Collection Agent jobs at Smile Brands - 2010 jobs

The Application System Analyst II serves as a liaison between system end-users (customers), operational leaders, additional support resources and vendors to design, build and optimize their assigned applications in a timely and high-qualitymanner. The Systems Analyst II will provide application support and optimization. They work closely with the Service Desk to assist in responding to service requests. The Application System Analyst II must be able to analyze business issues/requirements and workflows and apply their application knowledge to meet operational and organizational needs. Project implementation responsibilities include collaborating with customers contributing to the analysis, testing, and documentation and implementation of medium to high complexity activities of assigned software. This position must possess sufficient detailed healthcare knowledge and systems expertise to implement medium to high complexity assigned application with minimal guidance. The Associate must be a self-motivated individual with exceptional communication and interpersonal skills and the ability to work well in team environments. Responsibilities: Analyze, develop, test, document, educate, implement, support, and maintain or optimize assigned applications, solutions and business processes to meet operational and technical requirements. Collaborates across project borders with other teams. Thinks outside the box and proposes practical solutions to issues. Provides oversight and project management to assigned tasks. Demonstrates a solid/working level of subject matter expertise in providing support to projects, customers, and other teams, while proactively working to improve and obtain new expertise in application/system in assigned areas. Utilizes application training, application web site and application resource materials regularly and effectively and is able guide newer team members in utilizing these resources. Thorough knowledge and understanding of operations, can proactively identify opportunities to enhance customer usability, efficiency and/or experience. Represents user needs and expectations in larger, more complex system updates and enhancements. Provides clear and organized status reporting on key project areas to be used as external communications to stakeholders. Performs working level process and requirement analysis, including process mapping though current flow charts, documents, future needs/plans, requirement elicitation, stakeholder analysis, and specification gathering to deliver cross team solutions. Responsible for completing working level gap analysis, and providing recommendations. Able to clearly articulate complex design, configuration issues to end users and project stakeholders. Maintains relationship with end user leadership post-engagement. Proactively addresses end user conflicts. Contributes to strategy discussions by identifying options with associated pros and cons with team members. Facilitates making timely decisions; makes sound decisions even in the absence of complete information. Recognizes when a quick 80% resolution will suffice. Adhere to organization standards for system configuration and change control. Strong technical proficiency in application-specific design and configuration. Ability to clearly articulate and communicate core design, configuration concepts to end users. Able to independently analyze, design, and configure the application. Able to teach design, configuration concepts to new team members. Collaborate and develop strong relationships with end user communities, customers and business partners. Collaborate with Operational Leaders to focus on standardized best practice workflow processes and content to ensure alignment across all ministries, to create efficiencies, and to ensure optimal operational processes. Coordinates code changes with appropriate vendor related to financial and business application issues. Collaborates with Technical Team to identify and infrastructure related issues that have resulted in application issues. Share industry best practices from vendors with Operational Leaders. Demonstrates increasing technical knowledge of the assigned application including relationships of infrastructure and impact to user if unavailable. Serves as a liaison between business operations and providers, internal information technology, system users and vendors working within the defined project objectives for issue and problem resolution. Follows strict change management processes ensuring proper approval, testing, and validation of system changes. Written documentation delivered to end users and leadership shows consistency and attentive review. Is a team player and able to proactively communicate issues and concepts to project leadership. Associate periodically reviews and auto-corrects his/her skills, habits, work ethic, and behaviors and manages his/her work in an effective and agreeable way among peers. Associate is sensitive and aware of how others perceive them and take care to ensure smooth and effective working relationships and environments. Proactively and independently troubleshoot and resolve moderate incidents and requests without direction. Maintains high standards for quality of work for self and others. Provides oversight and feedback on team member design, configuration and deliverables. Manages medium complexity projects/requests. Collaborates with team members as needed. Proactively evaluates all new release and functionality of applications. Complete in a timely manner assigned courses within Healthstream, other electronic tracking tools for educational related material or attend presentations in person as assigned. Ensure the services that he/she provides contribute to the successful accomplishment of the primary mission of the department. Escalates when SLAs are breached or appropriate vendor action is not occurring. May be required to travel to perform duties. May be required to work additional hours as needed during critical problems. Assist in preparation and conducting of continuing formal or informal training session for users and co-workers. Identifies and seizes new opportunities, displays can-do attitude in good and bad times and steps up to handle tough issues. Performs other duties as assigned. Requirements: Education/Skills Associates or Bachelor's degree preferred with a focus in healthcare, business, or information systems. Ability to present complex data in meaningful method, i.e., charts, graphs Ability to adjust to and implement change Problem Solving skills Multitasking skills Work as a team member Proficient in Microsoft applications including Word, Excel, and PowerPoint Excellent customer service skills Highly effective written and verbal communication and interpersonal skills to establish working relationships that foster optimal quality teamwork and education Strong organizational skills in managing multiple priorities Experience 3+ Years of experience 2+ years within healthcare, business, or information systems Solves moderate incidents without direction Develops new functionality for requests with little direction Works in a team setting, sharing information and assisting other junior level team members Possesses detailed healthcare knowledge and systems expertise Makes decisions regarding own work on primarily routine cases Works under minimal supervision, uses independent judgment requiring analysis of variable factors Collaborates with senior team members to develop approaches and solutions Mentors and may train team members within own functional or application Licenses, Registrations, or Certifications Associated certifications on area of focus, preferred For Epic Analysts: Certified or proficient in assigned Epic module (must be obtained within 6 months of employment date) Certifications or Proficiencies must stay current by maintaining new version training Work Type: Full Time

