Medical Billing jobs near me - 189 jobs

SUMMARY OF RESPONSIBILITIES The Client Manager is responsible for managing the revenue cycle processes for physician practices and ambulatory surgical centers. The Client Manager will analyze the financial health on a monthly basis to identify reimbursement trends, patterns of denials, and develop an intimate understanding of the factors that are contributing to the financial performance. ESSENTIAL FUNCTIONS The Client Manager is responsible for the coordination of the Revenue Cycle Department, which includes billing and collection activities. Responsible for overseeing eligibility, pre-authorization, time of service collections of co-pays and deductibles, coding of services, and reporting. Reviews, revises, and/or implements policies and procedures within the department to ensure that best practices are followed in both the billing and collections functions, while remaining in compliance with federal/state laws, rules, and regulations as well as third party contracts. Oversight of charge entry, claim submission, payment posting, denials management, bad debt and collections, appeals processing, credit balance resolution, and accounts receivable management. This includes being responsible for monitoring the productivity of all staff members- in person and those who work remotely. Generates billing and collections data that supports finance and business operations and produces pricing and coding feedback that will optimize reimbursement. Provides strategic guidance and analysis of the revenue cycle service line. Reviews, designs, and implements processes surrounding third party payer relationships, collections, and other financial analyses to ensure clinical revenue cycle is effective and properly utilized. Ensures all billing and collection practices are appropriate and align with payer policies and guidelines. Identifies payer trends and reimbursement issues that can negatively impact the revenue cycle. Utilizes data analysis, report writing and electronic data retrieval skills to extract, compile and present clear and concise information. Maintains an understanding of coding rules and guidelines; utilizes coding and claims processing knowledge and resources to identify possible risks and revenue opportunities related to coding. Collaborates with the Company's external CPAs and Chief Legal Officer to ensure compliance with regulatory requirements. Identify and correct workflow issues to help optimize revenue. Works with Director of Practice Management and ASC Administrator regarding any front desk or clinical workflow issues that may impede revenue cycle. Works with collection vendors on accounts that are deemed delinquent. Monitors A/R to include oversight of days in A/R, gross billings, gross collections, net revenue, percent of collections to net revenue, monitoring and management of denial rates and denial categories related to activity. Develop metrics and benchmarks for billing and accounts receivable. Oversees and directs the creation and continual improvement of departmental procedures and best practice tools for billing, reimbursement, and collections. Responsible for departmental specific training of employees; planning, assigning, and directing work; appraising performance; disciplining employees; addressing complaints and resolving problems. Adheres to professional standards, company policies and procedures, and federal, state, and local laws and regulations. Works to reduce charge holding, rejections, missing information, and denials reports. Prepares billing reports summarizing billings, adjustments, and revenues received. Evaluates clients billing needs. Responsible for creating and educating clients on best practice workflow. Responsible for data base setup content in the software to ensure best billing practices workflow. Responsible for coordinating all practice billing activities with physician practice and RCM billing teams. Works closely with the Implementation Team assigned to ensure proper system build and billing set up. Responsible for processing clearing house enrollment and assisting the physician practice to set up EFTs as desired. Ensures that the client's system is set up correctly and trains staff on PrognoCIS software based on their workflow using billing best practices. Responsible for daily tracking of operational elements of physician practice to include encounters (open/closed), timely claims processing, accurate payment posting, monitoring of un-posted payments, billing questions, clearinghouse reports, weekly go-live follow up. Establishes and maintains working relationships with physician practice. Makes workflow recommendations to both customer and internal RCM team to improve back-office operation. Responsible for denial management process and reporting for assigned practices. Responsible for accounts receivable process and reporting for assigned practices. Creates Month End Reporting and submission to provider practices. Responsible for researching, documenting, and training billing teams on specific insurance, coding, and documentation requirements. Responsible for researching and sharing billing information pertinent to States and Insurances. Requirements CORE COMPETENCIES Excellent oral, written, interpersonal, communication and presentation skills. Ability to communicate effectively in a variety of settings and with a wide variety of people and different organization levels. Highly organized with the desire and ability to effectively track projects from start to finish. Must be able to manage multiple projects simultaneously. Ability to work in a team environment as well as independently and with little to no supervision. Demonstrate consistent reliability, integrity, and dependability. Setting and achieving high goals and standards of performance. Strong eye for detail, accurately inputting data. Knowledge of Medicare, Medicaid, commercial paper and electronic claims processing. Knowledge of ICD, CPT, HCPC coding, ability to read EOBs, familiarity with HIPAA rules. REQUIRED EDUCATION, EXPERIENCE, AND/OR CERTIFICATIONS • Minimum 3-5 years medical billing experience. • Certified Professional Coder. • Family Practice experience required. • Pain Management Experience is a plus. • ASC billing is a plus. • Experience in eligibility verification, ERA, familiarity with HIPAA rules. • Knowledge of billing workflow. • Ability to work in a fast-paced work environment. • Sound analytical and problem - solving skills. • Ability to make decisions and work independently. • Basic computer skills and familiarity with Microsoft Office Tools.

Looking to join and lead a dynamic team at Ohio State University Physicians where excellence meets compassion!? Who we are With over 100 cutting-edge outpatient center locations, dedicated to providing exceptional patient care while fostering a collaborative work environment, our buckeye team includes more than 1,800 nurses, medical assistants, physicians, advanced practice providers, administrative support staff, IT specialists, financial specialists and leaders that all play an important part. As an employee of Ohio State University Physicians (OSUP), you'll be an integral part of a team committed to advancing healthcare, education, and professional growth. Our culture At OSUP, we foster a culture grounded in the values of inclusion, empathy, sincerity, and determination. We meet our teams where they are, coming together to serve each other and our community. Our benefits We know that having options and robust benefit plans are important to you. OSUP prioritizes the wellbeing of our team and that's why we offer our employees a flexible, competitive benefit package. In addition to medical, dental, vision, health reimbursement accounts, flexible spending accounts, and retirement, we also offer an employee assistance program, paid time off, holidays, and a wellness program designed to support our employees so they can live their best lives. As an OSUP employee, you will be eligible for these various benefits depending on your employment status. Responsibilities Purpose: Reporting to our Associate Director of Practice Operations Initiatives, the Project Management Consultant will manage and coordinate projects across our organization to increase workflow efficiencies, aid in our ambulatory expansion and corresponding corporate services, and strategically align our business due to impacts in regulatory changes or system modifications. Working collectively in cross-functional teams (clinical operations, revenue cycle, compliance, I/T and other corporate services), you will provide recommendations on documentation, scope, timelines, resources, organizational and operational risks, and budget. Duties and Responsibilities: Develop and maintain project charters, key performance indicators, and detailed project plans based on analysis of tasks, staffing requirements, associated budget, interdependencies and timelines. Oversee project plans. Assure accurate documentation on scope, progress, activities and issues are maintained and communicated timely. Appropriately escalate any/all concerns regarding project obstacles that may cause risk to reaching objectives, goals or administrative targets. Assist in prioritization and organization of proposals assigned or submitted for consideration. Communicate project/process recommendations to various committees/owners for approval. Support multiple projects across the OSUP continuum. Manage several priorities at any given time and display initiative to quickly move from one project to the next. Ensure projects are captured are reported up through practice operations initiatives office. Assre projects are managed using tools/software associated with certified project management industry standards such as DMAIC. Assure appropriate ticketing, tracking occurs in internal systems. Represent OSUP on committees as assigned. Ensure effective meeting facilitation, including agendas and minutes. Travel to satellite locations and clinic sites may be necessary to perform job duties. Ability to perform functions using job-related software and systems. Attendance, promptness, professionalism, the ability to pay attention to detail, cooperativeness with co-workers and supervisors, and politeness to customers, vendors, and patients. Other duties or special projects as assigned. Qualifications Requirements: Bachelor's degree coupled with 3-5 years of project management experience, preferably in healthcare. Demonstrated ability to plan, organize, coordinate, direct and control all aspects of projects/tasks with skill in objectively organizing resources, establishing priorities, meeting deadlines. Advanced analytical, evaluative, and objective critical thinking skills. Ability to gather data, compile information, and prepare reports. Ability to analyze complex problems, interpret operational needs, and energize development of integrated, creative solutions among stakeholders. Demonstrated effectiveness in conveying information both in writing and verbally. Exhibits emotional intelligence with strong interpersonal and conflict resolution skills. Can build collegial relationships, driving both collaborative work teams and results. Shows aptitude for diplomacy and negotiations. Preferences: Master's degree in business, healthcare, or related field. Project management professional (PMP) or Certified Associate in Project Management (CAPM) certification. Has consulting experience or past project management employment in a healthcare environment. Health care revenue cycle and/or medical billing/coding and collections experience. Experience with Epic. Pay Range USD $72,603.00 - USD $119,740.78 /Yr.

