Patient Accounts jobs near me - 217 jobs

7+ to 10 years experience As clients consolidate, integrate and transition their existing operations (business offices) into this role directs the various activities throughout the client consolation process. This includes serving as interim management of operations, overseeing all functions of A/R Management (billing, follow-up, cash posting, and customer service and vendor management) during a client consolation, and conducting client assessment prior to client consolations, to include gap analysis between current state of the department and the Conifer model to include; processes, staffing levels, metrics and technology. The role will report to the Sr. Director of Transitions and will work closely with other members of the transition team and our operations Team. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. No. Description 1. Align operations to meet core performance metrics and SLA's for new client. 2. Manage the process change as it relates to performance, staffing, and employee relations to fully transition new client to existing operations leaders. 3. Provides operational direction to assigned site and business function. Coordinates site related issues with Human Resources and Legal. 4. Oversees billing/collections/reimbursement, ensuring standardization and compliance with established policies and procedures of Conifer Health Solutions, regulations of applicable regulatory agencies, and standards of JCAHO for new client site and fully transitions new client to existing operational leaders. 5. Analyzes and identifies problems, determines cause and desired resolution. Takes steps necessary to implement resolution. Solves escalated problems related to his/her areas of assignment, and maintains a detailed knowledge of functions in these areas. 6. Ability to transition from our transitions Management Team to the applicable unit in the absence of new client engagements. 7. Supports and interfaces with hospital leadership when required. Coordinates necessary meetings/focus groups and assigns direct reports as necessary to help with implementation and feedback within these groups. 8. Ensures implementations of any new processes are in line with the client's policies and works directly with client's departments to ensure visibility of any changes in processes. 9. Prioritizes transition projects and completes them effectively within the provided timeframe. Ensures that any delays to projects are communicated proactively and can address issues. 10. Make recommendations based on gap analysis of processes and performance data. 11. Completion of assessment and provides feedback on key benefits for us in transitioning a client. Participates in preparation of financial model. FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense): varies by location/assignment SUPERVISORY RESPONSIBILITIES This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. No. Direct Reports (incl. titles) TMT Manager Operations. Number is variable AR Manager assignments are dictated by each new client, and varies by location No. Indirect Reports (incl. titles) As dictated by each new client, varies by location KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Advanced understanding of Compliance Regulations and Guidelines Advanced knowledge of healthcare reimbursement methodologies Advanced knowledge of the hospital based operations related to the revenue cycle including Health Information Management, Patient Access, Clinical Quality/Case Management, Management Information Systems, Accounting and Finance Advanced knowledge of healthcare A/R, collections, insurance, government programs and appeals Knowledge of the flow of revenue cycle, revenue cycle technology, and revenue cycle metrics and drivers Detail oriented, analytical skills, and an ability to work independently Proficiency in prioritizing and managing multiple tasks Advanced skills in human resource management as it relates to large floor operations/call center environments Ability to create and clearly communicate strategic and tactical plans leading to an efficient and effective operation, and understand and execute financial models Intermediate Microsoft Office (Word and Excel) Excellent oral and written communication skills and strong presentation skills Ability to provide advanced customer service EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. 4 year college degree in Business Administration, Finance, or Health Administration or equivalent experience 7 - 10 years experience directing a multi-facility healthcare business office (CBO) or large facility Patient Financial Services Department or financial services call center CERTIFICATES, LICENSES, REGISTRATIONS Certified Patient Account Manager (CPAM) or Certified Financial Healthcare Professional (CFHP) or Certified Revenue Cycle Representative (CRCR) preferred OTHER 100% Travel Required (Not required to travel on weekends/ holiday's or weeks surrounding a National Holiday) Hospital Revenue Cycle Managment Acute Care Collections Additional Information All your information will be kept confidential according to EEO guidelines. Direct Staffing Inc

Enjoy what you do while contributing to a company that makes a difference in people's lives. US Fertility, one of the premier fertility centers in the United States, continually seeks experienced, compassionate, and dynamic team players who are committed to delivering exceptional patient care to join our growing practice. The work we do building families offers stimulation, challenge, and personal reward. If you're a Financial Educator looking for a new opportunity to work in a fast-paced, professional environment where your talent contributes to changing people's lives, then we want to talk to you. This position requires collaborating with physicians, other medical providers, and patients by providing expert care and service for fertility treatments. We have an immediate opening for a full-time remote Financial Educator to work for our RMA NY office. The schedule is Monday through Friday, 9:30-6pm EST. This position could require 1 weekend per month. How You'll Contribute: We always do whatever it takes, even if it isn't specifically our “job.” In general, the Financial Educator is responsible for: Consult with patients regarding their benefits, coverage and financial options Perform aspects of benefit verification and prior authorization Provide ongoing financial education and assistance to our patients throughout the continuum of their care, as an educator, advocate, and liaison Maintain patient accounts by obtaining, recording, and updating personal financial and insurance information Skills & Qualifications The skills and education we need are: Minimum 2 to 4 years of medical business office experience, with working knowledge of healthcare billing and collections, insurance/benefits, and patient interaction Must have experience reading and understanding payer remittance advice. Includes the ability to differentiate between allowed charges, contractual adjustments, line item denials/reasons, patient responsibility (co-pay, co-insurance, and deductibles), etc. Bachelor's Degree preferred Experience working in an OB/GYN office is a plus Excellent interpersonal skills required to communicate with departments, employees, physicians, managers, patients, and insurance companies Strong oral and written communication skills, independent worker, detailed-oriented, computer savvy Proficient with Microsoft programs, specifically Outlook, Microsoft Word and Excel High level of customer service essential More important than the best skills, however, is the right person. Employees who embrace our mission, vision, and core values are highly successful. At US Fertility, we promote and develop individual strengths in order to help staff grow personally and professionally. Our core values - Empathy, Patient Focus, Integrity, Commitment, and Compassion (EPICC) - guide us daily to work hard and enjoy what we do. We're committed to growing our practice and are always looking to promote from within. This is an ideal time to join our team! What We Offer: We are proud to provide a comprehensive and competitive benefits package tailored to support the needs of our team members across all employment types: Full-Time Employees (30+ hours/week): Medical, dental, and vision insurance, 401(k) with company match, tuition assistance, performance-based bonus opportunities, generous paid time off, and paid holidays Part-Time Employees: 401(k) with company match and performance-based bonus opportunities Per Diem Employees: 401(k) with company match To learn more about our company and culture, visit here. How To Get Started: To have your resume reviewed by someone on our Talent Acquisition team, click on the “Apply” button. Or if you happen to know of someone who might be interested in this position, please feel free to share the job description by clicking on an option under “Share This Job” at the top of the screen.

