Billing Representative jobs at Trinity Health

Under general supervision, provides support to the administrative operations of a clinical service and works to ensure the best possible patient experience by effectively coordinating services to patients and families. Actively participates in and contributes to departmental and organizational initiatives & projects with a focus on continuous process improvement. Performs various administrative functions requiring in-depth knowledge of programs and services. Provides positive and effective customer service that supports departmental and hospital operations. Recognizes opportunities and recommends process improvement opportunities to enhance operational efficiency while maintaining accuracy. Key Responsibilities: ·Customer Service: Greets, screens, and directs patients, families, and visitors, and provides effective customer service in person and on the phone. ·Registration: Registers new patients, verifies insurance information, and collects co-payments. ·Patient Coordination: Monitors clinic activity, schedules appointments, and assists with patient flow to ensure a positive experience. ·Administrative Tasks: Answers calls, manages calendars, schedules meetings and events, and provides clerical support. ·Records Management: Collects and organizes patient medical records, processes letters, and handles prescription refill requests. ·Technology Use: Utilizes office technology, including phone systems and various software applications, and enrolls patients in the patient portal. ·Process Improvement: Contributes to departmental projects aimed at improving processes and systems. Minimum Qualifications Education: High School Diploma / GED Experience: Internal: Minimum 6 months as a PER; External: Minimum of 6 months relevant healthcare experience This role is eligible for a $2,000 sign on bonus (not eligible for internal candidates and not eligible for former BCH employees who worked here in the past 12 months) Boston Children's Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, childcare and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork. The posted pay range is Boston Children's reasonable and good-faith expectation for this pay at the time of posting. Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.

The Patient Financial Representative is responsible for the accurate and timely verification of insurance and benefit information for patients receiving inpatient medical, inpatient psychiatric, observation, ambulatory surgery and/or outpatient procedure related services. Plays a key role in the organization's financial health by obtaining or ensuring that insurance authorizations or pre-authorizations are on file and accurate prior to the service being rendered. This position must also ensure patient demographic and insurance information is correct, resulting in accurate claims for reimbursement. Position provides excellent customer service during all interactions. Core Job Responsibilities For designated services, this position is responsible for ensuring that each patient account has accurate insurance information entered in the correct billing order and that each insurance listed has been verified as eligible for the designated date of service range. For each insurance, benefit information is obtained and documented. Verification and benefit information can be obtained via electronic or verbal method but must be completed prior to services being rendered. Position must have or develop excellent working rapport with surgeons' office staff, as well as hospital nursing staff. For pre-scheduled services, this position is responsible for verifying that authorization is on file with each of the appropriate insurance companies and that authorization is accurate based upon location, CPT code, service type, surgeon, date range and any or all other necessary elements to secure payment for services rendered. For emergent or urgent services, this position is responsible for accurately and timely requesting that each verified insurance company has been notified of patient services being rendered and also request authorization for requested services. Position must have or develop excellent working rapport with insurance company representatives, surgeons' office staff, as well as hospital nursing staff. Ensures each patient account has accurate insurance information entered in the correct billing order and that each insurance company listed has been verified as eligible for the designated date of service range. Secures and documents any and all authorization requirements in appropriate computer systems with relevant information to capture authorization timely. Enters pertinent information in all necessary systems. Retains any written documents received. Performs related duties as assigned. Education/Experience Requirements REQUIRED: High school diploma or equivalent. Minimum 3 years of pre-authorization and/or insurance verification experience. Demonstrated computer proficiency and ability to learn new applications rapidly. Strong documentation skills. Strong follow up skills, accuracy and attention to detail. Excellent customer service and interpersonal skills. Ability to work under restrictive time. PREFERRED: Associate's degree in healthcare related field. 4 years or more of hospital, medical office, coding or billing experience; or 6 years of experience in other healthcare related field. Proficient with EMR, QES, MIDAS, SIS and related computer programs. Licensure/Certification Requirements PREFERRED: Medical terminology certification. Disclaimer Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability. Successful candidates might be required to undergo a background verification with an external vendor. Job Details Req Id 95876 Department PATIENT ACCESS SVCS Shift Days Shift Hours Worked 8.00 FTE 0.19 Work Schedule HRLY NON-UNION Employee Status A7 - Occasional Union Non-Union Pay Range $19 - $25/Hourly #Evergreen

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.

Job Details Do you want to work at one of the Top 100 Hospitals in the nation? We are guided by our values of Love and Excellence and are passionate about delivering health, not just health care. Come join us at ChristianaCare! ChristianaCare, with Hospitals in Wilmington and Newark, DE, as well as Elkton, MD, is one of the largest health care providers in the Mid-Atlantic Region. Named one of ???America???s Best Hospitals??? by U.S. News & World Report, we have an excess of 1,100 beds between our ho?K

The Clinical Reimbursement Specialist ensures correct monetary reimbursement for any services offered to patients and residents covered by insurance programs by reviewing patient records and clinical care programs. in accordance with all applicable laws, regulations, and Life Care standards. Education, Experience, and Licensure Requirements Registered nurse with an active state license and MDS and RAI experience. Specific Job Requirements Make independent decisions when circumstances warrant such action Knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post acute care facility Implement and interpret the programs, goals, objectives, policies, and procedures of the department Perform proficiently in all competency areas including but not limited to: patient rights, and safety and sanitation Maintains professional working relationships with all associates, vendors, etc. Maintains confidentiality of all proprietary and/or confidential information Understand and follow company policies including harassment and compliance procedures Displays integrity and professionalism by adhering to Life Care's Code of Conduct and completes mandatory Code of Conduct and other appropriate compliance training Essential Functions Exhibit excellent customer service and a positive attitude towards patients Assist in the evacuation of patients Demonstrate dependable, regular attendance Concentrate and use reasoning skills and good judgment Communicate and function productively on an interdisciplinary team Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours Read, write, speak, and understand the English language 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: BILLER Description of Responsibilities Coordinates and performs business office activities involved with collecting payments for Premier Infusion Care products and follows established procedures for billing. Reporting Relationship Billing Manager Scope of Supervision None Responsibilities include the following: 1. Performs all aspects of billing for commercial insurance companies/ health plans, medical groups, hospitals, hospice facilities, NCPDP, and/or MSO's 2. Bills Medicare for PR-96/204 (denials) required for secondary billing submissions. 3. Follows up on EOB's (explanation of benefits) which includes: - Medicare denials - Billing secondary insurance after Medicare's has denied claims. 4. Calling insurance companies for explanation of denials if questionable. 5. Making corrections on deny claims and re-bills insurance companies. 6. Checks EOB's with contracted fee schedule for accuracy or adjustments as needed. 7. Patient calls for benefit, invoicing, and explanations as needed. 8. Resolves electronic (Office Ally, Novologix, or Emdeon clearing house) report matters. Minimum Qualifications: Effective interpersonal, time management and organizational skills. Office experience preferred. Computer skills that include word processing, and efficient use of the internet and e-mail. Must possess excellent oral and written communication skills, with the ability to express technical issues in “layman” terms. Must be detail oriented Education and/or Experience: Must have a High School diploma or Graduation Equivalent Diploma (G.E.D.) or Higher. At least 1 -2 years of medical or pharmaceutical billing experience or related A/R Knowledge of insurance verification procedures. Proficiency in 10-key preferred. Prior experience in a pharmacy or home health company is of benefit. 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. Job Type: Full-time Work Location: In person

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! This job greets patients and guest in a courteous manner whether via telephone contact or in person; initiates scheduling an appointment or completing the check-in process/admission for patients; obtains and verifies accurate identification and demographical data for the patient's permanent medical record which assist in accurate reimbursement while recognizing the necessity of maintaining the confidentiality of all patient information. Responsible for point-of-service collections, face-to-face patient interactions related to completing the patient registration and admission process; responsible for the verification of insurance via electronic verification, telephone, or web application; improves patient satisfaction through consistently representing the company professionally and cross trained to support multiple functions across all patient and payer types. Education Required - High school diploma or equivalent Preferred - Associate's degree Work Experience Required - One year of related hospital, clinic, medical office, business services/revenue cycle, front line registration, financial counseling, banking, hotel retail and/or customer service related experience Certifications Preferred - Certification in Healthcare Access Manager (CHAM), Certification in Healthcare Access Associate (CHAA), Certification as a Medical Assistant (or other medical specialty-based certification) Knowledge Skills and Abilities (KSAs) * Must have computer skills and dexterity required for data entry and retrieval of information. * Effective verbal and written communication skills and the ability to present information clearly and professionally. * Must be proficient with Windows-style applications, various software packages specific to role and keyboard. * Strong interpersonal skills. * Must have clerical skills and exhibit technical knowledge of healthcare insurance benefits, various payor guidelines on referral and authorization processes as well as have current knowledge of Federal, State and Local billing regulations. * Skills to effectively present information and respond to questions from patients and customers, with proficiency. * Skills to solve practical problems and deal with high stress situations while maintaining a high quality of professionalism. * Good organizational, time management, and conflict resolution skills. * Excellent decision making skills; good analytical skills with a strong attention to detail are necessary. * Ability to work collaboratively with other departments. * Ability to exercise sound judgment in handling/escalating difficult situations. Job Duties * Provide excellent customer service to all patients, guests, and family members. * Create, activate, and complete the patient scheduling, clinic registration, or hospital admission process. * Ensures all required forms are completed and other paperwork/documents are gathered and accurate. * Efficiently and accurately gathers and inputs patient/guarantor demographic and financial information; explains insurance benefits and collects co-pays, deductibles and self-pay portions due. * Performs financial analysis of each case and informs patient of financial responsibility * Balances Cash drawer daily, prepares deposit slips and follow closing cash drawer process at the end of each shift. * Demonstrates respect and cooperation in all staff relationships, and a genuine willingness to prevent or resolve inter-personal conflicts. * Adapts behavior to the specific patient population, including but not limited to: respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style. * Other related duties as required. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time. This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns. The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status. Physical and Environmental Demands The physical essential functions of this job include (but are not limited to) the following: Frequently exerting 10 to 20 pounds of force to move objects; occasionally exerting up to 100 pounds of force. Physical demand requirements are in excess of those for sedentary work. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid. The incumbent works with patients who have known or suspected communicable diseases and may enter isolation rooms. The incumbent has an occupational risk for exposure to all communicable diseases. Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role. Are you ready to make a difference? Apply Today! Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website. Please refer to the job description to determine whether the position you are interested in is remote or on-site. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C. Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at ************ (select option 1) or ******************* (mailto:*******************) . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.

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

Private Practice Full Time Position - Mon - Fri 8 am - 5 pm Must Have 5 Years Experience Great Doctor and Staff! 401K, HSA Sorry NO New Grads! Please Apply By CV or Resume

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. Below, you will find a complete breakdown of everything required of potential candidates, as well as how to apply Good luck. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! This job supervises the Patient Access functions. Monitors and manages patient flow to minimize patient wait times. This job performs duties to support and supervise the Patient Access functions while monitoring productivity and reporting statistics to leadership. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion. Education Required - High school diploma or equivalent. Preferred - Bachelor's degree. Work Experience Required - 7 years of customer service experience including related hospital, clinic, medical office, business services/revenue cycle, front line registration, financial counseling, banking, hotel, retail and/or customer service related experience; OR 2 years of customer service experience with a bachelor's degree. Knowledge Skills and Abilities (KSAs) * Computer skills and dexterity for data entry and retrieval of information. * Effective verbal and written communication skills and ability to present information clearly and professionally. * Proficient with Windows-style applications, various software packages specific to role and keyboard. * Strong interpersonal skills. * Excellent leadership skills and self-direction. * Good judgment skills in handling difficult situations. * Good organizational, time management, and conflict resolution skills. * Ability to travel throughout and between facilities and work a flexible work schedule (e.g. 24/7, weekend, holiday, on call availability). Job Duties * Manages staff performance and productivity while ensuring adherence to departmental customer service initiatives by performing audits on staff performance. * Works with leadership to establish monthly departmental goals based on key metrics and develops team initiatives and goals. * Manages patient flow and adjusts staffing according to volume to minimize patient wait times. * Facilitates conflict mitigation within and across departments; identifies, communicates, and removes barriers to departmental performance. * Manages staff schedules to ensure adequate coverage. * Interviews and recommends candidates for hire and coordinates training to develop staff. * Adapts behavior to the specific patient population, including but not limited to: respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style. * Performs other related duties as required. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time. Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards. This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns. The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status. Physical and Environmental 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. Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible. Mechanical lifting devices (carts, dollies, etc.) or team lifts should be utilized. Must be able to sit and for prolonged periods of time. Must be able to stoop, bend, reach and grab with arms and hands, manual dexterity. Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid. The incumbent has no occupational risk for exposure to communicable diseases. Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role. Are you ready to make a difference? Apply Today! Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website. Please refer to the job description to determine whether the position you are interested in is remote or on-site. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C. Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at 5 select option 1) or (mailto: ) . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. Ochsner is an equal opportunity employer. xevrcyc All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.

Private Practice Full Time Position - Mon - Fri 8 am - 5 pm Must Have 6 Years Experience Great Doctor and Staff! 401K, HSA Sorry NO New Grads! Please Apply By CV or Resume

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

The salary range for this position is $21.28 - $27.66 (Hourly Rate) Placement within the salary range is dependent on several factors such as relevant work experience and internal equity. For positions represented by a labor union, placement within the salary range is guided by the rules outlined in the collective bargaining agreement. We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section located at jobs.nm.org/benefits to learn more. Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine. We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service. Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment. Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional, and financial well-being. Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups. From discovery to delivery, come help us shape the future of medicine. Benefits: * $10,000 Tuition Reimbursement per year ($5,700 part-time) * $10,000 Student Loan Repayment ($5,000 part-time) * $1,000 Professional Development per year ($500 part-time) * $250 Wellbeing Fund per year ($125 for part-time) * Matching 401(k) * Excellent medical, dental and vision coverage * Life insurance * Annual Employee Salary Increase and Incentive Bonus * Paid time off and Holiday pay Description * Performs charge capture for all procedures completed in the Bronchoscopy suite. This includes: * Audit of CPT codes associated with each procedure * Confirmation of supplies used and verification of alignment with operative notes * Assists patients with billing and insurance related matters including communicating with patients regarding balances owed and other financial issues and facilitating collection of balances owed. * Educates patients about financial assistance opportunities, insurance coverage, treatment costs, and clinic billing policies and procedures. * Collaborates closely with physicians and technicians to understand treatment plans and determine costs associated with these plans; Works closely with the staff on managed care and referral related issues; communicates findings to patients. * Coordinates the pre-certification process with the clinical staff as it relates to procedures in the Bronchoscopy Suite and Operating Rooms * Handles billing inquiries received via telephone or via written correspondence. * Responsible for thoroughly investigating and understanding financial resources or programs that may be available to patients and educating staff and patients about these programs. * Conducts precertification for appropriate tests or procedures and facilitates the process with managed care and the clinical team. Documents all information and authorization numbers in Epic and acts as a liaison for follow-up related to precertification. * Performs activities and responds to patient inquiries related to billing follow-up. * Requests necessary charge corrections. * Identifies patterns of billing errors and works collaboratively with department manager and outside entity to improve processes as needed. * Provides guidance regarding clinical documentation to optimize charges and RVUs * Confirms coding accuracy based on clinical documentation and reviews common errors or misses with physicians and leadership. The Billing Coordinator reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Billing Coordinator is responsible for processing charges, payments and/or adjustments for all services rendered at all NM Corporate Health Clinics. Researches and follows- up on all outstanding accounts. Answers all calls regarding charges and claims, providing exceptional customer service to all callers. Possesses extensive knowledge of coding, billing, insurance and collections procedures and coordinates the accounts receivable functions. Performs weekly claims, monthly late bills and patient statement runs and reviews accounts to be placed with an outside collection agency. RESPONSIBILITIES: Department Operations * Ensures patient demographic and billing/insurance information is kept current in the computer application. Documents all patient and company contacts. * Reviews daily clinic schedules and tracks receipt of documentation to assure completeness of charge capture. * Ensures notes are is placed in systems, clearly identifying steps taken, according to established procedures. * Works with patients/clients to establish payment plans according to predetermined procedures. * Handles all incoming customer service calls in a professional and efficient manner. Provides exceptional service to all customers, guarantors, patients, internal and external contacts. * Prepares itemized bill upon request; explains charges, payments and adjustments. Produces a clear and understandable statement to individuals on any outstanding account balance. * Responsible for timely submission of accurate bills and invoices to clients, patients and insurance companies. * Ensures timely posting of all charges, payments, denials and write-offs to the appropriate account, maintaining the highest level of quality for each transaction processed within 48 hours of receipt. * Responsible for balancing each payment and adjustment batch with reconciliation report and bank account deposits after completion. * Ensures compliant follow up procedures are followed, to third party payers regarding outstanding accounts receivables. * Run outstanding A/R reports, follow-up on unpaid claims or balances with insurance companies, patients, and collection agency, as defined by department. * Perform daily systematic review of accounts receivable to ensure all accounts ready to be worked are completed. * Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation. * Denials and appeals follow-up including root cause analysis to reduce/prevent future denials. * Reviews, prepares and sends pre-collection letters as defined by department procedures. * Identifies and sends accounts to outside collection agency. * Prepares and distributes reports that are required by finance, accounting, and operations. * Handles all work in an accurate and timely manner, consistently meets or exceeds productivity standards, quality standards, department goals and deadlines established by the team. * Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices. * Identify opportunities for process improvement and submit to management. * Demonstrate proficient use of systems and execution of processes in all areas of responsibilities. Communication and Teamwork * Fosters and maintains positive relationships with the Corporate Health team, Human Resources, NM employees and physicians. * Provides courteous and prompt customer service. Answers the telephone in a courteous professional manner, directs calls and takes messages as appropriate. Checks for messages and returns calls. * Demonstrates teamwork by helping co-workers within and across departments. Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others. * Communicates appropriately and clearly to physicians, manager, nursing staff, front office staff, and employees. Maintains a good working relationship within the department. Organizes time and department schedule well. Demonstrates a positive attitude. Service Excellence * Displays a friendly, approachable, professional demeanor and appearance. * Partners collaboratively with the functional areas across Northwestern Medicine in support of organizational and team objectives. * Fosters the development and maintenance of a cohesive, high-energy, collaborative, and quality-focused team. * Supports a "Safety Always" culture. * Maintaining confidentiality of employee and/or patient information. * Sensitive to time and budget constraints. * Other duties as assigned. Qualifications Required: * High school graduate or equivalent. * Strong Computer knowledge, data entry skills in Microsoft Excel and Word. * Thorough understanding of insurance billing procedures, ICD-10, and CPT coding. * 3 years of physician office/medical billing experience. * Ability to communicate clearly and effectively, both orally and in writing, at all levels within and outside the organization. * Ability to work independently. Preferred: * 3 years of physician office/medical billing experience in Corporate Health/Occupational Health a plus. * CPC (Certified Professional Coder) or R (Registered Medical Coder) Certificate a plus. Equal Opportunity Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. If we offer you a job, we will perform a background check that includes a review of any criminal convictions. A conviction does not disqualify you from employment at Northwestern Medicine. We consider this on a case-by-case basis and follow all state and federal guidelines. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more.

Job 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

Primary responsibility is to coordinate billing services. Responsible for physician billing services. Must be able to work in a fast-paced environment as well as multitask. Responsible for physician billing services in handling payments. Physician practice and home health primary responsibility is to coordinate billing services and provide diagnostic and procedural codes to individual patient health information for data retrieval, analysis and claims processing. Responsible for entering patient encounters to the practice management billing application. Communicates with various teams within the organization. Understanding of ICD-10, CPT and associate modifiers to successfully process encounters. Staying up to date with CMS guidelines. Responsible to maintain and clearing worklist within a timely manner. Estimated pay range for this position is $18.87 - $22.83 / hour depending on experience. Degrees: * High School,Cert,GED,Trn,Exper. Additional Qualifications: * 3 Years of charge entry or claims management experience. * Must possess strong working knowledge of CPT, ICD-10, charge entry, and claims management processes. * Knowledge of appeals process and researching denials as applicable to business needs. * Possesses effective verbal and written communication skills. * Knowledge of Microsoft Systems Word, Excel, Power Point and Access is a must. * Must be detail-oriented team player with excellent written and communication skills. * Background in coding experience in other released areas such as collections, refunds, and reviews of claims and understanding of Charge Review responsibilities preferred. * Experience in Medical Record review for documentation and bill auditing required. * Proficient in English and Spanish. * Able to foster/maintain a strong professional relation with physicians, hospital leaders, staff and patients. * Must be able to communicate effectively with other departments in order to resolve pending/missing information on encounters to expedite the timely transmission to payers. * Excellent Time- Management Skills. * Ability to multi-task and work under pressure in order to meet stringent deadlines. Minimum Required Experience: 3 Years

. 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.

Are you looking for a purpose-driven career? At Metrocare, we serve our neighbors with developmental or mental health challenges by helping them find lives that are meaningful and satisfying. Metrocare is the largest provider of mental health services in North Texas, serving over 55,000 adults and children annually. For over 50 years, Metrocare has provided a broad array of services to people with mental health challenges and developmental disabilities. In addition to behavioral health care, Metrocare provides primary care centers for adults and children, services for veterans and their families, accessible pharmacies, housing, and supportive social services. Alongside clinical care, researchers and teachers from Metrocare's Altshuler Center for Education & Research are advancing mental health beyond Dallas County while providing critical workforce to the state. : GENERAL DESCRIPTION: The mission of Metrocare Services is to serve our neighbors with developmental or mental health challenges by helping them find lives that are meaningful and satisfying. We are an agency committed to quality gender-responsive, trauma-informed care to individuals experiencing serious mental illness, development disabilities, and co-occurring disorders. Metrocare programs focus on the issues that matter most in the lives of the children, families and adults we serve. The RCM Coordinator - Billing & Payor Relations plays a vital role in the financial health of the organization by ensuring accurate and timely submission of claims to Medicaid, Medicare, and commercial payors. This position supports the revenue cycle by managing billing workflows, resolving claim issues, and maintaining compliance with payer-specific requirements. The coordinator works across multiple service lines including behavioral health, primary care, IDD, ABA therapy, and other specialized programs. ESSENTIAL DUTIES AND RESPONSIBILITIES The essential functions listed here are representative of those that must be met to successfully perform the job. Prepare and submit clean claims to government and commercial payors for all service lines. Monitor claim status and follow up on unpaid or rejected claims to ensure timely resolution. Analyze and resolve denials, rejections, and underpayments by coordinating with internal departments and payors. Ensure proper coding, documentation, and authorization are in place prior to claim submission. Maintain up-to-date knowledge of payer guidelines, billing regulations, and reimbursement policies. Track and report denial trends, identify root causes, and recommend process improvements. Document all billing activities, correspondence, and resolution steps in the billing system. Provide regular reporting to management on claim performance and payer behavior. Collaborate with RCM team members to ensure revenue integrity and compliance. Performs other duties as assigned. COMPETENCIES The competencies listed here are representative of those that must be met to successfully perform the essential functions of this job. Conducts job responsibilities in accordance with the ethical standards of conduct, state contract, appropriate professional standards and applicable state/federal laws. Analytical skills, professional acumen, business ethics, thorough understanding of continuous improvement processes, problem solving, respect for confidentiality, and excellent communication skills. Working knowledge of 837/835 transaction files and clearinghouse operations. Experience with denial management platforms or analytics dashboards (e.g., Waystar, Availity, Change Healthcare). Ability to translate complex reimbursement data into actionable insights for leadership. Analytical skills, professional acumen, business ethics, thorough understanding of continuous improvement processes, problem solving, respect for confidentiality, and excellent communication skills. Strong understanding of medical billing and claims processing for Medicaid, Medicare, and commercial payors. Knowledge of ICD-10, CPT, HCPCS codes, and modifier usage. Analytical and problem-solving skills with attention to detail. Effective verbal and written communication skills. Ability to manage multiple tasks and meet deadlines in a fast-paced environment. High level of professionalism, accuracy, and confidentiality. Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and billing software systems. QUALIFICATIONS Required Education, Experience, Licenses, and Certifications Required: High school diploma or GED; at least 5 years of experience in medical billing, claims processing, or revenue cycle management. Preferred: Associate's degree in healthcare administration, business, or related field; experience in billing wand knowledge of Community Center Services; knowledge of ICD-10, CPT, HCPCS, and modifier usage; familiarity with Medicaid, Medicare, and commercial insurance requirements. A bachelor's degree will be accepted in place of experience. Preferred Education, Experience, Licenses, and Certifications DRIVING REQUIRED: No WORK LOCATION: This role is remote except for 6 weeks of onsite training and monthly meetings. MATHEMATICAL SKILLS Basic math skills required. Ability to work with reports and numbers & Ability to calculate moderately complex figures and amounts to accurately report activities and budgets. REASONING ABILITY Ability to apply common sense understanding to carry out simple one or two-step instructions. Strong reasoning and problem-solving skills with the ability to make informed decisions in a dynamic and client-centered environment. COMPUTER SKILLS Use computer, printer, and software programs necessary to the position (i.e., Word, Excel, Outlook, and PowerPoint). Ability to utilize Internet for resources. PHYSICAL DEMANDS & WORK ENVIRONMENT 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 can be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the incumbent is regularly required to talk and hear, use hands and fingers to operate a computer and telephone. Due to the multi-site responsibilities of this position the incumbent must be able to carry equipment and supplies. Demand-Frequency Sitting-Occasional Walking-Occasional Standing-Occasional Lifting (Up to 15 pounds)-Occasional Lifting (Up to 25 pounds)-Occasional Lifting (Up to 50 pounds)-Occasional Travel-Frequency In county travel may be required-N/A Overnight travel required-N/A NOTICE ON POSITIONS THAT REQUIRE TRAVEL TO/FROM VARIOUS WORKSITES Positions that are “community-based,” in whole or part, require the incumbent to travel between various worksites within his/her workday/workweek. The incumbent is required to have reliable transportation that can facilitate this requirement. The incumbent is further required to meet the criteria for insurability by the Center's risk management facilitator; and produce proof of minimal auto liability coverage when applicable. Failure to meet these terms may result in disciplinary action up to and including termination of employment, contract or other status with Metrocare. Current State of Texas Driver License or if you live in another state, must be currently licensed in that state. If licensed in another state, must obtain Texas Driver License within three (3) months of employment. Liability insurance required if employee will operate personal vehicle on Center property or for Center business. Must be insurable by Center's liability carrier if employee operates a Center vehicle or drives personal car on Center business. Must have an acceptable driving record. WORK ENVIRONMENT The work environment describe here is representative of that which an employee encounters while performing the essential functions of this job. Reasonable accommodation can be made to enable individuals with disabilities to perform the essential functions. Employees in this role are expected to maintain composure under pressure, exercise sound judgment, and follow established protocols to ensure a safe and secure work environment. Ongoing training in crisis intervention, de-escalation techniques, and workplace safety is provided. Additionally, employees have access to resources such as the Employee Assistance Program (EAP), Telehealth Counseling, and Supportive Management. Remote Work Eligible - May work remotely for documentation and administrative tasks, through some in-person meetings or fieldwork is required. DISCLAIMER This is a record of major aspects of the job but is not an all-inclusive job contract. Dallas Metrocare Services maintains its status as an “at-will” employer and nothing in this job description shall be interpreted to guarantee employment for any length of time. Additional tasks may be assigned as deemed necessary by the immediate supervisor. The position's status conforms to the Fair Labor Standards Act of 1939 as amended, and the employee has agreed to the standards methods of compensation in compliance with Center's procedures and Federal Law. Benefits Information and Perks: Metrocare couldn't have a great employee-first culture without great benefits. That's why we offer a competitive salary, exceptional training, and an outstanding benefits package: Medical/Dental/Vision Paid Time Off Paid Holidays Employee Assistance Program Retirement Plan, including employer matching Health Savings Account, including employer matching Professional Development allowance up to $2000 per year Bilingual Stipend - 6% of the base salary Many other benefits Equal Employment Opportunity/Affirmative Action Employer Tobacco-Free Facilities - Metrocare is committed to promoting the health, well-being, and safety of Metrocare team members, guests, and individuals and families we serve while on the facility campuses. Therefore, Metrocare facilities and grounds are tobacco-free. No Recruitment Agencies Please

Aeroflow Health - Mom & Baby Billing Coordinator (Remote) Schedule: Monday to Friday, 8-5 (EST) Aeroflow Health is made up of creative and talented associates who are transforming the home medical equipment industry. Our patient-centric business model is founded on innovation through technology and cutting-edge delivery platforms. We have grown to be a leader in the home medical equipment segment of the healthcare industry, are among the fastest-growing healthcare companies in the country and recognized on Inc. 5000's list of fastest-growing companies in the U.S. As Aeroflow has grown, our needs to curate an amazing employee environment and experience have grown as well. We're working hard to ensure that Aeroflow remains a premier employer in Western North Carolina by making constant improvements to our office spaces, thus bettering the everyday lives of the employees that work so hard to service our patients. The Opportunity The Mom and Baby division specializes in providing maternity related medical equipment billed through insurance. This position will be responsible for resolving claims that have been rejected by insurance and will assist with developing improvements to our collections processes. Your Primary Responsibilities Resolve incoming rejections for the Mom & Baby division Analyze rejection data and insurance payment trends to identify patterns, trends, and the root cause Correct claim data as per payer requirements (e.g., modifiers, diagnosis codes, HCPCS, NPI, etc.) Maintain detailed records of all rejection cases, resolutions, and follow-up actions Verify eligibility, coverage, and authorization when needed to prevent future denials Assist with other projects for claims that have been denied or rejected Collaborate with our billing team and leadership Employee has an individual responsibility for knowledge of and compliance with laws, regulations, and policies. Compliance is a condition of employment and is considered an element of job performance Maintain HIPAA/patient confidentiality Regular and reliable attendance as assigned by your schedule Other job duties assigned Skills for Success Relentless Curiosity: Proactively seeks out opportunities for process improvements. Entrepreneurial: Identifies and acts on new opportunities with a willingness to take calculated risks. Obsession to Learn: Actively seeks out opportunities to learn and grow and identifies areas for self-improvement. Confidently Humble: Freely admits knowledge gaps and seeks help from team members, and regularly solicits feedback. Strategic: Makes decisions and takes actions with a broader organizational impact. Transformative: Constantly seeks ways to improve and actively pursues growth opportunities. Tech-Savvy: Keeps up to date with modern technology and regularly develops and refines processes within the team. Commitment to People Development: Shows passion for developing talent through regular training and mentoring. Relationship Focused: Proactively builds relationships across the organization. Required Qualifications: High school diploma or GED Ability to understand difference between HCPCS, CPT, and ICD-10 codes Familiarity with payer portals, EDI systems, and clearinghouses Ability to multi-task Exposure to Google suite, Microsoft platforms What Aeroflow Offers Competitive Pay, Health Plans with FSA or HSA options, Dental, and Vision Insurance, Optional Life Insurance, 401K with Company Match, 12 weeks of parental leave for birthing parent/ 4 weeks leave for non-birthing parent(s), Additional Parental benefits to include fertility stipends, free diapers, breast pump, Paid Holidays, PTO Accrual from day one, Employee Assistance Programs and SO MUCH MORE!! Here at Aeroflow, we are proud of our commitment to all of our employees. Aeroflow Health has been recognized both locally and nationally for the following achievements: Family Forward Certified Great Place to Work Certified Inc. 5000 Best Place to Work award winner HME Excellence Award Sky High Growth Award If you've been looking for an opportunity that will allow you to make an impact, and an organization with unlimited growth potential, we want to hear from you! Aeroflow Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

5a-1:30p Mon-Fri + Provides patient focused customer service. Performs outpatient & / or inpatient registration & insurance verification functions; collects patient financial liability payments & ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications & referrals. Provides general information to hospital users, patients, families & physician offices. + Location: 500 S Cleveland Ave, Westerville, OH 43081 + Specialty: Emergency Room + Hours of office: Monday - Friday 5:00am - 1:30pm **What You Will Do:** + Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution. + Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience. + Responsible for distribution of analytical reports. + **Process Focus:** Utilizes multiple system applications to perform analysis, create reports & develop educational materials. Incorporates basic knowledge of Trinity Health policies, practices & processes to ensure quality, confidentiality & safety are prioritized. + Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge. + **Data Management & Analysis** : Research & compiles information to support ad-hoc operational projects & initiatives. + Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making. + Leverages program & operational data & measurements to define & demonstrate progress, ROI & impacts. + **Maintains a Working Knowledge** of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices. **Minimum Qualifications:** + High school diploma or equivalent. + HFMA CRCR or NAHAM CHAA required within one (1) year of hire. + Entry level position. Minimum one (1) year customer service experience. Patient Access experience preferred. **Additional Qualifications (nice to have)** + Medical terminology required & knowledge of diagnostic & procedural coding + Insurance verification with the ability to explain benefits, secure necessary authorizations **Position Highlights and Benefits:** + Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one. + Retirement savings account with employer match starting on day one. + Generous paid time off programs. + Employee recognition programs. + Tuition/professional development reimbursement. + Relocation assistance (geographic and position restrictions apply). + Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing. + Employee Referral Rewards program. + Mount Carmel offers DailyPay - if you're hired as an eligible colleague, you'll be able to see how much you've made every day and transfer your money any time before payday. You deserve to get paid every day! + Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups. **Ministry/Facility Information:** Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our four hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you're seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You! **Our Commitment** Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law. Our Commitment to Diversity and Inclusion Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity. EOE including disability/veteran