We are a Health IT and RCM service company with a leading-edge EHR software product and a medical billing BPO. We are looking for an enthusiastic Sales Development Representative. If you're excited to be part of a winning team, ClinicMind is a perfect place to get ahead. Responsibilities: Demonstrate basic functionality of our product. Identify potential clients and generate new business opportunities for the company Cold call potential clients to generate interest in our products and services Send out personalized emails and LinkedIn messages to potential clients to nurture leads Monitor appropriate social media groups/communities for potential leads Schedule appointments with potential clients for the sales team Provide accurate and up-to-date information on our products and services to potential clients, and this includes product and service demonstrations using presentation materials Work with the sales team to develop strategies for lead generation and follow-up Track progress towards meeting sales goals Collaborate with the sales team to develop strategies for reaching sales targets Use customer relationship management (CRM) software to manage leads and sales activities Stay up-to-date on market trends, competition, and industry developments Provide regular reports on sales activities and results to management. Qualifications: 2-3 years of experience in sales. Bachelor's degree in business or related field Experience in the healthcare industry preferred but not required Excellent verbal and written communication skills Has natural fluency and an instinctive understanding of English language Ability to work in a fast-paced environment and handle multiple priorities Strong interpersonal skills and ability to build relationships with potential clients Self-motivated and goal-oriented Proficient in Microsoft Office and CRM software Position Requirements Must have stable internet connection minimum of 5 MBPS Must have a mobile data plan as a backup Must be in a quiet environment Must be comfortable working the US business hours Must own a PC with at least 8 GB of memory

This role will have a start date at the end of March 2026. About Us At Greenbrook Medical, we believe seniors deserve more from the healthcare system-more time, more care, more coordination, and more heart. We provide high-touch, relationship-based primary care to seniors, built around one simple idea: deliver the kind of care we'd want for our own parents. Founded by two brothers inspired by their father's pioneering work in Medicare Advantage, Greenbrook is deeply personal and proudly modern. We quarterback our patients through their healthcare journey, making sure they're never alone in a complex system. Our business model is designed around patient outcomes, not volume-so we only succeed when our patients thrive. With roots in Tampa Bay and a partnership with Tampa General Hospital, we're growing thoughtfully to bring our model to more communities. Our team is the heart of it all: mission-driven, values-oriented, and relentlessly committed to taking the best care of our patients. About the Role The Director of Revenue Operations will be responsible for strengthening and scaling the engine that drives Greenbrook's financial performance across Medicare Risk Adjustment, HEDIS, billing, and medical records. We already have a successful model in place-your mandate is to take what works, make it consistent across markets, and build the next level of infrastructure (systems, processes, analytics, and talent) that will support scalable, repeatable revenue excellence as we grow. You'll design strategy, build dashboards and KPIs, operationalize best practices, and lead a high-performing team that ensures every patient interaction is translated into accurate and timely revenue. Reporting directly to the Chief Medical Officer, you'll collaborate closely with Clinical Ops, Finance, Technology, and Market Leadership to make sure our revenue programs stay ahead of our growth. This role is perfect for someone who thrives in high-accountability environments, understands the levers of full-risk Medicare Advantage, and loves to architect systems that turn great operations into great outcomes. If you want to help take an already working model and scale it with excellence, this is the role for you. Location: Remote, must be located in FL, VA, NY, MO or TX to be eligible for this role. Key Responsibilities Strategy & Program Design Own revenue strategy across MRA, HEDIS, Billing, and Medical Records Identify system-level levers to optimize RAF, quality scores, and revenue integrity Standardize best practices across all markets and clinics Reporting & Analytics Build and iterate on dashboards, KPIs, and scorecards for each revenue domain Monitor real-time performance, spot trends, and drive data-backed decisions Partner with Finance and Data teams to ensure revenue projections and accruals are accurate Process Design & Optimization Create scalable workflows for MRA coding, clinical documentation, billing, and HEDIS capture Implement tools, automations, and audits to improve accuracy and timeliness Reduce variation between physician panels through standard operating procedures Team Leadership & Performance Management Lead and develop teams across MRA coding, billing, medical records, and HEDIS Hire and onboard talent; coach and performance-manage effectively Set incentive plans aligned to KPIs and operational outcomes Cross-Functional Collaboration Partner with Clinical Ops to drive HCC capture and HEDIS performance Work with Providers and Market Leaders to align priorities Collaborate with Tech/Data on tools, workflow, and EMR performance Accountabilities RAF accuracy and completeness (e.g., year-over-year Delta RAF lift, validated HCC capture rate) HEDIS performance (e.g., gap closure %, measure compliance, overall Stars score) Billing accuracy & timeliness (e.g., clean claim rate, days in A/R, denial rate) Medical records integrity (e.g., chart completeness %, retrieval success rate) Team performance (e.g., productivity per coder, quality audit scores, hiring velocity) Revenue realization (e.g., captured vs. expected revenue, leakage reduction, audit recovery wins) Process consistency across markets (e.g., SOP adoption, variability reduction, error rates) About You Experience: 5+ years in full-risk Medicare Advantage provider or payer-side revenue program leadership At least 2 years of hands-on experience as an MRA coder Prior experience overseeing or partnering closely with medical billing teams Demonstrated success designing dashboards, KPIs, and scalable revenue workflows Certification: Required: CPC (Certified Professional Coder), CRC (Certified Risk Coder) Preferred: Advanced degree (MBA, MPH, MHA, etc.) Skills: Deep understanding of MRA, HEDIS, billing operations, and quality-linked revenue Ability to build and lead high-performing teams across multiple domains and manage effectively through layers (i.e. direct and indirect reports) Strong process-design and systems-thinking mindset Proven ability to translate data into operational action Strong communication and interpersonal skills Collaborative mindset with a willingness to learn and grow High attention to detail and commitment to excellence English required, Spanish a plus Values: You embody our core values of Heart, Excellence, Accountability, Resilience, and Teamwork. Why You Should be Excited Innovation: Be part of an innovative clinic setting the standard for senior-focused primary care. Work in a supportive, patient-first environment that values quality care. Impact: Be part of a mission-driven team focused on transforming healthcare for underserved seniors. Growth: We're building more than a company - we're building careers. As we grow, we're creating meaningful opportunities for you to expand your skills, take on new challenges, and shape your path forward. Compensation & Benefits: Competitive base salary and performance-based bonus, paid time off, health, dental and vision benefits, and 401K with a company match. Our Selection Process Our selection process typically includes an online application, initial interview, functional and values interviews, a case study, and a reference check. Equal Employment Opportunity and Commitment to Diversity At Greenbrook Medical, we believe the only way we accomplish our mission is by building the best team in healthcare. We do this through a culture of respect and belonging, ensuring our teammates feel cared for first and foremost. We will extend equal employment opportunity to all applicants without regard to age, race, ethnicity, sex, religion, sexual orientation, gender identity, socioeconomic background, disability status, military affiliation, pregnancy or any other status protected under federal, state and local laws. We encourage all who share our mission to apply. Greenbrook Medical will provide reasonable accommodations during the recruitment process. If you need additional accommodations or assistance, do not hesitate to contact our People team at ********************************.