Purpose The Healthcare Posting Specialist is responsible for accurately and efficiently posting payments from payers, patients, and other sources. This role requires a strong understanding of explanation of benefits (EOBs), electronic remittance advice (ERAs), electronic funds transfers (EFTs), and lockbox processing, as well as knowledge of healthcare reimbursement practices. The Posting Specialist will ensure compliance with regulatory standards and state and federal payment practices. **This is a fully remote role** Responsibilities Process payments, adjustments, and denials, ensuring accurate and timely posting to patient accounts. Manage ERA, EFT, and lockbox transactions, ensuring compliance with payer and regulatory requirements. Verify payment information, identify discrepancies, and resolve issues to maintain accurate posting records. Adhere to state and federal regulations, payer guidelines, and company policies in all payment posting activities. Stay updated on reimbursement guidelines, utilization standards, and regulatory requirements for posting practices Maintain accurate records of payment posting activities and support reporting needs for reimbursement analysis Assist in generating reports related to payment posting, discrepancies, and reconciliation issues. Work closely with the Revenue Cycle, billing, and collections teams to resolve posting and reimbursement issues. Communicate with team members to clarify EOBs and other payer documents as needed. Requirements Qualifications Minimum of three years of experience in payment posting, with a solid understanding of healthcare reimbursement and payer EOBs. Technical Skills: Proficiency in electronic remittance advice (ERA) and electronic funds transfer (EFT) processing. Familiarity with lockbox operations and payment posting software. Proficient in Microsoft Office Suite and healthcare billing or revenue cycle software. Knowledgeable in payer reimbursement, utilization practices, and state and federal regulatory requirements related to payment posting. Strong attention to detail and accuracy in data entry. Problem-solving skills to address payment posting discrepancies. Effective communication skills for working in a remote team environment. Ability to work independently with minimal supervision. ** Must successfully pass a background check. Due to the financial responsibilities associated with this role, the background check will be inclusive of a credit check. Salary & Benefits The estimated hiring salary range for this position is $22/hr - $24/hr. * The actual salary will be based on a variety of job-related factors, including geography, skills, education and experience. The range is a good faith estimate and may be modified in the future. This role is also eligible for a range of benefits including medical, dental and 401K retirement plan.

Job Description Are you looking for a company you can grow your career with and advance in? Are you goal oriented, self-motivated & proactive by nature? Do you have a passion for health and wellness and love sales? If you have the drive, desire, and initiative to work with a world-class organization, we want to talk to you. At The Joint Chiropractic we provide world class service to every one of our patients, and we would like for you to join our caring team. Let us turn that passion for health and wellness and love of helping people, into a rewarding career. We have continued to advance the quality and availability of Chiropractic care in the Wellness industry. Competitive Pay: $16/hr + Commission Must be willing to work at multiple clinic locations 20-25 hours per week What we are looking for in YOU and YOUR skillset! Driven to climb the company ladder! Possess a winning attitude! Have a high school diploma or equivalent (GED). Complete transactions using point of sale software and ensure all patient accounts are current and accurate Have strong phone and computer skills. Have at least one year of previous Sales Experience. Participate in marketing/sales opportunities to help attract new patients into our clinics Be able to prioritize and perform multiple tasks. Educate Patients on wellness offerings and services Share personal Chiropractic experience and stories Work cohesively with others in a fun and fast-paced environment. Have a strong customer service orientation and be able to communicate effectively with members and patients. Manage the flow of patients through the clinic in an organized manner Essential Responsibilities Providing excellent services to members and patients. The Wellness Coordinators primary responsibility is to gain memberships in order to meet sales goals. Greeting members and patients upon arrival. Checking members and patients in to see the Chiropractor. Answering phone calls. Re-engaging inactive members. Staying updated on membership options, packages and promotions. Recognizing and supporting team goals and creating and maintaining positive relationships with team members. Maintain the cleanliness of the clinic and organization of workspace Confident in presenting and selling memberships and visit packages Keeping management apprised of member concerns and following manager's policies, procedures and direction. Willingness to learn and grow Accepting constructive criticism in a positive manner and using it as a learning tool. Office management or marketing experience a plus! Able to stand and/or sit for long periods of time Able to lift up to 50 pounds Upholding The Joint Chiropractic's core values of TRUST, INTEGRITY, EXCELLENCE, RESPECT and ACCOUNTABILITY About The Joint Chiropractic The Joint Corp. revolutionized access to chiropractic care when it introduced its retail healthcare business model in 2010. Today, it is the nation's largest operator, manager and franchisor of chiropractic clinics through The Joint Chiropractic network. The company is making quality care convenient and affordable, while eliminating the need for insurance, for millions of patients seeking pain relief and ongoing wellness. With more than 700 locations nationwide and nearly 11 million patient visits annually, The Joint Chiropractic is a key leader in the chiropractic industry. Ranked number one on Forbes' 2022 America's Best Small Companies list, number three on Fortune's 100 Fastest-Growing Companies list and consistently named to Franchise Times “Top 400+ Franchises” and Entrepreneur's “Franchise 500 ” lists, The Joint Chiropractic is an innovative force, where healthcare meets retail. For more information, visit ***************** Business Structure The Joint Corp. is a franchisor of clinics and an operator of clinics in certain states. In Arkansas, California, Colorado, District of Columbia, Florida, Illinois, Kansas, Kentucky, Maryland, Michigan, Minnesota, New Jersey, New York, North Carolina, Oregon, Pennsylvania, Rhode Island, South Dakota, Tennessee, Washington, West Virginia and Wyoming, The Joint Corp. and its franchisees provide management services to affiliated professional chiropractic practices. You are applying to work with a franchisee of The Joint Corp. If hired, the franchisee will be your only employer. Franchisees are independent business owners who set own terms of employment, including wage and benefit programs, which can vary between franchisees. Powered by JazzHR 6YInhvTi2k

