Billing Representative jobs at SCA Health - 8986 jobs

This role plays a key part in ensuring maternity care bills are processed accurately and members receive timely support during an important season of life. The specialist serves as a detail-oriented professional who upholds CHM's commitment to excellence, compassion, and integrity. 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 ESSENTIAL JOB FUNCTIONS Compile, verify, and organize information according to priorities to prepare data for entry Check for duplicate records before processing Accurately enter medical billing information into the company's software system Research and correct documents submitted with incomplete or inaccurate details Verify member information such as enrollment date, participation level, coverage status, and date of service before processing medical bills Review data for accuracy and completeness Uphold the values and culture of the organization Follow company policies, procedures, and guidelines Verify eligibility in accordance with established policies and definitions Identify and escalate concerns to leadership as appropriate Maintain daily productivity standards Demonstrate eagerness and initiative to learn and take on a variety of tasks Support the overall mission and culture of the organization Perform other duties as assigned by management SKILLS & COMPETENCIES Core strengths like problem-solving, attention to detail, adaptability, collaboration, and time management. Soft skills such as empathy (especially important in maternity care), professionalism, and being able to handle sensitive information with care. EXPERIENCE REQUIREMENTS Required: High school diploma or passage of a high school equivalency exam Medical background preferred but not required. Capacity to maintain confidentiality. Ability to recognize, research and maintain accuracy. Excellent communication skills both written and verbal. Able to operate a PC, including working with information systems/applications. Previous experience with Microsoft Office programs (I.e., Outlook, Word, Excel & Access) Experience operating routine office equipment (i.e., faxes, copy machines, printers, multi-line telephones, etc.) 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.

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

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

Requisition #: 7401 # of openings: 1 Employment Type: Full time Permanent Category: Non-Bargaining Workplace Arrangement: Hybrid Fund: 1199SEIU National Benefit Fund Job Classification: Non-Exempt Responsibilities • Assist and educate 1199SEIU members and providers with out-of-network fees and out of pocket expenses on the contracts and benefits of using the Funds network • Negotiate and resolve large volume of balance billing inquires fees and discounts for members with non-participating providers via telephone and written correspondence; maintain ongoing communication with providers, members, attorneys, or collection agencies to resolve balance billing/fee negotiation inquiries • Proactively negotiate claims impacted by the No Surprises Act (NSA), focusing on resolving disputes with out-of-network providers to avoid escalation to Independent Dispute Resolution (IDR). This includes leveraging communication and negotiation strategies to achieve mutually agreeable payment solutions. Assess claim details and potential outcomes to determine when negotiation is more beneficial than escalating to IDR, utilizing various benchmarks • Utilize the various databases to assess and compute reasonable rates, negotiating claim payments with providers, attorneys, and collection agencies on behalf of members • Proactively identify and communicate any barriers to achieving departmental objectives to management • Analyze received correspondence; verify member eligibility, claim history and coordination of benefits • Identify billing anomalies and alert the appropriate departments to reduce potential fraudulent billing practices. • Review claims to assess if appropriate action was taken and collaborate with various departments to implement corrections • Research provider contracts and lease network reports to ensure providers are not breaching contracts by referring members out of network; report noncompliant providers to the Network Management and Contracting departments • Identify potential opportunities to contract providers and refer to the Network Management and Contracting departments • Triage balance billing/fee negotiation inquiries and ensure all documents are processed in a timely and efficient manner • Perform special projects and other duties assigned by management Qualifications • High School Diploma required, Associate degree or equivalent's degree highly preferred • Minimum two (2) years of hospital and medical claims processing experience, including at least two (2) years of negotiation experience required. • Proficient in math skills and the ability to perform calculations for negotiations are required • Strong knowledge of health claims, eligibility rules, and Coordination of Benefits (COB) is necessary • Basic understanding of the No Surprises Act (NSA), including experience with surprise billing protections, Independent Dispute Resolution (IDR) processes, and the Qualified Payment Amount (QPA) • Excellent critical thinking, attention to detail, and problem-solving skills; able to work independently and collaboratively as part of a team • Demonstrate analytical and organizational skills with the ability to multitask and meet operational deadlines • Proficiency in Microsoft Office (Word, Excel, Outlook, etc.). Ability to grasp and utilize new software systems • Ability to work well under pressure, maintain a professional manner, and presentation