CDPHP and its family of companies are mission-driven organizations that support the health and well-being of our customers and the communities we are proud to serve. CDPHP was founded in Albany in 1984 as a physician-guided not-for-profit, and currently offers health plans in 29 counties in New York state. The company values integrity, diversity, and innovation, and its corporate culture supports those values wholeheartedly. At CDPHP, the employees have a voice and are encouraged to make an impact at both the company and community levels through engagement and volunteer opportunities. CDPHP invests in employees who share these values and invites you to be a part of that experience. CDPHP and its family of companies include subsidiaries Strategic Solutions Management Consultants (SSMC), Practice Support Services (PSS), and ConnectRX Services, LLC. Strategic Solutions Management Consultants (SSMC) is a full-service medical billing and practice management firm offering a comprehensive, sophisticated approach to private practice physicians, and physician and hospital networks. Strategic Solutions expertise goes beyond traditional transactional billing. Their team of consultants, coders, and billers provide critical insights for their providers. The Medical Biller with SSMC will be responsible for providing direct billing services to their assigned clients, which may include provider offices, hospitals, and other facilities. They will act as a primary resource for billing support, submission of claims, statement management, reporting and other duties as assigned or requested. Billers are required to meet work quality and productivity standards, to ensure outstanding client service. QUALIFICATIONS: * High school diploma or GED required * Minimum one (1) year of customer service experience required. * Experience in a medical office setting strongly preferred. * Knowledge of medical billing and/or collections preferred. * Experience with Medent preferred. * Experience with Microsoft Office, including Outlook, Word and Excel required. * Must be detail-oriented with strong organizational skills. * Demonstrated ability to pro-actively identify problems, as well as recommend and/or implement effective solutions. * Demonstrated ability to provide excellent customer service and develop relationships both internally and externally. * Demonstrated ability to work with and maintain confidential information. * Excellent verbal and written communication skills. * Flexibility to adapt to a changing and fast-paced environment. Please note, the option to work from home is contingent on the below: * A dedicated private workspace. * Agreement to our telecommuting policy. * Wired internet connection and minimum internet speeds. Salary ranges are designed to be competitive with room for professional and financial growth. Individual compensation is based on several factors unique to each candidate, such as work experience, qualifications, and skills. Some roles may also be eligible for overtime pay. Our compensation packages go beyond just salary. In addition to cash compensation, employees have access to award-winning health care coverage, health and flexible spending accounts, and a 401(k) plan with company match. The company also provides a generous paid time off allowance, life insurance, and employee assistance programs. As an Equal Opportunity / Affirmative Action Employer, CDPHP does not discriminate in employment practices on the basis of race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship, disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, protected veterans status, or any other characteristics protected under applicable law. To that end, all qualified applicants will receive consideration for employment without regard to any such protected status.

Job Description About Us At TCT, we are a therapist-owned and operated company passionate about providing exceptional Physical Therapy, Occupational Therapy, and Speech Therapy in assisted living settings. Our mission is to restore independence through compassionate and high-quality care. We take pride in fostering a supportive, close-knit culture that values collaboration and professional growth. At TCT, you'll enjoy competitive pay, flexible schedules, rewarding work, and a comprehensive benefits package. Our values-Tailored, Transformative, Transparent, Compassion, Care, and Community (T's and C's)-guide everything we do. Why Join Us? Comprehensive Benefits: Medical, dental, vision, and life insurance. Work-Life Balance: Flexible scheduling and paid time off. Recognition & Rewards: Employee reward and recognition programs. Growth Opportunities: On-the-job training and upward mobility. Position Details We're looking for a full-time Medical Biller to join our team in Columbus, OH. This on-site position is ideal for candidates who are detail-oriented, organized, and thrive in a collaborative environment. Key Responsibilities Log payments from insurance companies and patients, maintaining accurate records. Update billing addresses and contact details as needed. Follow up on delinquent payments, resolve denial instances, and file appeals. Submit claims and process billing data for insurance providers. Verify insurance benefits for new and existing clients. Administrative Support: Assist with faxing, answering calls, emails, and text messages. Requirements Minimum 1 year of medical billing experience in a healthcare setting. Associate's Degree in Medical Billing, Coding, or a related field. Proficiency with: Google Suite Microsoft Excel and Word CMS 1500 Availity platform Compensation Competitive and based on experience. Let's talk! Powered by JazzHR Y2tGqxgA9F

