Accounts Receivable Specialist jobs at UMass Memorial Health

Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $19.74 - $30.80 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 8 hrs shirft starting between 6am to 6pm Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5442 Primary Care Pod Ar Union: SHARE (State Healthcare and Research Employees) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for follow-up of complex claims for payment. $3,000 Sign On Bonus! (For All External Hires) A talent acquisition caregiver will provide more details during the interview process. I. Major Responsibilities: 1. Calls insurance companies and utilizes payor web-sites while working detailed reports to secure outstanding payments. 2. Reviews rejections in assigned payors and plans to determine validity of rejection and takes appropriate action to resolve the invoice. 3. Calculates and posts adjustments based on third party reimbursement guidelines and contracts. 4. Makes appropriate payor and plan changes to secondary insurers or responsible parties. 5. Inputs missing data as required and corrects registration and other errors as indicated. II. Position Qualifications: License/Certification/Education: Required: 1. High School Diploma Experience/Skills: Required: 1. Previous Revenue Cycle knowledge in one of the following areas including PFS, Customer Service, Cash Posting, Financial Assistance, Patient Access, HIM/Coding and/or 3rd party Reimbursement. 2. Ability to perform assigned tasks efficiently and in timely manner. 3. Ability to work collaboratively and effectively with people. 4. Exceptional communication and interpersonal skills. Preferred: 1. One or more years of experience in health care billing functions. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.

The ECMO Specialist is enrolled and actively participating in the department's ECMO Training Program. This role is responsible for developing and maintaining the skills necessary to proficiently and safely establish, manage, and control extracorporeal membrane oxygenation (ECMO) technology and assist with associated procedures in acutely ill patients of all ages in critical care settings. The specialist will learn to troubleshoot devices and associated equipment under the supervision of experienced ECMO personnel, provide ongoing care through surveillance of clinical and physiologic parameters, adjust ECLS devices as needed, administer and document blood products and medications in accordance with hospital standards, provide airway and ventilator management, and perform the full scope of practice of a Respiratory Therapist II. Schedule: 36 hours per week, rotating day/night shifts, every third weekend. **This position is eligible for full time benefits $20,000 sign-on bonus (not eligible for internal candidates and not eligible for former BCH employees who worked here in the past 2 years) Key Responsibilities: Assemble, prepare, and maintain extracorporeal circuits and associated equipment with assistance. Assist in priming extracorporeal circuits and preparing systems for clinical application. Assist with cannulation procedures. Assist in establishing extracorporeal support; monitor patient response, provide routine assessments, circuit evaluations, patient monitoring, and anticoagulation management. Assist with ECMO circuit interventions, weaning procedures, and transports. Administer blood products per hospital standards. Interact and communicate with caregivers, nursing, surgical and medical teams, patients, and family members. Maintain relevant clinical documentation in the patient's electronic health record. Participate in professional development, simulation, and continuing education. Attend ECMO Team meetings and M&M conferences on a regular basis. Minimum Qualifications Education: Required: Associate's Degree in Respiratory Therapy Preferred: Bachelor's Degree Experience: Required: A minimum of one year of experience as a BCH Respiratory Therapist with eligibility for promotion to RT II, or one year of external ECMO experience Preferred: None specified Licensure / Certifications: Required: Current Massachusetts license as a Respiratory Therapist Required: Current credential by the National Board of Respiratory Care as a Registered Respiratory Therapist (RRT); Neonatal Pediatric Specialist (NPS) credential must be obtained within 6 months of entry into the role Preferred: None specified 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 Manager of Specialized Accounts Receivable provides coordination, leadership and oversight to the VNA Home Health, Hospice and Elder Services AR staff that provide third-party billing, AR follow-up, denials management, underpayment recoupment and credit balance resolution. Coordinates external audits and third-party reviews and works with the Director of Patient Financial Services to meet department AR management and cash collection goals. Researches, develops, and promulgates best practices to ensure that all third-party billing and AR resolution are done timely, accurately, and within compliance to CCHC, payer, state and federal regulations. Supports the training and development of the AR team. Continually seeks improvement in AR Management processes and technology. PRIMARY DUTIES AND RESPONSIBILITIES: Support, oversee, and manage the performance, productivity and quality of the entire Billing, Follow-Up/Denials team as it relates to all AR Management activities and pre-defined and Manager identified goals and targets. Develop, implement, and manage efficient and effective operational policies, procedures, processes and performance monitoring across all third-party AR resolution, denials management, credit balance resolution and payment variance recoupment. Ensure CCHC employees and vendor staff performing AR functions are compliant with policies, procedures and processes; measure and address all areas of non-compliance. Maintain up-to-date knowledge of regulatory and compliance, for state and federal agency, changes impacting billing requirements and operations. Collaborate with other disciplines, IT partner and vendors to implement changes needed to address payer and regulatory billing requirement changes and denial prevention. Ensure vendors and CCHC revenue cycle employees are appropriately educated and trained as well as department policies and processes are modified, as required, to stay current. Work with Managed Care department, payor representative, vendors and all other departments within CCHC and Physician Practices to resolve outstanding account receivable issues Ensure negotiated contracts are being administered and reimbursed according to contractual terms and rates. Assist managed care in the resolution of contract payment issues. Confirm staff are consistently performing performance-monitoring processes. Define, implement, and monitor strategies to improve overall patient financial services processing efficiency. Ensure that denial trends identified are managed and tracked to improvement ensuring mitigation strategies are consistently implemented. Manage to applicable Key Performance Indicators (“KPIs”). Define and implement action plans when performance is not meeting expectations. Assess workflow prioritization on a regular basis to confirm that AR metrics and benchmarks are consistently achieved. Originate and/or execute a portfolio of performance improvement projects for overall revenue cycle enhancement Conduct analysis as needed and on a timely basis, to support decisions by leadership and maintain/grow revenue collections. Assess direct reports' performance on a consistent basis and provide feedback to reward effective performance and enable proactive performance improvement steps to be taken. Originate and/or execute a portfolio of performance improvement projects for overall revenue cycle enhancement. Prepares reports and conducts analysis as needed and on a timely basis, to support decisions by leadership and maintain/grow revenue collection. Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional healthcare related organizations Uses experience, education, training and judgment to plan and accomplish key performance indicators for AR metrics and other measures of organizational health. Educating, training and setting expectations on using the EHR system efficiently and effectively to meet industry key performance indicators. Maintains up-to-date payer knowledge including regular access to payer websites and portals to ensure the AR is flowing timely and appropriately. Performs additional special assignments, duties, and related functions as required. Works with Director of System PFS, Director PB Revenue Cycle, VP, CFO and vendor(s) to establish customer service / SBO revenue cycle benchmarks Reduce redundancies and re-work through proper use of technology and through staff education. Serves as the main point of contact for Patient AR Management including Client Submitter, and VNA AR. Challenges current working practices; identifies process improvement opportunities and presents recommendations and solutions to management. Engages and commits to the organization's culture of continuous improvement by actively participating, supporting, and promoting CCHC Pillars of Excellence. EDUCATION/EXPERIENCE/TRAINING: Bachelor's degree preferred or equivalent combination of education and 10 years experience. Minimum ten years health care with at least five years of healthcare Finance or Accounts Receivable Management experience. Prior experience with customer service and patient billing operations preferred. Home healthcare and hospice experience required. Minimum two years supervisory/management experience in healthcare environment required. Required three to five years of demonstrated experience with electronic health records. Epic experience preferred. Ability to work under pressure and manage multiple initiatives concurrently; must be able to work independently, set own priorities and meet deadlines. Experience and knowledge of regulatory requirements, payer requirements and third-party reimbursement. An understanding of complex corporate relationships, and an ability to influence within such an environment. Excellent communication, leadership, delegation, and interpersonal skills. Ability to evaluate personal performance against established goals. Ability to communicate with and present to a wide variety of CCHC and external users, including senior management and physicians, as well as outside vendors and consultants. Demonstrated goal-oriented thinking, operational and organizational skills. Ability to coach and support staff in their efforts to improve overall performance. Capable of learning reporting systems and other new tools Exceptional time management skills. Schedule Details: 32 hrs./week- Days-Monday-Friday Pay Range Details: The pay range displayed on each job posting reflects the anticipated range for new hires. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set, and education. This is not inclusive of the value of Cape Cod Healthcare's benefits package (if applicable), which includes among other benefits, healthcare/dental/vision and retirement. For annual salaries this is based on full-time employment.

