Account Representative jobs at SSM Health - 1029 jobs

**Our promise to you:** Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better. **All the benefits and perks you need for you and your family:** + Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance + Paid Time Off from Day One + 403-B Retirement Plan + 4 Weeks 100% Paid Parental Leave + Career Development + Whole Person Well-being Resources + Mental Health Resources and Support + Pet Benefits **Schedule:** Full time **Shift:** Night (United States of America) **Address:** 7820 W 165TH ST **City:** OVERLAND PARK **State:** Kansas **Postal Code:** 66223 **Job Description:** **Sign-On Bonus: $** 10,000.00 For eligible candidates Provides clinical and administrative supervision after regular business hours. Manages hospital personnel and resources to meet standards, goals, and department requirements. Reassigns employees to different duties to optimize skills, abilities, and workloads. Makes regular rounds to identify problems and facilitate efficient resolution. Reviews reports on hospital activities and initiates or responds with appropriate actions. Participates in nursing, hospital, and medical staff committees as assigned. Attends regular meetings with management to resolve problems, exchange information, and plan accordingly. Facilitates and coordinates resources to address unanticipated hospital situations and concerns. Reviews and interprets hospital policies and procedures. Collaborates with nursing leaders to coordinate hospital activities. Provides temporary solutions to identified problems and communicates necessary follow-up. Reports and responds to emergency situations. Other duties as assigned **The expertise and experiences you'll need to succeed:** **QUALIFICATION REQUIREMENTS:** Associate's of Nursing (Required), Bachelor's of NursingAdvanced Cardiac Life Support Cert (ACLS) - RQI Resuscitation Quality Improvement, Basic Life Support - CPR Cert (BLS) - RQI Resuscitation Quality Improvement, NIH Stroke Scale (NIHSS) - EV Accredited Issuing Body, Pediatric Advanced Life Support Cert (PALS) - RQI Resuscitation Quality Improvement, Registered Nurse (RN) - EV Accredited Issuing Body **Pay Range:** $37.86 - $70.41 _This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances._ **Category:** Registered Nurse **Organization:** AdventHealth South Overland Park **Schedule:** Full time **Shift:** Night **Req ID:** 150659233

Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: * Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance * Paid Time Off from Day One * 403-B Retirement Plan * 4 Weeks 100% Paid Parental Leave * Career Development * Whole Person Well-being Resources * Mental Health Resources and Support * Pet Benefits Schedule: Full time Shift: Night (United States of America) Address: 7820 W 165TH ST City: OVERLAND PARK State: Kansas Postal Code: 66223 Job Description: Sign-On Bonus: $10,000.00 For eligible candidates Provides clinical and administrative supervision after regular business hours. Manages hospital personnel and resources to meet standards, goals, and department requirements. Reassigns employees to different duties to optimize skills, abilities, and workloads. Makes regular rounds to identify problems and facilitate efficient resolution. Reviews reports on hospital activities and initiates or responds with appropriate actions. Participates in nursing, hospital, and medical staff committees as assigned. Attends regular meetings with management to resolve problems, exchange information, and plan accordingly. Facilitates and coordinates resources to address unanticipated hospital situations and concerns. Reviews and interprets hospital policies and procedures. Collaborates with nursing leaders to coordinate hospital activities. Provides temporary solutions to identified problems and communicates necessary follow-up. Reports and responds to emergency situations. Other duties as assigned The expertise and experiences you'll need to succeed: QUALIFICATION REQUIREMENTS: Associate's of Nursing (Required), Bachelor's of NursingAdvanced Cardiac Life Support Cert (ACLS) - RQI Resuscitation Quality Improvement, Basic Life Support - CPR Cert (BLS) - RQI Resuscitation Quality Improvement, NIH Stroke Scale (NIHSS) - EV Accredited Issuing Body, Pediatric Advanced Life Support Cert (PALS) - RQI Resuscitation Quality Improvement, Registered Nurse (RN) - EV Accredited Issuing Body Pay Range: $37.86 - $70.41 This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

La Rabida Children's Hospital provides specialized, family-centered health care to children with medically complex conditions, disabilities, and chronic illness. Through expertise, compassion, and advocacy we help children and their families reach their fullest potential, regardless of their ability to pay. Our not-for-profit hospital, licensed for 49 beds, helps transition children from neonatal or pediatric intensive care to home, by providing medical, rehabilitative and developmental care, and by training families to continue treatments and manage the necessary equipment in the home. La Rabida also provides extensive rehabilitation for those recovering from wounds or burns and treatment for exacerbations of chronic conditions. The hospital's enhanced pediatric patient-centered medical home provides primary care to children with complex medical conditions and their siblings. Children with medical homes elsewhere come to La Rabida for specialty services. La Rabida offers a wide range of specialty services provided to children with sickle cell disease, diabetes, and many others. Children are supported in their emotional and developmental growth, particularly in cases where such growth has been interrupted by accident or disease. Finally, La Rabida provides forensic and treatment services for children exposed to abuse and neglect, comprehensive assessments for youth in care, early intervention for children between 0 and 3 years of age. Care coordination services for medically complex children are also provided for those who are covered by a health plan and receive care from providers in Cook County Job Description We are seeking a detail-oriented and efficient Patient Account Specialist to join our healthcare organization in Chicago, United States. In this role, you will be responsible for managing patient accounts, ensuring accurate billing, and resolving financial inquiries to maintain a smooth revenue cycle. Process and manage patient accounts, including billing, collections, and payment posting Verify insurance coverage and obtain necessary pre-authorizations for medical procedures Analyze and resolve claim denials and rejections in a timely manner Communicate with patients, insurance companies, and healthcare providers to address billing inquiries and discrepancies Maintain accurate patient financial records and update account information in the Electronic Health Record (EHR) system Collaborate with other departments to ensure proper documentation and coding for billing purposes Generate and review financial reports to identify trends and areas for improvement Assist in the development and implementation of policies and procedures to enhance revenue cycle efficiency Ensure compliance with healthcare regulations, including HIPAA, in all financial transactions and communications Qualifications 2-3 years of experience in patient accounting, medical billing, or a related healthcare finance role Proficiency in medical billing and coding practices Strong knowledge of healthcare revenue cycle management Experience with Electronic Health Record (EHR) systems and Microsoft Office Suite Excellent attention to detail and ability to manage multiple priorities efficiently Strong verbal and written communication skills for interacting with patients, insurance representatives, and healthcare professionals Problem-solving skills and ability to analyze complex financial data Customer service orientation with a professional and supportive demeanor Bachelor's degree in Healthcare Administration, Business Administration, or related field (preferred) Certified Revenue Cycle Representative (CRCR) or similar certification (preferred) Familiarity with healthcare industry regulations, particularly HIPAA Understanding of insurance claim processes and medical terminology Additional Information All your information will be kept confidential according to EEO guidelines. La Rabida is a place unlike any other. We understand the needs of families with children dealing with the most serious or complicated of conditions. With teams of the best healthcare providers in Chicago, we give continuous, comprehensive care, education, and support, helping families face their unique obstacles head-on. La Rabida Children's Hospital is very proud to be an Equal Employment Opportunity Employer.