REM Community Services, a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person has the right to livewell, and everyone deserves to have a fulfilling career. You'll join a mission-driven team and create relationships that motivate us all every day. Join us today, and experience a career well lived. Billing Coordinator Full Time - Wage 16.75/ hourly OUR MISSION AND PERFORMANCE EXPECTATIONS The MENTOR Network is a mission driven organization dedicated first and foremost to the children and adults we serve and support. The Network expects all employees to be mindful of this mission, and to perform their job to its fullest, and as stated in their job description. SUMMARY The Funds Specialist is a full time position and is considered nonexempt and paid hourly. The Funds Specialist is responsible for overseeing the maintenance and protection of individual funds for an assigned state or region. The Funds Specialist monitors implementation of individual fund policies and procedures, audits individuals' accounts, reviews reconciliations and reports mismanagement or abuse of individual funds. The Funds Specialist may perform Representative Payee duties and payee account transactions for the individuals served. The Funds Specialist works at the state or regional office. ESSENTIAL JOB FUNCTIONS To perform this job successfully, an individual must be able to satisfactorily perform each essential function listed below: Money Management Services and Bank Accounts Coordinates and manages funds in alignment with money management plans and financial transaction consents. Performs Representative Payee Designee duties, as assigned. Administers pre-paid bank card programs, as applicable. Tracks and records deposited funds for beneficiaries and deposits payments when necessary. Assists with opening irrevocable burial trusts, special needs trusts, etc. and coordinates handling of individual funds in the event of death. Completes routine and end of year tax filing for applicable persons served. Financial Transactions, Registers, and Supporting Documentation Reviews and processes routine personal spending and special requests for funds, promptly recording on corresponding transaction registers or ledgers. Maintains records of expenditures, including original receipts and signatures. Makes payments on behalf of persons served, including room and board, rent, utilities, medical co-payments and others. Follows policy and procedure when issuing checks from individual fund accounts. Account Reconciliation, Audits, and Recordkeeping Reconciles transaction registers to funds source (ledgers/etc.) at least monthly or more frequently, as applicable. Reviews transaction registers to verify accuracy of transactions register balances by reviewing starting and ending balances, deposits, expenditures, cash count, and bank card or account balance verification. Brings questions or inconsistencies to the primary money manager (or other party if this person is suspected) for resolution. When an external party is Representative Payee, maintains records and shares them with the external Representative Payee, as indicated. Reporting Conducts routine reviews of account balances and, as indicated, completes high balance alert notifications and takes steps to avoid exceeding asset limits to maintain eligibility. Assists with reporting combined asset and account information to benefit entities (e.g., Social Security Administration). Assists with collecting and organizing documents for external audits of Representative Payee Accounts. Promptly reports suspected misuse of funds or property, as required by applicable policy and procedures. Other Performs other related duties and activities as required. SUPERVISORY RESPONSIBILITIES None Minimum Knowledge and Skills required by the Job The requirements listed below are representative of the knowledge, skill, and/or abilities required to perform the job: Education and Experience: High school diploma/GED required Associates degree in related field preferred with account management experience preferred. Proficiency in accounting, intermediate to advanced computer skills and applications preferred. Certificates, Licenses, and Registrations: Current driver's license, car registration and auto insurance if driving on the behalf of the Company. Physical Requirements: Light work. Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. If the use of arm and/or leg controls requires exertion of forces greater than that for sedentary work and the worker sits most of the time, the job is rated for light work. AMERICANS WITH DISABILITIES ACT STATEMENT External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job functions either unaided or with assistance of a reasonable accommodations to be determined on a case by case basis via the interactive process. Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face. We've made this our mission for more than 50 years. And today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve all over the U.S. As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law.

Spooner Medical Administrators, Incorporated (SMAI) is a family owned and operated company that offers rewarding career opportunities for motivated individuals who are passionate about excellence and growth. Since 1997, SMAI's proactive philosophy and best practices have set the standard in workers' compensation by continuously improving the delivery of case management, utilization review and billing services to help facilitate a successful return to work for the injured worker. The Billing Specialist is primarily responsible for reviewing, auditing and data entry of bills submitted by medical providers for compliance with proper billing practices. Essential Functions Review bills to determine if the information needed to process the bill has been received and contact the medical provider for any missing information. Perform fee bill audits according to established procedures and guidelines. Data enter fee fills accurately for electronic transmission. Adhere to established billing performance requirements. Review electronic response to transmitted bills and make modifications accordingly. Respond to telephone inquiries from customers regarding bill payment status. Participate in continuous improvement activities and other duties as assigned. Supervision Received Reports to the Billing Supervisor Experience and Education Required Medical billing certification or at least 2 years of experience working in the medical billing field Data entry experience Additional Skills Needed Effective written and verbal communication Detail oriented Strong organizational ability Basic computer literacy skills Working Environment The work environment characteristics described herein are representative of those an employee encounters while performing the essential functions of the job. While performing the duties of this job, the employee typically works in a normal office environment. The noise level in the work environment is usually quiet.

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Employment is contingent upon successful completion of drug and background screening. Some positions will require a favorable driving record. Join the fastest growing outpatient radiology practice in the Nation- SimonMed Imaging! Our commitment to excellence and improving patient care paired with the best-in-class technology allows us to be an industry leader in the constantly evolving health care environment. Secure your spot now and take advantage of a unique career opportunity to advance your skills while working alongside a dedicated team of board-certified subspecialty radiologists. We can't wait to meet you! As a Physician Account Representative, you will be responsible for building relationships with physicians and office staff, while providing education and customer resources to increase revenue. You will also focus on expanding business potential within the territory and meet & exceed established goals. Call points include neurology, orthopedic, pain, primary care, Ob/Gyn, pediatric, and hospital groups to aggressively grow market share within assigned territory. Essential Functions Self-starter who is able to work within a team environment Career oriented individual, searching for unlimited opportunities Ability to work independently, handle multiple concurrent projects, manage time effectively, and meet deadlines. Prospecting, cold calling, setting appointments. Proven sales record with documentation of consistent sales success Meets and exceeds projected sales goals Develops new business and expands existing business Keeps up to date on the managed health care environment Excellent interpersonal, written, and verbal communication skills Ability to develop and implement new sales strategies and promotions with physicians Addresses client concerns/issue management and call activity in physician practices. Educates customers through presentations, in-services and literature Ambitious, strong work ethic, and open to new ideas Clean driving record and must live within a 30-mile radius of the territory Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time or without notice. Benefits Your health, happiness and future matters! At SimonMed Imaging, we offer medical, vision and dental insurance, 401(k) eligibility, paid holidays plus PTO, Sick Time, opportunity for growth, and much more! Experience 2+ years of sales experience (medical sales experience a strong plus) Education Bachelor's degree required Physical Demands This position may require duties including lifting and carrying up to 40 pounds, sitting for prolonged periods of time, with frequent standing and walking. Good visual and auditory acuity as well as good manual dexterity and the ability to be readily understood are essential. Must be able to work in an environment with multiple deadlines and priorities. Dress Attire Business Casual; Polo with SimonMed Logo; Scrubs as needed

