare systems). Experience working with healthcare delivery systems (including buy & bill, specialty pharmacy, distribution models, medical device and/or biologics experience) strongly preferred. Additional commercial function experience (e.g. sales training, marketing, managed markets, sales/business analytics) preferred. Experience working with pharmaceutical manufacturer compliance & regulatory requirements preferred. Experience navigating matrixed environments in a constructive and collaborative manner, notably across functions and with external business partners. Sr. Specialist- AD Proven track record in successfully building and executing business plans for top markets within their geography. Demonstrated success in driving growth and profitability, establishing strong trusted partnerships, leveraging market and customer insights, and strategic and tactical planning. Experience effectively working and coordinating activities across of multidisciplinary matrix teams within Eisai. Demonstrated success in networking, establishing, and maintaining strong business relationships with customers. Proven performance as a Specialist and fulfillment of defined promotion criteria. As a condition of employment and an essential function of this field-based position, applicants must be able to engage in person with HCPs and other third parties at their offices, institutions and other appropriate locations on a regular basis. In order to gain in-person access, applicants selected for the position may be required to complete third parties' credentialing and/or entry requirements, which often include an attestation to and/or providing proof of having received certain vaccinations. To the extent you are unable to meet certain requirements for qualifying medical (including pregnancy-related) or religious reasons, applicants must request a reasonable accommodation by contacting the Human Resources Department.Skills:Clinical Acumen (AD), Critical Thinking & Agility, Focus On Customers & Partners, Sales Ops & Data Analytics, Sells Effectively & Makes Impact, Territory/Account Management Eisai Salary Transparency Language: The annual base salary range for the Sr. Neurology Account Specialist - (San Jose North, CA) (Field Based) is from :$144,600-$189,700Under current guidelines, this position is eligible to participate in : Eisai Inc. Sales Incentive Plan. Final pay determinations will depend on various factors including but not limited to experience level, education, knowledge, and skills. Employees are eligible to participate in Company employee benefit programs. For additional information on Company employee benefits programs, visit ********************************************************** Certain other benefits may be available for this position, please discuss any questions with your recruiter. Eisai is an equal opportunity employer and as such, is committed in policy and in practice to recruit, hire, train, and promote in all job qualifications without regard to race, color, religion, gender, age, national origin, citizenship status, marital status, sexual orientation, gender identity, disability or veteran status. Similarly, considering the need for reasonable accommodations, Eisai prohibits discrimination against persons because of disability, including disabled veterans. Eisai Inc. participates in E-Verify. E-Verify is an Internet based system operated by the Department of Homeland Security in partnership with the Social Security Administration that allows participating employers to electronically verify the employment eligibility of all new hires in the United States. Please click on the following link for more information: Right To Work E-Verify Participation

Shift: Monday through Friday, 8:00 AM - 5:00 PM Are you ready to work making the world a safer, healthier place? Join our mission to continuously move science forward; to innovate and advance all aspects of our business to improve the health and safety of our communities and lives. SUMMARY: Reporting directly to the Assistant Controller, the Collections Supervisor is responsible for managing, coordinating, and directing staff and activities related to collections on past due accounts and reconciliation of account discrepancies. Compensation: $70,000 per year ESSENTIAL FUNCTIONS: Responsible for all aspects of team performance management including hiring, goal setting, development, evaluating, performance improvement, motivation, and recognition. May provide ongoing feedback for performance improvement. Provides research, feedback, and decisions to resolve customer and staff questions and requirements. Work with the team and other internal clients to address concerns/issues. Develops and implements goals, objectives, policies, procedures, and work standards. Works collaboratively with internal/external clients in regard to payment plans, disputes, account reconciliations, etc. Processes more complex credit card payments or payments where the client contacts us directly with a request on their account. Contact clients regarding past due invoices; contact clients regarding duplicate payments, overpayments, underpayments and credits; document all contacts and conversation in system. Assists collections team with complex unapplied payments as required. Contributes to the efficiency and effectiveness of the department's service to its customers by offering suggestions and directing or participating as an active member of a work team. Drive process improvement projects as identified by manager and performs other administrative support duties as assigned Ensures daily work activities are being prioritized and delegated appropriately; reroutes or redeploys work as necessary amongst the team to ensure departmental goals and objectives are being met. Builds an engaging team environment by training and coaching associates. Recognizes outstanding team member contributions. Listens to team members feedback and resolves issues or conflicts. May lead regular team meetings and communicate essential information to the team. Promotes and supports the overall mission of Pace Analytical by demonstrating courteous and cooperative behavior when interacting with customers and team members; acts in a manner that promotes a harmonious and effective workplace environment. QUALIFICATIONS: Education and Experience: Associates' degree or higher in Business, Accounting, Finance, or related field. Previous leadership experience is beneficial 2-4 years' experience in accounting, cash application, accounts receivable, or related field Required Knowledge and Skills Understanding of principles of finance, accounting, and bookkeeping Experience with managing customer accounts and reconciliations Proficiency in MS Office, specifically Excel Working knowledge of ERP systems, such as Great Plains, JDE, SAP, Epicor, etc. Excellent oral and written communication skills Ability to lead, coach, and mentor teammates Ability to influence change amongst broad groups Required Competencies: Teamwork - works collaboratively as part of a team and works cross functionally to achieve company goals. Customer Service - manages customer situations and responds promptly and consistently to customer needs. Organization and Time Management - handles multiple projects simultaneously with strong attention to detail. Detail-oriented - focuses on data for accuracy to complete job duties, with a high degree of accuracy; makes a conscious effort to understand root causes, not just effects. Problem-solving - reviews multiple sources of information, collects data, and uses intuition and experience to resolve issues for internal and external partners Analytical - synthesizes complex or diverse information; collects and researches data; uses intuition and experience to complement data PHYSICAL/MENTAL REQUIREMENTS: Mobility to work in an office setting, use standard office equipment and stamina to sit for extended periods of time; strength to lift and carry up to 10 pounds; vision to read printed materials and computer screens; and hearing and speech to communicate in person or over the telephone. WORKING ENVIRONMENT: Work is performed in a hybrid and/or remote setting. Find Your Place at Pace - We need you - your curiosity, your talents, and your drive - to help us advance this important work. Benefits When you join Pace , you commit to work that makes a positive impact on our communities and our world. We commit to supporting you with benefits and perks that make a positive impact on your life. Full-time roles are eligible for our comprehensive benefits program which includes competitive salaries, medical, dental vision, 401K retirement savings plan (100% vested immediately in the employer match), life, disability and voluntary benefits, paid time off for holiday, sick and vacation days, HSA, wellness program, flexible spending accounts, tuition reimbursement, Employee Assistance program, parental leave, optional legal coverage and ID theft. Equal Opportunity Employer Pace provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, creed, color, religion, genetics, protected veteran status, national origin, sex, age, disability, marital status, sexual orientation, gender identity or expression, citizenship, 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.

YOUR PASSION, ACTIONS & FOCUS is our Strength. Become one of our Contributors! Join the CareTria Team! Analyst, 3PL Accounts Receviable will play a key role in driving process improvements, improving cash flow for our clients, and ensuring accuracy and integrity of receivables data. The AR analyst holds responsibility for invoicing review, reconciling accounts, and contributing to overall financial accuracy on behalf of Knipper 3PL clients. This role requires strong analytical skills, deep knowledge of AR best practices, and the ability to work cross-functionally with internal teams and external partners. Remote opportunity supporting our 3PL Business Needs Responsibilities Analyzing and reviewing customer invoices and promptly processing them for order to cash clients. Implementing effective credit control measures and monitoring customer account details for non-payments, delayed payments and other irregularities. Reviewing AR aging to ensure compliance with established policies and procedures. Initiating collections on past-due accounts and working with customers to resolve payment disputes. Generating financial statements and reports for management and stakeholders Investigating and resolving any irregularities or enquiries related to accounts receivable Assisting in general financial management and analysis Ensuring compliance with all internal and external audit requirements Participating in month-end closing processes and reconciling accounts. Support internal and external audits related to AR Assisting in streamlining and improving the accounts receivable process. The above duties are meant to be representative of the position and not all-inclusive. Qualifications MINIMUM JOB REQUIREMENTS: Associate degree in Accounting, Finance, or related field (preferred) or equivalent combination of education and experience Proficiency in accounting software (e.g., Oracle, NetSuite, Quickbooks, D365) Excellent communication and interpersonal skills with internal and external customers Two years of previous accounts receivable experience preferred. Two years of experience providing customer service to internal and external parties Proficiency in Microsoft Excel KNOWLEDGE, SKILLS & ABILITIES: Familiarity with GAAP accounting principles Demonstrates strong data and information analysis. Strong experience providing customer service to internal and external parties. Knowledge of CRM and cloud-based software is preferred. Strong time management, organizational skills, initiative, professional demeanor, and positive attitude. Ability to work independently and meet timelines Ability to promote a positive team environment. PHYSICAL DEMANDS: Location of job activities 100% inside Extensive manual dexterity (keyboarding, mouse, phone) Use of phone for communication Sit for prolonged periods of time. Occasionally stoop, kneel, and crouch Occasionally lift, carry, and move up to 25 pounds. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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

7,000 Diseases - 500 Treatments - 1 Rare Pharmacy PANTHERx is the nation's largest rare disease pharmacy, and we put the patient experience at the top of everything that we do. If you are looking for a career in the healthcare field that embraces authentic dedication to patient care, you don't need to look beyond PANTHERx. In every line of service, in every position and area of expertise, PANTHERx associates are driven to provide the highest quality outcomes for our patients. We are seeking team members who: Are inspired and compassionate problem solvers; Produce high quality work; Thrive in the excitement of the ever-challenging environment of modern medicine; and Are committed to achieving superior health outcomes for people living with rare and devastating diseases. At PANTHERx, we know our employees are the driving force in what we do. We cultivate talent and encourage growth within PANTHERx so that our associates can continue to explore their interests and expand their careers. Guided by our mission to provide uncompromising quality every day, we continue our strategic growth to further reach those affected by rare diseases. Join the PANTHERx team, and define your own RxARE future in healthcare! Location: Pittsburgh, PA (Hybrid) Classification: Non-Exempt Status: Full-Time Reports to: Supervisor, Patient Access Purpose The Insurance Resolution Specialist verifies patient pharmacy and medical claims accurately and quickly. This role liaises between patients, insurance companies, and government agencies to ensure patient receives medication accurately and timely and the appropriate entity is being billed. Responsibilities Verifies all benefit information needed to process a claim under pharmacy or medical coverage. Processes pharmacy claims on the patient's behalf through a pharmacy benefit system. Verifies medical benefits accurately on patient's behalf. Obtains authorizations & overrides as needed in coordination with insurance providers. Processes patient information for copay cards and/or assistance programs. Discusses with patients a review of patient financial responsibility, and obtains patient consent and payment. Ensures proper shipment set up of prescriptions. Supports special projects Other tasks as assigned. Required Qualifications High school diploma or general education degree (GED). Minimum 2 years' experience processing pharmacy claims and benefit investigation. Strong written and verbal communication skills necessary to convey ideas professionally and effectively. Ability to multitask. Proficient with Cover My Meds (CMM), EDS billing systems, Excel, and Word. Preferred Qualifications Experience or knowledge within the healthcare industry, particularly a mail order or specialty pharmacy. Strong understanding of benefit verification/prior authorization process. Experience with CPR+ Work Environment This position operates in a home or professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Physical Demands While performing the duties of this job, the employee is regularly required to sit, see, talk, or hear. The employee frequently is required to stand; walk; use hands and fingers, handle or feel; and reach with hands and arms. Visual acuity is necessary for tasks such as reading or working with various forms of data for extended periods on a computer screen. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the job. Benefits: Hybrid, remote and flexible on-site work schedules are available, based on the position. PANTHERx Rare Pharmacy also affords an excellent benefit package, including but not limited to medical, dental, vision, health savings and flexible spending accounts, 401K with employer matching, employer-paid life insurance and short/long term disability coverage, and an Employee Assistance Program! Generous paid time off is also available to all full-time employees, as well as limited paid time off for part-time employees. Of course we offer paid holidays too! Equal Opportunity: PANTHERx Rare Pharmacy is an equal opportunity employer, and does not discriminate in recruiting, hiring, promotions or any term or condition of employment based on race, age, religion, gender, ethnicity, sexual orientation, gender identity, disability, protected veteran's status, or any other characteristic protected by federal, state or local laws.

ENT and Allergy Associates, LLP and Hümi is seeking a self-motivated, people-friendly full time Surgical Collector for our Corporate office location. Hourly: $30/hour The Surgical Collector job responsibilities include: Working the assigned physician A/R reports and contacting the insurance carriers via phone or online to follow up on claim status, verify insurance information and eligibility; Working the daily payment and adjustment report Working the 0.00 payment report and working this on a daily basis Submitting written appeals to insurance carriers for various claim denials; Reviewing charges for accuracy and proper modifiers and tasking PSA's for any corrections needed; Providing allowed amounts to surgical coordinators for deductible collection procedures prior to surgery; Contacting patients for collections of self pay balances, coinsurance, unpaid deductibles, etc.; Reviewing all surgery payments for accuracy and adjusting surgery claims according to the various insurance contracts; Scanning all insurance/patient correspondence received/sent into NextGen and attaching to the patients chart thru ICS; Working insurance correspondence which may require contacting the carrier, posting transactions in the system, generating tasks to the PSA's for information requested by the insurance company (ie: office notes, pre-existing forms); Reporting all unresolved issues to their immediate manager by status report Working any projects as priority when given by immediate supervisor and manager (DSO, high dollar accts) Following up on a monthly basis with their immediate manager for any special projects out to the provider rep that would affect their doctor's claims **Prior experience with medical insurance collections required.*** We offer a superior benefits package, including excellent medical and dental coverage. The ENT & Allergy Associates Network: ENT & Allergy Associates (ENTA) is the largest ENT, Allergy, and Audiology practice in the country, with over 475 clinicians who practice in over 80 clinical locations throughout New York, New Jersey, Pennsylvania, and Texas. Each ENTA clinical office is comprised of world-class physicians who are specialists and sub-specialists in their respective fields, providing the highest level of expertise and care. With a wide range of services including Adult and Pediatric ENT and Allergy, Voice and Swallowing, Advanced Sinus and Skull Base Surgery, Facial Plastics and Reconstructive Surgery, Treatment of Disorders of the Inner Ear and Dizziness, Asthma-related services, Diagnostic Audiology, Hearing Aid Dispensing, Sleep and CT Services, ENTA Is able to meet the needs of patients of all ages. ENTA is also affiliated with some of the most prestigious medical institutions in the world. Each year ENTA physicians are voted ‘Top Doctor' by Castle Connolly, a true testament to the exceptional care and service they provide to their patients. HÜMI: Backed by over 25 years of experience, Hümi (formerly Quality Medical Management Services USA, LLC, or QMMS USA) specializes in healthcare management and consultancy across practice operations and management, technology, revenue cycle, compliance, HR management, and business applications. With a seasoned team and a commitment to excellence, Hümi delivers cutting-edge healthcare business management solutions. By implementing best practices at every step, Hümi ensures measurable success for its clients. At its core, Hümi represents the human side of healthcare, where operational excellence meets a people-first philosophy. ENT and Allergy Associates is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

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.

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.

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

How will you make an impact & Requirements Compensation: $48,070.00 to $60,087.50

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

About Legent Health At Legent Health, our mission is simple yet profound: “To provide first-class health care that puts YOU first.” Our vision reflects our commitment to excellence: “Through robust physician partnerships, become a nationwide leader in compassionate, quality healthcare focused on the patient and available to everyone.” Our values, also known as our brand pillars, define how we stay true to our identity in the healthcare industry and the communities we serve. These values are central to everything we do: Respect: We honor the time and trust of both patients and physicians by delivering organized, efficient services that ensure a seamless healthcare experience. Service: We are committed to highly personalized care for patients, their families, and the physicians who serve them, driving optimal outcomes for all. Leadership: We strive to be a trusted leader through innovation, clear communication, and unwavering dedication to excellence across our employees and partners. Joining Legent Health means being part of a team that lives these principles every day, as we build a future focused on compassionate, quality care. About the Role The AR Specialist - Patient Financial Engagement will oversee patient accounts receivable management and early out collection strategies across our surgical facilities specializing in spine, orthopedic, ENT, and pain management procedures. This role is responsible for optimizing patient collections through proactive financial engagement, managing front-end collection processes, and ensuring timely patient communication throughout the revenue cycle. The ideal candidate will develop and implement strategic follow-up protocols, oversee statement processing timelines, and work collaboratively with registration, financial counseling, and billing teams to maximize patient collections while maintaining a compassionate, patient-centered approach. This position is critical to reducing bad debt, improving patient satisfaction scores related to billing, and accelerating cash flow from self-pay and patient responsibility balances. POSITION'S ESSENTIAL RESPONSIBILITIES: Primary Claims Management: Manage surgical workers' comp claims from authorization through payment - Track all workers' compensation surgical cases from initial scheduling through final reimbursement Collaborate with Verification of Benefits team - Assist in reviewing compensability determinations, confirming active claim status, and identifying red flags that could impact payment Partner with coding team on documentation - Review operative reports and clinical documentation to ensure medical necessity is clearly established and services are appropriately coded Expedite claim resolution - Proactively follow up on unpaid claims and work directly with adjusters to resolve payment delays Relationship Management: Build strategic relationships with adjusters at major carriers to facilitate faster claim processing Coordinate with nurse case managers to ensure surgical procedures are properly authorized Engage with employer representatives when appropriate to clarify coverage issues or expedite approvals Serve as facility liaison - Act as primary point of contact for all workers' compensation stakeholders Revenue Optimization: Maximize reimbursement under Texas fee schedules for surgical procedures, implants, and ancillary services Appeal underpayments and denials - Identify payments below fee schedule requirements or incorrect surgical reimbursement calculations Manage stop-loss and outlier provisions for high-cost surgical cases Track implant and device costs - Ensure proper billing for surgical implants, biologics, and high-cost medical devices Preauthorization and Compliance: Patient AR Management: Oversee early out program effectiveness - Monitor and optimize patient collection strategies within the first 120 days of service Manage patient AR aging buckets - Focus on 0-30, 31-60, and 61-90 day accounts to prevent progression to bad debt Implement strategic follow-up protocols - Design tiered communication strategies based on balance size, patient payment history, and procedure type Track and reduce patient AR days - Maintain aggressive targets for self-pay and patient responsibility collections Coordinate with third-party early out vendors - Manage vendor performance and ensure compliance with collection standards Front-End Collection Oversight: Develop point-of-service collection protocols - Create scripts and processes for registration staff to collect copays, deductibles, and deposits Train front desk staff on financial conversations - Ensure staff can confidently discuss estimates, payment options, and financial policies Monitor POS collection rates by location and staff member - Identify coaching opportunities and best practices Implement pre-service financial clearance processes - Ensure patients understand financial responsibility before elective procedures Oversee upfront deposit collection for high-dollar surgical procedures Patient Communication & Engagement: Ensure timely statement generation - Monitor statement cycles to guarantee first statements within 5 days of claim adjudication Design patient-friendly billing statements - Work with vendors to create clear, easy-to-understand statements Implement multi-channel communication strategies - Utilize text, email, phone, and portal messaging for patient outreach Develop automated reminder campaigns - Create touchpoints at key intervals (pre-service, post-service, pre-due date) Manage patient portal adoption for online payments and payment plan enrollment Strategic Follow-Up Protocols: Create balance-based collection strategies - Different approaches for small balance ( Implement propensity-to-pay scoring - Prioritize accounts based on likelihood of payment Design compassionate collection scripts - Balance revenue needs with patient sensitivity Develop escalation pathways - Clear protocols for when to offer payment plans, discounts, or financial assistance Coordinate warm handoffs to financial counselors for high-balance accounts Payment Options & Financial Assistance: Manage payment plan programs - Oversee automated payment plan setup and monitoring Coordinate prompt pay discount programs - Track utilization and revenue impact Process financial assistance applications - Ensure timely review and determination Partner with third-party financing vendors - Manage relationships with CareCredit, AccessOne, or similar programs Monitor charity care and presumptive eligibility screening processes Reporting & Analytics: Track key performance indicators - Patient collection rate, POS collection rate, statement-to-payment conversion Analyze payment patterns - Identify optimal timing and methods for patient engagement Report on early out program effectiveness - ROI analysis and vendor performance metrics Monitor patient satisfaction scores related to billing experience Identify process improvement opportunities through data analysis Cross-Functional Collaboration: Partner with Patient Access teams on upfront collections and estimates Work with Insurance Verification on patient responsibility calculations Coordinate with Customer Service on payment-related inquiries and disputes Collaborate with IT on patient portal enhancements and automation tools Support Clinical teams with financial clearance for scheduled procedures POSITION REQUIREMENTS: Excellent interpersonal skills - Ability to have sensitive financial conversations with empathy and professionalism Strong analytical capabilities - Interpret collection data and identify trends/opportunities Technology proficiency - Experience with patient engagement platforms, automated dialers, and payment portals Project management skills - Ability to implement new collection strategies and monitor results Training and coaching abilities - Develop staff capabilities in financial conversations Detail-oriented approach to payment posting and account reconciliation Understanding of healthcare billing, insurance EOBs, and patient responsibility calculations Knowledge of Fair Debt Collection Practices Act (FDCPA) and healthcare collection regulations Ability to balance revenue optimization with patient satisfaction and regulatory compliance Strong written communication for developing patient letters and scripts Experience with self-pay scoring models and segmentation strategies EDUCATION AND EXPERIENCE REQUIREMENTS: Minimum 3-5 years of patient account management or healthcare collections experience Proven success improving patient collection rates and reducing AR days Experience with early out programs and vendor management Knowledge of front-end revenue cycle processes and point-of-service collections Understanding of payment plan administration and financial assistance programs Experience with patient statement vendors and communication platforms Experience in surgical facilities or specialty practices with high-dollar procedures, preferred Certification in Healthcare Financial Management (CHFP) or Revenue Cycle (CRCR), preferred Knowledge of automated payment posting and reconciliation systems, preferred Experience with predictive analytics and propensity-to-pay modeling, preferred Bilingual capabilities (English/Spanish) for diverse patient populations, preferred Background in customer service or patient advocacy, preferred Experience implementing patient financing programs, preferred Why Join Legent Health? Legent Health fosters an environment where team members are empowered to deliver exceptional care while growing professionally within a supportive, values-driven culture. We Offer: Competitive salary and performance incentives Comprehensive benefits package Paid time off and wellness programs Career development and training opportunities Equal Employment Opportunity (EEO) Statement Legent Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, disability status, or any other legally protected characteristic. I-9 and E-Verify Compliance: Employment eligibility will be verified through the U.S. Department of Homeland Security's E-Verify system. All applicants must provide valid documentation to establish identity and authorization to work in the United States, as required by federal law.

ENT and Allergy Associates of Florida has been serving the needs of our patients for 62 years. Join us and experience what it's like to take pride in being part of a dynamic team that is on the cutting edge. ENT and Allergy Associates of Florida is currently seeking a Medical Billing Accounts Receivable Specialist for a full-time, Monday - Friday 8:30-5:00, position at our Boca Raton office. Our practice provides comprehensive general and subspecialty ENT medical and surgical care within the convenience of one medical group. Patient care is our top concern, and because we can provide both diagnosis and rehabilitative services, our patients know they can depend on our team for all their needs. Responsibilities: Collecting outstanding insurance and patient payments Reviewing and resolution of patient insurance EOB, insurance claim denials Calling insurance companies Re-filing claims Sending out insurance correspondence i.e. Medical records and copies of insurance cards, calling patients Sending patient collection letters Blocking patients accounts in the practice management system Preparing and sending patient accounts to the collection agency preparing adjustment sheets for review by the Doctor, Billing Manager and Director Answering phones regarding billing questions Assigned daily tasks, i.e. Mail and batching out credit card boxes Requirements: Minimum one-year medical Billing/Collections experience. Attention to detail and accuracy. Referral and insurance company knowledge. Working knowledge of medical terminology. Strong interpersonal skills. Strong organizational skills. Strong written and verbal communication skills with a clear speaking voice. The ability to work in a team environment. Strong computer literacy skills. Benefits: Medical, Dental and Vision: Effective 1st of the month after 60 days of full time employment. Company paid STD, LTD, Life: Effective 1st of the month after 1 year of full-time employment. 401(K): Effective 1st of the month after 1 year of employment. 6 Paid Holidays: Effective immediately. PTO: Time earned per pay period Physical Demands: Coordination, manual, and physical dexterity sufficient to properly and adequately use various items of office equipment as required of the position or directed by the Manager. The position may involve sitting, standing, bending, and stooping. Responsibilities may also require the incumbent to travel between ENTAAF offices for support purposes. The incumbent must also be capable of lifting up to 10 pounds. We will make reasonable accommodations for qualified individuals with disabilities if needed to perform the essential functions of the job. Salary will be based on experience. We are an equal-opportunity employer. We are a tobacco free workforce. We perform full Criminal, Government, Credit, Drug (to include Nicotine and Tobacco) drivers and professional license background checks on all applicants being considered for positions.