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.

Sunrise,FL - USA Requirements Under the direct supervision of the Collections Supervisor or Manager, the Accounts Receivable Representative I is responsible for the effective and efficient denied claims management for assigned payers. Responsible for working high volume collection reports and correspondence, auditing accounts, submitting all levels of appeals for denied claims as necessary, updating accounts as needed, and identifying carrier-related denial trends. Maintains a thorough knowledge of all-payer types including CMS billing guidelines as well as the ability to interpret the content of managed care contracts. Principal Duties and Responsibilities: Coordinates, monitors, and manages the follow-up on unpaid claims. Ensures follow-up and reimbursement appeals of unpaid and inappropriately paid claims. Identifies, researches, and ensures timely processing of billing errors and corrections as they relate to claims. Actively participates in problem identification and resolution and coordinates resolutions between appropriate parties. Ability to communicate and collaborate effectively with other internal as well as external resources to achieve desired results and resolve issues. Review and work on all daily correspondence. Appeals denied claims via mail, telephone or websites. Perform audits on accounts when needed to review for accuracy. Update accounts with information obtained through correspondence and telephone. When necessary contacts patients, referring providers or a hospital to obtain better insurance information, authorization, or updated patient demographics to assist with collections. Completes appropriate account maintenance by ensuring the correct statement groups, financial class, and payer codes. Accurately documents all follow up on the account to ensure there is an accurate record of the steps taken to collect on an account. Pitches in to help the completion of the daily AR Representative 1 & 2 workloads to support AR team productivity and outcome measures. Meets the current productivity standard which includes both quantity and quality metrics. Maintains a working knowledge and understanding of CPT and ICD-10 codes. Keeps current with health care practices and laws and regulations related to claims collections. Performs other job-related duties within the job scope as requested by Management. The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and should not be considered a detailed description of all the work requirements that may be inherent to the position. REQUIRED QUALIFICATIONS : Education: - High school diploma or equivalent certification required - Associate degree or equivalent from a two-year college preferred; or equivalent combination of education & experience. Experience: 3-5 years of prior experience in a fast paced and high volume corporate medical collection's role. Knowledge of basic patient accounting processes and healthcare terminology strongly preferred Knowledge, Skills, Abilities: Strong computer skills (including MS Word and Excel) Ability to maintain accuracy while working on multiple tasks in a fast-paced environment under low-to moderate supervision Excellent verbal and written communication skills, including professional telephone etiquette Ability to ensure confidentiality of sensitive information and maintain HIPAA compliance Dependable in both production and attendance Exceptional organization and time management skills Total Rewards Generous benefits package, including: Paid Time Off Health, life, vision, dental, disability, and AD&D insurance Flexible Spending Accounts/Health Savings Accounts 401(k) Leadership and professional development opportunities EEO Statement North American Partners in Anesthesia is an equal opportunity employer.

Sunrise,FL - USA Requirements Under the direct supervision of the Collections Supervisor or Manger, the Accounts Receivable Representative II is responsible for effective and efficient accounts receivable management of assigned payers. Collections efforts on outstanding accounts include telephone contact with payers, work collection reports and correspondence, audit accounts, appeal denied claims as necessary, update accounts as necessary, identify carrier related denial trends and meet departmental productivity standards. Accounts Receivable Representative 2 will also coordinate the transfer of patient responsibility and work accounts that require additional insurance collection follow-up. Principal Duties and Responsibilities Reviews, evaluates, and forwards manual paper claims to payers that do not accept electronic claims or that require special handling Document's billing activity on the patient account; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leaders Reviews claims for accuracy and coordinates with ancillary departments as needed to provide information for audits and/or record reviews Based on electronic payers' error reports, makes appropriate corrections to optimize the electronic claims submission process Pursues prompt follow-up efforts on aged accounts, which may involve helping to formulate written appeals Accurately documents all follow up on the account to ensure there is an accurate record of the steps taken to collect on an account. Monitors claim rejections for trends and issues; reports these findings to the lead biller and other departmental leaders Practices excellent customer service skills by answering patient and third-party questions and/or addressing billing concerns in a timely and professional manner Assists in reviewing and/or resolving credit balances Participates in general or special assignments and attends required training The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and should not be considered a detailed description of all the work requirements that may be inherent to the position. Position Qualifications Education: High school diploma or equivalent certification required Associate degree preferred Experience: 2 to 4 years of customer service and/or business office experience preferred in a medical setting Knowledge of basic patient accounting processes and healthcare terminology strongly preferred Knowledge, Skills, Abilities: Strong computer skills (including MS Word and Excel) Ability to maintain accuracy while working on multiple tasks in a fast-paced environment under low-to moderate supervision Excellent verbal and written communication skills, including professional telephone etiquette Ability to ensure confidentiality of sensitive information and maintain HIPAA compliance Dependable in both production and attendance Exceptional organization and time management skills Total Rewards Generous benefits package, including: Paid Time Off Health, life, vision, dental, disability, and AD&D insurance Flexible Spending Accounts/Health Savings Accounts 401(k) Leadership and professional development opportunities EEO Statement North American Partners in Anesthesia is an equal opportunity employer.

