Medicare Hospice Billing & Collection Specialist
Ohio jobs
will be remote, but some in-office hours are possible.
Candidate will ideally reside in Ohio.
Looking for at least 5 years experience in hospice billing or Medicare billing and knowledge of DDE. Someone who can bill Medicare and has an understanding of room and board. This person could have hospice and/or long term care experience.
As a Hospice/Palliative Care Patient Account Specialist, you will perform daily billing and collection operations for Hospice and Palliative Care Revenue Cycle Department. The Hospice/Palliative Care Patient Account Specialists ensures that the patient accounts are handled in compliance with Interim Healthcare's policy and regulatory standards.
What we offer our Hospice/Palliative Care Patient Account Specialist:
Competitive pay and benefits
FT, 8:30 am - 5pm, M-F. Remote with some possible in office hours.
Daily Pay option available
Excited to hear more? Apply below.
Working at Interim HealthCare means a career unlike any other. With integrity at the center of all we do, we know that when we support you and your community, you'll change lives every day.
As a Hospice/Palliative Care Patient Account Specialist, you will:
Initiate and maintain complete and accurate patient billing records along with maintaining confidentiality of Interim Healthcare patient billing records to ensure regulatory compliance with state and federal laws. Identifies and implements system enhancements, as it relates to industry trends to improve overall performance and outcomes.
Accurate cash posting and balance monies received from insurance plans by the end of each month. Track and process all over-payments/under-payments to ensure collection of balances owed/received are precise and appropriate. Always maintain proper payment of all state/federal revenues to ensure the correct rates have been paid. This is a federal regulation that must be followed.
Accurately process payments to Nursing Facilities for patients with Medicaid coordinating all admissions, deaths, bed hold days, transfers, and discharges. Bills all insurance plans for denials and/or collection of payments while maintaining timely filing of all insurance plans. Maintains a positive relationship working cooperatively with nursing homes, health information department, accounts payable department and other providers to maintain quality service, quick response time and ensure accurate payments. It is important to sustain positive relationships which are crucial to developing future referrals to the organization.
Review of monthly aging for trouble spots and past due accounts along with running month-end billing process and reconciliation improve flow of cash to organization. Monitors and maintains days in AR at or below 60-90 days to ensure cash flow. This is evidenced by a monthly review of AR with a success rate of 90%. Reporting any issues to Regional Hospice/Palliative Care Revenue Cycle Manager.
To qualify for a Hospice/Palliative Care Patient Account Specialist with us:
• Associate degree (Bachelor's Degree preferred) in related field required or equivalent education, training, and experience.
• Minimum 3-5 years' experience in hospice billing or Medicare billing
• Recent experience working with popular hospice/palliative billing software.
Knowledge of DDE is a must.
At Interim HealthCare Home Care, we know that being our best is non-negotiable - that's why we treat your family like our own. We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace. From our unmatched referral response times to our focus on quality improvement, the most beautifully complicated time of your life is our life's work.
We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
#RMC
Cancer Specialist
Barberton, OH jobs
As an Advantage Care Cancer Specialist, you'll be the initial point of contact for members diagnosed with cancer. Your role involves providing emotional support, actively listening, and offering prayers as they process this difficult news. You'll walk alongside members and their families throughout their cancer journey. Additionally, you'll collaborate with various CHM departments and work closely with our nurse navigator to connect members with high-quality treatment providers at cost-effective rates.
What We Offer
Compensation based on experience.
Faith and purpose-based career opportunity!
Fully paid health benefits
Retirement and Life Insurance
12 paid holidays PLUS birthday
Lunch is provided DAILY.
Professional Development
Paid Training
Role and Responsibilities
Obtain necessary treatment details.
Assess membership level, CHM Plus, offer pertinent programs based on the membership details and the type of cancer diagnosis.
Acquire necessary documentation for a sharing determination.
Effectively communicate with the members, supervisors, team members, the nurse navigator, and various departments.
Multitask and maintain strong attention to detail.
Interact with members to understand their needs, provide information, and help throughout the sharing determination process.
Respond to member inquiries, issues, and concerns in a timely and professional manner through various communication channels, including communication with the nurse navigator, phone and/or email.
Maintain accurate and organized records of members interactions, inquiries, orders, and other relevant information in CHM's database
Collaborate with various internal teams to ensure effective communication, smooth transitions, and a seamless member experience.
Seek opportunities for process improvement, suggest enhancements to processes, and provide feedback to member experience and overall effectiveness.
Set up negotiating agreements with providers.
Bill processing of cancer related Single Case Agreements and Memorandum of Understandings.
Guide members to financial assistance program options specific to diagnosis.
Assist members to help optimize their lifetime maximum amount when limitations exist.
Qualifications
High school diploma or successful completion of a high school equivalency
Must possess excellent verbal and written communication skills to effectively interact with CHM members and team members across various channels.
Proficient PC operating routine office equipment (e.g., faxes, copy machines, printers, multi-line telephones, etc.)
Experience with medical bills preferred.
Strong analytical and problem-solving skills.
Demonstrated history of effective phone communication skills.
Obtain knowledge of CHM guidelines.
Ability to handle stressful and sensitive situations.
Knowledge of cancer related benefit programs is helpful but not required.
Note: The qualifications and responsibilities outlined above are subject to change as the needs of the organization evolve.
About Christian Healthcare Ministries
Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other's medical bills. The mission of CHM is to glorify God, show Christian love, and experience God's presence as Christians share each other's medical bills.
Accounts Payable Lead
Linden, NJ jobs
Cleanslate is actively recruiting an Accounts Payable Lead to join our team in Linden, NJ! Cleanslate is a leading provider of cleaning and hygiene solutions to the institutional, commercial, and retail markets since 2004. Our focuses include manufacturing and distribution of products as well as service and training for our customers. We strive to exceed our objectives of helping to drive greater customer satisfaction.
What We Offer:
Weekly pay
Health, Dental, Vision, and Life Insurance
401k Matching
Paid Holidays
Paid Time off
Position Summary:
We are seeking an experienced, detail-oriented Accounts Payable Lead to join our finance team in a fast-paced chemical manufacturing and service environment. This role is responsible for processing invoices, expense reports, and vendor payments accurately and efficiently, while maintaining compliance with company policies and fostering strong vendor relationships. The ideal candidate will have hands-on experience with handling bank and vendor reconciliation, accounts payable software and thrive in a collaborative, solutions-focused setting.