Company DescriptionAt Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better? Job Description Performs charge capture for all procedures completed in the Bronchoscopy suite. This includes: Audit of CPT codes associated with each procedure Confirmation of supplies used and verification of alignment with operative notes Assists patients with billing and insurance related matters including communicating with patients regarding balances owed and other financial issues and facilitating collection of balances owed. Educates patients about financial assistance opportunities, insurance coverage, treatment costs, and clinic billing policies and procedures. Collaborates closely with physicians and technicians to understand treatment plans and determine costs associated with these plans; Works closely with the staff on managed care and referral related issues; communicates findings to patients. Coordinates the pre-certification process with the clinical staff as it relates to procedures in the Bronchoscopy Suite and Operating Rooms Handles billing inquiries received via telephone or via written correspondence. Responsible for thoroughly investigating and understanding financial resources or programs that may be available to patients and educating staff and patients about these programs. Conducts precertification for appropriate tests or procedures and facilitates the process with managed care and the clinical team. Documents all information and authorization numbers in Epic and acts as a liaison for follow-up related to precertification. Performs activities and responds to patient inquiries related to billing follow-up. Requests necessary charge corrections. Identifies patterns of billing errors and works collaboratively with department manager and outside entity to improve processes as needed. Provides guidance regarding clinical documentation to optimize charges and RVUs Confirms coding accuracy based on clinical documentation and reviews common errors or misses with physicians and leadership. The Billing Coordinator reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Billing Coordinator is responsible for processing charges, payments and/or adjustments for all services rendered at all NM Corporate Health Clinics. Researches and follows- up on all outstanding accounts. Answers all calls regarding charges and claims, providing exceptional customer service to all callers. Possesses extensive knowledge of coding, billing, insurance and collections procedures and coordinates the accounts receivable functions. Performs weekly claims, monthly late bills and patient statement runs and reviews accounts to be placed with an outside collection agency. RESPONSIBILITIES: Department Operations Ensures patient demographic and billing/insurance information is kept current in the computer application. Documents all patient and company contacts. Reviews daily clinic schedules and tracks receipt of documentation to assure completeness of charge capture. Ensures notes are is placed in systems, clearly identifying steps taken, according to established procedures. Works with patients/clients to establish payment plans according to predetermined procedures. Handles all incoming customer service calls in a professional and efficient manner. Provides exceptional service to all customers, guarantors, patients, internal and external contacts. Prepares itemized bill upon request; explains charges, payments and adjustments. Produces a clear and understandable statement to individuals on any outstanding account balance. Responsible for timely submission of accurate bills and invoices to clients, patients and insurance companies. Ensures timely posting of all charges, payments, denials and write-offs to the appropriate account, maintaining the highest level of quality for each transaction processed within 48 hours of receipt. Responsible for balancing each payment and adjustment batch with reconciliation report and bank account deposits after completion. Ensures compliant follow up procedures are followed, to third party payers regarding outstanding accounts receivables. Run outstanding A/R reports, follow-up on unpaid claims or balances with insurance companies, patients, and collection agency, as defined by department. Perform daily systematic review of accounts receivable to ensure all accounts ready to be worked are completed. Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation. Denials and appeals follow-up including root cause analysis to reduce/prevent future denials. Reviews, prepares and sends pre-collection letters as defined by department procedures. Identifies and sends accounts to outside collection agency. Prepares and distributes reports that are required by finance, accounting, and operations. Handles all work in an accurate and timely manner, consistently meets or exceeds productivity standards, quality standards, department goals and deadlines established by the team. Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices. Identify opportunities for process improvement and submit to management. Demonstrate proficient use of systems and execution of processes in all areas of responsibilities. Communication and Teamwork Fosters and maintains positive relationships with the Corporate Health team, Human Resources, NM employees and physicians. Provides courteous and prompt customer service. Answers the telephone in a courteous professional manner, directs calls and takes messages as appropriate. Checks for messages and returns calls. Demonstrates teamwork by helping co-workers within and across departments. Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others. Communicates appropriately and clearly to physicians, manager, nursing staff, front office staff, and employees. Maintains a good working relationship within the department. Organizes time and department schedule well. Demonstrates a positive attitude. Service Excellence Displays a friendly, approachable, professional demeanor and appearance. Partners collaboratively with the functional areas across Northwestern Medicine in support of organizational and team objectives. Fosters the development and maintenance of a cohesive, high-energy, collaborative, and quality-focused team. Supports a “Safety Always” culture. Maintaining confidentiality of employee and/or patient information. Sensitive to time and budget constraints. Other duties as assigned. Qualifications Required: High school graduate or equivalent. Strong Computer knowledge, data entry skills in Microsoft Excel and Word. Thorough understanding of insurance billing procedures, ICD-10, and CPT coding. 3 years of physician office/medical billing experience. Ability to communicate clearly and effectively, both orally and in writing, at all levels within and outside the organization. Ability to work independently. Preferred: 3 years of physician office/medical billing experience in Corporate Health/Occupational Health a plus. CPC (Certified Professional Coder) or R (Registered Medical Coder) Certificate a plus. Additional Information Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act. Artificial Intelligence Disclosure Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more. Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.

Job Description We are seeking an experienced Medical Collections Agent to join our on site revenue cycle team. The ideal candidate will have a strong understanding of healthcare billing, insurance rules and regulations, and proven experience in medical collections. Key Responsibilities Manage and follow up on outstanding patient balances, including copays, deductibles, coinsurance, self-pay balances, etc. Contact patients via phone, email, text, or mail to provide balance information and request payment in a professional, courteous manner Explain patient financial responsibility clearly, including balances due, payment expectations, and practice payment policies Set up and monitor payment plans in accordance with practice guidelines Track and enforce IOU (I Owe You) agreements, including follow-up and escalation when balances remain unpaid Apply payments accurately and timely in the practice management system Maintain detailed and accurate documentation of all patient collection activities and communications Ensure compliance with all applicable federal and state regulations, including HIPAA and fair debt collection standards Identify recurring collection issues or patient trends and escalate concerns to management as appropriate Collaborate with front desk and billing teams to ensure patient balances are communicated and collected consistently Qualifications Minimum 1 year of experience in patient collections or medical receivables (required) Strong understanding of patient financial responsibility in a healthcare setting Familiarity with copays, deductibles, coinsurance, self-pay balances, and payment plans Experience using medical billing or practice management systems to review balances and post payments Excellent communication, customer service, and conflict-resolution skills Strong organizational skills and attention to detail Ability to work independently, prioritize tasks, and manage multiple accounts Professional, empathetic approach when discussing sensitive financial matters with patients Preferred Qualifications Experience in an outpatient or multi-specialty medical practice Prior experience handling high-volume patient balance follow-up Knowledge of front-desk financial workflows and patient check-in/check-out processes Familiarity with written payment agreements We Offer: Competitive compensation package. Comprehensive benefits including health insurance, retirement plans, and paid time off. Supportive work culture focused on professional development and continuing education. Opportunity to work in a growing field with a focus on improving patient outcomes. Uniforms provided. Pay: $19.00 - $20.00 per hour Commensurate with experience Expected hours: 37.5 per week Benefits: 401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid sick time Paid time off Vision insurance Ability to Commute: Essex County, NJ (Preferred)