Key Responsibilities: Order Confirmation & Claim Preparation: Process and confirm orders, ensuring claims are accurately prepared and submitted. Cash Posting: Post payments and update accounts in a timely and accurate manner. Patient Support: Address any patient inquiries regarding billing, ensuring clear communication and prompt issue resolution. Accounts Receivable Management: Work on stop/held accounts to ensure timely billing for rental items. Meet Department Goals: Achieve performance metrics and goals set by the department to maintain operational efficiency. Collaboration with Teams: Regularly communicate with Billing and Insurance team leads to report progress and trends Pay: $17.00 hour Benefits: BCBS Medical BCBS Vision Dental Insurance 401K PTO Benefits

Patient Account Service Representatives process claims, collect payments, and resolve questions and problems about patient account financial, clerical, and administrative support to dental office to ensure efficient, timely, and accurate patient billing and follow-up. Utilizes conflict resolution and problem-solving techniques to handle patient billing inquiries and complaints. Inputs and monitors electronic fund transfers, Medicaid, and other insurance-related matters. Essential Functions To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions. • Provides financial, clerical, and administrative services to ensure efficient, timely, and accurate patient billing and follow-up in accordance with Dental Depot accounts receivable protocol. • Provides quality customer service, utilizing conflict resolution and problem-solving techniques to manage patient inquiries and complaints. • Prepares weekly outstanding claims reports instead of bi-weekly. • Presents copies of denials to PASR Manager instead of office manager. • Initiates collection efforts. Investigates and resolves patient billing inquiries. • Inputs and monitors electronic fund transfers per insurance websites for all providers accepted by Dental Depot. Enters patient and insurance data as needed. Processes insurance adjustments. Monitors and updates insurance and patient payment status. • Communicates effectively, courteously, and professionally with clinical and administrative staff. Communicates effectively, courteously, and accurately with patients inquiring about statements, billing, payments, etc. • Prepares bi-weekly outstanding claims reports and work completely through outstanding claims. Copies any denials and works to completion from electronic fund transfers or checks. Present to Dental Office Manager for review. • Audits patient accounts for billing errors or inconsistencies. • Inputs into Eaglesoft insurance information and updates patient information. Inputs and monitors all Medicaid claims through the Medicaid website. • Audit/Reconciles accounts receivables. Verifies that insurance transactions comply with treatment performed. • Assists in clearing the claims via the Claims X system and work the Daily Claim Report, daily. • Closes out account's receivables at the conclusion of each business day, as scheduled by the Office Manager. • Completes assigned tasks in a timely manner. • Maintains dependable job attendance by reporting to work on time and ready to work. • If needed: Greets patients in accordance with Dental Depot protocol. Answers office phones in accordance with Dental Depot protocol. Schedules patient appointments through the Eaglesoft system. • Complies with: Dental Depot policies and procedures; OSHA policies, procedures, rules, and regulations; and HIPAA policies, procedures, rules, and regulations. • Position may be required to relocate to other Dental Depot clinics either permanently or on a short-term basis due to office needs, on an as needed basis at the discretion of Management. • This position may complete other Administrative and Maintenance tasks as assigned by Management. • Maintain regular and reliable attendance

is $21.24 - $27.61 (Hourly Rate) Placement within the salary range is dependent on several factors such as relevant work experience and internal equity. For positions represented by a labor union, placement within the salary range is guided by the rules outlined in the collective bargaining agreement. 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 located at jobs.nm.org/benefits to learn more. Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine. We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service. Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment. Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional, and financial well-being. Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups. From discovery to delivery, come help us shape the future of medicine. Benefits: * $10,000 Tuition Reimbursement per year ($5,700 part-time) * $10,000 Student Loan Repayment ($5,000 part-time) * $1,000 Professional Development per year ($500 part-time) * $250 Wellbeing Fund per year ($125 for part-time) * Matching 401(k) * Excellent medical, dental and vision coverage * Life insurance * Annual Employee Salary Increase and Incentive Bonus * Paid time off and Holiday pay Description The Professional Billing Denials and Follow Up Representative 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. Responsibilities: * Consistently meet the current productivity and quality standards in timely resolution of all claim edits, reporting of candidates for bill, outbound compliant claim submission, clinical documentation requirements and any other communication required (verbal or written) regarding claims ensuring timely filing of claims and clean, complete and accurate claims. * Consistently meet or exceed productivity standards, targets, error ratios, and reporting requirements assigned by the Patient Accounting Lead Financial Assessor and Operations Coordinator. * Timely follow-up and collection of third party payer receivables. Denials and Appeals follow-up including root cause analysis to reduce/prevent future denials while working to overturn denials for payment resolution. * Compliant follow-up correspondence to third party payers regarding outstanding accounts receivables (i.e. Statements, letters, e-mails, faxes, portal mail, etc.). * Support the operations related to optimum third party accounts receivables (i.e. Managed Care, Commercial, Medicare, Medicaid, Replacement plans, Workers Compensations, Corporate Accounts, Research, and Specialty AR Accounts). * Perform daily, systematic reviews of work lists to ensure all accounts already to be worked are completed. * Utilize Government, Commercial, and regulatory guidelines for collection of outstanding accounts. Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation. * Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices. Provide individual contribution to the overall team effort of achieving the department accounts receivable goals. * Identify opportunities for customer, system and process improvement and submit to management. * Follow the NMHC general Policy and Procedures, the Departmental Policy and Procedures, and any Emergency Preparedness Procedures. Follow Joint Commission and outside regulatory agencies mandated rules and procedures. * Utilize assigned menus and pathways in the hospital mainframe system and report software application problems to the appropriate supervisor. * Utilize assigned menus and pathways in external software applications and report software application problems to the appropriate supervisor. * Utilize assigned computer hardware and report hardware problems to the appropriate supervisor. * Participate in the testing for assigned software applications, including verification of field integrity. * Assist the Patient Accounting Operational Coordinator and Patient Accounting Team Lead Financial Assessor with special projects and other duties as assigned, as necessary. * Attend training and seminars as assigned and approved by the Patient Accounting Operations Coordinator. Additional Responsibilities: * Demonstrate excellent customer service through oral and written communication in providing assistance/expertise to patients, authorized guarantors, and other external and internal contacts. * Demonstrate proficient use of systems and execution of processes in all areas of responsibilities. * Working knowledge of physician and facility billing and follow-up including understanding of insurance rules and regulations especially Medicare and Medicaid. Knowledge of HIPAA standards. * Ability to perform mathematical calculations. * Excellent communication skills when dealing with patients, families, public, co-workers, and professional offices. Basic knowledge of medical terminology and billing practices Qualifications Required: * High School diploma * One year related work experience or college degree * Ability to perform mathematical calculations * Basic knowledge of medical terminology and billing practices * Extensive experience and knowledge of PC applications, including Microsoft Office and Excel * Learn quickly and meet continuous timelines * Exhibit behaviors consistent with principles of excellent service. Preferred: * Two or more years' college or college degree. * Call center, telephone work experience or cash collections experience. * Knowledge of Epic Systems. * Two (2) years progressive work experience in a hospital/ physician billing or SBO environment. * Detail-oriented, good organizational skills, and ability to be self-directed. * Strong time management skills, managing multiple priorities and a heavy workload in a high-stress atmosphere. * Flexibility to perform other tasks as needed in an active work environment with changing work needs. * High-level problem solving, analytical, and investigational skills. * Excellent internal/external customer service skills. Equal Opportunity 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.

