Billing Issues jobs near me - 125 jobs

Company Details We're a member company of W. R. Berkley Corporation, an A. M. Best A+ rated Fortune 500 holding company. Berkley is comprised of individual operating units that serve a defined insurance market segment. BTU A global insurance provider, offering property, casualty, professional and cyber insurance coverage for technology firms and businesses with technology exposure. Responsibilities Lead and supervise the International Operations team, ensuring the accurate and compliant execution of multinational insurance placements. Drive operational excellence, support process improvements, and foster professional development within the team. Serve as the primary escalation point for complex issues and facilitate effective communication with internal and external partners. Lead and supervise the International Operations team by providing coaching, mentoring, and performance feedback. Oversee the execution of international placements, ensuring accuracy, compliance, and quality standards are met. Monitor team adherence to SOPs, regulatory requirements, and company policies; address escalations as needed. Monitor team performance, participate in quality audits, and ensure timely issuance of local policies and premium collection. Support process improvement initiatives and collaboration with other departments on workflow enhancements. Deliver and coordinate training for team members; foster professional development. Serve as the primary escalation point for compliance, operational or billing issues. Facilitate effective communication within the team and with partner carriers/affiliates. Track and report on team performance metrics; participate in quality audits and reviews. Oversee the team's book of business, ensuring compliance, and Accuracy and SLA's are met Educate team members on country-specific insurance rules and compliance requirements May perform other functions as assigned For highly qualified candidates, we will consider remote working arrangements. This role requires occasional travel to our home office in Minneapolis, MN.Qualifications 5+ years of experience in multinational insurance programs 3+ years prior supervisory experience Strong understanding of compliance, SOPs, and operational workflows in global insurance. Experience delivering training and coaching team members. Excellent client service and relationship management skills. Effective communicator with strong organizational and problem-solving abilities. Ability to work collaboratively in a cross-functional, multicultural environment Education High school diploma or equivalent Additional Company Details The Company is an equal employment opportunity employer. We do not accept unsolicited resumes from third party recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees including: • Base Salary Range: $90k-$120k • Benefits include Health, dental, vision, dental, life, disability, wellness, paid time off, 401(k) and profit-sharing plans The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Additional Requirements Travel: Limited travel Sponsorship Details Sponsorship not Offered for this Role

Job Description Outside Sales Representative - Industry Experience Preferred Nashville - Austin - San Diego - New York City - Boston - Miami | Full-Time | Remote The Outside Sales Representative is responsible for selling what our Buyer Buys. The goal is to establish/maintain long term meaningful relationships with business that will benefit the company. Essential Duties and Responsibilities include the following, other duties may be assigned: Be responsible for territory development, working with Sales Manager, aligned with company target markets Travel to clients and sell our brand, garner their business All contract negotiations including any internal process needed to fulfill contracts Establish credit and solve billing issues Submit expenses monthly Assisting customers in the selection of products Expediting backorders and Returns Placing a purchase order directly with a vendor when a situation requires Attend and be a member of affiliated associations Who is Colonial Electric? We are Colonial Electric Supply, the #1 supplier of commercial electrical and lighting components in the tri-state area. That means we keep the lights on, the electricity flowing, and the factories bright and humming. Our Team - At 500 strong and growing, our team is the fastest and smartest in the lighting and electrical supply business, with the most contracts because we love to win! If you've read this far, we're betting you like to win too. A Delightfully Simple Work Culture - You'll enjoy Colonial Electric because our workspace and people form a family culture-very different from the corporate world. We are always looking to promote from within and due to our dedicated training team, many have been promoted within the first year! Work-Life Balance - We are privately-owned and led by men and women of strong character. That means we value the health and happiness of the people who work with us. We've made work-life balance a point of pride for 90 years. Back in 1925, we called it “respect.” Everyone who joins Colonial Electric is a respected member of our team. Check Out Our Benefits Medical Insurance - Choose between a traditional PPO and flexible health plan with a tax-free health savings account Comprehensive and affordable coverage Preventative care covered at 100% Access to the Blue Cross Blue Shield national network Dental Benefits - Affordable coverage with annual exams, cleanings and xrays covered at 100% and rollover benefits. Vision Benefits - Get yearly eye examinations and buy new lenses, frames, and contacts. Or skip the glasses and enjoy special discounts on LASIK procedures! You'll have access to 70,000 provider locations across the U.S., including well-known retailers like Walmart and America's Best Glasses. 401(k) for Comfortable Retirement - Colonial Electric matches 25% of your contributions up to 6% of your annual earnings.. Life Insurance & AD&D Insurance At Zero Cost - Colonial Electric offers all full-time employees life and accidental death and dismemberment insurance (AD&D) at zero cost to you. Paid Time Off - Including vacation, personal time, paid holidays and more. Colonial Paid Parental Leave - CPPL offers parents company paid time off to care for the birth or adoption of a child. Colonial offers many additional benefits for employees and their families! Feel free to inquire about our complete benefits guide during the interview process.

Job DescriptionBenefits: Holiday Pay 401(k) 401(k) matching Bonus based on performance Dental insurance Health insurance Paid time off We are currently hiring for an HR Administrator/AR Specialist . This is a direct hire position with full benefits. Salary will be based on experience, $70K to $80K. Duties include but not limited to: Assist with full-cycle recruitment including posting jobs, scheduling interviews, and conducting reference checks Coordinate new hire onboarding, orientation, and offboarding processes Maintain accurate employee records and update HR databases (e.g., personnel files, attendance, training records) Support benefits enrollment and respond to employee inquiries regarding benefits and policies Process HR-related paperwork such as I-9s, W-4s, and change forms Ensure compliance with federal, state, and local employment laws and company policies Assist with payroll preparation by providing relevant employee data (absences, bonuses, leaves, etc.) Organize employee engagement activities and HR communications Prepare HR reports and metrics as needed for management Generate and distribute invoices to customers in a timely manner Record incoming payments and apply them accurately to customer accounts Monitor accounts to identify outstanding debts and follow up on overdue invoices Reconcile AR ledger to ensure all payments are accounted for and properly posted Prepare regular reports on collection activity and accounts status Communicate with customers to resolve billing issues or disputes Assist with month-end closing and audit preparation Maintain organized and up-to-date AR documentation Qualifications: 5+ years of experience in a multi-faceted environment handling human resources and accounting assistant. We need someone who can be self-managed and multi-tasked. Experience with QuickBooks and great communication skills a must. Benefits: 12 paid holidays 2 weeks PTO 401k - 4% match Free lunch Remote work on Fridays Monday to Thursday 8am to 5pm, Friday-remote $70K-$80K depending on experience

Must be a licensed Mental Health Professional (PHMNP), MD, or LMSW to be considered. If you are not a licensed New York State Psychiatric Nurse Practitioner, Medical Doctor, or Social Worker your application will not be accepted. Housing Works requires employees working in our Health Services division to be fully vaccinated against COVID-19, unless approved for a legal accommodation. If you need an accommodation for any reason, including related to this job requirement, please contact Human Resources. Job candidates should be aware that scammers may pose as employers and create fake job postings in order to extract personal information from individuals for financial gain. Housing Works will never ask job candidates for personal information, such as social security numbers or bank account details, over the phone. If you suspect that a job posting may be fake or wish to confirm that a job posting from Housing Works is genuine, please contact us at **************************** Housing Works was founded in 1990; With a long-term commitment to AIDS advocacy. Housing Works established New York State's first harm reduction-based, OASAS-licensed outpatient drug treatment program. Other services include Health Home care management, behavioral health, and syringe exchange programs. A pioneer in the social entrepreneurship movement, Housing Works operates 10 high-end thrift shops in Manhattan and Brooklyn and a much-loved Bookstore Cafe in Soho. For more information, visit ******************** Housing Works fights for funding and legislation to ensure that all people living with HIV/AIDS have access to quality housing, healthcare, HIV prevention, and treatment, among other lifesaving services. Benefits: We have three comprehensive healthcare plans to choose from based on your priorities and budget. Housing Works covers most of the plan; you pay a portion, based on your salary. Staff begins accruing PTO immediately for a total of up to 30 days earned in the first year. We offer employees an educational benefit. This money is available for tuition loan reimbursement, tuition costs, and text books. Housing Works provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements. Housing Works complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. Housing Works also does not request prior salary information during the hiring process. 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. Compensation Range: $25-$30 per chart review Summary: The Quality Assurance Specialist (QAS) supports a comprehensive quality assurance program for Housing Works' Behavioral Psychiatric programming to ensure operating regulations for services are in compliance with state agencies, funders, and providing quality clinical care, primarily through comprehensive chart reviews. In this regard, the QAS ensures that programs, services, and facilities meet minimum acceptable standards, as defined in statutes and regulations, and that appropriate managerial oversight of programs and services exist to reasonably assure efficient and effective delivery of intended programs and services to the public. The QAS may also work as a liaison to state agencies Technical Assistance Support to attain and maintain established standards, as well as efficient and effective management practices. This is a 100% remote position. Candidates must have an active behavioral health license in NY State. Eligible to obtain up to 18 free Social Work CEs per year through internal training offerings. Essential duties and responsibilities: Primary: Complete monthly chart reviews of Psychiatric Providers; amount each month may vary based on program enrollment and program needs. Ensure regulatory adherence to pre-admission and admission procedures, criteria set forth for continued stay, and required discharge procedures. Review and audit admission assessments. Review and audit in accordance with clinical quality indicators, such as provided diagnosis basis in current DSM, assessment of level of care, and other appropriate care/admission indicators. Ensure appropriate protocol for outpatient care is documented in accordance with state agency and Housing Works' guidelines. Audit completion and timely submission of clinical documentation within client's chart to follow state and/or internal agency regulatory standards. Provide clinical assessment based on chart review on program practices/implementation of admission/treatment/discharge processes and training requirements. Provide technical assistance to support improvement of program performance with compliance, including conducting in-service trainings to Psychiatric team members. Complete standardized review of Psychiatric Providers' compliance efficiency to utilize in assessing ongoing compliance of providers. Participate in agency and behavioral health departmental meetings that may be held on a weekly, bi-weekly, and/or monthly basis. This may include interdisciplinary and/or cross-departmental meetings. Identify challenges and shortcomings within clinical documentation that may influence corrective action steps geared towards improved adherence towards regulatory standards. Auditing data entry and generating reports as requested. Audit processes and report risk and/or billing issues in a timely manner. Secondary: Perform other duties and special projects as requested by supervisor. Participate in advocacy efforts and direct action to end the twin crises of homelessness and AIDS. Engage in monthly in-service training and other external trainings that are relevant to supporting or enhancing behavioral health program compliance. Minimum Requirements Must be a Licensed Qualified Health Professional (PHMNP), Licensed Master Social Worker (LMSW) or Licensed Medical Doctor (MD) Experience with diagnosis/treatment in an OASAS and/or OMH licensed program. Familiarity with OMH Regulations and UR Demonstrated experience in collaborative projects involving multiple project partners, possessing strong written and verbal communication skills, organizational skills, and demonstrated experience with working as a member of a team. Ability to present information in a one-on-one and small group situation. Proficient in Microsoft Office programs, particularly Excel and Word. The equivalent of two (2) years' experience in planning and coordinating quality assurance initiatives [preferred].