Job DescriptionBenefits: 401(k) matching Bonus based on performance Dental insurance Health insurance Paid time off Training & development Vision insurance JOB OVERVIEW: We are seeking a skilled and experienced Billing Coordinator to join our team at Your Home Assistant. As a Billing Coordinator, you will play a crucial role in completing complex activities associated with maintaining accurate and complete billing and accounts receivable records. Review appropriate reports to ensure billing data accuracy. Resolve billing discrepancies regularly. Ensure eligibility is verified regularly and accurately maintained and followed up accordingly to prevent lost revenue. RESPONSIBILITIES: Work within the scope of the position, in coordination with management, to meet the needs of our patients, families and professional colleagues. Accurately enter patient/customer billing data and charge accordingly Ensure that all potential payers have been identified, verified, and entered accurately into the computer system prior to submission of billing and within deadlines per company policies and procedures. Ensure that insurance-related documentation is secured, completed, reviewed, accurate, and submitted per company and state requirements. This includes election, certifications, and authorization-related documentation required for billing. Maintain tracking tools and diaries to ensure that all necessary information is secured for timely accurate payment. Alert appropriate management team members regarding late or missing documents required for billing. Perform and ensure regular review and resolve discrepancies of accounts receivables according to Company procedures, policy, internal controls, and payer requirements. Establish and maintain positive working relationships with patient/clients, payors, and other customers. Maintain the confidentiality of patient/client and agency information at all times. Assure for compliance with local, state and federal laws, Medicare regulations, and established company policies and procedures, including published manuals and responsibility matrixes Meet or exceed delivery of Company Service Standards in a consistent fashion. Interact with all staff in a positive and motivational fashion supporting the Companys mission. Conduct all business activities in a professional and ethical manner. The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents will be requested to perform job-related tasks other than those stated in this description. QUALIFICATIONS Minimum age requirement of 18. High School graduate or GED required. Two years experience in healthcare data entry, preferably in homecare Cal-Aim, Tri-west, Long Term Care Insurance experience preferred Two-year degree in accounting or equivalent insurance/bookkeeping preferred Strong computer skills, including Word, Excel, and PowerPoint. Strong analytical skills, organized work habits and proven attention to detail. Excellent communication skills, ability to work independently and in a team environment. Good customer relation skills. Ability, flexibility and willingness to learn and grow as the company expands and changes. Demonstrated leadership ability to initiate duties as required. Plan, organize, evaluate, and manage PC files and Microsoft Office. Compliance with accepted professional standards and practices. Ability to work within an interdisciplinary setting. Satisfactory references from employers and/or professional peers. Satisfactory criminal background check. Self-directed with the ability to work with little supervision. Flexible and cooperative in fulfilling all obligations. Job Type: Full-time Benefits: 401(k) matching Dental insurance Health insurance Life insurance Paid time off Vision insurance Schedule: 8 hour shift Day shift Monday to Friday Ability to Relocate: Elk Grove, CA 95758: Relocate before starting work (Required) Work Location: In person

. The Specialized Treatment for Optimized Programming (STOP) Program Area Six connects California Department of Corrections and Rehabilitation inmates and parolees to comprehensive, evidence-based programming and services during their transition into the community, with priority given to those participants who are within their first year of release and who have been assessed to as a moderate to high risk to reoffend. Area Six includes San Diego, Orange, and Imperial counties. STOP subcontracts with detoxification, licensed residential treatment programs, outpatient programs, professional services, and reeentry and recovery housing throughout the program area to assist participants with reentry and recovery resources. The Billing Coordinator is responsible for coordinating receipt of and reviewing Community Based Provider (CBP) subcontractor client data for accuracy and entering and retrieving data from/to the Automated Reentry Management System (ARMS) as needed for the purpose of reconciliation, invoicing and billing. Key Responsibilities Data Entry and Reconciliation Responsibilities: Review outgoing and incoming CBP subcontractor client data for accuracy. Enter data found on the verification form into the STOP database to begin the reconciliation process. When discrepancies are found, coordinate with CBPs and internal departments to resolve and reconcile the discrepancies. Ensure accuracy of all data entered. Billing and Invoicing Responsibilities: Process STOP CBP weekly verifications by extracting from the STOP database, and possibly further verifying in the ARMS database, and forwarding to the CBPs via email (and sometimes fax) for approval. Produce the monthly billing and forward to CBPs for billing authorization and approval. Ensures accuracy of all billing and resolves any discrepancies identified. Act as liaison between Fiscal department and STOP to ensure ease of information flow. Produce invoices for other various services (i.e. transportation, links etc.). Administrative Responsibilities: Produce monthly client and CBP related reports as needed for the California Department of Corrections and Rehabilitation (CDCR), with supervisor review and approval, using the ARMS database. Assure confidentiality of all incoming and outgoing client data. As assigned, performs other clerical tasks. And, other duties as assigned. Education and Knowledge, Skills and Abilities Education and Experience Required: High School Diploma or equivalent. Previous work experience working with spreadsheets. Previous work experience performing data entry. Type 45 wpm. Strong math skills. Desired: Bilingual. AA Degree; Experience may substitute for this on a year-by-year basis. We will consider for employment qualified applicants with arrest and conviction records. In compliance with the California Department of Public Health's mandate, all employees must be able to provide proof of COVID-19 vaccination. Medical and religious exemptions are available. Tag: IND100.