Engage with us for your next career opportunity. Right Here. Job Type: Regular Scheduled Hours: 40 💙 Why You'll Love Working with St. Elizabeth Healthcare At St. Elizabeth Healthcare, every role supports our mission to provide comprehensive and compassionate care to the communities we serve. For more than 160 years, St. Elizabeth Healthcare has been a trusted provider of quality care across Kentucky, Indiana, and Ohio. We're guided by our mission to improve the health of the communities we serve and by our values of excellence, integrity, compassion, and teamwork. Our associates are the heart of everything we do. 🌟 Benefits That Support You We invest in you - personally and professionally. Enjoy: - Competitive pay and comprehensive health coverage within the first 30 days. - Generous paid time off and flexible work schedules - Retirement savings with employer match - Tuition reimbursement and professional development opportunities - Wellness, mental health, and recognition programs - Career advancement through mentorship and internal mobility Job Summary: Processes medical records by coding, abstracting data and producing information for third party billing and to provide a complete statistical data base. Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background. Job Description: Reviews inpatient or observation, same day surgery, and interventional procedure records, identifies and codes principal and secondary diagnoses and principal and secondary procedures in appropriate sequence so that the accurate DRG/APC will be assigned according to Official Coding Guidelines to provide information for billing purposes. Meets department coding standards for quality and productivity of 96%. New staff are expected to meet these standards upon completion of the training period. Assigns all codes based on documentation. Participates in corporate compliance program. Upholds the highest ethical standards. Abstracts demographic and medical information into abstracting software following departmental guidelines to provide for accurate database for statistical reference. Completes various reports such as productivity reports, statistical reports and log sheets in order to maintain an accurate source of reference material and other documentation. Performs daily or weekly follow-up of all dates assigned and submits updates accordingly. Communicates with Corporate Coding Manager, Coding Team Leader, CDI Specialists, Patient Accounts staff and fellow coders in a professional manner as needed regarding held accounts, coding changes, physician queries, rebills, etc. Attends educational programs and applies knowledge to enhance job performance. Uses resources available for accurate coding (i.e. Coding Clinic and CPT Assistant). Performs other duties as assigned. Education, Credentials, Licenses: Associate or Bachelor's degree (or equivalent hospital based coding experience. CCS, CIC or COC credentials Physician coding credentials CCS-P and CPC are not preferred but recognized for coding other than inpatient. An apprentice credential is not sufficient. Specialized Knowledge: Medical Terminology, Anatomy and Physiology, ICD/CPT experience, Prospective Payment Systems, Outpatient Medical Necessity, use of personal computer. Kind and Length of Experience: Five years hospital coding experience. Proven verbal and written communication skills FLSA Status: Non-Exempt Right Career. Right Here. If you're looking for the right careers in healthcare, the right place to be is at St. Elizabeth. Join us, and you'll take pride in the level of care we offer our community.

We are seeking an experienced Medical Biller to join our team. This role focuses on investigating and resolving credit balances on patient accounts, particularly those involving government payers such as Medicare and Medicaid. The ideal candidate will have strong analytical skills, attention to detail, and the ability to work independently. Key Responsibilities: + Investigate and resolve credit balances on patient accounts, with emphasis on government payers. + Review aged transactions to identify root causes of overpayments and determine appropriate resolution paths. + Ensure timely processing of refunds in compliance with CMS 60-day refund rules and other regulatory guidelines. + Collaborate with billing, compliance, and finance teams to validate refund accuracy and prevent recurrence. + Document findings and maintain audit-ready records for all credit balance resolutions. + Monitor and report progress on backlog reduction, highlighting risks and compliance concerns. + Support internal and external audit requests related to credit balances and payer activity. + Stay current on changes in billing regulations, payer policies, and reimbursement methodologies. + Record all collection activities and communications in the billing system per department policies. + Work with billing, coding, and registration teams to resolve account discrepancies and ensure claim accuracy. + Process refunds, adjustments, and write-offs in compliance with organizational policies. + Maintain compliance with HIPAA, CMS, and other regulatory requirements related to patient privacy and billing practices. Additional Skills & Qualifications: + Ability to work independently and manage priorities effectively. + Strong proficiency in Excel and general computer skills. + Knowledge of Accounts Receivable (AR) follow-up processes. + Understanding of billing practices, including CPT codes. + Experience with EPIC or similar billing systems. + Minimum of 5+ years of relevant experience, with the autonomy to manage complex tasks. Job Type & Location This is a Contract position based out of San Diego, CA. Pay and Benefits The pay range for this position is $28.00 - $28.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Dec 26, 2025. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

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.

PRIMARY FUNCTION: The Payment Research Representative is responsible for proper handling and reconciliation of payments received throughout the Jefferson Revenue Cycle Enterprise. Working closely with Payment Representatives, Accounting and Finance, the Payment Reconciliation Rep will investigate and resolve issues impacting cash processing and reconciliation. ESSENTIAL FUNCTIONS: Identify and resolve payment issues through research and investigation. Review explanation of benefits to confirm payments were applied appropriately. Contact third party payors or view payor portals to obtain additional information as necessary. Utilize online payor portals, such as Navinet, for claims determination, eligibility, offset requests, appeals. Applies payment and adjustments to patient accounts per third party regulations, providing accurate accounts receivable and balance billing while meeting the department's established productivity benchmarks. Interprets and validates transaction postings of payments and denials received from third party explanation of benefits either in the form of batched images or via electronic remittance posting work queues. Research over-posted or undistributed credit balances via credit work queues. Confirm that cash records are properly linked to associated payment batches prior to posting. Ensure that batches are posted, reconciled, closed and processed timely and accurately. Communicate possible system and reimbursement issues to the supervisor who will facilitate a review and analysis of the potential impact and confirm best course of action. Adhere to workflows and ensure quality assurance standards are maintained at all times. Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson. EDUCATIONAL/TRAINING REQUIREMENTS: High school degree or GED required. Bachelor's degree in Accounting, Finance or Business preferred EXPERIENCE REQUIREMENTS: Ability to work independently and as part of a team with minimal supervision. Proficient in web tools and technology. Knowledge of Epic preferred. EDI related experience preferred. Medical billing and or banking experience preferred. Accounting and/or Finance experience preferred. Knowledge of Microsoft Office required. Experience with telecommuting preferred. ADDITIONAL INFORMATION: Proficient in Windows 10 and Microsoft Office. Strong MS Excel and Access skills required. Strong organizational and interpersonal skills; excellent verbal and written communication skills. Knowledge of accounting ledgers and balance sheets. Strong understanding of healthcare claims processing, eligibility, enrollment and configuration Skilled in analyzing and comparing data. Extremely detail oriented and well organized. Position is eligible for telecommuting (work from home) Work Shift Workday Day (United States of America) Worker Sub Type Regular Employee Entity Thomas Jefferson University Primary Location Address 615 Chestnut Street, Philadelphia, Pennsylvania, United States of America Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years. Jefferson is committed to providing equal educa tional and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status. Benefits Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance. For more benefits information, please click here