Key Responsibilities:
Handle bank and vendor reconciliation proactively to resolve discrepancies to maintain up-to-date accounts.
Review, verify, and process high-volume vendor invoices and credit memos, ensuring accuracy, proper coding, and approval compliance
Reconcile daily bank transactions and support month-end close processes
Perform vendor account reconciliations to ensure accurate and timely payments
Perform 3-way matching of purchase orders, receipts, and invoices for materials and services tied to manufacturing and service projects
Enter and maintain invoice data within ERP and accounts payable systems (e.g., SAP, Oracle, NetSuite, JD Edwards)
Prepare and process payments via check runs, ACH, and wire transfers in alignment with vendor payment terms.
Monitor aging reports and follow up on outstanding balances to prevent overdue payments
Respond to vendor and internal inquiries professionally and promptly, fostering positive working relationships
Collaborate with procurement, operations, and plant teams to resolve invoice or purchase order issues
Support month-end and year-end closing processes, including accruals and reporting of accounts payable data
Provide necessary documentation and support for internal and external audits
Identify and recommend process improvements to enhance efficiency and compliance within accounts payable operations
Qualifications:
Associate's or Bachelor's degree in Accounting, Finance, or related field preferred
5+ years of accounts payable experience, ideally within manufacturing or chemical industry
High level of accuracy and attention to detail in a fast-paced, high-volume environment
Proficient in Microsoft Excel and other Office applications
Excellent organizational and time management skills with the ability to prioritize and meet deadlines
Strong problem-solving skills with the ability to research and resolve discrepancies independently
Effective verbal and written communication skills for interaction with vendors and internal teams
Schedule:
M-F 9AM-5PM In office
Accounts Receivable Specialist (REMOTE)
Austin, TX jobs
Reporting to the Accounts Receivable Supervisor, this role supports the operations of the CommunityCare Revenue Cycle Management (RCM) team related to the follow up and resolution of outstanding insurance claims. Goal of the position is to follow up on, investigate and resolve claims that have been submitted to insurance for payment and to create detailed notes that provide insight into the current status of the individual claims.
Responsibilities
Essential Functions:
* Contact insurance carriers on a daily basis to follow up on/collect past due amounts on outstanding medical claims regarding denials or benefit changes.
* Maintain an accurate, up to date aging of assigned accounts including AR analysis and follow up.
* Keep educated on billing and medical policies for all payers.
* Have a working knowledge of In and Out of Network reimbursement processes/methodologies.
* Create and follow up on appeals needed to protest denials or incorrect payments.
* Review complex denials/tasks assigned by the payment posting team and resolve accordingly including reviewing refund requests, disputes and appeal as necessary.
* Work across all RCM departments to get issues related to claims payment resolved.
* Uphold and ensure compliance and attention to all company policies and procedures as well as the overall mission and values of the organization.
* Work with AR Supervisor to review/resolve open accounts as assigned.
* Perform other duties as assigned.
Knowledge, Skills and Abilities:
* High level of skill at building relationships and providing excellent customer service.
* Ability to utilize computers for data entry, research and information retrieval.
* Strong attention to detail and accuracy and multitasking.
* Must have highly developed problem-solving skills.
* Executes excellent customer service and professionalism when interacting with staff, payers, patients and families to ensure all are treated with kindness and respect.
* Through leadership and by example, ensures that services are provided in accordance with state and federal regulations, organizational policy, and accreditation/compliance requirements.
* Acts in accordance with CommUnityCare's mission and values, while serving as a role model for ethical behavior.
* Promptly identify issues and reports them to their direct supervisor.
* Maintain regular and predictable attendance.
* Acts in accordance with CommunityCare's mission and values, while serving as a role model for ethical behavior
* Manage high volumes of work and organize/maintain a schedule independently.
* Must be able to effectively monitor steps in claims processing operations.
Qualifications
Minimum Education:
* High School Diploma or GED
Minimum Experience:
* 3 years of experience managing Accounts Receivable and performing direct follow up with payers.
* 1 year experience communicating effectively, both orally and in writing, with insurance payers and internal company communications.
* 3 years working with medical terminology, ICD10, CPT, HCPCs coding and HIPAA requirements.
* 2 years of experience with data processing and analytical skills, proficiency in Excel and Microsoft Office Suite as well as medical practice management software and electronic medical records.
* 3 years of experience working with commercial, government and state insurance payers and their reimbursement policies and procedures.
* 3 years' experience working complex insurance issues, including assigning correct payer, EOB adjustments and refunds to accounts.
Auto-ApplyCollection Specialist
Frisco, TX jobs
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
Billing Coordinator - Stop Area Six
San Diego, CA jobs
.
The Specialized Treatment for Optimized Programming (STOP) Program Area Six connects California Department of Corrections and Rehabilitation inmates and parolees to comprehensive, evidence-based programming and services during their transition into the community, with priority given to those participants who are within their first year of release and who have been assessed to as a moderate to high risk to reoffend. Area Six includes San Diego, Orange, and Imperial counties. STOP subcontracts with detoxification, licensed residential treatment programs, outpatient programs, professional services, and reeentry and recovery housing throughout the program area to assist participants with reentry and recovery resources.
The Billing Coordinator is responsible for coordinating receipt of and reviewing Community Based Provider (CBP) subcontractor client data for accuracy and entering and retrieving data from/to the Automated Reentry Management System (ARMS) as needed for the purpose of reconciliation, invoicing and billing.
Key Responsibilities
Data Entry and Reconciliation Responsibilities: Review outgoing and incoming CBP subcontractor client data for accuracy. Enter data found on the verification form into the STOP database to begin the reconciliation process. When discrepancies are found, coordinate with CBPs and internal departments to resolve and reconcile the discrepancies. Ensure accuracy of all data entered.
Billing and Invoicing Responsibilities: Process STOP CBP weekly verifications by extracting from the STOP database, and possibly further verifying in the ARMS database, and forwarding to the CBPs via email (and sometimes fax) for approval. Produce the monthly billing and forward to CBPs for billing authorization and approval. Ensures accuracy of all billing and resolves any discrepancies identified. Act as liaison between Fiscal department and STOP to ensure ease of information flow. Produce invoices for other various services (i.e. transportation, links etc.).