Are you the orchestrator of order in a fast-paced legal setting, adept at maintaining the harmony between client communication and administrative precision? Do you thrive when handling a steady flow of intake calls, ensuring potential clients feel heard, supported, and guided with professionalism? Is your meticulous attention to detail matched by your ability to keep clients engaged and cases moving forward? Final question: When faced with a challenge, do you get excited or run away? ** IMPORTANT: TO APPLY ** If you have any questions, please email **************** only. Please do not reach out through our website's contact information (telephone, email, or web chat) or via direct messaging on any social media platform. To Apply: Submit your application by clicking the "Apply" button and applying on the Crisp Recruit page that opens. **RECRUITERS DO NOT CONTACT** The Law Offices of Jeremias E. Batista, LLC is a boutique bankruptcy and debt relief law firm headquartered in New Jersey, with expansion into Fort Lauderdale, Florida underway. Attorney Jeremias Batista has built his practice around guiding individuals and families through some of life's most stressful financial challenges. Known for hands-on client care and detail-driven advocacy, the firm also maintains a small personal injury caseload and referral network. What sets the firm apart is its balance of professional excellence with accessibility. Clients receive compassionate counsel directly from Jeremias, supported by a lean, dedicated team that values precision, respect, and responsiveness. With over 15 years of experience serving the community, the firm continues to grow by focusing on personalized representation rather than high-volume case turnover. We are hiring two Intake Specialists to be the first point of contact for potential clients. In this role, you'll answer inbound calls, walk callers through a structured intake questionnaire, complete digital intake forms, and seamlessly transfer qualified leads to the attorney. You'll also handle follow-up tasks, document collection, and appointment scheduling to support bankruptcy case progression. This position is fully remote, ideal for professionals in the Philippines or Latin America who bring strong communication skills, customer service experience, and attention to detail. What you'll do: Client Intake Calls: Answer 5-10+ daily inbound calls, follow the structured questionnaire, and complete intake forms with accuracy. Case Transfer: Submit completed forms into the system and smoothly transfer qualified calls to Attorney Batista. Clerical Support: Perform document collection, appointment scheduling, and secondary case write-ups as part of the bankruptcy filing process. Follow-Up Coordination: Check in with potential and current clients, ensuring required documents are received and appointments are confirmed. Bilingual Advantage: Communicate effectively with English and Spanish-speaking clients when applicable. Collaboration: Support the attorney and virtual paralegal by providing accurate intake data that drives case strategy. What we're looking for: Customer Service Background: Prior intake, call center, or customer service experience is strongly preferred. Detail-Oriented & Accurate: Ability to capture client information precisely-small errors can impact case outcomes. Strong Communicator: Professional, clear, and empathetic phone manner. Tech-Savvy: Comfortable using digital forms, Zoom, and basic office software. Language Skills: English fluency required; Spanish proficiency is a MUST. Adaptability: Ability to manage downtime productively with clerical tasks. Legal/Bankruptcy Knowledge: Not required, but prior legal, medical billing, or administrative support experience is beneficial. Why you should work here: Hands-On Training: Shadow Attorney Batista and receive mentorship in client interaction and bankruptcy process fundamentals. Impactful Work: Play a key role in helping people facing serious financial stress find relief and hope. Professional Development: Access to Crisp Academy training modules for six months to strengthen skills and knowledge. Growth Potential: As the firm expands, strong performers will have opportunities for increased responsibility. Additional perks: Compensation: $1,000-$1,300 USD per month, based on experience. Flexible Benefits: Discretionary bonuses and wellness perks may be offered (such as health stipends or book club participation, already extended to current staff). Work-Life Balance: Standard schedule of 9 AM-5 PM EST, Monday-Friday. At the Law Offices of Jeremias E. Batista, you're not just answering phones-you're the first voice clients hear when they reach out for help. Your role provides dignity and clarity during a difficult time in their lives. If you want to be part of a small but growing team where your work has a direct impact, we'd love to hear from you.

We do Consulting Differently The Associate position is a junior staff consulting position within the Healthcare Transactions and Strategy (HTS) group. HTS performs regulatory, reimbursement, data analytics, and compliance auditing for healthcare providers, healthcare payers and healthcare investors. Compliance audit deliverables include assessment of provider compliance programs and auditing of billing and coding of clinical documents and claims documents. This position requires a highly motivated problem solver with strong analytical ability, solid organizational skills, and a desire to advance within the organization. The work of an Associate-level Healthcare Compliance Auditor primarily involve employing certified coding skills to audit provider claims and provider clinical documentation with a particular focus on government programs such as Medicare and Medicaid. Responsibilities include payer policy research, working with team to develop audit criteria, data analysis, review of medical billing and supporting documentation, and development of client deliverables. This specific position requires an interest in medical coding and compliance, and potential candidates must have or be willing to obtain a medical coding certification within 6 months of hire. Job Responsibilities: Support client engagements and discrete segments of larger projects; Research healthcare program requirements and payer guidelines; Develop coding and documentation audit methodology using knowledge of key risk areas in coding and documentation compliance; Perform coding and documentation audits, reviewing medical records and charges to ensure compliance with CPT-4/HCPCS and ICD-10-CM coding guidelines and standards, as well as the Centers for Medicare & Medicaid Services (CMS) coverage guidelines; Conduct analysis of audit findings to identify trends/problems in coding and documentation and effectively communicate the audit findings and recommended areas for improvement to senior members of the team; Monitor relevant resources, publications, and current government compliance and enforcement activity related to high-risk compliance areas; Stay current on coding guidelines. Develop analyses using transactional data and/or financial data; Make valuable contributions to client deliverables; Demonstrate creativity and efficient use of relevant software tools and analytical methods to develop solutions; Participate in group practice meetings; Prioritize assignments and responsibilities to meet goals and deadlines. Qualifications: An undergraduate degree in a major relevant to healthcare (Public Health, Healthcare Administration, etc.); An active coding certification (may be in apprentice status) or willingness to obtain a coding certification from either AAPC or AHIMA within 6 months of hire; An interest in medical auditing; 0-2 years of work experience that demonstrates a strong interest in the healthcare industry; Internships, fellowships, or work experience in a hospital or healthcare system preferred. Candidates with more than 3 years of experience will not be considered for this role; Preference will be given to candidates who possess some knowledge of Medicare rules, regulations, and guidelines as they apply to coverage, coding, and provider documentation; Some knowledge of CPT-4, HCPCS, and ICD-10-CM coding systems, guidelines, and regulatory requirements is preferred; Proficient user in Microsoft Office Suite, specifically Excel, PowerPoint, Access, and Word. A desire to expand those capabilities is required. Strong attention to detail; Excellent time management, organizational skills, and ability to prioritize work and meet deadlines; Keen interest in healthcare compliance and healthcare policy; Exceptional verbal and written communication skills; Desire to work within a team environment. Associate Salary Range: $70,000 - $100,000 per year. Candidate must be able to submit verification of their legal right to work in the U.S., without company sponsorship. About BRG BRG combines world-leading academic credentials with world-tested business expertise purpose-built for agility and connectivity, which sets us apart-and gets you ahead. At BRG, our top-tier professionals include specialist consultants, industry experts, renowned academics, and leading-edge data scientists. Together, they bring a diversity of proven real-world experience to economics, disputes, and investigations; corporate finance; and performance improvement services that address the most complex challenges for organizations across the globe. Our unique structure nurtures the interdisciplinary relationships that give us the edge, laying the groundwork for more informed insights and more original, incisive thinking from diverse perspectives that, when paired with our global reach and resources, make us uniquely capable to address our clients' challenges. We get results because we know how to apply our thinking to your world. At BRG, we don't just show you what's possible. We're built to help you make it happen. BRG is proud to be an Equal Opportunity Employer. Our hiring practices provide equal opportunity for employment without regard to race, religion, color, sex, gender, national origin, age, United States military veteran status, ancestry, sexual orientation, marital status, family structure, medical condition including genetic characteristics or information, veteran status, or mental or physical disability so long as the essential functions of the job can be performed with or without reasonable accommodation, or any other protected category under federal, state, or local law.

About the Role To be considered a qualified candidate, must have minimum of two years of related medical experience. Urology experience a plus. What You'll Be Doing Will keep lines of communication open with the Supervisor. Submitting accurate and timely medical claims to insurance companies. Following up on unpaid or underpaid claims to ensure timely collection of outstanding balances. Identifying and resolving claim denials and rejections, including researching issues and resubmitting claims. Maintains all patient information according to the established patient confidentiality policy. Maintains compliance with all governmental and regulatory requirements. Responsible for completing, in a timely manner, all mandated training and in-services, including but not limited to annual OSHA training and PPD placements. Responsible for working Accounts Receivable (AR) for assigned providers. Performs all other duties as assigned. What We Expect from You High School Graduate or equivalent Minimum of two (2) years related medical billing experience is required. Reasoning Ability Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Computer Skills To perform this job successfully, an individual should have thorough knowledge in computer information systems. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand; walk; sit; use hands to finger, handle, or feel; reach with hands and arms; stoop, kneel, crouch, or crawl and talk or hear. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Work Environment This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Travel Travel is expected when needed (ex: mandatory onsite training) What We are Offer You At U.S. Urology Partners, we are guided by four core values. Every associate living the core values makes our company an amazing place to work. Here “Every Family Matters” Compassion Make Someone's Day Collaboration Achieve Possibilities Together Respect Treat people with dignity Accountability Do the right thing Beyond competitive compensation, our well-rounded benefits package includes a range of comprehensive medical, dental and vision plans, HSA / FSA, 401(k) matching, an Employee Assistance Program (EAP) and more. About US Urology Partners U.S. Urology Partners is one of the nation's largest independent providers of urology and related specialty services, including general urology, surgical procedures, advanced cancer treatment, and other ancillary services. Through Central Ohio Urology Group, Associated Medical Professionals of NY, Urology of Indiana, and Florida Urology Center, the U.S. Urology Partners clinical network now consists of more than 50 offices throughout the East Coast and Midwest, including a state-of-the-art, urology-specific ambulatory surgery center that is one of the first in the country to offer robotic surgery. U.S. Urology Partners was formed to support urology practices through an experienced team of healthcare executives and resources, while serving as a platform upon which NMS Capital is building a leading provider of urological services through an acquisition strategy. U.S. Urology Partners is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable federal, state or local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.

Our healthcare system is the leading cause of personal bankruptcy in the U.S. Every year, over 50 million Americans suffer adverse financial consequences as a result of seeking care, from lower credit scores to garnished wages. The challenge is only getting worse, as high deductible health plans are the fastest growing plan design in the U.S. Cedar's mission is to leverage data science, smart product design and personalization to make healthcare more affordable and accessible. Today, healthcare providers still engage with its consumers in a “one-size-fits-all” approach; and Cedar is excited to leverage consumer best practices to deliver a superior experience. The Role Cedar's Delivery team is responsible for the end-to-end implementation of Cedar's product suite. Implementations are a critical part of Cedar's client lifecycle - the process by which prospects become live clients, and contracted ARR becomes actualized ARR - and can be divided into four major implementation phases: Sell: advising the client during the late stages of a Cedar sale on the overall structure of a Cedar implementation and key design decisions, guided by Cedar best practices Solution: architecting a client-tailored implementation plan that surfaces key decisions and risks early on to ensure a smooth process and timely product go-live Ship: flawlessly executing on the implementation plan in partnership with client leaders, client operators, and Cedar's Client Growth team, leveraging our playbooks and best practices to get the product live in a smooth and timely manner Scale: monitoring the overall stability of Cedar's product performance after product go-live, resolving support requests, and thoughtfully transitioning the client to steady state We are seeking an Implementation Director to lead our largest, most strategic implementations within the third stage (Ship) of each client's Cedar implementation journey. In this role, you will leverage your deep healthcare implementation experience and advanced executive communication, consensus-building, and risk mitigation skills to independently deliver high-quality, complex technical implementations. Internally, you will serve as a strategic thought partner with Delivery team leadership and go-to-market teams on playbook strategy and implementation asset development, investing deeply in optimizing our processes, coaching others and scaling our team. This is an individual contributor role and will report into one of Cedar's Delivery Group Leads. Responsibilities Accountable for the overall success of Cedar implementation for Cedar's large, strategic clients Lead all aspects of development and execution of implementation project plans to ensure on time, on budget, quality delivery; able to execute independently with limited direction and oversight Act as a strategic thought partner/senior liaison between Delivery, go-to-market and product teams in designing, building and deploying creative product solutions to meet client requirements and strategic goals Work autonomously and creatively in navigating and overcoming obstacles, removing barriers to success for others Form strong and productive working relationships with client counterparts at all levels (operators to executives), driving all workstreams and vendors to achieving mutual goals Build exceptional partnerships with Cedar Solution Design Leads, Client Growth Leads, Implementation Managers, Solution Architects, and Solution Engineers to execute Cedar's most complex implementations Coach and mentor Cedar Implementation Managers to manage additional complexity, leading by example through our most ambiguous and challenging situations Actively build and refine tools and processes to improve Cedar implementations that measurably scale the Delivery team Create strong feedback loops and serve as the voice of the customer to internal stakeholders to inform improvements to Cedar's platform and delivery approach Exemplify Cedar's values of focusing on our vision, using good judgment, applying a growth mindset, and rejecting mediocrity Required Skills & Experience Experience in a client-facing senior project management, consulting or operations role (or equivalent) within healthcare technology implementations Experience working with large hospital systems and/or payers required; Patient Access and/or Revenue Cycle Management and/or EHR implementation expertise required Able to prioritize effectively across complex, interdependent workstreams to achieve deadlines Exceptional communications skills; able to succinctly articulate status and risks to executive stakeholders Demonstrated collaborative, consultative approach to building lifelong relationships with client executive leaders; advanced ability to maintain trust and rapport, especially during times of conflict or disagreement Creative and resilient problem-solver; able to proactively anticipate and mitigate risks independently and coach others to do the same Strong analytical skills a plus; fluency in, for example, Excel, Looker, Tableau, Salesforce, Smartsheets, etc. Intellectual curiosity; consistent desire to innovate and improve Inspires others to achieve company and individual goals Compensation Range and Benefits Salary Range*: $157,250 - $185,000 This role is also equity eligible This role offers a competitive benefits and wellness package *Subject to location, experience, and education #LI-REMOTE What do we offer to the ideal candidate? A chance to improve the U.S. healthcare system at a high-growth company! Our leading healthcare financial platform is scaling rapidly, helping millions of patients per year Unless stated otherwise, most roles have flexibility to work from home or in the office, depending on what works best for you For exempt employees: Unlimited PTO for vacation, sick and mental health days-we encourage everyone to take at least 20 days of vacation per year to ensure dedicated time to spend with loved ones, explore, rest and recharge 16 weeks paid parental leave with health benefits for all parents, plus flexible re-entry schedules for returning to work Diversity initiatives that encourage Cedarians to bring their whole selves to work, including three employee resource groups: be@cedar (for BIPOC-identifying Cedarians and their allies), Pridecones (for LGBTQIA+ Cedarians and their allies) and Cedar Women+ (for female-identifying Cedarians) Competitive pay, equity (for qualifying roles), and health benefits, including fertility & adoption assistance, that start on the first of the month following your start date (or on your start date if your start date coincides with the first of the month) Cedar matches 100% of your 401(k) contributions, up to 3% of your annual compensation Access to hands-on mentorship, employee and management coaching, and a team discretionary budget for learning and development resources to help you grow both professionally and personally About us Cedar was co-founded by Florian Otto and Arel Lidow in 2016 after a negative medical billing experience inspired them to help improve our healthcare system. With a commitment to solving billing and patient experience issues, Cedar has become a leading healthcare technology company fueled by remarkable growth. "Over the past several years, we've raised more than $350 million in funding & have the active support of Thrive and Andreessen Horowitz (a16z). As of November 2024, Cedar is engaging with 26 million patients annually and is on target to process $3.5 billion in patient payments annually. Cedar partners with more than 55 leading healthcare providers and payers including Highmark Inc., Allegheny Health Network, Novant Health, Allina Health and Providence.