Provides AR/follow up including denial management support to collect on outstanding accounts receivables. Complies with payer filing deadlines by utilizing all available resources to resolve held claims, Assures all known regulatory, contractual, compliance, and BHSF guidelines are adhered to with regards to claim billing processes. Communicates with various teams within the organization. Utilizes coding compliance and understanding of ICD-9, CPT-4 and associated modifiers to resolve claims management issues. Estimated pay range for this position is $18.87 - $22.83 / hour depending on experience. Degrees: * High School,Cert,GED,Trn,Exper. Additional Qualifications: * One of the following certifications is preferred: CPC-A (AAPC Certified Professional Coder), CCA (AHIMA Certified Coding Associate), CCS (AHIMA Certified Coding Specialist), CCS-P (AHIMA Certified Coding Specialist - Physician-Based), NCIS (NCCT,National Certified Insurance Specialist) ,Other recognized coding and billing certifications may also be considered. * Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers. * Excellent computer proficiency (MS Office - Word, Excel, and Outlook). * Knowledge of physician billing, regulatory and compliance guidelines. * Knowdledge of ICD-10, HCPCS, CPT-4 and modifiers. * Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service. * Ability to work independent and carry out completion of workload. Minimum Required Experience: 2 Years

Reporting to the Accounts Receivable Supervisor, this role supports the operations of the CommunityCare Revenue Cycle Management (RCM) team related to the follow up and resolution of outstanding insurance claims. Goal of the position is to follow up on, investigate and resolve claims that have been submitted to insurance for payment and to create detailed notes that provide insight into the current status of the individual claims. Responsibilities Essential Functions: Contact insurance carriers on a daily basis to follow up on/collect past due amounts on outstanding medical claims regarding denials or benefit changes. Maintain an accurate, up to date aging of assigned accounts including AR analysis and follow up. Keep educated on billing and medical policies for all payers. Have a working knowledge of In and Out of Network reimbursement processes/methodologies. Create and follow up on appeals needed to protest denials or incorrect payments. Review complex denials/tasks assigned by the payment posting team and resolve accordingly including reviewing refund requests, disputes and appeal as necessary. Work across all RCM departments to get issues related to claims payment resolved. Uphold and ensure compliance and attention to all company policies and procedures as well as the overall mission and values of the organization. Work with AR Supervisor to review/resolve open accounts as assigned. Perform other duties as assigned. Knowledge, Skills and Abilities: High level of skill at building relationships and providing excellent customer service. Ability to utilize computers for data entry, research and information retrieval. Strong attention to detail and accuracy and multitasking. Must have highly developed problem-solving skills. Executes excellent customer service and professionalism when interacting with staff, payers, patients and families to ensure all are treated with kindness and respect. Through leadership and by example, ensures that services are provided in accordance with state and federal regulations, organizational policy, and accreditation/compliance requirements. Acts in accordance with CommUnityCare's mission and values, while serving as a role model for ethical behavior. Promptly identify issues and reports them to their direct supervisor. Maintain regular and predictable attendance. Acts in accordance with CommunityCare's mission and values, while serving as a role model for ethical behavior Manage high volumes of work and organize/maintain a schedule independently. Must be able to effectively monitor steps in claims processing operations. Qualifications Minimum Education: High School Diploma or GED Minimum Experience: 3 years of experience managing Accounts Receivable and performing direct follow up with payers. 1 year experience communicating effectively, both orally and in writing, with insurance payers and internal company communications. 3 years working with medical terminology, ICD10, CPT, HCPCs coding and HIPAA requirements. 2 years of experience with data processing and analytical skills, proficiency in Excel and Microsoft Office Suite as well as medical practice management software and electronic medical records. 3 years of experience working with commercial, government and state insurance payers and their reimbursement policies and procedures. 3 years' experience working complex insurance issues, including assigning correct payer, EOB adjustments and refunds to accounts.