Administrative Responsibilities: Produce monthly client and CBP related reports as needed for the California Department of Corrections and Rehabilitation (CDCR), with supervisor review and approval, using the ARMS database. Assure confidentiality of all incoming and outgoing client data. As assigned, performs other clerical tasks.
And, other duties as assigned.
Education and Knowledge, Skills and Abilities
Education and Experience Required:
High School Diploma or equivalent.
Previous work experience working with spreadsheets.
Previous work experience performing data entry.
Type 45 wpm.
Strong math skills.
Desired:
Bilingual.
AA Degree; Experience may substitute for this on a year-by-year basis.
We will consider for employment qualified applicants with arrest and conviction records.
In compliance with the California Department of Public Health's mandate, all employees must be able to provide proof of COVID-19 vaccination. Medical and religious exemptions are available.
Tag: IND100.
Auto-ApplySenior Accounts Payable Payment Specialist
Irving, TX jobs
At Caris, we understand that cancer is an ugly word-a word no one wants to hear, but one that connects us all. That's why we're not just transforming cancer care-we're changing lives.
We introduced precision medicine to the world and built an industry around the idea that every patient deserves answers as unique as their DNA. Backed by cutting-edge molecular science and AI, we ask ourselves every day:
“What would I do if this patient were my mom?”
That question drives everything we do.
But our mission doesn't stop with cancer. We're pushing the frontiers of medicine and leading a revolution in healthcare-driven by innovation, compassion, and purpose.
Join us in our mission to improve the human condition across multiple diseases. If you're passionate about meaningful work and want to be part of something bigger than yourself, Caris is where your impact begins.
Position Summary
The Senior Accounts Payable Payment Specialist is responsible for the timely and accurate processing of payments for goods and services. This role is critical in ensuring that sensitive financial information is transmitted securely and high-volume payments are processed accurately. Payment processing formats will include check, ACH, wire, and payment portals as well as internal account transfers. This position is located at the Irving, TX headquarters of Caris Life Sciences, directly reporting to the Senior Manager-Accounts Payable, and will work closely with the Finance, Accounting, and Treasury teams to produce accurate and timely transactional processing related to purchasing and financial operations. The successful candidate will utilize strong business understanding, accounts payable payment expertise, solid communication skills, and keen attention to detail to become an effective team member at every level of the organization, understanding business objectives and providing insightful accurate reporting in support of those objectives.
Job Responsibilities
Process weekly payments, utilizing check, ACH, and wire formats
Manage purchasing and credit card payments in ERP system and payment portals
Handle employee reimbursement batches and payments
Generate weekly payables aging and payment reports
Void and reissue payments as needed
Prepare wire packets with appropriate documentation and approvals
Process wire payables and payments in ERP system
Distribute and mail paper checks with required documentation
Research stale-dated checks and prepare escheatment records
Verify supplier banking information to support fraud prevention
Support internal and external audit requests
Perform ad hoc payment and research tasks as needed
Participate in special projects and initiatives within the Accounting department
Collaborate with AP, Finance, Accounting, and Treasury teams to improve processes
Ensure policies, procedures, and documentation are current and accurate
Help standardize workflows for efficiency in a growing environment
Required Qualifications
High school diploma
3+ years accounts payable experience
1+ years payment processing experience, including bank wire transfers and foreign currency transactions
Strong attention to detail and thoroughness
Strong organizational and time management skills
Excellent written and verbal communication skills
Ability to multitask, problem-solve, and meet deadlines
Proficient in Microsoft Office Suite, specifically Word, Excel, Outlook, and general working knowledge of Internet for business use
Preferred Qualifications
Associate degree in accounting or related field
Oracle software experience is a plus
CashPro experience is a plus
Physical Demands
Must possess ability to sit and/or stand for long periods of time
Must possess ability to perform repetitive motion
Training
All job specific, safety, and compliance training are assigned based on the job functions associated with this employee
Conditions of Employment: Individual must successfully complete pre-employment process, which includes criminal background check, drug screening, credit check ( applicable for certain positions) and reference verification.
This reflects management's assignment of essential functions. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.
Caris Life Sciences is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
Senior Accounts Payable Payment Specialist
Irving, TX jobs
At Caris, we understand that cancer is an ugly word-a word no one wants to hear, but one that connects us all. That's why we're not just transforming cancer care-we're changing lives.
We introduced precision medicine to the world and built an industry around the idea that every patient deserves answers as unique as their DNA. Backed by cutting-edge molecular science and AI, we ask ourselves every day:
“What would I do if this patient were my mom?”
That question drives everything we do.
But our mission doesn't stop with cancer. We're pushing the frontiers of medicine and leading a revolution in healthcare-driven by innovation, compassion, and purpose.
Join us in our mission to improve the human condition across multiple diseases. If you're passionate about meaningful work and want to be part of something bigger than yourself, Caris is where your impact begins.
Position Summary
The Senior Accounts Payable Payment Specialist is responsible for the timely and accurate processing of payments for goods and services. This role is critical in ensuring that sensitive financial information is transmitted securely and high-volume payments are processed accurately. Payment processing formats will include check, ACH, wire, and payment portals as well as internal account transfers. This position is located at the Irving, TX headquarters of Caris Life Sciences, directly reporting to the Senior Manager-Accounts Payable, and will work closely with the Finance, Accounting, and Treasury teams to produce accurate and timely transactional processing related to purchasing and financial operations. The successful candidate will utilize strong business understanding, accounts payable payment expertise, solid communication skills, and keen attention to detail to become an effective team member at every level of the organization, understanding business objectives and providing insightful accurate reporting in support of those objectives.