Under general supervision and in accordance to established policies and procedures, the Data Entry Associate reviews and codes medical documents and/or charge tickets as assigned. Identifies, documents and provides follow up on deficiencies. Processes edits/denials and makes necessary corrections. Performs all other duties as required. Job Description/Responsibilities: Reviews encounter to determine the appropriate action required. Evaluates medical records documentation to determine correct coding. Determines if accident date/type is applicable. Inspects each encounter for missing information and follows up with the appropriate party. Examines documents in various for missing information. Monitor multiple systems for actionable requirements. Provides liaison/departmental contacts with facts to help clear edits. Notifies management of any delays when documents are not received in a timely manner as determined by guidelines. Collaborate with and provide administrative support to the Department Manager as needed. Oversee the day-to-day operations of one or more designated teams or areas according to established policies & procedures including daily staff assignments & work schedules. Plan and revise as necessary daily staff assignments and schedules lunch and break times. Informs others as needed in a clear, concise manner; selects the proper mode of communication & includes appropriate parties. Verifies all written communication is grammatically correct and free of typographical errors. Answers phone and take complete, accurate messages. Make sure messages are routed to appropriate person in a timely manner. Notifies Manager promptly when problems arise with equipment, programs, etc. Utilizes effective time management techniques. Supervises all employees in a firm, fair, and consistent manner. Oversees training of personnel within the supervised area. Effectively demonstrates use of Situational Leadership Techniques to development commitment, action, and teamwork. Consistently demonstrates the ability to recognize, establish and deal with priorities. Reviews and analyzes all facts of a situation when developing a plan of action; considers all relevant data to make the most informed decision possible. Collaborates with the manager in the interviewing and employee selection process. Completes performance evaluations annually for each employee, based upon objectives, time frames, and collaborating with the manager. Recommends employees for specialized training, transfer, or promotion to ensure most effective utilization of individual skills. Recommends employee promotions, discharges, disciplinary action for personnel as appropriate based on carefully documented performance appraisals. Qualifications:Required Qualifications: High school diploma or equivalent. 2 years experience with medical billing, coding, and/ or medical records. Previous experience in patient registration Be able to type 40-50 words per minute or complete 8,000-10,000 keystrokes per hour; Basic computer skills. Business Office Education or similar coursework desired. Possess exceptional telephone and customer service skills Good written and oral communication skills Preferred: Three Years previous medical office experience Leadership in the field of healthcare preferred Knowledge of medical terminology and medical insurance Previous experience with Cerner, IDX, Powerchart Allied Global Marketing is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, veteran status, or any other status protected under federal, state or local law. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements.

Full Job Description Perform routine assignments as required for an entry-level Business Analysis role. Developing competence by performing structured work assignments, data cleaning, compiling, mining, and reporting. Interested candidates should send their resume to (billing@ barbaras answering service. com) Primary Responsibilities: Manipulate, analyze, and interpret large amounts of data using Access, Excel, SQL, and VBA Automate processes and reports Recognize inefficiencies in processes (operational or technical) Design solutions to address billing issues Pull ad hoc reports from various billing systems Perform data validation to ensure accuracy and quality Data mining for advanced analysis of data presented in reports for management Analyze insurance medical billing denials to identify trends Recommend solutions to decrease bad debt and increase cash for receivables from laboratory tests Assist Billing department in the resolution of billing issues Provide feedback to Senior Management regarding contractual issues impacting Revenue Services Collaborate with other business units and departments on analysis projects Requirements Previous experience in Business / Systems Analysis or Quality Assurance A degree in IT / Computer Science Proven experience in eliciting requirements and testing Experience in analysing data to draw business-relevant conclusions and in data visualization techniques and tools Solid experience in writing SQL queries Basic knowledge in generating process documentation Strong written and verbal communication skills including technical writing skills Benefits Free parking Health savings account Health insurance 401(k) Paid time off Vision insurance Opportunities for advancement Life insurance EDUCATION Bachelor Degree (Business with accounting emphasis) Minimum (1) Year experience in high volume technical inside sales environment with proficient excel Job Type: Full-time Pay: $22.00 - $23.00 per hour Experience level: 1 years Schedule: 8 hour shift Experience: Microsoft Excel: 2 years (Required) Data mining: 1 year (Required) Interested candidates should send their resume to (billing@ barbaras answering service. com) Work Location: In person

Full Time Columbus, Ohio AndHealth is on a mission to radically improve access and outcomes for the most challenging chronic health conditions, with the goal of making world-class specialty care accessible and affordable to all. We partner with health systems, community health centers and independent specialists to remove barriers to care to ensure all people have access to the care they deserve. We are seeking a Revenue Cycle Manager to play a critical role in ensuring the financial health of our specialty programs by serving as the liaison between AndHealth and our community health center partners. The Revenue Cycle Manager will oversee day-to-day revenue cycle operations, identify opportunities to improve billing and collections processes, and ensure accuracy, compliance, and transparency across all stakeholders. This role requires a blend of hands-on problem solving, relationship management, and strategic oversight to ensure sustainable revenue operations as we scale. What you'll do in the role: * Serve as the primary liaison between AndHealth, billing vendor, and community health centers. * Manage and monitor vendor performance against agreed-upon metrics and SLAs. * Facilitate regular communication and issue resolution between partners. * Revenue Cycle oversight * Oversee the full revenue cycle process (charge capture, coding, billing, collections, denials, and reimbursements) in coordination with the vendor. * Review and analyze revenue cycle reports to identify trends, errors, or improvement opportunities. * Ensure claims are submitted accurately and timely to maximize reimbursements. * Compliance & Quality * Ensure billing practices are compliant with federal, state, and payer-specific regulations. * Partner with compliance teams and health center partners to prepare for audits and maintain documentation. * Process Improvement & Reporting * Develop reporting structures to track KPIs (e.g., days in A/R, clean claim rate, denial rate, net collection rate). * Identify and implement process improvements to enhance efficiency and accuracy. * Provide insights and recommendations to senior leadership on revenue cycle strategy and performance. * Collaboration & Leadership * Partner with internal teams (clinical operations, finance, compliance) to align revenue cycle processes with AndHealth's mission and growth strategy. * Educate and support community health center partners on billing and coding best practices related to specialty care integration. * Act as a trusted subject matter expert for all things revenue cycle at AndHealth. Skills or Qualifications: * Bachelor's degree in Healthcare Administration, Finance, Business, or related field required; Master's degree preferred. * 5+ years of progressive experience in healthcare revenue cycle management, with direct experience working with third-party vendors or health center partnerships strongly preferred. * Strong knowledge of medical billing, coding, payer requirements, and compliance standards. * Experience with FQHCs/community health centers and value-based care models is a plus. * Excellent communication, negotiation, and relationship management skills. * Analytical mindset with the ability to interpret complex data and present actionable insights. * Self-starter comfortable in a "first of its kind" role, with the ability to build processes from the ground up. Here's what we'd like to offer you: * Equal investment and support for our people and patients. * A fun and ambitious growing environment with a culture that takes on important things, takes risks, and learns quickly. * The ability to demonstrate creativity, innovation, and conscientiousness, and find joy in working together. * A team of highly skilled, incredibly kind, and welcoming employees, every one of whom has something unique to offer. * We know that the overall success of our business is a collaborative effort, and we strive to provide ongoing opportunities for our employees to learn and grow, both personally and professionally. * Full-time employees are eligible to participate in our benefits package which includes Medical, Dental, Vision Insurance, 401k match, Paid time off, Short- and Long-Term Disability, 401k match and more. Work Environment: The work environment characteristics described here are representative of those encountered while performing the essential function of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * The noise level in the work environment is usually quiet. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this 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, stand, talk, visualize, or hear. We are an equal opportunity and affirmative action employer. We embrace diversity and are committed to creating an inclusive environment for all employees. Applicants will be considered for employment without regard to race, religion, gender, gender identity, sexual orientation, national origin, age, disability, or veteran status.

HaloMD Who We Are: HaloMD specializes in Independent Dispute Resolution (IDR) through The No Surprises Act and state regulations for out-of-network healthcare providers, leveraging advanced technology and deep industry expertise to secure optimized reimbursements. Job Summary: As an Inside Sales Representative at HaloMD, you will be instrumental in driving awareness and adoption of our Independent Dispute Resolution (IDR) services among healthcare providers across the country. You will engage directly with physician groups, hospitals, and provider organizations-specifically those operating out-of-network in emergency medicine, anesthesia, radiology, air ambulance, and laboratory services. This role requires high outbound activity, strong communication skills, and the ability to clearly articulate the value of our IDR process in maximizing reimbursement under the No Surprises Act and other state-level protections. You will serve as the first point of contact for prospective clients, identify qualified opportunities, and schedule consultations with our senior sales and legal experts. Responsibilities Essential Job Duties and Responsibilities Execute high-volume outbound cold calls, emails, and LinkedIn outreach to key decision-makers (billing directors, VP of Revenue, practice managers, and physicians). Identify and qualify potential clients who may benefit from arbitration support through the federal or state-level IDR process. Clearly communicate the financial and compliance benefits of IDR services, including our historical success rates, recovery timelines, and legal positioning. Schedule consultations and demo sessions with Account Executives and legal partners. Follow up on inbound inquiries from marketing campaigns, conferences, or referrals. Maintain precise records of all outreach and interactions within the CRM (e.g., Salesforce or HubSpot). Collaborate closely with marketing to enhance targeting, refine messaging, and share campaign feedback. Meet or exceed monthly activity, conversion, and pipeline generation goals. Qualifications Required Qualifications: Bachelor's degree or equivalent experience in business, sales, healthcare, or legal services. 2+ years in B2B inside sales, preferably within healthcare, RCM, or legal services. Exceptional communication and follow-up skills, with a persuasive and consultative approach. Experience in cold calling, objection handling, and pipeline development. Working knowledge of healthcare payer systems, out-of-network billing, or the No Surprises Act is highly desirable. Proficiency in CRM systems and sales enablement tools. Preferred Qualifications: Experience engaging with medical billing teams, hospital administrators, or physician leadership. Understanding of federal and state-level IDR mechanisms and payer-provider disputes. Background in revenue cycle management, legal intake, or healthcare consulting is a strong plus. Success in This Role Means: You're generating a consistent stream of high-quality, arbitration-eligible leads. You understand the nuances of out-of-network reimbursement and can clearly communicate the strategic advantages of IDR. You're a proactive contributor to a fast-paced revenue team, committed to helping providers recover underpaid or denied claims. You maintain CRM accuracy and high outreach velocity, ensuring that the sales team operates from a healthy, data-driven pipeline. Perks & Benefits: Fully Remote - Work from anywhere within the United States with reliable high-speed internet Multiple medical plan options Health Savings Account with company contributions Dental & vision coverage for you and your dependents 401k with Company match Vacation, sick time & Company paid holidays Company wellbeing program with health insurance incentives What's Next? If you're ready to bring your skills and passion to our growing team, we want to hear from you! Apply today and help us create a future where success is the standard. #IND123

For this role, the new hire will be providing essential support to clients using NG Practice Management. They will be answering medical billing questions related to the software functionality and providing claims clearinghouse support. Additionally, the candidate will be required to work cross-functionally with internal teams to assist in addressing client needs. Software and/or technical support experience is preferred for this position. It is crucial that the candidates have hands-on experience with the NextGen EPM application. Experience in a medical office or familiarity with the medical billing process is highly desirable. Lastly, customer service experience is something we value greatly for this role. Collaborate with teams to develop strategy for client specific roadmap, product optimizations, new product implementation, and software upgrades, and change management. Assess current system workflows and configurations; identify opportunities for alignment with NextGen best practices and model build system. Develop departmental implementation tools and artifacts; scope and perform custom template and software programming utilizing software development best practices. Implement new software and upgrade the NextGen application suite. Deliver application-level support and expertise to clients during active implementation by conducting system configurations, testing, training, go live support, and post implementation issue resolution. Prepare, lead and execute presentations, training, and work sessions with a strong command of the audience both internally and externally. 25%-50% travel may be required, depending on client requirements and business needs. Flexible hours including weekend work may be required with advance notice. Perform other duties that support the overall objective of the position. Education Required: Bachelor's Degree. Or, any combination of education and experience which would provide the required qualifications for the position. Experience Required: 3-5 years' experience in relevant discipline such as: implementation and training, consulting, health care/private practice, or healthcare IT providing similar services/products. License/Certification Required: NextGen Certified Professional within 90 days of onboarding. Established NextGen Certified Professional is a plus. Knowledge, Skills & Abilities: Knowledge of: Healthcare IT software implementation and training. Software applications, workflows, system configuration, client training, and troubleshooting resolution best practices. Skill in: Building relationships; interpersonal, written, and visual communication; analytical, problem solving, detail oriented, troubleshooting, project & time management, and presentation skills. Ability to: Drive projects to a successful outcome both in a team environment and independently. Communicate, influence, establish trust, and demonstrate results with multiple stakeholder groups. Recognize and diffuse stressful situations. Quickly assess client sensitivities, communication style, and organizational culture and adapt project to ensure success. Be passionate about contributing to an organization focused on continuously improving client experiences. Ability to balance competing priorities and multiple projects in a fast-paced environment. The company has reviewed this to ensure that essential functions and basic duties have been included. It is intended to provide guidelines for job expectations and the employee's ability to perform the position described. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. This document does not represent a contract of employment, and the company reserves the right to change this job description and/or assign tasks for the employee to perform, as the company may deem appropriate. NextGen Healthcare is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

This role will oversee and complete administrative responsibilities related to medical billing. Key tasks include: - Preparing and submitting billing data and medical claims to insurance companies in compliance with federal, state, and payer guidelines - Preparing bills and invoices - Investigating and resolving billing denials and rejections - Completing payor-specific rules and regulations training - Ensuring accuracy and compliance throughout the billing process We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to ********************.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: **************************************************** Skills and Requirements - 2+ years of experience as a Medical Biller or similar role - High school diploma or equivalent - Cerner experience - RevManager (Waystar) clearinghouse experience - Knowledge of ICD-10 diagnosis and procedure codes, CPT/HCPCS codes - Familiarity with rules and regulations related to medical billing practices - Skilled in billing software and electronic medical records - Strong analytical and critical thinking skills - Excellent time management and organizational abilities - Ability to multitask and maintain attention to detail - Strong written and verbal communication skills

HaloMD Ready to Lead and Make an Impact? Become Our Remote Supervisor of Arbitration! Are you a problem-solver with a passion for guiding teams to success? Do you thrive in a fast-paced environment where every day brings new challenges and opportunities to shine? If so, we want YOU to help us drive our mission forward! Who We Are: HaloMD is a fast-growing arbitration and medical billing company on a mission to streamline processes, resolve disputes, and deliver exceptional service. Our success comes from our people, and we're searching for a dynamic leader to help take us to the next level. Job Summary The Supervisor of Arbitration will supervise and coordinate the staff's daily operations. This role will have the overall responsibility for mentoring and developing skills of direct reports. The Supervisor will participate in evaluation and implementing quality control and performance improvement activities. Responsibilities Essential Job Duties and Responsibilities: As our Supervisor of Arbitration, you'll be the heartbeat of our operations-leading a team, driving results, and making a real difference. If you're a natural leader with a sharp eye for detail, a talent for problem-solving, and a passion for guiding teams, you will: Lead, motivate, coach, and train a team to achieve business objectives. Monitor and analyze performance metrics to identify areas for improvement. Foster a positive and collaborative work environment. Ensure compliance with company policies and industry regulations. Allocate resources effectively. Provide mentorship and professional development opportunities for team members. Collaborate with senior leadership to align departmental goals with company objectives Plan schedules, assign tasks, and monitor performance to ensure efficiency. Analyze claim reports, submit cases on time, and oversee informal negotiations. Analyze performance metrics, recommend process enhancements, and champion change. Work with external vendors, state agencies, and leadership to resolve issues. Handle escalated concerns, monitor urgent requests, and respond promptly-even after hours if needed. Analyze workflow reports to determine cases eligible for IDR Process Determine the completion timeline and monitor progress to keep the project on track and on schedule Manage the flow of day-to-day operation Complete special projects and other duties as assigned Potentially work with external vendors to assist with issues and resolutions Qualifications Experience Required: 3+ years in medical billing and collections, and 1+ year supervising a team of 5 or more. Knowledge of CPT, ICD-10, HIPAA, and insurance industry standards. Proficiency in Microsoft Office, especially Excel (formulas, pivot tables, filters-you're a pro!). Clear, professional, and confident in writing and speaking. Strong analytical and problem-solving skills with keen attention to detail. Availability for urgent matters on weekends if needed. Perks & Benefits: Fully Remote - Work from anywhere within the United States with reliable high-speed internet Multiple medical plan options Health Savings Account with company contributions Dental & vision coverage for you and your dependents 401k with Company match Vacation, sick time & Company paid holidays Company wellbeing program with health insurance incentives What's Next? If you're ready to bring your skills, passion, and leadership to our growing team, we want to hear from you! Apply today and help us create a future where success is the standard. #IND123

Job DescriptionDescription: About the Role: The Representative for the Quality Assurance Team plays a crucial role in ensuring that our patients receive the highest level of service and satisfaction. This position involves monitoring and evaluating order processes to identify areas for improvement and to uphold our quality standards. The representative will collaborate closely with team members to develop and implement strategies that enhance customer experience and operational efficiency. By analyzing feedback and performance metrics, this role contributes to the continuous improvement of our service processes. Ultimately, the goal is to ensure the timely release of held patient orders to foster a customer-centric culture that drives loyalty and supports the overall customer satisfaction. HIRING REMOTE IN THE FOLLOWING STATES: AL,FL, GA, IN, KY, LA, MS, NC, SC, TN, TX, VA, & WV FULL TIME, GREAT BENEFITS, PTO, HOLIDAY PAY & MORE! Essential Functions: • Research held DME orders finding and resolving root causes. • May require rework of expired prescriptions, changes in patients' insurance • Verification of changes in patients plans to ensure supplies ship timely. • Obtain Prior Authorizations, need for an AOB or other discrepancies. • QA team will notify and work through order issues with other teams. • Electronic Data Interchange (EDI) file formats 835 & 837 ERA's changes and corrections. • Notes, comments or other relevant information into HDMS system. • Inform Team Support or Sr. Team Leader if there are unusual issues or matters requiring attention or intervention. Position Type: This is an hourly position, business hours, M-F. Occasional OT, early mornings, evening and weekend work may be required as workload demands. ***** EQUIPMENT IS NOT PROVIDED, YOU MUST HAVE YOUR OWN COMPUTER EQUIPMENT Requirements: Preferred Education and Experience: • 2+ years of experience in a fast-paced customer service role requiring good judgement and proven problem-solving skills in Healthcare, Medical and or Insurance. • 1+ years of experience in a Medical Billing role requiring patient insurance verification and account setup. • 1+ years of medical billing coding experience • High school diploma or GED diploma • Medical Billing education is a PLUS! • Previous experience demonstrated the ability to follow multi-step procedures and apply attention to detail. • Strong ability to handle multiple tasks at various stages of completion.

Our client, an innovative healthcare organization is seeking a skilled and experienced Revenue Cycle Management (RCM) Leader to build, scale, and optimize revenue cycle operations across a multi-state, hybrid care model. This role is ideal for candidates who thrive in fast-paced, start-up environments and have a proven record of building systems from scratch. The ideal candidate brings a data-driven approach, hands-on execution ability, and deep knowledge of end-to-end medical billing and revenue cycle processes in virtual or multi-jurisdictional environments. Responsibilities: Build and scale revenue cycle systems and workflows from the ground up Manage end-to-end RCM operations, including eligibility, billing, claims, denials, and collections Lead performance analysis and drive continuous improvement through KPIs and reporting Collaborate with clinical operations, product, engineering, and finance teams Ensure compliance with payer regulations and multi-state telehealth billing requirements Mentor and manage junior billing and RCM staff as the team grows Qualifications: 8-14 years of RCM or medical billing experience in virtual care or multi-state practices Minimum 3 years in a senior or director-level role Bachelor's degree in healthcare administration, business, finance, or a related field Strong understanding of EMR, clearinghouses, and RCM systems Proven ability to operate hands-on in a 0 → 1 environment Excellent communication skills and ability to work across teams Start-up or high-growth healthcare experience strongly preferred Perks and Benefits: Remote or Hybrid Opportunity to work with industry leaders and digital health pioneers Meaningful impact on patient outcomes and healthcare accessibility