7+ to 10 years experience As clients consolidate, integrate and transition their existing operations (business offices) into this role directs the various activities throughout the client consolation process. This includes serving as interim management of operations, overseeing all functions of A/R Management (billing, follow-up, cash posting, and customer service and vendor management) during a client consolation, and conducting client assessment prior to client consolations, to include gap analysis between current state of the department and the Conifer model to include; processes, staffing levels, metrics and technology. The role will report to the Sr. Director of Transitions and will work closely with other members of the transition team and our operations Team. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. No. Description 1. Align operations to meet core performance metrics and SLA's for new client. 2. Manage the process change as it relates to performance, staffing, and employee relations to fully transition new client to existing operations leaders. 3. Provides operational direction to assigned site and business function. Coordinates site related issues with Human Resources and Legal. 4. Oversees billing/collections/reimbursement, ensuring standardization and compliance with established policies and procedures of Conifer Health Solutions, regulations of applicable regulatory agencies, and standards of JCAHO for new client site and fully transitions new client to existing operational leaders. 5. Analyzes and identifies problems, determines cause and desired resolution. Takes steps necessary to implement resolution. Solves escalated problems related to his/her areas of assignment, and maintains a detailed knowledge of functions in these areas. 6. Ability to transition from our transitions Management Team to the applicable unit in the absence of new client engagements. 7. Supports and interfaces with hospital leadership when required. Coordinates necessary meetings/focus groups and assigns direct reports as necessary to help with implementation and feedback within these groups. 8. Ensures implementations of any new processes are in line with the client's policies and works directly with client's departments to ensure visibility of any changes in processes. 9. Prioritizes transition projects and completes them effectively within the provided timeframe. Ensures that any delays to projects are communicated proactively and can address issues. 10. Make recommendations based on gap analysis of processes and performance data. 11. Completion of assessment and provides feedback on key benefits for us in transitioning a client. Participates in preparation of financial model. FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense): varies by location/assignment SUPERVISORY RESPONSIBILITIES This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. No. Direct Reports (incl. titles) TMT Manager Operations. Number is variable AR Manager assignments are dictated by each new client, and varies by location No. Indirect Reports (incl. titles) As dictated by each new client, varies by location KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Advanced understanding of Compliance Regulations and Guidelines Advanced knowledge of healthcare reimbursement methodologies Advanced knowledge of the hospital based operations related to the revenue cycle including Health Information Management, Patient Access, Clinical Quality/Case Management, Management Information Systems, Accounting and Finance Advanced knowledge of healthcare A/R, collections, insurance, government programs and appeals Knowledge of the flow of revenue cycle, revenue cycle technology, and revenue cycle metrics and drivers Detail oriented, analytical skills, and an ability to work independently Proficiency in prioritizing and managing multiple tasks Advanced skills in human resource management as it relates to large floor operations/call center environments Ability to create and clearly communicate strategic and tactical plans leading to an efficient and effective operation, and understand and execute financial models Intermediate Microsoft Office (Word and Excel) Excellent oral and written communication skills and strong presentation skills Ability to provide advanced customer service EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. 4 year college degree in Business Administration, Finance, or Health Administration or equivalent experience 7 - 10 years experience directing a multi-facility healthcare business office (CBO) or large facility Patient Financial Services Department or financial services call center CERTIFICATES, LICENSES, REGISTRATIONS Certified Patient Account Manager (CPAM) or Certified Financial Healthcare Professional (CFHP) or Certified Revenue Cycle Representative (CRCR) preferred OTHER 100% Travel Required (Not required to travel on weekends/ holiday's or weeks surrounding a National Holiday) Hospital Revenue Cycle Managment Acute Care Collections Additional Information All your information will be kept confidential according to EEO guidelines. Direct Staffing Inc