Reporting to the Accounts Receivable Supervisor, this role supports the operations of the CommunityCare Revenue Cycle Management (RCM) team related to the follow up and resolution of outstanding insurance claims. Goal of the position is to follow up on, investigate and resolve claims that have been submitted to insurance for payment and to create detailed notes that provide insight into the current status of the individual claims. Responsibilities Essential Functions: * Contact insurance carriers on a daily basis to follow up on/collect past due amounts on outstanding medical claims regarding denials or benefit changes. * Maintain an accurate, up to date aging of assigned accounts including AR analysis and follow up. * Keep educated on billing and medical policies for all payers. * Have a working knowledge of In and Out of Network reimbursement processes/methodologies. * Create and follow up on appeals needed to protest denials or incorrect payments. * Review complex denials/tasks assigned by the payment posting team and resolve accordingly including reviewing refund requests, disputes and appeal as necessary. * Work across all RCM departments to get issues related to claims payment resolved. * Uphold and ensure compliance and attention to all company policies and procedures as well as the overall mission and values of the organization. * Work with AR Supervisor to review/resolve open accounts as assigned. * Perform other duties as assigned. Knowledge, Skills and Abilities: * High level of skill at building relationships and providing excellent customer service. * Ability to utilize computers for data entry, research and information retrieval. * Strong attention to detail and accuracy and multitasking. * Must have highly developed problem-solving skills. * Executes excellent customer service and professionalism when interacting with staff, payers, patients and families to ensure all are treated with kindness and respect. * Through leadership and by example, ensures that services are provided in accordance with state and federal regulations, organizational policy, and accreditation/compliance requirements. * Acts in accordance with CommUnityCare's mission and values, while serving as a role model for ethical behavior. * Promptly identify issues and reports them to their direct supervisor. * Maintain regular and predictable attendance. * Acts in accordance with CommunityCare's mission and values, while serving as a role model for ethical behavior * Manage high volumes of work and organize/maintain a schedule independently. * Must be able to effectively monitor steps in claims processing operations. Qualifications Minimum Education: * High School Diploma or GED Minimum Experience: * 3 years of experience managing Accounts Receivable and performing direct follow up with payers. * 1 year experience communicating effectively, both orally and in writing, with insurance payers and internal company communications. * 3 years working with medical terminology, ICD10, CPT, HCPCs coding and HIPAA requirements. * 2 years of experience with data processing and analytical skills, proficiency in Excel and Microsoft Office Suite as well as medical practice management software and electronic medical records. * 3 years of experience working with commercial, government and state insurance payers and their reimbursement policies and procedures. * 3 years' experience working complex insurance issues, including assigning correct payer, EOB adjustments and refunds to accounts.

Applicants must reside in Connecticut, Massachusetts, or New York, or willing to relocate. The Revenue Cycle AR Specialist I is responsible for resolving insurance balances, following up with payors, and submitting appeals and reconsideration requests on rejected and denied claims. Responsible for ensuring claims are paid by insurance carrier to the organization correctly. Works receivable inventory within department standards including, as applicable: maintaining assigned work list of hospital or professional accounts; documenting agreement arrangements or reasons for outstanding balances; performs collection & follow up efforts; coordinating and/or posting adjustments, contractual allowances, or refunds within levels of authority. Education and/or Experience Required: Education: High School Diploma, GED, or a higher level of education that would require the completion of high school. Experience: Minimum 1 year completed experience in a Healthcare Revenue Cycle role. Education and/or Experience Preferred: Education: Associate's Degree in Healthcare Management, Finance, or related field. Experience: Experience with Epic Patient billing experience preferred. License and/or Certifications Required: N/A Accurately and compliantly resolves insurance balances after payment or adjudication, and correctly identifies any patient liability (i.e., contractual/payment review, etc.) and ensures accurate resolution of account to payment or payor terms; Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites. Leverages available resources and systems (both internal and external) to analyze patient accounting information and take appropriate action for payment resolution; documents all activity in accordance with organization and payor policies. Coordinate appeal when claim is denied. May partner with medical care team members on complex appeals. Submits LOMN (Letter of Medical Necessity) and other drafted appeals and reconsiderations on rejected and denied claims. Sends appeals to payors, and follow up to ensure payment is made. Continue to review acct and escalate as necessary if denial is not overturned. Engages the CFC, UR, Revenue integrity or coding follow-up team for any medical necessity, auth. or coding related denials review. Sets follow-up activities based on status of the claim; ensure full and clear account documentation on account status within system. Collaborate as a part of a team on special projects by utilizing excel spreadsheets, and effectively communicate results Performs other job-related duties as assigned.

Full-time Description *** WORK AT HOME*** Tennessee Orthopaedic Alliance is the largest orthopaedic surgery group in Tennessee. TOA concentrates on diagnosing and treating disorders and injuries of the musculoskeletal system, allowing our patients to live their best lives. Ninety-plus years later, we are advancing the practice of orthopaedic surgery throughout the state. There are several reasons why TOA is an employer of choice; here are a few of them: Stability -TOA has been in Middle Tennessee since 1926 and has expanded to over 20+ locations across the state! Impact -TOA's team members use our careers - whether in our clinics or our business office - to make a positive difference in the community by building relationships and helping patients live their best lives. Work Environment -The TOA team focuses on fostering an excellent working environment; one of positivity, collaboration, job satisfaction, and engagement. Total Rewards -TOA offers a comprehensive suite of benefits, including Medical, Dental, Paid Time Off, and more. Our 401(k) plan provides a company match, safe harbor match and profit-sharing match to go along with your contributions. JOB SUMMARY The AR Specialist is an essential part of the TOA Central Business Office. As an AR Specialist, you will use your analytical, financial, and customer service skills to ensure that TOA claims filed to an insurance payer are processed accurately and in a timely manner. DUTIES AND RESPONSIBILITIES Promptly identify any errors or other issues in claims processing. Effectively following up on any unpaid balances. Expeditiously bring any remaining balance to resolution. Meet quality assurance and productivity standards by identifying and reconciling insurance balance accounts. Identify denial trends and provide potential solutions while analyzing patient accounts utilizing our EPM system - Nextgen to determine appropriate action. Review explanations of benefits details on denials. Communicate with insurance payer representatives, patients, and TOA staff to ensure timely and accurate resolution of account transactions. This would include Commercial plans, Medicare/Medicare HMO plans, Medicaid/Medicaid HMO plans, and BCBSTN. Prioritize assigned accounts to maximize aged accounts receivable resolution. Review the explanation of benefit (EOB) documentation and notate accounts on collection activity to perform account resolution. Operate within established guidelines and protocols, including providing backup documentation for our accounting and audit functions. Collaborate closely with the Central Business Office, clinical colleagues, and administrative teammates to develop a cohesive, high-performing team. Adhere to HIPAA and OSHA safety guidelines. Requirements Exceptional customer service and patient focus. Knowledge of Insurance - particularly coordination of benefit rules and denial overturns are essential to this position. Knowledge of administrative and clerical procedures. Accustomed to using mostly payer websites for appeals/reconsiderations, medical records attachments, verification of benefits, and/or web-based claims follow-up. Ability to communicate and work as a team. Demonstrated proficiency with Microsoft Office programs such as Excel, Word, and Outlook. At least 3 years insurance collections experience. Experience using NextGen. Orthopaedic specialty experience. Fluency in English is required; Fluency in a second language is a plus. WORKING CONDITIONS TOA fosters an excellent working environment of positivity, collaboration, job satisfaction, and engagement. AR Specialist will be assigned to work in TOA's Central Business Office at an assigned cubicle in a call center environment and from home occasionally. The department experiences high volume, and as a result, it has associated stressors that conflict with a fast-paced environment. The noise level in the work environment is moderate to loud, with other staff members answering phones and collaborating. Regularly sit while working on the computer; use hands and fingers to handle, control, or feel objects, too, ls commands; repeat the same movements when entering data; speak clearly so listeners can understand; understand the speech of another person; ability to differentiate between colors, shades, and brightness; read from a computer screen for extended periods time. Frequently stand and walk around the office to gather supplies, use office equipment, or collaborate with employees or patients. Occasionally stand, stoop, and lift or move objects, equipment, and supplies weighing approximately 20-25 pounds up to 40-50 pounds. ***TOA is an equal opportunity employer. TOA conducts drug screens and background checks on applicants who accept employment offers.***