Billing Coordinator: Latrobe, PA

What we are looking for NextCare Urgent Care is looking for a Billing Coordinator to be a part of our Urgent Care Team. Responsibilities The Billing Coordinator will be responsible for the daily billing of claims for all carriers. This position will monitor and distribute the APN reports from the clearinghouse and insurance carriers and communicate this information back to the Billing Supervisor. This position will also assist in the posting of contractual, courtesy adjustments, as well as monitoring contractual analysis reports. This position will be assist with the table maintenance of the electronic billing system and clearinghouse information flow. They will be responsible for communicating billing trends to the manager as well as patient statement processing. How you will make an impact The Billing Coordinator supports the organization with the following: * Responsible for the daily billing of claims to insurance carriers based on contract requirements. * Help train new employees with NextGen, contracts, and business office Policies and Procedures. * Monitor and distribute the APN reports generated by the clearinghouse and insurance carriers. * Help post contractual adjustments and transfer deductibles to patient accounts. * Assist with claim resubmission projects when necessary. * Assist in maintaining Navicure with Waystar. * Assist with reviewing accounts that have partial or under payments. * Clean out daily the clearinghouse rejections and claims with errors held in the system. * Post adjustments to accounts based on contractual rates and deductibles. * Review accounts to determine if billed correctly. * Assist other members of the team as needed. Essential Education, Experience and Skills: Minimum Education: High School diploma or equivalent. Experience: * Must have two years' experience billing, collections, payment posting, and electronic and paper claims. * Experience with Managed Care contracts, Medicare and AHCCCS. * Basic insurance knowledge, reading patient eligibility and benefit coverage details. * Experience with revenue cycle and reimbursement in a healthcare facility. * Microsoft Programs, Windows, Excel, Word, and Teams. * Internet browser knowledge (basics) for Edge or Chrome. Valued But Not Required Education, Experience and Skills: Experience: Medical collections experience; NextGen software experience: Previous supervision experience in the healthcare field is helpful, Waystar Clearinghouse, Payer Provider Portals, and Basic Terminology of Medical Billing Practices.

Job DescriptionDescription: The Billing and Eligibility Coordinator plays a key role in supporting the accuracy, timeliness, and efficiency of billing and authorization processes across all Haymarket Center service lines. This position bridges the work of the Client Benefits Navigators and the Revenue Cycle team to ensure client eligibility, authorizations, and billing data are complete and aligned prior to claim submission. The Coordinator ensures billing operations run smoothly across behavioral health, residential, and FQHC programs, while maintaining compliance with payer and regulatory requirements. This position requires strong attention to detail, coordination across departments, and a proactive approach to identifying and resolving billing or eligibility issues. Requirements: Education, Work Experience and Skills Required; · Associate's degree required, Bachelor's degree in Healthcare Administration, Accounting, or related field preferred. · Minimum 2 years of experience in healthcare billing, revenue cycle, or insurance verification. · Experience in behavioral health, FQHC, or Medicaid/MCO billing highly preferred. · Working knowledge of healthcare billing, insurance verification, and revenue cycle operations (Medicaid and MCO experience preferred). · Familiarity with electronic health record systems (NextGen preferred) and billing/clearinghouse platforms. · Understanding of payer authorization and eligibility requirements for behavioral health and primary care services. · Strong attention to detail, organizational skills, and ability to manage multiple tasks and deadlines. · Effective communication and collaboration skills across departments. · Ability to maintain confidentiality and exercise discretion with sensitive information. · Proficiency in Microsoft Excel and basic data tracking or reporting.

The Cellular Therapies Donor Services Specialist facilitates allogeneic donor identification and collection processes on behalf of adult and pediatric patients undergoing a stem cell transplant or other Cellular Therapy, including standard of care and clinical research therapies. This position is responsible for initiating and managing the search for suitable donors, coordinating donor testing and collection, donor product acquisition, and ensuring a smooth and effective process for both the donor and recipient. The role requires collaboration with multidisciplinary care teams, and donor registry organizations, as well as attention to detail, organization, problem-solving and effective communication. The specialist is responsible for the analytical, logistical, and administrative aspects of donor services, ensuring compliance with regulatory standards and supporting overall operations of the Cellular Therapy department. Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS, and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals. **Primary Duties and Responsibilities** + Identify suitable donor options for patients through family and/or donor registries, including domestic and international sources. Assess patient needs, therapy plan, and timing to ensure alignment with donor plan. + Responsible for comprehensive understanding of HLA donor search algorithms and other non-HLA factors, such as ABO, age and CMV status. + Analyze donor searches and apply current donor selection algorithms and strategies. + Responsible for the facilitation of the work up, collection, and acquisition of the stem cell product. + Perform product labeling verifications and courier hand off for donor registry. + Serve as donor advocate and primary point of contact for potential donors, providing ongoing support throughout the process. + Manage donor evaluations, including medical assessments and laboratory testing. + Provide comprehensive education to donors about the donation process, potential risks, and benefits. + Register donors in EMR and assign appropriate insurance coverage for accurate billing. + Conduct donor health screening (advanced). Collect donors' medical health history information and assess medical conditions and non-medical factors to determine further donor participation. + Manage donor testing (blood typing, HLA typing, and physical exams) to assess suitability. + Coordinate and schedule bone marrow or stem cell collection procedures, working with multidisciplinary care teams and donor registries. + Monitor the status of the donor collection process, ensuring that all necessary documentation and regulatory compliance requirements are met. + Attend Bone Marrow Harvest Procedures to ensure all procedures and documentation are competed accurately. + Ensure all necessary donor documentation is submitted and processed in a timely manner. + Manage the analytical, logistical, and administrative Donor Services operations of allogeneic donor cellular therapies. + Utilize critical thinking and solution-based approaches to address situations and navigate the nuances of each individual case. + Act as the liaison between transplant center, donor registries, donors, recipients, facilities, and the clinical transplant team. + Develop timetables with the clinical team to support the patient and donor's progress through complex therapies. + Provide timely updates via email or in weekly clinical review meetings to the transplant team regarding donor status including progress, challenges, and adjustments. + Ensure compliance with all regulatory bodies (e.g., FDA, AABB, FACT, NMDP) related to donor screening, collection, and processing. + Collaborate with multidisciplinary teams to optimize outcomes and support operational improvements efforts. + Maintain databases and systems related to donor information, ensuring accuracy and confidentiality. + Triage cases in a time sensitive manner, which may be subject to emergency contact of clinical team. **Knowledge, Skills and Abilities** + Knowledge of FACT, NMDP & DFCI donor testing requirements and procedures, as well as donor suitability and eligibility. + Comprehensive knowledge of HLA typing, HLA antibody and donor search algorithms. + Excellent verbal and written communication skills to effectively interact with healthcare professionals, patients, and donors. + Demonstrated ability to work in highly regulated environments, following strict guidelines, such as clinical trials or complex medical systems. + Ability and willingness to work effectively in a collaborative interdisciplinary team model. + Must be detail-oriented with strong problem solving and decision-making skills. + Strong organizational and time-management skills, with the ability to manage multiple tasks simultaneously in a fast-paced environment. + Compassionate and empathetic approach when engaging with donors and their families. + Knowledge of regulatory guidelines related to bone marrow donation and transplant processes. + Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint). + Ability to always maintain confidentiality and professionalism. + Willingness to engage in efforts to support an inclusive culture and workplace. + Proficient in DFCI/BWH/CHB clinical systems as applicable to the position. **Minimum Job Qualifications** + Associates Degree required; Bachelor's Degree in Healthcare Administration, Health Sciences or similar field strongly preferred. + 2 years of experience in a patient care, healthcare administration, or clinical operations role in a complex healthcare environment required. **License/Certification/Registration Required:** None **Supervisory Responsibilities:** No **Patient Contact:** Yes, direct contact with patients of all ages. At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are committed to having faculty and staff who offer multifaceted experiences. Cancer knows no boundaries and when it comes to hiring the most dedicated and compassionate professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply. Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other characteristics protected by law. **EEO Poster** . Pay Transparency Statement The hiring range is based on market pay structures, with individual salaries determined by factors such as business needs, market conditions, internal equity, and based on the candidate's relevant experience, skills and qualifications. For union positions, the pay range is determined by the Collective Bargaining Agreement (CBA). $63,600.00 - $75,300.00