NOW HIRING PAYMENT POSTER MANAGER - REMOTE, FULL TIME OUR VISION & VALUES At Blue Cloud, it's our vision to be the leader in safety and quality for pediatric dental patients treated in a surgery center environment. Our core values drive the decisions of our talented team every day and serve as a guiding direction toward that vision. 1. We cheerfully work hard 2. We are individually empathetic 3. We keep our commitments The Payment Posting Manager (Central Billing Office - CBO) is a revenue cycle management (RCM) leadership position responsible for the day-to-day management of all payment posting functions, ensuring the timely and accurate recording of all payments and adjustments to patient accounts. This role ensures the accuracy, timeliness, and integrity of Blue Cloud's financials by managing and optimizing electronic and manual posting workflows, reconciling daily deposits, addressing underpayments, overpayments, credit balances and refunds, provider payment allocation, and managing unapplied or suspense accounts. The CBO Manager, Payment Posting Operations is key to ensuring accurate patient balances and providing timely data for A/R follow-up. YOU WILL Essential Functions (Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions). * Operational Oversight: Manage a fast-growing payment posting team, ensuring optimal teammember utilization and productivity for staff that is compliant with all state, federal and Blue Cloudregulations and policies * Strategic Leadership: Drive innovation and automation of payment posting processes inclusive of EFT/ERA enrollment expansion, Open Dental and third-party system capabilities and AI solutions. * Daily Reconciliation: Ensure 100% daily reconciliation of all posted payments (EFTs, paper checks, credit cards) against bank deposits and general ledger accounts. * Posting Accuracy: Manage the processing and posting of electronic remittance advices (ERAs) and manual Explanation of Benefits (EOBs), ensuring proper application of contractual adjustments, patient payments, and write-offs. * Credit Balances & Refunds: Develop and refine credit balance and refund management procedures to ensure compliance with federal and state requirements and optimize patient and family experience * Compliance & Auditing: Ensure Blue Cloud is capturing revenue and billing in adherence to federal, state, and payer-specific regulations and lead internal audits to maintain compliance. Adheres to and reinforces coding, billing, collections and payment posting internal controls and auditing protocols to optimize net revenue capture and reimbursement in a compliant manner. * Performance, Reporting, & Analytics: Manage and provide recurring quantified detail for key revenue cycle performance and staff productivity metrics, key performance indicators, and productivity standards and create data visualization and reporting to highlight opportunities, variance and risk and optimize team performance. * Team Development: Recruit, train, mentor, and manage a team to perform all payment posting processes for all Blue Cloud facilities. Provide continuing education and professional development to maximize retention and career progression of team members and leaders. * Growth Partnership: Aid executive leadership and development teams with revenue modeling, sensitivity analysis, and forecasting to optimize growth strategy, pro forma accuracy, and ROI for all de novo and M&A activity. YOU HAVE * Experience: Minimum of 4 years of experience in healthcare payment posting, accounting, or bookkeeping, with at least 1 year in a supervisory role. ASC or multi-specialty experience is a plus. * Certifications: HFMA's Certified Revenue Cycle Representative (CRCR), Certified Professional Biller (CPB), or Certified Professional Coder (CPC) preferred. Skills: * Demonstrated leadership progression in payment posting space and expertise in reading and interpreting EOBs, ERAs, and familiarity with various payer denial and adjustment codes. Experience managing payments spanning anesthesia, professional and facility fees is a plus. * Demonstrated utilization and optimization of payment posting workflows, functionality and reporting in EMR and PAS solutions (e.g., Epic, Cerner, Allscripts, HST Pathways, SIS Complete). Experience using Open Dental is a plus. * Proficiency in Microsoft Excel, Power BI, and data analysis tools and demonstrated ability to develop executive-facing work products that outline performance, risk, and opportunities to optimize payment capture. * Excellent problem-solving, leadership, and communication skills. * Ability to manage multiple priorities in a fast-paced environment. Compliance & Company Policies * Must maintain strict confidentiality in accordance with HIPAA and company policies. * Ensure all revenue cycle activities align with federal and state compliance regulations BENEFITS * Work with a passionate, dedicated, and talented team in a growing organization committed to doing good * Health insurance, Flexible Spending and Health Savings Accounts, disability coverage and additional voluntary plans * 401k plan, including company match * Paid Time Off * No on call, no holidays, no weekends This is a remote position with opportunity available in Arizona, Texas, Delaware, Idaho, West Virginia, Kansas, Maryland, Michigan, Nevada, North Carolina, Penn, Tennessee, Missouri 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 associate for this job. Duties, responsibilities and activities may change at any time with or without notice. Physical Demands The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job. While performing the duties of this job, the associate is regularly required to talk and hear. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. This position requires intermittent physical activity, including standing, walking, bending, kneeling, stooping and crouching as well as lifting. Blue Cloud is an equal opportunity employer. Consistent with applicable law, all qualified applicants will receive consideration for employment without regard to age, ancestry, citizenship, color, family or medical care leave, gender identity or expression, genetic information, immigration status, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran or military status, race, ethnicity, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable local laws, regulations and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application process, read more about requesting accommodations. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Department: 10352 Enterprise Revenue Cycle - Admin: Coding & HIM Support Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: First Shift Hospital Based Inpatient Coding Experience Required. Denials related experience preferred May work remote for this opportunity out of the following states: AL, AK, AR, AZ, DE, FL, GA, IA, IL, ID, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY. Pay Range $28.05 - $42.10 Major Responsibilities: Reviews coded health information records to evaluate the quality of staff coding and abstracting, verifying accuracy and appropriateness of assigned diagnostic and procedure codes, as well as other abstracted data, such as discharge disposition. Ensure accurate coding for outpatient, day surgery and inpatient records. Verifies all codes and sequencing for claims according to American Hospital Association (AHA) coding guidelines, CPT Assistant, AHA Coding Clinic and national and local coverage decisions. Works collaboratively with coding leadership per their direction in reviewing records with focused diagnosis and procedure codes, including specific APCs, DRGs and OIG work plan targets to assure compliance in all areas of coding, which may give visibility into documentation that is driving codes. Works collaboratively with coding leadership to identify focused prospective records that need to be reviewed. Identifies coder education opportunities, team trends, and consideration of topics to mandate for second level account review, before the account is final coded. Reviews encounters flagged for second level review, including but not limited to; hospital acquired conditions (HACs), complications and other identified records such as core measures or trends as identified by coding leadership. Perform review of coded encounter for appropriate risk-adjustment, including accurate severity and risk of mortality assignment. Responsible for coding participation in the Clinical Documentation Improvement and Hospital Coding alignment process. Review accounts with mismatched DRG assignment following notification from the Inpatient coder. Determine the appropriate DRG based on coding guidelines. Provide follow up to the clinical documentation nurse with rationale on final outcome. Recommends educational topics for coders and clinical documentation nurses based on their observations from reviewing mismatches. Participate in hospital coding denial and appeal processes as directed. Ensure timely review and response to any third-party payer notification of claims where codes are denied. Determine if an appeal will be written based on application of coding guidelines and provider documentation. Following review of overpayment or underpayment denials, provide appropriate follow-up to coding team member as appropriate, rebilling accounts to ensure appropriate reimbursement. All trends identified should be presented to coding leadership in a timely manner and logged for historical tracking purposes. Investigates and resolves all edits or inquiries from the billing office or patient accounts, to prevent any delay in claim submission due to open questions related to coding. Identifies any coding issues as they relate to coding practices. Clarifies changes in coding guidance or coding educational materials. Maintains continuing education credits and credentials by keeping abreast of current knowledge trends, legislative issues and/or technology in Health Information Management through internal and external seminars. Identify opportunities for continuing education for hospital coding team. Licensure, Registration, and/or Certification Required: Coding Specialist (CCS) certification issued by the American Health Information Management Association (AHIMA), or Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA), or Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA), or Education Required: Associate's Degree in Health Information Management or related field. Experience Required: Typically requires 5 years of experience in hospital coding for a large complex health care system, which includes hospital coding, denial review and/or coding quality review functions. Knowledge, Skills & Abilities Required: Demonstrated leadership skills and abilities. Demonstrates knowledge of National Council on Compensation Insurance, Inc. (NCCI) edits, and local and national coverage decisions. Expert knowledge and experience in ICD-10-CM/PCS and CPT coding systems, G-codes, HCPCS codes, Current Procedural Terminology (CPT), modifiers, and Ambulatory Patient Categories (APC), MS-DRGs (Diagnosis related groups) Advanced knowledge in Microsoft Applications, including but not limited to; Excel, Word, PowerPoint, Teams. Advanced knowledge and understanding of anatomy and physiology, medical terminology, pathophysiology (disease process, surgical terminology and pharmacology.) Advanced knowledge of pharmacology indications for drug usage and related adverse reactions. Expert knowledge of coding work flow and optimization of technology including how to navigate in the electronic health information record and in health information management and billing systems. Excellent communication and reading comprehension skills. Demonstrated analytical aptitude, with a high attention to detail and accuracy. Ability to take initiative and work collaboratively with others. Experience with remote work force operations required. Strong sense of ethics. 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.

Interviews each patient or representative in order to obtain complete and accurate demographic. Financial and insurance information and accurately enters all patient information into the registration system. Reads physicians orders to determine services requested and to assure order validity. Obtains new medical record numbers for all new patients. Obtains all necessary signatures and is knowledgeable regarding any special forms that may be required by patients third-party payor. Documents thorough explanatory notes on patient accounts, concerning any non-routine circumstances clarifying special billing processes. Re-verifies all information at time of registration process. Understands and applies company philosophy and objectives and Rehab and PAS policies and procedures, as related to assigned duties. Understands the outpatient registration processes. Works with IT/ EMR on troubleshooting Registration interface errors. Maintains a working knowledge of the process to verify insurance coverage and benefits. Assist in verifying benefits as needed and all patients end of year. Professional and knowledgeable communication to patient regarding benefits. Completes all revenue collection efforts according to company and PAS policy. Contacts patients prior to initial visit to discuss co-pay and/or self-pay arrangements. Collects the co-pay amount at each visit and provides a receipt to the patient. Balances collection log and receipts at end of each business We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, 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 Human Resources Request Form (****************************************** Og4IQS1J6dRiMo) . The EEOC "Know Your Rights" Poster is available here (*********************************************************************************************** . To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: *************************************************** . Skills and Requirements Insurance verification, scheduling and patient registration experience. Must be able to work 100% remote. Customer Service experience. Epic experience. Handle high call volume. Healthcare scheduling Professionalism on the phone Preferred scheduling in imaging diagnostic.

