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Remote Client Account Specialist
Professional Careers
Remote revenue specialist job
We're looking for candidates with great customer service skills to fill our Remote Customer Service role!
This role is entirely remote and offers full-time/Part time hours with flexibility . We are ready to schedule interviews for this week.
We're seeking someone who is great with people, building relationships, and putting customers first. Our ideal candidate is eager to grow, ready to learn, and loves a fast-paced atmosphere.
Language Requirement: Proficient level English
Preferred experience/skills:
Previous experience in customer service or sales is a plus.
Great communication skills
Ability to listen to and understand customer needs.
Good problem-solving skills
Comfortable working remotely and independently
Willingness to learn and develop new skills.
Ability to adapt to change in a dynamic environment.
If this sounds like you, we'd love to chat!
What You Can Expect:
Flexible schedule
100% Remote position (Work from home)
Hands on training
Life insurance
Health insurance reimbursement
Industry-leading resources and technology
We hope to see your application soon!
$45k-74k yearly est. 11d ago
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Maternity Care Authorization Specialist (Hybrid Potential)
Christian Healthcare Ministries 4.1
Remote revenue specialist job
This role plays a key part in ensuring maternity care bills are processed accurately and members receive timely support during an important season of life. The specialist serves as a detail-oriented professional who upholds CHM's commitment to excellence, compassion, and integrity.
WHAT WE OFFER
Compensation based on experience.
Faith and purpose-based career opportunity!
Fully paid health benefits
Retirement and Life Insurance
12 paid holidays PLUS birthday
Lunch is provided DAILY.
Professional Development
Paid Training
ESSENTIAL JOB FUNCTIONS
Compile, verify, and organize information according to priorities to prepare data for entry
Check for duplicate records before processing
Accurately enter medical billing information into the company's software system
Research and correct documents submitted with incomplete or inaccurate details
Verify member information such as enrollment date, participation level, coverage status, and date of service before processing medical bills
Review data for accuracy and completeness
Uphold the values and culture of the organization
Follow company policies, procedures, and guidelines
Verify eligibility in accordance with established policies and definitions
Identify and escalate concerns to leadership as appropriate
Maintain daily productivity standards
Demonstrate eagerness and initiative to learn and take on a variety of tasks
Support the overall mission and culture of the organization
Perform other duties as assigned by management
SKILLS & COMPETENCIES
Core strengths like problem-solving, attention to detail, adaptability, collaboration, and time management.
Soft skills such as empathy (especially important in maternity care), professionalism, and being able to handle sensitive information with care.
EXPERIENCE REQUIREMENTS
Required: High school diploma or passage of a high school equivalency exam
Medical background preferred but not required.
Capacity to maintain confidentiality.
Ability to recognize, research and maintain accuracy.
Excellent communication skills both written and verbal.
Able to operate a PC, including working with information systems/applications.
Previous experience with Microsoft Office programs (I.e., Outlook, Word, Excel & Access)
Experience operating routine office equipment (i.e., faxes, copy machines, printers, multi-line telephones, etc.)
About Christian Healthcare Ministries
Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other's medical bills. The mission of CHM is to glorify God, show Christian love, and experience God's presence as Christians share each other's medical bills.
$31k-35k yearly est. 1d ago
CGP: Entry level -Billing Clerk ( Korean)
Century Group 4.3
Remote revenue specialist job
A leading marketing and technology clients is looking for a full-time billing clerk to join their team. You will be responsible for responsible for executing the day-to-day invoice processes and procedures for assigned customer/client(s) business lines. They want a high energy candidate with analytical and attention to detail skills. This role is 100% remote. Exact compensation may vary based on skills, experience and location. Expected starting base salary $38,000 to $40,000 per year
Job Description:
Complete invoice requests and approvals within approved service level agreements.
Troubleshoot customer/client billing issues: revise inaccurate data entry; solicit and gain required approval; expedite customer involvement; or identify internal operations issues for escalation.
Compile all job-related information and expenses required per job for submission to finance and accounting per billing schedule.
Ensure accurate capture, reconciliation, approval, and bill back of all third-party expenses including product purchase, creative, production, and fulfillment expenses.
Requirements:
Korean and English language skills
Proven accuracy in the preparation of billing/financial documents and intermediate knowledge with Microsoft Office Excel
Very high level of attention to detail
Good analytical and problem-solving skills
Excellent communication skills
Experience:
2+ years of billing management or accounting experience
REF 47089
#LI-POST
#ZR
$38k-40k yearly 6d ago
Payload Specialist
Battelle Memorial Institute 4.7
Revenue specialist job in Columbus, OH
Battelle delivers when others can't. We conduct research and development, manage national laboratories, design and manufacture products and deliver critical services for our clients-whether they are a multi-national corporation, a small start-up or a government agency.
We recognize and appreciate the value and contributions of individuals from a wide range of backgrounds and experiences and welcome all qualified individuals to apply.
**Job Summary**
As a Payload Specialist you will collaborate with solution architects and systems designers to perform live-fire evaluation of energetic solutions to enable effectiveness testing analysis (i.e. penetration, fragmentation, incendiary, etc). The energetics testing will help provide rapid assessment of materials, components, or payloads and inform strategic decision-making processes to help maximize mission effects while meeting safety, interoperability, customization, and affordability requirements.
**Responsibilities**
+ Translate operational requirements into payload and component specifications for energetic materials and solutions.
+ Develop and implement Test Safety Plans (TSPs) and hazard analyses to ensure safe execution of live-fire and laboratory tests.
+ Plan and execute tailored test series including modeling, simulation, benchtop trials, and instrumented arena/chamber tests for payload effectiveness.
+ Operate and utilize advanced diagnostics such as high-speed video, flash X-ray, photon Doppler velocimetry (PDV), and pressure/Time of Arrival (TOA) probes during testing.
+ Support formulation tailoring, pressing, casting, and component/housing interface customization to optimize lethality, impulse, and fragmentation signatures.
+ Participate in small-scale sensitivity and shock-to-detonation transition experiments to assess and improve payload safety and performance.
+ Support integration of computational modeling and scale-up processes to close the loop between chemistry, processing, and measured performance.
+ Document and report test results, post-test analysis, and recommendations for operational tailoring and further development.
**Key Qualifications**
+ Associate's degree in a related field with 7+ years of experience, or an equivalent combination of education and experience.
+ Demonstrated ability to solve complex problems and work as a part of team.