AMERICAN HEALTH ASSOCIATES, INC. is a premier clinical laboratory servicing over 4000 long-term care facilities. AHA is the fastest growing independent laboratory in the nation. By investing in technology and a skilled work force, we can offer a superior program focused on serving the long-term care industry. THE ROLE: Customer Service Representative RESPONSIBILITIES: Provide exceptional customer service to nursing home staff, physician office staff, and patients always via phone; Enter data into a specialized computer system; Dispatch AHA's Mobile Phlebotomists and Couriers; Track specimen collection and reporting; Trouble shoot missing, incomplete, and incorrect orders; Must have the ability to interact effectively and professionally with clients and coworkers always; Exceptional Customer Service skills, a must. Requirements QUALIFICATIONS: High School diploma 1-year of customer service experience in healthcare, preferred. Detail oriented with ability to multi-task daily. Knowledge of lab test orders; solid understanding of the importance of critical results. Excellent customer service and telephone etiquette skills required. Effective verbal and written communications, especially listening skills. 10-Key & Alpha Numeric Data Entry, 40 WPM speed and accuracy. Advanced computer skills. Ability to work independently, set priorities, and manage time effectively in a fast-paced work environment. Ensure patient privacy, confidentiality, and HIPAA are upheld always. "Team Player" mindset a must! AHA IS PROUD TO BE AN EQUAL OPPORTUNITY EMPLOYER!

**Details** + **Department:** Scheduling + **Schedule:** Monday - Friday 8am - 4:30pm + **Facility:** Joshua Max Simon Primary Care Center Working at the Primary Care Center, you become a part of something very special. Providing care to all individuals, regardless of wealth, vulnerability, immigration or refugee status, is immensely gratifying. In this work, you will be joining others with a similar mission and vision, including the opportunity to volunteer in the community. **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community _Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer._ **Responsibilities** Communicate with patients, participants and staff to accurately schedule patients for prescribed procedures. Perform clerical and reception duties associated with patient registration. Responsibilities: + Gather necessary demographic, insurance and clinical information from patient and enters into appropriate database. Seek appropriate resources to resolve issues about the type, date or location of prescribed procedures. + Schedule patient procedures in a manner that most efficiently utilizes the patient's time and clinical resources. Coordinate and communicate schedules. + Assist with coordination of activities related to insurance pre-certification/authorization. + Provide counseling to patient, participant or their representative regarding pre-service requirements and instructions. **Requirements** Education: + High School diploma equivalency OR 1 year of applicable cumulative job specific experience required. + Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable. **Additional Preferences** Ability to type, computer literacy, ability to work in multiple applications, high level customer service skills Prefer someone with scheduling/call center experience **Why Join Our Team** Ascension St. Vincent in Indiana has been providing rewarding careers in healthcare for over 148 years. With 24 hospitals throughout the greater Indianapolis and Evansville areas, Ascension St. Vincent offers careers in a wide range of services including acute and long-term care, bariatrics, cancer care, cardiovascular services, emergency services, neuroscience, orthopedics, pediatric services, primary and urgent care, women's health services and more. Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you. **Equal Employment Opportunity Employer** Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) (************************************************************************************** poster or EEO Know Your Rights (Spanish) (**************************************************************************************** poster. As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension. Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants. **E-Verify Statement** This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information. E-Verify (****************************************

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

The Biller is responsible to bill all insurance companies, workers compensation carriers, as well as HMO/PPO carriers. Audits patient accounts to ensure procedures and charges are coded accurate and corrects billing errors. Able to identify stop loss claims, implants and missing codes. Maintains proficiency in Medical Terminology. The Biller is responsible for the follow-up performed on insurance balances as needed to ensure payment without delay is received from the insurance companies. Communicates clearly and efficiently by phone and in person with our clients and staff members. Maintains productivity standards and reports. Obtains updated demographic information and all necessary information needed to comply with insurance billing requirements. Operates computer to input follow up notes and retrieve collection and patient information. Is able to write effective appeals to insurance companies. Education and Work Experience 1. Knowledge of multiple insurance billing requirements and 1-2 years of billing experience 2. Knowledge of CPT, HCPCS, and Revenue Code structures 3. Effective written and verbal communication skills 4. Ability to multi-task, prioritize needs to meet required timelines 5. Analytical and problem-solving skills 6. High School Graduate or GED Equivalent Required

Purpose: This position is responsible for all phases of client billing, which may include: performing edits, billing, write-offs, and time transfers. Essential Job Functions: 1. Print and distribute pre-bills monthly to billing attorneys. 2. Edit invoices monthly in a timely manner based on comments received from billing attorneys. 3. Invoice and bill clients in the accounting system each month in a timely manner. This includes clients that are billed electronically. 4. Perform client and matter changes within the accounting system. 5. Process write-offs within the accounting system in accordance with company policy. 6. Work with clients and attorneys in a timely manner to answer inquiries and provide analysis of billings. 7. Perform other tasks as assigned. Required Qualifications: Knowledge, Skills, Abilities and Personal Characteristics 1. High attention to detail; organized. 2. Developed knowledge of basic billing knowledge. 3. Effective interpersonal skills; strong oral and written communication skills. 4. High degree of initiative and independent judgment. 5. Computer skills: accounting system (3E experience preferred), word processing, and spreadsheet capabilities.

Work Schedule: operates on an alternating weekly basis Working Weekend Monday 7:00a - 3:30p Tuesday 8:30a - 5p Wednesday Off Thursday Off Friday 7:00a - 3:30p Saturday 7:30a - 4p Sunday 7:30 - 4p Weekend Off 8:30a - 5p 8:30a - 5p 8:30a - 5p 8:30a - 5p 8:30a - 5p Off Off During your probationary period, generally your first 30 - 90 days, your hours will reflect the "Weekend off" schedule Position Summary: The Scheduling Coordinator is responsible for providing exceptional customer service by promptly and professionally addressing inquiries and complaints. This role requires strong communication skills, in-depth knowledge of company products and programs, and the ability to work effectively within a team environment. Essential Duties and Responsibilities: Answer phone calls in a professional and timely manner. Manage, fill and update schedules by matching caregiver skills to client needs and handling last-minute changes. Triage heavy phone volume efficiently. Review and approve schedules weekly for billing and payroll. Serve as a liaison between caregiver staff, clients, families, and other back-office employees. Learn and utilize new software to document all activities in a shared database. Maintain composure and work effectively in a fast-paced environment. Demonstrate excellent customer service skills. Able to learn new software and document ALL activities in a shared database. Utilize strong critical thinking and problem-solving abilities. Be familiar with New Castle and Kent Counties for mapping locations. Perform other duties as assigned. Qualifications: High School Diploma or GED equivalent required. Associate's degree preferred. Previous experience as a scheduler in a medical-related field is advantageous. Proven track record of providing excellent customer service. Knowledge of medical terminology and coding is necessary. Strong problem-solving skills. Proficiency in data entry and computer skills, including Microsoft Office Suite. Excellent verbal and written communication skills. Ability to maintain confidentiality. Ability to work independently with minimal supervision. Must pass background check, drug screening, a doctor's physical, and a 2-step PPD test. EXPOSURE CONTROL CATEGORY: Low Exposure Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. The employee is occasionally required to stand and walk. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The Billing Clerk I must be computer literate and have the ability to prioritize, organize, trouble shoot and problem solve. They must have the ability to perform basic mathematical computations. Maintain a professional demeanor with all patients to comply with patient confidentiality (HIPPA) as well as other department managers and staff. DUTIES AND RESPONSIBILITIES: Update pay codes. Interviews patients to determine their pay code. For patients without medical insurance, analyses income and family date to determine eligibility for sliding fee scale. Verifies insurance coverage of patient who claims to have private insurance coverage. Explains to patients or responsible relatives, the Health Center's billing policy and the patient's responsibility for paying their bills. Furnishes patients with appropriate "Patient Responsibility" forms, for signature. Informs billing clerk of any changes in patient's medical chart and the date of the next re-screening. Assists cashier with data entry of charges and payments of visit. Actively participates in the Quality Management Program. Responsible for following all Agency safety and health standards, regulations, procedures, policies, and practices. Performs other duties as assigned. REQUIREMENTS: Must be computer literate and have the ability to prioritize, organize, trouble shoot and problem solve. They must have the ability to perform basic mathematical computations. Maintain a professional demeanor with all patients to comply with patient confidentiality (HIPPA) as well as other department managers and staff. Must be bilingual in English and Spanish with effective verbal and written communication skills preferred. Knowledgeable with current ICD 9, ICD 10, CPT Codes & HCPCS Must have reliable transportation to commute from clinic locations at any given time during the day to cover the floor or attend meeting and in-service trainings. Must be willing to close the Cashier work station every other day until the last patient is seen by the provider. (Floor schedule will be provided 3 weeks in advance). Must work every other Saturday a full 8 hour shift and some Holidays

Communicates with patients, participants and staff to accurately schedule patients for prescribed procedures. Performs clerical and reception duties associated with patient registration. Education, License & Cert: High School Diploma or equivalent is required. Experience: - Customer/patient relations experience required (preferably in a healthcare setting). - At least 1‐year experience in a position requiring frequent and direct in‐person customer contact. - Candidate should have experience in a role that requires: • Strong organizational skills • Excellent verbal communication skills • Frequent keyboarding • Exceptional attention to detail Essential Functions: 1. Creates patient encounters in the EHR for ED, radiology, and outpatient patients. Performs all functions related to the integrity of the EHR (i.e., obtaining general consent for treatment, creating unknown encounters, merging records, scanning, prepared trauma packets) 2. Participates in daily auditing of registration processes. 3. Manages incoming and outgoing telephone calls, Vocera calls, Nurse call system. 4. Collects co‐pays and provides financial guidance related to paying outstanding balances, providing estimate letters for services rendered. 5. Performs the function of Health Information Management department after hours. 6. Participates in ED staff meetings and ED Shared Governance. Other Duties: Other duties as assigned. The pay range for this position is $17.00 - $22.37/hour

Come Join the Premier Infusion & Healthcare Services Family! At Premier we offer employees stability and opportunities for advancement. Our commitment to our core values of Compassion, Integrity, Respect and Excellence in People applies to our employees, our customers, and the communities we serve. This is a rewarding place to work! Premier Infusion & Healthcare Services is a preferred post-acute care partner for hospitals, physicians and families in Southern CA. Our rapidly growing home health and infusion services deliver high-quality, cost-effective care that empowers patients to manage their health at home. Customers choose Premier Infusion & Healthcare Services because we are united by a single, shared purpose: We are committed to bettering the quality of life for our patients. This is not only our stated mission but is what truly drives us each and every day. We believe that our greatest competitive advantage, our greatest asset are our employees, our Premier Family in and out of the office sets Premier apart. PREMIER BENEFITS - For FULL TIME Employees: ● Competitive Pay ● 401K Matching Plan - Up to 4% ● Quarterly Bonus Opportunities ● Medical, Dental & Vision Insurance ● Paid Vacation Time Off ● Paid Holidays ● Referral Incentives ● Employee Assistance Programs ● Employee Discounts ● Fun Company Events Description of Responsibilities Intake Department Assistant responsibility is to provide support to the Intake Department through the referral coordination process. Reporting Relationship Intake Supervisor Scope of Supervision None Responsibilities include the following: 1. Responsible for transcribing all applicable information from the Intake Referral Form and patient information received from the referral source into the computer system correctly. 2. Handles all faxes incoming to Intake Department and distributes appropriately. 3. Calls referral sources to acknowledge receipt of faxes as applicable. 4. Logs all new referrals according to the current process. 5. Re-verification of insurance and demographics on restart patients as requested. 6. Manages the Intake Department Referral Board which gives visibility of the daily productivity as needed. 7. Enters patients info in CPR+ 8. Processes simple referrals as requested such as Picc care orders, Hydrations, Inhalation Solutions, Injectable and basic referrals coming from Home Health. 9. Creates invoices and charges credit cards as applicable. 10. Makes outbound calls to follow up on a patient discharge, follow up on any missing information needed to process a referral such as an H&P, H&W, and address or obtain orders from a hospital or MDs office. 11. Back-up and follows-up on insurance authorizations when necessary. 12. Participate in surveys conducted by authorized inspection agencies. 13. Participate in the pharmacy's Performance Improvement program as requested by the Performance Improvement Coordinator. 14. Participate in pharmacy committees when requested. 15. Participate in in-service education programs provided by the pharmacy. 16. Report any misconduct, suspicious or unethical activities to the Compliance Officer. 17. Perform other duties as assigned by supervisor. Minimum Qualifications: Must possess excellent oral and written communication skills, with the ability to express technical issues in “layman” terms. Fluency in a second language is a plus. Must be friendly professional and cooperative with a good aptitude for customer service and problem solving. Education and/or Experience: 1. Must have a High School diploma or Graduation Equivalent Diploma (G.E.D.) or Higher. 2. Prior experience in a pharmacy or home health company is of benefit. 3. Prior experience in a consumer related business is also of benefit. Equal Employment Opportunity (EEO) It is the policy of Premier Infusion & Healthcare Services to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Premier Infusion & Healthcare Services will provide reasonable accommodations for qualified individuals with disabilities.

Hospice Reimbursement Group, a division of Medical Services of America Inc., is currently seeking experienced Full-Time Hospice Reimbursement Specialist for our corporate office in Lexington, SC. MSA offers competitive pay and excellent benefits 40 hours paid time off during the first year of employment Medical, Vision & Dental Insurance Company paid life insurance 401(k) retirement with a generous company match Opportunities for advancement Other great benefits This person will be responsible for submitting and re-billing claims Submits claims for all pay sources and locations as assigned. Tracks reasons for unpaid claims and re-bills claims as necessary. Files electronic and/or written appeal requests in a timely manner. Works with locations to resolve any issues that may affect billing. Job Requirements High School Diploma or General Education Degree (GED) required. Previous hospice reimbursement experience preferred. Previous medical office billing/collection experience preferred. MSA is an Equal Opportunity Employer

Come Join the Premier Infusion & Healthcare Family! At Premier we offer employees stability and opportunities for advancement. Our commitment to our core values of Compassion, Integrity, Respect and Excellence in People applies to our employees, our customers, and the communities we serve. This is a rewarding place to work! Premier Infusion and Healthcare Services is a preferred post-acute care partner for hospitals, physicians and families in Southern CA. Our rapidly growing home health and infusion services deliver high-quality, cost-effective care that empowers patients to manage their health at home. Customers choose Premier Infusion and Healthcare Services because we are united by a single, shared purpose: We are committed to bettering the quality of life for our patients. This is not only our stated mission but is what truly drives us each and every day. We believe that our greatest competitive advantage, our greatest asset are our employees, our Premier Family in and out of the office sets Premier apart. PREMIER BENEFITS - For FULL TIME Employees: ● Competitive Pay ● 401K Matching Plan - Up to 4% ● Quarterly Bonus Opportunities ● Medical, Dental & Vision Insurance ● Employer Paid Life Insurance ● Short Term / Long Term Disability Insurance ● Paid Vacation Time Off ● Paid Holidays ● Referral Incentives ● Employee Assistance Programs ● Employee Discounts ● Fun Company Events JOB DESCRIPTION: Description of Responsibilities The Insurance Coordinator is responsible for all new referral insurance verification and/or authorization in a timely matter. Reporting Relationship Insurance Manager Responsibilities include the following: Responsible for insurance verification and/or authorization on patients. Responsible for audit of information from the Intake Referral Form and patient information received from the referral source entered into the computer system correctly. This includes but is not limited to: demographics, insurance, physician, nursing agency, diagnosis, height, weight, and allergies (when information is available and as applicable). Re-verification of verification and/or authorization and demographics on all patients. Participate in surveys conducted by authorized inspection agencies. Participate in in-service education programs provided by the pharmacy. Report any misconduct, suspicious or unethical activities to the Compliance Officer. Perform other duties as assigned by supervisor. Minimum Qualifications: Must possess excellent oral and written communication skills, with the ability to express technical issues in “layman” terms. Fluency in a second language is a plus. Must be friendly professional and cooperative with a good aptitude for customer service and problem solving. Education and/or Experience: Must have a High School diploma or Graduation Equivalent Diploma (G.E.D.) Prior experience in a pharmacy or home health company is preferred. Prior dental or home infusion experience a plus Prior experience in a consumer related business is preferred Equal Employment Opportunity (EEO) It is the policy of Premier Infusion & HealthCare Services to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Premier Infusion & HealthCare Services will provide reasonable accommodations for qualified individuals with disabilities.

Come Join the Premier Infusion & Healthcare Family! At Premier we offer employees stability and opportunities for advancement. Our commitment to our core values of Compassion, Integrity, Respect and Excellence in People applies to our employees, our customers, and the communities we serve. This is a rewarding place to work! Premier Infusion and Healthcare Services is a preferred post-acute care partner for hospitals, physicians and families in Southern CA. Our rapidly growing home health and infusion services deliver high-quality, cost-effective care that empowers patients to manage their health at home. Customers choose Premier Infusion and Healthcare Services because we are united by a single, shared purpose: We are committed to bettering the quality of life for our patients. This is not only our stated mission but is what truly drives us each and every day. We believe that our greatest competitive advantage, our greatest asset are our employees, our Premier Family in and out of the office sets Premier apart. PREMIER BENEFITS - For FULL TIME Employees: ● Competitive Pay ● 401K Matching Plan - Up to 4% ● Quarterly Bonus Opportunities ● Medical, Dental & Vision Insurance ● Employer Paid Life Insurance ● Short Term / Long Term Disability Insurance ● Paid Vacation Time Off ● Paid Holidays ● Referral Incentives ● Employee Assistance Programs ● Employee Discounts ● Fun Company Events Description of Responsibilities The Specialty Insurance Coordinator is responsible for all new referral insurance verification and/or authorization in a timely matter. Reporting Relationship Director of Operations Scope of Supervision None Responsibilities include the following: 1. Responsible for insurance verification for new and existing specialty patients by phone or using pharmacy software or payer portals. 2. Responsible for insurance re-verification for all specialty restart patients 3. Responsible for insurance re-verification for all specialty patients at the beginning of each month and each new year. 4. Responsible for advanced monitoring expiring authorizations for existing specialty patients 5. Responsible for securing advanced re-authorization for existing specialty patients. Participate in surveys conducted by authorized inspection agencies. Participate in the pharmacy's Performance Improvement program as requested by the Performance Improvement Coordinator. Participate in pharmacy committees when requested. Participate in in-service education programs provided by the pharmacy. Report any misconduct, suspicious or unethical activities to the Compliance Officer. Perform other duties as assigned by supervisor. Comply with and adhere to the standards of this role as required by ACHC, Board of Pharmacy, Board of Nursing, Home Health Guidelines (Title 22), Medicare, Infusion Nurses Society, NHIA and other regulatory agencies, as applicable. Minimum Qualifications: Must possess excellent oral and written communication skills, with the ability to express technical issues in “layman” terms. Fluency in a second language is a plus. Must be friendly professional and cooperative with a good aptitude for customer service and problem solving. Education and/or Experience: Must have a High School diploma or Graduation Equivalent Diploma (G.E.D.) Prior experience in a pharmacy or home health company is preferred. Prior experience in a consumer related business is preferred. Job Type: Full-time Benefits: 401(k) matching Dental insurance Employee assistance program Health insurance Paid time off Vision insurance Work Location: In person

The Reimbursement Specialist II is responsible for executing core reimbursement processes to confirm medical necessity and secure accurate payments, thereby minimizing the financial burden for patients. This role requires independently managing a personal workload, including performing in-depth benefit investigations, conducting timely claims follow-up, submitting authorization and referral requests, resolving claim and authorization denials, and negotiating single case agreements. The Reimbursement Specialist II also collaborates closely with cross-functional teams within Revenue Operations to support departmental goals and ensure seamless reimbursement operations. A key objective of this role is to contribute to the achievement of Reimbursement Team KPIs, including but not limited to authorization and claim resolution rates. This is a full-time, non-exempt position reporting to the Supervisor or Manager of Reimbursement, based in our Portsmouth, NH location. ESSENTIAL DUTIES AND RESPONSIBILITIES: Conduct timely insurance benefit verifications to determine patient eligibility and cost-share responsibilities for both new and existing patients. Ensure the responsible "bill-to" insurance party is set up correctly in each assigned account Submit authorization requests to insurance carriers and follow up via phone or insurance portals independently with limited supervision Interpret authorization denials and draft appeals, leveraging all available resources, independently Research and understand commercial payers' medical policies and guidelines for coverage Verify the presence and accuracy of authorizations and pricing agreements for all insured patients. Differentiate between contract and non-contract carriers, including identifying contacts for potential letter of agreement (LOA) negotiations. Escalate contracting implementation challenges and identify opportunities for process improvement. Collaborate cross-functionally with other departments to ensure timely and accurate reimbursement from insurance providers. Investigate and resolve all incorrect payments and escalate trends in change behavior as identified Submit and track the status of claim appeals for payment disputes Identify, report, and work to resolve the need for a claims project Communicate with key personnel within managed care organizations, such as nurse case managers, to streamline the reimbursement processing for patients Identify and escalate contracting implementation challenges and opportunities Identify and suggest solutions to authorization processing issues based on payer policies and/or behavior Perform additional duties and respond to shifting priorities as assigned by management. Identify new trends in authorization denials by payer. Independently follow-up on insurance authorization requests and claim status via phone and insurance website in a timely manner. QUALIFICATIONS/KNOWLEDGE: Bachelor's degree or equivalent experience preferred 3 - 5 years' experience in a reimbursement-related function, DME-specific experience preferred Readiness to take on additional responsibilities and seek successful outcomes Demonstrated excellence in meeting and exceeding customer expectations Maintain integrity and tenacity while working accounts Ability to effectively de-escalate and resolve difficult situations Proven written and verbal communication skills with internal and external customers Ability to work independently with limited supervision Ability to work efficiently and cooperatively in a fast-paced office setting Demonstrated knowledge of medical and insurance terminology required Demonstrated effectiveness in communicating with insurance companies about medical policies and contracts required In-depth knowledge of Microsoft Office and SAP preferred ABOUT NOVOCURE: Our vision Patient-forward: aspiring to make a difference in cancer. Our patient-forward mission Together with our patients, we strive to extend survival in some of the most aggressive forms of cancer by developing and commercializing our innovative therapy. Our patient-forward values - innovation - focus - drive - courage - trust - empathy Novocure is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal, state, or local law. We actively seek qualified candidates who are protected veteran and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act. Novocure is committed to providing an interview process that is inclusive of our applicant's needs. If you are an individual with a disability and would like to request an accommodation, please email #LI-ER

Inspire health. Serve with compassion. Be the difference. Responsible for aspects of front office management and operation as assigned. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference. Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians. Responsible for posting all payments and balancing with the computer reports at day end. Requires a high level of public contact and excellent interpersonal skills. Arranges for patient pre-payments and enforces financial agreements prior to providing service. Gathers charge information, codes, enters into database, completes billing process, distributes billing information. Files insurance claims and assists patients in completing insurance forms. Processes unpaid accounts by contacting patients and third-party payers. Liaison between patient and medical support staff.Greets patients and visitors in a prompt, courteous, and helpful manner.Checks in patients, verifies and updates necessary insurance information in the patient accounting system.Obtains signatures on all forms and documents as required.Assists patients with ambulatory difficulties.Maintains appointment book and follows office scheduling policies.Provides front office phone support as needed and outlined throughcross trainingprogram.Screens visitors and responds to routine requests for information.Responsible for gathering, accurately coding and posting outpatient charges.Processes vouchers and private payments, to include updating registration screens based on information on checks.Research address verification as needed.Helps to process mail return statements and outgoing statements.Acquires billing information for all doctors for all patients seen in practice.Performs cashiering functions including monitoring and balancing cash drawer daily. Prepares daily cash deposits.Receives payments from patients and issues receipts. Codes and posts payments and maintains required records, reports and files.Works with patients in securing prepayment sources or financial agreements prior to providing service.Participates with other staff to achieve account resolution. Assists with outpatient coding and error resolution. Processes edits and Customer Service and Collection Request for resolution within specified time frames.Identify trends and communicates problems to management.Updates patient account database.Maintains and updates current information on physician's schedules.Schedules surgeries, ancillary services and follow-up outpatient appointments and admissions as requested.Answers questions regarding patient appointments and testing.Assembles patients' charts for next day visit.Updates profiles on all patients, ensuring completeness and accuracy.Oversees waiting area, coordinates patient movement, reports problems or irregularities. Assists patients with questions on insurance claims, obtaining disability insurance benefits, home health care, medical equipment, surgical care, etc. Processes benefit correspondence, signature, and insurance forms to expedite payment of outstanding claims.Assists patients in completing all necessary forms to obtain hospitalization or Surgical pre-certification from insurance companies.Follows-up with insurance companies ensuring that coverage is approved.Posts all actions and maintains permanent record of patient accounts.Answers patient questions and inquiries regarding their accounts.Confirms all workers' compensation claims with employees.Prepares disability claims in a timely manner.Follows-up with insurance companies ensuring that claims are paid as directed.Maintains files with referral slips, medical authorizations, and insurance slips. Researches all information needed to complete outpatient billing process including getting charge information from physicians.Codes information about procedures performed and diagnosis on charge.Keys charge information into on-line entry program. Processes and distributes copies of billings according to clinic policies.Assists with outpatient coding and error resolution.Pulls charts for scheduled appointments in advance.Delivers, transports, sorts and files returned charts.Picks up lab reports, dictations, X-rays, and correspondence.Continually checks for misfiled charts and refiles according to filing system. Maintains orderly files.Files all medical reports. Purges obsolete records and files in storage.Destroys outdated records following established procedures for retention and destruction.Makes up new patient charts. Repairs damaged charts. Assists in locating and filing records.Works with medical assistants and other staff to route patient charts to proper location.Follows medical records policies and procedures. - Collects payments at time of service for daily outpatient visit services.Reviews each account via computer to ensure patient's account(s) are being paid on a timely basis.Performs collection actions including contacting patients by telephone and resubmitting claims to third party reimburses.Evaluates patient financial status and establishes budget payment plans.Reviews accounts for possible assignment to collection agency, makes recommendation to Clinical Dept. Practice Manager.Identifies and resolves patient billing complaints.Participates with other staff to follow up on accounts until zero balance or turned over for collection. Participates in educational activities.Gathers and verifies superbills for specified practice on a daily basis.Enters all charge and same day payment information for patient visits and hospital patients, verifying accuracy of coding, charging and patient insurance status.Prints daily reports, verifying charge entry balancing at day end.Backs up and closes computer files on a daily basis, logging as appropriate (i.e. closing all batches in accordance with policy).Registers new patients after verifying patient status on computer inquiry. Updates financial information as indicated. Maintains strictest confidentiality.Participates in educational activities.Performs related work as required.As representative of Prisma Health Clinical Department, is expected to maintain neat and professional appearance, demonstrate commitment to serve at all times and uphold guidelines set forth in office manual. - Performs other duties as assigned. Supervisory/Management Responsibility This is a non-management job that will report to a supervisor, manager, director, or executive. Minimum Requirements Education - High school diploma or equivalent OR Post-high school diploma. Associate degree in technical specialty program of 18 months minimum in length preferred Experience - No previous experience required. Multi-specialty group practice setting experience preferred In Lieu Of NA Required Certifications, Registrations, Licenses NA Knowledge, Skills and Abilities Basic understanding of ICD-9 and CPT coding preferred Work Shift Day (United States of America) Location 115 N Sumter St Sumter Facility 3484 Sumter Surgical Department 34841000 Sumter Surgical-Practice Operations Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

Inspire health. Serve with compassion. Be the difference. Receives and interviews patients to collect and verify pertinent demographic and financial data. Verifies insurance and initiates pre-authorization process when required. Collects required payments or makes necessary financial arrangements. Performs all assigned duties in a courteous and professional manner. May perform business office functions. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health.Serve with compassion. Be the difference. Interviews patient or other source (in accordance with HIPAA Guidelines) to secure information relative to financial status, demographic data and employment information. Enters accurate information into computer database, accesses Sovera to ensure the most recent insurance card is on file, and scans documents according to departmental guidelines. Follows up for incomplete and missing information. Verifies insurance coverage/benefits utilizing online eligibility or by telephone inquiry to the employer and/or third-party payor. Information obtained through insurance verification must always be documented in the system. Assigns appropriate insurance plan from the third-party database; ensures insurance priorities are correct based on third-party requirements/ COB. Initiates pre-certification process as required according to Departmental Guidelines; obtains signed waiver for cases where pre-certification is required but not yet obtained. Obtains necessary signatures and other information on appropriate forms and documents as required including, but not limited to, Consent Form, Liability Assignment, and Waiver Letter. Receives payments and issues receipts, actively working toward collection goals. Maintains cash funds/verification logs and makes daily deposits according to departmental policies and procedures. Prepares and distributes appropriate reports, documents, and patient identification items as required. This includes, but is not limited to, Privacy Notice, Patient Rights and Responsibilities, Patient Rights in Healthcare Decisions Brochure, Medicare Booklet, schedules, productivity logs, monthly collection reports, patient armbands, patient valuables, etc. Communicates to patients their estimated financialresponsibility.Requests payment prior to or at the time of service. Refers patients who may need extended terms to the Medical Services Payment Program and patients needing financial assistance to appropriate program. Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director, or executive. Minimum Requirements Education - High School diploma or equivalent OR post-high school diploma/highest degree earned Experience - Two (2) years of Admissions, Billing, Collections, Insurance and/or Customer Service In Lieu Of NA Required Certifications, Registrations, Licenses NA Knowledge, Skills and Abilities Basic computer skills (word processing, spreadsheets, database, data entry) Mathematical skills Registration and scheduling experience preferred Familiarity with medical terminology preferred Work Shift Night (United States of America) Location Laurens County Medical Campus Facility 7001 Corporate Department 70019269 Patient Access-Laurens Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.