Are you goal oriented, self-motivated & proactive by nature? Do you have a passion for health and wellness and love sales? If you have the drive, desire, and initiative to work with a world-class organization, we want to talk to you. At The Joint Chiropractic we provide world class service to every one of our patients, and we would like for you to join our caring team. Let us turn that passion for health and wellness and love of helping people, into a rewarding career. We have continued to advance the quality and availability of Chiropractic care in the Wellness industry. What we are looking for in YOU and YOUR skillset! Have a Sales Mentality Possess a winning attitude! ‘Have a high school diploma or equivalent (GED). Complete transactions using point of sale software and ensure all patient accounts are current and accurate Have strong phone and computer skills. Have at least one year of previous Sales Experience. Participate in marketing/sales opportunities to help attract new patients into our clinics Be able to prioritize and perform multiple tasks. Educate Patients on wellness offerings and services Share personal Chiropractic experience and stories Work cohesively with others in a fun and fast-paced environment. Have a strong customer service orientation and be able to communicate effectively with members and patients. Manage the flow of patients through the clinic in an organized manner Essential Responsibilities Providing excellent services to members and patients. The Wellness Coordinators primary responsibility is to gain memberships in order to meet sales goals. Greeting members and patients upon arrival. Checking members and patients in to see the Chiropractor. Answering phone calls. Re-engaging inactive members. Staying updated on membership options, packages and promotions. Recognizing and supporting team goals and creating and maintaining positive relationships with team members. Maintain the cleanliness of the clinic and organization of workspace Confident in presenting and selling memberships and visit packages Keeping management apprised of member concerns and following manager's policies, procedures, and direction. Willingness to learn and grow Accepting constructive criticism in a positive manner and using it as a learning tool. Office management or marketing experience a plus! Able to stand and/or sit for long periods of time Able to lift up to 25 pounds Upholding The Joint Chiropractic's core values of TRUST, INTEGRITY, EXCELLENCE, RESPECT and ACCOUNTABILITY You are applying to work with a franchisee of The Joint Corp. If hired, the franchisee will be your only employer. Franchisees are independent business owners who set own terms of employment, including wage and benefit programs, which can vary between franchisees.

Make a real difference in patients' lives-join Elevate Patient Financial Solutions as a Temporary Hospital Based Patient Advocate and help guide individuals through their healthcare financial journey. This full-time position is located 100% onsite at a hospital in Columbus, OH, with a Saturday-Sunday schedule working from 7:00a-4:30p. This is a temporary position expected to last 6-12 weeks. Bring your passion for helping others and grow with a company that values your impact. In 2024, our Advocates helped over 823,000 patients secure the Medicaid coverage they needed. Elevate's mission is to make a difference. Are you ready to be the difference? As a Hospital Based Patient Advocate, you play a vital role in guiding uninsured hospital patients through the complex landscape of medical and disability assistance. This onsite, hospital-based role places you at the heart of patient financial advocacy-meeting individuals face-to-face, right in their hospital rooms, to guide them through the process of identifying eligibility and applying for financial assistance. Your presence and empathy make a real difference during some of life's most vulnerable moments. Job Summary The purpose of this position is to connect uninsured hospital patients to programs that will cover their medical expenses. As a Patient Advocate, you will play a critical role in assisting uninsured hospital patients by evaluating their eligibility for various federal, state, and county medical or disability assistance programs through bed-side visits and in-person interactions. Your primary objective will be to guide patients face-to-face through the application process, ensuring thorough completion and follow-up. This role is crucial in ensuring that uninsured patients are promptly identified and assisted, with the goal of meeting our benchmark that 98% of patients are screened at bedside. Essential Duties and Responsibilities * Screen uninsured hospital patients at bedside in an effort to determine if patient is a viable candidate for federal, state, and/or county medical or disability assistance. * Complete the appropriate applications and following through until approved. * Detailed, accurate and timely documentation in both Elevate PFS and hospital systems on all cases worked. * Provide exceptional customer service skills at all times. * Maintain assigned work queue of patient accounts. * Collaborate in person and through verbal/written correspondence with hospital staff, case managers, social workers, financial counselors. * Answer incoming telephone calls, make out-bound calls, and track all paperwork necessary to submit enrollment and renewal for prospective Medicaid patients. * Maintain structured and timely contact with the applicant and responsible government agency, by phone whenever possible or as structured via the daily work queue. * Assist the applicant with gathering any additional reports or records, meeting appointment dates and times and arrange transportation if warranted. * Conduct in-person community visits as needed to acquire documentation. * As per established protocols, inform the client in a timely manner of all approvals and denials of coverage. * Attend ongoing required training to remain informed about current rules and regulations related to governmental programs, and apply updated knowledge when working with patients and cases. * Regular and timely attendance. * Other duties as assigned. Qualifications and Requirements To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or abilities. * Some college coursework preferred * Prior hospital experience preferred * Adaptability when dealing with constantly changing processes, computer systems and government programs * Professional experience working with state and federal programs * Critical thinking skills * Ability to maneuver throughout the hospital and patients' rooms throughout scheduled work shift. * Proficient experience utilizing Microsoft Office Suite with emphasis on Excel and Outlook * Effectively communicate both orally and written, to a variety of individuals * Ability to multitask to meet performance metrics while functioning in a fast-paced environment. * Hospital-Based Patient Advocates are expected to dress in accordance with their respective Client's Dress Code. * Hybrid positions require home internet connections that meet the Company's upload and download speed criteria. Hybrid employees working from home are expected to comply with Elevate's Remote Work Policy, including but not limited to working in a private and dedicated workspace where confidential information can be shared in accordance with HIPAA and PHI requirements. The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, location, specialty and training. This pay scale is not a promise of a particular wage. The job description does not constitute an employment agreement between the employer and Employee and is subject to change by the employer as the needs of the employer and requirements of the job change. ElevatePFS is an Equal Opportunity Employer #IND123