+ Exhibits technical knowledge and troubleshooting skills to complete complex assignments.
+ Ability to generate and follow procedures of significant complexity.
+ Demonstrates knowledge and understanding behind applications by creatively troubleshooting and correctly interpreting results.
**Nice to Have**
+ Experience with model-based systems engineering (MBSE) methodologies.
+ Experience with DoD Architecture Framework (DoDAF) and/or Unified Architectural Framework (UAF).
+ Experience supporting DoD programs.
+ Active Top-Secret Clearance.
**Benefits: Live an Extraordinary Life**
We care about your well-being, not just on the job. Battelle offers comprehensive and competitive benefits to help you live your best life.
+ **Balance life through a compressed work schedule** : Most of our team follows a flexible, compressed work schedule that allows for every other Friday off-giving you a dedicated day to accomplish things in your personal life without using vacation time.
+ **Enjoy enhanced work flexibility, including a hybrid arrangement:** You have options for where and when you work. Our Together with Flexibility model allows you to work 60% in-office and 40% remote, with Monday and Tuesday as common in-office days, dependent on team and position needs.
+ **Take time to recharge** : You get paid time off to support work-life balance and keep motivated.
+ **Prioritize wellness** : Stay healthy with medical, dental, and vision coverage with wellness incentives and benefits plus a variety of optional supplemental benefits.
+ **Better together** : Coverage for partners, gender-affirming care and health support, and family formation support.
+ **Build your financial future** : Build financial stability with an industry-leading 401(k) retirement savings plan. For most employees, we put in 5 percent whether you contribute or not, and match your contributions on top of that.
+ **Advance your education** : Tuition assistance is available to pursue higher education.
**A Work Environment Where You Succeed**
For brilliant minds in science, technology, engineering and business operations, Battelle is the place to do the greatest good by solving humanity's most pressing challenges and creating a safer, healthier and more secure world.
You will have the opportunity to thrive in a culture that inspires you to:
+ Apply your talent to challenging and meaningful projects
+ Receive select funding to pursue ideas in scientific and technological discovery
+ Partner with world-class experts in a collaborative environment
+ Nurture and develop the next generation of scientific leaders
+ Give back to and improve our communities
**Vaccinations & Safety Protocols**
_Battelle may require employees, based on job duties, work location, and/or its clients' requirements to follow certain safety protocols and to be vaccinated against a variety of viruses, bacteria, and diseases as a condition of employment and continued employment and to provide documentation that they are fully vaccinated. If applicable, Battelle will provide reasonable accommodations based on a qualified disability or medical condition through the Americans with Disabilities Act or the Rehabilitation Act or for a sincerely held religious belief under Title VII of the Civil Rights Act of 1964 (and related state laws)._
_Battelle is an equal opportunity employer. We provide employment and opportunities for advancement, compensation, training, and growth according to individual merit, without regard to race, color, religion, sex (including pregnancy), national origin, sexual orientation, gender identity or expression, marital status, age, genetic information, disability, veteran-status veteran or military status, or any other characteristic protected under applicable Federal, state, or local law. Our goal is for each staff member to have the opportunity to grow to the limits of their abilities and to achieve personal and organizational objectives. We will support positive programs for equal treatment of all staff and full utilization of all qualified employees at all levels within Battelle._
The above statements are intended to describe the nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, activities and skills required of staff members. **No statement herein is intended to imply any authorities to commit Battelle unless special written permission is granted by Battelle's Legal Department.**
For more information about our other openings, please visit ************************
$82k-103k yearly est. 4d ago
Coatings and Restoration Specialist
Polyglass USA, Inc./Mapei Group
Revenue specialist job in Columbus, OH
Polyglass USA, Inc
., a premier roofing materials manufacturer, has an opening for a Coatings and Restoration Specialist located in the Midwest. This role is primarily responsible for providing a defined territory sales and field technical support, product knowledge/training, and project support to consultants, architects, engineers, contractors, and distributors with the goal of educating/training customers and achieving a target revenue goal for that territory and driving repeat business.
What You Get to Do:
Attain/exceed territory revenue goals by providing sales support to customers in a defined territory
Sales support responsibilities include but are not limited to providing job leads to contractors, processing substitution requests, developing contacts/repeat customers in the contractor, architectural, consultant, engineering, and distribution community within the defined territory
Develop sales strategy and execute for the defined territory, including developing the appropriate product and customer mix to attain the defined revenue
Support the Technical Services Manager with waterproofing and air and vapor barrier installation and design needs
Represent the entire BES portfolio by seeking out both waterproofing and roofing opportunities, and work with the roofing group to develop and communicate leads
Design and develop technical content upon request, including but not limited to guide specifications, installation instructions, CAD drawings/system details, etc.)
Provides project support to contractors, specifiers, consultants, architects, and building owners on the job site, in person or via conference calls, to ensure successful project completions
Provide voice of customer from the field to product management and R&D for new product development projects
Support the BES training initiatives for both internal and external parties upon request
Manage relationships and promote Polyglass image/goals within requested industry associations (for example, IIBEC, CSI, SWRI, etc.)
What You Bring:
7+ years of related industry experience in a technical and or sales role
Ability to travel up to 30%
Join the Polyglass family today. ************************
$35k-68k yearly est. 5d ago
Revenue Cycle Specialist
Creative Financial Staffing 4.6
Remote revenue specialist job
Revenue Cycle Specialist (EZ-Claim Experience)
$24-26/hr | Remote | ColumbusOH
An established behavioral health organization is seeking a detail-oriented Revenue Cycle Specialist with hands-on EZ-Claim experience to support billing, collections, and insurance reimbursement processes. This Revenue Cycle Specialist role is fully remote, but candidates must be local in case on-site support is needed.
Responsibilities
Process insurance claims through EZ-Claim with accuracy and attention to detail
Review clinical documentation for correct coding and billing requirements
Monitor claim statuses, follow up on denials, and submit corrections or appeals
Post payments, reconcile accounts, and research discrepancies
Communicate with insurance companies regarding eligibility, benefits, and claim issues
Maintain updated knowledge of payer guidelines and behavioral health billing rules
Support month-end reporting and revenue cycle KPIs
Collaborate with clinical and administrative teams to resolve documentation or billing gaps
Qualifications
2+ years of experience in medical billing or revenue cycle; behavioral health preferred
Proficiency with EZ-Claim required
Strong understanding of insurance verification, authorizations, coding, and claim workflows
Experience with Medicaid and commercial payers
High attention to detail with strong problem-solving skills
Excellent communication skills and ability to collaborate with internal teams
Ability to work remotely while remaining available for occasional on-site needs as a Revenue Cycle Specialist
#INDEC2025
#INJAN2026
$24-26 hourly 1d ago
Revenue Enablement Specialist (Temporary)
Adroll 4.6
Remote revenue specialist job
We are seeking a detail-oriented and execution-focused Revenue Enablement Specialist to join our team on a 6-month temporary basis. This role will provide critical support to the Revenue Enablement function during a leave of absence, with a primary focus on onboarding program execution, enablement content creation, and CMS (Highspot) maintenance.