Versiti is a fusion of donors, scientific curiosity, and precision medicine that recognize the gifts of blood and life are precious. We are home to the world-renowned Blood Research Institute, we enable life saving gifts from our donors, and provide the science behind the medicine through our diagnostic laboratories. Versiti brings together outstanding minds with unparalleled experience in transfusion medicine, transplantation, stem cells and cellular therapies, oncology and genomics, diagnostic lab services, and medical and scientific expertise. This combination of skill and knowledge results in improved patient outcomes, higher quality services and reduced cost of care for hospitals, blood centers, hospital systems, research and educational institutions, and other health care providers. At Versiti, we are passionate about improving the lives of patients and helping our healthcare partners thrive. Position Summary The Account Representative position is a highly competitive field sales role. Account Representatives develop successful strategies to source and qualify new accounts and work with existing accounts to execute productive blood drives to meet monthly territory blood collection needs. This position is critical to ensuring a stable public blood supply. Total Rewards Package Benefits Versiti provides a comprehensive benefits package based on your job classification. Full-time regular employes are eligible for Medical, Dental, and Vision Plans, Paid Time Off (PTO) and Holidays, Short- and Long-term disability, life insurance, 7% match dollar for dollar 401(k), voluntary programs, discount programs, others. Responsibilities Meets and exceeds monthly collection goals and booking targets with an emphasis on accuracy, productivity, cost-effectiveness, blood inventory needs, efficient operations, and customer service Actively prospects and networks to continually add new, productive blood drive opportunities Identifies and evaluates the key motivators within each organization to elicit the commitment and follow through needed to ensure optimal participation at blood drives Manages blood drive details and outcomes by scheduling resources; ensuring appropriateness of blood drive site; communicating internally all details regarding the blood drive; coordinating with organization logistics and needs for the blood drive; forecasting production of the drive; clearly defining expectations of the group; providing tools, timelines, and training to the group; scheduling communication touch points; and managing successful outcomes Appraises existing accounts to identify opportunity for improvement, creates a strategy, and pursues a conversation with account leadership On-site recruits as needed or required; may include evening or weekend hours Develops and maintains relationships with account points of contact, account leaders and key accounts Works with marketing/communications to identify blood drive strategies and prepares content needed to support defined strategies Works collaboratively with other departments as needed to ensure successful blood drives and provides excellent internal customer service Keeps account records up to date which includes titles and contact information for key points of contact Identifies, documents, and provides feedback on issues regarding customer needs/requirements, customer issues/concerns and satisfaction, potential expansion opportunities, competitor activities/strategies, and similar information. All other duties as assigned Performs other duties as assigned Complies with all policies and standards Qualifications Education Bachelor's Degree preferred Associate's Degree with relevant sales and/or event management experience considered preferred Experience 1-3 years of direct business to business sales experience preferred Knowledge, Skills and Abilities Proven track record of sales success Thrives in a self-motivated and self-directed work environment Must have excellent analytical, planning, strategic and decision-making skills Ability to be resourceful, flexible, adaptable; possess excellent problem-solving skills Demonstrates poise and willingness to confidently engage and interact with a wide variety of audiences Must possess excellent time management and organization skills, and able to manage detailed information Skilled in persuasive communication, being able to be direct in a respectful manner Excellent ability to communicate, encompassing written, verbal, and presentation skills Ability to prepare information needed for meeting agendas, educational and motivational presentations, blood drive promotion, trainings, and analytical reports; and the ability to communicate and deliver that information effectively Licenses and Certifications A current valid driver's license and good driving record required #LI-Hybrid #LI-AB1 Not ready to apply? Connect with us for general consideration.