Manager, Revenue Cycle Cash Management - (912034) Description WHY UT SOUTHWESTERN?With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U. S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career! JOB SUMMARYUT Southwestern Medical Center has an opening with the Revenue Cycle Department team for a Manager, Revenue Cycle Cash Management. Assists the director with global oversight of the centralized revenue cycle team; represents the director while interacting with clinical department senior leadership; provides leadership, guidance and effectively manages the day-to-day operations of reimbursement policy, billing compliance, and provider education. Responsibilities may include but not be limited to the following: The team will consist of eighteen (18) employees: Two (2) direct and sixteen (16) indirect Determine and maintain appropriate staffing metrics and measurements to ensure workflow continuity, accuracy, and timeliness Analyze data and develop an overall approach for trending issues, report findings, etc. Apply timely and constructive feedback Manage continuing education and training Ensure outstanding credit balances are reviewed and resolved accurately and timely This is a 100% work from home (WFH) position. Applicants must live within the Greater DFW area or be willing to relocate. Must be available for possible in-office meetings, training, and equipment pick-up/exchange. Shift: 8am-5pm BENEFITSUT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:PPO medical plan, available day one at no cost for full-time employee-only coverage100% coverage for preventive healthcare-no copay Paid Time Off, available day one Retirement Programs through the Teacher Retirement System of Texas (TRS) Paid Parental Leave BenefitWellness programs Tuition ReimbursementPublic Service Loan Forgiveness (PSLF) Qualified EmployerLearn more about these and other UTSW employee benefits!EXPERIENCE AND EDUCATIONRequiredEducationBachelor's Degree Experience7 years of progressive related healthcare experience (revenue cycle, operation experience, etc. ) and 4 years of supervisory/managerial experience Will consider additional related years' experience in lieu of degree JOB DUTIESManages day-to-day Revenue Accounting Operational processes for the assigned patient accounting functions, including all cash posting (debit/credit) activities on patient accounts for UT Southwestern business. Responsible for coaching, training, and developing subordinate staff. Assigns work, sets completion dates, reviews work and manages performance in accordance with organization policies, procedures and performance management processes. Contributes to the development of short and long-term organizational planning and strategy. Manages and reviews staff workload in department; develops action plan to complete work which may include: monitoring and evaluating performance and staffing levels, requesting overtime, adding temporary help and/or new positions as needed. Manage material resources, hourly human resource efforts, and vendor efforts to stay within the department budget. Manage departmental budget and purchasing process. Emphasize organization of work environment for customers and data in departmental processes Translates high-level organizational goals to departmental and tactical initiatives. Provides ownership and leadership to drive departmental initiatives to ensure long-term operational excellence. Demonstrates continuous performance improvement in targeted areas of responsibility in alignment with the overall annual revenue cycle performance improvement targets. Serves as the primary liaison between Revenue Accounting Operations and internal and external customers. This includes all related vendor relationships to increase effectiveness, efficiency, and compliance with Service Level Agreements (SLAs). Determine and maintain appropriate staffing metrics and measurements to ensure workflow continuity, accuracy, and timeliness. Maintain industry KPIs and develop departmental KPIs for Revenue Accounting. Monitors the payer reimbursement behavior and payments to take advantage of opportunities and identify potential threats that could impact the revenue cycle. Participates in special projects and performs other duties as assigned. Participates as project leader for new software installations and process change initiatives; works with affiliated facilities and hospitals to resolve major billing issues and customer service issues. Writes policies and procedures in order to maintain billing and provider documentation compliance, relative to job focus. Optimize procedural and electronic solutions; reduce paper resources for each area, including education and development of corrective action plans to assist in resolving problems related to the revenue cycle. Analyze data and develops an overall approach for trending issues, report findings, applying timely and constructive feedback, continued education and training (as the "content expert") for revenue cycle staff, clinic staff, and billing providers. Directs and supports auditors assigned to complete compliance audits, as well as ad hoc audits requested by management; prepares department summaries based upon audit findings and works closely with applicable providers/staff/management for continued performance improvement. Attends and participates in reimbursement and compliance activities and department meetings; facilitates problem resolution sessions where multiple departments and/or clinical or business areas are involved. Performs other duties as assigned. SECURITY AND EEO STATEMENTSecurityThis position is security-sensitive and subject to Texas Education Code 51. 215, which authorizes UT Southwestern to obtain criminal history record information. EEOUT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status. Primary Location: Texas-Dallas-5323 Harry Hines BlvdWork Locations: 5323 Harry Hines Blvd 5323 Harry Hines Blvd Dallas 75390Job: Professional & ExecutiveOrganization: 713004 - MG Rev Cyc-Cash ManagementSchedule: Full-time Shift: Day JobEmployee Status: RegularJob Type: StandardJob Level: Manager with Direct ReportsJob Posting: Dec 16, 2025, 11:43:16 PM

Enjoy what you do while contributing to a company that makes a difference in people's lives. US Fertility, one of the premier fertility centers in the United States, continually seeks experienced, compassionate, and dynamic team players who are committed to delivering exceptional patient care to join our growing practice. The work we do building families offers stimulation, challenge, and personal reward. If you're a Financial Educator looking for a new opportunity to work in a fast-paced, professional environment where your talent contributes to changing people's lives, then we want to talk to you. This position requires collaborating with physicians, other medical providers, and patients by providing expert care and service for fertility treatments. We have an immediate opening for a full-time remote Financial Educator to work for our SGF DMV. The schedule is Monday through Friday, 7:30a- 4p How You'll Contribute: We always do whatever it takes, even if it isn't specifically our “job.” In general, the Financial Educator is responsible for: Consult with patients regarding their benefits, coverage and financial options Perform aspects of benefit verification and prior authorization Provide ongoing financial education and assistance to our patients throughout the continuum of their care, as an educator, advocate, and liaison Maintain patient accounts by obtaining, recording, and updating personal financial and insurance information Skills & Qualifications The skills and education we need are: Minimum 2 to 4 years of medical business office experience, with working knowledge of healthcare billing and collections, insurance/benefits, and patient interaction Must have experience reading and understanding payer remittance advice. Includes the ability to differentiate between allowed charges, contractual adjustments, line item denials/reasons, patient responsibility (co-pay, co-insurance, and deductibles), etc. Bachelor's Degree preferred Experience working in an OB/GYN office is a plus Excellent interpersonal skills required to communicate with departments, employees, physicians, managers, patients, and insurance companies Strong oral and written communication skills, independent worker, detailed-oriented, computer savvy Proficient with Microsoft programs, specifically Outlook, Microsoft Word and Excel High level of customer service essential More important than the best skills, however, is the right person. Employees who embrace our mission, vision, and core values are highly successful. At US Fertility, we promote and develop individual strengths in order to help staff grow personally and professionally. Our core values - Empathy, Patient Focus, Integrity, Commitment, and Compassion (EPICC) - guide us daily to work hard and enjoy what we do. We're committed to growing our practice and are always looking to promote from within. This is an ideal time to join our team! What We Offer: Competitive pay + bonus Comprehensive training Medical, dental, vision, and 401(k) matching Generous paid time off and holidays Tuition assistance Ability to make an impact in the communities we serve To learn more about our company and culture, visit here. How To Get Started: To have your resume reviewed by someone on our Talent Acquisition team, click on the “Apply” button. Or if you happen to know of someone who might be interested in this position, please feel free to share the job description by clicking on an option under “Share This Job” at the top of the screen. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Department: 38592 Wake Forest Baptist Medical Center - Retail Pharmacy: Specialty Rx Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Monday through Friday, first shift. Remote option upon successful completion of training Pay Range $22.50 - $33.75 Position Highlights Full-Time, Days 1st shift (0800-1900, hrs. vary based on clinic needs), M-F, weekend/holidays TBD. Remote option upon successful completion of training. Winston Campus $6,000 sign-on bonus eligible position for qualified candidates! Click here for more information! How You Will Impact Patient Care: Your responsibilities may include, but are not limited to: Navigates various options for receiving prior authorization requests and further utilizing systems to find resources that best fit the patient's needs, as applicable. Provides assistance to a subset of patients by completing Patient Assistance Program (PAP) applications and co-pay assistance applications. Assists patients by explaining the medication access process, which may include completing applications and reviewing documents required to complete the application. In collaboration with pharmacists, completes medication reconciliation, reviews prescription claim history for medication adherence and documents findings in the electronic health record, as applicable. Also available to patients and families to triage questions regarding medication access needs. Verifies patient insurance benefits to minimize patient cost. Completes PAP and copay assistance applications, records qualitative monthly/quarterly feedback, refill reminders and medication shipment scheduling, and patient re-enrollment in appropriate assistance programs, as appropriate. Apply co-pay assistance payments to the appropriate patient account, as applicable. Performs data entry and prepares tracking reports for both internal and external stakeholders. Garners and maintains knowledge of Health Plan compliance requirements, healthcare operations, and medical terminology. Efficiently determines a patient's ability to utilize enterprise pharmacy services. Routes prescriptions to appropriate pharmacy, as necessary. Supports the development of methods of communication and coordination with patient care team to ensure timely and accurate fulfillment of orders for patient requests and clients. Maintains updated knowledge and skills and contributes to the education of others. Participates in planning processes by establishing personal goals to support quality improvement efforts and contributes to the achievement of departmental objectives. Audits own performance and recommend objectives and standards of performance. Contributes positively to execution of pharmacy department initiatives. Accepts assignments of tasks from other pharmacy teammate roles when workload dictates. Any other duties as assigned. What You Will Need High school diploma or GED equivalent required. Nice To Have (Not Required) Associate degree or bachelor's degree preferred. Three years' pharmacy experience and two years call center or customer service experience highly preferred. Retail pharmacy or healthcare/medical group experience and two years of healthcare related billing preferred. PTCB technician certification (CPhT) preferred. North Carolina Board of Pharmacy registration required within 30 days of employment. PTCB technician certification (CPhT) within 180 days of employment. DISCLAIMER All responsibilities and requirements are subject to possible modification to reasonably accommodate individuals with disabilities. This job description in no way states or implies that these are the only responsibilities to be performed by an employee occupying this job or position. Employees must follow any other job-related instructions and perform any other job-related duties requested by their leaders. 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.