This is a hands-on role ideal for someone who enjoys bringing structure to enablement programs, creating clear and usable training materials, and supporting customer-facing teams through high-quality onboarding and learning experiences.
This role is open in San Francisco, New York City, or Remote locations.
Unsure that you check all the boxes? You should still apply! We'll review your application for other opportunities. We're always on the lookout for talented people and we're committed to developing each employee's career with over 1,800 training classes offered every year.
The impact you'll make:
Support the delivery, iteration, and ongoing maintenance of the onboarding program, ensuring new hires have a consistent and effective ramp experience
Maintain, organize, and improve enablement content within the CMS (Highspot preferred), ensuring resources are easy to find, up to date, and aligned to current messaging and processes
Create and update enablement materials such as onboarding modules, training decks, job aids, and self-serve resources
Partner with Revenue Enablement, Product Marketing, and Sales/CS stakeholders to incorporate updates to products, messaging, and processes into training materials
Support ad-hoc enablement and training initiatives as needed, including content updates, session support, and program coordination
Gather feedback from stakeholders and learners to help improve onboarding content, structure, and delivery over time
Skills you'll bring:
4+ years of overall experience, at least 2 of which are in revenue enablement, sales enablement, learning & development, instructional design, or a related role
Experience supporting or executing onboarding or training programs for customer-facing teams
Familiarity with enablement or learning management systems; experience with Highspot strongly preferred
Strong content creation skills, with the ability to turn complex information into clear, actionable learning materials
Foundational knowledge of instructional design principles and adult learning best practices
Strong written, verbal, and presentation skills, with comfort supporting live or asynchronous training
Highly organized, detail-oriented, and comfortable managing multiple workstreams in parallel
A self-starter who can take ownership of execution, follow through on deliverables, and ask clarifying questions when needed
Collaborative mindset and ability to work cross-functionally with Enablement, Product Marketing, and Revenue teams
Benefits and Perks:
Competitive pay
NextRoll covers 100% of the employee-only premium for our HSA medical plan, and 95% of the employee-only premium for our PPO, HMO, dental, and vision plans
NextRoll contributes 75% toward dependent premiums across all medical, dental, and vision plans
Paid holidays
401K Plan (Pre-tax, Roth and After-tax)
Join a community of fellow Rollers as a member of one of our Employee Resource Groups
Ample opportunities to volunteer with local organizations with NextRoll Gives Back
For additional benefits not mentioned, visit our Careers page
Additional Information:
Minimum hourly rate of $36 to maximum hourly rate of $53.24 + benefits.
The range provided is NextRoll's reasonable estimate of the base compensation for this role. The actual amount will be based on job-related and non-discriminatory factors such as location, experience, training, skills, and abilities. Consult with your Recruiter during the initial call to determine a more targeted range based on these job-related factors
About NextRoll:
NextRoll is a leading marketing technology company that empowers businesses to drive sustainable growth while building trusted connections with their audiences. Built on nearly two decades of AI and data expertise, NextRoll delivers its solutions through AdRoll, its flagship brand and connected advertising platform. The AdRoll platform brings together two powerful offerings: the AdRoll product, which helps brands generate awareness, deepen engagement, and drive measurable revenue through AI-powered multi-channel campaigns; and AdRoll ABM, a full-funnel account-based marketing product that unifies buyer insights, predictive AI, and multi-touch advertising to accelerate pipeline and revenue for B2B teams. Together, these solutions give marketers the clarity, efficiency, and performance they need to grow with confidence. NextRoll is a privately held company headquartered in San Francisco, CA.
We are committed to building diverse teams of “Rollers” and are proud to be an equal opportunity employer. Learn more about our DEI impact via our DEI Annual Report on our Culture page. All applicants will receive consideration without regard to race, color, ancestry, sex, religion, gender, gender identity or expression, sexual orientation, marital status, national origin, citizenship, genetics, disability, age, veteran status or other characteristics. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To request reasonable accommodation, contact ***********************************.
$36-53.2 hourly Auto-Apply 28d ago
Revenue Enablement Specialist
Onesource Virtual Hr 4.7
Remote revenue specialist job
OneSource Virtual (OSV) has helped more than 1,000 Workday customers take their teams from transactional to transformational with innovative technology and services for HR, payroll, and finance. Founded in 2008, OSV is the leading exclusive provider of Business-Process-as-a-Service (BPaaS) solutions for Workday, delivering services with unparalleled choice, unwavering commitment, and uncompromising support. OneSource Virtual's global headquarters is located in Dallas, Texas, with additional locations across North America and Europe. Find your company's solution at *************************
Position Summary/Objective
The Revenue Enablement Specialist (RES) will act as an integrating role between sales and various cross-functional areas, including revenue operations, product marketing, alliances, partner marketing, and field marketing. The RES will work closely with leadership to manage effective sales communication platforms that streamline sales touchpoints across various teams and drive the adoption of enablement programs, processes, and tools. The RES will contribute to the business administration of core sales enablement platforms (CMS/LMS) to ensure that role-based content and training are designed and delivered at the right time to support the sales and buyer journey. The RES will manage scaled learning experiences, including onboarding and key enablement initiatives supporting quarterly in-person, new hire training.
The ideal candidate for this position has empathy for sales (as your “customer”) and the organizational agility to collaborate across teams. This candidate is a motivated individual contributor who can work with moderate direction, and drive towards measurable increases in enablement program adoption and overall productivity across our revenue generating teams (internal and partner sales).
Essential Functions & Responsibilities:
· Curate sales communications and establish “rules of engagement” with sales leadership to ensure effective and timely delivery of essential sales information (content, training, processes, etc.).
· Facilitate quarterly “Growth Team Academy” hosted in Headquarters (Dallas TX).
· Take on ownership, measure, and drive adoption of the monthly “Growth Team Newsletter”.