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

The Accounts Payable Lead will report to the AP Supervisor and is primarily responsible for the day-to-day accounts payable functions including processing and payment of invoices in a fast paced, high-volume A/P environment. Essential Responsibilities: Process, verify and reconcile various types of accounts payable invoices File/ Transact electronically open and paid vendor invoices and receivers accurately Process ACH, Check, and Credit Card Payments Analyze accounts payable transactions to ensure compliance with internal controls and accounting policies. Prepare Positive Pay Files Respond timely and professionally to vendor and internal inquiries regarding payments Review and verify statements received from vendors for accuracy. Research and investigate vendor discrepancies, as well as internal inquiries in a timely manner. This may involve interaction with other departments within the company. Facilitate and process patient refunds requiring manipulating data via Excel Support the month end close including credit card statement coding and support for importing data sets Collaborates with Supervisor and adjacent departments to streamline processes and recommends improvements to AP policies and procedures May be required to run errands to local bank and post office periodically Provides back up to AP Associate for staff coverage Skills and Abilities: Must be well versed in Microsoft Excel: importing/ exporting data, VLOOKUP, Pivot Tables. REQUIRED Must have excellent written and verbal communication skills Must be able to communicate effectively with vendors and administration Broad knowledge of accounting software (currently using QuickBooks & integrating to new ERP system) Must display professionalism and understand discretion Ability to process high volumes of complex invoices accurately Must be a team player who is detail and process oriented with the ability to multi-task. Must be able to walk between 0.3 miles and/ or have reliable transportation for trips to the local post office and bank Experience/Educational requirements: A minimum of 3-5 years Accounts Payable processing experience. Knowledge of general accounting practices and procedures to include understanding of cash and accrual basis accounting Experience with multiple entities/ “Under one-roof” a plus Experience with QuickBooks Enterprise Desktop and/ or DocStar a plus

The Accounts Payable Lead will report to the AP Supervisor and is primarily responsible for the day-to-day accounts payable functions including processing and payment of invoices in a fast paced, high-volume A/P environment. Essential Responsibilities: Process, verify and reconcile various types of accounts payable invoices File/ Transact electronically open and paid vendor invoices and receivers accurately Process ACH, Check, and Credit Card Payments Analyze accounts payable transactions to ensure compliance with internal controls and accounting policies. Prepare Positive Pay Files Respond timely and professionally to vendor and internal inquiries regarding payments Review and verify statements received from vendors for accuracy. Research and investigate vendor discrepancies, as well as internal inquiries in a timely manner. This may involve interaction with other departments within the company. Facilitate and process patient refunds requiring manipulating data via Excel Support the month end close including credit card statement coding and support for importing data sets Collaborates with Supervisor and adjacent departments to streamline processes and recommends improvements to AP policies and procedures May be required to run errands to local bank and post office periodically Provides back up to AP Associate for staff coverage Skills and Abilities: Must be well versed in Microsoft Excel: importing/ exporting data, VLOOKUP, Pivot Tables. REQUIRED Must have excellent written and verbal communication skills Must be able to communicate effectively with vendors and administration Broad knowledge of accounting software (currently using QuickBooks & integrating to new ERP system) Must display professionalism and understand discretion Ability to process high volumes of complex invoices accurately Must be a team player who is detail and process oriented with the ability to multi-task. Must be able to walk between 0.3 miles and/ or have reliable transportation for trips to the local post office and bank Experience/Educational requirements: A minimum of 3-5 years Accounts Payable processing experience. Knowledge of general accounting practices and procedures to include understanding of cash and accrual basis accounting Experience with multiple entities/ “Under one-roof” a plus Experience with QuickBooks Enterprise Desktop and/ or DocStar a plus