Job Responsibilities
Process weekly payments, utilizing check, ACH, and wire formats
Manage purchasing and credit card payments in ERP system and payment portals
Handle employee reimbursement batches and payments
Generate weekly payables aging and payment reports
Void and reissue payments as needed
Prepare wire packets with appropriate documentation and approvals
Process wire payables and payments in ERP system
Distribute and mail paper checks with required documentation
Research stale-dated checks and prepare escheatment records
Verify supplier banking information to support fraud prevention
Support internal and external audit requests
Perform ad hoc payment and research tasks as needed
Participate in special projects and initiatives within the Accounting department
Collaborate with AP, Finance, Accounting, and Treasury teams to improve processes
Ensure policies, procedures, and documentation are current and accurate
Help standardize workflows for efficiency in a growing environment
Required Qualifications
High school diploma
3+ years accounts payable experience
1+ years payment processing experience, including bank wire transfers and foreign currency transactions
Strong attention to detail and thoroughness
Strong organizational and time management skills
Excellent written and verbal communication skills
Ability to multitask, problem-solve, and meet deadlines
Proficient in Microsoft Office Suite, specifically Word, Excel, Outlook, and general working knowledge of Internet for business use
Preferred Qualifications
Associate degree in accounting or related field
Oracle software experience is a plus
CashPro experience is a plus
Physical Demands
Must possess ability to sit and/or stand for long periods of time
Must possess ability to perform repetitive motion
Training
All job specific, safety, and compliance training are assigned based on the job functions associated with this employee
Conditions of Employment: Individual must successfully complete pre-employment process, which includes criminal background check, drug screening, credit check ( applicable for certain positions) and reference verification.
This reflects management's assignment of essential functions. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.
Caris Life Sciences is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
Auto-ApplySenior Accounts Payable Payment Specialist
Irving, TX jobs
**At Caris, we understand that cancer is an ugly word-a word no one wants to hear, but one that connects us all. That's why we're not just transforming cancer care-we're changing lives.** We introduced precision medicine to the world and built an industry around the idea that every patient deserves answers as unique as their DNA. Backed by cutting-edge molecular science and AI, we ask ourselves every day: _"What would I do if this patient were my mom?"_ That question drives everything we do.
But our mission doesn't stop with cancer. We're pushing the frontiers of medicine and leading a revolution in healthcare-driven by innovation, compassion, and purpose.
**Join us in our mission to improve the human condition across multiple diseases. If you're passionate about meaningful work and want to be part of something bigger than yourself, Caris is where your impact begins.**
**Position Summary**
The Senior Accounts Payable Payment Specialist is responsible for the timely and accurate processing of payments for goods and services. This role is critical in ensuring that sensitive financial information is transmitted securely and high-volume payments are processed accurately. Payment processing formats will include check, ACH, wire, and payment portals as well as internal account transfers. This position is located at the Irving, TX headquarters of Caris Life Sciences, directly reporting to the Senior Manager-Accounts Payable, and will work closely with the Finance, Accounting, and Treasury teams to produce accurate and timely transactional processing related to purchasing and financial operations. The successful candidate will utilize strong business understanding, accounts payable payment expertise, solid communication skills, and keen attention to detail to become an effective team member at every level of the organization, understanding business objectives and providing insightful accurate reporting in support of those objectives.
**Job Responsibilities**
+ Process weekly payments, utilizing check, ACH, and wire formats
+ Manage purchasing and credit card payments in ERP system and payment portals
+ Handle employee reimbursement batches and payments
+ Generate weekly payables aging and payment reports
+ Void and reissue payments as needed
+ Prepare wire packets with appropriate documentation and approvals
+ Process wire payables and payments in ERP system
+ Distribute and mail paper checks with required documentation
+ Research stale-dated checks and prepare escheatment records
+ Verify supplier banking information to support fraud prevention
+ Support internal and external audit requests
+ Perform ad hoc payment and research tasks as needed
+ Participate in special projects and initiatives within the Accounting department
+ Collaborate with AP, Finance, Accounting, and Treasury teams to improve processes
+ Ensure policies, procedures, and documentation are current and accurate
+ Help standardize workflows for efficiency in a growing environment
**Required Qualifications**
+ High school diploma
+ 3+ years accounts payable experience
+ 1+ years payment processing experience, including bank wire transfers and foreign currency transactions
+ Strong attention to detail and thoroughness
+ Strong organizational and time management skills
+ Excellent written and verbal communication skills
+ Ability to multitask, problem-solve, and meet deadlines
+ Proficient in Microsoft Office Suite, specifically Word, Excel, Outlook, and general working knowledge of Internet for business use
**Preferred Qualifications**
+ Associate degree in accounting or related field
+ Oracle software experience is a plus
+ CashPro experience is a plus
**Physical Demands**
+ Must possess ability to sit and/or stand for long periods of time
+ Must possess ability to perform repetitive motion
**Training**
+ All job specific, safety, and compliance training are assigned based on the job functions associated with this employee
**Conditions of Employment:** Individual must successfully complete pre-employment process, which includes criminal background check, drug screening, credit check ( applicable for certain positions) and reference verification.
This reflects management's assignment of essential functions. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.
Caris Life Sciences is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
Caris Life Sciences is a leading innovator in molecular science and artificial intelligence focused on fulfilling the promise of precision medicine through quality and innovation.
Caris is committed to quality and excellence at our state-of-the-art laboratories. Learn more about our tissue lab and the advanced technologies that are helping improve the lives of cancer patients.
Homecare Billing Coordinator
Elk Grove, CA jobs
Job DescriptionBenefits:
401(k) matching
Bonus based on performance
Dental insurance
Health insurance
Paid time off
Training & development
Vision insurance
JOB OVERVIEW:
We are seeking a skilled and experienced Billing Coordinator to join our team at Your Home Assistant. As a Billing Coordinator, you will play a crucial role in completing complex activities associated with maintaining accurate and complete billing and accounts receivable records. Review appropriate reports to ensure billing data accuracy. Resolve billing discrepancies regularly. Ensure eligibility is verified regularly and accurately maintained and followed up accordingly to prevent lost revenue.
RESPONSIBILITIES:
Work within the scope of the position, in coordination with management, to meet the needs of our patients, families and professional colleagues.
Accurately enter patient/customer billing data and charge accordingly
Ensure that all potential payers have been identified, verified, and entered accurately into the computer system prior to submission of billing and within deadlines per company policies and procedures.
Ensure that insurance-related documentation is secured, completed, reviewed, accurate, and submitted per company and state requirements. This includes election, certifications, and authorization-related documentation required for billing.
Maintain tracking tools and diaries to ensure that all necessary information is secured for timely accurate payment. Alert appropriate management team members regarding late or missing documents required for billing.