Heritage Medical Associates is one of the largest independent, multi-specialty physician groups in Middle Tennessee. Founded on the principle of providing exceptional, patient-centered care, we serve communities across three counties with over a dozen convenient clinic locations in Middle Tennessee. Our commitment to clinical excellence, operational integrity, and compassionate care makes us a trusted name in healthcare delivery. What You will Do: The Buy and Bill Coordinator is responsible for managing all aspects of the "buy and bill" process for specialty medications and other infused and injected products. This involves overseeing purchasing, inventory management, vendor/GPO relationships, rebates, reimbursement trends and financial analysis. With coordination with the Infusion manager, they play a crucial role in ensuring efficient operations, timely patient access to medications, accurate reimbursement and a profitable service line. Work You Will Do: Lead end-to-end procurement and inventory control Optimize purchasing and rebates across contracts Primary liaison to vendors and the GPO Monitor quarterly pricing and reimbursement updates Track industry shifts and biosimilar options; guide conversions Provide concise financial analysis and decision-ready reporting What is Necessary: Essential: 2+ years of experience in a medical office or specialty pharmacy handling buy-and-bill processes. Proficiency in relevant software, including billing and inventory management systems, and Microsoft Office. 2+ years of experience in healthcare billing, accounting, or a related field with specific experience in buy-and-bill being advantageous. Demonstrated EMR and billing software knowledge (e.g., eClinicalWorks, AllScripts). EPIC experience preferred. Strong communication, organizational, analytical, and problem-solving skills, with attention to detail. Ability to work independently and manage multiple tasks. High school diploma or equivalent required. A billing or pharmacy tech certification may be substituted in lieu of a degree. Preferred: Associate's degree in a related field. Experience in rheumatology, neurology, allergy or other infusion-heavy specialties. Leadership experience Prior experience negotiating with drug vendors or GPOs. Certified Professional Biller (CPB) or Certified Pharmacy Technician (CPhT) a plus. Knowledge of medical terminology and coding is helpful. Why the Work Matters: The Buy and Bill Coordinator is essential to the financial success of any product administration to patients through various service lines providing such services. Through navigating an ever-increasingly complicated world and a close working relationship with the Business office, Infusion manager and clinical staff, this position will be vital in managing the front-end financial aspects of a growing buy and bill practice. This work reflects our core values-trust, collaboration, problem-solving, and accountability-while continuously improving how we deliver exceptional patient care.

We are seeking a self-motivated Mobile Collection Specialist to join our Field Operations team in Kosciusko County, Indiana. The ideal candidate will be located in Warsaw with the ability to travel within a 45-mile radius. In this role, you will be performing home-based collections for individuals required to complete drug screens as part of their involvement with the Indiana Department of Child Services. Our Mobile Collection Specialists receive their daily travel routes each morning and are responsible for collecting urine, oral fluid (saliva) or hair specimens in accordance with contractual requirements. Shift: Monday - Friday 11:00AM - 7:00PM Pay Range: $16-$18 * Additional benefits for Mobile Collections Specialists include mileage reimbursement, $50 monthly cell phone reimbursement and an incentive bonus of $100 for emergency collection requests fulfilled outside of Indiana DCS business hours. Primary Responsibilities * Travel to participant's home, work, or local DCS office to collect urine, oral, and/or hair specimens * Log, order, process and assemble samples for shipping to laboratory * File requisitions, chain of custody forms, and associated paperwork * Courier specimens to drop off location and/or lab * Keep detailed record of client and patient interactions * Travel to third party collection sites to perform site inspections, as needed * Provide support to the Program Manager and Regional Lead ensuring that third party collection sites meet Cordant's standards for the Indiana Department of Child Safety program. * All other duties as assigned Qualifications * HS diploma or GED, required * 1+ year of experience working directly with customers or patients required * Experience in healthcare, criminal justice, or a similar dynamic field preferred * Ability to perform observed collections and collect biological specimens, required * Availability to travel within region for emergency, after-hours collections with little notice (1 hour), including potential overnights and weekends, required * Valid Driver's License, reliable transportation, and proof of auto insurance with candidate listed as an insured driver, required * Must own a Smartphone with ability to enable location-tracking * Basic computer skills with the ability to set up applications independently, required * Strong attention to detail with excellent verbal and written communication skills, required * Ability to work effectively under tight deadlines and de-escalate communications with participants in potentially stressful or dynamic situations * Light to moderate physical effort (lift/carry up to 25 lbs.), and sitting/standing for long periods of time, required * Ability to wear scrubs and protective devices (gloves), required Benefits Cordant supports our employees by providing a comprehensive benefits package to eligible staff (per state regulations) that includes: Medical, Dental, Vision Insurance, Flexible Spending Accounts (FSA), Health Savings Accounts (HSA) Paid Time Off (PTO) accruing on day 1, Volunteer Time Off (VTO), Paid Holidays, 401(k) with Company Match, Employee Assistance Program (EAP), Short Term and Long-Term Disability (STD/LTD) and Company Paid Basic Life Insurance.