· Curate real-time, self-service news within the Seismic NewsCenter platform.
· Foster a culture of knowledge sharing by owning current programs and platforms that enable peer-to-peer learning
· Coordinate cross-functional contributions to onboarding and GTA programs, ensuring consistent and high-quality delivery
· Contribute towards the UI/UE and organization of sales content and training as an administrator within the Seismic platform; curate role-based and sales stage specific navigation paths to content and support content governance best practices across contributor teams.
· Establish relationships and trust across sales teams and participate in core sales meetings (QBRs, all-hands, forecast calls, etc.) to understand sales needs, obtain feedback and evangelize best practices on a regular basis.
· Support the development and execution of the annual SKO agenda and other sales events.
· Complete projects in a timely manner and communicate effectively; this role will be supported by leadership, with regular touchpoints, priority/goal-setting discussions, and performance reviews.
· Seek professional growth by actively identifying new opportunities for learning & development.
Core Competencies
· Effective Communication
· Situational Adaptability
· Relationship Management
· Manages Complexity
· Learning Agility
Supervisory Responsibility
This role has no managerial responsibility.
Qualifications and Experience
· Bachelor's degree or equivalent
· Minimum of 3 years of sales/operations/enablement experience within B2B technology organizations; SaaS/HCM experience is preferred.
· Excellent communication, interpersonal and teamwork skills
· Strong writing, editing, and time management skills.
· Instructional design experience a bonus
· Ability to manage multiple projects and meet deadlines.
· Experience with core sales platforms/tools, such as Seismic Content or Seismic Learning and Salesforce.
#LI-REMOTE
You are encouraged to learn and share ideas when you join the OneSource Virtual team. We reward innovative thinking, fresh perspectives, creative collaboration, and hard work. As an organization experiencing routine strategic growth, we are always on the lookout for intelligent, talented, and forward-thinking professionals to join our team. OSV employees enjoy a values-based culture, upward mobility, and professional development with opportunities of all kinds.
$33k-52k yearly est. Auto-Apply 6d ago
Revenue Cycle Specialist
Cardioone
Remote revenue specialist job
About the Company
CardioOne partners with independent cardiologists to provide innovative solutions that improve patient outcomes and reduce costs. Our platform helps our physician partners thrive in today's fee-for-service environment and prepare for success in value-based care. In February 2024, we partnered with WindRose Health Investors as well as top physician services and payor executives to grow our team and invest in our next phase of growth.
Join us in our mission to positively impact US cardiology.
About the Job
We are seeking a detail-oriented and seasoned Revenue Cycle Specialist to join our growing team! The ideal candidate will have a demonstrated knowledge of medical billing, preferably in cardiology services. We seek an organized critical thinker with billing knowledge and who is comfortable working with providers, insurance companies, and in a fast-paced environment. This role offers an exciting opportunity to dive into the heart of healthcare finance, where you'll play a crucial part in our practice's success while developing valuable skills for your future career growth.
What you'll do:
Ensure that insurance information is entered correctly for successful claim submission and payment.
Communicate with Patients to ensure understanding of patient balance, billing concerns, projected out of pocket expenses and correct insurance information is on file,
Work in multiple computer systems to obtain and organize information to support billing
Resolve claims that require pre-bill resolution
Resolve payment denials
Oversee billing-related inventories in multiple systems, ensuring inventory volume and aging remains within thresholds
Conduct reconciliation processes, ensuring no charge goes uncaptured
Manage communications between practice and vendor staff and organizations
Reports status of various revenue cycle metrics and escalates issues for resolution.
Assists in preparation of reports to share with payers when discrepancies are uncovered.
What you'll need:
High school diploma or GED preferred
3+ years experience in the industry required
Cardiology or diagnostic imaging experience preferred including prior authorization requirements/processes
Certified Professional Coder preferred
Strong understanding of Insurance products and claim processing
Knowledge of claim formatting and transmission guidelines
Detailed understanding of EOB/ERA data and impact on financial responsibility.
A passion and proficiency for patient advocacy.
Knowledge of ICD-10 and CPT codes, and modifiers
Experience with medical office procedures and medical collections
Comfort with electronic medical records systems (Athena Collector knowledge is preferred, Hybrid Chart familiarity is the cherry on top)
Strong attention to detail and accuracy in data entry
Intermediate knowledge of Microsoft Word and Excel
Excellent communication skills, both written and verbal, to interact with patients, insurance companies, and healthcare providers
Work Location:
Remote: Colorado (Denver preferred), Delaware, Florida, New Hampshire, New Jersey, Pennsylvania, Texas.
Additional Information
Full-time base hourly rate of $20.00 to $24.00 per hour plus medical, dental, and vision. Pay is negotiable depending on certifications.
$20-24 hourly Auto-Apply 18d ago
Revenue Cycle Specialist
Choice Healthcare Services 3.8
Remote revenue specialist job
Dental Revenue Cycle Specialist
Summary:The Dental Revenue Cycle Specialist is responsible for ensuring accurate and timely billing of accounts, accuracy of account balances and coordinating with other billing team members to ensure billing accuracy.
This is a remote position and we are seeking candidates who live in Pacific and Mountain time zones, as we are a West Coast based organzation.
Pay Range: $18.00-23.00/hour (based on experience)
At CHOICE Healthcare Services, our mission is to provide everyone access to the healthcare they need. CHOICE is the largest provider of pediatric dental care in the Southwest United States, and we pride ourselves on delivering high quality care to children in our communities.
What we provide to you as a CHOICE teammate:
Care for your wellbeing and work-life balance
Professional and personal growth
Experienced leadership support
Fun and supportive team dynamic with events and celebrations
Comprehensive benefit package
Responsibilities
Essential Duties and Responsibilities: include the following. Other duties may be assigned.
Ensure daily billing and adjustments are accurate and timely
Ability to read insurance benefits and explanation of benefits (EOB)
Process pre-authorizations with HMO insurances & Denti-Cal
Review outstanding claims, follow up on aging for both patient and insurance balances
Send statements with outstanding balances to patient
Process appeals/denials with insurances
Assists front office staff at practices with insurance and account questions as needed
Verify insurance eligibility and benefits for patients
Cross trained in other aspects of the department as assigned
Ability to work in fast paced environment
Willingness to cover other duties as assigned
Regular, predictable attendance is required
Ability to get along and work effectively with others
Qualifications
Education/Experience:
High school diploma or equivalent
Medical Billing & Coding Certificate, preferred
Minimum of 2 years of experience working in medical collections and accounts receivables
Experience working in a dental or orthodontics billing practice or similar environment
Experience working with EOBs and healthcare accounts receivables
$18-23 hourly Auto-Apply 14d ago
Revenue Cycle Specialist- Work From Home
Americas Rehab Campuses 3.6
Remote revenue specialist job
The Revenue Cycle Specialist's primary responsibility is to submit accurate claims and secure their timely payments. This will be achieved through: accurate client set-up in our billing software; accurate authorization updates in the client set-up, including authorization number and units approved; timely weekly claims generation or claim generation upon discharge (whichever is sooner); collection of deductibles prior to admission; consistent communication of problem claims with the provider representative of each health plan for optimum settlement; accurate processing of EOB's and timely follow-up on Co-payments with the responsible party; monthly statement mailings following a 30, 60, 90, collections process; month-end A/R review with billing director and/or CFO to review problem claims and potential bad debt claims; setting up payment plans for CFO approval and insuring adherence to this plans by the client; coordinating with utilization review and discharge planning efforts to limit risk of non-payment.
JOB REQUIREMENTS:
Education: High school graduate or equivalent required.
Experience: A minimum of one (1) years' experience in admission processes and collections procedures, and a working knowledge of managed care; interpretation of insurance coverage plans, co-payments and deductible schedules and payment plans; and a working knowledge of computers and business software programs (Excel/Word). A minimum of one year experience in data entry preferred. Must be proficient in 10-key and typing.
Additional Requirements: Level One Fingerprint Clearance Card and TB Test required within 90 days of employment.
KNOWLEDGE/SKILLS:
1. Knowledge of admissions processing/billing processes and procedures.
2. Knowledge of insurance coverage, co-payments, and deductibles.
3. Knowledge of all revenue code procedures.
4. Knowledge of computers and business software, including Excel.
5. Knowledge of managed care.
6. Knowledge of payment planning and billing techniques.
7. Skill in organizing and prioritizing workloads to meet deadlines.
8. Skill in telephone etiquette and paging procedures.
9. Effective oral and written communication skills.
10. Ability to communicate effectively with clients and co-workers.
11. Ability to adhere to safety policies and procedures.
12. Ability to use good judgement and to maintain confidentiality of information.
13. Ability to work as a team player.
14. Ability to demonstrate tact, resourcefulness, patience, and dedication.
15. Ability to accept direction and adhere to policies and procedures.
16. Ability to recognize the importance of adapting to the various client groups.
17. Ability to work in a fast-paced environment.
18. Ability to meet corporate deadlines.
$30k-43k yearly est. 15d ago
Legal Billing Specialist
Benesch Law 4.5
Remote revenue specialist job
Who We Are
At Benesch we pride ourselves on exceeding expectations and building trust not only with our clients but with our employees - Benesch's #1 asset. Committed to providing not only the highest level of legal service to our clients, Benesch also aspires to create a positive work environment for our employees. Our Firm continues to earn placement on Chicago and Cleveland's Top Workplaces list, along with Cleveland's NorthCoast 99 Top Workplaces rankings. We also continue to advance on the AmLaw 150 list, placing us among the top 150 law firms in the country.
Benesch is proud to be recognized for being a Firm that attracts and retains top talent - making Benesch a great place to work. We offer a hybrid schedule, career development and growth, transparent and visible leadership teams, and a place where diversity, equity and inclusion is celebrated. In addition, the Firm offers a full array of benefits which can be viewed at **************************
Working with Us - Come and "Be Benesch!"
We are one of the fastest growing firms in the nation, and have offices in Chicago, Columbus, San Francisco, New York City, and Wilmington. We continue to expand our geographic footprint and value the talent that comprises each of our locations. If you are someone who champions a First in Service approach and are ready to be part of an exciting and growing Firm, we would invite you to apply to join our team.
Want to know more? To hear from some of our team, click here: *********************************************
Benesch is proud to announce the opening for a Legal Billing Specialist in our Cleveland office! This position is hybrid and has work from home flexibility.
Position Summary:
Do you thrive in a dynamic environment where your relationship building skills and where your legal billing knowledge, skills and expertise can make a tangible difference? Then you may be interested in this Legal Billing Specialist position. This role is perfect for a natural problem solver with a background in legal billing who is detail-oriented and desires a strong sense of accomplishment at the end of the day. Join Benesch and play a pivotal role in shaping the financial success of our organization.
The Legal Billing Specialist is responsible for activities related to the firm's billing process for specific portfolios as assigned. This individual will work with billing attorneys as well as associated internal and external clients to ensure that the processing of proformas/prebills is completed consistently in a n accurate and timely manner. This individual may also create and produced reports and analytics related to assigned account upon request.
Essential Functions:
Manage the full life-cycle of the billing process for a designated portfolio of client accounts, which includes reviewing proformas/prebills and making preliminary edits; ensuring that attorneys receive, review, and return accurate proformas/prebills in a timely manner; working with attorneys and staff to finalize invoices; and submitting finalized invoices in the appropriate format.
Establish, foster, and maintain professional and collaborative relationships with attorneys, staff, and clients to provide competent account support to both attorney and client.
Coordinate successful submission of invoices electronically, including setup of electronic clients, monitoring submissions for acceptance, troubleshooting issues, communicating e-billing changes to affected parties, and confirming proactively that invoices conform to requirements.
Monitor rates, alternative fee arrangements, and billing guidelines; revalue rates as appropriate; track disbursements; monitor progress against approved budgets; and communicate with appropriate parties with respect to write-offs.
Research, analyze, and respond to identified issues and inquiries.
Communicate directly with clients as requested or as established and provide clients with requested reports or analyses related to alternative fee arrangements, special rate structures, collection arrangements, and any other administrative matter(s).
Monitor unbilled amounts, client trust accounts, accurate payment application, and unapplied funds throughout the life-cycle of assigned accounts.
Additional Responsibilities:
Participate in continuous improvement projects.
Perform other functions and duties as assigned.
Confidentiality:
Due to the nature of your employment, various documents and information, which are of a confidential nature, will come into your possession. Such documents and information must be kept confidential at all times.
Qualifications:
The Legal Billing Specialist must have at least 2 years of law firm billing experience or a recent graduate with a degree in finance, accounting or mathematics. A solid working knowledge of Excel is required. Aderant experience is preferred. Qualified individuals will possess strong analytical abilities, solid communication and interpersonal skills, as well as flexibility to ensure deadlines are consistently met.
The salary range for this position is $62K to $80K.
Please note that quoted salary ranges are based on Benesch's good faith belief at the time of the job posting and are not a guarantee of what final salary offers may be. Base pay is based on market location and may vary depending on job-related knowledge, skills, and experience. Base pay is only one part of the Total Rewards that Benesch provides to compensate and recognize our staff professionals for their work. Full-time positions are eligible for a discretionary bonus and a comprehensive benefits package.
Benesch is an equal opportunity employer. We strongly value and encourage diversity and solicit applications from all qualified applicants without regard to race, color, gender, sex, age, religion, creed, national origin, ancestry, citizenship, marital status, sexual orientation, physical or mental disability (where applicant is qualified to perform the essential functions of the job with or without reasonable accommodations), medical condition, protected veteran status, gender identity, genetic information, or any other characteristic protected by federal, state, or local law.
Applicants who are interested in applying for a position and require special assistance or an accommodation during the process due to a disability should contact the Benesch Human Resources Department by phone at ************ or email Christine Watson at **********************.
$62k-80k yearly 60d+ ago
Revenue Cycle Specialist
National Youth Advocate Program 3.9
Revenue specialist job in Columbus, OH
We are looking for a full-time Revenue Cycle Specialist to join our NYAP team! This is an in-person role to start.
Schedule- Monday-Friday 9a-5p
Compensation: Starts at $40,000/yr. based on degree and experience.
Working At NYAP
NYAP's commitment to doing what is
best
for children, youth and their families is a core value and one that we look for in our newest team members.
Excellent training and continuing education and development opportunities offered on topics such as: PCIT, NMT, TF-CBT, BFST, CSAYC, TBRI, FFT and many, many more!
Student Loan Repayment assistance, up to $1,200 per year!
Medical, Dental, and Vision insurance for you and your family!
22 Days Off Each Year!
Plus 11 Paid Holidays Per Year!
Competitive salaries and benefits including a 401(k)
Summer Hours Off (Friday afternoons off).
Tuition Assistance
Work Anniversary Trips!
Peace leave
Paternity leave
Position Overview
To ensure timely and accurate invoicing/follow up to maximize payments for all services rendered and to coordinate and assist with internal and external controls/audits for any special contracts. To initiate paybacks in a timely manner in order to maintain good relationships with our special contract vendors.
Responsibilities
The Revenue Cycle Contracts Specialist will perform duties including, but not limited to:
Perform all work in a manner consistent with the National Youth Advocate Program's mission, values, and philosophies.
Submit timely invoices to contract payers in accordance set forth in each contract.
Review and process foster parent pay.
Develop and maintain process for tracking invoice status and payments. Review with Revenue Cycle Supervisor and/or Manager any issues pertaining to special contracts that may need immediate attention.
Actively participate in special contract audits and assist with any corrections or paybacks that may be required.
Submit adjustment request for any services deemed uncollectible to Revenue Cycle Supervisor and/or Manager.
Maintain list of point of contacts for billing questions for each contract.
Other duties as assigned.
Minimum Qualifications
High School Diploma or Equivalent.
2 years' experience in same or related field.
Basic knowledge of Microsoft Office and Outlook.
Understanding of Insurance Billing and practices.
Billing and reconciliation experience.
Ability to communicate with internal and external clients.
Proficient use of desktop and laptop computers, smart phones and tablets, printers, fax machines and photocopiers as well as software including word processing, spreadsheet and database programs.
Other Skills
Excellent customer service and communication skills
Works well independently and as a team member
Multi-task efficiently and be flexible in all situations
If this describes YOU, please apply today!
www.nyap.org/employment
NYAP also requires all of our employees, regardless of your title/position, to hold and maintain automobile liability insurance coverage of $100,000/$300,000. Please contact our HR department with questions, 614-487-3888 or hr@nyap.org
The person in this position needs to follow a team concept and support both agency goals and co-workers. Employees must be able to effectively work with and be respectful and sensitive to persons from various cultures, socioeconomic, ethnic, religious, and racial backgrounds.
Benefits listed are for eligible employees as outlined by our benefit policy.
Qualifications
We have been serving communities and clients since 1978. We continue to expand and develop new and innovative programs for our communities and families. We offer unique and personalized services for families and individuals in four different areas: Prevention/Intervention, Positive Youth Development, Out-of-Home-Placement and Reunification/Permanency.
If YOU can envision it; WE can DO it! The possibilities are endless!
We know you are compassionate and dedicated to serving your clients and communities and we are dedicated, as your employer to provide you with support to do just that. We look for individuals that are ready to make a direct impact and are excited to be an instrument in supporting the needs of our children, youth and families.
An Equal Opportunity Employer, including disability/veterans.
$40k yearly 15d ago
Specialist, Revenue Cycle - Managed Care
Cardinal Health 4.4
Revenue specialist job in Columbus, OH
**Remote Hours: M-F 8:30-5:00 pm EST (or based on business needs)** **_What Contract and Billing contributes to Cardinal Health_** Contracts and Billing is responsible for finance related activities such as customer and vendor contract administration, customer and vendor pricing, rebates, billing (including drop-ships), processing charge backs and vendor invoices, developing and negotiating customer and group purchasing contracts.
+ Demonstrates knowledge of financial processes, systems, controls, and work streams.
+ Demonstrates experience working collaboratively in a finance environment coupled with strong internal controls.
+ Possesses understanding of service level goals and objectives when providing customer support.
+ Demonstrates ability to respond to non-standard requests from vendors and customers.
+ Possesses strong organizational skills and prioritizes getting the right things done.
**_Responsibilities_**
+ Working unpaid or denied claims to ensure timely filing guidelines are meet.
+ Submitting medical documentation/billing data to Commercial (MCO) and government (Medicare/Medicaid) providers
+ Denials resolution for unpaid and rejected claims
+ Preparing, reviewing and billing claims via electronic software and paper claim processing
+ Insurance claims follow up regarding discrepancies in payment.