Perform and ensure regular review and resolve discrepancies of accounts receivables according to Company procedures, policy, internal controls, and payer requirements.
Establish and maintain positive working relationships with patient/clients, payors, and other customers. Maintain the confidentiality of patient/client and agency information at all times.
Assure for compliance with local, state and federal laws, Medicare regulations, and established company policies and procedures, including published manuals and responsibility matrixes
Meet or exceed delivery of Company Service Standards in a consistent fashion.
Interact with all staff in a positive and motivational fashion supporting the Companys mission.
Conduct all business activities in a professional and ethical manner.
The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents will be requested to perform job-related tasks other than those stated in this description.
QUALIFICATIONS
Minimum age requirement of 18.
High School graduate or GED required.
Two years experience in healthcare data entry, preferably in homecare
Cal-Aim, Tri-west, Long Term Care Insurance experience preferred
Two-year degree in accounting or equivalent insurance/bookkeeping preferred
Strong computer skills, including Word, Excel, and PowerPoint.
Strong analytical skills, organized work habits and proven attention to detail.
Excellent communication skills, ability to work independently and in a team environment.
Good customer relation skills.
Ability, flexibility and willingness to learn and grow as the company expands and changes.
Demonstrated leadership ability to initiate duties as required.
Plan, organize, evaluate, and manage PC files and Microsoft Office.
Compliance with accepted professional standards and practices.
Ability to work within an interdisciplinary setting.
Satisfactory references from employers and/or professional peers.
Satisfactory criminal background check.
Self-directed with the ability to work with little supervision.
Flexible and cooperative in fulfilling all obligations.
Job Type: Full-time
Benefits:
401(k) matching
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance
Schedule:
8 hour shift
Day shift
Monday to Friday
Ability to Relocate:
Elk Grove, CA 95758: Relocate before starting work (Required)
Work Location: In person
Billing Coordinator
Paterson, NJ jobs
Responsible for performing a variety of billing functions to minimize accounts receivable and enhance collection. Works in a timely and courteous manner when responding to patients, physicians or insurance companies inquiries. Serves as a resource person for ALL department staff on questions regarding billing and claims issue
Work requires a High School diploma or equivalent and up to one year of basic technical training in health care billing/customer service and three to six months of previous experience plus three months or less of on the job training and orientation. Proficient knowledge of Microsoft Office preferred
St. Joseph's Health is recognized for the expertise and compassion of its highly skilled and responsive staff. The combined efforts of the organization's outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation's "100 Best Places to Work in Health Care".
Auto-ApplyAccounts Receivable Specialist I (5832)
Phoenix, AZ jobs
Terros Health is pleased to share an exciting and rewarding opportunity for an Accounts Receivable Specialist I working at our Central Avenue location in Phoenix, AZ. Reporting to the Director of Revenue Cycle, the ideal individual is flexible, compassionate, and professional. The successful individual will possess at least 1+ years medical and/or behavioral billing experience, especially in the area of account and payment reconciliation and at least 1+ years' experience with medical and/or behavioral billing experience, especially in the area of accounts and payment reconciliation.
We are a healthcare company focused on the whole person, providing primary care and specializing in mental health and substance use treatment for the last 50 years. We help people live their lives in recovery and we save lives every day.
Terros Health is a healthcare organization of caring people, guided by our core values of integrity, compassion, and empowerment. For more than four decades, the heart of everything we do is inspiring change for life. We help people manage addiction and mental illness, provide primary medical care, restore families, support our veterans, and connect individuals to the care they need.
HOPE ~ HEALTH ~ HEALING
Terros Health made the list!!
"Most Admired Companies of 2020, 2022 & 2023" as awarded by AZ Big Media
Terros Health is hiring an Accounts Receivable Specialist I at our Central Avenue location in Phoenix, AZ.
High School Diploma or GED Equivalent
1+ Years Medical and/or Behavioral Billing Experience
1+ Years' Experience with Medical Terminology and Using an Electronic Medical Record and Billing System
Full-Time, Employed
Monday-Friday, 8am-5pm
No Weekends
Accounts Receivable Specialist I Duties Include:
* Processing of electronic and paper remits, including the posting of patient portions, denials, adjustments, contractual allowance and recoupments.
* Reconciles daily reporting from multiple bank accounts to receivable accounts.
* Resolves unposted line items from electronic remittance advices (ERA's).
* Accurately posts patient and insurance payor payments to patient accounts timely, calculates and enters contractual adjustments, and patient discounts.
* Identifies and reports issues, discrepancies, and opportunities for improvement to management.
* Train and mentor teammates.
Apply with your resume at *****************************
Benefits & Wellness
* Multiple medical plans - including a no premium plan for employees and their families
* Multiple dental plans - including orthodontia
* Financial well-being - 401(k) with a company match, interest free medical line of credit, financial education, planning, and support
* 4 Weeks of paid time off in the first year
* Wellness program
* Pet Insurance
* Group life and disability insurance
* Employee Assistance Program for the Whole Family
* Personal and family mental and physical health access
* Professional growth & development - including scholarships, clinical supervision, and CEUs
* Tuition discounts with GCU and The University of Phoenix
* Working Advantage - Employee perks and discounts
* Gym memberships
* Car rentals
* Flights, hotels, movies and more
* Bilingual pay differential
Billing Coordinator
Akron, OH jobs
**REM Community Services** **,** a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person has the right to live well, and everyone deserves to have a fulfilling career. You'll join a mission-driven team and create relationships that motivate us all every day. Join us today, and experience a career well lived.
**Billing Coordinator**
**Full Time - Wage 16.75/ hourly**
**OUR MISSION AND PERFORMANCE EXPECTATIONS**
The MENTOR Network is a mission driven organization dedicated first and foremost to the children and adults we serve and support. The Network expects all employees to be mindful of this mission, and to perform their job to its fullest, and as stated in their job description.
**SUMMARY**
The Funds Specialist is a full time position and is considered nonexempt and paid hourly. The Funds Specialist is responsible for overseeing the maintenance and protection of individual funds for an assigned state or region. The Funds Specialist monitors implementation of individual fund policies and procedures, audits individuals' accounts, reviews reconciliations and reports mismanagement or abuse of individual funds. The Funds Specialist may perform Representative Payee duties and payee account transactions for the individuals served. The Funds Specialist works at the state or regional office.