At Labcorp, you are part of a journey to accelerate life-changing healthcare breakthroughs and improve the delivery of care for all. You'll be inspired to discover more, develop new skills and pursue career-building opportunities as we help solve some of today's biggest health challenges around the world. Together, let's embrace possibilities and change lives! Billing Quality Control Coordinator - REMOTE (Northeast) The Labcorp Specialty Support team has an exciting career opportunity for a Billing Quality Control Coordinator. The purpose of this position is to work with clients and divisional employees to resolve billing issues, to increase cash, and reduce bad debt. From findings, drive corrective action plans and monitor improvement. Responsibilities Acts to address clients with high bad debt or revenue write off experience by interfacing with sales and operations to create and implement action plans for improvement. Works with the client and/or Sales to address outstanding, past due client balances and obtain billing information for items moved to third parties. Coordinate and work with Corporate Billing on customer facing initiatives to communicate and assist with the adoption of technology and tools developed to improve the account performance with regards to defects. Provide billing training to phlebotomists, Sales, and clients to ensure correct billing and prompt payment. Training to include reviewing client billing invoices, obtaining appropriate 3rd party billing information, ABNs, RPI and Medical Necessity. Problem solving by being able to zero in on specific client issues from analysis of corporate reports and other quantitative data, when requested, and maintain conversational knowledge of all client issues. Establish and maintain productive relationships with employees, peers, and senior management, crossing departments, divisions and corporate lines to establish trust and confidence in the BQCC program to resolve issues. Participate in meetings with internal departments as needed (billing, sales, client services, branch, LCM, PSCs) to update and provide information regarding billing issues and activities. Act as liaison between billing and other departments. Strong communication, both oral and written is essential to communicate with others located throughout a wide geographic area where the primary mode of communication is conference calls and email. Establish effective follow up processes. Establish systems and process to manage, analyze and act on large volume of quantitative data. Ability to prioritize projects to optimize work time. Other duties as assigned by Supervisor. Qualifications: High School Diploma or equivalent required; Associate's degree or higher preferred. Minimum three + years previous work experience in medical billing, healthcare and/or insurance claims required Experience in teaching, support, and training in customer interaction situations strongly preferred. Familiarity with medical and insurance billing requirements and regulations strongly preferred. Prior experience in teaching, support, and training in customer interaction situations strongly preferred. Knowledge of LCBS, LCLS, Labcorp LINK, and other Labcorp software strongly preferred. Strong PC and systems skills (billing and laboratory systems) and working experience with major software applications for PCs (ex: Webex, Microsoft - OneNote, Teams, Excel, etc.) strongly preferred. Good organizational skills preferred. Excellent communication skills preferred. Detail oriented preferred. Self-motivated, and independent worker preferred. Application Window Closes: 10-27-25 Salary: $47,500-60K Shift: Monday-Friday; 7:00am- 3:30pm EST This position requires candidates to reside within the Northeast Division, which includes the states of Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont, New Jersey, New York, and Pennsylvania. Occasional travel (up to 10%) may be required for meetings, training, or collabration with other teams. We'll always give advance notice and support travel arrangements. All job offers will be based on a candidate's skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data. Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only. For more detailed information, please click here. Labcorp is proud to be an Equal Opportunity Employer: Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law. We encourage all to apply If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at Labcorp Accessibility. For more information about how we collect and store your personal data, please see our Privacy Statement.

Who We Are ™ Enovis Corporation (NYSE: ENOV) is an innovation-driven medical technology growth company dedicated to developing clinically differentiated solutions that generate measurably better patient outcomes and transform workflows. Powered by a culture of continuous improvement, global talent and innovation, the Company's extensive range of products, services and integrated technologies fuels active lifestyles in orthopedics and beyond. For more information about Enovis, please visit *************** What You'll Do At Enovis™ we pay attention to the details. We embrace collaboration with our partners and patients, and take pride in the pursuit of scientific excellence - with the goal of transforming medical technology as we know it. Because that's how we change the lives of patients for the better. And that's how we create better together. Why work at Enovis? See for yourself. As a key member of the National Accounts Team you will play an integral part in helping Enovis drive the medical technology industry forward through transforming patient care and creating better patient outcomes. Job Title: Strategic Account Manager Reports To: Director, National Accounts Location: Remote Business Unit Description: Foot & Ankle Job Title/High-Level Position Summary: The Strategic Account Manager is responsible for driving strategic growth by developing and managing partnerships with Group Purchasing Organizations (GPOs), Integrated Delivery Networks (IDNs), Ambulatory Surgery Centers (ASCs), and large health systems. This role requires a sales-driven mindset combined with the ability to navigate corporate-level negotiations and contracting strategies. Ideal candidates will bring proven success in orthopedic device sales combined with national or strategic account management experience and have a strong ability to influence executive decision-makers while supporting field execution. Key Responsibilities: Develop and execute account-specific business plans for assigned strategic IDNs, with direct accountability for growth targets tied to these accounts. Target and execution on new account and product approval opportunities to increase market access and drive growth. Manage contracting needs and pricing negotiations for all IDNs, ASCs, and health systems across the assigned territory, ensuring alignment with regional sales priorities and timely execution of RFPs, purchasing agreements, and amendments. Leverage support from Contract Analysts to provide accurate data analytics, price files, and assist with amendments and purchasing agreements. Partner side-by-side with Regional Sales Directors to drive overall territory growth, aligning IDN initiatives with field sales execution. Build and maintain executive-level relationships within IDNs, ASCs, and health systems to influence access and drive adoption (Supply Chain, C-Suite, Service Line Leaders). Serve as the primary point of contact for Supply Chain contracting teams, overseeing implementation of local, regional, and GPO agreements while ensuring compliance with pricing, tier qualifications, and volume commitments. Address and resolve complex pricing and billing issues that may arise within the assigned region. Identify and pursue opportunities for cross-selling, portfolio expansion, and surgeon champion engagement to support both IDN-specific and territory-wide growth. Conduct IDN and territory-level business reviews, monitor rebate performance, and maintain pipeline development to support sustained growth. Lead product submission processes, coordinating closely with Regional Account Coordinators. Currently, Enovis does not provide sponsorship for employment visas (e.g., H-1B) and will not offer such sponsorship in the future. Applicants must already have full-time work authorization in the United States, both now and in the future, without requiring sponsorship. Minimum Basic Qualifications: Bachelor's degree required. Minimum of 3-5 years' experience with proven success in orthopedic device sales combined with managing national or strategic accounts. Strong understanding of the healthcare and orthopedic industry, with a demonstrated ability to develop relationships with and influence executive decision-makers. Exceptional communication, negotiation, and sales leadership skills. Ability to work independently and collaboratively to manage complex projects, prioritize competing demands, and deliver measurable results. Proficiency in MS Excel, MS Word, PowerPoint. ERP experience is a plus. Valid driver's license. Travel Requirements: Up to 50% overnight travel to meet with accounts, sales teams, leadership, and represent Enovis at conferences related to National Accounts. Desired Characteristics: Sales Mentality: Ability to create demand and close competitive deals at a corporate level while continuously identifying new targets to improve market access. Strategic Thinker: Comfortable managing complex contracting strategies and long sales cycles. Executive Presence: Skilled at influencing C-suite and supply chain leadership. Financial & Analytical Acumen: Ability to interpret and construct pricing models and compliance metrics. Adept at successful pricing negotiations to avoid or limit price erosion. Collaborative Leader: Strong alignment with field teams and cross-functional partners. “Creating better together”. It's the Enovis purpose, and it's what drives us and empowers us every day on a global scale. We know that the power to create better - for our customers, our team members, and our shareholders - begins with having the best team, pursuing common goals, operating at the highest levels, and delivering extraordinary outcomes. What does creating better together mean to us at Enovis? Discover the “why” behind our purpose, values and behaviors: Our Enovis Purpose, Values and Behaviors on Vimeo We offer a comprehensive benefits package that includes: Medical Insurance Dental Insurance Vision Insurance Spending and Savings Accounts 401(k) Plan Vacation, Sick Leave, and Holidays Income Protection Plans Discounted Insurance Rates Legal Services ABOUT ENOVIS Enovis Corporation (NYSE: ENOV) is an innovation-driven medical technology growth company dedicated to developing clinically differentiated solutions that generate measurably better patient outcomes and transform workflows. Powered by a culture of continuous improvement, global talent, and innovation, the company's extensive range of products, services, and integrated technologies fuels active lifestyles in orthopedics and beyond. Visit ************** to learn more. EQUAL EMPLOYMENT OPPORTUNITY Enovis provides equal employment opportunities based on merit, experience, and other work-related criteria without regard to race, color, ethnicity, religion, national origin, sex, age, pregnancy, disability, veteran status, or any other status protected by applicable law. We also strive to provide reasonable accommodation to employees' beliefs and practices that do not conflict with Enovis policies and applicable law. We value the unique contributions that every employee brings to their role with Enovis. Join us in creating better together. EOE AA M/F/VET/Disability Statement All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of race, religion, color, national origin, sex, protected veteran status, disability, or any other basis protected by federal, state or local laws.

Liberty Mutual Surety, a business unit of Liberty Mutual Insurance, is one of the world's largest global Sureties, including in the United States. Conducting business worldwide through fronting relationships and Liberty-owned subsidiaries, we provide bonds in over 60 countries for construction firms, manufacturers and suppliers, and commercial enterprises on an account and transactional basis. We are committed to building mutually profitable relationships by providing smart business solutions, ease of doing business, and consistent, responsive service. Liberty Mutual Surety is dedicated to the communities we serve and highly values a diverse workforce in more than 16 countries. Responsibilities: Underwrites new and existing subdivision account submissions of virtually all sizes and complexities utilizing underwriting authority granted by Chief Underwriting Officer and adhering to required underwriting guidelines. Makes thorough evaluations and assessments of a developer`s financial, technical, organizational, and management capacities, as well as apply a high level of subjective judgment of character, normally based upon data/insights provided by the field organization only. Incorporates expert level of knowledge regarding accounting, legal and organizational/managerial disciplines. With field underwriters and/or Bond Managers, meet with clients to facilitate assessments and/or provide direction for topics to be addressed with agents, principals, and others as necessary. Partners with field staff to identify, solicit, and contact significant producers in assigned territory under guidance from Bond Manager and more senior home office underwriting staff. Monitors, evaluates, and improves existing books of business from an underwriting standpoint as assigned and ensures compliance with Surety guidelines. Continuously evaluates the qualitative characteristics of new and existing business within assigned field offices. Assesses and identifies changes in all aspects of the business including, but not limited to, work program to financial strength criteria, nature of work performed (inherent risk), accuracy and timeliness of data flow, and exposure analyses. Coordinates and/or surfaces issues to manager and/or field Bond Manager. As directed by more senior staff/manager, monitors marketing, underwriting and/or administrative issues within various offices, as assigned. Prepare, recommend, and/or implement instructions for administering workflows and accounting/billing issues to service unique situations. Utilizes various applications and data and analyzes statistical and financial reports, claims data, and other financial exhibits/data to ensure the quality of existing and new business. Communicates issues of concern on new and existing business to the applicable field office product line underwriter and/or Bond Manager, as necessary and inputs data on accounts to complete or modify analyses and maintain lines of credit in a current and accurate matter. Pursues resolution of open issues, documents result and adjusts credit parameters extended to specific accounts based upon such facts and findings. Applies sound reason and business logic to credit recommendations, documenting such logic file and communicate credit recommendations to more senior Home Office and Field underwriting staff, as necessary. May directly manage and/or provide underwriting support and direction to less experienced underwriting staff/interns. As necessary, collaborates with Claims staff to evaluate and/or resolve claim issues and as appropriate, takes immediate action to restrict credit on affected account. Keeps senior underwriting staff/manager informed of claims issues. Represents Liberty Mutual Surety with competitors regarding co-Surety matters and attends industry functions (i.e., Regional NASBP conferences, AGC, and trade conventions). May speak as requested at external industry meetings. Leads special projects as requested/assigned. Train field staff on the art of subdivision underwriting. Review indemnity agreements prepared by the field, and account rates, for errors. In some parts of the country, underwrite subdivision business directly with Liberty appointed agents. Qualifications Degree in Business or related field typically required A minimum of 7 years expected, typically 10 years or more, of progressive surety underwriting experience and/or other related business experience with progressive responsibility desired Advanced analytical ability and decision-making skills to evaluate and judge underwriting risks within scope of responsibility Demonstrated ability to make and clearly communicate sound underwriting recommendations that includes complex analyses, both verbal and written, and displays strong interpersonal skills in dealing with internal and external stakeholders Must demonstrate comprehension of most complex technical underwriting issues and be capable of defining and implementing necessary underwriting and administrative processes/workflows About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.

Job Title: ERP Planning Analyst SAP FSCD/FICO - REMOTE, but willing to relocate to California is FTE is offered - (LA1236) Business Unit: Enterprise Resource Planning Employment Type: Contract Duration: 4+ months (with possible extensions or conversion to permanent) Rate: $56.49 - $73.44/hour W2 (if converted to permanent $117K to $152K Posting Date: 07/27/2023 Notes: Only qualified candidates need apply. REMOTE, but willing to relocate to California is FTE is offered 3 Key Consulting is recruiting an ERP Planning Analyst for a consulting engagement with our direct client, a leading government funded healthcare insurance company. Job Description: This position is responsible for the functional aspects of an integrated private cloud-based solution for S/4 HANA FS-CD and FI/CO. This role will document the business processes and requirements, reviewing the functional specifications and application design documents, writing test plan, test scripts and coordinating unit, integration and UAT testing in the assign area. This position will also be responsible of ERP security roles that ensure segregation of duties and adhere to accounting principles of internal controls and PHI information security in the areas of Billing. This position will work closely with ERP Technical Architects and Business SMEs to ensure the business requirements are correctly mapped to functional /technical specs and properly implemented. Top Must Have Skill Sets: SAP Experience FSCD and FICO -> 8+ years 1 FSCD implementation Day to Day Responsibilities: Gather requirements through interviews, workshops, business processes, use case scenarios, task and workflow analysis. Identify all the systems, processes and users that are impacted by the system or business solutions. Communicate and collaborate with business at all levels to understand and analyze information needs and deliver documents such as business case analysis, workflow diagrams, functional and business specifications. Drive, challenge and collaborate with business groups to adopt ERP standard processes to reduce customizations and reduce cost in future upgrades. Responsible for ensuring the BSD and TSD meet the business requirements. Create business process procedures for business areas that are impacted by FS-CD & Biller Direct for Premium Billing. Responsible for the configuration tasks of FS-CD this requires close collaboration with other analysts that are responsible for other modules within ERP. Troubleshoot application performance and performing root cause analysis to resolve reported issues through footprint tickets for the Premium Billing issues. Control and Manage development and configuration environments to ensure the integrity of changes moved to productions. Basic Qualifications: Bachelor's Degree in Accounting or Management Information Systems (in lieu of degree, equivalent education and/or experience may be considered). Knowledge of the following Software Packages: Microsoft Office Word, Excel, PowerPoint. Knowledge and demonstrated experience in Finance and business operations. Ability to conduct in-depth analysis in areas of focus. Ability to write test scripts. Ability to troubleshoot operation of software and make recommendations to improve functionality. Excellent verbal and written communication and presentation skills. Senior SAP FS-CD/FICO Consultant with a minimum of 6-8 years of implementation experience. Experience of at least 2 full lifecycle SAP implementations in Insurance industry is considered. Demonstrated experience in process implementation and optimization. Experience with integrating FSCD with SAP FI-CO and other SAP modules is mandatory. Experience in gathering, analyzing and document required business functionality and non-functionality requirements to ensure the success of a system or software development project. Experience in application design activities. Knowledge of application testing and ability to design, plan and execute application testing strategies and tactics to ensure software quality throughout all stages of application development. Assigned area includes but is not limited to Billing. The ERP Billing Analyst III is also responsible for the design and configurations of the Billing functions within FS-CD and FI/CO modules within SAP. Requires knowledge of financial billing master data and general ledgers. ERP Disbursement Analyst III Assigned area includes but is not limited to Claims and Capitation disbursements. The ERP Disbursement Analyst III is also responsible for the design and configurations of the Disbursement functions within FS-CD and FI/CO modules within SAP. Requires knowledge of Claims and Capitation disbursements. Preferred Qualifications: Health Care Industry Experience Masters in Related Field Interview Process: First Interview will be with SAP Consultant/Manager, then second with SAP Team. We invite qualified candidates to send your resume to **************************. If you decide that you're not interested in pursuing this particular position, please feel free to take a look at the other positions on our website ******************************* You are also welcome to share this opportunity with anyone you think might be interested in applying for this role. Regards, 3KC Talent Acquisition Team

MissionOne Media is a brand within BarkleyOKRP that combines full-funnel media planning and buying services, CRM, data, analytics, retail media, SEO, and digital experiences. We're an independent media partner offering transparency, integration, and a relentless focus on business impact. This is a full-time, hybrid position for a Supervisor, Paid Social Media at BarkleyOKRP. In this role, you will develop strategies and manage the performance of various paid search accounts, to drive client performance and growth. Exceptional communication skills and the ability to work collaboratively in a remote environment are essential. Qualities Here's what it takes to be successful in the role: ● Curiosity and Skepticism: You are always asking, “WHY?” You have an internal drive to learn more and expand your knowledge. You consider situations from multiple perspectives. ● Strategic, Creative Problem-Solving: You are analytical and enjoy working with data to derive insights. You use insights and knowledge to develop robust strategies and visions for success. You love coming up with creative solutions to new and old problems alike. ● Initiative: You are a gritty self-starter driven to find answers, solve tough problems, and overcome challenges. You proactively bring solutions to challenges. ● Communication & Storytelling: You can easily communicate complex information or nuanced situations. You know what details are necessary and what details to leave behind. You can marry data and storytelling to articulate a compelling vision. ● Adaptability: You can comfortably adjust in evolving or ambiguous situations. You use creativity to tackle new and existing challenges. You're ready and excited for changes in the media landscape. ● Self-Development: You're reflective and self-aware. You seek opportunities to learn and develop yourself and others. Responsibilities: ● Responsible for campaign campaign development, stewardship, optimization, and reporting within various platforms, such as Facebook/Instagram, Pinterest, Twitter, Snapchat, etc. ● Builds relationships and maintains ongoing communications with media representatives. ● Integral activation lead in key client communication. ● Present at all key client presentations and meetings. ● Designs optimal buys in terms of cost efficiency, forecasting, account segmentation, bid management, goal delivery and vendor agreements. ● Keeps a pulse on all media buys and is ultimately responsible for the post-buy results and ongoing reporting. ● Updates Supervisor on status of current accounts on an ongoing basis and elevates and issues in a timely manner. ● Responsible for overseeing all campaign tracking set-up and implementation before launch of a campaign, with support from Ad Operations. ● Oversees creation of all reporting dashboards and is integral in presentations to clients on an ongoing basis. ● Lead in collaboration with finance team members to resolve media billing issues. ● Ensures strict adherence to client budgets while meeting client objectives. ● Stays current on all media trends and opportunities in the industry. ● Other duties/responsibilities may be assigned from time to time. Qualifications: ● Minimum 3 years of Paid Social Media buying experience ● Knowledge and prior use of Meta, Tiktok, Snapchat, Pinterest, and LinkedIn ad platforms ● Strong organizational and mathematical skills ● Ability to multi-task and deliver work on-time for set deadlines ● Ability to establish good working relationships with media reps ● Ability to work effectively with a variety of internal teams and business groups, including Creative, Account Management, Finance and Project Management ● Ability to communicate effectively within a team environment, with outside media reps as well as with current clients ● Must be prepared for a fast-paced environment and be comfortable making decisions The annual gross base salary range is $70,000 - $88000 USD. This range represents the anticipated target salary range for this position. Actual salaries will vary and are based on factors such as a candidate's qualifications, skills, and geographic location. Salary is one component of BarkleyOKRP's total compensation package, which includes multiple health insurance options, flexible PTO, life insurance, and 401K. BarkleyOKRP's Commitment to Diversity & Inclusion We believe being radically diverse and inclusive is the key to becoming one of the world's great creative idea companies. By embracing everything that makes our partners who they are and what makes them unique to the world around them, we create the conditions and capacity to help creative, original thinking thrive. BarkleyOKRP is committed to Diversity, Equity, Inclusion and Belonging as part of our corporate strategic goals, supported by a formal DEI+B program, Employee Resource Groups, Director of Diversity leadership and agency commitment to The Brand Lab, Creative Accelerator, Fellowship, MAIP, and BLAC.

Job Title: Regional Sourcing Associate Reports to: Regional Sourcing Manager Department Name: Strategic Sourcing Job Type: Full Time, Non-Exempt Pay Range: $20 - $23/hr. (Actual compensation is commensurate with job related knowledge, skills, experience, etc.) Position Summary The Regional Souring Associate is responsible for procuring new services, investigating service-related issues, billing issues and other escalations relating to the vendors. Reporting to the Regional Sourcing Manager, you will play a crucial role in supporting the Regional Sourcing function within an assigned territory to build in-depth relationships with vendor partners across Rubicon's hauler network. You will collaborate with Account Management departments to source for appropriate resources that align with our partners' business needs. Essential Duties & Key Responsibilities * Address any service requests within the required service level agreements. * Develop, maintain, and continuously seek to improve all vendor relations. * Work with the Account Management teams to manage hauler performance according to contractual obligations. * Provide problem-solving resources and solutions to complex vendor issues. * Determine problems that demand immediate promotion to direct supervisor. * Resolve invoice questions and investigate payment issues with haulers. * Support the gathering and maintenance of hauler intelligence (pricing, market condition, location, and services, etc.). * Respond proactively to hauler inquiries and concerns. * Partner with other departments to identify and to drive continuous improvement in the waste hauler network and processes. * Ability to travel and/or work onsite as needed. * Performs other duties as assigned or apparent. Supervisory Responsibilities: * This job has no supervisory responsibilities. Experience & Qualifications: * High school diploma/GED required. * Bachelor's degree preferred, but not required. * 2+ years of experience in a professional setting, hauler relationship management experience preferred. * Strong verbal and written communication skills, ability to communicate effectively with supervisors, employees, customers and business partners. * Strong organizational and analytical skills. * Willingness to cooperate with haulers and management to resolve any issues that may arise. * Strong knowledge of MS office skills (Word, Excel, PowerPoint). * Demonstrated ability to work well as part of a team. * Strong organizational skills with the ability to manage multiple priorities and deadlines. * Exceptional interpersonal skills, with the ability to interface effectively with external and internal stakeholders at all levels of the organization. * Strong customer service orientation with the ability to handle inquiries and requests efficiently and professionally. * A proactive, can-do attitude with a willingness to take ownership of tasks and drive them to completion. * Travel and/or onsite work will be on an as needed basis. Physical Demands and Working Environment The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodation may be made to enable individuals with disabilities to perform the functions. * While performing the duties of this job in a home office setting, the employee is regularly required to work on a computer for extended periods of time. * Frequent use of a computer requires fine motor skills and hand-eye coordination. * Ability to sit for extended periods while working from home or a designated workspace. * Ability to perform tasks that require sustained attention and focus. * Occasional lifting of materials up to 25 pounds. * Travel to attend team meetings may be required. * To facilitate working from home, and as a requirement for this role, the employee must provide reliable internet connection with sufficient bandwidth to execute all job functions and technology setup conducive to remote work. The company laptop will be provided. * A quiet, distraction-free workspace is required for maintaining productivity. * Collaboration with team members may occur through virtual meetings and communication platforms. About Rubicon Rubicon is a digital marketplace for waste and recycling, and provider of innovative software-based solutions to businesses and governments. Rubicon has created a new industry standard by using technology to drive environmental innovation. The company helps turn businesses into more sustainable enterprises, and neighborhoods into greener and smarter places to live and work. Rubicon helps its partners find economic value in their waste streams and confidently execute on their sustainability goals. Rubicon is an Equal Employment Opportunity Employer. We also maintain a Drug-Free Workplace. Rubicon is committed to sustainability and will rely on all employees to serve as an advocate for Environmental Social and Governance (ESG) both internally and externally to help grow the Company's ESG objectives. * Environment: Contribute, measurably, to Rubicon's carbon reduction goal and circular economy efforts * Social: Support Rubicon's efforts to cultivate/promote racial and gender equity * Governance: Advance Rubicon's commitment to best-in-class governance practices

SYNERGY HEALTHCARE: Nurse Case Manager/Advocate - LOUISVILLE, KY (Remote) Job Summary: We are seeking an experienced Case Manager to join our growing team and serve as a Nurse Advocate for our new client and their employees. The ideal candidate will be located in the greater Louisville area, have a thorough understanding of the healthcare system, and will be responsible for providing guidance and support to members in navigating the complex healthcare landscape. As the dedicated Nurse Advocate, you will be responsible for resolving a myriad of issues for their members and allow you the flexibility to “think outside the box”. With your clinical experience and background, you will help members better understand their health status, and will play a pivotal role in promoting patient wellness, managing chronic conditions, and enhancing overall health outcomes through personalized coaching and education. This position requires a blend of clinical expertise, strong communication skills, and a passion for helping others achieve their health goals. While this specific client has a a couple primary offices in KY, this opportunity allows for remote work so can be flexible on location. Minimal travel within the State for periodic client visits may be required. Most if not all work will be done virtually out of the convenience of your own home office. The key to your success will rely on your ability to cultivate trusted relationships with stakeholders, members, and their families. Our growing Synergy team is passionate about delivering an exceptional healthcare experience that is personal, data driven, and value based to help every person live their healthiest life. Key Responsibilities: Serve as the primary point of contact for members seeking assistance with navigating the healthcare system. Work with members to identify their healthcare needs and provide clinical support. Liaison with TPAs and insurance companies to resolve claim and billing issues. Educate members on healthier lifestyle, member benefits and how to effectively utilize them. Advocate for members so they can receive improved healthcare outcomes, including referrals to specialists and timely access to care. Collaborate with other healthcare professionals, including physicians and nurses to ensure seamless coordination of care. Monitor member health status and progress towards achieving their healthcare goals. Maintain accurate and up-to-date records of member interactions and healthcare interventions. Client facing reporting with the potential for limited travel to client worksites. Health Risk Assessment review to encourage lifestyle modification and improve overall wellness. Qualifications: Active nursing license with a Bachelor of Science in Nursing (BSN) degree preferred. Minimum of 3 years of experience as a nurse case manager or in a related healthcare field. CCM certification or CCM eligible. Commit to CCM exam within the first year. In-depth knowledge of the healthcare and insurance systems. Strong analytical and problem-solving skills with the ability to identify and resolve complex healthcare issues. Excellent communication and interpersonal skills with the ability to interact effectively with employees and healthcare professionals. Ability to work remotely, independently, and as part of a team in a fast-paced, dynamic environment. Strong organizational skills with the ability to manage multiple tasks and priorities simultaneously. Proficient in the use of electronic health records (EHRs), Outlook, Excel, and other healthcare-related software. If you are passionate about helping others and have a solid understanding of the healthcare system, we encourage you to apply for this exciting opportunity as a Case Manager Nurse Advocate with our growing organization. Questions... Please reach out to *************************** today!

Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $32.65 - $35.95/hr final compensation will be based on experience $$ Shift Differential for Select Shifts $$ **Must have Current unrestricted LPN or RN license (required) or RN compact license (preferred)** We are seeking Virtual Utilization Review Specialists who are interested in compressed, weekend work schedules. The schedules we are offering include: Work Schedule: Friday, Saturday, Sunday: 7:00 AM - 7:00 PM with a 4 hour shift on Wednesday Resource Utilization Utilizes proactive triggers (diagnoses, cost criteria, and complications) to identify potential over/under utilization of services Initiates appropriate referral to physician advisor in a timely manner Understands proper utilization of health care resources and assists with identifying barriers to patient progress and collaborates with the interdisciplinary team Collaborates with financial clearance center, patient access, financial counselors and/or business office regarding billing issues related to third party payers Medical Necessity Determination Conducts medical necessity review of all admissions. Utilizes approved clinical review criteria to determine medical necessity for admissions including appropriate patient status and continued stay reviews, possibly from an offsite location Provides inpatient and observation (if indicated) clinical reviews for commercial carriers to the Financial Clearance Center (FCC) within one business day of admission Communicates all medical necessity review outcomes to in-house care management staff and relevant parties as needed Collaborates with the in-house staff and/or physician to clarify information, obtain needed documentation, present opportunities and educate regarding appropriate level of care Collaborates with the financial clearance center, patient access, financial counselors, and/or business office regarding billing issues related to third party payers Denial Management Coordinates the P2P process with the physician or physician advisor, FCC, Revenue Cycle team when necessary and when assigned and maintains documentation relevant to the appeal process Maintains appropriate information on file to minimize denial rate Assist in recording denial updates; overturned days and monitor and report denial trends that are noted Monitor for readmissions Quality/Revenue Integrity Demonstrates active collaboration with other members of the health care team to achieve the outcomes management goals including CMS indicators Accurately records data for statistical entry and submits information within required time frame Responsible for ConnectCare and ADT work queues assigned to VUR for revenue cycle workflow Accurately records data for statistical entry and submits information within required time frame Documentation will reflect all work and communication related to the FCC, payor, physician, physician advisor and in-house care management Second-level physician reviews will be sent as required and responses/actions reflected in documentation Facilitation of Patient Care Prioritizes patient reviews based on situational analysis, functional assessment, medical record review, and application of clinical review criteria Collaborates with the in-house care manager Maintains rapport and communication with the in-house care manager Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assignment Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures Communication Directs physician and patient communication regarding non-coverage of benefits Maintains positive, open communication with the physicians, nurses, multidisciplinary team members and administration Educates hospital and medical staff regarding utilization review program Maintains a calm, rational, professional demeanor when dealing with others, even in situations involving conflict or crisis Voicemail, Skype, and email will be utilized and answered in timely fashion Hospital provided communication devices will be used during work hours Staff is expected to respond and/or acknowledge communication from the FCC via approved communication guidelines and standardized service-line agreements Staff must be available as designated for meetings or training, onsite or online, unless prior arrangements are made Team Affirmation Works collaboratively with peers to achieve departmental goals in daily work as evidenced by appropriate and timely communication which is respectful and clear. Sensitive to workload of peers and shares responsibilities, fills in and offers to help Actively participates in departmental process improvement team; planning, implementation, and evaluation of activities Provides back-up support to other departmental staff as needed Other Job Functions Complies with FCC and department policies and procedure, including confidentiality and patient's rights Maintains clinical competency and current knowledge of regulatory and payer requirements to perform job responsibilities (i.e., medical necessity criteria, MS-DRGs, POA) Actively participates in departmental meetings and activities Participates in FCC and community committees as assigned Actively participates in conferences, committees, and task forces as directed by the FCC division Associates may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation Experience: Bachelor's Degree or equivalent experience; Specialty/Major: Nursing or related field Current unrestricted LPN or RN license required; RN compact license preferred Five years nursing experience in an acute care environment preferred Utilization review/discharge planning experience preferred Recent experience or working knowledge of medical necessity review criteria preferred Current working knowledge of quality improvement processes Other Knowledge, Skills, and Abilities Required: Ability to work a compressed weekend schedule This is a remote role which requires access to high speed internet Excellent interpersonal, communication and negotiation skills in interactions with physicians, payors, and health care team colleagues Commitment to exceptional customer service at all times Communicate ideas and thoughts effectively verbally and in writing Strong clinical assessment, organization and problem-solving skills Ability to assess and identify appropriate resources, internal and community, on assigned caseload, and to work collaboratively with health care team, providers, and payors to achieve the desired patient, quality, and financial outcomes Ability to prioritize, organize information, and complete multiple tasks effectively in a fast-paced environment Resourceful and able to work independently #LI--SI1 #LI-REMOTE Join an award-winning company Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023-2024 Innovation Work-Life Flexibility Leadership Purpose + Values Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include: Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation. Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company. Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************. This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range. EEOC - Know Your Rights FMLA Rights - English La FMLA Español E-Verify Participating Employer (English and Spanish) Know your Rights

About Us All Care To You is a Management Service Organization providing our clients with healthcare administrative support. We provide services to Independent Physician Associations, TPAs, and Fiscal Intermediary clients. ACTY is a modern growing company which encourages diverse perspectives. We celebrate curiosity, initiative, drive and a passion for making a difference. We support a culture focused on teamwork, support, and inclusion. Our company is fully remote and offers a flexible work environment as well as schedules. ACTY offers 100% employer paid medical, vision, dental, and life coverage for our employees. We also offer paid holiday, sick time, and vacation time as well as a 410k plan. Additional employee paid coverage options available. Job purpose The Payment Posting Coordinator will be responsible for monitoring and posting all non-electronic payments from health plans and health savings accounts. They will reconcile payments received and posted daily. The ideal candidate must also be able to demonstrate excellent written and verbal communication skills, as communicating with clients and various insurance agents is required. Duties and responsibilities Payment Management: Manual posting of insurance payments from a paper EOB or Remittance Select and apply appropriate CARC and RARC adjustments to match payer adjustment reasons. Balance payments posted to manual EOB using sql queries and Excel spreadsheets. Review documentation received for Health Savings Account (HSA) payments and document on patient accounts. Reconcile Health Savings Account (HSA) payments received and disbursed to providers weekly. Assist in tracking missing payments identified by Claim Coordinators and Examiners. Reconcile payment documents received to list of manual and HSA payments reported. Use existing tracking logs and queries to ensure all reported manual payments are posted accurately and timely. All other duties as assigned. Communication: Communicate effectively with insurance companies, healthcare providers, and their billing staff to resolve claims issues and answer inquiries. Document all interactions and updates in the claims management system. Documentation and Reporting: Maintain accurate records of claim status, actions taken, and resolutions utilizing established policies and procedures. Prepare and submit reports on payment activities and status updates to management as requested. Compliance: Ensure all claims follow-up activities comply with company policies, industry regulations, and legal requirements. Stay updated on changes in insurance policies, regulations, and industry standards. Must meet quantitative production standard of working 100 - 150 claims per week with less than 5% error rate. Attend departmental and company meetings as required. Problem Resolution: Identify and report trends which could have an overall negative impact on claim payments such as processing errors, denials, or billing issues. Investigate and resolve discrepancies or issues related to claims processing and payment. Work with other team members and departments ensure proper claim submission. Continuous Improvement: Identify and recommend process improvements to enhance the efficiency and effectiveness of the claims follow-up process. Participate in training and development opportunities to stay current with best practices and industry trends. Qualifications A minimum of 2 years' experience as a medical payment poster or similar role. Solid understanding of health plan payment procedures and electronic (835) remittance files Knowledge of healthcare benefits, coordination of benefits, referral and authorization requirements, and insurance follow up. Experience with CPT Codes, ICD-10 Codes, Modifiers, and CCI edits. EZ-Cap experience preferred. Epic experience preferred. Electronic Data Interchange (EDI) Clearinghouse experience preferred. Proficiency using Outlook, Microsoft Teams, Zoom, Microsoft Office (including Word and Excel) and Adobe. Detail oriented and highly organized. Strong ability to multi-task, project management, and work in a fast-paced environment. Strong ability in problem-solving. Ability to self-manage, strong time management skills. Ability to work in an extremely confidential environment. Strong written and verbal communication skills.

Amerisure creates exceptional value for its partners, policyholders, and employees. As a property and casualty insurance company, Amerisure's promise to our partner agencies and policyholders begins with a comprehensive line of insurance products designed to protect businesses, as well as the health and safety of every employee. With an A.M. Best “A” (Excellent) rating, Amerisure serves mid-sized commercial enterprises focused in construction, manufacturing and healthcare. Ranked as one of the top 100 Property & Casualty companies in the United States, we proudly manage nearly $1 Billion of Direct Written Premium and maintain $1.21 billion in surplus. We are recruiting for a Marketing Underwriter, Program Business to join our team. This role can sit remote from most locations across the U.S. Position Summary: Market, evaluate and price products and services for program business within Amerisure target classes. Serve as an agency contact and service coordinator for assigned agents or as a partner with other underwriters to service their accounts. Responsibilities: Market, evaluate and price products and services for program business within Amerisure target classes of business. Assist in executing business plans for achieving established operational plan targets for written premium, loss ratio, product retention, pricing and coordination of service. Order and screen miscellaneous reports in the rating and underwriting process such as Motor Vehicle Reports (MVRs), loss runs, credit scores, loss control inspections, etc. Participate in agency visits and in servicing the agency relationship, facilitating communication between the agency and Amerisure service team to obtain information necessary for screenings, transactions, resolving policy and billing issues, etc. Collaborate with service team to support and advance the program business strategy, ensuring adherence to the service model and promoting a strong customer service focus. Requirements: Bachelor's degree or equivalent work-related experience. Minimum 1 year of underwriting experience. Ideally 2 to 5 years of middle market underwriting experience, multi lines experience. Proficient computer skills required including Microsoft Office Suite. Demonstrated successful ability to build positive relationships and partnerships within department, across the organization and with external customers. Excellent verbal and written communication skills. Good problem-solving skills and attention to detail. Must have a valid driver's license and a clean driving record. Ability to travel within assigned area. #LI-CR1 #LI-Remote Just as we are committed to creating exceptional value for our Partners For Success agencies and policyholders, Amerisure also remains committed to being an employer of choice. We reinforce this commitment by adhering to an Employee Value Proposition that, in part, is provided through a competitive total rewards package. This package includes competitive base pay, performance-based incentive pay, comprehensive health and welfare benefits, a 401(k) savings plan with profit sharing, and generous paid time off programs. We also offer flexible work arrangements to promote work-life balance. Recognized as one of the Best and Brightest Companies to Work For in the Nation and one of Business Insurance magazine's Best Places to Work in Insurance , we provide a workplace that fosters excellence and professional growth. If you are looking for a collaborative and rewarding career, Amerisure is looking for you. Amerisure Insurance provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Amerisure Insurance complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. 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. Amerisure Insurance expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Amerisure's employees to perform their job duties may result in discipline up to and including discharge.

Department: 10395 Enterprise Revenue Cycle - Individualized Clinician Support Surg Hosp Based and Complex Specialties Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: This is a remote position. Due to complex requirements, remote work is NOT permitted for short or long periods in: CA, DC, CO, CT, HI, MA, MD, MN, NJ, NY, OR, RI, VT, WA and working Internationally (this includes working while on vacation). Pay Range $50.05 - $75.10 Manages the coding function for assigned area(s), including coding production, coder education and quality, productivity, risk-mitigation, denial/appeals, partnerships and/or coding optimization. Develops and implements best practices to enhance the accuracy of coding for reimbursement, benchmarking, outcomes, and operational purposes. Ensures compliance with state and federal regulations, as well as support revenue cycle goals. Major Responsibilities: Manages the Epic coding functions for all types of charges/codes to ensure that claims are submitted to payers in compliance with coding regulations and organizational guidelines. Performs human resources responsibilities for staff which includes coaching on performance, completes performance reviews and overall staff morale. Recommends hiring, compensation changes, promotions, corrective action decisions, and terminations. Responsible for understanding and adhering to the organizations Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to Advocate Aurora's business. Oversees the development, documentation, implementation, maintenance and continuous process improvement efforts of production coding for coding staff. Identifies trends and implements resolution to charge capture, coding and billing issues and rejections. Develops, updates and implements department guidelines and procedures. Educates team members, clinic/hospital leadership and clinicians on coding related guidelines, procedures and practices. Communicates and reinforces changes in CPT, ICD, HCPCS and other requirements and coordinates necessary modifications and updates to appropriate coding staff. Ensures that documentation, coding procedures and requirements are clearly communicated and reinforced to coding staff, physicians, patient care staff and revenue cycle team members as appropriate. Works directly with Coding leadership to research and resolve issues. Collaborates with other leaders in revenue cycle services and clinic/hospital administration, to implement and monitor coding, billing, documentation and charge capture processes. Creates highly functioning, self-directed work teams. Maintains up-to-date knowledge of Medicare, Medicaid and other regulatory requirements pertaining to nationally accepted coding policies and standards. Develops expertise in coding for assigned responsibilities. Manages the timely, accurate review and validation of charges/codes assigned for billing. At times, it may also include customer concerns that question coding. Ensures that coding practices and quality are consistent with coding and other regulatory requirements. Ensures that coding practices are standardized systemwide and consistent with regulatory requirements. Documents all coding procedures and guidelines in writing and ensures all coding team members adhere to them. Identifies opportunities for process and quality improvement based upon analysis and review of current practices. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Practices ethical judgment in assigning and sequencing codes for proper insurance reimbursement. Licensure, Registration, and/or Certification Required: Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA) Education Required: Bachelors degree (or equivalent knowledge) in Health Information Management or related field. Experience Required: 7 years of experience in coding that includes experiences in advanced level of ICD, CPT and HCPCS coding in a large, complex clinic or hospital setting at a lead or senior level. Requires 1 year of progressive leadership experience in a high-volume health care setting. Knowledge, Skills & Abilities Required: High leadership skills and abilities including team building, conflict resolution, project management and effective decision making. Advanced knowledge of ICD, CPT and HCPCS coding guidelines. Advanced knowledge of medical terminology, anatomy and physiology. Proficient knowledge of Medicare, Medicaid and commercial payer coding guidelines. Advanced computer skills including the use of Microsoft office products, especially Excel, electronic mail, including experience with electronic coding systems or applications. Excellent communication (oral and written), presentation and interpersonal skills, including the ability to effectively collaborate with multiple departments. Excellent organization and prioritization skills; ability to manage multiple priorities in a stressful, fast-paced work environment. Ability to work independently and exercise independent judgment and decision making. Ability to meet deadlines while working in a fast-paced environment. Ability to take initiative and work collaboratively with others. Physical Requirements and Working Conditions: Exposed to a normal office environment. Must be able to sit for extended periods of time. Must be able to continuously concentrate. Position may be required to travel to other sites; therefore, may be exposed to road and weather hazards. Operates all equipment necessary to perform the job. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. #REMOTE #LI-REMOTE Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