Dynamo Software is a leading global FinTech Research and Portfolio Management SaaS provider offering an industry-tailored, highly configurable SaaS platform solving challenges across the alternative investment landscape. For more than 20 years, the Dynamo platform has improved the productivity of fundraising, deal, research, investor servicing, portfolio management, and compliance teams worldwide. Collectively, Dynamo's 1,000+ clients manage over $10 trillion in assets. Backed by the largest Private Equity firms in the world - Blackstone Growth and Francisco Partners, Dynamo is seeking to grow our team based on rapidly increasing demand for our financial technology solutions. Role Overview: We're looking for an Accounts Receivable Specialist who thrives in a fast-moving environment and enjoys solving problems, working directly with clients, and keeping things running smoothly behind the scenes. In this role, you'll help maximize collection efforts, resolve billing questions, and keep our AR process organized and on track. You'll join a collaborative Finance Team, report to the Financial Controller, and have the opportunity to grow your skills across billing, collections, and financial operations. What You'll Do (Day-to-Day): * Communicate with internal teams and customers via email and phone to resolve billing questions and follow up on outstanding accounts * Review AR aging reports, identify delinquent accounts, and own follow-up actions * Research discrepancies and process credits, adjustments, and corrections as needed * Prepare and present weekly aging summaries and insights * Monitor billing activity and manage the shared billing inbox (Zendesk preferred but not required) * Escalate complex or unresponsive accounts when additional support is needed * Support contract reviews and enter contract data into the billing system * Jump in on special projects that streamline processes and improve the billing experience Your First Few Months: During your first few months, you'll get hands-on experience with our tools, workflows, and customer portfolio. You will: * Learn our billing and AR systems (Intacct, Zendesk) and observe our processes in action * Start owning smaller pieces of the AR portfolio and supporting aging reports * Build confidence communicating directly with clients about past-due accounts * Take ownership of billing inbox responsibilities and weekly updates * Partner with the Billing & AR Manager on contract reviews and data entry * Establish relationships with Customer Success, Sales, and other internal teams * Identify and suggest improvements to help us streamline workflows and enhance accuracy What You Bring: * Bachelor's degree in Finance, Accounting, or related field * 2+ years of experience in Finance or Accounts Receivable * Strong communication skills and a customer-first mindset * Ability to work in a fast-paced environment and meet monthly deadlines * Proficiency in Excel and Outlook; Intacct experience is a plus * Strong attention to detail, analytical skills, and problem-solving ability What We Offer: * The ability to have an IMPACT. Good ideas come from everybody in our organization. We are agile enough to embrace new ideas and new directions. * A very attractive work culture in an established technology company. We take pride in our work and people. * A competitive base salary, performance bonus, 401k matching, & excellent benefits. * The right candidate will have the opportunity to interact with all facets of our growing company and to define his or her own career track. At Dynamo Software, we're committed to fair and competitive pay practices. The listed range represents the base salary for this role, with final pay determined by experience and qualifications. In addition, employees are eligible for our performance-based bonus program. Base Salary Range: $60,000-80,000 Dynamo Software, Inc. is an equal opportunity employer. All employment decisions and personnel actions at the Company are administered without regard to race, color, religion, creed, national origin, ancestry, sex, age, qualified mental or physical disability, sexual orientation, gender identity, genetic carrier status, any veteran status, any military service, any application for any military service, or any other category or class protected by federal, state or local laws. All employment decisions and personnel actions, such as hiring, promotion, compensation, benefits, and termination, are and will continue to be administered in accordance with, and to further the principle of, equal employment opportunity.

The Austen Center is dedicated to promoting resilience and self-direction in adults with complex psychiatric problems. Most of our treatment plans are private-pay and out-of-network. We are seeking an experienced Accounts Receivable & Billing Specialist to join our team and serve as the primary financial liaison between patients, families, clinical staff, and our business office. The Accounts Receivable & Billing Specialist is responsible for managing all aspects of patient billing, insurance claims, and accounts receivable. This role ensures accurate financial processes, provides clear communication to patients and families, and supports the business office in maintaining compliance and efficiency. Key Responsibilities Conduct financial orientation for new admissions, including prepayment collection, billing overview, and insurance expectations. Generate and send invoices promptly; record and reconcile all accounts receivable transactions. Monitor outstanding balances and follow up with responsible parties to ensure timely payment. Submit insurance claims accurately and on time; resolve claim denials and discrepancies. Prepare regular AR aging reports and assist with audits and budgeting processes. Guide patients and families through the Financial Assistance Policy (FAP) and review applications for compliance. Respond to inquiries regarding billing and insurance; provide clear explanations and resolve concerns. Collaborate with the Resource Management Committee and the Director of Finance on AR and insurance matters. Provide backup support for other business office functions and special projects as needed. Benefits Health Insurance: Medical, Dental, and Vision (starting day 1) Disability and Life Insurance Flexible Spending Account and Health Reimbursement Account Retirement Plan: 403(b) with employer contribution Generous Paid Time Off and 12 Paid Holidays Employee Assistance Program Free meals during working shifts Requirements Associate's degree in the business field or relevant education and experience, Bachelor's preferred. 3-5 years of experience in insurance billing and accounts receivable required; experience in a private pay medical facility is a plus. Strong understanding of insurance processes and reimbursement procedures. Excellent interpersonal and communication skills; ability to compassionately support patients and families. Detail-oriented with strong organizational and problem-solving abilities. Proficiency in billing software and Microsoft Office Suite. Salary Description $28-$30 per hour