**_Qualifications_**
+ Bachelor's degree in business related field preferred, or equivalent work experience preferred
+ 1+ years experience as a Medical Biller or Denials Specialist preferred
+ Strong knowledge of Microsoft excel
+ Ability to work independently and collaboratively within team environment
+ Able to multi-task and meet tight deadlines
+ Excellent problem solving skills
+ Strong communication skills
+ Familiarity with ICD-10 coding
+ Competent with computer systems, software and 10 key calculators
+ Knowledge of medical terminology
**_What is expected of you and others at this level_**
+ Applies basic concepts, principles, and technical capabilities to perform routine tasks
+ Works on projects of limited scope and complexity
+ Follows established procedures to resolve readily identifiable technical problems
+ Works under direct supervision and receives detailed instructions
+ Develops competence by performing structured work assignments
**Anticipated hourly range:** $22.30 per hour - $28.80 per hour
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 2/12/2026 *if interested in opportunity, please submit application as soon as possible.
The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_All internal applicants must meet the following criteria:_
+ _Rating of "Meets Expectations" or higher during last performance review_
+ _Have been in their current position for at least a year_
+ _Informed their current supervisor/manager prior to applying_
+ _No written disciplinary action in the last year_
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
$22.3-28.8 hourly 14d ago
Billing Specialist
Collabera 4.5
Revenue specialist job in Dublin, OH
Established in 1991, Collabera has been a leader in IT staffing for over 22 years and is one of the largest diversity IT staffing firms in the industry. As a half a billion dollar IT company, with more than 9,000 professionals across 30+ offices, Collabera offers comprehensive, cost-effective IT staffing & IT Services. We provide services to Fortune 500 and mid-size companies to meet their talent needs with high quality IT resources through Staff Augmentation, Global Talent Management, Value Added Services through CLASS (Competency Leveraged Advanced Staffing & Solutions) Permanent Placement Services and Vendor Management Programs.
Job Description
Responsible for finance operations such as customer and vendor contract administration, customer and vendor pricing, rebates, billing and chargeback's, processing vendor invoices, developing and negotiating customer and group purchasing contracts
Qualifications
EXPERIENCE: 2-4 Years
Root cause identification
Significant Microsoft Excel Skills
Communication (will communicate with external suppliers)
Chargeback or rebate experience a plus
Additional Information
Please revert if you are available in the job market; apply to the position & Call me on ************ or send me your application on ******************************.
Unlock Your Potential: Join TEWS and Solve the Talent Equation for Your Career
REMOTE OPPORTUNITY!
We are seeking an experienced and adaptable Hospital Patient Billing Specialist - TRICARE to play a key role in ensuring patient accounts are accurately processed!
Pay: $17-$20/hour, depending on experience
Contract Length: Minimum of 6 months, with strong possibility to extend
EQUIPMENT REQUIREMENT: MUST HAVE ACCESS TO LAPTOP AND MONITORS!
Minimum Requirements
EPIC and hospital patient accounting or revenue cycle experience required
Experience billing or following up on TRICARE or government payer claims strongly preferred
Knowledge of hospital billing workflows, claim edits, and AR follow-up
Strong attention to detail and customer service skills
Ability to manage multiple accounts and meet follow-up timelines
Key Responsibilities
Submit and follow up on hospital claims for TRICARE
Resolve claim edits, rejections, and bill holds to ensure timely reimbursement
Manage assigned account work queues, including DNB, claim edits, and payer no-response
Communicate with TRICARE, other payers, and patients to resolve billing issues
Review electronic payer error reports and correct claims as needed
Document all account activity accurately in the billing system
Why Join Us?
Opportunity to join a mission-driven team in a fast-paced, evolving healthcare environment
Strong focus on professional development and internal career growth
TEWS has opportunities with leading companies for professionals at all career stages, whether you're a seasoned consultant, recent graduate, or transitioning into a new phase of your career, we are here to help.
$17-20 hourly 1d ago
Billing Clerk
Ensign Services 4.0
Remote revenue specialist job
BILLING CLERK About the Company LINK Support Services currently seeks to serve over 300 Skilled Nursing Facilities by offering Part B Ancillary Billing Services and assist in identifying lost revenue opportunities. These Skilled Nursing operations have no corporate headquarters or traditional management hierarchy. Instead, they operate independently with support from the “Service Center,” a world-class service team that provides centralized legal, human resource, training, accounting, IT and other resources necessary to allow on-site leaders and caregivers to focus on day-to-day care and business issues in their facilities and operations.
Duties and Responsibilities:
SNF AR experience required/Knowledge of Point Click Care (PCC) is a plus
Identify and bill Part B billable ancillary items according to SNF consolidated billing guidelines.
Provide and conduct education and support as needed with business office staff across multiple locations
Communicate Part B billing best practices with peers and staff at assigned locations
Communicate Revenue and Collectables to Facilities, Clusters, and Markets across multiple locations
Assist with new software implementation as needed
Collaborate with team in implementing billing Processes, Procedures and Softwares
Organize and research complex data extractions to maximize billing opportunities organization wide
Review and complete patient eligibility verifications
Report KPIs, month over month trends, claim statuses, and onboarding/training schedules
Knowledge, Skills and Abilities:
1+ year SNF experience with Medicare billing and eligibility recognition
Point Click Care (PCC) experience necessary
Able to prioritize and organize tasks at hand to meet specific deadlines
Attention to detail and accuracy
Proficient in Microsoft Word, Outlook and Excel, DDE.
Knowledge of CPT Coding procedures
Knowledge of SNF Per Diem inclusions
Must have excellent written and verbal communication skills
Able to work with a diverse group of people
Ability to self-manage in a remote work environment
Must be knowledgeable in Medicare and other state regulatory requirements
What You'll Receive In Return As part of the Ensign Services family, you'll enjoy many perks including but not limited to excellent compensation, comprehensive benefits package, PTO, 401K matching, stock options, amazing company culture and not to mention- opportunities for professional growth and advancement. Compensation: $18-$20.00/hour dependent on experience and location Location: This is a remote eligible position that can work from any U.S state other than: Hawaii, New York, New Jersey, Rhode Island, Kentucky, Ohio, Massachusetts, North Dakota, Wyoming, Alaska, Pennsylvania, Pay is based on a number of factors including years of relevant experience, job-related knowledge, skills, and experience. Individuals employed in this position may also be eligible to earn bonuses. Ensign Services is a total compensation company. Dependent on the position offered, equity, and other forms of compensation may be provided as part of a total compensation package, in addition to a full range of medical, financial, and/or other benefits. For more information regarding our benefits offered, check out our ****************************. Ensign Services, Inc. is an Equal Opportunity Employer. Pre-employment criminal background screening required. Job ID: 1137
$18-20 hourly Easy Apply 53d ago
E-Billing Specialist
Frost Brown Todd LLP 4.8
Revenue specialist job in Columbus, OH
Job Description
FBT Gibbons is currently searching for a full-time E-Billing Specialist to join our firm. This position will play a crucial role in managing the e-billing process, ensuring accurate and timely submission of invoices, and resolving any issues that arise.
Key Responsibilities:
Collaborate with billing assistants, attorneys, LPAs, and clients for e-billing setup, rate management and accrual submissions.
Enforce client e-billing guidelines by proactively setting up rules and constraints within financial software used by the firm.
Utilize FBT Gibbons software solutions to address and correct rates and other e-billing issues before invoices reach the prebill stage.
Work with FBT Gibbons software solutions to create and submit e-billed invoices via BillBlast, or manually with Ledes files directly onto vendor e-billing sites.
Collaborate with billing assistants to ensure successful resolution of all e-billing submissions.
Track, report, and provide deduction reports to attorneys on all appeal items for assigned attorneys and or billing assistants and work through appeal submissions of same.
Follow up promptly on rejected or pending e-bills to ensure timely resolution.
Create and revise basic spreadsheet reports.
Track all e-billing efforts in ARCS, exporting email communication and critical information on history of e-billing submissions through resolutions.
Coordinate with the Rate Management Specialist to update rates for e-billed clients.
Assist with e-billing email group and profile emails in e-billing software as needed.
Assist with other special e-billing requests.
Conduct daily review of Intapp forms to ensure proper setup in Aderant, including invoicing requirements, rates, special billing requirements, and approval processes.
Qualifications:
College degree or commensurate experience with high school diploma.
3+ years of billing experience. Legal billing experience strongly preferred.
Interpersonal skills necessary to maintain effective relationships with attorneys and business professionals via telephone, email or in person to provide information with ordinary courtesy and tact.
Must have attention to detail with an eye for accuracy.
Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
Knowledge of Aderant Software a plus.
Proficiency in Microsoft Office products such as Word, Excel, Outlook.
FBT Gibbons offers a competitive salary and a comprehensive benefits package including medical (HSA with employer contribution or PPO options), dental, vision, life, short- and long-term disability, various parental leaves, well-being/EAP, sick and vacation time as well as a generous 401k retirement package (with matching and profit-sharing benefits).
In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire.
FBT Gibbons is fully committed to equality of opportunity in all aspects of employment. It is the policy of FBT Gibbons to provide equal employment opportunity to all employees and applicants without regard to race, color, religion, national or ethnic origin, military status, veteran status, age, gender, gender identity or expression, sexual orientation, genetic information, physical or mental disability or any other protected status.
$30k-35k yearly est. 11d ago
Medical Billing Specialist
Imedx, a Rapid Care Group Company 3.7
Remote revenue specialist job
We are seeking a detail-oriented, highly accurate Medical Billing Specialist to join our remote team. The ideal candidate is self-motivated, goal-driven, and committed to excellence in medical billing and revenue cycle management. You will play a vital role in ensuring our clients receive every possible revenue dollar while upholding the highest standards of integrity and compliance.
This position requires strong problem-solving skills, excellent communication, and the ability to thrive in a fast-paced environment.
What You'll Do
Verify patient eligibility and benefits.
Post charges, payments, and ERA adjustments.
Prepare, review, and submit electronic/paper claims.
Follow up on unpaid or denied claims and file appeals.
Review patient bills for accuracy; set up payment plans when needed.
Communicate with patients, clients, and insurance carriers professionally.
Maintain cash spreadsheets and prepare monthly reports.
What We're Looking For
2-3 years' medical billing and AR follow-up experience.
CPB, CPC, or similar credential a plus.
Strong knowledge of billing software (eClinical, Athena, Open PM, MicroMD, or similar).
Skilled in Word, Excel, and using carrier websites for eligibility and claims.
Excellent written and verbal communication.
Must pass a baseline billing test during the interview process.
Why Join Us
100% remote contractor role.
Flexible schedule.
Work with diverse clients and systems.
Opportunity to directly impact client financial success.
$36k-50k yearly est. Auto-Apply 60d+ ago
Revenue Cycle Specialist I
Intermountain Health 3.9
Revenue specialist job in Columbus, OH
Responsible for the timely follow-up of claims billed and resolution of accounts. Oversees the account receivables and maintains detailed/accurate account documentation. Follow up on open claims thoroughly, accurately, promptly, and with all supporting documentation. Responsible for maintaining and updating billing guidelines, fee schedules, contract rates, etc. Review, document, and resolve all incoming correspondence and payor calls; assist as needed on aging reports, reports all payor issues and/or denial trends to Lead/Supervisor and may appeal and/or rebill underpaid claims and assist with payments, as needed.
**Essential Functions**
+ Maintain basic understanding and knowledge of health insurance plans, policies and procedures.
+ Research and follow-up on outstanding claims. Appropriately document in the system all correspondence and action for the claim.
+ Follow up in accordance with procedures and policies with an overall goal of account resolution.
+ Contact insurance companies to obtain information necessary for invoice or account resolution through write-offs, reversals, adjustments or other methods.
+ Identify issues and/or trends and provide suggestions for resolution to management, including payer, system or escalated account issues.
+ Research medical records to gather information and substantiate medical justification for procedures as required by insurance carriers.
+ Submit requested medical information to insurance carrier. Responsible for the analysis and necessary corrections of invoices or accounts and maintaining work queues.
+ Responsible for meeting or exceeding productivity and quality goals.
**Skills**
+ Billing
+ Documentations
+ Communication
+ Customer Follow-Ups
+ Time Management
+ Medicare Billing
+ Medical Billing
+ Microsoft Office
+ Computer Literacy
+ HIPAA Regulations
**Qualifications**
+ High School Diploma or equivalent (GED)
+ One (1) years of experience in hospital or physician insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections)
+ Knowledge of Medicaid and Medicare billing regulations
Preferred Qualifications:
+ Knowledge of Revenue and ICD coding language
+ Two (2) years of experience in hospital or physician insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections)
+ Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings
We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, New York, Pennsylvania, Rhode Island, Vermont and Washington
**Physical Requirements**
+ Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use.
+ Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.
For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.
**Location:**
Peaks Regional Office
**Work City:**
Broomfield
**Work State:**
Colorado
**Scheduled Weekly Hours:**
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$19.29 - $27.45
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here (***************************************************** .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.