The AR Specialist is responsible for billing and follow-up of accounts according to documented procedures. Includes but is not limited to: following up on claim status, billing and re-billing of claims, credit balance resolution, denial management, following up on aging accounts, and maintaining up to date account information. Essential Responsibilities: * Monitors claim status and records in system daily for commercial insurance billing. * Ensure timely collection of outstanding A/R and perform a variety of clerical and accounting functions to resolve billing issues of submitted claims * Review EOBs, assist in verifying patient coverage if needed, and assist with patient billing inquiries through a billing queue * Conducting outbound calls to insurance companies and/or patients to reconcile account issues and outstanding account balances * Facilitates and initiates appeals to insurance companies for higher payments and other appeals as needed. * Handles correspondence from payers to ensure all information required for claim processing is provided. * Review and resolve credit balances or unassigned money remaining on an account. * Provides customer service and follow through on account questions. * Assists with Special Projects as needed. Education and/or Experience: * High School Diploma or equivalent; college preferred * 1-3 yrs of experience with Receivables /collections in a healthcare setting is required * Strong telephonic communication skills Why You'll Love Working Here - Our Amazing Benefits: Comprehensive Health Coverage: Medical, dental, and vision plans for our full-time employees, along with complimentary basic life insurance, Employee Assistance Program, and long-term disability insurance. FREE or low-cost employee only healthcare coverage option is also available. Family Building Support: Take advantage of our comprehensive fertility benefits, adoption assistance, and surrogacy support to help grow your family. Paid Parental Leave: Generous maternity, paternity, and partner leave so you can focus on what matters most. Plenty of Paid Time Off: Start with 18 days of PTO annually and enjoy 11 paid holidays, including one floating holiday to use as you choose! Retirement Ready: Invest in your future with our 401(k) plan, featuring a competitive company match and full vesting after just 2 years. Lifestyle Spending Account: Access a company-funded account to reimburse expenses that boost your physical, financial, and emotional well-being. Health Savings Account (HSA): If eligible, enjoy regular employer contributions to your HSA with every paycheck. Rewards for Connections: Earn extra money with our Employee Referral Program-your network is invaluable! Growth Opportunities: We support your career with continuing education reimbursement and dedicated time off for professional development. Premium Calm Health Subscription: Enjoy a free premium Calm Health app subscription to support your mental wellness. Emotional & Work-Life Support: Through our Employee Assistance Program (EAP) with SupportLinc, you'll have access to emotional well-being and work-life resources whenever you need them. Extra Peace of Mind: Explore additional coverage options including Accident, Critical Illness, Hospital Indemnity, and Pet Insurance, to suit your needs.

NAMSA pioneered the industry and was the first independent company in the world to focus solely on medical device materials for safety. NAMSA started testing medical devices before the U.S. Food and Drug Administration started regulating such products in 1976. We are shaping the industry. NAMSA has been a key contributor to the development of the test methods that govern our industry. We have become the industry's premier provider. We provide support for clients during every step of the product development lifecycle and beyond. Come and work for an organization with the: Vision to inspire innovative MedTech solutions that advance global healthcare, improve patient lives and accelerate Client success and the Mission to deliver best-in-class global MedTech development solutions through our people, expertise and technology by adhering to our core Values: Act with integrity in everything we do. Provide best-in-class customer experiences. Develop superior talent and deliver expertise. Respond with agility and provide timely results. Embrace collaboration, diverse perspectives and ideas. Job Description: • Assist with the development and execution of Imaging Manual of Operations and Procedures (MOP), Core Lab Data Transfer Specifications, Image Transfer Training presentations, and other study-specific regulatory documents for multi-centered clinical trials as needed. • Liaise between NAMSA, project/site managers, study site coordinators, CRAs, Sponsors, ,vendors/subcontractors, consultants, and/or regulatory agencies to assist with document development, trainings, image review tracking, and meeting organization. • Assist with ensuring that proper trainings are assigned to Core Lab staff members, vendors/subcontractors, and consultants. • Attend and actively participate in study team meetings and internal staff meetings, providing status updates, path forward recommendations/solutions and tracking action items as needed. • Assist with core lab image processing and image tracking as needed. • Assist in proper billing/invoicing and resolving any billing issues with Finance for assigned projects as appropriate. • Assist with core lab data entry as needed. • Complete any additional work as required and assigned by Management. Qualifications & Technical Competencies: • Bachelor's degree from a four-year college or university (in Life Sciences or related field preferred). • At least 2 years' experience in clinical research or related field required. • Experience with project coordination/management preferred. • Strong knowledge of industry acronyms and medical terminology. • Demonstrated organizational skills, time management skills, proactive, and displays a professional demeanor with focus on compliance and responsibilities. • Excellent verbal and written communication skills. • Excellent interpersonal skills. • Ability to work collaboratively and effectively in a team environment. • High attention to detail and level of accuracy, tact, judgement, and discretion. • Proficient with Microsoft Office including Outlook, Word, and Excel. • Proficient in learning/utilizing various software applications and computerized systems including but not limited to Electronic Data Capture systems and project management tools. • Ability to perform basic searches via the internet or other comparable data repositories. • Experience in acquisition or review of medical imaging is desirable. Working Conditions: • Travel may be required depending on the client's or business needs. • The duties of this job can be performed onsite or remotely. • The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. • While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee is frequently required to use hands to finger, handle, or feel and reach with hands and arms. • Physical activities include sitting for periods of time and occasionally standing and walking. • Extensive use of computer keyboard. Pay Range Minimum: $66,800.00 Pay Range Target: $80,000.00 Pay Frequency: Annual Please Note: Individual base pay depends on various factors, in addition to primary work location, such as complexity and responsibility of role, job duties/requirements, and relevant experience and skills. NAMSA is an equal employment opportunity company. NAMSA participates in pre-employment background and drug screen processes aligned to local, state and federal laws.

Job DescriptionDescription: We are HALO! We connect people and brands to create unforgettable, meaningful, and lasting experiences that build brand engagement and loyalty for our over 60,000 clients globally. Our nearly 2,000 employees and 1,000 Account Executives located in 40+ sales offices across the United States are the reason HALO is the global leader in branded merchandise, uniform programs, and recognition and incentive solutions. HALO is looking for a Billing Coordinator II who will be responsible for managing the accuracy and timeliness of billing processes, including reviewing and resolving pricing discrepancies, maintaining consistent invoicing practices, and supporting both internal and external stakeholders. This role requires strong problem-solving skills, attention to detail, and the ability to work independently while managing multiple priorities. *** This role is Remote, with Central Time work hours. *** Responsibilities Review and resolve pricing discrepancies between customer orders and vendor invoices in collaboration with Order Processing team. Serve as a direct point of contact for customers and assigned Account Executives to address billing-related inquiries. Maintain consistency by ensuring 90% of invoicing occurs within the 0-14 day time frame. Escalate orders to leadership as necessary to ensure timely invoicing. Attend team meetings and provide insights on trends, resolution steps, and exceptions. Prepare, update, and maintain Excel spreadsheets as needed. Communicate effectively with Account Executives to resolve billing issues and provide one-touch resolution where possible. Exercise autonomy to diagnose customer situations and make sound decisions on prioritization to meet deadlines. Apply knowledge of sales orders, including cost, sell commission margins, and adjustments. Review freight charges and accurately apply or remove them as needed. Independently manage order holds and release workflows. Adapt to specific workflows that may vary depending on the team assignment. Requirements: 2+ years of experience in B2B and/or B2C Billing, Accounts Payable, Accounts Receivable. Strong computer skills, including proficiency in Microsoft Word, Excel, Outlook and Teams Experience in working in NetSuite and SharePoint is highly preferred Excellent typing (40 WPM) and 10-key data entry skills (8,000 KPM). Strong verbal and written communication skills. Demonstrated ability to manage time effectively, prioritize tasks, and meet deadlines. Ability to multi-task and perform well under pressure. Positive and professional demeanor with a strong customer service orientation. Proven problem-solving and critical thinking capabilities. Flexibility to work both independently and in a team environment. Willingness to work overtime when required. Ability to independently manage the invoicing process with minimal supervision. Preferred Skills Previous experience working directly with customers or sales teams in a billing or finance-related environment. Knowledge of sales order processes, commission structures, and margin adjustments. Experience identifying billing trends and proposing process improvements. Experience in Freight billing. Compensation: The estimated hourly range for this position is between $16.00 - $20.00 an hour. Please note that this pay range serves as a general guideline and reflects a broad spectrum of labor markets across the US. While it is uncommon for candidates to be hired at or near the top of the range, compensation decisions are influenced by various factors. At HALO, these include, but are not limited to, the scope and responsibilities of the role, the candidate's work experience, location, education and training, key skills, internal equity, external market data, and broader market and business considerations. Benefits: At HALO, we offer benefits that support all aspects of your life, helping you find a work-life balance that's right for you. Our comprehensive benefits include nationwide coverage for Medical, Dental, Vision, Life, and Disability insurance, along with additional Voluntary Benefits. Prepare for your financial future with our 401(k) Retirement Savings Plan, Health Savings Accounts (HSA), and Flexible Spending Accounts (FSA). Application Information: To apply to this opportunity, click the APPLY button at the top right or very bottom of the screen to complete our online application. A resume is optional, so you may choose to upload and have the application prefill with your information. There are 5 sections to complete in total, including General information, Work History, Education, Compliance, and optional demographic questions. Once you have successfully submitted your application, you will receive a submission confirmation email from our system. Application Deadline: Applications are reviewed and processed only when there is a specific need or opportunity, rather than on a fixed schedule or at a set deadline. Because they are reviewed on an as-needed basis, a job posting will be removed once the position has been filled or is no longer available. More About HALO: At HALO, we energize our clients' brands and amplify their stories to capture the attention of those who matter most. That's why over 60,000 small- and mid-sized businesses partner with us, making us the global leader in the branded merchandise industry. Career Advancement: At HALO, we're passionate about promoting from within. Internal promotions have been key to our exponential growth over the past few years. With so many industry leaders at HALO, you'll have the opportunity to accelerate your career by learning from their experience, insights, and skills. Plus, you'll gain access to HALO's influential global network, leadership opportunities, and diverse perspectives. Culture: We love working here, and we're confident you will too. At HALO, you'll experience a culture of ingenuity, inclusion, and relentless determination. We push the limits of possibility and imagination by staying curious, humble, and bold breaking through yesterday's limits. Diversity fuels our creativity, and we thrive when each of us contributes to an inclusive environment based on respect, dignity, and equity. We hold ourselves to a high standard of excellence with a commitment to results and supporting one another with accountability, transparency, and dependability. Recognition: At HALO, your success is our success. You can count on us to celebrate your wins. Colleagues across the company will join in recognizing your milestones and nominating you for awards. Over time, you'll accumulate recognition that can be converted into gift cards, trips, concert tickets, and merchandise from your favorite brands. Flexibility: Many of our roles offer hybrid work options, and we pride ourselves on flexible schedules that help you balance professional and personal demands. We believe that supporting our customers is a top priority and trust that you and your manager will collaborate to create a schedule that achieves this goal. HALO is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We insist on an environment of mutual respect where equal employment opportunities are available to all applicants without regard to race, color, religion, sex, pregnancy (including childbirth, lactation and related medical conditions), national origin, age, physical and mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military and veteran status, and any other characteristic protected by applicable law. Inclusion is a core value at HALO and we seek to recruit, develop and retain the most talented people. HALO participates in E-Verify. Please see the following notices in English and Spanish for important information: E-Verify Participation and Right to Work.

About Us: Forge Health is a mission-driven outpatient mental health and substance use provider dedicated to providing the highest quality, affordable, and effective care to individuals, families, and communities in need. As the first and only behavioral healthcare provider with a proven, national payer-validated ability to drive clinical outcomes that span all areas of health, Forge Health is leading the charge in driving innovation, improving care delivery, and shaping the future of behavioral health care. At Forge, clinical care is paramount - it's the heartbeat of our operations and the driving force in everything we do. The skill and compassion of our staff are the crucial components to extraordinary experiences and outcomes for those we serve. With our current clinical footprint in the greater Northeast, we have offices in New York, New Jersey, Pennsylvania, New Hampshire - and we're growing! Come join us! Who we're looking for: Reporting to the Vice President of Revenue Cycle, the Manager, Revenue Cycle will lead the day-to-day operations associated with patient eligibility, charge entry, accounts receivable management and patient invoice management. This role will be responsible for driving achievement of effective billing performance, through management of workload inventories, quality of billing submissions to insurance companies/ patients and active management of payments that may be delayed due to denial of charges at the insurance company or other related impacts to accurate revenue collection. The manager works collaboratively with internal partners to ensure timely and accurate billing and works actively with insurance company partners to resolve outstanding billing issues. The revenue cycle leader will manage a team of ~11 and will continually monitor and influence the execution of the team through use of performance data, quality monitoring and general business data. As an experienced, collaborative, and hands-on key member of the team, you will serve as a strong, trusted business partner and revenue cycle expert working directly with clinical and business leaders around the company. You will leverage department data to help provide performance insights to Forge Health leaders. This input will help inform business decisions, relationship management with key stakeholders as well as investments in process and tool improvements. This position is a remote opportunity. Compensation range: $70-90k. This salary range reflects total compensation, which includes base compensation, but does not include benefits and other company perks. Exact compensation may vary based on skills, experience, and location. What you'll be doing: Operational Leadership Execute on strategy and lead the end-to-end revenue cycle function across coding, billing, and collections, ensuring operational efficiency and compliance with payer and regulatory standards. Manage and develop direct reports, fostering a culture of accountability, transparency, and continuous improvement. Partner with the VP of Revenue Cycle Management to define short and long-term RCM strategies aligned to company objectives. Operational Excellence Oversee daily RCM operations for a high-volume telehealth practice with extensive payer contracts and multi-state presence. Ensure accurate charge capture and coding practices that support compliant reimbursement and appropriate provider documentation. Own key workflows and process maps for claim submission, follow-up, denials, and appeals; identify and resolve friction points quickly. Collaborate with IT team to improve automation, EDI connectivity, and billing system integrations. Actively manage billing work inventories relates to mental health and substance use disorder services with commercial health plans, state Medicaid and managed-care organizations, and Medicare. Proactively identify situations which require intervention (i.e. denials, underpayments, and other issues). Plan, prepare, and conduct corrective course of action(s) in partnership with key stakeholders. Make corrections to staff execution and/ or business process challenges that lead to revenue collection delays Ensuring that patient insurance eligibility is actively managed to ensure smooth billing experience for patients and effective submission to the applicable insurance companies. Effectively utilize available data to identify key performance theme and trends. Active coaching and development of RCM team as it relates to their direct performance of defined objectives as well as their professional development. Fostering a team environment that promotes performance, belonging and engagement. Ensure that the RCM team executes the defined processes in accordance with applicable regulations, policies and procedures. System, Analytics & Performance Management Enhance, track, and report on KPIs to identify areas for improvement and drive performance. Partner with IT to develop automated dashboards and monthly reporting packages. Drive data-driven performance reviews with sub-teams to identify trends, root causes, and opportunities for process improvement. Leverage deep understanding of revenue cycle systems to recommend and implement technology-driven process improvements. Collaborate with IT and product teams to optimize system functionality and drive adoption of new tools and enhancements. Serve as a key resource for system training, ensuring team members are proficient in all relevant platforms and tools. Identify and ensure revenue cycle management training needs at all levels of the organization, and foster change to achieve performance improvement initiatives. Prepare impactful reports, analytics, summaries, and visualizations to communicate findings. Evaluate and pilot new software solutions to enhance scalability, compliance, and overall revenue cycle performance. Cross-Functional Collaboration Serve as the operational liaison between RCM, Clinical Staff and Patient Support to ensure documentation and billing alignment. Partner with Contracting/Credentialing rep to ensure accurate payer setup, EDI enrollment, and fee schedule system updates. Collaborate with Finance on cash forecasting, revenue recognition, and variance analysis. Compliance & Continuous Improvement Maintain compliance with payer and state telehealth billing requirements. Lead initiatives to improve claim accuracy, reduce denials, and accelerate cash collections. Proactively identify automation and system enhancement opportunities to improve efficiency and scalability. How we define success: Bachelor's degree in healthcare administration, business, finance, or a related field (Master's degree preferred). At least seven (7) years of experience in revenue cycle management in healthcare in positions of increasing responsibility Experience working with commercial health insurance companies, Medicaid programs, and Medicare programs. Experience in revenue cycle management in behavioral health preferred. Strong analytical and problem-solving skills, with the ability to interpret complex financial data and trends to develop effective revenue cycle strategies. Demonstrate comprehension of payor contracts, with special attention to complexities and details. Excellent leadership abilities, with a track record of building and motivating high-performing revenue cycle teams within addiction treatment facilities. Solid understanding of healthcare regulations, including HIPAA and confidentiality requirements specific to substance abuse treatment. Proficiency in revenue cycle management software and systems, with the ability to leverage technology for process automation and efficiency. Professional certifications in revenue cycle management or addiction treatment billing are highly preferred. Why Forge? The opportunity: Our team refuses to compromise on integrity, and we look for talented, driven hard workers who hold the same passion for the pursuit of high quality, evidence-based mental health and substance use care that we do. Our collective passion is driven and embodied by our core values: Fulfilling: Our work creates lives that are complete and self-actualized, enabling stronger families and communities - and a therapeutic community rewarded by success Optimistic: Our passionate positivity and empathy overcome setbacks and get you to your goals, scientifically and humanely Reciprocal: Without mutual trust and commitment, there can be no progress Grateful: We profoundly recognize and appreciate the trust of our patients and the commitment of our clinicians Evidence-Based: We are committed to measurable outcomes, which provide confidence to our patients and creates a standard of care for ourselves and others The package: At Forge, our people are our greatest asset. We're collaborative, empathetic, and passionate. We learn from our mistakes, we carve out time to breathe, and we are celebrated for our wins. In short, we know that we can't do what we do without you! So, we designed a comprehensive, competitive benefits package that reflects our appreciation of our people: Competitive salary aligned with your experience Comprehensive paid time off package Annual time off to volunteer Parental leave Annual continuing education allocations Competitive medical, dental, and vision package Annual subscription to a leading meditation app An environment that fosters professional development including financing for advanced licensure and certifications Internal supervision opportunities Dedicated, motivated team and chance to be part of a highly ambitious medical startup Modern, elegant, and high-end work environment We are committed to equal employment opportunity. We give equal consideration to all applicants when filling positions without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, actual or perceived disability, genetic information, marital status, and/or any other status not related to an applicant's ability to perform the job duties. All employment practices will be carried out in accordance with federal, state and local laws. We will also fully comply with regulations and requirements set out by the Americans with Disabilities Act (ADA) and the ADA amendments Act (ADAAA). We will not discriminate against applicants or other individuals with real or perceived disabilities. When needed, we will provide reasonable accommodation to otherwise qualified candidates so that they are able to perform the essential functions of the position.