The Cellular Therapies Donor Services Specialist facilitates allogeneic donor identification and collection processes on behalf of adult and pediatric patients undergoing a stem cell transplant or other Cellular Therapy, including standard of care and clinical research therapies. This position is responsible for initiating and managing the search for suitable donors, coordinating donor testing and collection, donor product acquisition, and ensuring a smooth and effective process for both the donor and recipient. The role requires collaboration with multidisciplinary care teams, and donor registry organizations, as well as attention to detail, organization, problem-solving and effective communication. The specialist is responsible for the analytical, logistical, and administrative aspects of donor services, ensuring compliance with regulatory standards and supporting overall operations of the Cellular Therapy department. **The Cellular Therapies Donor Services Specialist position is a full time position, Monday through Friday with some on-call required. The position is hybrid, requiring 2 to 3 days on-site at the Longwood Medical area.** **DFCI guidelines state that employees must reside in New England: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, or Vermont.** Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals. + Identify suitable donor options for patients through family and/or donor registries, including domestic and international sources. Assess patient needs, therapy plan, and timing to ensure alignment with donor plan. + Responsible for comprehensive understanding of HLA donor search algorithms and other non-HLA factors, such as ABO, age and CMV status. + Analyze donor searches and apply current donor selection algorithms and strategies. + Responsible for the facilitation of the work up, collection, and acquisition of the stem cell product. + Perform product labeling verifications and courier hand off for donor registry. + Serve as donor advocate and primary point of contact for potential donors, providing ongoing support throughout the process. + Manage donor evaluations, including medical assessments and laboratory testing. + Provide comprehensive education to donors about the donation process, potential risks, and benefits. + Register donors in EMR and assign appropriate insurance coverage for accurate billing. + Conduct donor health screening (advanced). Collect donors' medical health history information and assess medical conditions and non-medical factors to determine further donor participation. + Manage donor testing (blood typing, HLA typing, and physical exams) to assess suitability. + Coordinate and schedule bone marrow or stem cell collection procedures, working with multidisciplinary care teams and donor registries. + Monitor the status of the donor collection process, ensuring that all necessary documentation and regulatory compliance requirements are met. + Attend Bone Marrow Harvest Procedures to ensure all procedures and documentation are competed accurately. + Ensure all necessary donor documentation is submitted and processed in a timely manner. + Manage the analytical, logistical, and administrative Donor Services operations of allogeneic donor cellular therapies. + Utilize critical thinking and solution-based approaches to address situations and navigate the nuances of each individual case. + Act as the liaison between transplant center, donor registries, donors, recipients, facilities, and the clinical transplant team. + Develop timetables with the clinical team to support the patient and donor's progress through complex therapies. + Provide timely updates via email or in weekly clinical review meetings to the transplant team regarding donor status including progress, challenges, and adjustments. + Ensure compliance with all regulatory bodies (e.g., FDA, AABB, FACT, NMDP) related to donor screening, collection, and processing. + Collaborate with multidisciplinary teams to optimize outcomes and support operational improvements efforts. + Maintain databases and systems related to donor information, ensuring accuracy and confidentiality. + Triage cases in a time sensitive manner, which may be subject to emergency contact of clinical team. **Minimum Education:** + Associates Degree required. **Minimum Experience:** + 2 years of experience in a patient care, healthcare administration, or clinical operations role in a complex healthcare environment required. **Preferred Qualifications:** + Bachelor's Degree in Healthcare Administration, Health Sciences or similar field strongly preferred **KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:** + Knowledge of FACT, NMDP & DFCI donor testing requirements and procedures, as well as donor suitability and eligibility. + Comprehensive knowledge of HLA typing, HLA antibody and donor search algorithms. + Excellent verbal and written communication skills to effectively interact with healthcare professionals, patients, and donors. + Demonstrated ability to work in highly regulated environments, following strict guidelines, such as clinical trials or complex medical systems. + Ability and willingness to work effectively in a collaborative interdisciplinary team model. + Must be detail-oriented with strong problem solving and decision-making skills. + Strong organizational and time-management skills, with the ability to manage multiple tasks simultaneously in a fast-paced environment. + Compassionate and empathetic approach when engaging with donors and their families. + Knowledge of regulatory guidelines related to bone marrow donation and transplant processes. + Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint). + Ability to always maintain confidentiality and professionalism. + Willingness to engage in efforts to support an inclusive culture and workplace. + Proficient in DFCI/BWH/CHB clinical systems as applicable to the position. **PATIENT CONTACT:** Yes - all ages. **Pay Transparency Statement** The hiring range is based on market pay structures, with individual salaries determined by factors such as business needs, market conditions, internal equity, and based on the candidate's relevant experience, skills and qualifications. For union positions, the pay range is determined by the Collective Bargaining Agreement (CBA) $30.58 - $36.20 At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are equally committed to diversifying our faculty and staff. Cancer knows no boundaries and when it comes to hiring the most dedicated and diverse professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply. Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other characteristics protected by law. **EEOC Poster**

The Cellular Therapies Donor Services Specialist facilitates allogeneic donor identification and collection processes on behalf of adult and pediatric patients undergoing a stem cell transplant or other Cellular Therapy, including standard of care and clinical research therapies. This position is responsible for initiating and managing the search for suitable donors, coordinating donor testing and collection, donor product acquisition, and ensuring a smooth and effective process for both the donor and recipient. The role requires collaboration with multidisciplinary care teams, and donor registry organizations, as well as attention to detail, organization, problem-solving and effective communication. The specialist is responsible for the analytical, logistical, and administrative aspects of donor services, ensuring compliance with regulatory standards and supporting overall operations of the Cellular Therapy department. The Cellular Therapies Donor Services Specialist position is a full time position, Monday through Friday with some on-call required. The position is hybrid, requiring 2 to 3 days on-site at the Longwood Medical area. DFCI guidelines state that employees must reside in New England: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, or Vermont. Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals. Responsibilities * Identify suitable donor options for patients through family and/or donor registries, including domestic and international sources. Assess patient needs, therapy plan, and timing to ensure alignment with donor plan. * Responsible for comprehensive understanding of HLA donor search algorithms and other non-HLA factors, such as ABO, age and CMV status. * Analyze donor searches and apply current donor selection algorithms and strategies. * Responsible for the facilitation of the work up, collection, and acquisition of the stem cell product. * Perform product labeling verifications and courier hand off for donor registry. * Serve as donor advocate and primary point of contact for potential donors, providing ongoing support throughout the process. * Manage donor evaluations, including medical assessments and laboratory testing. * Provide comprehensive education to donors about the donation process, potential risks, and benefits. * Register donors in EMR and assign appropriate insurance coverage for accurate billing. * Conduct donor health screening (advanced). Collect donors' medical health history information and assess medical conditions and non-medical factors to determine further donor participation. * Manage donor testing (blood typing, HLA typing, and physical exams) to assess suitability. * Coordinate and schedule bone marrow or stem cell collection procedures, working with multidisciplinary care teams and donor registries. * Monitor the status of the donor collection process, ensuring that all necessary documentation and regulatory compliance requirements are met. * Attend Bone Marrow Harvest Procedures to ensure all procedures and documentation are competed accurately. * Ensure all necessary donor documentation is submitted and processed in a timely manner. * Manage the analytical, logistical, and administrative Donor Services operations of allogeneic donor cellular therapies. * Utilize critical thinking and solution-based approaches to address situations and navigate the nuances of each individual case. * Act as the liaison between transplant center, donor registries, donors, recipients, facilities, and the clinical transplant team. * Develop timetables with the clinical team to support the patient and donor's progress through complex therapies. * Provide timely updates via email or in weekly clinical review meetings to the transplant team regarding donor status including progress, challenges, and adjustments. * Ensure compliance with all regulatory bodies (e.g., FDA, AABB, FACT, NMDP) related to donor screening, collection, and processing. * Collaborate with multidisciplinary teams to optimize outcomes and support operational improvements efforts. * Maintain databases and systems related to donor information, ensuring accuracy and confidentiality. * Triage cases in a time sensitive manner, which may be subject to emergency contact of clinical team. Qualifications Minimum Education: * Associates Degree required. Minimum Experience: * 2 years of experience in a patient care, healthcare administration, or clinical operations role in a complex healthcare environment required. Preferred Qualifications: * Bachelor's Degree in Healthcare Administration, Health Sciences or similar field strongly preferred KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED: * Knowledge of FACT, NMDP & DFCI donor testing requirements and procedures, as well as donor suitability and eligibility. * Comprehensive knowledge of HLA typing, HLA antibody and donor search algorithms. * Excellent verbal and written communication skills to effectively interact with healthcare professionals, patients, and donors. * Demonstrated ability to work in highly regulated environments, following strict guidelines, such as clinical trials or complex medical systems. * Ability and willingness to work effectively in a collaborative interdisciplinary team model. * Must be detail-oriented with strong problem solving and decision-making skills. * Strong organizational and time-management skills, with the ability to manage multiple tasks simultaneously in a fast-paced environment. * Compassionate and empathetic approach when engaging with donors and their families. * Knowledge of regulatory guidelines related to bone marrow donation and transplant processes. * Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint). * Ability to always maintain confidentiality and professionalism. * Willingness to engage in efforts to support an inclusive culture and workplace. * Proficient in DFCI/BWH/CHB clinical systems as applicable to the position. PATIENT CONTACT: Yes - all ages. Pay Transparency Statement The hiring range is based on market pay structures, with individual salaries determined by factors such as business needs, market conditions, internal equity, and based on the candidate's relevant experience, skills and qualifications. For union positions, the pay range is determined by the Collective Bargaining Agreement (CBA) $30.58 - $36.20 At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are equally committed to diversifying our faculty and staff. Cancer knows no boundaries and when it comes to hiring the most dedicated and diverse professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply. Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other characteristics protected by law. EEOC Poster

The Revenue Cycle AR Specialist II is responsible for resolving insurance balances, following up with payors, and submitting appeals and reconsideration requests on rejected and denied claims. Ensures claims are paid by insurance carrier to the organization correctly. Works receivable inventory within department standards including, as applicable: maintaining assigned list of hospital or professional accounts; documenting agreement arrangements or reasons for outstanding balances; performs collection and follow up efforts; coordinating and/or posting adjustments, contractual allowances, or refunds within levels of authority. Identifies root causes of insurance denials. Remains current with core knowledge of specific payer policies, contracts and administrative bulletins AR Denials Specialist at this level has a solid understanding of under payment and credit balance process. Education and/or Experience Required: Education: High School Diploma, GED, or a higher level of education that would require the completion of high school. Experience: Minimum of 3 years Billing experience required in healthcare Rev Cycle with specialization in billing, account receivable follow up and denial management, with a High School Diploma/GED OR Minimum of 2 years direct experience with an Associate or Bachelors Education and/or Experience Preferred: Education: Associate's Degree in Healthcare Management, Finance, or related field. Experience: Experience with Epic License and/or Certification Required: N/A Identifies root causes of insurance denials. Remains current with core knowledge of specific payer policies, contracts and administrative bulletins Communicates identified payer trends such as denials for specific procedure, diagnosis codes, or other identified issues Accurately and compliantly resolves insurance balances after payment or adjudication, and correctly identifies any patient liability (i.e., contractual/payment review, etc.) and ensures accurate resolution of account to payment or payor terms; Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites. Leverages available resources and systems (both internal and external) to analyze patient accounting information and take appropriate action for payment resolution; documents all activity in accordance with organization and payor policies. Coordinate appeal when claim is denied. May partner with medical care team members on complex appeals. Submits LOMN (Letter of Medical Necessity) and other drafted appeals and reconsiderations on rejected and denied claims. Sends appeals to payors and follow up to ensure payment is made. Continue to review acct and escalate as necessary if denial is not overturned. Engages the CFC, UR, Revenue integrity or coding follow-up team for any medical necessity, auth. or coding related to denials review. Sets follow-up activities based on status of the claim; ensure full and clear account documentation on account status within system. Collaborate as a part of a team on special projects by utilizing excel spreadsheets, and effectively communicate results Performs other job-related duties as assigned.

Connecticut Children's is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy that spans more than 100 years, Connecticut Children's offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states. Our transformational growth establishes us as a destination for specialized medicine and enables us to reach more children in locations that are closer to home. Our breakthrough research, superior education and training, innovative community partnerships, and commitment to diversity, equity and inclusion provide a welcoming and inspiring environment for our patients, families and team members. At Connecticut Children's, treating children isn't just our job - it's our passion. As a leading children's health system experiencing steady growth, we're excited to expand our team with exceptional team members who share our vision of transforming children's health and well-being as one team. The Revenue Cycle AR Specialist II is responsible for resolving insurance balances, following up with payors, and submitting appeals and reconsideration requests on rejected and denied claims. Ensures claims are paid by insurance carrier to the organization correctly. Education and/or Experience Required: * Education: * High School Diploma, GED, or a higher level of education that would require the completion of high school. * Experience: * Minimum of 3 years Billing experience required in healthcare Rev Cycle with specialization in billing, account receivable follow up and denial management, with a High School Diploma/GED * OR * Minimum of 2 years direct experience with an Associate or Bachelors Education and/or Experience Preferred: * Education: * Associate's Degree in Healthcare Management, Finance, or related field. * Experience: * Experience with Epic License and/or Certification Required: N/A * Identifies root causes of insurance denials. Remains current with core knowledge of specific payer policies, contracts and administrative bulletins * Communicates identified payer trends such as denials for specific procedure, diagnosis codes, or other identified issues * Accurately and compliantly resolves insurance balances after payment or adjudication, and correctly identifies any patient liability (i.e., contractual/payment review, etc.) and ensures accurate resolution of account to payment or payor terms; * Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites. * Leverages available resources and systems (both internal and external) to analyze patient accounting information and take appropriate action for payment resolution; documents all activity in accordance with organization and payor policies. * Coordinate appeal when claim is denied. May partner with medical care team members on complex appeals. * Submits LOMN (Letter of Medical Necessity) and other drafted appeals and reconsiderations on rejected and denied claims. * Sends appeals to payors and follow up to ensure payment is made. * Continue to review acct and escalate as necessary if denial is not overturned. * Engages the CFC, UR, Revenue integrity or coding follow-up team for any medical necessity, auth. or coding related to denials review. * Sets follow-up activities based on status of the claim; ensure full and clear account documentation on account status within system. * Collaborate as a part of a team on special projects by utilizing excel spreadsheets, and effectively communicate results Performs other job-related duties as assigned.

Family Centers seeks a detail-oriented Accounts Receivable Specialist to support the Revenue Cycle team in managing outstanding accounts receivable. The incumbent will ensure timely and accurate reimbursement for services rendered by researching denials, appealing underpaid claims, resolving payment issues, and maintaining compliance with billing standards. The Role Claims Management: Review and resolve outstanding claims and encounters in assigned Epic work queues to ensure timely payment. Denial & Zero Pay Review: Respond to denials, zero pays, and payer correspondence within two business days. Identify the root cause and initiate resubmissions or appeals as appropriate. Appeals & Payer Communication: Submit appeals for denied or incorrectly processed claims through payer portals or phone communication. Follow up until resolution is achieved. Payment Posting Coordination: Work collaboratively to resolve Explanation of Benefits (EOB) discrepancies and ensure accurate posting of payments and adjustments. Patient Balance Resolution: Investigate and address outstanding patient balances in accordance with policy and compliance standards. Credit Balances: Identify, research, and resolve patient credit balances. Process refunds when necessary. A/R Trend Analysis: Identify trends in denials or payment delays and escalate recurring issues to the Revenue Cycle Director for resolution planning. Productivity and Documentation: Utilize Epic dashboards to track progress. Meet productivity benchmarks and document all actions clearly in the system. Compliance: Ensure all activities are conducted in compliance with HIPAA and internal confidentiality standards. Other duties as assigned Requirements High school diploma or equivalent Minimum 2 years of experience in medical billing, insurance follow-up, or revenue cycle management Proficiency with Epic or similar EHR systems Strong understanding of CPT, ICD-10, and HCPCS codes Familiarity with EOBs, denial codes, and appeals processes Demonstrated proficiency in billing software and payer portals Excellent problem-solving, communication, and organizational skills Ability to work on tasks independently and also in a collaborative team environment Must maintain patient confidentiality and adhere to HIPAA regulations Able to manage multiple tasks and meet deadlines in a fast-paced environment Preferred Associate degree or higher in healthcare administration, business, or related field Certifications such as CRCS, CPB, or CMRS About Family Centers Family Centers is a private, nonprofit organization offering health, education and human service programs to children, adults and families in Fairfield County. Our team includes 300 professionals and over 500 trained volunteers who collaborate to provide our communities with a wide range of responsive and innovative services. Through our comprehensive network of services, more than 23,000 children, adults, families and communities receive the care, encouragement and resources needed to realize their potential. Rewards Salary commensurate with experience. A suite of benefits includes generous paid time off, medical, dental, vision, tax-free spending accounts, disability, life and AD&D insurance. Additional benefits include an employee assistance plan, pet insurance, critical accident and illness, wellness services, tuition assistance, and retirement savings. The opportunity to work for an employer consistently rated one of the Top Workplaces in Western Connecticut by Hearst Connecticut Media and a perfect 100 Encompass rating by Charity Navigator. To Apply Visit ***************************** or find us on LinkedIn. Family Centers is committed to providing equal employment opportunities to all applicants and employees as indicated in applicable federal and/or state laws. NO RECRUITERS PLEASE

The Collection Specialist is responsible for collections of outstanding private invoices from the existing client base, resolving customer billing problems and reducing accounts receivable delinquency. This position will report to the Revenue Cycle Manager and is located out of our Somerville, MA. office. Collections Specialist Responsibilities: Resolve insurance related billing issues with patients and/or insurance carriers Handling of high call volume Serve as primary representative for patient inquiries/calls Communicate effectively both orally and in writing Respond to customer inquiries, resolve client discrepancies, process and review account adjustments Demonstrate superior customer service skills and problem solving, which includes assisting the patient with alternative payment options and payment plans Possess basic understanding of government and commercial insurance and Credit & Collections policies Identify the need and request rebills to insurance Handle highly confidential information with complete discretion Maintain confidentiality of patient information while on the phone or in-person Work aged invoices utilizing various reports and the collection module using Zoll Rescue Net Alert Revenue Cycle Manager about potential problems that could affect collections Meet productivity goals/benchmarks as set and communicated by the manager Utilize available sources to obtain updated info and reissue correspondence Additional projects and responsibilities may be assigned permanently or on an as needed basis Collections Specialist Qualifications: Working knowledge of Microsoft Office, including Excel, Word is a must Strong communication, problem solving and analytical skills required Acute attention to detail and the ability to work in a fast-paced, team-oriented environment with a focus on communication required Outstanding customer service and phone skills Previous collections or customer service experience a plus Knowledge of HIPPA and healthcare policies a plus High School diploma or GED required Fluent in Spanish a plus, but not required Must be positive and maintain professional demeanor at all times Familiarity with Medicaid and Medicare guidelines Ambulance billing experience a plus 3-5 years Accounts Receivable follow up experience About Cataldo Since 1977, Cataldo Ambulance Service, Inc. has continually distinguished ourselves as a leader in providing routine and emergency medical services. As the needs of the community and the patient change, we continue to introduce innovative programs to ensure the highest level of care is available to everyone in the areas we serve. Cataldo is the largest private EMS provider and private ambulance service in Massachusetts. In addition to topping 50,000 emergency medical transportations annually through 911 contacts with multiple cities, we partner with some of Massachusetts top medical facilities to provide non-emergency medical ambulance and wheelchair transportation services. We are also an EMS provider to specialty venues like Fenway Park, TD Garden, and DCU Center. While Cataldo began as an ambulance service company, we continue to grow through innovation and expand the services we offer to the local communities. As a public health resource, Cataldo offers training and education to the healthcare and emergency medical community through the Cataldo Education Center. This includes certification training for new employees as well as the training needed for career advancement. Through our partnerships with health systems, hospitals, managed care organizations, and others, we continue to provide in-home care through the state's first and largest Mobile Integrated Health program, SmartCare. We also have delivered more than 1.7 million Covid-19 vaccines and continue to operate testing and vaccination sites throughout the state of Massachusetts.