Job Description ENT and Allergy Associates of Florida has been serving the needs of our patients for 62 years. Join us and experience what it's like to take pride in being part of a dynamic team that is on the cutting edge. ENT and Allergy Associates of Florida is currently seeking a Medical Billing Accounts Receivable Specialist for a full-time, Monday - Friday 8:30-5:00, position at our Boca Raton office. Our practice provides comprehensive general and subspecialty ENT medical and surgical care within the convenience of one medical group. Patient care is our top concern, and because we can provide both diagnosis and rehabilitative services, our patients know they can depend on our team for all their needs. Responsibilities: Collecting outstanding insurance and patient payments Reviewing and resolution of patient insurance EOB, insurance claim denials Calling insurance companies Re-filing claims Sending out insurance correspondence i.e. Medical records and copies of insurance cards, calling patients Sending patient collection letters Blocking patients accounts in the practice management system Preparing and sending patient accounts to the collection agency preparing adjustment sheets for review by the Doctor, Billing Manager and Director Answering phones regarding billing questions Assigned daily tasks, i.e. Mail and batching out credit card boxes Requirements: Minimum one-year medical Billing/Collections experience. Attention to detail and accuracy. Referral and insurance company knowledge. Working knowledge of medical terminology. Strong interpersonal skills. Strong organizational skills. Strong written and verbal communication skills with a clear speaking voice. The ability to work in a team environment. Strong computer literacy skills. Benefits: Medical, Dental and Vision: Effective 1st of the month after 60 days of full time employment. Company paid STD, LTD, Life: Effective 1st of the month after 1 year of full-time employment. 401(K): Effective 1st of the month after 1 year of employment. 6 Paid Holidays: Effective immediately. PTO: Time earned per pay period Physical Demands: Coordination, manual, and physical dexterity sufficient to properly and adequately use various items of office equipment as required of the position or directed by the Manager. The position may involve sitting, standing, bending, and stooping. Responsibilities may also require the incumbent to travel between ENTAAF offices for support purposes. The incumbent must also be capable of lifting up to 10 pounds. We will make reasonable accommodations for qualified individuals with disabilities if needed to perform the essential functions of the job. Salary will be based on experience. We are an equal-opportunity employer. We are a tobacco free workforce. We perform full Criminal, Government, Credit, Drug (to include Nicotine and Tobacco) drivers and professional license background checks on all applicants being considered for positions.

Job DescriptionDescription: At the Orthopedic Institute of PA, our mission since 1971 has been to create an amazingly positive, memorable experience for every patient, family, and team member. We treat each other with crazy courtesy and exceptional empathy and work together to perfect processes to achieve our mission. You'll join a culture of excellence and teamwork, with a strong focus on investing in our team and local communities. OIP offers a great work environment, professional development, challenging careers, and competitive compensation. POSITION SUMMARY: Efficiently handle patient and staff inquiries, manage billing processes, and ensure accurate posting and reconciliation of payments. Perform insurance claim submissions, appeals, and collections while demonstrating strong independent work, time management, and problem-solving skills. ESSENTIAL FUNCTIONS Respond to incoming telephone inquiries from patients and internal staff in a courteous and efficient manner Review and analyze patient account balances for accuracy and resolution Accurately post patient payments and reconcile transactions Prepare and submit claims to insurance carriers in accordance with policy and compliance standards Research and process appeals for denied insurance claims Manage collection activities for outstanding patient balances Demonstrate strong self-motivation and the ability to work independently with excellent time management and multitasking skills Other duties as assigned - i.e. addressing billing inquiries, resolving claim rejections, generating reports, processing refunds, and handling returned or insufficient funds payments EDUCATION High School and GED required. Certification in Medical Billing and Coding preferred. EXPERIENCE Two years' experience in medical accounts receivable (A/R) resolution required. Prior experience in an orthopedic physician office setting preferred. Benefits Include: Competitive Wages Medical, Dental, Vision, Disability, and Life Insurance within 30 days Company-Paid Group Life Insurance, Short-Term Disability & Long-Term Disability Paid Time Off (PTO) 401(k) plan and profit sharing Cell-Phone Discounts Casual Day on Fridays! Career Advancement Opportunities Requirements:

At the Orthopedic Institute of PA, our mission since 1971 has been to create an amazingly positive, memorable experience for every patient, family, and team member. We treat each other with crazy courtesy and exceptional empathy and work together to perfect processes to achieve our mission. You'll join a culture of excellence and teamwork, with a strong focus on investing in our team and local communities. OIP offers a great work environment, professional development, challenging careers, and competitive compensation. POSITION SUMMARY: Efficiently handle patient and staff inquiries, manage billing processes, and ensure accurate posting and reconciliation of payments. Perform insurance claim submissions, appeals, and collections while demonstrating strong independent work, time management, and problem-solving skills. ESSENTIAL FUNCTIONS Respond to incoming telephone inquiries from patients and internal staff in a courteous and efficient manner Review and analyze patient account balances for accuracy and resolution Accurately post patient payments and reconcile transactions Prepare and submit claims to insurance carriers in accordance with policy and compliance standards Research and process appeals for denied insurance claims Manage collection activities for outstanding patient balances Demonstrate strong self-motivation and the ability to work independently with excellent time management and multitasking skills Other duties as assigned - i.e. addressing billing inquiries, resolving claim rejections, generating reports, processing refunds, and handling returned or insufficient funds payments EDUCATION High School and GED required. Certification in Medical Billing and Coding preferred. EXPERIENCE Two years' experience in medical accounts receivable (A/R) resolution required. Prior experience in an orthopedic physician office setting preferred. Benefits Include: Competitive Wages Medical, Dental, Vision, Disability, and Life Insurance within 30 days Company-Paid Group Life Insurance, Short-Term Disability & Long-Term Disability Paid Time Off (PTO) 401(k) plan and profit sharing Cell-Phone Discounts Casual Day on Fridays! Career Advancement Opportunities

Apply Description At the Orthopedic Institute of PA, our mission since 1971 has been to create an amazingly positive, memorable experience for every patient, family, and team member. We treat each other with crazy courtesy and exceptional empathy and work together to perfect processes to achieve our mission. You'll join a culture of excellence and teamwork, with a strong focus on investing in our team and local communities. OIP offers a great work environment, professional development, challenging careers, and competitive compensation. POSITION SUMMARY: Efficiently handle patient and staff inquiries, manage billing processes, and ensure accurate posting and reconciliation of payments. Perform insurance claim submissions, appeals, and collections while demonstrating strong independent work, time management, and problem-solving skills. ESSENTIAL FUNCTIONS Respond to incoming telephone inquiries from patients and internal staff in a courteous and efficient manner Review and analyze patient account balances for accuracy and resolution Accurately post patient payments and reconcile transactions Prepare and submit claims to insurance carriers in accordance with policy and compliance standards Research and process appeals for denied insurance claims Manage collection activities for outstanding patient balances Demonstrate strong self-motivation and the ability to work independently with excellent time management and multitasking skills Other duties as assigned - i.e. addressing billing inquiries, resolving claim rejections, generating reports, processing refunds, and handling returned or insufficient funds payments EDUCATION High School and GED required. Certification in Medical Billing and Coding preferred. EXPERIENCE Two years' experience in medical accounts receivable (A/R) resolution required. Prior experience in an orthopedic physician office setting preferred. Benefits Include: Competitive Wages Medical, Dental, Vision, Disability, and Life Insurance within 30 days Company-Paid Group Life Insurance, Short-Term Disability & Long-Term Disability Paid Time Off (PTO) 401(k) plan and profit sharing Cell-Phone Discounts Casual Day on Fridays! Career Advancement Opportunities