**ESSENTIAL JOB FUNCTIONS**
To perform this job successfully, an individual must be able to satisfactorily perform each essential function listed below:
**Money Management Services and Bank Accounts**
+ Coordinates and manages funds in alignment with money management plans and financial transaction consents.
+ Performs Representative Payee Designee duties, as assigned.
+ Administers pre-paid bank card programs, as applicable.
+ Tracks and records deposited funds for beneficiaries and deposits payments when necessary.
+ Assists with opening irrevocable burial trusts, special needs trusts, etc. and coordinates handling of individual funds in the event of death.
+ Completes routine and end of year tax filing for applicable persons served.
**Financial Transactions, Registers, and Supporting Documentation**
+ Reviews and processes routine personal spending and special requests for funds, promptly recording on corresponding transaction registers or ledgers.
+ Maintains records of expenditures, including original receipts and signatures.
+ Makes payments on behalf of persons served, including room and board, rent, utilities, medical co-payments and others.
+ Follows policy and procedure when issuing checks from individual fund accounts.
**Account Reconciliation, Audits, and Recordkeeping**
+ Reconciles transaction registers to funds source (ledgers/etc.) at least monthly or more frequently, as applicable.
+ Reviews transaction registers to verify accuracy of transactions register balances by reviewing starting and ending balances, deposits, expenditures, cash count, and bank card or account balance verification.
+ Brings questions or inconsistencies to the primary money manager (or other party if this person is suspected) for resolution.
+ When an external party is Representative Payee, maintains records and shares them with the external Representative Payee, as indicated.
**Reporting**
+ Conducts routine reviews of account balances and, as indicated, completes high balance alert notifications and takes steps to avoid exceeding asset limits to maintain eligibility.
+ Assists with reporting combined asset and account information to benefit entities (e.g., Social Security Administration).
+ Assists with collecting and organizing documents for external audits of Representative Payee Accounts.
+ Promptly reports suspected misuse of funds or property, as required by applicable policy and procedures.
**Other**
+ Performs other related duties and activities as required.
**SUPERVISORY RESPONSIBILITIES**
+ None
**Minimum Knowledge and Skills required by the Job**
_The requirements listed below are representative of the knowledge, skill, and/or abilities required to perform the job:_
**_Education and Experience:_**
+ High school diploma/GED required Associates degree in related field preferred with account management experience preferred.
+ Proficiency in accounting, intermediate to advanced computer skills and applications preferred.
**_Certificates, Licenses, and Registrations:_**
+ Current driver's license, car registration and auto insurance if driving on the behalf of the Company.
**_Physical Requirements:_**
+ **Light work.** Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.If the use of arm and/or leg controls requires exertion of forces greater than that for sedentary work and the worker sits most of the time, the job is rated for light work.
**AMERICANS WITH DISABILITIES ACT STATEMENT**
External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job functions either unaided or with assistance of a reasonable accommodations to be determined on a case by case basis via the interactive process.
Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face.
We've made this our mission for more than 50 years. And today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve all over the U.S.
_As an equal opportunity employer, we do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, citizenship, or any other characteristic protected by law._
Billing Coordinator
Tempe, AZ jobs
What we are looking for NextCare Urgent Care is looking for a Billing Coordinator to be a part of our Urgent Care Team. Responsibilities The Billing Coordinator will be responsible for the daily billing of claims for all carriers. This position will monitor and distribute the APN reports from the clearinghouse and insurance carriers and communicate this information back to the Billing Supervisor. This position will also assist in the posting of contractual, courtesy adjustments, as well as monitoring contractual analysis reports. This position will be assist with the table maintenance of the electronic billing system and clearinghouse information flow. They will be responsible for communicating billing trends to the manager as well as patient statement processing.
How you will make an impact
The Billing Coordinator supports the organization with the following:
* Responsible for the daily billing of claims to insurance carriers based on contract requirements.
* Help train new employees with NextGen, contracts, and business office Policies and Procedures.
* Monitor and distribute the APN reports generated by the clearinghouse and insurance carriers.
* Help post contractual adjustments and transfer deductibles to patient accounts.
* Assist with claim resubmission projects when necessary.
* Assist in maintaining Navicure with Waystar.
* Assist with reviewing accounts that have partial or under payments.
* Clean out daily the clearinghouse rejections and claims with errors held in the system.
* Post adjustments to accounts based on contractual rates and deductibles.
* Review accounts to determine if billed correctly.
* Assist other members of the team as needed.
Essential Education, Experience and Skills:
Minimum Education: High School diploma or equivalent.
Experience:
* Must have two years' experience billing, collections, payment posting, and electronic and paper claims.
* Experience with Managed Care contracts, Medicare and AHCCCS.
* Basic insurance knowledge, reading patient eligibility and benefit coverage details.
* Experience with revenue cycle and reimbursement in a healthcare facility.
* Microsoft Programs, Windows, Excel, Word, and Teams.
* Internet browser knowledge (basics) for Edge or Chrome.
Valued But Not Required Education, Experience and Skills:
Experience: Medical collections experience; NextGen software experience: Previous supervision experience in the healthcare field is helpful, Waystar Clearinghouse, Payer Provider Portals, and Basic Terminology of Medical Billing Practices.
Accounts Payable Assistant, Athens-Limestone, PT-1st Shift
Athens, AL jobs
The Accounts Payable Clerk is responsible for attending to all phases of accounts payable, including keeping all accounts payable reports and files updated and answering phone inquiries relating to vendor invoices. He/She is also responsible for assisting with the telephones in the Financial Services Department.
Qualifications
Education: High School Diploma or Equivalent
Experience: Two years accounting experience preferred.
About Us
Our Mission: Be the Difference
Our Vision: Excellence Always
Our Values: Safety, Compassion, Innovation & Excellence
Benefits:
We are committed to providing competitive benefits. Our benefits package for eligible employees includes medical, dental, vision, life insurance, flexible spending; short term and long term disability; several retirement account options with 401K organization match; tuition assistance; student loan reimbursement; On-site training and education opportunities; Employee Discounts to phone providers, local restaurants, tickets to shows, apartment application and much more!
Auto-ApplyAR RESOLUTION SPECIALIST (ON-SITE) - BILLING
Post Falls, ID jobs
Northwest Specialty Hospital is seeking a detail-oriented AR Resolution Specialist to join our Billing Team! We need someone with a professional demeanor, who can work well under stress/stress situations, will provide great customer service, and can multitask!
The AR Resolution Specialist will resolve aging accounts receivable in accordance with payer regulations and department policies and procedures. This position will ensure timely follow up and resolution of billed accounts using follow up worklists. The position will require contact with the patient and or payers for information and or clarification as needed to resolve account balances. This position will need advanced knowledge of payer contracts, policies and guidelines to write and submit timely appeals. The position will require timely account notation of action taken to resolve their assigned accounts. The position will work with multiple AR systems daily.
Qualifications and Preferred Experience:
* High school diploma or equivalent required
* Proficient with hospital & clinic accounts receivable and denial resolution for various payers
* Knowledge of CPT, HCPC and ICD-10 coding
* Claims appeal and resolution experience
* Proficient with billing UB04s and HCFAs
* Meditech and Greenway experience
* Excellent communication skills; required for both written and verbal
* Analytical; ability to research, analyze and train on data and reports
* Minimum of 2 years' physician & facility billing experience
About Northwest Specialty Hospital:
Northwest Specialty Hospital is widely known for being a center of excellence and is proudly owned and operated by local physicians. The physicians have invested personally, professionally, and financially in the care of the patients and the staff. They have dedicated their lives to creating a hospital that allows them to practice on their own terms and do what's best for patients. Northwest Specialty Hospital includes 12 operating rooms and 28 inpatient beds, along with a variety of clinics and services throughout Kootenai County, that span across multiple specialties.
Northwest Specialty Hospital has earned numerous awards for patient care, surgical skills, medical care, and employee satisfaction. Northwest Specialty Hospital has been recognized as one of the Best Places to Work in the Inland Northwest for seven consecutive years!! Companies throughout Washington and Idaho were selected based on employee feedback about benefits, work environment, job satisfaction, and other factors. We continue to receive this distinguished honor based on our great company culture, patient-focused approach, and robust benefits package!
Some of our amazing perks and benefits offered to employees are:
* Company-sponsored events such as sporting events, BBQs, and holiday parties
* Comprehensive health care coverage with options for Medical, Dental, & Vision Insurance (for benefit-eligible positions)
* Tuition reimbursement
* Growth opportunities, ongoing education, training, leadership courses
* A generous 401K retirement plan
* A variety of discounts throughout the hospital and community are available to employees
* Wellness benefits offered to staff such as: weight loss challenge, access to a dietitian, and discount gym memberships
* Culture that promotes and supports work/life balance
Northwest Specialty Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.
Ar Resolution Specialist (On-Site) - Billing
Post Falls, ID jobs
Northwest Specialty Hospital is seeking a detail-oriented AR Resolution Specialist to join our Billing Team!
We need someone with a professional demeanor, who can work well under stress/stress situations, will provide great customer service, and can multitask!
The AR Resolution Specialist will resolve aging accounts receivable in accordance with payer regulations and department policies and procedures. This position will ensure timely follow up and resolution of billed accounts using follow up worklists. The position will require contact with the patient and or payers for information and or clarification as needed to resolve account balances. This position will need advanced knowledge of payer contracts, policies and guidelines to write and submit timely appeals. The position will require timely account notation of action taken to resolve their assigned accounts. The position will work with multiple AR systems daily.
Qualifications and Preferred Experience:
High school diploma or equivalent required
Proficient with hospital & clinic accounts receivable and denial resolution for various payers
Knowledge of CPT, HCPC and ICD-10 coding
Claims appeal and resolution experience
Proficient with billing UB04s and HCFAs
Meditech and Greenway experience
Excellent communication skills; required for both written and verbal
Analytical; ability to research, analyze and train on data and reports
Minimum of 2 years' physician & facility billing experience
About Northwest Specialty Hospital:
Northwest Specialty Hospital is widely known for being a center of excellence and is proudly owned and operated by local physicians. The physicians have invested personally, professionally, and financially in the care of the patients and the staff. They have dedicated their lives to creating a hospital that allows them to practice on their own terms and do what's best for patients. Northwest Specialty Hospital includes 12 operating rooms and 28 inpatient beds, along with a variety of clinics and services throughout Kootenai County, that span across multiple specialties.
Northwest Specialty Hospital has earned numerous awards for patient care, surgical skills, medical care, and employee satisfaction. Northwest Specialty Hospital has been recognized as one of the Best Places to Work in the Inland Northwest for seven consecutive years!! Companies throughout Washington and Idaho were selected based on employee feedback about benefits, work environment, job satisfaction, and other factors. We continue to receive this distinguished honor based on our great company culture, patient-focused approach, and robust benefits package!
Some of our amazing perks and benefits offered to employees are:
Company-sponsored events such as sporting events, BBQs, and holiday parties
Comprehensive health care coverage with options for Medical, Dental, & Vision Insurance (for benefit-eligible positions)
Tuition reimbursement
Growth opportunities, ongoing education, training, leadership courses
A generous 401K retirement plan
A variety of discounts throughout the hospital and community are available to employees
Wellness benefits offered to staff such as: weight loss challenge, access to a dietitian, and discount gym memberships
Culture that promotes and supports work/life balance
**Northwest Specialty Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.**
Accounts Receivable Specialist
Tempe, AZ jobs
We are seeking a highly skilled and detail-oriented Accounts Receivable Specialist to join our medical billing team. This role is critical to maintaining the organization's financial health, with a focus on timely and accurate resolution of outstanding medical claims. The ideal candidate will have a deep understanding of the medical billing lifecycle, advanced knowledge of payer guidelines, and a proven ability to reduce accounts receivable aging through proactive follow-up and denial management.
Key Responsibilities:
* Claims Management: Monitor and follow up on unpaid and denied medical claims across a variety of payers (commercial, Medicare, Medicaid, etc.) to ensure timely reimbursement.
* Denial Resolution: Research, analyze, and resolve claim denials and underpayments by identifying root causes, correcting errors, submitting appeals, or providing additional documentation as needed.
* Account Reconciliation: Reconcile accounts receivable by posting adjustments and resolving discrepancies to maintain accurate financial records.
* Trend Analysis & Reporting: Generate and analyze A/R reports to identify patterns in denials, reimbursement delays, or system inefficiencies, and recommend process improvements.