Established in 1987, Pacific Medical, Inc. is a distributor of durable medical equipment; specializing in orthopedic rehabilitation, arthroscopic surgery, sports medicine, prosthetics, and orthotics. With the heart of the company dedicated to helping and serving others, we provide our services directly to the patient, medical networks, physician clinics, and offices. We are dedicated to the advancement of patient care through excellent service and product technology. We have an immediate non-remote opportunity to join our growing company. We are currently seeking 3 full-time (M-F 8:00 am-5:00 pm) Patient Collections Specialists for our Tracy, CA office. These individuals will be responsible for the following: * Must be Bilingual (Spanish) * Job Responsibilities: · Contact patients/guarantors to secure payment for services provided based on an aging report with balances. · Contact patients when credit card payments are declined. · Follow up with refund requests. · Document all calls and actions are taken in the appropriate systems. Sets next work date if follow-up is needed. · Confirms/updates with patient/guarantor insurance and patient demographics information. Makes appropriate changes and submits/re-submits claims as indicated. · Establishes a payment arrangement with the patient/guarantor and follow-up on all payment arrangement plans implemented. · Document all patient complaints/disputes and forward them to the appropriate person for follow-up. · Perform other duties as needed. Qualifications/Skills: · Must excel in interpersonal communication, customer service and be able to work both independently and as part of a team. · Must excel in organizational skills. · Must possess strong attention to detail and follow-through skills. · Education, Training, and Experience Required: High School graduate or equivalent. Bilingual (Spanish) Must type 25-45 words per minute. Hourly Rate Pay Range: $17.00 to $19.00 · Annual Range ($35,360.00 to $39,520.00) O/T Rate Pay Range: $25.50 to $28.50 · Example of Annual O/T Range (5 to 10 hours per week @ 50 weeks range $6,375.00 - $14,250+) · Note: Abundance of O/T Available Bonus Opportunity Team Bonus: $0 to $500 per month (increases hourly rate up to $2.88 per hour or up to $6k per year) Profit Bonus: $0 to $500 per month (increases hourly rate up to $2.88 per hour or up $6k per year) Total Compensation Opportunity Examples: Annual Base Pay: $41,735 (Estimate incl. 5 hrs O/T per week, Low-range Production and Profit Bonus after 3 months) Annual Mid-Range Pay: $54,315.00 (Estimate incl. 5 hrs O/T per week, Mid-range Production and Profit Bonus) Annual Top Pay: $57,895.00 (Estimate incl. 5 hrs O/T per week, Max Production and Profit bonus) All Full-Time positions offer the following: Medical, Dental, Vision, ER paid Life for Employee, Voluntary benefits, Medical FSA, Dependent FSA, HSA, 401k, and Financial Wellness planning. Additional Benefits for Full-Time Employees (3 to 4 weeks of Paid Time Off) Holidays: 10 paid holidays per year Vacation Benefit: At completion of 3-month introductory period, vacation accrual up to a max of 40 hours in the first 23 months, at 24 months, accrual up to a max of 80 hours with a rollover balance. Sick Benefit: Sick accrual begins upon date of hire up to a max accrual of 80 hours annually with a max usage of 48 hours annually with a rollover balance.

Versiti is a fusion of donors, scientific curiosity, and precision medicine that recognize the gifts of blood and life are precious. We are home to the world-renowned Blood Research Institute, we enable life saving gifts from our donors, and provide the science behind the medicine through our diagnostic laboratories. Versiti brings together outstanding minds with unparalleled experience in transfusion medicine, transplantation, stem cells and cellular therapies, oncology and genomics, diagnostic lab services, and medical and scientific expertise. This combination of skill and knowledge results in improved patient outcomes, higher quality services and reduced cost of care for hospitals, blood centers, hospital systems, research and educational institutions, and other health care providers. At Versiti, we are passionate about improving the lives of patients and helping our healthcare partners thrive. Position Summary The Account Representative position is a highly competitive field sales role. Account Representatives develop successful strategies to source and qualify new accounts and work with existing accounts to execute productive blood drives to meet monthly territory blood collection needs. This position is critical to ensuring a stable public blood supply. Total Rewards Package Benefits Versiti provides a comprehensive benefits package based on your job classification. Full-time regular employes are eligible for Medical, Dental, and Vision Plans, Paid Time Off (PTO) and Holidays, Short- and Long-term disability, life insurance, 7% match dollar for dollar 401(k), voluntary programs, discount programs, others. Responsibilities Meets and exceeds monthly collection goals and booking targets with an emphasis on accuracy, productivity, cost-effectiveness, blood inventory needs, efficient operations, and customer service Actively prospects and networks to continually add new, productive blood drive opportunities Identifies and evaluates the key motivators within each organization to elicit the commitment and follow through needed to ensure optimal participation at blood drives Manages blood drive details and outcomes by scheduling resources; ensuring appropriateness of blood drive site; communicating internally all details regarding the blood drive; coordinating with organization logistics and needs for the blood drive; forecasting production of the drive; clearly defining expectations of the group; providing tools, timelines, and training to the group; scheduling communication touch points; and managing successful outcomes Appraises existing accounts to identify opportunity for improvement, creates a strategy, and pursues a conversation with account leadership On-site recruits as needed or required; may include evening or weekend hours Develops and maintains relationships with account points of contact, account leaders and key accounts Works with marketing/communications to identify blood drive strategies and prepares content needed to support defined strategies Works collaboratively with other departments as needed to ensure successful blood drives and provides excellent internal customer service Keeps account records up to date which includes titles and contact information for key points of contact Identifies, documents, and provides feedback on issues regarding customer needs/requirements, customer issues/concerns and satisfaction, potential expansion opportunities, competitor activities/strategies, and similar information. All other duties as assigned Performs other duties as assigned Complies with all policies and standards Qualifications Education Bachelor's Degree preferred Associate's Degree with relevant sales and/or event management experience considered preferred Experience 1-3 years of direct business to business sales experience preferred Knowledge, Skills and Abilities Proven track record of sales success Thrives in a self-motivated and self-directed work environment Must have excellent analytical, planning, strategic and decision-making skills Ability to be resourceful, flexible, adaptable; possess excellent problem-solving skills Demonstrates poise and willingness to confidently engage and interact with a wide variety of audiences Must possess excellent time management and organization skills, and able to manage detailed information Skilled in persuasive communication, being able to be direct in a respectful manner Excellent ability to communicate, encompassing written, verbal, and presentation skills Ability to prepare information needed for meeting agendas, educational and motivational presentations, blood drive promotion, trainings, and analytical reports; and the ability to communicate and deliver that information effectively Licenses and Certifications A current valid driver's license and good driving record required #LI-Hybrid #LI-AB1 Not ready to apply? Connect with us for general consideration.