Our hospitals provide high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve. The Business Office Specialist position is responsible for the daily activities of the central business office accounts receivable, which include the preparation, submission and collection of insurance claims, Medicare/Medicaid billing, third party payer billing, and payment posting. Must have: hospital billing, collections, Medicare and commercial health care insurance experience. Prepares, processes, and files accurate and timely insurance claims for all payer types in accordance with department policy and payer requirements. Analyzes, interprets, and resolves all billing edits to ensure claims are filed accurately within the payer's regulations and filing limits. Adheres to compliance and regulatory rules as mandated by CMS, state and federal regulations, payer contracts, and established department policies and procedures. Processes and monitors all refunds, adjustments, corrections, etc. Monitors compliance of proper billing practices in accordance with federal, state, local standards, guidelines, and regulations. Prepares end of day, month and year to comply with financial policy and procedures. Handles correspondence related to the billing of a claim for all lines of business, answers questions and updates accounts as necessary. Assists in cost containment development of the department within budgeted parameters; reviews bad debt activity. Accurately posts payments to Patient Accounts. Oversees monthly cash reconciliations and reporting. Updates and reviews all accounts to keep records up to date, follow up with payer on unpaid claims. Resolves denials, appeals, and other payer issues, works with hospital personnel when required.

💵 Join Our Team as a Cash Application Specialist Location: 100% Remote | Department: Revenue Cycle Operations | Schedule: Full-Time (Non-Exempt) Why Work With Us AT&C is a trusted Revenue Cycle Management (RCM) partner for Ambulatory Surgery Centers (ASCs) nationwide. Our team is passionate about accuracy, efficiency, and teamwork - and we're looking for someone who shares our commitment to excellence in healthcare finance. What You'll Do As a Cash Application Specialist, you'll ensure every payment - from patients, insurers, and third-party payers - is posted and reconciled accurately and on time. You'll be the backbone of the revenue cycle, keeping our financials clean and helping our ASC clients thrive. Your Core Responsibilities: Payment Posting: Accurately post patient and insurance payments into billing systems. Reconciliation: Match payments to bank deposits and system records, resolving discrepancies quickly. Adjustments & Refunds: Process adjustments, denials, and refunds in line with insurance or patient account guidelines. Denial Management Support: Flag underpayments or denied claims and collaborate with the denial management team to resolve issues. Reporting: Generate reports on payment activities and posting accuracy for transparency and continuous improvement. Collaboration: Partner with billing, A/R, and collections teams to improve processes and resolve payment issues. Compliance: Follow all company policies and payer regulations to maintain accuracy and protect patient data. A Typical Day Review daily payment batches for accuracy. Complete Cash Logs or Monthly Operations Log to ensure client batches balance with the accounting system. Post payments and write up refunds for overpayments, uploading documentation into the refund folder. Investigate variances between logs and posting, reporting root causes to management. Perform all payment posting steps within 48 hours of receiving the batch. What We're Looking For We're seeking an organized, detail-oriented specialist who thrives on accuracy and teamwork. Must-Have Experience: High school diploma or GED 2+ years in healthcare revenue cycle (medical, ASC, or related field) Strong Microsoft Office skills (Excel, Word, Outlook; Access a plus) Patient accounting systems such as Advantx, Vision, HST, SIS Complete Familiarity with payer contracts, EOBs, and HIPAA regulations Understanding of the full revenue cycle Key Skills: Exceptional attention to detail and accuracy Knowledge of insurance payment processes (EOB/ERA) Ability to identify and resolve discrepancies Strong organizational, time management, and communication skills Why You'll Love It Here 💰 Competitive Pay: $16-$26/hour, based on experience 🏥 Comprehensive Benefits: Medical, dental, vision, and 401(k) match after one year ⏱ Generous PTO: Vacation, sick leave, and paid holidays 📚 Professional Development: Training and career advancement opportunities 🏡 Fully Remote: Work from home with secure internet and direct phone line Your Work Environment This is a remote role with standard hours (8 a.m.-5 p.m. CST). You'll need a distraction-free workspace, reliable internet, and a direct phone line. Standard breaks are provided. Ready to Apply? If you're passionate about healthcare finance, thrive in a remote environment, and want to be part of a team making a difference for ASCs nationwide - we'd love to hear from you. Equal Opportunity AT&C is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic.