Account Representative jobs at SSM Health

Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Summary: Responsible for maintenance of accurate billing records of complex customer and/or patient accounts, process payments and adjustments, and communicate with customers to answer questions or provide information. Does this position require Patient Care? No Essential Functions: Interact with internal and external customers to gather support data to ensure billing accuracy and work through billing discrepancies * Addresses issues of a more complex nature and support junior staff by answering day to day questions * Process payments and maintain up-to-date billing records * Reprocessing insurance denials and submitting all necessary documentation for payment * Maintain accurate billing records and files * Collaborate with other departments to resolve billing and payment issues * May prepare monthly and quarterly billing reports for management review Qualifications Education High School Diploma or Equivalent required Experience in billing, finance or collections 2-3 years required Knowledge, Skills and Abilities * Strong attention to detail. * Excellent interpersonal, written and verbal communication skills. * Proficient in Microsoft Office Excel and other relevant billing software. * Ability to prioritize and manage multiple tasks simultaneously. * Ability to work independently and as part of a team. * Ability to work in a fast-paced environment. Additional Job Details (if applicable) Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $19.42 - $27.74/Hourly Grade 3 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Summary: Responsible for maintenance of accurate billing records of complex customer and/or patient accounts, process payments and adjustments, and communicate with customers to answer questions or provide information. Does this position require Patient Care? No Essential Functions: Interact with internal and external customers to gather support data to ensure billing accuracy and work through billing discrepancies -Addresses issues of a more complex nature and support junior staff by answering day to day questions -Process payments and maintain up-to-date billing records -Reprocessing insurance denials and submitting all necessary documentation for payment -Maintain accurate billing records and files -Collaborate with other departments to resolve billing and payment issues -May prepare monthly and quarterly billing reports for management review Qualifications Education High School Diploma or Equivalent required Experience in billing, finance or collections 2-3 years required Knowledge, Skills and Abilities - Strong attention to detail. - Excellent interpersonal, written and verbal communication skills. - Proficient in Microsoft Office Excel and other relevant billing software. - Ability to prioritize and manage multiple tasks simultaneously. - Ability to work independently and as part of a team. - Ability to work in a fast-paced environment. Additional Job Details (if applicable) Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $19.42 - $27.74/Hourly Grade 3 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

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 healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we 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 affirmative action/equal opportunity employer 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. If we offer you a job, we will perform a background check that includes a review of any criminal convictions. A conviction does not disqualify you from employment at Northwestern Medicine. We consider this on a case-by-case basis and follow all state and federal guidelines. 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.

Job Description Aeroflow Health - Billing Representative - Urology - Fully Remote Opportunity Aeroflow Health is taking the home health products and equipment industry by storm. We have created a better way of doing business that prioritizes our customers, our community, and our coworkers. Aeroflow believes in career building. That is why we promote from within and reward individuals who have invested their time and talent in us. Whether you are looking for a place from which to launch your career - or a stable, ethical company in which to advance you will not find an organization better equipped to help you meet your professional goals than Aeroflow Health. The Opportunity Within Aeroflow, there are 4 main divisions: Urology, Diabetes, Mom & Baby, & Sleep. Each division specializes in a specific set of medical supplies aimed to treat a medical diagnosis or the symptoms of that diagnosis. Aeroflow Urology focuses on incontinence products such as diapers, underpads, and catheter supplies Supplies are shipped directly to more than 100,000+ patients a month across the nation who have medical insurance and a urinary incontinence diagnosis Aeroflow Urology is a leader in the incontinence industry. With a focus on outstanding customer service, Urology has maintained a 4.9 out of 5 star average on over 7000+ Google reviews The Urology Billing team specifically addresses denied claims that are sent to insurance for payment, provides medical documentation to insurance carriers, addresses insurance audits, and so much more Your Primary Responsibilities We are currently seeking a Urology Billing Representative. The duties and responsibilities for this role include: Performing analytical work of denied claims Research insurance payer requirements Solving problems and finding innovative solutions Ability to prioritize multiple responsibilities Making and receiving calls with a professional demeanor Understanding reimbursement policies Comfort with technology Monitor reports to identify trends, concerns, and/or areas of improvement Discuss findings with the potential of reporting up to management Employee has an individual responsibility for knowledge of and compliance with laws, regulations, and policies. Compliance is a condition of employment and is considered an element of job performance Maintain HIPAA/patient confidentiality Regular and reliable attendance as assigned by your schedule Other job duties assigned Required Qualifications: 2 years recent work history Desired Qualifications: Bachelor's degree from accredited university (any field) Prior work experience in healthcare or health insurance What we look for We are looking for a highly motivated, talented individual with the following qualities: Detail oriented & critical thinker Excellent customer service skills High level of organization Strong decision maker Strong communicator Flexible and adaptable Empathetic, compassionate, inclusive What to expect in the first 30 - 60 days: First 30 days you will be training on: 4 major internal programs Basic & complex strategies for resolving a insurance claim denial Key metrics & KPI's Compliance rules & regulations Training is a combination of modules + one on one with supervisors and billers After 30-45 days, you will be responsible for working an assigned billing report independently, answering phone calls independently, as well as the attending and contributing to the following meetings: Frequent one on one prioritization and Q&A sessions with supervisor Weekly all team meetings with all Urology Billing members Bi-monthly meetings with relevant support teams as needed Expect about 25% of your time to be spent collaborating; 75% of time to be spent working independently What Aeroflow Offers Competitive Pay, Health Plans with FSA or HSA options, Dental, and Vision Insurance, Optional Life Insurance, 401K with Company Match, 12 weeks of parental leave for birthing parent/ 4 weeks leave for non-birthing parent(s), Additional Parental benefits to include fertility stipends, free diapers, breast pump, Paid Holidays, PTO Accrual from day one, Employee Assistance Programs and SO MUCH MORE!! Here at Aeroflow, we are proud of our commitment to all of our employees. Aeroflow Health has been recognized both locally and nationally for the following achievements: Family Forward Certified Great Place to Work Certified 5000 Best Place to Work award winner HME Excellence Award Sky High Growth Award If you've been looking for an opportunity that will allow you to make an impact, and an organization with unlimited growth potential, we want to hear from you! Aeroflow Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

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 **This is a Part Time position at 20 hours per located at the Grayslake Medical Office Building and the work schedule is flexible. Medical Billing Specialist Certification and/or Medical Coding Specialist certification is preferred along with EPIC/MOSAIQ knowledge is preferred.** 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. 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. Perform daily systematic review of accounts receivable to ensure all accounts ready to be worked are completed. 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. Daily charge reconciliation for professional and technical charges in radiation oncology. 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. 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.

It's the people that make the difference. Are you ready to make your impact? Midwest Orthopaedics at Rush is nationally recognized as a leader in comprehensive orthopedic services. The Orthopedic Program at Rush University Medical Center is ranked Top 10 in Orthopedics by U.S. News and World Report. Founded in 2003, MOR is comprised of internationally renowned Orthopedic and Spine surgeons who pioneer the latest advances in technology and surgical techniques to improve the lives and activity levels of patients around the world. MOR doctors are the official team physicians for the Chicago White Sox, Chicago Bulls, Chicago Fire Soccer Club and DePaul University Athletics. Ready to join? We are looking for a Collections Specialist, Patient Financial Services to join our team. The position will be based at the corporate office located in Westchester, IL near Oak Brook. This is a work from home position; however, the candidate must be flexible to train onsite. As a Collections Specialist, Patient Financial Services you must possess strong communication, attention to detail and collaboration with all parties involved. Essential Duties and Responsibilities include the following. Other duties may be assigned. Answer incoming calls into call center and assist patients/insurance companies with account questions in a courteous and timely manner. Ensure patient/insurance companies understand the billing statements and processes to provide the highest level of customer care. Facilitate follow-up communications with insurance companies and patients regarding claim/payment status through practice management system and reporting tools. Document all actions and maintain a permanent record of patient accounts to ensure a sufficient audit trail Review and adjust balances according to fee schedules and management/MD requests, able to verify that claims have processed correctly by the insurance plan. Research and obtain necessary documentation for insurance companies to process outstanding claims. Identify denials and appeal with proper documentation within a timely manner to secure payment. Answers patients' questions regarding statements and insurance coverage. Telephones or emails insurance carriers, adjusters and/or third-party companies to resolve unpaid balances. Responds and handles attorney requests for bills as well as any questions regarding balances. Also negotiates settlements as cases close. Any other duties as assigned. Education and/or Experience High school diploma or general education degree (GED) Minimum of 2+ years of accounts receivable/collection experience in Workers Compensation; preferably in an Orthopedic practice. Experience dealing with attorneys is a plus. What's in it for you? MOR offers their employees a comprehensive compensation and benefits package. Pay Rate: $19.00 - $23.00 per hour. Compensation at MOR is determined by many factors, which may include but are not limited to, job-related skills and level of experience, education, certifications, geographic location, market data and internal equity. Base pay is only a portion of the total rewards package. Medical, Dental and Vision Insurance. Paid Time Off and Paid Holidays. Company-paid life and long-term disability insurance. Voluntary life, AD&D, and short-term disability insurance. Critical Illness and Accident Insurance. 401(k) Savings Plan. 401(k) Employer Contribution. Pet Insurance. Commuter Benefits. Employee Assistance Program (EAP). Tax-Advantaged Accounts (FSA, HSA, Dependent Care FSA). HSA Employer Contribution (when enrolled in a HDHP). Tuition Reimbursement. Excellent working relationship with prestigious group of physicians in Orthopedics in the US and #1 in Illinois and Indiana. Our employees make the difference in our patients' lives, and we value their contributions. Midwest Orthopaedics at Rush offers a comprehensive compensation and benefits package and an opportunity to grow and develop your career with an industry leader. Come see what we're all about. Equal Opportunity Employer.

Full-time Description Soleo Health is seeking a Collection Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Home infusion therapy experience required. Soleo Health Perks: Competitive Wages Flexible schedules 401(k) with a match Referral Bonus Annual Merit Based Increases No Weekends or Holidays! Affordable Medical, Dental, and Vision Insurance Plans Company Paid Disability and Basic Life Insurance HSA and FSA (including dependent care) options Paid Time Off! Education Assistant Program The Position: The Collection Specialist is responsible for a broad range of collection processes related to medical accounts receivable in support of multiple site locations. The Collections Specialist will proactively work assigned accounts to maximize accurate and timely payment. Responsibilities include: Researches all balances on the accounts receivable and takes necessary collection actions to resolve in a timely manner Researches assigned correspondence; takes necessary action to resolve requests Routinely reviews and works correspondence folder requests in a timely manner Makes routine collection calls on outstanding claims Identifies billing errors, short payments, unpaid claims, cash application issues and resolves accordingly Ability to identify potential risk, write offs and status appropriately and report and escalate to management on as identified Researches refund requests received by payers and statuses refund according to findings Documents detailed notes in a clear and concise fashion in Company software system Identifies issues/trends and escalates to Manager when assistance is needed Provides exceptional Customer Service to internal and external customers Ensures compliance with federal, state, and local governments, third party contracts, and company policies Must be able to communicate well with branch, management, patients and insurance carriers Ability to perform account analysis when needed Answering phones/taking patient calls regarding balance questions Using portals and other electronic tools Ensure claims are on file after initial submission Identifies, escalates, and prepares potential payor projects to management and company Liaisons Write detailed appeals with supporting documentation Keep abreast of payor follow up/appeal deadlines Submits secondary claims Schedule: M-F 830am-5pm Requirements Previous Home Infusion and Specialty Pharmacy experience required 1-3 years or more of strong collections experience High school diploma or equivalent; an associate degree in finance, accounting, or a related field is preferred Knowledge of HCPC coding and medical terminology CPR+ systems experience preferred Excellent math and writing skills Excellent interpersonal, communication and organizational skills Ability to prioritize, problem solve and multitask Word, Excel and Outlook experience About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo's Core Values: Improve patients' lives every day Be passionate in everything you do Encourage unlimited ideas and creative thinking Make decisions as if you own the company Do the right thing Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keyword: accounts receivable, collection, specialty pharmacy, now hiring, hiring immediately Salary Description $19-$23 Per Hour

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.

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.

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.

Job Description We are Gateway Regional Medical Center Our mission is to provide compassionate, high-quality healthcare services to our community, promoting wellness and healing through innovative treatments, advanced technology, and a dedicated team of professionals. We are committed to fostering a culture of respect, integrity, and excellence, ensuring that every patient receives personalized care in a safe and nurturing environment. Together, we strive to enhance the health and well-being of those we serve and to be a trusted partner in their journey to better health. Position Overview: Billing Specialists are responsible for reviewing and contacting patients for prior balances. Review insurance eligibility to make sure claims are sent to the appropriate payer. Monitoring outstanding accounts and reviewing for accuracy and completeness. Completed timely and accurate billing for designated payer class ensuring all claims are submitted within the two day benchmark of receipt. Monitors outstanding accounts and works denied claims. Completes Refunds. Understands edits and reports. Receives and answers billing related inquiries. Completes other tasks as assigned by Manager. Specifics: -Position: Billing Specialist -Department: Business Office -Location: Gateway Regional Medical Center 2100 Madison Ave. Granite City, IL 62040 * Not Remote* -Position Status: Full-time -Work Schedule: Days, 40hrs/wk Monday-Friday Education Qualifications: Required: High School Graduate or equivalent Experience Qualifications: Minimum 2-years Medicaid billing experience in an acute care facility Working knowledge of Common Procedural Terminology (CPT) and ICD10 Codes Working knowledge of Federal, State, and Commercial billing guidelines Ability to handle multiple tasks simultaneously and concentrate in a busy environment Ability to use common computer system and business software Company Benefits: Competitive salary and performance-based incentives Comprehensive health, dental, and vision insurance plans. Click Benefits Guide to see all available Retirement savings plan with employer matching Vacation time and holiday pay Shift differentials Supportive and inclusive work environment Pay Range: The pay range for this position is $16.20 - 24.30 per hour. Disclaimer: Pay is determined based on various factors, including education level, years of experience, relevant certifications, and specific skills related to the position. The final compensation package will be discussed with Human Resources to ensure fairness and alignment with the candidate's qualifications.

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!!

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

General Information: Job title: Collection Specialist Schedule: Full-time, 80 hours per pay period; scheduled between 8:00am and 7:00pm Weekend Requirement: No weekends Holiday Requirement: No holidays As a Collections Specialist you will work with patients and family members to secure payment for all Self-pay balances including deductibles, copays and coinsurance amounts applied by insurance carriers. You will also update patient demographic information and necessary insurance information needed to comply with billing requirements, and work with Bad Debt Collection Agencies to ensure timely and accurate accounting of balances. You will provide exceptional customer service while ensuring compliance with legal and regulatory guidelines. Your efforts will directly support timely revenue recovery and positive customer experiences. Position Responsibilities: Outbound Collections: Make outbound calls to individuals or representatives of estates to collect outstanding debts, particularly those involving deceased accounts, in accordance with company policies and legal requirements. Account Management: Maintain and regularly review a personal queue of assigned accounts, performing timely follow-ups, reviewing account statuses, and updating customer records. Negotiation & Payment Arrangements: Conduct professional and empathetic conversations to establish payment plans with firm deadlines; negotiate repayment options to meet collection goals. Customer Service & Issue Resolution: Provide excellent customer service by addressing inquiries, resolving billing disputes, and offering appropriate payment solutions. Estate & Probate Handling: Conduct fact-finding to locate estate information and identify potential sources of payment; review and manage probate cases and attend court proceedings as necessary. Collaboration & Reporting: Work with external collection agencies to coordinate the transfer of accounts to bad debt and ensure timely follow-up; maintain accurate documentation of all collection efforts and financial statuses. Compliance: Adhere to all applicable legal and regulatory requirements governing debt collection practices, including those specific to deceased debt and probate. General Support: Assist patients or customers with billing questions and perform other duties as assigned. Position Requirements: High school diploma or equivalent required. Associate Degree or equivalent business experience preferred. 3+ years of related work experience required. Experience working in the medical industry preferred. Exceptional accuracy and attention to detail required. Knowledge, Skills, & Abilities Intermediate proficiency with computers is required. Experience with billing/collections required. Knowledge of electronic medical records systems, healthcare portals, and collections software. Must have exceptional customer service skills. Self-starter with excellent interpersonal communication and problem-solving skills. Why Mile Bluff Medical Center? Mile Bluff Medical Center is a place where people come first. Our team is comprised of caring, patient-centered professionals serving pediatric through geriatric populations in our rural community. Our not-for-profit organization prides itself on providing state-of-the-art healthcare services, a positive work environment, and a team where employees feel valued and supported. Mile Bluff is an independent organization that offers competitive wages, great benefits and the opportunity for growth. Mile Bluff makes decisions for its employees and patients locally without relying on a large health system in another community. Mauston Location Description With a population of 4,500, Mauston maintains a small town feel while being surrounded by unique recreational and cultural experiences. Located on the Lemonweir River and next door to Wisconsin's second and fourth largest lakes, Petenwell and Castle Rock Lake, our community finds you surrounded by natural wonder, wildlife and a rich variety of outdoor recreation. Mauston is centrally located in southwestern Wisconsin on Interstate 90-94, approximately 73 miles to Madison, 140 miles to Milwaukee, and 215 miles to each Chicago and Minneapolis.

Provides extraordinary care to our customers through friendly, courteous, and professional service through a broad understanding of account handling processes, extraordinary interpersonal skills, and the ability to resolve complex issues in a timely and accurate manner. **Essential Functions** + Identifies appropriate payment details and saves back-up as appropriate. + Researches, validates and makes adjustments to payment postings. Follows up in accordance with procedures and policies with an overall goal of account resolution. + Utilize resources to find payment documentation- Interpret payer contracts to ensure all codes on patient's account match contracts. + Initiates payer recoupments, payer refunds, and patients refunds where applicable. Follows up in accordance with procedures and policies with an overall goal of account resolution. + Abel to navigate various payer claim portals and understand payer functionality. + Interacting with others by effectively communicating both orally and in writing. + Operate computers and other office equipment, as well as various computer software's. + See and read computer monitors and documents in English. + Train new and existing associates. **Skills** + Recognizing true overpayments from false credits + Advanced knowledge of revenue cycle and health insurance payers + Reading and Understanding Payer Contracts + Advanced knowledge of Coordination of Benefits + Advanced knowledge of reading EOB + Accurately identifying trends not limited to payer behavior, system or workflow issues, and escalating in a timely manner + Advanced knowledge of Medical Terminology + Payment Handling + Effective written and verbal communication + Assist Leadership with mentoring peers as well as new hires. + Computer Literacy + Time Management + HIPAA Regulations **Physical Requirements:** **Qualifications** + High School Diploma or equivalent (GED) required + One (1) years of experience in hospital or physician back-end revenue cycle (Payment Posting, Billing, Follow-Up) required + Knowledge of Medicaid and Medicare billing regulations required + Two (2) years of experience in hospital or physician insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections) preferred **Physical Requirements** + Operate computers and other office equipment requiring the ability to move fingers and hands. + Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment. + May require lifting and transporting objects and office supplies, bending, kneeling and reaching. **Location:** Peaks Regional Office **Work City:** Broomfield **Work State:** Colorado **Scheduled Weekly Hours:** 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $18.81 - $27.45 We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here (***************************************************** . Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process. All positions subject to close without notice.

Provides extraordinary care to our customers through friendly, courteous, and professional service through a broad understanding of account handling processes, extraordinary interpersonal skills, and the ability to resolve complex issues in a timely and accurate manner. **Essential Functions** + Identifies appropriate payment details and saves back-up as appropriate. + Researches, validates and makes adjustments to payment postings. Follows up in accordance with procedures and policies with an overall goal of account resolution. + Utilize resources to find payment documentation- Interpret payer contracts to ensure all codes on patient's account match contracts. + Initiates payer recoupments, payer refunds, and patients refunds where applicable. Follows up in accordance with procedures and policies with an overall goal of account resolution. + Abel to navigate various payer claim portals and understand payer functionality. + Interacting with others by effectively communicating both orally and in writing. + Operate computers and other office equipment, as well as various computer software's. + See and read computer monitors and documents in English. + Train new and existing associates. **Skills** + Recognizing true overpayments from false credits + Advanced knowledge of revenue cycle and health insurance payers + Reading and Understanding Payer Contracts + Advanced knowledge of Coordination of Benefits + Advanced knowledge of reading EOB + Accurately identifying trends not limited to payer behavior, system or workflow issues, and escalating in a timely manner + Advanced knowledge of Medical Terminology + Payment Handling + Effective written and verbal communication + Assist Leadership with mentoring peers as well as new hires. + Computer Literacy + Time Management + HIPAA Regulations **Physical Requirements:** **Qualifications** + High School Diploma or equivalent (GED) required + One (1) years of experience in hospital or physician back-end revenue cycle (Payment Posting, Billing, Follow-Up) required + Knowledge of Medicaid and Medicare billing regulations required + Two (2) years of experience in hospital or physician insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections) preferred **Physical Requirements** + Operate computers and other office equipment requiring the ability to move fingers and hands. + Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment. + May require lifting and transporting objects and office supplies, bending, kneeling and reaching. **Location:** Peaks Regional Office **Work City:** Broomfield **Work State:** Colorado **Scheduled Weekly Hours:** 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $18.81 - $27.45 We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here (***************************************************** . Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process. All positions subject to close without notice.

Provides extraordinary care to our customers through friendly, courteous, and professional service through a broad understanding of account handling processes, extraordinary interpersonal skills, and the ability to resolve complex issues in a timely and accurate manner. **Essential Functions** + Identifies appropriate payment details and saves back-up as appropriate. + Researches, validates and makes adjustments to payment postings. Follows up in accordance with procedures and policies with an overall goal of account resolution. + Utilize resources to find payment documentation- Interpret payer contracts to ensure all codes on patient's account match contracts. + Initiates payer recoupments, payer refunds, and patients refunds where applicable. Follows up in accordance with procedures and policies with an overall goal of account resolution. + Abel to navigate various payer claim portals and understand payer functionality. + Interacting with others by effectively communicating both orally and in writing. + Operate computers and other office equipment, as well as various computer software's. + See and read computer monitors and documents in English. + Train new and existing associates. **Skills** + Recognizing true overpayments from false credits + Advanced knowledge of revenue cycle and health insurance payers + Reading and Understanding Payer Contracts + Advanced knowledge of Coordination of Benefits + Advanced knowledge of reading EOB + Accurately identifying trends not limited to payer behavior, system or workflow issues, and escalating in a timely manner + Advanced knowledge of Medical Terminology + Payment Handling + Effective written and verbal communication + Assist Leadership with mentoring peers as well as new hires. + Computer Literacy + Time Management + HIPAA Regulations **Physical Requirements:** **Qualifications** + High School Diploma or equivalent (GED) required + One (1) years of experience in hospital or physician back-end revenue cycle (Payment Posting, Billing, Follow-Up) required + Knowledge of Medicaid and Medicare billing regulations required + Two (2) years of experience in hospital or physician insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections) preferred **Physical Requirements** + Operate computers and other office equipment requiring the ability to move fingers and hands. + Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment. + May require lifting and transporting objects and office supplies, bending, kneeling and reaching. **Location:** Peaks Regional Office **Work City:** Broomfield **Work State:** Colorado **Scheduled Weekly Hours:** 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $18.81 - $27.45 We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here (***************************************************** . Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process. All positions subject to close without notice.

Provides extraordinary care to our customers through friendly, courteous, and professional service through a broad understanding of account handling processes, extraordinary interpersonal skills, and the ability to resolve complex issues in a timely and accurate manner. **Essential Functions** + Identifies appropriate payment details and saves back-up as appropriate. + Researches, validates and makes adjustments to payment postings. Follows up in accordance with procedures and policies with an overall goal of account resolution. + Utilize resources to find payment documentation- Interpret payer contracts to ensure all codes on patient's account match contracts. + Initiates payer recoupments, payer refunds, and patients refunds where applicable. Follows up in accordance with procedures and policies with an overall goal of account resolution. + Abel to navigate various payer claim portals and understand payer functionality. + Interacting with others by effectively communicating both orally and in writing. + Operate computers and other office equipment, as well as various computer software's. + See and read computer monitors and documents in English. + Train new and existing associates. **Skills** + Recognizing true overpayments from false credits + Advanced knowledge of revenue cycle and health insurance payers + Reading and Understanding Payer Contracts + Advanced knowledge of Coordination of Benefits + Advanced knowledge of reading EOB + Accurately identifying trends not limited to payer behavior, system or workflow issues, and escalating in a timely manner + Advanced knowledge of Medical Terminology + Payment Handling + Effective written and verbal communication + Assist Leadership with mentoring peers as well as new hires. + Computer Literacy + Time Management + HIPAA Regulations **Physical Requirements:** **Qualifications** + High School Diploma or equivalent (GED) required + One (1) years of experience in hospital or physician back-end revenue cycle (Payment Posting, Billing, Follow-Up) required + Knowledge of Medicaid and Medicare billing regulations required + Two (2) years of experience in hospital or physician insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections) preferred **Physical Requirements** + Operate computers and other office equipment requiring the ability to move fingers and hands. + Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment. + May require lifting and transporting objects and office supplies, bending, kneeling and reaching. **Location:** Peaks Regional Office **Work City:** Broomfield **Work State:** Colorado **Scheduled Weekly Hours:** 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $18.81 - $27.45 We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here (***************************************************** . Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process. All positions subject to close without notice.