Founded in 1977, PT Northwest is a locally owned, nationally recognized leader in physical rehabilitation with 11 clinic locations. Our team of physical, occupational, and speech therapists and athletic trainers is passionate about helping our patients restore their active lifestyles. PT Northwest is a 4-time Oregon Top Workplace. PT Northwest's vision is to be the foremost progressive and comprehensive physical rehabilitation provider. For immediate consideration, please apply online or email your resume to *********************. Job Description PT Northwest is looking for a Billing Coordinator, where you'll play a vital role in ensuring smooth financial and administrative processes across our clinics. * Answer incoming calls and assist patients with billing inquiries * Post payments and manage daily charge audits * Bill insurance claims and send patient statements * Handle accounts receivable and collection accounts * Credential therapists and maintain compliance documentation * Perform quality assurance checks on charts * Compile statistics from patient surveys and clinic performance * Train new support staff and manage independent programs * Order supplies for clinics and process insurance/patient refund Qualifications * Experience in medical billing or healthcare administration * Strong understanding of insurance claims and reimbursement processes * Excellent communication and customer service skills * Proficiency in Microsoft Office and billing software * Ability to analyze data and compile reports * Organizational skills with attention to detail * Experience training staff and managing multiple tasks independently * Familiarity with credentialing processes (preferred) Additional Information Company Perks: * Excellent benefits package, including 401k, health, dental, and generous paid time off * Multiple opportunities for professional development, specialization, and leadership * Employee discount plans * Employee Assistance Program (EAP) * Family-friendly work environment * Investment from a company that wants you to succeed and thrive The anticipated base salary range for this position is $21.00 - $23.00/ hr. Salary is based on various factors, including relevant experience, knowledge, skills, other job-related qualifications, and geography. Medical, dental, vision, 401(k), paid time off, and other benefits are also available, subject to the terms of the Company's plan.

At 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 The Professional Billing Denials and Follow Up Representative 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. Responsibilities: Consistently meet the current productivity and quality standards in timely resolution of all claim edits, reporting of candidates for bill, outbound compliant claim submission, clinical documentation requirements and any other communication required (verbal or written) regarding claims ensuring timely filing of claims and clean, complete and accurate claims. Consistently meet or exceed productivity standards, targets, error ratios, and reporting requirements assigned by the Patient Accounting Lead Financial Assessor and Operations Coordinator. Timely follow-up and collection of third party payer receivables. Denials and Appeals follow-up including root cause analysis to reduce/prevent future denials while working to overturn denials for payment resolution. Compliant follow-up correspondence to third party payers regarding outstanding accounts receivables (i.e. Statements, letters, e-mails, faxes, portal mail, etc.). Support the operations related to optimum third party accounts receivables (i.e. Managed Care, Commercial, Medicare, Medicaid, Replacement plans, Workers Compensations, Corporate Accounts, Research, and Specialty AR Accounts). Perform daily, systematic reviews of work lists to ensure all accounts already to be worked are completed. Utilize Government, Commercial, and regulatory guidelines for collection of outstanding accounts. Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation. Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices. Provide individual contribution to the overall team effort of achieving the department accounts receivable goals. Identify opportunities for customer, system and process improvement and submit to management. Follow the NMHC general Policy and Procedures, the Departmental Policy and Procedures, and any Emergency Preparedness Procedures. Follow Joint Commission and outside regulatory agencies mandated rules and procedures. Utilize assigned menus and pathways in the hospital mainframe system and report software application problems to the appropriate supervisor. Utilize assigned menus and pathways in external software applications and report software application problems to the appropriate supervisor. Utilize assigned computer hardware and report hardware problems to the appropriate supervisor. Participate in the testing for assigned software applications, including verification of field integrity. Assist the Patient Accounting Operational Coordinator and Patient Accounting Team Lead Financial Assessor with special projects and other duties as assigned, as necessary. Attend training and seminars as assigned and approved by the Patient Accounting Operations Coordinator. Additional Responsibilities: Demonstrate excellent customer service through oral and written communication in providing assistance/expertise to patients, authorized guarantors, and other external and internal contacts. Demonstrate proficient use of systems and execution of processes in all areas of responsibilities. Working knowledge of physician and facility billing and follow-up including understanding of insurance rules and regulations especially Medicare and Medicaid. Knowledge of HIPAA standards. Ability to perform mathematical calculations. Excellent communication skills when dealing with patients, families, public, co-workers, and professional offices. Basic knowledge of medical terminology and billing practices Qualifications Required: High School diploma One year related work experience or college degree Ability to perform mathematical calculations Basic knowledge of medical terminology and billing practices Extensive experience and knowledge of PC applications, including Microsoft Office and Excel Learn quickly and meet continuous timelines Exhibit behaviors consistent with principles of excellent service. Preferred: Two or more years' college or college degree. Call center, telephone work experience or cash collections experience. Knowledge of Epic Systems. Two (2) years progressive work experience in a hospital/ physician billing or SBO environment. Detail-oriented, good organizational skills, and ability to be self-directed. Strong time management skills, managing multiple priorities and a heavy workload in a high-stress atmosphere. Flexibility to perform other tasks as needed in an active work environment with changing work needs. High-level problem solving, analytical, and investigational skills. Excellent internal/external customer service skills. 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.

