Collections/Accounts Receivable jobs at RWJBarnabas Health - 143 jobs
Coordinator Billing
Rwjbarnabas Health 4.6
Collections/accounts receivable job at RWJBarnabas Health
Job Title: Coordinator Billing Department Name: UPA-DCMC Otolaryngology Status: Hourly Shift: Day Pay Range: $17.93 - $25.32 per hour Pay Transparency: The above reflects the anticipated hourly wage range for this position if hired to work in New Jersey.
The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.
Job Overview:
The Account Receivable Representative-Billing Coordinator position supports day-to-day responsibilities including review of daily revenue capture reports, ensuring all coding and documentation was submitted for billing, review of all assigned work queues, collection, denials and chart review for busy surgical practice for the Department of Otolaryngology.
Qualifications:
Required:
* High School Diploma or Equivalent
* 2-3 Years of Medical Accounts Receivable
* Strong knowledge of Insurance Providers & Policies
* Healthcare Experience
* Strong Microsoft Suite Knowledge- Excel, Microsoft, etc.
* Knowledge of Medical Terminology, ICD-10 and CPT codes
* Strong Communication Skills, written and verbal
* Attention to Detail
Preferred:
* Experience with EPIC
* Understanding NJ No-Fault regulations and Workers Comp
* Works in direct contact with patients and providers
Certification Required:
* Certified Professional Coder-CPC Certification from AAPC or equivalate training
Scheduling Requirements:
* Working Shift: Monday-Friday
* Day Shift: 8:00AM-4:00PM or 8:30AM-4:30PM
* Full-Time, 35 Hours Per Week
Essential Functions:
* Assist with follow-up denial, correcting claims for payment, investigating and solving nonpayment
* Collects and recover payments from patients and set up self-pay arrangements
* Informs patients of medical benefits; checks eligibility and obtains authorization
* Assistance with other projects and duties related to revenue cycle management on an ad hoc basis as needed
Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Benefits and Perks:
At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees' physical, emotional, social, and financial health.
* Paid Time Off (PTO)
* Medical and Prescription Drug Insurance
* Dental and Vision Insurance
* Retirement Plans
* Short & Long Term Disability
* Life & Accidental Death Insurance
* Tuition Reimbursement
* Health Care/Dependent Care Flexible Spending Accounts
* Wellness Programs
* Voluntary Benefits (e.g., Pet Insurance)
* Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!
Choosing RWJBarnabas Health!
RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.
RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey-whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.
Equal Opportunity Employer
RWJBarnabas Health is an Equal Opportunity Employer
$17.9-25.3 hourly 59d ago
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AR Specialist I - REMOTE
Umass Memorial Health 4.5
Worcester, MA jobs
Are you a current UMass Memorial Health caregiver? Apply now through Workday.
Exemption Status:
Non-Exempt
Hiring Range:
$19.74 - $30.80
Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations.
Schedule Details:
Monday through Friday
Scheduled Hours:
8-430
Shift:
1 - Day Shift, 8 Hours (United States of America)
Hours:
40
Cost Center:
99940 - 5436 Med Specs Ancillary Pod Ar
Union:
SHARE (State Healthcare and Research Employees)
This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.
Everyone Is a Caregiver
At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.
Responsible for follow-up of complex claims for payment.
I. Major Responsibilities:
1. Calls insurance companies and utilizes payor web-sites while working detailed reports to secure outstanding payments.
2. Reviews rejections in assigned payors and plans to determine validity of rejection and takes appropriate action to resolve the invoice.
3. Calculates and posts adjustments based on third party reimbursement guidelines and contracts.
4. Makes appropriate payor and plan changes to secondary insurers or responsible parties.
5. Inputs missing data as required and corrects registration and other errors as indicated.
Standard Staffing Level Responsibilities:
1. Complies with established departmental policies, procedures and objectives.
2. Attends variety of meetings, conferences, seminars as required or directed.
3. Demonstrates use of Quality Improvement in daily operations.
4. Complies with all health and safety regulations and requirements.
5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors.
6. Maintains, regular, reliable, and predictable attendance.
7. Performs other similar and related duties as required or directed.
All responsibilities are essential job functions.
II. Position Qualifications:
License/Certification/Education:
Required:
1. High School Diploma
Experience/Skills:
Required:
1. Previous Revenue Cycle knowledge in one of the following areas including PFS, Customer Service, Cash Posting, Financial Assistance, Patient Access, HIM/Coding and/or 3rd party Reimbursement.
2. Ability to perform assigned tasks efficiently and in timely manner.
3. Ability to work collaboratively and effectively with people.
4. Exceptional communication and interpersonal skills.
Preferred:
1. One or more years of experience in health care billing functions.
Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.
Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents.
III. Physical Demands and Environmental Conditions:
Work is considered sedentary. Position requires work indoors in a normal office environment.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.
As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.
If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.
$19.7-30.8 hourly Auto-Apply 44d ago
Billing Coordinator
Cooper University Hospital 4.6
Egg Harbor, NJ jobs
About Us
At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development.
Discover why Cooper University Health Care is the employer of choice in South Jersey.
Short Description
Review and correct claims edit, and electronic exception reports.
Review error data with appropriate staff and have corrections made.
Maintain the rejection and no response reports.
Periodically review EOB's from all carriers.
Monitor reimbursement levels of inappropriate payments.
Experience Required
Experience with a complex billing system such IDX or SMS is required.
Experience in accounts receivables resolution is required.
Computer and financial management experience required.
Education Requirements
High School Diploma or Equivalent required, some college preferred.
Salary Min ($) USD $20.00 Salary Max ($) USD $31.00
$44k-53k yearly est. Auto-Apply 60d+ ago
Physician Practice AR Collection Specialist, Remote, BHMG Revenue Management, FT, 08A-4:30P
Baptist Health South Florida 4.5
Remote
Provides AR/follow up including denial management support to collect on outstanding accounts receivables. Complies with payer filing deadlines by utilizing all available resources to resolve held claims, Assures all known regulatory, contractual, compliance, and BHSF guidelines are adhered to with regards to claim billing processes. Communicates with various teams within the organization. Utilizes coding compliance and understanding of ICD-9, CPT-4 and associated modifiers to resolve claims management issues. Estimated pay range for this position is $18.87 - $22.83 / hour depending on experience. Degrees:
* High School,Cert,GED,Trn,Exper.
Additional Qualifications:
* One of the following certifications is preferred: CPC-A (AAPC Certified Professional Coder), CCA (AHIMA Certified Coding Associate), CCS (AHIMA Certified Coding Specialist), CCS-P (AHIMA Certified Coding Specialist - Physician-Based), NCIS (NCCT,National Certified Insurance Specialist) ,Other recognized coding and billing certifications may also be considered.
* Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers.
* Excellent computer proficiency (MS Office - Word, Excel, and Outlook).
* Knowledge of physician billing, regulatory and compliance guidelines.
* Knowdledge of ICD-10, HCPCS, CPT-4 and modifiers.
* Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service.
* Ability to work independent and carry out completion of workload.
Minimum Required Experience: 2 Years
$18.9-22.8 hourly 30d ago
Third Party Auto Collector
First Credit Services Inc. 3.9
Piscataway, NJ jobs
Auto Collector will identify delinquent accounts, locate, and notify customers of delinquent status, initiate appropriate action to n balances, and maintain all related records. This position is work remotely from home. Top pay and commission for top collectors.ESSENTIAL DUTIES AND RESPONSIBILITIES: • Making outbound calls to client portfolio customer accounts• Receiving inbound calls to discuss customer accounts• Negotiating payment from customer• Monitor the status of delinquent accounts• Records payments made to the customer's account• Investigates disputes balances; where appropriate, corrects errors such as misapplied payments, reversed late charges, direct deposit errors, or overpayments from insurance• Ensures the security of customer files and delinquent account reports• Performs other duties as necessary QUALIFICATION REQUIREMENTS: • Excellent verbal and written skills• Basic understanding of the Fair Debt Collection Practices Act (FDCPA) and state and federal laws pertaining to collection activities• Excellent organizational skills with great attention to detail• Ability to keep information confidential• Professional demeanor and dependable work ethic• Ability to exercise integrity and discretion • Ability to remain professional in tense situations• Ability to work in a fast-paced environment• Ability to multi-task EDUCATION, EXPERIENCE, • Associate or Bachelor's degree from an accredited college or university • Minimum 2 years' experience in a collections agency or related industry• Experience with the Auto industry
$30k-40k yearly est. Auto-Apply 60d+ ago
REMOTE 3rd Party Collector
First Credit Services 3.9
Columbus, GA jobs
ARE YOU READY TO MAKE MONEY? Want to make a change? No need to look further - a world of opportunity is waiting! JOIN OUR TEAM!
We have a great staff and a professional environment geared towards the success of everyone. You've got energy, enthusiasm, drive, and determination. We've got competitive compensation, benefits, and a career path that rewards performance with growth and opportunity.
We're looking for EXPERIENCED REMOTE COLLECTORS in FLORIDA ONLY!
FLORIDA ONLY!
First Credit Services, Inc. is a premier A/R Management and Collection Agency working within the collections industry. Being leaders in the industry, we remain at the forefront of CFPB and regulatory compliance. We stand at an A rating by the Better Business Bureau. As a national debt recovery agency, we have been pioneering innovative and effective collection and decline management programs since our inception in 1993. With our state-of-the-art technology and computer systems, we focus on customer service compliance centric driven collections.
Why choose First Credit Services?
When you become part of our First Credit Services family, you're not just accepting a job but an invitation to advance your career and build leadership skills for the future. Beyond financial stability, PTO, Paid Holidays, Paid Sick Leave, and paid training, we offer an excellent compensation package which includes a base hourly wage + bonuses and incentives.
As a true pay-for-performance organization, your career path and compensation are clearly defined by your work productivity and drive to succeed.
We offer: Generous commission structure, Competitive Wages, and Ideal Schedules
Position Summary:
Be assertive, personable, and persuasive with our consumers
Be comfortable negotiating, discussing sensitive financial issues, and selling solutions to consumers
Remain positive, professional, determined, calm and focused when faced with challenging situations
Overcome objections to pay and develop creative solutions to help bring consumers current
Quick thinker, with an ability to understand and interpret information promptly and effectively
Self-driven, self - motivated, and able to perform with minimal supervision in a team environment
Receptive to ongoing feedback aimed at improving the performance of you and your team
Ability to speak clearly, professionally, and articulately on the telephone
Ability to talk and type at the same time (talking with consumers while documenting relevant notes)
Comfortable with repetitive tasks, sit and talk on the phone with a headset for most of the day
Ability to manage a flexible work schedule
Ability to document account notes clearly and efficiently
Ability to work independently and in a team environment
MAKE MONEY! (Goal Achievement)
HAVE FUN!
Education and Experience:
Associate or Bachelor's degree from an accredited college or university, preferred
Minimum 5-7 years experience in collections environment
Job Type: Full-time
Benefits:
401(k)
Dental insurance
Health insurance
Paid sick time
Paid time off
Paid training
Vision insurance
Work from home
Experience:
Third Party Collections: 5 years (Preferred)
Work Location: Remote
$33k-42k yearly est. 30d ago
A/R Analyst
Omni Eye Specialist Pa 3.9
Iselin, NJ jobs
We are looking for a Fully Remote Accounts Receivable specialist who has strong communication and interpersonal skills, ability to work independently and as part of team, extensive experience with appeals and denials, patient collections, good computer skills, along with the ability to multi-task and work in a fast paced environment. Qualified candidates must have 2 years provider side medical billing experience and experience working with major insurance carriers, Medicare and Medicaid.
Essential Duties and Responsibilities:
* Follow up on unpaid claims within standard billing cycle timeframe
* Check each insurance payment for accuracy and compliance with contract discount
* Call insurance companies regarding any discrepancy in payments if necessary
* Identify and bill secondary or tertiary insurances
* Research and appeal denied claims
* Answer all patient or insurance telephone inquiries pertaining to assigned accounts.
* Set up patient payment plans and work collection accounts
Knowledge, Skills, and Abilities
* Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid
* Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
* Use of computer systems, software,
* Effective communication abilities for phone contacts with insurance payers to resolve issues
* Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members
* Able to work in a team environment
* Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
* Knowledge of accounting and bookkeeping procedures
* Knowledge of medical terminology likely to be encountered in medical claims
* Knowledge of CPT/ICD-10 coding discrepancies
The salary range for this position will be commensurate with the candidate's experience and skill level, with final compensation determined based on qualifications and relevant expertise.
Comprehensive Benefits Package:
Medical, Prescription Drug Coverage, Dental and Vision insurance
Wellness Incentive Programs, Nutrition Counseling
Low Cost Access to Fitness Centers
Headspace
ID Theft Insurance
Employer Sponsored Health Savings Account (HSA)/ Health Reimbursement Account (HRA)
Flexible Spending Account (FSA)
Employer Provided Group Term Life & AD&D
Short-term Disability
Life Assistance Program
Commuter/Parking Benefits (where applicable)
401K retirement plan with company match
Ancillary insurance options, including fraud, accidental and hospital indemnity
LifeMart- Employee Discounts Program
Paid Time Off and State Sick Pay (where applicable)
FREE Employee Refractive Surgery Program (terms apply)
$58k-65k yearly est. Auto-Apply 60d+ ago
Patient Collections Specialist (on-site)
Pacific Medical 3.7
Tracy, CA jobs
Established in 1987, Pacific Medical, Inc. is a distributor of durable medical equipment; specializing in orthopedic rehabilitation, arthroscopic surgery, sports medicine, prosthetics, and orthotics. With the heart of the company dedicated to helping and serving others, we provide our services directly to the patient, medical networks, physician clinics, and offices. We are dedicated to the advancement of patient care through excellent service and product technology.
We have an immediate non-remote opportunity to join our growing company. We are currently seeking 2 full-time (M-F 8:00 am-5:00 pm)
Patient Collections Specialist
for our Tracy, CA office. These individuals will be responsible for the following:
Job Responsibilities:
· Contact patients/guarantors to secure payment for services provided based on an aging report with balances.
· Contact patients when credit card payments are declined.
· Follow up with refund requests.
· Document all calls and actions are taken in the appropriate systems. Sets next work date if follow-up is needed.
· Confirms/updates with patient/guarantor insurance and patient demographics information. Makes appropriate changes and submits/re-submits claims as indicated.
· Establishes a payment arrangement with the patient/guarantor and follow-up on all payment arrangement plans implemented.
· Document all patient complaints/disputes and forward them to the appropriate person for follow-up.
· Perform other duties as needed.
Qualifications/Skills:
· Must excel in interpersonal communication, customer service and be able to work both independently and as part of a team.
· Must excel in organizational skills.
· Must possess strong attention to detail and follow-through skills.
· Education, Training, and Experience
Required:
- High School graduate or equivalent.
- Must type 25-45 words per minute.
Hourly Rate Pay Range: $17.00 to $19.00
· Annual Range ($35,360 to $39,520)
O/T Rate Pay Range: $25.50 to $28.50
· Example of Annual O/T Range (5 to 10 hours per week @ 50 weeks range $6,375.00 - $14,250.00)
· Note: Abundance of O/T Available
Bonus Opportunity
Team Bonus: $0 to $500 per month (increases hourly rate up to $2.88 per hour or up to $6k per year)
Profit Bonus: $0 to $500 per month (increases hourly rate up to $2.88 per hour or up $6k per year)
Total Compensation Opportunity Examples:
Annual Base Pay: $41,735.00 (Estimate incl. 5 hrs O/T per week, Low-range Team and Profit Bonus after 3 months)
Annual Mid-Range Pay: $54,315.00 (Estimate incl. 5 hrs O/T per week, Mid-range Team and Profit Bonus)
Annual Top Pay: $57,895.00 (Estimate incl. 5 hrs O/T per week, Max Team and Profit bonus)
All Full-Time positions offer the following: Medical, Dental, Vision, ER paid Life for Employee, Voluntary benefits, Medical FSA, Dependent FSA, HSA, 401k, and Financial Wellness planning.
Additional Benefits for Full-Time Employees (3 to 4 weeks of Paid Time Off)
Holidays: 10 paid holidays per year
Vacation Benefit: At completion of 3-month introductory period, vacation accrual up to a max of 40 hours in the first 23 months, at 24 months, accrual up to a max of 80 hours with a rollover balance.
Sick Benefit: Sick accrual begins upon date of hire up to a max accrual of 80 hours annually with a max usage of 48 hours annually with a rollover balance.
$35.4k-39.5k yearly Auto-Apply 6d ago
Collector 2 - Remote
Baylor Scott & White Health 4.5
Dallas, TX jobs
The Collector II under general supervision and according to established procedures, performs collection activities for assigned accounts. Contacts insurance company representatives by telephone or through correspondence to collect inaccurate insurance payments and penalties according to BSWH Managed Care contracts. Maintains collection files on the accounts receivable system.
100% remote position
**_The pay range for this position is $16.12/hour (entry level qualifications) - $24.17/hour (highly experienced). The specific rate will depend upon the successful candidate's specific qualifications and prior experience._**
**ESSENTIAL FUNCTIONS OF THE ROLE**
Performs collection activities for assigned accounts. Contacts insurance companies to resolve payment difficulties and penalties owed to BSWH in accordance with Managed Care contracts.
Contacts insurance company representatives by telephone or through correspondence to check the status of claims, appeal or dispute payments and penalties. Has knowledge of CPT codes, Contracting, per diems, and other pertinent payment methods in the medical industry.
Maintains collection files on the accounts receivable system. Enters detailed records consisting of any pertinent information needed for collection follow-up.
Processes accounts for write-off and for legal. Conducts thorough research and manual calculation from Managed Care Rate Grids and Contracts to determine accurate amounts due to BSWH per each individual Insurance Contract. Enters data in Patient Accounting systems and Access database to track and monitor payments and penalties. Prepares legal documents to refer accounts to the Managed Care legal group for accounts deemed uncollectable.
Through thorough review ensures that balances on accounts are true and accurate as well as correct any contractual or payment entries. Verify insurance coding to ensure accurate payments.
Receives, reviews, and responds to correspondence related to accounts. Takes action as required.
**BENEFITS**
Our competitive benefits package includes the following
- Immediate eligibility for health and welfare benefits
- 401(k) savings plan with dollar-for-dollar match up to 5%
- Tuition Reimbursement
- PTO accrual beginning Day 1
Note: Benefits may vary based upon position type and/or level
**QUALIFICATIONS**
- EDUCATION - H.S. Diploma/GED Equivalent
- EXPERIENCE - 2 Years of Experience
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
$16.1-24.2 hourly 60d+ ago
Specialist I, Billing & AR
AMN Healthcare 4.5
Remote
Welcome to AMN Healthcare - Where Talent Meets Purpose
Ever wondered what it takes to build one of the largest and most respected healthcare staffing and total talent solutions companies? It takes trailblazers, innovators, and exceptional people like you.
At AMN Healthcare, we don't just offer jobs - we build careers that make a difference.
Why AMN Healthcare? Because Excellence Is Our Standard:
Named to
Becker's Top 150 Places to Work in Healthcare
- three years running.
Consistently ranked among
SIA's Largest Staffing Firms in America
.
Honored with
Modern Healthcare's Innovators Award
for driving change through innovation.
Proud holder of
The Joint Commission's Gold Seal of Approval for Staffing Companies
since 2006.
Job Summary
The Specialist I, Client Accounts Receivable manages portfolios and is responsible for the timely conversion of receivables into cash in line with established client policies, procedures, and goals. This role administrates portfolios of clients, collects on past due accounts, and responsible for reporting and metrics provided to the team. This position provides assistance to their client accounting representatives with questions, issues, and reconciliations.
Job Responsibilities
Collects on past due accounts and partners with clients to bring those accounts back to current status to ensure Daily Sales Outstanding (DSO) and company cash objectives are met.
Provides outstanding customer service to internal and external clients, identifies root causes of disputes, and works with the necessary departments to resolve the problem to prevent future disputes.
Efficiently maintains the Accounts Receivable portfolio and provide updates to Client Accounts Receivable Leadership regarding potential high risk accounts to ensure rapid collections.
Builds, runs, and reconciles Excel reports to reach team objectives. Details interactions in client databases such as PeopleSoft, Salesforce, Great Plains, Fieldglass and AMN Vendor Management Systems software.
Prepares adjustments, refunds, and payment applications in accordance with Client Accounts Receivable procedures.
Must be knowledgeable of client contracts, billing and timekeeping processes, aware of booking limits and exposure to accurately service accounts.
Key Skills
Outstanding Communication
Customer Service Focus
Confidentiality
Interpersonal Skills
Qualifications
Education & Years of Experience
High School Diploma/GED plus 2-5 years of work experience
Additional Experience
Accounts Receivable, billing, customer service or other relevant office experience
Work Environment / Physical Requirements
Work is performed in an office/home office environment.
Team Members must have the ability to operate standard office equipment and keyboards.
AMN Healthcare will provide reasonable accommodations to qualified individuals with disabilities to enable them to perform the essential functions of the job.
Our Core Values
● Respect ● Passion ● Continuous Improvement ● Trust ● Customer Focus ● Innovation
At AMN we embrace the ways we are similar and different; respecting all voices and ensuring everyone has the opportunity to contribute to our collective success. We acknowledge our shared responsibility to foster a welcoming environment where everyone feels recognized and valued. We cast a wide net to recruit and retain competitive talent and build healthcare workforces supportive of the communities we serve. We believe in the power of compassion and collaboration to build healthy communities where access to quality care is available to all. Equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities.
At AMN we recognize that in-person connections have value and promote collaboration. You will be expected to come into an AMN Healthcare office at a frequency dependent on the work arrangement for your role.
Pay Rate$21.00 - $24.75 Hourly
Final pay rate is dependent on experience, training, education, and location.
$21-24.8 hourly Auto-Apply 3d ago
RCM Patient Accounts Receivable Specialist (Greenville/Spartanburg/Anderson Area only - Remote)
Ob Hospitalist Group Corporate 4.2
Greenville, SC jobs
RCM Patient Accounts Receivable Specialist
Location: Remote (Upstate, SC Preferred). This is a remote position; however, candidates must reside in the Upstate South Carolina area and be within reasonable commuting distance to our corporate headquarters in Greenville, SC, as occasional in-office presence may be required.
Employment Type: Non-Exempt, Full-Time, Benefit Eligible
Hourly Compensation Range: $20.00 - $24.00 per hour
Compensation is commensurate with experience, skills, and internal equity.
About the Position:
The RCM Patient Accounts Receivable Specialist plays a key role within the Revenue Cycle Management team and is responsible for supporting the reduction of accounts receivable (AR) days, increasing net collections, reducing aged AR balances (120+ days), and improving overall cash collections. This position partners closely with billing vendors and third-party payors to research, resolve, and follow up on patient accounts while ensuring accuracy, compliance, and data security.
Essential Duties & Responsibilities
Research and resolve patient account issues by communicating with billing vendors and third-party payors to verify claim status and demographic information
Prioritize daily workload using aging reports, account balances, and management-directed priorities
Investigate and pursue unpaid claims with third-party payors until resolution is achieved
Apply strong working knowledge of third-party payor rules and guidelines, with an emphasis on State Medicaid plans
Maintain compliance with all Protected Health Information (PHI) security requirements
Ensure consistent processing standards with a high level of accuracy and low error rates
Collect, document, and forward account updates to billing vendors, including insurance submissions, payment postings, and removal from collections
Respond to Requests for Additional Information (RAIs) and provide direction on next steps
Resolve claim errors, demographic discrepancies, duplicate claims, and coverage issues within assigned work queues
Perform additional duties as assigned to support Revenue Cycle operations
Required Qualifications
Experience with insurance collections, including Medicaid, Managed Care, BCBS, and Commercial accounts
Knowledge of medical billing procedures, health plans, and claims processing
Strong organizational skills with high attention to detail
Proficiency in Microsoft Word and Excel
Experience working with medical billing systems (e.g., EPIC, Allscripts, McKesson, or similar platforms)
High School Diploma or equivalent
Preferred Qualifications
Understanding of medical terminology, including ICD-9 and CPT codes
Strong professional phone presence and customer service skills
Experience supporting multi-state or multi-location billing environments
Advanced proficiency in Microsoft Excel
Work Environment & Physical Demands
Primarily sedentary role requiring extended periods of sitting
Occasional travel to offsite or in-office meetings may be required
Why Join OBHG:
Join the forefront of women's healthcare with OB Hospitalist Group (OBHG), the nation's largest and only dedicated provider of customized obstetric hospitalist programs. Celebrating over 19 years of pioneering excellence, OBHG has transformed the landscape of maternal health. Our mission-driven company offers a unique opportunity to elevate the standard of women's healthcare, providing 24/7 real-time triage and hospital-based obstetric coverage across the United States. If you are driven to join a team that makes a real difference in the lives of women and newborns and thrive in a collaborative environment that fosters innovation and excellence, OBHG is your next career destination!
What We Offer - The Good Stuff:
A mission based company with an amazing company culture
Paid time off & holidays so you can spend time with the people you love
Medical, dental, and vision insurance for you and your loved ones
Health Savings Account (with employer contribution) or Flexible Spending Account options
Employer Paid Basic Life and AD&D Insurance
Employer Paid Short- and Long-Term Disability w Optional Short Term Disability Buy-up plan
Paid Parental Leave
401(k) Savings Plan with match
Legal Plan & Identity Theft Services
Mental health support and resources
$20-24 hourly 22d ago
Billing Coordinator
St. Joseph's Health 4.8
Paterson, NJ jobs
Responsible for performing a variety of billing functions to minimize accounts receivable and enhance collection. Works in a timely and courteous manner when responding to patients, physicians or insurance companies inquiries. Serves as a resource person for ALL department staff on questions regarding billing and claims issue
Work requires a High School diploma or equivalent and up to one year of basic technical training in health care billing/customer service and three to six months of previous experience plus three months or less of on the job training and orientation. Proficient knowledge of Microsoft Office preferred
$53k-65k yearly est. Auto-Apply 6d ago
AR Specialist
Tennessee Orthopaedic Alliance 4.1
Nashville, TN jobs
Full-time Description
*** WORK AT HOME***
Tennessee Orthopaedic Alliance is the largest orthopaedic surgery group in Tennessee. TOA concentrates on diagnosing and treating disorders and injuries of the musculoskeletal system, allowing our patients to live their best lives. Ninety-plus years later, we are advancing the practice of orthopaedic surgery throughout the state.
There are several reasons why TOA is an employer of choice; here are a few of them:
Stability -TOA has been in Middle Tennessee since 1926 and has expanded to over 20+ locations across the state!
Impact -TOA's team members use our careers - whether in our clinics or our business office - to make a positive difference in the community by building relationships and helping patients live their best lives.
Work Environment -The TOA team focuses on fostering an excellent working environment; one of positivity, collaboration, job satisfaction, and engagement.
Total Rewards -TOA offers a comprehensive suite of benefits, including Medical, Dental, Paid Time Off, and more. Our 401(k) plan provides a company match, safe harbor match and profit-sharing match to go along with your contributions.
JOB SUMMARY
The AR Specialist is an essential part of the TOA Central Business Office. As an AR Specialist, you will use your analytical, financial, and customer service skills to ensure that TOA claims filed to an insurance payer are processed accurately and in a timely manner.
DUTIES AND RESPONSIBILITIES
Promptly identify any errors or other issues in claims processing.
Effectively following up on any unpaid balances.
Expeditiously bring any remaining balance to resolution.
Meet quality assurance and productivity standards by identifying and reconciling insurance balance accounts.
Identify denial trends and provide potential solutions while analyzing patient accounts utilizing our EPM system - Nextgen to determine appropriate action.
Review explanations of benefits details on denials.
Communicate with insurance payer representatives, patients, and TOA staff to ensure timely and accurate resolution of account transactions. This would include Commercial plans, Medicare/Medicare HMO plans, Medicaid/Medicaid HMO plans, and BCBSTN.
Prioritize assigned accounts to maximize aged accounts receivable resolution.
Review the explanation of benefit (EOB) documentation and notate accounts on collection activity to perform account resolution.
Operate within established guidelines and protocols, including providing backup documentation for our accounting and audit functions.
Collaborate closely with the Central Business Office, clinical colleagues, and administrative teammates to develop a cohesive, high-performing team.
Adhere to HIPAA and OSHA safety guidelines.
Requirements
Exceptional customer service and patient focus.
Knowledge of Insurance - particularly coordination of benefit rules and denial overturns are essential to this position.
Knowledge of administrative and clerical procedures.
Accustomed to using mostly payer websites for appeals/reconsiderations, medical records attachments, verification of benefits, and/or web-based claims follow-up.
Ability to communicate and work as a team.
Demonstrated proficiency with Microsoft Office programs such as Excel, Word, and Outlook.
At least 3 years insurance collections experience.
Experience using NextGen.
Orthopaedic specialty experience.
Fluency in English is required; Fluency in a second language is a plus.
WORKING CONDITIONS
TOA fosters an excellent working environment of positivity, collaboration, job satisfaction, and engagement.
AR Specialist will be assigned to work in TOA's Central Business Office at an assigned cubicle in a call center environment and from home occasionally. The department experiences high volume, and as a result, it has associated stressors that conflict with a fast-paced environment.
The noise level in the work environment is moderate to loud, with other staff members answering phones and collaborating.
Regularly sit while working on the computer; use hands and fingers to handle, control, or feel objects, too, ls commands; repeat the same movements when entering data; speak clearly so listeners can understand; understand the speech of another person; ability to differentiate between colors, shades, and brightness; read from a computer screen for extended periods time.
Frequently stand and walk around the office to gather supplies, use office equipment, or collaborate with employees or patients.
Occasionally stand, stoop, and lift or move objects, equipment, and supplies weighing approximately 20-25 pounds up to 40-50 pounds.
***TOA is an equal opportunity employer. TOA conducts drug screens and background checks on applicants who accept employment offers.***
A/R Collections Specialist (Biologics/Immunotherapy)
The AR Collection Specialist is responsible for providing outstanding customer service while collecting outstanding accounts receivable balances. This position includes adhering to collections work standards, reducing the number of aged items, facilitating the resolution of customer billing issues, reducing accounts receivable delinquencies, and meeting and/or exceeding collections standards.
REQUIRED EDUCATION/EXPERIENCE:
· High school diploma or equivalent qualification required.
· 2+ years' experience working in a healthcare Collection Specialist position.
· Profound knowledge of collection techniques and billing procedures
· Excellent communication skills, both written and oral
· Good level of problem-solving and negotiation skills
· Strong understanding of billing and collection processes.
· Outstanding communication and interpersonal skills.
· In-depth knowledge of laws and policies related to debt collection.
· Good administrative skills.
ESSENTIAL FUNCTIONS
· Develop effective repayment plans.
· Follow-up with clients on overdue accounts.
· Oversee all monthly payments and refunds.
· Respond to client account queries in a timely and professional manner.
· Consulting and helping clients with billing and credit problems.
· Managing payments and refund operations
· Developing measures encouraging timely payments
· Reporting on collection operations and customer account updates
· Facilitate resolution of customer billing problems with bill initiating department for delinquent accounts.
· Make outbound collections efforts including making calls in a professional manner and sending emails concerning outstanding balances in accordance with Collections Standards.
· Provide reports to stakeholders as assigned.
· Review open accounts for collections efforts to reduce the number of aged items and aged balances in assigned portfolio.
POSITION RELATIONSHIPS:
· Reports directly to the Senior Revenue Cycle Manager
· Subject to a 90-day probationary period
Requirements
Please complete survey to be considered for this position: ************************************** M7SYDhF/102127
Requirements:
EEOC Compliance
Family Allergy & Asthma provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
$30k-37k yearly est. 9d ago
AR Specialist
Vireo Health 4.2
Carteret, NJ jobs
Job Description
We are hoping for candidates with at least 1+ years of professional AR experience specifically in the cannabis industry.
Who we are:
At Vireo Health, we're not just another cannabis company-we're a movement. Founded by physicians and driven by innovation, we blend science, technology, and passion to create top-tier cannabis products and experiences. Our team of 500+ bold creators and trailblazers are shaping the future of the industry, and we want you to be part of it.
We take pride in being one of the most diverse and inclusive workplaces in cannabis, fostering a culture where everyone belongs. Through employee engagement, community events, and non-profit partnerships, we're building more than a business-we're building a community.
As we rapidly expand nationwide, we're looking for talented, driven, and passionate people to join us. If you're ready to turn your passion into a career, let's grow the future together.
What the role is about:
The Accounts Receivable (AR) Specialist will play a key role in supporting our Sales and Operations team by ensuring timely and accurate billing, payment processing, and financial recordkeeping. This role bridges Finance and Operations, helping maintain a smooth cash-flow cycle, improving customer payment performance, and providing critical insights that support operational decision-making. This position will report the accounting manager.
You will be responsible for managing the AR lifecycle end-to-end, collaborating closely with accounting and sales to resolve discrepancies, streamline processes, and maintain strong customer relationships.
What impact you'll make:
Accounts Receivable & Billing
Generate and issue invoices accurately and on schedule based on operational activity (work orders, service records, delivery logs, etc.).
Monitor outstanding balances and proactively follow up on past-due accounts.
Process payments, verify remittances, apply payments, and creation and application of credit memos to customer accounts.
Maintain accurate and up-to-date AR records in the accounting/ERP system.
Creation of new customers in the accounting system.
Operational Support
Partner with Operations to validate billing data, resolve discrepancies, and ensure alignment between operational workflows and financial outputs.
Support Operations leadership by providing AR metrics, reporting, and insights that drive efficiency and forecasting.
Assist in developing and improving AR processes that integrate smoothly with operational procedures.
Customer Communication
Serve as a point of contact for customer billing inquiries, payment issues, and account reconciliations.
Compliance & Process Improvement
Ensure adherence to internal controls, accounting policies, and audit requirements.
Identify opportunities for automation, workflow optimization, and improved data accuracy.
Assist with month-end and quarter-end closing activities related to AR.
What you've accomplished:
1+ years of AR experience in the cannabis industry
2+ years of experience in Accounts Receivable, billing, or related finance roles.
Strong understanding of AR processes, cash application, and reconciliation.
Excellent attention to detail and accuracy.
Proficiency with accounting or ERP systems (e.g., QuickBooks, NetSuite, SAP, or similar).
Strong communication skills and the ability to collaborate cross-functionally.
Ability to manage multiple priorities in a fast-paced operational environment.
Experience supporting an Operations or field-service team is a plus.
Key Competencies
Analytical mindset - able to identify trends, discrepancies, and improvement opportunities.
Problem-solving - comfortable navigating incomplete information and working with Operations to clarify data.
Customer service orientation - professional, clear, and proactive communication.
Process-driven - organized, consistent, and reliable in managing recurring financial tasks.
Why Join Us
Play a critical role in strengthening the financial and operational backbone of the company.
Work closely with a collaborative Operations team that values continuous improvement.
Contribute to scalable processes in a growing, dynamic environment.
Why Choose Vireo
Life's too short to work somewhere that doesn't ignite your passion. The cannabis industry is fast-paced, innovative, and full of opportunity-where science meets creativity, and wellness meets culture.
At Vireo Health, we're pioneering the future of cannabis with a team that's as dynamic as the industry itself. Here, you'll find a workplace that's collaborative, inclusive, and driven by HEART and purpose, where your work has a real impact on people's lives.
Whether you're cultivating the highest-quality plants, crafting cutting-edge products, or shaping unforgettable customer experiences, you'll be part of something bigger. If you're looking for a career that's exciting, meaningful, and full of growth, let's build the future of cannabis together.
✅ A Growing Industry: Work at the leading tech company in the cannabis industry and help shape the future
✅ Passionate Culture: Join a team that truly cares about the plant, the people, and the purpose behind what we do
✅ Employee Perks: Enjoy competitive pay and benefits, paid time off and employee discounts
✅ Making an Impact: We're committed to education, sustainability, and giving back to the communities we serve.
EEO Statement
Vireo Health, Inc. is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. *******************
Salary Range: $55,000 - $60,000 annually
Benefits offered: medical, dental, vision, STD, LTD, HSA, FSA Dependent Care, Vol Life, 401k match
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$55k-60k yearly 6d ago
AR Specialist
Prompt 3.9
Hoboken, NJ jobs
Job Title: Accounts Receivable Specialist
The Role:
The Accounts Receivable Specialist plays a crucial role in our revenue cycle management team, dedicated to ensuring the accurate, compliant, and timely billing and reimbursement of multi-specialty medical professional services from diverse insurance payers and patients. This pivotal position involves meticulous attention to detail in the collection of unpaid patient accounts, setting and achieving specific goals, proficiently managing re-billing, payment posting, contractual write-offs, adjustments, and appeals in accordance with multi-state and federal insurance regulations. The ideal candidate will demonstrate a strong commitment to maintaining revenue integrity while upholding the highest standards of professionalism and compliance.
Why work for Prompt RCM?
BIG Challenges: Here at Prompt, we are solving complex and unique problems that have plagued the healthcare industry since the dawn of time.
Talented People: Prompt didn't happen by chance, it's a team of incredibly talented and proven individuals who all made their mark before joining forces to build the greatest software on the planet for rehab therapists.
Healthy Approach: This isn't an investment bank, we work long hours when it's needed, but at Prompt you own your workload and the entire organization takes a liking to smart work (over hard work).
Positive Impact: Prompt helps outpatient rehab organizations treat more patients and deliver better care with less environmental waste. That means less surgery and less narcotic-based pain treatment, all while turning a paper-heavy industry digital. We aren't enthralled with patting ourselves on the back everyday, but it does feel good :)
Key Responsibilities:
Prepare and accurately resubmit comprehensive corrected claims to various insurance companies, adhering closely to specific payer guidelines and contractual requirements, both electronically and via paper submission.
Conduct thorough analysis of first pass rejected claims, ensuring completeness and accuracy of information for subsequent clean claim submission, thereby minimizing delays in reimbursement.
Perform diligent research and follow-up on the status of primary and secondary billing claims for assigned insurance plans, proactively resolving any outstanding issues to expedite payment.
Review, assess, and process all claim appeals, meticulously resubmitting to insurance carriers with comprehensive and accurate supporting documentation to maximize reimbursement.
Evaluate customer accounts and recommend adjustments or write-offs to the Manager based on the collectability of accounts with insurance carriers or patients, maintaining a balanced approach to revenue recovery.
Identify and promptly report any billing problems, errors, or discrepancies to management, facilitating proactive resolution of billing trends and ensuring ongoing revenue integrity.
Generate and distribute monthly patient balance due statements in accordance with the explanation of benefits received from insurance carriers, fostering transparent communication, and facilitating timely resolution of outstanding balances.
Minimum Requirements:
One to three (3) years of experience in medical insurance claims billing and collections preferred.
Proficient in Google for Business, MS Office, Excel and Word.
Experience with physical therapy EMR systems is a plus.
A customer success-oriented attitude.
Excellent communication and negotiation skills.
Problem-solving aptitude.
Perks - What you can expect:
Competitive salaries
Remote/hybrid environment
Potential equity compensation for outstanding performance
Flexible PTO
Company-wide sponsored lunches
Company paid disability and life insurance benefits
Company paid family and medical leave
Medical, dental, and vision insurance benefits
Discounted pet insurance
FSA/DCA and commuter benefits
401k
Credits for online fitness classes/gym memberships
Recovery suite at HQ - includes a cold plunge, sauna, and shower
HIPAA Requirements
All associates are required to comply with the Health Insurance Portability and Accountability Act (HIPAA) regulations regarding the protection of patient health information. This includes adherence to the organization's Notice of Privacy Practices and HIPAA Privacy Policies and Procedures.
The specific statements provided in this job description are not exhaustive and may be subject to change based on evolving business needs. Associates may be required to perform additional duties as assigned.
Here at Prompt, we are committed to fostering a fair and respectful work environment. As part of this commitment, it is our policy not to hire individuals from Prompt Customers unless they have obtained their current employer's explicit consent. We believe in upholding strong professional relationships and respecting the agreements and commitments our customers have with their employees.
We appreciate your understanding and cooperation regarding this policy. If you have any questions or concerns, please don't hesitate to reach out to our HR department.
Prompt Therapy Solutions, Inc is an equal opportunity employer, indiscriminate of race, color, religion, ethnicity, ancestry, national origin, sex, gender, gender identity, sexual orientation, age, marital status, veteran status, disability, medical condition, or any other protected characteristic. We celebrate diversity and are committed to creating an inclusive environment for all employees.
$40k-53k yearly est. Auto-Apply 60d+ ago
Collections Specialist II
Cooper University Hospital 4.6
Camden, NJ jobs
About Us
At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development.
Discover why Cooper University Health Care is the employer of choice in South Jersey.
Short Description
Under the direction of the team Supervisor and/or Manager, the Collections Specialist II will be responsible for:
Accounts Receivable tasks related to Cooper University Professional provider revenue cycle and collections.
Duties will be performed in a fast-paced central billing office environment.
The PB Collections Specialist will be flexible and responsive to changing priorities.
The candidate will act as the customer experience agent between third-party payors, Cooper University Health Care patients, and internal departments.
Experience Required
2 - 3 years Accounts Receivable resolution preferred with a strong focus on customer experience
Familiarity with third-party billing processes including CPT/HCPCS and ICD-10 knowledge is desired.
Knowledge of medical terminology, medical record review and reimbursement analysis is preferred.
Experience may also include appeals processing, denial or rejection analysis and resolution and medical billing guidelines as it relates to the job function.
Epic experience is a plus
Education Requirements
High School Diploma or Equivalent required; some college preferred
Salary Min ($) USD $20.00 Salary Max ($) USD $31.00
$34k-40k yearly est. Auto-Apply 60d+ ago
Collections Specialist II
Cooper University Hospital 4.6
Camden, NJ jobs
About Us
At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development.
Discover why Cooper University Health Care is the employer of choice in South Jersey.
Short Description
Under the direction of the team Supervisor and/or Manager, the Collections Specialist II will be responsible for Accounts Receivable tasks related to Cooper Universtiy Professional provider revenue cycle and collections. Duties will be performed in a fast-paced central billing office environment.
The PB Collections Specialist will be flexible and responsive to changing priorities.
The candidate will act as the customer experience agent between third-party payors, Cooper University Health Care patients and internal departments.
The incumbent will be responsible for high volume and timely invoice/account resolution. The Collections Specialist II will be able to review and translate Explanations of Benefits as well as payor contract/benefit plan language.
The incumbent will maintain a collaborative relationship with all levels of staff, internal and external customers.
The Collections Specialist will be required to maintain all PHI/PII in accordance with Federal, State and CUHC polices and procedures
Experience Required
2 - 3 years Accounts Receivable resolution preferred with a strong focus on customer experience
Familiarity with third-party billing processes including CPT/HCPCS and ICD-10 knowledge is desired. Knowledge of medical terminology, medical record review and reimbursement analysis is preferred. Experience may also include appeals processing, denial or rejection analysis and resolution and medical billing guidelines as it relates to the job function.
Epic experience is a plus
Education Requirements
High School Diploma or Equivalent required; some college preferred
Salary Min ($) USD $20.00 Salary Max ($) USD $31.00
$34k-40k yearly est. Auto-Apply 31d ago
AR Billing Specialist
Camcare Health Corporation 4.2
Camden, NJ jobs
A/R Billing Specialist
Who We Are:
CAMcare Health Corporation is a mission-driven Federally Qualified Health Center (FQHC) serving Camden and Gloucester counties. Our team is dedicated to delivering accessible, high-quality healthcare to all individuals regardless of their ability to pay. With seven health centers and a commitment to innovation, we are reimagining community health by embracing technology, equity, and compassion.
Position Summary
The A/R Billing Specialist is responsible for ensuring timely and accurate processing of claims and collections in accordance with FQHC, federal, and payer-specific guidelines. The specialist will play a key role in managing accounts receivable, resolving claim denials, and supporting billing compliance using the EPIC EHR system. This role contributes directly to CAMcare's financial sustainability and compliance with Uniform Data System (UDS) and Medicaid/Medicare reporting standards. This position will report to the Billing Supervisor.
Key Responsibilities
Submit primary and secondary claims electronically and by paper to government and commercial payers.
Identify and resolve payment edit errors and rejections; escalate unresolved issues when appropriate.
Utilize EPIC EHR and billing modules to verify charge entry, apply edits, track claim status, and process payments.
Post payments and contractual adjustments from EOBs/EFTs/remittance advice accurately.
Conduct follow-up on denied or underpaid claims and initiate appeals or resubmissions.
Track OB delivery charges and obtain required authorization/GEMS numbers for billing.
Assist in preparing UDS perinatal reports and data for federal reporting.
Research and update Medicaid Pending claims with verified Medicaid IDs.
Submit patient statements and maintain accurate account balances.
Establish and monitor patient payment plans in line with sliding fee policies.
Support collection efforts and coordinate write-offs, bad debt, or agency assignments.
Collaborate across departments (e.g., Registration, Clinical, Compliance) to resolve billing discrepancies.
Leverage payer portals to validate claims, coverage, and remittance data.
Assist with audits, internal reviews, and revenue cycle improvement initiatives.
Maintain billing compliance with FQHC-specific guidelines, CMS rules, and payer contracts.
Provide backup assistance to team members and perform other duties as assigned.
Key Performance Indicators (KPIs)
Claim First-Pass Rate (Clean Claim Rate): ≥ 95%
Days in Accounts Receivable (A/R): ≤ 40 days average
Claim Denial Rate: ≤ 5%
Payment Posting Accuracy: ≥ 98%
Timely Submission of Claims: ≥ 99% submitted within 5 days of service
Denial Resolution Turnaround Time: ≤ 15 days from receipt
Patient Collection Rate (Sliding Fee / Payment Plans): ≥ 85% compliance
Timely OB Charge Entry & Authorization: 100% within 3 business days of delivery
EPIC Work queue Resolution Rate: ≥ 95% cleared within 3 business days
What You Bring
Required:
High School Diploma or GED.
1-2 years of experience in medical billing within a healthcare setting (FQHC preferred).
Proficient in EPIC EHR , especially billing and claims processing modules.
Knowledge of CMS, Medicaid, commercial billing rules and modifiers.
Working knowledge of Microsoft Office (Excel, Outlook, Word).
Preferred:
Medical Billing Certification (e.g., AAPC, AHIMA).
Nationally recognized Coding Certification (if performing coding functions).
Bilingual English/Spanish proficiency.
Familiarity with Medicaid PPS, sliding fee schedules, and UDS reporting.
Core Competencies
Exceptional attention to detail and data accuracy.
Strong analytical, problem-solving, and time management skills.
Ability to work independently and collaboratively in a fast-paced environment.
Effective written and verbal communication.
Understanding patient confidentiality and HIPAA requirements.
Commitment to CAMcare's mission, values, and equity-driven care model.
Working Conditions
Standard office setting with potential for hybrid flexibility.
Occasional travel to other CAMcare locations may be required for support or training.
CAMcare Health Corporation is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
$35k-43k yearly est. Auto-Apply 60d+ ago
Patient Accounts Rep
Rwjbarnabas Health 4.6
Collections/accounts receivable job at RWJBarnabas Health
Job Title: Patient Accounts Rep Department Name: Finance - Medical Group Status: Hourly Shift: Day Pay Range: $20.60 - $25.84 per hour Pay Transparency: The above reflects the anticipated hourly wage range for this position if hired to work in New Jersey.
The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.
Overview:
Daily:
* Reconcile cash, checks, and credit card payments to the deposit log received from the departments.
* Deposit physical checks received by departments via the bank check scanner.
* Track payments received from all sources on the daily deposit log.
* Post patient and hospital payments in the system.
* Transmit the daily deposit reconciliation to the billing company via file share.
* Reconcile cash, credit cards, and checks to the bank statements.
* Complete any other assigned work queues.
Weekly:
* Continue follow-up and resolve any open items from departments.
* Ensure that all cash records not in Fully Posted status are documented with the reason why.
Other:
* Alert the leadership team of any delayed payments so that a ticket can be opened with the appropriate department
* Coordinate with the office manager to schedule cash pick-up and drop-off by the courier
* Collaborate with the billing company on any identified discrepancies
* Monitor unapplied cash, checks, and credit cards
* Share information on received deposits and provide backup support
* Identify opportunities to enhance current processes
* Adhere to all productivity and quality requirements set forth by UPA Leadership
* Perform any other duties assigned by management
Benefits and Perks:
At RWJBarnabas Health, our employees are at the heart of everything we do. Driven by our Total Wellbeing promise, our market-competitive offerings include comprehensive benefits and resources to support our employees' physical, emotional, financial, personal, career, and community wellbeing. These benefits and resources include, but are not limited to:
Paid Time Off including Vacation, Holidays, and Sick Time
Retirement Plans
Medical and Prescription Drug Insurance
Dental and Vision Insurance
Disability and Life Insurance
Paid Parental Leave
Tuition Reimbursement
Student Loan Planning Support
Flexible Spending Accounts
Wellness Programs
Voluntary Benefits (e.g., Pet Insurance)
Community and Volunteer Opportunities
Discounts Through our Partners such as NJ Devils, NJ PAC, and Verizon
….and more!
Choosing RWJBarnabas Health!
RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.
RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey-whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.
Equal Opportunity Employer
#LI-SK1
At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees physical, emotional, social, and financial health.
* Paid Time Off (PTO)
* Medical and Prescription Drug Insurance
* Dental and Vision Insurance
* Retirement Plans
* Short & Long Term Disability
* Life & Accidental Death Insurance
* Tuition Reimbursement
* Health Care/Dependent Care Flexible Spending Accounts
* Wellness Programs
* Voluntary Benefits (e.g., Pet Insurance)
* Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!
RWJBarnabas Health is an Equal Opportunity Employer