* Collaboration: Partner with billing, coding, and compliance teams to ensure claims are processed accurately and efficiently.
* Compliance: Maintain strict adherence to HIPAA regulations, payer-specific guidelines, and company policies to ensure data integrity and patient confidentiality.
Qualifications:
* Experience: Minimum of 5 years of experience in medical billing or accounts receivable with a strong emphasis on insurance claim resolution and denial management.
* Knowledge: In-depth understanding of medical billing and coding principles (CPT, ICD-10, HCPCS) and payer reimbursement methodologies.
* Technical Skills: Proficiency with medical billing software; experience with NextGen Billing strongly preferred. Waystar Clearinghouse expertise required.
* Analytical Skills: Strong ability to interpret EOBs, remittance advice, and payer correspondence to resolve complex claim issues.
* Attention to Detail: Exceptional accuracy in data entry, financial reconciliation, and documentation.
* Communication Skills: Effective written and verbal communication skills to interact with payers, internal teams, and external stakeholders in a professional manner.
Work Location:
For candidates residing in Arizona, this is a hybrid position requiring a combination of remote and in-office work.
Insurance Collections Specialist
Cincinnati, OH jobs
Gastro Health is seeking a Full-Time Insurance Collections Specialist to join our team!
Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours.
This role offers:
A great work/life balance
No weekends or evenings - Monday thru Friday
Paid holidays and paid time off
Rapidily growing team with opportunities for advancement
Competitive compensation
Benefits package
Duties you will be responsible for:
Provides Liaison between the providers of health care services, the patient, or other responsible persons, and revenue sources, to ensure the correctness of charges, a current record of all transactions, and account resolution
Maintains active communications with insurance carriers and third-party carriers until account is paid.
Negotiates payment of current and past due accounts by direct telephone and written correspondence.
Updates patient account information
Monitors and identifies payer denial trends and problem accounts; communicates patterns to supervisor.
Runs a monthly aging report based on DOS and current A/R to identify accounts that require follow up.
Manage all assigned worklist on a daily basis for assigned insurances.
Utilize collection techniques to resolve accounts according to company's policies and procedures.
Report any coding related denial to the Coding Specialist.
Performs other duties including but limited to faxing information as required, generating retroactive authorization requests, and verifying medical eligibility.
Conducts necessary research to ensure proper reimbursement of claims.
Assist with special projects assigned by Billing Manager or Supervisor
Minimum Requirements
High school diploma or GED equivalent.
At least 2 years' experience in insurance collections.
Knowledge of medical terminology utilized in medical collections and billing (CPT, ICD-10, HCPCS)
Knowledge with letters of appeal.
Intermediate experience with Microsoft Excel and Office products is required.
Experience with HMO, PPO, and Medicare insurances.
Must be able to read, interpret, and apply regulations, policies and procedures
We offer a comprehensive benefits package to our eligible employees:
Medical
Dental
Vision
Spending Accounts
Life / AD&D
Disability
Accident
Critical Illness
Hospital Indemnity
Legal
Identity Theft
Pet
401(k) retirement plan with Non-Elective Safe Harbor employer contribution for eligible employees
Discretionary profit-sharing with employer contributions of 0% - 4% for eligible employees
Additionally, Gastro Health participates in a program called Tickets at Work that provides discounts on concerts, travel, movies, and more.
Interested in learning more? Click here to learn more about the location.
Gastro Health is the one of the largest gastroenterology multi-specialty groups in the United States, with over 130+ locations throughout the country. Our team is composed of the finest gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals. We are always looking for individuals that share our mission to provide outstanding medical care and an exceptional healthcare experience. We offer a comprehensive benefits package to our eligible employees.
Gastro Health is proud to be an Equal Opportunity Employer. We do not discriminate based on race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
We thank you for your interest in joining our growing Gastro Health team!
CLN Collections Specialist, Part Time, Days
Decatur, AL jobs
Responsible for the collection of patient account balances. TYPICAL PHYSICAL DEMANDS: Requires sitting for long periods of time; also stooping, bending and stretching for files and supplies. Occasionally lifting files or paper weighing up to 50 pounds. Requires manual dexterity sufficient to operate a
keyboard, operate a calculator, telephone, copier and such other office equipment as necessary. Vision
must be correctable to 20/20 and hearing must be in the normal range for telephone contacts. It is
necessary to view and type on computer screens for long periods and to work in an environment which
can be very stressful. TYPICAL WORKING CONDITIONS: Work is performed in an office environment.
Involves frequent contact with patients, physicians and staff. Contact may involve dealing with angry or
upset people. Work may be stressful at times. Evening and Weekend work may be required.
Responsibilities
• Identifies delinquent accounts, aging period and payment sources.
• Reviews each account by computer, reports and other information sources.
• Performs collection actions including contacting patients by statement, telephone and letter for all
current accounts as well as old company accounts.
• Evaluates patient financial status and establishes budget payment plans.
• Reviews accounts for possible assignment to collection agency, makes recommendations to
Controller and prepares information for collection agency.
• Identifies and resolves patient billing complaints.
• Researches guarantor credit balances.
• Assists in answering telephone, routing calls and providing requested information as needed.
• Regularly reviews and acts on deceased and no statement accounts per office policy.
• Assists in care and maintenance of department equipment.
• Participates in educational activities and attends required meetings.
• Maintains strictest confidentiality.
• Performs related work as required.
Qualifications
Education Required
• High School Diploma or GED required.
Education Preferred
License, Certification and/or Registration
Experience
• One year of collection experience.
Additional Skills/Abilities
• Requires knowledge of medical billing/collection practices.
• Knowledge of basic medical coding.
• Knowledge of insurance agency operating procedures and practices.
• Knowledge of governmental legal and regulatory provisions related to collection activities.
• Skill with computer applications and use of calculator.
• Ability in establishing and maintaining effective working relationships with co-workers,
supervisors, and the public.
• Ability to communicate clearly.
• Ability to work independently.
• Knowledge of the organizations policies and procedures.
• Ability to maintain confidentiality of sensitive information.
• Upholds effective work habits including, but not limited to, regular attendance, teamwork, initiative,
dependability, and promptness.
• Some medical insurance background preferred.
Auto-Apply