Versiti is a fusion of donors, scientific curiosity, and precision medicine that recognize the gifts of blood and life are precious. We are home to the world-renowned Blood Research Institute, we enable life saving gifts from our donors, and provide the science behind the medicine through our diagnostic laboratories. Versiti brings together outstanding minds with unparalleled experience in transfusion medicine, transplantation, stem cells and cellular therapies, oncology and genomics, diagnostic lab services, and medical and scientific expertise. This combination of skill and knowledge results in improved patient outcomes, higher quality services and reduced cost of care for hospitals, blood centers, hospital systems, research and educational institutions, and other health care providers. At Versiti, we are passionate about improving the lives of patients and helping our healthcare partners thrive. Position Summary The Account Representative position is a highly competitive field sales role. Account Representatives develop successful strategies to source and qualify new accounts and work with existing accounts to execute productive blood drives to meet monthly territory blood collection needs. This position is critical to ensuring a stable public blood supply. Total Rewards Package Benefits Versiti provides a comprehensive benefits package based on your job classification. Full-time regular employes are eligible for Medical, Dental, and Vision Plans, Paid Time Off (PTO) and Holidays, Short- and Long-term disability, life insurance, 7% match dollar for dollar 401(k), voluntary programs, discount programs, others. Responsibilities Meets and exceeds monthly collection goals and booking targets with an emphasis on accuracy, productivity, cost-effectiveness, blood inventory needs, efficient operations, and customer service Actively prospects and networks to continually add new, productive blood drive opportunities Identifies and evaluates the key motivators within each organization to elicit the commitment and follow through needed to ensure optimal participation at blood drives Manages blood drive details and outcomes by scheduling resources; ensuring appropriateness of blood drive site; communicating internally all details regarding the blood drive; coordinating with organization logistics and needs for the blood drive; forecasting production of the drive; clearly defining expectations of the group; providing tools, timelines, and training to the group; scheduling communication touch points; and managing successful outcomes Appraises existing accounts to identify opportunity for improvement, creates a strategy, and pursues a conversation with account leadership On-site recruits as needed or required; may include evening or weekend hours Develops and maintains relationships with account points of contact, account leaders and key accounts Works with marketing/communications to identify blood drive strategies and prepares content needed to support defined strategies Works collaboratively with other departments as needed to ensure successful blood drives and provides excellent internal customer service Keeps account records up to date which includes titles and contact information for key points of contact Identifies, documents, and provides feedback on issues regarding customer needs/requirements, customer issues/concerns and satisfaction, potential expansion opportunities, competitor activities/strategies, and similar information. All other duties as assigned Performs other duties as assigned Complies with all policies and standards Qualifications Education Bachelor's Degree preferred Associate's Degree with relevant sales and/or event management experience considered preferred Experience 1-3 years of direct business to business sales experience preferred Knowledge, Skills and Abilities Proven track record of sales success Thrives in a self-motivated and self-directed work environment Must have excellent analytical, planning, strategic and decision-making skills Ability to be resourceful, flexible, adaptable; possess excellent problem-solving skills Demonstrates poise and willingness to confidently engage and interact with a wide variety of audiences Must possess excellent time management and organization skills, and able to manage detailed information Skilled in persuasive communication, being able to be direct in a respectful manner Excellent ability to communicate, encompassing written, verbal, and presentation skills Ability to prepare information needed for meeting agendas, educational and motivational presentations, blood drive promotion, trainings, and analytical reports; and the ability to communicate and deliver that information effectively Licenses and Certifications A current valid driver's license and good driving record required #LI-Hybrid #LI-AB1

To effectively provide billing and collection resources to the organization. To ensure the appropriate billing and collection of all claims the management of accounts receivable and all other aspects of the organization revenue cycle. POSITION REQUIREMENTS: Minimum Education: High School Diploma or equivalent. Work Experience Required: Must be proficient with Microsoft Office Suite, PowerPoint, Excel, and Word, and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc. Minimum Work Experience Preferred: Knowledge of EPIC EHR is desirable. Knowledge of CMS 1500/UB billing preferred. Knowledge of the physician practice and hospital revenue cycle preferred. Knowledge of multiple insurance billing requirements preferred. 1-2 years of billing experience in NV Medicaid, Commercial and Managed Care billing preferred. Billing and Collection experience preferred. Knowledge of UB04 Inpatient and Outpatient Medicaid Billing in a Hospital or Healthcare setting preferred. POSITION ESSENTIAL FUNCTIONS: Billing Works with team to ensure the accurate entry of charge data to include appropriate CPT and CD - 9/10 codes. Works with physicians and other staff to ensure all encounter forms are completed at time of service and coding is accurate and representative of the patient visit. Accurately sends out bills to third party payers (electronically and via paper) daily. Ensures all electronic claims have been received on a daily basis. Work assigned Work Queues to correct errors, ensuring accurate claims and reimbursement on first claim submission. Audit denials and payment variances to determine root cause and correction as required. Auditing payment variances ensuring appropriate reimbursement. Provide specific and in depth contract knowledge to ensure maximum reimbursement of healthcare claims. Resolve credit balances by reviewing payments, adjustments or transfers correcting the patient account to reflect an accurate account receivable balance. Work with leadership and other internal departments to improve processes, increase accuracy, create efficiencies and decrease denials to achieve the overall goals of the organization. Maintain a current knowledge of CPT/HCPCS, CD, DRG, HCFA forms, ability to manipulate and analyze 837 and all other HIPAA transaction sets. Collections Accurately track and follow up on all outstanding claims from the third party providers. Utilize telephone and computer methods to track the status of each claim. Maintain a portfolio of claims that are followed up each month. Review Explanation of Benefits on a regular basis to identify denial trends. Adequately prepare denial reports and train physicians and staff on how to prevent denials through accurate coding. Contact all patients regarding outstanding balances. Work with outsourced collection agencies. Communication Answers telephones, routes callers, takes messages and provides routine information to callers. Returns Phone calls in a timely manner. Relays messages to appropriate staff members. BENEFITS: If you are scheduled to work part-time at least 20 hours per week and full-time at least 32 hours per week, you are eligible for benefits on the first day of the month following 30 days of employment. NO STATE INCOME TAX Hometown Health Medical, EyeMed Vision, Guardian Dental and Flexible Spending Account. Vanguard 401(k) with match. Employer paid Care Flight Membership for your household (full-time employees) (A Division of REMSA). Employer Paid Basic Life and AD&D insurance. Unum Supplemental Insurance (Critical Illness, Accident, Short Term & Long Term Disability). Earned Time Off, Sick Leave and Paid Holidays. Nevada 529 College Fund. Unum Employee Assistance Program. Employer paid Credit monitoring and Identity Theft Program through CyberScout. Tuition Reimbursement, Clinical Ladder* & HRSA Loan Repayment Program* (*for qualifying positions). Priority Childcare Enrollment with the Boys and Girls Club of Western NV for ages 9 months+. Paid Volunteer Hours for staff to help in the community. and More... CARSON VALLEY HEALTH IS PROUD TO BE RECOGNIZED AS A FINALIST IN THE "BEST PLACES TO WORK" - NORTHERN NEVADA, 2021, 2022, 2024 & 2025! WE LOOK FORWARD TO WELCOMING YOU TO OUR TEAM!! Mon thru Fri; 8am to 4:30pm