Gastro Health is seeking a Full-Time Insurance Collections Specialist to join our team! Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours. This role offers: A great work/life balance No weekends or evenings - Monday thru Friday Paid holidays and paid time off Rapidily growing team with opportunities for advancement Competitive compensation Benefits package Duties you will be responsible for: Provides Liaison between the providers of health care services, the patient, or other responsible persons, and revenue sources, to ensure the correctness of charges, a current record of all transactions, and account resolution Maintains active communications with insurance carriers and third-party carriers until account is paid. Negotiates payment of current and past due accounts by direct telephone and written correspondence. Updates patient account information Monitors and identifies payer denial trends and problem accounts; communicates patterns to supervisor. Runs a monthly aging report based on DOS and current A/R to identify accounts that require follow up. Manage all assigned worklist on a daily basis for assigned insurances. Utilize collection techniques to resolve accounts according to company's policies and procedures. Report any coding related denial to the Coding Specialist. Performs other duties including but limited to faxing information as required, generating retroactive authorization requests, and verifying medical eligibility. Conducts necessary research to ensure proper reimbursement of claims. Assist with special projects assigned by Billing Manager or Supervisor Minimum Requirements High school diploma or GED equivalent. At least 2 years' experience in insurance collections. Knowledge of medical terminology utilized in medical collections and billing (CPT, ICD-10, HCPCS) Knowledge with letters of appeal. Intermediate experience with Microsoft Excel and Office products is required. Experience with HMO, PPO, and Medicare insurances. Must be able to read, interpret, and apply regulations, policies and procedures We offer a comprehensive benefits package to our eligible employees: 401(k) retirement plans with employer Safe Harbor Harbor Non-Elective Contributions of 3% Discretionary profit-sharing contributions of up to 4% Health insurance Employer contributions to HSAs and HRAs Dental insurance Vision insurance Flexible spending accounts Voluntary life insurance Voluntary disability insurance Accident insurance Hospital indemnity insurance Critical illness insurance Identity theft insurance Legal insurance Paid time off Discounts at local fitness clubs Discounts at AT&T Additionally, Gastro Health participates in a program called Tickets at Work that provides discounts on concerts, travel, movies, and more. Gastro Health is the one of the largest gastroenterology multi-specialty groups in the United States, with over 130+ locations throughout the country. Our team is composed of the finest gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals. We are always looking for individuals that share our mission to provide outstanding medical care and an exceptional healthcare experience. We offer a comprehensive benefits package to our eligible employees. Gastro Health is proud to be an Equal Opportunity Employer. We do not discriminate based on race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We thank you for your interest in joining our growing Gastro Health team!

At Axium Healthcare Pharmacy, Inc., we believe in a better quality of life for patients and their healthcare partners when treating and managing the most complex conditions. We believe in relationships that make life easier, and where a helping hand and better clinical, economical, and overall health outcomes are always within reach, 24 x 7 x 365. Our mission is simple. We aim to partner with and guide our patients to their best possible outcomes. Our longstanding vision is to help our patients and healthcare providers reach and create a better path to treating and managing complex conditions, making their lives easier and giving them hope for a healthier future. Specialty pharmacy is not a new concept. In fact, Axium did not invent specialty pharmacy. But, we did invent a better way to do it. We do it through a combination of clinical expertise, nationwide reach and the delivery of committed, caring, unmatched service and support for everyone, every time with no excuses. And, we've been doing it for years. We invite you to ask us what we can do for you. Our answer to you will almost always be: “Yes, we do.” Established in 2000 and based in Lake Mary, Florida, Axium is a nationwide clinical specialty pharmacy that makes life easier for those managing chronic disease and complex therapies by offering a helping hand and a better path to therapy management. We are licensed and permitted to operate in all 50 states and Puerto Rico, and specialize in providing patients, physicians, nurses, health plans, and other health care providers and partners with injectable and oral brand-name products. Our focus is to “Improve outcomes one relationship at a time,” and we achieve this through an experienced patient care team of doctors of pharmacy, registered nurses, reimbursement specialists, and dedicated patient care coordinators; all of whom deliver the highest level of comprehensive care and clinical support with every prescription. Job Description The Reimbursement Collection Specialist I is responsible for collecting outstanding receivables from insurance companies, patients and physicians. ESSENTIAL DUTIES AND RESPONSIBILITIES: Include the following. Other duties may be assigned. Ensures timely follow-up on all assigned claims to secure timely payment Works with payers to determine reasons for denials, corrects and reprocesses claims for payment in a timely manner Reduces claims in the over 90-day categories Collects “Patient Responsibility” from the patient Accurately documents all transactions with carriers and patients regarding the financial status of claims and documents progressive collection efforts into the appropriate collection notes in all required computer systems Completes timely follow-up as required by department guidelines Demonstrates successful collection meetings by adhering to all collection guidelines and rules Mails, faxes or emails all appropriate collections correspondence Receives incoming calls related to the Billing/Collections Department Identifies uncollectible accounts and acquires approval for Bad-Debt Write/off Maintains relationships with insurance companies Generates and prepares patients statements and review them for accuracy prior to mailing Utilizes the Internet for Insurance claims status Assists with external audits Be willing to cross-train and fill-in in other areas within the department Works in an efficient and cohesive group environment Supports group and management efforts Completes daily, weekly and monthly tasks as required by department standards Qualifications QUALIFICATIONS: 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 will be made to enable individuals with disabilities to perform the essential functions. EDUCATION and/or EXPERIENCE: High School Diploma or equivalent Associates Degree from college preferred or Certificate from a technical school for billing. Two years related experience in a healthcare environment and/or training; or equivalent combination of education and experience. LANGUAGE SKILLS: Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to our patients, intermediary, carriers and internal customers. MATHEMATICAL SKILLS: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rates, ratios, and percentages. REASONING ABILITY: Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to assess and resolve problems involving a few concrete variables in standardized situations. COMPUTER and INTERNET SKILLS: Working knowledge of Outlook and Microsoft Word. The ability to create and populate simple Excel spreadsheets. Ability to navigate the web for the purpose of collections. 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 will be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and talk and hear. The employee is occasionally required to stand; walk; use hands to finger; handle or feel; and reach with hands and arms. Specific vision abilities required by this job include close vision, ability to adjust focus. The ability to perform heavy data entry or other computer function which requires extensive keyboard use. The ability to lift and move for short distances boxes or files with a weight not to exceed 25 pounds. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions. Must be able to work in an environment of open-space cubicles where the noise level is usually quiet. OTHER SKILLS THAT APPLY: Diplomacy Professionalism Filing Organizing Planning Multi-tasking Additional Information All your information will be kept confidential according to EEO guidelines.