Full-time Description Overview of the Role The Medical Billing Specialist - DME is responsible for managing key aspects of the revenue cycle process within Quest Health Solutions. While a third-party billing company handles initial billing functions, this role focuses on escalations, oversight, and specialized tasks to ensure accurate billing, effective denial management, and smooth coordination across departments. The RCM Specialist plays a vital role in maximizing revenue, supporting compliance, and enhancing overall operational efficiency. Essential Duties and Responsibilities Accounts Receivable (AR) & Billing Handling AR tasks, including research and resolution of outstanding balances. Conduct denials report reviews. Manage write-off approvals. Handle AR tasks related to denied or delayed claims. Resupply Management Order Escalations Manage RCM intake and order escalations involving AR and billing-related issues. Medicare Appeals Oversight Review Medicare appeals prepared by the billing company for accuracy. Provide guidance and direction to the billing company on appeal content and strategy when needed. Customer Service Perform patient outreach to obtain updated information when required to resolve billing or order issues. Support patients in understanding billing-related inquiries and coordinate resolutions with internal teams. Process Improvement Identify opportunities for process improvements within the revenue cycle to enhance efficiency, accuracy, and compliance. Requirements What You'll Bring DME & Medicare Billing Expertise: Previous experience in a revenue cycle management role with a strong focus on Durable Medical Equipment (DME). In-depth knowledge of Medicare billing processes, claim requirements, and LCD (Local Coverage Determination) guidelines, with the ability to review documentation for compliance. Technical Knowledge: Familiarity with Brightree and core revenue cycle functions, including AR management, billing workflows, and denial resolution. Problem-Solving Ability: Demonstrated capacity to research, analyze, and resolve complex billing issues and denials effectively and efficiently. Communication Skills: Strong verbal and written communication skills to collaborate with internal teams, patients, physicians' offices, and insurance providers. Organizational Skills: Excellent organizational skills with the ability to manage multiple priorities, meet deadlines, and ensure timely resolution of escalations. Benefits Medical, Dental, and Vision Insurance Life Insurance coverage Paid time off and Holiday Pay 401K with company match option Growth opportunities Join a team where your work has real impact. Apply today and help transform the lives of people living with diabetes!

Medical Equipment Billing Rep (DME) General Summary/Responsibilities: The Senior Account Representative is responsible for billing services/charges to the appropriate payer, as well as validation of receipt of electronic and hard copy claims. The incumbent must also review assigned accounts receivable as well as monitor trends, payment, etc. He/she must maintain good customer service with patient or payer and interface with office staff and perform other duties as assigned. Dimensions: Responsible for billing assigned claims timely and appropriate follow up. Qualifications Education Minimum Level of Education Required: High School Completion/GEDHigh School completion / GED Additional requirements: * Type of degree: N/AN/A * Area of study or major: N/AN/A * Preferred educational qualifications: N/AN/A * Position specific testing requirement: N/AN/A Licensure/Certification/Registration: * N/AN/A Experience Minimum Level of Experience Required: No Prior- job- related work experience No prior job-related work experience Prior job title or occupational experience: N/AN/A Prior specific functional responsibilities: N/AN/A Preferred experience: 2-3 years experience in Medicare, Medicaid and third party billing procedures or equivalent is desired.2-3 years experience in Medicare, Medicaid and third party billing procedures or equivalent is desired. Other experience requirements: N/AN/A Knowledge/Skills * DME billing collection experience preferred. * Experience with medical terminology preferred. * Must have good organization skills and work well with others. * Computer skills preferred. * Must be able to work independently.

Job TitleCollections Specialist (Revenue Cycle) Job Description Your role: Working with various commercial insurnace payers to resolve claims and denials. Escalating payor issue trends for leaderships consideration along with possible solutions. Providing daily follow-up on insurance correspondence to ensure claim payments are made in a timely manner. Developing and maintaining updates for any problematic payers and assisting in identifying, evaluating and developing systems /procedures to address issues. Determining patient eligibility along with basic benefit verification (qualifying diagnoses, prior testing and authorization requirements) and reading eligibility of benefits, to determine claim processing by insurance carriers. You're the right fit if: You've acquired 2+ years of experience in Revenue Cycle Management, specifically within Collections or Reimbursement Services. Your skills include: Experience with denial management, claim follow up, overturning denials and identifying payer issue trends. Knowledge of insurnace payers, including Medicare, Medicaid, Blue Cross Blue Shield and commercial plans. You have the ability to navigate through various systems to pull information. Experience with Soarian is a plus. You have a high school diploma or GED (required). You must be able to successfully perform the following minimum Physical, Cognitive and Environmental job requirements with or without accommodation for this position. You're a strong verbal communicator with both internal/external partners How we work together We believe that we are better together than apart. For our office-based teams, this means working in-person at least 3 days per week. Onsite roles require full-time presence in the company's facilities. Field roles are most effectively done outside of the company's main facilities, generally at the customers' or suppliers' locations. This is an office role. About Philips We are a health technology company. We built our entire company around the belief that every human matters, and we won't stop until everybody everywhere has access to the quality healthcare that we all deserve. Do the work of your life to help improve the lives of others. Learn more about our business. Discover our rich and exciting history. Learn more about our purpose. Learn more about our culture. Philips Transparency Details The pay range for this position in Malvern, PA and Chicago, IL is $23.00 to $37.00 hourly. The actual base pay offered may vary within the posted ranges depending on multiple factors including job-related knowledge/skills, experience, business needs, geographical location, and internal equity. In addition, other compensation, such as an annual incentive bonus, sales commission or long-term incentives may be offered. Employees are eligible to participate in our comprehensive Philips Total Rewards benefits program, which includes a generous PTO, 401k (up to 7% match), HSA (with company contribution), stock purchase plan, education reimbursement and much more. Details about our benefits can be found here. At Philips, it is not typical for an individual to be hired at or near the top end of the range for their role and compensation decisions are dependent upon the facts and circumstances of each case. Additional Information US work authorization is a precondition of employment. The company will not consider candidates who require sponsorship for a work-authorized visa, now or in the future. Company relocation benefits will not be provided for this position. For this position, you must reside in or within commuting distance to Malvern, PA or Chicago, IL. #ConnectedCare This requisition is expected to stay active for 45 days but may close earlier if a successful candidate is selected or business necessity dictates. Interested candidates are encouraged to apply as soon as possible to ensure consideration. Philips is an Equal Employment and Opportunity Employer including Disability/Vets and maintains a drug-free workplace.