At Axium Healthcare Pharmacy, Inc., we believe in a better quality of life for patients and their healthcare partners when treating and managing the most complex conditions. We believe in relationships that make life easier, and where a helping hand and better clinical, economical, and overall health outcomes are always within reach, 24 x 7 x 365. Our mission is simple. We aim to partner with and guide our patients to their best possible outcomes. Our longstanding vision is to help our patients and healthcare providers reach and create a better path to treating and managing complex conditions, making their lives easier and giving them hope for a healthier future. Specialty pharmacy is not a new concept. In fact, Axium did not invent specialty pharmacy. But, we did invent a better way to do it. We do it through a combination of clinical expertise, nationwide reach and the delivery of committed, caring, unmatched service and support for everyone, every time with no excuses. And, we've been doing it for years. We invite you to ask us what we can do for you. Our answer to you will almost always be: “Yes, we do.” Established in 2000 and based in Lake Mary, Florida, Axium is a nationwide clinical specialty pharmacy that makes life easier for those managing chronic disease and complex therapies by offering a helping hand and a better path to therapy management. We are licensed and permitted to operate in all 50 states and Puerto Rico, and specialize in providing patients, physicians, nurses, health plans, and other health care providers and partners with injectable and oral brand-name products. Our focus is to “Improve outcomes one relationship at a time,” and we achieve this through an experienced patient care team of doctors of pharmacy, registered nurses, reimbursement specialists, and dedicated patient care coordinators; all of whom deliver the highest level of comprehensive care and clinical support with every prescription. Job Description The Reimbursement Collection Specialist I is responsible for collecting outstanding receivables from insurance companies, patients and physicians. ESSENTIAL DUTIES AND RESPONSIBILITIES: Include the following. Other duties may be assigned. Ensures timely follow-up on all assigned claims to secure timely payment Works with payers to determine reasons for denials, corrects and reprocesses claims for payment in a timely manner Reduces claims in the over 90-day categories Collects “Patient Responsibility” from the patient Accurately documents all transactions with carriers and patients regarding the financial status of claims and documents progressive collection efforts into the appropriate collection notes in all required computer systems Completes timely follow-up as required by department guidelines Demonstrates successful collection meetings by adhering to all collection guidelines and rules Mails, faxes or emails all appropriate collections correspondence Receives incoming calls related to the Billing/Collections Department Identifies uncollectible accounts and acquires approval for Bad-Debt Write/off Maintains relationships with insurance companies Generates and prepares patients statements and review them for accuracy prior to mailing Utilizes the Internet for Insurance claims status Assists with external audits Be willing to cross-train and fill-in in other areas within the department Works in an efficient and cohesive group environment Supports group and management efforts Completes daily, weekly and monthly tasks as required by department standards Qualifications QUALIFICATIONS: 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 will be made to enable individuals with disabilities to perform the essential functions. EDUCATION and/or EXPERIENCE: High School Diploma or equivalent Associates Degree from college preferred or Certificate from a technical school for billing. Two years related experience in a healthcare environment and/or training; or equivalent combination of education and experience. LANGUAGE SKILLS: Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to our patients, intermediary, carriers and internal customers. MATHEMATICAL SKILLS: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rates, ratios, and percentages. REASONING ABILITY: Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to assess and resolve problems involving a few concrete variables in standardized situations. COMPUTER and INTERNET SKILLS: Working knowledge of Outlook and Microsoft Word. The ability to create and populate simple Excel spreadsheets. Ability to navigate the web for the purpose of collections. 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 will be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and talk and hear. The employee is occasionally required to stand; walk; use hands to finger; handle or feel; and reach with hands and arms. Specific vision abilities required by this job include close vision, ability to adjust focus. The ability to perform heavy data entry or other computer function which requires extensive keyboard use. The ability to lift and move for short distances boxes or files with a weight not to exceed 25 pounds. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions. Must be able to work in an environment of open-space cubicles where the noise level is usually quiet. OTHER SKILLS THAT APPLY: Diplomacy Professionalism Filing Organizing Planning Multi-tasking Additional Information All your information will be kept confidential according to EEO guidelines.

The Collections Specialist is responsible for day-to-day receivables activities that provide department level accounting support and ensure departmental goals and objectives are achieved. The Collections Specialist will be responsible for complying with department and company-wide accounting procedures and with generally accepted accounting principles while performing the job duties including maintaining customer accounts, processing and recording customer payments, identifying outstanding invoices, collections, credits, and responding to customer questions regarding invoices and credit requests. Essential Duties Process, record, and reconcile customer payments & credits. Respond to customer questions and concerns timely via phone and email. Prepare and send statements, invoices, and reports to clients, as scheduled or requested. Establish and maintain relationships with new and existing customers. Monitor accounts, identify potential customer issues, and manage delinquencies. Process monthly customer payments for card on file customers. Maintain case financial hold process for past due accounts. Manage cases returned for financial credit review Support year-end and other audits, responding to auditor requests for data, gathering information, and preparing schedules. Participate in special projects and AR research as required. Qualifications Minimum of 3 years related collections experience Excellent communication skills Proficient in Word, Excel, Outlook Previous experience with AR systems, namely Great Plains, preferred General knowledge of GAAP and basic accounting principles Familiarity with standard accounting concepts, practices, or procedures Strong understanding and appreciation of deadlines and commitment to schedules and details Special Position Requirements Strong interpersonal communication and active listening skills. Strong proficiency with Excel, Word and other MS Office programs Ability to communicate both professionally and effectively on the phone or in email to ensure cooperation and teamwork between the customer and lab Advanced critical thinking and problem-solving skills Advanced organizational and time management skills General understanding of accounting principles and practices Ability to flourish in a dynamic, growing organization.

Under the direct supervision of the Business Office Manager, the Collection Specialist is responsible for all issues relating to patient accounts receivable. Ogden Clinic provides competitive pay and benefits. Full-Time employees have access to: Medical (including a partially company funded HSA option and in-house discount plan) Dental, Vision, Disability and other plan coverage options. Company paid life insurance for employees and their families. Employee Assistance Program that provides free counseling to employees and their families. Paid Time Off and Holidays Scholarship Program 401k with generous profit sharing contributions. In nearly all cases, no nights, weekends or holiday shifts. Competitive pay starting at $16.00+ hourly with the potential of higher starting pay based on experience. Annual Performance/Merit Increase Program that offers up to a 5% pay increase. Salary ranges reviewed annually. Limited benefits for non-Full-Time employees. Full job description is available upon request by emailing talent@ogdenclinic.com